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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-11T09:08:41-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350921680 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 330 E JEFFERSON BLVD P O BOX 7 | AddressLine1 |
| City | SOUTH BEND | City |
| State | IN | State |
| ZIP Code | 466240007 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351972384 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW HEALTH SYSTEM INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | PARK | NameControl |
| Phone | 2603738407 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10501 CORPORATE DRIVE | AddressLine1 |
| City | FORT WAYNE | City |
| State | IN | State |
| ZIP Code | 46845 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MICHAEL P BROWNING | Name |
| Title | PH SVP & CFO | Title |
| Phone | 2603738407 | Phone |
| Date Signed | 2013-11-11 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENNETH J KEBER | Name |
| PTIN | P00240883 | PTIN |
| Phone | 5742323992 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MICHAEL PACKNETT | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10501 CORPORATE DRIVE | AddressLine1 |
| City | FORT WAYNE | City |
| State | IN | State |
| ZIP Code | 46845 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 711154937 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.PARKVIEW.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1995 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | PARKVIEW HEALTH SYSTEM, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2797 | TotalNbrEmployees |
| Total Nbr Volunteers | 23 | TotalNbrVolunteers |
| Total Gross UBI | 1696576 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -246376 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 115235 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 29971 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 280644128 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 318993582 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 10709491 | InvestmentIncomePriorYear |
| Investment Income Current Year | 19489993 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | -1366097 | OtherRevenuePriorYear |
| Other Revenue Current Year | 81715 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 290102757 | TotalRevenuePriorYear |
| Total Revenue Current Year | 338595261 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1392161 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 3955121 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 209821417 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 211518223 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 114306580 | OtherExpensePriorYear |
| Other Expenses Current Year | 153985020 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 325520158 | TotalExpensesPriorYear |
| Total Expenses Current Year | 369458364 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -35417401 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -30863103 | RevenuesLessExpensesCY |
| Total Assets BOY | 1179955138 | TotalAssetsBOY |
| Total Assets EOY | 1205898438 | TotalAssetsEOY |
| Total Liabilities BOY | 828533839 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 742806076 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 351421299 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 463092362 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PARKVIEW HEALTH SYSTEM, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 357508188 | Expense |
| Grants | 3955121 | Grants |
| Revenue | 317072271 | Revenue |
| Description | PARKVIEW HEALTH SYSTEM, INC. SUPPORTS THE FOLLOWING HOSPITALS: PARKVIEW HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; AND WHITLEY MEMORIAL HOSPITAL, INC. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. IS A 60% OWNER IN THE PARTNERSHIP OF THE ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. IMPROVING THE HEALTH OF THE COMMUNITY IS A FUNDAMENTAL PART OF PARKVIEW HEALTH SYSTEM, INC.'S MISSION. AS A NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. REINVESTS ITS FUNDS AND OTHER RESOURCES IN COMMUNITY SERVICES AND HOSPITAL PROGRAMS DESIGNED TO IMPROVE THE HEALTH AND WELL-BEING OF RESIDENTS IN THE AREAS WHERE PARKVIEW HEALTH SYSTEM, INC. HOSPITALS ARE LOCATED.TO GUIDE US IN THIS ENDEAVOR, PARKVIEW HEALTH SYSTEM, INC. ROUTINELY SPONSORS A COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. REVIEWS TREND AND TREATMENT ANALYSIS DATA ON AN ONGOING BASIS. DATA OBTAINED FROM THESE STUDIES ARE USED IN PARKVIEW HEALTH SYSTEM, INC.'S STRATEGIC PLANNING PROCESS TO IDENTIFY AND SET PRIORITIES FOR CRITICAL HEALTH INITIATIVES IN THE COMMUNITIES PARKVIEW HEALTH SYSTEM, INC. SERVES.PARKVIEW HEALTH SYSTEM, INC. EMPLOYS 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 Expense | 357508188 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 260 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2797 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | DA | NameOfForeignCountry |
| Name Of Foreign Country | IT | NameOfForeignCountry |
| Name Of Foreign Country | NO | NameOfForeignCountry |
| Name Of Foreign Country | SW | NameOfForeignCountry |
| Name Of Foreign Country | SZ | NameOfForeignCountry |
| Name Of Foreign Country | BR | NameOfForeignCountry |
| Name Of Foreign Country | GR | NameOfForeignCountry |
| Name Of Foreign Country | HU | NameOfForeignCountry |
| Name Of Foreign Country | ID | NameOfForeignCountry |
| Name Of Foreign Country | MY | NameOfForeignCountry |
| Name Of Foreign Country | PL | NameOfForeignCountry |
| Name Of Foreign Country | PO | NameOfForeignCountry |
| Name Of Foreign Country | SF | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Excess Business Holdings | 0 | ExcessBusinessHoldings |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 1 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 1 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL P BROWNING | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2603738407 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10501 CORPORATE DRIVE | AddressLine1 |
| City | FORT WAYNE | City |
| State | IN | State |
| ZIP Code | 46845 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL PACKNETT | ||||||||||
| DIRECTOR/PH CEO | 40.00 | 16.00 | X | X | 1149762 | 0 | 166973 | |||
| RAYMOND DUSMAN | ||||||||||
| DIRECTOR/VICE CHAIR/PH PHY | 40.00 | 0.00 | X | 720414 | 0 | 46574 | ||||
| DUANE HOUGENDOBLER | ||||||||||
| DIRECTOR/PH PHYSICIAN | 40.00 | 0.00 | X | 705100 | 0 | 50958 | ||||
| MITCHELL STUCKY | ||||||||||
| DIRECTOR/PH PHYSICIAN | 40.00 | 0.00 | X | 387589 | 0 | 81581 | ||||
| MICHAEL AXEL | ||||||||||
| DIRECTOR | 1.00 | 1.00 | X | 2500 | 6750 | 0 | ||||
| JANET CHRZAN | ||||||||||
| DIRECTOR/SECRETARY | 1.00 | 0.00 | X | 8500 | 0 | 0 | ||||
| BRIAN EMERICK | ||||||||||
| DIRECTOR | 1.00 | 1.00 | X | 2250 | 6250 | 0 | ||||
| DAVID HAIST | ||||||||||
| DIRECTOR | 1.00 | 1.00 | X | 1500 | 3000 | 0 | ||||
| THOMAS KARST | ||||||||||
| DIRECTOR | 1.00 | 1.00 | X | 1750 | 6250 | 0 | ||||
| THOMAS KIMBROUGH | ||||||||||
| DIRECTOR | 1.00 | 1.00 | X | 1000 | 6000 | 0 | ||||
| MICHAEL LEE | ||||||||||
| DIRECTOR | 1.00 | 0.00 | X | 5500 | 0 | 0 | ||||
| JOHN PRICE | ||||||||||
| DIRECTOR | 1.00 | 1.00 | X | 3250 | 6750 | 0 | ||||
| LARRY ROWLAND | ||||||||||
| DIRECTOR | 40.00 | 4.00 | X | 330750 | 0 | 0 | ||||
| CHARLES SCHRIMPER | ||||||||||
| DIRECTOR/CHAIR | 1.00 | 0.00 | X | 10250 | 0 | 0 | ||||
| WIL SMITH | ||||||||||
| DIRECTOR/TREASURER | 1.00 | 1.00 | X | 3000 | 3750 | 0 | ||||
| THOMAS WALSH | ||||||||||
| DIRECTOR | 1.00 | 0.00 | X | 8500 | 0 | 0 | ||||
| MICHAEL BROWNING | ||||||||||
| PH SVP & CFO | 40.00 | 16.00 | X | 608926 | 0 | 75200 | ||||
| JEFFREY BROOKES | ||||||||||
| PH MEDICAL DIR - COMMUNITY | 1.00 | 40.00 | 109049 | 265960 | 57011 | X | ||||
| CATHERINE WILCOX | ||||||||||
| PH SVP | 40.00 | 0.00 | 389791 | 0 | 61955 | X | ||||
| JAMES STAPEL | ||||||||||
| PH MEDICAL DIR - PPG | 40.00 | 0.00 | 378771 | 0 | 77363 | X | ||||
| RONALD DOUBLE | ||||||||||
| PH CIO | 40.00 | 0.00 | 359906 | 0 | 66731 | X | ||||
| DEBRA WILLIAMS | ||||||||||
| PH SVP | 40.00 | 0.00 | 343690 | 0 | 48962 | X | ||||
| RICK HENVEY | ||||||||||
| PH COO - COMMUNITY HOSPITA | 40.00 | 0.00 | 372812 | 0 | 57266 | X | ||||
| JILL OSTREM | ||||||||||
| PH SVP | 40.00 | 0.00 | 307952 | 0 | 52103 | X | ||||
| RAMESH BHAT | ||||||||||
| PH PHYSICIAN | 40.00 | 1.00 | 852989 | 48558 | 39498 | X | ||||
| SAILAJA BLACKMON | ||||||||||
| PH PHYSICIAN | 40.00 | 0.00 | 866695 | 0 | 43574 | X | ||||
| DAVID SCHLEINKOFER | ||||||||||
| PH PHYSICIAN | 40.00 | 0.00 | 740661 | 0 | 47874 | X | ||||
| DAVID CLARK | ||||||||||
| PH PHYSICIAN | 40.00 | 0.00 | 766553 | 0 | 31998 | X | ||||
| EDWARD SCHULTZ | ||||||||||
| PH PHYSICIAN | 40.00 | 0.00 | 770871 | 0 | 36727 | X | ||||
| STANTON RISSER | ||||||||||
| FORMER:OFFICER CURRENT:PH | 40.00 | 0.00 | 132531 | 0 | 27053 | X | ||||
| JAMES HAUGUEL | ||||||||||
| FORMER:KEY EMPLOYEE CURREN | 40.00 | 0.00 | 255674 | 0 | 44455 | X | ||||
| JAMES WITMER | ||||||||||
| FORMER:KEY EMPLOYEE CURREN | 40.00 | 0.00 | 271376 | 0 | 51216 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 10869862 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 353268 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1165072 | TotalOtherCompensation |
| Number Individuals GT100 K | 318 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MAXIT HEALTHCARE LLC | |||||
| P O BOX 2589 | FORT WAYNE | IN | 46801 | CONSULTANTS | 1300131 |
| MCGLADREY & PULLEN LLP | |||||
| 5155 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | CONSULTANTS | 691202 |
| ERNST & YOUNG US LLP | |||||
| P O BOX 96550 | CHICAGO | IL | 60693 | CPA FIRM | 499097 |
| PROPHET ONE SOLUTIONS LLC | |||||
| 101 WEST 103RD STREET | INDIANAPOLIS | IN | 46290 | CONSULTANTS | 456993 |
| TM TRANSCRIPTION SERVICE | |||||
| 3377 S 250 W | ALBION | IN | 46701 | TRANSCRIPTION | 358396 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 21 | NumberOfContractorsGT100K |
| Related Organizations | 29971 | RelatedOrganizations |
| Total Contributions | 29971 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CORP SER ALLOCATION | 561000 | 118307357 | 118307357 |
| NET PATIENT SERVICE | 621110 | 114630942 | 114630942 |
| PH SUBSIDY | 561499 | 45704420 | 45704420 |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW | 621110 | 18628187 | 18628187 |
| INTERUNIT RENT | 532000 | 9160214 | 9160214 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12562462 | TotalRevenueColumn |
| Related Or Exempt Function Income | 10445566 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2116896 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 318993582 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5858063 | TotalRevenueColumn |
| Exclusion | $5,858,063 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 183522 | TotalRevenueColumn |
| Exclusion | $183,522 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1969410 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2545212 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -575802 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -575802 | TotalRevenueColumn |
| Unrelated Business Revenue | -420320 | UnrelatedBusinessRevenue |
| Exclusion | -$155,482 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 381151613 | Securities |
| Other | 2311259 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 368178000 | Securities |
| Other | 1836464 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12973613 | Securities |
| Other | 474795 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 13448408 | TotalRevenueColumn |
| Exclusion | $13,448,408 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722100 | 461932 | $461,932 | |
| MISCELLANEOUS | 900099 | 195585 | 195585 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 657517 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 338595261 | TotalRevenueColumn |
| Related Or Exempt Function Income | 317072271 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1696576 | UnrelatedBusinessRevenue |
| Exclusion | $19,796,443 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3955121 | Total |
| Program Services | 3955121 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7014756 | Total |
| Management And General | 7014756 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169731719 | Total |
| Program Services | 169731719 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7524391 | Total |
| Program Services | 7524391 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27247357 | Total |
| Program Services | 27247357 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 868379 | Total |
| Program Services | 868379 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 580000 | Total |
| Program Services | 580000 | ProgramServices |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72414 | Total |
| Program Services | 72414 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 992517 | Total |
| Management And General | 992517 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19388879 | Total |
| Program Services | 17644421 | ProgramServices |
| Management And General | 1744458 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3091308 | Total |
| Program Services | 3070620 | ProgramServices |
| Management And General | 20688 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9386496 | Total |
| Program Services | 8717027 | ProgramServices |
| Management And General | 669469 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27667858 | Total |
| Program Services | 27667858 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12781153 | Total |
| Program Services | 12778726 | ProgramServices |
| Management And General | 2427 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 976816 | Total |
| Program Services | 779911 | ProgramServices |
| Management And General | 196905 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 579936 | Total |
| Program Services | 438282 | ProgramServices |
| Management And General | 141654 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20781963 | Total |
| Program Services | 20781963 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24511645 | Total |
| Program Services | 24500231 | ProgramServices |
| Management And General | 11414 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2323179 | Total |
| Program Services | 2304886 | ProgramServices |
| Management And General | 18293 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| UBI TAXES & REFUNDS | -403406 | -403406 |
| BAD DEBT | 10338698 | 10338698 |
| BOND REFINANCING LOSS | 6862635 | 6862635 |
| MEDICAL SUPPLIES | 6474694 | 6474694 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6709856 | Total |
| Program Services | 5572261 | ProgramServices |
| Management And General | 1137595 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 369458364 | Total |
| Program Services | 357508188 | ProgramServices |
| Management And General | 11950176 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23508 | BOY |
| EOY | 23875 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16833579 | BOY |
| EOY | 63864294 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19503014 | BOY |
| EOY | 14819898 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12758705 | BOY |
| EOY | 13970305 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1832224 | BOY |
| EOY | 3287295 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10431936 | BOY |
| EOY | 11872934 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 473820458 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 190112808 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 732724616 | BOY |
| EOY | 283707650 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 337456836 | BOY |
| EOY | 274629166 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31667444 | BOY |
| EOY | 27259916 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12917337 | BOY |
| EOY | 29672921 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3805939 | BOY |
| EOY | 482790184 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1179955138 | BOY |
| EOY | 1205898438 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 88546682 | BOY |
| EOY | 75051612 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 146512 | BOY |
| EOY | 812547 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 569215990 | BOY |
| EOY | 565540203 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15137891 | BOY |
| EOY | 21158136 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155486764 | BOY |
| EOY | 80243578 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 828533839 | BOY |
| EOY | 742806076 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 351421299 | BOY |
| EOY | 463092362 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 351421299 | BOY |
| EOY | 463092362 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1179955138 | BOY |
| EOY | 1205898438 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -30863103 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 15735566 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 126798600 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | X | SupportingOrganization509a3 |
| Supporting Org509a3 Type3 Func Int | X | SupportingOrg509a3Type3FuncInt |
| Certification Checkbox | X | CertificationCheckbox |
| Contrib By Controlling Individual | 0 | ContribByControllingIndividual |
| Contribution By Related Party | 0 | ContributionByRelatedParty |
| Contrib By35 Controlled Entity | 0 | ContribBy35ControlledEntity |
Supported Org Information SupportedOrgInformation (5 entries)
| EINEIN | Type Of OrganizationTypeOfOrganization | Listed In Governing DocListedInGoverningDoc | Supported Organization NotifiedSupportedOrganizationNotified | Organized In USOrganizedInUS | AmountAmount |
|---|---|---|---|---|---|
| PARKVIEW HOSPITAL INC | |||||
| 350868085 | 3 | 1 | 1 | 1 | $90,582,136 |
| HUNTINGTON MEMORIAL HOSPITAL INC | |||||
| 351970706 | 3 | 1 | 1 | 1 | $7,371,000 |
| WHITLEY MEMORIAL HOSPITAL INC | |||||
| 351967665 | 3 | 1 | 1 | 1 | $6,420,000 |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | |||||
| 352089183 | 3 | 1 | 1 | 1 | $7,686,000 |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | |||||
| 202401676 | 3 | 1 | 1 | 1 | $4,776,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 5 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 116835136 | SumOfAmounts |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $72,414 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $2,700 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 75114 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | A PORTION OF THE DUES PAID TO REGIONAL CHAMBER OF NORTHEAST INDIANA WERE USED FOR LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 19940440 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 26268469 | OtherCostOrOtherBasis |
| Book Value | 46208909 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 170913954 | OtherCostOrOtherBasis |
| Depreciation | 47175264 | Depreciation |
| Book Value | 123738690 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 8037800 | OtherCostOrOtherBasis |
| Depreciation | 3012739 | Depreciation |
| Book Value | 5025061 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 229481811 | OtherCostOrOtherBasis |
| Depreciation | 133733247 | Depreciation |
| Book Value | 95748564 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 19177984 | OtherCostOrOtherBasis |
| Depreciation | 6191558 | Depreciation |
| Book Value | 12986426 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 283707650 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DUE TO/FROM INTERUNIT | 479100668 |
| PREPAID FINANCING COSTS | 2742944 |
| MISCELLANEOUS | 946572 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 482790184 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACC RETIREMENTS COST | $69,946,772 |
| RESERVE FOR SIGNATURE CARE | $4,959,158 |
| RESERVE FOR MALPRACTICE | $5,259,971 |
| MISCELLANEOUS | $77,677 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 80243578 | TotalOfAmounts |
Schedule F IRS990ScheduleF
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Offices | 0 | SubtotalNumberOfOffices |
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Offices | 0 | ContNumberOfOffices |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Offices | 0 | TotalNumberOfOffices |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 0 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 0 | TotalAmountSpent |
| Transfer To Foreign Corp | 1 | TransferToForeignCorp |
| Interest In Foreign Trust | 0 | InterestInForeignTrust |
| Own Foreign Corp | 0 | OwnForeignCorp |
| Passive Foreign Invest Co | 0 | PassiveForeignInvestCo |
| Foreign Partnership | 0 | ForeignPartnership |
| Boycott Countries | 0 | BoycottCountries |
Form990 Schedule F Part V Form990ScheduleFPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | TRANSFER OF PROPERTY TO A FOREIGN CORPORATION: | Identifier |
| Return Reference | FORM 990, PART IV, LINE 1: | ReturnReference |
| Explanation | PARKVIEW 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 0 | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 49880 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 49880 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1659322 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 843672 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 815650 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 577495 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 182765 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 394730 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2286697 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1026437 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1260260 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 145427 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 141927 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 415125 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 415125 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00120 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1893690 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 1893690 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00530 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2454242 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3500 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2450742 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00690 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4740939 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1029937 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3711002 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01040 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 869739 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 869739 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00240 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1223334 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1223334 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00340 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 953784 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 953784 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 3046857 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 3046857 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00850 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $10,763,238 | BadDebtExpenseAmount |
| Amount Attributable To | 30615 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 5120851 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 7018504 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1897653 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)
| Description Ent Primary ActivityDescriptionEntPrimaryActivity | Organization Profit Or OwnershipOrganizationProfitOrOwnership | Physicans Profit Or OwnershipPhysicansProfitOrOwnership |
|---|---|---|
| 1 IMAGING SERVICES HOLDING COMPANY LLC | ||
| HOLDING COMPANY | 0.50000 | 0.50000 |
| 2 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | ||
| ORTHOPAEDIC HOSPITAL | 0.60000 | 0.40000 |
| 3 PREMIER SURGERY CENTER LLC | ||
| SURGERY CENTER | 0.50000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 11119 PARKVIEW PLAZA DRIVE | AddressLine1 |
| City | FORT WAYNE | City |
| State | IN | State |
| ZIP Code | 46845 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | 1 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 0 | UsesFPGDiscounted |
| Explains Basis | 0 | ExplainsBasis |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 1 | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 90 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (90 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType | Address Line2Address/AddressLine2 |
|---|---|---|---|---|---|
| PARKVIEW PHYSICIANS GROUP | |||||
| 11108 PARKVIEW CIRCLE | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 3909 NEW VISION DRIVE | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11123 PARKVIEW PLAZA DR SUITE 101 | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1515 HOBSON ROAD | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11141 PARKVIEW PLAZA DR SUITE 320 | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PREMIER SURGERY CENTER LLC | |||||
| 1333 MAYCREST DRIVE | FORT WAYNE | IN | 46805 | SURGERY CENTER | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 104 NICHOLAS PLACE | AVILLA | IN | 46710 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1331 MINNICH ROAD | NEW HAVEN | IN | 46774 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1270 EAST STATE ROAD 205 SUITE 210 | COLUMBIA CITY | IN | 46725 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2710 LAKE AVENUE | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE | |
| FOUNDATION SURGERY AFF OF FT WAYNE LLC | |||||
| 8004 CARNEGIE BLVD | FORT WAYNE | IN | 46804 | SURGERY CENTER | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2708 GUILFORD STREET | HUNTINGTON | IN | 46750 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11123 PARKVIEW PLAZA DR SUITE 106 | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11104 PARKVIEW CIRCLE SUITE 320 | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 326 SAWYER ROAD | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1720 BEACON ST | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE | |
| IMAGING SYSTEMS HOLDINGS LLC | |||||
| 3707 NEW VISION DRIVE | FORT WAYNE | IN | 46845 | IMAGING SERVICES | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 10515 ILLINOIS ROAD | FORT WAYNE | IN | 46814 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2003 STULTS ROAD SUITE 100 | HUNTINGTON | IN | 46750 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 6130 TRIER ROAD | FORT WAYNE | IN | 46815 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1818 CAREW ST SUITE 260 | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 4665 STATE ROAD 5 | SOUTH WHITLEY | IN | 46787 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 5104 N CLINTON | FORT WAYNE | IN | 46825 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11104 PARKVIEW CIRCLE DRIVE SUITE | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | 310 |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2003 STULTS ROAD SUITE 105 | HUNTINGTON | IN | 46750 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 6108 MAPLECREST ROAD | FORT WAYNE | IN | 46835 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 207 N TOWNLINE ROAD SUITE 104 | LAGRANGE | IN | 46761 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2402 LAKE AVENUE | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 15707 OLD LIMA RD | HUNTERTOWN | IN | 46748 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 13430 MAIN ST | GRABILL | IN | 46741 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1464 LINCOLNWAY SOUTH | LIGONIER | IN | 46767 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 885 W CONNEXION WAY SUITE 200A | COLUMBIA CITY | IN | 46725 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1270 EAST STATE ROAD 205 SUITE 150 | COLUMBIA CITY | IN | 46725 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 3030 LAKE AVENUE SUITE 27 | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1316 EAST 7TH STREET SUITE 3 | AUBURN | IN | 46706 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1314 EAST 7TH STREET SUITE 103 | AUBURN | IN | 46706 | PHYSICIAN OFFICE | |
| NORTHEAST INDIANA CANCER CENTER LLC | |||||
| 516 E MAUMEE STREET | ANGOLA | IN | 46703 | MEDICAL SERVICES | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1270 EAST STATE ROAD 205 SUITE 240 | COLUMBIA CITY | IN | 46725 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1844 IDA RED ROAD | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2231 CAREW ST | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2500 E BELLEFONTAINE RD | HAMILTON | IN | 46742 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2600 N DETROIT ST SR 9 | LAGRANGE | IN | 46761 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11108 PARKVIEW CIRCLE SUITE 5100 | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| US HWY 30 WEST 5 MATCHETT DR | PIERCETON | IN | 46562 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 8028 CARNEGIE BLVD SUITE 600 | FORT WAYNE | IN | 46804 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2003 STULTS ROAD SUITE 210 | HUNTINGTON | IN | 46750 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11123 PARKVIEW PLAZA DR SUITE 204 | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 8175 WEST US 20 | SHIPSHEWANA | IN | 46565 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2300 DUBOIS DR | WARSAW | IN | 46580 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11104 PARKVIEW CIRCLE SUITE 410 | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 4084 NORTH US HWY 33 | CHURUBUSCO | IN | 46723 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11141 PARKVIEW PLAZA DRIVE SUITE | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | 310 |
| PARKVIEW PHYSICIANS GROUP | |||||
| 4666 W JEFFERSON BLVD SUITE 140 | FORT WAYNE | IN | 46804 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 3217 LAKE AVENUE | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 817 TRAIL RIDGE ROAD | ALBION | IN | 46701 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 420 SAWYER ROAD PO BOX 99 | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2510 E DUPONT ROAD SUITE 200 | FORT WAYNE | IN | 46825 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 301 E MAUMEE ST | ANGOLA | IN | 46703 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1270 EAST STATE ROAD 205 SUITE 140 | COLUMBIA CITY | IN | 46725 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 577 GEIGER DRIVE SUITE C | ROANOKE | IN | 46783 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 8028 CARNEGIE BLVD SUITE 400 | FORT WAYNE | IN | 46804 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 512 NORTH PROFESSIONAL WAY | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 306 E MAUMEE ST SUITE 2 | ANGOLA | IN | 46703 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1818 CAREW ST SUITE 240 | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 714 W HARCOURT ROAD | ANGOLA | IN | 46703 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 2003 STULTS ROAD SUITE 215 | HUNTINGTON | IN | 46750 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 306 E MAUMEE ST SUITE 8 | ANGOLA | IN | 46703 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 3303 TRIER ROAD SUITE 1 | FORT WAYNE | IN | 46815 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1818 CAREW STREET SUITE 260 | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 410 EAST MITCHELL STREET | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 3974 NEW VISION DRIVE | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11123 PARKVIEW PLAZA DR SUITE 102 | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 344 N MAIN STREET | COLUMBIA CITY | IN | 46725 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 401 SAWYER ROAD SUITE B | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1270 EAST STATE ROAD 205 SUITE 120 | COLUMBIA CITY | IN | 46725 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 8607 TEMPLE DR | FORT WAYNE | IN | 46809 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 207 N TOWNLINE ROAD SUITE 101 | LAGRANGE | IN | 46761 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 213 FAIRVIEW BLVD | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 112 SOUTH MAIN STREET | MILFORD | IN | 46542 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11123 PARKVIEW PLAZA DR SUITE 203 | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11141 PARKVIEW PLAZA DR SUITE 210 | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 207 NORTH TOWNLINE ROAD | LAGRANGE | IN | 46761 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 4084 NORTH US HWY 33 | CHURUBUSCO | IN | 46723 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1818 CAREW STREET SUITE 260 SUITE | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE | 260 |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11115 PARKVIEW PLAZA DR | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 1234 E DUPONT ROAD SUITE 5 | FORT WAYNE | IN | 46825 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 306 E MAUMEE ST SUITE 1 | ANGOLA | IN | 46703 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 442 WEST HIGH STREET | BRYAN | OH | 43506 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 121 WESTFIELD DRIVE | ARCHBOLD | OH | 43502 | PHYSICIAN OFFICE | |
| PARKVIEW PHYSICIANS GROUP | |||||
| 11109 PARKVIEW PLAZA DR | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE | |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| ExplanationExplanation | IdentifierIdentifier | Return 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (24 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| PARKVIEW FOUNDATION INC | |||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 237220589 | 501 ( C ) 3 | 675772 | OPERATING FUNDS |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | |||||||
| 207 N TOWNLINE RD | LAGRANGE | IN | 46761 | 202401676 | 501 ( C ) 3 | 30705 | OPERATING FUNDS |
| COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC | |||||||
| 401 SAWYER ROAD | KENDALLVILLE | IN | 46755 | 352089183 | 501 ( C ) 3 | 45000 | OPERATING FUNDS |
| WHITLEY MEMORIAL HOSPITAL FOUNDATION INC | |||||||
| 1260 EAST STATE ROAD 205 | COLUMBIA CITY | IN | 46725 | 311190239 | 501 ( C ) 3 | 50000 | OPERATING FUNDS |
| PARKVIEW HUNTINGTON FOUNDATION INC | |||||||
| 2001 STULTS ROAD | HUNTINGTON | IN | 46750 | 320012095 | 501 ( C ) 3 | 40000 | OPERATING FUNDS |
| UNIVERSITY OF SAINT FRANCIS | |||||||
| 2701 SPRING STREET | FORT WAYNE | IN | 46806 | 350886846 | 501 ( C ) 3 | 1150000 | SUPPORT FOR SCHOOL |
| FORT WAYNE CHILDRENS ZOO | |||||||
| 3411 SHERMAN BLVD | FORT WAYNE | IN | 46808 | 356068234 | 501 ( C ) 3 | 502200 | PROGRAMS & OPERATING FUNDS |
| COMMUNITY HARVEST FOOD BANK OF NORTHEAST INDIANA | |||||||
| P O BOX 10967 | FORT WAYNE | IN | 46855 | 311100607 | 501 ( C ) 3 | 305000 | OPERATING FUNDS |
| FRIENDS OF THE LINCOLN COLLECTION OF INDIANA INC | |||||||
| P O BOX 11083 | FORT WAYNE | IN | 46855 | 352101025 | 501 ( C ) 3 | 250000 | OPERATING FUNDS |
| IPFW | |||||||
| 2101 EAST COLISEUM BLVD | FORT WAYNE | IN | 46805 | 356033698 | 501 ( C ) 3 | 161000 | SUPPORT FOR SCHOOL |
| CITY OF FORT WAYNE REDEVELOPMENT COMMISSION | |||||||
| ONE EAST MAIN STREET | FORT WAYNE | IN | 46802 | GOVT ORG | 150000 | CAPITAL MAINTENANCE & IMPROVEMENT FUND - PARKVIEW FIELD | |
| FORT WAYNE ECONOMIC DEVELOPMENT ALLIANCE INC | |||||||
| 111 W WAYNE STREET | FORT WAYNE | IN | 46802 | 351787258 | 501 ( C ) 3 | 100000 | OPERATING FUNDS |
| INDIANA STATE CHAMBER OF COMMERCE FOUNDATION INC | |||||||
| P O BOX 44926 | INDIANAPOLIS | IN | 46244 | 311010164 | 501 ( C ) 3 | 75000 | OPERATING FUNDS |
| RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA | |||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 351950376 | 501 ( C ) 3 | 47447 | PROGRAMS & OPERATING FUNDS |
| ERINS HOUSE | |||||||
| 3811 ILLINOIS ROAD SUITE 205 | FORT WAYNE | IN | 46804 | 351884264 | 501 ( C ) 3 | 35500 | PROGRAMS & OPERATING FUNDS |
| FORT WAYNE PHILHARMONIC ORCHESTRA INC | |||||||
| 4901 FULLER DR | FORT WAYNE | IN | 46835 | 350791163 | 501 ( C ) 3 | 35000 | OPERATING FUNDS |
| SCIENCE CENTRAL | |||||||
| 1950 N CLINTON | FORT WAYNE | IN | 46805 | 311032583 | 501 ( C ) 3 | 33333 | PROGRAMS & OPERATING FUNDS |
| TURNSTONE CENTER FOR DISABLED CHILDREN AND ADULTS | |||||||
| 3320 N CLINTON | FORT WAYNE | IN | 46805 | 350913541 | 501 ( C ) 3 | 30250 | FITNESS & WELLNESS PROGRAMS |
| STEUBEN COUNTY COMMUNITY FOUNDATION | |||||||
| 5009 E US HIGHWAY 20 | ANGOLA | IN | 46703 | 351857065 | 501 ( C ) 3 | 20000 | OPERATING FUNDS |
| AMERICAN HEART ASSOCIATION | |||||||
| 6100 WEST 96TH STREET | INDIANAPOLIS | IN | 46278 | 135613797 | 501 ( C ) 3 | 10000 | PROGRAMS & OPERATING FUNDS |
| VERA BRADLEY FOUNDATION FOR BREAST CANCER | |||||||
| P O BOX 80201 | FORT WAYNE | IN | 46898 | 352058177 | 501 ( C ) 3 | 10000 | SUPPORT FOR RESEARCH |
| MATTHEW 25 HEALTH CLINIC | |||||||
| 413 E JEFFERSON BLVD | FORT WAYNE | IN | 46802 | 351484951 | 501 ( C ) 3 | 7750 | PROGRAMS & OPERATING FUNDS |
| NATIONAL KIDNEY FOUNDATION OF INDIANA INC | |||||||
| 5800 FAIRFIELD AVE SUITE 122 | FORT WAYNE | IN | 46807 | 351180274 | 501 ( C ) 3 | 6000 | PROGRAMS & OPERATING FUNDS |
| CAMERON HOSPITAL FOUNDATION | |||||||
| 416 E MAUMEE ST | ANGOLA | IN | 46703 | 351722087 | 501 ( C ) 3 | 5050 | PROGRAMS & OPERATING FUNDS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 24 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (21 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL PACKNETT | ||||||||||||||
| DIRECTOR/PH CEO | 740193 | 0 | 389731 | 0 | 19838 | 0 | 154794 | 0 | 12179 | 0 | 1316735 | 0 | 0 | 0 |
| RAYMOND DUSMAN | ||||||||||||||
| DIRECTOR/VICE CHAIR/PH PHY | 593621 | 0 | 108120 | 0 | 18673 | 0 | 27500 | 0 | 19074 | 0 | 766988 | 0 | 0 | 0 |
| DUANE HOUGENDOBLER | ||||||||||||||
| DIRECTOR/PH PHYSICIAN | 604849 | 0 | 97159 | 0 | 3092 | 0 | 27500 | 0 | 23458 | 0 | 756058 | 0 | 0 | 0 |
| MITCHELL STUCKY | ||||||||||||||
| DIRECTOR/PH PHYSICIAN | 325639 | 0 | 59112 | 0 | 2838 | 0 | 65850 | 0 | 15731 | 0 | 469170 | 0 | 0 | 0 |
| LARRY ROWLAND | ||||||||||||||
| DIRECTOR | 330750 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 330750 | 0 | 0 | 0 |
| MICHAEL BROWNING | ||||||||||||||
| PH SVP & CFO | 409616 | 0 | 181320 | 0 | 17990 | 0 | 51645 | 0 | 23555 | 0 | 684126 | 0 | 0 | 0 |
| JEFFREY BROOKES | ||||||||||||||
| PH MEDICAL DIR - COMMUNITY | 17816 | 265960 | 73780 | 0 | 17453 | 0 | 13388 | 32653 | 3190 | 7780 | 125627 | 306393 | 0 | 14615 |
| CATHERINE WILCOX | ||||||||||||||
| PH SVP | 275343 | 0 | 94510 | 0 | 19938 | 0 | 48306 | 0 | 13649 | 0 | 451746 | 0 | 0 | 0 |
| JAMES STAPEL | ||||||||||||||
| PH MEDICAL DIR - PPG | 263396 | 0 | 79255 | 0 | 36120 | 0 | 61752 | 0 | 15611 | 0 | 456134 | 0 | 14714 | 0 |
| RONALD DOUBLE | ||||||||||||||
| PH CIO | 287397 | 0 | 71519 | 0 | 990 | 0 | 60090 | 0 | 6641 | 0 | 426637 | 0 | 0 | 0 |
| DEBRA WILLIAMS | ||||||||||||||
| PH SVP | 259795 | 0 | 68342 | 0 | 15553 | 0 | 40874 | 0 | 8088 | 0 | 392652 | 0 | 13985 | 0 |
| RICK HENVEY | ||||||||||||||
| PH COO - COMMUNITY HOSPITA | 282700 | 0 | 75267 | 0 | 14845 | 0 | 38781 | 0 | 18485 | 0 | 430078 | 0 | 14185 | 0 |
| JILL OSTREM | ||||||||||||||
| PH SVP | 261604 | 0 | 45358 | 0 | 990 | 0 | 33740 | 0 | 18363 | 0 | 360055 | 0 | 0 | 0 |
| RAMESH BHAT | ||||||||||||||
| PH PHYSICIAN | 766656 | 48558 | 81977 | 0 | 4356 | 0 | 27500 | 0 | 11998 | 0 | 892487 | 48558 | 0 | 0 |
| SAILAJA BLACKMON | ||||||||||||||
| PH PHYSICIAN | 766734 | 0 | 98445 | 0 | 1516 | 0 | 17500 | 0 | 26074 | 0 | 910269 | 0 | 0 | 0 |
| DAVID SCHLEINKOFER | ||||||||||||||
| PH PHYSICIAN | 593577 | 0 | 116116 | 0 | 30968 | 0 | 27500 | 0 | 20374 | 0 | 788535 | 0 | 0 | 0 |
| DAVID CLARK | ||||||||||||||
| PH PHYSICIAN | 698668 | 0 | 65960 | 0 | 1925 | 0 | 20000 | 0 | 11998 | 0 | 798551 | 0 | 0 | 0 |
| EDWARD SCHULTZ | ||||||||||||||
| PH PHYSICIAN | 688059 | 0 | 60158 | 0 | 22654 | 0 | 27500 | 0 | 9227 | 0 | 807598 | 0 | 0 | 0 |
| STANTON RISSER | ||||||||||||||
| FORMER:OFFICER CURRENT:PH | 109732 | 0 | 22335 | 0 | 464 | 0 | 9419 | 0 | 17634 | 0 | 159584 | 0 | 0 | 0 |
| JAMES HAUGUEL | ||||||||||||||
| FORMER:KEY EMPLOYEE CURREN | 186574 | 0 | 56150 | 0 | 12950 | 0 | 38747 | 0 | 5708 | 0 | 300129 | 0 | 11539 | 0 |
| JAMES WITMER | ||||||||||||||
| FORMER:KEY EMPLOYEE CURREN | 197059 | 0 | 58433 | 0 | 15884 | 0 | 38262 | 0 | 12954 | 0 | 322592 | 0 | 11495 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 4B | SUPPLEMENTAL 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 7 | MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) IS AN ANNUAL INCENTIVE PROGRAM. SYSTEM GOALS ARE APPROVED BY THE BOARD IN ADVANCE OF THE PLAN YEAR. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE BOARD APPROVES FINAL PAYMENT. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| INDIANA FINANCE AUTHORITY | ||||||||
| A | 351602316 | 45471ABQ4 | 2009-08-27 | 264703254 | SEE PART VI | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY | ||||||||
| B | 351602316 | 45471AAS1 | 2009-08-27 | 223665000 | SEE PART VI | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY | ||||||||
| C | 351602316 | NONEAVAIL | 2010-05-04 | 28000000 | SEE PART VI | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY | ||||||||
| D | 351062316 | 45471AHR6 | 2012-05-24 | 94631826 | SEE PART VI | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Other Spent ProceedsOtherSpentProceeds | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind | Credit EnhancementCreditEnhancement | Capital ExpendituresCapitalExpenditures |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 24805000 | 37335000 | 264704689 | 3451766 | 261252923 | 2009 | 1 | 0 | 1 | 1 | ||
| B | 223915573 | 1367866 | 73267236 | 2011 | 1 | 0 | 1 | 1 | 193601 | 149086870 | ||
| C | 28000000 | 155500 | 2011 | 0 | 0 | 1 | 1 | 27844500 | ||||
| D | 94631826 | 1096522 | 93535305 | 2012 | 1 | 1 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 1 | 1 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 | 0 | 1 |
| B | 0 | 1 | 1 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 | 0 | 1 |
| C | 0 | 1 | 1 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 | 0 | 1 |
| D | 0 | 1 | 1 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| (no name) | ||||||||||||
| A | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | |||
| WELLS FARGO & PNC | ||||||||||||
| B | 0 | 0 | 0 | 1 | 1 | 1 | 0 | 0 | 1 | 20.000000000000 | 0 | 0 |
| (no name) | ||||||||||||
| C | 0 | 1 | 0 | 0 | 1 | 0 | 0 | 0 | 1 | |||
| (no name) | ||||||||||||
| D | 0 | 1 | 0 | 0 | 0 | 0 | 0 | 0 | 1 | |||
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | 1 |
| B | 1 |
| C | 1 |
| D | 1 |
Form990 Schedule K Part VI Form990ScheduleKPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE K PART IV, ARBITRAGE, LINE 2C | DATE REBATE COMPUTATION PERFORMED | ISSUER 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)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| FCFP LLC | |||
| ENTITY OF WHICH DIRECTOR MITCHELL STUCKY OWNED A GREATER THAN 5% INTEREST | 710268 | RENTAL OF PROPERTY TO PARKVIEW HEALTH SYSTEM, INC. - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH. ADDITIONALLY, DIRECTOR MITCHELL STUCKY DOES NOT PARTICIPATE IN THE DISCUSSIONS/DECISION TO LEASE PROPERTY OR THE LEASE TERMS AND PAYMENTS. | 0 |
| NORTHEAST ORTHOPAEDIC HOSPITAL INVESTORS LLC | |||
| ENTITY OF WHICH DIRECTOR MICHAEL LEE OWNED A GREATER THAN 5% INTEREST | 21198333 | PARKVIEW HEALTH SYSTEM, INC. AND NORTHEAST ORTHOPAEDIC HOSPITAL INVESTORS, LLC ARE BOTH MEMBERS IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. THE TOTAL AMOUNT INVESTED BY PARKVIEW HEALTH SYSTEM, INC. IN THE JOINT VENTURE AS OF 12/31/2012 IS $21,198,333. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 1 | THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIR OF THE BOARD, VICE CHAIR OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, TREASURER AND SECRETARY OF THE CORPORATION AND AT LEAST ONE DIRECTOR WHO IS AN EX-OFFICIO VOTING MEMBER OF THE BOARD AND SUCH OTHER DIRECTORS AS ARE DESIGNATED BY THE CHAIR OF THE BOARD. THE EXECUTIVE COMMITTEE MAY ACT AS THE EXECUTIVE COMPENSATION COMMITTEE FOR THE CORPORATION. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION. IN ADDITION, THE COMMITTEE SHALL PERFORM ALL RESPONSIBILITIES DELEGATED TO IT BY THE BOARD. THE EXECUTIVE COMMITTEE MAY SERVE AS THE EXECUTIVE COMPENSATION COMMITTEE FOR THE CORPORATION AND ALL OF ITS ENTITIES, AS DETERMINED BY THE CHAIR OF THE BOARD, AT WHICH TIME, THE EXECUTIVE COMPENSATION COMMITTEE SHALL ESTABLISH THE COMPENSATION FOR ALL KEY MANAGEMENT PERSONNEL, PURSUANT TO THE STANDARDS OF CONDUCT RELATING TO EXECUTIVE COMPENSATION. NO INTERESTED PERSON MAY SERVE ON THE EXECUTIVE COMPENSATION COMMITTEE. NO OTHER BOARD OR COMMITTEE CAN APPROVE EXECUTIVE COMPENSATION ARRANGEMENTS. THE EXECUTIVE COMMITTEE SHALL ANNUALLY RECEIVE, REVIEW AND MAKE RECOMMENDATIONS ON ENTITY BOARDS AND SHALL SUBMIT RECOMMENDATIONS FOR ALL SYSTEM BOARD APPOINTMENTS. | |
| FORM 990, PART VI, SECTION A, LINE 4 | DURING 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 11 | AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 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 12C | AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. 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 15 | TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE ORGANIZATION USED A PROCESS FOR DETERMINING COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR; REVIEW, AND APPROVAL BY THE GOVERNING BODY; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 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 19 | COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. | |
| FORM 990, PART V, LINE 1A, 2A AND PART VII, SECTION B, LINE 2: | PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION AS WELL AS RELATED ENTITIES. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2 AND W-3 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NEW VISION PROFESSIONAL PARK LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10501 CORPORATE DRIVE | AddressLine1 |
| City | FORT WAYNE | City |
| State | IN | State |
| ZIP Code | 46845 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351972384 | EIN |
| Primary Activities | REAL ESTATE | PrimaryActivities |
| Legal Domicile State | IN | LegalDomicileState |
| Total Income | 1117328 | TotalIncome |
| EOY Assets | 11091932 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PARKVIEW HEALTH SYSTEM INC | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW HOSPITAL INC | ||||||||||
| 11109 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | 350868085 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | 1 |
| PARKVIEW FOUNDATION INC | ||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 237220589 | FUND MGMT | IN | 501(C)(3) | LINE 11A, I | PARKVIEW HOSPITAL INC | 1 |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | ||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 352064353 | OCCUP HEALTH | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | 1 |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||||||||||
| 207 N TOWNLINE ROAD | LAGRANGE | IN | 46761 | 202401676 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | 1 |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||||||||||
| 401 SAWYER ROAD | KENDALLVILLE | IN | 46755 | 352087092 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | 1 |
| COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC | ||||||||||
| 401 SAWYER ROAD | KENDALLVILLE | IN | 46755 | 352089183 | FUND MGMT | IN | 501(C)(3) | LINE 11A, I | COMMUNITY HOSPITAL OF NOBLE COUNTY INC | 1 |
| WHITLEY MEMORIAL HOSPITAL INC | ||||||||||
| 1260 E STATE ROAD 205 | COLUMBIA CITY | IN | 46725 | 351967665 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | 1 |
| WHITLEY MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 1260 E STATE ROAD 205 | COLUMBIA CITY | IN | 46725 | 311190239 | FUND MGMT | IN | 501(C)(3) | LINE 11A, I | WHITLEY MEMORIAL HOSPITAL INC | 1 |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||||||||||
| 2001 STULTS ROAD | HUNTINGTON | IN | 46750 | 351970706 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | 1 |
| PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC | ||||||||||
| 2001 STULTS ROAD | HUNTINGTON | IN | 46750 | 320012095 | FUND MGMT | IN | 501(C)(3) | LINE 11A, I | HUNTINGTON MEMORIAL HOSPITAL INC | 1 |
Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | |||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 260143823 | ORTHO HOSPITAL | IN | PARKVIEW HEALTH SYSTEM INC | RELATED | 18628187 | 24987256 | 0 | 1 | 0.60000 |
| FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC | |||||||||||||
| 8004 CARNEGIE BLVD | FORT WAYNE | IN | 46804 | 201394120 | SURGICAL SERVICES | IN | PARKVIEW HEALTH SYSTEM INC | RELATED | 616920 | 184644 | 0 | 1 | 0.51000 |
| MANAGED CARE SERVICES LLC | |||||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 351996535 | HEALTH PLAN ADMIN | IN | PARKVIEW HEALTH SYSTEM INC | RELATED | 840106 | 5799389 | 0 | 1 | 0.90000 |
| PARKVIEW IMAGING HUNTINGTON LLC | |||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 208651460 | EQUIPMENT LEASING | IN | HUNTINGTON MEMORIAL HOSPITAL INC | RELATED | 289960 | 200392 | 0 | 0 | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Controlled OrgControlledOrg | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW PROFESSIONAL PROGRAMS INC | ||||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 351668888 | REFERENCE LAB | IN | PARKVIEW HOSPITAL INC | C | 16366851 | 5570270 | 0 | |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||||||||||||
| 442 W HIGH STREET | BRYAN | OH | 43506 | 341045870 | PHYSICIANS | OH | PARKVIEW HEALTH SYSTEM INC | C | 33782908 | 7368808 | 0 | 1.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (30 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| A | 1292972 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| A | 1376759 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | ||
| A | 105267 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| A | 1706198 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| A | 3206806 | PART VII SUPPLEMENTAL INFORMATION |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||
| A | 1482012 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW FOUNDATION INC | ||
| B | 675772 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||
| D | 8596241 | PART VII SUPPLEMENTAL INFORMATION |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||
| D | 5095556 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| J | 1292972 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | ||
| J | 105267 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| J | 1706198 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| J | 3206806 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| J | 1376759 | PART VII SUPPLEMENTAL INFORMATION |
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||
| J | 1482012 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| K | 82145 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| K | 983138 | PART VII SUPPLEMENTAL INFORMATION |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | ||
| L | 3987887 | PART VII SUPPLEMENTAL INFORMATION |
| FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC | ||
| L | 508797 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| Q | 127063805 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| Q | 9722811 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| Q | 10254090 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| Q | 8808135 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||
| Q | 6690714 | PART VII SUPPLEMENTAL INFORMATION |
| MANAGED CARE SERVICES LLC | ||
| Q | 233024 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| S | 86244726 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| S | 17487932 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| S | 12950255 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| S | 14619591 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||
| S | 1553787 | PART VII SUPPLEMENTAL INFORMATION |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | METHOD USED TO DETERMINE VALUE | Identifier |
| Return Reference | SCHEDULE R, PART V, LINE 2, COLUMN (C): | ReturnReference |
| Explanation | THE AMOUNTS REPORTED AS TRANSACTIONS WITH RELATED ORGANIZATIONS ARE CONSISTENT WITH THE AMOUNTS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS DEPENDING ON THE TYPE OF TRANSACTION INVOLVED. | Explanation |