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PARKVIEW HEALTH SYSTEM INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
PARKVIEW HEALTH SYSTEM INC (EIN 35-1972384)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-12
IRS object ID
201733169349300123
Schema version
2016v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-11-12T15:17:44-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1330 E JEFFERSON BLVD P O BOX 7AddressLine1Txt
CitySOUTH BENDCityNm
State AbbreviationINStateAbbreviationCd
ZIP466240007ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351972384EIN

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line110501 CORPORATE DRIVEAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46845ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEANNE' WICKENSPersonNm
Person TitlePH CFOPersonTitleTxt
Phone2603738407PhoneNum
Signature2017-11-12SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKENNETH J KEBERPreparerPersonNm
PTINP00240883PTIN
Phone5742323992PhoneNum
Self EmployedYes (X)SelfEmployedInd

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address204.58.171.16IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-12IPDt
IP Tm15:38:23IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdBD78C0151F32BCCEC501E79B474C54CD1328F117AtSubmissionCreationDeviceId
At Submission Filing Device IdBD78C0151F32BCCEC501E79B474C54CD1328F117AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL J PACKNETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110501 CORPORATE DRIVEAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46845ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$695,587,390GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PARKVIEW.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPARKVIEW HEALTH SYSTEM, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.ActivityOrMissionDesc
Voting Members Governing Body24VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee4053TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$3,856,220TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,783,421PYContributionsGrantsAmt
CY Contributions Grants$579,845CYContributionsGrantsAmt
PY Program Service Revenue$458,016,686PYProgramServiceRevenueAmt
CY Program Service Revenue$509,326,669CYProgramServiceRevenueAmt
PY Investment Income$22,853,010PYInvestmentIncomeAmt
CY Investment Income$20,315,305CYInvestmentIncomeAmt
PY Other Revenue$1,568,879PYOtherRevenueAmt
CY Other Revenue$1,999,232CYOtherRevenueAmt
PY Total Revenue$487,221,996PYTotalRevenueAmt
CY Total Revenue$532,221,051CYTotalRevenueAmt
PY Grants And Similar Paid$5,620,130PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,074,995CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$335,044,551PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$387,773,769CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$177,244,017PYOtherExpensesAmt
CY Other Expenses$196,986,537CYOtherExpensesAmt
PY Total Expenses$517,908,698PYTotalExpensesAmt
CY Total Expenses$588,835,301CYTotalExpensesAmt
PY Revenues Less Expenses-$30,686,702PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$56,614,250CYRevenuesLessExpensesAmt
Total Assets BOY$1,676,766,205TotalAssetsBOYAmt
Total Assets EOY$1,813,088,386TotalAssetsEOYAmt
Total Liabilities BOY$779,685,237TotalLiabilitiesBOYAmt
Total Liabilities EOY$778,862,768TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$897,080,968NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,034,225,618NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPARKVIEW HEALTH SYSTEM, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$561,789,739ExpenseAmt
Grant$4,074,995GrantAmt
Revenue$505,470,449RevenueAmt
DescPARKVIEW HEALTH SYSTEM, INC. SUPPORTS THE FOLLOWING HOSPITALS: PARKVIEW HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; PARKVIEW WABASH HOSPITAL, INC.; AND WHITLEY MEMORIAL HOSPITAL, INC. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. IS A 60 PERCENT OWNER IN THE PARTNERSHIP OF THE ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY IS A FUNDAMENTAL PART OF PARKVIEW HEALTH SYSTEM, INC.'S MISSION. AS A NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. REINVESTS ITS FUNDS AND OTHER RESOURCES IN COMMUNITY SERVICES AND HOSPITAL (SEE SCHEDULE O FOR CONTINUATION)PROGRAMS DESIGNED TO IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF RESIDENTS IN THE AREAS WHERE PARKVIEW HEALTH SYSTEM, INC. HOSPITALS ARE LOCATED.TO GUIDE US IN THIS ENDEAVOR, PARKVIEW HEALTH SYSTEM, INC. SPONSORS A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. REVIEWS TREND AND TREATMENT ANALYSIS DATA ON AN ONGOING BASIS. DATA OBTAINED FROM THESE STUDIES ARE USED IN PARKVIEW HEALTH SYSTEM, INC.'S STRATEGIC PLANNING PROCESS TO IDENTIFY AND SET PRIORITIES FOR CRITICAL HEALTH INITIATIVES IN THE COMMUNITIES PARKVIEW HEALTH SYSTEM, INC. SERVES.PARKVIEW HEALTH SYSTEM, INC. EMPLOYS 377 PRIMARY AND SPECIALTY CARE PHYSICIANS AS PART OF PARKVIEW PHYSICIANS GROUP. THESE PHYSICIANS, ALONG WITH 150 ADVANCED PRACTICE PROVIDERS, PROVIDE CARE TO RESIDENTS THROUGHOUT NORTHEAST INDIANA AND NORTHWEST OHIO REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. PARKVIEW HEALTH EMPLOYS FOUR FULL-TIME PHYSICIAN RECRUITERS AND ONE FULL-TIME ADVANCED PRACTICE PROVIDER RECRUITER WHOSE TIME IS DEVOTED SOLELY TO RECRUITING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. TWO PROVIDER ONBOARDING SPECIALIST WAS ADDED TO THIS TEAM. ALL PHYSICIAN RECRUITMENT ACTIVITY IS BASED ON A PHYSICIAN NEEDS ASSESSMENT AND THE OVERSIGHT OF THE COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS TO ENSURE THAT WE FOLLOW THE GUIDELINES SET FORTH BY THE FEDERAL GOVERNMENT. SIXTY-ONE NEW PHYSICIANS AND 92 ADVANCED PRACTICE PROVIDERS WERE RECRUITED IN 2016, SIGNIFICANTLY INCREASING THE SYSTEM'S ABILITY TO MEET LOCAL HEALTH NEEDS.PARKVIEW HEALTH SYSTEM, INC. PROVIDES SIGNIFICANT FUNDING TO LOCAL UNIVERSITIES TO PROMOTE AND SUPPORT THEIR NURSING PROGRAMS FOR THE EDUCATION AND DEVELOPMENT OF STUDENTS FOR THE NURSING PROFESSION. PARKVIEW HEALTH SYSTEM, INC. HAS PARTNERSHIPS WITH THE NURSING DEPARTMENTS AT INDIANA UNIVERSITY/PURDUE UNIVERSITY FORT WAYNE AND THE UNIVERSITY OF SAINT FRANCIS TO PROVIDE FINANCIAL ASSISTANCE FOR SCHOLARSHIPS AS WELL AS OPERATIONAL, CAPITAL AND MARKETING SUPPORT. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. IS A SIGNIFICANT CONTRIBUTOR TO THE NORTHEAST INDIANA ECONOMIC DEVELOPMENT COUNCIL IN ORDER TO PROMOTE THE ECONOMIC VITALITY OF THIS REGION. PARKVIEW HEALTH SYSTEM, INC. HAS PLAYED A KEY ROLE IN THE REGION'S VISION 2020 INITIATIVE, WHICH FOCUSES ON THE DEVELOPMENT OF STRATEGIES IMPERATIVE TO THE REGION'S FUTURE ECONOMIC GROWTH AND VITALITY.Desc
Total Program Service Expenses$561,789,739TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation EasementsYes (1)ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (1)BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document297IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee4053EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountrySZForeignCountryCd
Foreign CountryDAForeignCountryCd
Foreign CountrySWForeignCountryCd
Foreign CountrySFForeignCountryCd
Foreign CountryNOForeignCountryCd
Foreign CountryBRForeignCountryCd
Foreign CountryPOForeignCountryCd
Foreign CountryHUForeignCountryCd
Foreign CountryGRForeignCountryCd
Foreign CountryITForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members24GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEANNE' WICKENSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2603738407PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110501 CORPORATE DRIVEAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46845ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (52 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO40.0017.00Yes (X)Yes (X)$2,067,010$0$712,544
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH CHIEF PHY EXEC40.000.00Yes (X)$1,018,869$0$189,190
ROBERT GODLEY
DIRECTOR/PH PHYSICIAN40.001.00Yes (X)$746,102$0$63,214
JOSHUA KLINE
DIRECTOR/PH PHYSICIAN40.000.00Yes (X)$431,730$0$116,263
ALAN MCGEE
DIRECTOR/PH SVR LINE LEADER10.000.00Yes (X)$405,250$0$0
MICHAEL AXEL
DIRECTOR/TREASURER1.001.00Yes (X)$7,250$1,000$0
MARGARET BROOKS
DIRECTOR1.000.00Yes (X)$6,250$0$0
VICKY CARWEIN
DIRECTOR1.000.00Yes (X)$6,000$0$0
JANET CHRZAN
DIRECTOR/SECRETARY1.000.00Yes (X)$7,207$0$0
ROGER CROMER
DIRECTOR1.002.00Yes (X)$2,750$6,500$0
BRIAN EMERICK
DIRECTOR1.001.00Yes (X)$5,750$3,750$0
TIM GRISSOM
DIRECTOR1.001.00Yes (X)$7,250$14,750$0
DAVID HAIST
DIRECTOR/CHAIR1.001.00Yes (X)$15,750$0$0
THOMAS KIMBROUGH
DIRECTOR1.001.00Yes (X)$3,750$5,075$0
KEVIN LAMBRIGHT
DIRECTOR1.001.00Yes (X)$2,750$6,750$0
MICHAEL LEE
DIRECTOR1.000.00Yes (X)$5,250$0$0
JERRY LONG
DIRECTOR1.000.00Yes (X)$3,000$0$0
MARILYN MORAN-TOWNSEND
DIRECTOR1.001.00Yes (X)$6,825$3,250$0
WENDY ROBINSON
DIRECTOR1.001.00Yes (X)$2,000$3,000$0
LARRY ROWLAND
DIRECTOR41.005.00Yes (X)$256,750$0$0
KEN SCHUMAN
DIRECTOR1.001.00Yes (X)$2,500$6,500$0
THOMAS WALSH
DIRECTOR1.000.00Yes (X)$11,707$0$0
RYAN WARNER
DIRECTOR1.001.00Yes (X)$2,250$6,250$0
LUTHER WHITFIELD
DIRECTOR1.000.00Yes (X)$5,750$0$0
JEANNE' WICKENS
PH CHIEF FINANCIAL OFFICER40.0017.00Yes (X)$372,369$0$79,329
RICK HENVEY
PH CHIEF OPERATING OFFICER40.001.00Yes (X)$853,904$0$141,214
STANTON RISSER
INTERIM PH CFO - PARTIAL YEAR/PH VP40.0017.00Yes (X)$318,160$0$67,612
NEIL SHARMA
PRESIDENT PARKVIEW CANCER INSTITUTE46.002.00$886,629$39,693$86,555Yes (X)
SUZANNE EHINGER
PH CHIEF EXPERIENCE OFFICER40.000.00$651,345$0$142,440Yes (X)
MITCHELL STUCKY
PH PHYSICIAN EXECUTIVE OFFICER40.000.00$619,837$0$130,418Yes (X)
RONALD DOUBLE
PH CHIEF INFORMATION OFFICER40.000.00$575,161$0$109,382Yes (X)
GREG JOHNSON
PH CHIEF CLINICAL INTEGRATION OFFCR40.000.00$550,326$0$117,669Yes (X)
MARK KADLEC
PH SVP & COO - PPG40.000.00$518,026$0$102,214Yes (X)
JAMES WITMER
PH SVP FACILITY DESIGN & OVERSIGHT40.000.00$516,515$0$41,716Yes (X)
DAVID STOREY
PH SVP GENERAL COUNSEL40.000.00$516,225$0$110,499Yes (X)
JUDITH BOERGER
PH CHIEF NURSING EXECUTIVE40.000.00$478,612$0$95,345Yes (X)
THOMAS BOND
PH CHIEF MEDICAL OFFICER-PPG40.000.00$476,045$0$112,089Yes (X)
DENA JACQUAY
PH CHIEF HUMAN RESOURCES OFFICER40.000.00$463,462$0$107,636Yes (X)
JEFFREY BROOKES
PH MEDICAL DIR - COMMUNITY HOSPITALS10.0030.00$142,643$318,249$92,790Yes (X)
MARK PIERCE
PH CHIEF MED INFORMATICS OFFICER40.000.00$452,662$0$101,449Yes (X)
BARBARA CLAYTON
PH SVP REVENUE CYCLE/PAYOR STRATEGIES40.000.00$435,222$0$104,785Yes (X)
JAMES STAPEL
PH MEDICAL DIR INTEGRATION & DEV'T32.001.00$414,372$0$96,303Yes (X)
DONNA VAN VLERAH
PH SVP SUPPORT DIVISION40.000.00$368,257$0$70,876Yes (X)
JOHN MEISTER
PH SVP DELIVERY SYSTEM INTEGRATION40.000.00$358,747$0$15,746Yes (X)
JEFFREY BOORD
PH CHIEF QUALITY & SAFETY OFFICER40.000.00$352,523$0$90,072Yes (X)
SCOTT JAMES
PH SVP & COO SVR LINE LEADER-CANCER40.000.00$326,233$0$78,256Yes (X)
PHILIP SMITH
PH SVP STRATEGY & BUSINESS DEV'T40.000.00$291,605$0$56,582Yes (X)
MATTHEW GROTHAUS
PH PHYSICIAN27.0013.00$727,168$368,293$55,088Yes (X)
DOUGLAS GRAY
PH PHYSICIAN47.000.00$1,025,143$0$67,582Yes (X)
MICHAEL GRABOWSKI
PH PHYSICIAN36.006.00$931,222$72,995$64,814Yes (X)
DAVID LLOYD
PH PHYSICIAN43.000.00$922,698$0$58,697Yes (X)
DUANE HOUGENDOBLER
PH PHYSICIAN40.000.00$920,266$0$63,973Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$20,495,077TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$856,055TotReportableCompRltdOrgAmt
Total Other Compensation$3,542,342TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K580IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BOYDEN & YOUNGBLUTT
120 WEST SUPERIOR STFORT WAYNEIN46802ADVERTISING$3,969,468
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397PHYSICIANS$2,729,248
UNITED AUDIT SYSTEMS INC
2245 GILBERT AVENUE ST 205CINCINNATIOH45206REMOTE CODING$2,562,883
LOCUMTENENS
PO BOX 405547ATLANTAGA30384PHYSICIANS$2,509,966
FTI CONSULTING INC
PO BOX 418005BOSTONMA02241CONSULTING$1,538,466
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K93CntrctRcvdGreaterThan100KCnt
Related Organizations$515,383RelatedOrganizationsAmt
Government Grants$64,462GovernmentGrantsAmt
Total Contributions$579,845TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE621110$172,089,530$172,089,530
CORP SERVICE ALLOCATION561000$155,337,329$155,337,329
PH SUBSIDY561499$117,002,032$117,002,032
ORTHOPAEDIC HOSPITAL AT PARKVIEW621110$34,709,963$34,709,963
INTERUNIT RENT532000$12,287,924$12,287,924

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,899,891TotalRevenueColumnAmt
Related Or Exempt Func Income$14,043,671RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,856,220UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$509,326,669TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,824,740TotalRevenueColumnAmt
Exclusion$14,824,740ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$5,957,821RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$5,111,680RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$846,141RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$846,141TotalRevenueColumnAmt
Exclusion$846,141ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$163,709,268SecuritiesAmt
Other$35,956OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$157,634,836SecuritiesAmt
Other$619,823OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,074,432SecuritiesAmt
Other-$583,867OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,490,565TotalRevenueColumnAmt
Exclusion$5,490,565ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA REVENUEDesc
Business722100BusinessCd
Total Revenue Column$1,153,091TotalRevenueColumnAmt
Exclusion$1,153,091ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,153,091OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$532,221,051TotalRevenueColumnAmt
Related Or Exempt Func Income$505,470,449RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,856,220UnrelatedBusinessRevenueAmt
Exclusion$22,314,537ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,074,995TotalAmt
Program Services$4,074,995ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$19,132,987TotalAmt
Management And General$19,132,987ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$91,548TotalAmt
Program Services$91,548ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$292,719,733TotalAmt
Program Services$292,719,733ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$38,299,788TotalAmt
Program Services$38,299,788ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$37,529,713TotalAmt
Program Services$37,529,713ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$798,185TotalAmt
Program Services$790,460ProgramServicesAmt
Management And General$7,725ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$390,000TotalAmt
Management And General$390,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$101,752TotalAmt
Management And General$101,752ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,860,165TotalAmt
Management And General$1,860,165ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$34,284,402TotalAmt
Program Services$30,878,225ProgramServicesAmt
Management And General$3,406,177ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,685,764TotalAmt
Program Services$2,684,514ProgramServicesAmt
Management And General$1,250ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$12,282,318TotalAmt
Program Services$11,677,130ProgramServicesAmt
Management And General$605,188ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$34,445,133TotalAmt
Program Services$34,445,133ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$15,985,677TotalAmt
Program Services$15,951,470ProgramServicesAmt
Management And General$34,207ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,960,095TotalAmt
Program Services$1,638,548ProgramServicesAmt
Management And General$321,547ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,068,358TotalAmt
Program Services$999,755ProgramServicesAmt
Management And General$68,603ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$25,421,845TotalAmt
Program Services$25,421,845ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$31,644,217TotalAmt
Program Services$31,633,525ProgramServicesAmt
Management And General$10,692ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,781,055TotalAmt
Program Services$4,252,752ProgramServicesAmt
Management And General$528,303ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$10,638,477$10,638,477
BAD DEBT$8,755,276$8,755,276
PROVIDER CME, LICENSES$2,717,324$2,712,229$5,095
RECRUITMENT$2,227,281$2,226,648$633

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,939,213TotalAmt
Program Services$4,367,975ProgramServicesAmt
Management And General$571,238ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$588,835,301TotalAmt
Program Services$561,789,739ProgramServicesAmt
Management And General$27,045,562ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$19,740BOYAmt
EOY$19,769EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$148,399,531BOYAmt
EOY$90,052,000EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,455,170BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,898,207BOYAmt
EOY$19,919,323EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$2,197,072BOYAmt
EOY$2,789,637EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$4,123,462BOYAmt
EOY$4,009,109EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,951,373BOYAmt
EOY$16,081,583EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$567,320,471LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$242,654,108LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$325,154,343BOYAmt
EOY$324,666,363EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$427,347,080BOYAmt
EOY$623,179,402EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$233,144,754BOYAmt
EOY$223,705,090EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$29,919,153BOYAmt
EOY$29,832,397EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$475,156,320BOYAmt
EOY$478,833,713EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,676,766,205BOYAmt
EOY$1,813,088,386EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$95,363,832BOYAmt
EOY$106,314,422EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,051,800BOYAmt
EOY$1,353,607EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$524,591,647BOYAmt
EOY$514,736,371EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$33,897,204BOYAmt
EOY$32,032,686EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$124,780,754BOYAmt
EOY$124,425,682EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$779,685,237BOYAmt
EOY$778,862,768EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$897,080,968BOYAmt
EOY$1,034,225,618EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$897,080,968BOYAmt
EOY$1,034,225,618EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,676,766,205BOYAmt
EOY$1,813,088,386EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$56,614,250ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$34,169,246NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$159,589,654OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations6SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (6 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
PARKVIEW HOSPITAL INC
3508680853Yes (1)$116,737,329$0
HUNTINGTON MEMORIAL HOSPITAL INC
3519707063Yes (1)$6,981,000$0
WHITLEY MEMORIAL HOSPITAL INC
3519676653Yes (1)$8,417,000$0
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
3520891833Yes (1)$7,609,000$0
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
2024016763Yes (1)$4,820,000$0
PARKVIEW WABASH HOSPITAL INC
4717534403Yes (1)$5,884,000$0
FieldValueIRS element (for citing)
Supported Organizations Total6SupportedOrganizationsTotalCnt
Support Sum$150,448,329SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C4560SupportedOrgSectionC456Ind
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (1)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (1)OfficersCloseRelationshipInd
Supported Org Voice Investment0SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (1)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (1)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION E, LINE 3A:PARKVIEW HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATION'S SUPPORTED ORGANIZATIONS PARKVIEW HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AND PARKVIEW WABASH HOSPITAL, INC. THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR PARKVIEW HOSPITAL, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) UPON RECOMMENDATION OF THE CORPORATION, THE CORPORATE MEMBER SHALL APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS BY THE CORPORATION AND ITS AFFILIATES, AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. SUCH RIGHT BY THE CORPORATE MEMBER TO DIRECT THE TRANSFER OF ASSETS SHALL NOT INCLUDE ANY TRANSFER WHICH WOULD CAUSE THE CORPORATION TO BE PUT INTO A FINANCIALLY VULNERABLE POSITION AS AN ONGOING CONCERN, NOR SHALL ANY SUCH TRANSFER CAUSE THE CORPORATION TO VIOLATE THE TERMS AND CONDITIONS OF ANY GIFTS, BEQUESTS, BOND COVENANTS, OR RESTRICTIONS SET FORTH IN EXHIBIT A. FURTHER, FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES, TO MAINTAIN THE JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR THE SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW.
PART IV, SECTION E, LINE 3A CONT'D:THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER.
PART IV, SECTION E, LINE 3A CONT'D:THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER.
PART IV, SECTION E, LINE 3A CONT'D:THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR HUNTINGTON MEMORIAL HOSPITAL, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES, AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS; (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION'S ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JCAHO ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS LIST OR THE REQUIREMENT THAT APPOINTED DIRECTORS CAN BE REPRESENTATIVES OF HUNTINGTON COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW.
PART IV, SECTION E, LINE 3A CONT'D:THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR WHITLEY MEMORIAL HOSPITAL, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A OR THE REQUIREMENT THAT ELECTED DIRECTORS BE REPRESENTATIVES OF WHITLEY COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF THESE BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW.
PART IV, SECTION E, LINE 3A CONT'D:THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR PARKVIEW WABASH HOSPITAL, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER.
PART IV, SECTION E, LINE 3B:SEE EXPLANATION FOR FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3A

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$101,752DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$18,359OtherActivitiesAmt
Total Lobbying Expenditures$120,111TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationDIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY THE CORYDON GROUP, LLC $101,752. OTHER ACTIVITIES - REPRESENTS THE PORTION OF DUES PAID TO VARIOUS ORGANIZATIONS SUCH AS THE REGIONAL CHAMBER OF NORTHEAST INDIANA, INDIANA CHAMBER OF COMMERCE, AMERICAN ACADEMY OF FAMILY PHYSICIANS, AMERICAN COLLEGE OF SURGEONS, AMERICAN MEDICAL ASSOCIATION, AMERICAN COLLEGE OF CARDIOLOGY, AMERICAN OSTEOPATIC ASSOCIATION, AMERICAN UROLOGICAL ASSOCIATION, INDIANA OSTEOPATIC INSTITUTE, INDIANA STATE MEDICAL ASSOCIATION, AND INDIANA PODIATRIC MEDICAL ASSOCIATION USED FOR LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Protection Natural HabitatYes (X)ProtectionNaturalHabitatInd
Total Easements2TotalEasementsCnt
Total Acreage5.83TotalAcreageCnt
States Easements Held1StatesEasementsHeldCnt
Written Policy Monitoring0WrittenPolicyMonitoringInd
Expenses Incurred Enforcement$32,050ExpensesIncurredEnforcementAmt

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$16,555,340InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$40,426,857OtherCostOrOtherBasisAmt
Book Value$56,982,197BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$246,951,413OtherCostOrOtherBasisAmt
Depreciation$80,145,937DepreciationAmt
Book Value$166,805,476BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,892,333OtherCostOrOtherBasisAmt
Depreciation$7,287,131DepreciationAmt
Book Value$4,605,202BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$229,564,344OtherCostOrOtherBasisAmt
Depreciation$144,342,589DepreciationAmt
Book Value$85,221,755BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,930,184OtherCostOrOtherBasisAmt
Depreciation$10,878,451DepreciationAmt
Book Value$11,051,733BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$324,666,363TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

FieldValueIRS element (for citing)
Book Value$144,175,330BookValueAmt
Method ValuationCMethodValuationCd

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTS IN JVS, MCHA & WRPLXDesc
Book Value$79,529,760BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$223,705,090TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
DUE TO/FROM INTERUNIT$447,637,424
MISCELLANEOUS$1,564,180
NOTE RECEIVABLE FROM LGHOS$5,896,241
NOTE RECEIVABLE FROM WMHOS$6,893,500
NOTE RECEIVABLE FROM MCHA$16,842,368
FieldValueIRS element (for citing)
Total Book Value Other Assets$478,833,713TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACC RETIREMENTS COST$110,004,862
RESERVE FOR SIGNATURE CARE$7,603,048
RESERVE FOR MALPRACTICE$6,788,336
MISCELLANEOUS$29,436
FieldValueIRS element (for citing)
Total Liability$124,425,682TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART II, LINE 5:A THIRD PARTY ENVIRONMENTAL COMPANY COMPLETES ALL THE REQUIRED ANNUAL MONITORING INSPECTION AND REPORTING AS PART OF THE 10 YEAR REQUIREMENT WITHIN THE EXISTING PERMIT. IF ANY ENCROACHMENTS BY THE OWNER ON THE MITIGATION AREAS ARE OBSERVED THEY ARE REPORTED AND ENFORCED THROUGH APPROPRIATE LEGAL CHANNELS.
PART II, LINE 9:THE ORGANIZATION RECORDS THE PAYMENTS TO THE THIRD PARTY ENVIRONMENTAL COMPANY AS A FEES FOR SERVICES EXPENSE ON THE INCOME STATEMENT.
PART X, LINE 2:PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): PAGE 16 OF ATTACHED FINANCIAL STATEMENTS. INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2016 AND 2015, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2012 AND PRIOR.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$117,468TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$117,468NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,063,135TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$122,084DirectOffsettingRevenueAmt
Net Community Benefit Expns$941,051NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,761,470TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,363,537DirectOffsettingRevenueAmt
Net Community Benefit Expns$397,933NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,942,073TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,485,621DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,456,452NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,287,318TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,353,043DirectOffsettingRevenueAmt
Net Community Benefit Expns$934,275NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$585,600TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$585,600NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,804,941TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,030DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,798,911NetCommunityBenefitExpnsAmt
Total Expense0.00310TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,677,859TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,359,073DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,318,786NetCommunityBenefitExpnsAmt
Total Expense0.00570TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,619,932TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,844,694DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,775,238NetCommunityBenefitExpnsAmt
Total Expense0.00820TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$533,029TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$533,029NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$290,238TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$290,238NetCommunityBenefitExpnsAmt
Total Expense0.00050TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,000NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$864,306TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$864,306NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,720,573TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,720,573NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,993,231BadDebtExpenseAmt
Bad Debt Expense Attributable$28,387BadDebtExpenseAttributableAmt
Reimbursed By Medicare$7,530,946ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$8,709,682CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,178,736MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 IMAGING SERVICES HOLDING COMPANY LLC
HOLDING COMPANY0.500000.50000
2 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
ORTHOPAEDIC HOSPITAL0.600000.40000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line111119 PARKVIEW PLAZA DRIVEAddressLine1Txt
CityFORT WAYNECityNm
State AbbreviationINStateAbbreviationCd
ZIP46845ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.PARKVIEW.COMWebsiteAddressTxt
State License14-005845-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted16CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.PARKVIEW.COM/LOCALHEALTHNEEDSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.PARKVIEW.COM/LOCALHEALTHNEEDSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.PARKVIEW.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.PARKVIEW.COMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.PARKVIEW.COMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART V, SECTION B, LINE 5: THE RESEARCH TEAM WORKED TO ENSURE THAT THE NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WERE TAKEN INTO ACCOUNT DURING THE COURSE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE SURVEY SAMPLE WAS STRATIFIED TO ENSURE THAT POPULATION SUBSETS WERE REPRESENTED ACCURATELY. SURVEYING WAS ALSO CONDUCTED AMONG PUBLIC HEALTH OFFICIALS, OTHER HEALTHCARE PROFESSIONALS AND VARIOUS SOCIAL SERVICE ORGANIZATIONS THAT SPECIALIZE IN AIDING VULNERABLE POPULATIONS IN THE SEVEN-COUNTY AREA. ADDITIONALLY, THE ASSESSMENT TEAM CONDUCTED TARGETED FOCUS GROUPS WITH POTENTIALLY VULNERABLE POPULATIONS, INCLUDING THE HISPANIC/LATINO AND AFRICAN AMERICAN POPULATIONS. THE AMISH POPULATION WAS RANDOMLY SURVEYED THROUGH A WRITTEN SURVEY. INFORMATION GAINED THROUGH FOCUS GROUPS AND WRITTEN SURVEYS HELPED TO GAIN INSIGHT INTO THE HEALTH NEEDS AND PERCEPTIONS OF THESE SUB-POPULATION GROUPS TO BETTER UNDERSTAND KEY PUBLIC HEALTH AND HEALTHCARE ISSUES.
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART V, SECTION B, LINE 6A: PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440).
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART V, SECTION B, LINE 6B: INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (A PARTNERSHIP BETWEEN THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AND THE POLIS CENTER AT IUPUI) AND CONDUENT HEALTHY COMMUNITIES INSTITUTE.
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART V, SECTION B, LINE 11: SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:OBESITY - PARKVIEW HOSPITAL, INC. WILL CONTINUE OUTREACH PROGRAMS ESTABLISHED FROM 2014 THROUGH 2016 TO ADDRESS OBESITY PRIMARILY IN LOW-INCOME AREAS OF ALLEN COUNTY. ACTIONS TO ADDRESS THE ISSUE OF OBESITY CENTER AROUND PROGRAMS THAT ENGAGE CHILDREN AND FAMILIES AND INCLUDE THE FOLLOWING PROGRAMS: 1) THE HEALTHY EATING ACTIVE LIVING (HEAL) INITIATIVE; 2) PLANTING HEALTHY SEEDS FOR 3RD AND 4TH GRADERS; 3) PLANTING HEALTHY SEEDS: EARLY CHILDHOOD EDITION; 4) PLANTING HEALTHY SEEDS: AFTER-SCHOOL EDITION; 5) TAKING ROOT WELL-BEING CHALLENGE PROGRAM FOR 4TH AND 5TH GRADERS; 6) SIMPLE SOLUTIONS FOR PARENTS OF LOW-INCOME, PRE-SCHOOL CHILDREN AND; 6) THE COMMUNITY NURSING NUTRITION AND DIABETES EDUCATION PROGRAM AND CARDIOVASCULAR/DIABETES SCREENING PROGRAM. PARKVIEW IS BOLSTERING ITS EFFORTS IN AREAS DEEMED TO HAVE THE HIGHEST IMPACT FOR OBESITY PREVENTION. ANTICIPATED IMPACT INCLUDE THE FOLLOWING: 1) INCREASE ACCESS TO FRESH, AFFORDABLE AND LOCALLY GROWN FOOD; 2) INCREASE CONSUMPTION OF FRESH PRODUCE; 3) PROVIDE CURRICULUM FOR ELEMENTARY AND MIDDLE SCHOOL STUDENTS AND PARENTS OF PRE-SCHOOL CHILDREN RELATED TO PHYSICAL ACTIVITY AND NUTRITION; 4) PROVIDE PREVENTIVE HEALTH AND SKILL-BUILDING CLASSES FOR FAMILIES AND PREGNANT WOMEN; 5) ENHANCE AND INCREASE PROVIDER DIRECTED WELLNESS RESOURCES INCLUDING REFERRALS TO HEALTH MANAGEMENT PROGRAMS IN THE COMMUNITY. ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC WILL CONTINUE TO PARTNER WITH PARKVIEW HOSPITAL, INC. IN ITS EFFORTS TO PROMOTE HEALTHY LIFESTYLES THROUGH NUTRITION, PHYSICAL ACTIVITY AND INJURY PREVENTION EDUCATION IN ALLEN COUNTY. COMMUNITY OUTREACH CERTIFIED ATHLETIC TRAINER (ATC) AND NUTRITIONIST CREATED AGE-APPROPRIATE SCHOOL CURRICULA RELATED TO ACTIVITIES OF HEALTHY LIVING, I.E., NUTRITION CLASSES FOR OUR CLUB SPORT TEAMS, INJURY PREVENTION CLASSES AT AREA HIGH SCHOOLS AND COLLEGES FOCUSING ON ATHLETES AND COACHES. THIS APPROACH PROMOTES HEALTHY LIFESTYLES FROM CHILDHOOD TO THE ADULT ATHLETE. OTHER HEALTH NEEDS NOT BEING ADDRESSED:-TOBACCO USE - TOBACCO FREE ALLEN COUNTY (TFAC) IS THE LEAD ORGANIZATION IN ALLEN COUNTY RELATED TO TOBACCO FREE EFFORTS. TFAC PROVIDES INFORMATION ON RESOURCES ABOUT LOCAL SMOKING CESSATION PROGRAMS AND ADVOCATES FOR NO-SMOKING PUBLIC POLICY. PARKVIEW HOSPITAL IS A SOURCE OF SMOKING CESSATION PROGRAMS AND OPERATES A TOBACCO FREE CAMPUS. -DIABETES, CARDIOVASCULAR DISEASE AND CANCER - WHILE PARKVIEW HOSPITAL DID NOT SELECT THESE CHRONIC DISEASES AS TOP HEALTH PRIORITIES, OUR INTENT IS TO HELP TO PREVENT AND REDUCE THE PRESENCE OF CHRONIC CONDITIONS LIKE THE AFOREMENTIONED DISEASES BY ADDRESSING OBESITY THROUGH NUTRITION EDUCATION, INCREASED ACCESS TO HEALTHY FOODS, ACTIVE LIVING PROGRAMS AND EDUCATION ON OTHER HEALTHY LIFESTYLE HABITS. -DRUGS/ALCOHOL ABUSE AND ADDICTION - ONE OF PARKVIEW HOSPITAL'S HEALTH PRIORITIES IS MENTAL HEALTH. MANY OF INDIVIDUALS BEING ASSISTED AND REFERRED THROUGH PARKVIEW BEHAVIORAL HEALTH CARE NAVIGATION PROGRAM ARE AFFECTED BY DRUG AND ALCOHOL ABUSE AND ADDICTION.-SEXUALLY TRANSMITTED DISEASES (STDS) - THE FORT WAYNE-ALLEN COUNTY HEALTH DEPARTMENT, IN CONJUNCTION WITH MATTHEW 25 HEALTH CLINIC, OPERATES A SEXUALLY TRANSMITTED DISEASE (STD) CLINIC. THE NE INDIANA POSITIVE RESOURCE CONNECTION (FORMERLY THE AIDS TASK FORCE) PROVIDES STD PREVENTION EDUCATION TO TEENS AND ADULTS. -CHRONIC KIDNEY DISEASE - MAJOR RISK FACTORS RELATED TO CHRONIC KIDNEY DISEASE ARE DIABETES, HIGH BLOOD PRESSURE AND AGE OF 60 AND OLDER. THE LOCAL CHAPTER OF THE NATIONAL KIDNEY FOUNDATION FOCUSES ON PREVENTION EDUCATION AND SERVES AS A RESOURCE TO THOSE AFFECTED BY KIDNEY DISEASE AND THEIR FAMILIES. ADDITIONALLY, THE FOUNDATION PROVIDES KEEP HEALTHY KIDNEY SCREENING EVENTS. -ASTHMA - WHILE ASTHMA WAS NOT SELECTED AS A TOP HEALTH PRIORITY, PARKVIEW HOSPITAL'S COMMUNITY NURSING PROGRAM ADMINISTERS AN ASTHMA PROGRAM THAT PROVIDES AN INTERVENTION THAT MOVES PATIENTS BEYOND EMERGENCY RESCUE CARE TO A MORE PROACTIVE CARE APPROACH. THE PROGRAM INCLUDES EDUCATION, INFORMATION, AND STRATEGIES FOR FOLLOW-UP CARE THAT ARE BOTH INEXPENSIVE AND EFFECTIVE. THIS PROGRAM INCORPORATES MULTIPLE BEST PRACTICES, BUNDLES MANY OF THE RESOURCES ALREADY AVAILABLE AND IN USE, AND APPLIES PRINCIPLES OF CASE MANAGEMENT/CARE NAVIGATION AND PROVIDES SERVICES TO PATIENTS IN A SERIES OF ONE-ON-ONE CONTACTS OVER TIME TO FACILITATE LONG-TERM ASTHMA MANAGEMENT.-AGING - AGING AND IN-HOME SERVICES OF NORTHEAST INDIANA SERVES OLDER ADULTS, PERSONS WITH DISABILITIES AND THEIR CAREGIVERS IN NINE COUNTIES AS A PART OF THIS REGION. THIS NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION IS A FEDERAL AND STATE DESIGNATED AREA AGENCY ON AGING AND AN AGING AND DISABILITY RESOURCE CENTER WHICH PROVIDES A STREAMLINED ACCESS TO INFORMATION, CARE OPTIONS, SHORT-TERM CASE MANAGEMENT, AND BENEFITS ENROLLMENT ACROSS A SPECTRUM OF LONG-TERM CARE SERVICES. THROUGH THE CARE TRANSITIONS PROGRAM, AGING AND IN-HOME SERVICES PARTNERS WITH PARKVIEW HEALTH IN AN EFFORT TO REDUCE MEDICARE READMISSIONS.-PRIMARY CARE ACCESS - INCREASING ACCESS TO HEALTHCARE IS A STRATEGIC INITIATIVE FOR THE HEALTH SYSTEM. PARKVIEW CONDUCTS PERIODIC STUDIES TO DETERMINE THE AREAS WHERE PHYSICIANS ARE NEEDED AND RECRUITS PHYSICIANS ACCORDINGLY. ALLEN COUNTY HAS A STRONG HEALTHCARE SAFETY NET THAT ADDRESSES THE NEEDS OF INDIVIDUALS THAT ARE UNINSURED OR UNDERINSURED. PARTICIPATING ORGANIZATIONS IN THE SAFETY NET INCLUDE MATTHEW 25 HEALTH AND DENTAL CLINIC, NEIGHBORHOOD HEALTH CLINICS, BOTH OF WHICH ARE SUPPORTED IN PART BY PARKVIEW HOSPITAL, INC., FORT WAYNE-ALLEN COUNTY HEALTH DEPARTMENT AND OTHER HEALTH -RELATED ORGANIZATIONS.
FieldValueIRS element (for citing)
Facility76FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (76 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - PARKVIEW PHYSICIANS GROUP
11108 PARKVIEW CIRCLEFORT WAYNEIN46845PHYSICIAN OFFICE
2 - PARKVIEW PHYSICIANS GROUP
11109 PARKVIEW PLAZA DRFORT WAYNEIN46845PHYSICIAN OFFICE
3 - PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DRFORT WAYNEIN46845PHYSICIAN OFFICE
4 - PARKVIEW PHYSICIANS GROUP
3909 NEW VISION DRFORT WAYNEIN46845PHYSICIAN OFFICE
5 - PARKVIEW PHYSICIANS GROUP
11141 PARKVIEW PLAZA DRFORT WAYNEIN46845PHYSICIAN OFFICE
6 - PARKVIEW PHYSICIANS GROUP
11104 PARKVIEW CIRCLEFORT WAYNEIN46845PHYSICIAN OFFICE
7 - IMAGING SYSTEMS HOLDINGS LLC
3707 NEW VISION DRIVEFORT WAYNEIN46845IMAGING SERVICES
8 - PARKVIEW PHYSICIANS GROUP
1818 CAREW STFORT WAYNEIN46805PHYSICIAN OFFICE
9 - PARKVIEW PHYSICIANS GROUP
2003 STULTS RDHUNTINGTONIN46750PHYSICIAN OFFICE
10 - PARKVIEW PHYSICIANS GROUP
1270 E SR 205COLUMBIA CITYIN46725PHYSICIAN OFFICE
11 - PARKVIEW PHYSICIANS GROUP
1515 HOBSON RDFORT WAYNEIN46805PHYSICIAN OFFICE
12 - PARKVIEW PHYSICIANS GROUP
3810 NEW VISION DRFORT WAYNEIN46845PHYSICIAN OFFICE
13 - PARKVIEW PHYSICIANS GROUP
1355 MARINERS DRWARSAWIN46582PHYSICIAN OFFICE
14 - PARKVIEW PHYSICIANS GROUP
2708 GUILFORD STHUNTINGTONIN46750PHYSICIAN OFFICE
15 - PARKVIEW PHYSICIANS GROUP
1331 MINNICH RDNEW HAVENIN46774PHYSICIAN OFFICE
16 - PARKVIEW PHYSICIANS GROUP
8911 LIBERTY MILLS RDFORT WAYNEIN46804PHYSICIAN OFFICE
17 - PARKVIEW PHYSICIANS GROUP
104 NICHOLAS PLACEAVILLAIN46710PHYSICIAN OFFICE
18 - PARKVIEW ORTHO PERFORMANCE CENTER LLC
11130 PARKVIEW CIRCLE DRIVEFORT WAYNEIN46845PHYSICAL THERAPY SERVICES
19 - PARKVIEW PHYSICIANS GROUP
306 E MAUMEE STANGOLAIN46703PHYSICIAN OFFICE
20 - PARKVIEW PHYSICIANS GROUP
2231 CAREW STFORT WAYNEIN46805PHYSICIAN OFFICE
21 - PARKVIEW PHYSICIANS GROUP
6920 POINTE INVERNESS WAY STE 120FORT WAYNEIN46804PHYSICIAN OFFICE
22 - PARKVIEW PHYSICIANS GROUP
11143 PARKVIEW PLAZA DRFORT WAYNEIN46845PHYSICIAN OFFICE
23 - PARKVIEW PHYSICIANS GROUP
710 N EAST STWABASHIN46992PHYSICIAN OFFICE
24 - PARKVIEW PHYSICIANS GROUP
326 SAWYER RDKENDALLVILLEIN46755PHYSICIAN OFFICE
25 - PARKVIEW PHYSICIANS GROUP
10515 ILLINOIS RDFORT WAYNEIN46814PHYSICIAN OFFICE
26 - PARKVIEW PHYSICIANS GROUP
2710 LAKE AVEFORT WAYNEIN46805PHYSICIAN OFFICE
27 - PARKVIEW PHYSICIANS GROUP
6130 TRIER RDFORT WAYNEIN46815PHYSICIAN OFFICE
28 - PARKVIEW PHYSICIANS GROUP
512 N PROFESSIONAL WAYKENDALLVILLEIN46755PHYSICIAN OFFICE
29 - PARKVIEW PHYSICIANS GROUP
885 W CONNEXION WAYCOLUMBIA CITYIN46725PHYSICIAN OFFICE
30 - PARKVIEW PHYSICIANS GROUP
5104 N CLINTON STFORT WAYNEIN46825PHYSICIAN OFFICE
31 - PARKVIEW PHYSICIANS GROUP
1104 N WAYNE STNORTH MANCHESTERIN46962PHYSICIAN OFFICE
32 - PARKVIEW PHYSICIANS GROUP
1025 MANCHESTER AVEWABASHIN46992PHYSICIAN OFFICE
33 - PARKVIEW PHYSICIANS GROUP
1464 LINCOLNWAY SOUTHLIGONIERIN46767PHYSICIAN OFFICE
34 - PARKVIEW PHYSICIANS GROUP
207 N TOWNLINE RDLAGRANGEIN46761PHYSICIAN OFFICE
35 - PARKVIEW PHYSICIANS GROUP
3816 NEW VISION DRFORT WAYNEIN46845PHYSICIAN OFFICE
36 - PARKVIEW PHYSICIANS GROUP
4665 SR5SOUTH WHITLEYIN46787PHYSICIAN OFFICE
37 - PARKVIEW PHYSICIANS GROUP
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Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:EQUITY IN A HOME OTHER THAN THE PATIENT OR GUARANTOR'S PRIMARY RESIDENCE.
PART I, LINE 7:NOTE TO READER - THE AMOUNTS LISTED ON LINES 7A-C REFLECT ONLY THE FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC AS PARKVIEW HEALTH SYSTEM, INC.'S MEMBER HOSPITALS OF PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) FILE THEIR OWN RESPECTIVE FORM 990. PART I, LINE 7APARKVIEW HEALTH SYSTEM, INC. IS COMMITTED TO PROVIDING FINANCIAL ASSISTANCE TO PATIENTS UNABLE TO MEET THEIR FINANCIAL OBLIGATIONS. IT IS FURTHERMORE THE POLICY OF PARKVIEW HEALTH SYSTEM, INC. NOT TO WITHHOLD OR DENY ANY REQUIRED MEDICAL CARE AS A RESULT OF A PATIENT'S FINANCIAL INABILITY TO PAY HIS/HER MEDICAL EXPENSES.THE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE CHARITY CARE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BPARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7CPARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEANS-TESTED PATIENTS FROM THE HEALTHY INDIANA PLAN (HIP) WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEANS-TESTED PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING HIP, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED HIP COST REPORTED ON LINE 7C IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE HIP CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF HIP SERVICES RENDERED. THEN, THE COST OF HIP SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR HIP PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARKVIEW HEALTH SYSTEM, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES.
PART I, LINE 7G:SUBSIDIZED HEALTH SERVICES PARKVIEW HEALTH SYSTEM, INC. INCLUDED NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES.
PART I, LN 7 COL(F):PERCENT OF TOTAL EXPENSEPARKVIEW HEALTH SYSTEM, INC. EXCLUDED $8,755,276 OF BAD DEBT EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES:DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.PARKVIEW HEALTH SYSTEM, INC. HAS A STRONG COMMITMENT TO SUPPORTING AND ENHANCING THE VITALITY OF OUR COMMUNITY AND THE NORTHEAST INDIANA REGION. PARKVIEW INVESTS IN PROJECTS THAT HELP TO IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF THE COMMUNITY.PHYSICAL IMPROVEMENTS AND HOUSING:THE PARKVIEW FAMILY PARK IS A RECREATIONAL PARK AREA OPEN TO THE PUBLIC AND LOCATED ON THE NORTH CAMPUS, WHICH IS THE HOME OF THE PARKVIEW REGIONAL MEDICAL CENTER. PARKVIEW HEALTH SYSTEM, INC. MAKES THE PARK AVAILABLE TO THE GENERAL PUBLIC AND MAINTAINS THE PROPERTY TO ENHANCE THE COMMUNITY AND PROMOTE PHYSICAL ACTIVITY.ECONOMIC DEVELOPMENT:PARKVIEW HEALTH SYSTEM, INC. FOSTERS ECONOMIC DEVELOPMENT IN SEVERAL WAYS. PARKVIEW HEALTH SYSTEM, INC. HAS PLAYED A KEY ROLE IN THE NORTHEAST INDIANA REGIONAL PARTNERSHIP'S VISION 2020, A REGIONAL INITIATIVE DESIGNED TO TRANSFORM NORTHEAST INDIANA INTO A TOP GLOBAL COMPETITOR BY FOCUSING ON A COMMON MISSION TO DEVELOP, ATTRACT AND RETAIN TALENT. PARKVIEW HEALTH SYSTEM, INC. MADE A MULTI-YEAR PLEDGE TO THIS INNOVATIVE CAMPAIGN. MIKE PACKNETT, PRESIDENT AND CEO OF PARKVIEW HEALTH, HAS BEEN INSTRUMENTAL IN LEADING THIS GROUP OF COMMUNITY REPRESENTATIVES FROM BUSINESS, EDUCATION, GOVERNMENT AND FOUNDATION SECTORS TO DEVELOP A COMPELLING AND ACTIONABLE VISION FOR THE ELEVEN-COUNTY NORTHEAST INDIANA REGION. VISION 2020'S PRIORITIES ARE TIED TO EDUCATION/WORKFORCE, BUSINESS CLIMATE, ENTREPRENEURSHIP, INFRASTRUCTURE AND QUALITY OF LIFE FOR THE ELEVEN-COUNTY REGION IN NORTHEAST INDIANA. PARKVIEW PLAYED A SIGNIFICANT ROLE IN THE DEVELOPMENT OF GREATER FORT WAYNE, INC., A MERGER OF THE GREATER FORT WAYNE CHAMBER OF COMMERCE AND THE FORT WAYNE-ALLEN COUNTY ECONOMIC DEVELOPMENT ALLIANCE SO AS TO ALIGN AND SYNCHRONIZE LOCAL ECONOMIC GROWTH EFFORTS. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. CONTINUES TO SUPPORT THE REGIONAL CHAMBER OF NORTHEAST INDIANA. SUPPORTING THE LOCAL ARTS, HISTORY AND PARKS IS PART OF A COLLECTIVE PLAN TO PROMOTE ECONOMIC DEVELOPMENT, IMPROVE THE QUALITY OF LIFE AND ULTIMATELY IMPROVE THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY. MULTI-YEAR SUPPORT IS PROVIDED TO THE FORT WAYNE REDEVELOPMENT COMMISSION FOR THE LOCAL BASEBALL STADIUM LOCATED IN DOWNTOWN FORT WAYNE AS PART OF AN EFFORT TO BRING RENEWED ECONOMIC VITALITY TO THE DOWNTOWN AREA THEREBY ENHANCING THE COMMUNITY AS A WHOLE. THE BASEBALL FIELD IS THE CENTERPIECE OF OTHER SIGNIFICANT PROJECTS TOWARD THE GOAL OF DOWNTOWN REVITALIZATION. IN ADDITION, IT SERVES AS A VENUE FOR PROVIDING PREVENTATIVE HEALTH AND SAFETY EDUCATION AND SCREENINGS TO THE COMMUNITY. LEADERSHIP DEVELOPMENT AND TRAINING FOR COMMUNITY MEMBERS:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS LEADERSHIP DEVELOPMENT IN THE COMMUNITY IN CONJUNCTION WITH ECONOMIC DEVELOPMENT EFFORTS IN ORDER TO IMPROVE THE QUALITY OF LIFE IN ALLEN COUNTY AND THE REGION. STRONG LEADERS PLAY A KEY ROLE IN BUILDING THRIVING COMMUNITIES.WORKFORCE DEVELOPMENT:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS PHYSICIAN RECRUITMENT ACTIVITIES TO ASSIST IN TIMELY RESPONSE TO PATIENT CARE NEEDS IN THE COMMUNITY. RECRUITMENT ACTIVITIES ARE BASED ON THE RESULTS OF A PERIODIC PHYSICIAN NEEDS ASSESSMENT. PARKVIEW HEALTH SYSTEM, INC. DEVELOPS A PHYSICIAN RECRUITMENT PLAN TO ADDRESS POTENTIAL GAPS IN PATIENT COVERAGE. PARKVIEW HEALTH SYSTEM, INC. STRIVES TO BRING THE BEST INTEGRATED, QUALITY, AND COST EFFECTIVE CARE AND INNOVATIVE TECHNOLOGY AVAILABLE TO OUR COMMUNITIES. IN DOING SO, WE FOCUS OUR EFFORTS ON RECRUITING AN EXCEPTIONAL TEAM OF PHYSICIANS. EACH MEMBER OF PARKVIEW HEALTH SYSTEM, INC.'S HEALTHCARE TEAM IS RESPONSIBLE FOR NURTURING AN ENVIRONMENT OF EXCELLENCE CREATING THE BEST PLACE FOR CO-WORKERS TO WORK, PHYSICIANS TO PRACTICE MEDICINE, AND PATIENTS TO RECEIVE CARE. WE ARE COMMITTED TO PROVIDING EXCELLENT CUSTOMER SERVICE TO ALL PEOPLE. PARKVIEW'S EMPLOYED PHYSICIANS DO NOT DISCRIMINATE BASED ON PATIENT PAYER SOURCE. WE KNOW HOW IMPORTANT CLINICAL, SERVICE AND OPERATIONAL EXCELLENCE IS TO THE SUCCESS OF PARKVIEW HEALTH SYSTEM, INC., AND WE RECOGNIZE HOW IMPORTANT OUR SUCCESS IS TO THE COMMUNITY.PRIMARY HEALTHCARE ACCESS HAS BEEN IMPROVED THROUGH THE USE OF MID-LEVEL PROVIDERS AND OPENING NINE WALK-IN CLINICS THROUGHOUT NORTHEAST INDIANA AND NORTHWEST OHIO TO PROVIDE PATIENTS WITH SAME-DAY ACCESS TO A PARKVIEW PHYSICIAN GROUP PROVIDER WITHOUT AN APPOINTMENT.
PART III, LINE 2:THE AMOUNT REPORTED IS CONSISTENT WITH THE AMOUNT REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS.DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS (BAD DEBT RECOVERIES) ARE FACTORED INTO THE ALLOWANCE FOR BAD DEBT ESTIMATION PROCESS.
PART III, LINE 3:COSTING METHODOLOGY USED:UNCOLLECTIBLE PATIENT ACCOUNTS ARE CHARGED AGAINST THE PROVISION FOR BAD DEBT IN ACCORDANCE WITH THE POLICIES OF PARKVIEW HEALTH SYSTEM, INC. HOWEVER, DURING THE COLLECTION PROCESS THERE IS A CONTINUOUS EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. THEREFORE, ONCE AN UNCOLLECTIBLE ACCOUNT HAS BEEN CHARGED OFF AND IT IS DETERMINED THROUGH THE COLLECTION PROCESS THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE UNCOLLECTIBLE ACCOUNT IS RECLASSIFIED TO CHARITY CARE AND ALL COLLECTION EFFORTS CEASE. PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME, INCLUDING PATIENTS WHOSE ACCOUNTS HAVE BEEN PLACED IN A BAD DEBT AGENCY. THE AMOUNT REFLECTED ON LINE 3 WAS CALCULATED BY TOTALING THE ACCOUNTS PREVIOUSLY WRITTEN OFF TO BAD DEBT AND PLACED WITH A COLLECTION AGENCY, BUT SUBSEQUENTLY RECLASSIFIED AS CHARITY CARE DURING THE TAX YEAR. THE ACCOUNTS WERE RECLASSIFIED AS CHARITY CARE DUE TO THE FACT THAT PATIENTS APPLIED FOR, AND WERE APPROVED FOR, FINANCIAL ASSISTANCE AFTER THE ACCOUNTS WERE PLACED WITH A BAD DEBT AGENCY.
PART III, LINE 4:BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGE 14 OF ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. PARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, PARKVIEW HEALTH SYSTEM, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. PARKVIEW HEALTH SYSTEM, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION.
PART III, LINE 9B:IF THE PATIENT CANNOT PAY IN FULL, THE OPTION OF A LOW INTEREST LOAN IS AVAILABLE WITH THE SAME DISCOUNT OFFERED FOR CASH PAYMENTS AS LONG AS THE LOAN IS ARRANGED WITHIN 30 DAYS OF THE FIRST GUARANTOR STATEMENT. IF THE PATIENT DEFAULTS ON THE LOAN, THE DISCOUNT WILL BE REVERSED AND THE PATIENT'S ACCOUNT WILL BE PLACED IN A COLLECTION AGENCY.INTEREST-FREE PAYMENTS WITH PAY-OUT NOT TO EXCEED TWELVE (12) MONTHS ARE AVAILABLE. THE MINIMUM MONTHLY PAYMENT IS $25.FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR THOSE PATIENTS WHO CANNOT PAY THEIR BILL. THOSE OPTIONS ARE GOVERNMENTAL ASSISTANCE OR FREE CARE THROUGH THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM. THE HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON PARKVIEW.COM OR BY VISITING ANY HOSPITAL CASHIER OFFICE OR BY CALLING PATIENT ACCOUNTING AT 260.373.7770 OR TOLL FREE 855.814.0012. A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE ANYTIME DURING THE APPLICATION PERIOD. FAILURE TO MAKE ARRANGEMENTS AS LISTED ABOVE OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING PLACED IN A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES WHICH MAY ULTIMATELY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE. ADDITIONALLY, THE COLLECTION AGENCY MAY SUE AND OBTAIN A JUDGMENT AGAINST THE PATIENT FOR NON-PAYMENT. THESE ACTIONS WILL NOT OCCUR UNTIL 120 DAYS AFTER THE PATIENT IS SENT THEIR FIRST FOLLOW-UP STATEMENT INDICATING THE AMOUNT THEY OWE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN THOUGH THEY HAVE BEEN PLACED IN A COLLECTION AGENCY. IF THE PATIENT WAS SENT THEIR FIRST NOTICE ON THE ACCOUNT FOR WHICH THEY ARE APPLYING FOR FREE CARE BETWEEN 120 DAYS AND THE END OF THE APPLICATION PERIOD, THE ACTIONS ABOVE WILL BE SUSPENDED UNTIL THE FREE CARE APPLICATION ELIGIBILITY IS DETERMINED.
PART VI, LINE 2:DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES.PARKVIEW HEALTH SYSTEM, INC. AND PARKVIEW HOSPITAL, INC. CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE SEVEN COUNTIES (ALLEN, HUNTINGTON, KOSCIUSKO, LAGRANGE, NOBLE, WABASH AND WHITLEY) WHERE PARKVIEW HAS HOSPITALS. ADDITIONALLY, PARKVIEW HEALTH SYSTEM, INC. PARTNERED WITH THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IPHC) TO COMPLETE MUCH OF THE FIELD WORK. IPHC CONDUCTED THE RANDOMLY SELECTED COMMUNITY MEMBER SURVEY TO OBTAIN PRIMARY DATA. THE SURVEY INSTRUMENT USED FOR THIS STUDY WAS LARGELY BASED ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM. OUR SURVEY INCLUDED CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO NATIONAL HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. IPHC ASSISTED WITH SURVEYING PUBLIC HEALTH, OTHER HEALTHCARE PROFESSIONALS, SOCIAL SERVICE AGENCIES AND OTHER COMMUNITY GROUP REPRESENTATIVES. THEY ALSO CONDUCTED SECONDARY DATA RESEARCH, DATA ANALYSIS AND FACILITATED PRIORITIZATION OF IDENTIFIED HEALTH ISSUES. A COLLECTIVE SECONDARY DATA BASE PROVIDED BY CONDUENT HEALTHY COMMUNITIES INSTITUTE WAS ALSO USED TO DETERMINE HEALTH ISSUES FOR EACH COUNTY IN THE SEVEN-COUNTY AREA. OTHER STATE AND NATIONAL SECONDARY SOURCES INCLUDED CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY HEALTH RANKINGS, HEALTH INDICATORS WAREHOUSE, INDIANA STATE DEPARTMENT OF HEALTH, INDIANA UNIVERSITY CENTER FOR HEALTH POLICY AND THE US CENSUS BUREAU. CHNA REPORTS WERE PRESENTED TO AND ADOPTED BY THEIR RESPECTIVE HOSPITAL BOARD OF DIRECTORS IN 2016. ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC REPRESENTATIVES MAINTAIN ON-GOING RELATIONSHIPS THROUGHOUT OUR COMMUNITIES AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF OUR COMMUNITIES. HEALTH ISSUES IDENTIFIED IN THE SURVEY INCLUDED: OBESITY, TOBACCO USE, MATERNAL/CHILD HEALTH, DIABETES, CARDIOVASCULAR DISEASE, DRUG/ALCOHOL USE, CANCER, STDS, HEALTHCARE ACCESS, MENTAL HEALTH, ASTHMA, AGING AND CHRONIC KIDNEY DISEASE.THE PRIORITIZATION OF HEALTH ISSUES WAS CONDUCTED USING A MODIFIED HANLON METHOD WHICH TAKES INTO ACCOUNT THE SIZE OF THE HEALTH PROBLEM, SERIOUSNESS OF THE HEALTH PROBLEM AND THE EFFECTIVENESS OF INTERVENTIONS. THIS METHOD, CALLED THE BASIC PRIORITY RATING SYSTEM (BPRS) IS RECOMMENDED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) FOR THE PURPOSE OF PRIORITIZING COMMUNITY HEALTH NEEDS. FROM THE LIST OF HEALTH ISSUES IDENTIFIED, THREE TOP HEALTH PRIORITIES WERE SELECTED THROUGH APPLYING THE PEARL TEST WHICH IS DESIGNED TO SCREEN OUT IMPRACTICAL OR IMPRACTICABLE INTERVENTIONS BASE ON KEY FEASIBILITY FACTORS. THESE PRIORITIES ARE: 1) OBESITY/HEALTHY LIFESTYLE BEHAVIORS PROMOTION, EDUCATION AND SKILL-BUILDING; 2) MATERNAL/CHILD HEALTH - PROVIDING VARIOUS INTERVENTIONS TO ENSURE EARLY, QUALITY PRENATAL CARE AND SAFE AND HEALTHY INFANTS AGE 0 THROUGH 1; 3) MENTAL HEALTH - PROVIDING EDUCATION, MENTAL HEALTH SCREENING TOOLS AND IMPROVING ACCESS TO MENTAL HEALTHCARE THROUGH CARE NAVIGATION SERVICES.OTHER WAYS THAT ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC IDENTIFIES OR VERIFIES COMMUNITY HEALTH NEEDS: -OTHER COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS -OBSERVATIONS BY HEALTHCARE PROFESSIONALS WHO WORK WITH VULNERABLE POPULATIONS-SPECIFIC REQUESTS PROMPTED BY OBSERVATION BY OTHER PROFESSIONALS IN THE COMMUNITY
PART VI, LINE 3:DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE.
PART VI, LINE 4:DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.PARKVIEW HEALTH SYSTEM, INC. SERVES AN 11-COUNTY AREA (ADAMS, ALLEN, DEKALB, HUNTINGTON, KOSCIUSKO, LAGRANGE, NOBLE, STEUBEN, WABASH, WELLS AND WHITLEY) IN NORTHEAST INDIANA, AS WELL AS NORTHWEST OHIO. THE TOTAL POPULATION OF OUR SERVICE AREA IS OVER 880,000. THE SYSTEM OPERATES HOSPITALS IN ALLEN, HUNTINGTON, LAGRANGE, NOBLE, WABASH AND WHITLEY COUNTIES. ALLEN COUNTY IS CONSIDERED THE URBAN AREA AMONGST THE OTHER RURAL COUNTIES AND REPRESENTS 66 PERCENT OF THE TOTAL POPULATION OF THE SIX-COUNTY AREA. EVEN THOUGH PARKVIEW'S PATIENT SERVICE AREA EXTENDS FAR BEYOND THE SIX-COUNTY AREA WHERE HOSPITAL ENTITIES RESIDE, ADDRESSING POPULATION HEALTH PRIORITIES IS BASED LARGELY ON THE DEGREE OF ACCESSIBILITY THAT COMMUNITY MEMBERS POSSESS TO ASSISTANCE PROGRAMS, COMMUNITY RESOURCES, ETC. IN ORDER TO BEST IMPROVE THE POPULATION HEALTH IN THE COMMUNITIES THAT WE SERVE, COMMUNITY HEALTH IMPROVEMENT INITIATIVES ARE PROVIDED PRIMARILY TO THE LOCAL COMMUNITIES IN EACH OF THE SIX COUNTIES. THE AVERAGE PERCENTAGE OF THOSE BELOW THE FEDERAL POVERTY LEVEL IS 10.6 PERCENT FOR THE SIX-COUNTY AREA. THE MEDIAN HOUSEHOLD INCOME RANGES FROM $48,223 (WABASH) TO $56,662 (LAGRANGE). THE UNEMPLOYMENT RATE RANGES FROM 2.0 PERCENT (LAGRANGE COUNTY) TO 2.7 PERCENT (NOBLE COUNTY) AS OF MAY 2017 ACCORDING TO WWW.HOOSIERDATA.IN.GOV.HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA), IS AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. HRSA DEVELOPS SHORTAGE DESIGNATION CRITERIA AND USES THEM TO DECIDE WHETHER OR NOT A GEOGRAPHIC AREA, POPULATION GROUP OR FACILITY IS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). HRSA HAS DESIGNATED WHITLEY COUNTY AS A HSPA IN PRIMARY CARE AND MENTAL HEALTH. HRSA HAS DESIGNATED KOSCIUSKO COUNTY AS A HSPA IN MENTAL HEALTH. HRSA HAS DESIGNATED THE CITY OF WARSAW, WHICH IS LOCATED IN KOSCIUSKO COUNTY, AS A MUA/P.HRSA HAS DESIGNATED WABASH COUNTY AS A HSPA IN DENTAL HEALTH, PRIMARY CARE AND MENTAL HEALTH AND AS A MUA/P.HRSA HAS DESIGNATED HUNTINGTON COUNTY AS A HSPA IN PRIMARY CARE AND MENTAL HEALTH.HRSA HAS DESIGNATED NOBLE COUNTY AS A HSPA IN MENTAL HEALTH.HRSA HAS DESIGNATED LAGRANGE COUNTY AS A HSPA IN DENTAL HEALTH, PRIMARY CARE AND MENTAL HEALTH.HRSA HAS DESIGNATED A PORTION OF SOUTH FORT WAYNE IN ALLEN COUNTY AS A MUA/P.
PART VI, LINE 5:PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).PARKVIEW HEALTH SYSTEM, INC.'S BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS WHO RESIDE IN PARKVIEW HEALTH SYSTEM, INC.'S PRIMARY SERVICE AREA. PARKVIEW HEALTH SYSTEM, INC., AS PARENT OF THE SYSTEM'S VARIOUS HOSPITAL ENTITIES AND PHYSICIAN PRACTICES, SERVES IN AN OVERSIGHT CAPACITY TO FORM AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EACH OF OUR HEALTHCARE FACILITIES IS EFFICIENTLY SUPPORTED WITH CENTRALIZED, COST-EFFECTIVE ADMINISTRATIVE SUPPORT AND GUIDANCE TO FORM A COMPLETE AND COMPREHENSIVE CARE DELIVERY SYSTEM FOR THE REGION. PARKVIEW HEALTH SYSTEM, INC. SERVES TO MEET ITS MISSION TO ITS COMMUNITIES BY CONDUCTING A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT OF THE REGION AND OFFERING THE SERVICES NECESSARY FOR A SAFER AND HEALTHIER POPULATION. AS A TESTAMENT TO OUR COMMITMENT TO THE RESIDENTS OF THE COMMUNITIES WE SERVE, PARKVIEW HEALTH SYSTEM, INC. OPENED THE NEW PARKVIEW REGIONAL MEDICAL CENTER ON OUR NORTH CAMPUS IN MARCH 2012. THIS FACILITY BLENDS THE LATEST MEDICAL TECHNOLOGY WITH THE BEST POSSIBLE PATIENT-CENTERED CARE AND PROVIDES GREATER ACCESS TO HEALTHCARE FOR THE ENTIRE REGION. OUR HOSPITAL FACILITY AND CAMPUS LOCATED IN NORTH-CENTRAL FORT WAYNE (PARKVIEW HOSPITAL RANDALLIA) IS UNDERGOING RENOVATIONS AND REMAINS A VITAL PART OF THE LOCAL NEIGHBORHOOD. WHILE THIS FACILITY CONTINUES TO PROVIDE COMMUNITY-CENTRIC HEALTHCARE SERVICES, PARKVIEW IS REPOSITIONING THE RANDALLIA CAMPUS AS PART OF A FUTURE USES PLAN PROCESS. AS A PART OF THESE EFFORTS, PARKVIEW HOSPITAL, INC. IS PARTNERING WITH TRINE AND HUNTINGTON UNIVERSITIES TO FORM THE LIFE SCIENCE AND RESEARCH CENTER. THE CENTER WILL PROVIDE NEW ACADEMIC PROGRAMS AND RESEARCH TIED TO BEHAVIORAL HEALTH, REHABILITATION SERVICES AND SENIOR CARE. PARKVIEW HOSPITAL, INC., HAS FOSTERED CLINICAL RESEARCH SERVICES, THROUGH THE PARKVIEW RESEARCH CENTER, TO PARKVIEW HEALTH SYSTEM, INC. PHYSICIANS FOR OVER 25 YEARS. IT HAS DEVELOPED AREAS OF SPECIALIZATION IN CARDIOLOGY, NEUROLOGY, RADIATION ONCOLOGY, EMERGENCY MEDICINE AND CRITICAL CARE SERVICES DURING THAT TIME. THE PARKVIEW RESEARCH CENTER OPENED ITS MIRRO CENTER FOR RESEARCH AND INNOVATION OFFICES IN APRIL, 2015 ON NORTH CAMPUS AND HAS BEGUN STUDIES ON DISEASE MANAGEMENT ON THIS CAMPUS WHICH BRINGS TOGETHER PHYSICIANS, PHARMACISTS, NURSES AND ALLIED HEALTHCARE PROFESSIONALS TO COLLABORATE ON INNOVATIVE SOLUTIONS FOR PATIENT CARE. THIS FACILITY IS FULFILLING ITS PROMISE OF SIGNIFICANT ADVANCEMENT IN CLINICAL RESEARCH AND TRAINING AND ALLOWS FOR COLLABORATIVE PARTNERSHIPS WITH OUTSIDE PARTNERS INCLUDING ACADEMIC INSTITUTIONS, BIOTECHNOLOGY AND PHARMACEUTICAL FIRMS. PARKVIEW IS POISED TO BECOME THE LEADER IN HEALTHCARE SCIENCES FOR THIS REGION. DATA OBTAINED THROUGH TRIENNIAL COMMUNITY HEALTH ASSESSMENTS, PHYSICIAN SURVEYS, AND TREND AND TREATMENT ANALYSIS IS UTILIZED IN PARKVIEW HEALTH SYSTEM, INC.'S STRATEGIC PLANNING PROCESS IN IDENTIFYING COMMUNITY HEALTH NEEDS. AS A RESULT OF THIS STRATEGIC PLANNING PROCESS, PARKVIEW HEALTH SYSTEM, INC. HAS ESTABLISHED SEVERAL PRIORITY AREAS. THESE PRIORITY AREAS ARE ALIGNED WITH PARKVIEW HEALTH SYSTEM, INC.'S MISSION, VISION AND GOALS, AND HELP DIRECT THE TYPES OF HEALTH INITIATIVES THAT THE HEALTH SYSTEM UNDERTAKES. PRIORITY AREAS INCLUDE THE FOLLOWING:PRIMARY HEALTHCARE/ACCESS TO HEALTHCARE:- ADDITIONAL RECRUITMENT AND TRAINING OF PRIMARY CARE PHYSICIANS FOR THE COMMUNITY INCLUDING THE ADDITION OF FAMILY PRACTICE PHYSICIANS THROUGHOUT THE COMMUNITY.- EXPANSION OF PRIMARY CARE ACCESS AND NON-TRADITIONAL HOURS OF PRACTICE INCLUDING THE EXPANSION OF WALK-IN CLINIC HOURS AT SEVERAL PARKVIEW PHYSICIANS GROUP OFFICES TO ACCOMMODATE SAME-DAY APPOINTMENTS.- CONTINUED SUPPORT OF PROGRAMS PROVIDING PRIMARY CARE TO THE UNINSURED INCLUDING FINANCIAL SUPPORT TO MATTHEW 25 HEALTH AND DENTAL CLINIC, NEIGHBORHOOD HEALTH CLINICS AND COMMUNITY TRANSPORTATION NETWORK. - PROGRAMS TO INCREASE DISTRIBUTION OF FREE MEDICATIONS TO THE POOR. EACH HOSPITAL PROVIDES A MEDICATION ASSISTANCE PROGRAM AND MAKES THE SERVICES AVAILABLE TO THE COMMUNITY.- PROMOTION OF HEALTH CAREERS, PARTICULARLY THOSE IN WHICH THE COMMUNITY IS EXPERIENCING A CURRENT SHORTAGE OF HEALTHCARE PROFESSIONALS, INCLUDING PROGRAM FUNDING AND SCHOLARSHIPS FOR INDIANA/PURDUE UNIVERSITY FORT WAYNE AND THE UNIVERSITY OF SAINT FRANCIS. - SUPPORT FOR ACTIVITIES WHICH INCREASE THE AFFORDABILITY AND ACCESSIBILITY OF HEALTH INSURANCE TO THE UNINSURED INCLUDING PARTNERSHIP WITH BRIGHTPOINT COVERING KIDS AND FAMILIES THAT PROVIDES ELIGIBILITY AND ENROLLMENT SERVICES.HEALTH SCREENING AND PREVENTION:- CANCER SCREENING PROGRAMS, PARTICULARLY MAMMOGRAM AND PROSTATE SCREENING- TOBACCO CESSATION PROGRAMS ESPECIALLY FOR WOMEN OF CHILDBEARING AGE- INJURY PREVENTION FOR CHILDREN, YOUTH AND SENIORS- DIABETES EDUCATION AND SCREENING- CARDIOVASCULAR DISEASE EDUCATION AND SCREENING- PROGRAMS TO REDUCE DANGEROUS DRIVING- MENTAL HEALTH SCREENING- EARLY CHILDHOOD DEVELOPMENTDISEASE MANAGEMENT:- CARDIOVASCULAR DISEASE - CANCER- MENTAL ILLNESSES- TRAUMA AND ORTHOPAEDIC AILMENTS- WOMEN'S AND CHILDREN'S MEDICINE WITH AN EMPHASIS ON EARLY PRENATAL CARE AND CHILDREN'S ASTHMA- DIABETES AND OBESITY HEALTH INNOVATION, EDUCATION, AND RESEARCH AND DEVELOPMENT:- ENHANCING HEALTHCARE EDUCATION, MEDICAL RESEARCH, AND TECHNOLOGY THROUGH PARTNERSHIPS WITH LOCAL UNIVERSITIES, CONSTRUCTION OF THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION AND DEVELOPMENT OF THE LIFE SCIENCE EDUCATION AND RESEARCH CONSORTIUM. THE CONSORTIUM IS A COLLABORATIVE EFFORT BETWEEN PARKVIEW, TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY. DOCTORAL PROGRAMS IN PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ARE HOUSED ON THE RANDALLIA CAMPUS. THIS EFFORT FULFILLS A SIGNIFICANT WORKFORCE GAP AND SPECIALTY CARE ACCESS NEED IN THE COMMUNITY. - PROMOTING ECONOMIC DEVELOPMENT IN THE COMMUNITY BY PROVIDING HIGH-LEVEL LEADERSHIP TO DEVELOP PARTNERSHIPS WITH REGIONAL PARTNER ORGANIZATIONS THAT SHARE COMMON GOALS. - DEVELOPMENT OF A CUSTOMIZED POPULATION HEALTH MANAGEMENT MODEL CONTINUES. PARKVIEW CARE PARTNERS IS A PHYSICIAN-LED CARE MANAGEMENT ORGANIZATION COLLABORATING ON A CLINICALLY INTEGRATED (CI) APPROACH TO HEALTHCARE DELIVERY ACROSS THE CONTINUUM OF CARE. CLINICAL INTEGRATION WORKS TO ACHIEVE GOALS IN FOUR OVERARCHING AREAS REFERRED TO AS THE QUADRUPLE AIM. THE FOUR AREAS INCLUDE QUALITY OF CARE, THE PATIENT EXPERIENCE, VALUE (IN TERMS OF REDUCED WASTE IN HEALTHCARE) AND IMPROVING THE CARE PROVIDER EXPERIENCE. PARKVIEW HEALTH SYSTEM, INC., AS THE PARENT ORGANIZATION, AND THROUGH ITS MEMBER HOSPITALS, ANNUALLY FUNDS LOCAL COMMUNITY HEALTH IMPROVEMENT EFFORTS. THESE FUNDS ARE USED TO SUPPORT HEALTH-RELATED, COMMUNITY-BASED PROGRAMS, PROJECTS AND ORGANIZATIONS. FUNDS ARE ALSO USED TO SUPPORT COMMUNITY OUTREACH PROGRAMS AND HEALTH INITIATIVES. THE EMPHASIS WITH THESE PROJECTS CONTINUES TO BE ON IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE, WHICH ALIGNS WITH OUR ESTABLISHED MISSION. PARKVIEW HEALTH SYSTEM, INC., THROUGH THE HOSPITALS OF PARKVIEW HOSPITAL, INC., PROVIDES A COMMUNITY-BASED NURSING PROGRAM THAT PROVIDES SUPPORT AND EDUCATION TO THOUSANDS OF CHILDREN AND THEIR FAMILIES EACH YEAR IN SCHOOL SYSTEMS THROUGHOUT THE REGION. OTHER PARKVIEW HOSPITAL, INC. OUTREACH PROGRAMS INCLUDE MEDICATION ASSISTANCE, MOBILE MAMMOGRAPHY, MATERNAL/INFANT HEALTH INTERVENTION PROGRAMS, NUTRITION AND ACTIVE LIFESTYLE CURRICULUMS, BEHAVIORAL HEALTH CARE NAVIGATOR PROGRAM AND INJURY PREVENTION EDUCATION.
PART VI, LINE 6:IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. PARKVIEW CONTRIBUTES TO THE SUCCESS OF THE REGION BY EFFECTIVELY MANAGING ITS FACILITIES, EFFICIENTLY PROVIDING AND DELIVERING ITS SERVICES, AND SUPPORTING LOCAL BUSINESSES AND ACTIVITIES. PARKVIEW SEEKS TO CREATE ALIGNMENT OPPORTUNITIES TO DELIVER COMPREHENSIVE HIGH-QUALITY CARE THAT BENEFIT PATIENTS, PHYSICIANS, CO-WORKERS AND COMMUNITIES. EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH CUSTOMIZED TO MEET THE UNIQUE NEEDS OF THEIR RESPECTIVE COMMUNITIES. AFFILIATE HOSPITALS WORK TOGETHER AND SHARE PROGRAMMING AND MESSAGING WHERE COMMON COMMUNITY HEALTH ISSUES ARE IDENTIFIED. FROM THE LIST OF HEALTH ISSUES IN THE SEVEN-COUNTY AREA, THE HEALTH PRIORITY OF OBESITY/HEALTHY LIFESTYLE PROMOTION AND EDUCATION INCLUDING GOOD NUTRITION, ACCESS TO AND CONSUMPTION OF HEALTHY FOODS AND AN ACTIVE LIFESTYLE WERE SELECTED BY ALL AFFILIATE HOSPITALS. PARKVIEW PRIDES ITSELF IN NOT ONLY OFFERING THE HIGHEST LEVEL OF CARE TO ITS PATIENTS, BUT ALSO IN PROVIDING AN EXCELLENT WORKPLACE FOR ITS PHYSICIANS, NURSES AND STAFF. PARKVIEW'S MISSION AND VISION IS AS FOLLOWS: AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY: 1) TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS, 2) DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY 3) PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY. PARKVIEW BELIEVES THAT THE COMMUNITIES IT SERVES SHOULD ALL HAVE THE PEACE OF MIND THAT COMES WITH ACCESS TO COMPASSIONATE, HIGH-QUALITY HEALTHCARE, REGARDLESS OF WHETHER THE CARE IS DELIVERED IN A RURAL OR URBAN SETTING.
PART VI, LINE 7, REPORTS FILED WITH STATESIN
PART VI, LINE 7:A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (77 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
PARKVIEW FOUNDATION INC
10622 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845237220589501 ( C ) 3$1,379,176OPERATIONS
INDIANA-PURDUE FOUNDATION AT FT WAYNE
2101 E COLISEUM BLVDFORT WAYNEIN46805356033698501 ( C ) 3$356,500SCHOOL OF NURSING PROGRAM & SPONSORSHIPS
CITY OF FORT WAYNE
ONE EAST MAIN STREETFORT WAYNEIN46802GOVT ORG$150,000CAPITAL MAINTENANCE & IMPROVEMENT FUND FOR PARKVIEW FIELD
EMERGENCY MEDICINE EDUCATIONAL FOUNDATION OF NORTHEAST INDIANA
3640 NEW VISION DRIVEFORT WAYNE ININ46845465584998501 ( C ) 3$150,000SUPPORT EMERGENCY MEDICINE PROVIDE EDUCATION AND TRAINING
YMCA OF DEKALB COUNTY
533 NORTHE STREETAUBURNIN46706350868958501 ( C ) 3$132,500CAPITAL CAMPAIGN
FORT WAYNE URBAN LEAGUE INC
2135 S HANNA STREETFORT WAYNEIN46803350869052501 ( C ) 3$122,000SPONSORSHIP OF ANNUAL EVENTS TO SUPPORT NEEDED SERVICES PROVIDED TO VULNERABLE POPULATIONS
OAKWOOD FOUNDATION INC
110 W BERRY STREET STE 2105FORT WAYNEIN46802351893123501 ( C ) 3$89,000CHAUTAUQUA WAWASEE PROGRAMS - HEROIN & PRESCRIPTION PAINKILLER FORUM, HIGH SCHOOL ASSEMBLY PROGRAMS
FORT WAYNE COMMUNITY SCHOOLS
1200 SOUTH CALHOUN STREETFORT WAYNEIN46802GOVT ORG$70,250HOMELESS ASSISTANCE PROGRAM "BACK-TO-SCHOOL" CLOTHES AND SUPPLIES
BOYS AND GIRLS CLUB OF FORT WAYNE
2609 FAIRFIELD AVEFORT WAYNEIN46807351778767501 ( C ) 3$58,100AFTER-SCHOOL AND SUMMER PROGRAMS THAT PROVIDE POSITIVE, EDUCATIONAL EXPERIENCES FOR LOW-INCOME CHILDREN
AFRICAN-AMERICAN HEALTHCARE ALLIANCE OF FORT WAYNE INC
4950 IRIS AVENUEFORT WAYNEIN46825352134195501 ( C ) 3$55,100EVENT SPONSORSHIP FOR HEALTHCARE SCHOLARSHIPS
SUPER SHOT INC
1 CANAL PLACEFORT WAYNEIN46802352122575501 ( C ) 3$55,000IMMUNIZATION PROGRAMS
FORT 4 FITNESS
2826 S CALHOUN STREETFORT WAYNEIN46807261936423501 ( C ) 3$52,745PROGRAMS PROMOTING PHYSICAL FITNESS - SPONSORSHIP OF ANNUAL SPRING CYCLING AND FALL WALK/RUN EVENTS
MIDWEST ALLIANCE FOR HEALTH EDUCATION
11108 PARKVIEW CIRCLEFORT WAYNEIN46845351637515501 ( C ) 3$52,500MEDICAL FIELD STUDENT RESEARCH FELLOWSHIP PROGRAM
FORT WAYNE BALLET
300 E MAIN STREETFORT WAYNEIN46802356006394501 ( C ) 3$50,000SPONSORSHIP OF ANNUAL FUNDRAISING EVENT TO BENEFIT THE BALLET
WILLIAMS COUNTY FAMILY YMCA
ONE FABER DRIVEBRYANOH43506341448529501 ( C ) 3$50,000CAPITAL CAMPAIGN
YMCA OF GREATER FORT WAYNE
347 W BERRY STREETFORT WAYNEIN46802350886850501 ( C ) 3$44,000PROGRAMS FOSTERING YOUTH DEVELOPMENT, HEALTHY LIVING & SOCIAL RESPONSIBILITY
EARLY CHILDHOOD ALLIANCE INC
3320 FAIRFIELD AVENUEFORT WAYNEIN46807350953465501 ( C ) 3$43,984EVENT SPONSORSHIP TO SUPPORT EARLY CHILDHOOD DEVELOPMENT AND EDUCATION PROGRAMS
SCAN INC
500 W MAIN STREETFORT WAYNEIN46802310899309501 ( C ) 3$41,500SPONSORSHIP FOR DUCK RACE BENEFITTING THE PREVENTION OF CHILD ABUSE AND NEGLECT
HEARCARE CONNECTION INC
9604 COLDWATER ROADFORT WAYNEIN46825452803181501 ( C ) 3$31,000PROVIDE AUDIOLOGY SERVICES TO THOSE WHO QUALIFY FINANCIALLY
ARTS UNITED OF GREATER FORT WAYNE INC
300 EAST MAIN STRFORT WAYNEIN46802350992067501 ( C ) 3$30,000SPONSORSHIP OF MIDDLE WAVES MUSIC FESTIVAL
WAGON WHEEL THEATRE INC
2515 E CENTER STREETWARSAWIN46580263885020501 ( C ) 3$28,500THREATRE PRODUCTION SPONSORSHIPS
NORTHEAST INDIANA INNOVATION CENTER
3201 STELLHORN ROADFORT WAYNEIN46815352097779501 ( C ) 3$27,300SPONSOR OF IDEAS AT WORK LUNCHEON TO SUPPORT BUSINESS AND OTHER ORGANIZATIONAL DEVELOPMENT
BLACKHAWK CHRISTIAN SCHOOL
7400 EAST STATE BLVDFORT WAYNEIN46815351285808501 ( C ) 3$27,000SCHOLARSHIPS FOR THE LOCAL GLOBAL LEADERSHIP SUMMIT
ALWAYS 100 INC
3946 ICE WAYFORT WAYNEIN46805453586802501 ( C ) 3$26,700SPORTS & ATHLETIC TRAINING PROGRAM
FORT WAYNE AIR SHOW INC
111 E WAYNE STREETFORT WAYNEIN46804454229251501 ( C ) 3$25,000SUPPORT OF FORT WAYNE AIR SHOW AND DONATION TO THE WOUNDED WARRIOR FOUNDATION
CAMERON HOSPITAL FOUNDATION
416 E MAUMEE STANGOLAIN46703351722087501 ( C ) 3$24,800CAMERON HOSPITAL PROGRAMS
IVY TECH COMMUNITY COLLEGE NORTHEAST
3800 NORTH ANTHONY BLVDFORT WAYNEIN46805237073977501 ( C ) 3$23,300STUDENT SCHOLARSHIP PROGRAMS
NEW BEGINNINGS CHURCH
4119 S LAFAYETTEFORT WAYNEIN46806900905114501 ( C ) 3$21,500SPONSOR BLACK EMPOWERMENT THURSDAY'S EVENT
TROY CENTER SCHOOL
709 W BUSINESS 30COLUMBIA CITYIN46725460634748501 ( C ) 3$20,000SCHOOL PROGRAMS
VINCENT VILLAGE INC
2827 HOLTON AVEFORT WAYNEIN46806351780135501 ( C ) 3$20,000TRANSITIONAL HOUSING PROGRAM
TURNSTONE CENTER FOR CHILDREN & ADULTS WITH DISABILITIES
3320 N CLINTON STREETFORT WAYNEIN46805350913541501 ( C ) 3$18,500PROGRAMS TO SUPPORT EMPOWERMENT OF PEOPLE WITH DISABILITIES
WOLF LAKE FREE HEALTH CLINIC
524 BRANCH COURTCOLUMBIA CITYIN46725352355801501 ( C ) 3$18,000PATIENT ASSISTANCE FUND
RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA
11109 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845351950376501 ( C ) 3$17,500CAPITAL CAMPAIGN & PROGRAMS PROVIDING SUPPORT FOR ALL PEDIATRIC FAMILIES
FORT WAYNE MEDICAL SOCIETY FOUNDATION INC
750 BROADWAY STE 250FORT WAYNEIN46802356049685501 ( C ) 3$16,600CLINICAL TRAINING PROGRAMS & HEALTHIER MOMS & BABIES PROGRAM
AMERICAN RED CROSS
2025 E STREET NWWASHINGTONDC20006530196605501 ( C ) 3$15,500SPONSORSHIP 2016 HUMANITARIAN OF THE YEAR
HISPANIC LEADERSHIP COALITION OF NORTHEAST INDIANA INC
C/O CENTER FOR NON-VIOLENCE 235 WFORT WAYNEIN46807204336796501 ( C ) 3$15,000SCHOLARSHIPS FOR HISPANIC EDUCATIONCREIGHTON STREET
INNER CITY HOPE CORPORATION
PO BOX 12045FORT WAYNEIN46862351967440501 ( C ) 3$15,000SUPPORTING MISS VIRGINIA'S FOOD PANTRY PROVIDING FOOD TO ALL IN NEED, COMMITTED TO THE WELFARE OF THE POOR AND NEEDY WHO REQUIRE FOOD ASSISTANCE
ERIN'S HOUSE
5670 YMCA PARK DRIVE WESTFORT WAYNEIN46835351884264501 ( C ) 3$14,880PROGRAMS SUPPORTING CHILDREN WHO HAVE SUFFERED THE DEATH OF A LOVED ONE
CANTERBURY SCHOOL INC
3210 SMITH RDFORT WAYNEIN46804351410931501 ( C ) 3$14,600SUPPORT FOR SCHOOL PROGRAMS
VERA BRADLEY FOUNDATION FOR BREAST
PO BOX 80201FORT WAYNEIN46898352058177501 ( C ) 3$13,600BREAST CANCER RESEARCH
EMBASSY THEATRE FOUNDATION INC
125 W JEFFERSON BLVDFORT WAYNEIN46802237355731501 ( C ) 3$13,238SPONSORSHIP FOR EXPERIENCE THE EMBASSY
RESCUE MISSION
301 W SUPERIOR STREETFORT WAYNEIN46802351054670501 ( C ) 3$11,750PROGRAMS PROVIDING RESTORATIVE CARE TO MEN, WOMEN AND CHILDREN EXPERIENCING A HOMELESS CRISIS
CARRIAGE HOUSE
3327 LAKE AVEFORT WAYNEIN46805352026647501 ( C ) 3$11,000JOB AND LIFE SKILLS PROGRAMS DESIGNED FOR THOSE WITH A MENTAL HEALTH DIAGNOSIS
LEAGUE FOR THE BLIND AND DISABLED
5821 S ANTHONY BLVDFORT WAYNEIN46816350876341501 ( C ) 3$11,000PROGRAMS TO PROMOTE OPPORTUNITIES THAT EMPOWER PEOPLE WITH DISABILITIES
INDIANA UNIVERSITY FOUNDATION
SHOWALTER HOUSE PO BOX 500BLOOMINGTONIN47402356018940501 ( C ) 3$10,500SUPPORT FOR SCHOLARSHIPS
MUSTARD SEED FURNITURE BANK OF
3636 ILLINOIS ROADFORT WAYNEIN46804352149283501 ( C ) 3$10,500PROGRAMS SUPPORTING IN-KIND FURNITURE DONATIONS TO THOSE IN NEED
NORTHEAST INDIANA CHRISTIAN ACTION COUNCIL EDUCATION AND C H A
3630 HOBSON ROADFORT WAYNEIN46815311113254501 ( C ) 3$10,250EVENT SPONSORSHIP TO SUPPORT PREGNANCY TESTING, SERVICES AND EDUCATION FOR EXPECTANT AND NEW MOTHERS
ADAMS COUNTY MEMORIAL HOSPITAL AND DEVELOPMENT FOUNDATION
1100 MERCER AVENUE PO BOX 151DECATURIN46733351432587501 ( C ) 3$10,000HOSPITAL PROGRAMS - SPONSORSHIP FOR THE FOUNDATION GOLF CLASSIC
ALLEN CO FT WAYNE HISTORICAL SOCIETY INC
302 E BERRY STREETFORT WAYNEIN46802351043456501 ( C ) 3$10,000SPONSORSHIP FOR FESTIVAL OF GINGERBREAD 2016
ARTLINK INC
437 E BERRY ST STE 202FORT WAYNEIN46802351461761501 ( C ) 3$10,000SPONSORSHIP FOR EXHIBITS, EDUCATIONAL PROGRAMS AND EVENTS
BRIDGE OF GRACE COMPASSIONATE MINISTRIES
5100 GAYWOOD DRIVEFORT WAYNEIN46806454056745501 ( C ) 3$10,000SPONSORSHIP FOR COMPASSIONATE MINISTRIES CENTER AND ITS PROGRAMS AND PROJECTS
INTERDISCIPLINARY COMMUNITY AUTISM NETWORK INC
409 E COOK ROAD STE 100FORT WAYNEIN46825463859598501 ( C ) 3$10,000AUTISM SPECTRUM DISORDER PROGRAMS
UNITY PERFORMING ARTS FOUNDATION INC
PO BOX 10394FORT WAYNEIN46852352110907501 ( C ) 3$10,000SUPPORT FOR CHARACTER/ARTISTRY/LEADERSHIP DEVELOPMENT FOR CHILDREN AND ADOLESCENTS
WABASH COUNTY CONVENTION & VISITORS BUREAU INC
221 S MIAMI STREETWABASHIN46995351972564501 ( C ) 3$10,000PROGRAMS TO PROMOTE THE DEVELOPMENT & GROWTH OF THE CONVENTION RECREATION & VISITOR INDUSTRY IN WABASH COUNTY INDIANA
EUELL A WILSON CENTER INC
1512 OXFORD STREETFORT WAYNEIN46806351893381501 ( C ) 3$10,000EDUCATIONAL, SOCIAL, & PERFORMING ARTS PROGRAMS & SPIRITUAL DEVELOPMENT TO EMPOWER YOUTH AND THEIR FAMILIES
YLNI YOUNG LEADERS OF NORTHEAST IN INC
PO BOX 10774FORT WAYNEIN46853134307681501 ( C ) 3$10,000PROGRAMS TO DEVELOP & RETAIN EMERGING YOUNG LEADERS THROUGH COMMUNITY, PROFESSIONAL AND SOCIAL ENGAGEMENT
JUNIOR ACHIEVEMENT NORTHERN INDIANA
601 NOBLE DRIVEFORT WAYNEIN46825350922731501 ( C ) 3$9,780EXPERIENTIAL-BASED LIFE SKILL PROGRAMS FOR CHILDREN
UNIVERSITY OF SAINT FRANCIS
2701 SPRING STREETFORT WAYNEIN46808350886846501 ( C ) 3$8,755SPONSORSHIP FOR SCHOOL OF NURSING SCHOLARSHIP PROGRAM
DEKALB COUNTY COMMUNITY FOUNDATION INC
700 S MAIN STREET PO BOX 111AUBURNIN46706351992897501 ( C ) 3$8,700DONATION TO SUPPORT OBERKISER SCHOLARSHIP FUND
BLESSINGS IN A BACKPACK
111 EAST WAYNE ST STE 555FORT WAYNEIN46802262627847501 ( C ) 3$8,600FOOD DISTRIBUTION PROGRAM FOR LOW-INCOME CHILDREN
THREE RIVERS FESTIVAL
102 THREE RIVERS NORTHFORT WAYNEIN46802351338028501 ( C ) 3$8,500SPONSORSHIP FOR FIREWORKS, KIDS FUN RUN, INTERNATIONAL VILLAGE
TRINE UNIVERSITY INC
1 UNIVERSITY AVENUEANGOLAIN46703350715530501 ( C ) 3$8,030SPONSORSHIP FOR STUDENT SCHOLARSHIP PROGRAM
AMERICAN CANCER SOCIETY
250 WILLIAMS ST NWATLANTAGA30303131788491501 ( C ) 3$8,000CANCER RESEARCH AND PROGRAMS ASSISTING CANCER PATIENTS
COVENANT COMMUNITY DEVELOPMENT CORPORATION
3420 E PAULDING ROADFORT WAYNEIN46816474667808501 ( C ) 3$8,000SPONSOR OF SOFTBALL FIELD DEVELOPMENT
INDIANA CENTER FOR NURSING INC
9302 N MERIDIAN ST STE 365INDIANAPOLISIN46260383697192501 ( C ) 3$8,000SPONSORSHIP FOR ICN NURSING GALA
FORT WAYNE AREA YOUTH FOR CHRIST
6427 OAKBROOK PARKWAYFORT WAYNEIN46825351051837501 ( C ) 3$7,500EDUCATIONAL PROGRAMS WITH A FOCUS ON CHRISTIAN RELIGIOUS VALUES TO CHILDREN RANGING IN AGE FROM MIDDLE-SCHOOL TO HIGH SCHOOL TEENS
FORT WAYNE TRAILS INC
300 E MAIIN STREET STE 130FORT WAYNEIN46802421545637501 ( C ) 3$7,000SPONSORSHIP FOR PUFFERBELLY 5K
REPLENISH COMMUNITY FOUNDATION
21010 SOUTHBANK STR 2005STERLINGVA20165272937293501 ( C ) 3$7,000SUPPORT TO PURCHASE, PACKAGE AND DISTRIBUTE MEALS TO CHILDREN IN THE COMMUNITY
COMMUNITY HARVEST FOOD BANK
PO BOX 10967FORT WAYNEIN46855311100607501 ( C ) 3$6,750OPERATIONS & PROGRAMS PROVIDING FOOD TO LOW-INCOME INDIVIDUALS & FAMILIES
MARCH OF DIMES
303 STABLE DRIVEFORT WAYNEIN46825131846366501 ( C ) 3$6,600RESEARCH & PROGRAMS TO DECREASE BIRTH DEFECTS AND INFANT MORTALITY
NORTHWEST ALLEN COUNTY SCHOOLS
13119 COLDWATER ROADFORT WAYNEIN46845GOVT ORG$6,500STUDENT SCHOLARSHIPS AND STAFF PROFESSIONAL DEVELOPMENT
STEUBEN COUNTY HUMANE SOCIETY INC
PO BOX 204ANGOLAIN46703237208051501 ( C ) 3$6,500SUPPORT OF ANIMAL CARE PROGRAMS
AMANI FAMILY SERVICES INC
2456 LAKE AVENUEFORT WAYNEIN46805412205791501 ( C ) 3$6,000SPONSORSHIP FOR CARE FOR IMMIGRANTS & REFUGEES IN CRISIS
BETTER BUSINESS BUREAU
4011 PARNELL AVENUEFORT WAYNEIN46805351499536501 ( C ) 3$6,000TORCH AWARD TITLE SPONSORSHIP
FORT WAYNE MUSEUM OF ART
311 EAST MAIN STFORT WAYNEIN46802350953440501 ( C ) 3$6,000PROGRAMS TO COLLECT, PRESERVE AND PRESENT ART THROUGHOUT THE REGION
ST VINCENT DE PAUL CHURCH
1502 EAST WALLEN ROADFORT WAYNEIN46825351003124501 ( C ) 3$5,800MISSION TRIP TO HONDURAS
BISHOP DWENGER HIGH SCHOOL
1300 E WASHINGTON CTR RDFORT WAYNEIN46825351090327501 ( C ) 3$5,500SAINTS ALIVE SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org77Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO$999,068$0$525,000$0$542,942$0$669,350$0$43,194$0$2,779,554$0$419,516$0
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH CHIEF PHY EXE$715,989$0$262,500$0$40,380$0$148,150$0$41,040$0$1,208,059$0$0$0
ROBERT GODLEY
DIRECTOR/PH PHYSICIAN$596,495$0$116,320$0$33,287$0$29,150$0$34,064$0$809,316$0$0$0
JOSHUA KLINE
DIRECTOR/PH PHYSICIAN$335,464$0$75,475$0$20,791$0$84,461$0$31,802$0$547,993$0$0$0
ALAN MCGEE
DIRECTOR/PH SVR LINE LEADER$387,250$0$0$0$18,000$0$0$0$0$0$405,250$0$0$0
LARRY ROWLAND
DIRECTOR$256,750$0$0$0$0$0$0$0$0$0$256,750$0$0$0
JEANNE' WICKENS
PH CHIEF FINANCIAL OFFICER$329,339$0$15,000$0$28,030$0$60,171$0$19,158$0$451,698$0$0$0
RICK HENVEY
PH CHIEF OPERATING OFFICER$594,524$0$204,825$0$54,555$0$103,454$0$37,760$0$995,118$0$15,031$0
STANTON RISSER
INTERIM PH CFO - PARTIAL YEAR/PH VP$193,037$0$116,196$0$8,927$0$40,555$0$27,057$0$385,772$0$6,041$0
NEIL SHARMA
PRESIDENT PARKVIEW CANCER INSTITUTE$768,550$39,693$98,656$0$19,423$0$69,872$3,128$12,974$581$969,475$43,402$0$0
SUZANNE EHINGER
PH CHIEF EXPERIENCE OFFICER$452,008$0$173,813$0$25,524$0$110,595$0$31,845$0$793,785$0$0$0
MITCHELL STUCKY
PH PHYSICIAN EXECUTIVE OFFICER$444,592$0$151,281$0$23,964$0$99,190$0$31,228$0$750,255$0$0$0
RONALD DOUBLE
PH CHIEF INFORMATION OFFICER$391,018$0$139,243$0$44,900$0$94,924$0$14,458$0$684,543$0$0$0
GREG JOHNSON
PH CHIEF CLINICAL INTEGRATION OFFCR$410,670$0$137,034$0$2,622$0$88,780$0$28,889$0$667,995$0$0$0
MARK KADLEC
PH SVP & COO - PPG$356,125$0$136,156$0$25,745$0$70,325$0$31,889$0$620,240$0$0$0
JAMES WITMER
PH SVP FACILITY DESIGN & OVERSIGHT$129,066$0$82,798$0$304,651$0$33,333$0$8,383$0$558,231$0$262,885$0
DAVID STOREY
PH SVP GENERAL COUNSEL$383,983$0$131,102$0$1,140$0$77,983$0$32,516$0$626,724$0$0$0
JUDITH BOERGER
PH CHIEF NURSING EXECUTIVE$314,273$0$108,586$0$55,753$0$67,775$0$27,570$0$573,957$0$34,253$0
THOMAS BOND
PH CHIEF MEDICAL OFFICER-PPG$343,871$0$113,781$0$18,393$0$80,503$0$31,586$0$588,134$0$15,819$0
DENA JACQUAY
PH CHIEF HUMAN RESOURCES OFFICER$326,208$0$98,604$0$38,650$0$70,600$0$37,036$0$571,098$0$10,738$0
JEFFREY BROOKES
PH MEDICAL DIR - COMMUNITY HOSPITALS$0$318,012$117,697$0$24,946$237$21,434$47,822$7,284$16,250$171,361$382,321$17,783$0
MARK PIERCE
PH CHIEF MED INFORMATICS OFFICER$311,028$0$116,250$0$25,384$0$68,600$0$32,849$0$554,111$0$16,862$0
BARBARA CLAYTON
PH SVP REVENUE CYCLE/PAYOR STRATEGIE$302,387$0$107,568$0$25,267$0$80,150$0$24,635$0$540,007$0$0$0
JAMES STAPEL
PH MEDICAL DIR INTEGRATION & DEV'T$241,284$0$88,101$0$84,987$0$72,589$0$23,714$0$510,675$0$74,230$0
DONNA VAN VLERAH
PH SVP SUPPORT DIVISION$250,046$0$80,377$0$37,834$0$63,090$0$7,786$0$439,133$0$0$0
JOHN MEISTER
PH SVP DELIVERY SYSTEM INTEGRATION$2,139$0$82,500$0$274,108$0$11,633$0$4,113$0$374,493$0$30,842$0
JEFFREY BOORD
PH CHIEF QUALITY & SAFETY OFFICER$332,824$0$0$0$19,699$0$57,215$0$32,857$0$442,595$0$0$0
SCOTT JAMES
PH SVP & COO SVR LINE LEADER-CANCER$246,307$0$78,735$0$1,191$0$48,465$0$29,791$0$404,489$0$0$0
PHILIP SMITH
PH SVP STRATEGY & BUSINESS DEV'T$219,849$0$57,968$0$13,788$0$34,972$0$21,610$0$348,187$0$0$0
MATTHEW GROTHAUS
PH PHYSICIAN$721,262$275,671$2,670$91,374$3,236$1,248$12,314$6,236$24,254$12,284$763,736$386,813$0$0
DOUGLAS GRAY
PH PHYSICIAN$826,545$0$178,300$0$20,298$0$29,150$0$38,432$0$1,092,725$0$0$0
MICHAEL GRABOWSKI
PH PHYSICIAN$750,159$72,995$159,752$0$21,311$0$27,031$2,119$33,072$2,592$991,325$77,706$0$0
DAVID LLOYD
PH PHYSICIAN$753,920$0$141,966$0$26,812$0$23,850$0$34,847$0$981,395$0$0$0
DUANE HOUGENDOBLER
PH PHYSICIAN$767,794$0$147,991$0$4,481$0$29,150$0$34,823$0$984,239$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1ATRAVEL FOR COMPANIONS - TAXABLE EXPENSE REIMBURSEMENT FOR FAMILY MEMBER PAID TO: RAYMOND DUSMAN $79; ROBERT GODLEY $190; SCOTT JAMES $105; MICHAEL PACKNETT $79; NEIL SHARMA $105 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - TAX ON TAXABLE GIFT CERTIFICATE PAID TO: MICHAEL GRABOWSKI $12; DENA JACQUAY $71; MARK PIERCE $71; JAMES STAPEL $95; JAMES WITMER $113 PERSONAL SERVICES - TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: ROBERT GODLEY $500; DOUGLAS GRAY $500; NEIL SHARMA $500 NON-TAXABLE MANDATORY ANNUAL MEDICAL PHYSICAL PAID FOR: JUDITH BOERGER $3,071; RONALD DOUBLE $3,032; RAYMOND DUSMAN $4,023; SUZANNE EHINGER $3,233; RICK HENVEY $3,097; DENA JACQUAY $3,161; MARK KADLEC $3,372; MICHAEL PACKNETT $6,386; MITCHELL STUCKY $2,488; JEANNE' WICKENS $2,965
PART I, LINES 4A-BSEVERANCE PAYMENT JOHN MEISTER $161,615 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS TAXABLE - JUDITH BOERGER $34,253; THOMAS BOND $15,819; JEFFREY BROOKES $17,783; RICK HENVEY $15,031; DENA JACQUAY $10,738: JOHN MEISTER $30,842; JILL OSTREM $15,794; MICHAEL PACKNETT $419,516; MARK PIERCE $16,862; STANTON RISSER $6,041; PHILIP SMITH $10,847; JAMES STAPEL $74,230; DONNA VAN VLERAH $17,753; JAMES WITMER $262,885 PARTICIPANTS DEFERRED - THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR ALL OF THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION, AND THE COST OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME SET FORTH IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. JUDITH BOERGER $49,225; THOMAS BOND $52,678; JEFFREY BOORD $55,250; JEFFREY BROOKES $53,356; BARBARA CLAYTON $51,000; RONALD DOUBLE $63,124; RAYMOND DUSMAN $119,000; SUZANNE EHINGER $78,795; RICK HENVEY $92,854; DENA JACQUAY $46,750; SCOTT JAMES $38,250; MARK KADLEC $63,037; GREG JOHNSON $66,300; JOSHUA KLINE $61,200; MICHAEL PACKNETT $645,500 MARK PIERCE $52,700; STANTON RISSER $22,005; NEIL SHARMA $59,500; PHILIP SMITH $22,801; JAMES STAPEL $40,789; DAVID STOREY $59,433; MITCHELL STUCKY $70,040; DONNA VAN VLERAH $44,540; JEANNE' WICKENS $57,021; JAMES WITMER $16,894
PART I, LINE 7MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. SYSTEM GOALS ARE APPROVED BY THE BOARD. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES FINAL PAYMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY
A35160231645471ABQ42009-08-27$264,703,254SEE PART VIYes (1)00
INDIANA FINANCE AUTHORITY
B35160231645471AAS12009-08-27$223,665,000SEE PART VI000
INDIANA FINANCE AUTHORITY
C35160231645471AHR62012-05-24$94,631,826SEE PART VI000
INDIANA FINANCE AUTHORITY
D351602316NONEAVAIL2016-08-17$58,000,000SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtUnspentUnspentAmt
A$108,345,000$264,704,689$20,587,493$3,453,166$261,251,5232009Yes (1)0Yes (1)Yes (1)
B$223,915,573$1,369,431$73,265,6712011Yes (1)0Yes (1)Yes (1)$193,601$149,086,870
C$5,860,000$94,631,897$1,022,698$93,609,2002012Yes (1)Yes (1)Yes (1)Yes (1)
D$58,000,000000Yes (1)$12,789,479$45,210,521

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.003500.000000.00350Yes (1)Yes (1)0.014300Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.002600.000000.00260Yes (1)Yes (1)0.005800Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.001400.000000.00140Yes (1)Yes (1)0.020900Yes (1)
D0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.00000Yes (1)0Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A000Yes (1)0000Yes (1)
WELLS FARGO & PNC
B00Yes (1)0Yes (1)Yes (1)00Yes (1)20.00000000000000
(no name)
C000Yes (1)0000Yes (1)
(no name)
D0Yes (1)00Yes (1)000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (1)
BYes (1)
CYes (1)
DYes (1)

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K NOTE TO READER:ENTITY 2 DESIGNATION USED SOLELY TO ACCOMMODATE REPORTING FIFTH BOND ISSUE. ENTITY 2 IS NOT A DIFFERENT ENTITY THAN ENTITY 1.
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE A:SERIES 2009A - 1) PARTIALLY REFUNDED OUTSTANDING 2005 SERIES BOND ISSUE WHICH WAS ISSUED ON JULY 28, 2005 2) PARTIALLY REFUNDED OUTSTANDING BONDS FOR 2001 SERIES BOND ISSUE WHICH WERE ISSUED ON NOVEMBER 6, 2001
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE BSERIES 2009BCD - 1) NEW MONEY FOR CONSTRUCTION OF NEW HOSPITAL IN FORT WAYNE, IN 2) FULLY REFUNDED BALANCE OF OUTSTANDING 2005 SERIES BONDS WHICH WERE ISSUED ON JULY 28, 2005
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE C:SERIES 2012 - 1) PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009 2) FULLY REFUNDED OUTSTANDING BONDS FOR 1998 SERIES BOND ISSUE WHICH WAS ISSUED ON NOVEMBER 24, 1998
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE D:SERIES 2016B - NEW MONEY FOR THE CONSTRUCTION OF NEW CANCER INSTITUTE IN FORT WAYNE, IN.
ENTITY 1, SCHEDULE K, PART II, COLUMN A, LINE 3:THIS AMOUNT INCLUDES INTERST OF $1,435 EARNED ON COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART II, COLUMN B, LINE 3:THIS AMOUNT INCLUDES INTEREST OF $250,573 EARNED ON PROJECT AND COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART II, COLUMN C, LINE 3:THIS AMOUNT INCLUDES INTEREST OF $71 EARNED ON COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART III, COLUMNS A-D, LINE 7:THE AMOUNT OF PRIVATE PAYMENT HAS NOT BEEN CALCULATED, HOWEVER, THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST.
ENTITY 1, SCHEDULE K, PART III, COLUMNS A-C, LINES 8A-C:THE ORGANIZATION HAS SUBMITTED A REQUEST TO THE IRS TO ENTER INTO A VOLUNTARY CLOSING AGREEMENT WITH RESPECT TO THE BOND-FINANCED PROPERTY THAT WAS SOLD.
ENTITY 1, SCHEDULE K, PART IV, COLUMN A, LINE 2C:REBATE CALCULATION PERFORMED ON AUGUST 27, 2014.
ENTITY 1, SCHEDULE K, PART IV, COLUMN B, LINE 2C:BOND ISSUE MET THE 24 MONTH REBATE SPENDING EXCEPTION. CALCULATION PERFORMED ON DECEMBER 8, 2011.
ENTITY 1, SCHEDULE K, PART IV, COLUMN C, LINE 2C:REBATE CALCULATION PERFORMED ON DECEMBER 4, 2012.
ENTITY 2, SCHEDULE K, PART I, COLUMN F, LINE A:SERIES 2016C - FULL REFUNDING OF ALL OUTSTANDING SERIES 2010 BOND ISSUE WHICH WAS REISSUED MAY 24, 2012.
ENTITY 2, SCHEDULE K, PART III, COLUMN A, LINE 7:THE AMOUNT OF PRIVATE PAYMENT HAS NOT BEEN CALCULATED, HOWEVER, THE BOND IS NOT A PRIVATE ACTIVITY BOND BECAUSE IT DOES NOT MEET THE PRIVATE BUSINESS USE TEST.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDIANA FINANCE AUTHORITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN351602316BondIssuerEIN
CUSIPNONEAVAILCUSIPNum
Bond Issued2016-08-17BondIssuedDt
Issue Price$27,280,000IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$745,000RetiredAmt
Total Proceeds$27,280,000TotalProceedsAmt
Other Spent Proceeds$27,280,000OtherSpentProceedsAmt
Substantial Completion2016SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research AgreementsYes (1)AnyResearchAgreementsInd
Engage Bond Counsel ResearchYes (1)EngageBondCounselResearchInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt TestYes (1)BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GALILEO MANAGEMENT SERVICES LLC
ENTITY OF WHICH DIRECTOR LARRY ROWLAND OWNED A 35% OR GREATER INTEREST$250,000VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH.0
KRIS CONKLIN
FAMILY MEMBER OF OFFICER STANTON RISSER$49,668EMPLOYEE KRIS CONKLIN RECEIVED COMPENSATION FROM PARKVIEW HEALTH SYSTEM, INC.0
BROOKS CONSTRUCTION
ENTITY OF WHICH DIRECTOR MARGARET BROOKS OWNED A 35% OR GREATER INTEREST$594,166VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH.0
KYLEE BENNETT
FAMILY MEMBER OF KEY EMPLOYEE SUZANNE EHINGER$41,880EMPLOYEE KYLEE BENNETT RECEIVED COMPENSATION FROM PARKVIEW HEALTH SYSTEM, INC.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART V, LINES 1A AND 2A:PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION AS WELL AS RELATED ENTITIES. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2 AND W-3 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2016 WAS 573. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2016 WAS 12,046. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR PARKVIEW HEALTH SYSTEM, INC. WAS 297 AND 4,053 RESPECTIVELY.
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL CONSIST OF A MAXIMUM OF EIGHT (8) MEMBERS, INCLUDING THE FOLLOWING: THE PARKVIEW HEALTH BOARD CHAIR WHO SHALL ALSO SERVE AS CHAIR OF THE COMMITTEE, THE PARKVIEW HEALTH BOARD VICE CHAIR, THE PARKVIEW HEALTH PRESIDENT AND CHIEF EXECUTIVE OFFICER AND UP TO FIVE (5) "AT LARGE" MEMBERS NOMINATED ANNUALLY BY THE GOVERNANCE COMMITTEE AND APPOINTED BY THE PARKVIEW HEALTH BOARD CHAIR, ALL OF WHOM SHALL BE INDEPENDENT. ALL MEMBERS SHALL HAVE VOTING RIGHTS. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION. IN ADDITION, THE COMMITTEE SHALL PERFORM ALL RESPONSIBILITIES DELEGATED TO IT BY THE BOARD AND MAY EXERCISE ALL POWERS OF THE BOARD; PROVIDED, HOWEVER, THE COMMITTEE MAY NOT (I) APPROVE PARKVIEW HEALTH STRATEGIC PLANS, (II) FILL BOARD VACANCIES, (III) AMEND OR REPEAL THE BYLAWS OF PARKVIEW HEALTH OR (IV) TAKE ANY OTHER ACTION PROHIBITED BY LAW OR PROHIBITED BY PARKVIEW HEALTH'S BYLAWS OR ARTICLES OF INCORPORATION. THE DUTIES OF THE EXECUTIVE COMMITTEE SHALL BE MORE FULLY SET FORTH IN THE EXECUTIVE COMMITTEE CHARTER APPROVED FROM TIME TO TIME BY A MAJORITY VOTE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL MEET NO LESS FREQUENTLY THAN QUARTERLY, ON ALTERNATE MONTHS FROM THE BOARD AND SHALL PROVIDE REGULAR REPORTS TO THE FULL BOARD.
FORM 990, PART VI, SECTION A, LINE 2OFFICER JEANNE' WICKENS, DIRECTORS RAYMOND DUSMAN, ALAN MCGEE, KEY EMPLOYEES THOMAS BOND, JEFFREY BROOKES, MITCHELL STUCKY, SUZANNE EHINGER, GREG JOHNSON HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER STANTON RISSER, DIRECTORS RAYMOND DUSMAN, ALAN MCGEE AND KEY EMPLOYEES THOMAS BOND, JEFFREY BROOKES, MITCHELL STUCKY, SUZANNE EHINGER, GREG JOHNSON HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER STANTON RISSER, DIRECTOR RAYMOND DUSMAN AND KEY EMPLOYEE MITCHELL STUCKY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. KEY EMPLOYEES SUZANNE EHINGER, RICK HENVEY AND SCOTT JAMES HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICERS JEANNE' WICKENS, RICK HENVEY AND KEY EMPLOYEE MITCHELL STUCKY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICERS STANTON RISSER, RICK HENVEY AND KEY EMPLOYEE MITCHELL STUCKY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. DIRECTORS MARGARET BROOKS AND DAVID HAIST HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION B, LINE 11BAN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 25, 2017, THE SYSTEM AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES.
FORM 990, PART VI, SECTION B, LINE 12CAS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL."
FORM 990, PART VI, SECTION B, LINE 15REGARDING LINES 15A AND 15B, TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE ORGANIZATION USED A PROCESS FOR DETERMINING COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2016, THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2016 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. THE COMPENSATION PACKAGE WAS APPROVED BY A MAJORITY OF INDEPENDENT BOARD MEMBERS. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A COMPETITIVE COMPENSATION ANALYSIS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AS WELL AS ALL EXECUTIVES AT THE VICE PRESIDENT LEVEL AND ABOVE. ALL DATA IS SHARED WITH THE BOARD OF DIRECTORS. THE BOARD APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO AND HIS DIRECT REPORTS. APPROVAL IS ALSO PROVIDED FOR THE SALARY BUDGET FOR THE ENTIRE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). OFFICES OR POSITIONS REVIEWED AT THE 2016 MEETING: PRESIDENT AND CHIEF EXECUTIVE OFFICER PARKVIEW HEALTH EXECUTIVE VICE PRESIDENT CHIEF PHYSICIAN EXECUTIVE CHIEF OPERATING OFFICER PARKVIEW HEALTH CHIEF EXPERIENCE OFFICER PHYSICIAN EXECUTIVE OFFICER PARKVIEW PHYSICIANS GROUP PRESIDENT PARKVIEW REGIONAL MEDICAL CENTER AND AFFILIATES CHIEF CLINICAL INTEGRATION OFFICER CHIEF FINANCIAL OFFICER CHIEF INFORMATION OFFICER SENIOR VICE PRESIDENT GENERAL COUNSEL SENIOR VICE PRESIDENT CHIEF OPERATING OFFICER PARKVIEW PHYSICIANS GROUP CHIEF QUALITY AND SAFETY OFFICER SENIOR VICE PRESIDENT REVENUE CYCLE AND PAYOR STRATEGIES CHIEF HUMAN RESOURCES OFFICER CHIEF NURSING EXECUTIVE SENIOR VICE PRESIDENT STRATEGIC INITIATIVES CHIEF ACADEMIC AND RESEARCH OFFICER CHIEF MEDICAL INFORMATICS OFFICER CHIEF MEDICAL OFFICER PARKVIEW PHYSICIANS GROUP MEDICAL DIRECTOR COMMUNITY HOSPITALS MEDICAL DIRECTOR INTEGRATION AND DEVELOPMENT CHIEF OPERATING OFFICER - RANDALLIA CHIEF NURSING OFFICER - PARKVIEW REGIONAL MEDICAL CENTER AND AFFILIATES PRESIDENT - PARKVIEW CANCER CENTER SENIOR VICE PRESIDENT CHIEF OPERATING OFFICER SERVICE LINE LEADER BEHAVIORAL HEALTH SENIOR VICE PRESIDENT CHIEF OPERATING OFFICER SERVICE LINE LEADER ORTHO SENIOR VICE PRESIDENT CHIEF OPERATING OFFICER SERVICE LINE LEADER HEART INSTITUTE SENIOR VICE PRESIDENT CHIEF OPERATING OFFICER SERVICE LINE LEADER CANCER INSTITUTE SENIOR VICE PRESIDENT SERVICE LINE LEADER SENIOR VICE PRESIDENT DELIVERY SYSTEM INTEGRATION SENIOR VICE PRESIDENT FACILITY DESIGN AND OVERSIGHT SENIOR VICE PRESIDENT HEALTH AND WELL-BEING SENIOR VICE PRESIDENT PARKVIEW PHYSICIANS GROUP OPERATIONS DEPLOYMENT SENIOR VICE PRESIDENT SUPPLY AND SUPPORT SERVICES PRESIDENT COMMUNITY HOSPITALS VICE PRESIDENT CLINICAL INTEGRATION VICE PRESIDENT CONSTRUCTION VICE PRESIDENT EMPLOYEE STRATEGIES VICE PRESIDENT FINANCE VICE PRESIDENT MARKETING/COMMUNICATIONS/COMMUNITY RELATIONS VICE PRESIDENT NURSING RANDALLIA VICE PRESIDENT OPERATIONS - CANCER INSTITUTE VICE PRESIDENT PATIENT CARE SERVICES COMMUNITY HOSPITALS VICE PRESIDENT PARKVIEW PHYSICIANS GROUP FINANCE VICE PRESIDENT PARKVIEW PHYSICIANS GROUP PHYSICIAN PRACTICES VICE PRESIDENT STRATEGY AND BUSINESS DEVELOPMENT VICE PRESIDENT SURGICAL SERVICES PARKVIEW REGIONAL MEDICAL CENTER AND AFFILIATES VICE PRESIDENT CLINICAL OPERATIONS - PARKVIEW PHYSICIANS GROUP VICE PRESIDENT INFORMATION SECURITY VICE PRESIDENT INTERNAL AUDIT VICE PRESIDENT TECHNOLOGY VICE PRESIDENT PATIENT CARE SERVICES - COMMUNITY HOSPITALS
FORM 990, PART VI, SECTION C, LINE 19COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
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 X, LINES 7, 9, 15 & 20CERTAIN ITEMS HAVE BEEN RECLASSED ON THE BEGINNING OF YEAR BALANCE SHEET IN ORDER TO BE CONSISTENT WITH IRS FORM 990 INSTRUCTIONS.
FORM 990, PART XI, LINE 9:ASSET ADJUSTMENT TRANSFERS 20,419. BOOK/TAX DIFF FROM K-1'S 15,922,487. CURRENT YEAR EARNINGS TRANSFERRED FROM 501( C )3'S 185,241,221. AMORTIZE BOND SWAP OCI 42,600. ADJUST OCI FOR PENSION 16,316,268. CLEAR DUE TO/FROM PARKVIEW WHITLEY LONG TERM CARE -57,953,341.
FORM 990, PART XII, LINE 9EFFECTIVE DECEMBER 1, 2014, PARKVIEW WHITLEY HOSPITAL DIVESTED THE PARKVIEW WHITLEY LONG TERM CARE OPERATIONS TO AN INDEPENDENT THIRD PARTY. AS PART OF THE DIVESTITURE AGREEMENTS, PARKVIEW WHITLEY LONG TERM CARE MAINTAINED RESPONSIBILITY FOR THE COLLECTION AND PAYMENT OF CERTAIN RECEIVABLES AND LIABILITIES. AS OF MARCH 31, 2016, PARKVIEW WHITLEY HOSPITAL MANAGEMENT DETERMINED THESE ACTIVITIES WERE COMPLETE AND THE DECISION WAS MADE TO CLOSE OUT ACCOUNTS ON THE PARKVIEW WHITLEY LONG TERM CARE BALANCE SHEET. AT THE TIME OF THIS DECISION, THE PARKVIEW WHITLEY LONG TERM CARE BALANCE SHEET WAS COMPRISED OF INTERNAL RECEIVABLES AND LIABILITIES ASSOCIATED WITH OTHER PARKVIEW HEALTH RELATED ENTITIES. THE BALANCE SHEET WAS CLOSED OUT THROUGH THE TRANSFERRING OF NET ASSETS TO AND FROM RELATED PARKVIEW ENTITIES IN SETTLEMENT OF THESE INTERNAL RECEIVABLES AND LIABILITIES.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDirect Controlling NADirectControllingNACd
NEW VISION PROFESSIONAL PARK LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845351972384REAL ESTATEIN$1,062,138$9,075,576PARKVIEW HEALTH SYSTEM INC
TRICON DIEBOLD DEVELOPMENT LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845464037822REAL ESTATEIN$0$0PARKVIEW HEALTH SYSTEM INC
PREMIER SURGERY CENTER LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845352147600MEDICAL SERVICESINN/A

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
PARKVIEW HOSPITAL INC
11109 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845350868085HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARKVIEW FOUNDATION INC
10622 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845237220589FUND MGMTIN501(C)(3)LINE 12A, IPARKVIEW HOSPITAL INCYes (1)
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
10501 CORPORATE DRIVEFORT WAYNEIN46845352064353OCCUP HEALTHIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE ROADLAGRANGEIN46761202401676HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
401 SAWYER ROADKENDALLVILLEIN46755352087092HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC
401 SAWYER ROADKENDALLVILLEIN46755352089183FUND MGMTIN501(C)(3)LINE 12A, ICOMMUNITY HOSPITAL OF NOBLE COUNTY INCYes (1)
WHITLEY MEMORIAL HOSPITAL INC
1260 E STATE ROAD 205COLUMBIA CITYIN46725351967665HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
WHITLEY MEMORIAL HOSPITAL FOUNDATION INC
1260 E STATE ROAD 205COLUMBIA CITYIN46725311190239FUND MGMTIN501(C)(3)LINE 12A, IWHITLEY MEMORIAL HOSPITAL INCYes (1)
HUNTINGTON MEMORIAL HOSPITAL INC
2001 STULTS ROADHUNTINGTONIN46750351970706HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS ROADHUNTINGTONIN46750320012095FUND MGMTIN501(C)(3)LINE 12A, IHUNTINGTON MEMORIAL HOSPITAL INCYes (1)
PARKVIEW WABASH HOSPITAL INC
710 N EAST STWABASHIN46992471753440HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARKVIEW WABASH HOSPITAL FOUNDATION INC
710 N EAST STWABASHIN46992351921445FUND MGMTIN501(C)(3)LINE 12A, IPARKVIEW WABASH HOSPITAL INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPctDirect Controlling NADirectControllingNACd
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845260143823ORTHO HOSPITALINPARKVIEW HEALTH SYSTEM INCRELATED$44,023,887$55,548,0990Yes (1)0.60000
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
8004 CARNEGIE BLVDFORT WAYNEIN46804201394120SURGICAL SERVICESINPARKVIEW HEALTH SYSTEM INCRELATED$258,152$357,4170Yes (1)0.51000
MANAGED CARE SERVICES LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845351996535HEALTH PLAN ADMININPARKVIEW HEALTH SYSTEM INCRELATED-$4,694,236$17,249,6820Yes (1)0.90000
WABASH MRI LLC
710 N EAST STWABASHIN46992204352572EQUIPMENT LEASINGINN/A00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
PARKVIEW PROFESSIONAL PROGRAMS INC
10501 CORPORATE DRIVEFORT WAYNEIN46845351668888REFERENCE LABINN/AC0
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
442 W HIGH STREETBRYANOH43506341045870PHYSICIANSOHC0PARKVIEW HEALTH SYSTEM INC$25,110,445$1,770,9781.00000
WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC
202 W BERRY ST SUITE 800FORT WAYNEIN46802352058340CONDO MANAGEMENTINC0PARKVIEW HEALTH SYSTEM INC$99,880$194,8020.92300
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (49 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HUNTINGTON MEMORIAL HOSPITAL INC
A$1,227,307PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
A$1,524,115PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
A$439,854PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
A$122,724PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
A$4,516,041PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
A$2,889,659PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
A$1,511,652PART VII SUPPLEMENTAL INFORMATION
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
A$56,572PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
B$1,379,176PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
C$515,383PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
D$5,896,241PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
D$6,893,500PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
D$16,842,368PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
J$1,227,307PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
J$1,524,115PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
J$439,854PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
J$122,724PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
J$4,516,041PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
J$2,889,659PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
J$1,511,652PART VII SUPPLEMENTAL INFORMATION
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
J$56,572PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
K$115,755PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
K$1,543,604PART VII SUPPLEMENTAL INFORMATION
PARKVIEW WABASH HOSPITAL INC
K$60,249PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
K$554,245PART VII SUPPLEMENTAL INFORMATION
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
L$9,313,924PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
L$116,737,329PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
L$6,981,000PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
L$4,820,000PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
L$7,609,000PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
L$3,515,000PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
L$158,000PART VII SUPPLEMENTAL INFORMATION
MANAGED CARE SERVICES LLC
L$627,000PART VII SUPPLEMENTAL INFORMATION
PARKVIEW PROFESSIONAL PROGRAMS INC
L$589,000PART VII SUPPLEMENTAL INFORMATION
PARKVIEW WABASH HOSPITAL INC
L$5,884,000PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
L$8,417,000PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
Q$96,464,458PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
Q$4,108,134PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Q$2,106,195PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
Q$3,895,380PART VII SUPPLEMENTAL INFORMATION
PARKVIEW WABASH HOSPITAL INC
Q$5,753,846PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
Q$4,674,018PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
R$57,953,341PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
S$136,971,537PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
S$15,569,259PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
S$3,135,762PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
S$15,586,713PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
S$13,977,951PART VII SUPPLEMENTAL INFORMATION
MANAGED CARE SERVICES LLC
S$237,497PART VII SUPPLEMENTAL INFORMATION

Supplemental Information Detail SupplementalInformationDetail

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