Form990
Click to see attachment
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2018 , and ending 12-31-2018
BCheck if applicable:
CName of organization
PARKVIEW HEALTH SYSTEM INC
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
10501 CORPORATE DRIVE
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
FORT WAYNE, IN46845
D Employer identification number

35-1972384
E Telephone number

G Gross receipts $ 79,190,865,840
F Name and address of principal officer:
MICHAEL J PACKNETT
10501 CORPORATE DRIVE
FORT WAYNE,IN46845
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.PARKVIEW.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 1995
M State of legal domicile: IN
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY- TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS- DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY- PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY- "EXCELLENT CARE, EVERY PERSON, EVERY DAY"
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 23
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 17
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 4,941
6 Total number of volunteers (estimate if necessary) ............. 6 60
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 4,148,393
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 240,383
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 3,928,180 3,234,387
9 Program service revenue (Part VIII, line 2g) ......... 591,536,729 676,168,565
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 64,093,912 25,480,369
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 4,751,055 5,347,080
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 664,309,876 710,230,401
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 7,105,689 7,766,866
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 452,699,720 508,183,637
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 1,500 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 221,530,573 259,413,553
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 681,337,482 775,364,056
19 Revenue less expenses. Subtract line 18 from line 12....... -17,027,606 -65,133,655
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,102,074,434 2,633,547,628
21 Total liabilities (Part X, line 26)............. 881,486,967 1,303,726,930
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,220,587,467 1,329,820,698
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2018)
Form 990 (2018)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY- TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS- DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY- PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY- "EXCELLENT CARE, EVERY PERSON, EVERY DAY"
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 742,113,188 including grants of $ 7,766,866 ) (Revenue $ 672,020,172 )
PARKVIEW HEALTH SYSTEM, INC. IS A CHARITABLE, NOT-FOR-PROFIT, COMMUNITY-OWNED HEALTH SYSTEM. IT WAS INCORPORATED IN MAY 1995 AND NOW SUPPORTS THE FOLLOWING HOSPITALS: PARKVIEW HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; PARKVIEW WABASH HOSPITAL, INC.; AND WHITLEY MEMORIAL HOSPITAL, INC. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. IS A 60 PERCENT OWNER IN THE PARTNERSHIP OF THE ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. IS THE FIRST SPECIALTY HOSPITAL IN NORTHEAST INDIANA DEVOTED SOLELY TO ORTHOPEDIC SURGERY AND POST-SURGERY PATIENT CARE. THE 37 BED STATE-OF-THE-ART FACILITY INCLUDES AN INPATIENT UNIT,(SEE SCHEDULE O FOR CONTINUATION)AN INPATIENT REHABILITATION GYM AND ORTHO NORTH/EAST MEDICAL OFFICES.THE SERVICE AREA FOR PARKVIEW HEALTH SYSTEM, INC. INCLUDES NORTHEAST INDIANA, NORTHWEST OHIO AND SOUTH CENTRAL MICHIGAN. OTHER SPECIALTY SERVICES INCLUDE A VERIFIED LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, HEART INSTITUTE, A CERTIFIED PRIMARY STROKE CENTER, WOMEN'S & CHILDREN'S HOSPITAL, OUTPATIENT SERVICE CENTER AND CANCER INSTITUTE. THE NEWLY CONSTRUCTED PARKVIEW CANCER INSTITUTE OPENED IN JUNE 2018 ON THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS.IN AN EFFORT TO MEET GROWING DEMAND FOR CARE AND SERVICES, THE HOSPITAL BEGAN AN EXPANSION PROJECT OF A SIX-STORY, 168,000 SQUARE FOOT MEDICAL TOWER THAT WILL ACCOMMODATE 72 ADDITIONAL INPATIENT BEDS. APPROXIMATELY 63,000 SQUARE FEET OF THE NEW TOWER WILL SERVE AS SHELL SPACE, ALLOWING FOR FUTURE EXPANSION TO SUPPORT FORECASTED INPATIENT AND AMBULATORY CARE GROWTH. EXPANSION IS SLATED TO OPEN IN 2020.PARKVIEW HEALTH SYSTEM, INC. EMPLOYS 479 PRIMARY AND SPECIALTY CARE PHYSICIANS AS PART OF PARKVIEW PHYSICIANS GROUP. THESE PHYSICIANS, ALONG WITH 376 ADVANCED PRACTICE PROVIDERS, PROVIDE CARE TO RESIDENTS THROUGHOUT NORTHEAST INDIANA AND NORTHWEST OHIO REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. EIGHTY-THREE NEW PHYSICIANS AND 89 ADVANCED PRACTICE PROVIDERS WERE RECRUITED IN 2018, SIGNIFICANTLY INCREASING THE SYSTEM'S ABILITY TO MEET LOCAL HEALTH NEEDS. PARKVIEW HEALTH EMPLOYS FOUR FULL-TIME PHYSICIAN RECRUITERS AND ONE FULL-TIME ADVANCED PRACTICE PROVIDER RECRUITER WHOSE TIME IS DEVOTED SOLELY TO RECRUITING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. ALL PHYSICIAN RECRUITMENT ACTIVITY IS BASED ON A PHYSICIAN NEEDS ASSESSMENT, BOARD APPROVED STRATEGIC PLAN AND THE OVERSIGHT OF THE COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS.THE MIRRO RESEARCH AND INNOVATION CENTER LOCATED ON THE CAMPUS OF PARKVIEW REGIONAL MEDICAL CENTER PROVIDES WORLD-CLASS EDUCATION FOR PARKVIEW CO-WORKERS, PHYSICIANS AND MEDICAL PROFESSIONALS IN CUTTING-EDGE MEDICAL SIMULATION CLASSROOMS AND TRAINING LABORATORIES MODELED AFTER CURRENT ORS, EXAM ROOMS, PATIENT ROOMS AND AMBULANCES. PATIENT EXPECTATIONS FOR EXCELLENT CARE ARE SUPPORTED BY ENSURING THAT HEALTHCARE PROFESSIONALS ARE FAMILIAR WITH THE MOST INNOVATIVE AND EFFECTIVE TREATMENTS AVAILABLE. PARKVIEW HEALTH SYSTEM, INC. CURRENTLY HOLDS MAGNET STATUS WHICH DEMONSTRATES COMMITMENT TO NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. ADDITIONALLY, THE SYSTEM WAS NAMED ONE OF THE AMERICA'S BEST EMPLOYERS IN 2018 BY FORBES MAGAZINE. PARKVIEW HEALTH SYSTEM, INC. WAS RANKED NO. 93 OVERALL AND NO. 14 IN THE HEALTHCARE SOCIAL SERVICES INDUSTRY.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet742,113,188
Form 990 (2018)
Form 990 (2018)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment..............
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part IIIClick to see attachment.................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment..................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
Yes
 
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part IIIClick to see attachment.............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see attachment
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........Click to see attachment
22
 
No
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I............ Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I...................Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L,
Part IV
........................Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV.....................Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I.
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II...........
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
323
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2018)
Form 990 (2018)
Page 5
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
4,941
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletJA , SW , DA , SZ , BR , CO , NO , RS , ID , PL , PO , GR , HU
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? .........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
23
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
17
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IN
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletJEANNE' WICKENS10501 CORPORATE DRIVE   FORT WAYNE,IN46845 (260) 266-9313
Form 990 (2018)
Form 990 (2018)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) MICHAEL PACKNETT......................................................................
DIRECTOR/PH PRESIDENT & CEO
40.00
.................
17.00
X   X       1,447,044 0 759,330
(2) RAYMOND DUSMAN......................................................................
DIRECTOR/VICE CHAIR/PH CHIEF PHY EXE
40.00
.................
0.00
X   X       1,019,328 0 361,603
(3) ROBERT GODLEY......................................................................
DIRECTOR/PH PHYSICIAN
40.00
.................
1.00
X           537,753 0 62,858
(4) JOSHUA KLINE......................................................................
DIRECTOR/PH CHIEF MED OFFICER
40.00
.................
0.00
X           493,648 0 121,058
(5) ALAN MCGEE......................................................................
DIRECTOR/PH SVR LINE LEADER
9.00
.................
0.00
X           405,383 0 0
(6) MICHAEL AXEL......................................................................
DIRECTOR/TREASURER
1.00
.................
1.00
X           3,750 3,250 0
(7) MARGARET BROOKS......................................................................
DIRECTOR
1.00
.................
0.00
X           7,107 0 0
(8) VICKY CARWEIN......................................................................
DIRECTOR/PARTIAL YEAR
1.00
.................
0.00
X           2,633 0 0
(9) ROGER CROMER......................................................................
DIRECTOR
1.00
.................
2.00
X           3,383 6,500 0
(10) BRIAN DECAMP......................................................................
DIRECTOR
1.00
.................
1.00
X           1,750 7,091 0
(11) RON ELSENBAUMBER......................................................................
DIRECTOR
1.00
.................
0.00
X           0 0 0
(12) BRIAN EMERICK......................................................................
DIRECTOR/SECRETARY
1.00
.................
0.00
X           9,224 0 0
(13) DAVID HAIST......................................................................
DIRECTOR/CHAIR
1.00
.................
0.00
X           18,019 0 0
(14) JIM HEUER......................................................................
DIRECTOR
1.00
.................
1.00
X           2,658 7,512 0
(15) THOMAS KIMBROUGH......................................................................
DIRECTOR
1.00
.................
1.00
X           4,637 4,000 0
(16) JERRY LONG......................................................................
DIRECTOR
1.00
.................
0.00
X           6,291 0 0
(17) MARILYN MORAN-TOWNSEND......................................................................
DIRECTOR
1.00
.................
1.00
X           8,250 750 0
Form 990 (2018)
Form 990 (2018)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) SHERRYL RHINESMITH........................................................................
DIRECTOR
1.00
.......................1.00
X           2,000 6,250 0
(19) WENDY ROBINSON........................................................................
DIRECTOR
1.00
.......................1.00
X           5,383 0 0
(20) LARRY ROWLAND........................................................................
DIRECTOR
1.00
.......................0.00
X           9,714 0 0
(21) DAN STARR........................................................................
DIRECTOR
1.00
.......................1.00
X           3,974 6,514 0
(22) RYAN WARNER........................................................................
DIRECTOR
1.00
.......................1.00
X           3,684 8,409 0
(23) LUTHER WHITFIELD........................................................................
DIRECTOR
1.00
.......................0.00
X           7,357 0 0
(24) STEPHEN WRIGHT........................................................................
DIRECTOR
1.00
.......................0.00
X           6,184 0 0
(25) JEANNE' WICKENS........................................................................
PH CHIEF FINANCIAL OFFICER
40.00
.......................17.00
    X       869,537 0 314,918
(26) RICK HENVEY........................................................................
PH CHIEF OPERATING OFFICER
40.00
.......................0.00
    X       992,062 0 326,696
(27) NEIL SHARMA........................................................................
PRESIDENT PARKVIEW CANCER CENTER
40.00
.......................0.00
      X     930,076 0 177,804
(28) ROY ROBERSTON........................................................................
PRESIDENT PARKVIEW HEART INSTITUTE
40.00
.......................0.00
      X     777,089 0 167,393
(29) SUZANNE EHINGER........................................................................
PH CHIEF EXPERIENCE OFFICER
40.00
.......................0.00
      X     624,186 0 144,427
(30) MITCHELL STUCKY........................................................................
PH PHYSICIAN EXECUTIVE OFFICER
40.00
.......................0.00
      X     605,712 0 139,318
(31) GREG JOHNSON........................................................................
PH CHIEF CLINICAL INTEGRATION
40.00
.......................0.00
      X     559,034 0 142,220
(32) RONALD DOUBLE........................................................................
PH CHIEF INFORMATION OFFICER
40.00
.......................0.00
      X     563,663 0 247,195
(33) DAVID STOREY........................................................................
PH SVP GENERAL COUNSEL
40.00
.......................0.00
      X     592,459 0 130,344
(34) JUDITH BOERGER........................................................................
PH CHIEF NURSING EXECUTIVE
40.00
.......................0.00
      X     461,347 0 109,228
(35) DENA JACQUAY........................................................................
PH CHIEF HUMAN RESOURCES OFFICER
40.00
.......................0.00
      X     510,850 0 238,095
(36) THOMAS BOND........................................................................
PH CHIEF MEDICAL OFFICER-PPG
40.00
.......................0.00
      X     490,497 0 128,978
(37) JEFFREY BOORD........................................................................
PH CHIEF QUALITY & SAFETY
40.00
.......................0.00
      X     471,711 0 111,984
(38) MARK PIERCE........................................................................
PH CHIEF MED INFORMATICS OFFICER
40.00
.......................0.00
      X     443,244 0 107,275
(39) JEFFREY BROOKES........................................................................
PH MEDICAL DIR - COMMUNITY
1.00
.......................24.00
      X     95,497 199,549 68,022
(40) JASON ROW........................................................................
PH CHIEF MED OFFICER PPG
40.00
.......................0.00
      X     455,904 0 126,373
(41) GERALD GRANNAN........................................................................
PH SVP & COO - PPG
41.00
.......................0.00
      X     420,306 0 103,427
(42) DONNA VAN VLERAH........................................................................
PH SVP SUPPORT DIVISION
40.00
.......................0.00
      X     363,506 0 72,984
(43) SCOTT JAMES........................................................................
PH SVP & COO SVR LINE LEADER
40.00
.......................0.00
      X     374,053 0 97,228
(44) PHILIP SMITH........................................................................
PH SVP STRATEGY & BUSINESS
40.00
.......................0.00
      X     355,991 0 86,245
(45) JOLYNN SUKO........................................................................
PH SVP SVR LINE LEAD
40.00
.......................0.00
      X     298,914 0 77,165
(46) TRENT MILLER........................................................................
PH SVP SVR LINE LEAD
40.00
.......................0.00
      X     283,553 0 73,054
(47) JAMES DOZIER........................................................................
PH PHYSICIAN
40.00
.......................1.00
        X   1,256,882 0 24,503
(48) MATTHEW GROTHAUS........................................................................
PH PHYSICIAN
28.00
.......................0.00
        X   1,201,535 0 24,805
(49) KENNETH AUSTIN........................................................................
PH PHYSICIAN
45.00
.......................0.00
        X   1,166,954 0 29,029
(50) STEVEN WYNDER........................................................................
PH PHYSICIAN
40.00
.......................1.00
        X   1,103,229 5,844 61,594
(51) DOUGLAS GRAY........................................................................
PH PHYSICIAN
44.00
.......................0.00
        X   1,062,493 0 65,537
(52) JOHN MEISTER........................................................................
FORMER KEY EMPLOYEE
0.00
.......................0.00
          X 305,587 0 0
(53) JILL OSTREM........................................................................
FORMER KEY EMPLOYEE
0.00
.......................0.00
          X 143,379 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 21,788,404 255,669 4,700,690
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet772
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
WEATHERBY LOCUMS INC

PO BOX 972633
DALLAS,TX75397
PHYSICIANS 11,312,799
LOCUMTENENS

PO BOX 405547
ATLANTA,GA30384
PHYSICIANS 3,449,036
PEAK HEALTH SOLUTIONS INC

75 REMITTANCE DRIVE STE 1155
CHICAGO,IL60675
MEDICAL CODING 2,916,814
FTI CONSULTING INC

PO BOX 418005
BOSTON,MA02241
CONSULTING 2,484,305
BOYDEN & YOUNGBLUTT

120 WEST SUPERIOR ST
FORT WAYNE,IN46802
MARKETING ANALYTICS 2,055,713
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet101
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 86,850
e Government grants (contributions)1e 107,431
f All other contributions, gifts, grants, and similar amounts not included above1f 3,040,106
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet 3,234,387
 Program Service RevenueAmt Business Code
2a NET PATIENT SERVICE 621110 207,319,778 207,319,778    
b CORP SERVICE ALLOCATION 561000 188,072,725 188,072,725    
c PH CLINICAL SUPPORT 561499 183,752,584 183,752,584    
d ORTHOPAEDIC HOSPITAL AT PARKVIEW 621110 44,262,511 44,262,511    
e INTERUNIT RENT 532000 12,064,332 12,064,332    
f All other program service revenue. 40,696,635 36,548,242 4,148,393  
g Total. Add lines 2a–2f ....MediumBullet 676,168,565
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 18,995,303     18,995,303
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   6,109,717
b Less: rental expenses   1,939,163
c Rental income or (loss)   4,170,554
d Net rental income or (loss)......MediumBullet 4,170,554     4,170,554
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 83,734 78,485,097,608
b Less: cost or other basis and sales expenses 459,382 78,478,236,894
c Gain or (loss) -375,648 6,860,714
d Net gain or (loss).....MediumBullet 6,485,066     6,485,066
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a CAFETERIA REVENUE 722100 1,176,526     1,176,526
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 1,176,526
12 Total revenue. See Instructions......MediumBullet 710,230,401 672,020,172 4,148,393 30,827,449
Form 990 (2018)
Form 990 (2018)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 7,766,866 7,766,866
2 Grants and other assistance to domestic individuals. See Part IV, line 22    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 19,997,561   19,997,561  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 830,123 381,157 448,966  
7 Other salaries and wages 376,537,318 376,537,318    
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits ....... 65,152,064 65,152,064    
10 Payroll taxes ........... 45,666,571 45,666,571    
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,039,674 823,918 215,756  
c Accounting ........... 632,002   632,002  
d Lobbying ........... 102,665   102,665  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 2,648,423   2,648,423  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 60,323,627 54,023,607 6,300,020  
12 Advertising and promotion .... 1,859,235 1,855,209 4,026  
13 Office expenses ....... 15,975,485 15,649,715 325,770  
14 Information technology ...... 39,665,279 39,661,914 3,365  
15 Royalties ..        
16 Occupancy ........... 24,454,905 24,356,636 98,269  
17 Travel ............ 2,316,495 1,980,997 335,498  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 816,213 702,836 113,377  
20 Interest ........... 20,433,210 20,433,210    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 41,842,140 41,830,887 11,253  
23 Insurance ... 6,281,980 5,099,452 1,182,528  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a FEDERAL & STATE INCOME 210,000   210,000  
b MEDICAL SUPPLIES 15,785,570 15,785,570    
c BAD DEBT 12,004,982 12,004,982    
d PROVIDER CME, LICENSES 3,880,785 3,880,785    
e All other expenses 9,140,883 8,519,494 621,389  
25 Total functional expenses. Add lines 1 through 24e 775,364,056 742,113,188 33,250,868 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 20,932 1 20,413
2 Savings and temporary cash investments ......... 113,000,917 2 181,550,875
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 26,212,122 4 25,324,652
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
137,221 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L ..............
  6  
7 Notes and loans receivable, net .... 2,640,201 7 2,852,025
8 Inventories for sale or use ........ 5,568,743 8 8,780,103
9 Prepaid expenses and deferred charges ...... 19,006,438 9 24,928,872
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 677,495,675
b Less: accumulated depreciation 10b 318,290,936 356,375,289 10c 359,204,739
11 Investments—publicly traded securities . 788,158,292 11 944,390,050
12 Investments—other securities. See Part IV, line 11 ..... 205,893,016 12 255,225,604
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 29,686,066 14 29,582,124
15 Other assets. See Part IV, line 11 ........... 555,375,197 15 801,688,171
16 Total assets. Add lines 1 through 15 (must equal line 34)... 2,102,074,434 16 2,633,547,628
Liabilities 17 Accounts payable and accrued expenses ..... 158,393,934 17 144,100,281
18 Grants payable ...   18  
19 Deferred revenue ......... 4,733,231 19 1,445,898
20 Tax-exempt bond liabilities ......... 542,510,783 20 645,991,354
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..   22  
23 Secured mortgages and notes payable to unrelated third parties .. 31,161,053 23 45,321,136
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 144,687,966 25 466,868,261
26 Total liabilities. Add lines 17 through 25.. 881,486,967 26 1,303,726,930
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets 1,220,587,467 27 1,329,820,698
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund ...   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 1,220,587,467 33 1,329,820,698
34 Total liabilities and net assets/fund balances ........ 2,102,074,434 34 2,633,547,628
Form 990 (2018)
Form 990 (2018)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
710,230,401
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
775,364,056
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
-65,133,655
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
1,220,587,467
5
Net unrealized gains (losses) on investments ...............
5
-39,582,522
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
213,949,408
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
1,329,820,698
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2018)
Form 990 (2018)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
a
b
c
d
e
f
Enter the number of supported organizations ...............................6
g
Provide the following information about the supported organization(s).
(i) Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 10 above (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
(A) PARKVIEW HOSPITAL INC
 
350868085 3 Yes   141,390,895 0
(B) HUNTINGTON MEMORIAL HOSPITAL INC
 
351970706 3 Yes   8,418,000 0
(C) WHITLEY MEMORIAL HOSPITAL INC
 
351967665 3 Yes   10,158,996 0
(D) COMMUNITY HOSPITAL OF NOBLE COUNTY INC
 
352089183 3 Yes   9,300,996 0
(E) COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
 
202401676 3 Yes   5,615,004 0
(F) PARKVIEW WABASH HOSPITAL INC
 
471753440 3 Yes   5,817,000 0
Total
6
180,700,891 0
For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf....            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support. Add lines 7 through 10  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose            
3 Gross receipts from activities that are not an unrelated trade or business under section 513 .....            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge            
6 Total. Add lines 1 through 5            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support. (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
Yes
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
No
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
No
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 12a or 12b in Part I, answer (b) and (c) below.
4a
 
No
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
No
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
No
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
7
 
No
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).
8
 
No
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
No
b
Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
No
c
Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
No
10a
Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.
10a
 
No
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in (a) above?
11b
 
No
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
Yes
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
Yes
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
No
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
Yes
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.
3b
Yes
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    
Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors
(explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    
Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
 
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions
 
9 Distributable amount for 2018 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2018
(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2019. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
PART IV, SECTION E, LINE 3A: PARKVIEW HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATION'S SUPPORTED ORGANIZATIONS PARKVIEW HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AND PARKVIEW WABASH HOSPITAL, INC. THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR PARKVIEW HOSPITAL, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) UPON RECOMMENDATION OF THE CORPORATION, THE CORPORATE MEMBER SHALL APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS BY THE CORPORATION AND ITS AFFILIATES, AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. SUCH RIGHT BY THE CORPORATE MEMBER TO DIRECT THE TRANSFER OF ASSETS SHALL NOT INCLUDE ANY TRANSFER WHICH WOULD CAUSE THE CORPORATION TO BE PUT INTO A FINANCIALLY VULNERABLE POSITION AS AN ONGOING CONCERN, NOR SHALL ANY SUCH TRANSFER CAUSE THE CORPORATION TO VIOLATE THE TERMS AND CONDITIONS OF ANY GIFTS, BEQUESTS, BOND COVENANTS, OR RESTRICTIONS SET FORTH IN EXHIBIT A. FURTHER, FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES, TO MAINTAIN THE JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR THE SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW.
PART IV, SECTION E, LINE 3A CONT'D: THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER.
PART IV, SECTION E, LINE 3A CONT'D: THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER.
PART IV, SECTION E, LINE 3A CONT'D: THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR HUNTINGTON MEMORIAL HOSPITAL, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES, AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS; (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION'S ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JCAHO ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS LIST OR THE REQUIREMENT THAT APPOINTED DIRECTORS CAN BE REPRESENTATIVES OF HUNTINGTON COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW.
PART IV, SECTION E, LINE 3A CONT'D: THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR WHITLEY MEMORIAL HOSPITAL, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A OR THE REQUIREMENT THAT ELECTED DIRECTORS BE REPRESENTATIVES OF WHITLEY COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF THESE BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW.
PART IV, SECTION E, LINE 3A CONT'D: THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR PARKVIEW WABASH HOSPITAL, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER.
PART IV, SECTION E, LINE 3B: SEE EXPLANATION FOR FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3A
Schedule A (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors

Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ






Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that isn't covered by the General Rule and/or the Special Rules doesn't file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it doesn't meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) Page 2
Name of organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number
35-1972384
Part I
Contributors (See instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
RESTRICTED
 
 
 
 
  ,    

$ RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.
(b)
Name, address, and ZIP + 4
(c)
Total contributions
(d)
Type of contribution
 
 
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 3
Name of organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Part II
Noncash Property (See instructions). Use duplicate copies of Part II if additional space is needed.
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
(a)
No. from Part I
(b)
Description of noncash property given
(c)
FMV (or estimate)
(See instructions)
(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
Page 4
Name of organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a)
No. from Part I
(b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet Complete if the organization is described below. SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 ................................SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 .......................SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................
4a
Was a correction made? ......................................................................................................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b...........SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ...................................................................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2018

Schedule C (Form 990 or 990-EZ) 2018
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.)
(a) Filing
organization's
totals
(b) Affiliated group totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................    
b Total lobbying expenditures to influence a legislative body (direct lobbying) ...............................    
c Total lobbying expenditures (add lines 1a and 1b) ...................................................................    
d Other exempt purpose expenditures ........................................................................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............................................    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.
   
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................................................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ...................................................................................................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in)
(a) 2015 (b) 2016 (c) 2017 (d) 2018 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e))
 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))
 
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2018


Schedule C (Form 990 or 990-EZ) 2018
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? ...........................................................................................................
 
No
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........
 
No
c
Media advertisements? ...................................................................................................
 
No
 
d
Mailings to members, legislators, or the public? .............................................................................
 
No
 
e
Publications, or published or broadcast statements? ...........................................................
 
No
 
f
Grants to other organizations for lobbying purposes? ..........................................................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? .......................
Yes
 
102,665
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
50,203
j
Total. Add lines 1c through 1i ....................................................................................................
152,868
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 ...........................................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ...............................................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members ......................................................................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).
a
Current year .............................................................................................................................
2a
 
b
Carryover from last year ............................................................................................................
2b
 
c
Total ...........................................................................................................................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) .........................................
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
PART II-B, LINE 1: DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY THE CORYDON GROUP, LLC $102,665. OTHER ACTIVITIES - REPRESENTS THE PORTION OF DUES PAID TO VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2018


Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a 2
b Total acreage restricted by conservation easements .................... 2b 10.00
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet1
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $ 24,725
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations .................
3a(i)
 
 
(ii) related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ..... 17,853,093 43,259,295 61,112,388
b Buildings ....   272,725,854 98,591,365 174,134,489
c Leasehold improvements   33,756,328 14,100,855 19,655,473
d Equipment ....   286,657,256 192,153,869 94,503,387
e Other .....   23,243,849 13,444,847 9,799,002
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 359,204,739
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives......... 118,204,687 C
(2) Closely-held equity interests........    
(3) Other
(A) INVESTMENTS IN JVS, MCHA & WRPLX
137,020,917 C
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 255,225,604
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) DUE TO/FROM INTERUNIT 598,038,092
(2) MISCELLANEOUS 1,211,807
(3) BROKER PENDING TRADES 189,648,531
(4) NOTE RECEIVABLE FROM LGHOS 5,896,241
(5) NOTE RECEIVABLE FROM WMHOS 6,893,500
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 801,688,171
Part X
Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
ACC RETIREMENTS COST 115,531,575
RESERVE FOR SIGNATURE CARE 12,586,225
RESERVE FOR MALPRACTICE 8,713,320
BROKER PENDING TRADES 330,030,337
MISCELLANEOUS 6,804
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 466,868,261
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
PART II, LINE 5: A THIRD PARTY ENVIRONMENTAL COMPANY COMPLETES ALL THE REQUIRED ANNUAL MONITORING INSPECTION AND REPORTING AS PART OF THE 10 YEAR REQUIREMENT WITHIN THE EXISTING PERMIT. IF ANY ENCROACHMENTS BY THE OWNER ON THE MITIGATION AREAS ARE OBSERVED THEY ARE REPORTED AND ENFORCED THROUGH APPROPRIATE LEGAL CHANNELS.
PART II, LINE 9: THE ORGANIZATION RECORDS THE PAYMENTS TO THE THIRD PARTY ENVIRONMENTAL COMPANY AS A FEES FOR SERVICES EXPENSE ON THE INCOME STATEMENT.
PART X, LINE 2: PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): PAGE 15 OF ATTACHED FINANCIAL STATEMENTS. INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2018 AND 2017, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2014 AND PRIOR.
Schedule D (Form 990) 2018


Additional Data


Software ID:  
Software Version:  




SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
 
No
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . .
    181,487 0 181,487 0.020 %
b Medicaid (from Worksheet 3, column a) . . . . .     2,101,491 1,181,316 920,175 0.120 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     3,203,760 3,506,402 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     5,486,738 4,687,718 1,101,662 0.140 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     4,888,675 3,977,626 911,049 0.120 %
f Health professions education (from Worksheet 5) . . .     11,855 0 11,855 0 %
g Subsidized health services (from Worksheet 6) . . . .     546,187 114,687 431,500 0.060 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     2,799,711 325,778 2,473,933 0.320 %
j Total. Other Benefits . .     8,246,428 4,418,091 3,828,337 0.500 %
k Total. Add lines 7d and 7j .     13,733,166 9,105,809 4,929,999 0.640 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing     339,139 0 339,139 0.040 %
2 Economic development     155,000 0 155,000 0.020 %
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
    32,030 0 32,030 0 %
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     1,098,782 0 1,098,782 0.140 %
9 Other            
10 Total     1,624,951   1,624,951 0.200 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
12,004,982
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
195,787
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
10,183,824
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
12,305,243
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-2,121,419
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity
(c) Organization's
profit % or stock
ownership %
(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership %
(e) Physicians'
profit % or stock
ownership %
11 IMAGING SERVICES HOLDING COMPANY LLC
 
HOLDING COMPANY 50.000 %   50.000 %
22 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
 
ORTHOPAEDIC HOSPITAL 60.000 %   40.000 %
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
11119 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN46845
WWW.PARKVIEW.COM
14-005845-1
X X   X            
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):
1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 16
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.PARKVIEW.COM/LOCALHEALTHNEEDS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE
b
HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC PART V, SECTION B, LINE 5: PARKVIEW HEALTH SYSTEM, INC. INCLUDING PARKVIEW HOSPITAL, INC. CONDUCTED ITS LAST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016. OVER THE COURSE OF ADMINISTERING THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE INDIANA PARTNERSHIP FOR HEALTH COMMUNITIES (IN-PHC) RESEARCH TEAM WORKED TO ENSURE THAT THE NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WERE TAKEN INTO ACCOUNT. THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT USED THREE SOURCES OF PRIMARY DATA: 1) A PHONE SURVEY OF THE COMMUNITY CONDUCTED ON BEHALF OF PARKVIEW HOSPITAL, INC. AND THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) BY THE EAGLETON CENTER FOR PUBLIC INTEREST POLLING (A CENTER OF RUTGERS UNIVERSITY) COMPLETED IN MARCH 2016; 2) AN ONLINE SURVEY DEVELOPED BY THE IN-PHC AND DISTRIBUTED BY THE HOSPITAL TO AREA PROVIDERS INCLUDING PUBLIC HEALTH OFFICIALS, OTHER HEALTHCARE PROFESSIONALS AND VARIOUS SOCIAL SERVICE ORGANIZATIONS THAT SPECIALIZE IN AIDING VULNERABLE POPULATIONS COMPLETED IN JUNE 2016; AND 3) FOCUS GROUPS WITH SPECIFIC VULNERABLE POPULATIONS, INCLUDING THE HISPANIC/LATINO AND AFRICAN AMERICAN POPULATIONS WERE CONDUCTED BY IN-PHC IN ALLEN, NOBLE AND KOSCIUSKO COUNTIES. FOR THE AMISH COMMUNITY IN LAGRANGE COUNTY, A WRITTEN SURVEY WAS DISTRIBUTED THROUGH COMMUNITY LEADERS. FOCUS GROUP AND WRITTEN SURVEY DATA COLLECTION WAS COMPLETED IN THE SUMMER OF 2016.CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATA BASE WAS USED TO ACCESS SECONDARY DATA FOR THE SEVEN-COUNTY AREA. STATE AND NATIONAL DATA WAS OBTAINED THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY HEALTH RANKINGS, HEALTH INDICATORS WAREHOUSE, INDIANA STATE DEPARTMENT OF HEALTH, INDIANA UNIVERSITY CENTER FOR HEALTH POLICY AND THE US CENSUS BUREAU.
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC PART V, SECTION B, LINE 6A: PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440).
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC PART V, SECTION B, LINE 6B: INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (A PARTNERSHIP BETWEEN THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AND THE POLIS CENTER AT IUPUI) AND CONDUENT HEALTHY COMMUNITIES INSTITUTE.
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC PART V, SECTION B, LINE 11: SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:OBESITY - PARKVIEW HEALTH, INC. CONTINUED OUTREACH PROGRAMS ESTABLISHED FROM 2014 THROUGH 2016 TO ADDRESS OBESITY PRIMARILY IN LOW-INCOME AREAS OF ALLEN COUNTY. ACTIONS TO ADDRESS THE ISSUE OF OBESITY CENTER AROUND PROGRAMS THAT ENGAGE CHILDREN AND FAMILIES AND INCLUDE THE FOLLOWING PROGRAMS: 1) THE HEALTHY EATING ACTIVE LIVING (HEAL) INITIATIVE; 2) PLANTING HEALTHY SEEDS FOR 3RD AND 4TH GRADERS; 3) PLANTING HEALTHY SEEDS: EARLY CHILDHOOD EDITION; 4) PLANTING HEALTHY SEEDS: AFTER-SCHOOL EDITION; 5) TAKING ROOT WELL-BEING CHALLENGE PROGRAM FOR 4TH AND 5TH GRADERS; 6) SIMPLE SOLUTIONS FOR PARENTS OF LOW-INCOME, PRE-SCHOOL CHILDREN AND; 7) THE COMMUNITY NURSING NUTRITION AND DIABETES EDUCATION PROGRAM AND CARDIOVASCULAR/DIABETES SCREENING PROGRAM; 8) CREATION OF THE PARKVIEW COMMUNITY GREENHOUSE AND LEARNING KITCHEN LOCATED IN A DESIGNATED FOOD DESERT AREA. PARKVIEW IS BOLSTERING ITS EFFORTS IN AREAS DEEMED TO HAVE THE HIGHEST IMPACT FOR OBESITY PREVENTION. ANTICIPATED IMPACT INCLUDE THE FOLLOWING: 1) INCREASE ACCESS TO FRESH, AFFORDABLE AND LOCALLY GROWN FOOD; 2) INCREASE CONSUMPTION OF FRESH PRODUCE; 3) PROVIDE CURRICULUM FOR ELEMENTARY AND MIDDLE SCHOOL STUDENTS AND PARENTS OF PRE-SCHOOL CHILDREN RELATED TO PHYSICAL ACTIVITY AND NUTRITION; 4) PROVIDE PREVENTIVE HEALTH AND SKILL-BUILDING CLASSES FOR FAMILIES AND PREGNANT WOMEN; 5) ENHANCE AND INCREASE PROVIDER DIRECTED WELLNESS RESOURCES INCLUDING REFERRALS TO HEALTH MANAGEMENT PROGRAMS IN THE COMMUNITY. ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC WILL CONTINUE TO PARTNER WITH PARKVIEW HOSPITAL, INC. IN ITS EFFORTS TO PROMOTE HEALTHY LIFESTYLES THROUGH NUTRITION, PHYSICAL ACTIVITY AND INJURY PREVENTION EDUCATION IN ALLEN COUNTY. COMMUNITY OUTREACH CERTIFIED ATHLETIC TRAINER (ATC) AND NUTRITIONIST CREATED AGE-APPROPRIATE SCHOOL CURRICULA RELATED TO ACTIVITIES OF HEALTHY LIVING, I.E., NUTRITION CLASSES FOR OUR CLUB SPORT TEAMS, INJURY PREVENTION CLASSES AT AREA HIGH SCHOOLS AND COLLEGES FOCUSING ON ATHLETES AND COACHES. THIS APPROACH PROMOTES HEALTHY LIFESTYLES FROM CHILDHOOD TO THE ADULT ATHLETE. OTHER HEALTH NEEDS NOT BEING ADDRESSED:-TOBACCO USE - TOBACCO FREE ALLEN COUNTY (TFAC) IS THE LEAD ORGANIZATION IN ALLEN COUNTY RELATED TO TOBACCO FREE EFFORTS. TFAC PROVIDES INFORMATION ON RESOURCES ABOUT LOCAL SMOKING CESSATION PROGRAMS AND ADVOCATES FOR NO-SMOKING PUBLIC POLICY. PARKVIEW HOSPITAL IS A SOURCE OF SMOKING CESSATION PROGRAMS AND OPERATES A TOBACCO FREE CAMPUS. -DIABETES, CARDIOVASCULAR DISEASE AND CANCER - WHILE PARKVIEW HOSPITAL DID NOT SELECT THESE CHRONIC DISEASES AS TOP HEALTH PRIORITIES, OUR INTENT IS TO HELP TO PREVENT AND REDUCE THE PRESENCE OF CHRONIC CONDITIONS LIKE THE AFOREMENTIONED DISEASES BY ADDRESSING OBESITY THROUGH NUTRITION EDUCATION, INCREASED ACCESS TO HEALTHY FOODS, ACTIVE LIVING PROGRAMS AND EDUCATION ON OTHER HEALTHY LIFESTYLE HABITS. -DRUGS/ALCOHOL ABUSE AND ADDICTION - ONE OF PARKVIEW HOSPITAL'S HEALTH PRIORITIES IS MENTAL HEALTH. MANY OF INDIVIDUALS BEING ASSISTED AND REFERRED THROUGH PARKVIEW BEHAVIORAL HEALTH CARE NAVIGATION PROGRAM ARE AFFECTED BY DRUG AND ALCOHOL ABUSE AND ADDICTION.-SEXUALLY TRANSMITTED DISEASES (STDS) - THE FORT WAYNE-ALLEN COUNTY HEALTH DEPARTMENT, IN CONJUNCTION WITH MATTHEW 25 HEALTH CLINIC, OPERATES A SEXUALLY TRANSMITTED DISEASE (STD) CLINIC. THE NE INDIANA POSITIVE RESOURCE CONNECTION (FORMERLY THE AIDS TASK FORCE) PROVIDES STD PREVENTION EDUCATION TO TEENS AND ADULTS. -CHRONIC KIDNEY DISEASE - MAJOR RISK FACTORS RELATED TO CHRONIC KIDNEY DISEASE ARE DIABETES, HIGH BLOOD PRESSURE AND AGE OF 60 AND OLDER. THE LOCAL CHAPTER OF THE NATIONAL KIDNEY FOUNDATION FOCUSES ON PREVENTION EDUCATION AND SERVES AS A RESOURCE TO THOSE AFFECTED BY KIDNEY DISEASE AND THEIR FAMILIES. ADDITIONALLY, THE FOUNDATION PROVIDES KIDNEY EARLY EVALUATION PROGRAM (KEEP) HEALTHY KIDNEY SCREENING EVENTS. -ASTHMA - WHILE ASTHMA WAS NOT SELECTED AS A TOP HEALTH PRIORITY, PARKVIEW HOSPITAL'S COMMUNITY NURSING PROGRAM ADMINISTERS AN ASTHMA PROGRAM THAT PROVIDES AN INTERVENTION THAT MOVES PATIENTS BEYOND EMERGENCY RESCUE CARE TO A MORE PROACTIVE CARE APPROACH. THE PROGRAM INCLUDES EDUCATION, INFORMATION, AND STRATEGIES FOR FOLLOW-UP CARE THAT ARE BOTH INEXPENSIVE AND EFFECTIVE. THIS PROGRAM INCORPORATES MULTIPLE BEST PRACTICES, BUNDLES MANY OF THE RESOURCES ALREADY AVAILABLE AND IN USE, AND APPLIES PRINCIPLES OF CASE MANAGEMENT/CARE NAVIGATION AND PROVIDES SERVICES TO PATIENTS IN A SERIES OF ONE-ON-ONE CONTACTS OVER TIME TO FACILITATE LONG-TERM ASTHMA MANAGEMENT.-AGING - AGING AND IN-HOME SERVICES OF NORTHEAST INDIANA SERVES OLDER ADULTS, PERSONS WITH DISABILITIES AND THEIR CAREGIVERS IN NINE COUNTIES AS A PART OF THIS REGION. THIS NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION IS A FEDERAL AND STATE DESIGNATED AREA AGENCY ON AGING AND AN AGING AND DISABILITY RESOURCE CENTER WHICH PROVIDES A STREAMLINED ACCESS TO INFORMATION, CARE OPTIONS, SHORT-TERM CASE MANAGEMENT, AND BENEFITS ENROLLMENT ACROSS A SPECTRUM OF LONG-TERM CARE SERVICES. THROUGH THE CARE TRANSITIONS PROGRAM, AGING AND IN-HOME SERVICES PARTNERS WITH PARKVIEW HEALTH IN AN EFFORT TO REDUCE MEDICARE READMISSIONS. PARKVIEW HOSPITALS ALSO OFFER SENIOR SERVICES TO THOSE AGE 50 AND OVER IN THEIR LOCAL COMMUNITIES. SERVICES INCLUDE HEALTH PREVENTION EDUCATION AND INFORMATION ON COMMUNITY RESOURCES, SELF-CARE AND SAFETY.-PRIMARY CARE ACCESS - INCREASING ACCESS TO HEALTHCARE IS A STRATEGIC INITIATIVE FOR THE HEALTH SYSTEM. PARKVIEW CONDUCTS PERIODIC STUDIES TO DETERMINE THE AREAS WHERE PHYSICIANS ARE NEEDED AND RECRUITS PHYSICIANS ACCORDINGLY. ALLEN COUNTY HAS A STRONG HEALTHCARE SAFETY NET THAT ADDRESSES THE NEEDS OF INDIVIDUALS THAT ARE UNINSURED OR UNDERINSURED. PARTICIPATING ORGANIZATIONS IN THE SAFETY NET INCLUDE MATTHEW 25 HEALTH AND DENTAL CLINIC, NEIGHBORHOOD HEALTH CLINICS, BOTH OF WHICH ARE SUPPORTED IN PART BY PARKVIEW HOSPITAL, INC., FORT WAYNE-ALLEN COUNTY HEALTH DEPARTMENT AND OTHER HEALTH -RELATED ORGANIZATIONS. PARKVIEW ONDEMAND OFFERS TELEHEALTH SERVICES WHERE PATIENTS CAN TALK TO A PRIMARY CARE ANYTIME, ANYWHERE THROUGH CONVENIENT VIDEO OR MOBILE APP VISITS. WITH THE BIRTH OF THE LOCAL RONALD MCDONALD CARE MOBILE PROGRAM, PARKVIEW PHYSICIANS GROUP, INC. BEGAN STAFFING THE UNIT WITH PEDIATRIC PROVIDERS WHO DELIVER HEALTHCARE SERVICES FOR CHILDREN AGES 0 TO 18. THE CARE MOBILE DELIVERS NO-CHARGE SERVICES TO FAMILIES WITHOUT MEDICAL INSURANCE.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 9
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?115
Name and address Type of Facility (describe)
1 1 - PARKVIEW PHYSICIANS GROUP
11108 PARKVIEW CIRCLE DRIVE
FORT WAYNE,IN468451730
PHYSICIAN OFFICE
2 2 - PARKVIEW PHYSICIANS GROUP
1818 CAREW STREET
FORT WAYNE,IN468054788
PHYSICIAN OFFICE
3 3 - PARKVIEW PHYSICIANS GROUP
442 WEST HIGH STREET
BRYAN,OH435061681
PHYSICIAN OFFICE
4 4 - PARKVIEW PHYSICIANS GROUP
11109 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN468451701
PHYSICIAN OFFICE
5 5 - PARKVIEW PHYSICIANS GROUP
11104 PARKVIEW CIRCLE DRIVE
FORT WAYNE,IN468451730
PHYSICIAN OFFICE
6 6 - PARKVIEW PHYSICIANS GROUP
11141 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN468451713
PHYSICIAN OFFICE
7 7 - PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN468451707
PHYSICIAN OFFICE
8 8 - PARKVIEW PHYSICIANS GROUP
3909 NEW VISION DRIVE
FORT WAYNE,IN468451725
PHYSICIAN OFFICE
9 9 - PARKVIEW PHYSICIANS GROUP
1270 E STATE ROAD 205
COLUMBIA CITY,IN467259492
PHYSICIAN OFFICE
10 10 - PARKVIEW PHYSICIANS GROUP
2003 STULTS ROAD
HUNTINGTON,IN467501291
PHYSICIAN OFFICE
11 11 - PARKVIEW PHYSICIANS GROUP
8911 LIBERTY MILLS RD
FORT WAYNE,IN468046311
PHYSICIAN OFFICE
12 12 - PARKVIEW PHYSICIANS GROUP
2200 RANDALLIA DR
FORT WAYNE,IN468054638
PHYSICIAN OFFICE
13 13 - PARKVIEW PHYSICIANS GROUP
11143 PARKVIEW PLAZA DR
FORT WAYNE,IN468451728
PHYSICIAN OFFICE
14 14 - PARKVIEW PHYSICIANS GROUP
306 E MAUMEE STREET
ANGOLA,IN467032035
PHYSICIAN OFFICE
15 15 - PARKVIEW PHYSICIANS GROUP
2708 GUILFORD STREET
HUNTINGTON,IN467509701
PHYSICIAN OFFICE
16 16 - PARKVIEW PHYSICIANS GROUP
1355 MARINERS DR
WARSAW,IN465827145
PHYSICIAN OFFICE
17 17 - PARKVIEW PHYSICIANS GROUP
121 WESTFIELD DR
ARCHBOLD,OH435021056
PHYSICIAN OFFICE
18 18 - PARKVIEW PHYSICIANS GROUP
1331 MINNICH ROAD NEW
HAVEN,IN467742051
PHYSICIAN OFFICE
19 19 - PARKVIEW PHYSICIANS GROUP
104 NICHOLAS PLACE
AVILLA,IN467100069
PHYSICIAN OFFICE
20 20 - PARKVIEW PHYSICIANS GROUP
11050 PARKVIEW CIRCLE
FORT WAYNE,IN468451739
PHYSICIAN OFFICE
21 21 - PARKVIEW PHYSICIANS GROUP
8028 CARNEGIE BLVD
FORT WAYNE,IN468045787
PHYSICIAN OFFICE
22 22 - PARKVIEW PHYSICIANS GROUP
2231 CAREW ST FORT
WAYNE,IN468054713
PHYSICIAN OFFICE
23 23 - PARKVIEW PHYSICIANS GROUP
1515 HOBSON ROAD
FORT WAYNE,IN468054802
PHYSICIAN OFFICE
24 24 - PARKVIEW PHYSICIANS GROUP
5693 YMCA PARK DRIVE WEST
FORT WAYNE,IN468353280
PHYSICIAN OFFICE
25 25 - PARKVIEW PHYSICIANS GROUP
1234 E DUPONT ROAD
FORT WAYNE,IN468251545
PHYSICIAN OFFICE
26 26 - PARKVIEW PHYSICIANS GROUP
11055 TWIN CREEKS COVE
FORT WAYNE,IN468452204
PHYSICIAN OFFICE
27 27 - PARKVIEW PHYSICIANS GROUP
6920 POINTE INVERNESS WAY
FORT WAYNE,IN46804
PHYSICIAN OFFICE
28 28 - PARKVIEW ORTHO PERFORMANCE CTR LLC
11130 PARKVIEW CIRCLE DRIVE
FORT WAYNE,IN46845
PHYSICAL THERAPY SERVICES
29 29 - PARKVIEW PHYSICIANS GROUP
10515 ILLINOIS ROAD
FORT WAYNE,IN468149182
PHYSICIAN OFFICE
30 30 - PARKVIEW PHYSICIANS GROUP
885 CONNEXION WAY COL
CITY,IN467251044
PHYSICIAN OFFICE
31 31 - PARKVIEW PHYSICIANS GROUP
935 SNYDER AVE
MONTPELIER,OH435431251
PHYSICIAN OFFICE
32 32 - PARKVIEW PHYSICIANS GROUP
326 SAWYER ROAD
KENDALLVILLE,IN467552573
PHYSICIAN OFFICE
33 33 - PARKVIEW PHYSICIANS GROUP
512 NORTH PROFESSIONAL WAY
KENDALLVILLE,IN467552927
PHYSICIAN OFFICE
34 34 - PARKVIEW PHYSICIANS GROUP
207 N TOWNLINE ROAD
LAGRANGE,IN467611325
PHYSICIAN OFFICE
35 35 - PARKVIEW PHYSICIANS GROUP
725 S SHOOP AVE
WAUSEON,OH435671702
PHYSICIAN OFFICE
36 36 - PARKVIEW ORTHO PERFORMANCE CTR LLC
5050 N CLINTON ST
FORT WAYNE,IN46825
PHYSICAL THERAPY SERVICES
37 37 - PARKVIEW ORTHO PERFORMANCE CTR LLC
10515 ILLINOIS RD
FORT WAYNE,IN46814
PHYSICAL THERAPY SERVICES
38 38 - PARKVIEW ORTHO PERFORMANCE CTR LLC
3946 ICE WAY
FORT WAYNE,IN46805
PHYSICAL THERAPY SERVICES
39 39 - PARKVIEW PHYSICIANS GROUP
495 S SHOOP AVE
WAUSEON,OH435671719
PHYSICIAN OFFICE
40 40 - PARKVIEW PHYSICIANS GROUP
5110 N CLINTON
FORT WAYNE,IN468255735
PHYSICIAN OFFICE
41 41 - PARKVIEW PHYSICIANS GROUP
13430 MAIN STREET
GRABILL,IN467412001
PHYSICIAN OFFICE
42 42 - PARKVIEW PHYSICIANS GROUP
401 N SAWYER RD
KENDALLIVILLE,IN467552568
PHYSICIAN OFFICE
43 43 - PARKVIEW PHYSICIANS GROUP
1310 E SEVENTH STREET
AUBURN,IN467062518
PHYSICIAN OFFICE
44 44 - PARKVIEW PHYSICIANS GROUP
1655 N CASS STREET
WABASH,IN469921916
PHYSICIAN OFFICE
45 45 - PARKVIEW PHYSICIANS GROUP
4084 NORTH US HIGHWAY 33
CHURUBUSCO,IN467239563
PHYSICIAN OFFICE
46 46 - PARKVIEW PHYSICIANS GROUP
8607 TEMPLE DRIVE
FORT WAYNE,IN46809
PHYSICIAN OFFICE
47 47 - PARKVIEW PHYSICIANS GROUP
8175 W US 20
SHIPSHEWANA,IN46565
PHYSICIAN OFFICE
48 48 - IMAGING SYSTEMS HOLDINGS LLC
3707 NEW VISION DRIVE
FORT WAYNE,IN46845
IMAGING SERVICES
49 49 - PARKVIEW PHYSICIANS GROUP
620 W NORTH STREET
COLUMBIA CITY,IN467251214
PHYSICIAN OFFICE
50 50 - PARKVIEW PHYSICIANS GROUP
6130 TRIER ROAD
FORT WAYNE,IN468155378
PHYSICIAN OFFICE
51 51 - PARKVIEW PHYSICIANS GROUP
817 TRAIL RIDGE ROAD
ALBION,IN467011534
PHYSICIAN OFFICE
52 52 - PARKVIEW PHYSICIANS GROUP
2600 N DETROIT STREET
LAGRANGE,IN467611154
PHYSICIAN OFFICE
53 53 - PARKVIEW PHYSICIANS GROUP
3828 NEW VISION DR
FORT WAYNE,IN468451708
PHYSICIAN OFFICE
54 54 - PARKVIEW ORTHO PERFORMANCE CTR LLC
5680 YMCA PARK DRIVE WEST
FORT WAYNE,IN46835
PHYSICAL THERAPY SERVICES
55 55 - PARKVIEW PHYSICIANS GROUP
2814 THEATER AVE
HUNTINGTON,IN467507978
PHYSICIAN OFFICE
56 56 - PARKVIEW PHYSICIANS GROUP
710 N EAST STREET
WABASH,IN469921914
PHYSICIAN OFFICE
57 57 - PARKVIEW PHYSICIANS GROUP
1104 N WAYNE STREET
NORTH MANCHESTER,IN469621001
PHYSICIAN OFFICE
58 58 - PARKVIEW PHYSICIANS GROUP
3816 NEW VISION DRIVE
FORT WAYNE,IN468451708
PHYSICIAN OFFICE
59 59 - PARKVIEW PHYSICIANS GROUP
8 JOHN KISSINGER DRIVE
WABASH,IN469921914
PHYSICIAN OFFICE
60 60 - PARKVIEW PHYSICIANS GROUP
577 GEIGER DRIVE
ROANOKE,IN467838877
PHYSICIAN OFFICE
61 61 - PARKVIEW PHYSICIANS GROUP
140 FOX ROAD STE 402
VAN WERT,OH458913406
PHYSICIAN OFFICE
62 62 - PARKVIEW ORTHO CENTER LLC
11420 PARKVIEW CIRCLE DRIVE
FORT WAYNE,IN46845
SURGERY CENTER
63 63 - PARKVIEW PHYSICIANS GROUP
1464 LINCOLNWAY SOUTH
LIGONIER,IN467679601
PHYSICIAN OFFICE
64 64 - PARKVIEW PHYSICIANS GROUP
6108 MAPLECREST ROAD
FORT WAYNE,IN468352524
PHYSICIAN OFFICE
65 65 - PARKVIEW PHYSICIANS GROUP
2930 LAKE AVENUE
FORT WAYNE,IN468055416
PHYSICIAN OFFICE
66 66 - PARKVIEW PHYSICIANS GROUP
410 SAWYER ROAD
KENDALLVILLE,IN467552573
PHYSICIAN OFFICE
67 67 - PARKVIEW PHYSICIANS GROUP
208 N COLUMBUS ST
HICKSVILLE,OH435261250
PHYSICIAN OFFICE
68 68 - PARKVIEW PHYSICIANS GROUP
15707 OLD LIMA ROAD
HUNTERTOWN,IN46748
PHYSICIAN OFFICE
69 69 - PARKVIEW PHYSICIANS GROUP
4665 STATE ROAD 5
SOUTH WHITLEY,IN467879101
PHYSICIAN OFFICE
70 70 - PARKVIEW PHYSICIANS GROUP
5104 N CLINTON FORT
WAYNE,IN468255720
PHYSICIAN OFFICE
71 71 - PARKVIEW PHYSICIANS GROUP
3898 NEW VISION DR
FORT WAYNE,IN468451718
PHYSICIAN OFFICE
72 72 - PARKVIEW PHYSICIANS GROUP
1025 MANCHESTER AVE
WABASH,IN469921425
PHYSICIAN OFFICE
73 73 - PARKVIEW PHYSICIANS GROUP
2500 EAST BELLEFONTAINE ROAD
HAMILTON,IN467429352
PHYSICIAN OFFICE
74 74 - PARKVIEW PHYSICIANS GROUP
7030 POINTE INVERNESS WAY
FORT WAYNE,IN468049298
PHYSICIAN OFFICE
75 75 - PARKVIEW PHYSICIANS GROUP
420 N SAWYER RD
KENDALLVILLE,IN467552572
PHYSICIAN OFFICE
76 76 - PARKVIEW PHYSICIANS GROUP
5 MATCHETTE DRIVE
PIERCETON,IN465629073
PHYSICIAN OFFICE
77 77 - PARKVIEW PHYSICIANS GROUP
10012 AUBURN PARK DR
FORT WAYNE,IN46825
PHYSICIAN OFFICE
78 78 - PARKVIEW PHYSICIANS GROUP
10620 CORPORATE DRIVE
FORT WAYNE,IN468451711
PHYSICIAN OFFICE
79 79 - PARKVIEW PHYSICIANS GROUP
1517 CATALPA ST
FORT WAYNE,IN46802
PHYSICIAN OFFICE
80 80 - PARKVIEW ORTHO PERFORMANCE CTR LLC
838 HARRISON ST
FORT WAYNE,IN46802
PHYSICAL THERAPY SERVICES
81 81 - PARKVIEW ORTHO PERFORMANCE CTR LLC
12124 LIMA RD
FORT WAYNE,IN46818
PHYSICAL THERAPY SERVICES
82 82 - PARKVIEW PHYSICIANS GROUP
2812 THEATER AVE
HUNTINGTON,IN46750
PHYSICIAN OFFICE
83 83 - NORTHEAST INDIANA CANCER CTR LLC
516 E MAUMEE STREET
ANGOLA,IN46703
MEDICAL SERVICES
84 84 - PARKVIEW PHYSICIANS GROUP
344 N MAIN STREET
COL CITY,IN467251745
PHYSICIAN OFFICE
85 85 - PARKVIEW PHYSICIANS GROUP
112 N MAIN ST
MILFORD,IN46542
PHYSICIAN OFFICE
86 86 - PARKVIEW PHYSICIANS GROUP
3905 CARROLL RD
FORT WAYNE,IN468189528
PHYSICIAN OFFICE
87 87 - PARKVIEW PHYSICIANS GROUP
412 SAWYER ROAD
KENDALLVILLE,IN467552572
PHYSICIAN OFFICE
88 88 - FOUNDATION SURGERY AFF OF FT WAYNE LLC
8004 CARNEGIE BLVD
FORT WAYNE,IN46804
SURGERY CENTER
89 89 - PARKVIEW PHYSICIANS GROUP
213 FAIRVIEW BLVD
KENDALLVILLE,IN467552988
PHYSICIAN OFFICE
90 90 - PARKVIEW PHYSICIANS GROUP
2001 STULTS ROAD
HUNTINGTON,IN467501291
PHYSICIAN OFFICE
91 91 - PARKVIEW PHYSICIANS GROUP
1129 FIRST STREET
HUNTINGTON,IN467502313
PHYSICIAN OFFICE
92 92 - PARKVIEW ORTHO PERFORMANCE CTR LLC
200 INTERTECH PARKWAY
ANGOLA,IN46703
PHYSICAL THERAPY SERVICES
93 93 - PARKVIEW PHYSICIANS GROUP
8004 CARNEGIE BLVD
FORT WAYNE,IN468045785
PHYSICIAN OFFICE
94 94 - PARKVIEW PHYSICIANS GROUP
3974 NEW VISION DRIVE
FORT WAYNE,IN468451712
PHYSICIAN OFFICE
95 95 - PARKVIEW PHYSICIANS GROUP
9742 US 127
SHERWOOD,OH435569739
PHYSICIAN OFFICE
96 96 - PARKVIEW PHYSICIANS GROUP
324 W VINE STREET
EDGERTON,OH435179600
PHYSICIAN OFFICE
97 97 - PARKVIEW PHYSICIANS GROUP
203 EAST DOUGLAS AVE
FORT WAYNE,IN468023534
PHYSICIAN OFFICE
98 98 - PARKVIEW PHYSICIANS GROUP
1381 N WAYNE ST
ANGOLA,IN467032348
PHYSICIAN OFFICE
99 99 - PARKVIEW PHYSICIANS GROUP
3946 ICE WAY
FORT WAYNE,IN468051018
PHYSICIAN OFFICE
100 100 - PARKVIEW PHYSICIANS GROUP
1516 LEESBURG RD
FORT WAYNE,IN46808
PHYSICIAN OFFICE
101 101 - PARKVIEW PHYSICIANS GROUP
1720 BEACON STREET
FORT WAYNE,IN468054749
PHYSICIAN OFFICE
102 102 - PARKVIEW PHYSICIANS GROUP
400 ASH STREET
WABASH,IN469921954
PHYSICIAN OFFICE
103 103 - PARKVIEW PHYSICIANS GROUP
2414 E STATE BLVD SUITE 101
FORT WAYNE,IN468054760
PHYSICIAN OFFICE
104 104 - PARKVIEW PHYSICIANS GROUP
10 JOHN KISSINGER DRIVE
WABASH,IN469921914
PHYSICIAN OFFICE
105 105 - PARKVIEW PHYSICIANS GROUP
11115 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN468451701
PHYSICIAN OFFICE
106 106 - PARKVIEW PHYSICIANS GROUP
470 BENNETT DRIVE
WARREN,IN467929272
PHYSICIAN OFFICE
107 107 - PARKVIEW PHYSICIANS GROUP
1316 E SEVENTH STREET
AUBURN,IN467062523
PHYSICIAN OFFICE
108 108 - PARKVIEW PHYSICIANS GROUP
1900 CAREW STREET SUITE 3A
FORT WAYNE,IN468054765
PHYSICIAN OFFICE
109 109 - PARKVIEW PHYSICIANS GROUP
1035 WEST WAYNE ST
PAULDING,OH458791544
PHYSICIAN OFFICE
110 110 - PARKVIEW PHYSICIANS GROUP
1314 E SEVENTH STREET
AUBURN,IN467062535
PHYSICIAN OFFICE
111 111 - PARKVIEW PHYSICIANS GROUP
11725 LINCOLN HWY E
NEW HAVEN,IN46774
PHYSICIAN OFFICE
112 112 - PARKVIEW PHYSICIANS GROUP
2710 LAKE AVENUE
FORT WAYNE,IN468055412
PHYSICIAN OFFICE
113 113 - PARKVIEW PHYSICIANS GROUP
150 GROWTH PARKWAY
ANGOLA,IN467039313
PHYSICIAN OFFICE
114 114 - PARKVIEW PHYSICIANS GROUP
4666 W JEFFERSON BLVD
FORT WAYNE,IN468046892
PHYSICIAN OFFICE
115 115 - PARKVIEW PHYSICIANS GROUP
7900 W JEFFERSON BLVD SUITE 102
FORT WAYNE,IN468044128
PHYSICIAN OFFICE
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 10
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. 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.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. 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.).
6 Affiliated health care system. 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.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C: EQUITY IN A HOME OTHER THAN THE PATIENT OR GUARANTOR'S PRIMARY RESIDENCE.
PART I, LINE 6A: THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665) AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES.
PART I, LINE 7: NOTE TO READER - THE AMOUNTS LISTED ON LINES 7A-C REFLECT ONLY THE FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC AS PARKVIEW HEALTH SYSTEM, INC.'S MEMBER HOSPITALS OF PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) FILE THEIR OWN RESPECTIVE FORM 990. PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BPARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7CPARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEANS-TESTED PATIENTS FROM THE HEALTHY INDIANA PLAN (HIP) WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEANS-TESTED PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING HIP, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED HIP COST REPORTED ON LINE 7C IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE HIP CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF HIP SERVICES RENDERED. THEN, THE COST OF HIP SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR HIP PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7GCOSTS ASSOCIATED WITH THE RONALD MCDONALD MOBILE CARE PROGRAM, EAST ALLEN COUNTY SCHOOLS NEARSITE CLINIC AND THE NORTHWEST ALLEN COUNTY SCHOOLS CLINIC WHERE INCLUDED AS SUBSIDIZED HEALTH 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, LN 7 COL(F): PERCENT OF TOTAL EXPENSEPARKVIEW HEALTH SYSTEM, INC. EXCLUDED $12,004,982 OF BAD DEBT EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES: DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.PARKVIEW HEALTH SYSTEM HAS A STRONG COMMITMENT TO SUPPORTING AND ENHANCING THE VITALITY OF OUR COMMUNITY AND THE NORTHEAST INDIANA REGION. PARKVIEW INVESTS IN PROJECTS THAT HELP TO ULTIMATELY IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF THE COMMUNITY.PHYSICAL IMPROVEMENTS/HOUSING:THE PARKVIEW FAMILY PARK IS A RECREATIONAL PARK AREA OPEN TO THE PUBLIC AND LOCATED ON THE NORTH-FORT WAYNE CAMPUS, WHICH IS HOME OF THE PARKVIEW REGIONAL MEDICAL CENTER. PARKVIEW HEALTH SYSTEM, INC. MAKES THE PARK AVAILABLE TO THE GENERAL PUBLIC AND MAINTAINS THE PROPERTY TO ENHANCE THE COMMUNITY AND PROMOTE PHYSICAL ACTIVITY. PARKVIEW HEALTH SYSTEM, INC. SUPPORTS HABITAT FOR HUMANITY THROUGH CASH DONATIONS AND IN-KIND WORK CREWS FOR THE BUILDING OF NEW HOMES FOR FAMILIES WHO QUALIFY. HABITAT FOR HUMANITY OF GREATER FORT WAYNE HAS A PROVEN TRACK RECORD OF HOME RETENTION FOR THOSE THEY SERVE. THIS ORGANIZATION PROVIDES A COMPREHENSIVE HOME OWNERSHIP PROGRAM THAT THROUGH EDUCATION AND SWEAT EQUITY PROMOTES SELF-SUFFICIENCY FOR THESE NEW HOME OWNERS. 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 PARTNERSHIP'S VISION 2020, A REGIONAL INITIATIVE DESIGNED TO TRANSFORM NORTHEAST INDIANA INTO A TOP GLOBAL COMPETITOR BY FOCUSING ON A COMMON MISSION TO DEVELOP, ATTRACT AND RETAIN TALENT. PARKVIEW HEALTH SYSTEM, INC. HAS BEEN INSTRUMENTAL IN WORKING WITH THIS GROUP OF COMMUNITY REPRESENTATIVES FROM BUSINESS, EDUCATION, GOVERNMENT AND FOUNDATION SECTORS TO DEVELOP A COMPELLING AND ACTIONABLE VISION FOR THE 11-COUNTY NORTHEAST INDIANA REGION. VISION 2020'S PRIORITIES ARE TIED TO EDUCATION/WORKFORCE, BUSINESS CLIMATE, ENTREPRENEURSHIP, INFRASTRUCTURE AND QUALITY OF LIFE FOR THE ELEVEN-COUNTY REGION IN NORTHEAST INDIANA.TO SUPPORT THE OVERALL PLAN FOR ECONOMIC DEVELOPMENT IN THE REGION, PARKVIEW HEALTH SYSTEM, INC. SUPPORTS THE NORTHEAST INDIANA INNOVATION CENTER (NIIC), A BUSINESS INCUBATION ORGANIZATION PROVIDING ACCESS TO ENTREPRENEURIAL RESOURCES INCLUDING CAPITAL, TALENT, WORKPLACE AND NETWORKING OPPORTUNITIES. MULTI-YEAR SUPPORT IS PROVIDED TO THE FORT WAYNE REDEVELOPMENT COMMISSION FOR THE LOCAL MINOR LEAGUE BASEBALL STADIUM LOCATED IN DOWNTOWN FORT WAYNE AS PART OF A CONCERTED EFFORT TO BRING RENEWED ECONOMIC VITALITY TO THE DOWNTOWN AREA, THEREBY ENHANCING THE COMMUNITY AS A WHOLE. THE BASEBALL FIELD IS THE CENTERPIECE OF OTHER SIGNIFICANT PROJECTS TOWARD THE GOAL OF DOWNTOWN REVITALIZATION. IN ADDITION, IT SERVES AS A VENUE FOR PROVIDING PREVENTIVE HEALTH AND SAFETY EDUCATION AND SCREENINGS TO THE COMMUNITY.LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS LEADERSHIP DEVELOPMENT IN THE COMMUNITY IN CONJUNCTION WITH ECONOMIC DEVELOPMENT EFFORTS IN ORDER TO IMPROVE THE QUALITY OF LIFE IN ALLEN COUNTY AND THE REGION. STRONG LEADERS PLAY A KEY ROLE IN BUILDING THRIVING COMMUNITIES.PARKVIEW'S COMMUNITY PARTNER DEVELOPMENT CENTER WAS CREATED TO PROVIDE TOOLS AND RESOURCES FOR LOCAL NON-PROFIT ORGANIZATIONS AND THEIR LEADERS THROUGH TRAINING, COACHING, DEVELOPMENT AND STRATEGIC PLANNING. TRAININGS INCLUDE CONDUCTING NEEDS ASSESSMENTS; CREATING DEVELOPMENT PLANS THAT BUILD ON ORGANIZATIONAL STRENGTHS; LEADERSHIP COURSES ON BEST PRACTICES AND LEADERSHIP PRINCIPLES; AS WELL AS NEEDS-BASED RESTORATIVE INTERVENTIONS DESIGNED TO PROMOTE ORGANIZATIONAL TEAM COHESIVENESS. AS ONE OF THE LARGEST EMPLOYERS IN NORTHEAST INDIANA, PARKVIEW HEALTH SYSTEM, INC. SERVES AS A SIGNIFICANT SPONSOR TO PROMOTE ACCESS TO THE GLOBAL LEADERSHIP SUMMIT NATIONAL LEADERSHIP CONFERENCE WHICH PROVIDES A TWO-DAY TRAINING ON SERVANT LEADERSHIP PRINCIPLES. WORKFORCE DEVELOPMENT:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS PHYSICIAN RECRUITMENT ACTIVITIES TO ASSIST IN TIMELY RESPONSE TO PATIENT CARE NEEDS IN THE COMMUNITY. RECRUITMENT ACTIVITIES ARE BASED ON THE RESULTS OF A PERIODIC PHYSICIAN NEEDS ASSESSMENT. PARKVIEW HEALTH SYSTEM, INC. DEVELOPS A PHYSICIAN RECRUITMENT PLAN TO ADDRESS POTENTIAL GAPS IN PATIENT COVERAGE. PARKVIEW HEALTH SYSTEM, INC. STRIVES TO BRING THE BEST INTEGRATED, QUALITY, AND COST EFFECTIVE CARE AND INNOVATIVE TECHNOLOGY AVAILABLE TO OUR COMMUNITIES. IN DOING SO, WE FOCUS OUR EFFORTS ON RECRUITING AN EXCEPTIONAL TEAM OF PHYSICIANS.
PART III, LINE 2: THE AMOUNT REPORTED IS CONSISTENT WITH THE AMOUNT REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS.DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS (BAD DEBT RECOVERIES) ARE FACTORED INTO THE ALLOWANCE FOR BAD DEBT ESTIMATION PROCESS.
PART III, LINE 3: COSTING METHODOLOGY USED:UNCOLLECTIBLE PATIENT ACCOUNTS ARE CHARGED AGAINST THE PROVISION FOR BAD DEBT IN ACCORDANCE WITH THE POLICIES OF PARKVIEW HEALTH SYSTEM, INC. HOWEVER, DURING THE COLLECTION PROCESS THERE IS A CONTINUOUS EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. THEREFORE, ONCE AN UNCOLLECTIBLE ACCOUNT HAS BEEN CHARGED OFF AND IT IS DETERMINED THROUGH THE COLLECTION PROCESS THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE UNCOLLECTIBLE ACCOUNT IS RECLASSIFIED TO CHARITY CARE AND ALL COLLECTION EFFORTS CEASE. PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME, INCLUDING PATIENTS WHOSE ACCOUNTS HAVE BEEN PLACED IN A BAD DEBT AGENCY. THE AMOUNT REFLECTED ON LINE 3 WAS CALCULATED BY TOTALING THE ACCOUNTS PREVIOUSLY WRITTEN OFF TO BAD DEBT AND PLACED WITH A COLLECTION AGENCY, BUT SUBSEQUENTLY RECLASSIFIED AS CHARITY CARE DURING THE TAX YEAR. THE ACCOUNTS WERE RECLASSIFIED AS CHARITY CARE DUE TO THE FACT THAT PATIENTS APPLIED FOR, AND WERE APPROVED FOR, FINANCIAL ASSISTANCE AFTER THE ACCOUNTS WERE PLACED WITH A BAD DEBT AGENCY.
PART III, LINE 4: BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGE 12 OF ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8: COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. PARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, PARKVIEW HEALTH SYSTEM, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. PARKVIEW HEALTH SYSTEM, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION.
PART III, LINE 9B: IF THE PATIENT CANNOT PAY IN FULL, THE OPTION OF A LOW INTEREST LOAN IS AVAILABLE WITH THE SAME DISCOUNT OFFERED FOR CASH PAYMENTS AS LONG AS THE LOAN IS ARRANGED WITHIN 30 DAYS OF THE FIRST GUARANTOR STATEMENT. IF THE PATIENT DEFAULTS ON THE LOAN, THE DISCOUNT WILL BE REVERSED AND THE PATIENT'S ACCOUNT WILL BE PLACED IN A COLLECTION AGENCY.INTEREST-FREE PAYMENTS WITH PAY-OUT NOT TO EXCEED TWELVE (12) MONTHS ARE AVAILABLE. THE MINIMUM MONTHLY PAYMENT IS $25.FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR THOSE PATIENTS WHO CANNOT PAY THEIR BILL. THOSE OPTIONS ARE GOVERNMENTAL ASSISTANCE OR FREE CARE THROUGH THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM. THE HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON PARKVIEW.COM OR BY VISITING ANY HOSPITAL CASHIER OFFICE OR BY CALLING PATIENT ACCOUNTING AT 260.266.6700 OR TOLL FREE 855.814.0012. A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE ANYTIME DURING THE APPLICATION PERIOD. FAILURE TO MAKE ARRANGEMENTS AS LISTED ABOVE OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING PLACED IN A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES WHICH MAY ULTIMATELY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE. ADDITIONALLY, THE COLLECTION AGENCY MAY SUE AND OBTAIN A JUDGMENT AGAINST THE PATIENT FOR NON-PAYMENT. THESE ACTIONS WILL NOT OCCUR UNTIL 120 DAYS AFTER THE PATIENT IS SENT THEIR FIRST FOLLOW-UP STATEMENT INDICATING THE AMOUNT THEY OWE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN THOUGH THEY HAVE BEEN PLACED IN A COLLECTION AGENCY. IF THE PATIENT WAS SENT THEIR FIRST NOTICE ON THE ACCOUNT FOR WHICH THEY ARE APPLYING FOR FREE CARE BETWEEN 120 DAYS AND THE END OF THE APPLICATION PERIOD, THE ACTIONS ABOVE WILL BE SUSPENDED UNTIL THE FREE CARE APPLICATION ELIGIBILITY IS DETERMINED.
PART VI, LINE 2: DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B.IN ADDITION TO IDENTIFYING HEALTH NEEDS THROUGH THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, PARKVIEW HOSPITAL, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:-OTHER COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS-USE OF CONDUENT'S HEALTHY COMMUNITIES INSTITUTE SECONDARY DATA PLATFORM -OBSERVATIONS BY HEALTHCARE PROFESSIONALS WHO WORK WITH VULNERABLE POPULATIONS-SPECIFIC REQUESTS PROMPTED BY OTHER PROFESSIONALS IN THE COMMUNITYHOSPITAL REPRESENTATIVES MAINTAIN ON-GOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE.
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.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE.
PART VI, LINE 4: DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.PARKVIEW HEALTH SYSTEM, INC. SERVES AN 11-COUNTY AREA (ADAMS, ALLEN, DEKALB, HUNTINGTON, KOSCIUSKO, LAGRANGE, NOBLE, STEUBEN, WABASH, WELLS AND WHITLEY) IN NORTHEAST INDIANA, AS WELL AS NORTHWEST OHIO. THE TOTAL POPULATION OF OUR SERVICE AREA IS OVER 880,000. THE SYSTEM OPERATES HOSPITALS IN ALLEN, HUNTINGTON, LAGRANGE, NOBLE, WABASH AND WHITLEY COUNTIES. ALLEN COUNTY IS CONSIDERED THE URBAN AREA AMONGST THE OTHER RURAL COUNTIES AND REPRESENTS 66.5 PERCENT OF THE TOTAL POPULATION OF THE SIX-COUNTY AREA.EVEN THOUGH PARKVIEW'S PATIENT SERVICE AREA EXTENDS FAR BEYOND THE SIX-COUNTY AREA WHERE HOSPITAL ENTITIES RESIDE, ADDRESSING POPULATION HEALTH PRIORITIES IS BASED LARGELY ON THE DEGREE OF ACCESSIBILITY THAT COMMUNITY MEMBERS POSSESS TO ASSISTANCE PROGRAMS, COMMUNITY RESOURCES, ETC. IN ORDER TO BEST IMPROVE THE POPULATION HEALTH IN THE COMMUNITIES THAT WE SERVE, COMMUNITY HEALTH IMPROVEMENT INITIATIVES ARE PROVIDED PRIMARILY TO THE LOCAL COMMUNITIES IN EACH OF THE SIX COUNTIES. THE AVERAGE PERCENTAGE OF THOSE BELOW THE FEDERAL POVERTY LEVEL IS 10.45 PERCENT FOR THE SIX-COUNTY AREA. THE MEDIAN HOUSEHOLD INCOME RANGES FROM $50,177 (WABASH) TO $63,291 (LAGRANGE). THE UNEMPLOYMENT RATE RANGES FROM 2.4 PERCENT (LAGRANGE COUNTY) TO 3.0 PERCENT (HUNTINGTON COUNTY) AS OF APRIL 2019 ACCORDING TO STATS INDIANA.HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES DEVELOPS SHORTAGE DESIGNATION CRITERIA AND USES THEM TO DECIDE WHETHER OR NOT A GEOGRAPHIC AREA, POPULATION GROUP OR FACILITY IS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). HRSA HAS DESIGNATED THE FOLLOWING:ALLEN COUNTY:-THE CITY OF FORT WAYNE AS A HIGH NEEDS GEOGRAPHIC HPSA IN PRIMARY CARE-LOW INCOME - SOUTH FORT WAYNE SERVICE AREA AS A MUP LOW INCOME-LOW INCOME - ALLEN COUNTY AS A LOW INCOME POPULATION HPSA IN DENTAL HEALTH-MENTAL HEALTH CATCHMENT AREA 20 LOCATED IN ALLEN COUNTY AS A HIGH NEEDS GEOGRAPHIC HPSA IN MENTAL HEALTHHUNTINGTON COUNTY:-LOW INCOME - HUNTINGTON COUNTY AS A LOW INCOME POPULATION HPSA IN PRIMARY CARE AND DENTAL HEALTH -WARSAW MENTAL HEALTH CATCHMENT AREA 28 IN HUNTINGTON COUNTY AS A GEOGRAPHIC HPSA IN MENTAL HEALTH-THE SALAMONIE SERVICE AREA IN HUNTINGTON COUNTY AS A MUALAGRANGE COUNTY: -LAGRANGE COUNTY AS A GEOGRAPHIC HPSA IN PRIMARY CARE-LOW INCOME - LAGRANGE COUNTY AS A LOW INCOME POPULATION HPSA IN DENTAL HEALTH-NORTHEASTERN MENTAL HEALTH CATCHMENT AREA 18 IN LAGRANGE COUNTY AS A GEOGRAPHIC HPSA IN MENTAL HEALTH NOBLE COUNTY: -NOBLE COUNTY AS A GEOGRAPHIC HPSA IN PRIMARY CARE-LOW INCOME - NOBLE COUNTY AS A LOW INCOME POPULATION HPSA IN DENTAL HEALTH-NORTHEASTERN CATCHMENT AREA 18 IN NOBLE COUNTY AS A GEOGRAPHIC HPSA IN MENTAL HEALTHWABASH COUNTY:-LOW INCOME - WABASH COUNTY AS A LOW INCOME POPULATION HPSA IN PRIMARY CARE AND DENTAL HEALTH -WARSAW MENTAL HEALTH CATCHMENT AREA 28 IN WABASH COUNTY AS A GEOGRAPHIC HPSA IN MENTAL HEALTH-LOW INCOME - WABASH COUNTY AS A MUP LOW INCOMEWHITLEY AND KOSCIUSKO COUNTIES:-WARSAW MENTAL HEALTH CATCHMENT AREA 28 IN WHITLEY COUNTY AND KOSCIUSKO COUNTY AS A GEOGRAPHIC HPSA IN MENTAL HEALTH-LOW INCOME - KOSCIUSKO COUNTY AS A LOW INCOME POPULATION HPSA IN DENTAL HEALTH-LOW INCOME - WARSAW SERVICE AREA LOCATED IN KOSCIUSKO COUNTY AS A MUP LOW INCOMEDATA SOURCE FOR HRSA DESIGNATIONS: HTTPS://DATA.HRSA.GOV/TOOLS/SHORTAGE-AREA/HPSA-FIND
PART VI, LINE 5: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).THE MAJORITY OF THE PARKVIEW HEALTH SYSTEM, INC. BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS WHO RESIDE IN THE HEALTH SYSTEM'S PRIMARY SERVICE AREA.PARKVIEW HEALTH SYSTEM, INC., AS PARENT OF THE SYSTEM'S VARIOUS HOSPITAL ENTITIES AND PHYSICIAN PRACTICES, SERVES IN AN OVERSIGHT CAPACITY TO FORM AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EACH OF OUR HEALTHCARE FACILITIES IS EFFICIENTLY SUPPORTED WITH CENTRALIZED, COST-EFFECTIVE ADMINISTRATIVE SUPPORT AND GUIDANCE TO FORM A COMPLETE AND COMPREHENSIVE CARE DELIVERY SYSTEM FOR THE REGION. PARKVIEW HEALTH SYSTEM, INC. SERVES TO MEET ITS MISSION TO ITS COMMUNITIES BY CONDUCTING A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT OF THE REGION AND OFFERING THE SERVICES NECESSARY FOR A SAFER AND HEALTHIER POPULATION.DATA OBTAINED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENTS, PHYSICIAN SURVEYS, AND TREND AND TREATMENT ANALYSIS IS UTILIZED IN PARKVIEW HEALTH SYSTEM, INC.'S STRATEGIC PLANNING PROCESS. THROUGH THIS PROCESS, PARKVIEW HEALTH SYSTEM, INC. HAS ESTABLISHED SEVERAL PRIORITY AREAS. THESE PRIORITY AREAS ALIGN WITH THE SYSTEM'S MISSION, VISION AND GOALS. ALL HOSPITAL ENTITIES SHARE THE COMMUNITY HEALTH PRIORITY OF OBESITY/HEALTHY LIVING. OTHER TOP COMMUNITY HEALTH PRIORITIES ADOPTED THROUGHOUT THE HEALTH SYSTEM INCLUDE MATERNAL/CHILD HEALTH, MENTAL HEALTH, DRUG/ALCOHOL USE AND TOBACCO USE. PARKVIEW HEALTH SYSTEM, INC., THROUGH ITS MEMBER HOSPITALS ALLOCATES FUNDING ON AN ANNUAL BASIS TO FUEL LOCAL COMMUNITY HEALTH IMPROVEMENT EFFORTS. COMMITTEE PARTICIPATION AND RESOURCES ARE COMMITTED TO SUPPORTING HEALTH INITIATIVES AND PARTNER ORGANIZATIONS THAT ADDRESS IDENTIFIED HEALTH PRIORITIES DESIGNED TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES THAT WE SERVE. INITIATIVES TO ADDRESS OBESITY THROUGH EDUCATION AND PROMOTION OF HEALTHY LIVING INCLUDE SCHOOL-BASED NUTRITION AND ACTIVE LIFESTYLE CURRICULUMS AND PROGRAMS, HEALTHY EATING ACTIVE LIVING (HEAL) INITIATIVE AND CONSTRUCTION OF PARKVIEW'S COMMUNITY GREENHOUSE AND LEARNING KITCHEN.AS PART OF PROMOTING HEALTHY LIVING, THE HEAL INITIATIVE WAS DEVELOPED AS A COLLABORATION BETWEEN PARKVIEW HOSPITAL, INC. AND ST. JOSEPH COMMUNITY HEALTH FOUNDATION. IT CONSISTS OF THREE COMPONENTS INCLUDING OUR HEALING KITCHEN, A NUTRITIOUS FOOD PREPARATION COURSE, OPERATION OF FIVE SEASONAL HEAL FARM MARKETS WHERE SNAP AND WIC/SENIOR VOUCHERS ARE DOUBLED AND SUPPORT OF GATE (GROWTH IN AGRICULTURE THROUGH EDUCATION) URBAN GARDEN. THE HEAL PROGRAM WAS DESIGNED TO DECREASE "FOOD INSECURITY AND THE PLIGHT OF "FOOD DESERT" NEIGHBORHOODS IN ALLEN COUNTY BY IMPROVING ACCESS TO FRESH, LOCAL PRODUCE AND EDUCATION ON FOOD PREPARATION AND PRESERVATION. CONSTRUCTION OF THE PARKVIEW GREENHOUSE AND LEARNING KITCHEN ON THE PARKVIEW BEHAVIORAL HOSPITAL CAMPUS LOCATED IN A FEDERALLY DESIGNATED FOOD DESERT AREA WAS COMPLETED IN LATE 2018. THIS FACILITY WILL SERVE AS A HUB FOR PARKVIEW'S EXISTING NUTRITION-RELATED OUTREACH EDUCATION PROGRAMS. FOOD TASTINGS, COOKING DEMONSTRATIONS AND HANDS-ON COOKING CLASSES TO EDUCATE COMMUNITY MEMBERS ON HOW TO SHOP FOR, PREPARE, STORE AND USE FRESH FOODS BEGAN MID-2019. THE ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC, PART OF PARKVIEW HEALTH INC., CONTINUES TO PARTNER WITH PARKVIEW HOSPITAL, INC. IN ITS EFFORTS TO PROMOTE HEALTHY LIFESTYLES THROUGH NUTRITION, PHYSICAL ACTIVITY AND INJURY PREVENTION EDUCATION. A COMMUNITY OUTREACH CERTIFIED ATHLETIC TRAINER (ATC) AND NUTRITIONIST CREATED AGE-APPROPRIATE SCHOOL CURRICULA RELATED TO ACTIVITIES OF HEALTHY LIVING, I.E., NUTRITION CLASSES FOR OUR CLUB SPORT TEAMS, INJURY PREVENTION CLASSES AT AREA HIGH SCHOOLS AND COLLEGES FOCUSING ON ATHLETES AND COACHES. THIS APPROACH PROMOTES HEALTHY LIFESTYLES FROM CHILDHOOD TO THE ADULT ATHLETE.IN CARRYING OUT OUR MISSION TO IMPROVE ACCESS TO HEALTHCARE AS A NOT-FOR-PROFIT HEALTH SYSTEM, PARKVIEW HEALTH SYSTEM, INC. CONTINUES ITS FOCUS ON THE RECRUITMENT AND TRAINING OF PRIMARY CARE AND SPECIALTY CARE PHYSICIANS, AS WELL AS OTHER HEALTHCARE PROFESSIONALS SUCH AS NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS AND NURSES IN SEVERAL LOCATIONS IN THE REGION. TO INCREASE ACCESS TO SERVICES BEYOND HOSPITAL AND TRADITIONAL PHYSICIAN OFFICE SETTINGS, PARKVIEW HAS DEVELOPED WALK-IN CLINICS WITH EXTENDED HOURS IN SEVERAL LOCATIONS THROUGHOUT THE REGION. PARKVIEW ORTHO HOSPITAL, INC. INTRODUCED A WALK-IN ORTHOPEDIC CLINIC TO PROVIDE SAME-DAY SERVICE FOR INDIVIDUALS WITH MINOR ORTHOPEDIC AND SPORTS INJURIES. PARKVIEW ALSO LAUNCHED PARKVIEW ONDEMAND, A TELEHEALTH PLATFORM THAT CONNECTS INDIVIDUALS WITH A PROVIDER 24/7 FOR NON-EMERGENCY CONDITIONS SUCH AS COLD AND FLU, ALLERGIES AND PINK EYE.PARKVIEW HOSPITAL, INC., HAS FOSTERED CLINICAL RESEARCH SERVICES THROUGH THE PARKVIEW RESEARCH CENTER, TO PARKVIEW HEALTH SYSTEM, INC. PHYSICIANS FOR OVER 25 YEARS. THE PROGRAM HAS DEVELOPED AREAS OF SPECIALIZATION IN CARDIOLOGY, NEUROLOGY, RADIATION ONCOLOGY, EMERGENCY MEDICINE AND CRITICAL CARE SERVICES DURING THAT TIME. THE PARKVIEW RESEARCH CENTER RELOCATED TO THE NEWLY CONSTRUCTED PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION IN 2015 ON THE NORTH-FORT WAYNE CAMPUS, BRINGING TOGETHER PHYSICIANS, PHARMACISTS, NURSES AND ALLIED HEALTHCARE PROFESSIONALS TO COLLABORATE ON INNOVATIVE SOLUTIONS FOR PATIENT CARE. THE ADVANCED MEDICAL SIMULATION LAB ALLOWS MULTIDISCIPLINARY CARE TEAMS THE OPPORTUNITY TO ENHANCE CLINICAL AND COMMUNICATION SKILLS IN ORDER TO IMPROVE THE QUALITY OF CARE PROVIDED.THE HEALTH SYSTEM CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH PARTNERSHIPS BETWEEN PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION AND LOCAL UNIVERSITIES ON THE NORTH-FORT WAYNE CAMPUS, AS WELL AS DEVELOPMENT OF THE LIFE SCIENCE EDUCATION AND RESEARCH CONSORTIUM ON THE RANDALLIA CAMPUS. THE CONSORTIUM IS A COLLABORATIVE EFFORT BETWEEN THE HOSPITAL, TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY AND WILL PROVIDE NEW ACADEMIC PROGRAMS AND RESEARCH TIED TO REHABILITATION SERVICES AND SENIOR CARE. IN ADDITION, DOCTORAL PROGRAMS FOR PHYSICAL THERAPY AND OCCUPATIONAL THERAPY WILL BE OFFERED, THUS ADDRESSING SIGNIFICANT WORKFORCE GAP AND SPECIALTY CARE ACCESS NEED IN THE COMMUNITY.A $100 MILLION, 108,000 SQUARE FOOT NEWLY CONSTRUCTED CANCER INSTITUTE ON THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS OPENED IN JUNE 2018. THE CANCER INSTITUTE IS A STATE-OF-THE-ART FACILITY, USING AN INNOVATIVE PATIENT-CENTERED APPROACH TO CANCER CARE. CARE WILL INCLUDE AN INTER-DISCIPLINARY CLINICAL TEAM AND A PERSONAL CARE NAVIGATION PROGRAM. ALL CANCER-RELATED SERVICES ARE UNDER ONE ROOF WHETHER ENGAGED IN PREVENTION, TREATMENT OR AFTERCARE. EXPANSIVE COMMON AREAS WITH INDOOR GARDENS AND UNIQUE ART DISPLAYS SEPARATE FROM CLINICAL AREAS ARE AVAILABLE FOR USE BY PATIENTS AND THEIR FAMILIES.
PART VI, LINE 6: IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.: COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC.THE CORPORATE MISSION AND VISION IS AS FOLLOWS: AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY: 1) TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS, 2) DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY 3) PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY.EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH CUSTOMIZED TO MEET THE UNIQUE NEEDS OF THEIR RESPECTIVE COMMUNITIES. AFFILIATE HOSPITALS ALSO WORK TOGETHER AND SHARE PROGRAMMING AND MESSAGING WHERE COMMON COMMUNITY HEALTH ISSUES ARE IDENTIFIED. FROM THE LIST OF HEALTH ISSUES IDENTIFIED IN THE SEVEN-COUNTY AREA, THE HEALTH PRIORITY OF OBESITY/HEALTHY LIFESTYLE PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.PARKVIEW CONTRIBUTES TO THE OVERALL SUCCESS OF THE REGION THROUGH SIGNIFICANT INVOLVEMENT IN THE COMMUNITIES WE SERVE. BY DEVELOPING VARIOUS PARTNERSHIPS AND ALIGNMENTS WITH DIFFERENT SECTORS AND ORGANIZATIONS, PARKVIEW HELPS TO BENEFIT THE ECONOMY, QUALITY OF LIFE AND HEALTH/WELL-BEING ACROSS THE REGION. WITH A CONSISTENT FOCUS ON OUR MISSION AND VISION, WE WORK TO PROVIDE THE BEST CARE TO EVERY PERSON, EVERY DAY WITHIN OUR FACILITIES WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS IN OUR EFFORTS TO POSITIVELY AFFECT COMMUNITY HEALTH STATUS.
PART VI, LINE 7, REPORTS FILED WITH STATES IN
PART VI, LINE 7: A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH.
Schedule H (Form 990) 2018
Additional Data


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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number
35-1972384
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) PARKVIEW FOUNDATION INC
10622 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN46845
23-7220589 501(C)(3) 2,281,330       OPERATIONS
(2) PARKVIEW HOSPITAL INC
11109 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN46845
35-0868085 501(C)(3) 206,164       GREENHOUSE PROGRAM
(3) MARIAN UNIVERSITY
3200 COLD SPRING RD
INDIANAPOLIS,IN46222
35-0868175 501(C)(3) 205,000       SCHOLARSHIP ENDOWMENT
(4) UNIVERSITY OF SAINT FRANCIS OF FORT WAYNE INDIANA INC
2701 SPRING STREET
FORT WAYNE,IN46808
35-0886846 501(C)(3) 178,238       SCHOOL OF NURSING SCHOLARSHIP PROGRAM
(5) COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC
401 SAWYER ROAD
KENDALLVILLE,IN46755
35-2089183 501(C)(3) 177,695       OPERATIONS
(6) PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS ROAD
HUNTINGTON,IN46750
32-0012095 501(C)(3) 172,558       OPERATIONS
(7) PARKVIEW WABASH HOSPITAL FOUNDATION INC
10 JOHN KISSINGER DRIVE
WABASH,IN46992
35-1921445 501(C)(3) 168,074       OPERATIONS
(8) WHITLEY MEMORIAL HOSPITAL FOUNDATION INC
1260 E STATE ROAD 205
COLUMBIA CITY,IN46725
31-1190239 501(C)(3) 153,226       OPERATIONS
(9) CITY OF FORT WAYNE REDEVELOPMENT COMMISSION
ONE EAST MAIN STREET
FORT WAYNE,IN46802
GOVT ORG 150,000       CAPITAL MAINTENANCE & IMPROVEMENT FUND FOR PARKVIEW FIELD
(10) EMERGENCY MEDICINE EDUCATIONAL FOUNDATION OF NE INDIANA
3640 NEW VISION DRIVE
FORT WAYNE,IN46845
46-5584998 501(C)(3) 150,000       SUPPORT OF EMERGENCY MEDICINE EDUCATION AND TRAINING
(11) THE LUTHERAN HEALTH FOUNDATION OF INDIANA INC
3024 FAIRFIELD AVE
FORT WAYNE,IN46807
35-0886840 501(C)(3) 150,000       PROGRAMS THAT DEMONSTRATE THE COMPASSION OF CHRIST BY CARING FOR PEOPLE MENTALLY, PHYSICALLY &D SPIRITUALLY
(12) IHA HOSPITAL ASSISTANCE FOUNDATION INC
1 AMERICAN SQUARE SUITE 1900
INDIANAPOLIS,IN46282
45-5573749 501(C)(3) 103,120       PROMOTE A STABLE AND DIVERSE HOSPITAL INFRASTRUCTURE THROUGHOUT INDIANA
(13) ELEVATE VENTURES INC
50 EAST 91ST STREET
INDIANAPOLIS,IN46240
27-4118692 501(C)(3) 100,000       ENTREPRENEURSHIP ACTION PLAN
(14) ALLIANCE FOR EATING DISORDERS AWARENESS
1649 FORUM PLACE
WEST PALM BEACH,FL33401
35-1080905 501(C)(3) 75,800       OUTREACH EDUCATION - EATING DISORDERS
(15) FORT 4 FITNESS
2826 S CALHOUN STREET
FORT WAYNE,IN46807
26-1936423 501(C)(3) 60,000       PROGRAMS TO PROMOTE ACTIVE AND HEALTHY LIVING
(16) ALWAYS 100 INC
3946 ICE WAY
FORT WAYNE,IN46805
45-3586802 501(C)(3) 54,000       SPORTS & ATHLETIC TRAINING PROGRAMS
(17) YMCA OF DEKALB COUNTY
533 NORTH STREET
AUBURN,IN46706
35-0868958 501(C)(3) 52,500       CAPITAL CAMPAIGN
(18) AMERICAN RED CROSS
2025 E STREET NW
WASHINGTON,DC20006
53-0196605 501(C)(3) 50,000       PROGRAMS THAT PREVENT AND ALLEVIATE HUMAN SUFFERING IN THE FACE OF EMERGENCIES
(19) OAKWOOD FOUNDATION INC
110 W BERRY STREET STE 2105
FORT WAYNE,IN46802
35-1893123 501(C)(3) 50,000       CHAUTAUQUA WAWASEE PROGRAMS - HEROIN & PRESCRIPTION PAINKILLER FORUM, HIGH SCHOOL ASSEMBLY PROGRAMS
(20) UNITY PERFORMING ARTS FOUNDATION INC
PO BOX 10394
FORT WAYNE,IN46852
35-2110907 501(C)(3) 50,000       SUPPORT FOR CHARACTER/ARTISTRY/LEADERSHIP DEVELOPMENT FOR CHILDREN AND ADOLESCENTS
(21) TROY CENTER SCHOOL
709 W BUSINESS 30
COLUMBIA CITY,IN46725
46-0634748 501(C)(3) 48,900       SCHOOL PROGRAMS
(22) ARTS UNITED OF GREATER FORT WAYNE INC
300 EAST MAIN STREET
FORT WAYNE,IN46802
35-0992067 501(C)(3) 48,833       PROGRAMS SUPPORTING THE ADVANCEMENT OF THE ARTS AND CULTURE
(23) GLOBAL LEADERSHIP SUMMIT AND BEYOND
7400 EAST STATE BLVD
FORT WAYNE,IN46815
47-2474572 501(C)(3) 40,000       SCHOLARSHIPS FOR LEADERSHIP TRAINING
(24) RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA
11109 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN46845
35-1950376 501(C)(3) 39,100       CAPITAL CAMPAIGN & PROGRAMS PROVIDING SUPPORT FOR ALL PEDIATRIC FAMILIES
(25) TRINE UNIVERSITY INC
1 UNIVERSITY AVENUE
ANGOLA,IN46703
35-0715530 501(C)(3) 38,200       SPONSORSHIP FOR STUDENT SCHOLARSHIP PROGRAM
(26) FORT WAYNE PHILHARMONIC ORCHESTRA INC
4901 FULLER DRIVE
FORT WAYNE,IN46835
35-0791163 501(C)(3) 35,468       PROGRAMS TO INSPIRE AND FOSTER A LOVE OF CLASSICAL MUSIC
(27) PURDUE UNIVERSITY
2101 E COLISEUM BLVD KETTLER 139
FORT WAYNE,IN46805
35-1052049 501(C)(3) 35,100       MUSIC THERAPY AND SCHOLARSHIP PROGRAMS
(28) HEARCARE CONNECTION INC
9604 COLDWATER ROAD
FORT WAYNE,IN46825
45-2803181 501(C)(3) 35,000       SUPPORTING HEARING CARE SERVICES AND HEARING AIDS TO VULNERABLE POPULATIONS
(29) BRIDGE OF GRACE COMPASSIONATE MINISTRIES
5100 GAYWOOD DRIVE
FORT WAYNE,IN46806
45-4056745 501(C)(3) 30,000       SPONSORSHIP FOR COMPASSIONATE MINISTRIES CENTER AND ITS PROGRAMS AND PROJECTS
(30) BOYS AND GIRLS CLUB OF FORT WAYNE
2609 FAIRFIELD AVENUE
FORT WAYNE,IN46807
35-1778767 501(C)(3) 29,850       AFTER-SCHOOL AND SUMMER PROGRAMS THAT PROVIDE POSITIVE, EDUCATIONAL EXPERIENCES FOR LOW-INCOME CHILDREN
(31) COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE ROAD
LAGRANGE,IN46761
20-2401676 501(C)(3) 27,386       OPERATIONS
(32) BLACKHAWK CHRISTIAN SCHOOL
7400 EAST STATE BLVD
FORT WAYNE,IN46815
35-1285808 501(C)(3) 27,000       SUPPORT TO PROVIDE QUALITY CHRISTIAN EDUCATION
(33) THE FORT WAYNE RESCUE MISSION MINISTRIES INC
301 W SUPERIOR ST
FORT WAYNE,IN46802
35-1054670 501(C)(3) 23,000       PROGRAMS TO PROVIDE SHELTER FOR THE HOMELESS, FOOD FOR THE HUNGRY AND HOPE FOR THEIR FUTURE
(34) BRAINS FOR HOPE FOUNDATION INC
7726 INVERNESS LAKES DRIVE
FORT WAYNE,IN46804
81-4456605 501(C)(3) 22,000       PEDIATRIC CANCER RESEARCH
(35) FORT WAYNE BALLET
300 E MAIN STREET
FORT WAYNE,IN46802
35-6006394 501(C)(3) 22,000       SPONSORSHIP OF ANNUAL FUNDRAISING EVENT TO BENEFIT THE BALLET
(36) EASTER SEALS OF NORTHEAST INDIANA INC
4919 COLDWATER RD
FORT WAYNE,IN46825
35-0869058 501(C)(3) 21,000       PROGRAMS TO ASSIST CHILDREN & ADULTS WITH DISABILITIES & SPECIAL NEEDS
(37) ERIN'S HOUSE
5670 YMCA PARK DRIVE WEST
FORT WAYNE,IN46835
35-1884264 501(C)(3) 21,000       PROGRAMS SUPPORTING CHILDREN WHO HAVE SUFFERED THE DEATH OF A LOVED ONE
(38) COMMISSION FOR AFRICAN AMERICAN MALES INC
PO BOX 10631
FORT WAYNE,IN46853
47-3146908 501(C)(3) 21,000       SPONSORSORSHIP OF COMMUNITY CELEBRATION
(39) WABASH COUNTY YMCA
500 S CASS STREET
WABASH,IN46992
35-0733765 501(C)(3) 20,450       YOUTH PROGRAMS
(40) CAMERON HOSPITAL FOUNDATION
416 E MAUMEE STREET
ANGOLA,IN46703
35-1722087 501(C)(3) 20,000       CAMERON HOSPITAL PROGRAMS
(41) JUNIOR LEAGUE OF FORT WAYNE INC
1010 MEMORIAL WAY
FORT WAYNE,IN46805
35-0864748 501(C)(3) 20,000       YOUTH PROGRAMS
(42) STEUBEN COUNTY COMMUNITY FOUNDATION
1701 N WAYNE STREET
ANGOLA,IN46703
35-1857065 501(C)(3) 20,000       COMMUNITY PROGRAMS
(43) THE HONEYWELL FOUNDATION INC
275 WEST MARKET STREET
WABASH,IN46992
35-0390706 501(C)(3) 19,910       EDUCATIONAL OUTREACH FUND
(44) FORT WAYNE CIVIC THEATRE INC
303 E MAIN STREET
FORT WAYNE,IN46802
35-6001476 501(C)(3) 19,500       PROGRAMS TO ENTERTAIN, ENLIGHTEN, INSPIRE, EDUCATE AND ENRICH THE COMMUNITY THROUGH QUALITY LIVE THEATRE
(45) BLESSINGS IN A BACKPACK
111 EAST WAYNE STREET STE 555
FORT WAYNE,IN46802
26-2627847 501(C)(3) 18,000       FOOD DISTRIBUTION PROGRAM FOR LOW-INCOME CHILDREN
(46) LEUKEMIA AND LYMPHOMA SOCIETY INC
PO BOX 80365
FORT WAYNE,IN46898
13-5644916 501(C)(3) 18,000       RESEARCH EFFORTS RELATED TO BLOOD CANCER
(47) MARCH OF DIMES
303 STABLE DRIVE
FORT WAYNE,IN46825
13-1846366 501(C)(3) 17,625       RESEARCH & PROGRAMS TO DECREASE BIRTH DEFECTS AND INFANT MORTALITY
(48) LIVE HEALTHY HOOSIERS INC
10235 LAKE SEBAGO DR
FORT WAYNE,IN46804
46-3782635 501(C)(3) 17,500       PROGRAMS THAT EMPOWERS INDIVIDUALS TO TAKE PERSONAL RESPONSIBILITY FOR THEIR HEALTH
(49) YWCA OF NORTHEAST INDIANA INC
5920 DECATUR RD
FORT WAYNE,IN46816
35-0868220 501(C)(3) 17,500       DOMESTIC VIOLENCE PREVENTION EDUCATION PROGRAMS AND SERVICES FOR SURVIVORS
(50) COMMUNITY HARVEST FOOD BANK
PO BOX 10967
FORT WAYNE,IN46855
31-1100607 501(C)(3) 17,250       OPERATIONS & PROGRAMS PROVIDING FOOD TO LOW-INCOME INDIVIDUALS & FAMILIES
(51) JUNIOR ACHIEVEMENT NORTHERN INDIANA
601 NOBLE DRIVE
FORT WAYNE,IN46825
35-0922731 501(C)(3) 16,500       EXPERIENTIAL-BASED LIFE SKILL PROGRAMS FOR CHILDREN
(52) YMCA OF GREATER FORT WAYNE
347 W BERRY STREET
FORT WAYNE,IN46802
35-0886850 501(C)(3) 16,400       PROGRAMS FOSTERING YOUTH DEVELOPMENT, HEALTHY LIVING & SOCIAL RESPONSIBILITY
(53) FORT WAYNE COMMUNITY SCHOOLS
1200 S CLINTON STREET
FORT WAYNE,IN46802
GOVT ORG 16,150       HEAL PROGRAM
(54) CARRIAGE HOUSE
3327 LAKE AVE
FORT WAYNE,IN46805
35-2026647 501(C)(3) 15,810       JOB AND LIFE SKILLS PROGRAMS DESIGNED FOR THOSE WITH A MENTAL HEALTH DIAGNOSIS
(55) BRING IT INC
6634 HILLSBORO LANE
FORT WAYNE,IN46835
46-4343038 501(C)(3) 15,600       PROGRAMS TO SUPPORT YOUNG GIRLS TO BE MORE CONFIDENT AND OWN WHO THEY ARE
(56) TURNSTONE CENTER FOR CHILDREN & ADULTS WITH DISABILITIES INC
3320 NORTH CLINTON ST
FORT WAYNE,IN46805
35-0913541 501(C)(3) 15,500       SUPPORTING THERAPY AND WELLNESS PROGRAMS FOR DISABLED CHILDREN & ADULTS
(57) THE CHAPEL INC
2505 W HAMILTON RD
FORT WAYNE,IN46814
35-1930152 501(C)(3) 15,000       NON-DENOMINATIONAL PROGRAMS
(58) FORT WAYNE SUMMER SWIM AND DIVE INC
415 EAST COOK ROAD SUITE 500
FORT WAYNE,IN46825
81-4484528 501(C)(3) 15,000       SPONSORSHIP OF SWIM PROGRAMS
(59) HISPANIC LEADERSHIP COALITION OF NORTHEAST INDIANA INC
235 W CREIGHTON AVENUE
FORT WAYNE,IN46807
20-4336796 501(C)(3) 15,000       SCHOLARSHIPS
(60) SOULMEDIC MEDIA GROUP INC
6429 OAKBROOK PKWY
FORT WAYNE,IN46825
27-2417633 501(C)(3) 15,000       PROGRAMS USING TECHNOLOGY TO ENGAGE YOUTHS TOWARD CHRIST
(61) THREE RIVERS FESTIVAL
102 THREE RIVERS NORTH
FORT WAYNE,IN46802
35-1338028 501(C)(3) 15,000       SPONSORSHIP FOR FIREWORKS, KIDS FUN RUN, INTERNATIONAL VILLAGE
(62) VINCENT VILLAGE INC
2827 HOLTON AVENUE
FORT WAYNE,IN46806
35-1780135 501(C)(3) 15,000       TRANSITIONAL HOUSING PROGRAM
(63) AFRICAN-AMERICAN HEALTHCARE ALLIANCE OF FORT WAYNE INC
4950 IRIS AVENUE
FORT WAYNE,IN46825
35-2134195 501(C)(3) 13,100       HEALTHCARE SCHOLARSHIPS
(64) CANTERBURY SCHOOL INC
5601 COVINGTON RD
FORT WAYNE,IN46804
35-1410931 501(C)(3) 13,000       EDUCATIONAL PROGRAMS
(65) FORT WAYNE MUSEUM OF ART
311 EAST MAIN STREET
FORT WAYNE,IN46802
35-0953440 501(C)(3) 12,500       PROGRAMS TO COLLECT, PRESERVE AND PRESENT ART THROUGHOUT THE REGION
(66) FORT WAYNE CHILDRENS CHOIR INC
2101 E COLISEUM BLVD
FORT WAYNE,IN46805
35-1638989 501(C)(3) 12,000       TO PROVIDE A CHORAL PROGRAM EXEMPLIFYING ARTISTIC AND EDUCATIONAL EXCELLENCE FOR CHILDREN FROM DIVERSE BACKGROUNDS
(67) KATE'S KART
10376 LEO ROAD STE A
FORT WAYNE,IN46845
26-2615368 501(C)(3) 11,850       DISTRIBUTION OF BOOKS TO HOSPITALIZED CHILDREN
(68) EARLY CHILDHOOD ALLIANCE INC
3320 FAIRFIELD AVENUE
FORT WAYNE,IN46807
35-0953465 501(C)(3) 11,200       PROGRAMS TO SUPPORT EARLY CHILDHOOD DEVELOPMENT AND EDUCATION PROGRAMS
(69) ADAMS COUNTY MEMORIAL HOSPITAL AND DEVELOPMENT FOUNDATION
1100 MERCER AVENUE PO BOX 151
DECATUR,IN46733
35-1432587 501(C)(3) 10,000       HOSPITAL PROGRAMS - SPONSORSHIP FOR THE FOUNDATION GOLF CLASSIC
(70) ALLEN COUNTY CHILD ADVOCACY
2730 E STATE BLVD STE C
FORT WAYNE,IN46805
35-2096006 501(C)(3) 10,000       100+ WOMEN WHO CARE MATCH FOR ABUSED CHILDREN
(71) BLOOM PROJECT
PO BOX 68747
INDIANAPOLIS,IN46268
46-2796032 501(C)(3) 10,000       PROGRAMS TO MOTIVATE AND ENCOURAGE YOUNG MEN, AGES 12-18, TO GROW INTO THE NEXT GENERATION OF FUTURE LEADERS
(72) DEKALB HEALTH FOUNDATION
1316 EAST SEVENTH STREET
AUBURN,IN46706
35-6047817 501(C)(3) 10,000       HEALTHCARE SCHOLARSHIPS
(73) FORGOTTEN CHILDREN WORLDWIDE
650 N MAIN ST
BLUFFTON,IN46714
26-0609769 501(C)(3) 10,000       SAFEGUARDS ORPHANS AND VULNERABLE CHILDREN FROM POVERTY, ABANDONMENT, AND THE EVILS OF HUMAN TRAFFICKING
(74) GIGIS PLAYHOUSE
2350 W HIGGINS ROAD
HOFFMAN ESTATES,IL60169
20-0058563 501(C)(3) 10,000       SUPPORTING THERAPEUTIC, EDUCATIONAL & CAREER TRAINING PROGRAMS SERVING CHILDREN AND ADULTS WITH DOWN SYNDROME
(75) MOTHER TO MOTHER INC
7217 CHADWICK DR
FORT WAYNE,IN46816
82-0781459 501(C)(3) 10,000       FAMILY GRIEF CONFERENCE
(76) RUN HARD REST WELL INC
1596 S 150 W
ALBION,IN46701
47-2473950 501(C)(3) 10,000       PROGRAMS SUPPORTING HEALTHY LIVING
(77) SAFE FAMILIES FOR CHILDREN ALLIANCE
4300 W IRVING PARK RD
CHICAGO,IL60641
45-3194102 501(C)(3) 10,000       100+ WOMEN WHO CARE DONATION MATCH SUPPORTING SHORT-TERM CARE FOR CHILDREN FOR FAMILIES IN CRISIS
(78) SUPER SHOT INC
709 CLAY STREET STE 101
FORT WAYNE,IN46802
35-2122575 501(C)(3) 10,000       IMMUNIZATION SERVICES FOR LOW INCOME FAMILIES
(79) WAGON WHEEL THEATRE INC
2515 E CENTER STREET
WARSAW,IN46580
26-3885020 501(C)(3) 10,000       THREATRE PRODUCTION SPONSORSHIPS
(80) YMCA OF STEUBEN COUNTY
500 E HARCOURT RD
ANGOLA,IN46703
35-1999599 501(C)(3) 10,000       YOUTH PROGRAMS
(81) VERA BRADLEY FOUNDATION
12420 STONEBRIDGE ROAD
ROANOKE,IN46783
35-2058177 501(C)(3) 9,790       BREAST CANCER AWARENESS AND RESEARCH
(82) INDIANA CENTER FOR NURSING INC
9302 N MERIDIAN STREET
INDIANAPOLIS,IN46260
38-3697192 501(C)(3) 9,000       PROGRAMS TO ADDRESS NURSING RESOURCE REQUIREMENTS FOR THE STATE OF INDIANA
(83) ST VINCENT DE PAUL CHURCH
1502 EAST WALLEN ROAD
FORT WAYNE,IN46825
35-1003124 501(C)(3) 8,858       MISSION TRIP TO HONDURAS
(84) CROSSWINDS INC
4150 ILLINOIS RD
FORT WAYNE,IN46804
45-4222417 501(C)(3) 8,500       PROGRAMS SUPPORTING FAMILY COUNSELING AND RESIDENTIAL PROGRAMS FOR TROUBLED TEENS
(85) CHRISTIAN COMMUNITY HEALTH CARE
13410 MAIN ST PO BOX 128
GRABILL,IN46741
35-1999343 501(C)(3) 8,000       TO SUPPORT FUNDING CAMPAIGN FOR THIS FREE HEALTH CLINIC
(86) NORTHWEST ALLEN COUNTY SCHOOLS
13119 COLDWATER ROAD
FORT WAYNE,IN46845
GOVT ORG 8,000       STUDENT SCHOLARSHIPS AND STAFF PROFESSIONAL DEVELOPMENT
(87) FORT WAYNE URBAN LEAGUE INC
2135 S HANNA STREET
FORT WAYNE,IN46803
35-0869052 501(C)(3) 7,500       SPONSORSHIP OF ANNUAL EVENTS TO SUPPORT NEEDED SERVICES PROVIDED TO VULNERABLE POPULATIONS
(88) KOSCIUSKO COMMUNITY YMCA INC
1305 MARINERS DRIVE
WARSAW,IN46582
35-1068182 501(C)(3) 7,500       CAPITAL CAMPAIGN
(89) STEUBEN COUNTY UNITED WAY INC
317 S WAYNE STREET STE 3D
ANGOLA,IN46703
23-7168857 501(C)(3) 7,500       PROGRAMS TO IMPROVE EDUCATION AND CUT THE NUMBER OF HIGH SCHOOL DROPOUTS
(90) INDIANA-PURDUE FOUNDATION AT FT WAYNE
2101 EAST COLISEUM BLVD
FORT WAYNE,IN46805
35-6033698 501(C)(3) 7,400       HEALTH-RELATED HIGHER EDUCATION SCHOLARSHIPS
(91) FORT WAYNE FIRE IAFF LOCAL 124
1405 BROADWAY
FORT WAYNE,IN46805
35-1756337 501(C)(3) 7,000       GET GREEN SPONSORSHIP
(92) AYERS COMMUNICATIONS INC
PO BOX 13761
FORT WAYNE,IN46865
45-3952772 501(C)(3) 6,500       SPONSORSHIP EVENT TO PROVIDE SCHOLARSHIPS
(93) EUELL A WILSON CENTER INC
1512 OXFORD STREET
FORT WAYNE,IN46806
35-1893381 501(C)(3) 6,500       SUPPORTING EDUCATIONAL, SOCIAL, AND PERFORMING ARTS PROGRAMS AND SPIRITUAL DEVELOPMENT TO EMPOWER YOUTH AND THEIR FAMILIES
(94) SCAN INC
500 W MAIN STREET
FORT WAYNE,IN46802
31-0899309 501(C)(3) 6,425       PROGRAMS FOR THE PREVENTION OF CHILD ABUSE AND NEGLECT
(95) FOUR 10 MINISTRIES
PO BOX 480
WHEATON,IL60187
20-0743864 501(C)(3) 6,350       MINISTRY FOR WOMEN
(96) FORT WAYNE ZOOLOGICAL SOCIETY INC
3411 SHERMAN BLVD
FORT WAYNE,IN46808
35-6068234 501(C)(3) 6,000       TO CONNECT KIDS WITH ANIMALS, STRENGTHEN FAMILIES AND INSPIRE PEOPLE TO CARE ABOUT THE WORLD AROUND THEM
(97) MUSTARD SEED FURNITURE BANK OF FORT WAYNE
3636 ILLINOIS ROAD
FORT WAYNE,IN46804
35-2149283 501(C)(3) 6,000       PROGRAMS SUPPORTING IN-KIND FURNITURE DONATIONS TO THOSE IN NEED
(98) POWER HOUSE ALLIANCE INC
830 MAIN STREET
NEW HAVEN,IN46774
35-2022371 501(C)(3) 6,000       OPERATIONS SUPPORT FOR YOUTH CENTER
(99) RESPECT360 INC
PO BOX 309
HUNTERTOWN,IN46748
47-4090921 501(C)(3) 6,000       SCHOLARSHIP PROGRAM
(100) AMERICAN CANCER SOCIETY
111 E LUDWIG DR STE 105
FORT WAYNE,IN46825
13-1788491 501(C)(3) 5,725       PROGRAMS TO SUPPORT CANCER RESEARCH AND SERVICES FOR THOSE WITH A CANCER DIAGNOSIS
(101) CROHNS AND COLITIS FOUNDATION
8445 KEYSTONE CROSSING STE 102
INDIANAPOLIS,IN46240
13-6193105 501(C)(3) 5,200       SUPPORTING RESEARCH FOR FINDING A CURE FOR CROHNS AND COLITIS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
101
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
0
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2018

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
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.
Schedule I (Form 990) 2018



Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO
(i)

(ii)
1,060,073
-------------
0
345,323
-------------
0
41,648
-------------
0
723,342
-------------
0
35,988
-------------
0
2,206,374
-------------
0
0
-------------
0
2RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH CHIEF PHY EXE
(i)

(ii)
775,181
-------------
0
217,736
-------------
0
26,411
-------------
0
329,588
-------------
0
32,015
-------------
0
1,380,931
-------------
0
0
-------------
0
3ROBERT GODLEY
DIRECTOR/PH PHYSICIAN
(i)

(ii)
453,826
-------------
0
49,099
-------------
0
34,828
-------------
0
30,250
-------------
0
32,608
-------------
0
600,611
-------------
0
0
-------------
0
4JOSHUA KLINE
DIRECTOR/PH CHIEF MED OFFICER
(i)

(ii)
355,001
-------------
0
86,211
-------------
0
52,436
-------------
0
87,786
-------------
0
33,272
-------------
0
614,706
-------------
0
32,796
-------------
0
5ALAN MCGEE
DIRECTOR/PH SVR LINE LEADER
(i)

(ii)
386,750
-------------
0
0
-------------
0
18,633
-------------
0
0
-------------
0
0
-------------
0
405,383
-------------
0
0
-------------
0
6JEANNE' WICKENS
PH CHIEF FINANCIAL OFFICER
(i)

(ii)
642,848
-------------
0
176,468
-------------
0
50,221
-------------
0
284,505
-------------
0
30,413
-------------
0
1,184,455
-------------
0
28,885
-------------
0
7RICK HENVEY
PH CHIEF OPERATING OFFICER
(i)

(ii)
734,678
-------------
0
195,614
-------------
0
61,770
-------------
0
289,537
-------------
0
37,159
-------------
0
1,318,758
-------------
0
58,720
-------------
0
8NEIL SHARMA
PRESIDENT PARKVIEW CANCER CENTER
(i)

(ii)
712,545
-------------
0
167,633
-------------
0
49,898
-------------
0
141,820
-------------
0
35,984
-------------
0
1,107,880
-------------
0
30,258
-------------
0
9ROY ROBERSTON
PRESIDENT PARKVIEW HEART INSTITUTE
(i)

(ii)
614,056
-------------
0
139,500
-------------
0
23,533
-------------
0
132,250
-------------
0
35,143
-------------
0
944,482
-------------
0
0
-------------
0
10SUZANNE EHINGER
PH CHIEF EXPERIENCE OFFICER
(i)

(ii)
480,080
-------------
0
114,327
-------------
0
29,779
-------------
0
116,594
-------------
0
27,833
-------------
0
768,613
-------------
0
0
-------------
0
11MITCHELL STUCKY
PH PHYSICIAN EXECUTIVE OFFICER
(i)

(ii)
480,754
-------------
0
110,207
-------------
0
14,751
-------------
0
110,832
-------------
0
28,486
-------------
0
745,030
-------------
0
0
-------------
0
12GREG JOHNSON
PH CHIEF CLINICAL INTEGRATION
(i)

(ii)
449,856
-------------
0
103,778
-------------
0
5,400
-------------
0
106,130
-------------
0
36,090
-------------
0
701,254
-------------
0
0
-------------
0
13RONALD DOUBLE
PH CHIEF INFORMATION OFFICER
(i)

(ii)
437,648
-------------
0
102,613
-------------
0
23,402
-------------
0
233,029
-------------
0
14,166
-------------
0
810,858
-------------
0
0
-------------
0
14DAVID STOREY
PH SVP GENERAL COUNSEL
(i)

(ii)
451,750
-------------
0
102,376
-------------
0
38,333
-------------
0
94,106
-------------
0
36,238
-------------
0
722,803
-------------
0
0
-------------
0
15JUDITH BOERGER
PH CHIEF NURSING EXECUTIVE
(i)

(ii)
319,956
-------------
0
74,952
-------------
0
66,439
-------------
0
81,690
-------------
0
27,538
-------------
0
570,575
-------------
0
23,446
-------------
0
16DENA JACQUAY
PH CHIEF HUMAN RESOURCES OFFICER
(i)

(ii)
395,739
-------------
0
89,461
-------------
0
25,650
-------------
0
199,551
-------------
0
38,544
-------------
0
748,945
-------------
0
24,260
-------------
0
17THOMAS BOND
PH CHIEF MEDICAL OFFICER-PPG
(i)

(ii)
373,919
-------------
0
86,228
-------------
0
30,350
-------------
0
96,048
-------------
0
32,930
-------------
0
619,475
-------------
0
27,728
-------------
0
18JEFFREY BOORD
PH CHIEF QUALITY & SAFETY
(i)

(ii)
359,386
-------------
0
87,402
-------------
0
24,923
-------------
0
77,657
-------------
0
34,327
-------------
0
583,695
-------------
0
4,713
-------------
0
19MARK PIERCE
PH CHIEF MED INFORMATICS OFFICER
(i)

(ii)
338,327
-------------
0
76,464
-------------
0
28,453
-------------
0
72,409
-------------
0
34,866
-------------
0
550,519
-------------
0
24,167
-------------
0
20JEFFREY BROOKES
PH MEDICAL DIR - COMMUNITY
(i)

(ii)
301
-------------
199,549
77,416
-------------
0
17,780
-------------
0
16,333
-------------
34,130
5,683
-------------
11,876
117,513
-------------
245,555
17,761
-------------
0
21JASON ROW
PH CHIEF MED OFFICER PPG
(i)

(ii)
370,416
-------------
0
83,700
-------------
0
1,788
-------------
0
91,450
-------------
0
34,923
-------------
0
582,277
-------------
0
0
-------------
0
22GERALD GRANNAN
PH SVP & COO - PPG
(i)

(ii)
332,716
-------------
0
64,635
-------------
0
22,955
-------------
0
68,475
-------------
0
34,952
-------------
0
523,733
-------------
0
15,622
-------------
0
23DONNA VAN VLERAH
PH SVP SUPPORT DIVISION
(i)

(ii)
265,870
-------------
0
64,625
-------------
0
33,011
-------------
0
66,503
-------------
0
6,481
-------------
0
436,490
-------------
0
10,369
-------------
0
24SCOTT JAMES
PH SVP & COO SVR LINE LEADER
(i)

(ii)
260,594
-------------
0
84,150
-------------
0
29,309
-------------
0
64,776
-------------
0
32,452
-------------
0
471,281
-------------
0
10,806
-------------
0
25PHILIP SMITH
PH SVP STRATEGY & BUSINESS
(i)

(ii)
277,390
-------------
0
62,775
-------------
0
15,826
-------------
0
62,400
-------------
0
23,845
-------------
0
442,236
-------------
0
11,502
-------------
0
26JOLYNN SUKO
PH SVP SVR LINE LEAD
(i)

(ii)
216,525
-------------
0
62,063
-------------
0
20,326
-------------
0
51,414
-------------
0
25,751
-------------
0
376,079
-------------
0
19,192
-------------
0
27TRENT MILLER
PH SVP SVR LINE LEAD
(i)

(ii)
232,766
-------------
0
49,990
-------------
0
797
-------------
0
42,739
-------------
0
30,315
-------------
0
356,607
-------------
0
0
-------------
0
28JAMES DOZIER
PH PHYSICIAN
(i)

(ii)
1,235,544
-------------
0
0
-------------
0
21,338
-------------
0
5,500
-------------
0
19,003
-------------
0
1,281,385
-------------
0
0
-------------
0
29MATTHEW GROTHAUS
PH PHYSICIAN
(i)

(ii)
940,582
-------------
0
260,064
-------------
0
889
-------------
0
8,250
-------------
0
16,555
-------------
0
1,226,340
-------------
0
0
-------------
0
30KENNETH AUSTIN
PH PHYSICIAN
(i)

(ii)
902,440
-------------
0
241,747
-------------
0
22,767
-------------
0
13,750
-------------
0
15,279
-------------
0
1,195,983
-------------
0
0
-------------
0
31STEVEN WYNDER
PH PHYSICIAN
(i)

(ii)
884,614
-------------
5,844
190,852
-------------
0
27,763
-------------
0
30,091
-------------
159
31,179
-------------
165
1,164,499
-------------
6,168
0
-------------
0
32DOUGLAS GRAY
PH PHYSICIAN
(i)

(ii)
873,009
-------------
0
167,195
-------------
0
22,289
-------------
0
30,250
-------------
0
35,287
-------------
0
1,128,030
-------------
0
0
-------------
0
33JOHN MEISTER
FORMER KEY EMPLOYEE
(i)

(ii)
0
-------------
0
0
-------------
0
305,587
-------------
0
0
-------------
0
0
-------------
0
305,587
-------------
0
305,587
-------------
0
34JILL OSTREM
FORMER KEY EMPLOYEE
(i)

(ii)
0
-------------
0
0
-------------
0
143,379
-------------
0
0
-------------
0
0
-------------
0
143,379
-------------
0
143,379
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A FIRST-CLASS OR CHARTER TRAVEL - NON-TAXABLE CHARTER FLIGHTS FOR LEADERSHIP SITE VISITS TO EPIC SYSTEMS CORPORATION IN VERONA, WI REGARDING EPIC'S HEALTH INFORMATION EXCHANGE SOFTWARE: JUDY BOERGER; RONALD DOUBLE; RAYMOND DUSMAN; GERALD GRANNAN; DAVID HAIST; RICK HENVEY; JOSHUA KLINE; ALAN MCGEE; TRENT MILLER; MICHAEL PACKNETT; MARK PIERCE; JASON ROW; LARRY ROWLAND; MITCHELL STUCKY; JEANNE' WICKENS TRAVEL FOR COMPANIONS - TAXABLE EXPENSE REIMBURSEMENT FOR FAMILY MEMBER PAID TO: JUDITH BOERGER $9; JEFFREY BROOKES $19; MARGARET BROOKS $357; VICKY CARWEIN $133; ROGER CROMER $133; RAYMOND DUSMAN $387; BRIAN EMERICK $224; ROBERT GODLEY $357; GERALD GRANNAN $1,151; DAVID HAIST $1,769; RICK HENVEY $428; JIM HEUER $658; SCOTT JAMES $176; GREG JOHNSON $498; THOMAS KIMBROUGH $387; JERRY LONG $791; ALAN MCGEE $133; MICHAEL PACKNETT $268; ROY ROBERTSON $131; WENDY ROBINSON $133; JASON ROW $78; LARRY ROWLAND $464; PHILIP SMITH $244; DAN STARR $224; DAVID STOREY $358; MITCHELL STUCKY $273; RYAN WARNER $434; JEANNE' WICKENS $213; LUTHER WHITFIELD $357 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - TAX ON TAXABLE EXPENSE REIMBURSEMENT: MICHAEL PACKNETT $2,161 TAX ON TAXABLE GIFT: SUZANNE EHINGER $102 PERSONAL SERVICES - TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: JUDITH BOERGER $1,000; SUE EHINGER $895; GERALD GRANNAN $1,291; DOUGLAS GRAY $500; DENA JACQUAY $250; NON-TAXABLE MANDATORY ANNUAL MEDICAL PHYSICAL PAID FOR: JUDITH BOERGER $2,345; RONALD DOUBLE $1,862; RAYMOND DUSMAN $2,092; SUZANNE EHINGER $2,051; GERALD GRANNAN $2,119; RICK HENVEY $2,217; DENA JACQUAY $2,714; MICHAEL PACKNETT $2,056; DAVID STOREY $2,735; MITCHELL STUCKY $690; JEANNE' WICKENS $1,875
PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS TAXABLE - JUDITH BOERGER $23,446; THOMAS BOND $27,728; JEFFREY BOORD $4,713; JEFFREY BROOKES $17,761; GERALD GRANNAN $15,622; RICK HENVEY $58,720; DENA JACQUAY $24,260: SCOTT JAMES $10,806; JOSHUA KLINE $32,796; JOHN MEISTER $305,587; JILL OSTREM $143,379; MARK PIERCE $24,167; NEIL SHARMA $30,258; PHILIP SMITH $11,502; JOLYNN SUKO $19,192; DONNA VAN VLERAH $10,369; JEANNE' WICKENS $28,885 PARTICIPANTS DEFERRED - THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR ALL OF THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION, AND THE COST OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME SET FORTH IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. JUDITH BOERGER $56,940; THOMAS BOND $63,048; JEFFREY BOORD $63,907; JEFFREY BROOKES $33,963; RONALD DOUBLE $200,029; RAYMOND DUSMAN $299,338; SUZANNE EHINGER $83,594; GERALD GRANNAN $56,100; RICK HENVEY $273,037; DENA JACQUAY $170,676; SCOTT JAMES $45,526; GREG JOHNSON $75,880; JOSHUA KLINE $63,036; TRENT MILLER $36,552; MICHAEL PACKNETT $698,592; MARK PIERCE $55,909; ROY ROBERTSON $102,000; JASON ROW $61,200; NEIL SHARMA $122,570; PHILIP SMITH $45,900; DAVID STOREY $74,856; MITCHELL STUCKY $80,582; JOLYNN SUKO $37,664; DONNA VAN VLERAH $47,253; JEANNE' WICKENS $274,192;
PART I, LINE 7 MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. SYSTEM GOALS ARE APPROVED BY THE BOARD. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES FINAL PAYMENT.
Schedule J (Form 990) 2018
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Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number
35-1972384
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A INDIANA FINANCE AUTHORITY
 
35-1602316 45471ABQ4 08-27-2009 264,703,254 SEE PART VI X     X   X
B INDIANA FINANCE AUTHORITY
 
35-1602316 45471AAS1 08-27-2009 223,665,000 SEE PART VI   X   X   X
C INDIANA FINANCE AUTHORITY
 
35-1602316 45471AHR6 05-24-2012 94,631,826 SEE PART VI X     X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 NONEAVAIL 08-17-2016 58,000,000 SEE PART VI   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 45471AQB1 08-10-2017 130,491,406 SEE PART VI   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 45471ARM6 11-01-2018 140,710,853 SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 119,535,000 1,960,000 10,545,000 1,490,000
2 Amount of bonds legally defeased .............. 122,285,000   2,425,000  
3 Total proceeds of issue .................. 264,704,689 223,915,573 94,631,897 58,000,000
4 Gross proceeds in reserve funds ............. 2,719,221      
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 3,453,166 1,369,431 1,022,698  
8 Credit enhancement from proceeds .............   193,601    
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds .............   149,086,870   58,000,000
11 Other spent proceeds ............. 261,251,523 73,265,671 93,731,970  
12 Other unspent proceeds .............   79,232,249    
13 Year of substantial completion ............. 2009 2011 2012 2018
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X   X   X     X
15 Were the bonds issued as part of an advance refunding issue? .....   X   X X     X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.040 % 0.120 % 0.060 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 ............. 0.040 % 0.120 % 0.060 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............. X   X   X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 1.190 % 0.890 % 2.570 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X   X   X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X X  
b Exception to rebate? ........   X X     X   X
c No rebate due? ......... X     X X     X
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X X     X   X
b Name of provider ..........  
 
WELLS FARGO & PNC
 
 
 
 
 
c Term of hedge .........   2000.0000000000 %    
d Was the hedge superintegrated? ......       X        
e Was the hedge terminated? ........       X        
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K NOTE TO READER: ENTITY 2 DESIGNATION USED SOLELY TO ACCOMMODATE REPORTING FIFTH AND SIXTH BOND ISSUES. ENTITY 2 IS NOT A DIFFERENT ENTITY THAN ENTITY 1.
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE A: SERIES 2009A - 1) PARTIALLY REFUNDED OUTSTANDING 2005 SERIES BOND ISSUE WHICH WAS ISSUED ON JULY 28, 2005 2) PARTIALLY REFUNDED OUTSTANDING BONDS FOR 2001 SERIES BOND ISSUE WHICH WERE ISSUED ON NOVEMBER 6, 2001
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE B SERIES 2009BCD - 1) NEW MONEY FOR CONSTRUCTION OF NEW HOSPITAL IN FORT WAYNE, IN 2) FULLY REFUNDED BALANCE OF OUTSTANDING 2005 SERIES BONDS WHICH WERE ISSUED ON JULY 28, 2005
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE C: SERIES 2012 - 1) PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009 2) FULLY REFUNDED OUTSTANDING BONDS FOR 1998 SERIES BOND ISSUE WHICH WAS ISSUED ON NOVEMBER 24, 1998
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE D: SERIES 2016B - NEW MONEY FOR THE CONSTRUCTION OF NEW CANCER INSTITUTE IN FORT WAYNE, IN.
ENTITY 1, SCHEDULE K, PART II, COLUMN A, LINE 3: THIS AMOUNT INCLUDES INTERST OF $1,435 EARNED ON COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART II, COLUMN B, LINE 3: THIS AMOUNT INCLUDES INTEREST OF $250,573 EARNED ON PROJECT AND COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART II, COLUMN C, LINE 3: THIS AMOUNT INCLUDES INTEREST OF $71 EARNED ON COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART III, COLUMNS A-C, LINES 8A-C: THE ORGANIZATION HAS ENTERED INTO A VOLUNTARY CLOSING AGREEMENT WITH THE IRS WITH RESPECT TO THE BOND-FINANCED PROPERTY THAT WAS SOLD.
ENTITY 1, SCHEDULE K, PART IV, COLUMN A, LINE 2C: REBATE CALCULATION PERFORMED ON AUGUST 27, 2014.
ENTITY 1, SCHEDULE K, PART IV, COLUMN B, LINE 2C: BOND ISSUE MET THE 24 MONTH REBATE SPENDING EXCEPTION. CALCULATION PERFORMED ON DECEMBER 8, 2011.
ENTITY 1, SCHEDULE K, PART IV, COLUMN C, LINE 2C: REBATE CALCULATION PERFORMED ON DECEMBER 4, 2012.
ENTITY 2, SCHEDULE K, PART I, COLUMN F, LINE A: SERIES 2017 - PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009.
ENTITY 2, SCHEDULE K, PART I, COLUMN F, LINE B: 1) PARTIALLY REFUNDED OUTSTANDING 2016C SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 17, 2016. 2) NEW MONEY FOR CONSTRUCTION IN EXPANDING HOSPITAL AND HEALTHCARE SERVICES IN FORT WAYNE, IN. 3) THE INDIANA FINANCE AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2018A (PARKVIEW HEALTH) (THE "2018A BONDS"), 2018C (PARKVIEW HEALTH) (THE "2018C BONDS") AND 2019A (PARKVIEW HEALTH) (FORWARD DELIVERY) (THE "2019A BONDS") WERE ALL SOLD AT SUBSTANTIALLY THE SAME TIME AND PURSUANT TO THE SAME PLAN OF FINANCE AND, AS A RESULT, CONSTITUTE A SINGLE ISSUE FOR FEDERAL TAX PURPOSES AND WERE REPORTED ON A SINGLE 8038. THE 2018A BONDS AND THE 2018C BONDS WERE ISSUED ON NOVEMBER 1, 2018. THE 2019A BONDS, HOWEVER, WERE NOT ISSUED UNTIL FEBRUARY 1, 2019 AT WHICH TIME THEY WERE ISSUED IN ORDER TO CURRENTLY REFUND THE INDIANA FINANCE AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2009A (PARKVIEW HEALTH SYSTEM OBLIGATED GROUP) (THE "2009A BONDS"). IN ORDER TO AVOID CONFUSION THAT COULD RESULT FROM EXCLUDING THE 2019A BONDS FROM THE REPORTING FOR THE ISSUE ON THIS SCHEDULE K, INFORMATION RELATED TO THE 2019A BONDS HAS BEEN INCLUDED IN THIS SCHEDULE K, EVEN THOUGH THE 2019A BONDS WERE NOT OUTSTANDING AS OF DECEMBER 31, 2018. ADDITIONALLY, INFORMATION RELATED TO THE 2009A BONDS HAS BEEN INCLUDED IN THIS SCHEDULE AS SUCH 2009A BONDS WERE OUTSTANDING AS OF DECEMBER 31, 2018.
ENTITY 2, SCHEDULE K, PART II, COLUMN B, LINE 3: THIS INCLUDES INTEREST OF $135,554 EARNED ON PROJECT FUNDS.
ENTITY 1 & ENTITY 2, SCHEDULE K, PART III, ALL COLUMNS, LINE 7: BECAUSE PARKVIEW MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, TO ENSURE THAT THE PRIVATE BUSINESS USE LIMIT IS NOT EXCEEDED, PARKVIEW DOES NOT CALCULATE THE AMOUNT OF PRIVATE PAYMENTS.
Schedule K (Form 990) 2018

Additional Data


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Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax-Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number
35-1972384
Part
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer
(i) Pool
financing
Yes No Yes No Yes No
A INDIANA FINANCE AUTHORITY
 
35-1602316 45471ABQ4 08-27-2009 264,703,254 SEE PART VI X     X   X
B INDIANA FINANCE AUTHORITY
 
35-1602316 45471AAS1 08-27-2009 223,665,000 SEE PART VI   X   X   X
C INDIANA FINANCE AUTHORITY
 
35-1602316 45471AHR6 05-24-2012 94,631,826 SEE PART VI X     X   X
D INDIANA FINANCE AUTHORITY
 
35-1602316 NONEAVAIL 08-17-2016 58,000,000 SEE PART VI   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 45471AQB1 08-10-2017 130,491,406 SEE PART VI   X   X   X
INDIANA FINANCE AUTHORITY
 
35-1602316 45471ARM6 11-01-2018 140,710,853 SEE PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 119,535,000 1,960,000 10,545,000 1,490,000
2 Amount of bonds legally defeased .............. 122,285,000   2,425,000  
3 Total proceeds of issue .................. 264,704,689 223,915,573 94,631,897 58,000,000
4 Gross proceeds in reserve funds ............. 2,719,221      
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 3,453,166 1,369,431 1,022,698  
8 Credit enhancement from proceeds .............   193,601    
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds .............   149,086,870   58,000,000
11 Other spent proceeds ............. 261,251,523 73,265,671 93,731,970  
12 Other unspent proceeds .............   79,232,249    
13 Year of substantial completion ............. 2009 2011 2012 2018
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? .... X   X   X     X
15 Were the bonds issued as part of an advance refunding issue? .....   X   X X     X
16 Has the final allocation of proceeds been made? .......... X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? .................. X   X   X   X  
Part
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ............... X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 2
Part
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? ............. X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property? X   X   X   X  
c Are there any research agreements that may result in private business use of bond-financed property? ............. X   X   X   X  
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property? X   X   X   X  
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....SchKMediumBullet 0.040 % 0.120 % 0.060 % 0 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government ......... SchKMediumBullet        
6 Total of lines 4 and 5 ............. 0.040 % 0.120 % 0.060 % 0 %
7 Does the bond issue meet the private security or payment test? ...   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?............. X   X   X     X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. .. 1.190 % 0.890 % 2.570 %  
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. X   X   X      
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? ........
X   X   X   X  
Part
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...   X   X   X   X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......   X   X   X X  
b Exception to rebate? ........   X X     X   X
c No rebate due? ......... X     X X     X
If "Yes" to line 2c, provide in Part the date the rebate
computation was performed ......
3 Is the bond issue a variable rate issue? .....   X X     X X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X X     X   X
b Name of provider ..........  
 
WELLS FARGO & PNC
 
 
 
 
 
c Term of hedge .........   2000.0000000000 %    
d Was the hedge superintegrated? ......       X        
e Was the hedge terminated? ........       X        
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?   X   X   X   X
b Name of provider ..........  
 
 
 
 
 
 
 
c Term of GIC .........        
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........                
6 Were any gross proceeds invested beyond an available temporary period?   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? ... X   X   X   X  
Part
Procedures To Undertake Corrective Action
--------------------------------------------------------------------------------------------------------------- A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K NOTE TO READER: ENTITY 2 DESIGNATION USED SOLELY TO ACCOMMODATE REPORTING FIFTH AND SIXTH BOND ISSUES. ENTITY 2 IS NOT A DIFFERENT ENTITY THAN ENTITY 1.
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE A: SERIES 2009A - 1) PARTIALLY REFUNDED OUTSTANDING 2005 SERIES BOND ISSUE WHICH WAS ISSUED ON JULY 28, 2005 2) PARTIALLY REFUNDED OUTSTANDING BONDS FOR 2001 SERIES BOND ISSUE WHICH WERE ISSUED ON NOVEMBER 6, 2001
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE B SERIES 2009BCD - 1) NEW MONEY FOR CONSTRUCTION OF NEW HOSPITAL IN FORT WAYNE, IN 2) FULLY REFUNDED BALANCE OF OUTSTANDING 2005 SERIES BONDS WHICH WERE ISSUED ON JULY 28, 2005
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE C: SERIES 2012 - 1) PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009 2) FULLY REFUNDED OUTSTANDING BONDS FOR 1998 SERIES BOND ISSUE WHICH WAS ISSUED ON NOVEMBER 24, 1998
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE D: SERIES 2016B - NEW MONEY FOR THE CONSTRUCTION OF NEW CANCER INSTITUTE IN FORT WAYNE, IN.
ENTITY 1, SCHEDULE K, PART II, COLUMN A, LINE 3: THIS AMOUNT INCLUDES INTERST OF $1,435 EARNED ON COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART II, COLUMN B, LINE 3: THIS AMOUNT INCLUDES INTEREST OF $250,573 EARNED ON PROJECT AND COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART II, COLUMN C, LINE 3: THIS AMOUNT INCLUDES INTEREST OF $71 EARNED ON COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART III, COLUMNS A-C, LINES 8A-C: THE ORGANIZATION HAS ENTERED INTO A VOLUNTARY CLOSING AGREEMENT WITH THE IRS WITH RESPECT TO THE BOND-FINANCED PROPERTY THAT WAS SOLD.
ENTITY 1, SCHEDULE K, PART IV, COLUMN A, LINE 2C: REBATE CALCULATION PERFORMED ON AUGUST 27, 2014.
ENTITY 1, SCHEDULE K, PART IV, COLUMN B, LINE 2C: BOND ISSUE MET THE 24 MONTH REBATE SPENDING EXCEPTION. CALCULATION PERFORMED ON DECEMBER 8, 2011.
ENTITY 1, SCHEDULE K, PART IV, COLUMN C, LINE 2C: REBATE CALCULATION PERFORMED ON DECEMBER 4, 2012.
ENTITY 2, SCHEDULE K, PART I, COLUMN F, LINE A: SERIES 2017 - PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009.
ENTITY 2, SCHEDULE K, PART I, COLUMN F, LINE B: 1) PARTIALLY REFUNDED OUTSTANDING 2016C SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 17, 2016. 2) NEW MONEY FOR CONSTRUCTION IN EXPANDING HOSPITAL AND HEALTHCARE SERVICES IN FORT WAYNE, IN. 3) THE INDIANA FINANCE AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2018A (PARKVIEW HEALTH) (THE "2018A BONDS"), 2018C (PARKVIEW HEALTH) (THE "2018C BONDS") AND 2019A (PARKVIEW HEALTH) (FORWARD DELIVERY) (THE "2019A BONDS") WERE ALL SOLD AT SUBSTANTIALLY THE SAME TIME AND PURSUANT TO THE SAME PLAN OF FINANCE AND, AS A RESULT, CONSTITUTE A SINGLE ISSUE FOR FEDERAL TAX PURPOSES AND WERE REPORTED ON A SINGLE 8038. THE 2018A BONDS AND THE 2018C BONDS WERE ISSUED ON NOVEMBER 1, 2018. THE 2019A BONDS, HOWEVER, WERE NOT ISSUED UNTIL FEBRUARY 1, 2019 AT WHICH TIME THEY WERE ISSUED IN ORDER TO CURRENTLY REFUND THE INDIANA FINANCE AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2009A (PARKVIEW HEALTH SYSTEM OBLIGATED GROUP) (THE "2009A BONDS"). IN ORDER TO AVOID CONFUSION THAT COULD RESULT FROM EXCLUDING THE 2019A BONDS FROM THE REPORTING FOR THE ISSUE ON THIS SCHEDULE K, INFORMATION RELATED TO THE 2019A BONDS HAS BEEN INCLUDED IN THIS SCHEDULE K, EVEN THOUGH THE 2019A BONDS WERE NOT OUTSTANDING AS OF DECEMBER 31, 2018. ADDITIONALLY, INFORMATION RELATED TO THE 2009A BONDS HAS BEEN INCLUDED IN THIS SCHEDULE AS SUCH 2009A BONDS WERE OUTSTANDING AS OF DECEMBER 31, 2018.
ENTITY 2, SCHEDULE K, PART II, COLUMN B, LINE 3: THIS INCLUDES INTEREST OF $135,554 EARNED ON PROJECT FUNDS.
ENTITY 1 & ENTITY 2, SCHEDULE K, PART III, ALL COLUMNS, LINE 7: BECAUSE PARKVIEW MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, TO ENSURE THAT THE PRIVATE BUSINESS USE LIMIT IS NOT EXCEEDED, PARKVIEW DOES NOT CALCULATE THE AMOUNT OF PRIVATE PAYMENTS.
Schedule K (Form 990) 2018

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Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No
2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2018
Schedule L (Form 990 or 990-EZ) 2018
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) BROOKS CONSTRUCTION
 
ENTITY OF WHICH DIRECTOR MARGARET BROOKS OWNED A 35% OR GREATER INTEREST 699,758 VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH.   No
(2) KYLEE BENNETT FAMILY MEMBER OF KEY EMPLOYEE SUZANNE EHINGER 80,603 EMPLOYEE KYLEE BENNETT RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC.   No
(3) DAVID JAMES FAMILY MEMBER OF KEY EMPLOYEE SCOTT JAMES 253,341 EMPLOYEE DAVID JAMES RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC.   No
(4) JOHN STOREY FAMILY MEMBER OF KEY EMPLOYEE DAVID STOREY 47,213 EMPLOYEE JOHN STOREY RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC.   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2018


Additional Data


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SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Return Reference Explanation
FORM 990, PART V, LINES 1A AND 2A: PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION AS WELL AS RELATED ENTITIES. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2 AND W-3 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2018 WAS 568. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2018 WAS 13,593. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR PARKVIEW HEALTH SYSTEM, INC. WAS 323 AND 4,941 RESPECTIVELY.
FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF A MAXIMUM OF NINE (9) MEMBERS, INCLUDING THE FOLLOWING: THE PARKVIEW HEALTH BOARD CHAIR WHO SHALL ALSO SERVE AS CHAIR OF THE COMMITTEE, THE PARKVIEW HEALTH BOARD VICE CHAIR, THE PARKVIEW HEALTH PRESIDENT AND CHIEF EXECUTIVE OFFICER AND UP TO SIX (6) "AT LARGE" MEMBERS NOMINATED ANNUALLY BY THE GOVERNANCE COMMITTEE AND APPOINTED BY THE PARKVIEW HEALTH BOARD CHAIR. ALL MEMBERS SHALL HAVE VOTING RIGHTS. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. 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 AND MAY EXERCISE ALL POWERS OF THE BOARD; PROVIDED, HOWEVER, THE COMMITTEE MAY NOT (I) APPROVE PARKVIEW HEALTH STRATEGIC PLANS, (II) FILL BOARD VACANCIES, (III) AMEND OR REPEAL THE BYLAWS OF PARKVIEW HEALTH OR (IV) TAKE ANY OTHER ACTION PROHIBITED BY LAW OR PROHIBITED BY PARKVIEW HEALTH'S BYLAWS OR ARTICLES OF INCORPORATION. THE DUTIES OF THE EXECUTIVE COMMITTEE SHALL BE MORE FULLY SET FORTH IN THE EXECUTIVE COMMITTEE CHARTER APPROVED FROM TIME TO TIME BY A MAJORITY VOTE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL MEET NO LESS FREQUENTLY THAN QUARTERLY, ON ALTERNATE MONTHS FROM THE BOARD AND SHALL PROVIDE REGULAR REPORTS TO THE FULL BOARD.
FORM 990, PART VI, SECTION A, LINE 2 OFFICER JEANNE' WICKENS, RAYMOND DUSMAN, DIRECTOR ALAN MCGEE, AND KEY EMPLOYEES THOMAS BOND, JEFFREY BROOKES, GREG JOHNSON, MITCHELL STUCKY, HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER RAYMOND DUSMAN, AND KEY EMPLOYEES MITCHELL STUCKY, DAVID STOREY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICERS JEANNE' WICKENS, RICK HENVEY, AND KEY EMPLOYEES MITCHELL STUCKY, PHILIP SMITH HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. KEY EMPLOYEE GREG JOHNSON AND OFFICER JEANNE' WICKENS HAVE BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. KEY EMPLOYEE SCOTT JAMES AND OFFICER RICK HENVEY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER JEANNE' WICKENS AND KEY EMPLOYEE PHILIP SMITH HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. DIRECTORS MARGARET BROOKS AND DAVID HAIST HAVE A BUSINESS RELATIONSHIP. DIRECTORS JERRY LONG AND DAVID HAIST HAVE A BUSINESS RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 4 DURING 2018, THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS OF PARKVIEW HEALTH SYSTEM, INC.: ARTICLE IV - BOARD OF DIRECTORS, SECTION 9 - CHAIR'S REELECTION AND EXTENSION OF TERM, 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 UP TO FIVE (5) ONE-YEAR TERMS, WHERE CONSECUTIVE SERVICE AS THE CHAIR IS DETERMINED TO BE APPROPRIATE FOR ORGANIZATIONAL EFFECTIVENESS. IN EXTRAORDINARY CIRCUMSTANCES, THE BOARD MAY DETERMINE THAT IT WOULD BE IN THE BEST INTEREST OF THE CORPORATION TO RETAIN THE CURRENT CHAIR FOR MORE THAN FIVE (5) YEARS AND MAY CHOOSE TO RE-ELECT THE CHAIR FOR UP TO TWO (2) ADDITIONAL ONE-YEAR TERMS BEYOND THE INITIAL FIVE-YEAR TERM. SUCH CIRCUMSTANCES MAY INCLUDE, BUT NOT BE LIMITED TO, A NEED FOR GOVERNANCE CONTINUITY TO PROVIDE OVERSIGHT OF KEY MANAGEMENT SUCCESSION, TO COMPLETE A MAJOR STRATEGIC INITIATIVE OR TO RESOLVE A SENSITIVE ONGOING LEGAL MATTER. AFTER SERVICE AS CHAIR, THE CHAIR SHALL NOT BE ELIGIBLE FOR RE-ELECTION TO THE SAME POSITION UNTIL EXPIRATION OF THREE (3) INTERVENING YEARS. NOTWITHSTANDING SECTION 3 OF THIS ARTICLE, IF A CHAIR'S NORMAL TERM AS A DIRECTOR EXPIRES WHILE SERVING AS THE CHAIR, AND IF HE/SHE IS NOMINATED FOR REELECTION AS CHAIR, IN ORDER TO SERVE AS CHAIR, HE/SHE WILL BE RE-ELECTED TO THE BOARD FOR EACH ADDITIONAL YEAR THAT HE OR SHE HAS BEEN ELECTED TO SERVE AS CHAIR SUBJECT TO THE LIMITATIONS IN THE IMMEDIATELY-PRECEDING PARAGRAPH. ARTICLE V - OFFICERS, SECTION 1 - DESCRIPTION, ELECTION AND TENURE, IS AS FOLLOWS: THE OFFICERS OF THE BOARD SHALL BE THE CHAIR, VICE CHAIR, TREASURER AND SECRETARY, EACH OF WHOM SHALL BE ANNUALLY ELECTED AND QUALIFIED. IN ADDITION, WHEN IT IS ANTICIPATED THAT THE BOARD CHAIR WILL BE CONCLUDING HIS OR HER FINAL TERM AS CHAIR, THEN TWELVE (12) TO EIGHTEEN (18) MONTHS IN ADVANCE OF THE END OF THE CHAIR'S TERM, A CHAIR-ELECT MAY BE ELECTED BY THE BOARD UPON THE RECOMMENDATION OF THE GOVERNANCE COMMITTEE. THE OFFICERS' TERMS SHALL BEGIN UPON ADJOURNMENT OF THE MEETING AT WHICH THE ELECTION IS HELD. THE CHAIR OF THE BOARD MAY APPOINT ASSISTANT SECRETARIES OR ASSISTANT TREASURERS, FROM TIME TO TIME, AS NEEDED TO ACCOMPLISH THE OBJECTIVES OF THE CORPORATION. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION, WHILE NOT AN OFFICER OF THE BOARD, IS AN OFFICER OF THE CORPORATION AND HIS/HER DUTIES AND RESPONSIBILITIES WILL, THEREFORE, BE CONSIDERED IN THIS ARTICLE. ARTICLE V - OFFICERS, SECTION 2 - CHAIR'S AUTHORITY AND POWER, PARAGRAPH THREE WAS ADDED AND IS AS FOLLOWS: IN THE ABSENCE OF THE CHAIR, THE CHAIR-ELECT SHALL SERVE AS CHAIR IN THE CHAIR'S ABSENCE (IF THERE IS NO CHAIR-ELECT, THEN THE VICE CHAIR SHALL SERVE AS CHAIR IN THE CHAIR'S ABSENCE); PROVIDED, HOWEVER, THE BOARD SHALL ADOPT AND MAINTAIN A CHAIR SUCCESSION PLAN THAT SHALL SET FORTH PROCEDURES TO BE FOLLOWED SHOULD THE CHAIR BE ABSENT OR UNABLE TO PERFORM HIS OR HER DUTIES FOR MORE THAN A SHORT TEMPORARY PERIOD. ARTICLE V - OFFICERS, SECTION 3 - VICE CHAIR, IS AS FOLLOWS: IN RECOGNITION OF THE IMPORTANCE OF PHYSICIAN LEADERSHIP AT PARKVIEW HEALTH, THE VICE CHAIR SHALL BE A PHYSICIAN EMPLOYED BY PARKVIEW. THE VICE CHAIR SHALL SERVE AS CHAIR AND POSSESS ALL THE PREROGATIVES OF CHAIR ON THE CHAIR'S REQUEST. ADDITIONALLY, THE VICE CHAIR SHALL FULFILL THE DUTIES SET FORTH IN THE CHAIR SUCCESSION PLAN ADOPTED BY THE BOARD. ARTICLE V - OFFICERS, SECTION 6 - CHAIR-ELECT WAS ADDED, AND IS AS FOLLOWS: FOR THE PURPOSE OF MAINTAINING CONTINUITY OF LEADERSHIP, TWELVE (12) TO EIGHTEEN (18) MONTHS PRIOR TO THE EXPECTED EXPIRATION OF THE TERM OF THE CHAIR, THE BOARD MAY CHOOSE TO APPOINT A CHAIR-ELECT SUBJECT TO THE GOVERNANCE COMMITTEE PROCESS SET FORTH IN ARTICLE VI, SECTION 5 BELOW. THE CHAIR-ELECT SHALL, UPON THE CHAIR'S REQUEST, SERVE AS CHAIR AND POSSESS ALL THE PREROGATIVES OF CHAIR. THE CHAIR-ELECT SHALL ALSO FULFILL THE DUTIES SET FORTH IN THE CHAIR SUCCESSION PLAN. THE CHAIR-ELECT SHALL ASSUME THE OFFICE OF THE CHAIR UPON THE CONCLUSION OF THE TERM OF THE CURRENT CHAIR SUBJECT TO ELECTION UNDER SECTION 1 OF THIS ARTICLE. THE CHAIR-ELECT SHALL WORK CLOSELY WITH THE CHAIR, VICE CHAIR, AND PRESIDENT AND CHIEF EXECUTIVE OFFICER TO LEARN THE DUTIES OF THE CHAIR AND PREPARE TO SERVE AS THE FUTURE CHAIR AND HAVE SUCH OTHER DUTIES AS MAY BE ASSIGNED BY THE CHAIR OF THE BOARD. ARTICLE V - OFFICERS, SECTION 9 - ABSENCE OF PRESIDENT/CEO, IS AS FOLLOWS: IN THE ABSENCE OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, ANOTHER ADMINISTRATIVE OFFICER DESIGNATED BY THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, OR IN HIS/HER ABSENCE BY THE CHAIR OF THE BOARD, SHALL SERVE AS THE ADMINISTRATIVE HEAD OF THE CORPORATION, WITH THE SAME AUTHORITY, RESPONSIBILITIES AND LIMITATIONS AS THE PRESIDENT AND CHIEF EXECUTIVE OFFICER; PROVIDED, HOWEVER, THE BOARD SHALL ADOPT AND MAINTAIN AN EMERGENCY SUCCESSION PLAN FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER THAT SHALL SET FORTH THE PROCEDURES TO BE FOLLOWED SHOULD THE PRESIDENT AND CHIEF EXECUTIVE OFFICER BE ABSENT OR UNABLE TO PERFORM HIS OR HER DUTIES FOR MORE THAN A SHORT TEMPORARY PERIOD. ARTICLE VI - COMMITTEES OF THE BOARD OF DIRECTORS, SECTION 5 - GOVERNANCE COMMITTEE, IS AS FOLLOWS: (A)COMPOSITION. THE GOVERNANCE COMMITTEE SHALL CONSIST OF AT LEAST THREE (3) MEMBERS, THE MAJORITY OF WHOM SHALL BE INDEPENDENT AND DISINTERESTED, AND SHALL INCLUDE THE VICE CHAIR OF THE PARKVIEW HEALTH BOARD AND THE CHAIR ELECT OF THE PARKVIEW HEALTH BOARD, IF APPLICABLE. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF PARKVIEW HEALTH SHALL SERVE ON THE COMMITTEE, AND MAY DESIGNATE ANOTHER OFFICER TO ATTEND COMMITTEE MEETINGS ON HIS/HER BEHALF. (B)DUTIES. THE GOVERNANCE COMMITTEE SHALL BE CONDUCTED CONSISTENT WITH THE TERMS OF THE GOVERNANCE COMMITTEE CHARTER, APPROVED FROM TIME TO TIME BY A MAJORITY VOTE OF THE BOARD, TO ASSIST THE BOARD OF DIRECTORS IN ITS RESPONSIBILITY FOR ENSURING EFFECTIVE GOVERNANCE OF THE CORPORATION AND ENHANCING BOARD MEMBER EFFECTIVENESS AND DEVELOPMENT. IN ADDITION, THE GOVERNANCE COMMITTEE WILL REPORT DIRECTLY TO THE BOARD OF DIRECTORS ON THE FOLLOWING ACTIVITIES AND ISSUES: (I)THE GOVERNANCE COMMITTEE SHALL REVIEW AND FORMULATE POLICIES THAT ADDRESS AND ARE DESIGNED TO IMPROVE GOVERNANCE EFFECTIVENESS, INCLUDING BOARD COMMITTEE STRUCTURE AND RESPONSIBILITIES. (II)THE GOVERNANCE COMMITTEE SHALL SERVE AS THE NOMINATING COMMITTEE FOR THE BOARD CHAIR AND CHAIR-ELECT, AND SHALL IDENTIFY AND RECOMMEND BOARD DIRECTORS AND COMMITTEE MEMBERS FOR APPOINTMENT THAT SUPPORT THE MISSION OF PARKVIEW HEALTH AND REFLECT THE DIVERSITY OF ITS COMMUNITIES. THE GOVERNANCE COMMITTEE SHALL SEND ITS RECOMMENDATION FOR BOARD CHAIR AND, WHEN APPLICABLE, CHAIR-ELECT TO THE EXECUTIVE COMMITTEE FOR APPROVAL BEFORE SUCH RECOMMENDATION GOES TO THE FULL BOARD FOR FINAL APPROVAL. (III)THE GOVERNANCE COMMITTEE SHALL DESIGN AND PERIODICALLY ASSESS THE ORIENTATION PROGRAM FOR NEW BOARD MEMBERS, ASSIST THE BOARD REGARDING EVALUATION AND RECOMMENDATIONS FOR BOARD MEMBER SUCCESSION PLANNING, AND IDENTIFY PROGRAMS TO ENHANCE BOARD MEMBER EFFECTIVENESS AND ONGOING DEVELOPMENT. THE GOVERNANCE COMMITTEE SHALL ALSO PLAN THE BOARD'S SEMI-ANNUAL RETREATS. (IV)MEETINGS: THE GOVERNANCE COMMITTEE WILL MEET AS NEEDED, BUT NO LESS FREQUENTLY THAN ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 11B AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 2, 2019, THE SYSTEM AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES.
FORM 990, PART VI, SECTION B, LINE 12C AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL."
FORM 990, PART VI, SECTION B, LINE 15 REGARDING LINES 15A AND 15B, TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE ORGANIZATION USED A PROCESS FOR DETERMINING COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2017, THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2017 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. THE COMPENSATION PACKAGE WAS APPROVED BY A MAJORITY OF INDEPENDENT BOARD MEMBERS. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A COMPETITIVE COMPENSATION ANALYSIS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AS WELL AS ALL EXECUTIVES AT THE VICE PRESIDENT LEVEL AND ABOVE. ALL DATA IS SHARED WITH THE BOARD OF DIRECTORS. THE BOARD APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO AND HIS DIRECT REPORTS. APPROVAL IS ALSO PROVIDED FOR THE SALARY BUDGET FOR THE ENTIRE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP).
FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINES 5-10: PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC. FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E. PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII.
FORM 990, PART XI, LINE 9: ASSET ADJUSTMENT TRANSFERS 282,592. BOOK/TAX DIFF FROM K-1'S 9,329,193. CURRENT YEAR EARNINGS TRANSFERRED FROM 501(C)(3)'S 189,775,397. AMORTIZE BOND SWAP OCI 42,600. ADJUST OCI FOR PENSION 14,519,626.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) NORTH CLINTON DEVELOPMENT LLC
F/K/A TRICON DIEBOLD DEVELOPMENT LL
FORT WAYNE,IN46845
46-4037822
REAL ESTATE IN 0 0 PARKVIEW HEALTH SYSTEM INC
 
(2) PARKVIEW CARE PARTNERS LLC
10501 CORPORATE DRIVE
FORT WAYNE,IN46845
46-2201508
CLINICAL INTEGRATION NETWORK IN 10,533,092 9,533,681 PARKVIEW HEALTH SYSTEM INC
 
(3) PARKVIEW ACCOUNTABLE CARE LLC
10501 CORPORATE DRIVE
FORT WAYNE,IN46845
81-2787982
ACCOUNTABLE CARE ORGANIZATION IN 0 0 PARKVIEW HEALTH SYSTEM INC
 






Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)PARKVIEW HOSPITAL INC
11109 PARKVIEW PLAZA DRIVE

FORT WAYNE,IN46845
35-0868085
HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC
 
Yes
 
(2)PARKVIEW FOUNDATION INC
10622 PARKVIEW PLAZA DRIVE

FORT WAYNE,IN46845
23-7220589
FUND MGMT IN 501(C)(3) LINE 12A, I PARKVIEW HOSPITAL INC
 
Yes
 
(3)PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
10501 CORPORATE DRIVE

FORT WAYNE,IN46845
35-2064353
OCCUP HEALTH IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC
 
Yes
 
(4)COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE ROAD

LAGRANGE,IN46761
20-2401676
HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC
 
Yes
 
(5)COMMUNITY HOSPITAL OF NOBLE COUNTY INC
401 SAWYER ROAD

KENDALLVILLE,IN46755
35-2087092
HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC
 
Yes
 
(6)COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC
401 SAWYER ROAD

KENDALLVILLE,IN46755
35-2089183
FUND MGMT IN 501(C)(3) LINE 12A, I COMMUNITY HOSPITAL OF NOBLE COUNTY INC
 
Yes
 
(7)WHITLEY MEMORIAL HOSPITAL INC
1260 E STATE ROAD 205

COLUMBIA CITY,IN46725
35-1967665
HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC
 
Yes
 
(8)WHITLEY MEMORIAL HOSPITAL FOUNDATION INC
1260 E STATE ROAD 205

COLUMBIA CITY,IN46725
31-1190239
FUND MGMT IN 501(C)(3) LINE 12A, I WHITLEY MEMORIAL HOSPITAL INC
 
Yes
 
(9)HUNTINGTON MEMORIAL HOSPITAL INC
2001 STULTS ROAD

HUNTINGTON,IN46750
35-1970706
HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC
 
Yes
 
(10)PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS ROAD

HUNTINGTON,IN46750
32-0012095
FUND MGMT IN 501(C)(3) LINE 12A, I HUNTINGTON MEMORIAL HOSPITAL INC
 
Yes
 
(11)PARKVIEW WABASH HOSPITAL INC
10 JOHN KISSINGER DRIVE

WABASH,IN46992
47-1753440
HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC
 
Yes
 
(12)PARKVIEW WABASH HOSPITAL FOUNDATION INC
10 JOHN KISSINGER DRIVE

WABASH,IN46992
35-1921445
FUND MGMT IN 501(C)(3) LINE 12A, I PARKVIEW WABASH HOSPITAL INC
 
Yes
 
(13)PARK CENTER INC
909 EAST STATE BLVD

FORT WAYNE,IN46805
35-1135451
COMPREHENSIVE MENTAL HEALTH CENTER IN 501(C)(3) LINE 10 PARKVIEW HEALTH SYSTEM INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC

10501 CORPORATE DRIVE
FORT WAYNE,IN46845
26-0143823
ORTHO HOSPITAL IN PARKVIEW HEALTH SYSTEM INC
 
RELATED 54,223,660 64,452,612   No   Yes   60.000 %
(2) FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC

8004 CARNEGIE BLVD
FORT WAYNE,IN46804
20-1394120
SURGICAL SERVICES IN PARKVIEW HEALTH SYSTEM INC
 
RELATED 125,130 -49,719   No   Yes   51.000 %
(3) MANAGED CARE SERVICES LLC

10501 CORPORATE DRIVE
FORT WAYNE,IN46845
35-1996535
HEALTH PLAN ADMIN IN PARKVIEW HEALTH SYSTEM INC
 
RELATED 1,230,088 11,157,280   No   Yes   90.000 %
(4) WABASH MRI LLC

710 N EAST ST
WABASH,IN46992
20-4352572
EQUIPMENT LEASING IN N/A
N/A       No     No  






Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) PARKVIEW PROFESSIONAL PROGRAMS INC

10501 CORPORATE DRIVE
FORT WAYNE,IN46845
35-1668888
REFERENCE LAB IN N/A
C         No
(2) MIDWEST COMMUNITY HEALTH ASSOCIATES INC

442 W HIGH STREET
BRYAN,OH43506
34-1045870
PHYSICIANS OH PARKVIEW HEALTH SYSTEM INC
 
C 23,457,641 2,259,712 100.000 %   No
(3) WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC

202 W BERRY ST SUITE 800
FORT WAYNE,IN46802
35-2058340
CONDO MANAGEMENT IN PARKVIEW HEALTH SYSTEM INC
 
C 119,120 291,755 92.300 %   No








Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) ............................
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
Yes
 
r Other transfer of cash or property to related organization(s) ............................
1r
Yes
 
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) HUNTINGTON MEMORIAL HOSPITAL INC

A 1,269,854 PART VII SUPPLEMENTAL INFORMATION
(2) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

A 1,498,061 PART VII SUPPLEMENTAL INFORMATION
(3) PARKVIEW OCCUPATIONAL HEALTH CENTERS INC

A 506,285 PART VII SUPPLEMENTAL INFORMATION
(4) PARKVIEW FOUNDATION INC

A 130,876 PART VII SUPPLEMENTAL INFORMATION
(5) PARKVIEW HOSPITAL INC

A 3,871,618 PART VII SUPPLEMENTAL INFORMATION
(6) WHITLEY MEMORIAL HOSPITAL INC

A 2,992,373 PART VII SUPPLEMENTAL INFORMATION
(7) PARKVIEW WABASH HOSPITAL INC

A 193,448 PART VII SUPPLEMENTAL INFORMATION
(8) MIDWEST COMMUNITY HEALTH ASSOCIATES INC

A 1,572,497 PART VII SUPPLEMENTAL INFORMATION
(9) PARKVIEW FOUNDATION INC

B 2,281,330 PART VII SUPPLEMENTAL INFORMATION
(10) PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC

B 172,558 PART VII SUPPLEMENTAL INFORMATION
(11) COMMUNITY HOSPITAL OF NOBLE COUNTY HOSPITAL INC

B 177,695 PART VII SUPPLEMENTAL INFORMATION
(12) PARKVIEW WABASH FOUNDATION INC

B 168,074 PART VII SUPPLEMENTAL INFORMATION
(13) WHITLEY MEMORIAL HOSPITAL FOUNDATION INC

B 153,226 PART VII SUPPLEMENTAL INFORMATION
(14) PARKVIEW HOSPITAL INC

B 206,164 PART VII SUPPLEMENTAL INFORMATION
(15) PARKVIEW FOUNDATION INC

C 85,157 PART VII SUPPLEMENTAL INFORMATION
(16) COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC

D 5,896,241 PART VII SUPPLEMENTAL INFORMATION
(17) WHITLEY MEMORIAL HOSPITAL INC

D 6,893,500 PART VII SUPPLEMENTAL INFORMATION
(18) HUNTINGTON MEMORIAL HOSPITAL INC

J 1,269,854 PART VII SUPPLEMENTAL INFORMATION
(19) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

J 1,498,061 PART VII SUPPLEMENTAL INFORMATION
(20) PARKVIEW OCCUPATIONAL HEALTH CENTERS INC

J 506,282 PART VII SUPPLEMENTAL INFORMATION
(21) PARKVIEW FOUNDATION INC

J 130,876 PART VII SUPPLEMENTAL INFORMATION
(22) PARKVIEW HOSPITAL INC

J 3,871,618 PART VII SUPPLEMENTAL INFORMATION
(23) WHITLEY MEMORIAL HOSPITAL INC

J 2,992,373 PART VII SUPPLEMENTAL INFORMATION
(24) PARKVIEW WABASH HOSPITAL INC

J 193,448 PART VII SUPPLEMENTAL INFORMATION
(25) MIDWEST COMMUNITY HEALTH ASSOCIATES INC

J 1,572,497 PART VII SUPPLEMENTAL INFORMATION
(26) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

K 111,389 PART VII SUPPLEMENTAL INFORMATION
(27) PARKVIEW HOSPITAL INC

K 2,710,489 PART VII SUPPLEMENTAL INFORMATION
(28) PARKVIEW WABASH HOSPITAL INC

K 52,323 PART VII SUPPLEMENTAL INFORMATION
(29) WHITLEY MEMORIAL HOSPITAL INC

K 789,405 PART VII SUPPLEMENTAL INFORMATION
(30) ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC

L 9,961,149 PART VII SUPPLEMENTAL INFORMATION
(31) PARKVIEW HOSPITAL INC

L 141,390,895 PART VII SUPPLEMENTAL INFORMATION
(32) HUNTINGTON MEMORIAL HOSPITAL INC

L 8,418,000 PART VII SUPPLEMENTAL INFORMATION
(33) COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC

L 5,615,004 PART VII SUPPLEMENTAL INFORMATION
(34) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

L 9,300,996 PART VII SUPPLEMENTAL INFORMATION
(35) MIDWEST COMMUNITY HEALTH ASSOCIATES INC

L 4,095,000 PART VII SUPPLEMENTAL INFORMATION
(36) PARKVIEW FOUNDATION INC

L 162,000 PART VII SUPPLEMENTAL INFORMATION
(37) MANAGED CARE SERVICES LLC

L 1,134,000 PART VII SUPPLEMENTAL INFORMATION
(38) PARKVIEW PROFESSIONAL PROGRAMS INC

L 560,004 PART VII SUPPLEMENTAL INFORMATION
(39) PARKVIEW WABASH HOSPITAL INC

L 5,817,000 PART VII SUPPLEMENTAL INFORMATION
(40) WHITLEY MEMORIAL HOSPITAL INC

L 10,158,996 PART VII SUPPLEMENTAL INFORMATION
(41) PARKVIEW HOSPITAL INC

Q 152,303,894 PART VII SUPPLEMENTAL INFORMATION
(42) HUNTINGTON MEMORIAL HOSPITAL INC

Q 6,313,893 PART VII SUPPLEMENTAL INFORMATION
(43) COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC

Q 3,782,980 PART VII SUPPLEMENTAL INFORMATION
(44) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

Q 6,493,981 PART VII SUPPLEMENTAL INFORMATION
(45) PARKVIEW WABASH HOSPITAL INC

Q 4,578,133 PART VII SUPPLEMENTAL INFORMATION
(46) WHITLEY MEMORIAL HOSPITAL INC

Q 10,279,701 PART VII SUPPLEMENTAL INFORMATION
(47) PARKVIEW HOSPITAL INC

R 443,656 PART VII SUPPLEMENTAL INFORMATION
(48) MIDWEST COMMUNITY HEALTH ASSOCIATES INC

R 45,591,189 PART VII SUPPLEMENTAL INFORMATION
(49) PARKVIEW HOSPITAL INC

S 155,525,776 PART VII SUPPLEMENTAL INFORMATION
(50) HUNTINGTON MEMORIAL HOSPITAL INC

S 11,883,702 PART VII SUPPLEMENTAL INFORMATION
(51) COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC

S 2,444,210 PART VII SUPPLEMENTAL INFORMATION
(52) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

S 11,946,754 PART VII SUPPLEMENTAL INFORMATION
(53) WHITLEY MEMORIAL HOSPITAL INC

S 7,974,955 PART VII SUPPLEMENTAL INFORMATION
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
SCHEDULE R, PART V, LINE 2, COLUMN (C): THE AMOUNTS REPORTED AS TRANSACTIONS WITH RELATED ORGANIZATIONS ARE CONSISTENT WITH THE AMOUNTS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS DEPENDING ON THE TYPE OF TRANSACTION INVOLVED.
Schedule R (Form 990) 2018

Additional Data


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