PARKVIEW HEALTH SYSTEM INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- PARKVIEW HEALTH SYSTEM INC (EIN 35-1972384)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-08
- IRS object ID
- 201133129349301508
- Schema version
- 2010v3.4
- 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 | 2011-11-08T12:26:11-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 2010-01-01 | 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 | 2011-11-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | KENNETH J KEBER | Name |
| Phone | 5742323992 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | 2077003398 | 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. WILL PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US AND WE WILL WORK TO IMPROVE THE HEALTH OF OUR COMMUNITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 10 | NbrIndependentVotingMembers |
| Total Nbr Employees | 2190 | TotalNbrEmployees |
| Total Nbr Volunteers | 8 | TotalNbrVolunteers |
| Total Gross UBI | 2115794 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 17047 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 26933 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 36881 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 101154439 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 250801671 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -4780948 | InvestmentIncomePriorYear |
| Investment Income Current Year | 16042418 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 888526 | OtherRevenuePriorYear |
| Other Revenue Current Year | -34586 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 97288950 | TotalRevenuePriorYear |
| Total Revenue Current Year | 266846384 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1212529 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1280134 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 68924711 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 156056725 | 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 | 52585577 | OtherExpensePriorYear |
| Other Expenses Current Year | 115470282 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 122722817 | TotalExpensesPriorYear |
| Total Expenses Current Year | 272807141 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -25433867 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -5960757 | RevenuesLessExpensesCY |
| Total Assets BOY | 1077596927 | TotalAssetsBOY |
| Total Assets EOY | 1163484562 | TotalAssetsEOY |
| Total Liabilities BOY | 751696963 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 792370514 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 325899964 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 371114048 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | PARKVIEW HEALTH SYSTEM, INC. WILL PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US AND WE WILL WORK TO IMPROVE THE HEALTH OF OUR COMMUNITIES. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 261767319 | Expense |
| Grants | 1280134 | Grants |
| Revenue | 248603867 | Revenue |
| Description | PARKVIEW HEALTH SYSTEM, INC. SUPPORTS THESE 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. 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 SURVEY. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. REVIEWS TREND AND TREATMENT ANALYSIS DATA ON AN ONGOING BASIS. DATA OBTAINED FROM THESE STUDIES IS 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 264 PRIMARY AND SPECIALTY CARE PHYSICIANS AS PART OF THE PARKVIEW PHYSICIANS' GROUP. THESE PHYSICIANS PROVIDE CARE TO RESIDENTS THROUGHOUT NORTHEAST INDIANA AND NORTHWEST OHIO REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. PARKVIEW HEALTH EMPLOYS ONE FULL TIME PHYSICIAN RECRUITER WHOSE TIME IS DEVOTED 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 THE AVERAGE, 15-25 NEW PHYSICIANS ARE RECRUITED EACH YEAR.PARKVIEW HEALTH SYSTEM, INC. PROVIDES SIGNIFICANT FUNDING TO LOCAL UNIVERSITIES TO PROMOTE AND SUPPORT THE NURSING PROGRAMS IN ORDER TO DEVELOP, TEACH AND TRAIN TALENTED STUDENTS FOR THE NURSING PROFESSION. PARKVIEW HEALTH SYSTEM, INC. HAS PARTNERSHIPS WITH THE NURSING DEPARTMENTS AT INDIANA UNIVERSITY PURDUE UNIVERSITY AT FORT WAYNE, AND THE UNIVERSITY OF SAINT FRANCIS TO PROVIDE FINANCIAL ASSISTANCE FOR SCHOLARSHIPS, OPERATIONAL, CAPITAL, AND MARKETING SUPPORT. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. IS A SIGNIFICANT CONTRIBUTOR TO THE NORTHEAST INDIANA ECONOMIC DEVELOPMENT COUNCIL TO SUSTAIN 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 GROWTH AND VITALITY. | Description |
| Total Program Service Expense | 261767319 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | 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 | 1 | 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 | 249 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 2190 | 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 |
| 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 |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 10 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | 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 (34 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | 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 | X | X | 912103 | 0 | 158919 | |||
| RAYMOND DUSMAN | |||||||||
| DIRECTOR/VICE CHAIR/PH PHYSICIAN | 40.00 | X | 623425 | 0 | 44655 | ||||
| DUANE HOUGENDOBLER | |||||||||
| DIRECTOR/PH PHYSICIAN | 40.00 | X | 513914 | 596 | 48348 | ||||
| MITCHELL STUCKY | |||||||||
| DIRECTOR/PH PHYSICIAN | 40.00 | X | 164738 | 118166 | 38381 | ||||
| MICHAEL AXEL | |||||||||
| DIRECTOR | 1.00 | X | 3500 | 5250 | 0 | ||||
| RICHARD BAKER | |||||||||
| DIRECTOR | 1.00 | X | 3750 | 6250 | 0 | ||||
| THOMAS BEAVER | |||||||||
| DIRECTOR | 1.00 | X | 3000 | 6500 | 0 | ||||
| JANET CHRZAN | |||||||||
| DIRECTOR/SECRETARY | 1.00 | X | 10750 | 0 | 0 | ||||
| DAVID HAIST | |||||||||
| DIRECTOR | 1.00 | X | 3500 | 4750 | 0 | ||||
| MICHAEL LEE | |||||||||
| DIRECTOR | 1.00 | X | 6750 | 0 | 0 | ||||
| LAURA LEFEVER | |||||||||
| DIRECTOR | 1.00 | X | 4500 | 7250 | 0 | ||||
| JOHN PRICE | |||||||||
| DIRECTOR | 1.00 | X | 3000 | 7250 | 0 | ||||
| CHARLES SCHRIMPER | |||||||||
| DIRECTOR/CHAIR | 1.00 | X | 11500 | 0 | 0 | ||||
| WIL SMITH | |||||||||
| DIRECTOR/TREASURER | 1.00 | X | 4500 | 4500 | 0 | ||||
| THOMAS WALSH | |||||||||
| DIRECTOR | 1.00 | X | 11000 | 0 | 0 | ||||
| MICHAEL BROWNING | |||||||||
| CURRENT PH SVP & CFO | 40.00 | X | 80871 | 0 | 5343 | ||||
| JEFFREY FRANCIS | |||||||||
| PH SVP & CFO | 40.00 | X | 206802 | 0 | 15269 | ||||
| STANTON RISSER | |||||||||
| INTERIM PH CFO | 40.00 | X | 138872 | 0 | 24814 | ||||
| MARK NAFZIGER | |||||||||
| PH EVP & COO | 40.00 | X | 588952 | 0 | 56938 | ||||
| ARTHUR DETORE | |||||||||
| PH EVP | 40.00 | 449416 | 0 | 79719 | X | ||||
| CATHERINE WILCOX | |||||||||
| PH SVP | 40.00 | 348390 | 0 | 60925 | X | ||||
| JEFFREY BROOKES | |||||||||
| PH MEDICAL DIR - COMMUNITY HOSPITALS | 1.00 | 77405 | 263027 | 56424 | X | ||||
| JAMES STAPEL | |||||||||
| PH MEDICAL DIR - PPG | 40.00 | 335889 | 2010 | 75369 | X | ||||
| RICK HENVEY | |||||||||
| PH REGIONAL COO - COMMUNITY HOSPITALS | 40.00 | 301648 | 0 | 53626 | X | ||||
| RONALD DOUBLE | |||||||||
| PH CIO | 40.00 | 297464 | 0 | 57972 | X | ||||
| DEBRA WILLIAMS | |||||||||
| PH SVP | 40.00 | 287353 | 0 | 42705 | X | ||||
| JAMES WITMER | |||||||||
| PH SVP | 40.00 | 256214 | 0 | 40608 | X | ||||
| JAMES HAUGUEL | |||||||||
| PH SVP | 40.00 | 213132 | 0 | 44409 | X | ||||
| SAILAJA BLACKMON | |||||||||
| PH PHYSICIAN | 40.00 | 788837 | 0 | 44775 | X | ||||
| DAVID SOWDEN | |||||||||
| PH PHYSICIAN | 40.00 | 745999 | 400 | 41212 | X | ||||
| DOUGLAS GRAY | |||||||||
| PH PHYSICIAN | 40.00 | 717431 | 0 | 43613 | X | ||||
| DAVID LLOYD | |||||||||
| PH PHYSICIAN | 40.00 | 710534 | 0 | 37540 | X | ||||
| SATISH VELAGAPUDI | |||||||||
| PH PHYSICIAN | 40.00 | 652492 | 0 | 34775 | X | ||||
| CHARLES MASON | |||||||||
| PH PRESIDENT EMERITUS | 0.00 | 448413 | 0 | 0 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 9926044 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 425949 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1106339 | TotalOtherCompensation |
| Number Individuals GT100 K | 249 | 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 |
|---|---|---|---|---|---|
| INDIANA MEDICAL ASSOCIATES LLC | |||||
| 7900 W JEFFERSON STE 201 | FORT WAYNE | IN | 46804 | PHYSICIANS | 798730 |
| NAVVIS CONSULTING LLC | |||||
| 15450 SOUTH OUTER FORTY DRIVE STE 2 | CHESTERFIELD | MO | 63017 | CONSULTANTS | 570994 |
| ERNST & YOUNG US LLP | |||||
| P O BOX 96550 | CHICAGO | IL | 60693 | CPA FIRM | 344654 |
| BEERS MALLERS BACK & SALIN LLP | |||||
| 110 W BERRY STREET STE 1100 | FORT WAYNE | IN | 46802 | ATTORNEYS | 311122 |
| GALILEO MANAGEMENT SERVICES LLC | |||||
| 5025 LITCHFIELD ROAD | FORT WAYNE | IN | 46835 | CONSULTANTS | 300000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 18 | NumberOfContractorsGT100K |
| Related Organizations | 36881 | RelatedOrganizations |
| Total Contributions | 36881 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| CORP SER ALLOCATION | 561000 | 110882088 | 110882088 | |
| NET PATIENT SERVICE | 621110 | 100375806 | 100375806 | |
| PH SUBSIDY | 561499 | 15958555 | 15958555 | |
| ORTHOPAEDIC HOSPITAL | 621110 | 10508533 | 10508533 | |
| BILLING & MGMT FEES | 561000 | 4591083 | 2673710 | 1917373 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 8485606 | TotalRevenueColumn |
| Related Or Exempt Function Income | 8169809 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 315797 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 250801671 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11730889 | TotalRevenueColumn |
| Exclusion | $11,730,889 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 194645 | TotalRevenueColumn |
| Exclusion | $194,645 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2188991 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2864228 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -675237 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -675237 | TotalRevenueColumn |
| Unrelated Business Revenue | -117376 | UnrelatedBusinessRevenue |
| Exclusion | -$557,861 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1811336398 | Securities |
| Other | 73272 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 1807162087 | Securities |
| Other | 130699 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 4174311 | Securities |
| Other | -57427 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4116884 | TotalRevenueColumn |
| Exclusion | $4,116,884 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|
| CAFETERIA REVENUE | 722100 | 605285 | $605,285 | |
| MISCELLANEOUS | 900099 | 35366 | 35366 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 640651 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 266846384 | TotalRevenueColumn |
| Related Or Exempt Function Income | 248603867 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2115794 | UnrelatedBusinessRevenue |
| Exclusion | $16,089,842 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1280134 | Total |
| Program Services | 1280134 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6706630 | Total |
| Management And General | 6706630 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 121160215 | Total |
| Program Services | 121160215 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6608814 | Total |
| Program Services | 6608814 | ProgramServices |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21581066 | Total |
| Program Services | 21581066 | ProgramServices |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 606678 | Total |
| Program Services | 606678 | ProgramServices |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 682174 | Total |
| Program Services | 682174 | ProgramServices |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1507177 | Total |
| Program Services | 1507177 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15244087 | Total |
| Program Services | 12359893 | ProgramServices |
| Management And General | 2884194 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2357148 | Total |
| Program Services | 2352998 | ProgramServices |
| Management And General | 4150 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13320691 | Total |
| Program Services | 12751492 | ProgramServices |
| Management And General | 569199 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20339932 | Total |
| Program Services | 20339932 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7343606 | Total |
| Program Services | 7307729 | ProgramServices |
| Management And General | 35877 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 714749 | Total |
| Program Services | 554103 | ProgramServices |
| Management And General | 160646 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1702344 | Total |
| Program Services | 1622376 | ProgramServices |
| Management And General | 79968 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21282189 | Total |
| Program Services | 21282189 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18359946 | Total |
| Program Services | 18345657 | ProgramServices |
| Management And General | 14289 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2114693 | Total |
| Program Services | 1902973 | ProgramServices |
| Management And General | 211720 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| UBI TAXES & REFUNDS | -59538 | -59538 | |
| BAD DEBT | 6067549 | 6067549 | |
| DUES & SUBSCRIPTIONS | 863780 | 550175 | 313605 |
| PHYSICIAN RECRUITMENT | 736825 | 736825 | |
| TUITION & CERTIFICATION | 646794 | 646794 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1639458 | Total |
| Program Services | 1579914 | ProgramServices |
| Management And General | 59544 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 272807141 | Total |
| Program Services | 261767319 | ProgramServices |
| Management And General | 11039822 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17495 | BOY |
| EOY | 21381 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42478235 | BOY |
| EOY | 52978116 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32744783 | BOY |
| EOY | 16282925 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11377966 | BOY |
| EOY | 10857261 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 321199 | BOY |
| EOY | 306862 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9911986 | BOY |
| EOY | 10086500 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 669096958 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 157497185 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 257109405 | BOY |
| EOY | 511599773 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 628459235 | BOY |
| EOY | 438922625 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 84209612 | BOY |
| EOY | 110263867 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7057081 | BOY |
| EOY | 8762222 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3909930 | BOY |
| EOY | 3403030 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1077596927 | BOY |
| EOY | 1163484562 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42903074 | BOY |
| EOY | 67707293 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192943 | BOY |
| EOY | 173103 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 562234647 | BOY |
| EOY | 565576364 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8894606 | BOY |
| EOY | 16560649 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 137471693 | BOY |
| EOY | 142353105 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 751696963 | BOY |
| EOY | 792370514 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 325899964 | BOY |
| EOY | 371114048 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 325899964 | BOY |
| EOY | 371114048 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1077596927 | BOY |
| EOY | 1163484562 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -5960757 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 51174841 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
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 | $85,228,452 |
| HUNTINGTON MEMORIAL HOSPITAL INC | |||||
| 351970706 | 3 | 1 | 1 | 1 | $7,193,616 |
| WHITLEY MEMORIAL HOSPITAL INC | |||||
| 351967665 | 3 | 1 | 1 | 1 | $6,362,832 |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | |||||
| 352089183 | 3 | 1 | 1 | 1 | $7,096,224 |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | |||||
| 202401676 | 3 | 1 | 1 | 1 | $4,581,948 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Number Of Supported Orgs | 5 | TotalNumberOfSupportedOrgs |
| Sum Of Amounts | 110463072 | 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 | $55,674 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 0 | OtherActivities |
| Total Lobbying Expenditures IIB | 55674 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 23655281 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 23770866 | OtherCostOrOtherBasis |
| Book Value | 47426147 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 118572367 | OtherCostOrOtherBasis |
| Depreciation | 36020112 | Depreciation |
| Book Value | 82552255 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3106604 | OtherCostOrOtherBasis |
| Depreciation | 880684 | Depreciation |
| Book Value | 2225920 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 169760584 | OtherCostOrOtherBasis |
| Depreciation | 116109110 | Depreciation |
| Book Value | 53651474 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 330231256 | OtherCostOrOtherBasis |
| Depreciation | 4487279 | Depreciation |
| Book Value | 325743977 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 511599773 | TotalOfBookValueLandBuildings |
Financial Derivatives FinancialDerivatives
| Field | Value | IRS element (for citing) |
|---|---|---|
| Book Value | 110263867 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 110263867 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO/FROM INTERUNIT | $113,526,348 |
| ACC RETIREMENTS COST | $20,203,270 |
| RESERVE FOR SIGNATURE CARE | $4,748,908 |
| RESERVE FOR MALPRACTICE | $3,270,204 |
| RESERVE FOR IBNR | $600,000 |
| PROPERTY SECURITY DEPOSITS | $4,375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 142353105 | TotalOfAmounts |
Schedule F IRS990ScheduleF
Accts Actvs Out US Table AcctsActvsOutUSTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | EUROPE (INCLUDING ICELAND & GREENLAND) | Region |
| Number Of Offices | 0 | NumberOfOffices |
| Number Of Employees | 0 | NumberOfEmployees |
| Type Of Activities Conducted | INVESTMENTS | TypeOfActivitiesConducted |
| Total Expenditures | 2404178 | TotalExpenditures |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Number Of Employees | 0 | SubtotalNumberOfEmployees |
| Cont Number Of Employees | 0 | ContNumberOfEmployees |
| Total Number Of Employees | 0 | TotalNumberOfEmployees |
| Subtotal Amount Spent | 2404178 | SubtotalAmountSpent |
| Cont Amount Spent | 0 | ContAmountSpent |
| Total Amount Spent | 2404178 | 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 |
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 | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 154011 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 154011 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1463547 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 732476 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 731071 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 563789 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 363276 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 200513 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2181347 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1095752 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1085595 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 246087 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 246087 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 946650 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 946650 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00350 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 831036 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 457228 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 373808 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 458035 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 458035 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00170 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2481808 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 457228 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2024580 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00750 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4663155 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1552980 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3110175 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01150 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 299747 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 299747 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00110 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 365000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 365000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 5000 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 5000 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 880571 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 880571 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00330 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 1550318 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 1550318 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00580 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $3,059,386 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 5468277 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 7390121 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -1921844 | 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 | NOT REQUIRED | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 74 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (74 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1819 CAREW STREET | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 3909 NEW VISION DRIVE | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1818 CAREW STREET | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 11123 PARKVIEW PLAZA DR | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 2003 STULTS RD | HUNTINGTON | IN | 46750 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 11141 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 8028 CARNEGIE BLVD | FORT WAYNE | IN | 46804 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1515 HOBSON ROAD | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 2710 LAKE AVE | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 2414 E STATE | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 885 CONNEXION WAY | COLUMBIA CITY | IN | 46725 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1331 MINNICH RD | NEW HAVEN | IN | 46774 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 4665 S STATE RD 5N | SOUTH WHITLEY | IN | 46787 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 104 NICHOLAS PLACE WAY | AVILLA | IN | 46710 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 6130 TRIER RD | FORT WAYNE | IN | 46815 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 7910 W JEFFERSON | FORT WAYNE | IN | 46804 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 6108 MAPLECREST ROAD | FORT WAYNE | IN | 46835 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 5104 N CLINTON STREET | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 710 NORTH EAST STREET | WABASH | IN | 46992 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 2512 E DUPONT | FORT WAYNE | IN | 46825 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 2300 DUBOIS DRIVE | WARSAW | IN | 46580 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 13430 MAIN STREET | GRABILL | IN | 46741 | PHYSICIAN OFFICE |
| PREMIER SURGERY CENTER LLC | ||||
| 1333 MAYCREST DRIVE | FORT WAYNE | IN | 46805 | SURGERY CENTER |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 15707 OLD LIMA RD | HUNTERTOWN | IN | 46748 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1234 E DUPONT RD | FORT WAYNE | IN | 46825 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 4084 N US HWY 33 | CHURUBUSCO | IN | 46723 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 10515 ILLINOIS ROAD | FORT WAYNE | IN | 46814 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1464 LINCOLNWAY S | LIGONIER | IN | 46767 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 333 N OAK STREET | COLUMBIA CITY | IN | 46725 | PHYSICIAN OFFICE |
| FOUNDATION SURGERY AFF OF FT WAYNE LLC | ||||
| 8004 CARNEGIE BLVD | FORT WAYNE | IN | 46804 | SURGERY CENTER |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 326 SAWYER ROAD | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 514 N PROFESSIONAL WAY | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE |
| NORTHEAST INDIANA CANCER CENTER LLC | ||||
| 516 E MAUMEE STREET | ANGOLA | IN | 46703 | MEDICAL SERVICES |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 524 BRANCH COURT | COLUMBIA CITY | IN | 46725 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 420 SAWYER ROAD | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| US HWY 30 WEST 5 MATCHETT DR | PIERCETON | IN | 46562 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 207 N TOWNLINE RD | LAGRANGE | IN | 46761 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1836 IDA RED ROAD | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 817 TRAIL RIDGE ROAD | ALBION | IN | 46701 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 240 S JEFFERSON SUITE B | HUNTINGTON | IN | 46750 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 8175 W US 20 | SHIPSHEWANA | IN | 46565 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1381 N WAYNE STREET TOTAL | ANGOLA | IN | 46703 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 3439 HOBSON ROAD | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1722 BEACON ST | FORT WAYNE IN | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| MEDICAL ARTS CENTER - WEST | AUBURN | IN | 46706 | PHYSICIAN OFFICE |
| IMAGING SYSTEMS HOLDINGS LLC | ||||
| 3707 NEW VISION DRIVE | FORT WAYNE | IN | 46845 | IMAGING SERVICES |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 401 SAWYER ROAD | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 3217 LAKE AVENUE | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 2402 LAKE AVENUE | FORT WAYNE | IN | 46805 | PHYSICIAN OFFICE |
| FORT WAYNE ENDOSCOPY CENTER LLC | ||||
| 3415 HOBSON ROAD | FORT WAYNE | IN | 46805 | OUTPATIENT SERVICES |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 500 W VOTAW STREET | PORTLAND | IN | 47371 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 800 W 600 N | HOWE | IN | 46746 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 410 E MITCHELL STREET | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 208 N COLUMBUS STREET | HICKSVILLE | OH | 43526 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 5110 N CLINTON STREET | FORT WAYNE | IN | 46825 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 2600 N DETROIT STREET | LAGRANGE | IN | 46761 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 306 E MAUMEE STREET | ANGOLA | IN | 46703 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1035 W WAYNE STREET | PAULDING | OH | 45879 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1310 EAST 7TH STREET | AUBURN | IN | 46706 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1129 FIRST STREET | HUNTINGTON | IN | 46750 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1726 BEACON ST | FORT WAYNE IN | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1391 N BALDWIN AVE | MARION | IN | 46952 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 3250 INTERTECH DRIVE | ANGOLA | IN | 46703 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1721 BEACON ST | FORT WAYNE IN | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1720 BEACON ST | FORT WAYNE IN | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 2001 STULTS RD STE 200 | HUNTINGTON | IN | 46750 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 344 N MAIN STREET | COLUMBIA CITY | IN | 46725 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 213 FAIRVIEW BLVD | KENDALLVILLE | IN | 46755 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 815 HIGH STREET | DECATUR | IN | 46733 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1724 BEACON ST | FORT WAYNE IN | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 1725 BEACON ST | FORT WAYNE IN | IN | 46805 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 577 GEIGER DR STE C | ROANOKE | IN | 46783 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 276 MANCHESTER AVE | WABASH | IN | 46992 | PHYSICIAN OFFICE |
| PARKVIEW PHYSICIANS' GROUP | ||||
| 11135 PARKVIEW PLAZA DRIVE | FORT WAYNE | IN | 46845 | PHYSICIAN OFFICE |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 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 6A: PARKVIEW HOSPITAL, INC. | ||
| PART I, LINE 7: COSTING METHODOLOGY USED TO CALCULATE CHARITY CAREPART 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 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7GAMOUNTS PRESENTED REPRESENT ACTUAL SPEND RELATIVE TO CLINICAL OPERATIONS AND SERVICES. 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 $6,067,549 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. PHYSICAL IMPROVEMENTS:PARKVIEW NORTH FAMILY PARK IS A RECREATIONAL PARK AREA OPEN TO THE PUBLIC LOCATED ON THE NORTH CAMPUS, FUTURE HOME OF PARKVIEW REGIONAL MEDICAL CENTER. PARKVIEW HEALTH SYSTEM, INC. MAKES THE PARK AVAILABLE 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. PARKVIEW HEALTH SYSTEM, INC. ALSO SUPPORTS THE REGIONAL CHAMBER OF NORTHEAST INDIANA. SUPPORT PROVIDED TO THE CITY OF FORT WAYNE FOR A NEWLY BUILT BASEBALL STADIUM LOCATED IN DOWNTOWN FORT WAYNE IS AN EFFORT TO BRING RENEWED ECONOMIC VITALITY TO THE DOWNTOWN AREA ENHANCING THE COMMUNITY AS A WHOLE. THE BASEBALL FIELD IS THE CENTERPIECE OF OTHER SIGNIFICANT PROJECTS TOWARD THE GOAL OF DOWNTOWN REVITALIZATION. RELATED TO ECONOMIC DEVELOPMENT AND COMMUNITY OUTREACH, PARKVIEW HEALTH SYSTEM, INC. PARTNERED WITH THE FORT WAYNE CIVIC THEATRE TO PROVIDE SCHOLARSHIPS FOR TICKETS TO ATTEND PERFORMANCES FOR THOSE THAT MAY NOT OTHERWISE HAVE THE OPPORTUNITY TO ATTEND. LEADERSHIP DEV/TRAINING FOR COMMUNITY MEMBERS:IN CONJUNCTION WITH THE BETTER BUSINESS BUREAU, PARKVIEW HEALTH SYSTEM, INC. PROVIDED SUPPORT FOR A LOCAL EDUCATIONAL PROGRAM DESIGNED FOR AREA COMMUNITY AND BUSINESS LEADERS.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 HEALTH CARE CAREERS THROUGH STUDENT JOB SHADOWING AND INTERNSHIP PROGRAMS IN VARIOUS HEALTH CARE 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:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR BAD DEBTS BASED UPON THESE INDICATORS AND ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING AND CONSIDERING HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND AGING. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT AND TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR BAD DEBTS. IN ADDITION, PH FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES.COSTING METHODOLOGY USED:UNCOLLECTIBLE PATIENT ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH THE POLICIES OF PARKVIEW HEALTH SYSTEM, INC. THE BAD DEBT EXPENSE REPORTED ON LINE 2 IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. 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. 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 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 AND MEDICARE ADVANTAGE PATIENTS 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 AND MEDICARE ADVANTAGE 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 AND MEDICARE ADVANTAGE SHORTFALLS AS PART OF THE COMMUNITY BENEFIT REPORT THAT IS SUBMITTED TO THE STATE OF INDIANA. | ||
| PART III, LINE 9B: COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR CHARITY CARETHE LAST PARAGRAPH OF THE PAYMENT POLICY STATES:"FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR THOSE PATIENTS WHO CANNOT PAY THEIR BILL. THOSE OPTIONS ARE WELFARE ASSISTANCE OR FREE CARE THROUGH THE HOSPITAL CHARITY PROGRAM. (SEE CHARITY CARE POLICY.) PATIENTS WILL BE INSTRUCTED TO CONTACT A COUNSELOR TO DISCUSS THE AVAILABLE OPTIONS."ADDITIONALLY, THERE IS AN ONGOING EFFORT THROUGHOUT THE COLLECTION PROCESS TO SCREEN FOR MEDICAID ELIGIBILITY AND THE NEED FOR PROVIDING CHARITY CARE APPLICATIONS TO PATIENTS. IF A PATIENT MAY BE ELIGIBLE FOR MEDICAID, THE HOSPITAL PROVIDES A SERVICE TO OUR PATIENTS THAT HELPS THEM APPLY FOR MEDICAID WITH THE STATE IN WHICH THEY RESIDE. IF A PATIENT IS APPROVED FOR CHARITY CARE, THEIR ACCOUNT IS WRITTEN OFF AND COLLECTION EFFORTS CEASE. | ||
| PART VI, LINE 2: DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES.PARKVIEW HEALTH SYSTEM, INC. CONDUCTED A COMMUNITY HEALTH ASSESSMENT IN LATE 2007 AS A JOINT PROJECT OF PARKVIEW HOSPITAL, INC., WHITLEY MEMORIAL HOSPITAL, INC., COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC., COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., AND HUNTINGTON MEMORIAL HOSPITAL, INC. PROFESSIONAL RESEARCH CONSULTANTS, INC. OF OMAHA, NEBRASKA, WAS ENGAGED TO CONDUCT THE SURVEY AND TO PROVIDE AN EVALUATION OF THE STUDY. THE SURVEY SAMPLE INCLUDED 1,400 RESIDENTS AGE 18 AND OLDER OF ALLEN, HUNTINGTON, LAGRANGE, NOBLE, AND WHITLEY COUNTIES. A TELEPHONE INTERVIEW METHODOLOGY WAS EMPLOYED. THE SURVEY INSTRUMENT USED FOR THIS STUDY WAS LARGELY BASED ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AS WELL AS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO NATIONAL HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND RECOGNIZED HEALTH ISSUES. THE INFORMATION FROM THIS SURVEY HAS BEEN A VALUABLE TOOL AS WE SEEK AND PRIORITIZE OPPORTUNITIES TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND AS WE IDENTIFY OPPORTUNITIES FOR COLLABORATION AMONG COMMUNITY ORGANIZATIONS AND LEADERS. PARKVIEW HEALTH SYSTEM, INC. REPRESENTATIVES HAVE RELATIONSHIPS THROUGH OUT THE COMMUNITY AND MEET REGULARLY WITH VARIOUS ORGANIZATIONS THAT SHARE PARKVIEW HEALTH SYSTEM, INC.'S MISSION OF IMPROVING THE HEALTH OF THE COMMUNITIES THAT WE SERVE.ADDITIONALLY, PARKVIEW HEALTH SYSTEM, INC. PLANS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT BEGINNING IN 2012. | ||
| 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 EMERGENCY DEPARTMENT AND 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 THE NORTHEAST INDIANA REGION AND OPERATES FACILITIES AND MEDICAL PRACTICES IN ALLEN, HUNTINGTON, LAGRANGE, NOBLE, AND WHITLEY COUNTIES. ALLEN COUNTY IS CONSIDERED THE URBAN AREA AMONGST THE OTHER FOUR RURAL COUNTIES. SINCE 1995, NORTHEAST INDIANA HAS EXPERIENCED A 15 PERCENT DECREASE IN PER CAPITA INCOME COMPARED TO THE NATION OVERALL. ACCORDING TO THE LATEST STATISTICS, NORTHEAST INDIANA WORKERS ARE EARNING NEARLY 20 PERCENT LESS THAN THE NATIONAL AVERAGE. IN LIGHT OF THIS FACT AND OTHER ECONOMIC INDICATORS, MICHAEL 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 WILL REVEAL 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. HEALTH IS AN IMPORTANT COMPONENT OF THE VISION. | ||
| PART VI, LINE 6: 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, THE HOSPITALS ARE PROVIDED 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. 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 HOSPITAL AND THE HEALTH SYSTEM UNDERTAKE. 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, COLORECTAL, AND PROSTATE SCREENING-TOBACCO CESSATION PROGRAMS-INJURY PREVENTION FOR YOUNG PEOPLE-EDUCATION, SCREENING AND PREVENTION OF SEXUALLY TRANSMITTED DISEASES-DIABETES EDUCATION AND SCREENING-CARDIOVASCULAR DISEASE EDUCATION AND SCREENING-PNEUMONIA VACCINATIONS FOR INDIVIDUALS AGE 65 AND OLDER-PROGRAMS TO REDUCE DANGEROUS DRIVINGDISEASE MANAGEMENT:-CARDIOVASCULAR DISEASE -CANCER-MENTAL ILLNESSES-TRAUMA AND ORTHOPAEDIC AILMENTS-WOMEN AND CHILDREN'S MEDICINE WITH AN EMPHASIS ON CHILDREN'S ASTHMA-DIABETES AND OBESITY HEALTH INNOVATION, EDUCATION, AND RESEARCH AND DEVELOPMENT:THIS AREA CONCENTRATES ON OPPORTUNITIES FOR: -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. PARKVIEW HEALTH SYSTEM, INC., THROUGH ITS FLAGSHIP HOSPITAL 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. CURRENTLY UNDER CONSTRUCTION, THE PARKVIEW REGIONAL MEDICAL CENTER ON THE PARKVIEW HOSPITAL, INC. NORTH CAMPUS AND SLATED FOR A MARCH 2012 OPENING REPRESENTS A SIGNIFICANT INVESTMENT IN THE LOCAL COMMUNITY AND THE NORTHEAST INDIANA REGION. THE CENTER WILL BLEND THE LATEST MEDICAL TECHNOLOGY WITH THE BEST POSSIBLE PATIENT-CENTERED CARE AND PROVIDE GREATER ACCESS TO HEALTH CARE FOR THE ENTIRE REGION. THE PARKVIEW HOSPITAL, INC. CAMPUS LOCATED IN NORTH CENTRAL FORT WAYNE WILL RECEIVE A FACELIFT AND REMAIN A VITAL PART OF THE LOCAL NEIGHBORHOOD. IN ADDITION, PARKVIEW HOSPITAL, INC. WILL BE 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. | ||
| PART VI, LINE 7: 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, 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 NORTHEAST INDIANA BY EFFICIENTLY OPERATING ITS FACILITIES, DELIVERING HIGH QUALITY HEALTHCARE SERVICES TO ITS PATIENTS, AND PROVIDING SUPPORT TO LOCAL BUSINESSES AND ACTIVITIES. PARKVIEW SEEKS TO CREATE ALIGNMENT OPPORTUNITIES TO DELIVER COMPREHENSIVE HIGH-QUALITY CARE THAT BENEFITS ITS PATIENTS, COMMUNITIES, PHYSICIANS, AND CO-WORKERS.PARKVIEW 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 QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US AND WILL WORK 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. | ||
| IN | REPORTS FILED WITH STATES | PART VI, LINE 7 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (12 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| IPFW | |||||||
| 2101 EAST COLISEUM BLVD | FORT WAYNE | IN | 46805 | 356033698 | 501 ( C ) 3 | 560546 | SUPPORT FOR SCHOOL |
| UNIVERSITY OF SAINT FRANCIS | |||||||
| 2701 SPRING STREET | FORT WAYNE | IN | 46806 | 350886846 | 501 ( C ) 3 | 300000 | 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 | |
| FRIENDS OF LINCOLN COLLECTION OF INDIANA INC | |||||||
| PO BOX 11083 | FORT WAYNE | IN | 46855 | 352101024 | 501 ( C ) 3 | 83333 | OPERATING FUNDS |
| FORT 4 FITNESS | |||||||
| PO BOX 9007 | FORT WAYNE | IN | 46899 | 261936423 | 501 ( C ) 3 | 25000 | SPONSORSHIP |
| RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA | |||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 351950376 | 501 ( C ) 3 | 25000 | PROGRAMS & OPERATING FUNDS |
| AMERICAN HEART ASSOCIATION | |||||||
| 6100 WEST 96TH STREET | INDIANAPOLIS | IN | 46278 | 135613797 | 501 ( C ) 3 | 17760 | PROGRAMS & OPERATING FUNDS |
| UNITY PERFORMING ARTS FOUNDATION | |||||||
| PO BOX 10394 | FORT WAYNE | IN | 46825 | 352110907 | 501 ( C ) 3 | 12491 | PROGRAMS & OPERATING FUNDS |
| FORT WAYNE URBAN LEAGUE | |||||||
| 2135 SOUTH HANNA STREET | FORT WAYNE | IN | 46803 | 350869052 | 501 ( C ) 3 | 12000 | PROGRAMS & OPERATING FUNDS |
| AMERICAN RED CROSS | |||||||
| 2025 E STREET NW | WASHINGTON | DC | 20006 | 530196605 | 501 ( C ) 3 | 10000 | PROGRAMS & OPERATING FUNDS |
| ERINS HOUSE | |||||||
| 3811 ILLINOIS ROAD SUITE 205 | FORT WAYNE | IN | 46804 | 351884264 | 501 ( C ) 3 | 8100 | PROGRAMS & OPERATING FUNDS |
| VERA BRADLEY FOUNDATION FOR BREAST CANCER | |||||||
| P O BOX 80201 | FORT WAYNE | IN | 46898 | 352058177 | 501 ( C ) 3 | 7500 | SUPPORT FOR RESEARCH |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 12 | TotalNbrOf501C3AndGovtGrants |
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) |
|---|---|---|
| Personal Services | X | PersonalServices |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| 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 (22 entries)
| 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 | |||||||||||||
| 638622 | 0 | 270643 | 0 | 2838 | 0 | 145546 | 0 | 13373 | 0 | 1071022 | 0 | 0 | 0 |
| RAYMOND DUSMAN | |||||||||||||
| 604787 | 0 | 0 | 0 | 18638 | 0 | 26950 | 0 | 17705 | 0 | 668080 | 0 | 0 | 0 |
| DUANE HOUGENDOBLER | |||||||||||||
| 442820 | 592 | 67760 | 0 | 3334 | 4 | 26919 | 31 | 21373 | 25 | 562206 | 652 | 0 | 0 |
| MITCHELL STUCKY | |||||||||||||
| 150034 | 116923 | 13109 | 0 | 1595 | 1243 | 15693 | 11257 | 6656 | 4775 | 187087 | 134198 | 0 | 0 |
| JEFFREY FRANCIS | |||||||||||||
| 103936 | 0 | 56980 | 0 | 45886 | 0 | 5960 | 0 | 9309 | 0 | 222071 | 0 | 8835 | 0 |
| STANTON RISSER | |||||||||||||
| 106781 | 0 | 31911 | 0 | 180 | 0 | 7098 | 0 | 17716 | 0 | 163686 | 0 | 0 | 0 |
| MARK NAFZIGER | |||||||||||||
| 407974 | 0 | 162245 | 0 | 18733 | 0 | 54054 | 0 | 2884 | 0 | 645890 | 0 | 0 | 0 |
| ARTHUR DETORE | |||||||||||||
| 335903 | 0 | 75118 | 0 | 38395 | 0 | 66540 | 0 | 13179 | 0 | 529135 | 0 | 19057 | 0 |
| CATHERINE WILCOX | |||||||||||||
| 261323 | 0 | 68254 | 0 | 18813 | 0 | 48154 | 0 | 12771 | 0 | 409315 | 0 | 0 | 0 |
| JEFFREY BROOKES | |||||||||||||
| 10110 | 260295 | 67189 | 0 | 106 | 2732 | 10318 | 35061 | 2511 | 8534 | 90234 | 306622 | 0 | 0 |
| JAMES STAPEL | |||||||||||||
| 250722 | 1857 | 64104 | 0 | 21063 | 153 | 59943 | 359 | 14977 | 90 | 410809 | 2459 | 0 | 0 |
| RICK HENVEY | |||||||||||||
| 237847 | 0 | 52777 | 0 | 11024 | 0 | 32842 | 0 | 20784 | 0 | 355274 | 0 | 10364 | 0 |
| RONALD DOUBLE | |||||||||||||
| 243971 | 0 | 51753 | 0 | 1740 | 0 | 51005 | 0 | 6967 | 0 | 355436 | 0 | 0 | 0 |
| DEBRA WILLIAMS | |||||||||||||
| 229857 | 0 | 56396 | 0 | 1100 | 0 | 33672 | 0 | 9033 | 0 | 330058 | 0 | 0 | 0 |
| JAMES WITMER | |||||||||||||
| 192937 | 0 | 49956 | 0 | 13321 | 0 | 35904 | 0 | 4704 | 0 | 296822 | 0 | 10432 | 0 |
| JAMES HAUGUEL | |||||||||||||
| 180055 | 0 | 33008 | 0 | 69 | 0 | 36376 | 0 | 8033 | 0 | 257541 | 0 | 0 | 0 |
| SAILAJA BLACKMON | |||||||||||||
| 711376 | 0 | 75971 | 0 | 1490 | 0 | 17150 | 0 | 27625 | 0 | 833612 | 0 | 0 | 0 |
| DAVID SOWDEN | |||||||||||||
| 641369 | 387 | 83787 | 0 | 20843 | 13 | 26936 | 14 | 14254 | 8 | 787189 | 422 | 0 | 0 |
| DOUGLAS GRAY | |||||||||||||
| 606315 | 0 | 93131 | 0 | 17985 | 0 | 22050 | 0 | 21563 | 0 | 761044 | 0 | 0 | 0 |
| DAVID LLOYD | |||||||||||||
| 605879 | 0 | 83799 | 0 | 20856 | 0 | 17150 | 0 | 20390 | 0 | 748074 | 0 | 0 | 0 |
| SATISH VELAGAPUDI | |||||||||||||
| 634354 | 0 | 0 | 0 | 18138 | 0 | 17150 | 0 | 17625 | 0 | 687267 | 0 | 0 | 0 |
| CHARLES MASON | |||||||||||||
| 0 | 0 | 0 | 0 | 448413 | 0 | 0 | 0 | 0 | 0 | 448413 | 0 | 448413 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| PART I, LINE 1A | PERSONAL SERVICES TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: SAILAJA BLACKMON $500; RONALD DOUBLE $750; RAYMOND DUSMAN $500; DOUGLAS GRAY $385; DUANE HOUGENDOBLER $500; JAMES STAPEL $300; CATHERINE WILCOX $675 |
| PART I, LINE 4B | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS TAXABLE - ARTHUR DETORE $19,057; JEFFREY FRANCIS $8,835; RICK HENVEY $10,364; CHARLES MASON $448,413; JAMES WITMER $10,432 PARTICIPANTS DEFERRED - JEFFREY BROOKES $30,137; MICHAEL BROWNING $3,835; ARTHUR DETORE $40,815; RONALD DOUBLE $25,280; JAMES HAUGUEL $21,240; RICK HENVEY $27,942; MARK NAFZIGER $46,704; MICHAEL PACKNETT $133,296; JAMES STAPEL $30,902; CATHERINE WILCOX $32,336; DEBRA WILLIAMS $27,547; JAMES WITMER $22,640 |
| 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 (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| INDIANA FINANCE AUTHORITY | |||||||
| 351602316 | 45471ABQ4 | 2009-08-27 | 264703254 | SEE PART V | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY | |||||||
| 351602316 | 45471AAS1 | 2009-08-27 | 223665000 | SEE PART V | 0 | 0 | 0 |
| INDIANA FINANCE AUTHORITY | |||||||
| 351602316 | NONEAVAIL | 2010-05-04 | 30000000 | SEE PART V | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)
| Amount RetiredAmountRetired | 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 | Amount UnspentAmountUnspent |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 7910000 | 264704689 | 3451766 | 261252923 | 2009 | 1 | 0 | 1 | 1 | |||
| 223909069 | 1367866 | 73266604 | 2011 | 1 | 0 | 0 | 1 | 193601 | 140225815 | 8855183 | |
| 30000000 | 155500 | 2011 | 0 | 0 | 0 | 1 | 12900000 | 16944500 |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 1 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 1 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
| 0 | 1 | 1 | 1 | 1 | 0.00000 | 0.00000 | 0.00000 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated |
|---|---|---|---|---|---|---|---|---|---|
| NA | |||||||||
| 0 | 0 | 0 | 0 | NA | 0 | 1 | |||
| CITIGROUP | |||||||||
| 0 | 1 | 1 | 0 | NA | 0 | 1 | 20.000000000000 | 0 | 0 |
| NA | |||||||||
| 0 | 1 | 0 | 0 | NA | 0 | 1 | |||
Form990 Schedule K Part V Form990ScheduleKPartV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SCHEDULE K, PART 1,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 1,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 1,C,F | DESCRIPTION OF PURPOSE | SERIES 2010 - NEW MONEY FOR CONSTRUCTION OF NEW PARKVIEW WHITLEY HOSPITAL FACILITY IN COLUMBIA CITY, IN |
| 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 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 | 789632 | 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 12/31/2010 IS $21,198,333. | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | KEY EMPLOYEE JAMES WITMER AND DIRECTORS THOMAS BEAVER AND CHARLES SCHRIMPER HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF AN UNRELATED ENTITY. | |
| FORM 990, PART VI, SECTION A, LINE 4 | DURING 2010, SEVERAL CHANGES WERE MADE TO THE BYLAWS OF PARKVIEW HEALTH SYSTEM, INC. AND ARE AS FOLLOWS: THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE IV, SECTION 2 IS AS FOLLOWS: WHEN VACANCIES ON THE BOARD OCCUR BY REASON OF DEATH, RESIGNATION, OR OTHERWISE, THE NUMBER OF DIRECTORS SHALL BE REDUCED BY SUCH VACANCIES UNTIL QUALIFIED REPLACEMENTS ARE ELECTED, AS SET FORTH IN ARTICLE IV, SECTION 4. ARTICLE IV, SECTION 3 IS AS FOLLOWS: ELECTED DIRECTORS SHALL SERVE FOR A TERM OF THREE (3) YEARS AND UNTIL A SUCCESSOR HAS BEEN DULY ELECTED AND QUALIFIED. NO ELECTED DIRECTOR SHALL BE ELIGIBLE FOR ELECTION TO MORE THAN THREE (3) CONSECUTIVE THREE (3) YEAR TERMS. AFTER AN ABSENCE OF ONE (1) YEAR, A PERSON SHALL BECOME ELIGIBLE FOR RE-ELECTION TO THE BOARD. TERMS SHALL COMMENCE ON JANUARY 1 OF EACH CALENDAR YEAR. IF A DIRECTOR BEGINS THEIR SERVICE MIDWAY THROUGH THE YEAR (JUNE 30TH) OR AFTER, THE DIRECTOR SHALL NOT BE DEEMED TO HAVE COMMENCED THE FIRST YEAR OF THEIR TERM UNTIL JANUARY 1 OF THE FOLLOWING YEAR. ARTICLE IV, SECTION 4 IS AS FOLLOWS: IN THE EVENT THAT A VACANCY OF A DIRECTOR WHO IS NOT SERVING IN AN EX OFFICIO CAPACITY OCCURS IN THE BOARD, THE EXECUTIVE COMMITTEE SHALL NOMINATE A CANDIDATE AND PRESENT THE NAME TO THE BOARD. THE NEW DIRECTOR SHALL NOT SERVE FOR THE UNEXPIRED TERM OF THE DIRECTOR THAT IS REPLACED, BUT SHALL INSTEAD BEGIN THEIR OWN TERM ON THE BOARD. ANY CURRENT DIRECTOR THAT FILLED AN UNEXPIRED TERM OF THEIR PREDECESSOR PRIOR TO JANUARY 1, 2010, SHALL BE "GRANDFATHERED". ARTICLE IV, SECTION 9 IS AS FOLLOWS: THE CHAIR, REGARDLESS OF TENURE OF BOARD MEMBERSHIP AND THE RESTRICTIONS OF ELIGIBILITY SET FORTH IN THIS ARTICLE, MAY BE SUCCESSIVELY ELECTED FOR NO MORE THAN FIVE (5) ONE-YEAR TERMS, WHERE CONSECUTIVE SERVICE AS THE CHAIR IS DETERMINED TO BE APPROPRIATE FOR ORGANIZATIONAL EFFECTIVENESS. AFTER SERVICE AS CHAIR, THE CHAIR SHALL NOT BE ELIGIBLE FOR RE-ELECTION TO THE SAME POSITION UNTIL EXPIRATION OF THREE (3) INTERVENING YEARS. IF A CHAIR'S NORMAL TERM AS A DIRECTOR EXPIRES WHILE SERVING AS THE CHAIR, AND IF HE/SHE IS NOMINATED FOR RE-ELECTION 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. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE V, SECTION 2 IS AS FOLLOWS: THE CHAIR SHALL APPOINT MEMBERS AND CHAIRS OF ALL STANDING COMMITTEES AND SUCH SPECIAL COMMITTEES AS MAY BE CONSTITUTED. THE CHAIR MAY, AT HIS/HER DISCRETION, ATTEND AND VOTE AS AN EX OFFICIO MEMBER AT ALL COMMITTEE MEETINGS. ARTICLE VI, SECTION 1 IS AS FOLLOWS: THE BOARD MAY ESTABLISH FROM TIME TO TIME SUCH STANDING AND SPECIAL COMMITTEES AS IT SHALL DEEM NECESSARY FOR THE CONDUCT OF THE CORPORATION'S AFFAIRS. UNLESS THE COMMITTEE MEMBERSHIP IS OTHERWISE SPECIFIED BY THESE BYLAWS, ALL STANDING COMMITTEES SHALL BE COMPOSED OF NOT LESS THAN FIVE (5) MEMBERS. MEMBERSHIP ON THE PARKVIEW HEALTH BOARD, OR A PARKVIEW HEALTH SUBSIDIARY OR AFFILIATE BOARD, SHALL NOT BE A REQUIREMENT FOR COMMITTEE MEMBERSHIP OR FOR SERVICE AS A COMMITTEE CHAIR. UNLESS OTHERWISE SPECIFIED IN THESE BYLAWS, THE CHAIR OF THE BOARD SHALL APPOINT THE COMMITTEE MEMBERS AND THE CHAIR OF EACH COMMITTEE AND DESIGNATE THE TERM OF OFFICE FOR EACH COMMITTEE MEMBER. NOTWITHSTANDING ANY SPECIAL DESIGNATION WITHIN THESE BYLAWS AS TO THE COMPOSITION OF A PARTICULAR COMMITTEE, THE CHAIR MAY DESIGNATE OTHER COMMITTEE MEMBERS AS DEEMED NECESSARY. EXCEPT AS TO THE AUDIT COMMITTEE, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE A MEMBER OF EACH COMMITTEE AND MAY DESIGNATE ANOTHER DIRECTOR OR OFFICER TO ATTEND COMMITTEE MEETINGS ON HIS/HER BEHALF. ALL COMMITTEES SHALL KEEP MINUTES OF THEIR MEETINGS AND SUBMIT THE MINUTES TO THE BOARD. ARTICLE VI, SECTION 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. OTHER THAN THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (WHO SHALL NOT PARTICIPATE WITH THE EXECUTIVE COMMITTEE WHEN IT ACTS AS THE EXECUTIVE COMPENSATION COMMITTEE), ALL VOTING MEMBERS OF THE EXECUTIVE COMMITTEE SHALL BE INDEPENDENT, AS DEFINED BY THE INTERNAL REVENUE SERVICE. 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 CHANGED PORTION AS NOW FINALIZED, OF 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 OTHER BOARD OR COMMITTEE CAN APPROVE EXECUTIVE COMPENSATION ARRANGEMENTS. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE VI, SECTION 5(B) IS AS FOLLOWS: THE SYSTEM FINANCE COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) MEMBERS, THE MAJORITY OF WHOM SHALL BE DISINTERESTED, AND SHALL INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CHIEF FINANCIAL OFFICER AND INCLUDE PARKVIEW HEALTH SERVICE AREA REPRESENTATION, AS DESIGNATED BY THE CHAIR OF THE BOARD. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE VI, SECTION 5(C) IS AS FOLLOWS: THE SYSTEM CORPORATE COMPLIANCE COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) MEMBERS, THE MAJORITY OF WHOM SHALL BE DISINTERESTED, AND SHALL INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CORPORATE COMPLIANCE OFFICER, AND INCLUDE PARKVIEW HEALTH SERVICE AREA REPRESENTATION, AS DESIGNATED BY THE CHAIR OF THE BOARD. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE VI, SECTION 5(D) IS AS FOLLOWS: THE QUALITY COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) MEMBERS, AND SHALL INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE ADMINISTRATIVE CORPORATE OFFICER RESPONSIBLE FOR THE SYSTEM'S QUALITY INITIATIVES, AND INCLUDE PARKVIEW HEALTH SERVICE AREA REPRESENTATION, AS DESIGNATED BY THE CHAIR OF THE BOARD. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE VI, SECTION 5(E) IS AS FOLLOWS: THE SYSTEM AUDIT COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) MEMBERS, THE MAJORITY OF WHOM SHALL BE DISINTERESTED, AND SHALL INCLUDE THE CHAIR OF THE AUDIT COMMITTEE, WHO SHALL BE DISINTERESTED, AND INCLUDE PARKVIEW HEALTH SERVICE AREA REPRESENTATION, AS DESIGNATED BY THE CHAIR OF THE BOARD. THE AUDIT COMMITTEE SHALL BE CONDUCTED CONSISTENT WITH THE TERMS OF THE AUDIT COMMITTEE CHARTER. THE SYSTEM AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS AFFILIATE AND SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE VI, SECTION 5(F) IS AS FOLLOWS: THE SYSTEM INFORMATION TECHNOLOGY GOVERNANCE COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) MEMBERS, THE MAJORITY OF WHOM SHALL BE DISINTERESTED, AND SHALL INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CHIEF INFORMATION OFFICER, AND INCLUDE PARKVIEW HEALTH SERVICE AREA REPRESENTATION, AS DESIGNATED BY THE CHAIR OF THE BOARD. | |
| 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 12, 2011, 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 REDESIGNED FORM 990 AND SUPPLEMENTAL SCHEDULES. | |
| 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 12C | |
| 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. THE BOARD EXECUTIVE COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. SERVED AS THE EXECUTIVE COMPENSATION COMMITTEE IN 2010, PURSUANT TO THE ORGANIZATION'S BYLAWS, FOR PURPOSES OF REVIEWING AND APPROVING ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2010 COMPENSATION PACKAGE. THE COMPENSATION PACKAGE WAS APPROVED BY A MAJORITY OF INDEPENDENT BOARD EXECUTIVE COMMITTEE 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 EXECUTIVE COMMITTEE. 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 2010 MEETING: PRESIDENT AND CEO PH EXECUTIVE VICE PRESIDENT STRATEGIC DIRECTION AND BUSINESS DEVELOPMENT EXECUTIVE VICE PRESIDENT PARKVIEW HEALTH/COO PARKVIEW HOSPITAL EXECUTIVE VICE PRESIDENT AND COO PARKVIEW HEALTH MEDICAL DIRECTOR COMMUNITY HOSPITALS SENIOR VICE PRESIDENT OPERATIONS / SERVICE EXCELLENCE SENIOR VICE PRESIDENT HUMAN RESOURCES SENIOR VICE PRESIDENT AND GENERAL COUNSEL SENIOR VICE PRESIDENT HEALTH PLAN SERVICES SENIOR VICE PRESIDENT PATIENT CARE SENIOR VICE PRESIDENT AND CHIEF QUALITY OFFICER / PATIENT SAFETY OFFICER SENIOR VICE PRESIDENT OPERATIONS SENIOR VICE PRESIDENT AND CHIEF INFORMATION OFFICER SENIOR VICE PRESIDENT/COO ORTHOPEDIC HOSPITAL SENIOR VICE PRESIDENT/COO COMMUNITY HOSPITALS - HUNTINGTON SENIOR VICE PRESIDENT/COO COMMUNITY HOSPITALS - NOBLE SENIOR VICE PRESIDENT/COO COMMUNITY HOSPITALS - WHITLEY SENIOR VICE PRESIDENT/COO COMMUNITY HOSPITALS - LAGRANGE SENIOR VICE PRESIDENT/COO PHYSICIAN PRACTICES SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER SENIOR VICE PRESIDENT REVENUE CYCLE MANAGEMENT MEDICAL DIRECTOR PARKVIEW PHYSICIAN GROUP SENIOR VICE PRESIDENT FACILITY DESIGN AND OVERSIGHT EXECUTIVE DIRECTOR WOMEN AND CHILDREN'S SERVICES VICE PRESIDENT - PATIENT CARE - NOBLE VICE PRESIDENT - PATIENT CARE - WHITLEY VICE PRESIDENT - PATIENT CARE - LAGRANGE CORPORATE DIRECTOR MARKETING, COMMUNICATIONS, COMMUNITY RELATIONS VICE PRESIDENT/ADMINISTRATOR PRIMARY CARE PRACTICE GROUP EXECUTIVE DIRECTOR CANCER SERVICES VICE PRESIDENT CHANGING SPACES CONSTRUCTION/PROJECT MANAGEMENT MEDICAL DIRECTOR HEALTH PLAN SERVICES CORPORATE DIRECTOR DIETETICS/FOOD SERVICES VICE PRESIDENT PLANNING AND DECISION SUPPORT VICE PRESIDENT STRATEGIC AND BUSINESS PLANNING VICE PRESIDENT HEALTH INFORMATION MANAGEMENT EXECUTIVE DIRECTOR PKV OUTPATIENT ENTERPRISE VICE PRESIDENT/ADMINISTRATOR SPECIALTY PRACTICE GROUP VP SPECIAL PROJECTS VP PPG FINANCE VP SUPPLY CHAIN COO PARKVIEW HEART INSTITUTE | FORM 990, PART VI, SECTION B, LINE 15 | |
| COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. | FORM 990, PART VI, SECTION C, LINE 19 | |
| COMMON PAYING AGENT FOR FILING ORGANIZATION | 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, 2010 WAS 510. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2010 WAS 7,707. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR PARKVIEW HEALTH SYSTEM, INC. WAS 249 AND 2,190 RESPECTIVELY. AS REFLECTED IN PART VII, SECTION B, APPROXIMATELY 18 INDEPENDENT CONTRACTORS RECEIVED MORE THAN $100,000 IN COMPENSATION FOR SERVICES FROM PARKVIEW HEALTH SYSTEM, INC. | FORM 990, PART V, LINE 1A, 2A AND PART VII, SECTION B, LINE 2: |
| AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS | MICHAEL PACKNETT (DIRECTOR/PH CEO), MICHAEL BROWNING (CURRENT PH SVP & CFO), JEFFREY FRANCIS (PH SVP & CFO), STANTON RISSER (INTERIM PH CFO), MARK NAFZIGER (PH EVP & COO), CATHERINE WILCOX (PH SVP), RONALD DOUBLE (PH CIO), AND DEBRA WILLIAMS (PH SVP) DEVOTED APPROXIMATELY 40 HOURS PER WEEK TO PARKVIEW HEALTH SYSTEM, INC. (PH), AND ONE HOUR PER WEEK TO EACH OF THE FOLLOWING TAX-EXEMPT AND TAXABLE ORGANIZATIONS RELATED TO PH: PARKVIEW HOSPITAL, INC. (PVHOS) PARKVIEW OCCUPATIONAL HEALTH CENTERS, INC. (POHCI) HUNTINGTON MEMORIAL HOSPITAL, INC. (HMHOS) COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (LGHOS) COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (NBHOS) WHITLEY MEMORIAL HOSPITAL, INC. (WMHOS) PARKVIEW FOUNDATION, INC. (PVFND) PARKVIEW HUNTINGTON HOSPITAL FOUNDATION, INC. (HMFND) COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION, INC. (NBFND) WHITLEY MEMORIAL HOSPITAL FOUNDATION, INC. (WMFND) PARKVIEW PROFESSIONAL PROGRAMS, INC. (PPP) MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. (MCHA) ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (ORTHO) MANAGED CARE SERVICES, LLC (MCS) FOUNDATION SURGERY AFFILIATE OF FORT WAYNE, LLC (ISCLC) PARKVIEW IMAGING HUNTINGTON, LLC (PIHLC) DUANE HOUGENDOBLER (DIRECTOR/PH PHYSICIAN) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO HMHOS AND 40 HOURS PER WEEK TO PH. MITCHELL STUCKY (DIRECTOR/PH PHYSICIAN) DEVOTED APPROXIMATELY 20 HOURS PER WEEK TO PVHOS AND 20 HOURS PER WEEK TO PH. MICHAEL AXEL (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO NBHOS AND ONE HOUR PER WEEK TO PH. RICHARD BAKER (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO HMHOS AND ONE HOUR PER WEEK TO PH. THOMAS BEAVER (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO PVHOS AND ONE HOUR PER WEEK TO PH. DAVID HAIST (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO PVHOS AND ONE HOUR PER WEEK TO PH. LAURA LEFEVER (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO WMFND, ONE HOUR PER WEEK TO PH AND ONE HOUR PER WEEK TO WMHOS. JOHN PRICE (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO LGHOS, AND ONE HOUR PER WEEK TO PH. WIL SMITH (DIRECTOR/TREASURER) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO PVHOS AND ONE HOUR PER WEEK TO PH. JEFFREY BROOKES (PH MEDICAL DIR - COMMUNITY HOSPITALS) DEVOTED APPROXIMATELY 10 HOURS PER WEEK TO HMHOS, 10 HOURS PER WEEK TO LGHOS, 10 HOURS PER WEEK TO NBHOS, 10 HOURS PER WEEK TO WMHOS AND ONE HOUR PER WEEK TO PH. JAMES STAPEL (PH MEDICAL DIR - PPG) DEVOTED APPROXIMATELY 40 HOURS PER WEEK TO PH AND AS-NEEDED HOURS TO HMHOS, LGHOS, NBHOS, AND WMHOS. RICK HENVEY (PH COO-COMMUNITY HOSPITALS) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO WMFND FOR PARTIAL YEAR WHILE WMHOS INTERIM COO, 40 HOURS PER WEEK TO WMHOS FOR PARTIAL YEAR WHILE WMHOS INTERIM COO, 40 HOURS PER WEEK TO PH FOR PARTIAL YEAR DURING HIS REGULAR POSITION OF PH COO-COMMUNITY HOSPITALS AND ONE HOUR PER WEEK TO PVHOS, POHCI, HMHOS, LGHOS, AND NBHOS. | FORM 990, PART VII, SECTION A, COLUMN B: |
| SALES OF SECURITIES | LINE 7A GROSS AMOUNT FROM SALES OF ASSETS OTHER THAN INVENTORY $1,811,336,398. LINE 7B LESS: COST OR OTHER BASIS AND SALES EXPENSES $1,807,162,087. LINE 7C GAIN OR (LOSS) $4,174,310. | FORM 990 PART VIII, LINES 7A, B & C, COLUMN I: |
| SALARIES AND WAGES, OTHER EMPLOYEE BENEFITS AND PAYROLL TAXES | PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC. FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E. PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII. | FORM 990, PART IX, LINES 5-10: |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 4,966,345. ASSET ADJUSTMENT TRANSFERS 733,097. BOOK/TAX DIFF FROM K-1'S 1,409,219. CURRENT YEAR EARNINGS TRANSFERRED FROM 501( C )3'S 40,714,705. AMORTIZE BOND SWAP OCI 42,600. ADJUST OCI FOR PENSION 3,308,875. TOTAL TO FORM 990, PART XI, LINE 5: 51,174,841. | FORM 990, PART XI, LINE 5: |
| REQUIREMENTS UNDER SINGLE AUDIT ACT AND OMB CIRCULAR A-133 | AS REQUIRED BY THE U.S. OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133, AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFIT ORGANIZATIONS, IN 2010 PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES RECEIVED AN AUDIT FOR THE 2009 CONSOLIDATED FINANCIAL STATEMENTS IN ACCORDANCE WITH THE SINGLE AUDIT ACT. | FORM 990, PART XII, LINE 3: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTHEAST OBSTETRICS & GYNECOLOGY INC | ||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 320118260 | PHYSICIANS | IN | N/A | |||
| NEW VISION PROFESSIONAL PARK LLC | ||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 351972384 | REAL ESTATE | IN | N/A | 1052802 | 15783401 | |
| TRI-STATE MEDICAL IMAGING LLC | ||||||||||
| 3250 INTERTECH DR SUITE D | ANGOLA | IN | 46703 | 204212330 | RADIOLOGY | IN | 211222 | 1578000 | COMMUNITY HOSPITAL OF NOBLE COUNTY INC | |
| FORT WAYNE ENDOSCOPY CENTER LLC | ||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 431957176 | ENDOSCOPY | IN | N/A | 420850 | 1843340 | |
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 | ||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 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 | ||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 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 | ||||||||||
| 353 N OAK STREET | COLUMBIA CITY | IN | 46725 | 351967665 | HOSPITAL CARE | IN | 501(C)(3) | LINE 3 | PARKVIEW HEALTH SYSTEM INC | 1 |
| WHITLEY MEMORIAL HOSPITAL FOUNDATION INC | ||||||||||
| 353 N OAK STREET | 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 | Predominant Income TypePredominantIncomeType | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Disproportionate AllocationsDisproportionateAllocations | General Or Managing PartnerGeneralOrManagingPartner | Percentage OwnershipPercentageOwnership | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | |||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 260143823 | ORTHO HOSPITAL | IN | RELATED | 10508713 | 23711805 | 0 | 1 | 0.60000 | |
| FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC | |||||||||||||
| 8004 CARNEGIE BLVD | FORT WAYNE | IN | 46804 | 201394120 | SURGICAL SERVICES | IN | RELATED | 743187 | 657362 | 0 | 1 | 0.51000 | |
| MANAGED CARE SERVICES LLC | |||||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 351996535 | HEALTH PLAN ADMIN | IN | RELATED | 225388 | 1758204 | 0 | 1 | 0.90000 | |
| PARKVIEW IMAGING HUNTINGTON LLC | |||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 208651460 | EQUIPMENT LEASING | IN | RELATED | 0 | 0 | HUNTINGTON MEMORIAL HOSPITAL INC | |||
Form990 Schedule R Part IV Form990ScheduleRPartIV (9 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 | Direct Controlling Entity NADirectControllingEntityNA | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PARKVIEW PROFESSIONAL PROGRAMS INC | ||||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 351668888 | REFERENCE LAB | IN | PARKVIEW HOSPITAL INC | C | 14822049 | 2308214 | ||
| PARKVIEW PROFESSIONAL BILLINGS INC | ||||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 351950305 | BILLING | IN | PARKVIEW HOSPITAL INC | C | 1680 | |||
| FIRST CARE FAMILY PHYSICIANS PC | ||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 351714247 | PHYSICIANS | IN | C | 206520 | N/A | 1.00000 | ||
| FORT WAYNE CARDIOVASCULAR SURGEONS PC | ||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 351150847 | PHYSICIANS | IN | C | 26374 | 35580 | N/A | 1.00000 | |
| NORTHEAST INDIANA COLON AND RECTAL SURGEONS PC | ||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 352032295 | PHYSICIANS | IN | C | 68897 | N/A | 1.00000 | ||
| FORT WAYNE CARDIOLOGY CORPORATION | ||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 611419843 | PHYSICIANS | IN | C | 2715382 | 817659 | N/A | 1.00000 | |
| GI CONSULTANTS INC | ||||||||||||
| 10501 CORPORATE DRIVE | FORT WAYNE | IN | 46845 | 351460624 | PHYSICIANS | IN | C | 225254 | N/A | 1.00000 | ||
| MIDWEST COMMUNITY HEALTH ASSOCIATES INC | ||||||||||||
| 442 W HIGH STREET | BRYAN | OH | 43506 | 341045870 | PHYSICIANS | OH | C | 13477487 | N/A | 1.00000 | ||
| SIGNATURE CARE INC | ||||||||||||
| 2200 RANDALLIA DRIVE | FORT WAYNE | IN | 46805 | 383069801 | INVESTMENT | IN | C | -509 | N/A | 1.00000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 1 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | 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 |
| 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 | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (33 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| A | 1925802 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| A | 11846 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | ||
| A | 59275 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| A | 854933 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| A | 481981 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||
| A | 4914 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||
| D | 10596241 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| I | 1925802 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW OCCUPATIONAL HEALTH CENTERS INC | ||
| I | 59275 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| I | 854933 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| I | 481981 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| J | 50895 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| J | 202467 | PART VII SUPPLEMENTAL INFORMATION |
| FIRST CARE FAMILY PHYSICIANS PC | ||
| J | 190000 | PART VII SUPPLEMENTAL INFORMATION |
| NORTHEAST INDIANA COLON AND RECTAL SURGEONS PC | ||
| J | 64440 | PART VII SUPPLEMENTAL INFORMATION |
| ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC | ||
| K | 3738356 | PART VII SUPPLEMENTAL INFORMATION |
| FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC | ||
| K | 581799 | PART VII SUPPLEMENTAL INFORMATION |
| FORT WAYNE ENDOSCOPY CENTER LLC | ||
| K | 285103 | PART VII SUPPLEMENTAL INFORMATION |
| FIRST CARE FAMILY PHYSICIANS PC | ||
| K | 143009 | PART VII SUPPLEMENTAL INFORMATION |
| FORT WAYNE CARDIOVASCULAR SURGEONS PC | ||
| K | 124376 | PART VII SUPPLEMENTAL INFORMATION |
| NORTHEAST INDIANA COLON AND RECTAL SURGEONS PC | ||
| K | 69285 | PART VII SUPPLEMENTAL INFORMATION |
| FORT WAYNE CARDIOLOGY CORPORATION | ||
| K | 671309 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| P | 96304042 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| P | 8030744 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| P | 8395452 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| P | 8334993 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||
| P | 5356395 | PART VII SUPPLEMENTAL INFORMATION |
| MANAGED CARE SERVICES LLC | ||
| P | 363120 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC | ||
| Q | 628563 | PART VII SUPPLEMENTAL INFORMATION |
| PARKVIEW HOSPITAL INC | ||
| R | 25106710 | PART VII SUPPLEMENTAL INFORMATION |
| HUNTINGTON MEMORIAL HOSPITAL INC | ||
| R | 8056933 | PART VII SUPPLEMENTAL INFORMATION |
| WHITLEY MEMORIAL HOSPITAL INC | ||
| R | 3787540 | PART VII SUPPLEMENTAL INFORMATION |
| COMMUNITY HOSPITAL OF NOBLE COUNTY INC | ||
| R | 3763522 | 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 |