STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PARKVIEW HEALTH SYSTEM INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
PARKVIEW HEALTH SYSTEM INC (EIN 35-1972384)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-10
IRS object ID
201633159349304368
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-10T17:09:14-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

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 Begin2015-01-01TaxPeriodBeginDt

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 SVP & CFOPersonTitleTxt
Phone2603738407PhoneNum
Signature2016-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKENNETH J KEBERPreparerPersonNm
PTINP00240883PTIN
Phone5742323992PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2015TaxYr
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$790,902,976GrossReceiptsAmt
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 Body23VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee3651TotalEmployeeCnt
Total Volunteers24TotalVolunteersCnt
Total Gross UBI$3,782,832TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$109,948PYContributionsGrantsAmt
CY Contributions Grants$4,783,421CYContributionsGrantsAmt
PY Program Service Revenue$419,436,851PYProgramServiceRevenueAmt
CY Program Service Revenue$458,016,686CYProgramServiceRevenueAmt
PY Investment Income$26,706,056PYInvestmentIncomeAmt
CY Investment Income$22,853,010CYInvestmentIncomeAmt
PY Other Revenue$605,483PYOtherRevenueAmt
CY Other Revenue$1,568,879CYOtherRevenueAmt
PY Total Revenue$446,858,338PYTotalRevenueAmt
CY Total Revenue$487,221,996CYTotalRevenueAmt
PY Grants And Similar Paid$7,074,796PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$5,620,130CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$256,588,300PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$335,044,551CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$170,526,333PYOtherExpensesAmt
CY Other Expenses$177,244,017CYOtherExpensesAmt
PY Total Expenses$434,189,429PYTotalExpensesAmt
CY Total Expenses$517,908,698CYTotalExpensesAmt
PY Revenues Less Expenses$12,668,909PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$30,686,702CYRevenuesLessExpensesAmt
Total Assets BOY$1,502,964,818TotalAssetsBOYAmt
Total Assets EOY$1,678,705,064TotalAssetsEOYAmt
Total Liabilities BOY$766,048,098TotalLiabilitiesBOYAmt
Total Liabilities EOY$781,624,096TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$736,916,720NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$897,080,968NetAssetsOrFundBalancesEOYAmt
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$493,087,877ExpenseAmt
Grant$5,620,130GrantAmt
Revenue$454,229,684RevenueAmt
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 THREE FULL-TIME PHYSICIAN RECRUITERS AND ONE FULL-TIME ADVANCED PRACTICE PROVIDER RECRUITER WHOSE TIME IS DEVOTED SOLELY TO RECRUITING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. A 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. FIFTY NEW PHYSICIANS AND 66 ADVANCED PRACTICE PROVIDERS WERE RECRUITED IN 2015, 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$493,087,877TotalProgramServiceExpensesAmt
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 Document298IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3651EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCHForeignCountryCd
Foreign CountryDAForeignCountryCd
Foreign CountrySWForeignCountryCd
Foreign CountryITForeignCountryCd
Foreign CountryGRForeignCountryCd
Foreign CountryPOForeignCountryCd
Foreign CountryBRForeignCountryCd
Foreign CountryNOForeignCountryCd
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 Members23GoverningBodyVotingMembersCnt
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 EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO40.0017.00Yes (X)Yes (X)$1,472,327$0$673,379
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH CPE & EVP40.000.00Yes (X)$936,860$0$136,881
ROBERT GODLEY
DIRECTOR/PH PHYSICIAN40.000.00Yes (X)$702,344$0$56,913
JOSHUA KLINE
DIRECTOR/PH PHYSICIAN40.000.00Yes (X)$461,936$0$44,223
ALAN MCGEE
DIRECTOR/PH SVR LINE LEADER - ORTHO10.000.00Yes (X)$406,000$0$0
MICHAEL AXEL
DIRECTOR/TREASURER1.001.00Yes (X)$5,500$2,750$0
MARGARET BROOKS
DIRECTOR1.000.00Yes (X)$5,500$0$0
VICKY CARWEIN
DIRECTOR1.000.00Yes (X)$6,000$0$0
JANET CHRZAN
DIRECTOR/SECRETARY1.000.00Yes (X)$8,750$0$0
ROGER CROMER
DIRECTOR1.002.00Yes (X)$2,000$5,000$0
BRIAN EMERICK
DIRECTOR1.001.00Yes (X)$6,550$4,750$0
TIM GRISSOM
DIRECTOR1.001.00Yes (X)$5,550$12,000$0
DAVID HAIST
DIRECTOR/CHAIR1.001.00Yes (X)$14,370$750$0
THOMAS KARST
DIRECTOR1.001.00Yes (X)$3,050$7,291$0
THOMAS KIMBROUGH
DIRECTOR1.001.00Yes (X)$5,250$6,750$0
KEVIN LAMBRIGHT
DIRECTOR1.001.00Yes (X)$2,250$6,750$0
MICHAEL LEE
DIRECTOR1.000.00Yes (X)$5,750$0$0
MARILYN MORAN-TOWNSEND
DIRECTOR1.001.00Yes (X)$2,250$6,291$0
WENDY ROBINSON
DIRECTOR1.001.00Yes (X)$2,320$2,250$0
LARRY ROWLAND
DIRECTOR41.005.00Yes (X)$307,750$0$0
KEN SCHUMAN
DIRECTOR1.001.00Yes (X)$1,500$5,750$0
THOMAS WALSH
DIRECTOR1.000.00Yes (X)$11,620$0$0
LUTHER WHITFIELD
DIRECTOR1.000.00Yes (X)$7,250$0$0
MICHAEL BROWNING
PH SVP & CFO - PARTIAL YEAR40.0017.00Yes (X)$590,899$0$70,288
RICK HENVEY
PH SVP & COO40.001.00Yes (X)$686,017$0$89,027
STANTON RISSER
INTERIM PH CFO40.0017.00Yes (X)$277,183$0$60,834
SUZANNE EHINGER
PH CHIEF EXPERIENCE OFFICER40.000.00$627,015$0$107,485Yes (X)
MITCHELL STUCKY
PH PHYSICIAN EXECUTIVE OFFICER - PPG40.000.00$558,673$0$98,578Yes (X)
RONALD DOUBLE
PH SVP & CHIEF INFORMATION OFFICER40.000.00$555,722$0$79,774Yes (X)
DAVID STOREY
PH SVP GENERAL COUNSEL40.000.00$454,973$0$79,382Yes (X)
JUDITH BOERGER
PH CHIEF NURSING EXECUTIVE40.000.00$445,577$0$70,759Yes (X)
JEFFREY BROOKES
PH MEDICAL DIR - COMMUNITY HOSPITALS10.0030.00$135,652$307,820$69,731Yes (X)
THOMAS BOND
PH CHIEF MEDICAL OFFICER - PPG40.000.00$423,431$0$86,472Yes (X)
MARK PIERCE
PH CHIEF MED INFORMATICS OFFICER40.000.00$423,400$0$75,411Yes (X)
BARBARA CLAYTON
PH SVP REVENUE CYCLE & PATIENT SVR40.000.00$397,342$0$77,845Yes (X)
MARK KADLEC
PH SVP & COO - PPG40.000.00$397,028$0$65,659Yes (X)
JILL OSTREM
PH SVP HEALTH & WELL-BEING40.000.00$395,769$0$75,365Yes (X)
JAMES HAUGUEL
PH SVP SVR LINE LEADER - PPG40.000.00$379,279$0$5,803Yes (X)
JAMES STAPEL
PH MEDICAL DIR - PPG32.000.00$366,276$0$79,425Yes (X)
JAMES WITMER
PH SVP FACILITY DESIGN & OVERSIGHT40.000.00$313,690$0$58,209Yes (X)
RICHARD ROBINSON
PH SVP STRATEGIC INITIATIVES28.000.00$308,328$0$59,494Yes (X)
DENA JACQUAY
PH SVP & CHIEF HR OFFICER40.000.00$306,906$0$73,508Yes (X)
JOHN MEISTER
PH SVP DELIVERY SYSTEM INTEGRATION40.000.00$292,132$0$67,650Yes (X)
DONNA VAN VLERAH
PH SVP SUPPORT DIVISION40.000.00$261,620$0$58,589Yes (X)
PATRICIA BRAHE
PH SVP SVR LINE LEADER40.000.00$259,760$0$46,960Yes (X)
SCOTT JAMES
PH SVP & COO SVR LINE LEADER40.000.00$258,450$0$48,983Yes (X)
GREGORY SCHEIBLE
PH PHYSICIAN40.000.00$1,425,174$0$58,222Yes (X)
DAVID CLARK
PH PHYSICIAN40.000.00$1,327,596$0$53,074Yes (X)
TAHIRA SAIFUDDIN
PH PHYSICIAN40.000.00$1,294,516$0$41,605Yes (X)
RONNIE SLOAN
PH PHYSICIAN47.001.00$931,717$7,921$50,926Yes (X)
NEIL SHARMA
PH PHYSICIAN40.001.00$866,092$68,896$27,345Yes (X)
CATERINE WILCOX
FORMER KEY EMPLOYEE0.000.00$531,063$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$19,873,957TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$444,969TotReportableCompRltdOrgAmt
Total Other Compensation$2,747,799TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K479IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BOYDEN & YOUNGBLUTT
120 WEST SUPERIOR STFORT WAYNEIN46802ADVERTISING$4,149,168
UNITED AUDIT SYSTEMS INC
2245 GILBERT AVENUE ST 205CINCINNATIOH45206REMOTE CODING$2,859,065
WEATHERBY LOCUMS INC
PO BOX 972633DALLASTX75397PHYSICIANS$1,609,924
REVSPRING INC
26988 NETWORK PLACECHICAGOIL60673CONSULTANTS$892,706
HIMS CONSULTING GROUP INC
PO BOX 1370DENVERCO80217CONSULTANTS$765,922
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K80CntrctRcvdGreaterThan100KCnt
Related Organizations$4,783,421RelatedOrganizationsAmt
Total Contributions$4,783,421TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE621110$157,412,116$157,412,116
CORP SERVICE ALLOCATION561000$141,193,818$141,193,818
PH SUBSIDY561499$87,208,608$87,208,608
ORTHOPAEDIC HOSPITAL AT PARKVIEW621110$38,454,842$38,454,842
INTERUNIT RENT532000$11,124,517$11,124,517

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$22,622,785TotalRevenueColumnAmt
Related Or Exempt Func Income$18,839,953RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,782,832UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$458,016,686TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,524,759TotalRevenueColumnAmt
Exclusion$11,524,759ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$6,781,314RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$5,924,324RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$856,990RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$856,990TotalRevenueColumnAmt
Exclusion$856,990ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$297,964,062SecuritiesAmt
Other$11,120,845OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$296,608,425SecuritiesAmt
Other$1,148,231OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,355,637SecuritiesAmt
Other$9,972,614OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$11,328,251TotalRevenueColumnAmt
Exclusion$11,328,251ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCAFETERIA REVENUEDesc
Business722100BusinessCd
Total Revenue Column$711,889TotalRevenueColumnAmt
Exclusion$711,889ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$711,889OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$487,221,996TotalRevenueColumnAmt
Related Or Exempt Func Income$454,233,854RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,782,832UnrelatedBusinessRevenueAmt
Exclusion$24,421,889ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$5,620,130TotalAmt
Program Services$5,620,130ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$16,497,088TotalAmt
Management And General$16,497,088ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$252,971,309TotalAmt
Program Services$252,971,309ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$32,181,464TotalAmt
Program Services$32,181,464ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$33,394,690TotalAmt
Program Services$33,394,690ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,119,988TotalAmt
Program Services$1,055,528ProgramServicesAmt
Management And General$64,460ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$456,624TotalAmt
Management And General$456,624ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$80,780TotalAmt
Management And General$80,780ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,848,289TotalAmt
Management And General$1,848,289ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,295,523TotalAmt
Program Services$25,620,880ProgramServicesAmt
Management And General$3,674,643ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,390,124TotalAmt
Program Services$3,373,854ProgramServicesAmt
Management And General$16,270ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,668,504TotalAmt
Program Services$8,899,815ProgramServicesAmt
Management And General$768,689ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$30,342,332TotalAmt
Program Services$30,342,332ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$14,125,493TotalAmt
Program Services$14,078,917ProgramServicesAmt
Management And General$46,576ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,681,035TotalAmt
Program Services$1,395,978ProgramServicesAmt
Management And General$285,057ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$836,746TotalAmt
Program Services$698,131ProgramServicesAmt
Management And General$138,615ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$24,667,151TotalAmt
Program Services$24,667,151ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$29,598,860TotalAmt
Program Services$29,587,588ProgramServicesAmt
Management And General$11,272ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,603,732TotalAmt
Program Services$4,086,996ProgramServicesAmt
Management And General$516,736ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$8,774,495$8,774,495
BAD DEBT$8,725,999$8,725,999
PHYSICIAN ALLOWANCE$2,056,704$2,054,382$2,322
RECRUITING$1,188,241$1,188,241

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$4,783,397TotalAmt
Program Services$4,369,997ProgramServicesAmt
Management And General$413,400ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$517,908,698TotalAmt
Program Services$493,087,877ProgramServicesAmt
Management And General$24,820,821ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$26,376BOYAmt
EOY$19,740EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$86,614,057BOYAmt
EOY$148,399,531EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$1,455,170EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,090,712BOYAmt
EOY$14,898,207EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$373,789BOYAmt
EOY$183,779EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,211,090BOYAmt
EOY$4,123,462EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$12,885,610BOYAmt
EOY$16,964,666EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$540,388,281LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$215,233,938LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$318,975,042BOYAmt
EOY$325,154,343EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$388,789,304BOYAmt
EOY$427,347,080EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$219,649,757BOYAmt
EOY$233,144,754EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$29,999,030BOYAmt
EOY$29,919,153EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$426,350,051BOYAmt
EOY$477,095,179EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,502,964,818BOYAmt
EOY$1,678,705,064EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$75,205,618BOYAmt
EOY$95,363,832EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$975,444BOYAmt
EOY$1,051,800EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$540,411,831BOYAmt
EOY$526,530,506EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$39,785,470BOYAmt
EOY$33,897,204EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$109,669,735BOYAmt
EOY$124,780,754EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$766,048,098BOYAmt
EOY$781,624,096EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$736,916,720BOYAmt
EOY$897,080,968EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$736,916,720BOYAmt
EOY$897,080,968EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,502,964,818BOYAmt
EOY$1,678,705,064EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$30,686,702ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$27,264,618NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$218,115,568OtherChangesInNetAssetsAmt
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)$108,989,377$0
HUNTINGTON MEMORIAL HOSPITAL INC
3519707063Yes (1)$7,620,000$0
WHITLEY MEMORIAL HOSPITAL INC
3519676653Yes (1)$7,071,000$0
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
3520891833Yes (1)$7,795,000$0
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
2024016763Yes (1)$5,000,000$0
PARKVIEW WABASH HOSPITAL INC
4717534403Yes (1)$3,073,441$0
FieldValueIRS element (for citing)
Supported Organizations Total6SupportedOrganizationsTotalCnt
Support Sum$139,548,818SupportSumAmt
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 InvestmentYes (1)SupportedOrgVoiceInvestmentInd

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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART IV, SECTION D, LINE 3:EXHIBIT A-1 OF PARKVIEW HOSPITAL, INC.'S GOVERNING DOCUMENTS STATE THE FOLLOWING: REQUIRED FINANCIAL RATIOS PARKVIEW HEALTH SYSTEM, INC. IN CONNECTION WITH, AND AS PART OF, THE NETWORK AFFILIATION AGREEMENT ENTERED INTO BY AND BETWEEN PARKVIEW HEALTH SYSTEM, INC. AND PARKVIEW HOSPITAL, INC., PARKVIEW HOSPITAL, INC. (AND ANY OTHER ORGANIZATION WHICH BECOMES A MEMBER OF THE OBLIGATED GROUP, AS DEFINED IN THE MASTER TRUST INDENTURE) HAS AGREED TO MAINTAIN CERTAIN FINANCIAL RATIOS, AS LISTED BELOW, AT A LEVEL NOT BELOW THAT OF THE MEDIAN VALUE OF STANDARD & POOR'S A+ RATED HOSPITALS AND, FOR THE LONG-TERM DEBT TO ASSETS, RATIO AT A LEVEL NOT TO EXCEED 50%. THE MAINTENANCE OF EACH OF THESE FINANCIAL RATIOS IS BEING REQUIRED TO PROVIDE A LEVEL OF ASSURANCE THAT THE FINANCIAL VIABILITY OF PARKVIEW HOSPITAL, INC. IS NOT JEOPARDIZED THROUGH THE TRANSFER OF INVESTMENT ASSETS (FROM PARKVIEW HOSPITAL, INC. TO PARKVIEW HEALTH SYSTEM, INC.) WHICH MAY BE REQUIRED TO CAPITALIZE THE OPERATIONS AND OTHER FINANCIAL NEEDS OF PARKVIEW HEALTH SYSTEM, INC. THESE REQUIRED FINANCIAL RATIOS SHALL BE ANNUALLY CALCULATED BASED UPON THE AUDITED FINANCIAL STATEMENTS OF PARKVIEW HEALTH SYSTEM, INC., AS PRESENTED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, AND SHALL BE COMPARED TO THE MEDIAN VALUE OF STANDARD & POOR'S A+ RATED HOSPITALS (OR SUCH OTHER RATING AFFORDED PARKVIEW HEALTH SYSTEM, INC. BY STANDARD & POOR'S) FOR THE LATEST YEAR IN WHICH SUCH INFORMATION IS AVAILABLE AS PROVIDED BY THE CENTER FOR HEALTHCARE INDUSTRY PERFORMANCE STUDIES, HEALTH CARE INVESTMENT ANALYSTS, INC. OR SUCH OTHER SIMILAR OUTSIDE REPORTING SERVICE. THE REQUIRED FINANCIAL RATIOS ARE DEFINED AS FOLLOWS: INDICATOR & MATHEMATICAL DEFINITION DAYS CASH ON HAND: CASH AND CASH EQUIVALENTS PLUS BOARD DESIGNATED FUNDS PLUS INVESTMENTS(TOTAL EXPENSES LESS DEPRECIATION)/365 "CUSHION RATIO": CASH AND CASH EQUIVALENTS PLUS BOARD DESIGNATED FUNDS PLUS INVESTMENTS MAXIMUM ANNUAL DEBT SERVICE ON FIXED RATE DEBT LONG-TERM DEBT TO ASSETS: TOTAL LONG-TERM DEBT (EXCLUDING CURRENT PORTION)LESS PRINCIPAL AMOUNT OF THE VARIABLE RATE DEBT UNRESTRICTED NET ASSETS DEBT SERVICE COVERAGE: NET INCOME PLUS DEPRECIATION AND AMORTIZATION PLUS INTEREST EXPENSE PRINCIPAL PAYMENTS (EXCLUDING ANY EARLY REDEMPTION OF PRINCIPAL) PLUS INTEREST EXPENSE THE LONG-TERM DEBT TO ASSETS RATIO HAS BEEN ESTABLISHED AT NOT TO EXCEED 50% INSTEAD OF COMPARISON TO STANDARD & POOR'S A+ RATING. ANNUALLY (BUT NO LATER THAN 60 DAYS AFTER THE COMPLETION OF THE ANNUAL AUDIT BUT NO LATER THAN 150 DAYS AFTER THE CLOSE OF THE FISCAL YEAR), THE CHIEF FINANCIAL OFFICER (OR SUCH OTHER DESIGNEE) OF PARKVIEW HOSPITAL, INC. SHALL CERTIFY THAT THE REQUIRED FINANCIAL RATIOS, AS INDICATED ABOVE, HAVE BEEN MET FOR THE LATEST FISCAL YEAR THEN ENDED, ALL IN A LETTER SUBSTANTIALLY SIMILAR TO THE FORM ATTACHED HERETO. THIS ANNUAL TEST DOES NOT RELIEVE PH FROM THE REQUIREMENT OF REPORTING A NON-COMPLIANCE WITH ANY OF THE RATIOS AS SOON AS SUCH A CONDITION IS KNOWN. HOWEVER, IN THE EVENT THAT ANY ONE OF THE FINANCIAL RATIOS FALLS BELOW THE ESTABLISHED STANDARD, PH SHALL INITIATE ANY CORRECTIVE ACTION AS MAY BE REQUIRED TO MEET ANY SUCH REQUIRED FINANCIAL RATIO BASED ON THE REPORT OF AN INDEPENDENT CONSULTANT WHO HAS BEEN SO ENGAGED TO PROVIDE RECOMMENDATIONS ON SUCH ACTIONS. PH WILL BE CONSIDERED IN DEFAULT OF MEETING ITS OBLIGATIONS UNDER THIS COVENANT IF IT FAILS TO INITIATE CORRECTIVE ACTIONS IN THE TIMEFRAME AND SCOPE SPECIFIED BY THE CONSULTANT. IN THE CASE OF AN UNCURED DEFAULT, PVH WILL HAVE THE OPTION TO REMOVE ALL OR A PORTION OF ALL PH AUTHORITY OVER HOSPITAL ASSETS AND TO RECLAIM ANY ASSETS UNDER PH CONTROL THAT HAD ORIGINALLY BEEN FUNDED BY PARKVIEW HOSPITAL. IT SHOULD BE NOTED THAT THE RATING PROCESS TAKES INTO ACCOUNT SEVERAL QUALITATIVE FACTORS SUCH AS COMPETITION, INSTITUTIONAL CHARACTERISTICS AND ECONOMIC TRENDS, AND THAT THE BASIS OF THE COMPUTATION OR THE RELATIVE VALUE OF THE RATIOS COULD CHANGE. ACCORDINGLY, THE RELATIONSHIP BETWEEN THE REQUIRED FINANCIAL RATIOS FOR PARKVIEW HOSPITAL, INC. AND OTHER HEALTH CARE PROVIDERS MAY NOT ALWAYS BE OBVIOUS, AND THE BASIS OF COMPARISON COULD REQUIRE CHANGE IN THE FUTURE IN THE EVENT THAT THE STANDARD & POOR'S RATING CATEGORIES ARE CHANGED, OR SOME OTHER EVENT OCCURS WHICH IS NOW NOT CONTEMPLATED.
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 THE CHIEF OPERATING OFFICE 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 RECOMMENDATIONS 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. ANY ASSET TRANSFER OR CAPITAL CONTRIBUTION FROM THE CORPORATION SHALL BE SUBJECT TO ANY AND ALL RESTRICTIONS SET FORTH IN EXHIBIT A-1 OF THE BYLAWS. (G) REQUIRE AND DIRECT 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 THIS LIST. 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 SERVICES 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 THE SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS LIST 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. THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. AND COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) 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; (B) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (C) 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; (D) 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; (E) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (F) 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; (G) 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; (H) 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; (I) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE TO THE CORPORATION; (J) 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; (K) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (L) 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; (M) 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; (N) APPROVE EACH ANNUAL LIST OF PROPOSED DONEES 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 (O) 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. 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 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 THOSE TRANSFERS 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. FURTHER, THE CORPORATE MEMBER COVENANTS NOT TO DIRECT THE TRANSFER OF THE CORPORATION'S REAL ESTATE AND IMPROVEMENTS TRANSFERRED TO THE CORPORATION PURSUANT TO, OR OTHERWISE COVERED BY, THE JOINT ACTION OF THE BOARD OF DIRECTORS OF THE PARKVIEW WHITLEY HOSPITAL, THE WHITLEY COUNTY COMMISSIONERS, AND THE WHITLEY COUNTY COUNCIL WITHOUT THE CONSENT OF THE CORPORATION'S BOARD AND THE COUNTY COMMISSIONERS. 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 REQUIRED 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 ARTICLE 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 EXHIBIT A OR THE REQUIREMENT THAT ELECTED DIRECTORS BE REPRESENTATIVE OF WHITLEY COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF THESE BYLAWS WITHOUT THE CONSENT OF THE CORPORATION, AND THERE CAN BE NO AMENDMENT TO ARTICLE XI, SECTION 3(E) OF THE BYLAWS WITHOUT THE CONSENT OF THE COUNTY COMMISSIONERS. 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. AS DEFINED IN THE NETWORK AGREEMENT: (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$80,780DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$9,759OtherActivitiesAmt
Total Lobbying Expenditures$90,539TotalLobbyingExpendituresAmt
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 - BOSE PUBLIC AFFAIRS GROUP, LLC $72,447 AND THE CORYDON GROUP, LLC $8,333 OTHER ACTIVITIES - REPRESENTS THE PORTION OF DUES PAID TO REGIONAL CHAMBER OF NORTHEAST INDIANA, 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
Historic Structure Easements0HistoricStructureEasementsCnt
Historic Strctr Easements Aftr0HistoricStrctrEasementsAftrCnt
Modified Easements0ModifiedEasementsCnt
States Easements Held1StatesEasementsHeldCnt
Written Policy Monitoring0WrittenPolicyMonitoringInd
Staff Hours Spent Enforcement0.00StaffHoursSpentEnforcementCnt
Expenses Incurred Enforcement$49,100ExpensesIncurredEnforcementAmt

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$15,740,603InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$39,319,357OtherCostOrOtherBasisAmt
Book Value$55,059,960BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$241,982,981OtherCostOrOtherBasisAmt
Depreciation$70,842,916DepreciationAmt
Book Value$171,140,065BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,500,520OtherCostOrOtherBasisAmt
Depreciation$5,872,974DepreciationAmt
Book Value$3,627,546BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$212,500,429OtherCostOrOtherBasisAmt
Depreciation$128,893,939DepreciationAmt
Book Value$83,606,490BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,344,391OtherCostOrOtherBasisAmt
Depreciation$9,624,109DepreciationAmt
Book Value$11,720,282BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$325,154,343TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

FieldValueIRS element (for citing)
Book Value$158,998,421BookValueAmt
Method ValuationCMethodValuationCd

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENTS IN JVS, MCHA & WRPLXDesc
Book Value$74,146,333BookValueAmt
Method ValuationCMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$233,144,754TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDescBook ValueBookValueAmt
DUE TO/FROM INTERUNIT$453,158,871
PREPAID FINANCING COSTS$1,938,859
MISCELLANEOUS$1,446,658
NOTE RECEIVABLE FROM LGHOS$6,596,241
NOTE RECEIVABLE FROM WMHOS$6,893,500
NOTE RECEIVABLE FROM MCHA$7,061,050
FieldValueIRS element (for citing)
Total Book Value Other Assets$477,095,179TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ACC RETIREMENTS COST$110,877,104
RESERVE FOR SIGNATURE CARE$6,755,605
RESERVE FOR MALPRACTICE$6,462,659
KOSCIUSKO YMCA$600,000
MISCELLANEOUS$85,386
FieldValueIRS element (for citing)
Total Liability$124,780,754TotalLiabilityAmt
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, 2015 AND 2014, 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 2011 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 Budget0FinancialAssistanceBudgetInd
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$82,501TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$82,501NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,104,121TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$366,130DirectOffsettingRevenueAmt
Net Community Benefit Expns$737,991NetCommunityBenefitExpnsAmt
Total Expense0.00140TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,664,927TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,054,668DirectOffsettingRevenueAmt
Net Community Benefit Expns$610,259NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,851,549TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,420,798DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,430,751NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,832,551TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,200DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,719,351NetCommunityBenefitExpnsAmt
Total Expense0.00340TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$829,870TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$829,870NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,072,992TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,072,992NetCommunityBenefitExpnsAmt
Total Expense0.00800TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,735,413TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$113,200DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,622,213NetCommunityBenefitExpnsAmt
Total Expense0.01300TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$9,586,962TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,533,998DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,052,964NetCommunityBenefitExpnsAmt
Total Expense0.01580TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$496,534TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$496,534NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$628,750TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$628,750NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$35,900TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$35,900NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$827,595TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$827,595NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,988,779TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,988,779NetCommunityBenefitExpnsAmt
Total Expense0.00390TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$9,720,699BadDebtExpenseAmt
Bad Debt Expense Attributable$67,199BadDebtExpenseAttributableAmt
Reimbursed By Medicare$7,671,171ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,198,596CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,527,425MedicareSurplusOrShortfallAmt

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 (3 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
3 PREMIER SURGERY CENTER LLC
SURGERY CENTER0.500000.50000
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
CHNA Conducted13CHNAConductedYr
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 Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLWWW.PARKVIEW.COM/LOCALHEALTHNEEDSStrategyWebsiteURLTxt
Strategy Attached0StrategyAttachedInd
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
Explained Basis0ExplainedBasisInd
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
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART V, SECTION B, LINE 5: PARKVIEW 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 BY (1) TAKING STEPS TO STRATIFY THE SAMPLE TO ENSURE THAT POPULATION SUBSETS WERE REPRESENTED ACCURATELY AND RESULTS WOULD BE STATISTICALLY SIGNIFICANT; (2) WORKING WITH LOCAL ADVOCACY ORGANIZATIONS WHO SPECIALIZE IN AIDING THESE VARIOUS POPULATIONS IN OUR COMMUNITIES. IN ADDITION, PURDUE HEALTHCARE ADVISORS CONDUCTED A SURVEY OF PUBLIC HEALTH, OTHER HEALTHCARE PROFESSIONALS, AND SOCIAL SERVICE AGENCIES THAT SERVE LOW-INCOME POPULATIONS IN ALLEN, HUNTINGTON, LAGRANGE, NOBLE AND WHITLEY COUNTIES TO BETTER UNDERSTAND KEY PUBLIC HEALTH AND HEALTHCARE ISSUES IN THE FIVE-COUNTY AREA. THE SURVEY CONSISTED OF THE FOLLOWING COMPONENTS: RESPONDENT DEMOGRAPHICS, UNMET NEEDS, HEALTH BEHAVIORS, ENVIRONMENTAL FACTORS, THE GREATEST HEALTH CHALLENGE, BARRIERS TO ACCESSING HEALTHCARE AND UTILIZATION OF EDUCATION AND PREVENTION RESOURCES. THE SURVEY WAS CONDUCTED ELECTRONICALLY USING QUALTRICS, A SECURE ONLINE SURVEY. ALL DATA WAS COLLECTED AND REPORTED IN AGGREGATE.
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); AND WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665).
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART V, SECTION B, LINE 6B: FORT WAYNE-ALLEN COUNTY DEPARTMENT OF HEALTH; INDIANA UNIVERSITY-PURDUE UNIVERSITY FORT WAYNE CENTER FOR SOCIAL RESEARCH AND PURDUE HEALTHCARE ADVISORS OF PURDUE UNIVERSITY.
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART V, SECTION B, LINE 11: OBESITY - IN COLLABORATION WITH ST. JOSEPH COMMUNITY HEALTH FOUNDATION, PARKVIEW SUPPORTS FURTHER DEVELOPMENT OF A FRESH FOOD INITIATIVE WHICH IS NOW REFERRED TO AS THE HEAL (HEALTHY EATING ACTIVE LIVING) INITIATIVE. THIS INITIATIVE UTILIZES URBAN GARDEN, LOCAL FARMER'S MARKETS AND COOKING CLASSES TO SERVE LOW-INCOME FAMILIES. THE STRATEGIC GOAL OF THIS INITIATIVE IS TO INCREASE THE INTAKE OF FRESH AND SUSTAINABLE, LOCAL HEALTHY FOODS INTO THE REGULAR DIET OF LOW-INCOME INDIVIDUALS IN FOOD DESERT AREAS IN FORT WAYNE TO HELP PREVENT LONG-TERM CHRONIC DISEASES.PRENATAL CARE - PARKVIEW, IN CONJUNCTION WITH THE INDIANA STATE DEPARTMENT OF HEALTH AND OTHER INDIANA HOSPITALS AND AGENCIES, CONTRIBUTED TO THE DEVELOPMENT OF STRATEGIES TO ADDRESS INFANT MORTALITY. PARKVIEW IMPLEMENTED THE CENTERING PREGNANCY PROGRAM FOR EXPECTANT MOTHERS. THIS PROGRAM IS MULTI-PRONGED AND FOCUSES ON THE OVERALL WELL-BEING OF EXPECTANT MOTHERS. THE GOAL OF THIS INITIATIVE IS TO REDUCE INFANT (AGES 0 TO 1) MORTALITY THROUGH EARLY PRENATAL CARE INTERVENTION, IMPROVED PRENATAL CARE AND CLINICAL PROTOCOLS. MENTAL HEALTH - AS PART OF THE PROCESS OF DEVELOPING A POPULATION HEALTH APPROACH TO MENTAL HEALTH CARE, PARKVIEW BEHAVIORAL HEALTH (PBH) IMPLEMENTED A CARE NAVIGATION PROGRAM FOR ACCESS CENTER PATIENTS. THE GOAL OF THIS PROGRAM IS TO IMPROVE THE COORDINATION BETWEEN PBH AND MENTAL HEALTH PROVIDER AGENCIES BY PROVIDING CARE NAVIGATION SERVICES FOR PATIENTS BEING DISCHARGED FROM THE ACCESS CENTER TO ASSURE THAT THEY RECEIVE NEEDED AND TIMELY FOLLOW-UP CARE FOR OPTIMAL OUTCOMES. RESOURCES FOR OTHER IDENTIFIED NEEDS NOT DIRECTLY 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. CHLAMYDIA INFECTIONS - THE FORT WAYNE-ALLEN COUNTY HEALTH DEPARTMENT IN CONJUNCTION WITH MATTHEW 25 HEALTH AND DENTAL CLINIC OPERATES A SEXUALLY TRANSMITTED DISEASE (STD) CLINIC. THE AIDS TASK FORCE OF FORT WAYNE PROVIDES STD PREVENTION EDUCATION TO TEENS AND ADULTS WHICH PARKVIEW SUPPORTS. TEEN BIRTHS - LUTHERAN SOCIAL SERVICES' EDUCATION CREATES HOPE AND OPPORTUNITY (ECHO) PROGRAM PROVIDES ONE-ON-ONE, HOME- AND SCHOOL-BASED CASE MANAGEMENT SERVICES TO PREGNANT AND PARENTING TEENS WITH THE GOAL OF TEENS COMPLETING THEIR HIGH SCHOOL EDUCATION AND SETTING OTHER LIFE GOALS. TWO OTHER LOCAL ORGANIZATIONS PROVIDE PREGNANCY TESTING, EDUCATION AND SERVICES TO PREGNANT WOMEN AND NEW MOMS. INFANT MORTALITY - PARKVIEW IS ADDRESSING PRENATAL CARE AS ONE THE THREE TOP HEALTH PRIORITIES WHICH HAS A DIRECT EFFECT ON INFANT MORTALITY. THE HEALTH SYSTEM IS ADDRESSING INFANT MORTALITY THROUGH PATIENT CARE PROTOCOLS, PRENATAL CARE EDUCATION, SAFE SLEEP EDUCATION, CAR SEAT SAFETY AND CHILD ABUSE PREVENTION. THE SYSTEM WORKS WITH LOCAL ORGANIZATIONS, THE INDIANA STATE DEPARTMENT OF HEALTH AND STATE-WIDE PERINATAL HEALTH ORGANIZATIONS TO ADDRESS INFANT MORTALITY. EXCESSIVE ALCOHOL USE - PARKVIEW BEHAVIORAL HEALTH (PBH) WILL BE ADDRESSING MENTAL HEALTH AS A TOP PRIORITY. RELATED TO ALCOHOL ABUSE SPECIFICALLY, PBH PROVIDES DETOXIFICATION SERVICES AND INTENSIVE OUTPATIENT SERVICES. IN ADDITION, PBH PARTNERS WITH LOCAL SUBSTANCE ABUSE PROVIDERS, I.E., COMMUNITY MENTAL HEALTH CENTERS, FOR OTHER SERVICES ON THE CONTINUUM OF CARE. THE DRUG AND ALCOHOL CONSORTIUM OF ALLEN COUNTY HAS AS ITS MISSION TO PROVIDE AN EFFECTIVE NETWORK TO COORDINATE RESOURCES AND EFFORTS TO REDUCE AND ERASE ALCOHOL, TOBACCO AND OTHER DRUG (ATOD) ABUSE AND THE PROBLEMS THAT RESULT FROM SUBSTANCE ABUSE IN THE COMMUNITY. THE CONSORTIUM IS MADE UP OF INTERDISCIPLINARY ORGANIZATIONS. PBH HAS REPRESENTATION ON THE CONSORTIUM, CONTRIBUTES TO THE ANNUAL PLANNING PROCESS AND PROVIDES DATA TO THE CONSORTIUM. THERE ARE OTHER LOCAL SUBSTANCE ABUSE PROGRAMS AND TRANSITIONAL LIVING FACILITIES THAT SERVE THIS POPULATION. 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.
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART V, SECTION B, LINE 16I: DURING 2015, POLICY WORDING WAS BEING UPDATED WITH THE INTENT THAT THE ORGANIZATION WOULD BECOME FULLY COMPLIANT WITH 501 (R) FINAL REGULATIONS ON 1/1/2016.HOWEVER, THE FOLLOWING DETAILS HOW THE ORGANIZATION CURRENTLY 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:-AT POINT OF REGISTRATION OR SCHEDULING, IF A PATIENT EXPRESSES THEIR INABILITY TO PAY, THE REGISTRAR OR SCHEDULER WILL REFER THE PATIENT TO A FINANCIAL COUNSELOR OR WILL PROVIDE FINANCIAL COUNSELING CONTACT INFORMATION IN THE FORM OF A BUSINESS CARD TO THE PATIENT OUTSIDE OF NORMAL BUSINESS HOURS.-SIGNAGE IN THE CASHIER AREAS INFORMS THE PATIENT OF THEIR RIGHT TO RECEIVE CARE REGARDLESS OF THEIR ABILITY TO PAY AND TELLS THEM THEY MAY BE ELIGIBLE FOR GOVERNMENTAL ASSISTANCE.-THE PATIENT'S INITIAL STATEMENT INSTRUCTS THE PATIENT TO CALL THE PATIENT ACCOUNTING DEPARTMENT IF THEY CANNOT PAY IN FULL. THE PATIENT ACCOUNTING CALL CENTER COLLECTORS SCREEN FOR THE APPLICABILITY OF GOVERNMENT ASSISTANCE AND OFFER FREE CARE APPLICATIONS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR BILLS.-THE ONLINE ACCOUNT MANAGER OF PARKVIEW HEALTH SYSTEM, INC.'S WEBSITE (WWW.PARKVIEW.COM) CONTAINS INFORMATION ON HOW TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT FOR PAYMENT OPTIONS OR FREE CARE ELIGIBILITY.-ALL UNINSURED OR UNDERINSURED PATIENTS WHO ARE INPATIENT OR OBSERVATION STATUS ARE VISITED BY FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS PROVIDE PAYMENT OPTIONS, INCLUDING SCREENING FOR THE APPLICABILITY OF GOVERNMENT ASSISTANCE, AS WELL AS OFFERING FREE CARE APPLICATIONS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR BILLS.-OUTBOUND PHONE CALLS ARE MADE TO PATIENTS TO SET UP PAYMENT ARRANGEMENTS. IF A PATIENT CANNOT MAKE PAYMENT ON THEIR ACCOUNT, THEY WILL BE SCREENED FOR THE APPLICABILITY OF GOVERNMENT ASSISTANCE. ADDITIONALLY, FREE CARE APPLICATIONS WILL BE OFFERED TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR BILLS.-IF A PATIENT'S ACCOUNT IS PLACED WITH A COLLECTION AGENCY, THE AGENCY IS INSTRUCTED TO SCREEN FOR FREE CARE IF THE PATIENT EXPRESSES THEIR INABILITY TO PAY.
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLCPART V, SECTION B, LINE 22D: FULL WRITEOFFS ARE PROVIDED TO PATIENTS WHOSE INCOME FALLS UNDER 200% OF THE FPG. ON CHARITY CARE PATIENTS WITH RESIDUAL SELF-PAY BALANCES AFTER INSURANCE PROCESSED AND PAID OR DENIED THEIR CLAIM, 100% OF THE REMAINING ACCOUNT BALANCE AFTER INSURANCE PAYMENTS AND CONTRACTUAL ADJUSTMENTS IS WRITTEN OFF TO CHARITY CARE.
FieldValueIRS element (for citing)
Facility78FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (78 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
1818 CAREW STREETFORT WAYNEIN46805PHYSICIAN OFFICE
4 - PARKVIEW PHYSICIANS GROUP
3909 NEW VISION DRIVEFORT WAYNEIN46845PHYSICIAN OFFICE
5 - PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DRFORT WAYNEIN46845PHYSICIAN OFFICE
6 - PARKVIEW PHYSICIANS GROUP
11141 PARKVIEW PLAZA DRFORT WAYNEIN46845PHYSICIAN OFFICE
7 - PARKVIEW PHYSICIANS GROUP
1270 EAST STATE ROAD 205COLUMBIA CITYIN46725PHYSICIAN OFFICE
8 - PARKVIEW PHYSICIANS GROUP
2003 STULTS ROADHUNTINGTONIN46750PHYSICIAN OFFICE
9 - PARKVIEW PHYSICIANS GROUP
11104 PARKVIEW CIRCLE DRFORT WAYNEIN46845PHYSICIAN OFFICE
10 - PARKVIEW PHYSICIANS GROUP
1515 HOBSON ROADFORT WAYNEIN46805PHYSICIAN OFFICE
11 - PARKVIEW PHYSICIANS GROUP
1331 MINNICH ROADNEW HAVENIN46774PHYSICIAN OFFICE
12 - PARKVIEW PHYSICIANS GROUP
2708 GUILFORD STREETHUNTINGTONIN46750PHYSICIAN OFFICE
13 - PARKVIEW PHYSICIANS GROUP
8911 LIBERTY MILLS RDFORT WAYNEIN46804PHYSICIAN OFFICE
14 - PARKVIEW PHYSICIANS GROUP
104 NICHOLAS PLACEAVILLAIN46710PHYSICIAN OFFICE
15 - PARKVIEW PHYSICIANS GROUP
306 E MAUMEE STANGOLAIN46703PHYSICIAN OFFICE
16 - PARKVIEW PHYSICIANS GROUP
8028 CARENGIE BLVDFORT WAYNEIN46804PHYSICIAN OFFICE
17 - PARKVIEW PHYSICIANS GROUP
2710 LAKE AVENUEFORT WAYNEIN46805PHYSICIAN OFFICE
18 - PARKVIEW PHYSICIANS GROUP
2300 DUBOIS DRWARSAWIN46580PHYSICIAN OFFICE
19 - PARKVIEW PHYSICIANS GROUP
2231 CAREW STFORT WAYNEIN46805PHYSICIAN OFFICE
20 - PARKVIEW PHYSICIANS GROUP
326 SAWYER ROADKENDALLVILLEIN46755PHYSICIAN OFFICE
21 - PARKVIEW PHYSICIANS GROUP
6130 TRIER ROADFORT WAYNEIN46815PHYSICIAN OFFICE
22 - PARKVIEW PHYSICIANS GROUP
10515 ILLINOIS ROADFORT WAYNEIN46814PHYSICIAN OFFICE
23 - PARKVIEW PHYSICIANS GROUP
6920 POINTE INVERNESS WAY SUITE 120FORT WAYNEIN46804PHYSICIAN OFFICE
24 - PARKVIEW PHYSICIANS GROUP
2200 RANDALLIA DRIVEFORT WAYNEIN46805PHYSICIAN OFFICE
25 - PARKVIEW PHYSICIANS GROUP
11115 PARKVIEW PLAZA DRFORT WAYNEIN46845PHYSICIAN OFFICE
26 - PARKVIEW PHYSICIANS GROUP
512 N PROFESSIONAL WAYKENDALLVILLEIN46755PHYSICIAN OFFICE
27 - PARKVIEW PHYSICIANS GROUP
5104 N CLINTONFORT WAYNEIN46825PHYSICIAN OFFICE
28 - PARKVIEW PHYSICIANS GROUP
885 WEST CONNEXION WAY SUITE 200ACOLUMBIA CITYIN46725PHYSICIAN OFFICE
29 - PARKVIEW PHYSICIANS GROUP
6108 MAPLECREST ROADFORT WAYNEIN46835PHYSICIAN OFFICE
30 - PARKVIEW PHYSICIANS GROUP
1464 LINCOLNWAY SOUTHLIGONIERIN46767PHYSICIAN OFFICE
31 - PARKVIEW PHYSICIANS GROUP
1104 N WAYNE STNORTH MANCHESTERIN46962PHYSICIAN OFFICE
32 - PARKVIEW PHYSICIANS GROUP
1314 EAST 7TH STREET SUITE 103AUBURNIN46706PHYSICIAN OFFICE
33 - PARKVIEW PHYSICIANS GROUP
2402 LAKE AVENUEFORT WAYNEIN46805PHYSICIAN OFFICE
34 - PARKVIEW PHYSICIANS GROUP
4665 STATE ROAD 5SOUTH WHITLEYIN46787PHYSICIAN OFFICE
35 - PARKVIEW PHYSICIANS GROUP
8607 TEMPLE DRFORT WAYNEIN46809PHYSICIAN OFFICE
36 - PARKVIEW PHYSICIANS GROUP
207 N TOWNLINE ROADLAGRANGEIN46761PHYSICIAN OFFICE
37 - PARKVIEW PHYSICIANS GROUP
2814 THEATER AVENUEHUNTINGTONIN46750PHYSICIAN OFFICE
38 - PARKVIEW PHYSICIANS GROUP
13430 MAIN STGRABILLIN46741PHYSICIAN OFFICE
39 - PARKVIEW PHYSICIANS GROUP
4084 NORTH US HWY 33CHURUBUSCOIN46723PHYSICIAN OFFICE
40 - PARKVIEW ORTHO CENTER LLC
11420 PARKVIEW CIRCLE DRIVEFORT WAYNEIN46845SURGERY CENTER
41 - PARKVIEW PHYSICIANS GROUP
620 W NORTH STREETCOLUMBIA CITYIN46725PHYSICIAN OFFICE
42 - PARKVIEW PHYSICIANS GROUP
8175 WEST US 20SHIPSHEWANAIN46565PHYSICIAN OFFICE
43 - PARKVIEW PHYSICIANS GROUP
710 N EAST STREETWABASHIN46992PHYSICIAN OFFICE
44 - PARKVIEW PHYSICIANS GROUP
817 TRAIL RIDGE ROADALBIONIN46701PHYSICIAN OFFICE
45 - PARKVIEW PHYSICIANS GROUP
2600 N DETROIT ST SR 9LAGRANGEIN46761PHYSICIAN OFFICE
46 - PARKVIEW PHYSICIANS GROUP
1025 N MANCHESTER AVEWABASHIN46992PHYSICIAN OFFICE
47 - PARKVIEW PHYSICIANS GROUP
15707 OLD LIMA RDHUNTERTOWNIN46748PHYSICIAN OFFICE
48 - IMAGING SYSTEMS HOLDINGS LLC
3707 NEW VISION DRIVEFORT WAYNEIN46845IMAGING SERVICES
49 - PARKVIEW PHYSICIANS GROUP
420 SAWYER ROAD PO BOX 99KENDALLVILLEIN46755PHYSICIAN OFFICE
50 - PARKVIEW PHYSICIANS GROUP
577 GEIGER DRIVE SUITE CROANOKEIN46783PHYSICIAN OFFICE
51 - PARKVIEW PHYSICIANS GROUP
112 S MAIN STMILFORDIN46542PHYSICIAN OFFICE
52 - PARKVIEW PHYSICIANS GROUP
401 SAWYER ROADKENDALLVILLEIN46755PHYSICIAN OFFICE
53 - PARKVIEW PHYSICIANS GROUP
410 SAWYER ROADKENDALLVILLEIN46755PHYSICIAN OFFICE
54 - PARKVIEW PHYSICIANS GROUP
US HWY 30 WEST 5 MATCHETT DRIVEPIERCETONIN46562PHYSICIAN OFFICE
55 - PARKVIEW PHYSICIANS GROUP
1655 N CASS STREETWABASHIN46992PHYSICIAN OFFICE
56 - PARKVIEW PHYSICIANS GROUP
150 GROWTH PARKWAYANGOLAIN46703PHYSICIAN OFFICE
57 - PARKVIEW PHYSICIANS GROUP
3303 TRIER ROAD SUITE 1FORT WAYNEIN46815PHYSICIAN OFFICE
58 - PARKVIEW PHYSICIANS GROUP
2500 E BELLEFONTAINE RDHAMILTONIN46742PHYSICIAN OFFICE
59 - PARKVIEW PHYSICIANS GROUP
2001 STULTS ROADHUNTINGTONIN46750PHYSICIAN OFFICE
60 - PARKVIEW PHYSICIANS GROUP
3828 NEW VISION DRIVEFORT WAYNEIN46845PHYSICIAN OFFICE
61 - PARKVIEW PHYSICIANS GROUP
1234 EAST DUPONT ROAD SUITE 5FORT WAYNEIN46825PHYSICIAN OFFICE
62 - FOUNDATION SURGERY AFF OF FT WAYNE LLC
8004 CARNEGIE BLVDFORT WAYNEIN46804SURGERY CENTER
63 - PREMIER SURGERY CENTER LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845SURGERY CENTER
64 - PARKVIEW PHYSICIANS GROUP
3816 NEW VISION DRIVE BUILDING DFORT WAYNEIN46845PHYSICIAN OFFICE
65 - PARKVIEW PHYSICIANS GROUP
344 N MAIN STREETCOLUMBIA CITYIN46725PHYSICIAN OFFICE
66 - PARKVIEW PHYSICIANS GROUP
1316 EAST SEVENTH STREETAUBURNIN46706PHYSICIAN OFFICE
67 - PARKVIEW PHYSICIANS GROUP
412 SAWYER ROADKENDALLVILLEIN46755PHYSICIAN OFFICE
68 - PARKVIEW PHYSICIANS GROUP
410 EAST MITCHELL STREETKENDALLVILLEIN46755PHYSICIAN OFFICE
69 - PARKVIEW PHYSICIANS GROUP
1129 FIRST STHUNTINGTONIN46750PHYSICIAN OFFICE
70 - PARKVIEW PHYSICIANS GROUP
7030 POINTE INVERNESS WAY SUITE 335FORT WAYNEIN46804PHYSICIAN OFFICE
71 - NORTHEAST INDIANA CANCER CENTER LLC
516 E MAUMEE STREETANGOLAIN46703MEDICAL SERVICES
72 - PARKVIEW PHYSICIANS GROUP
4666 W JEFFERSON BLVDFORT WAYNEIN46804PHYSICIAN OFFICE
73 - PARKVIEW PHYSICIANS GROUP
2820 PROVIDENT COURT STE DWARSAWIN46580PHYSICIAN OFFICE
74 - PARKVIEW PHYSICIANS GROUP
276 MANCHESTER AVEWABASHIN46992PHYSICIAN OFFICE
75 - PARKVIEW PHYSICIANS GROUP
1391 N BALDWIN AVEMARIONIN46952PHYSICIAN OFFICE
76 - PARKVIEW PHYSICIANS GROUP
2280 PROVIDENT COURTWARSAWIN46580PHYSICIAN OFFICE
77 - PARKVIEW PHYSICIANS GROUP
1758 WEST 100 SOUTHPORTLANDIN47371PHYSICIAN OFFICE
78 - PARKVIEW PHYSICIANS GROUP
3810 NEW VISION DRIVEFORT WAYNEIN46845PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CAREPARKVIEW HEALTH SYSTEM, INC. PROVIDES DISCOUNTED CARE TO UNINSURED PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IF THE PATIENT ULTIMATELY QUALIFIES FOR CHARITY CARE USING THE 200% FPG, THE REMAINING BALANCE AFTER THE DISCOUNT IS WRITTEN OFF TO CHARITY.
PART I, LINE 7: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 $8,725,999 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.PHYSICIAN RECRUITMENT: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. PHYSICAL IMPROVEMENTS: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 ALSO 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. 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. WORKFORCE DEVELOPMENT:PARKVIEW HEALTH SYSTEM, INC. PROMOTES CAREERS IN HEALTHCARE THROUGH STUDENT JOB SHADOWING OPPORTUNITIES AND INTERNSHIP PROGRAMS DESIGNED FOR HIGH SCHOOL STUDENTS. THESE JOB SHADOWING AND INTERNSHIP PROGRAMS ARE COORDINATED BY EDUCATIONAL SERVICES AND TAKE PLACE THROUGHOUT THE ORGANIZATION, OFFERING STUDENTS A VARIETY OF LEARNING EXPERIENCE OPTIONS.
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:COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR CHARITY CARETHE LAST PARAGRAPH OF THE PAYMENT POLICY STATES:"FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR THOSE PATIENTS WHO CANNOT PAY THEIR BILL. THOSE OPTIONS ARE WELFARE ASSISTANCE OR FREE CARE THROUGH THE HOSPITAL CHARITY PROGRAM. (SEE CHARITY CARE POLICY.) PATIENTS WILL BE INSTRUCTED TO CONTACT A COUNSELOR TO DISCUSS THE AVAILABLE OPTIONS."ADDITIONALLY, THERE IS AN ONGOING EFFORT THROUGHOUT THE COLLECTION PROCESS TO SCREEN FOR MEDICAID ELIGIBILITY AND THE NEED FOR PROVIDING CHARITY CARE APPLICATIONS TO PATIENTS. IF A PATIENT MAY BE ELIGIBLE FOR MEDICAID, THE HOSPITAL PROVIDES A SERVICE TO OUR PATIENTS THAT HELPS THEM APPLY FOR MEDICAID WITH THE STATE IN WHICH THEY RESIDE. IF A PATIENT IS APPROVED FOR CHARITY CARE, THEIR ACCOUNT IS WRITTEN OFF AND COLLECTION EFFORTS CEASE.
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. IN CONJUNCTION WITH THE ALLEN COUNTY - FORT WAYNE HEALTH DEPARTMENT AND OTHERS CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE FIVE COUNTIES (ALLEN, HUNTINGTON, LAGRANGE, NOBLE AND WHITLEY) WHERE PARKVIEW HAS HOSPITALS. ADDITIONALLY, PARKVIEW HEALTH SYSTEM, INC. PARTNERED WITH INDIANA UNIVERSITY/PURDUE UNIVERSITY FORT WAYNE (IPFW) SOCIAL RESEARCH DEPARTMENT AND PURDUE UNIVERSITY HEALTHCARE ADVISORS TO COMPLETE MUCH OF THE FIELD WORK. IPFW 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 AS WELL AS OTHER PUBLIC HEALTH SURVEYS. IT INCLUDED CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO NATIONAL HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. PURDUE UNIVERSITY ASSISTED WITH SURVEYING PUBLIC HEALTH, OTHER HEALTHCARE PROFESSIONALS, SOCIAL SERVICE ADVOCACY AGENCIES AND OTHER COMMUNITY GROUP REPRESENTATIVES. PURDUE ALSO CONDUCTED SECONDARY DATA RESEARCH, DATA ANALYSIS AND FACILITATED PRIORITIZATION OF IDENTIFIED HEALTH ISSUES. SEVERAL SECONDARY DATA SOURCES WERE UTILIZED TO DETERMINE HEALTH ISSUES FOR THE FIVE-COUNTY AREA. THESE RESOURCES INCLUDE THE CENTERS FOR DISEASE CONTROL AND PREVENTION WINNABLE BATTLES, THE INDIANA STATE HEALTH IMPROVEMENT PLAN AND THE INDIANA HEALTH DEPARTMENT DISTRICT 3 HEALTH ASSESSMENTS. IN THE FOURTH QUARTER OF 2013, EACH OF THE FIVE HOSPITALS' BOARD OF DIRECTORS ADOPTED THEIR RESPECTIVE COMMUNITY HEALTH NEEDS ASSESSMENT REPORT AND IMPLEMENTATION STRATEGIES TO ADDRESS IDENTIFIED HEALTH NEEDS. PARKVIEW HEALTH SYSTEM, INC. REPRESENTATIVES MAINTAIN ONGOING RELATIONSHIPS WITH NUMEROUS HEALTH-RELATED ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. PARKVIEW REPRESENTATIVES MEET REGULARLY WITH ORGANIZATIONS THAT SHARE OUR MISSION OF IMPROVING THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. HEALTH ISSUES IDENTIFIED BY THE SURVEY INCLUDED: OBESITY, TOBACCO USE, CHLAMYDIA INFECTIONS, TEEN BIRTHS, INFANT MORTALITY, PRENATAL CARE, EXCESSIVE ALCOHOL USE, POOR MENTAL HEALTH AND PRIMARY CARE PHYSICIANS (HEALTHCARE ACCESS).THROUGH A PRIORITIZATION PROCESS, OBESITY (HEALTHY LIFESTYLE BEHAVIORS PROMOTION AND EDUCATION) WAS SELECTED AS THE TOP HEALTH PRIORITY TO BE ADDRESSED BY ALL HOSPITALS OF PARKVIEW HEALTH SYSTEM, INC. IN 2015, PARKVIEW BEGAN WORK ON THE 2016 CHNA.
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.-AT POINT OF REGISTRATION OR SCHEDULING, IF A PATIENT EXPRESSES THEIR INABILITY TO PAY, THE REGISTRAR OR SCHEDULER WILL REFER THE PATIENT TO A FINANCIAL COUNSELOR OR WILL PROVIDE FINANCIAL COUNSELING CONTACT INFORMATION IN THE FORM OF A BUSINESS CARD TO THE PATIENT OUTSIDE OF NORMAL BUSINESS HOURS.-SIGNAGE IN THE CASHIER AREAS INFORMS THE PATIENT OF THEIR RIGHT TO RECEIVE CARE REGARDLESS OF THEIR ABILITY TO PAY AND TELLS THEM THEY MAY BE ELIGIBLE FOR GOVERNMENTAL ASSISTANCE.-THE PATIENT'S INITIAL STATEMENT INSTRUCTS THE PATIENT TO CALL THE PATIENT ACCOUNTING DEPARTMENT IF THEY CANNOT PAY IN FULL. THE PATIENT ACCOUNTING CALL CENTER COLLECTORS SCREEN FOR THE APPLICABILITY OF GOVERNMENT ASSISTANCE AND OFFER FREE CARE APPLICATIONS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR BILLS.-THE ONLINE ACCOUNT MANAGER OF PARKVIEW HEALTH SYSTEM, INC.'S WEBSITE (WWW.PARKVIEW.COM) CONTAINS INFORMATION ON HOW TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT FOR PAYMENT OPTIONS OR FREE CARE ELIGIBILITY.-ALL UNINSURED OR UNDERINSURED PATIENTS WHO ARE INPATIENT OR OBSERVATION STATUS ARE VISITED BY FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS PROVIDE PAYMENT OPTIONS, INCLUDING SCREENING FOR THE APPLICABILITY OF GOVERNMENT ASSISTANCE, AS WELL AS OFFERING FREE CARE APPLICATIONS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR BILLS.-OUTBOUND PHONE CALLS ARE MADE TO PATIENTS TO SET UP PAYMENT ARRANGEMENTS. IF A PATIENT CANNOT MAKE PAYMENT ON THEIR ACCOUNT, THEY WILL BE SCREENED FOR THE APPLICABILITY OF GOVERNMENT ASSISTANCE. ADDITIONALLY, FREE CARE APPLICATIONS WILL BE OFFERED TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR BILLS.-IF A PATIENT'S ACCOUNT IS PLACED WITH A COLLECTION AGENCY, THE AGENCY IS INSTRUCTED TO SCREEN FOR FREE CARE IF THE PATIENT EXPRESSES THEIR INABILITY TO PAY.
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. A PORTION OF SOUTHEAST FORT WAYNE IS DESIGNATED AS A MEDICALLY UNDERSERVED AREA (MUA) BY THE FEDERAL GOVERNMENT. THERE IS ONE FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND ONE SATELLITE OFFICE IN ALLEN COUNTY, NEIGHBORHOOD HEALTH CLINICS. THERE IS ALSO A MUA IN THE MIDDLE OF KOSCIUSKO COUNTY. THE POPULATION OF THE SEVEN-COUNTY AREA ACCORDING TO 2014 STATISTICS IS 632,897. THE AVERAGE PERCENTAGE OF THOSE BELOW THE FEDERAL POVERTY LEVEL IS 13.3 PERCENT FOR THE SEVEN-COUNTY AREA. THE MEDIAN HOUSEHOLD INCOME RANGES FROM $45,286 (LAGRANGE) TO $51,914 (WHITLEY). THE UNEMPLOYMENT RATE RANGES FROM 3.2 PERCENT (LAGRANGE COUNTY) TO 4.2 PERCENT (WABASH COUNTY) AS OF MAY 2016 ACCORDING TO WWW.HOOSIERDATA.IN.GOV.
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. THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION WAS COMPLETED IN EARLY 2015. THE CENTER HAS IMPLICATIONS FOR ADVANCEMENTS IN CLINICAL RESEARCH AND EDUCATIONAL OPPORTUNITIES. IT WILL HAVE THE CAPABILITY TO LOOK AT DISEASE MANAGEMENT IN A MULTI-PROFESSIONAL SETTING, BRINGING TOGETHER PHYSICIANS, PHARMACISTS, NURSES AND HEALTHCARE STAFF. THOUGH PARKVIEW HAS CONDUCTED CLINICAL RESEARCH IN THE FIELDS OF CARDIOLOGY, NEUROSCIENCES AND ONCOLOGY OVER THE LAST 25 YEARS, THE NEW CENTER WILL ALLOW FORT WAYNE TO BECOME AN INNOVATOR IN THE HEALTHCARE SCIENCES IN PARTNERSHIP WITH REGIONAL AND NATIONAL ACADEMIC INSTITUTIONS. SIMULATION LABS ARE OPEN TO HEALTHCARE PROFESSIONALS THROUGHOUT THE REGION FOR TRAINING. 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 AT OUR LIBERTY MILLS AND NEW VISION DRIVE LOCATIONS.- 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 HEALTH), 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.; WHITLEY MEMORIAL HOSPITAL, INC.; PARKVIEW WABASH HOSPITAL, INC.; AND HUNTINGTON MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. PARKVIEW IS GUIDED BY A MISSION TO IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF THE COMMUNITIES IT SERVES. PARKVIEW CONTRIBUTES TO THE SUCCESS OF THE REGION BY EFFICIENTLY OPERATING ITS FACILITIES, DELIVERING HIGH QUALITY HEALTHCARE SERVICES TO ITS PATIENTS, AND PROVIDING SUPPORT TO LOCAL BUSINESSES AND ACTIVITIES. PARKVIEW HEALTH SYSTEM, INC. SEEKS TO CREATE ALIGNMENT OPPORTUNITIES TO DELIVER COMPREHENSIVE HIGH-QUALITY CARE THAT BENEFITS ITS 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 SIX-COUNTY AREA, THE HEALTH PRIORITY OF OBESITY OR PROMOTING HEALTHY LIFESTYLES INCLUDING GOOD NUTRITION AND PHYSICAL ACTIVITY WAS SELECTED BY ALL AFFILIATE HOSPITALS. PARKVIEW HEALTH SYSTEM, INC. 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, OTHER HEALTHCARE PROFESSIONALS AND SUPPORT 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 AND 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 (79 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
COMMUNITY FOUNDATION OF GREATER FORT WAYNE
555 E WAYNE STREETFORT WAYNEIN46802351119450501 ( C ) 3$1,050,000RIVERFRONT PROJECT & COMMUNITY HEALTH EDUCATION PROGRAMS
RESCUE MISSION
301 W SUPERIOR STREETFORT WAYNEIN46802351054670501 ( C ) 3$1,000,000CAPITAL CAMPAIGN
PARKVIEW FOUNDATION INC
10622 PARKVIEW PLAZA DRIVEFORT WAYNEIN46848237220589501 ( C ) 3$488,099PPG INNOVATION
TRINE UNIVERSITY INC
1 UNIVERSITY AVENUEANGOLAIN46703350715530501 ( C ) 3$271,000CAPITAL CAMPAIGN AND STUDENT SCHOLARSHIP PROGRAM
FORT WAYNE ZOOLOGICAL SOCIETY
3411 SHERMAN BLVDFORT WAYNEIN46808356068234501 ( C ) 3$202,200PAVILION CAPITAL PROJECT
IPFW
2101 EAST COLISEUM BLVDFORT WAYNEIN46805356033698501 ( C ) 3$158,000SCHOOL OF NURSING PROGRAM
BOYS AND GIRLS CLUB OF FORT WAYNE
2609 FAIRFIELD AVENUEFORT WAYNEIN46807351778767501 ( C ) 3$157,000AFTER-SCHOOL AND SUMMER PROGRAMS THAT PROVIDE POSITIVE, EDUCATIONAL EXPERIENCES FOR LOW-INCOME CHILDREN
UNIVERSITY OF SAINT FRANCIS
2701 SPRING STREETFORT WAYNEIN46808350886846501 ( C ) 3$155,000SCHOOL OF NURSING PROGRAM
CITY OF FORT WAYNE
ONE EAST MAIN STREETFORT WAYNEIN46802GOVT ORG$150,000CAPITAL MAINTENANCE & IMPROVEMENT FUND FOR PARKVIEW FIELD
YMCA OF DEKALB COUNTY
533 NORTHE STREETAUBURNIN46706350868958501 ( C ) 3$132,500CAPITAL CAMPAIGN
EMERGENCY MEDICINE EDUCATIONAL FOUNDATION
3640 NEW VISION DRIVEFORT WAYNEIN46845465584998501 ( C ) 3$120,000SUPPORT OF EMERGENCY MEDICINE PROVIDER EDUCATION AND TRAINING
HABITAT FOR HUMANITY
2020 E WASHINGTON BLVD STE 500FORT WAYNEIN46803351687064501 ( C ) 3$100,000HOME BUILDING PROGRAM
AMERICAN RED CROSS
2025 E STREET NWWASHINGTONDC20006530196605501 ( C ) 3$94,000NEPAL EARTHQUAKE RELIEF
YMCA OF STEUBEN COUNTY
500 E HARCOURT ROADANGOLAIN46703351999599501 ( C ) 3$80,500PROGRAMS FOSTERING YOUTH DEVELOPMENT, HEALTHY LIVING & SOCIAL RESPONSIBILITY
MIDWEST ALLIANCE FOR HEALTH EDUCATION
11108 PARKVIEW CIRCLEFORT WAYNEIN46845351637515501 ( C ) 3$60,000MEDICAL FIELD STUDENT RESEARCH FELLOWSHIP PROGRAM
FORT 4 FITNESS
2826 S CALHOUN STREETFORT WAYNEIN46807261936423501 ( C ) 3$56,000PROGRAMS PROMOTING PHYSICAL FITNESS
ARTS UNITED OF GREATER FORT WAYNE INC
300 EAST MAIN STRFORT WAYNEIN46802350992067501 ( C ) 3$51,250CAPITAL CAMPAIGN
RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA
11109 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845351950376501 ( C ) 3$46,500CAPITAL CAMPAIGN & PROGRAMS PROVIDING SUPPORT FOR ALL PEDIATRIC FAMILIES
FORT WAYNE PHILHARMONIC
4901 FULLER DRIVEFORT WAYNEIN46835350791163501 ( C ) 3$45,000PROGRAMS TO INSPIRE AND FOSTER A LOVE OF CLASSICAL MUSIC
OAKWOOD FOUNDATION INC
110 W BERRY STREET STE 2105FORT WAYNEIN46802351893123501 ( C ) 3$45,000CHAUTAUQUA WAWASEE PROGRAM AND DON'T LABEL ME TALKS AND WORKSHOPS
UNITY PERFORMING ARTS FOUNDATION INC
PO BOX 10394FORT WAYNEIN46852352110907501 ( C ) 3$35,000SUPPORT FOR CHARACTER/ARTISTRY/LEADERSHIP DEVELOPMENT FOR CHILDREN AND ADOLESCENTS
FORT WAYNE URBAN LEAGUE
2135 SOUTH HANNA STREETFORT WAYNEIN46803350869052501 ( C ) 3$27,000SPONSORSHIP OF ANNUAL EVENTS TO SUPPORT NEEDED SERVICES PROVIDED TO VULNERABLE POPULATIONS
FELLOWSHIP OF CHRISTIAN ATHLETES
578 GEIGER DR STE A1ROANOKEIN46783440610626501 ( C ) 3$25,000PROGRAMS SUPPORTING YOUTH INVOLVED IN ORGANIZED SPORTS
FORT WAYNE DANCE COLLECTIVE INC
437 EAST BERRY STREETFORT WAYNEIN46802310958473501 ( C ) 3$25,000SCHOLARSHIPS FOR EDUCATIONAL PROGRAMS
GLOBAL LEADERSHIP SUMMIT AND BEYOND
7400 EAST STATE BLVDFORT WAYNEIN46815351285808501 ( C ) 3$25,000SCHOLARSHIPS FOR LEADERSHIP TRAINING
KATE'S KART
10376 LEO ROAD STE AFORT WAYNEIN46845262615368501 ( C ) 3$25,000DISTRIBUTION OF BOOKS TO HOSPITALIZED CHILDREN
PORTLAND FOUNDATION
112 E MAIN STREETPORTLANDIN47371352019497501 ( C ) 3$25,000PORTAND WATER PARK PROJECT
WABASH COUNTY YMCA
500 S CASS STREETFORT WAYNEIN46992350733765501 ( C ) 3$23,300PROMISE PROGRAM HELPING FAMILIES ESTABLISH COLLEGE SAVINGS ACCOUNTS
JUNIOR ACHIEVEMENT NORTHERN INDIANA
601 NOBLE DRIVEFORT WAYNEIN46825350922731501 ( C ) 3$21,600EXPERIENTIAL-BASED LIFE SKILL PROGRAMS FOR CHILDREN
IHA HOSPITAL ASSISTANCE FOUNDATION
1 AMERICAN SQ STE 1900INDIANAPOLISIN46282455573749501 ( C ) 3$21,391PROMOTE A STABLE AND DIVERSE HOSPITAL INFRASTRUCTURE THROUGHOUT INDIANA
CAMERON HOSPITAL FOUNDATION
416 E MAUMEE STANGOLAIN46703351722087501 ( C ) 3$20,000CAMERON HOSPITAL PROGRAMS
STEUBEN COUNTY COMMUNITY FOUNDATION
1701 N WAYNE STANGOLAIN46703351857065501 ( C ) 3$20,000ANGOLA BALLOONS ALOFT FUND THAT PROVIDES ASSISTANCE TO THE INDIGENT
VERA BRADLEY FOUNDATION FOR BREAST
PO BOX 80201FORT WAYNEIN46898352058177501 ( C ) 3$18,500BREAST CANCER RESEARCH
COMMUNITY HARVEST FOOD BANK
PO BOX 10967FORT WAYNEIN46855311100607501 ( C ) 3$15,750OPERATIONS & PROGRAMS PROVIDING FOOD TO LOW-INCOME INDIVIDUALS & FAMILIES
FORT WAYNE BALLET
300 E MAIN STREETFORT WAYNEIN46802356006394501 ( C ) 3$15,000EDUCATIONAL OUTREACH
VINCENT VILLAGE INC
2827 HOLTON AVEFORT WAYNEIN46806351780135501 ( C ) 3$15,000TRANSITIONAL HOUSING PROGRAM
ERIN'S HOUSE
5670 YMCA PARK DRIVE WESTFORT WAYNEIN46835351884264501 ( C ) 3$14,760PROGRAMS SUPPORTING CHILDREN WHO HAVE SUFFERED THE DEATH OF A LOVED ONE
AFRICAN-AMERICAN HEALTHCARE ALLIANCE
4950 IRIS AVENUEFORT WAYNEIN46825352134195501 ( C ) 3$13,000HEALTHCARE SCHOLARSHIPS
CITY OF ANGOLA UTILITIES
210 NORTH PUBLIC SQUAREANGOLAIN46703GOVT ORG$12,500AMERICAN'S BEST COMMUNITIES AWARD AND EQUIPMENT FOR THE FITNESS CENTER
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS ROADHUNTINGTONIN46845320012095501 ( C ) 3$12,287PPG INNOVATION
JUST NEIGHBORS INTERFAITH NETWORK
2925 E STATE BLVDFORT WAYNEIN46805352089785501 ( C ) 3$12,000SERVICES AND REFERRALS FOR HOMELESS FAMILIES
ST VINCENT DE PAUL CHURCH
1502 EAST WALLEN ROADFORT WAYNEIN46825351003124501 ( C ) 3$11,700MISSION TRIP TO HONDURAS
CARRIAGE HOUSE
3327 LAKE AVEFORT WAYNEIN46805352026647501 ( C ) 3$11,000JOB AND LIFE SKILLS PROGRAMS DESIGNED FOR THOSE WITH A MENTAL HEALTH DIAGNOSIS
ANGOLA HIGH SCHOOL ATHLETICS
350 S JOHN MCBRIDE AVENUEANGOLAIN46703GOVT ORG$10,000WEIGHT ROOM EQUIPMENT PROJECT
BOOMERANG BACKPACKS INC
4616 E DUPONT ROADFORT WAYNEIN46825800570852501 ( C ) 3$10,000FOOD DISTRIBUTION PROGRAMS FOR LOW-INCOME CHILDREN
CANCER SERVICES OF NORTHEAST INDIANA
6316 MUTUAL DRIVEFORT WAYNEIN46825350965609501 ( C ) 3$10,000CHELSA WIG ROOM
CORE
5712 LANCASHIRE CTFORT WAYNEIN46825300526171501 ( C ) 3$10,000RESOURCES FOR EDUCATORS
FLORENCE TOWNSHIP FIRE DEPARTMENT
201 S MICHIGAN ST PO BOX 96EDONOH43518GOVT ORG$10,000EMERGENCY SERVICES
FORT WAYNE COMMUNITY FISHING CLUB
3511 LAFAYETTE STREETFORT WAYNEIN46806134204839501 ( C ) 3$10,000FISHING EQUIPMENT
FORT WAYNE COMMUNITY SCHOOLS
1200 SOUTH CALHOUN STREETFORT WAYNEIN46802GOVT ORG$10,000HOMELESS ASSISTANCE PROGRAM "BACK-TO-SCHOOL" CLOTHES AND SUPPLIES
FORT WAYNE MUSEUM OF ART
311 EAST MAIN STFORT WAYNEIN46802350953440501 ( C ) 3$10,000PROGRAMS TO COLLECT, PRESERVE AND PRESENT ART THROUGHOUT THE REGION
HEARCARE CONNECTION INC
9604 COLDWATER ROADFORT WAYNEIN46825452803181501 ( C ) 3$10,000PROVIDE AUDIOLOGY SERVICES TO THOSE WHO QUALIFY FINANCIALLY
INDIANA UNIVERSITY FOUNDATION
PO BOX 500BLOOMINGTONIN47402356018940501 ( C ) 3$10,000IU SCHOOL OF MEDICINE - SCHOLARSHIPS
IVY TECH COMMUNITY COLLEGE NORTHEAST
3800 NORTH ANTHONY BLVDFORT WAYNEIN46805237073977501 ( C ) 3$10,000STUDENT SCHOLARSHIP PROGRAMS
LITTLE RIVER WETLANDS PROJECT INC
7209 ENGLE ROADFORT WAYNEIN46804351809569501 ( C ) 3$10,000CARE OF LOCAL WETLAND PRESERVES AND FREE NATURE PROGRAMS FOR RESIDENTS
NORTHEAST INDIANA INNOVATION CENTER
3201 STELLHORN ROADFORT WAYNEIN46815352097779501 ( C ) 3$10,000PROGRAMS SUPPORTING BUSINESS AND OTHER ORGANIZATIONAL DEVELOPMENT
OLD CROWN BRASS BAND INC
5307 CLOVERBROOK DRIVEFORT WAYNEIN46806261515521501 ( C ) 3$10,000PROGRAMS TO SERVE COMMUNITY THROUGH MUSIC AND EDUCATION
REDEMPTION HOUSE
2720 FAIRFIELD AVENUEFORT WAYNEIN46807352079898501 ( C ) 3$10,000RESIDENCY, MENTORING & ADVOCACY PROGRAMS FOR WOMEN NEWLY RELEASED FROM INCARCERATION
WILLOW CREEK ASSOCIATION
67 EAST ALGONQUINSOUTH BARRINGTONIL60010363799040501 ( C ) 3$9,900SCHOLARSHIPS TO THE GLOBAL LEADERSHIP SUMMIT
BLESSINGS IN A BACKPACK
111 EAST WAYNE ST STE 555FORT WAYNEIN46802262627847501 ( C ) 3$9,750FOOD DISTRIBUTION PROGRAM FOR LOW-INCOME CHILDREN
WILLOWBROOK DAY SCHOOL INC
101 W DUPONT ROADFORT WAYNEIN46825510589202501 ( C ) 3$8,600SUPPORT FOR SCHOOL PROGRAMS
MUSTARD SEED FURNITURE BANK OF
3636 ILLINOIS ROADFORT WAYNEIN46804352149283501 ( C ) 3$8,500PROGRAMS SUPPORTING IN-KIND FURNITURE DONATIONS TO THOSE IN NEED
CANTERBURY SCHOOL INC
3210 SMITH RDFORT WAYNEIN46804351410931501 ( C ) 3$8,333SUPPORT FOR SCHOOL PROGRAMS
CATIE B CHARITIES
12997 ABRAHAM RUNCARMELIN46033320283047501 ( C ) 3$8,020PROGRAMS PROVIDING SERVICES FOR FAMILIES OF SPECIAL NEED PATIENTS
ALWAYS 100 INC
3946 ICE WAYFORT WAYNEIN46805453586802501 ( C ) 3$7,500SPORTS & ATHLETIC TRAINING PROGRAM
AMERICAN CANCER SOCIETY
250 WILLIAMS ST NWATLANTAGA30303131788491501 ( C ) 3$7,500CANCER RESEARCH AND PROGRAMS ASSISTING CANCER PATIENTS
BLACKHAWK CHRISTIAN SCHOOL
7400 EAST STATE BLVDFORT WAYNEIN46815351285808501 ( C ) 3$7,500SCHOLARSHIPS FOR THE LOCAL GLOBAL LEADERSHIP SUMMIT
FORT WAYNE CIVIC THEATRE
303 E MAIN STREETFORT WAYNEIN46802356001476501 ( C ) 3$7,500THEATRICAL EXPERIENCES TO AT-RISK AND ECONOMICALLY DISADVANTAGED YOUTH & FAMILIES
ALLEN COUNTY SPCA
4914 SOUTH HANNA STREETFORT WAYNEIN46806356042135501 ( C ) 3$6,127CARE OF ANIMALS AT ANIMAL SHELTER
INTERNATIONAL TEAMUP FOUNDATION
1519 SPENSER COVEFORT WAYNEIN46845472449361501 ( C ) 3$6,000PROGRAMS PROVIDING YOUNG GOLFERS THE OPPORTUNITY TO MEET NEW PEOPLE IN A SECURE ENVIRONMENT
WOMEN'S CARE CENTER
360 N NOTRE DAME AVENUESOUTH BENDIN46617351609945501 ( C ) 3$6,000SUPPORT SERVICES FOR PREGNANT WOMEN, MOTHERS AND THEIR INFANTS
YMCA OF GREATER FORT WAYNE
347 W BERRY STREETFORT WAYNEIN46802350886850501 ( C ) 3$6,000PROGRAMS FOSTERING YOUTH DEVELOPMENT, HEALTHY LIVING & SOCIAL RESPONSIBILITY
ST JOHN'S LUTHERAN CHURCH
2465 WEST KEISER ROADCOLUMBIA CITYIN46725350985950501 ( C ) 3$5,910SUPPORT ACTIVITIES OF CHURCH
MAHALI PA MAISHA INC
PO BOX 262SULPHUR SPRINGSIN47388473104761501 ( C ) 3$5,710PROGRAMS ENRICHING THE OVERALL HOLISTIC HEALTH OF ABANDONED BABIES & VULNERABLE CHILDREN
CMH FOUNDATION
208 N COLUMBUS STHICKSVILLEOH43526311597925501 ( C ) 3$5,600HOSPITAL PROGRAMS
DEKALB HEALTH FOUNDATION
212 W 7TH STREETAUBURNIN46706356047817501 ( C ) 3$5,540HEALTHCARE SCHOLARSHIPS
CROSSVIEW CHURCH INC
PO BOX 160GRABILLIN46741351507262501 ( C ) 3$5,530SUPPORT ACTIVITIES OF CHURCH
REPLENISH COMMUNITY FOUNDATION
21010 SOUTHBANK STR 2005STERLINGVA20165272937293501 ( C ) 3$5,500PURCHASE, PACKAGE AND DISTRIBUTE MEALS TO CHILDREN IN THE COMMUNITY
MARCH OF DIMES
303 STABLE DRIVEFORT WAYNEIN46825131846366501 ( C ) 3$5,150RESEARCH & PROGRAMS TO DECREASE BIRTH DEFECTS AND INFANT MORTALITY
FieldValueIRS element (for citing)
Total501c3 Org79Total501c3OrgCnt
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
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
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
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 (35 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$962,128$0$485,625$0$24,574$0$648,113$0$25,266$0$2,145,706$0$0$0
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH CPE & EVP$666,954$0$248,062$0$21,844$0$107,207$0$29,674$0$1,073,741$0$0$0
ROBERT GODLEY
DIRECTOR/PH PHYSICIAN$541,694$0$132,724$0$27,926$0$29,150$0$27,763$0$759,257$0$0$0
JOSHUA KLINE
DIRECTOR/PH PHYSICIAN$363,343$0$79,193$0$19,400$0$18,550$0$25,673$0$506,159$0$0$0
ALAN MCGEE
DIRECTOR/PH SVR LINE LEADER - ORTHO$388,000$0$0$0$18,000$0$0$0$0$0$406,000$0$0$0
LARRY ROWLAND
DIRECTOR$307,750$0$0$0$0$0$0$0$0$0$307,750$0$0$0
MICHAEL BROWNING
PH SVP & CFO - PARTIAL YEAR$298,622$0$196,875$0$95,402$0$44,088$0$26,200$0$661,187$0$0$0
RICK HENVEY
PH SVP & COO$518,940$0$166,087$0$990$0$62,862$0$26,165$0$775,044$0$0$0
STANTON RISSER
INTERIM PH CFO$179,022$0$96,738$0$1,423$0$37,424$0$23,410$0$338,017$0$0$0
SUZANNE EHINGER
PH CHIEF EXPERIENCE OFFICER$437,320$0$168,750$0$20,945$0$84,900$0$22,585$0$734,500$0$0$0
MITCHELL STUCKY
PH PHYSICIAN EXECUTIVE OFFICER - PPG$404,267$0$150,000$0$4,406$0$76,350$0$22,228$0$657,251$0$0$0
RONALD DOUBLE
PH SVP & CHIEF INFORMATION OFFICER$362,321$0$185,188$0$8,213$0$74,339$0$5,435$0$635,496$0$0$0
DAVID STOREY
PH SVP GENERAL COUNSEL$334,517$0$112,534$0$7,922$0$53,960$0$25,422$0$534,355$0$7,276$0
JUDITH BOERGER
PH CHIEF NURSING EXECUTIVE$285,053$0$105,424$0$55,100$0$51,724$0$19,035$0$516,336$0$46,718$0
JEFFREY BROOKES
PH MEDICAL DIR - COMMUNITY HOSPITALS$830$307,820$112,521$0$22,301$0$15,694$35,612$5,636$12,789$156,982$356,221$17,945$0
THOMAS BOND
PH CHIEF MEDICAL OFFICER - PPG$300,066$0$106,218$0$17,147$0$61,248$0$25,224$0$509,903$0$16,157$0
MARK PIERCE
PH CHIEF MED INFORMATICS OFFICER$294,796$0$109,360$0$19,244$0$50,312$0$25,099$0$498,811$0$16,276$0
BARBARA CLAYTON
PH SVP REVENUE CYCLE & PATIENT SVR$249,964$0$125,022$0$22,356$0$58,658$0$19,187$0$475,187$0$0$0
MARK KADLEC
PH SVP & COO - PPG$346,190$0$30,000$0$20,838$0$44,477$0$21,182$0$462,687$0$0$0
JILL OSTREM
PH SVP HEALTH & WELL-BEING$276,038$0$102,434$0$17,297$0$50,782$0$24,583$0$471,134$0$15,779$0
JAMES HAUGUEL
PH SVP SVR LINE LEADER - PPG$30,424$0$74,382$0$274,473$0$3,700$0$2,103$0$385,082$0$106,802$0
JAMES STAPEL
PH MEDICAL DIR - PPG$220,298$0$87,355$0$58,623$0$59,288$0$20,137$0$445,701$0$35,024$0
JAMES WITMER
PH SVP FACILITY DESIGN & OVERSIGHT$216,984$0$80,386$0$16,320$0$41,195$0$17,014$0$371,899$0$11,964$0
RICHARD ROBINSON
PH SVP STRATEGIC INITIATIVES$197,568$0$99,940$0$10,820$0$40,563$0$18,931$0$367,822$0$10,820$0
DENA JACQUAY
PH SVP & CHIEF HR OFFICER$249,237$0$57,018$0$651$0$46,277$0$27,231$0$380,414$0$0$0
JOHN MEISTER
PH SVP DELIVERY SYSTEM INTEGRATION$209,678$0$73,955$0$8,499$0$47,121$0$20,529$0$359,782$0$0$0
DONNA VAN VLERAH
PH SVP SUPPORT DIVISION$199,569$0$52,520$0$9,531$0$37,978$0$20,611$0$320,209$0$8,010$0
PATRICIA BRAHE
PH SVP SVR LINE LEADER$186,385$0$69,280$0$4,095$0$34,714$0$12,246$0$306,720$0$0$0
SCOTT JAMES
PH SVP & COO SVR LINE LEADER$199,250$0$53,513$0$5,687$0$24,225$0$24,758$0$307,433$0$5,108$0
GREGORY SCHEIBLE
PH PHYSICIAN$605,879$0$65,011$0$754,284$0$29,150$0$29,072$0$1,483,396$0$0$0
DAVID CLARK
PH PHYSICIAN$615,093$0$66,605$0$645,898$0$29,150$0$23,924$0$1,380,670$0$0$0
TAHIRA SAIFUDDIN
PH PHYSICIAN$582,256$0$88,240$0$624,020$0$18,550$0$23,055$0$1,336,121$0$0$0
RONNIE SLOAN
PH PHYSICIAN$373,562$7,921$71,312$0$486,843$0$28,904$246$21,592$184$982,213$8,351$0$0
NEIL SHARMA
PH PHYSICIAN$843,264$68,896$250$0$22,578$0$11,660$928$13,670$1,087$891,422$70,911$0$0
CATERINE WILCOX
FORMER KEY EMPLOYEE$0$0$0$0$531,063$0$0$0$0$0$531,063$0$531,063$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 $715; SUZANNE EHINGER $107; BRIAN EMERICK $50; TIM GRISSOM $50; DAVID HAIST $370; THOMAS KARST $50; JOSHUA KLINE $320; MICHAEL PACKNETT $370; STANTON RISSER $50; WENDY ROBINSON $320; THOMAS WALSH $370 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - GIFT CERTIFICATE PAID TO: MICHAEL BROWNING $247; DAVID CLARK $94; RONALD DOUBLE $19; RAYMOND DUSMAN $41; JAMES HAUGUEL $6; JOHN MEISTER $47; DAVID STOREY $1; DONNA VAN VLERAH $4 PERSONAL SERVICES TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: ROBERT GODLEY $500; JOSHUA KLINE $420; TAHIRA SAIFUDDIN $500; NEIL SHARMA $410
PART I, LINES 4A-BSEVERANCE PAYMENT JAMES HAUGUEL $148,764 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS TAXABLE - JUDITH BOERGER $46,718; THOMAS BOND $16,157; JEFFREY BROOKES $17,945; DAVID CLARK $640,596; JAMES HAUGUEL $106,802; SCOTT JAMES $5,108; JILL OSTREM $15,779; MARK PIERCE $16,276; RICHARD ROBINSON $10,820; TAHIRA SAIFUDDIN $604,530; GREGORY SCHEIBLE $752,766; RONNIE SLOAN 465,782; JAMES STAPEL $35,024; DAVID STOREY $7,276; DONNA VAN VLERAH $8,010; CATHERINE WILCOX $531,063; JAMES WITMER $11,964 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. THOMAS BOND $33,423; JUDITH BOERGER $33,174; PATRICIA BRAHE $21,800; JEFFREY BROOKES $35,406; MICHAEL BROWNING $36,138; BARBARA CLAYTON $29,508; RONALD DOUBLE $42,539; RAYMOND DUSMAN $78,057; SUZANNE EHINGER $53,100; RICK HENVEY $52,262; DENA JACQUAY $22,427; SCOTT JAMES $19,081; MARK KADLEC $42,480; JOHN MEISTER $23,271; JILL OSTREM $32,232; MICHAEL PACKNETT $629,563; MARK PIERCE $34,412; STANTON RISSER $20,060; RICHARD ROBINSON $22,013; JAMES STAPEL $27,488; DAVID STOREY $35,410; MITCHELL STUCKY $47,200; DONNA VAN VLERAH $20,658; JAMES WITMER $25,295
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 IN ADVANCE OF THE PLAN YEAR. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND 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
C351602316NONEAVAIL2012-05-24$28,000,000SEE PART VI000
INDIANA FINANCE AUTHORITY
D35160231645471AHR62012-05-24$94,631,826SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmt
A$53,220,000$37,335,000$264,704,689$21,097,035$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$720,000$28,000,000$28,000,0002012Yes (1)0Yes (1)Yes (1)
D$3,860,000$94,754,667$1,022,698$93,731,9692012Yes (1)Yes (1)Yes (1)Yes (1)

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 PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.00000Yes (1)0Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.00000Yes (1)0Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.00000Yes (1)0Yes (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)Yes (1)Yes (1)Yes (1)00Yes (1)20.00000000000000
(no name)
C00Yes (1)Yes (1)Yes (1)000Yes (1)
(no name)
D000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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
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
SCHEDULE K, PART I, COLUMN F, LINE C:SERIES 2010 - 1) NEW MONEY FOR CONSTRUCTION OF NEW PARKVIEW WHITLEY HOSPITAL FACILITY IN COLUMBIA CITY, IN 2) REISSUED ON MAY 24, 2012
SCHEDULE K, PART I, COLUMN F, LINE D: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
SCHEDULE K, PART II, COLUMN A, LINE 3:THIS AMOUNT INCLUDES INTEREST OF $1,435 EARNED ON COST OF ISSUANCE FUNDS.
SCHEDULE K, PART II, COLUMN B, LINE 3:THIS AMOUNT INCLUDES INTEREST OF $250,573 EARNED ON PROJECT AND COST OF ISSUANCE FUNDS.
SCHEDULE K, PART II, COLUMN D, LINE 3:THIS AMOUNT INCLUDES INTEREST OF $122,841 EARNED ON ESCROW AND COST OF ISSUANCE FUNDS.
SCHEDULE K, PART III, COLUMNS A-D, LINES 4-6:AS PART OF OUR EFFORTS TO MONITOR AND ENSURE THAT THERE IS NO PRIVATE USE AT OUR BOND FINANCED FACILITIES, WE CONTRIBUTE EQUITY TO FINANCE A PORTION OF OUR NEW MONEY PROJECTS.
SCHEDULE K, PART III, COLUMNS A-D, LINE 7:THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST.
SCHEDULE K, PART IV, COLUMN A, LINE 2C:REBATE CALCULATION PERFORMED ON SEPTEMBER 15, 2014.
SCHEDULE K, PART IV, COLUMN B, LINE 2C:BOND ISSUE MET THE 24 MONTH REBATE SPENDING EXCEPTION. CALCULATION PERFORMED ON DECEMBER 8, 2011.
SCHEDULE K, PART IV, COLUMN C, LINE 2C:BOND ISSUE MET THE 6 MONTH REBATE SPENDING EXCEPTION. REISSUANCE OF 2010 BONDS RESULTED IN A CURRENT REFUNDING AND THERE WERE NO ADDITIONAL PROCEEDS CREATED BY THE REISSUANCE.
SCHEDULE K, PART IV, COLUMN D, LINE 2C:REBATE CALCULATION PERFORMED ON SEPTEMBER 15, 2014.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GALILEO MANAGEMENT SERVICES LLC
ENTITY OF WHICH DIRECTOR LARRY ROWLAND OWNED A 35% OR GREATER INTEREST$300,000VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH.0
KRIS CONKLIN
FAMILY MEMBER OF OFFICER STANTON RISSER$49,499EMPLOYEE KRIS CONKLIN RECEIVED COMPENSATION FROM PARKVIEW HEALTH SYSTEM, INC.0
BROOKS CONSTRUCTION
ENTITY OF WHICH DIRECTOR MARGARET BROOKS OWNED A 35% OR GREATER INTEREST$446,421VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 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, 2015 WAS 540. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2015 WAS 11,190. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR PARKVIEW HEALTH SYSTEM, INC. WAS 298 AND 3,651 RESPECTIVELY.
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIR OF THE BOARD, VICE CHAIR OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, TREASURER AND SECRETARY OF THE CORPORATION AND AT LEAST ONE DIRECTOR WHO IS AN EX-OFFICIO VOTING MEMBER OF THE BOARD AND SUCH OTHER DIRECTORS AS ARE DESIGNATED BY THE CHAIR OF THE BOARD. THE EXECUTIVE COMMITTEE MAY ACT AS THE EXECUTIVE COMPENSATION COMMITTEE FOR THE CORPORATION. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. 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. THE EXECUTIVE COMMITTEE MAY SERVE AS THE EXECUTIVE COMPENSATION COMMITTEE FOR THE CORPORATION AND ALL OF ITS ENTITIES, AS DETERMINED BY THE CHAIR OF THE BOARD, AT WHICH TIME, THE EXECUTIVE COMPENSATION COMMITTEE SHALL ESTABLISH THE COMPENSATION FOR ALL KEY MANAGEMENT PERSONNEL, PURSUANT TO THE STANDARDS OF CONDUCT RELATING TO EXECUTIVE COMPENSATION. NO INTERESTED PERSON MAY SERVE ON THE EXECUTIVE COMPENSATION COMMITTEE. NO OTHER BOARD OR COMMITTEE CAN APPROVE EXECUTIVE COMPENSATION ARRANGEMENTS. THE EXECUTIVE COMMITTEE SHALL ANNUALLY RECEIVE, REVIEW AND MAKE RECOMMENDATIONS ON ENTITY BOARDS AND SHALL SUBMIT RECOMMENDATIONS FOR ALL SYSTEM BOARD APPOINTMENTS.
FORM 990, PART VI, SECTION A, LINE 2OFFICER MICHAEL BROWNING, DIRECTORS RAYMOND DUSMAN, ALAN MCGEE, KEY EMPLOYEES THOMAS BOND, JEFFREY BROOKES, MITCHELL STUCKY, SUZANNE EHINGER, RICHARD ROBINSON AND JOHN MEISTER 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, RICHARD ROBINSON, JOHN MEISTER HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER MICHAEL BROWNING, DIRECTOR RAYMOND DUSMAN AND KEY EMPLOYEE MITCHELL STUCKY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER STANTON RISSER, DIRECTOR RAYMOND DUSMAN AND KEY EMPLOYEE MITCHELL HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. KEY EMPLOYEES SUZANNE EHINGER, RICHARD ROBINSON AND SCOTT JAMES HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICERS MICHAEL BROWNING, RICK HENVEY, DIRECTOR ALAN MCGEE AND KEY EMPLOYEE MITCHELL STUCKY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICERS STANTON RISSER, RICK HENVEY, DIRECTOR ALAN MCGEE 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 11AN 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 12, 2016, 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; REVIEW, AND APPROVAL BY THE GOVERNING BODY; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2015, THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2015 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 MERIT BUDGET FOR THE ENTIRE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). OFFICES OR POSITIONS REVIEWED AT THE 2015 MEETING: PRESIDENT AND CHIEF EXECUTIVE OFFICER EXECUTIVE VICE PRESIDENT CHIEF PHYSICIAN OFFICER PRESIDENT COMMUNITY HOSPITAL PHYSICIAN EXECUTIVE OFFICER PARKVIEW PHYSICIANS GROUP SENIOR VICE PRESIDENT CHIEF FINANCIAL OFFICER SENIOR VICE PRESIDENT CHIEF EXPERIENCE OFFICER SENIOR VICE PRESIDENT CHIEF INFORMATION OFFICER SENIOR VICE PRESIDENT CHIEF NURSING EXECUTIVE SENIOR VICE PRESIDENT COO PARKVIEW HEALTH SENIOR VICE PRESIDENT COO PARKVIEW PHYSICIANS GROUP SENIOR VICE PRESIDENT COO PARKVIEW REGIONAL MEDICAL CENTER AND AFFILIATES SENIOR VICE PRESIDENT COO SERVICE LINE LEADER SENIOR VICE PRESIDENT DELIVERY SYSTEM INTEGRATION SENIOR VICE PRESIDENT FACILITY DESIGN AND OVERSIGHT SENIOR VICE PRESIDENT GENERAL COUNSEL SENIOR VICE PRESIDENT HEALTH & WELL-BEING SENIOR VICE PRESIDENT HUMAN RESOURCES SENIOR VICE PRESIDENT REVENUE CYCLE MANAGEMENT SENIOR VICE PRESIDENT SERVICE LINE LEADER SENIOR VICE PRESIDENT STRATEGIC INITIATIVES VICE PRESIDENT CONSTRUCTION VICE PRESIDENT FINANCE VICE PRESIDENT MKTG/COMM/COMMUNITY RELATIONS VICE PRESIDENT NURSING RANDALLIA VICE PRESIDENT PARKVIEW PHYSICIANS GROUP FINANCE VICE PRESIDENT PARKVIEW PHYSICIANS GROUP PHYSICIAN PRACTICES VICE PRESIDENT PATIENT CARE SERVICES COMMUNITY HOSPITAL VICE PRESIDENT RANDALLIA OPERATIONS VICE PRESIDENT STRATEGY AND BUSINESS DEVELOPMENT VICE PRESIDENT SUPPLY CHAIN VICE PRESIDENT SURGICAL AND ANCILLARY SERVICES PRMC AND AFFILIATES MEDICAL DIRECTOR COMMUNITY HOSPITAL MEDICAL DIRECTOR INTEGRATION AND DEVELOPMENT MEDICAL DIRECTOR OF VALUE-BASED SERVICES MEDICAL OFFICER PARKVIEW PHYSICIANS GROUP CHIEF ACADEMIC AND RESEARCH OFFICER CHIEF MEDICAL INFORMATICS OFFICER CHIEF MEDICAL OFFICER PRMC AND AFFILIATES CHIEF NURSING OFFICER PRMC AND AFFILIATES CHIEF QUALITY OFFICER AND SAFETY OFFICER EXECUTIVE DIRECTOR EMPLOYER STRATEGIES
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 XI, LINE 9:ASSET ADJUSTMENT TRANSFERS 301,510. BOOK/TAX DIFF FROM K-1'S 6,971,745. CURRENT YEAR EARNINGS TRANSFERRED FROM 501( C )3'S 213,364,898. AMORTIZE BOND SWAP OCI 42,600. ADJUST OCI FOR PENSION -1,165,185. ADJUST 2015 GRANT EXPENSE ACCRUAL -1,400,000.

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$1,107,240$9,609,324PARKVIEW 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 11A, 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 11A, 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 11A, 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 11A, IHUNTINGTON MEMORIAL HOSPITAL INCYes (1)
PARKVIEW WABASH HOSPITAL INC
710 N EAST STWABASHIN46992471753440HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
WABASH COUNTY HOSPITAL FOUNDATION INC
710 N EAST STWABASHIN46992351921445FUND MGMTIN501(C)(3)LINE 11A, 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$46,983,040$60,023,2820Yes (1)0.60000
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
8004 CARNEGIE BLVDFORT WAYNEIN46804201394120SURGICAL SERVICESINPARKVIEW HEALTH SYSTEM INCRELATED$244,386$159,7180Yes (1)0.51000
MANAGED CARE SERVICES LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845351996535HEALTH PLAN ADMININPARKVIEW HEALTH SYSTEM INCRELATED-$1,514,197$19,527,6440Yes (1)0.90000
WABASH MRI LLC
710 N EAST STWABASHIN46992204352572EQUIPMENT LEASINGINN/A00N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 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$27,838,539$2,058,0461.00000
CAREW MEDICAL PARK PROPERTY OWNERS ASSOCIATION INC
10501 CORPORATE DRIVEFORT WAYNEIN46845351858650CONDO MANAGEMENT-DISSOLVED 12/31/15INC0PARKVIEW HEALTH SYSTEM INC$1,464,4631.00000
WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC
202 W BERRY ST SUITE 800FORT WAYNEIN46802352058340CONDO MANAGEMENTINC0PARKVIEW HEALTH SYSTEM INC$24,614$153,1660.92300
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 OrgYes (1)AssetSaleToOtherOrgInd
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 Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (47 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HUNTINGTON MEMORIAL HOSPITAL INC
A$1,227,307PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
A$1,521,839PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
A$399,810PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
A$102,270PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
A$3,503,569PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
A$2,956,645PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
A$1,521,648PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL FOUNDATION INC
B$488,099PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL FOUNDATION INC
C$4,764,116PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
D$6,596,241PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
D$6,893,500PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
D$7,061,050PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
G$10,873,500PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
J$1,227,307PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
J$1,521,839PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
J$399,810PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
J$102,270PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
J$3,503,569PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
J$2,887,710PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
J$1,482,012PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
K$90,970PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
K$1,504,705PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
K$192,833PART VII SUPPLEMENTAL INFORMATION
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
L$8,528,198PART VII SUPPLEMENTAL INFORMATION
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
L$51,086PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
L$108,989,377PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
L$7,620,000PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
L$7,795,000PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
L$7,071,000PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
L$5,000,000PART VII SUPPLEMENTAL INFORMATION
PARKVIEW WABASH HOSPITAL INC
L$3,073,441PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
L$114,000PART VII SUPPLEMENTAL INFORMATION
MANAGED CARE SERVICES LLC
L$235,000PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
L$707,000PART VII SUPPLEMENTAL INFORMATION
PARKVIEW PROFESSIONAL PROGRAMS INC
L$589,000PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
Q$70,805,879PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
Q$2,494,780PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
Q$3,273,828PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
Q$5,316,673PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Q$1,938,170PART VII SUPPLEMENTAL INFORMATION
PARKVIEW WABASH HOSPITAL INC
Q$3,379,279PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
S$147,389,846PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
S$12,499,536PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
S$6,466,003PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
S$1,698,192PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
S$12,377,347PART VII SUPPLEMENTAL INFORMATION
PARKVIEW WABASH HOSPITAL INC
S$33,367,582PART 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