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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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-08T12:26:11-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1330 E JEFFERSON BLVD P O BOX 7AddressLine1
CitySOUTH BENDCity
StateINState
ZIP Code466240007ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN351972384EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameMICHAEL P BROWNINGName
TitlePH SVP & CFOTitle
Phone2603738407Phone
Date Signed2011-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKENNETH J KEBERName
Phone5742323992Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110501 CORPORATE DRIVEAddressLine1
CityFORT WAYNECity
StateINState
ZIP Code46845ZIPCode
FieldValueIRS element (for citing)
Gross Receipts2077003398GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.PARKVIEW.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1995YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionPARKVIEW HEALTH SYSTEM, INC. 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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees2190TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI2115794TotalGrossUBI
Net Unrelated Business Txbl Income17047NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year26933ContributionsGrantsPriorYear
Contributions Grants Current Year36881ContributionsGrantsCurrentYear
Program Service Revenue Prior Year101154439ProgramServiceRevenuePriorYear
Program Service Revenue CY250801671ProgramServiceRevenueCY
Investment Income Prior Year-4780948InvestmentIncomePriorYear
Investment Income Current Year16042418InvestmentIncomeCurrentYear
Other Revenue Prior Year888526OtherRevenuePriorYear
Other Revenue Current Year-34586OtherRevenueCurrentYear
Total Revenue Prior Year97288950TotalRevenuePriorYear
Total Revenue Current Year266846384TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1212529GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1280134GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year68924711SalariesEtcPriorYear
Salaries Etc Current Year156056725SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year52585577OtherExpensePriorYear
Other Expenses Current Year115470282OtherExpensesCurrentYear
Total Expenses Prior Year122722817TotalExpensesPriorYear
Total Expenses Current Year272807141TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-25433867RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-5960757RevenuesLessExpensesCY
Total Assets BOY1077596927TotalAssetsBOY
Total Assets EOY1163484562TotalAssetsEOY
Total Liabilities BOY751696963TotalLiabilitiesBOY
Total Liabilities EOY792370514TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY325899964NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY371114048NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionPARKVIEW 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 Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense261767319Expense
Grants1280134Grants
Revenue248603867Revenue
DescriptionPARKVIEW 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 Expense261767319TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds1TaxExemptBonds
Invest Tax Exempt Bonds0InvestTaxExemptBonds
Escrow Account0EscrowAccount
On Behalf Of Issuer0OnBehalfOfIssuer
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With1096249NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees2190NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryDANameOfForeignCountry
Name Of Foreign CountryITNameOfForeignCountry
Name Of Foreign CountryNONameOfForeignCountry
Name Of Foreign CountrySWNameOfForeignCountry
Name Of Foreign CountrySZNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs1ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MICHAEL PACKNETT
DIRECTOR/PH CEO40.00XX9121030158919
RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH PHYSICIAN40.00X623425044655
DUANE HOUGENDOBLER
DIRECTOR/PH PHYSICIAN40.00X51391459648348
MITCHELL STUCKY
DIRECTOR/PH PHYSICIAN40.00X16473811816638381
MICHAEL AXEL
DIRECTOR1.00X350052500
RICHARD BAKER
DIRECTOR1.00X375062500
THOMAS BEAVER
DIRECTOR1.00X300065000
JANET CHRZAN
DIRECTOR/SECRETARY1.00X1075000
DAVID HAIST
DIRECTOR1.00X350047500
MICHAEL LEE
DIRECTOR1.00X675000
LAURA LEFEVER
DIRECTOR1.00X450072500
JOHN PRICE
DIRECTOR1.00X300072500
CHARLES SCHRIMPER
DIRECTOR/CHAIR1.00X1150000
WIL SMITH
DIRECTOR/TREASURER1.00X450045000
THOMAS WALSH
DIRECTOR1.00X1100000
MICHAEL BROWNING
CURRENT PH SVP & CFO40.00X8087105343
JEFFREY FRANCIS
PH SVP & CFO40.00X206802015269
STANTON RISSER
INTERIM PH CFO40.00X138872024814
MARK NAFZIGER
PH EVP & COO40.00X588952056938
ARTHUR DETORE
PH EVP40.00449416079719X
CATHERINE WILCOX
PH SVP40.00348390060925X
JEFFREY BROOKES
PH MEDICAL DIR - COMMUNITY HOSPITALS1.007740526302756424X
JAMES STAPEL
PH MEDICAL DIR - PPG40.00335889201075369X
RICK HENVEY
PH REGIONAL COO - COMMUNITY HOSPITALS40.00301648053626X
RONALD DOUBLE
PH CIO40.00297464057972X
DEBRA WILLIAMS
PH SVP40.00287353042705X
JAMES WITMER
PH SVP40.00256214040608X
JAMES HAUGUEL
PH SVP40.00213132044409X
SAILAJA BLACKMON
PH PHYSICIAN40.00788837044775X
DAVID SOWDEN
PH PHYSICIAN40.0074599940041212X
DOUGLAS GRAY
PH PHYSICIAN40.00717431043613X
DAVID LLOYD
PH PHYSICIAN40.00710534037540X
SATISH VELAGAPUDI
PH PHYSICIAN40.00652492034775X
CHARLES MASON
PH PRESIDENT EMERITUS0.0044841300X
FieldValueIRS element (for citing)
Total Reportable Comp From Org9926044TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs425949TotalReportableCompFrmRltdOrgs
Total Other Compensation1106339TotalOtherCompensation
Number Individuals GT100 K249NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
INDIANA MEDICAL ASSOCIATES LLC
7900 W JEFFERSON STE 201FORT WAYNEIN46804PHYSICIANS798730
NAVVIS CONSULTING LLC
15450 SOUTH OUTER FORTY DRIVE STE 2CHESTERFIELDMO63017CONSULTANTS570994
ERNST & YOUNG US LLP
P O BOX 96550CHICAGOIL60693CPA FIRM344654
BEERS MALLERS BACK & SALIN LLP
110 W BERRY STREET STE 1100FORT WAYNEIN46802ATTORNEYS311122
GALILEO MANAGEMENT SERVICES LLC
5025 LITCHFIELD ROADFORT WAYNEIN46835CONSULTANTS300000
FieldValueIRS element (for citing)
Number Of Contractors GT100 K18NumberOfContractorsGT100K
Related Organizations36881RelatedOrganizations
Total Contributions36881TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
CORP SER ALLOCATION561000110882088110882088
NET PATIENT SERVICE621110100375806100375806
PH SUBSIDY5614991595855515958555
ORTHOPAEDIC HOSPITAL6211101050853310508533
BILLING & MGMT FEES561000459108326737101917373

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column8485606TotalRevenueColumn
Related Or Exempt Function Income8169809RelatedOrExemptFunctionIncome
Unrelated Business Revenue315797UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue250801671TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column11730889TotalRevenueColumn
Exclusion$11,730,889ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column194645TotalRevenueColumn
Exclusion$194,645ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2188991Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2864228Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-675237Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-675237TotalRevenueColumn
Unrelated Business Revenue-117376UnrelatedBusinessRevenue
Exclusion-$557,861ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities1811336398Securities
Other73272Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1807162087Securities
Other130699Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4174311Securities
Other-57427Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4116884TotalRevenueColumn
Exclusion$4,116,884ExclusionAmount

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA REVENUE722100605285$605,285
MISCELLANEOUS9000993536635366
FieldValueIRS element (for citing)
Total Other Revenue640651TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column266846384TotalRevenueColumn
Related Or Exempt Function Income248603867RelatedOrExemptFunctionIncome
Unrelated Business Revenue2115794UnrelatedBusinessRevenue
Exclusion$16,089,842ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1280134Total
Program Services1280134ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total6706630Total
Management And General6706630ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total121160215Total
Program Services121160215ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6608814Total
Program Services6608814ProgramServices

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total21581066Total
Program Services21581066ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total606678Total
Program Services606678ProgramServices

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total682174Total
Program Services682174ProgramServices

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total1507177Total
Program Services1507177ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total15244087Total
Program Services12359893ProgramServices
Management And General2884194ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total2357148Total
Program Services2352998ProgramServices
Management And General4150ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total13320691Total
Program Services12751492ProgramServices
Management And General569199ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total20339932Total
Program Services20339932ProgramServices

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7343606Total
Program Services7307729ProgramServices
Management And General35877ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total714749Total
Program Services554103ProgramServices
Management And General160646ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1702344Total
Program Services1622376ProgramServices
Management And General79968ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total21282189Total
Program Services21282189ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total18359946Total
Program Services18345657ProgramServices
Management And General14289ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2114693Total
Program Services1902973ProgramServices
Management And General211720ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
UBI TAXES & REFUNDS-59538-59538
BAD DEBT60675496067549
DUES & SUBSCRIPTIONS863780550175313605
PHYSICIAN RECRUITMENT736825736825
TUITION & CERTIFICATION646794646794

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1639458Total
Program Services1579914ProgramServices
Management And General59544ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total272807141Total
Program Services261767319ProgramServices
Management And General11039822ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY17495BOY
EOY21381EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY42478235BOY
EOY52978116EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY32744783BOY
EOY16282925EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY11377966BOY
EOY10857261EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY321199BOY
EOY306862EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY9911986BOY
EOY10086500EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis669096958LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec157497185LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY257109405BOY
EOY511599773EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY628459235BOY
EOY438922625EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY84209612BOY
EOY110263867EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY7057081BOY
EOY8762222EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3909930BOY
EOY3403030EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1077596927BOY
EOY1163484562EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY42903074BOY
EOY67707293EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY192943BOY
EOY173103EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY562234647BOY
EOY565576364EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY8894606BOY
EOY16560649EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY137471693BOY
EOY142353105EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY751696963BOY
EOY792370514EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY325899964BOY
EOY371114048EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY325899964BOY
EOY371114048EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1077596927BOY
EOY1163484562EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-5960757ReconcilationRevenueExpenses
Reconcilation Other Changes51174841ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

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

Supported Org Information SupportedOrgInformation (5 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
PARKVIEW HOSPITAL INC
3508680853111$85,228,452
HUNTINGTON MEMORIAL HOSPITAL INC
3519707063111$7,193,616
WHITLEY MEMORIAL HOSPITAL INC
3519676653111$6,362,832
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
3520891833111$7,096,224
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
2024016763111$4,581,948
FieldValueIRS element (for citing)
Total Number Of Supported Orgs5TotalNumberOfSupportedOrgs
Sum Of Amounts110463072SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$55,674DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities0OtherActivities
Total Lobbying Expenditures IIB55674TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis23655281InvestmentCostOrOtherBasis
Other Cost Or Other Basis23770866OtherCostOrOtherBasis
Book Value47426147BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis118572367OtherCostOrOtherBasis
Depreciation36020112Depreciation
Book Value82552255BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis3106604OtherCostOrOtherBasis
Depreciation880684Depreciation
Book Value2225920BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis169760584OtherCostOrOtherBasis
Depreciation116109110Depreciation
Book Value53651474BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis330231256OtherCostOrOtherBasis
Depreciation4487279Depreciation
Book Value325743977BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings511599773TotalOfBookValueLandBuildings

Financial Derivatives FinancialDerivatives

FieldValueIRS element (for citing)
Book Value110263867BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities110263867TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
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
FieldValueIRS element (for citing)
Total Of Amounts142353105TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionEUROPE (INCLUDING ICELAND & GREENLAND)Region
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedINVESTMENTSTypeOfActivitiesConducted
Total Expenditures2404178TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent2404178SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent2404178TotalAmountSpent
Transfer To Foreign Corp1TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp0OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense154011TotalCommunityBenefitExpense
Net Community Benefit Expense154011NetCommunityBenefitExpense
Percent Of Total Expense0.00060PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense1463547TotalCommunityBenefitExpense
Direct Offsetting Revenue732476DirectOffsettingRevenue
Net Community Benefit Expense731071NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense563789TotalCommunityBenefitExpense
Direct Offsetting Revenue363276DirectOffsettingRevenue
Net Community Benefit Expense200513NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense2181347TotalCommunityBenefitExpense
Direct Offsetting Revenue1095752DirectOffsettingRevenue
Net Community Benefit Expense1085595NetCommunityBenefitExpense
Percent Of Total Expense0.00400PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense246087TotalCommunityBenefitExpense
Net Community Benefit Expense246087NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense946650TotalCommunityBenefitExpense
Net Community Benefit Expense946650NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense831036TotalCommunityBenefitExpense
Direct Offsetting Revenue457228DirectOffsettingRevenue
Net Community Benefit Expense373808NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense458035TotalCommunityBenefitExpense
Net Community Benefit Expense458035NetCommunityBenefitExpense
Percent Of Total Expense0.00170PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense2481808TotalCommunityBenefitExpense
Direct Offsetting Revenue457228DirectOffsettingRevenue
Net Community Benefit Expense2024580NetCommunityBenefitExpense
Percent Of Total Expense0.00750PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4663155TotalCommunityBenefitExpense
Direct Offsetting Revenue1552980DirectOffsettingRevenue
Net Community Benefit Expense3110175NetCommunityBenefitExpense
Percent Of Total Expense0.01150PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense299747TotalCommunityBuildingExpense
Net Community Building Expense299747NetCommunityBuildingExpense
Percent Of Total Expense0.00110PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense365000TotalCommunityBuildingExpense
Net Community Building Expense365000NetCommunityBuildingExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense5000TotalCommunityBuildingExpense
Net Community Building Expense5000NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense880571TotalCommunityBuildingExpense
Net Community Building Expense880571NetCommunityBuildingExpense
Percent Of Total Expense0.00330PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense1550318TotalCommunityBuildingExpense
Net Community Building Expense1550318NetCommunityBuildingExpense
Percent Of Total Expense0.00580PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$3,059,386BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare5468277AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare7390121CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-1921844MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 IMAGING SERVICES HOLDING COMPANY LLC
HOLDING COMPANY0.500000.50000
2 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
ORTHOPAEDIC HOSPITAL0.600000.40000
3 PREMIER SURGERY CENTER LLC
SURGERY CENTER0.500000.50000
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

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

Address Address

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

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NOT REQUIREDBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities74NumberOfOtherFacilities

Other Facilities OtherFacilities (74 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PARKVIEW PHYSICIANS' GROUP
1819 CAREW STREETFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
3909 NEW VISION DRIVEFORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1818 CAREW STREETFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
11123 PARKVIEW PLAZA DRFORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
2003 STULTS RDHUNTINGTONIN46750PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
11141 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
8028 CARNEGIE BLVDFORT WAYNEIN46804PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1515 HOBSON ROADFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
2710 LAKE AVEFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
2414 E STATEFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
885 CONNEXION WAYCOLUMBIA CITYIN46725PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1331 MINNICH RDNEW HAVENIN46774PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
4665 S STATE RD 5NSOUTH WHITLEYIN46787PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
104 NICHOLAS PLACE WAYAVILLAIN46710PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
6130 TRIER RDFORT WAYNEIN46815PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
7910 W JEFFERSONFORT WAYNEIN46804PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
6108 MAPLECREST ROADFORT WAYNEIN46835PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
5104 N CLINTON STREETFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
710 NORTH EAST STREETWABASHIN46992PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
2512 E DUPONTFORT WAYNEIN46825PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
2300 DUBOIS DRIVEWARSAWIN46580PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
13430 MAIN STREETGRABILLIN46741PHYSICIAN OFFICE
PREMIER SURGERY CENTER LLC
1333 MAYCREST DRIVEFORT WAYNEIN46805SURGERY CENTER
PARKVIEW PHYSICIANS' GROUP
15707 OLD LIMA RDHUNTERTOWNIN46748PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1234 E DUPONT RDFORT WAYNEIN46825PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
4084 N US HWY 33CHURUBUSCOIN46723PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
10515 ILLINOIS ROADFORT WAYNEIN46814PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1464 LINCOLNWAY SLIGONIERIN46767PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
333 N OAK STREETCOLUMBIA CITYIN46725PHYSICIAN OFFICE
FOUNDATION SURGERY AFF OF FT WAYNE LLC
8004 CARNEGIE BLVDFORT WAYNEIN46804SURGERY CENTER
PARKVIEW PHYSICIANS' GROUP
326 SAWYER ROADKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
514 N PROFESSIONAL WAYKENDALLVILLEIN46755PHYSICIAN OFFICE
NORTHEAST INDIANA CANCER CENTER LLC
516 E MAUMEE STREETANGOLAIN46703MEDICAL SERVICES
PARKVIEW PHYSICIANS' GROUP
524 BRANCH COURTCOLUMBIA CITYIN46725PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
420 SAWYER ROADKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
US HWY 30 WEST 5 MATCHETT DRPIERCETONIN46562PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
207 N TOWNLINE RDLAGRANGEIN46761PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1836 IDA RED ROADKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
817 TRAIL RIDGE ROADALBIONIN46701PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
240 S JEFFERSON SUITE BHUNTINGTONIN46750PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
8175 W US 20SHIPSHEWANAIN46565PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1381 N WAYNE STREET TOTALANGOLAIN46703PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
3439 HOBSON ROADFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1722 BEACON STFORT WAYNE ININ46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
MEDICAL ARTS CENTER - WESTAUBURNIN46706PHYSICIAN OFFICE
IMAGING SYSTEMS HOLDINGS LLC
3707 NEW VISION DRIVEFORT WAYNEIN46845IMAGING SERVICES
PARKVIEW PHYSICIANS' GROUP
401 SAWYER ROADKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
3217 LAKE AVENUEFORT WAYNEIN46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
2402 LAKE AVENUEFORT WAYNEIN46805PHYSICIAN OFFICE
FORT WAYNE ENDOSCOPY CENTER LLC
3415 HOBSON ROADFORT WAYNEIN46805OUTPATIENT SERVICES
PARKVIEW PHYSICIANS' GROUP
500 W VOTAW STREETPORTLANDIN47371PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
800 W 600 NHOWEIN46746PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
410 E MITCHELL STREETKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
208 N COLUMBUS STREETHICKSVILLEOH43526PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
5110 N CLINTON STREETFORT WAYNEIN46825PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
2600 N DETROIT STREETLAGRANGEIN46761PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
306 E MAUMEE STREETANGOLAIN46703PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1035 W WAYNE STREETPAULDINGOH45879PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1310 EAST 7TH STREETAUBURNIN46706PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1129 FIRST STREETHUNTINGTONIN46750PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1726 BEACON STFORT WAYNE ININ46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1391 N BALDWIN AVEMARIONIN46952PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
3250 INTERTECH DRIVEANGOLAIN46703PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1721 BEACON STFORT WAYNE ININ46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1720 BEACON STFORT WAYNE ININ46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
2001 STULTS RD STE 200HUNTINGTONIN46750PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
344 N MAIN STREETCOLUMBIA CITYIN46725PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
213 FAIRVIEW BLVDKENDALLVILLEIN46755PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
815 HIGH STREETDECATURIN46733PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1724 BEACON STFORT WAYNE ININ46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
1725 BEACON STFORT WAYNE ININ46805PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
577 GEIGER DR STE CROANOKEIN46783PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
276 MANCHESTER AVEWABASHIN46992PHYSICIAN OFFICE
PARKVIEW PHYSICIANS' GROUP
11135 PARKVIEW PLAZA DRIVEFORT WAYNEIN46845PHYSICIAN OFFICE

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanationIdentifierIdentifierReturn ReferenceReturnReference
PART I, LINE 3C: ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CAREPARKVIEW HEALTH SYSTEM, INC. PROVIDES DISCOUNTED CARE TO UNINSURED PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IF THE PATIENT ULTIMATELY QUALIFIES FOR CHARITY CARE USING THE 200% FPG, THE REMAINING BALANCE AFTER THE DISCOUNT IS WRITTEN OFF TO CHARITY.
PART I, LINE 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.
INREPORTS FILED WITH STATESPART VI, LINE 7

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
IPFW
2101 EAST COLISEUM BLVDFORT WAYNEIN46805356033698501 ( C ) 3560546SUPPORT FOR SCHOOL
UNIVERSITY OF SAINT FRANCIS
2701 SPRING STREETFORT WAYNEIN46806350886846501 ( C ) 3300000SUPPORT FOR SCHOOL
CITY OF FORT WAYNE REDEVELOPMENT COMMISSION
ONE EAST MAIN STREETFORT WAYNEIN46802GOVT ORG150000CAPITAL MAINTENANCE & IMPROVEMENT FUND - PARKVIEW FIELD
FRIENDS OF LINCOLN COLLECTION OF INDIANA INC
PO BOX 11083FORT WAYNEIN46855352101024501 ( C ) 383333OPERATING FUNDS
FORT 4 FITNESS
PO BOX 9007FORT WAYNEIN46899261936423501 ( C ) 325000SPONSORSHIP
RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA
2200 RANDALLIA DRIVEFORT WAYNEIN46805351950376501 ( C ) 325000PROGRAMS & OPERATING FUNDS
AMERICAN HEART ASSOCIATION
6100 WEST 96TH STREETINDIANAPOLISIN46278135613797501 ( C ) 317760PROGRAMS & OPERATING FUNDS
UNITY PERFORMING ARTS FOUNDATION
PO BOX 10394FORT WAYNEIN46825352110907501 ( C ) 312491PROGRAMS & OPERATING FUNDS
FORT WAYNE URBAN LEAGUE
2135 SOUTH HANNA STREETFORT WAYNEIN46803350869052501 ( C ) 312000PROGRAMS & OPERATING FUNDS
AMERICAN RED CROSS
2025 E STREET NWWASHINGTONDC20006530196605501 ( C ) 310000PROGRAMS & OPERATING FUNDS
ERINS HOUSE
3811 ILLINOIS ROAD SUITE 205FORT WAYNEIN46804351884264501 ( C ) 38100PROGRAMS & OPERATING FUNDS
VERA BRADLEY FOUNDATION FOR BREAST CANCER
P O BOX 80201FORT WAYNEIN46898352058177501 ( C ) 37500SUPPORT FOR RESEARCH
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants12TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Personal ServicesXPersonalServices
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (22 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MICHAEL PACKNETT
638622027064302838014554601337301071022000
RAYMOND DUSMAN
604787000186380269500177050668080000
DUANE HOUGENDOBLER
442820592677600333442691931213732556220665200
MITCHELL STUCKY
1500341169231310901595124315693112576656477518708713419800
JEFFREY FRANCIS
10393605698004588605960093090222071088350
STANTON RISSER
1067810319110180070980177160163686000
MARK NAFZIGER
4079740162245018733054054028840645890000
ARTHUR DETORE
33590307511803839506654001317905291350190570
CATHERINE WILCOX
2613230682540188130481540127710409315000
JEFFREY BROOKES
1011026029567189010627321031835061251185349023430662200
JAMES STAPEL
250722185764104021063153599433591497790410809245900
RICK HENVEY
23784705277701102403284202078403552740103640
RONALD DOUBLE
24397105175301740051005069670355436000
DEBRA WILLIAMS
22985705639601100033672090330330058000
JAMES WITMER
1929370499560133210359040470402968220104320
JAMES HAUGUEL
180055033008069036376080330257541000
SAILAJA BLACKMON
711376075971014900171500276250833612000
DAVID SOWDEN
6413693878378702084313269361414254878718942200
DOUGLAS GRAY
6063150931310179850220500215630761044000
DAVID LLOYD
6058790837990208560171500203900748074000
SATISH VELAGAPUDI
634354000181380171500176250687267000
CHARLES MASON
00004484130000044841304484130

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1APERSONAL 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 4BSUPPLEMENTAL 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 7MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) IS AN ANNUAL INCENTIVE PROGRAM. SYSTEM GOALS ARE APPROVED BY THE BOARD IN ADVANCE OF THE PLAN YEAR. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE BOARD APPROVES FINAL PAYMENT.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
INDIANA FINANCE AUTHORITY
35160231645471ABQ42009-08-27264703254SEE PART V000
INDIANA FINANCE AUTHORITY
35160231645471AAS12009-08-27223665000SEE PART V000
INDIANA FINANCE AUTHORITY
351602316NONEAVAIL2010-05-0430000000SEE PART V000

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Amount RetiredAmountRetiredTotal ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsOther Spent ProceedsOtherSpentProceedsYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaindCredit EnhancementCreditEnhancementCapital ExpendituresCapitalExpendituresAmount UnspentAmountUnspent
7910000264704689345176626125292320091011
223909069136786673266604201110011936011402258158855183
30000000155500201100011290000016944500

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
011110.000000.000000.000001
011110.000000.000000.000001
011110.000000.000000.000001

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
NA
0000NA01
CITIGROUP
0110NA0120.00000000000000
NA
0100NA01

Form990 Schedule K Part V Form990ScheduleKPartV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE K, PART 1,A,FDESCRIPTION OF PURPOSESERIES 2009A - 1) PARTIALLY REFUNDED OUTSTANDING 2005 SERIES BOND ISSUE 2) PARTIALLY REFUNDED OUTSTANDING BONDS FOR 2001 SERIES BOND ISSUE
SCHEDULE K, PART 1,B,FDESCRIPTION OF PURPOSESERIES 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,FDESCRIPTION OF PURPOSESERIES 2010 - NEW MONEY FOR CONSTRUCTION OF NEW PARKVIEW WHITLEY HOSPITAL FACILITY IN COLUMBIA CITY, IN
SCHEDULE K, PART II, 3, CTOTAL PROCEEDS ON ISSUETHIS IS A CONSTRUCTION DRAW BOND AND THEREFORE NO INTEREST WILL BE EARNED ON ANY PROJECT FUNDS.
SCHEDULE K, PART III, LINES 4-6PRIVATE BENEFIT USEPARKVIEW 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)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
FCFP LLC
ENTITY OF WHICH DIRECTOR MITCHELL STUCKY OWNED A GREATER THAN 5% INTEREST789632RENTAL OF PROPERTY TO PARKVIEW HEALTH SYSTEM, INC. - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH. ADDITIONALLY, DIRECTOR MITCHELL STUCKY DOES NOT PARTICIPATE IN THE DISCUSSIONS/DECISION TO LEASE PROPERTY OR THE LEASE TERMS AND PAYMENTS.0
NORTHEAST ORTHOPAEDIC HOSPITAL INVESTORS LLC
ENTITY OF WHICH DIRECTOR MICHAEL LEE OWNED A GREATER THAN 5% INTEREST21198333PARKVIEW HEALTH SYSTEM, INC. AND NORTHEAST ORTHOPAEDIC HOSPITAL INVESTORS, LLC ARE BOTH MEMBERS IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. THE TOTAL AMOUNT INVESTED BY PARKVIEW HEALTH SYSTEM, INC. IN THE JOINT VENTURE AS OF 12/31/2010 IS $21,198,333.0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 2KEY 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 4DURING 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 11AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 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 INSTITUTEFORM 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 ORGANIZATIONPARKVIEW 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 ORGANIZATIONSMICHAEL 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 SECURITIESLINE 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 TAXESPARKVIEW 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-133AS 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNATotal IncomeTotalIncomeEOY AssetsEOYAssetsBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NORTHEAST OBSTETRICS & GYNECOLOGY INC
10501 CORPORATE DRIVEFORT WAYNEIN46845320118260PHYSICIANSINN/A
NEW VISION PROFESSIONAL PARK LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845351972384REAL ESTATEINN/A105280215783401
TRI-STATE MEDICAL IMAGING LLC
3250 INTERTECH DR SUITE DANGOLAIN46703204212330RADIOLOGYIN2112221578000COMMUNITY HOSPITAL OF NOBLE COUNTY INC
FORT WAYNE ENDOSCOPY CENTER LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845431957176ENDOSCOPYINN/A4208501843340

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
PARKVIEW HOSPITAL INC
2200 RANDALLIA DRIVEFORT WAYNEIN46805350868085HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
PARKVIEW FOUNDATION INC
2200 RANDALLIA DRIVEFORT WAYNEIN46805237220589FUND MGMTIN501(C)(3)LINE 11A, IPARKVIEW HOSPITAL INC1
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
2200 RANDALLIA DRIVEFORT WAYNEIN46805352064353OCCUP HEALTHIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE ROADLAGRANGEIN46761202401676HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
401 SAWYER ROADKENDALLVILLEIN46755352087092HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC
401 SAWYER ROADKENDALLVILLEIN46755352089183FUND MGMTIN501(C)(3)LINE 11A, ICOMMUNITY HOSPITAL OF NOBLE COUNTY INC1
WHITLEY MEMORIAL HOSPITAL INC
353 N OAK STREETCOLUMBIA CITYIN46725351967665HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
WHITLEY MEMORIAL HOSPITAL FOUNDATION INC
353 N OAK STREETCOLUMBIA CITYIN46725311190239FUND MGMTIN501(C)(3)LINE 11A, IWHITLEY MEMORIAL HOSPITAL INC1
HUNTINGTON MEMORIAL HOSPITAL INC
2001 STULTS ROADHUNTINGTONIN46750351970706HOSPITAL CAREIN501(C)(3)LINE 3PARKVIEW HEALTH SYSTEM INC1
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS ROADHUNTINGTONIN46750320012095FUND MGMTIN501(C)(3)LINE 11A, IHUNTINGTON MEMORIAL HOSPITAL INC1

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStatePredominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845260143823ORTHO HOSPITALINRELATED1050871323711805010.60000
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
8004 CARNEGIE BLVDFORT WAYNEIN46804201394120SURGICAL SERVICESINRELATED743187657362010.51000
MANAGED CARE SERVICES LLC
2200 RANDALLIA DRIVEFORT WAYNEIN46805351996535HEALTH PLAN ADMININRELATED2253881758204010.90000
PARKVIEW IMAGING HUNTINGTON LLC
10501 CORPORATE DRIVEFORT WAYNEIN46845208651460EQUIPMENT LEASINGINRELATED00HUNTINGTON MEMORIAL HOSPITAL INC

Form990 Schedule R Part IV Form990ScheduleRPartIV (9 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDirect Controlling Entity NADirectControllingEntityNAPercentage OwnershipPercentageOwnership
PARKVIEW PROFESSIONAL PROGRAMS INC
2200 RANDALLIA DRIVEFORT WAYNEIN46805351668888REFERENCE LABINPARKVIEW HOSPITAL INCC148220492308214
PARKVIEW PROFESSIONAL BILLINGS INC
2200 RANDALLIA DRIVEFORT WAYNEIN46805351950305BILLINGINPARKVIEW HOSPITAL INCC1680
FIRST CARE FAMILY PHYSICIANS PC
10501 CORPORATE DRIVEFORT WAYNEIN46845351714247PHYSICIANSINC206520N/A1.00000
FORT WAYNE CARDIOVASCULAR SURGEONS PC
10501 CORPORATE DRIVEFORT WAYNEIN46845351150847PHYSICIANSINC2637435580N/A1.00000
NORTHEAST INDIANA COLON AND RECTAL SURGEONS PC
10501 CORPORATE DRIVEFORT WAYNEIN46845352032295PHYSICIANSINC68897N/A1.00000
FORT WAYNE CARDIOLOGY CORPORATION
10501 CORPORATE DRIVEFORT WAYNEIN46845611419843PHYSICIANSINC2715382817659N/A1.00000
GI CONSULTANTS INC
10501 CORPORATE DRIVEFORT WAYNEIN46845351460624PHYSICIANSINC225254N/A1.00000
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
442 W HIGH STREETBRYANOH43506341045870PHYSICIANSOHC13477487N/A1.00000
SIGNATURE CARE INC
2200 RANDALLIA DRIVEFORT WAYNEIN46805383069801INVESTMENTINC-509N/A1.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (33 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
HUNTINGTON MEMORIAL HOSPITAL INC
A1925802PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
A11846PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
A59275PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
A854933PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
A481981PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
A4914PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
D10596241PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
I1925802PART VII SUPPLEMENTAL INFORMATION
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
I59275PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
I854933PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
I481981PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
J50895PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
J202467PART VII SUPPLEMENTAL INFORMATION
FIRST CARE FAMILY PHYSICIANS PC
J190000PART VII SUPPLEMENTAL INFORMATION
NORTHEAST INDIANA COLON AND RECTAL SURGEONS PC
J64440PART VII SUPPLEMENTAL INFORMATION
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
K3738356PART VII SUPPLEMENTAL INFORMATION
FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC
K581799PART VII SUPPLEMENTAL INFORMATION
FORT WAYNE ENDOSCOPY CENTER LLC
K285103PART VII SUPPLEMENTAL INFORMATION
FIRST CARE FAMILY PHYSICIANS PC
K143009PART VII SUPPLEMENTAL INFORMATION
FORT WAYNE CARDIOVASCULAR SURGEONS PC
K124376PART VII SUPPLEMENTAL INFORMATION
NORTHEAST INDIANA COLON AND RECTAL SURGEONS PC
K69285PART VII SUPPLEMENTAL INFORMATION
FORT WAYNE CARDIOLOGY CORPORATION
K671309PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
P96304042PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
P8030744PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
P8395452PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
P8334993PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
P5356395PART VII SUPPLEMENTAL INFORMATION
MANAGED CARE SERVICES LLC
P363120PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
Q628563PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HOSPITAL INC
R25106710PART VII SUPPLEMENTAL INFORMATION
HUNTINGTON MEMORIAL HOSPITAL INC
R8056933PART VII SUPPLEMENTAL INFORMATION
WHITLEY MEMORIAL HOSPITAL INC
R3787540PART VII SUPPLEMENTAL INFORMATION
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
R3763522PART VII SUPPLEMENTAL INFORMATION

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierMETHOD USED TO DETERMINE VALUEIdentifier
Return ReferenceSCHEDULE R, PART V, LINE 2, COLUMN (C):ReturnReference
ExplanationTHE AMOUNTS REPORTED AS TRANSACTIONS WITH RELATED ORGANIZATIONS ARE CONSISTENT WITH THE AMOUNTS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS DEPENDING ON THE TYPE OF TRANSACTION INVOLVED.Explanation