STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

PARKVIEW HEALTH SYSTEM INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
PARKVIEW HEALTH SYSTEM INC (EIN 35-1972384)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-11
IRS object ID
201343169349301809
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-11T09:08:41-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN350921680EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1330 E JEFFERSON BLVD P O BOX 7AddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code466240007ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351972384EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1PARKVIEW HEALTH SYSTEM INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlPARKNameControl
Phone2603738407Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL P BROWNINGName
TitlePH SVP & CFOTitle
Phone2603738407Phone
Date Signed2013-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKENNETH J KEBERName
PTINP00240883PTIN
Phone5742323992Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL PACKNETTNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110501 CORPORATE DRIVEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46845ZIPCode
FieldValueIRS element (for citing)
Gross Receipts711154937GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PARKVIEW.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionPARKVIEW HEALTH SYSTEM, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2797TotalNbrEmployees
Total Nbr Volunteers23TotalNbrVolunteers
Total Gross UBI1696576TotalGrossUBI
Net Unrelated Business Txbl Income-246376NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year115235ContributionsGrantsPriorYear
Contributions Grants Current Year29971ContributionsGrantsCurrentYear
Program Service Revenue Prior Year280644128ProgramServiceRevenuePriorYear
Program Service Revenue CY318993582ProgramServiceRevenueCY
Investment Income Prior Year10709491InvestmentIncomePriorYear
Investment Income Current Year19489993InvestmentIncomeCurrentYear
Other Revenue Prior Year-1366097OtherRevenuePriorYear
Other Revenue Current Year81715OtherRevenueCurrentYear
Total Revenue Prior Year290102757TotalRevenuePriorYear
Total Revenue Current Year338595261TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1392161GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3955121GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year209821417SalariesEtcPriorYear
Salaries Etc Current Year211518223SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year114306580OtherExpensePriorYear
Other Expenses Current Year153985020OtherExpensesCurrentYear
Total Expenses Prior Year325520158TotalExpensesPriorYear
Total Expenses Current Year369458364TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-35417401RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-30863103RevenuesLessExpensesCY
Total Assets BOY1179955138TotalAssetsBOY
Total Assets EOY1205898438TotalAssetsEOY
Total Liabilities BOY828533839TotalLiabilitiesBOY
Total Liabilities EOY742806076TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY351421299NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY463092362NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPARKVIEW HEALTH SYSTEM, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense357508188Expense
Grants3955121Grants
Revenue317072271Revenue
DescriptionPARKVIEW 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 298 PRIMARY AND SPECIALTY CARE PHYSICIANS AS PART OF PARKVIEW PHYSICIANS' GROUP. THESE PHYSICIANS, ALONG WITH 49 NON-PHYSICIAN 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.Description
Total Program Service Expense357508188TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096260NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2797NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryDANameOfForeignCountry
Name Of Foreign CountryITNameOfForeignCountry
Name Of Foreign CountryNONameOfForeignCountry
Name Of Foreign CountrySWNameOfForeignCountry
Name Of Foreign CountrySZNameOfForeignCountry
Name Of Foreign CountryBRNameOfForeignCountry
Name Of Foreign CountryGRNameOfForeignCountry
Name Of Foreign CountryHUNameOfForeignCountry
Name Of Foreign CountryIDNameOfForeignCountry
Name Of Foreign CountryMYNameOfForeignCountry
Name Of Foreign CountryPLNameOfForeignCountry
Name Of Foreign CountryPONameOfForeignCountry
Name Of Foreign CountrySFNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Excess Business Holdings0ExcessBusinessHoldings
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL P BROWNINGBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2603738407TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MICHAEL PACKNETT
DIRECTOR/PH CEO40.0016.00XX11497620166973
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH PHY40.000.00X720414046574
DUANE HOUGENDOBLER
DIRECTOR/PH PHYSICIAN40.000.00X705100050958
MITCHELL STUCKY
DIRECTOR/PH PHYSICIAN40.000.00X387589081581
MICHAEL AXEL
DIRECTOR1.001.00X250067500
JANET CHRZAN
DIRECTOR/SECRETARY1.000.00X850000
BRIAN EMERICK
DIRECTOR1.001.00X225062500
DAVID HAIST
DIRECTOR1.001.00X150030000
THOMAS KARST
DIRECTOR1.001.00X175062500
THOMAS KIMBROUGH
DIRECTOR1.001.00X100060000
MICHAEL LEE
DIRECTOR1.000.00X550000
JOHN PRICE
DIRECTOR1.001.00X325067500
LARRY ROWLAND
DIRECTOR40.004.00X33075000
CHARLES SCHRIMPER
DIRECTOR/CHAIR1.000.00X1025000
WIL SMITH
DIRECTOR/TREASURER1.001.00X300037500
THOMAS WALSH
DIRECTOR1.000.00X850000
MICHAEL BROWNING
PH SVP & CFO40.0016.00X608926075200
JEFFREY BROOKES
PH MEDICAL DIR - COMMUNITY1.0040.0010904926596057011X
CATHERINE WILCOX
PH SVP40.000.00389791061955X
JAMES STAPEL
PH MEDICAL DIR - PPG40.000.00378771077363X
RONALD DOUBLE
PH CIO40.000.00359906066731X
DEBRA WILLIAMS
PH SVP40.000.00343690048962X
RICK HENVEY
PH COO - COMMUNITY HOSPITA40.000.00372812057266X
JILL OSTREM
PH SVP40.000.00307952052103X
RAMESH BHAT
PH PHYSICIAN40.001.008529894855839498X
SAILAJA BLACKMON
PH PHYSICIAN40.000.00866695043574X
DAVID SCHLEINKOFER
PH PHYSICIAN40.000.00740661047874X
DAVID CLARK
PH PHYSICIAN40.000.00766553031998X
EDWARD SCHULTZ
PH PHYSICIAN40.000.00770871036727X
STANTON RISSER
FORMER:OFFICER CURRENT:PH40.000.00132531027053X
JAMES HAUGUEL
FORMER:KEY EMPLOYEE CURREN40.000.00255674044455X
JAMES WITMER
FORMER:KEY EMPLOYEE CURREN40.000.00271376051216X
FieldValueIRS element (for citing)
Total Reportable Comp From Org10869862TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs353268TotalReportableCompFrmRltdOrgs
Total Other Compensation1165072TotalOtherCompensation
Number Individuals GT100 K318NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MAXIT HEALTHCARE LLC
P O BOX 2589FORT WAYNEIN46801CONSULTANTS1300131
MCGLADREY & PULLEN LLP
5155 PAYSPHERE CIRCLECHICAGOIL60674CONSULTANTS691202
ERNST & YOUNG US LLP
P O BOX 96550CHICAGOIL60693CPA FIRM499097
PROPHET ONE SOLUTIONS LLC
101 WEST 103RD STREETINDIANAPOLISIN46290CONSULTANTS456993
TM TRANSCRIPTION SERVICE
3377 S 250 WALBIONIN46701TRANSCRIPTION358396
FieldValueIRS element (for citing)
Number Of Contractors GT100 K21NumberOfContractorsGT100K
Related Organizations29971RelatedOrganizations
Total Contributions29971TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CORP SER ALLOCATION561000118307357118307357
NET PATIENT SERVICE621110114630942114630942
PH SUBSIDY5614994570442045704420
ORTHOPAEDIC HOSPITAL AT PARKVIEW6211101862818718628187
INTERUNIT RENT53200091602149160214

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column12562462TotalRevenueColumn
Related Or Exempt Function Income10445566RelatedOrExemptFunctionIncome
Unrelated Business Revenue2116896UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue318993582TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5858063TotalRevenueColumn
Exclusion$5,858,063ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column183522TotalRevenueColumn
Exclusion$183,522ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1969410Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2545212Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-575802Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-575802TotalRevenueColumn
Unrelated Business Revenue-420320UnrelatedBusinessRevenue
Exclusion-$155,482ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities381151613Securities
Other2311259Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities368178000Securities
Other1836464Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities12973613Securities
Other474795Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column13448408TotalRevenueColumn
Exclusion$13,448,408ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA REVENUE722100461932$461,932
MISCELLANEOUS900099195585195585
FieldValueIRS element (for citing)
Total Other Revenue657517TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column338595261TotalRevenueColumn
Related Or Exempt Function Income317072271RelatedOrExemptFunctionIncome
Unrelated Business Revenue1696576UnrelatedBusinessRevenue
Exclusion$19,796,443ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3955121Total
Program Services3955121ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total7014756Total
Management And General7014756ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total169731719Total
Program Services169731719ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7524391Total
Program Services7524391ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total27247357Total
Program Services27247357ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total868379Total
Program Services868379ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total580000Total
Program Services580000ProgramServices

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total72414Total
Program Services72414ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total992517Total
Management And General992517ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total19388879Total
Program Services17644421ProgramServices
Management And General1744458ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total3091308Total
Program Services3070620ProgramServices
Management And General20688ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total9386496Total
Program Services8717027ProgramServices
Management And General669469ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total27667858Total
Program Services27667858ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12781153Total
Program Services12778726ProgramServices
Management And General2427ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total976816Total
Program Services779911ProgramServices
Management And General196905ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total579936Total
Program Services438282ProgramServices
Management And General141654ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total20781963Total
Program Services20781963ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total24511645Total
Program Services24500231ProgramServices
Management And General11414ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2323179Total
Program Services2304886ProgramServices
Management And General18293ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
UBI TAXES & REFUNDS-403406-403406
BAD DEBT1033869810338698
BOND REFINANCING LOSS68626356862635
MEDICAL SUPPLIES64746946474694

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6709856Total
Program Services5572261ProgramServices
Management And General1137595ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total369458364Total
Program Services357508188ProgramServices
Management And General11950176ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY23508BOY
EOY23875EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16833579BOY
EOY63864294EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19503014BOY
EOY14819898EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY12758705BOY
EOY13970305EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1832224BOY
EOY3287295EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10431936BOY
EOY11872934EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis473820458LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec190112808LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY732724616BOY
EOY283707650EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY337456836BOY
EOY274629166EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY31667444BOY
EOY27259916EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY12917337BOY
EOY29672921EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3805939BOY
EOY482790184EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1179955138BOY
EOY1205898438EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY88546682BOY
EOY75051612EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY146512BOY
EOY812547EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY569215990BOY
EOY565540203EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY15137891BOY
EOY21158136EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY155486764BOY
EOY80243578EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY828533839BOY
EOY742806076EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY351421299BOY
EOY463092362EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY351421299BOY
EOY463092362EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1179955138BOY
EOY1205898438EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-30863103ReconcilationRevenueExpenses
Reconciliation Unrealized Invest15735566ReconciliationUnrealizedInvest
Reconcilation Other Changes126798600ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type3 Func IntXSupportingOrg509a3Type3FuncInt
Certification CheckboxXCertificationCheckbox
Contrib By Controlling Individual0ContribByControllingIndividual
Contribution By Related Party0ContributionByRelatedParty
Contrib By35 Controlled Entity0ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
PARKVIEW HOSPITAL INC
3508680853111$90,582,136
HUNTINGTON MEMORIAL HOSPITAL INC
3519707063111$7,371,000
WHITLEY MEMORIAL HOSPITAL INC
3519676653111$6,420,000
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
3520891833111$7,686,000
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
2024016763111$4,776,000
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts116835136SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$72,414DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$2,700OtherActivitiesAmount
Total Lobbying Expenditures IIB75114TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierEXPLANATION OF LOBBYING ACTIVITIES:Identifier
Return ReferencePART II-B, LINE 1:ReturnReference
ExplanationA PORTION OF THE DUES PAID TO REGIONAL CHAMBER OF NORTHEAST INDIANA WERE USED FOR LOBBYING ACTIVITIES.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis19940440InvestmentCostOrOtherBasis
Other Cost Or Other Basis26268469OtherCostOrOtherBasis
Book Value46208909BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis170913954OtherCostOrOtherBasis
Depreciation47175264Depreciation
Book Value123738690BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis8037800OtherCostOrOtherBasis
Depreciation3012739Depreciation
Book Value5025061BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis229481811OtherCostOrOtherBasis
Depreciation133733247Depreciation
Book Value95748564BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis19177984OtherCostOrOtherBasis
Depreciation6191558Depreciation
Book Value12986426BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings283707650TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DUE TO/FROM INTERUNIT479100668
PREPAID FINANCING COSTS2742944
MISCELLANEOUS946572
FieldValueIRS element (for citing)
Total Book Value Other Assets482790184TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACC RETIREMENTS COST$69,946,772
RESERVE FOR SIGNATURE CARE$4,959,158
RESERVE FOR MALPRACTICE$5,259,971
MISCELLANEOUS$77,677
FieldValueIRS element (for citing)
Total Of Amounts80243578TotalOfAmounts

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent0SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent0TotalAmountSpent
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierTRANSFER OF PROPERTY TO A FOREIGN CORPORATION:Identifier
Return ReferenceFORM 990, PART IV, LINE 1:ReturnReference
ExplanationPARKVIEW HEALTH SYSTEM, INC. OWNS AN INTEREST IN A DOMESTIC PARTNERSHIP THAT TRANSFERRED CASH TO FOREIGN CORPORATIONS DURING THE REPORTING PERIOD. PARKVIEW HEALTH SYSTEM, INC. HAS FILED ALL REQUIRED FORMS 926 AS PROVIDED IN THE FOOTNOTES TO THE PARTNERSHIP SCHEDULE K-1. THEREFORE, PART IV, LINE 1 HAS BEEN ANSWERED AS "YES" TO REFLECT TRANSACTIONS NOTED.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report0AnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense49880TotalCommunityBenefitExpense
Net Community Benefit Expense49880NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1659322TotalCommunityBenefitExpense
Direct Offsetting Revenue843672DirectOffsettingRevenue
Net Community Benefit Expense815650NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense577495TotalCommunityBenefitExpense
Direct Offsetting Revenue182765DirectOffsettingRevenue
Net Community Benefit Expense394730NetCommunityBenefitExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2286697TotalCommunityBenefitExpense
Direct Offsetting Revenue1026437DirectOffsettingRevenue
Net Community Benefit Expense1260260NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense145427TotalCommunityBenefitExpense
Direct Offsetting Revenue3500DirectOffsettingRevenue
Net Community Benefit Expense141927NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense415125TotalCommunityBenefitExpense
Net Community Benefit Expense415125NetCommunityBenefitExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1893690TotalCommunityBenefitExpense
Net Community Benefit Expense1893690NetCommunityBenefitExpense
Percent Of Total Expense0.00530PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2454242TotalCommunityBenefitExpense
Direct Offsetting Revenue3500DirectOffsettingRevenue
Net Community Benefit Expense2450742NetCommunityBenefitExpense
Percent Of Total Expense0.00690PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4740939TotalCommunityBenefitExpense
Direct Offsetting Revenue1029937DirectOffsettingRevenue
Net Community Benefit Expense3711002NetCommunityBenefitExpense
Percent Of Total Expense0.01040PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense869739TotalCommunityBuildingExpense
Net Community Building Expense869739NetCommunityBuildingExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1223334TotalCommunityBuildingExpense
Net Community Building Expense1223334NetCommunityBuildingExpense
Percent Of Total Expense0.00340PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense953784TotalCommunityBuildingExpense
Net Community Building Expense953784NetCommunityBuildingExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense3046857TotalCommunityBuildingExpense
Net Community Building Expense3046857NetCommunityBuildingExpense
Percent Of Total Expense0.00850PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$10,763,238BadDebtExpenseAmount
Amount Attributable To30615AmountAttributableTo
Amount Reimbursed By Medicare5120851AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7018504CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1897653MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
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)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

FieldValueIRS element (for citing)
Address Line111119 PARKVIEW PLAZA DRIVEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46845ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Teaching HospitalXTeachingHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTHBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis0ExplainsBasis
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Available On RequestXAvailableOnRequest
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities90NumberOfOtherFacilities

Other Facilities OtherFacilities (90 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityTypeAddress Line2Address/AddressLine2
PARKVIEW PHYSICIANS GROUP
11108 PARKVIEW CIRCLEFORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3909 NEW VISION DRIVEFORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DR SUITE 101FORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1515 HOBSON ROADFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11141 PARKVIEW PLAZA DR SUITE 320FORT WAYNEIN46845PHYSICIAN OFFICE
PREMIER SURGERY CENTER LLC
1333 MAYCREST DRIVEFORT WAYNEIN46805SURGERY CENTER
PARKVIEW PHYSICIANS GROUP
104 NICHOLAS PLACEAVILLAIN46710PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1331 MINNICH ROADNEW HAVENIN46774PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1270 EAST STATE ROAD 205 SUITE 210COLUMBIA CITYIN46725PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2710 LAKE AVENUEFORT WAYNEIN46805PHYSICIAN OFFICE
FOUNDATION SURGERY AFF OF FT WAYNE LLC
8004 CARNEGIE BLVDFORT WAYNEIN46804SURGERY CENTER
PARKVIEW PHYSICIANS GROUP
2708 GUILFORD STREETHUNTINGTONIN46750PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DR SUITE 106FORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11104 PARKVIEW CIRCLE SUITE 320FORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
326 SAWYER ROADKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1720 BEACON STFORT WAYNEIN46805PHYSICIAN OFFICE
IMAGING SYSTEMS HOLDINGS LLC
3707 NEW VISION DRIVEFORT WAYNEIN46845IMAGING SERVICES
PARKVIEW PHYSICIANS GROUP
10515 ILLINOIS ROADFORT WAYNEIN46814PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2003 STULTS ROAD SUITE 100HUNTINGTONIN46750PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
6130 TRIER ROADFORT WAYNEIN46815PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1818 CAREW ST SUITE 260FORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
4665 STATE ROAD 5SOUTH WHITLEYIN46787PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
5104 N CLINTONFORT WAYNEIN46825PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11104 PARKVIEW CIRCLE DRIVE SUITEFORT WAYNEIN46845PHYSICIAN OFFICE310
PARKVIEW PHYSICIANS GROUP
2003 STULTS ROAD SUITE 105HUNTINGTONIN46750PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
6108 MAPLECREST ROADFORT WAYNEIN46835PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
207 N TOWNLINE ROAD SUITE 104LAGRANGEIN46761PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2402 LAKE AVENUEFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
15707 OLD LIMA RDHUNTERTOWNIN46748PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
13430 MAIN STGRABILLIN46741PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1464 LINCOLNWAY SOUTHLIGONIERIN46767PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
885 W CONNEXION WAY SUITE 200ACOLUMBIA CITYIN46725PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1270 EAST STATE ROAD 205 SUITE 150COLUMBIA CITYIN46725PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3030 LAKE AVENUE SUITE 27FORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1316 EAST 7TH STREET SUITE 3AUBURNIN46706PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1314 EAST 7TH STREET SUITE 103AUBURNIN46706PHYSICIAN OFFICE
NORTHEAST INDIANA CANCER CENTER LLC
516 E MAUMEE STREETANGOLAIN46703MEDICAL SERVICES
PARKVIEW PHYSICIANS GROUP
1270 EAST STATE ROAD 205 SUITE 240COLUMBIA CITYIN46725PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1844 IDA RED ROADKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2231 CAREW STFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2500 E BELLEFONTAINE RDHAMILTONIN46742PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2600 N DETROIT ST SR 9LAGRANGEIN46761PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11108 PARKVIEW CIRCLE SUITE 5100FORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
US HWY 30 WEST 5 MATCHETT DRPIERCETONIN46562PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8028 CARNEGIE BLVD SUITE 600FORT WAYNEIN46804PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2003 STULTS ROAD SUITE 210HUNTINGTONIN46750PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DR SUITE 204FORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8175 WEST US 20SHIPSHEWANAIN46565PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2300 DUBOIS DRWARSAWIN46580PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11104 PARKVIEW CIRCLE SUITE 410FORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
4084 NORTH US HWY 33CHURUBUSCOIN46723PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11141 PARKVIEW PLAZA DRIVE SUITEFORT WAYNEIN46845PHYSICIAN OFFICE310
PARKVIEW PHYSICIANS GROUP
4666 W JEFFERSON BLVD SUITE 140FORT WAYNEIN46804PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3217 LAKE AVENUEFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
817 TRAIL RIDGE ROADALBIONIN46701PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
420 SAWYER ROAD PO BOX 99KENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2510 E DUPONT ROAD SUITE 200FORT WAYNEIN46825PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
301 E MAUMEE STANGOLAIN46703PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1270 EAST STATE ROAD 205 SUITE 140COLUMBIA CITYIN46725PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
577 GEIGER DRIVE SUITE CROANOKEIN46783PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8028 CARNEGIE BLVD SUITE 400FORT WAYNEIN46804PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
512 NORTH PROFESSIONAL WAYKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
306 E MAUMEE ST SUITE 2ANGOLAIN46703PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1818 CAREW ST SUITE 240FORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
714 W HARCOURT ROADANGOLAIN46703PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
2003 STULTS ROAD SUITE 215HUNTINGTONIN46750PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
306 E MAUMEE ST SUITE 8ANGOLAIN46703PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3303 TRIER ROAD SUITE 1FORT WAYNEIN46815PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1818 CAREW STREET SUITE 260FORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
410 EAST MITCHELL STREETKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
3974 NEW VISION DRIVEFORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DR SUITE 102FORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
344 N MAIN STREETCOLUMBIA CITYIN46725PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
401 SAWYER ROAD SUITE BKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1270 EAST STATE ROAD 205 SUITE 120COLUMBIA CITYIN46725PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
8607 TEMPLE DRFORT WAYNEIN46809PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
207 N TOWNLINE ROAD SUITE 101LAGRANGEIN46761PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
213 FAIRVIEW BLVDKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
112 SOUTH MAIN STREETMILFORDIN46542PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DR SUITE 203FORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11141 PARKVIEW PLAZA DR SUITE 210FORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
207 NORTH TOWNLINE ROADLAGRANGEIN46761PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
4084 NORTH US HWY 33CHURUBUSCOIN46723PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1818 CAREW STREET SUITE 260 SUITEFORT WAYNEIN46805PHYSICIAN OFFICE260
PARKVIEW PHYSICIANS GROUP
11115 PARKVIEW PLAZA DRFORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
1234 E DUPONT ROAD SUITE 5FORT WAYNEIN46825PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
306 E MAUMEE ST SUITE 1ANGOLAIN46703PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
442 WEST HIGH STREETBRYANOH43506PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
121 WESTFIELD DRIVEARCHBOLDOH43502PHYSICIAN OFFICE
PARKVIEW PHYSICIANS GROUP
11109 PARKVIEW PLAZA DRFORT WAYNEIN46845PHYSICIAN OFFICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
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 CERTAIN 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, L7 COL(F): PERCENT OF TOTAL EXPENSESPARKVIEW HEALTH SYSTEM, INC. EXCLUDED $10,338,698 OF BAD DEBT EXPENSE.
PART II: DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.PARKVIEW HEALTH SYSTEM, INC. HAS A STRONG COMMITMENT TO THE VITALITY OF THE LOCAL COMMUNITY AND TO THE NORTHEAST INDIANA REGION AND INVESTS IN ENHANCING VARIOUS ASPECTS OF THE COMMUNITY THAT CONTRIBUTE TO IMPROVED HEALTH 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. THESE 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 TO OUR COMMUNITIES. IN DOING SO, WE FOCUS OUR EFFORTS ON RECRUITING AN EXCEPTIONAL TEAM OF PHYSICIANS. EVERY MEMBER OF PARKVIEW HEALTH SYSTEM, INC.'S HEALTHCARE TEAM IS RESPONSIBLE FOR NURTURING AN ENVIRONMENT OF EXCELLENCE AS 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. 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.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 NEW 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 "NEI=ROI" CAMPAIGN TO MARKET NORTHEAST INDIANA ON A GLOBAL BASIS. PARKVIEW HEALTH SYSTEM, INC. MADE A MULTI-YEAR PLEDGE TO THE CAMPAIGN AND ISSUED AN ANNUAL CHALLENGE FOR MATCHING FUNDS FROM AREA BUSINESSES. THE "VISION 20/20" INITIATIVE (DISCUSSED IN LINE 4), DESIGNED TO ENGAGE ALL CITIZENS IN THE DEVELOPMENT OF THE REGION, IS AN EXTENSION OF THE NORTHEAST INDIANA REGIONAL MARKETING PARTNERSHIP EFFORTS. MIKE PACKNETT, PRESIDENT AND CEO OF PARKVIEW HEALTH, SERVES AS CO-CHAIR OF THE VISION 20/20 INITIATIVE, LEADING A GROUP OF COMMUNITY REPRESENTATIVES FROM ACROSS BUSINESS, EDUCATION, GOVERNMENT AND FOUNDATION SECTORS TO DEVELOP A COMPELLING AND ACTIONABLE VISION FOR THE TEN-COUNTY NORTHEAST INDIANA REGION. COMPLETION OF THE FIRST PHASE OF VISION 20/20 HAS REVEALED A CLEAR, UNIFYING VISION FOR THE FUTURE, SHARED REGIONAL PRIORITIES AND ACCOUNTABILITY, PLANS WITH SPECIFIC STRATEGIES AND TACTICS, AND AN ATTITUDE OF PASSION AND URGENCY TO SEE THE VISION TO ACTION. VISION 20/20 ANNOUNCED PRIORITIES TIED TO EDUCATION, BUSINESS CLIMATE, ENTREPRENEURSHIP AND INFRASTRUCTURE FOR THE TEN-COUNTY REGION IN NORTHEAST INDIANA. THE SOCIAL DETERMINANTS OF HEALTH AND COMMUNITY HEALTH STATUS ARE AN IMPORTANT COMPONENT OF THE VISION. 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 AND 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 TO THE COMMUNITY. WORKFORCE DEVELOPMENT:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS PHYSICIAN RECRUITMENT ACTIVITIES TO ASSIST IN TIMELY RESPONSE TO PATIENT CARE NEEDS IN THE COMMUNITY. THESE RECRUITMENT ACTIVITIES ARE BASED ON RESULTS OF A PERIODIC PHYSICIAN NEEDS ASSESSMENT. PARKVIEW HEALTH SYSTEM, INC. DEVELOPS A PHYSICIAN RECRUITMENT PLAN TO ADDRESS POTENTIAL GAPS IN PATIENT COVERAGE. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. PROMOTES CAREERS IN HEALTHCARE THROUGH STUDENT JOB SHADOWING OPPORTUNITIES AND INTERNSHIP PROGRAMS IN VARIOUS AREAS THROUGHOUT THE ORGANIZATION.
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 2012 CALENDAR 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 SUPLUS 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 V, SECTION B, LINE 11: ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CAREORTHOPAEDIC 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 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.ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH,
PART VI, LINE 2: DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES.PARKVIEW HEALTH SYSTEM, INC., ALONG WITH ITS SYSTEM HOSPITALS AND IN CONJUNCTION WITH THE ALLEN COUNTY - FORT WAYNE HEALTH DEPARTMENT, IS CURRENTLY CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE FIVE-COUNTY SERVICE AREA IN WHICH PARKVIEW HOSPITALS RESIDE. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. HAS PARTNERED WITH INDIANA UNIVERSITY/PURDUE UNIVERSITY FORT WAYNES (IPFW) SOCIAL RESEARCH DEPARTMENT AND PURDUE UNIVERSITY HEALTHCARE ADVISORS TO COMPLETE MUCH OF THE FIELD WORK. IPFW IS CONDUCTING THE RANDOM COMMUNITY MEMBER SURVEY TO OBTAIN PRIMARY DATA. PURDUE UNIVERSITY IS ASSISTING WITH SURVEYING PUBLIC HEALTH AND OTHER HEALTH CARE PROFESSIONALS, PROVIDING SECONDARY DATA RESEARCH AND DATA ANALYSIS. PARKVIEW HEALTH SYSTEM, INC. PLANS TO FINALIZE THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE IMPLEMENTATION STRATEGY TO ADDRESS IDENTIFIED HEALTH NEEDS DURING 2013. THE INFORMATION FROM THIS SURVEY IS PROVING TO BE A VALUABLE TOOL AS WE SEEK AND PRIORITIZE OPPORTUNITIES TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND IDENTIFY OPPORTUNITIES FOR COLLABORATION AMONG COMMUNITY ORGANIZATIONS AND LEADERS. PARKVIEW HEALTH SYSTEM, INC. REPRESENTATIVES HAVE RELATIONSHIPS THROUGHOUT OUR COMMUNITIES AND MEET REGULARLY WITH VARIOUS ORGANIZATIONS THAT SHARE OUR MISSION OF IMPROVING THE HEALTH OF THESE COMMUNITIES.
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 NORTHEAST INDIANA AND NORTHWEST OHIO AND OPERATES FACILITIES AND MEDICAL PRACTICES IN ALLEN, DEKALB, HUNTINGTON, KOSCIUSKO, LAGRANGE, NOBLE, STEUBEN, AND WHITLEY COUNTIES, AS WELL AS IN COMMUNITIES IN VARIOUS NORTHWEST OHIO COUNTIES. ALLEN COUNTY IS CONSIDERED THE URBAN AREA AMONGST THE OTHER RURAL COUNTIES AND REPRESENTS 69.7% OF THE TOTAL POPULATION OF THE 5-COUNTY AREA. HOSPITAL FACILITIES ARE LOCATED IN ALLEN, HUNTINGTON, LAGRANGE, NOBLE AND WHITLEY COUNTIES.
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 COMPOSED OF MEMBERS OF WHICH SUBSTANTIALLY ALL ARE INDEPENDENT COMMUNITY MEMBERS. A MAJORITY OF THE BOARD RESIDES IN PARKVIEW HEALTH SYSTEM, INC.'S PRIMARY SERVICE AREA. PARKVIEW HEALTH SYSTEM, INC., AS PARENT OF THE SYSTEM'S VARIOUS HOSPITALS AND PHYSICIAN PRACTICES, SERVES IN AN OVERSIGHT CAPACITY TO FORM AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. IN DOING SO, ALL OF OUR HEALTHCARE FACILITIES ARE EFFICIENTLY SUPPORTED WITH CENTRALIZED, COST-EFFECTIVE ADMINISTRATIVE SUPPORT AND GUIDANCE TO FORM A COMPLETE AND COMPREHENSIVE CARE DELIVERY SYSTEM FOR THE REGION. BY ITSELF AND THROUGH ITS MEMBER HOSPITALS AND ORGANIZATIONS, 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 PEOPLE OF OUR COMMUNITIES, PARKVIEW HEALTH SYSTEM, INC. IS PROUD TO FEATURE THE NEW PARKVIEW REGIONAL MEDICAL CENTER ON OUR NORTH CAMPUS, WHICH OPENED IN MARCH 2012. THE NEW CENTER OFFERS THE LATEST IN CARE DESIGN AND STATE OF THE ART EQUIPMENT AND CLINICAL CAPABILITIES. 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-EXPANSION OF PRIMARY CARE ACCESS AND NON-TRADITIONAL HOURS OF PRACTICE-CONTINUED SUPPORT OF PROGRAMS PROVIDING PRIMARY CARE TO THE UNINSURED-PROGRAMS TO INCREASE DISTRIBUTION OF FREE MEDICATIONS TO THE POOR-PROMOTION OF HEALTH CAREERS, PARTICULARLY THOSE IN WHICH THE COMMUNITY IS EXPERIENCING A CURRENT SHORTAGE OF HEALTH CARE PROFESSIONALS-SUPPORT FOR ACTIVITIES WHICH INCREASE THE AFFORDABILITY AND ACCESSIBILITY OF HEALTH INSURANCE TO THE UNINSUREDHEALTH SCREENING AND PREVENTION:-CANCER SCREENING PROGRAMS, PARTICULARLY MAMMOGRAM AND PROSTATE SCREENING-TOBACCO CESSATION PROGRAMS-INJURY PREVENTION FOR YOUNG PEOPLE-DIABETES EDUCATION AND SCREENING-CARDIOVASCULAR DISEASE EDUCATION AND SCREENING-PROGRAMS TO REDUCE DANGEROUS DRIVINGDISEASE MANAGEMENT:-CARDIOVASCULAR DISEASE -CANCER-MENTAL ILLNESSES-TRAUMA AND ORTHOPAEDIC AILMENTS-WOMEN'S AND CHILDREN'S MEDICINE WITH AN EMPHASIS ON CHILDREN'S ASTHMA-DIABETES AND OBESITY HEALTH INNOVATION, EDUCATION, AND RESEARCH AND DEVELOPMENT:-ENHANCING HEALTH CARE EDUCATION, MEDICAL RESEARCH, AND TECHNOLOGY-PROMOTING ECONOMIC AND OTHER DEVELOPMENT OF THE COMMUNITY 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 OF THE COMMUNITIES WE SERVE WHICH ALIGNS WITH OUR ESTABLISHED MISSION. (CONTINUED RESPONSE IS LOCATED IMMEDIATELY AFTER THE FOLLOWING SECTION OF PART VI, LINE 6):
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 OF THE COMMUNITIES IT SERVES. PARKVIEW CONTRIBUTES TO THE SUCCESS OF THE REGION BY EFFICIENTLY OPERATING ITS FACILITIES, DELIVERING HIGH QUALITY HEALTHCARE SERVICES TO ITS PATIENTS, AND PROVIDING SUPPORT TO LOCAL BUSINESSES AND ACTIVITIES. PARKVIEW HEALTH SYSTEM, INC. SEEKS TO CREATE ALIGNMENT OPPORTUNITIES TO DELIVER COMPREHENSIVE HIGH-QUALITY CARE THAT BENEFITS ITS PATIENTS, PHYSICIANS, CO-WORKERS, AND COMMUNITIES.PARKVIEW HEALTH SYSTEM, INC. PRIDES ITSELF IN NOT ONLY OFFERING THE HIGHEST LEVEL OF CARE TO ITS PATIENTS, BUT ALSO IN PROVIDING A WORKPLACE THAT IS SECOND TO NONE 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 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.
CONTINUED RESPONSE TO THE FOLLOWING: 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., 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. PARKVIEW HOSPITAL, INC. IS PROUD TO FEATURE THE NEW PARKVIEW REGIONAL MEDICAL CENTER ON ITS NORTH CAMPUS, WHICH OPENED IN MARCH 2012, REPRESENTING A SIGNIFICANT INVESTMENT IN THE LOCAL COMMUNITY AND THE NORTHEAST INDIANA REGION. THE CENTER BLENDS THE LATEST MEDICAL TECHNOLOGY WITH THE BEST POSSIBLE PATIENT-CENTERED CARE AND PROVIDES GREATER ACCESS TO HEALTHCARE FOR THE ENTIRE REGION. ALSO PART OF PARKVIEW HOSPITAL, INC., A HOSPITAL FACILITY AND CAMPUS LOCATED IN NORTH CENTRAL FORT WAYNE (PARKVIEW RANDALLIA HOSPITAL) WILL RECEIVE AN UPGRADE AND REMAIN A VITAL PART OF THE LOCAL NEIGHBORHOOD. IN ADDITION, PARKVIEW HOSPITAL, INC. IS PARTNERING WITH THE LIFE SCIENCE AND RESEARCH CONSORTIUM OF NORTHEAST INDIANA TO CREATE A CAMPUS FOR ACADEMIC PROGRAMS AND RESEARCH TIED TO BEHAVIORAL HEALTH, REHABILITATION, AND SENIOR CARE.PROMOTION OF COMMUNITY HEALTH:PART VI, LINE 5 CONTINUED:

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
PARKVIEW FOUNDATION INC
2200 RANDALLIA DRIVEFORT WAYNEIN46805237220589501 ( C ) 3675772OPERATING FUNDS
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE RDLAGRANGEIN46761202401676501 ( C ) 330705OPERATING FUNDS
COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC
401 SAWYER ROADKENDALLVILLEIN46755352089183501 ( C ) 345000OPERATING FUNDS
WHITLEY MEMORIAL HOSPITAL FOUNDATION INC
1260 EAST STATE ROAD 205COLUMBIA CITYIN46725311190239501 ( C ) 350000OPERATING FUNDS
PARKVIEW HUNTINGTON FOUNDATION INC
2001 STULTS ROADHUNTINGTONIN46750320012095501 ( C ) 340000OPERATING FUNDS
UNIVERSITY OF SAINT FRANCIS
2701 SPRING STREETFORT WAYNEIN46806350886846501 ( C ) 31150000SUPPORT FOR SCHOOL
FORT WAYNE CHILDRENS ZOO
3411 SHERMAN BLVDFORT WAYNEIN46808356068234501 ( C ) 3502200PROGRAMS & OPERATING FUNDS
COMMUNITY HARVEST FOOD BANK OF NORTHEAST INDIANA
P O BOX 10967FORT WAYNEIN46855311100607501 ( C ) 3305000OPERATING FUNDS
FRIENDS OF THE LINCOLN COLLECTION OF INDIANA INC
P O BOX 11083FORT WAYNEIN46855352101025501 ( C ) 3250000OPERATING FUNDS
IPFW
2101 EAST COLISEUM BLVDFORT WAYNEIN46805356033698501 ( C ) 3161000SUPPORT FOR SCHOOL
CITY OF FORT WAYNE REDEVELOPMENT COMMISSION
ONE EAST MAIN STREETFORT WAYNEIN46802GOVT ORG150000CAPITAL MAINTENANCE & IMPROVEMENT FUND - PARKVIEW FIELD
FORT WAYNE ECONOMIC DEVELOPMENT ALLIANCE INC
111 W WAYNE STREETFORT WAYNEIN46802351787258501 ( C ) 3100000OPERATING FUNDS
INDIANA STATE CHAMBER OF COMMERCE FOUNDATION INC
P O BOX 44926INDIANAPOLISIN46244311010164501 ( C ) 375000OPERATING FUNDS
RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA
2200 RANDALLIA DRIVEFORT WAYNEIN46805351950376501 ( C ) 347447PROGRAMS & OPERATING FUNDS
ERINS HOUSE
3811 ILLINOIS ROAD SUITE 205FORT WAYNEIN46804351884264501 ( C ) 335500PROGRAMS & OPERATING FUNDS
FORT WAYNE PHILHARMONIC ORCHESTRA INC
4901 FULLER DRFORT WAYNEIN46835350791163501 ( C ) 335000OPERATING FUNDS
SCIENCE CENTRAL
1950 N CLINTONFORT WAYNEIN46805311032583501 ( C ) 333333PROGRAMS & OPERATING FUNDS
TURNSTONE CENTER FOR DISABLED CHILDREN AND ADULTS
3320 N CLINTONFORT WAYNEIN46805350913541501 ( C ) 330250FITNESS & WELLNESS PROGRAMS
STEUBEN COUNTY COMMUNITY FOUNDATION
5009 E US HIGHWAY 20ANGOLAIN46703351857065501 ( C ) 320000OPERATING FUNDS
AMERICAN HEART ASSOCIATION
6100 WEST 96TH STREETINDIANAPOLISIN46278135613797501 ( C ) 310000PROGRAMS & OPERATING FUNDS
VERA BRADLEY FOUNDATION FOR BREAST CANCER
P O BOX 80201FORT WAYNEIN46898352058177501 ( C ) 310000SUPPORT FOR RESEARCH
MATTHEW 25 HEALTH CLINIC
413 E JEFFERSON BLVDFORT WAYNEIN46802351484951501 ( C ) 37750PROGRAMS & OPERATING FUNDS
NATIONAL KIDNEY FOUNDATION OF INDIANA INC
5800 FAIRFIELD AVE SUITE 122FORT WAYNEIN46807351180274501 ( C ) 36000PROGRAMS & OPERATING FUNDS
CAMERON HOSPITAL FOUNDATION
416 E MAUMEE STANGOLAIN46703351722087501 ( C ) 35050PROGRAMS & OPERATING FUNDS
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants24TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: COMMUNITY HEALTH IMPROVEMENT FUNDING PARTNER ORGANIZATIONS ARE REQUIRED TO SUBMIT AN ANNUAL PROGRESS REPORT RELATED TO PROGRAM FUNDING. PARTNER ORGANIZATIONS ARE REQUIRED TO RE-APPLY FOR FUNDING ON AN ANNUAL BASIS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL PACKNETT
DIRECTOR/PH CEO7401930389731019838015479401217901316735000
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH PHY59362101081200186730275000190740766988000
DUANE HOUGENDOBLER
DIRECTOR/PH PHYSICIAN604849097159030920275000234580756058000
MITCHELL STUCKY
DIRECTOR/PH PHYSICIAN325639059112028380658500157310469170000
LARRY ROWLAND
DIRECTOR330750000000000330750000
MICHAEL BROWNING
PH SVP & CFO40961601813200179900516450235550684126000
JEFFREY BROOKES
PH MEDICAL DIR - COMMUNITY17816265960737800174530133883265331907780125627306393014615
CATHERINE WILCOX
PH SVP2753430945100199380483060136490451746000
JAMES STAPEL
PH MEDICAL DIR - PPG26339607925503612006175201561104561340147140
RONALD DOUBLE
PH CIO2873970715190990060090066410426637000
DEBRA WILLIAMS
PH SVP2597950683420155530408740808803926520139850
RICK HENVEY
PH COO - COMMUNITY HOSPITA28270007526701484503878101848504300780141850
JILL OSTREM
PH SVP26160404535809900337400183630360055000
RAMESH BHAT
PH PHYSICIAN76665648558819770435602750001199808924874855800
SAILAJA BLACKMON
PH PHYSICIAN766734098445015160175000260740910269000
DAVID SCHLEINKOFER
PH PHYSICIAN59357701161160309680275000203740788535000
DAVID CLARK
PH PHYSICIAN698668065960019250200000119980798551000
EDWARD SCHULTZ
PH PHYSICIAN688059060158022654027500092270807598000
STANTON RISSER
FORMER:OFFICER CURRENT:PH1097320223350464094190176340159584000
JAMES HAUGUEL
FORMER:KEY EMPLOYEE CURREN1865740561500129500387470570803001290115390
JAMES WITMER
FORMER:KEY EMPLOYEE CURREN19705905843301588403826201295403225920114950

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS TAXABLE - JEFFREY BROOKES $14,615; JAMES HAUGUEL $11,539; RICK HENVEY $14,185; JAMES STAPEL $14,714: DEBRA WILLIAMS $13,985; JAMES WITMER $11,494 PARTICIPANTS DEFERRED - JEFFREY BROOKES $31,041; MICHAEL BROWNING $46,020; RONALD DOUBLE $30,090; JAMES HAUGUEL $21,735; RICK HENVEY $28,781; JILL OSTREM $30,680; MICHAEL PACKNETT $137,294; JAMES STAPEL $31,752; MITCHELL STUCKY $38,350; CATHERINE WILCOX $33,306; DEBRA WILLIAMS $28,373; JAMES WITMER $23,262
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

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
INDIANA FINANCE AUTHORITY
A35160231645471ABQ42009-08-27264703254SEE PART VI000
INDIANA FINANCE AUTHORITY
B35160231645471AAS12009-08-27223665000SEE PART VI000
INDIANA FINANCE AUTHORITY
C351602316NONEAVAIL2010-05-0428000000SEE PART VI000
INDIANA FINANCE AUTHORITY
D35106231645471AHR62012-05-2494631826SEE PART VI000

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpenditures
A2480500037335000264704689345176626125292320091011
B22391557313678667326723620111011193601149086870
C280000001555002011001127844500
D9463182610965229353530520121111

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0111110.000000.000000.00000101
B0111110.000000.000000.00000101
C0111110.000000.000000.00000101
D0111110.000000.000000.00000101

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
(no name)
A010000001
WELLS FARGO & PNC
B00011100120.00000000000000
(no name)
C010010001
(no name)
D010000001

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A1
B1
C1
D1

Form990 Schedule K Part VI Form990ScheduleKPartVI (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K PART IV, ARBITRAGE, LINE 2CDATE REBATE COMPUTATION PERFORMEDISSUER NAME: INDIANA FINANCE AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/08/2011
SCHEDULE K, PART I,A,F:DESCRIPTION OF PURPOSE:SERIES 2009A - 1) PARTIALLY REFUNDED OUTSTANDING 2005 SERIES BOND ISSUE 2) PARTIALLY REFUNDED OUTSTANDING BONDS FOR 2001 SERIES BOND ISSUE
SCHEDULE K, PART I,B,F:DESCRIPTION OF PURPOSE:SERIES 2009BCD - 1) NEW MONEY FOR CONSTRUCTION OF NEW HOSPITAL IN FORT WAYNE, IN 2) FULLY REFUNDED BALANCE OF OUTSTANDING 2005 SERIES BONDS
SCHEDULE K, PART I,C,F:DESCRIPTION OF PURPOSE:SERIES 2010 - NEW MONEY FOR CONSTRUCTION OF NEW PARKVIEW WHITLEY HOSPITAL FACILITY IN COLUMBIA CITY, IN
SCHEDULE K, PART I,D,F:DESCRIPTION OF PURPOSE:SERIES 2012 - 1) PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE 2) FULLY REFUNDED OUTSTANDING BONDS FOR 1998 SERIES BOND ISSUE
SCHEDULE K, PART I,C,E:ISSUE PRICE:ORIGINAL $30,000,000 ISSUE PRICE REDUCED TO $28,000,000 DUE TO CONSTRUCTION DRAW BOND AND ONLY $28,000,000 ACTUALLY DRAWN.
SCHEDULE K, PART II,3,A:TOTAL PROCEEDS ON ISSUE:THIS AMOUNT INCLUDES INTEREST EARNED ON PROJECT AND/OR COST OF ISSUANCE FUNDS.
SCHEDULE K, PART II,3,B:TOTAL PROCEEDS ON ISSUE:THIS AMOUNT INCLUDES INTEREST EARNED ON PROJECT AND/OR COST OF ISSUANCE FUNDS.
SCHEDULE K, PART II,3,C:TOTAL PROCEEDS ON ISSUE:THIS IS A CONSTRUCTION DRAW BOND AND THEREFORE NO INTEREST WILL BE EARNED ON ANY PROJECT FUNDS.
SCHEDULE K, PART III, LINES 4-6:PRIVATE BENEFIT USE:PARKVIEW HEALTH SYSTEM, INC. CLOSELY MONITORS THE LEVEL OF PRIVATE USE AT OUR BOND FINANCED FACILITIES. THE LEVEL OF EQUITY PROVIDED BY PARKVIEW HEALTH SYSTEM, INC. FOR THIS FACILITY IS MORE THAN SUFFICIENT TO COVER THE LOW LEVEL OF PRIVATE USE OCCURING WITHIN THE FACILITY CONSTRUCTED IN PART WITH BOND FINANCING.
SCHEDULE K, PART III, LINE 7:PRIVATE SECURITY OR PAYMENT TEST:THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
FCFP LLC
ENTITY OF WHICH DIRECTOR MITCHELL STUCKY OWNED A GREATER THAN 5% INTEREST710268RENTAL 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% INTEREST21198333PARKVIEW 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 12/31/2012 IS $21,198,333.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 4DURING 2012, THE FOLLOWING CHANGES WERE MADE TO THE BYLAWS OF PARKVIEW HEALTH SYSTEM, INC.: ARTICLE IV, SECTION 9 IS AS FOLLOWS: THE CHAIR, REGARDLESS OF TENURE OF BOARD MEMBERSHIP AND THE RESTRICTIONS OF ELIGIBILITY SET FORTH IN THIS ARTICLE, MAY BE SUCCESSIVELY ELECTED FOR NO MORE THAN FIVE (5) ONE-YEAR TERMS, WHERE CONSECUTIVE SERVICE AS THE CHAIR IS DETERMINED TO BE APPROPRIATE FOR ORGANIZATIONAL EFFECTIVENESS. NOTWITHSTANDING THE FOREGOING AND IN LIGHT OF SIGNIFICANT CAPITAL IMPROVEMENTS INVESTED BY THE CORPORATION WITH RESPECT TO NEW AND EXPANDED HOSPITAL FACILITIES AND INFORMATION TECHNOLOGY INFRASTRUCTURE, AND FOR THE PURPOSE OF MAINTAINING CONTINUITY OF LEADERSHIP FROM THE CONSTRUCTION THROUGH OPERATIONAL IMPLEMENTATION, FOR THE YEARS 2013 AND 2014 ONLY, THE CHAIR MAY BE SUCCESSIVELY ELECTD FOR UP TO SEVEN (7) ONE-YEAR TERMS. AFTER SERVICE AS CHAIR, THE CHAIR SHALL NOT BE ELIGIBLE FOR RE-ELECTION TO THE SAME POSITION UNTIL EXPIRATION OF THREE (3) INTERVENING YEARS. IF A CHAIR'S NORMAL TERM AS A DIRECTOR EXPIRES WHILE SERVING AS THE CHAIR, AND IF HE/SHE IS NOMINATED FOR REELECTION AS CHAIR, IN ORDER TO SERVE AS CHAIR, HE/SHE WILL BE RE-ELECTED TO THE BOARD FOR AN ADDITIONAL YEAR BEYOND THEIR TERM AS CHAIR, SECTION 3 OF THIS ARTICLE NOTWITHSTANDING. ARTICLE VI, SECTION 4 (A) IS AS FOLLOWS: THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIR OF THE BOARD, VICE CHAIR OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, TREASURER AND SECRETARY OF THE CORPORATION AND AT LEAST ONE DIRECTOR WHO IS AN EX-OFFICIO VOTING MEMBER OF THE BOARD AND SUCH OTHER DIRECTORS AS ARE DESIGNATED BY THE CHAIR OF THE BOARD. THE EXECUTIVE COMMITTEE MAY ACT AS THE EXECUTIVE COMPENSATION COMMITTEE FOR THE CORPORATION. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. 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. 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 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 9, 2013, 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. IN ADDITION, THE FOLLOWING CONSIDERATIONS SHOULD BE MADE: 4. IF APPROPRIATE, THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; AND 5. IN ORDER TO APPROVE THE TRANSACTION, THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST FIRST FIND, BY A MAJORITY VOTE OF THE DISINTERESTED BOARD MEMBERS, THAT THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN THE BEST INTERESTS OF AND FOR THE BENEFIT OF PH AND/OR PH AFFILIATES AND THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO PH AND/OR PH AFFILIATES AND, AFTER REASONABLE INVESTIGATION, THAT THE PH AND/OR PH AFFILIATES CANNOT OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES."
FORM 990, PART VI, SECTION B, LINE 15TO 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 2012, THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2012 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 2012 MEETING: PRESIDENT AND CHIEF EXECUTIVE OFFICER PRESIDENT PARKVIEW REGIONAL MEDICAL CENTER AND AFFILIATES PHYSICIAN EXECUTIVE OFFICER PARKVIEW PHYSICIANS GROUP SENIOR VICE PRESIDENT CHIEF FINANCIAL OFFICER SENIOR VICE PRESIDENT CHIEF INFORMATION OFFICER SENIOR VICE PRESIDENT COO COMMUNITY HOSPITAL 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 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 MEDICAL DIRECTOR COMMUNITY HOSPITAL MEDICAL DIRECTOR HEALTH PLAN SERVICES MEDICAL DIRECTOR PARKVIEW PHYSICIANS GROUP ASSOCIATE MEDICAL DIRECTOR EXECUTIVE DIRECTOR EMPLOYER STRATEGIES CHIEF ADMINISTRATIVE OFFICER CHIEF MEDICAL INFORMATICS OFFICER CORPORATE DIRECTOR MARKETING, COMMUNICATIONS, COMMUNITY RELATIONS
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, 2012 WAS 475. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2012 WAS 9,435. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR PARKVIEW HEALTH SYSTEM, INC. WAS 260 AND 2,797 RESPECTIVELY. AS REFLECTED IN PART VII, SECTION B, 21 INDEPENDENT CONTRACTORS RECEIVED MORE THAN $100,000 IN COMPENSATION FOR SERVICES FROM PARKVIEW HEALTH SYSTEM, INC.COMMON PAYING AGENT FOR FILING ORGANIZATION
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.SALARIES AND WAGES, OTHER EMPLOYEE BENEFITS AND PAYROLL TAXES
FORM 990, PART XI, LINE 9:ASSET ADJUSTMENT TRANSFERS -1,660,760. BOOK/TAX DIFF FROM K-1'S 2,028,634. CURRENT YEAR EARNINGS TRANSFERRED FROM 501( C )3'S 131,136,016. AMORTIZE BOND SWAP OCI 42,600. ADJUST OCI FOR PENSION -4,747,890.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1NEW VISION PROFESSIONAL PARK LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110501 CORPORATE DRIVEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46845ZIPCode
FieldValueIRS element (for citing)
EIN351972384EIN
Primary ActivitiesREAL ESTATEPrimaryActivities
Legal Domicile StateINLegalDomicileState
Total Income1117328TotalIncome
EOY Assets11091932EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

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

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
PARKVIEW HOSPITAL INC
11109 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845350868085HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
PARKVIEW FOUNDATION INC
2200 RANDALLIA DRIVEFORT WAYNEIN46805237220589FUND MGMTIN501(C)(3)LINE 11A, IPARKVIEW HOSPITAL INC1
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
10501 CORPORATE DRIVEFORT WAYNEIN46845352064353OCCUP HEALTHIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE ROADLAGRANGEIN46761202401676HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
401 SAWYER ROADKENDALLVILLEIN46755352087092HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC
401 SAWYER ROADKENDALLVILLEIN46755352089183FUND MGMTIN501(C)(3)LINE 11A, ICOMMUNITY HOSPITAL OF NOBLE COUNTY INC1
WHITLEY MEMORIAL HOSPITAL INC
1260 E STATE ROAD 205COLUMBIA CITYIN46725351967665HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
WHITLEY MEMORIAL HOSPITAL FOUNDATION INC
1260 E STATE ROAD 205COLUMBIA CITYIN46725311190239FUND MGMTIN501(C)(3)LINE 11A, IWHITLEY MEMORIAL HOSPITAL INC1
HUNTINGTON MEMORIAL HOSPITAL INC
2001 STULTS ROADHUNTINGTONIN46750351970706HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS ROADHUNTINGTONIN46750320012095FUND MGMTIN501(C)(3)LINE 11A, IHUNTINGTON MEMORIAL HOSPITAL INC1

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845260143823ORTHO HOSPITALINPARKVIEW HEALTH SYSTEM INCRELATED1862818724987256010.60000
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
8004 CARNEGIE BLVDFORT WAYNEIN46804201394120SURGICAL SERVICESINPARKVIEW HEALTH SYSTEM INCRELATED616920184644010.51000
MANAGED CARE SERVICES LLC
2200 RANDALLIA DRIVEFORT WAYNEIN46805351996535HEALTH PLAN ADMININPARKVIEW HEALTH SYSTEM INCRELATED8401065799389010.90000
PARKVIEW IMAGING HUNTINGTON LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845208651460EQUIPMENT LEASINGINHUNTINGTON MEMORIAL HOSPITAL INCRELATED28996020039200

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsControlled OrgControlledOrgPercentage OwnershipPercentageOwnership
PARKVIEW PROFESSIONAL PROGRAMS INC
2200 RANDALLIA DRIVEFORT WAYNEIN46805351668888REFERENCE LABINPARKVIEW HOSPITAL INCC1636685155702700
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
442 W HIGH STREETBRYANOH43506341045870PHYSICIANSOHPARKVIEW HEALTH SYSTEM INCC33782908736880801.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (30 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HUNTINGTON MEMORIAL HOSPITAL INC
A1292972PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
A1376759PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
A105267PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
A1706198PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
A3206806PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
A1482012PART VII SUPPLEMENTAL INFORMATION
PARKVIEW FOUNDATION INC
B675772PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
D8596241PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
D5095556PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
J1292972PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
J105267PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
J1706198PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
J3206806PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
J1376759PART VII SUPPLEMENTAL INFORMATION
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
J1482012PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
K82145PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
K983138PART VII SUPPLEMENTAL INFORMATION
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
L3987887PART VII SUPPLEMENTAL INFORMATION
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
L508797PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
Q127063805PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
Q9722811PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
Q10254090PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
Q8808135PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Q6690714PART VII SUPPLEMENTAL INFORMATION
MANAGED CARE SERVICES LLC
Q233024PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
S86244726PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
S17487932PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
S12950255PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
S14619591PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
S1553787PART VII SUPPLEMENTAL INFORMATION

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierMETHOD USED TO DETERMINE VALUEIdentifier
Return ReferenceSCHEDULE R, PART V, LINE 2, COLUMN (C):ReturnReference
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.Explanation