PARKVIEW HEALTH SYSTEM INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- PARKVIEW HEALTH SYSTEM INC (EIN 35-1972384)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-10
- IRS object ID
- 201403149349301540
- Schema version
- 2013v3.0
- 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 | 2014-11-10T13:03:53-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 E JEFFERSON BLVD P O BOX 7 | AddressLine1 |
| City | SOUTH BEND | City |
| State | IN | State |
| ZIP Code | 466240007 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | PARK | BusinessNameControlTxt |
| Phone | 2603738407 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10501 CORPORATE DRIVE | AddressLine1 |
| City | FORT WAYNE | City |
| State | IN | State |
| ZIP Code | 46845 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MICHAEL P BROWNING | PersonNm |
| Person Title | PH SVP & CFO | PersonTitleTxt |
| Phone | 2603738407 | PhoneNum |
| Signature | 2014-11-10 | 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 | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MICHAEL PACKNETT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10501 CORPORATE DRIVE | AddressLine1 |
| City | FORT WAYNE | City |
| State | IN | State |
| ZIP Code | 46845 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $696,874,638 | 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 | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 2983 | TotalEmployeeCnt |
| Total Volunteers | 22 | TotalVolunteersCnt |
| Total Gross UBI | $2,713,061 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$260,518 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $29,971 | PYContributionsGrantsAmt |
| CY Contributions Grants | $131,689 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $318,993,582 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $369,034,144 | CYProgramServiceRevenueAmt |
| PY Investment Income | $19,489,993 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,985,455 | CYInvestmentIncomeAmt |
| PY Other Revenue | $81,715 | PYOtherRevenueAmt |
| CY Other Revenue | -$183,737 | CYOtherRevenueAmt |
| PY Total Revenue | $338,595,261 | PYTotalRevenueAmt |
| CY Total Revenue | $379,967,551 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $3,955,121 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,584,845 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $211,518,223 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $228,078,785 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $153,985,020 | PYOtherExpensesAmt |
| CY Other Expenses | $178,042,476 | CYOtherExpensesAmt |
| PY Total Expenses | $369,458,364 | PYTotalExpensesAmt |
| CY Total Expenses | $408,706,106 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$30,863,103 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$28,738,555 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,205,898,438 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,359,461,703 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $742,806,076 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $673,165,988 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $463,092,362 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $686,295,715 | 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 | $395,566,684 | ExpenseAmt |
| Grant | $2,584,845 | GrantAmt |
| Revenue | $366,122,048 | 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. ROUTINELY SPONSORS A 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 319 PRIMARY AND SPECIALTY CARE PHYSICIANS AS PART OF PARKVIEW PHYSICIANS' GROUP. THESE PHYSICIANS, ALONG WITH 76 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 WHOSE TIME IS DEVOTED SOLELY TO RECRUITING PHYSICIANS. 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. ON AVERAGE, 25 TO 40 NEW PHYSICIANS ARE RECRUITED EACH YEAR.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 | $395,566,684 | 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 | 0 | 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 | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | 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 | 667 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 2983 | 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 | DA | ForeignCountryCd |
| Foreign Country | IT | ForeignCountryCd |
| Foreign Country | NO | ForeignCountryCd |
| Foreign Country | SW | ForeignCountryCd |
| Foreign Country | SZ | ForeignCountryCd |
| Foreign Country | BR | ForeignCountryCd |
| Foreign Country | GR | ForeignCountryCd |
| Foreign Country | HU | ForeignCountryCd |
| Foreign Country | ID | ForeignCountryCd |
| Foreign Country | MY | ForeignCountryCd |
| Foreign Country | PL | ForeignCountryCd |
| Foreign Country | PO | ForeignCountryCd |
| Foreign Country | SF | 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 |
| Excess Business Holdings | 0 | ExcessBusinessHoldingsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | MICHAEL P BROWNING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2603738407 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10501 CORPORATE DRIVE | AddressLine1 |
| City | FORT WAYNE | City |
| State | IN | State |
| ZIP Code | 46845 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (37 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) | $1,156,215 | $0 | $213,123 | |||
| RAYMOND DUSMAN | ||||||||||
| DIRECTOR/VICE CHAIR/PH PHYSICIAN | 40.00 | 0.00 | Yes (X) | $679,062 | $0 | $91,710 | ||||
| DUANE HOUGENDOBLER | ||||||||||
| DIRECTOR/PH PHYSICIAN | 40.00 | 0.00 | Yes (X) | $747,192 | $0 | $52,965 | ||||
| MITCHELL STUCKY | ||||||||||
| DIRECTOR/PH PHYSICIAN | 40.00 | 0.00 | Yes (X) | $426,417 | $0 | $87,513 | ||||
| MICHAEL AXEL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,250 | $6,750 | $0 | ||||
| JANET CHRZAN | ||||||||||
| DIRECTOR/SECRETARY | 1.00 | 0.00 | Yes (X) | $11,250 | $0 | $0 | ||||
| BRIAN EMERICK | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $5,250 | $6,250 | $0 | ||||
| DAVID HAIST | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,750 | $3,000 | $0 | ||||
| THOMAS KARST | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,000 | $7,000 | $0 | ||||
| THOMAS KIMBROUGH | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $3,250 | $6,500 | $0 | ||||
| MICHAEL LEE | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $7,750 | $0 | $0 | ||||
| JOHN PRICE | ||||||||||
| DIRECTOR | 1.00 | 1.00 | Yes (X) | $4,750 | $6,500 | $0 | ||||
| MAX ROESLER | ||||||||||
| DIRECTOR | 1.00 | 2.00 | Yes (X) | $4,000 | $6,250 | $0 | ||||
| LARRY ROWLAND | ||||||||||
| DIRECTOR | 40.00 | 4.00 | Yes (X) | $307,500 | $0 | $0 | ||||
| CHARLES SCHRIMPER | ||||||||||
| DIRECTOR/CHAIR | 1.00 | 0.00 | Yes (X) | $14,000 | $0 | $0 | ||||
| WIL SMITH | ||||||||||
| DIRECTOR/TREASURER | 1.00 | 1.00 | Yes (X) | $5,000 | $3,000 | $0 | ||||
| THOMAS WALSH | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $10,250 | $0 | $0 | ||||
| MICHAEL BROWNING | ||||||||||
| PH SVP & CFO | 40.00 | 16.00 | Yes (X) | $622,250 | $0 | $119,373 | ||||
| RICK HENVEY | ||||||||||
| PH SVP & COO | 40.00 | 0.00 | Yes (X) | $407,722 | $0 | $68,945 | ||||
| DEBRA WILLIAMS | ||||||||||
| PH SVP | 40.00 | 0.00 | $586,699 | $0 | $8,955 | Yes (X) | ||||
| RONALD DOUBLE | ||||||||||
| PH CIO | 40.00 | 0.00 | $433,733 | $0 | $76,387 | Yes (X) | ||||
| JILL OSTREM | ||||||||||
| PH SVP | 40.00 | 0.00 | $408,622 | $0 | $63,780 | Yes (X) | ||||
| JEFFREY BROOKES | ||||||||||
| PH MEDICAL DIR - COMMUNITY HOSPITALS | 1.00 | 40.00 | $107,774 | $272,056 | $61,792 | Yes (X) | ||||
| MARK PIERCE | ||||||||||
| PH CMIO | 40.00 | 0.00 | $378,159 | $0 | $73,199 | Yes (X) | ||||
| JAMES STAPEL | ||||||||||
| PH MEDICAL DIR - PPG | 40.00 | 0.00 | $366,392 | $0 | $82,654 | Yes (X) | ||||
| THOMAS BOND | ||||||||||
| PH CMO | 40.00 | 0.00 | $309,810 | $0 | $78,332 | Yes (X) | ||||
| CATHERINE WILCOX | ||||||||||
| PH SVP | 40.00 | 0.00 | $281,816 | $0 | $43,818 | Yes (X) | ||||
| DAVID STOREY | ||||||||||
| PH SVP | 40.00 | 0.00 | $189,264 | $0 | $43,809 | Yes (X) | ||||
| EDWARD SCHULTZ | ||||||||||
| PH PHYSICIAN | 40.00 | 0.00 | $1,177,728 | $0 | $20,020 | Yes (X) | ||||
| ALLAN BARBISH | ||||||||||
| PH PHYSICIAN | 40.00 | 0.00 | $1,120,504 | $0 | $21,332 | Yes (X) | ||||
| RAMESH BHAT | ||||||||||
| PH PHYSICIAN | 40.00 | 1.00 | $827,878 | $40,376 | $41,117 | Yes (X) | ||||
| SAILAJA BLACKMON | ||||||||||
| PH PHYSICIAN | 40.00 | 0.00 | $785,606 | $0 | $50,765 | Yes (X) | ||||
| DAVID CLARK | ||||||||||
| PH PHYSICIAN | 40.00 | 0.00 | $746,447 | $0 | $41,117 | Yes (X) | ||||
| STANTON RISSER | ||||||||||
| FORMER OFFICER/CURRENT PH DIR | 40.00 | 0.00 | $165,576 | $0 | $31,144 | Yes (X) | ||||
| ARTHUR DETORE | ||||||||||
| FORMER KEY EMPLOYEE | 0.00 | 0.00 | $311,936 | $0 | $0 | Yes (X) | ||||
| JAMES HAUGUEL | ||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | 40.00 | 0.00 | $253,030 | $0 | $47,730 | Yes (X) | ||||
| JAMES WITMER | ||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | 40.00 | 0.00 | $285,900 | $0 | $55,274 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $13,161,732 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $357,682 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,474,854 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 354 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PARTNER PROFESSIONAL STAFFING | |||||
| 4605 E GALBRAITH ROAD SUITE 200 | CINCINNATI | OH | 45236 | CONSULTANTS | $3,362,459 |
| MULTICARE CONSULTING SERVICES | |||||
| 737 S FAWCET AVE | TACOMA | WA | 98405 | CONSULTANTS | $989,890 |
| PROPHET ONE SOLUTIONS LLC | |||||
| 101 WEST 103RD STREET | INDIANAPOLIS | IN | 46290 | CONSULTANTS | $719,672 |
| GIC INFORMATICS LLC | |||||
| 1038 BAYBERRY DE | ARNOLD | MD | 21012 | CONSULTANTS | $567,026 |
| ERNST & YOUNG US LLP | |||||
| P O BOX 96550 | CHICAGO | IL | 60693 | CPA FIRM | $520,695 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 20 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $131,689 | RelatedOrganizationsAmt |
| Total Contributions | $131,689 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CORP SER ALLOCATION | 561000 | $138,923,211 | $138,923,211 |
| NET PATIENT SERVICE | 621110 | $116,663,665 | $116,663,665 |
| PH SUBSIDY | 561499 | $53,885,544 | $53,885,544 |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW | 621110 | $28,506,460 | $28,506,460 |
| INTERUNIT RENT | 532000 | $9,689,222 | $9,689,222 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,366,042 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $18,453,946 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,912,096 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $369,034,144 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,797,331 | TotalRevenueColumnAmt |
| Exclusion | $4,797,331 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,951,521 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,551,401 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$599,880 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$599,880 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | -$320,240 | UnrelatedBusinessRevenueAmt |
| Exclusion | -$279,640 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $320,543,810 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $314,000,986 | SecuritiesAmt |
| Other | $354,700 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,542,824 | SecuritiesAmt |
| Other | -$354,700 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,188,124 | TotalRevenueColumnAmt |
| Exclusion | $6,188,124 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722100 | $294,938 | $294,938 | |
| ELITE WOMAN | 812900 | $121,205 | $121,205 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $416,143 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $379,967,551 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $366,122,048 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,713,061 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,000,753 | 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 | $2,584,845 | TotalAmt |
| Program Services | $2,584,845 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,609,223 | TotalAmt |
| Management And General | $8,609,223 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,421,762 | TotalAmt |
| Program Services | $181,421,762 | ProgramServicesAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,002,049 | TotalAmt |
| Program Services | $10,002,049 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,045,751 | TotalAmt |
| Program Services | $28,045,751 | ProgramServicesAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $717,723 | TotalAmt |
| Program Services | $717,723 | ProgramServicesAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $580,000 | TotalAmt |
| Program Services | $580,000 | ProgramServicesAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $86,809 | TotalAmt |
| Program Services | $59,870 | ProgramServicesAmt |
| Management And General | $26,939 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $938,439 | TotalAmt |
| Management And General | $938,439 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,089,414 | TotalAmt |
| Program Services | $34,046,771 | ProgramServicesAmt |
| Management And General | $2,042,643 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,902,886 | TotalAmt |
| Program Services | $2,834,782 | ProgramServicesAmt |
| Management And General | $68,104 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,556,991 | TotalAmt |
| Program Services | $9,047,240 | ProgramServicesAmt |
| Management And General | $509,751 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,120,613 | TotalAmt |
| Program Services | $27,112,522 | ProgramServicesAmt |
| Management And General | $8,091 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,602,048 | TotalAmt |
| Program Services | $12,602,048 | ProgramServicesAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,711,659 | TotalAmt |
| Program Services | $2,476,491 | ProgramServicesAmt |
| Management And General | $235,168 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $476,492 | TotalAmt |
| Program Services | $372,859 | ProgramServicesAmt |
| Management And General | $103,633 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,994,801 | TotalAmt |
| Program Services | $25,994,801 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $27,120,953 | TotalAmt |
| Program Services | $27,110,001 | ProgramServicesAmt |
| Management And General | $10,952 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,001,478 | TotalAmt |
| Program Services | $2,712,540 | ProgramServicesAmt |
| Management And General | $288,938 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| BAD DEBT | $15,380,707 | $15,380,707 |
| MEDICAL SUPPLIES | $6,404,742 | $6,404,742 |
| PHYSICIAN ALLOWANCE | $2,137,820 | $2,137,820 |
| PHYSICIAN RECRUITMENT | $1,134,546 | $1,134,546 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,084,355 | TotalAmt |
| Program Services | $2,786,814 | ProgramServicesAmt |
| Management And General | $297,541 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $408,706,106 | TotalAmt |
| Program Services | $395,566,684 | ProgramServicesAmt |
| Management And General | $13,139,422 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,875 | BOYAmt |
| EOY | $25,925 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,864,294 | BOYAmt |
| EOY | $112,280,977 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,819,898 | BOYAmt |
| EOY | $14,153,498 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,970,305 | BOYAmt |
| EOY | $11,364,876 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,287,295 | BOYAmt |
| EOY | $3,006,742 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,872,934 | BOYAmt |
| EOY | $11,712,958 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $453,745,944 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $171,159,549 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $283,707,650 | BOYAmt |
| EOY | $282,586,395 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $274,629,166 | BOYAmt |
| EOY | $346,326,964 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,259,916 | BOYAmt |
| EOY | $73,322,505 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $29,672,921 | BOYAmt |
| EOY | $29,963,564 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $482,790,184 | BOYAmt |
| EOY | $474,717,299 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,205,898,438 | BOYAmt |
| EOY | $1,359,461,703 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,051,612 | BOYAmt |
| EOY | $81,543,443 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $812,547 | BOYAmt |
| EOY | $893,996 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $565,540,203 | BOYAmt |
| EOY | $553,034,768 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,158,136 | BOYAmt |
| EOY | $20,260,415 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,243,578 | BOYAmt |
| EOY | $17,433,366 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $742,806,076 | BOYAmt |
| EOY | $673,165,988 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $463,092,362 | BOYAmt |
| EOY | $686,295,715 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $463,092,362 | BOYAmt |
| EOY | $686,295,715 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,205,898,438 | BOYAmt |
| EOY | $1,359,461,703 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$28,738,555 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $61,098,642 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $190,843,266 | 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 |
| Certification | Yes (X) | CertificationInd |
| Contribution Controller | 0 | ContributionControllerInd |
| Contribution Family | 0 | ContributionFamilyInd |
| Contribution35 Controlled | 0 | Contribution35ControlledInd |
Supported Org Information SupportedOrgInformationGrp (5 entries)
| EINEIN | Organization TypeOrganizationTypeDesc | Governing Document ListedGoverningDocumentListedInd | Supported Org NotifiedSupportedOrgNotifiedInd | US OrganizedUSOrganizedInd | SupportSupportAmt |
|---|---|---|---|---|---|
| PARKVIEW HOSPITAL INC | |||||
| 350868085 | 3 | Yes (1) | Yes (1) | Yes (1) | $106,241,498 |
| HUNTINGTON MEMORIAL HOSPITAL INC | |||||
| 351970706 | 3 | Yes (1) | Yes (1) | Yes (1) | $8,462,000 |
| WHITLEY MEMORIAL HOSPITAL INC | |||||
| 351967665 | 3 | Yes (1) | Yes (1) | Yes (1) | $7,898,000 |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | |||||
| 352089183 | 3 | Yes (1) | Yes (1) | Yes (1) | $9,047,000 |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | |||||
| 202401676 | 3 | Yes (1) | Yes (1) | Yes (1) | $5,694,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 5 | SupportedOrganizationsTotalCnt |
| Support Sum | $137,342,498 | SupportSumAmt |
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 | $72,272 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $14,537 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $86,809 | 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 | OTHER ACTIVITIES - REPRESENTS THE PORTION OF DUES PAID TO REGIONAL CHAMBER OF NORTHEAST INDIANA, AMERICAN ACADEMY OF FAMILY PHYSICIANS, AMERICAN COLLEGE OF CARDIOLOGY, AMERICAN MEDICAL ASSOCIATION, INDIANA STATE MEDICAL ASSOCIATION, AMERICAN ACADEMY OF SLEEP MEDICINE, AND AMERICAN CONGRESS OF OBSTETRICIANS AND GYNECOLOGISTS USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $19,940,440 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $26,856,105 | OtherCostOrOtherBasisAmt |
| Book Value | $46,796,545 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $185,679,292 | OtherCostOrOtherBasisAmt |
| Depreciation | $59,764,432 | DepreciationAmt |
| Book Value | $125,914,860 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,749,116 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,968,478 | DepreciationAmt |
| Book Value | $4,780,638 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $193,099,126 | OtherCostOrOtherBasisAmt |
| Depreciation | $100,142,600 | DepreciationAmt |
| Book Value | $92,956,526 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,421,865 | OtherCostOrOtherBasisAmt |
| Depreciation | $7,284,039 | DepreciationAmt |
| Book Value | $12,137,826 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $282,586,395 | TotalBookValueLandBuildingsAmt |
Financial Derivatives FinancialDerivativesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | $73,322,505 | BookValueAmt |
| Method Valuation | F | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $73,322,505 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE TO/FROM INTERUNIT | $471,315,893 |
| PREPAID FINANCING COSTS | $2,422,120 |
| MISCELLANEOUS | $979,286 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $474,717,299 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| ACC RETIREMENTS COST | $6,688,537 |
| RESERVE FOR SIGNATURE CARE | $5,134,901 |
| RESERVE FOR MALPRACTICE | $5,602,728 |
| MISCELLANEOUS | $7,200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,433,366 | TotalLiabilityAmt |
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 | $60,348 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $60,348 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,975,919 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,054,012 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $921,907 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00230 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $632,514 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $316,949 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $315,565 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,668,781 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,370,961 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,297,820 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $333,916 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $333,916 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $304,777 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $304,777 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $982,021 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $982,021 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,620,714 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,620,714 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,289,495 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,370,961 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,918,534 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00740 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $401,442 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $401,442 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $974,500 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $974,500 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00250 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,128,537 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,128,537 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00290 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,504,479 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,504,479 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $17,282,175 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $16,506 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $6,870,871 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $9,242,786 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$2,371,915 | 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 | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11119 PARKVIEW PLAZA DRIVE | AddressLine1 |
| City | FORT WAYNE | City |
| State | IN | State |
| ZIP Code | 46845 | ZIPCode |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| 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 Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.PARKVIEW.COM/LOCALHEALTHNEEDS | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | Yes (1) | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | 0 | FPGUsedDetermEligDscntCareInd |
| Explained Basis | 0 | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| 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 (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, | PART V, SECTION B, LINE 3: 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 4: 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 7: 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 11: ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC 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. |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, | PART V, SECTION B, LINE 14G: 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 20D: 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 | 86 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (86 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | FacilityFacilityTxt |
|---|---|---|---|---|
| PARKVIEW PHYSICIANS GROUP | ||||
| 3909 NEW VISION DRIVE | FORT WAYNE | IN | 468451725 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 11123 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 468451707 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1270 E STATE ROAD 205 | COLUMBIA CITY | IN | 467259492 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1515 HOBSON ROAD | FORT WAYNE | IN | 468054802 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 11108 PARKVIEW CIRCLE DRIVE | FORT WAYNE | IN | 468451730 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1331 MINNICH ROAD | NEW HAVEN | IN | 467742051 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 11141 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 468451713 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2708 GUILFORD STREET | HUNTINGTON | IN | 467509701 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2710 LAKE AVENUE | FORT WAYNE | IN | 468055412 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 8028 CARNEGIE BLVD | FORT WAYNE | IN | 468045787 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2235 DUBOIS | WARSAW | IN | 465803212 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 11104 PARKVIEW CIRCLE DRIVE | FORT WAYNE | IN | 468451730 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 326 SAWYER ROAD | KENDALLVILLE | IN | 467552573 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1818 CAREW STREET | FORT WAYNE | IN | 468054788 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 10515 ILLINOIS ROAD | FORT WAYNE | IN | 468149182 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2003 STULTS ROAD | HUNTINGTON | IN | 467501291 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 8911 LIBERTY MILLS RD | FORT WAYNE | IN | 468046311 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 6130 TRIER ROAD | FORT WAYNE | IN | 468155378 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2414 E STATE BLVD | FORT WAYNE | IN | 468054760 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 5104 N CLINTON | FORT WAYNE | IN | 468255720 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 207 N TOWNLINE ROAD | LAGRANGE | IN | 467611325 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2231 CAREW ST | FORT WAYNE | IN | 468054713 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 8607 TEMPLE DRIVE | FORT WAYNE | IN | 46809 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 15707 OLD LIMA ROAD | HUNTERTOWN | IN | 46748 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 13430 MAIN STREET | GRABILL | IN | 467412001 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1316 E SEVENTH STREET | AUBURN | IN | 467062523 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 6108 MAPLECREST ROAD | FORT WAYNE | IN | 468352524 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2814 THEATER AVE | HUNTINGTON | IN | 467507978 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 104 NICHOLAS PLACE | AVILLA | IN | 467100069 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 112 N MAIN ST | MILFORD | IN | 46542 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2402 LAKE AVENUE | FORT WAYNE | IN | 468055406 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 577 GEIGER DRIVE | ROANOKE | IN | 467838877 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1720 BEACON STREET | FORT WAYNE | IN | 468054749 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2600 N DETROIT STREET | LAGRANGE | IN | 467611154 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 306 E MAUMEE STREET | ANGOLA | IN | 467032035 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 885 CONNEXION WAY | COLUMBIA CITY | IN | 467251044 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 3217 LAKE AVENUE | FORT WAYNE | IN | 468055427 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 401 N SAWYER RD | KENDALLIVILLE | IN | 467552568 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 714 W HARCOURT | ANGOLA | IN | 46703 | PHYSICIAN OFFICE |
| PREMIER SURGERY CENTER LLC | ||||
| 1333 MAYCREST DRIVE | FORT WAYNE | IN | 46805 | SURGERY CENTER |
| PARKVIEW PHYSICIANS GROUP | ||||
| 6920 POINTE INVERNESS WAY | FORT WAYNE | IN | 46804 | PHYSICIAN OFFICE |
| IMAGING SYSTEMS HOLDINGS LLC | ||||
| 3707 NEW VISION DRIVE | FORT WAYNE | IN | 46845 | IMAGING SERVICES |
| NORTHEAST INDIANA CANCER CENTER LLC | ||||
| 516 E MAUMEE STREET | ANGOLA | IN | 46703 | MEDICAL SERVICES |
| PARKVIEW ORTHO CENTER LLC | ||||
| 11420 PARKVIEW CIRCLE DRIVE | FORT WAYNE | IN | 46845 | SURGERY CENTER |
| PARKVIEW PHYSICIANS GROUP | ||||
| 710 N EAST STREET | WABASH | IN | 469921914 | PHYSICIAN OFFICE |
| FOUNDATION SURGERY AFF OF FT WAYNE LLC | ||||
| 8004 CARNEGIE BLVD | FORT WAYNE | IN | 46804 | SURGERY CENTER |
| PARKVIEW PHYSICIANS GROUP | ||||
| 4665 STATE ROAD 5 | SOUTH WHITLEY | IN | 467879101 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 4666 W JEFFERSON BLVD | FORT WAYNE | IN | 468046892 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 8175 W US 20 | SHIPSHEWANA | IN | 46565 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1314 E SEVENTH STREET | AUBURN | IN | 467062535 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 4084 NORTH US HIGHWAY 33 | CHURUBUSCO | IN | 467239563 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1234 E DUPONT ROAD | FORT WAYNE | IN | 468251545 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1381 N WAYNE ST | ANGOLA | IN | 467032348 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 420 N SAWYER RD | KENDALLVILLE | IN | 467552572 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 3303 TRIER ROAD | FORT WAYNE | IN | 468154768 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 817 TRAIL RIDGE ROAD | ALBION | IN | 467011534 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 5 MATCHETTE DRIVE | PIERCETON | IN | 465629073 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1464 LINCOLNWAY SOUTH | LIGONIER | IN | 467679601 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1844 IDA RED ROAD | KENDALLVILLE | IN | 467552873 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 3030 LAKE AVENUE | FORT WAYNE | IN | 468055428 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 150 GROWTH PARKWAY | ANGOLA | IN | 467039313 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2200 RANDALLIA | FORT WAYNE | IN | 468054638 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 512 NORTH PROFESSIONAL WAY | KENDALLVILLE | IN | 467552927 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1758 W 100 S | PORTLAND | IN | 473718204 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 208 N COLUMBUS ST | HICKSVILLE | OH | 435261250 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1129 FIRST STREET | HUNTINGTON | IN | 467502313 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 3974 NEW VISION DRIVE | FORT WAYNE | IN | 468451712 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1032 W WAYNE ST | PAULDING | OH | 458791545 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2500 BELLEFONTAINE ROAD | DECATUR | IN | 467332351 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 442 WEST HIGH | BRYAN | OH | 435061681 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 344 N MAIN STREET | COLUMBIA CITY | IN | 467251745 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 410 E MITCHELL ST | KENDALLVILLE | IN | 467551890 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 620 W NORTH STREET | COLUMBIA CITY | IN | 467251214 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 3905 CARROLL RD | FORT WAYNE | IN | 468189528 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1391 N BALDWIN AVE | MARION | IN | 469521913 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 213 FAIRVIEW BLVD | KENDALLVILLE | IN | 467552988 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 121 WESTFIELD | ARCHBOLD | OH | 435021065 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 3250 INTERTECH | ANGOLA | IN | 467037223 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 3946 ICE WAY | FORT WAYNE | IN | 468051018 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 276 MANCHESTER AVE | WABASH | IN | 469921808 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2510 E DUPONT ROAD | FORT WAYNE | IN | 468251600 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2500 N DETROIT STREET | LAGRANGE | IN | 467611158 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1900 CAREW STREET | FORT WAYNE | IN | 468054765 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 412 N SAWYER ROAD | KENDALLVILLE | IN | 467552572 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 1234 EAST DUPONT RD STE 6 | FORT WAYNE | IN | 468251545 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS GROUP | ||||
| 2120 NORTH DETROIT STREET | LAGRANGE | IN | 46761 | PHYSICIAN OFFICE |
Supplemental Information Detail SupplementalInformationDetail (15 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 EXPENSESPARKVIEW HEALTH SYSTEM, INC. EXCLUDED $15,380,707 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 HOSPITAL, INC. HAS A STRONG COMMITMENT TO SUPPORTING AND ENHANCING THE VITALITY OF OUR COMMUNITY AND THE NORTHEAST INDIANA REGION. PARKVIEW INVESTS IN PROJECTS THAT HELP TO IMPROVE THE HEALTH AND 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 HEALTH CARE 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 (OPENED IN MARCH, 2012). 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 4: | BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTETEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE:PAGE 15 OF AUDITED FINANCIAL STATEMENTS. COSTING METHODOLOGY USED:UNCOLLECTIBLE PATIENT ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS 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 CHARITY. THEREFORE, ONCE AN UNCOLLECTIBLE ACCOUNT HAS BEEN CHARGED OFF AND IT IS DETERMINED THROUGH THE COLLECTION PROCESS THAT THE PATIENT QUALIFIES FOR CHARITY CARE, THE UNCOLLECTIBLE ACCOUNT IS RECLASSIFIED TO CHARITY AND ALL COLLECTION EFFORTS CEASE. PATIENTS ARE ELIGIBLE TO APPLY FOR FREE CARE 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 FREE CARE DURING THE TAX YEAR. THE ACCOUNTS WERE RECLASSIFIED AS FREE CARE DUE TO THE FACT THAT PATIENTS APPLIED FOR, AND WERE APPROVED FOR, FREE CARE AFTER THE ACCOUNTS WERE PLACED WITH A BAD DEBT AGENCY. PARKVIEW HEALTH SYSTEM, INC. PROVIDES HEALTH CARE SERVICES THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER THINGS, TO ENHANCE THE HEALTH OF THE COMMUNITY AND IMPROVE THE HEALTH OF AT-RISK POPULATIONS. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. PROVIDES SERVICES INTENDED TO BENEFIT THE POOR AND UNDERSERVED, INCLUDING THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE DUE TO INADEQUATE RESOURCES OR WHO ARE UNINSURED OR UNDERINSURED. |
| 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 HEALTH CARE 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 (HEALTH CARE 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 800,000. 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, 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) IN ALLEN COUNTY. 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 12.78% FOR THE FIVE-COUNTY AREA. THE MEDIAN HOUSEHOLD INCOME RANGES FROM $43,552 (HUNTINGTON) TO $52,081 (WHITLEY). THE UNEMPLOYMENT RATE RANGES FROM 4.3% (LAGRANGE COUNTY) TO 5.0% (ALLEN AND NOBLE COUNTIES) AS OF APRIL 2014. |
| 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 PERIODICALLY ASSESSING THE NEEDS 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 EXTERNAL RENOVATIONS AND REMAINS A VITAL PART OF THE LOCAL NEIGHBORHOOD. WHILE THIS FACILITY CONTINUES TO PROVIDE COMMUNITY-CENTRIC HEALTH CARE 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. GROUNDBREAKING OF THE MIRRO CENTER FOR RESEARCH AND EDUCATION TOOK PLACE IN OCTOBER 2013. 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 HEALTH CARE 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 HEALTH CARE SCIENCES IN PARTNERSHIP WITH REGIONAL AND NATIONAL ACADEMIC INSTITUTIONS. SIMULATION LABS WILL BE OPEN TO HEALTH CARE PROFESSIONALS THROUGHOUT THE REGION FOR TRAINING. DATA OBTAINED THROUGH PERIODIC 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 HEALTH CARE/ACCESS TO HEALTH CARE:-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 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 HEALTH CARE 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 SCREENINGDISEASE 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 HEALTH CARE EDUCATION, MEDICAL RESEARCH, AND TECHNOLOGY THROUGH PARTNERSHIPS WITH LOCAL UNIVERSITIES, CONSTRUCTION OF THE MIRRO RESEARCH AND EDUCATION CENTER AND DEVELOPMENT OF THE LIFE AND SCIENCE EDUCATION AND RESEARCH CENTER.-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 POPULATION HEALTH MANAGEMENT MODEL THROUGH A PARTNERSHIP WITH EVOLENT HEALTH, A CONSULTING FIRM THAT ASSISTS HEALTH SYSTEMS TO ORGANIZE AND DEVELOP CUSTOMIZED VALUE-BASED CARE MODELS. 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 HEALTH CARE 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 HEALTH CARE 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 HEALTH CARE, 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 (47 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| EMBASSY THEATRE | |||||||
| 125 WEST JEFFERSON BLVD | FORT WAYNE | IN | 46802 | 237355731 | 501 ( C ) 3 | $500,000 | CAPITAL CAMPAIGN |
| GREATER FORT WAYNE INC | |||||||
| 826 EWING STREET | FORT WAYNE | IN | 46802 | 501 ( C ) 6 | $300,000 | BE PART OF SOMETHING GREATER CAMPAIGN | |
| IPFW | |||||||
| 2101 EAST COLISEUM BLVD | FORT WAYNE | IN | 46805 | 356033698 | 501 ( C ) 3 | $159,000 | HIGHER EDUCATION PROGRAMS |
| UNIVERSITY OF SAINT FRANCIS | |||||||
| 2701 SPRING STREET | FORT WAYNE | IN | 46806 | 350886846 | 501 ( C ) 3 | $151,200 | SUPPORT FOR SCHOOL |
| CITY OF FORT WAYNE REDEVELOPMENT COMMISSION | |||||||
| ONE EAST MAIN STREET | FORT WAYNE | IN | 46802 | GOVT ORG | $150,000 | CAPITAL MAINTENANCE & IMPROVEMENT FUND - PARKVIEW FIELD | |
| IN INSTITUTE OF TECHNOLOGY | |||||||
| 1600 E WASHINGTON BLVD | FORT WAYNE | IN | 46803 | 350845258 | 501 ( C ) 3 | $120,000 | REPAIR FRAME AND ACQUIRE PIECES OF ART FOR LAW SCHOOL |
| MARIAN UNIVERSITY | |||||||
| 3200 COLD SPRING ROAD | INDIANAPOLIS | IN | 46222 | 350868175 | 501 ( C ) 3 | $100,000 | MEDICAL SCHOOL PROGRAMS AND OPERATIONS |
| FORT 4 FITNESS | |||||||
| P O BOX 9007 | FORT WAYNE | IN | 46899 | 261936423 | 501 ( C ) 3 | $82,000 | SPONSORSHIP |
| YMCA OF DEKALB COUNTY | |||||||
| 310 NORTH MAIN STREET | AUBURN | IN | 46706 | 350868958 | 501 ( C ) 3 | $80,000 | CAPITAL CAMPAIGN |
| UNITY PERFORMING ARTS FOUNDATION | |||||||
| P O BOX 10394 | FORT WAYNE | IN | 46852 | 352110907 | 501 ( C ) 3 | $70,000 | SPONSORSHIP UNITY CHOIR EVENT |
| BLACKHAWK MINISTRIES | |||||||
| 7400 EAST STATE BLVD | FORT WAYNE | IN | 46815 | 351285808 | 501 ( C ) 3 | $49,900 | SCHOLARSHIP FUNDING PROGRAM |
| SCIENCE CENTRAL | |||||||
| 1950 N CLINTON | FORT WAYNE | IN | 46805 | 311032583 | 501 ( C ) 3 | $33,333 | PROGRAMS & OPERATING FUNDS |
| WABASH COUNTY YMCA | |||||||
| 500 S CASS STREET | FORT WAYNE | IN | 46992 | 350733765 | 501 ( C ) 3 | $26,525 | INVESTMENT IN CHILDREN - ESTABLISH COLLEGE SAVINGS ACCOUNTS |
| FORT WAYNE PHILHARMONIC ORCHESTRA INC | |||||||
| 4901 FULLER DR | FORT WAYNE | IN | 46835 | 350791163 | 501 ( C ) 3 | $25,000 | OPERATING FUNDS |
| SCAN | |||||||
| 500 W MAIN STREET | FORT WAYNE | IN | 46802 | 310899309 | 501 ( C ) 3 | $25,000 | BUILDING RENOVATIONS |
| IVY TECH FOUNDATION | |||||||
| 3800 N ANTHONY BLVD | FORT WAYNE | IN | 46805 | 237073977 | 501 ( C ) 3 | $23,500 | EVENT SPONSORSHIP |
| FORT WAYNE URBAN LEAGUE | |||||||
| 2135 SOUTH HANNA STREET | FORT WAYNE | IN | 46803 | 350869052 | 501 ( C ) 3 | $20,250 | PROGRAMS & OPERATING FUNDS |
| STEUBEN COUNTY COMMUNITY FOUNDATION | |||||||
| 5009 E US HIGHWAY 20 | ANGOLA | IN | 46703 | 351857065 | 501 ( C ) 3 | $20,000 | OPERATING FUNDS |
| MIDWEST ALLIANCE FOR HEALTH EDUCATION | |||||||
| 1819 CAREW | FORT WAYNE | IN | 46805 | 351637515 | 501 ( C ) 3 | $15,000 | RESEARCH PROJECTS AND INTERNSHIPS |
| FORT WAYNE MUSEUM OF ART | |||||||
| 311 EAST MAIN STREET | FORT WAYNE | IN | 46802 | 350953440 | 501 ( C ) 3 | $12,500 | ART PROGRAMS AND OPERATIONS FUNDING |
| JUNIOR ACHIEVEMENT OF NORTHERN INDIANA | |||||||
| 601 NOBLE DRIVE | FORT WAYNE | IN | 46825 | 350922731 | 501 ( C ) 3 | $12,500 | MUDDY TRAIL RUN SPONSORSHIP |
| UNITED WAY OF ALLEN COUNTY | |||||||
| 334 EAST BERRY STREET | FORT WAYNE | IN | 46845 | 350867932 | 501 ( C ) 3 | $12,500 | OPERATING FUNDS |
| WESTERN GOLF ASSOC | |||||||
| 1 BRIAR RD | GOLF | IL | 60029 | 366002857 | 501 ( C ) 3 | $12,500 | SPONSORSHIP |
| BOYS AND GIRLS CLUB OF FORT WAYNE | |||||||
| 2609 FAIRFIELD AVENUE | FORT WAYNE | IN | 46807 | 351778767 | 501 ( C ) 3 | $12,075 | NUTRITION AND FITNESS PROGRAMS |
| ERINS HOUSE | |||||||
| 5670 YMCA PARK DRIVE | FORT WAYNE | IN | 46835 | 351884264 | 501 ( C ) 3 | $11,000 | PROGRAMS & OPERATING FUNDS |
| MATTHEW 25 HEALTH CLINIC | |||||||
| 413 E JEFFERSON BLVD | FORT WAYNE | IN | 46802 | 351484951 | 501 ( C ) 3 | $11,000 | PROGRAMS & OPERATING FUNDS |
| CORE | |||||||
| 5712 LANCASHIRE COURT | FORT WAYNE | IN | 46825 | 300526171 | 501 ( C ) 3 | $10,000 | CURRICULUM, OPPORTUNITIES, AND RESOURCES FOR EDUCATORS |
| FORT WAYNE AREA YOUTH FOR CHRIST | |||||||
| 6427 OAKBROOK PARKWAY | FORT WAYNE | IN | 46825 | 351051837 | 501 ( C ) 3 | $10,000 | SPONSORSHIP |
| FORT WAYNE PARK FOUNDATION | |||||||
| P O BOX 13201 | FORT WAYNE | IN | 46867 | 237358430 | 501 ( C ) 3 | $10,000 | NEW BLOOM SCULPTURE |
| NAACP FORT WAYNE CHAPTER | |||||||
| 1307 E LEWIS STREET | FORT WAYNE | IN | 46803 | 800592313 | 501 ( C ) 3 | $10,000 | SPONSORSHIP FREEDOM FUND |
| NEW COVENANT WORSHIP CENTER | |||||||
| 3701 S CALHOUN STREET | FORT WAYNE | IN | 46807 | 261645778 | 501 ( C ) 3 | $10,000 | PROGRAMS AND OPERATIONS FUNDS |
| RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA | |||||||
| 11109 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | 351950376 | 501 ( C ) 3 | $10,000 | SPONSORSHIP RHINESTONE RODEO |
| VERA BRADLEY FOUNDATION FOR BREAST CANCER | |||||||
| P O BOX 80201 | FORT WAYNE | IN | 46898 | 352058177 | 501 ( C ) 3 | $10,000 | PROGRAMS & OPERATING FUNDS |
| VINCENT VILLAGE INC | |||||||
| 2827 HOLTON AVENUE | FORT WAYNE | IN | 46806 | 351780135 | 501 ( C ) 3 | $10,000 | SPONSORSHIP |
| CONCORDIA LUTHERAN SCHOOL | |||||||
| 4245 LAKE AVENUE | FORT WAYNE | IN | 46815 | 356033883 | 501 ( C ) 3 | $8,277 | TECHNOLOGY PROGRAMS |
| PURDUE UNIVERSITY | |||||||
| 401 S GRANT ST | WEST LAFAYETTE | IN | 47907 | 356002041 | 501 ( C ) 3 | $7,927 | CHNA NEEDS ASSESSMENT SERVICES |
| BRYAN ATHLETIC BOOSTERS | |||||||
| P O BOX 224 | BRYAN | OH | 43506 | 341419275 | 501 ( C ) 3 | $7,500 | PRESS BOX PROJECT |
| MANCHESTER UNIVERSITY | |||||||
| 604 E COLLEGE AVENUE | NORTH MANCHESTER | IN | 46962 | 350868127 | 501 ( C ) 3 | $7,500 | HIGHER EDUCATION PROGRAMS |
| BISHOP LUERS HIGH SCHOOL | |||||||
| 333 EAST PAULDING ROAD | FORT WAYNE | IN | 46816 | 351041555 | 501 ( C ) 3 | $7,000 | ATHLETIC DEPARTMENT VIDEO EQUIPMENT |
| NATL FALLEN FIREFIGHTERS FOUNDATION | |||||||
| 16825 SOUTH SETON AVENUE | EMMITSBURG | MD | 21727 | 521832634 | 501 ( C ) 3 | $7,000 | SPONSORSHIP - PROGRAMS TO HONOR AND REMEMBER FALLEN FIREFIGHTERS AND TO ASSIST THEIR SURVIVORS IN REBUILDING THEIR LIVES |
| CANTERBURY SCHOOL INC | |||||||
| 3210 SMITH ROAD | FORT WAYNE | IN | 46804 | 351410931 | 501 ( C ) 3 | $6,000 | EVENT SPONSOR OF CANTERBURY SCHOOL CAVALIER OPEN |
| YMCA OF GREATER FORT WAYNE | |||||||
| 347 WEST BERRY SUITE 500 | FORT WAYNE | IN | 46802 | 350886850 | 501 ( C ) 3 | $5,540 | STRONG KIDS PROGRAMS |
| HICKORY CENTER ELEMENTARY SCHOOL | |||||||
| 3606 BAIRD ROAD | FORT WAYNE | IN | 46818 | 351118183 | 501 ( C ) 3 | $5,500 | SPECIAL EDUCATION PROGRAMS |
| WILLOWBROOK DAY SCHOOL INCORPORATED | |||||||
| 101 W DUPONT ROAD | FORT WAYNE | IN | 46825 | 510589202 | 501 ( C ) 3 | $5,500 | EDUCATION PROGRAMS |
| FORT WAYNE HABITAT FOR HUMANITY | |||||||
| 1021 S CALHOUN ST | FORT WAYNE | IN | 46802 | 351687064 | 501 ( C ) 3 | $5,300 | SPONSORSHIP |
| WOMENS CARE CENTER FOUNDATION | |||||||
| 921 W COLISEUM BLVD | FORT WAYNE | IN | 46808 | 383651599 | 501 ( C ) 3 | $5,250 | SPONSORSHIP - PROGRAMS TO HELP WOMEN HAVE HEALTHIER PREGNANCIES AND BECOME BETTER PARENTS |
| TWELVE CITIES | |||||||
| 1830 WAYNE TRACE | FORT WAYNE | IN | 46806 | 311103390 | 501 ( C ) 3 | $5,094 | SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 46 | Total501c3OrgCnt |
| Total Other Org | 1 | 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) |
|---|---|---|
| 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 | Yes (1) | 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 (25 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 | $812,073 | $0 | $323,754 | $0 | $20,388 | $0 | $187,852 | $0 | $25,271 | $0 | $1,369,338 | $0 | $0 | $0 |
| RAYMOND DUSMAN | ||||||||||||||
| DIRECTOR/VICE CHAIR/PH PHYSICIAN | $554,075 | $0 | $103,174 | $0 | $21,813 | $0 | $65,220 | $0 | $26,490 | $0 | $770,772 | $0 | $0 | $0 |
| DUANE HOUGENDOBLER | ||||||||||||||
| DIRECTOR/PH PHYSICIAN | $635,502 | $0 | $105,080 | $0 | $6,610 | $0 | $28,050 | $0 | $24,915 | $0 | $800,157 | $0 | $0 | $0 |
| MITCHELL STUCKY | ||||||||||||||
| DIRECTOR/PH PHYSICIAN | $334,564 | $0 | $87,497 | $0 | $4,356 | $0 | $67,167 | $0 | $20,346 | $0 | $513,930 | $0 | $0 | $0 |
| LARRY ROWLAND | ||||||||||||||
| DIRECTOR | $307,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $307,500 | $0 | $0 | $0 |
| MICHAEL BROWNING | ||||||||||||||
| PH SVP & CFO | $461,450 | $0 | $141,682 | $0 | $19,118 | $0 | $89,278 | $0 | $30,095 | $0 | $741,623 | $0 | $0 | $0 |
| RICK HENVEY | ||||||||||||||
| PH SVP & COO | $306,101 | $0 | $88,828 | $0 | $12,793 | $0 | $45,600 | $0 | $23,345 | $0 | $476,667 | $0 | $11,803 | $0 |
| DEBRA WILLIAMS | ||||||||||||||
| PH SVP | $92,637 | $0 | $74,985 | $0 | $419,077 | $0 | $5,988 | $0 | $2,967 | $0 | $595,654 | $0 | $101,824 | $0 |
| RONALD DOUBLE | ||||||||||||||
| PH CIO | $335,931 | $0 | $83,203 | $0 | $14,599 | $0 | $66,000 | $0 | $10,387 | $0 | $510,120 | $0 | $13,081 | $0 |
| JILL OSTREM | ||||||||||||||
| PH SVP | $267,474 | $0 | $64,850 | $0 | $76,298 | $0 | $40,917 | $0 | $22,863 | $0 | $472,402 | $0 | $21,765 | $0 |
| JEFFREY BROOKES | ||||||||||||||
| PH MEDICAL DIR - COMMUNITY HOSPITALS | $13,308 | $272,056 | $76,077 | $0 | $18,389 | $0 | $13,325 | $33,637 | $4,208 | $10,622 | $125,307 | $316,315 | $0 | $15,551 |
| MARK PIERCE | ||||||||||||||
| PH CMIO | $266,702 | $0 | $83,564 | $0 | $27,893 | $0 | $47,580 | $0 | $25,619 | $0 | $451,358 | $0 | $13,413 | $0 |
| JAMES STAPEL | ||||||||||||||
| PH MEDICAL DIR - PPG | $231,926 | $0 | $77,838 | $0 | $56,628 | $0 | $62,987 | $0 | $19,667 | $0 | $449,046 | $0 | $31,657 | $0 |
| THOMAS BOND | ||||||||||||||
| PH CMO | $272,803 | $0 | $34,699 | $0 | $2,308 | $0 | $53,817 | $0 | $24,515 | $0 | $388,142 | $0 | $0 | $0 |
| CATHERINE WILCOX | ||||||||||||||
| PH SVP | $151,108 | $0 | $94,453 | $0 | $36,255 | $0 | $33,000 | $0 | $10,818 | $0 | $325,634 | $0 | $0 | $0 |
| DAVID STOREY | ||||||||||||||
| PH SVP | $163,864 | $0 | $25,039 | $0 | $361 | $0 | $21,983 | $0 | $21,826 | $0 | $233,073 | $0 | $0 | $0 |
| EDWARD SCHULTZ | ||||||||||||||
| PH PHYSICIAN | $407,143 | $0 | $66,924 | $0 | $703,661 | $0 | $7,650 | $0 | $12,370 | $0 | $1,197,748 | $0 | $0 | $0 |
| ALLAN BARBISH | ||||||||||||||
| PH PHYSICIAN | $352,189 | $0 | $51,027 | $0 | $717,288 | $0 | $7,650 | $0 | $13,682 | $0 | $1,141,836 | $0 | $0 | $0 |
| RAMESH BHAT | ||||||||||||||
| PH PHYSICIAN | $732,695 | $40,376 | $90,428 | $0 | $4,755 | $0 | $28,050 | $0 | $13,067 | $0 | $868,995 | $40,376 | $0 | $0 |
| SAILAJA BLACKMON | ||||||||||||||
| PH PHYSICIAN | $667,482 | $0 | $111,510 | $0 | $6,614 | $0 | $22,950 | $0 | $27,815 | $0 | $836,371 | $0 | $0 | $0 |
| DAVID CLARK | ||||||||||||||
| PH PHYSICIAN | $679,475 | $0 | $60,248 | $0 | $6,724 | $0 | $28,050 | $0 | $13,067 | $0 | $787,564 | $0 | $0 | $0 |
| STANTON RISSER | ||||||||||||||
| FORMER OFFICER/CURRENT PH DIR | $137,621 | $0 | $27,491 | $0 | $464 | $0 | $11,765 | $0 | $19,379 | $0 | $196,720 | $0 | $0 | $0 |
| ARTHUR DETORE | ||||||||||||||
| FORMER KEY EMPLOYEE | $311,936 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $311,936 | $0 | $311,936 | $0 |
| JAMES HAUGUEL | ||||||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | $190,902 | $0 | $49,289 | $0 | $12,839 | $0 | $39,534 | $0 | $8,196 | $0 | $300,760 | $0 | $11,391 | $0 |
| JAMES WITMER | ||||||||||||||
| FORMER KEY EMPLOYEE/CURRENT PH SVP | $203,211 | $0 | $66,523 | $0 | $16,166 | $0 | $39,028 | $0 | $16,246 | $0 | $341,174 | $0 | $11,760 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | PERSONAL SERVICES TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: RAYMOND DUSMAN $500 |
| PART I, LINES 4A-B | SEVERANCE PAYMENT - DEBRA WILLIAMS $285,582 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS TAXABLE - ALLAN BARBISH $716,479; JEFFREY BROOKES $15,551; ARTHUR DETORE $311,936; RONALD DOUBLE $13,081; JAMES HAUGUEL $11,391; RICK HENVEY $11,803; JILL OSTREM $21,765; MARK PIERCE $13,413; EDWARD SCHULTZ $683,717; JAMES STAPEL $31,657: DEBRA WILLIAMS $101,824; JAMES WITMER $11,760 PARTICIPANTS DEFERRED - THOMAS BOND $37,042; JEFFREY BROOKES $31,662; MICHAEL BROWNING $53,100; RONALD DOUBLE $35,400; RAYMOND DUSMAN $37,170; JAMES HAUGUEL $22,170; RICK HENVEY $35,400; JILL OSTREM $31,294; MICHAEL PACKNETT $170,002; MARK PIERCE $32,280; JAMES STAPEL $32,387; DAVID STOREY $12,390; MITCHELL STUCKY $39,117; CATHERINE WILCOX $17,700; JAMES WITMER $23,728 |
| 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 | Refunding EscrowRefundingEscrowAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $33,880,000 | $37,335,000 | $264,704,689 | $20,757,872 | $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 | $1,420,000 | $94,714,776 | $1,022,698 | $57,344,795 | 2012 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | $36,347,283 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00000 | 0.00000 | Yes (1) | 0 | Yes (1) |
| B | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00000 | 0.00000 | Yes (1) | 0 | Yes (1) |
| C | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00000 | 0.00000 | Yes (1) | 0 | Yes (1) |
| D | 0 | Yes (1) | Yes (1) | Yes (1) | Yes (1) | Yes (1) | 0.00000 | 0.00000 | 0.00000 | Yes (1) | 0 | 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 $82,950 EARNED ON ESCROW AND COST OF ISSUANCE FUNDS. |
| SCHEDULE K, PART III, COLUMNS A-D, LINES 4-6: | AS PART OF OUR EFFORTS TO MONITOR AND ENSURE THAT THERE IS NO PRIVATE USE AT OUR BOND FINANCED FACILITIES, WE CONTRIBUTE EQUITY TO FINANCE A PORTION OF OUR NEW MONEY PROJECTS. |
| SCHEDULE K, PART III, COLUMNS A-D, LINE 7: | THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST. |
| SCHEDULE K, PART IV, COLUMN A, LINE 2C: | REBATE CALCULATION PERFORMED ON SEPTEMBER 15, 2014. |
| SCHEDULE K, PART IV, COLUMN B, LINE 2C: | BOND ISSUE MET THE 24 MONTH REBATE SPENDING EXCEPTION. CALCULATION PERFORMED ON DECEMBER 8, 2011. |
| SCHEDULE K, PART IV, COLUMN C, LINE 2C: | BOND ISSUE MET THE 6 MONTH REBATE SPENDING EXCEPTION. REISSUANCE OF 2010 BONDS RESULTED IN A CURRENT REFUNDING AND THERE WERE NO ADDITIONAL PROCEEDS CREATED BY THE REISSUANCE. |
| SCHEDULE K, PART IV, COLUMN D, LINE 2C: | REBATE CALCULATION PERFORMED ON SEPTEMBER 15, 2014. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| FCFP LLC | |||
| ENTITY OF WHICH DIRECTOR MITCHELL STUCKY OWNED A GREATER THAN 5% INTEREST | $725,169 | RENTAL OF PROPERTY TO PARKVIEW HEALTH SYSTEM, INC. - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH. ADDITIONALLY, DIRECTOR MITCHELL STUCKY DOES NOT PARTICIPATE IN THE DISCUSSIONS/DECISION TO LEASE PROPERTY OR THE LEASE TERMS AND PAYMENTS. | 0 |
| NORTHEAST ORTHOPAEDIC HOSPITAL INVESTORS LLC | |||
| ENTITY OF WHICH DIRECTOR MICHAEL LEE OWNED A GREATER THAN 5% INTEREST | $21,198,333 | PARKVIEW HEALTH SYSTEM, INC. AND NORTHEAST ORTHOPAEDIC HOSPITAL INVESTORS, LLC ARE BOTH MEMBERS IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. THE TOTAL AMOUNT INVESTED BY PARKVIEW HEALTH SYSTEM, INC. IN THE JOINT VENTURE AS OF 12/31/2013 IS $21,198,333. | 0 |
| GALILEO MANAGEMENT SERVICES LLC | |||
| ENTITY OF WHICH DIRECTOR LARRY ROWLAND WAS SERVING AS AN OFFICER | $300,000 | VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH. | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 AND DIRECTOR MITCHELL STUCKY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. |
| FORM 990, PART VI, SECTION A, LINE 4 | DURING 2013, 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 (20) 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 TWELVE (12) 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 4 IS AS FOLLOWS: IN THE EVENT THAT A VACANCY OF A DIRECTOR WHO IS NOT SERVING IN AN EX OFFICIO CAPACITY OCCURS IN THE BOARD, THE GOVERNANCE COMMITTEE SHALL NOMINATE A CANDIDATE AND PRESENT THE NAME TO THE BOARD. THE NEW DIRECTOR SHALL NOT SERVE FOR THE UNEXPIRED TERM OF THE DIRECTOR THAT IS REPLACED, BUT SHALL INSTEAD BEGIN THEIR OWN TERM ON THE BOARD. ANY CURRENT DIRECTOR THAT FILLED AN UNEXPIRED TERM OF THEIR PREDECESSOR PRIOR TO JANUARY 1, 2010, SHALL BE "GRANDFATHERED". ARTICLE VI, SECTION 3 IS AS FOLLOWS: THE BOARD SHALL HAVE THE FOLLOWING STANDING COMMITTEES: (A) EXECUTIVE COMMITTEE (B) FINANCE COMMITTEE (C) CORPORATE COMPLIANCE COMMITTEE (D) QUALITY COMMITTEE (E) AUDIT COMMITTEE (F) GOVERNANCE COMMITTEE (G) IT GOVERNANCE COMMITTEE ARTICLE VI, SECTION 4(B) IS AS FOLLOWS: 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. ARTICLE VI, SECTION 5(A) IS AS FOLLOWS: THE FINANCE, CORPORATE COMPLIANCE, QUALITY, AUDIT, GOVERNANCE AND IT GOVERNANCE COMMITTEES OF THE CORPORATION SHALL BE JOINT COMMITTEES WITH THE BOARD COMMITTEES OF EACH PARKVIEW HEALTH SYSTEM, INC. AFFILIATE AND SUBSIDIARY HOSPITAL (THE "SYSTEM COMMITTEES"). THE SPECIFIC DUTIES OF SAID SYSTEM COMMITTEES SET FORTH BELOW SHALL BE PERFORMED NOT ONLY FOR THE CORPORATION, BUT FOR EACH OF THE AFOREMENTIONED HOSPITALS. ARTICLE VI, SECTION 5(F) IS AS FOLLOWS: THE GOVERNANCE COMMITTEE SHALL CONSIST OF NOT LESS THAN THREE (3) INDEPENDENT AND DISINTERESTED BOARD MEMBERS, AND SHALL INCLUDE THE VICE CHAIR OF THE PARKVIEW HEALTH BOARD, WHO SHALL SERVE AS THE CHAIR OF THE GOVERNANCE COMMITTEE. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF PARKVIEW HEALTH SHALL SERVE ON THE COMMITTEE, AND MAY DESIGNATE ANOTHER OFFICER TO ATTEND COMMITTEE MEETINGS ON HIS/HER BEHALF. THE GOVERNANCE COMMITTEE SHALL BE CONDUCTED CONSISTENT WITH THE TERMS OF THE GOVERNANCE COMMITTEE CHARTER TO ASSIST THE BOARD OF DIRECTORS IN ITS RESPONSIBILITY FOR ENSURING EFFECTIVE GOVERNANCE OF THE CORPORATION AND ENHANCING BOARD MEMBER EFFECTIVENESS AND DEVELOPMENT. IN ADDITION, THE GOVERNANCE COMMITTEE WILL REPORT DIRECTLY TO THE BOARD OF DIRECTORS ON THE FOLLOWING ACTIVITIES AND ISSUES: (I) THE GOVERNANCE COMMITTEE SHALL REVIEW AND FORMULATE POLICIES THAT ADDRESS AND ARE DESIGNED TO IMPROVE GOVERNANCE EFFECTIVENESS, INCLUDING BOARD COMMITTEE STRUCTURE AND RESPONSIBILITIES. (II) THE GOVERNANCE COMMITTEE SHALL SERVE AS THE NOMINATING COMMITTEE FOR THE BOARD CHAIR, AND SHALL IDENTIFY AND RECOMMEND BOARD DIRECTORS AND COMMITTEE MEMBERS FOR APPOINTMENT THAT SUPPORT THE MISSION OF PARKVIEW HEALTH AND REFLECT THE DIVERSITY OF ITS COMMUNITIES. (III) THE GOVERNANCE COMMITTEE SHALL DESIGN AND PERIODICALLY ASSESS THE ORIENTATION PROGRAM FOR NEW BOARD MEMBERS, ASSIST THE BOARD REGARDING EVALUATION AND RECOMMENDATIONS FOR BOARD MEMBER SUCCESSION PLANNING, AND IDENTIFY PROGRAMS TO ENHANCE BOARD MEMBER EFFECTIVENESS AND ONGOING DEVELOPMENT. THE GOVERNANCE COMMITTEE SHALL ALSO PLAN THE BOARD'S SEMI-ANNUAL RETREAT. (IV)MEETINGS: THE GOVERNANCE COMMITTEE WILL MEET AS NEEDED, BUT NO LESS FREQUENTLY THAN ANNUALLY. ARTICLE IX, SECTION 2 IS AS FOLLOWS: A QUORUM FOR THE PURPOSE OF DOING BUSINESS SHALL BE A MAJORITY OF THE MEMBERS OF THE BOARD. A MAJORITY OF ANY STANDING OR SPECIAL COMMITTEE SHALL CONSTITUTE A QUORUM. IF NECESSARY TO CONSTITUTE A QUORUM, A MEMBER CAN BE COUNTED AS PRESENT IF THROUGH MEANS OF TELECOMMUNICATION SAID MEMBER MAY HEAR AND BE HEARD BY ALL OTHER MEMBERS PRESENT AT SUCH MEETINGS. THE ACT OF THE MAJORITY OF THE INDIVIDUALS PRESENT AT A MEETING AT WHICH A QUORUM IS PRESENT SHALL BE THE ACT OF THE BOARD OR COMMITTEE EXCEPT WHERE OTHERWISE PROVIDED BY LAW OR BY THESE BYLAWS. ANY ACTION REQUIRED OR PERMITTED TO BE TAKEN AT ANY MEETING OF THE BOARD (OR OF ANY COMMITTEE THEREOF) MAY BE TAKEN WITHOUT A MEETING BY WAY OF WRITTEN CONSENT TO INCLUDE ELECTRONIC/E-MAIL COMMUNICATION IF SUCH CONSENT IS EXECUTED BY A MAJORITY OF THE MEMBERS OF THE BOARD. AN ELECTRONIC/E-MAIL COMMUNICATION EXPRESSING SUPPORT FOR THE PENDING ACTION SHALL BE COUNTED AS AN EXECUTION OF SUCH CONSENT. ALL ELECTRONIC VOTES OR FAXES SHALL BE MAINTAINED IN THE MINUTE BOOK OF THE CORPORATION. |
| 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 8, 2014, 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 2013, THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2013 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 2013 MEETING: PRESIDENT AND CHIEF EXECUTIVE OFFICER PRESIDENT PARKVIEW REGIONAL MEDICAL CENTER (PRMC) AND AFFILIATES PRESIDENT COMMUNITY HOSPITAL PHYSICIAN EXECUTIVE OFFICER PARKVIEW PHYSICIANS GROUP SENIOR VICE PRESIDENT CHIEF FINANCIAL OFFICER SENIOR VICE PRESIDENT CHIEF INFORMATION OFFICER SENIOR VICE PRESIDENT COO PARKVIEW HEALTH SENIOR VICE PRESIDENT COO PARKVIEW PHYSICIANS GROUP 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 HUMAN RESOURCES 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 HEALTH PLAN SERVICES 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 V, LINE 1A, 2A AND PART VII, SECTION B, LINE 2: | 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, 2013 WAS 969. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2013 WAS 9,926. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR PARKVIEW HEALTH SYSTEM, INC. WAS 667 AND 2,983 RESPECTIVELY. AS REFLECTED IN PART VII, SECTION B, 20 INDEPENDENT CONTRACTORS RECEIVED MORE THAN $100,000 IN COMPENSATION FOR SERVICES FROM PARKVIEW HEALTH SYSTEM, INC. |
| 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 1,957,173. BOOK/TAX DIFF FROM K-1'S 2,657,904. CURRENT YEAR EARNINGS TRANSFERRED FROM 501( C )3'S 120,425,954. AMORTIZE BOND SWAP OCI 42,600. ADJUST OCI FOR PENSION 65,759,635. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| NEW VISION PROFESSIONAL PARK LLC | |||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 351972384 | REAL ESTATE | IN | $1,093,144 | $10,605,434 | 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 (10 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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 | ||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 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) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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 | $28,506,460 | $31,271,302 | 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 | $293,799 | $196,173 | 0 | Yes (1) | 0.51000 |
| MANAGED CARE SERVICES LLC | |||||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 351996535 | HEALTH PLAN ADMIN | IN | PARKVIEW HEALTH SYSTEM INC | RELATED | $2,568,520 | $6,712,845 | 0 | Yes (1) | 0.90000 |
| PARKVIEW IMAGING HUNTINGTON LLC | |||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 208651460 | EQUIPMENT LEASING | IN | HUNTINGTON MEMORIAL HOSPITAL INC | RELATED | $264,118 | $367,851 | 0 | 0 | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW PROFESSIONAL PROGRAMS INC | ||||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 351668888 | REFERENCE LAB | IN | PARKVIEW HOSPITAL INC | C | $12,127,329 | $5,080,590 | 0 | |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||||||||||||
| 442 W HIGH STREET | BRYAN | OH | 43506 | 341045870 | PHYSICIANS | OH | PARKVIEW HEALTH SYSTEM INC | C | $35,186,710 | $3,409,756 | 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 (31 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| A | $1,274,504 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| A | $1,481,271 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | ||
| A | $149,009 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| A | $1,743,462 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| A | $3,300,245 | PART VII SUPPLEMENTAL INFORMATION |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||
| A | $1,482,012 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||
| D | $8,596,241 | PART VII SUPPLEMENTAL INFORMATION |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||
| D | $2,231,989 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| J | $1,274,504 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | ||
| J | $149,009 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| J | $1,743,465 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| J | $3,300,245 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| J | $1,481,271 | PART VII SUPPLEMENTAL INFORMATION |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||
| J | $1,482,012 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| K | $82,485 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| K | $1,513,304 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| K | $188,112 | PART VII SUPPLEMENTAL INFORMATION |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | ||
| L | $6,613,856 | PART VII SUPPLEMENTAL INFORMATION |
| FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC | ||
| L | $66,250 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| Q | $150,822,208 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| Q | $11,147,586 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| Q | $11,345,051 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| Q | $10,533,654 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||
| Q | $7,010,381 | PART VII SUPPLEMENTAL INFORMATION |
| MANAGED CARE SERVICES LLC | ||
| Q | $235,000 | PART VII SUPPLEMENTAL INFORMATION |
| MANAGED CARE SERVICES LLC | ||
| Q | $250,000 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW PROFESSIONAL PROGRAMS INC | ||
| Q | $1,018,896 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| S | $95,173,061 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| S | $11,566,741 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| S | $7,240,636 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| S | $8,396,236 | 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 |