PARKVIEW HEALTH SYSTEM INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: PARKVIEW HEALTH SYSTEM INC (EIN 35-1972384)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-06
IRS object ID: 201533109349300733
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-06T15:00:54-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	330 E JEFFERSON BLVD P O BOX 7	AddressLine1Txt
City	SOUTH BEND	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	466240007	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	351972384	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PARKVIEW HEALTH SYSTEM INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	PARK	BusinessNameControlTxt
Phone	2603737001	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10501 CORPORATE DRIVE	AddressLine1Txt
City	FORT WAYNE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46845	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL P BROWNING	PersonNm
Person Title	PH CEO	PersonTitleTxt
Phone	2603737001	PhoneNum
Signature	2015-11-06	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KENNETH J KEBER	PreparerPersonNm
PTIN	P00240883	PTIN
Phone	5742323992	PhoneNum
Self Employed	Yes (X)	SelfEmployedInd

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-04-25 22:37:26Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL J PACKNETT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10501 CORPORATE DRIVE	AddressLine1Txt
City	FORT WAYNE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46845	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$642,265,858	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PARKVIEW.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	PARKVIEW 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 Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	3325	TotalEmployeeCnt
Total Volunteers	19	TotalVolunteersCnt
Total Gross UBI	$3,044,580	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$96,871	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$131,689	PYContributionsGrantsAmt
CY Contributions Grants	$109,948	CYContributionsGrantsAmt
PY Program Service Revenue	$369,034,144	PYProgramServiceRevenueAmt
CY Program Service Revenue	$419,436,851	CYProgramServiceRevenueAmt
PY Investment Income	$10,985,455	PYInvestmentIncomeAmt
CY Investment Income	$26,706,056	CYInvestmentIncomeAmt
PY Other Revenue	-$183,737	PYOtherRevenueAmt
CY Other Revenue	$605,483	CYOtherRevenueAmt
PY Total Revenue	$379,967,551	PYTotalRevenueAmt
CY Total Revenue	$446,858,338	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,584,845	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$7,074,796	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$228,078,785	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$256,588,300	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$178,042,476	PYOtherExpensesAmt
CY Other Expenses	$170,526,333	CYOtherExpensesAmt
PY Total Expenses	$408,706,106	PYTotalExpensesAmt
CY Total Expenses	$434,189,429	CYTotalExpensesAmt
PY Revenues Less Expenses	-$28,738,555	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$12,668,909	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,359,461,703	TotalAssetsBOYAmt
Total Assets EOY	$1,502,964,818	TotalAssetsEOYAmt
Total Liabilities BOY	$673,165,988	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$766,048,098	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$686,295,715	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$736,916,720	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	PARKVIEW 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 Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$417,801,014	ExpenseAmt
Grant	$7,074,796	GrantAmt
Revenue	$416,130,107	RevenueAmt
Desc	PARKVIEW 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.; AND WHITLEY MEMORIAL HOSPITAL, INC. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. IS A 60% OWNER IN THE PARTNERSHIP OF THE ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. IMPROVING THE HEALTH 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 PROGRAMS DESIGNED TO IMPROVE THE HEALTH AND 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 376 PRIMARY AND SPECIALTY CARE PHYSICIANS AS PART OF PARKVIEW PHYSICIANS GROUP. THESE PHYSICIANS, ALONG WITH 131 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 TWO FULL-TIME PHYSICIAN RECRUITERS AND ONE FULL-TIME ADVANCED PRACTICE PROVIDER RECRUITER WHOSE TIME IS DEVOTED SOLELY TO RECRUITING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. ALL PHYSICIAN RECRUITMENT ACTIVITY IS BASED ON A PHYSICIAN NEEDS ASSESSMENT AND THE OVERSIGHT OF THE COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS TO ENSURE THAT WE FOLLOW THE GUIDELINES SET FORTH BY THE FEDERAL GOVERNMENT. SIXTY NEW PHYSICIANS WERE HIRED IN 2014.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 TO PROMOTE THE ECONOMIC VITALITY OF THIS AREA. PARKVIEW HEALTH SYSTEM, INC. HAS PLAYED A KEY ROLE IN THE REGION'S VISION 20/20 INITIATIVE GEARED TOWARD THE DEVELOPMENT OF STRATEGIES IMPERATIVE TO THE REGION'S FUTURE ECONOMIC GROWTH AND VITALITY.	Desc
Total Program Service Expenses	$417,801,014	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	270	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3325	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	BR	ForeignCountryCd
Foreign Country	DA	ForeignCountryCd
Foreign Country	GR	ForeignCountryCd
Foreign Country	HU	ForeignCountryCd
Foreign Country	IT	ForeignCountryCd
Foreign Country	JA	ForeignCountryCd
Foreign Country	MY	ForeignCountryCd
Foreign Country	NO	ForeignCountryCd
Foreign Country	PE	ForeignCountryCd
Foreign Country	PL	ForeignCountryCd
Foreign Country	PO	ForeignCountryCd
Foreign Country	SF	ForeignCountryCd
Foreign Country	SW	ForeignCountryCd
Foreign Country	SZ	ForeignCountryCd
Foreign Country	KS	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	Yes (1)	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	0	MembersOrStockholdersInd
Election Of Board Members	0	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STANTON RISSER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2603738403	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	10501 CORPORATE DRIVE	AddressLine1Txt
City	FORT WAYNE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46845	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (41 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO	40.00	16.00	Yes (X)	Yes (X)	$1,301,223	$0	$224,891
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH PHYSICIAN	40.00	0.00	Yes (X)		$869,529	$0	$130,254
ROBERT GODLEY
DIRECTOR/PH PHYSICIAN	40.00	0.00	Yes (X)		$684,795	$0	$50,120
JOSHUA KLINE
DIRECTOR/PH PHYSICIAN	40.00	0.00	Yes (X)		$577,984	$0	$40,380
MICHAEL AXEL
DIRECTOR/TREASURER	1.00	1.00	Yes (X)		$4,000	$6,250	$0
VICKY CARWEIN
DIRECTOR	1.00	0.00	Yes (X)		$5,750	$0	$0
JANET CHRZAN
DIRECTOR/SECRETARY	1.00	0.00	Yes (X)		$10,654	$0	$0
BRIAN EMERICK
DIRECTOR	1.00	1.00	Yes (X)		$3,904	$7,000	$0
DAVID HAIST
DIRECTOR	1.00	1.00	Yes (X)		$7,404	$0	$0
THOMAS KARST
DIRECTOR	1.00	1.00	Yes (X)		$3,404	$7,443	$0
THOMAS KIMBROUGH
DIRECTOR	1.00	1.00	Yes (X)		$2,154	$6,500	$0
KEVIN LAMBRIGHT
DIRECTOR	1.00	1.00	Yes (X)		$1,500	$6,000	$0
MICHAEL LEE
DIRECTOR	1.00	0.00	Yes (X)		$5,950	$0	$0
MAX ROESLER
DIRECTOR	1.00	1.00	Yes (X)		$3,250	$6,750	$0
LARRY ROWLAND
DIRECTOR	40.00	4.00	Yes (X)		$307,250	$0	$0
CHARLES SCHRIMPER
DIRECTOR/CHAIR	1.00	0.00	Yes (X)		$16,404	$0	$0
THOMAS WALSH
DIRECTOR	1.00	0.00	Yes (X)		$10,904	$0	$0
LUTHER WHITFIELD
DIRECTOR	1.00	0.00	Yes (X)		$5,654	$0	$0
MICHAEL BROWNING
PH SVP & CFO	40.00	16.00		Yes (X)	$736,633	$0	$99,949
RICK HENVEY
PH SVP & COO	40.00	0.00		Yes (X)	$555,049	$0	$71,844
MITCHELL STUCKY
PH PHYSICIAN	40.00	0.00			$621,858	$0	$90,225	Yes (X)
SUZANNE EHINGER
PH SVP	37.00	3.00			$584,441	$32,958	$106,039	Yes (X)
RONALD DOUBLE
PH SVP & CIO	40.00	0.00			$543,684	$0	$77,844	Yes (X)
MARK PIERCE
PH CMIO	40.00	0.00			$409,464	$0	$73,566	Yes (X)
JEFFREY BROOKES
PH MEDICAL DIR - COMMUNITY	10.00	30.00			$105,633	$302,923	$64,851	Yes (X)
RICHARD ROBINSON
PH SVP	40.00	0.00			$398,792	$0	$64,394	Yes (X)
JILL OSTREM
PH SVP	40.00	0.00			$367,870	$0	$66,860	Yes (X)
THOMAS BOND
PH CMO	40.00	0.00			$364,905	$0	$82,692	Yes (X)
JAMES STAPEL
PH MEDICAL DIR - PPG	33.00	0.00			$346,966	$0	$77,477	Yes (X)
DAVID STOREY
PH SVP	40.00	0.00			$335,654	$0	$66,057	Yes (X)
JAMES WITMER
PH SVP	40.00	0.00			$298,056	$0	$56,710	Yes (X)
JAMES HAUGUEL
PH SVP	40.00	0.00			$275,013	$0	$55,056	Yes (X)
NORA BASS
PH SVP	40.00	0.00			$263,870	$0	$41,168	Yes (X)
JOHN MEISTER
PH SVP	40.00	0.00			$261,078	$0	$59,189	Yes (X)
PATRICIA BRAHE
PH SVP	40.00	0.00			$246,799	$0	$48,056	Yes (X)
SAILAJA BLACKMON
PH PHYSICIAN	40.00	0.00			$832,638	$0	$49,920		Yes (X)
MICHAEL GRABOWSKI
PH PHYSICIAN	35.00	5.00			$688,025	$74,891	$44,920		Yes (X)
JUDITH KENNEDY
PH PHYSICIAN	40.00	0.00			$759,376	$0	$40,720		Yes (X)
JOHN DRAKE
PH PHYSICIAN	40.00	1.00			$727,028	$9,672	$51,120		Yes (X)
ROY ROBERTSON
PH PHYSICIAN	40.00	0.00			$714,810	$0	$49,220		Yes (X)
STANTON RISSER
FORMER OFFICER/CURRENT PH EMPLOYEE	40.00	0.00			$191,833	$0	$45,994			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$14,451,188	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$460,387	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,929,516	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	415	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EVOLENT HEALTH INC
800 N GLEBE ROAD STE 500	ARLINGTON	VA	22203	CONSULTANTS	$5,733,648
BOYDEN & YOUNGBLUTT
120 WEST SUPERIOR ST	FORT WAYNE	IN	46802	ADVERTISING	$2,844,382
CHG COMPANIES
PO BOX 972651	DALLAS	TX	75397	PHYSICIANS	$2,133,958
WEATHERBY LOCUMS INC
PO BOX 972633	DALLAS	TX	75397	PHYSICIANS	$1,735,063
UNITED AUDIT SYSTEMS INC
2245 GILBERT AVENUE ST 205	CINCINNATI	OH	45206	REMOTE CODING	$1,377,501

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	65	CntrctRcvdGreaterThan100KCnt
Related Organizations	$109,948	RelatedOrganizationsAmt
Total Contributions	$109,948	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CORP SERVICE ALLOCATION	561000	$139,558,702	$139,558,702
NET PATIENT SERVICE	621110	$134,676,279	$134,676,279
PH SUBSIDY	561499	$61,016,835	$61,016,835
ORTHOPAEDIC HOSPITAL AT PARKVIEW	621110	$47,466,142	$47,466,142
INTERUNIT RENT	532000	$10,828,057	$10,828,057

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$25,890,836	TotalRevenueColumnAmt
Related Or Exempt Func Income	$22,584,092	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,306,744	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$419,436,851	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$9,796,136	TotalRevenueColumnAmt
Exclusion	$9,796,136	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,654,073	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,523,483	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$130,590	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$130,590	TotalRevenueColumnAmt
Unrelated Business Revenue	-$262,164	UnrelatedBusinessRevenueAmt
Exclusion	$392,754	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$208,733,834	SecuritiesAmt
Other	$60,123	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$189,884,065	SecuritiesAmt
Other	$1,999,972	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$18,849,769	SecuritiesAmt
Other	-$1,939,849	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,909,920	TotalRevenueColumnAmt
Exclusion	$16,909,920	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	722100	$370,478	$370,478
ELITE WOMAN	812900	$104,415	$104,415

Field	Value	IRS element (for citing)
Other Revenue Total	$474,893	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$446,858,338	TotalRevenueColumnAmt
Related Or Exempt Func Income	$416,130,107	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$3,044,580	UnrelatedBusinessRevenueAmt
Exclusion	$27,573,703	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$7,074,796	TotalAmt
Program Services	$7,074,796	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$12,131,356	TotalAmt
Management And General	$12,131,356	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$202,216,009	TotalAmt
Program Services	$202,216,009	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$12,775,375	TotalAmt
Program Services	$12,775,375	ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$29,465,560	TotalAmt
Program Services	$29,465,560	ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,329,873	TotalAmt
Program Services	$1,329,873	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$370,000	TotalAmt
Program Services	$370,000	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$72,574	TotalAmt
Management And General	$72,574	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,315,419	TotalAmt
Management And General	$1,315,419	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,800,670	TotalAmt
Program Services	$29,295,385	ProgramServicesAmt
Management And General	$505,285	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$3,125,457	TotalAmt
Program Services	$3,107,353	ProgramServicesAmt
Management And General	$18,104	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,583,729	TotalAmt
Program Services	$5,890,502	ProgramServicesAmt
Management And General	$693,227	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$29,497,762	TotalAmt
Program Services	$29,497,762	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$14,930,800	TotalAmt
Program Services	$14,890,502	ProgramServicesAmt
Management And General	$40,298	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,405,412	TotalAmt
Program Services	$1,092,006	ProgramServicesAmt
Management And General	$313,406	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$656,870	TotalAmt
Program Services	$522,613	ProgramServicesAmt
Management And General	$134,257	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$24,997,446	TotalAmt
Program Services	$24,997,446	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$27,671,457	TotalAmt
Program Services	$27,659,174	ProgramServicesAmt
Management And General	$12,283	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,975,313	TotalAmt
Program Services	$4,293,176	ProgramServicesAmt
Management And General	$682,137	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
BAD DEBT	$10,287,381	$10,287,381
MEDICAL SUPPLIES	$7,489,964	$7,489,964
PHYSICIAN ALLOWANCE	$1,438,145	$1,438,145
DUES & SUBSCRIPTIONS	$1,222,044	$817,985	$404,059

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,356,017	TotalAmt
Program Services	$3,290,007	ProgramServicesAmt
Management And General	$66,010	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$434,189,429	TotalAmt
Program Services	$417,801,014	ProgramServicesAmt
Management And General	$16,388,415	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$25,925	BOYAmt
EOY	$26,376	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$112,280,977	BOYAmt
EOY	$86,614,057	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$14,153,498	BOYAmt
EOY	$16,090,712	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$11,364,876	BOYAmt
EOY	$18,973,574	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$3,006,742	BOYAmt
EOY	$3,211,090	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,712,958	BOYAmt
EOY	$11,889,965	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$514,962,114	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$195,987,072	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$282,586,395	BOYAmt
EOY	$318,975,042	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$346,326,964	BOYAmt
EOY	$451,981,979	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$73,322,505	BOYAmt
EOY	$156,457,082	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$29,963,564	BOYAmt
EOY	$29,999,030	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$474,717,299	BOYAmt
EOY	$408,745,911	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,359,461,703	BOYAmt
EOY	$1,502,964,818	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$81,543,443	BOYAmt
EOY	$75,205,618	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$893,996	BOYAmt
EOY	$975,444	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$553,034,768	BOYAmt
EOY	$540,411,831	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$20,260,415	BOYAmt
EOY	$39,785,470	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$17,433,366	BOYAmt
EOY	$109,669,735	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$673,165,988	BOYAmt
EOY	$766,048,098	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$686,295,715	BOYAmt
EOY	$736,916,720	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$686,295,715	BOYAmt
EOY	$736,916,720	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,359,461,703	BOYAmt
EOY	$1,502,964,818	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$12,668,909	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$41,587,491	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$79,539,587	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	Yes (X)	SupportingOrganization509a3Ind
Supporting Org Type3 Func Int	Yes (X)	SupportingOrgType3FuncIntInd
Supported Organizations	5	SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEIN	Organization TypeOrganizationTypeDesc	Governing Document ListedGoverningDocumentListedInd	SupportSupportAmt	Other SupportOtherSupportAmt
PARKVIEW HOSPITAL INC
350868085	3	Yes (1)	$109,661,702	$0
HUNTINGTON MEMORIAL HOSPITAL INC
351970706	3	Yes (1)	$8,022,000	$0
WHITLEY MEMORIAL HOSPITAL INC
351967665	3	Yes (1)	$7,417,000	$0
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
352089183	3	Yes (1)	$8,589,000	$0
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
202401676	3	Yes (1)	$4,750,000	$0

Field	Value	IRS element (for citing)
Supported Organizations Total	5	SupportedOrganizationsTotalCnt
Support Sum	$138,439,702	SupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

Field	Value	IRS element (for citing)
Listed By Name Governing Doc	Yes (1)	ListedByNameGoverningDocInd
Suprt Org No IRS Determination	0	SuprtOrgNoIRSDeterminationInd
Supported Org Section C456	0	SupportedOrgSectionC456Ind
Supported Org Not Organized US	0	SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org	0	OrganizationChangeSuprtOrgInd
Support Non Supported Org	0	SupportNonSupportedOrgInd
Payment Substantial Contribtr	0	PaymentSubstantialContribtrInd
Loan Disqualified Person	0	LoanDisqualifiedPersonInd
Controlled Disqualified Prsn	0	ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int	0	DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int	0	DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules	0	ExcessBusinessHoldingsRulesInd
Contribution Controller	0	ContributionControllerInd
Contribution Family	0	ContributionFamilyInd
Contribution35 Controlled	0	Contribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

Field	Value	IRS element (for citing)
Timely Provided Documents	Yes (1)	TimelyProvidedDocumentsInd
Officers Close Relationship	Yes (1)	OfficersCloseRelationshipInd
Supported Org Voice Investment	Yes (1)	SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

Field	Value	IRS element (for citing)
Parent Supported Org	Yes (X)	ParentSupportedOrgInd
Appoint Elect Majority Officer	Yes (1)	AppointElectMajorityOfficerInd
Exercise Direction Policies	Yes (1)	ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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.; AND WHITLEY MEMORIAL 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 3B:	SEE EXPLANATION FOR FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3A

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$72,574	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$31,251	OtherActivitiesAmt
Total Lobbying Expenditures	$103,825	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY - BOSE PUBLIC AFFAIRS GROUP, LLC $72,574 OTHER ACTIVITIES - REPRESENTS THE PORTION OF DUES PAID TO REGIONAL CHAMBER OF NORTHEAST INDIANA, AMERICAN ACADEMY OF FAMILY PHYSICIANS, AMERICAN COLLEGE OF PHYSICIANS, AMERICAN GASTROENTEROLOGICAL INSTITUTE, AMERICAN MEDICAL ASSOCIATION, AMERICAN ASSOCIATION FOR PHYSICIAN LEADERSHIP, AMERICAN COLLEGE OF CARDIOLOGY, AMERICAN OSTEOPATIC ASSOCIATION, AMERICAN UROLOGICAL ASSOCIATION, INDIANA OSTEOPATIC INSTITUTE, INDIANA STATE MEDICAL ASSOCIATION, AND SOCIETY OF THORACIC SURGEONS USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$15,668,694	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$35,611,168	OtherCostOrOtherBasisAmt
Book Value	$51,279,862	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$219,996,249	OtherCostOrOtherBasisAmt
Depreciation	$64,552,685	DepreciationAmt
Book Value	$155,443,564	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,183,604	OtherCostOrOtherBasisAmt
Depreciation	$4,999,128	DepreciationAmt
Book Value	$4,184,476	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$214,908,112	OtherCostOrOtherBasisAmt
Depreciation	$118,114,306	DepreciationAmt
Book Value	$96,793,806	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$19,594,287	OtherCostOrOtherBasisAmt
Depreciation	$8,320,953	DepreciationAmt
Book Value	$11,273,334	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$318,975,042	TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

Field	Value	IRS element (for citing)
Book Value	$156,457,082	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$156,457,082	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
DUE TO/FROM INTERUNIT	$405,049,293
PREPAID FINANCING COSTS	$2,174,181
MISCELLANEOUS	$1,522,437

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$408,745,911	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ACC RETIREMENTS COST	$96,781,439
RESERVE FOR SIGNATURE CARE	$5,244,174
RESERVE FOR MALPRACTICE	$6,398,358
KOSCIUSKO YMCA	$1,200,000
MISCELLANEOUS	$45,764

Field	Value	IRS element (for citing)
Total Liability	$109,669,735	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): PAGE 15 OF ATTACHED FINANCIAL STATEMENTS. INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2014 AND 2013, 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 2010 AND PRIOR.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	0	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$83,053	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$83,053	NetCommunityBenefitExpnsAmt
Total Expense	0.00020	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,466,481	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$908,684	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$557,797	NetCommunityBenefitExpnsAmt
Total Expense	0.00130	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$575,116	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$423,258	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$151,858	NetCommunityBenefitExpnsAmt
Total Expense	0.00040	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,124,650	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,331,942	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$792,708	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$887,684	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,245	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$811,439	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$814,086	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$814,086	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,767,790	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,767,790	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,469,560	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$76,245	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,393,315	NetCommunityBenefitExpnsAmt
Total Expense	0.01500	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,594,210	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,408,187	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,186,023	NetCommunityBenefitExpnsAmt
Total Expense	0.01690	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$605,954	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$605,954	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$949,225	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$949,225	NetCommunityBenefitExpnsAmt
Total Expense	0.00220	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$28,000	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$28,000	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$574,121	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$574,121	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,157,300	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,157,300	NetCommunityBenefitExpnsAmt
Total Expense	0.00510	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,370,471	BadDebtExpenseAmt
Bad Debt Expense Attributable	$36,502	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$6,700,735	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$8,579,175	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,878,440	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 IMAGING SERVICES HOLDING COMPANY LLC
HOLDING COMPANY	0.50000	0.50000
2 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
ORTHOPAEDIC HOSPITAL	0.60000	0.40000
3 PREMIER SURGERY CENTER LLC
SURGERY CENTER	0.50000	0.50000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	11119 PARKVIEW PLAZA DRIVE	AddressLine1Txt
City	FORT WAYNE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46845	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PARKVIEW.COM	WebsiteAddressTxt
State License	14-005845-1	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	13	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.PARKVIEW.COM/LOCALHEALTHNEEDS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.PARKVIEW.COM/LOCALHEALTHNEEDS	StrategyWebsiteURLTxt
Strategy Attached	0	StrategyAttachedInd
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
Explained Basis	0	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Collection Activities	0	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH,	PART 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,	PART 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,	PART V, SECTION B, LINE 11: 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 ORGANIZATIONS.
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH,	PART V, SECTION B, LINE 16I: POLICY WORDING IS IN THE PROCESS OF BEING UPDATED.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,	PART 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.

Field	Value	IRS element (for citing)
Facility	73	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (73 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
PARKVIEW PHYSICIANS GROUP
11109 PARKVIEW PLAZA DR	FORT WAYNE	IN	46845	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3909 NEW VISION DRIVE	FORT WAYNE	IN	46845	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11108 PARKVIEW CIRCLE	FORT WAYNE	IN	46845	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1818 CAREW STREET	FORT WAYNE	IN	46805	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DR	FORT WAYNE	IN	46845	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11141 PARKVIEW PLAZA DR	FORT WAYNE	IN	46845	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1270 EAST STATE ROAD 205	COLUMBIA CITY	IN	46725	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2003 STULTS ROAD	HUNTINGTON	IN	46750	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1515 HOBSON ROAD	FORT WAYNE	IN	46805	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11104 PARKVIEW CIRCLE DR	FORT WAYNE	IN	46845	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1331 MINNICH ROAD	NEW HAVEN	IN	46774	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2708 GUILFORD STREET	HUNTINGTON	IN	46750	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2231 CAREW STREET	FORT WAYNE	IN	46805	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
306 E MAUMEE STREET SUITE	ANGOLA	IN	46703	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
104 NICHOLAS PLACE	AVILLA	IN	46710	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2710 LAKE AVENUE	FORT WAYNE	IN	46805	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8911 LIBERTY MILLS RD	FORT WAYNE	IN	46804	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8028 CARNEGIE BLVD	FORT WAYNE	IN	46804	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
326 SAWYER ROAD	KENDALLVILLE	IN	46755	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2300 DUBOIS DR	WARSAW	IN	46580	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
6130 TRIER ROAD	FORT WAYNE	IN	46815	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
10515 ILLINOIS ROAD	FORT WAYNE	IN	46814	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
207 N TOWNLINE ROAD	LAGRANGE	IN	46761	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
6920 POINTE INVERNESS WAY SUITE 120	FORT WAYNE	IN	46804	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
5104 N CLINTON	FORT WAYNE	IN	46825	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
512 N PROFESSIONAL WAY	KENDALLVILLE	IN	46755	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11115 PARKVIEW PLAZA DR	FORT WAYNE	IN	46845	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
6108 MAPLECREST ROAD	FORT WAYNE	IN	46835	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2402 LAKE AVENUE	FORT WAYNE	IN	46805	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1314 EAST 7TH STREET SUITE 103	AUBURN	IN	46706	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8607 TEMPLE DR	FORT WAYNE	IN	46809	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1316 EAST SEVENTH STREET	AUBURN	IN	46706	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1464 LINCOLNWAY SOUTH	LIGONIER	IN	46767	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1104 N WAYNE ST	NORTH MANCHESTER	IN	46962	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
15707 OLD LIMA RD	HUNTERTOWN	IN	46748	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
13430 MAIN ST	GRABILL	IN	46741	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
885 WEST CONNEXION WAY SUITE 200A	COLUMBIA CITY	IN	46725	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2814 THEATER AVENUE	HUNTINGTON	IN	46750	PHYSICIAN OFFICE
PARKVIEW ORTHO CENTER LLC
11420 PARKVIEW CIRCLE DRIVE	FORT WAYNE	IN	46845	SURGERY CENTER
PARKVIEW PHYSICIANS GROUP
4084 NORTH US HWY 33	CHURUBUSCO	IN	46723	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8175 WEST US 20	SHIPSHEWANA	IN	46565	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
620 W NORTH STREET	COLUMBIA CITY	IN	46725	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
4665 STATE ROAD 5	SOUTH WHITLEY	IN	46787	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
401 SAWYER ROAD	KENDALLVILLE	IN	46755	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
420 SAWYER ROAD PO BOX 99	KENDALLVILLE	IN	46755	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
817 TRAIL RIDGE ROAD	ALBION	IN	46701	PHYSICIAN OFFICE
IMAGING SYSTEMS HOLDINGS LLC
3707 NEW VISION DRIVE	FORT WAYNE	IN	46845	IMAGING SERVICES
PARKVIEW PHYSICIANS GROUP
4666 W JEFFERSON BLVD	FORT WAYNE	IN	46804	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
577 GEIGER DRIVE SUITE C	ROANOKE	IN	46783	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
US HWY 30 WEST 5 MATCHETT DRIVE	PIERCETON	IN	46562	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2600 N DETROIT ST SR 9	LAGRANGE	IN	46761	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
410 SAWYER ROAD	KENDALLVILLE	IN	46755	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2200 RANDALLIA DRIVE	FORT WAYNE	IN	46805	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2001 STULTS ROAD	HUNTINGTON	IN	46750	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
710 N EAST STREET	WABASH	IN	46992	PHYSICIAN OFFICE
PREMIER SURGERY CENTER LLC
1333 MAYCREST DRIVE	FORT WAYNE	IN	46805	SURGERY CENTER
PARKVIEW PHYSICIANS GROUP
150 GROWTH PARKWAY	ANGOLA	IN	46703	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1234 EAST DUPONT ROAD SUITE 5	FORT WAYNE	IN	46825	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3303 TRIER ROAD SUITE 1	FORT WAYNE	IN	46815	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2500 E BELLEFONTAINE RD	HAMILTON	IN	46742	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3828 NEW VISION DRIVE	FORT WAYNE	IN	46845	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
112 S MAIN ST	MILFORD	IN	46542	PHYSICIAN OFFICE
FOUNDATION SURGERY AFF OF FT WAYNE LLC
8004 CARNEGIE BLVD	FORT WAYNE	IN	46804	SURGERY CENTER
PARKVIEW PHYSICIANS GROUP
3816 NEW VISION DRIVE BUILDING D	FORT WAYNE	IN	46845	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
344 N MAIN STREET	COLUMBIA CITY	IN	46725	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2280 PROVIDENT COURT	WARSAW	IN	46580	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1129 FIRST ST	HUNTINGTON	IN	46750	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
410 EAST MITCHELL STREET	KENDALLVILLE	IN	46755	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
412 SAWYER ROAD	KENDALLVILLE	IN	46755	PHYSICIAN OFFICE
NORTHEAST INDIANA CANCER CENTER LLC
516 E MAUMEE STREET	ANGOLA	IN	46703	MEDICAL SERVICES
PARKVIEW PHYSICIANS GROUP
1758 WEST 100 SOUTH	PORTLAND	IN	47371	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
276 MANCHESTER AVE	WABASH	IN	46992	PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1391 N BALDWIN AVE	MARION	IN	46952	PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 CHARITY CARE 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 CHARITY CARE 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 $10,287,381 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 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 NEW FAMILY PRACTICE OFFICES AT LIBERTY MILLS IN SOUTHWEST FORT WAYNE AND NEW VISION DRIVE ON PARKVIEW'S NORTH CAMPUS. ALSO, ADDITIONAL HOURS FOR WALK-IN CLINICS LOCATED AT VARIOUS PARKVIEW PHYSICIAN GROUP OFFICES HAVE BEEN INSTITUTED TO ACCOMMODATE SAME-DAY APPOINTMENTS. PHYSICAL IMPROVEMENTS:THE PARKVIEW NORTH 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 MARKETING PARTNERSHIP'S VISION 20/20 CAMPAIGN TO MARKET NORTHEAST INDIANA ON A GLOBAL BASIS. 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 TEN-COUNTY NORTHEAST INDIANA REGION. VISION 20/20'S PRIORITIES ARE TIED TO EDUCATION/WORKFORCE, BUSINESS CLIMATE, ENTREPRENEURSHIP, INFRASTRUCTURE AND QUALITY OF LIFE FOR THE TEN-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 A 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.
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 12 OF ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. PARKVIEW 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.
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, AND SOUTHEAST MICHIGAN. THE TOTAL POPULATION OF OUR SERVICE AREA IS OVER 880,000. THE SYSTEM OPERATES HOSPITALS IN ALLEN, HUNTINGTON, LAGRANGE, NOBLE, AND WHITLEY COUNTIES. ALLEN COUNTY IS CONSIDERED THE URBAN AREA AMONGST THE OTHER RURAL COUNTIES AND REPRESENTS 70% OF THE TOTAL POPULATION OF THE FIVE-COUNTY AREA. EVEN THOUGH PARKVIEW'S PATIENT SERVICE AREA EXTENDS FAR BEYOND THE FIVE-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 FIVE 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 ARE NO FQHCS IN OUR CONTIGUOUS COUNTIES. THE POPULATION OF THE FIVE-COUNTY AREA ACCORDING TO 2013 STATISTICS IS 518,665. THE AVERAGE PERCENTAGE OF THOSE BELOW THE FEDERAL POVERTY LEVEL IS 13.0% FOR THE FIVE-COUNTY AREA. THE MEDIAN HOUSEHOLD INCOME RANGES FROM $44,828 (HUNTINGTON) TO $52,673 (WHITLEY). THE UNEMPLOYMENT RATE RANGES FROM 4.5% (LAGRANGE COUNTY) TO 5.9% (ALLEN AND HUNTINGTON COUNTIES) AS OF FEBRUARY 2015.
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 RANDALLIA HOSPITAL) IS IN THE PROCESS OF RECEIVING 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 MIRRO CENTER FOR RESEARCH AND INNOVATION WAS NEAR COMPLETION AS 2014 CAME TO A CLOSE. 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 WILL BE 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 PHYSICIAN 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 CANI COVERING KIDS AND FAMILIES THAT PROVIDES ENROLLMENT ELIGIBILITY 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 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 MIRRO RESEARCH AND INNOVATION CENTER AND DEVELOPMENT OF THE LIFE SCIENCE EDUCATION AND RESEARCH CONSORTIUM.-PROMOTING ECONOMIC AND OTHER DEVELOPMENT OF THE COMMUNITY THROUGH 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 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, NUTRITION EDUCATION AND TRAUMA INJURY PREVENTION EDUCATION.
PART VI, LINE 6:	IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC., COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC., COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., WHITLEY MEMORIAL HOSPITAL, INC. AND HUNTINGTON MEMORIAL HOSPITAL, INC., AS WELL AS 60% OWNERSHIP IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. PARKVIEW IS GUIDED BY A MISSION TO IMPROVE THE HEALTH AND 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 FIVE-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 AND STAFF. PARKVIEW'S MISSION IS TO PROVIDE HIGH QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US AND TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITIES. 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 STATES	IN
PART VI, LINE 7:	A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
KOSCIUSKO COMMUNITY YMCA INC
1401 E SMITH STREET	WARSAW	IN	46580	351068182	501 (C ) 3	$2,341,328	CAPITAL CAMPAIGN
PARKVIEW FOUNDATION INC
10622 PARKVIEW PLAZA DRIVE	FORT WAYNE	IN	46848	237220589	501 ( C ) 3	$697,749	PPG INNOVATION
TURNSTONE CENTER FOR CHILDREN AND ADULTS WITH DISABILITIES INC
3320 NORTH CLINTON	FORT WAYNE	IN	46805	350913541	501 ( C ) 3	$501,000	CAPITAL CAMPAIGN & EVENT SPONSORSHIP
ARTS UNITED OF GREATER FORT WAYNE INC
300 EAST MAIN STR	FORT WAYNE	IN	46802	350992067	501 ( C ) 3	$500,000	CAPITAL CAMPAIGN
RESCUE MISSION
301 W SUPERIOR ST	FORT WAYNE	IN	46802	351054670	501 ( C ) 3	$250,250	OPERATIONS TO PROVIDE SHELTER AND OTHER RESOURCES FOR HOMELESS MEN
ASSOCIATED CHURCHES OF FORT WAYNE AND ALLEN COUNTY INC
602 EAST WAYNE ST	FORT WAYNE	IN	46802	350905944	501 ( C ) 3	$250,000	PROGRAMS AND SERVICES FOR VULNERABLE POPULATIONS
HABITAT FOR HUMANITY
2020 E WASHINGTON BLVDSTE 500	FORT WAYNE	IN	46803	351687064	501 ( C ) 3	$250,000	FULLER'S LANDING DEVELOPMENT AND TRAINING PROGRAMS FOR HOME RECIPIENT FAMILIES
YOUTH FOR CHRIST
6427 OAKBROOK PARKWAY	FORT WAYNE	IN	46825	351051837	501 ( C ) 3	$250,000	BETTER TOGETHER CAMPAIGN TO EXPAND PROGRAMMING
INDIANA UNIVERSITY FOUNDATION
PO BOX 500	BLOOMINGTON	IN	47402	356018940	501 ( C ) 3	$211,500	SUPPORT FOR SCHOOL & SCHOLARSHIPS
FORT WAYNE ZOOLOGICAL SOCIETY
3411 SHERMAN BLVD	FORT WAYNE	IN	46808	356068234	501 ( C ) 3	$200,000	CAPITAL CAMPAIGN
CITY OF FORT WAYNE
ONE EAST MAIN STREET	FORT WAYNE	IN	46802		GOVT ORG	$165,000	105520 - 10/02/15 03:06PM WORKSHEET SCHEDULE I
UNIVERSITY OF SAINT FRANCIS
2701 SPRING STREET	FORT WAYNE	IN	46806	350886846	501 ( C ) 3	$152,000	SUPPORT FOR SCHOOL
YMCA OF DEKALB COUNTY
310 NORTH MAIN STREET	AUBURN	IN	46706	350868958	501 ( C ) 3	$80,000	CAPITAL CAMPAIGN
ELEVATE VENTURES INC
50 EAST 91ST STREET	INDIANAPOLIS	IN	46240	274118692	501 ( C ) 3	$66,000	ENTREPRENEURSHIP ACTION PLAN
WABASH COUNTY YMCA
500 S CASS STREET	FORT WAYNE	IN	46992	350733765	501 ( C ) 3	$43,925	COLLEGE SAVINGS ACCOUNT PROGRAM
ALWAYS 100 INC
3946 ICE WAY	FORT WAYNE	IN	46805	453586802	501 ( C ) 3	$36,040	SPORTS/ATHLETIC TRAINING PROGRAM
FELLOWSHIP OF CHRISTIAN ATHLETES
578 GEIGER DR STE A1	ROANOKE	IN	46783	440610626	501 ( C ) 3	$35,000	EVENT SPONSORSHIPS TO SUPPORT MENTORING PROGRAMS FOR YOUTH INVOLVED IN ORGANIZED SPORTS
MIDWEST ALLIANCE FOR HEALTH EDUCATION
11108 PARKVIEW CIRCLE	FORT WAYNE	IN	46845	351637515	501 ( C ) 3	$35,000	STUDENT RESEARCH FELLOWSHIP PROGRAM
SCIENCE CENTRAL
1950 N CLINTON	FORT WAYNE	IN	46805	311032583	501 ( C ) 3	$33,893	EDUCATIONAL DISPLAY
RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA
11109 PARKVIEW PLAZA DRIVE	FORT WAYNE	IN	46845	351950376	501 ( C ) 3	$32,553	PROGRAM THAT PROVIDES OVERNIGHT ACCOMODATIONS FOR PARENTS OF CHILD HOSPITAL IN-PATIENTS
FORT WAYNE DANCE COLLECTIVE INC
437 EAST BERRY STREET	FORT WAYNE	IN	46802	310958473	501 ( C ) 3	$25,000	SCHOLARSHIPS FOR EDUCATIONAL PROGRAMS
GLOBAL LEADERSHIP SUMMIT AND BEYOND
7400 EAST STATE BLVD	FORT WAYNE	IN	46815	351285808	501 ( C ) 3	$25,000	SCHOLARSHIPS FOR LEADERSHIP TRAINING
IPFW
2101 EAST COLISEUM BLVD	FORT WAYNE	IN	46805	356033698	501 ( C ) 3	$22,500	SPONSORSHIPS & DONATIONS TO BENEFIT SCHOOL PROGRAMMING
CAMERON HOSPITAL FOUNDATION
416 E MAUMEE ST	ANGOLA	IN	46703	351722087	501 ( C ) 3	$22,300	FOUNDATION FUNDRAISER FOR THE HOSPITAL
STEUBEN COUNTY COMMUNITY FOUNDATION
1701 N WAYNE ST	ANGOLA	IN	46703	351857065	501 ( C ) 3	$20,000	ANGOLA BALLOONS ALOFT FUND THAT PROVIDES ASSISTANCE TO THE INDIGENT
FORT WAYNE URBAN LEAGUE
2135 SOUTH HANNA STREET	FORT WAYNE	IN	46803	350869052	501 ( C ) 3	$19,700	EVENT SPONSORSHIPS
INTERFAITH HOSPITALITY NETWORK OF FORT WAYNE
PO BOX 13326	FORT WAYNE	IN	46868	352089785	501 ( C ) 3	$19,500	SUPPORT OF OPERATIONS FOR THE COORDINATION OF COMMUNITY RESOURCES FOR HOMELESS FAMILIES
BOYS AND GIRLS CLUB OF FORT WAYNE
2609 FAIRFIELD AVENUE	FORT WAYNE	IN	46807	351778767	501 ( C ) 3	$16,675	AFTER-SCHOOL AND SUMMER PROGRAMS THAT PROVIDE POSITIVE, EDUCATIONAL EXPERIENCES FOR LOW-INCOME CHILDREN

Field	Value	IRS element (for citing)
Total501c3 Org	28	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	COMMUNITY HEALTH IMPROVEMENT FUNDING PARTNER ORGANIZATIONS ARE REQUIRED TO SUBMIT AN ANNUAL PROGRESS REPORT RELATED TO PROGRAM FUNDING. PARTNER ORGANIZATIONS ARE REQUIRED TO RE-APPLY FOR FUNDING ON AN ANNUAL BASIS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Personal Services	Yes (X)	PersonalServicesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (28 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO	$917,476	$0	$361,729	$0	$22,018	$0	$198,402	$0	$26,489	$0	$1,526,114	$0	$0	$0
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH PHYSICIAN	$657,063	$0	$191,953	$0	$20,513	$0	$102,940	$0	$27,314	$0	$999,783	$0	$0	$0
ROBERT GODLEY
DIRECTOR/PH PHYSICIAN	$578,105	$0	$96,100	$0	$10,590	$0	$28,600	$0	$21,520	$0	$734,915	$0	$0	$0
JOSHUA KLINE
DIRECTOR/PH PHYSICIAN	$374,845	$0	$33,265	$0	$169,874	$0	$18,200	$0	$22,180	$0	$618,364	$0	$166,668	$0
LARRY ROWLAND
DIRECTOR	$307,250	$0	$0	$0	$0	$0	$0	$0	$0	$0	$307,250	$0	$0	$0
MICHAEL BROWNING
PH SVP & CFO	$515,063	$0	$202,344	$0	$19,226	$0	$72,000	$0	$27,949	$0	$836,582	$0	$0	$0
RICK HENVEY
PH SVP & COO	$443,984	$0	$95,062	$0	$16,003	$0	$47,216	$0	$24,628	$0	$626,893	$0	$14,805	$0
MITCHELL STUCKY
PH PHYSICIAN	$370,198	$0	$93,817	$0	$157,843	$0	$69,086	$0	$21,139	$0	$712,083	$0	$152,278	$0
SUZANNE EHINGER
PH SVP	$411,976	$32,958	$138,867	$0	$33,598	$0	$79,800	$4,500	$20,579	$1,160	$684,820	$38,618	$13,160	$0
RONALD DOUBLE
PH SVP & CIO	$371,466	$0	$156,641	$0	$15,577	$0	$72,500	$0	$5,344	$0	$621,528	$0	$14,059	$0
MARK PIERCE
PH CMIO	$296,819	$0	$86,267	$0	$26,378	$0	$49,010	$0	$24,556	$0	$483,030	$0	$15,963	$0
JEFFREY BROOKES
PH MEDICAL DIR - COMMUNITY	$2,191	$302,923	$83,798	$0	$19,644	$0	$12,424	$35,630	$4,343	$12,454	$122,400	$351,007	$16,806	$0
RICHARD ROBINSON
PH SVP	$270,158	$0	$78,836	$0	$49,798	$0	$47,700	$0	$16,694	$0	$463,186	$0	$41,366	$0
JILL OSTREM
PH SVP	$273,171	$0	$72,516	$0	$22,183	$0	$44,294	$0	$22,566	$0	$434,730	$0	$15,476	$0
THOMAS BOND
PH CMO	$288,671	$0	$75,194	$0	$1,040	$0	$59,750	$0	$22,942	$0	$447,597	$0	$0	$0
JAMES STAPEL
PH MEDICAL DIR - PPG	$241,461	$0	$67,136	$0	$38,369	$0	$57,887	$0	$19,590	$0	$424,443	$0	$29,937	$0
DAVID STOREY
PH SVP	$283,978	$0	$51,082	$0	$594	$0	$42,887	$0	$23,170	$0	$401,711	$0	$0	$0
JAMES WITMER
PH SVP	$218,554	$0	$63,412	$0	$16,090	$0	$40,158	$0	$16,552	$0	$354,766	$0	$11,734	$0
JAMES HAUGUEL
PH SVP	$203,880	$0	$58,675	$0	$12,458	$0	$45,716	$0	$9,340	$0	$330,069	$0	$10,964	$0
NORA BASS
PH SVP	$203,145	$0	$59,218	$0	$1,507	$0	$30,090	$0	$11,078	$0	$305,038	$0	$0	$0
JOHN MEISTER
PH SVP	$198,380	$0	$58,339	$0	$4,359	$0	$40,377	$0	$18,812	$0	$320,267	$0	$0	$0
PATRICIA BRAHE
PH SVP	$188,131	$0	$54,650	$0	$4,018	$0	$35,826	$0	$12,230	$0	$294,855	$0	$0	$0
SAILAJA BLACKMON
PH PHYSICIAN	$730,781	$0	$99,526	$0	$2,331	$0	$23,400	$0	$26,520	$0	$882,558	$0	$0	$0
MICHAEL GRABOWSKI
PH PHYSICIAN	$613,918	$72,873	$57,107	$0	$17,000	$2,018	$21,103	$2,297	$19,408	$2,112	$728,536	$79,300	$0	$0
JUDITH KENNEDY
PH PHYSICIAN	$671,366	$0	$86,492	$0	$1,518	$0	$18,200	$0	$22,520	$0	$800,096	$0	$0	$0
JOHN DRAKE
PH PHYSICIAN	$639,863	$9,672	$82,591	$0	$4,574	$0	$28,600	$0	$22,520	$0	$778,148	$9,672	$0	$0
ROY ROBERTSON
PH PHYSICIAN	$614,005	$0	$95,930	$0	$4,875	$0	$28,600	$0	$20,620	$0	$764,030	$0	$0	$0
STANTON RISSER
FORMER OFFICER/CURRENT PH EMPLOYEE	$165,187	$0	$25,633	$0	$1,013	$0	$24,847	$0	$21,147	$0	$237,827	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	TRAVEL FOR COMPANIONS BOARD RETREAT MEAL EXPENSE FOR FAMILY MEMBER PAID TO: MICHAEL BROWNING $154; JANET CHRZAN $154; RAYMOND DUSMAN $154; BRIAN EMERICK $154; ROBERT GODLEY $154; DAVID HAIST $154; RICK HENVEY $154; THOMAS KARST $154; THOMAS KIMBROUGH $154; JOSHUA KLINE $154; MICHAEL PACKNETT $154; CHARLES SCHRIMPER $154; THOMAS WALSH $154; LUTHER WHITFIELD $154 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - MEALS PAID TO: MICHAEL BROWNING $4; RAYMOND DUSMAN $21; ROBERT GODLEY $4; RICK HENVEY $4; JOSHUA KLINE $8; MICHAEL PACKNETT $8 PERSONAL SERVICES TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: JOSHUA KLINE $400, ROY ROBERTSON $500
PART I, LINE 4B	SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS TAXABLE - JEFFREY BROOKES $16,806; RONALD DOUBLE $14,059; SUZANNE EHINGER $13,060; JAMES HAUGUEL $10,964; RICK HENVEY $14,805; JOSHUA KLINE $166,668; JILL OSTREM $15,476; MARK PIERCE $15,963; RICHARD ROBINSON $41,366; JAMES STAPEL $29,937; MITCHELL STUCKY $152,278; WITMER $11,734 PARTICIPANTS DEFERRED - NORA BASS $22,934; THOMAS BOND $32,450; PATRICIA BRAHE $21,165; JEFFREY BROOKES $32,454; MICHAEL BROWNING $59,000; RONALD DOUBLE $41,300; RAYMOND DUSMAN $74,340; SUZANNE EHINGER $53,100; JAMES HAUGUEL $22,724; RICK HENVEY $36,816; JILL OSTREM $31,294; JOHN MEISTER $22,593; MICHAEL PACKNETT $180,202; MARK PIERCE $33,410; STANTON RISSER $11,702; RICHARD ROBINSON $29,500; JAMES STAPEL $26,687; DAVID STOREY $24,780; MITCHELL STUCKY $40,486; JAMES WITMER $24,558
PART I, LINE 7	MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) IS AN ANNUAL INCENTIVE PROGRAM. 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 ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY
A	351602316	45471ABQ4	2009-08-27	$264,703,254	SEE PART VI	Yes (1)	0	0
INDIANA FINANCE AUTHORITY
B	351602316	45471AAS1	2009-08-27	$223,665,000	SEE PART VI	0	0	0
INDIANA FINANCE AUTHORITY
C	351602316	NONEAVAIL	2012-05-24	$28,000,000	SEE PART VI	0	0	0
INDIANA FINANCE AUTHORITY
D	351602316	45471AHR6	2012-05-24	$94,631,826	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Credit EnhancementCreditEnhancementAmt	Capital ExpendituresCapitalExpendituresAmt
A	$43,280,000	$37,335,000	$264,704,689	$20,970,661	$3,453,166	$261,251,523	2009	Yes (1)	0	Yes (1)	Yes (1)
B			$223,915,573		$1,369,431	$73,265,671	2011	Yes (1)	0	Yes (1)	Yes (1)	$193,601	$149,086,870
C			$28,000,000			$28,000,000	2012	Yes (1)	0	Yes (1)	Yes (1)
D	$2,675,000		$94,754,667		$1,022,698	$93,731,969	2012	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd
(no name)
A	0	0	0	Yes (1)	0	0	0	0	Yes (1)
WELLS FARGO & PNC
B	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0	0	Yes (1)	20.000000000000	0	0
(no name)
C	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	0	Yes (1)
(no name)
D	0	0	0	Yes (1)	0	0	0	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 B	SERIES 2009BCD - 1) NEW MONEY FOR CONSTRUCTION OF NEW HOSPITAL IN FORT WAYNE, IN 2) FULLY REFUNDED BALANCE OF OUTSTANDING 2005 SERIES BONDS WHICH WERE ISSUED ON JULY 28, 2005
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 (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GALILEO MANAGEMENT SERVICES LLC
ENTITY OF WHICH DIRECTOR LARRY ROWLAND OWNED A 35% OR GREATER INTEREST	$300,000	VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH.	0
KRIS CONKLIN
FAMILY MEMBER OF FORMER OFFICER STANTON RISSER	$25,706	KRIS CONKLIN RECEIVED COMPENSATION FROM PARKVIEW HEALTH SYSTEM, INC.	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART V, LINES 1A AND 2A:	PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION AS WELL AS RELATED ENTITIES. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2 AND W-3 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2014 WAS 493. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2014 WAS 10,268. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR PARKVIEW HEALTH SYSTEM, INC. WAS 270 AND 3,325 RESPECTIVELY.
FORM 990, PART VI, SECTION A, LINE 1	THE 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 2	OFFICER MICHAEL BROWNING, DIRECTOR RAYMOND DUSMAN, KEY EMPLOYEE THOMAS BOND, KEY EMPLOYEE JEFFREY BROOKES AND KEY EMPLOYEE SUZANNE EHINGER HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER MICHAEL BROWNING, OFFICER RICK HENVEY AND KEY EMPLOYEE MITCHELL STUCKY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER MICHAEL BROWNING AND KEY EMPLOYEE JOHN MEISTER HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER MICHAEL BROWNING, DIRECTOR RAYMOND DUSMAN, KEY EMPLOYEE NORA BASS AND KEY EMPLOYEE MITCHELL STUCKY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. KEY EMPLOYEE NORA BASS, KEY EMPLOYEE SUZANNE EHINGER AND KEY EMPLOYEE RICHARD ROBINSON HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. KEY EMPLOYEE SUZANNE EHINGER AND KEY EMPLOYEE RICHARD ROBINSON HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY.
FORM 990, PART VI, SECTION A, LINE 4	DURING 2014, THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS OF PARKVIEW HEALTH SYSTEM, INC.: ARTICLE IV, SECTION 2 IS AS FOLLOWS: THE BOARD OF DIRECTORS SHALL BE COMPOSED OF NO MORE THAN TWENTY-FOUR (24) DIRECTORS. THE COMPOSITION OF THE BOARD OF DIRECTORS SHALL CONSIST OF THE FOLLOWING: (A) SIX (6) EX-OFFICIO VOTING MEMBERS, WHO SHALL CONSIST OF THE CHAIRS OF PARKVIEW HOSPITAL, PARKVIEW WHITLEY HOSPITAL, PARKVIEW HUNTINGTON HOSPITAL, PARKVIEW NOBLE HOSPITAL, PARKVIEW LAGRANGE HOSPITAL AND PARKVIEW PHYSICIANS' GROUP OR SUCH OTHER MEMBER OF THE BOARD AS DESIGNATED BY THE RESPECTIVE BOARD; (B) UP TO SIXTEEN (16) AT-LARGE PHYSICIAN OR COMMUNITY LEADERS; AND (C) THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE CHIEF PHYSICIAN EXECUTIVE OF THE CORPORATION. A MAJORITY OF THE BOARD OF DIRECTORS SHALL, AT ALL TIMES, BE CONSIDERED TO BE INDEPENDENT, AS DEFINED BY THE INTERNAL REVENUE SERVICE. ELECTED DIRECTORS SHALL BE SELECTED FROM AMONG PERSONS, INCLUDING RESIDENTS OF THE COMMUNITIES SERVED BY THE CORPORATION, WHO HAVE DEMONSTRATED THEIR ABILITY TO PARTICIPATE EFFECTIVELY IN THE DISCHARGE OF CORPORATE RESPONSIBILITIES AND WHO ARE ABLE AND WILLING TO SERVE AND WHO SATISFY THE CRITERIA FOR BOARD PARTICIPATION. CONSIDERATION SHOULD BE GIVEN TO PROMOTE DIVERSITY ON THE BOARD OF DIRECTORS. ONE OF THE PRIMARY FUNCTIONS OF THE SYSTEM BOARD WILL BE TO CREATE THE VISION AND STRATEGIC PLAN. AS A RESULT, DIRECTORS SHALL BE INDIVIDUALS WHO HAVE DEMONSTRATED LEADERSHIP SKILLS, RELEVANT EXPERTISE, INTEGRITY, DEMONSTRATED PROFESSIONAL / BUSINESS SUCCESS AND WHO ARE PEOPLE OF VISION. WHEN VACANCIES ON THE BOARD OCCUR BY REASON OF DEATH, RESIGNATION, OR OTHERWISE, THE NUMBER OF DIRECTORS SHALL BE REDUCED BY SUCH VACANCIES UNTIL QUALIFIED REPLACEMENTS ARE ELECTED, AS SET FORTH IN ARTICLE IV, SECTION 4. IT SHALL BE THE DUTY OF DIRECTORS TO ATTEND REGULAR, SPECIAL AND ANNUAL MEETINGS. ARTICLE IV, SECTION 9 IS AS FOLLOWS: THE CHAIR, REGARDLESS OF TENURE OF BOARD MEMBERSHIP AND THE RESTRICTIONS OF ELIGIBILITY SET FORTH IN THIS ARTICLE, MAY BE SUCCESSIVELY ELECTED FOR NO MORE THAN FIVE (5) ONE-YEAR TERMS, WHERE CONSECUTIVE SERVICE AS THE CHAIR IS DETERMINED TO BE APPROPRIATE FOR ORGANIZATIONAL EFFECTIVENESS. AFTER SERVICE AS CHAIR, THE CHAIR SHALL NOT BE ELIGIBLE FOR RE-ELECTION TO THE SAME POSITION UNTIL EXPIRATION OF THREE (3) INTERVENING YEARS. IF A CHAIR'S NORMAL TERM AS A DIRECTOR EXPIRES WHILE SERVING AS THE CHAIR, AND IF HE/SHE IS NOMINATED FOR REELECTION AS CHAIR, IN ORDER TO SERVE AS CHAIR, HE/SHE WILL BE RE-ELECTED TO THE BOARD FOR AN ADDITIONAL YEAR BEYOND THEIR TERM AS CHAIR, SECTION 3 OF THIS ARTICLE NOTWITHSTANDING. ARTICLE VI, SECTION 1 IS AS FOLLOWS: THE BOARD MAY ESTABLISH FROM TIME TO TIME SUCH STANDING AND SPECIAL COMMITTEES AS IT SHALL DEEM NECESSARY FOR THE CONDUCT OF THE CORPORATION'S AFFAIRS. UNLESS THE COMMITTEE MEMBERSHIP IS OTHERWISE SPECIFIED BY THESE BYLAWS, ALL STANDING COMMITTEES SHALL BE COMPOSED OF NOT LESS THAN FIVE (5) MEMBERS. MEMBERSHIP ON THE PARKVIEW HEALTH BOARD, OR A PARKVIEW HEALTH SUBSIDIARY OR AFFILIATE BOARD, SHALL NOT BE A REQUIREMENT FOR COMMITTEE MEMBERSHIP OR FOR SERVICE AS A COMMITTEE CHAIR. UNLESS OTHERWISE SPECIFIED IN THESE BYLAWS, THE CHAIR OF THE BOARD SHALL APPOINT THE COMMITTEE MEMBERS AND THE CHAIR OF EACH COMMITTEE AND DESIGNATE THE TERM OF OFFICE FOR EACH COMMITTEE MEMBER. NOTWITHSTANDING ANY SPECIAL DESIGNATION WITHIN THESE BYLAWS AS TO THE COMPOSITION OF A PARTICULAR COMMITTEE, THE CHAIR MAY DESIGNATE OTHER COMMITTEE MEMBERS AS DEEMED NECESSARY. EXCEPT AS TO THE AUDIT AND COMPENSATION COMMITTEES, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE A MEMBER OF EACH COMMITTEE AND MAY DESIGNATE ANOTHER DIRECTOR OR OFFICER TO ATTEND COMMITTEE MEETINGS ON HIS/HER BEHALF. ALL COMMITTEES SHALL KEEP MINUTES OF THEIR MEETINGS AND SUBMIT THE MINUTES TO THE BOARD. ARTICLE VI, SECTION 3 IS AS FOLLOWS: THE BOARD SHALL HAVE THE FOLLOWING STANDING COMMITTEES: (A) EXECUTIVE COMMITTEE (B) GOVERNANCE COMMITTEE (C) COMPENSATION COMMITTEE (D) FINANCE COMMITTEE (E) CORPORATE COMPLIANCE COMMITTEE (F) QUALITY COMMITTEE (G) AUDIT COMMITTEE (H) IT GOVERNANCE COMMITTEE ARTICLE VI, SECTION 4 IS AS FOLLOWS: EXECUTIVE COMMITTEE. (A) COMPOSITION. THE EXECUTIVE COMMITTEE SHALL CONSIST OF A MAXIMUM OF EIGHT (8) MEMBERS, INCLUDING THE FOLLOWING: THE PARKVIEW HEALTH BOARD CHAIR WHO SHALL ALSO SERVE AS CHAIR OF THE COMMITTEE, THE PARKVIEW HEALTH BOARD VICE CHAIR, THE PARKVIEW HEALTH PRESIDENT AND CHIEF EXECUTIVE OFFICER AND UP TO FIVE (5) "AT LARGE" MEMBERS NOMINATED ANNUALLY BY THE GOVERNANCE COMMITTEE AND APPOINTED BY THE PARKVIEW HEALTH BOARD CHAIR, ALL OF WHOM SHALL BE INDEPENDENT. ALL MEMBERS SHALL HAVE VOTING RIGHTS. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. (B) DUTIES. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION. IN ADDITION, THE COMMITTEE SHALL PERFORM ALL RESPONSIBILITIES DELEGATED TO IT BY THE BOARD AND MAY EXERCISE ALL POWERS OF THE BOARD; PROVIDED, HOWEVER, THE COMMITTEE MAY NOT (I) APPROVE PARKVIEW HEALTH STRATEGIC PLANS, (II) FILL BOARD VACANCIES, (III) AMEND OR REPEAL THE BYLAWS OF PARKVIEW HEALTH OR (IV) TAKE ANY OTHER ACTION PROHIBITED BY LAW OR PROHIBITED BY PARKVIEW HEALTH'S BYLAWS OR ARTICLES OF INCORPORATION. THE DUTIES OF THE EXECUTIVE COMMITTEE SHALL BE MORE FULLY SET FORTH IN THE EXECUTIVE COMMITTEE CHARTER APPROVED FROM TIME TO TIME BY A MAJORITY VOTE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL MEET NO LESS FREQUENTLY THAN QUARTERLY, ON ALTERNATE MONTHS FROM THE BOARD AND SHALL PROVIDE REGULAR REPORTS TO THE FULL BOARD. ARTICLE VI, SECTION 6 IS AS FOLLOWS: COMPENSATION COMMITTEE. (A) COMPOSITION. THE COMPENSATION COMMITTEE SHALL CONSIST OF THE CHAIR OF THE BOARD AND UP TO FOUR (4) OTHER AT-LARGE MEMBERS NOMINATED ANNUALLY BY THE GOVERNANCE COMMITTEE AND APPOINTED BY THE PARKVIEW HEALTH BOARD CHAIR. THE PARKVIEW HEALTH PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL ATTEND EACH MEETING, BUT SERVE AS A NON-VOTING STAFF MEMBER. NO INTERESTED PERSON MAY SERVE ON THE COMPENSATION COMMITTEE. (B) THE COMPENSATION COMMITTEE IS CHARGED WITH MAINTAINING AN OVERALL COMPENSATION PHILOSOPHY AND APPROACH THAT FOSTERS THE STRENGTH, QUALITY AND STABILITY OF LEADERSHIP NECESSARY TO ENSURE THE SUCCESS OF PARKVIEW HEALTH AND IS CONSISTENT WITH THE CHARITABLE, TAX-EXEMPT STATUS OF PARKVIEW HEALTH AND IN COMPLIANCE WITH ALL APPLICABLE LEGAL AND REGULATORY STANDARDS. THE COMPENSATION COMMITTEE SHALL REVIEW AND RECOMMEND THE COMPENSATION, BENEFITS AND PERQUISITES FOR THE PARKVIEW HEALTH PRESIDENT/CEO AND ALL SENIOR EXECUTIVES, PHYSICIAN EXECUTIVES AND PARKVIEW PHYSICIANS WHO ARE ALSO BOARD MEMBERS TO ENSURE CONSISTENCY WITH PARKVIEW HEALTH'S COMPENSATION PHILOSOPHY. NO OTHER BOARD COMMITTEE SHALL APPROVE EXECUTIVE COMPENSATION ARRANGEMENTS. OTHER THAN PHYSICIAN EXECUTIVES AND PHYSICIANS WHO SERVE ON A PARKVIEW HEALTH BOARD, ALL OTHER PHYSICIAN COMPENSATION ARRANGEMENTS SHALL BE REVIEWED AND APPROVED BY THE PARKVIEW HEALTH COMPLIANCE COMMITTEE. IT SHALL BE THE ULTIMATE RESPONSIBILITY OF THE PARKVIEW HEALTH BOARD TO APPROVE ALL COMPENSATION. THE DUTIES OF THE COMPENSATION COMMITTEE SHALL BE MORE FULLY SET FORTH IN THE COMPENSATION COMMITTEE CHARTER APPROVED FROM TIME TO TIME BY A MAJORITY VOTE OF THE BOARD. ARTICLE VI, SECTION 7(C) IS AS FOLLOWS: CORPORATE COMPLIANCE COMMITTEE COMPOSITION AND DUTIES. THE SYSTEM CORPORATE COMPLIANCE COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) MEMBERS, THE MAJORITY OF WHOM SHALL BE DISINTERESTED, AND SHALL INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CORPORATE COMPLIANCE OFFICER, AND INCLUDE PARKVIEW HEALTH SERVICE AREA REPRESENTATION, AS DESIGNATED BY THE CHAIR OF THE BOARD. SAID COMMITTEE SHALL BE RESPONSIBLE FOR THE AUTHORIZATION, IMPLEMENTATION AND MONITORING OF THE SYSTEM-WIDE CORPORATE COMPLIANCE PROGRAM THAT DIRECTS EDUCATION OF SYSTEM AND AFFILIATE EMPLOYEES, PERFORMS AUDITS, CONDUCTS INVESTIGATIONS, AS APPROPRIATE, REVIEWS SYSTEM AND AFFILIATE BUSINESS VENTURES AND ANY COMPENSATION ARRANGEMENTS WITH PHYSICIANS WHICH VARY FROM SYSTEM POLICY, AND AUTHORIZES ALL APPROPRIATE COMPLIANCE ACTIONS. IT SHALL BE THE ULTIMATE RESPONSIBILITY OF THE PARKVIEW HEALTH BOARD TO APPROVE ALL COMPENSATION. THE CORPORATE COMPLIANCE COMMITTEE SHALL MEET NO LESS FREQUENTLY THAN QUARTERLY AND SHALL SUBMIT REPORTS TO THE BOARD OF DIRECTORS NO LESS THAN ANNUALLY AS TO THE EFFECTIVENESS OF THE CURRENT CORPORATE COMPLIANCE PROGRAM.
FORM 990, PART VI, SECTION B, LINE 11	AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 7, 2015, THE SYSTEM AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES.
FORM 990, PART VI, SECTION B, LINE 12C	AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL."
FORM 990, PART VI, SECTION B, LINE 15	REGARDING LINES 15A AND 15B, TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE ORGANIZATION USED A PROCESS FOR DETERMINING COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR; REVIEW, AND APPROVAL BY THE GOVERNING BODY; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2014, THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2014 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). OFFICES OR POSITIONS REVIEWED AT THE 2014 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 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 PATIENT CARE SENIOR VICE PRESIDENT SERVICE LINE LEADER SENIOR VICE PRESIDENT STRATEGIC INITIATIVES VICE PRESIDENT CHANGING SPACES CONSTRUCTION PROJECT MANAGEMENT VICE PRESIDENT HUMAN RESOURCES VICE PRESIDENT MKTG/COMM/COMMUNITY RELATIONS VICE PRESIDENT NURSING PRMC 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 PLANNING AND DECISION SUPPORT VICE PRESIDENT RANDALLIA OPERATIONS VICE PRESIDENT REVENUE CYCLE MANAGEMENT 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 PARKVIEW PHYSICIANS GROUP MEDICAL DIRECTOR INTEGRATION AND DEVELOPMENT CHIEF MEDICAL INFORMATICS OFFICER CHIEF MEDICAL OFFICER PRMC AND AFFILIATES EXECUTIVE DIRECTOR EMPLOYER STRATEGIES
FORM 990, PART VI, SECTION C, LINE 19	COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINES 5-10:	PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC. FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E. PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII.
FORM 990, PART XI, LINE 9:	ASSET ADJUSTMENT TRANSFERS 356,174. BOOK/TAX DIFF FROM K-1'S -2,658,817. CURRENT YEAR EARNINGS TRANSFERRED FROM 501( C )3'S 177,121,366. AMORTIZE BOND SWAP OCI 42,600. ADJUST OCI FOR PENSION -95,321,736.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NEW VISION PROFESSIONAL PARK LLC
10501 CORPORATE DRIVE	FORT WAYNE	IN	46845	351972384	REAL ESTATE	IN	$1,064,834	$10,036,570	PARKVIEW HEALTH SYSTEM INC
TRICON DIEBOLD DEVELOPMENT LLC
10501 CORPORATE DRIVE	FORT WAYNE	IN	46845	464037822	REAL ESTATE	IN	$0	$0	PARKVIEW HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
PARKVIEW HOSPITAL INC
11109 PARKVIEW PLAZA DRIVE	FORT WAYNE	IN	46845	350868085	HOSPITAL CARE	IN	501(C)(3)	LINE 3	PARKVIEW HEALTH SYSTEM INC	Yes (1)
PARKVIEW FOUNDATION INC
10622 PARKVIEW PLAZA DRIVE	FORT WAYNE	IN	46845	237220589	FUND MGMT	IN	501(C)(3)	LINE 11A, I	PARKVIEW HOSPITAL INC	Yes (1)
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
10501 CORPORATE DRIVE	FORT WAYNE	IN	46845	352064353	OCCUP HEALTH	IN	501(C)(3)	LINE 3	PARKVIEW HEALTH SYSTEM INC	Yes (1)
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE ROAD	LAGRANGE	IN	46761	202401676	HOSPITAL CARE	IN	501(C)(3)	LINE 3	PARKVIEW HEALTH SYSTEM INC	Yes (1)
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
401 SAWYER ROAD	KENDALLVILLE	IN	46755	352087092	HOSPITAL CARE	IN	501(C)(3)	LINE 3	PARKVIEW HEALTH SYSTEM INC	Yes (1)
COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC
401 SAWYER ROAD	KENDALLVILLE	IN	46755	352089183	FUND MGMT	IN	501(C)(3)	LINE 11A, I	COMMUNITY HOSPITAL OF NOBLE COUNTY INC	Yes (1)
WHITLEY MEMORIAL HOSPITAL INC
1260 E STATE ROAD 205	COLUMBIA CITY	IN	46725	351967665	HOSPITAL CARE	IN	501(C)(3)	LINE 3	PARKVIEW HEALTH SYSTEM INC	Yes (1)
WHITLEY MEMORIAL HOSPITAL FOUNDATION INC
1260 E STATE ROAD 205	COLUMBIA CITY	IN	46725	311190239	FUND MGMT	IN	501(C)(3)	LINE 11A, I	WHITLEY MEMORIAL HOSPITAL INC	Yes (1)
HUNTINGTON MEMORIAL HOSPITAL INC
2001 STULTS ROAD	HUNTINGTON	IN	46750	351970706	HOSPITAL CARE	IN	501(C)(3)	LINE 3	PARKVIEW HEALTH SYSTEM INC	Yes (1)
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS ROAD	HUNTINGTON	IN	46750	320012095	FUND MGMT	IN	501(C)(3)	LINE 11A, I	HUNTINGTON MEMORIAL HOSPITAL INC	Yes (1)
PARKVIEW WABASH HOSPITAL INC
710 N EAST ST	WABASH	IN	46992	471753440	HOSPITAL CARE - BEGINNING 1/1/2015	IN	501(C)(3)	LINE 3	PARKVIEW HEALTH SYSTEM INC	Yes (1)
PARKVIEW WABASH HOSPITAL FOUNDATION INC
710 N EAST ST	WABASH	IN	46992	351921445	FUND MGMT - BEGINNING 1/1/2015	IN	501(C)(3)	LINE 11A, I	PARKVIEW WABASH HOSPITAL INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
10501 CORPORATE DRIVE	FORT WAYNE	IN	46845	260143823	ORTHO HOSPITAL	IN	PARKVIEW HEALTH SYSTEM INC	RELATED	$47,466,142	$56,284,945	0	Yes (1)	0.60000
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
8004 CARNEGIE BLVD	FORT WAYNE	IN	46804	201394120	SURGICAL SERVICES	IN	PARKVIEW HEALTH SYSTEM INC	RELATED	$310,434	$201,875	0	Yes (1)	0.51000
MANAGED CARE SERVICES LLC
10501 CORPORATE DRIVE	FORT WAYNE	IN	46845	351996535	HEALTH PLAN ADMIN	IN	PARKVIEW HEALTH SYSTEM INC	RELATED	$2,836,327	$12,241,084	0	Yes (1)	0.90000
WABASH MRI LLC
710 N EAST ST	WABASH	IN	46992	204352572	EQUIPMENT LEASING	IN	PARKVIEW WABASH HOSPITAL INC	RELATED			0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Controlled OrganizationControlledOrganizationInd	OwnershipOwnershipPct
PARKVIEW PROFESSIONAL PROGRAMS INC
10501 CORPORATE DRIVE	FORT WAYNE	IN	46845	351668888	REFERENCE LAB	IN	PARKVIEW HOSPITAL INC	C	$5,052,186	$4,931,919	0
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
442 W HIGH STREET	BRYAN	OH	43506	341045870	PHYSICIANS	OH	PARKVIEW HEALTH SYSTEM INC	C	$29,489,689	$2,316,575	0	1.00000

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (39 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
HUNTINGTON MEMORIAL HOSPITAL INC
A	$1,222,163	PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
A	$1,519,158	PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
A	$264,310	PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
A	$3,107,336	PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
A	$3,149,837	PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
A	$1,482,012	PART VII SUPPLEMENTAL INFORMATION
PREMIER SURGERY CENTER LLC
A	$83,241	PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL FOUNDATION INC
B	$697,749	PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL FOUNDATION INC
C	$109,948	PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
D	$6,596,241	PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
D	$6,893,500	PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
D	$4,114,399	PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
J	$1,222,163	PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
J	$1,519,158	PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
J	$264,310	PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
J	$3,107,336	PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
J	$3,149,837	PART VII SUPPLEMENTAL INFORMATION
PREMIER SURGERY CENTER LLC
J	$83,241	PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
J	$1,482,012	PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
K	$130,987	PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
K	$1,535,732	PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
K	$192,344	PART VII SUPPLEMENTAL INFORMATION
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
L	$7,596,517	PART VII SUPPLEMENTAL INFORMATION
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
L	$65,286	PART VII SUPPLEMENTAL INFORMATION
PREMIER SURGERY CENTER LLC
L	$89,180	PART VII SUPPLEMENTAL INFORMATION
NORTHEAST INDIANA CANCER CENTER LLC
L	$110,000	PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
Q	$157,472,220	PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
Q	$10,194,647	PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
Q	$11,586,917	PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
Q	$11,088,864	PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Q	$6,672,015	PART VII SUPPLEMENTAL INFORMATION
MANAGED CARE SERVICES LLC
Q	$235,000	PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
Q	$250,000	PART VII SUPPLEMENTAL INFORMATION
PARKVIEW PROFESSIONAL PROGRAMS INC
Q	$589,000	PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
S	$140,794,079	PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
S	$15,749,882	PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
S	$7,828,316	PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
S	$2,600,529	PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
S	$10,148,560	PART VII SUPPLEMENTAL INFORMATION

Supplemental Information Detail SupplementalInformationDetail

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