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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 ReturnHeader

FieldValueIRS element (for citing)
Return2014-11-10T13:03:53-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN350921680PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1330 E JEFFERSON BLVD P O BOX 7AddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code466240007ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN351972384EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlPARKBusinessNameControlTxt
Phone2603738407PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110501 CORPORATE DRIVEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46845ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL P BROWNINGPersonNm
Person TitlePH SVP & CFOPersonTitleTxt
Phone2603738407PhoneNum
Signature2014-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKENNETH J KEBERPreparerPersonNm
PTINP00240883PTIN
Phone5742323992PhoneNum
Self EmployedYes (X)SelfEmployedInd
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL PACKNETTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110501 CORPORATE DRIVEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46845ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$696,874,638GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.PARKVIEW.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1995FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPARKVIEW HEALTH SYSTEM, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.ActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee2983TotalEmployeeCnt
Total Volunteers22TotalVolunteersCnt
Total Gross UBI$2,713,061TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$260,518NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$29,971PYContributionsGrantsAmt
CY Contributions Grants$131,689CYContributionsGrantsAmt
PY Program Service Revenue$318,993,582PYProgramServiceRevenueAmt
CY Program Service Revenue$369,034,144CYProgramServiceRevenueAmt
PY Investment Income$19,489,993PYInvestmentIncomeAmt
CY Investment Income$10,985,455CYInvestmentIncomeAmt
PY Other Revenue$81,715PYOtherRevenueAmt
CY Other Revenue-$183,737CYOtherRevenueAmt
PY Total Revenue$338,595,261PYTotalRevenueAmt
CY Total Revenue$379,967,551CYTotalRevenueAmt
PY Grants And Similar Paid$3,955,121PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,584,845CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$211,518,223PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$228,078,785CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$153,985,020PYOtherExpensesAmt
CY Other Expenses$178,042,476CYOtherExpensesAmt
PY Total Expenses$369,458,364PYTotalExpensesAmt
CY Total Expenses$408,706,106CYTotalExpensesAmt
PY Revenues Less Expenses-$30,863,103PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$28,738,555CYRevenuesLessExpensesAmt
Total Assets BOY$1,205,898,438TotalAssetsBOYAmt
Total Assets EOY$1,359,461,703TotalAssetsEOYAmt
Total Liabilities BOY$742,806,076TotalLiabilitiesBOYAmt
Total Liabilities EOY$673,165,988TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$463,092,362NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$686,295,715NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionPARKVIEW HEALTH SYSTEM, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$395,566,684ExpenseAmt
Grant$2,584,845GrantAmt
Revenue$366,122,048RevenueAmt
DescPARKVIEW HEALTH SYSTEM, INC. SUPPORTS THE FOLLOWING HOSPITALS: PARKVIEW HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; 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$395,566,684TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document667IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2983EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryDAForeignCountryCd
Foreign CountryITForeignCountryCd
Foreign CountryNOForeignCountryCd
Foreign CountrySWForeignCountryCd
Foreign CountrySZForeignCountryCd
Foreign CountryBRForeignCountryCd
Foreign CountryGRForeignCountryCd
Foreign CountryHUForeignCountryCd
Foreign CountryIDForeignCountryCd
Foreign CountryMYForeignCountryCd
Foreign CountryPLForeignCountryCd
Foreign CountryPOForeignCountryCd
Foreign CountrySFForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Excess Business Holdings0ExcessBusinessHoldingsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MICHAEL P BROWNINGBusinessNameLine1
FieldValueIRS element (for citing)
Phone2603738407PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110501 CORPORATE DRIVEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46845ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO40.0016.00Yes (X)Yes (X)$1,156,215$0$213,123
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH PHYSICIAN40.000.00Yes (X)$679,062$0$91,710
DUANE HOUGENDOBLER
DIRECTOR/PH PHYSICIAN40.000.00Yes (X)$747,192$0$52,965
MITCHELL STUCKY
DIRECTOR/PH PHYSICIAN40.000.00Yes (X)$426,417$0$87,513
MICHAEL AXEL
DIRECTOR1.001.00Yes (X)$4,250$6,750$0
JANET CHRZAN
DIRECTOR/SECRETARY1.000.00Yes (X)$11,250$0$0
BRIAN EMERICK
DIRECTOR1.001.00Yes (X)$5,250$6,250$0
DAVID HAIST
DIRECTOR1.001.00Yes (X)$4,750$3,000$0
THOMAS KARST
DIRECTOR1.001.00Yes (X)$4,000$7,000$0
THOMAS KIMBROUGH
DIRECTOR1.001.00Yes (X)$3,250$6,500$0
MICHAEL LEE
DIRECTOR1.000.00Yes (X)$7,750$0$0
JOHN PRICE
DIRECTOR1.001.00Yes (X)$4,750$6,500$0
MAX ROESLER
DIRECTOR1.002.00Yes (X)$4,000$6,250$0
LARRY ROWLAND
DIRECTOR40.004.00Yes (X)$307,500$0$0
CHARLES SCHRIMPER
DIRECTOR/CHAIR1.000.00Yes (X)$14,000$0$0
WIL SMITH
DIRECTOR/TREASURER1.001.00Yes (X)$5,000$3,000$0
THOMAS WALSH
DIRECTOR1.000.00Yes (X)$10,250$0$0
MICHAEL BROWNING
PH SVP & CFO40.0016.00Yes (X)$622,250$0$119,373
RICK HENVEY
PH SVP & COO40.000.00Yes (X)$407,722$0$68,945
DEBRA WILLIAMS
PH SVP40.000.00$586,699$0$8,955Yes (X)
RONALD DOUBLE
PH CIO40.000.00$433,733$0$76,387Yes (X)
JILL OSTREM
PH SVP40.000.00$408,622$0$63,780Yes (X)
JEFFREY BROOKES
PH MEDICAL DIR - COMMUNITY HOSPITALS1.0040.00$107,774$272,056$61,792Yes (X)
MARK PIERCE
PH CMIO40.000.00$378,159$0$73,199Yes (X)
JAMES STAPEL
PH MEDICAL DIR - PPG40.000.00$366,392$0$82,654Yes (X)
THOMAS BOND
PH CMO40.000.00$309,810$0$78,332Yes (X)
CATHERINE WILCOX
PH SVP40.000.00$281,816$0$43,818Yes (X)
DAVID STOREY
PH SVP40.000.00$189,264$0$43,809Yes (X)
EDWARD SCHULTZ
PH PHYSICIAN40.000.00$1,177,728$0$20,020Yes (X)
ALLAN BARBISH
PH PHYSICIAN40.000.00$1,120,504$0$21,332Yes (X)
RAMESH BHAT
PH PHYSICIAN40.001.00$827,878$40,376$41,117Yes (X)
SAILAJA BLACKMON
PH PHYSICIAN40.000.00$785,606$0$50,765Yes (X)
DAVID CLARK
PH PHYSICIAN40.000.00$746,447$0$41,117Yes (X)
STANTON RISSER
FORMER OFFICER/CURRENT PH DIR40.000.00$165,576$0$31,144Yes (X)
ARTHUR DETORE
FORMER KEY EMPLOYEE0.000.00$311,936$0$0Yes (X)
JAMES HAUGUEL
FORMER KEY EMPLOYEE/CURRENT PH SVP40.000.00$253,030$0$47,730Yes (X)
JAMES WITMER
FORMER KEY EMPLOYEE/CURRENT PH SVP40.000.00$285,900$0$55,274Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$13,161,732TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$357,682TotReportableCompRltdOrgAmt
Total Other Compensation$1,474,854TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K354IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
PARTNER PROFESSIONAL STAFFING
4605 E GALBRAITH ROAD SUITE 200CINCINNATIOH45236CONSULTANTS$3,362,459
MULTICARE CONSULTING SERVICES
737 S FAWCET AVETACOMAWA98405CONSULTANTS$989,890
PROPHET ONE SOLUTIONS LLC
101 WEST 103RD STREETINDIANAPOLISIN46290CONSULTANTS$719,672
GIC INFORMATICS LLC
1038 BAYBERRY DEARNOLDMD21012CONSULTANTS$567,026
ERNST & YOUNG US LLP
P O BOX 96550CHICAGOIL60693CPA FIRM$520,695
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K20CntrctRcvdGreaterThan100KCnt
Related Organizations$131,689RelatedOrganizationsAmt
Total Contributions$131,689TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CORP SER ALLOCATION561000$138,923,211$138,923,211
NET PATIENT SERVICE621110$116,663,665$116,663,665
PH SUBSIDY561499$53,885,544$53,885,544
ORTHOPAEDIC HOSPITAL AT PARKVIEW621110$28,506,460$28,506,460
INTERUNIT RENT532000$9,689,222$9,689,222

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$21,366,042TotalRevenueColumnAmt
Related Or Exempt Func Income$18,453,946RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,912,096UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$369,034,144TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,797,331TotalRevenueColumnAmt
Exclusion$4,797,331ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,951,521RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,551,401RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$599,880RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$599,880TotalRevenueColumnAmt
Unrelated Business Revenue-$320,240UnrelatedBusinessRevenueAmt
Exclusion-$279,640ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$320,543,810SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$314,000,986SecuritiesAmt
Other$354,700OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$6,542,824SecuritiesAmt
Other-$354,700OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,188,124TotalRevenueColumnAmt
Exclusion$6,188,124ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
CAFETERIA REVENUE722100$294,938$294,938
ELITE WOMAN812900$121,205$121,205
FieldValueIRS element (for citing)
Other Revenue Total$416,143OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$379,967,551TotalRevenueColumnAmt
Related Or Exempt Func Income$366,122,048RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,713,061UnrelatedBusinessRevenueAmt
Exclusion$11,000,753ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,584,845TotalAmt
Program Services$2,584,845ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$8,609,223TotalAmt
Management And General$8,609,223ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$181,421,762TotalAmt
Program Services$181,421,762ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,002,049TotalAmt
Program Services$10,002,049ProgramServicesAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$28,045,751TotalAmt
Program Services$28,045,751ProgramServicesAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$717,723TotalAmt
Program Services$717,723ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$580,000TotalAmt
Program Services$580,000ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$86,809TotalAmt
Program Services$59,870ProgramServicesAmt
Management And General$26,939ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$938,439TotalAmt
Management And General$938,439ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$36,089,414TotalAmt
Program Services$34,046,771ProgramServicesAmt
Management And General$2,042,643ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,902,886TotalAmt
Program Services$2,834,782ProgramServicesAmt
Management And General$68,104ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,556,991TotalAmt
Program Services$9,047,240ProgramServicesAmt
Management And General$509,751ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$27,120,613TotalAmt
Program Services$27,112,522ProgramServicesAmt
Management And General$8,091ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,602,048TotalAmt
Program Services$12,602,048ProgramServicesAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$2,711,659TotalAmt
Program Services$2,476,491ProgramServicesAmt
Management And General$235,168ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$476,492TotalAmt
Program Services$372,859ProgramServicesAmt
Management And General$103,633ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$25,994,801TotalAmt
Program Services$25,994,801ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,120,953TotalAmt
Program Services$27,110,001ProgramServicesAmt
Management And General$10,952ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,001,478TotalAmt
Program Services$2,712,540ProgramServicesAmt
Management And General$288,938ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram 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

FieldValueIRS element (for citing)
Total$3,084,355TotalAmt
Program Services$2,786,814ProgramServicesAmt
Management And General$297,541ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$408,706,106TotalAmt
Program Services$395,566,684ProgramServicesAmt
Management And General$13,139,422ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$23,875BOYAmt
EOY$25,925EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$63,864,294BOYAmt
EOY$112,280,977EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$14,819,898BOYAmt
EOY$14,153,498EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$13,970,305BOYAmt
EOY$11,364,876EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,287,295BOYAmt
EOY$3,006,742EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$11,872,934BOYAmt
EOY$11,712,958EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$453,745,944LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$171,159,549LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$283,707,650BOYAmt
EOY$282,586,395EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$274,629,166BOYAmt
EOY$346,326,964EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$27,259,916BOYAmt
EOY$73,322,505EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$29,672,921BOYAmt
EOY$29,963,564EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$482,790,184BOYAmt
EOY$474,717,299EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,205,898,438BOYAmt
EOY$1,359,461,703EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$75,051,612BOYAmt
EOY$81,543,443EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$812,547BOYAmt
EOY$893,996EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$565,540,203BOYAmt
EOY$553,034,768EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$21,158,136BOYAmt
EOY$20,260,415EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$80,243,578BOYAmt
EOY$17,433,366EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$742,806,076BOYAmt
EOY$673,165,988EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$463,092,362BOYAmt
EOY$686,295,715EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$463,092,362BOYAmt
EOY$686,295,715EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,205,898,438BOYAmt
EOY$1,359,461,703EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$28,738,555ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$61,098,642NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$190,843,266OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
CertificationYes (X)CertificationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEINOrganization TypeOrganizationTypeDescGoverning Document ListedGoverningDocumentListedIndSupported Org NotifiedSupportedOrgNotifiedIndUS OrganizedUSOrganizedIndSupportSupportAmt
PARKVIEW HOSPITAL INC
3508680853Yes (1)Yes (1)Yes (1)$106,241,498
HUNTINGTON MEMORIAL HOSPITAL INC
3519707063Yes (1)Yes (1)Yes (1)$8,462,000
WHITLEY MEMORIAL HOSPITAL INC
3519676653Yes (1)Yes (1)Yes (1)$7,898,000
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
3520891833Yes (1)Yes (1)Yes (1)$9,047,000
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
2024016763Yes (1)Yes (1)Yes (1)$5,694,000
FieldValueIRS element (for citing)
Supported Organizations Total5SupportedOrganizationsTotalCnt
Support Sum$137,342,498SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$72,272DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$14,537OtherActivitiesAmt
Total Lobbying Expenditures$86,809TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationOTHER 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

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$19,940,440InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$26,856,105OtherCostOrOtherBasisAmt
Book Value$46,796,545BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$185,679,292OtherCostOrOtherBasisAmt
Depreciation$59,764,432DepreciationAmt
Book Value$125,914,860BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,749,116OtherCostOrOtherBasisAmt
Depreciation$3,968,478DepreciationAmt
Book Value$4,780,638BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$193,099,126OtherCostOrOtherBasisAmt
Depreciation$100,142,600DepreciationAmt
Book Value$92,956,526BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,421,865OtherCostOrOtherBasisAmt
Depreciation$7,284,039DepreciationAmt
Book Value$12,137,826BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$282,586,395TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

FieldValueIRS element (for citing)
Book Value$73,322,505BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$73,322,505TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
DUE TO/FROM INTERUNIT$471,315,893
PREPAID FINANCING COSTS$2,422,120
MISCELLANEOUS$979,286
FieldValueIRS element (for citing)
Total Book Value Other Assets$474,717,299TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACC RETIREMENTS COST$6,688,537
RESERVE FOR SIGNATURE CARE$5,134,901
RESERVE FOR MALPRACTICE$5,602,728
MISCELLANEOUS$7,200
FieldValueIRS element (for citing)
Total Liability$17,433,366TotalLiabilityAmt

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,348TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$60,348NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,975,919TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,054,012DirectOffsettingRevenueAmt
Net Community Benefit Expns$921,907NetCommunityBenefitExpnsAmt
Total Expense0.00230TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$632,514TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$316,949DirectOffsettingRevenueAmt
Net Community Benefit Expns$315,565NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,668,781TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,370,961DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,297,820NetCommunityBenefitExpnsAmt
Total Expense0.00330TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$333,916TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$333,916NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$304,777TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$304,777NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$982,021TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$982,021NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,620,714TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,620,714NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,289,495TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,370,961DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,918,534NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$401,442TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$401,442NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$974,500TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$974,500NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,128,537TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,128,537NetCommunityBenefitExpnsAmt
Total Expense0.00290TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,504,479TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,504,479NetCommunityBenefitExpnsAmt
Total Expense0.00640TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$17,282,175BadDebtExpenseAmt
Bad Debt Expense Attributable$16,506BadDebtExpenseAttributableAmt
Reimbursed By Medicare$6,870,871ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$9,242,786CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,371,915MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (3 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 IMAGING SERVICES HOLDING COMPANY LLC
HOLDING COMPANY0.500000.50000
2 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
ORTHOPAEDIC HOSPITAL0.600000.40000
3 PREMIER SURGERY CENTER LLC
SURGERY CENTER0.500000.50000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTHBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line111119 PARKVIEW PLAZA DRIVEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46845ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.PARKVIEW.COMWebsiteAddressTxt
State License14-005845-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Teaching HospitalYes (X)TeachingHospitalInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTHBusinessNameLine1
FieldValueIRS element (for citing)
Facility1FacilityNum
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted13CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.PARKVIEW.COM/LOCALHEALTHNEEDSOwnWebsiteURLTxt
Rpt Available Upon RequestYes (X)RptAvailableUponRequestInd
Adopt Implementation StrategyYes (X)AdoptImplementationStrategyInd
Exec Implementation StrategyYes (X)ExecImplementationStrategyInd
Develop Community Wide PlanYes (X)DevelopCommunityWidePlanInd
Adopt BudgetYes (X)AdoptBudgetInd
Prioritize Health NeedsYes (X)PrioritizeHealthNeedsInd
Prioritize ServicesYes (X)PrioritizeServicesInd
All Needs AddressedYes (1)AllNeedsAddressedInd
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Used Deter Elig Free CareYes (1)FPGUsedDeterEligFreeCareInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Used Determ Elig Dscnt Care0FPGUsedDetermEligDscntCareInd
Explained Basis0ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Collection Activities0CollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH,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.
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Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (86 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
PARKVIEW PHYSICIANS GROUP
3909 NEW VISION DRIVEFORT WAYNEIN468451725PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DRIVEFORT WAYNEIN468451707PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1270 E STATE ROAD 205COLUMBIA CITYIN467259492PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1515 HOBSON ROADFORT WAYNEIN468054802PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11108 PARKVIEW CIRCLE DRIVEFORT WAYNEIN468451730PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1331 MINNICH ROADNEW HAVENIN467742051PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11141 PARKVIEW PLAZA DRIVEFORT WAYNEIN468451713PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2708 GUILFORD STREETHUNTINGTONIN467509701PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2710 LAKE AVENUEFORT WAYNEIN468055412PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8028 CARNEGIE BLVDFORT WAYNEIN468045787PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2235 DUBOISWARSAWIN465803212PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11104 PARKVIEW CIRCLE DRIVEFORT WAYNEIN468451730PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
326 SAWYER ROADKENDALLVILLEIN467552573PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1818 CAREW STREETFORT WAYNEIN468054788PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
10515 ILLINOIS ROADFORT WAYNEIN468149182PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2003 STULTS ROADHUNTINGTONIN467501291PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8911 LIBERTY MILLS RDFORT WAYNEIN468046311PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
6130 TRIER ROADFORT WAYNEIN468155378PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2414 E STATE BLVDFORT WAYNEIN468054760PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
5104 N CLINTONFORT WAYNEIN468255720PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
207 N TOWNLINE ROADLAGRANGEIN467611325PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2231 CAREW STFORT WAYNEIN468054713PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8607 TEMPLE DRIVEFORT WAYNEIN46809PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
15707 OLD LIMA ROADHUNTERTOWNIN46748PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
13430 MAIN STREETGRABILLIN467412001PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1316 E SEVENTH STREETAUBURNIN467062523PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
6108 MAPLECREST ROADFORT WAYNEIN468352524PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2814 THEATER AVEHUNTINGTONIN467507978PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
104 NICHOLAS PLACEAVILLAIN467100069PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
112 N MAIN STMILFORDIN46542PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2402 LAKE AVENUEFORT WAYNEIN468055406PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
577 GEIGER DRIVEROANOKEIN467838877PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1720 BEACON STREETFORT WAYNEIN468054749PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2600 N DETROIT STREETLAGRANGEIN467611154PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
306 E MAUMEE STREETANGOLAIN467032035PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
885 CONNEXION WAYCOLUMBIA CITYIN467251044PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3217 LAKE AVENUEFORT WAYNEIN468055427PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
401 N SAWYER RDKENDALLIVILLEIN467552568PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
714 W HARCOURTANGOLAIN46703PHYSICIAN OFFICE
PREMIER SURGERY CENTER LLC
1333 MAYCREST DRIVEFORT WAYNEIN46805SURGERY CENTER
PARKVIEW PHYSICIANS GROUP
6920 POINTE INVERNESS WAYFORT WAYNEIN46804PHYSICIAN OFFICE
IMAGING SYSTEMS HOLDINGS LLC
3707 NEW VISION DRIVEFORT WAYNEIN46845IMAGING SERVICES
NORTHEAST INDIANA CANCER CENTER LLC
516 E MAUMEE STREETANGOLAIN46703MEDICAL SERVICES
PARKVIEW ORTHO CENTER LLC
11420 PARKVIEW CIRCLE DRIVEFORT WAYNEIN46845SURGERY CENTER
PARKVIEW PHYSICIANS GROUP
710 N EAST STREETWABASHIN469921914PHYSICIAN OFFICE
FOUNDATION SURGERY AFF OF FT WAYNE LLC
8004 CARNEGIE BLVDFORT WAYNEIN46804SURGERY CENTER
PARKVIEW PHYSICIANS GROUP
4665 STATE ROAD 5SOUTH WHITLEYIN467879101PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
4666 W JEFFERSON BLVDFORT WAYNEIN468046892PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8175 W US 20SHIPSHEWANAIN46565PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1314 E SEVENTH STREETAUBURNIN467062535PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
4084 NORTH US HIGHWAY 33CHURUBUSCOIN467239563PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1234 E DUPONT ROADFORT WAYNEIN468251545PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1381 N WAYNE STANGOLAIN467032348PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
420 N SAWYER RDKENDALLVILLEIN467552572PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3303 TRIER ROADFORT WAYNEIN468154768PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
817 TRAIL RIDGE ROADALBIONIN467011534PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
5 MATCHETTE DRIVEPIERCETONIN465629073PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1464 LINCOLNWAY SOUTHLIGONIERIN467679601PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1844 IDA RED ROADKENDALLVILLEIN467552873PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3030 LAKE AVENUEFORT WAYNEIN468055428PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
150 GROWTH PARKWAYANGOLAIN467039313PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2200 RANDALLIAFORT WAYNEIN468054638PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
512 NORTH PROFESSIONAL WAYKENDALLVILLEIN467552927PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1758 W 100 SPORTLANDIN473718204PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
208 N COLUMBUS STHICKSVILLEOH435261250PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1129 FIRST STREETHUNTINGTONIN467502313PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3974 NEW VISION DRIVEFORT WAYNEIN468451712PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1032 W WAYNE STPAULDINGOH458791545PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2500 BELLEFONTAINE ROADDECATURIN467332351PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
442 WEST HIGHBRYANOH435061681PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
344 N MAIN STREETCOLUMBIA CITYIN467251745PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
410 E MITCHELL STKENDALLVILLEIN467551890PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
620 W NORTH STREETCOLUMBIA CITYIN467251214PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3905 CARROLL RDFORT WAYNEIN468189528PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1391 N BALDWIN AVEMARIONIN469521913PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
213 FAIRVIEW BLVDKENDALLVILLEIN467552988PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
121 WESTFIELDARCHBOLDOH435021065PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3250 INTERTECHANGOLAIN467037223PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3946 ICE WAYFORT WAYNEIN468051018PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
276 MANCHESTER AVEWABASHIN469921808PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2510 E DUPONT ROADFORT WAYNEIN468251600PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2500 N DETROIT STREETLAGRANGEIN467611158PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1900 CAREW STREETFORT WAYNEIN468054765PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
412 N SAWYER ROADKENDALLVILLEIN467552572PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1234 EAST DUPONT RD STE 6FORT WAYNEIN468251545PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2120 NORTH DETROIT STREETLAGRANGEIN46761PHYSICIAN OFFICE

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3C:ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CAREPARKVIEW HEALTH SYSTEM, INC. PROVIDES DISCOUNTED CARE TO UNINSURED PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IF THE PATIENT ULTIMATELY QUALIFIES FOR CHARITY CARE USING THE 200% FPG, THE REMAINING BALANCE AFTER THE DISCOUNT IS WRITTEN OFF TO CHARITY.
PART I, LINE 7:PART I, LINE 7APARKVIEW HEALTH SYSTEM, INC. IS COMMITTED TO PROVIDING 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 STATESIN
PART VI, LINE 7:A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (47 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
EMBASSY THEATRE
125 WEST JEFFERSON BLVDFORT WAYNEIN46802237355731501 ( C ) 3$500,000CAPITAL CAMPAIGN
GREATER FORT WAYNE INC
826 EWING STREETFORT WAYNEIN46802501 ( C ) 6$300,000BE PART OF SOMETHING GREATER CAMPAIGN
IPFW
2101 EAST COLISEUM BLVDFORT WAYNEIN46805356033698501 ( C ) 3$159,000HIGHER EDUCATION PROGRAMS
UNIVERSITY OF SAINT FRANCIS
2701 SPRING STREETFORT WAYNEIN46806350886846501 ( C ) 3$151,200SUPPORT FOR SCHOOL
CITY OF FORT WAYNE REDEVELOPMENT COMMISSION
ONE EAST MAIN STREETFORT WAYNEIN46802GOVT ORG$150,000CAPITAL MAINTENANCE & IMPROVEMENT FUND - PARKVIEW FIELD
IN INSTITUTE OF TECHNOLOGY
1600 E WASHINGTON BLVDFORT WAYNEIN46803350845258501 ( C ) 3$120,000REPAIR FRAME AND ACQUIRE PIECES OF ART FOR LAW SCHOOL
MARIAN UNIVERSITY
3200 COLD SPRING ROADINDIANAPOLISIN46222350868175501 ( C ) 3$100,000MEDICAL SCHOOL PROGRAMS AND OPERATIONS
FORT 4 FITNESS
P O BOX 9007FORT WAYNEIN46899261936423501 ( C ) 3$82,000SPONSORSHIP
YMCA OF DEKALB COUNTY
310 NORTH MAIN STREETAUBURNIN46706350868958501 ( C ) 3$80,000CAPITAL CAMPAIGN
UNITY PERFORMING ARTS FOUNDATION
P O BOX 10394FORT WAYNEIN46852352110907501 ( C ) 3$70,000SPONSORSHIP UNITY CHOIR EVENT
BLACKHAWK MINISTRIES
7400 EAST STATE BLVDFORT WAYNEIN46815351285808501 ( C ) 3$49,900SCHOLARSHIP FUNDING PROGRAM
SCIENCE CENTRAL
1950 N CLINTONFORT WAYNEIN46805311032583501 ( C ) 3$33,333PROGRAMS & OPERATING FUNDS
WABASH COUNTY YMCA
500 S CASS STREETFORT WAYNEIN46992350733765501 ( C ) 3$26,525INVESTMENT IN CHILDREN - ESTABLISH COLLEGE SAVINGS ACCOUNTS
FORT WAYNE PHILHARMONIC ORCHESTRA INC
4901 FULLER DRFORT WAYNEIN46835350791163501 ( C ) 3$25,000OPERATING FUNDS
SCAN
500 W MAIN STREETFORT WAYNEIN46802310899309501 ( C ) 3$25,000BUILDING RENOVATIONS
IVY TECH FOUNDATION
3800 N ANTHONY BLVDFORT WAYNEIN46805237073977501 ( C ) 3$23,500EVENT SPONSORSHIP
FORT WAYNE URBAN LEAGUE
2135 SOUTH HANNA STREETFORT WAYNEIN46803350869052501 ( C ) 3$20,250PROGRAMS & OPERATING FUNDS
STEUBEN COUNTY COMMUNITY FOUNDATION
5009 E US HIGHWAY 20ANGOLAIN46703351857065501 ( C ) 3$20,000OPERATING FUNDS
MIDWEST ALLIANCE FOR HEALTH EDUCATION
1819 CAREWFORT WAYNEIN46805351637515501 ( C ) 3$15,000RESEARCH PROJECTS AND INTERNSHIPS
FORT WAYNE MUSEUM OF ART
311 EAST MAIN STREETFORT WAYNEIN46802350953440501 ( C ) 3$12,500ART PROGRAMS AND OPERATIONS FUNDING
JUNIOR ACHIEVEMENT OF NORTHERN INDIANA
601 NOBLE DRIVEFORT WAYNEIN46825350922731501 ( C ) 3$12,500MUDDY TRAIL RUN SPONSORSHIP
UNITED WAY OF ALLEN COUNTY
334 EAST BERRY STREETFORT WAYNEIN46845350867932501 ( C ) 3$12,500OPERATING FUNDS
WESTERN GOLF ASSOC
1 BRIAR RDGOLFIL60029366002857501 ( C ) 3$12,500SPONSORSHIP
BOYS AND GIRLS CLUB OF FORT WAYNE
2609 FAIRFIELD AVENUEFORT WAYNEIN46807351778767501 ( C ) 3$12,075NUTRITION AND FITNESS PROGRAMS
ERINS HOUSE
5670 YMCA PARK DRIVEFORT WAYNEIN46835351884264501 ( C ) 3$11,000PROGRAMS & OPERATING FUNDS
MATTHEW 25 HEALTH CLINIC
413 E JEFFERSON BLVDFORT WAYNEIN46802351484951501 ( C ) 3$11,000PROGRAMS & OPERATING FUNDS
CORE
5712 LANCASHIRE COURTFORT WAYNEIN46825300526171501 ( C ) 3$10,000CURRICULUM, OPPORTUNITIES, AND RESOURCES FOR EDUCATORS
FORT WAYNE AREA YOUTH FOR CHRIST
6427 OAKBROOK PARKWAYFORT WAYNEIN46825351051837501 ( C ) 3$10,000SPONSORSHIP
FORT WAYNE PARK FOUNDATION
P O BOX 13201FORT WAYNEIN46867237358430501 ( C ) 3$10,000NEW BLOOM SCULPTURE
NAACP FORT WAYNE CHAPTER
1307 E LEWIS STREETFORT WAYNEIN46803800592313501 ( C ) 3$10,000SPONSORSHIP FREEDOM FUND
NEW COVENANT WORSHIP CENTER
3701 S CALHOUN STREETFORT WAYNEIN46807261645778501 ( C ) 3$10,000PROGRAMS AND OPERATIONS FUNDS
RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA
11109 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845351950376501 ( C ) 3$10,000SPONSORSHIP RHINESTONE RODEO
VERA BRADLEY FOUNDATION FOR BREAST CANCER
P O BOX 80201FORT WAYNEIN46898352058177501 ( C ) 3$10,000PROGRAMS & OPERATING FUNDS
VINCENT VILLAGE INC
2827 HOLTON AVENUEFORT WAYNEIN46806351780135501 ( C ) 3$10,000SPONSORSHIP
CONCORDIA LUTHERAN SCHOOL
4245 LAKE AVENUEFORT WAYNEIN46815356033883501 ( C ) 3$8,277TECHNOLOGY PROGRAMS
PURDUE UNIVERSITY
401 S GRANT STWEST LAFAYETTEIN47907356002041501 ( C ) 3$7,927CHNA NEEDS ASSESSMENT SERVICES
BRYAN ATHLETIC BOOSTERS
P O BOX 224BRYANOH43506341419275501 ( C ) 3$7,500PRESS BOX PROJECT
MANCHESTER UNIVERSITY
604 E COLLEGE AVENUENORTH MANCHESTERIN46962350868127501 ( C ) 3$7,500HIGHER EDUCATION PROGRAMS
BISHOP LUERS HIGH SCHOOL
333 EAST PAULDING ROADFORT WAYNEIN46816351041555501 ( C ) 3$7,000ATHLETIC DEPARTMENT VIDEO EQUIPMENT
NATL FALLEN FIREFIGHTERS FOUNDATION
16825 SOUTH SETON AVENUEEMMITSBURGMD21727521832634501 ( C ) 3$7,000SPONSORSHIP - PROGRAMS TO HONOR AND REMEMBER FALLEN FIREFIGHTERS AND TO ASSIST THEIR SURVIVORS IN REBUILDING THEIR LIVES
CANTERBURY SCHOOL INC
3210 SMITH ROADFORT WAYNEIN46804351410931501 ( C ) 3$6,000EVENT SPONSOR OF CANTERBURY SCHOOL CAVALIER OPEN
YMCA OF GREATER FORT WAYNE
347 WEST BERRY SUITE 500FORT WAYNEIN46802350886850501 ( C ) 3$5,540STRONG KIDS PROGRAMS
HICKORY CENTER ELEMENTARY SCHOOL
3606 BAIRD ROADFORT WAYNEIN46818351118183501 ( C ) 3$5,500SPECIAL EDUCATION PROGRAMS
WILLOWBROOK DAY SCHOOL INCORPORATED
101 W DUPONT ROADFORT WAYNEIN46825510589202501 ( C ) 3$5,500EDUCATION PROGRAMS
FORT WAYNE HABITAT FOR HUMANITY
1021 S CALHOUN STFORT WAYNEIN46802351687064501 ( C ) 3$5,300SPONSORSHIP
WOMENS CARE CENTER FOUNDATION
921 W COLISEUM BLVDFORT WAYNEIN46808383651599501 ( C ) 3$5,250SPONSORSHIP - PROGRAMS TO HELP WOMEN HAVE HEALTHIER PREGNANCIES AND BECOME BETTER PARENTS
TWELVE CITIES
1830 WAYNE TRACEFORT WAYNEIN46806311103390501 ( C ) 3$5,094SPONSORSHIP
FieldValueIRS element (for citing)
Total501c3 Org46Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO$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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1APERSONAL SERVICES TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: RAYMOND DUSMAN $500
PART I, LINES 4A-BSEVERANCE 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 7MANAGEMENT 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY
A35160231645471ABQ42009-08-27$264,703,254SEE PART VIYes (1)00
INDIANA FINANCE AUTHORITY
B35160231645471AAS12009-08-27$223,665,000SEE PART VI000
INDIANA FINANCE AUTHORITY
C351602316NONEAVAIL2012-05-24$28,000,000SEE PART VI000
INDIANA FINANCE AUTHORITY
D35160231645471AHR62012-05-24$94,631,826SEE PART VI000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCredit EnhancementCreditEnhancementAmtCapital ExpendituresCapitalExpendituresAmtRefunding EscrowRefundingEscrowAmt
A$33,880,000$37,335,000$264,704,689$20,757,872$3,453,166$261,251,5232009Yes (1)0Yes (1)Yes (1)
B$223,915,573$1,369,431$73,265,6712011Yes (1)0Yes (1)Yes (1)$193,601$149,086,870
C$28,000,000$28,000,0002012Yes (1)0Yes (1)Yes (1)
D$1,420,000$94,714,776$1,022,698$57,344,7952012Yes (1)Yes (1)Yes (1)Yes (1)$36,347,283

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.00000Yes (1)0Yes (1)
B0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.00000Yes (1)0Yes (1)
C0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.00000Yes (1)0Yes (1)
D0Yes (1)Yes (1)Yes (1)Yes (1)Yes (1)0.000000.000000.00000Yes (1)0Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedInd
(no name)
A000Yes (1)0000Yes (1)
WELLS FARGO & PNC
B00Yes (1)Yes (1)Yes (1)Yes (1)00Yes (1)20.00000000000000
(no name)
C00Yes (1)Yes (1)Yes (1)000Yes (1)
(no name)
D000Yes (1)0000Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

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

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN F, LINE A:SERIES 2009A - 1) PARTIALLY REFUNDED OUTSTANDING 2005 SERIES BOND ISSUE WHICH WAS ISSUED ON JULY 28, 2005 2) PARTIALLY REFUNDED OUTSTANDING BONDS FOR 2001 SERIES BOND ISSUE WHICH WERE ISSUED ON NOVEMBER 6, 2001
SCHEDULE K, PART I, COLUMN F, LINE BSERIES 2009BCD - 1) NEW MONEY FOR CONSTRUCTION OF NEW HOSPITAL IN FORT WAYNE, IN 2) FULLY REFUNDED BALANCE OF OUTSTANDING 2005 SERIES BONDS WHICH WERE ISSUED ON JULY 28, 2005
SCHEDULE K, PART I, COLUMN F, LINE C:SERIES 2010 - 1) NEW MONEY FOR CONSTRUCTION OF NEW PARKVIEW WHITLEY HOSPITAL FACILITY IN COLUMBIA CITY, IN 2) REISSUED ON MAY 24, 2012
SCHEDULE K, PART I, COLUMN F, LINE D:SERIES 2012 - 1) PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009 2) FULLY REFUNDED OUTSTANDING BONDS FOR 1998 SERIES BOND ISSUE WHICH WAS ISSUED ON NOVEMBER 24, 1998
SCHEDULE K, PART II, COLUMN A, LINE 3:THIS AMOUNT INCLUDES INTEREST OF $1,435 EARNED ON COST OF ISSUANCE FUNDS.
SCHEDULE K, PART II, COLUMN B, LINE 3:THIS AMOUNT INCLUDES INTEREST OF $250,573 EARNED ON PROJECT AND COST OF ISSUANCE FUNDS.
SCHEDULE K, PART II, COLUMN D, LINE 3:THIS AMOUNT INCLUDES INTEREST OF $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 DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
FCFP LLC
ENTITY OF WHICH DIRECTOR MITCHELL STUCKY OWNED A GREATER THAN 5% INTEREST$725,169RENTAL 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$21,198,333PARKVIEW 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$300,000VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH.0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIR OF THE BOARD, VICE CHAIR OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, TREASURER AND SECRETARY OF THE CORPORATION AND AT LEAST ONE DIRECTOR WHO IS AN EX-OFFICIO VOTING MEMBER OF THE BOARD AND SUCH OTHER DIRECTORS AS ARE DESIGNATED BY THE CHAIR OF THE BOARD. THE EXECUTIVE COMMITTEE MAY ACT AS THE EXECUTIVE COMPENSATION COMMITTEE FOR THE CORPORATION. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION. IN ADDITION, THE COMMITTEE SHALL PERFORM ALL RESPONSIBILITIES DELEGATED TO IT BY THE BOARD. THE EXECUTIVE COMMITTEE MAY SERVE AS THE EXECUTIVE COMPENSATION COMMITTEE FOR THE CORPORATION AND ALL OF ITS ENTITIES, AS DETERMINED BY THE CHAIR OF THE BOARD, AT WHICH TIME, THE EXECUTIVE COMPENSATION COMMITTEE SHALL ESTABLISH THE COMPENSATION FOR ALL KEY MANAGEMENT PERSONNEL, PURSUANT TO THE STANDARDS OF CONDUCT RELATING TO EXECUTIVE COMPENSATION. NO INTERESTED PERSON MAY SERVE ON THE EXECUTIVE COMPENSATION COMMITTEE. NO OTHER BOARD OR COMMITTEE CAN APPROVE EXECUTIVE COMPENSATION ARRANGEMENTS. THE EXECUTIVE COMMITTEE SHALL ANNUALLY RECEIVE, REVIEW AND MAKE RECOMMENDATIONS ON ENTITY BOARDS AND SHALL SUBMIT RECOMMENDATIONS FOR ALL SYSTEM BOARD APPOINTMENTS.
FORM 990, PART VI, SECTION A, LINE 2OFFICER MICHAEL BROWNING AND DIRECTOR MITCHELL STUCKY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY.
FORM 990, PART VI, SECTION A, LINE 4DURING 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 11AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 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 12CAS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL."
FORM 990, PART VI, SECTION B, LINE 15REGARDING LINES 15A AND 15B, TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE ORGANIZATION USED A PROCESS FOR DETERMINING COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR; REVIEW, AND APPROVAL BY THE GOVERNING BODY; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 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 19COPIES 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/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NEW VISION PROFESSIONAL PARK LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845351972384REAL ESTATEIN$1,093,144$10,605,434PARKVIEW HEALTH SYSTEM INC
TRICON DIEBOLD DEVELOPMENT LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845464037822REAL ESTATEIN$0$0PARKVIEW HEALTH SYSTEM INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
PARKVIEW HOSPITAL INC
11109 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845350868085HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARKVIEW FOUNDATION INC
2200 RANDALLIA DRIVEFORT WAYNEIN46805237220589FUND MGMTIN501(C)(3)LINE 11A, IPARKVIEW HOSPITAL INCYes (1)
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
10501 CORPORATE DRIVEFORT WAYNEIN46845352064353OCCUP HEALTHIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE ROADLAGRANGEIN46761202401676HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
401 SAWYER ROADKENDALLVILLEIN46755352087092HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC
401 SAWYER ROADKENDALLVILLEIN46755352089183FUND MGMTIN501(C)(3)LINE 11A, ICOMMUNITY HOSPITAL OF NOBLE COUNTY INCYes (1)
WHITLEY MEMORIAL HOSPITAL INC
1260 E STATE ROAD 205COLUMBIA CITYIN46725351967665HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
WHITLEY MEMORIAL HOSPITAL FOUNDATION INC
1260 E STATE ROAD 205COLUMBIA CITYIN46725311190239FUND MGMTIN501(C)(3)LINE 11A, IWHITLEY MEMORIAL HOSPITAL INCYes (1)
HUNTINGTON MEMORIAL HOSPITAL INC
2001 STULTS ROADHUNTINGTONIN46750351970706HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INCYes (1)
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS ROADHUNTINGTONIN46750320012095FUND MGMTIN501(C)(3)LINE 11A, IHUNTINGTON MEMORIAL HOSPITAL INCYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845260143823ORTHO HOSPITALINPARKVIEW HEALTH SYSTEM INCRELATED$28,506,460$31,271,3020Yes (1)0.60000
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
8004 CARNEGIE BLVDFORT WAYNEIN46804201394120SURGICAL SERVICESINPARKVIEW HEALTH SYSTEM INCRELATED$293,799$196,1730Yes (1)0.51000
MANAGED CARE SERVICES LLC
2200 RANDALLIA DRIVEFORT WAYNEIN46805351996535HEALTH PLAN ADMININPARKVIEW HEALTH SYSTEM INCRELATED$2,568,520$6,712,8450Yes (1)0.90000
PARKVIEW IMAGING HUNTINGTON LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845208651460EQUIPMENT LEASINGINHUNTINGTON MEMORIAL HOSPITAL INCRELATED$264,118$367,85100

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtControlled OrganizationControlledOrganizationIndOwnershipOwnershipPct
PARKVIEW PROFESSIONAL PROGRAMS INC
2200 RANDALLIA DRIVEFORT WAYNEIN46805351668888REFERENCE LABINPARKVIEW HOSPITAL INCC$12,127,329$5,080,5900
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
442 W HIGH STREETBRYANOH43506341045870PHYSICIANSOHPARKVIEW HEALTH SYSTEM INCC$35,186,710$3,409,75601.00000
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (31 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
HUNTINGTON MEMORIAL HOSPITAL INC
A$1,274,504PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
A$1,481,271PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
A$149,009PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
A$1,743,462PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
A$3,300,245PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
A$1,482,012PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
D$8,596,241PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
D$2,231,989PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
J$1,274,504PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
J$149,009PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
J$1,743,465PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
J$3,300,245PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
J$1,481,271PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
J$1,482,012PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
K$82,485PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
K$1,513,304PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
K$188,112PART VII SUPPLEMENTAL INFORMATION
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
L$6,613,856PART VII SUPPLEMENTAL INFORMATION
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
L$66,250PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
Q$150,822,208PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
Q$11,147,586PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
Q$11,345,051PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
Q$10,533,654PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Q$7,010,381PART VII SUPPLEMENTAL INFORMATION
MANAGED CARE SERVICES LLC
Q$235,000PART VII SUPPLEMENTAL INFORMATION
MANAGED CARE SERVICES LLC
Q$250,000PART VII SUPPLEMENTAL INFORMATION
PARKVIEW PROFESSIONAL PROGRAMS INC
Q$1,018,896PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
S$95,173,061PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
S$11,566,741PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
S$7,240,636PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
S$8,396,236PART VII SUPPLEMENTAL INFORMATION

Supplemental Information Detail SupplementalInformationDetail

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