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
2020
Open to Public Inspection
A For the 2020 calendar year, or tax year beginning 01-01-2020 , and ending 12-31-2020
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)
1450 PRODUCTION RD
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
FORT WAYNE, IN46808
D Employer identification number

35-1972384
E Telephone number

G Gross receipts $ 2,281,963,656
F Name and address of principal officer:
MICHAEL J PACKNETT
1450 PRODUCTION RD
FORT WAYNE,IN46808
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 16
5 Total number of individuals employed in calendar year 2020 (Part V, line 2a) ...... 5 5,662
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 4,157,862
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 186,214
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 2,504,117 21,938,223
9 Program service revenue (Part VIII, line 2g) ......... 771,408,572 858,222,419
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 33,572,148 49,664,690
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 3,614,413 3,395,762
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 811,099,250 933,221,094
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 6,641,383 2,587,639
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) 570,071,162 649,494,411
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 164,009 37,500
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet37,500    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 280,707,528 265,912,292
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 857,584,082 918,031,842
19 Revenue less expenses. Subtract line 18 from line 12....... -46,484,832 15,189,252
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 2,473,282,476 2,712,217,032
21 Total liabilities (Part X, line 26)............. 1,144,237,230 1,336,886,158
22 Net assets or fund balances. Subtract line 21 from line 20..... 1,329,045,246 1,375,330,874
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 (2020)
Form 990 (2020)
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 $ 883,027,199 including grants of $ 2,587,639 ) (Revenue $ 854,064,557 )
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.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; DEKALB MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC. THE ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC. IS THE FIRST SPECIALTY HOSPITAL IN NORTHEAST INDIANA DEVOTED SOLELY TO ORTHOPEDIC SURGERY AND POST-SURGERY PATIENT CARE. THIS 37-BED STATE-OF-THE-ART FACILITY INCLUDES AN INPATIENT UNIT, AN (SEE SCHEDULE O FOR CONTINUATION)INPATIENT REHABILITATION GYM AND ORTHO NORTHEAST 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, A HEART INSTITUTE, A CERTIFIED COMPREHENSIVE STROKE CENTER, WOMEN'S & CHILDREN'S HOSPITAL, OUTPATIENT SERVICE CENTER AND CANCER INSTITUTE. PARKVIEW REGIONAL MEDICAL CENTER IS CURRENTLY UNDERGOING EXPANSION OF ITS CORE TOWER IN RESPONSE TO A GROWING NUMBER OF PEOPLE WHO CONTINUE TO CHOOSE PARKVIEW AS THEIR PREFERRED PROVIDER FOR CARE. THIS $98 MILLION EXPANSION IS NECESSARY AS PARKVIEW HOSPITAL, INC. HAD INSUFFICIENT INPATIENT BED CAPACITY TO MEET THE GROWING DEMAND. THE EXPANSION CONSISTS OF CONSTRUCTION OF A SIX-STORY, 168,000-SQUARE-FOOT MEDICAL TOWER. THE NEW TOWER WILL ALLOW THE HOSPITAL TO ADD 72 NEW INPATIENT BEDS AND 100 NEW CLINICAL POSITIONS, WITH ROUGHLY 63,000 SQUARE FEET OF ADDITIONAL SPACE. THIS SURPLUS WILL NOT ONLY ALLOW FOR FUTURE EXPANSION PLANS BUT WILL ALSO CONTINUE TO SUPPORT PROJECTED INPATIENT DEMAND AND AMBULATORY CARE GROWTH. WHILE THE PROJECT IS NOT YET COMPLETE, PART OF THE NEW EXPANSION IS OPERATIONAL. THE SIXTH FLOOR IS CURRENTLY OPERATING AS AN EXPANSION OF THE HOSPITAL'S MEDICAL/SURGICAL PROGRESSIVE CARE UNIT WITH 24 NEW INPATIENT BEDS. THE FIFTH FLOOR IS UTILIZED FOR MEDICAL/SURGICAL SPECIALTY CARE, AND THE FOURTH FLOOR IS DESIGNATED FOR NEUROLOGICAL CARE WITH 24 BEDS ON EACH FLOOR. LASTLY, THE LOWER LEVEL AND FIRST FLOORS INCLUDE MAINTENANCE AREAS, A NEW EMERGENCY DEPARTMENT ENTRANCE AND A PATIENT DISCHARGE LOUNGE.PARKVIEW HEALTH SYSTEM, INC. EMPLOYS MORE THAN 13,000 FULL- AND PART-TIME CO-WORKERS, INCLUDING 900 PRIMARY AND SPECIALTY CARE PHYSICIANS AS PART OF PARKVIEW PHYSICIANS GROUP. THESE PHYSICIANS PROVIDE CARE TO RESIDENTS THROUGHOUT NORTHEAST INDIANA AND NORTHWEST OHIO, REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. PARKVIEW HEALTH SYSTEM, INC. EMPLOYS 551 PRIMARY AND SPECIALTY CARE PHYSICIANS AS PART OF PARKVIEW PHYSICIANS GROUP. THESE PHYSICIANS, ALONG WITH 409 ADVANCED PRACTICE PROVIDERS, PROVIDE CARE TO RESIDENTS THROUGHOUT NORTHEAST INDIANA AND NORTHWEST OHIO REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. SIXTY-SIX NEW PHYSICIANS AND 49 ADVANCED PRACTICE PROVIDERS WERE RECRUITED IN 2020, SIGNIFICANTLY INCREASING THE SYSTEM'S ABILITY TO MEET LOCAL HEALTH NEEDS. PARKVIEW HEALTH EMPLOYS FOUR FULL-TIME PHYSICIAN RECRUITERS AND ONE FULL-TIME SOURCING SPECIALIST 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. IN SUPPORTING THE WORK OF PARKVIEW HEALTH SYSTEM, INC MEDICAL PROFESSIONALS, 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 OPERATING ROOMS, EXAM ROOMS, PATIENT ROOMS AND AMBULANCES. IN ADDITION TO HOSPITAL-RELATED INITIATIVES, THE MIRRO RESEARCH AND INNOVATION CENTER ENGAGES IN PROJECTS RELATED TO COMMUNITY HEALTH THROUGH ITS HEALTH SERVICES AND INFORMATICS RESEARCH TEAM. THE HEALTH SERVICES AND INFORMATICS RESEARCH TEAM IS COMPRISED OF INTERDISCIPLINARY SCIENTISTS, PROJECT MANAGERS AND USER-EXPERIENCE SPECIALISTS. THIS TEAM WORKS ON A BROAD ARRAY OF PROJECTS, INCLUDING INVESTIGATOR-INITIATED RESEARCH, PROGRAM EVALUATION, PILOT STUDIES, COMMUNITY SURVEY STUDIES AND USER-EXPERIENCE PROJECTS THAT IMPROVE THE USABILITY OF HEALTHCARE TECHNOLOGIES. SOME EXAMPLES OF THEIR PROJECTS AND FOCUS AREAS INCLUDE YOUTH MENTAL HEALTH, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MOST OF THE TEAM'S WORK HAS RESULTED IN PEER-REVIEWED PUBLICATIONS IN JOURNALS, PRESENTATIONS AT TOP-TIER SCIENTIFIC CONFERENCES, AND DISSEMINATION OF INFORMATION TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFLUENCE PUBLIC HEALTH POLICY. THE YEAR OF 2020 PRESENTED PARKVIEW HEALTH SYSTEM, INC. WITH MANY NEW CHALLENGES WITH THE SPREAD OF COVID-19 THROUGHOUT THE UNITED STATES. HOWEVER, AS A RESULT OF THE HEALTH SYSTEM'S GROWTH AND PREPAREDNESS FOR SUCH TRYING TIMES, PARKVIEW WAS ABLE TO STEP UP AND OFFER MANY ADDITIONAL RESOURCES TO THE COMMUNITY IN ADDITION TO CARING FOR THE LARGE INFLUX OF COVID-19 PATIENTS. THE FOLLOWING IS A TIMELINE COVERING THE EXTENSIVE EFFORTS MADE POSSIBLE BY THE DEDICATED STAFF OF PARKVIEW HEALTH SYSTEM, INC. AND ITS PARTNERS IN THE COMMUNITY IN 2020:APRIL 17, 2020 - ADDED A FREE COVID-19 SYMPTOM CHECKER TO PARKVIEW.COM. THE INTERACTIVE TOOL ALLOWS PATIENTS TO COMPLETE A SELF-ASSESSMENT AND BE DIRECTED TO APPROPRIATE CARE. PATIENTS CAN ACCESS THIS TOOL AT PARKVIEW.COM/COVID19SYMPTOMCHECKER. APRIL 22, 2020 - PARKVIEW COMMUNITY NURSING AND THE PARKVIEW COMMUNITY GREENHOUSE AND LEARNING KITCHEN PARTNERED TOGETHER TO PROVIDE FRESH PRODUCE FOR MOMS IN THE BREASTFEEDING SUPPORT GROUP, AS WELL AS FAMILIES AT VINCENT VILLAGE, MOMS PARTICIPATING IN THE SAFETY PIN GRANT AND RESIDENTS AT BEACON HEIGHTS. IN ALL, PARKVIEW WAS ABLE TO PROVIDE OVER 65 BAGS OF PRODUCE FROM BOTH THE PARKVIEW COMMUNITY GREENHOUSE AND THE FORT WAYNE FARMER'S MARKET TO FAMILIES IN NEED. THIS PROGRAM HELPED PROVIDE ACCESS TO NUTRITIOUS FOODS WITHOUT POTENTIALLY EXPOSING MOTHERS AND BABIES TO UNNECESSARY OUTSIDE CONTACT.MAY 11, 2020 - IN PARTNERSHIP WITH GREATER FORT WAYNE, INC. AND NORTHEAST INDIANA REGIONAL PARTNERSHIP, LEADERS AND PHYSICIANS FROM PARKVIEW HEALTH SYSTEM, INC. DEVELOPED A WEBINAR THAT PROVIDED A "ROADMAP TO REOPENING" FOR BUSINESS LEADERS AND INDIVIDUALS/CO-WORKERS. THE WEBINAR PROVIDED ADVICE ON SAFELY RETURNING TO WORK AND COMMUNITY LIFE. IN ADDITION TO THE WEBINAR, PARKVIEW PUBLISHED THE BUSINESS CONNECT DASHBOARD FOR LOCAL BUSINESS LEADERS TO FIND MORE INFORMATION ON REOPENING SAFELY AND OTHER ADDITIONAL RESOURCES.
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 expensesMediumBullet883,027,199
Form 990 (2020)
Form 990 (2020)
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 V......
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) ....Click to see attachment
17
Yes
 
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............ Click to see attachment
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...................Click to see attachment
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
 
Form 990 (2020)
Form 990 (2020)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
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
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 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part IIClick to see attachment...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part IIIClick 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, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................Click to see attachment
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....Click to see attachment
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
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
298
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 (2020)
Form 990 (2020)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
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
5,662
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 , MY , EI
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
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
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 (2020)
Form 990 (2020)
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
16
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
 
No
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 , OH
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' WICKENS1450 PRODUCTION RD   FORT WAYNE,IN46808 (260) 266-9313
Form 990 (2020)
Form 990 (2020)
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.

See instructions for the order in which to list the persons above.
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
.................
0.00
X   X       2,048,421 0 1,656,853
(2) RAYMOND DUSMAN......................................................................
DIRECTOR/VICE CHAIR/PH CPE & EVP
40.00
.................
0.00
X   X       1,298,753 0 371,575
(3) JOSHUA KLINE......................................................................
DIRECTOR/PH CHIEF MEDICAL OFFICER
40.00
.................
0.00
X           581,586 0 128,878
(4) THOMAS MILLER......................................................................
DIRECTOR/PH PHYSICIAN
33.00
.................
7.00
X           595,513 10,286 65,591
(5) ALAN MCGEE......................................................................
DIRECTOR/ORTHO PHYSICIAN
7.00
.................
2.00
X           429,577 62,538 0
(6) JAMES STAPEL......................................................................
DIRECTOR/PH PHYSICIAN
6.00
.................
1.00
X           53,915 1,000 0
(7) DAVID HAIST......................................................................
DIRECTOR/CHAIR
1.00
.................
0.00
X   X       14,310 0 0
(8) SHERRYL RHINESMITH......................................................................
DIRECTOR
1.00
.................
1.00
X           3,849 6,500 0
(9) HOWARD HALDERMAN......................................................................
DIRECTOR
1.00
.................
1.00
X           3,199 6,750 0
(10) JOHN NELSON......................................................................
DIRECTOR
1.00
.................
1.00
X           3,250 6,250 0
(11) BRIAN EMERICK......................................................................
DIRECTOR/SECRETARY
1.00
.................
0.00
X   X       9,122 0 0
(12) MARILYN MORAN-TOWNSEND......................................................................
DIRECTOR
1.00
.................
0.00
X           8,750 0 0
(13) DOUGLAS MORROW......................................................................
DIRECTOR
1.00
.................
1.00
X           1,750 7,000 0
(14) THOMAS KIMBROUGH......................................................................
DIRECTOR
1.00
.................
1.00
X           4,000 4,500 0
(15) DAN STARR......................................................................
DIRECTOR
1.00
.................
1.00
X           4,750 3,500 0
(16) IRENE WALTERS......................................................................
DIRECTOR
1.00
.................
1.00
X           1,750 6,250 0
(17) THOMAS LEEDY......................................................................
DIRECTOR
1.00
.................
1.00
X           1,750 6,000 0
Form 990 (2020)
Form 990 (2020)
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) MARGARET BROOKS........................................................................
DIRECTOR
1.00
.......................0.00
X           7,250 0 0
(19) LUTHER WHITFIELD........................................................................
DIRECTOR
1.00
.......................0.00
X           7,026 0 0
(20) MICHAEL AXEL........................................................................
DIRECTOR/TREASURER
1.00
.......................1.00
X   X       5,162 1,500 0
(21) JERRY LONG........................................................................
DIRECTOR
1.00
.......................0.00
X           6,500 0 0
(22) WENDY ROBINSON........................................................................
DIRECTOR
1.00
.......................0.00
X           5,250 0 0
(23) STEPHEN WRIGHT........................................................................
DIRECTOR
1.00
.......................0.00
X           5,250 0 0
(24) RICK HENVEY........................................................................
PH CHIEF OPERATING OFFICER
40.00
.......................0.00
    X       1,181,459 0 344,196
(25) JEANNE' WICKENS........................................................................
PH CHIEF FINANCIAL OFFICER
40.00
.......................0.00
    X       1,084,552 0 339,895
(26) NEIL SHARMA........................................................................
PCI PRESIDENT
40.00
.......................0.00
      X     1,148,332 0 196,006
(27) ROY ROBERTSON........................................................................
PHI PRESIDENT
40.00
.......................0.00
      X     1,083,864 0 179,740
(28) MITCHELL STUCKY........................................................................
PH PHYSICIAN EXECUTIVE OFFICER
40.00
.......................0.00
      X     829,443 0 146,254
(29) RONALD DOUBLE........................................................................
PH CHIEF INFORMATION OFFICER
40.00
.......................0.00
      X     692,065 0 282,686
(30) DENA JACQUAY........................................................................
PH CHIEF ADMINISTRATIVE OFFICER
40.00
.......................0.00
      X     657,498 0 250,086
(31) BENJAMIN MILES........................................................................
HPS PRESIDENT
10.00
.......................30.00
      X     125,993 609,571 145,976
(32) GREG JOHNSON........................................................................
PH CHIEF CLINICAL INTEG OFFICER
40.00
.......................0.00
      X     694,718 0 154,899
(33) DAVID STOREY........................................................................
PH CHIEF LEGAL & COMPLIANCE OFFICER
40.00
.......................0.00
      X     642,590 0 143,829
(34) JEFFREY BOORD........................................................................
PH CHIEF QUALITY & SAFETY OFFICER
40.00
.......................0.00
      X     618,779 0 126,768
(35) JASON ROW........................................................................
PH CHIEF MEDICAL OFFICER-PPG
40.00
.......................0.00
      X     564,064 0 135,319
(36) THOMAS BOND........................................................................
PH CHIEF MEDICAL OFFICER-PPG
40.00
.......................0.00
      X     547,694 0 136,241
(37) JUDITH BOERGER........................................................................
PH CHIEF NURSING EXECUTIVE
40.00
.......................0.00
      X     568,474 0 112,917
(38) MARK PIERCE........................................................................
PH CHIEF MED INFORMATICS OFFICER
40.00
.......................0.00
      X     531,379 0 115,808
(39) JOLYNN SUKO........................................................................
PH SVP & CHIEF INNOVAT OFF & VIR HLTH
40.00
.......................0.00
      X     499,178 0 105,511
(40) GERALD GRANNAN........................................................................
PH SVP & COO - PPG
40.00
.......................0.00
      X     479,002 0 117,346
(41) MICHAEL GERUE........................................................................
PH SVP & COO SVR LINE LEADER
35.00
.......................5.00
      X     409,909 36,609 125,453
(42) GARY BREUER........................................................................
PH SVP & ENTERPRISE REV CYCLE
40.00
.......................0.00
      X     468,532 0 102,614
(43) DAVID JEANS........................................................................
PH SVP PAYER/EMPLOYER HLTH PLAN
40.00
.......................0.00
      X     455,891 0 106,290
(44) SCOTT JAMES........................................................................
PH SVP & COO SVR LINE LEADER
40.00
.......................0.00
      X     430,308 0 104,275
(45) PHILIP SMITH........................................................................
PH SVP STRATEGY & BUSINESS DVLP
40.00
.......................0.00
      X     442,149 0 92,317
(46) KENNETH AUSTIN........................................................................
PH PHYSICIAN
40.00
.......................0.00
        X   1,191,559 0 37,627
(47) JAMES DOZIER........................................................................
PH PHYSICIAN
40.00
.......................0.00
        X   1,192,909 0 33,258
(48) STEVEN WYNDER........................................................................
PH PHYSICIAN
40.00
.......................0.00
        X   1,018,790 11,840 58,348
(49) DOUGLAS GRAY........................................................................
PH PHYSICIAN
40.00
.......................0.00
        X   1,018,940 0 69,332
(50) DAVID LLOYD........................................................................
PH PHYSICIAN
40.00
.......................0.00
        X   986,876 0 66,689
(51) JOSEPH WOLFCALE........................................................................
FORMER KEY EMPLOYEE
0.00
.......................0.00
          X 285,637 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 24,951,267 780,094 6,052,577
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 MediumBullet1,044
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 13,009,789
LOCUMTENENS

PO BOX 405547
ATLANTA,GA30384
PHYSICIANS 5,044,617
BOYDEN & YOUNGBLUTT

120 WEST SUPERIOR ST
FORT WAYNE,IN46802
MARKETING ANALYTICS 2,515,876
AMN WORKFORCE SOLUTIONS LLC

P O BOX 744869
ATLANTA,GA30374
MEDICAL CODING 1,996,056
HURON CONSULTING SERVICES LLC

PO BOX 71223
CHICAGO,IL60694
CONSULTING 1,962,134
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet96
Form 990 (2020)
Form 990 (2020)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 341,582
e Government grants (contributions)1e 19,708,610
f All other contributions, gifts, grants, and similar amounts not included above1f 1,888,031
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 21,938,223
 Program Service RevenueAmt Business Code
2a CORP SERVICE ALLOCATION 561000 286,534,272 286,534,272    
b PH CLINICAL SUPPORT 561499 271,687,780 271,687,780    
c NET PATIENT SERVICE 621110 211,678,667 211,678,667    
d ORTHOPAEDIC HOSPITAL AT PARKVIEW 621110 41,945,079 41,945,079    
e INTERUNIT RENT 532000 13,329,537 13,329,537    
f All other program service revenue. 33,047,084 28,889,222 4,157,862  
g Total. Add lines 2a–2f .....MediumBullet 858,222,419
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 18,650,853     18,650,853
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   5,641,852 6a
b Less: rental expenses   2,904,405 6b
c Rental income or (loss)   2,737,447 6c
d Net rental income or (loss).......MediumBullet 2,737,447     2,737,447
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 280,250 1,376,571,744 7a
b Less: cost or other basis and sales expenses 922,813 1,344,915,344 7b
c Gain or (loss) -642,563 31,656,400 7c
d Net gain or (loss).........MediumBullet 31,013,837     31,013,837
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a CAFETERIA REVENUE 722100 658,315     658,315
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet 658,315
12 Total revenue. See instructions.....MediumBullet 933,221,094 854,064,557 4,157,862 53,060,452
Form 990 (2020)
Form 990 (2020)
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 .... 2,587,639 2,587,639
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, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 24,911,509   24,911,509  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 427,506 141,869 285,637  
7 Other salaries and wages........ 495,013,597 495,013,597    
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits ....... 70,070,709 70,070,709    
10 Payroll taxes ........... 59,071,090 59,071,090    
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 1,237,132 520,239 716,893  
c Accounting ........... 855,042   855,042  
d Lobbying ........... 130,282   130,282  
e Professional fundraising services. See Part IV, line 17 37,500 37,500
f Investment management fees ...... 2,705,626   2,705,626  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 55,456,248 52,861,830 2,594,418  
12 Advertising and promotion .... 2,517,288 2,503,121 14,167  
13 Office expenses ....... 23,600,548 23,537,267 63,281  
14 Information technology ...... 44,230,906 44,188,091 42,815  
15 Royalties ..        
16 Occupancy ........... 22,266,555 22,209,744 56,811  
17 Travel ............ 1,204,338 1,109,666 94,672  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 348,145 319,381 28,764  
20 Interest ........... 25,722,027 25,722,027    
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 42,417,552 42,407,593 9,959  
23 Insurance ... 7,347,036 5,850,957 1,496,079  
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 418,280   418,280  
b MEDICAL SUPPLIES 22,340,323 22,340,323    
c RECRUITMENT 4,392,521 4,392,396 125  
d PROVIDER CME, LICENSES 2,527,841 2,523,904 3,937  
e All other expenses 6,194,602 5,655,756 538,846  
25 Total functional expenses. Add lines 1 through 24e 918,031,842 883,027,199 34,967,143 37,500
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 (2020)
Form 990 (2020)
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 ........ 18,446 1 19,577
2 Savings and temporary cash investments ......... 163,534,831 2 474,443,348
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 27,996,829 4 27,216,528
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
  6  
7 Notes and loans receivable, net ........... 1,847,279 7 2,182,409
8 Inventories for sale or use ............ 13,404,851 8 23,805,578
9 Prepaid expenses and deferred charges ...... 30,665,944 9 34,968,028
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 664,140,837
b Less: accumulated depreciation 10b 312,294,435 358,538,662 10c 351,846,402
11 Investments—publicly traded securities . 990,821,340 11 970,550,654
12 Investments—other securities. See Part IV, line 11 ..... 260,013,371 12 317,401,708
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ............... 29,514,271 14 39,465,849
15 Other assets. See Part IV, line 11 ........... 596,926,652 15 470,316,951
16 Total assets. Add lines 1 through 15 (must equal line 33)... 2,473,282,476 16 2,712,217,032
Liabilities 17 Accounts payable and accrued expenses ..... 164,952,591 17 187,551,892
18 Grants payable ...   18  
19 Deferred revenue ......... 4,432,274 19 13,906,035
20 Tax-exempt bond liabilities ......... 627,952,587 20 706,189,432
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
  22  
23 Secured mortgages and notes payable to unrelated third parties .. 43,616,208 23 49,026,133
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 303,283,570 25 380,212,666
26 Total liabilities. Add lines 17 through 25.. 1,144,237,230 26 1,336,886,158
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 1,329,045,246 27 1,375,330,874
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 1,329,045,246 32 1,375,330,874
33 Total liabilities and net assets/fund balances ........ 2,473,282,476 33 2,712,217,032
Form 990 (2020)
Form 990 (2020)
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
933,221,094
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
918,031,842
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
15,189,252
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
1,329,045,246
5
Net unrealized gains (losses) on investments ...............
5
55,737,163
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
-24,640,787
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
1,375,330,874
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
Yes
 
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
Yes
 
Form 990 (2020)
Form 990 (2020)
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 instructions and the latest information.
OMB No. 1545-0047
2020
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 ...............................7
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   216,793,503 0
(B) DEKALB MEMORIAL HOSPITAL INC
 
351064295 3 Yes   10,007,872 0
(C) HUNTINGTON MEMORIAL HOSPITAL INC
 
351970706 3 Yes   10,933,908 0
(D) COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
 
202401676 3 Yes   6,068,221 0
(E) COMMUNITY HOSPITAL OF NOBLE COUNTY INC
 
352089183 3 Yes   10,359,940 0
(F) PARKVIEW WABASH HOSPITAL INC
 
471753440 3 Yes   7,243,770 0
(G) WHITLEY MEMORIAL HOSPITAL INC
 
351967665 3 Yes   15,572,719 0
Total
7
276,979,933 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) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed 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) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (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) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (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 5 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) 2020

Schedule A (Form 990 or 990-EZ) 2020
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) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (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) 2016 (b) 2017 (c) 2018 (d) 2019 (e) 2020 (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) 2020

Schedule A (Form 990 or 990-EZ) 2020
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) 2020

Schedule A (Form 990 or 990-EZ) 2020
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 lines 11b and 11c below, the governing body of a supported organization?
11a
 
No
b
A family member of a person described in 11a above?
11b
 
No
c
A 35% controlled entity of a person described in line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.
11c
 
No
Section B. Type I Supporting Organizations
Yes
No
1
Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2020

Schedule A (Form 990 or 990-EZ) 2020
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 0.015 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 0.035 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) 2020

Schedule A (Form 990 or 990-EZ) 2020
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 1  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity
2  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations 3  
4 Amounts paid to acquire exempt-use assets 4  
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) 5  
6 Other distributions (describe in Part VI). See instructions 6  
7Total annual distributions. Add lines 1 through 6. 7  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI
). See instructions
8  
9 Distributable amount for 2020 from Section C, line 6 9  
10 Line 8 amount divided by Line 9 amount 10  
Section E - Distribution Allocations (see instructions) (i)
Excess Distributions
(ii)
Underdistributions
Pre-2020
(iii)
Distributable
Amount for 2020
1 Distributable amount for 2020 from Section C, line 6  
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2020:
a From 2015.......  
b From 2016.......  
c From 2017.......  
d From 2018.......  
e From 2019.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2020 distributable amount  
i Carryover from 2015 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.  
4Distributions for 2020 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2020 distributable amount  
c Remainder. Subtract lines 4a and 4b from line 4.  
5 Remaining underdistributions for years prior to
2020, 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 2020. 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 2021. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2016.....  
b Excess from 2017.....  
c Excess from 2018.....  
d Excess from 2019.....  
e Excess from 2020.....  
Schedule A (Form 990 or 990-EZ) (2020)

Schedule A (Form 990 or 990-EZ) 2020
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.; PARKVIEW WABASH HOSPITAL, INC.; AND DEKALB MEMORIAL 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 3A CONT'D: THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR DEKALB MEMORIAL HOSPITAL, INC.: (I) APPOINT (INCLUDING TO FILL A VACANCY) 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 (INCLUDING TO FILL A VACANCY) 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, JOINT VENTURE, PARTNERSHIP, 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, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, 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) 2020


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
2020
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) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020) Page 2
Name of organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number
35-1972384
Part I
Contributors
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) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
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) (2020)
Schedule B (Form 990, 990-EZ, or 990-PF) (2020)
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) (2020)
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
2020
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) 2020

Schedule C (Form 990 or 990-EZ) 2020
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) 2017 (b) 2018 (c) 2019 (d) 2020 (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) 2020


Schedule C (Form 990 or 990-EZ) 2020
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)
Yes|No
(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
 
130,282
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
137,083
j
Total. Add lines 1c through 1i ....................................................................................................
267,365
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 $88,618; STRATEGIC HEALTH CARE $31,500; AND FAEGRE BAKER DANIELS LLP $10,164. OTHER ACTIVITIES - REPRESENTS THE PORTION OF DUES PAID TO VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2020


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 instructions and the latest information.
OMB No. 1545-0047
2020
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 $ 16,700
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 FASB 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 FASB 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 FASB 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) 2020

Schedule D (Form 990) 2020
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
Term 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 ..... 18,423,093 43,557,117 61,980,210
b Buildings ....   286,276,423 119,319,931 166,956,492
c Leasehold improvements   37,811,504 22,328,606 15,482,898
d Equipment ....   234,506,609 155,296,508 79,210,101
e Other .....   43,566,091 15,349,390 28,216,701
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 351,846,402
Schedule D (Form 990) 2020

Schedule D (Form 990) 2020
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......... 196,591,615 C
(2) Closely-held equity interests........    
(3) Other
(A) INVESTMENTS IN JVS & WRPLX
120,810,093 C
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 317,401,708
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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
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)RIGHT OF USE ASSETS 38,624,871
(2)DUE TO/FROM INTERUNIT 302,460,252
(3)MISCELLANEOUS 1,823,458
(4)BROKER PENDING TRADES 118,229,318
(5)NOTE RECEIVABLE FROM PARK CENTER 2,285,552
(6)NOTE RECEIVABLE FROM WMHOS 6,893,500
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 470,316,951
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  
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 380,212,666
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) 2020

Schedule D (Form 990) 2020
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): 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, 2020 AND 2019, 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 GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2016 AND PRIOR.
Schedule D (Form 990) 2020


Additional Data


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Software Version:  




SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
Open to Public Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Part I
Fundraising Activities.Complete if the organization answered "Yes" on Form 990, Part IV, line 17.
Form 990-EZ filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the 10 highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.


(i) Name and address of individual
or entity (fundraiser)
(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity
(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i)
(vi) Amount paid to
(or retained by)
organization
Yes No
CANDACE SCHULER
7022 PALLADIO SQUARE
 
FORT WAYNE, IN46804
GRANT WRITING SERVICES   No 0 37,500 -37,500
             
             
             
             
             
             
             
             
             
Total . . . . . . . . . . . . . . . . . . . . right arrow   37,500 -37,500
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
IN, OH
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2020
Schedule G (Form 990 or 990-EZ) 2020
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.









VerticalRevenue
(a) Event #1

 
(event type)
(b) Event #2

 
(event type)
(c) Other events

 
(total number)
(d) Total events
(add col. (a) through col. (c))

1

Gross receipts . . . . .

 

 

 

 

2

Less: Contributions . . . .

 

 

 

 
3 Gross income (line 1 minus
line 2) . . . . . .

 

 

 

 



VerticalDirectExpenses
4 Cash prizes . . . . .        
5 Noncash prizes . . . .        
6 Rent/facility costs . . . .        
7 Food and beverages . . .        
8 Entertainment . . . .        
9 Other direct expenses . . .        
10 Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . . right arrow  
11 Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . . right arrow  
Part III
Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue
(a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo
(c) Other gaming (d) Total gaming (add col.(a) through col.(c))

1

Gross revenue . . . . .

 

 

 

 
VerticalDirectExpenses

2

Cash prizes . . . . .

 

 

 

 

3

Noncash prizes . . . .

 

 

 

 

4

Rent/facility costs . . . .

 

 

 

 

5

Other direct expenses . . .

 

 

 

 


6


Volunteer labor . . . .
%
%
%


7

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

 

8

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

 

9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2020
Schedule G (Form 990 or 990-EZ) 2020
Page 3
11
Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? . . . . . . . . . . . . . . . . .
13
Indicate the percentage of gaming activity conducted in:
a
The organization's facility . . . . . . . . . . . . . . . . . .
13a
%
b
An outside facility . . . . . . . . . . . . . . . . . . . .
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? . . . . . . . . . . . . . . . . . . . . . . . .
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $   .
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? . . . . . . . . . . . . . . . . . . .
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information. See instructions.
Return Reference Explanation
SCHEDULE G, PART I, LINE 2B, COLUMN IV: GROSS RECEIPTS FROM ACTIVITY: THE GROSS RECEIPTS ASSOCIATED WITH THE ACTIVITIES OF THE PROFESSIONAL FUNDRAISERS ARE NOT READILY ASCERTAINABLE AS THE GRANT WRITING SERVICES WERE RENDERED ON BEHALF OF MULTIPLE PARKVIEW ORGANIZATIONS AND WERE NOT DIRECTLY CONNECTED WITH SPECIFIC FUNDRAISING ACTIVITIES. AS SUCH, NO AMOUNTS HAVE BEEN DISCLOSED IN PART I, LINE 2B, COLUMN IV.
Schedule G (Form 990 or 990-EZ) 2020
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
2020
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
Yes
 
%
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
 
No
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
 
 
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) . . .
    169,412 0 169,412 0.020 %
b Medicaid (from Worksheet 3, column a) . . . . .     2,318,460 995,334 1,323,126 0.140 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     3,777,269 3,495,203 282,066 0.030 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     6,265,141 4,490,537 1,774,604 0.190 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     4,713,486 1,884,723 2,828,763 0.310 %
f Health professions education (from Worksheet 5) . . .     206,907 0 206,907 0.020 %
g Subsidized health services (from Worksheet 6) . . . .     381,026 24,981 356,045 0.040 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     2,654,417 0 2,654,417 0.290 %
j Total. Other Benefits . .     7,955,836 1,909,704 6,046,132 0.660 %
k Total. Add lines 7d and 7j .     14,220,977 6,400,241 7,820,736 0.850 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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     313,025 0 313,025 0.030 %
2 Economic development     170,000 0 170,000 0.020 %
3 Community support     100,000 0 100,000 0.010 %
4 Environmental improvements            
5 Leadership development and
training for community members
    123,141 0 123,141 0.010 %
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development     1,107,467 0 1,107,467 0.120 %
9 Other            
10 Total     1,813,633   1,813,633 0.190 %
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 Healthcare 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
0
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
104,557
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
9,553,405
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
11,264,059
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-1,710,654
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) 2020
Schedule H (Form 990) 2020
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
11130 PARKVIEW CIRCLE
FORT WAYNE,IN46845
WWW.PARKVIEW.COM
14-005845-1
X X   X            
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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 19
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 19
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTPS://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) 2020
Schedule H (Form 990) 2020
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) 2020
Schedule H (Form 990) 2020
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) 2020
Schedule H (Form 990) 2020
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) 2020
Schedule H (Form 990) 2020
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, 20a, 20b, 20c, 20d, 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: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2019 CHNA, PARKVIEW HEALTH SYSTEM, INC. AND THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) RESEARCH TEAM MADE SURE TO GET INPUT FROM PERSONS REPRESENTING THE BROADER INTERESTS OF THE COMMUNITY, WHILE ALSO FOCUSING ON THE NEEDS OF VULNERABLE POPULATIONS IN NORTHEAST INDIANA. AREA HEALTH DEPARTMENTS, MEDICAL PROFESSIONALS AND SOCIAL SERVICE AGENCIES THAT PROVIDE SERVICES DIRECTLY TO THE UNDERSERVED IN OUR COMMUNITIES WERE SURVEYED AND TOOK PART IN COMMUNITY HEALTH PLANNING SESSIONS.AS PART OF THE RESEARCH PROCESS, PARKVIEW HEALTH SYSTEM, INC. AND ITS RESEARCH PARTNERS OBTAINED THE FOLLOWING: 1. PRIMARY DATA WAS COLLECTED VIA AN ONLINE SURVEY OF PARKVIEW HEALTH SYSTEM, INC. AND COMMUNITY HEALTHCARE AND SOCIAL SERVICE PROVIDERS (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.). ADDITIONALLY, THE HEALTH SYSTEM'S CHNA RESEARCH PARTNERS CONDUCTED A TELEPHONE SURVEY, WHICH INCLUDED COMMUNITY RESIDENTS FROM EACH COUNTY IN THE PARKVIEW HEALTH SERVICE REGION. 2. SECONDARY DATA WAS GATHERED FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES.IN ADDITION TO DATA COLLECTION, PARKVIEW HEALTH SYSTEM, INC. TURNED TO THE COMMUNITY AND PARTNERING ORGANIZATIONS WHEN SELECTING AND PRIORITIZING ALLEN COUNTY'S HEALTH NEEDS. AS RECOMMENDED BY THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES, A MODIFIED HANLON METHOD WAS USED TO PRIORITIZE HEALTH CONCERNS FOR PARKVIEW HEALTH HOSPITAL COMMUNITIES. THIS METHOD, ALSO KNOWN AS THE BASIC PRIORITY RATING SYSTEM (BPRS) 2.0, IS RECOMMENDED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) FOR PRIORITIZING COMMUNITY HEALTH NEEDS. ALTHOUGH COMPLEX TO IMPLEMENT, IT IS USEFUL WHEN THE DESIRED OUTCOME IS AN OBJECTIVELY SELECTED LIST. EXPLICIT IDENTIFICATION OF FACTORS MUST BE CONSIDERED TO SET PRIORITIES, THUS ENABLING A TRANSPARENT AND REPLICABLE PROCESS. PRIORITY SCORES ARE CALCULATED BASED ON THE SIZE OF THE HEALTH PROBLEM, SERIOUSNESS OF THE HEALTH PROBLEM AND THE AVAILABILITY OF EFFECTIVE HEALTH INTERVENTIONS. THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES PRESENTED AN OVERVIEW OF THE REGIONAL CHNA FINDINGS ON JULY 16, 2019, TO ATTENDEES REPRESENTING THE PARKVIEW HEALTH SYSTEM. IN TOTAL, OVER 60 INDIVIDUALS PARTICIPATED IN THE PRIORITIZATION PROCESS, INCLUDING REPRESENTATIVES FROM HOSPITAL SERVICE LINES, COMMUNITY HOSPITALS, HEALTHCARE PROVIDERS/PHYSICIANS, THE EXECUTIVE LEADERSHIP TEAM, AND THE COMMUNITY HEALTH AND HOSPITAL BOARD OF DIRECTORS. AFTER A THOROUGH REVIEW OF THE DATA AND CONSIDERABLE DISCUSSION, THE GROUP USED AN ELECTRONIC VOTING SYSTEM TO RANK THE VARIOUS HEALTH NEEDS IDENTIFIED IN THE CHNA. ULTIMATELY, THE GROUP VOTED ON SUBSTANCE USE DISORDER/MENTAL HEALTH AS THE SHARED HEALTH PRIORITY ACROSS THE HEALTH SYSTEM. HOWEVER, GIVEN ITS AREA OF EXPERTISE, PARKVIEW ORTHOPEDIC HOSPITAL, INC. WILL FOCUS PRIMARILY ON OBESITY-RELATED INITIATIVES. EACH AFFILIATE HOSPITAL ALSO HELD COMMUNITY SESSIONS TO SHARE THE CHNA RESULTS AND TO GATHER FEEDBACK FROM LOCAL NONPROFIT AND PUBLIC HEALTH ORGANIZATIONS. SESSIONS INCLUDED OUTLINING THE VISION FOR THE COMMUNITY, POTENTIAL INTERVENTIONS, BARRIERS AND OTHER FACTORS RELATED TO THE HEALTH PRIORITIES. ADDITIONALLY, THE TOP HEALTH PRIORITIES FOR EACH AFFILIATE HOSPITAL WERE PRESENTED TO AND ADOPTED BY THE ENTITY'S RESPECTIVE HOSPITAL BOARD OF DIRECTORS.
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: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: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES: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: DESCRIBE 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:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:OBESITY: ORTHOPEDIC 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 NORTHEAST INDIANA AND NORTHWEST OHIO. PARKVIEW SPORTS MEDICINE IS PROUD TO PROVIDE AREA HIGH SCHOOLS, UNIVERSITIES AND SPORTS CLUBS - INCLUDING FORT WAYNE COMMUNITY SCHOOLS - WITH OVER 70 ATHLETIC TRAINERS AT NO COST. THE COMMUNITY OUTREACH CERTIFIED ATHLETIC TRAINERS (ATC) AND NUTRITIONIST CREATED AGE-APPROPRIATE SCHOOL CURRICULA RELATED TO ACTIVITIES OF HEALTHY LIVING (E.G. NUTRITION CLASSES FOR OUR CLUB SPORT TEAMS AND INJURY PREVENTION CLASSES AT AREA HIGH SCHOOLS AND COLLEGES FOCUSING ON ATHLETES AND COACHES). OUR CERTIFIED ATHLETIC TRAINERS SERVE OVER 40 SCHOOLS AND CLUBS IN NORTHEAST INDIANA AND NORTHWEST OHIO. THEY WORK AT THE SCHOOLS AND PROMOTE SAFETY ON THE SIDELINES THROUGH PREVENTIVE SERVICES, INJURY REHABILITATION AND EMERGENCY CARE AT EACH PRACTICE AND ALL HOME GAMES. THIS APPROACH PROMOTES HEALTHY LIFESTYLES FROM CHILDHOOD TO THE ADULT ATHLETE. HEALTH NEEDS IDENTIFIED AND WHY THE HOSPITAL DOES NOT INTEND TO ADDRESS THESE AS PART OF THE IMPLEMENTATION STRATEGY:AGING - AGING AND IN-HOME SERVICES OF NORTHEAST INDIANA (AIHS) SERVES OLDER ADULTS, PERSONS WITH DISABILITIES AND THEIR CAREGIVERS IN NINE COUNTIES IN NORTHEAST INDIANA. THIS NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION IS A FEDERAL- AND STATE-DESIGNATED AREA AGENCY ON AGING AND AN AGING AND DISABILITY RESOURCE CENTER. AIHS PROVIDES 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, AIHS PARTNERS WITH PARKVIEW HEALTH TO REDUCE MEDICARE READMISSIONS. IN ADDITION, THE AGENCY SERVES AS THE INITIAL COORDINATOR AND FISCAL AGENT FOR HONORING CHOICES INDIANA, WHICH IS AN INITIATIVE COMMITTED TO PROMOTING AND SUSTAINING ADVANCE CARE PLANNING (ACP) ACROSS THE STATE TO ENSURE INDIVIDUALS' FUTURE HEALTHCARE PREFERENCES ARE DISCUSSED, DOCUMENTED AND HONORED. CARDIOVASCULAR DISEASE/DIABETES - WHILE WE ARE NOT ADDRESSING CARDIOVASCULAR DISEASE/DIABETES SPECIFICALLY, WE WILL BE ADDRESSING OBESITY BY PROMOTING HEALTH AND WELL-BEING. MANY OF OUR OUTREACH INITIATIVES THAT CURRENTLY ADDRESS OR PREVENT OBESITY WILL CONTINUE AND MAY PREVENT OR TREAT CHRONIC DISEASE. IN ADDITION, PARKVIEW HOSPITAL, INC. HAS ADOPTED CARDIOVASCULAR DISEASE/DIABETES AS ONE OF ITS HEALTH PRIORITIES. TOBACCO USE - TOBACCO FREE ALLEN COUNTY (TFAC) IS THE LEAD ORGANIZATION IN ALLEN COUNTY, INDIANA, RELATED TO TOBACCO-FREE EFFORTS. TFAC PROVIDES INFORMATION ON RESOURCES ABOUT LOCAL SMOKING CESSATION PROGRAMS AND ADVOCATES FOR NO-SMOKING PUBLIC POLICY AT THE STATE LEVEL. THEIR GOALS INCLUDE DECREASING YOUTH AND ADULT TOBACCO USE, INCREASING PROTECTIONS AGAINST SECONDHAND SMOKE AND BUILDING/MAINTAINING THE LOCAL TOBACCO CONTROL INFRASTRUCTURE. PARKVIEW HOSPITAL, INC. IS ALSO A SOURCE FOR SMOKING CESSATION PROGRAMS AND OPERATES A TOBACCO-FREE CAMPUS. IN ADDITION, THE PROGRAM NICOTINE FREE FOR BABY AND ME IS USED TO HELP PREGNANT WOMEN STOP SMOKING AND IS AVAILABLE THROUGH PARKVIEW'S COMMUNITY OUTREACH PROGRAMMING. MATERNAL/CHILD HEALTH - PARKVIEW ORTHO HOSPITAL'S EXPERTISE IS CLEARLY IN THE ORTHOPEDIC FIELD. IN ADDITION, PARKVIEW HOSPITAL IS ADDRESSING MATERNAL/CHILD HEALTH ALONG WITH OTHER COMMUNITY PARTNERS IN ALLEN COUNTY. SUBSTANCE USE DISORDER/MENTAL HEALTH - AGAIN, PARKVIEW ORTHO HOSPITAL'S EXPERTISE IS CLEARLY IN THE ORTHOPEDIC FIELD. IN ADDITION, THE OTHER HOSPITAL ENTITIES OF PARKVIEW HEALTH ALONG WITH VARIOUS COMMUNITY PARTNERS ARE ADDRESSING SUBSTANCE USE DISORDER/MENTAL HEALTH IN NORTHEAST INDIANA.
PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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?125
Name and address Type of Facility (describe)
1 1 - PARKVIEW PHYSICIANS GROUP
401 N SAWYER RD
KENDALLVILLE,IN467552568
PHYSICIAN OFFICE
2 2 - PARKVIEW PHYSICIANS GROUP
11108 PARKVIEW CIRCLE
FORT WAYNE,IN468451730
PHYSICIAN OFFICE
3 3 - PARKVIEW PHYSICIANS GROUP
11104 PARKVIEW CIRCLE
FORT WAYNE,IN468451730
PHYSICIAN OFFICE
4 4 - PARKVIEW PHYSICIANS GROUP
1818 CAREW STREET
FORT WAYNE,IN468054788
PHYSICIAN OFFICE
5 5 - PARKVIEW PHYSICIANS GROUP
11123 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN468451707
PHYSICIAN OFFICE
6 6 - PARKVIEW PHYSICIANS GROUP
3909 NEW VISION DRIVE
FORT WAYNE,IN468451725
PHYSICIAN OFFICE
7 7 - PARKVIEW PHYSICIANS GROUP
2003 STULTS ROAD
HUNTINGTON,IN467501291
PHYSICIAN OFFICE
8 8 - PARKVIEW PHYSICIANS GROUP
1270 E STATE ROAD 205
COLUMBIA CITY,IN467259492
PHYSICIAN OFFICE
9 9 - PARKVIEW PHYSICIANS GROUP
8911 LIBERTY MILLS RD
FORT WAYNE,IN468046311
PHYSICIAN OFFICE
10 10 - PARKVIEW PHYSICIANS GROUP
5693 YMCA PARK DRIVE WEST
FORT WAYNE,IN468353280
PHYSICIAN OFFICE
11 11 - PARKVIEW PHYSICIANS GROUP
2708 GUILFORD STREET
HUNTINGTON,IN467509701
PHYSICIAN OFFICE
12 12 - PARKVIEW PHYSICIANS GROUP
1355 MARINERS DR
WARSAW,IN465827145
PHYSICIAN OFFICE
13 13 - PARKVIEW PHYSICIANS GROUP
8 JOHN KISSINGER DRIVE
WABASH,IN469921914
PHYSICIAN OFFICE
14 14 - PARKVIEW PHYSICIANS GROUP
1234 E DUPONT ROAD
FORT WAYNE,IN468251545
PHYSICIAN OFFICE
15 15 - PARKVIEW PHYSICIANS GROUP
11055 TWIN CREEKS COVE
FORT WAYNE,IN468452204
PHYSICIAN OFFICE
16 16 - PARKVIEW PHYSICIANS GROUP
306 E MAUMEE STREET
ANGOLA,IN467032035
PHYSICIAN OFFICE
17 17 - PARKVIEW PHYSICIANS GROUP
104 NICHOLAS PLACE
AVILLA,IN467100069
PHYSICIAN OFFICE
18 18 - PARKVIEW PHYSICIANS GROUP
4402 E STATE BLVD
FORT WAYNE,IN468156917
PHYSICIAN OFFICE
19 19 - IMAGING SYSTEMS HOLDINGS LLC
3707 NEW VISION DRIVE
FORT WAYNE,IN46845
IMAGING SERVICES
20 20 - PARKVIEW ORTHO PERFORMANCE CTR LLC
11130 PARKVIEW CIRCLE DRIVE
FORT WAYNE,IN46845
PHYSICAL THERAPY SERVICES
21 21 - PARKVIEW PHYSICIANS GROUP
5110 N CLINTON
FORT WAYNE,IN468255735
PHYSICIAN OFFICE
22 22 - PARKVIEW PHYSICIANS GROUP
1331 MINNICH ROAD
NEW HAVEN,IN467742051
PHYSICIAN OFFICE
23 23 - PARKVIEW PHYSICIANS GROUP
885 WEST CONNEXION WAY
CITY,IN467251044
PHYSICIAN OFFICE
24 24 - PARKVIEW PHYSICIANS GROUP
326 SAWYER ROAD
KENDALLVILLE,IN467552573
PHYSICIAN OFFICE
25 25 - PARKVIEW PHYSICIANS GROUP
2231 CAREW ST
WAYNE,IN468054713
PHYSICIAN OFFICE
26 26 - PARKVIEW ORTHO PERFORMANCE CTR LLC
5050 N CLINTON ST
FORT WAYNE,IN46825
PHYSICAL THERAPY SERVICES
27 27 - PARKVIEW PHYSICIANS GROUP
11141 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN468451713
PHYSICIAN OFFICE
28 28 - PARKVIEW PHYSICIANS GROUP
10515 ILLINOIS ROAD
FORT WAYNE,IN468149182
PHYSICIAN OFFICE
29 29 - PARKVIEW PHYSICIANS GROUP
1655 N CASS STREET
WABASH,IN469921916
PHYSICIAN OFFICE
30 30 - PARKVIEW PHYSICIANS GROUP
8028 CARNEGIE BLVD
FORT WAYNE,IN468045787
PHYSICIAN OFFICE
31 31 - PARKVIEW PHYSICIANS GROUP
512 NORTH PROFESSIONAL WAY
KENDALLVILLE,IN467552927
PHYSICIAN OFFICE
32 32 - PARKVIEW PHYSICIANS GROUP
1314 E SEVENTH STREET
AUBURN,IN467062535
PHYSICIAN OFFICE
33 33 - PARKVIEW PHYSICIANS GROUP
1316 E SEVENTH STREET
AUBURN,IN467062523
PHYSICIAN OFFICE
34 34 - PARKVIEW ORTHO PERFORMANCE CTR LLC
10515 ILLINOIS ROAD
FORT WAYNE,IN46814
PHYSICAL THERAPY SERVICES
35 35 - PARKVIEW PHYSICIANS GROUP
207 N TOWNLINE ROAD
LAGRANGE,IN467611325
PHYSICIAN OFFICE
36 36 - PARKVIEW ORTHO PERFORMANCE CTR LLC
3946 ICE WAY
FORT WAYNE,IN46805
PHYSICAL THERAPY SERVICES
37 37 - PARKVIEW PHYSICIANS GROUP
1104 N WAYNE STREET
NORTH MANCHESTER,IN469621001
PHYSICIAN OFFICE
38 38 - PARKVIEW PHYSICIANS GROUP
10620 CORPORATE DRIVE
FORT WAYNE,IN468451711
PHYSICIAN OFFICE
39 39 - PARKVIEW PHYSICIANS GROUP
3828 NEW VISION DR
FORT WAYNE,IN468451708
PHYSICIAN OFFICE
40 40 - PARKVIEW PHYSICIANS GROUP
8607 TEMPLE DRIVE
FORT WAYNE,IN46809
PHYSICIAN OFFICE
41 41 - PARKVIEW ORTHO PERFORMANCE CTR LLC
5680 YMCA PARK DRIVE WEST
FORT WAYNE,IN46835
PHYSICAL THERAPY SERVICES
42 42 - PARKVIEW PHYSICIANS GROUP
916 W 7TH ST
AUBURN,IN467062013
PHYSICIAN OFFICE
43 43 - PARKVIEW PHYSICIANS GROUP
4084 NORTH US HIGHWAY 33
CHURUBUSCO,IN467239563
PHYSICIAN OFFICE
44 44 - PARKVIEW PHYSICIANS GROUP
8175 W US 20
SHIPSHEWANA,IN46565
PHYSICIAN OFFICE
45 45 - PARKVIEW PHYSICIANS GROUP
620 W NORTH STREET
COLUMBIA CITY,IN467251214
PHYSICIAN OFFICE
46 46 - PARKVIEW PHYSICIANS GROUP
13430 MAIN STREET
GRABILL,IN467412001
PHYSICIAN OFFICE
47 47 - PARKVIEW PHYSICIANS GROUP
2512 E DUPONT RD STE 100
FORT WAYNE,IN468044128
PHYSICIAN OFFICE
48 48 - PARKVIEW PHYSICIANS GROUP
1310 E SEVENTH STREET
AUBURN,IN467062518
PHYSICIAN OFFICE
49 49 - PARKVIEW PHYSICIANS GROUP
1464 LINCOLNWAY SOUTH
LIGONIER,IN467679601
PHYSICIAN OFFICE
50 50 - PARKVIEW PHYSICIANS GROUP
817 TRAIL RIDGE ROAD
ALBION,IN467011534
PHYSICIAN OFFICE
51 51 - PARKVIEW PHYSICIANS GROUP
1306 E 7TH ST STE A
AUBURN,IN467062537
PHYSICIAN OFFICE
52 52 - PARKVIEW PHYSICIANS GROUP
577 GEIGER DRIVE
ROANOKE,IN467838877
PHYSICIAN OFFICE
53 53 - PARKVIEW PHYSICIANS GROUP
128 N RANDOLPH ST
GARRETT,IN467381138
PHYSICIAN OFFICE
54 54 - PARKVIEW PHYSICIANS GROUP
2600 N DETROIT STREET
LAGRANGE,IN467611154
PHYSICIAN OFFICE
55 55 - PARKVIEW PHYSICIANS GROUP
1007 W RUDISILL BLVD
FORT WAYNE,IN468072170
PHYSICIAN OFFICE
56 56 - PARKVIEW PHYSICIANS GROUP
4665 STATE ROAD 5
SOUTH WHITLEY,IN467879101
PHYSICIAN OFFICE
57 57 - PARKVIEW ORTHO PERFORMANCE CTR LLC
838 HARRISON ST
FORT WAYNE,IN46802
PHYSICAL THERAPY SERVICES
58 58 - PARKVIEW PHYSICIANS GROUP
410 SAWYER ROAD
KENDALLVILLE,IN467552573
PHYSICIAN OFFICE
59 59 - PARKVIEW PHYSICIANS GROUP
420 N SAWYER RD
KENDALLVILLE,IN467552572
PHYSICIAN OFFICE
60 60 - PARKVIEW PHYSICIANS GROUP
7030 POINTE INVERNESS WAY SUITE 335
FORT WAYNE,IN468049298
PHYSICIAN OFFICE
61 61 - PARKVIEW PHYSICIANS GROUP
10307 DUPONT CIRCLE DR W STE B
FORT WAYNE,IN468251633
PHYSICIAN OFFICE
62 62 - PARKVIEW PHYSICIANS GROUP
2001 STULTS ROAD
HUNTINGTON,IN467501291
PHYSICIAN OFFICE
63 63 - PARKVIEW ORTHO PERFORMANCE CTR LLC
12124 LIMA RD
FORT WAYNE,IN46818
PHYSICAL THERAPY SERVICES
64 64 - PARKVIEW PHYSICIANS GROUP
2500 EAST BELLEFONTAINE ROAD
HAMILTON,IN467429352
PHYSICIAN OFFICE
65 65 - PARKVIEW PHYSICIANS GROUP
5 MATCHETTE DRIVE
PIERCETON,IN465629073
PHYSICIAN OFFICE
66 66 - PARKVIEW PHYSICIANS GROUP
8233 GLENCARIN BLVD
FORT WAYNE,IN468045784
PHYSICIAN OFFICE
67 67 - PARKVIEW PHYSICIANS GROUP
1260 E STATE ROAD 205
COLUMBIA CITY,IN467259492
PHYSICIAN OFFICE
68 68 - PARKVIEW PHYSICIANS GROUP
409 E WASHINGTON ST
BUTLER,IN467211175
PHYSICIAN OFFICE
69 69 - PARKVIEW ORTHO PERFORMANCE CTR LLC
200 INTERTECH PARKWAY
ANGOLA,IN46703
PHYSICAL THERAPY SERVICES
70 70 - NORTHEAST INDIANA CANCER CTR LLC
516 E MAUMEE STREET
ANGOLA,IN46703
PHYSICIAN OFFICE
71 71 - PARKVIEW PHYSICIANS GROUP
6130 TRIER ROAD
FORT WAYNE,IN468155378
PHYSICIAN OFFICE
72 72 - PARKVIEW PHYSICIANS GROUP
10012 AUBURN PARK DR
FORT WAYNE,IN46825
PHYSICIAN OFFICE
73 73 - PARKVIEW PHYSICIANS GROUP
3816 NEW VISION DRIVE
FORT WAYNE,IN468451708
PHYSICIAN OFFICE
74 74 - PARKVIEW PHYSICIANS GROUP
7900 W JEFFERSON BLVD STE 301
FORT WAYNE,IN468044128
PHYSICIAN OFFICE
75 75 - PARKVIEW PHYSICIANS GROUP
1517 CATALPA ST
FORT WAYNE,IN46802
PHYSICIAN OFFICE
76 76 - PARKVIEW PHYSICIANS GROUP
470 BENNETT DRIVE
WARREN,IN467929272
PHYSICIAN OFFICE
77 77 - PARKVIEW PHYSICIANS GROUP
1050 PRODUCTION ROAD
FORT WAYNE,IN46808
PHYSICIAN OFFICE
78 78 - PARKVIEW PHYSICIANS GROUP
412 SAWYER ROAD
KENDALLVILLE,IN467552572
PHYSICIAN OFFICE
79 79 - PARKVIEW PHYSICIANS GROUP
3905 CARROLL RD
FORT WAYNE,IN468189528
PHYSICIAN OFFICE
80 80 - PARKVIEW PHYSICIANS GROUP
6108 MAPLECREST ROAD
FORT WAYNE,IN468352524
PHYSICIAN OFFICE
81 81 - PARKVIEW PHYSICIANS GROUP
2812 THEATER AVE
HUNTINGTON,IN46750
PHYSICIAN OFFICE
82 82 - PARKVIEW PHYSICIANS GROUP
3946 ICE WAY
FORT WAYNE,IN468051018
PHYSICIAN OFFICE
83 83 - PARKVIEW PHYSICIANS GROUP
710 N EAST STREET
WABASH,IN469921914
PHYSICIAN OFFICE
84 84 - PARKVIEW PHYSICIANS GROUP
1516 LEESBURG RD
FORT WAYNE,IN46808
PHYSICIAN OFFICE
85 85 - PARKVIEW PHYSICIANS GROUP
303 SOUTH MAIN ST STE 404
BLUFFTON,IN467142503
PHYSICIAN OFFICE
86 86 - PARKVIEW PHYSICIANS GROUP
815 HIGH ST STE B
DECATUR,IN467332351
PHYSICIAN OFFICE
87 87 - PARKVIEW PHYSICIANS GROUP
8004 CARNEGIE BLVD
FORT WAYNE,IN468045785
PHYSICIAN OFFICE
88 88 - PARKVIEW PHYSICIANS GROUP
344 N MAIN STREET
COLUMBIA CITY,IN467251745
PHYSICIAN OFFICE
89 89 - PARKVIEW PHYSICIANS GROUP
3898 NEW VISION DR SUITE D
FORT WAYNE,IN468451718
PHYSICIAN OFFICE
90 90 - PARKVIEW PHYSICIANS GROUP
1381 N WAYNE ST
ANGOLA,IN467032348
PHYSICIAN OFFICE
91 91 - PARKVIEW PHYSICIANS GROUP
200 INTERTECH PARKWAY
ANGOLA,IN467037346
PHYSICIAN OFFICE
92 92 - PARKVIEW PHYSICIANS GROUP
2414 E STATE BLVD SUITE 101
FORT WAYNE,IN468054760
PHYSICIAN OFFICE
93 93 - PARKVIEW PHYSICIANS GROUP
11109 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN468451701
PHYSICIAN OFFICE
94 94 - PARKVIEW PHYSICIANS GROUP
5104 N CLINTON
WAYNE,IN468255720
PHYSICIAN OFFICE
95 95 - PARKVIEW PHYSICIANS GROUP
1515 HOBSON ROAD
FORT WAYNE,IN468054802
PHYSICIAN OFFICE
96 96 - PARKVIEW PHYSICIANS GROUP
1025 MANCHESTER AVE
WABASH,IN469921425
PHYSICIAN OFFICE
97 97 - PARKVIEW PHYSICIANS GROUP
1 UNIVERSITY AVE
ANGOLA,IN467031764
PHYSICIAN OFFICE
98 98 - PARKVIEW PHYSICIANS GROUP
10 JOHN KISSINGER DRIVE
WABASH,IN469921914
PHYSICIAN OFFICE
99 99 - PARKVIEW PHYSICIANS GROUP
1095 W RUDISILL BLVD
FORT WAYNE,IN468072162
PHYSICIAN OFFICE
100 100 - PARKVIEW PHYSICIANS GROUP
11050 PARKVIEW CIRCLE
FORT WAYNE,IN468451739
PHYSICIAN OFFICE
101 101 - PARKVIEW PHYSICIANS GROUP
11115 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN468451701
PHYSICIAN OFFICE
102 102 - PARKVIEW PHYSICIANS GROUP
11143 PARKVIEW PLAZA DR
FORT WAYNE,IN468451728
PHYSICIAN OFFICE
103 103 - PARKVIEW PHYSICIANS GROUP
112 S MAIN ST
MILFORD,IN46542
PHYSICIAN OFFICE
104 104 - PARKVIEW PHYSICIANS GROUP
1129 FIRST STREET
HUNTINGTON,IN467502313
PHYSICIAN OFFICE
105 105 - PARKVIEW PHYSICIANS GROUP
11725 LINCOLN HWY E
NEW HAVEN,IN46774
PHYSICIAN OFFICE
106 106 - PARKVIEW PHYSICIANS GROUP
12124 LIMA RD
FORT WAYNE,IN468189508
PHYSICIAN OFFICE
107 107 - PARKVIEW PHYSICIANS GROUP
150 GROWTH PARKWAY
ANGOLA,IN467039313
PHYSICIAN OFFICE
108 108 - PARKVIEW PHYSICIANS GROUP
15707 OLD LIMA ROAD
HUNTERTOWN,IN46748
PHYSICIAN OFFICE
109 109 - PARKVIEW PHYSICIANS GROUP
1600 E WASHINGTON BLVD
FORT WAYNE,IN468031228
PHYSICIAN OFFICE
110 110 - PARKVIEW PHYSICIANS GROUP
1720 BEACON STREET
FORT WAYNE,IN468054749
PHYSICIAN OFFICE
111 111 - PARKVIEW PHYSICIANS GROUP
1900 CAREW STREET SUITE 3A
FORT WAYNE,IN468054765
PHYSICIAN OFFICE
112 112 - PARKVIEW PHYSICIANS GROUP
203 EAST DOUGLAS AVE
FORT WAYNE,IN468023534
PHYSICIAN OFFICE
113 113 - PARKVIEW PHYSICIANS GROUP
213 FAIRVIEW BLVD
KENDALLVILLE,IN467552988
PHYSICIAN OFFICE
114 114 - PARKVIEW PHYSICIANS GROUP
2200 RANDALLIA DR
FORT WAYNE,IN468054638
PHYSICIAN OFFICE
115 115 - PARKVIEW PHYSICIANS GROUP
2303 COLLEGE AVE
HUNTINGTON,IN467501237
PHYSICIAN OFFICE
116 116 - PARKVIEW PHYSICIANS GROUP
2701 SPRING ST
FORT WAYNE,IN468083939
PHYSICIAN OFFICE
117 117 - PARKVIEW PHYSICIANS GROUP
2710 LAKE AVENUE
FORT WAYNE,IN468055412
PHYSICIAN OFFICE
118 118 - PARKVIEW PHYSICIANS GROUP
2814 THEATER AVE
HUNTINGTON,IN467507978
PHYSICIAN OFFICE
119 119 - PARKVIEW PHYSICIANS GROUP
2930 LAKE AVENUE
FORT WAYNE,IN468055416
PHYSICIAN OFFICE
120 120 - PARKVIEW PHYSICIANS GROUP
3974 NEW VISION DRIVE
FORT WAYNE,IN468451712
PHYSICIAN OFFICE
121 121 - PARKVIEW PHYSICIANS GROUP
400 ASH STREET
WABASH,IN469921954
PHYSICIAN OFFICE
122 122 - PARKVIEW PHYSICIANS GROUP
410 E MITCHELL ST
KENDALLVILLE,IN467551890
PHYSICIAN OFFICE
123 123 - PARKVIEW PHYSICIANS GROUP
4666 W JEFFERSON BLVD
FORT WAYNE,IN468046892
PHYSICIAN OFFICE
124 124 - PARKVIEW PHYSICIANS GROUP
604 E COLLEGE AVE
NORTH MANCHESTER,IN469621276
PHYSICIAN OFFICE
125 125 - PARKVIEW PHYSICIANS GROUP
6920 POINTE INVERNESS WAY
FORT WAYNE,IN46804
PHYSICIAN OFFICE
Schedule H (Form 990) 2020
Schedule H (Form 990) 2020
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) DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295) 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 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, INC. HAS A STRONG COMMITMENT TO SUPPORTING AND ENHANCING THE VITALITY OF OUR COMMUNITY AND THE NORTHEAST INDIANA REGION. PARKVIEW INVESTS IN PROJECTS THAT IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF THE COMMUNITY.PHYSICAL IMPROVEMENTS/HOUSING:THE PARKVIEW FAMILY PARK IS A RECREATIONAL PARK AREA LOCATED ON THE NORTH FORT WAYNE CAMPUS, WHICH IS THE HOME TO THE PARKVIEW REGIONAL MEDICAL CENTER. PARKVIEW HEALTH SYSTEM, INC. MADE 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 TO BUILD 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 PROMOTES SELF-SUFFICIENCY BY HAVING QUALIFIED FAMILIES INVEST IN WHAT THE PROGRAM REFERS TO AS SWEAT EQUITY. THIS INVESTMENT INVOLVES COMPLETING COURSEWORK THAT PREPARES THE FAMILY FOR HOMEOWNERSHIP, VOLUNTEERING WITH OTHER HABITAT BUILDING PROJECTS AND ASSISTING WITH THE CONSTRUCTION OF THEIR OWN HOME. 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 2030, 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 2030'S PRIORITIES ARE TIED TO EDUCATION/WORKFORCE, BUSINESS CLIMATE, ENTREPRENEURSHIP, INFRASTRUCTURE AND QUALITY OF LIFE FOR THE NORTHEAST INDIANA REGION.SUPPORT OF FRIENDS OF THE RIVER, INC. IS A PART OF A MULTIPLE-YEAR PLAN FOR URBAN REVITALIZATION, RIVERFRONT DEVELOPMENT AND THE PROMOTION OF ECONOMIC GROWTH IN NORTHEAST INDIANA. LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS LEADERSHIP DEVELOPMENT IN THE COMMUNITY IN CONJUNCTION WITH ECONOMIC DEVELOPMENT EFFORTS TO IMPROVE THE QUALITY OF LIFE IN ALLEN COUNTY AND THE REGION. STRONG LEADERS PLAY A KEY ROLE IN BUILDING THRIVING COMMUNITIES.AS THE LARGEST EMPLOYER IN NORTHEAST INDIANA, PARKVIEW HEALTH SYSTEM, INC. SERVES AS A SIGNIFICANT SPONSOR TO PROMOTE ACCESS TO THE GLOBAL LEADERSHIP SUMMIT, A GLOBAL LEADERSHIP CONFERENCE, WHICH PROVIDES TWO DAYS OF TRAINING ON SERVANT LEADERSHIP PRINCIPLES. THIS CONFERENCE INVOLVES MANY OTHER LOCAL EMPLOYERS AND IS OPEN TO THE PUBLIC. 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.IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. PROVIDES FINANCIAL SUPPORT TO THE YOUNG LEADERS OF NORTHEAST INDIANA (YLNI), AN ORGANIZATION THAT PROMOTES LEADERSHIP DEVELOPMENT FOR YOUNG PROFESSIONALS.WORKFORCE DEVELOPMENT:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS PHYSICIAN RECRUITMENT ACTIVITIES TO RESPOND 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. ORGANIZED IN PART TO PROMOTE CLINICAL EDUCATION, PARKVIEW HEALTH SYSTEM, INC., PARTNERS WITH NUMEROUS AREA EDUCATIONAL INSTITUTIONS. THESE PARTNERSHIPS FOSTER A VARIETY OF STUDENT LEARNING OPPORTUNITIES IN THE HEALTHCARE FIELD FOR HIGH SCHOOL AND COLLEGE STUDENTS. THE PARKVIEW STUDENT SERVICES DEPARTMENT COORDINATES CLINICAL EDUCATIONAL EXPERIENCES BY OFFERING JOB SHADOWING AND INTERNSHIPS. JOB SHADOWING ALLOWS STUDENTS TO OBSERVE A CO-WORKER FOR THE PURPOSE OF GAINING GENERAL KNOWLEDGE ABOUT A SPECIFIC CLINICAL CAREER. THE GOAL OF THE INTERNSHIP PROGRAM IS TO PROVIDE CAREER EXPLORATION WITH A WORKPLACE MENTOR TO FACILITATE A CONNECTION BETWEEN ACADEMIC LEARNING AND WORK-RELATED EXPERIENCES, PROVIDE AN OPPORTUNITY TO REFINE CAREER CHOICES AND CREATE A SMOOTH TRANSITION INTO POST-SECONDARY EDUCATION OR THE WORLD OF WORK.
PART III, LINE 2: FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. THE AMOUNT REPORTED ON PART III, LINE 3 IS THE ESTIMATED COST OF BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER PARKVIEW HEALTH SYSTEM'S FINANCIAL ASSISTANCE POLICY ON A GROSS BASIS.
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 DURING THE APPLICATION PERIOD, INCLUDING PATIENTS WHOSE ACCOUNTS HAVE BEEN PLACED WITH A COLLECTION 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:PAGES 13 AND 24 - 27 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 THIRTY-SIX (36) 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 WITH 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 COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT ON A TRIENNIAL BASIS, PARKVIEW HEALTH SYSTEM, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, COLLABORATION WITH AND REVIEW OF DATA FROM COMMUNITY PARTNERS, AND THROUGH FRONTLINE STAFF. PARKVIEW HEALTH SYSTEM, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:- HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS- AGGREGATE HEALTH OUTCOME DATA FROM PARKVIEW'S ELECTRONIC HEALTH RECORD- OBSERVATIONS FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKERS)- REVIEW OF COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY OTHER LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) - PARKVIEW LEADERSHIP'S SERVICE ON HEALTH-RELATED AND SOCIAL SERVICE COMMUNITY BOARDS, COMMITTEES AND TASK FORCESKEY HOSPITAL REPRESENTATIVES MAINTAIN ONGOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITIES 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 PARTS OF NORTHWEST OHIO. ACCORDING TO STATS INDIANA, THE TOTAL POPULATION OF THE HEALTH SYSTEM'S 11-COUNTY SERVICE AREA IS APPROXIMATELY 793,165 PEOPLE. PARKVIEW HEALTH SYSTEM, INC. OPERATES HOSPITALS IN ALLEN, DEKALB, HUNTINGTON, LAGRANGE, NOBLE, WABASH AND WHITLEY COUNTIES. OF THE SEVEN COUNTIES IN WHICH PARKVIEW HEALTH SYSTEM, INC. OPERATES HOSPITALS, ALLEN COUNTY IS THE AREA'S ONLY URBAN AREA, IN AN OTHERWISE RURAL AREA, AND ROUGHLY MAKES UP 48.2% OF THE SERVICE AREA POPULATION.ACCORDING TO THE INDIANA HOSPITAL ASSOCIATION DIMENSIONS DATABASE, PARKVIEW HEALTH SYSTEM, INC. FACILITIES HAD 22.5% OF INPATIENT DISCHARGES THAT WERE MEDICAID PATIENTS AND 4.2% WERE SELF-PAY. FOR OUTPATIENT PROCEDURES, 16.8% WERE MEDICAID PATIENTS, AND 3.8% PERCENT WERE SELF-PAY (2020).EVEN THOUGH PARKVIEW'S PATIENT SERVICE AREA EXTENDS FAR BEYOND THE SEVEN COUNTIES WHERE PARKVIEW HOSPITAL ENTITIES RESIDE, ADDRESSING POPULATION HEALTH PRIORITIES IS GROUNDED LARGELY ON THE DEGREE OF ACCESSIBILITY THAT COMMUNITY MEMBERS POSSESS TO ASSISTANCE PROGRAMS, COMMUNITY RESOURCES, ETC. TO BEST IMPROVE POPULATION HEALTH ACROSS THE COMMUNITIES THAT THE HEALTH SYSTEM SERVES, COMMUNITY HEALTH IMPROVEMENT INITIATIVES ARE PRIMARILY PROVIDED TO COMMUNITIES WITHIN EACH OF THE SEVEN COUNTIES. ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (2018), THE MEAN PERCENTAGE OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LEVEL IS 10.1% FOR THE SEVEN-COUNTY AREA (RANGING FROM 6.4% TO 13.3%). THE MEDIAN HOUSEHOLD INCOME WITHIN THE SEVEN-COUNTY AREA RANGES FROM $53,632 (HUNTINGTON) TO $64,498 (LAGRANGE). AS OF FEBRUARY 2021, THE PERCENTAGE OF UNEMPLOYED WORKERS IN THE CIVILIAN LABOR FORCE RANGES FROM 2.9% (LAGRANGE COUNTY) TO 4.6% (ALLEN COUNTY). THERE IS ONLY ONE OTHER EXTERNAL FOR-PROFIT HEALTH SYSTEM OPERATING THREE HOSPITALS WITHIN THE SEVEN-COUNTY AREA PARKVIEW OPERATES HOSPITALS. 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 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:1) DISCIPLINE: MENTAL HEALTHHPSA ID: 7183515359HPSA NAME: MHCA 20DESIGNATION TYPE: HIGH NEEDS GEOGRAPHIC HPSAHPSA SCORE: 16STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL2) DISCIPLINE: PRIMARY CAREHPSA ID: 7189991824HPSA NAME: NEIGHBORHOOD HEALTH CLINC INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERHPSA SCORE: 20STATUS: DESIGNATEDRURAL STATUS: NON-RURAL3) DISCIPLINE: PRIMARY CAREHPSA ID: CITY OF FORT WAYNEHPSA NAME: CITY OF FORT WAYNEDESIGNATION TYPE: HIGH NEEDS GEOGRAPHIC HPSAHPSA SCORE: 5STATUS: DESIGNATEDRURAL STATUS: NON-RURALDEKALB COUNTY:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1183300789HPSA NAME: LI-DEKALB COUNTYDESIGNATION TYPE: LOW INCOME POPULATION HPSAHPSA SCORE: 11STATUS: DESIGNATEDRURAL STATUS: RURALHUNTINGTON COUNTY:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1183530986HPSA NAME: LI-HUNTINGTON COUNTY DESIGNATION TYPE: LOW INCOME POPULATION HPSAHPSA SCORE: 10STATUS: DESIGNATEDRURAL STATUS: RURALKOSCIUSKO COUNTY: 1) DISCIPLINE: PRIMARY CAREHPSA ID: 1187177279HPSA NAME: OTIS R BOWEN CENTER FOR HUMAN SERVICES INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKEHPSA SCORE: 12STATUS: DESIGNATEDRURAL STATUS: RURAL2) DISCIPLINE: MENTAL HEALTHHPSA ID: 7188376199HPSA NAME: OTIS R BOWEN CENTER FOR HUMAN SERVICES INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKEHPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: RURALLAGRANGE COUNTY:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1183947553HPSA NAME: LAGRANGE COUNTYDESIGNATION TYPE: GEOGRAPHIC HPSAHPSA SCORE: 8STATUS: DESIGNATEDRURAL STATUS: RURALNOBLE COUNTY:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1183859088HPSA NAME: NOBLE COUNTYDESIGNATION TYPE: GEOGRAPHIC HPSAHPSA SCORE: 5STATUS: DESIGNATEDRURAL STATUS: RURALWABASH COUNTY:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1183639887HPSA NAME: LI-WABASH COUNTYDESIGNATION TYPE: LOW INCOME POPULATION HPSAHPSA SCORE: 12STATUS: DESIGNATEDRURAL STATUS: RURALMULTI-COUNTY DESIGNATIONS:1) COUNTIES: ADAMS, ALLEN AND WELLS COUNTY DISCIPLINE: MENTAL HEALTHHPSA ID: 7183515359HPSA NAME: MHCA 20DESIGNATION TYPE: HIGH NEEDS GEOGRAPHIC HPSAHPSA SCORE: 16STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL2) COUNTIES: DEKALB, LAGRANGE, NOBLE AND STEUBEN COUNTYDISCIPLINE: MENTAL HEALTHHPSA ID:7186175063HPSA NAME: NORTHEASTERN CATCHMENT AREA 18DESIGNATION TYPE: GEOGRAPHIC HPSAHPSA SCORE: 14STATUS: DESIGNATEDRURAL STATUS: RURAL3) COUNTIES: HUNTINGTON, KOSCIUSKO, MARSHALL, WABASH AND WHITLEY COUNTYDISCIPLINE: MENTAL HEALTHHPSA ID: 7186918305HPSA NAME: WARSAW MENTAL HEALTH CATCHMENT AREA 28DESIGNATION TYPE: GEOGRAPHIC HPSAHPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL
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 ARE 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 ARE 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 SUBSTANCE USE DISORDER AND MENTAL HEALTH. OTHER TOP COMMUNITY HEALTH PRIORITIES ADOPTED THROUGHOUT THE HEALTH SYSTEM INCLUDE MATERNAL/CHILD HEALTH, OBESITY AND CARDIOVASCULAR DISEASE AND DIABETES. THROUGH PARKVIEW HEALTH SYSTEM, INC. COMMUNITY HOSPITALS, FUNDING IS ALLOCATED ON AN ANNUAL BASIS TO SUPPORT LOCAL COMMUNITY HEALTH IMPROVEMENT INITIATIVES. COMMITTEE PARTICIPATION AND RESOURCES ARE COMMITTED TO SUPPORT LOCAL HEALTH INITIATIVES AND PARTNER ORGANIZATIONS THAT ADDRESS THE IDENTIFIED HEALTH PRIORITIES SPECIFIC TO EACH COMMUNITY. IN ADDITION TO THE WORK ACCOMPLISHED THROUGH THE COMMUNITY HOSPITALS, THE ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC, PART OF PARKVIEW HEALTH SYSTEM INC. (IN PARTNERSHIP WITH PARKVIEW HOSPITAL, INC. AND LOCAL SCHOOLS), CONTINUES TO COMBAT OBESITY BY PROMOTING HEALTHY LIFESTYLES THROUGH NUTRITION, PHYSICAL ACTIVITY AND INJURY PREVENTION EDUCATION. AS PART OF THIS WORK, A COMMUNITY OUTREACH CERTIFIED ATHLETIC TRAINER (ATC) AND NUTRITIONIST CREATED AGE-APPROPRIATE SCHOOL CURRICULA ON HEALTHY LIVING PRACTICES. INCLUDED IN THIS PROGRAM ARE NUTRITION CLASSES FOR CLUB SPORT TEAMS AND 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.TO REINFORCE THESE EFFORTS, THE ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC IS PROUD TO PROVIDE AREA HIGH SCHOOLS, UNIVERSITIES AND SPORTS CLUBS - INCLUDING FORT WAYNE COMMUNITY SCHOOLS - WITH OVER 70 ATHLETIC TRAINERS AT NO COST. OUR CERTIFIED ATHLETIC TRAINERS SERVE OVER 40 SCHOOLS AND CLUBS IN NORTHEAST INDIANA AND NORTHWEST OHIO. THEY WORK AT THE SCHOOLS AND PROMOTE SAFETY ON THE SIDELINES THROUGH PREVENTIVE SERVICES, INJURY REHABILITATION AND EMERGENCY CARE AT EACH PRACTICE AND EVERY HOME GAME.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 ON BEHALF OF PARKVIEW HEALTH SYSTEM, INC. PHYSICIANS FOR OVER 25 YEARS. THE PROGRAM 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 TO IMPROVE THE QUALITY OF CARE PROVIDED.AS PART OF THE PARKVIEW RESEARCH CENTER, THE HEALTH SERVICES AND INFORMATICS RESEARCH TEAM ENGAGES IN A VARIETY OF COMMUNITY HEALTH-RELATED RESEARCH INITIATIVES. THE TEAM IS COMPRISED OF INTERDISCIPLINARY SCIENTISTS, PROJECT MANAGERS AND USER-EXPERIENCE SPECIALISTS. THIS TEAM WORKS ON A BROAD ARRAY OF PROJECTS, INCLUDING INVESTIGATOR-INITIATED RESEARCH, PROGRAM EVALUATION, PILOT STUDIES, COMMUNITY SURVEY STUDIES AND USER-EXPERIENCE PROJECTS THAT IMPROVE THE USABILITY OF HEALTHCARE TECHNOLOGIES. SOME EXAMPLES OF THEIR PROJECTS INCLUDE YOUTH MENTAL HEALTH, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MOST OF THE TEAM'S WORK RESULTS IN PEER-REVIEWED PUBLICATIONS IN JOURNALS, PRESENTATIONS AT TOP-TIER SCIENTIFIC CONFERENCES, AND DISSEMINATING INFORMATION TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFLUENCE PUBLIC HEALTH POLICY.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 PROVIDES ACADEMIC PROGRAMS AND RESEARCH TIED TO REHABILITATION SERVICES AND SENIOR CARE. IN ADDITION, DOCTORAL PROGRAMS FOR PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ARE OFFERED, THUS ADDRESSING SIGNIFICANT WORKFORCE GAP AND SPECIALTY CARE ACCESS NEEDS IN THE COMMUNITY. IN ADDITION TO PARKVIEW HEALTH SYSTEM, INC. PARTNERSHIPS WITH TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY, PARKVIEW HEALTH SYSTEM, INC. SAW THE NEED TO PARTNER HIGH SCHOOL STUDENTS, UNIVERSITIES AND HEALTHCARE SYSTEMS TOGETHER TO PROVIDE AN INNOVATIVE LEARNING EXPERIENCE THAT ALLOWS TEENS AND YOUNG ADULTS TO EXPLORE HEALTHCARE-RELATED CAREERS. THE PARKVIEW EDUCATION CENTER (PEC) IS THE RESULT OF AN INNOVATIVE ASSOCIATION BETWEEN PARKVIEW HEALTH, FORT WAYNE COMMUNITY SCHOOLS (FWCS) AND IVY TECH COMMUNITY COLLEGE. PEC OFFERS YOUNG PEOPLE, COLLEGE STUDENTS AND PROFESSIONALS A UNIQUE ENVIRONMENT WHERE THEY CAN LEARN TOGETHER UNDER THE SAME ROOF. PEC IS A STATE-OF-THE-ART FACILITY THAT HOUSES PARKVIEW'S TRAINING AND ONBOARDING ACTIVITIES, FWCS CAREER ACADEMY'S HEALTH SCIENCE PROGRAMS AND IVY TECH'S HEALTH SERVICES TRAINING PROGRAMS. FURTHERMORE, PEC PROVIDES BOTH CLASSROOM AND SIMULATED EXPERIENCE OPTIONS FOR STUDENTS AND CURRENT HEALTHCARE PROFESSIONALS. THE CLASSROOMS, LABORATORIES AND COLLABORATIVE SPACES PROVIDE PEOPLE FROM ALL SKILLSETS AND BACKGROUNDS TO GROW TOGETHER, ENABLING HIGH SCHOOL STUDENTS TO DISCOVER POTENTIAL CAREER PATHS, GIVING ADULTS THE CHANCE TO EARN COLLEGE DEGREES AND CERTIFICATIONS, AND EQUIPPING PARKVIEW CO-WORKERS TO ENHANCE THEIR SKILLS.THROUGH THE PEC, WE CAN ENHANCE THE WAY THAT STUDENTS AND HEALTHCARE PROFESSIONALS LEARN AND WORK TOGETHER. EDUCATORS CAN PARTNER ACROSS THE CONSORTIUM, SHARING NOT ONLY SPACE BUT ALSO RESOURCES, TECHNOLOGY AND BEST PRACTICES. YOUNG ADULTS CAN LITERALLY SEE PICTURES OF THEIR FUTURE AS THEY MEET AND INTERACT WITH EXPERTS IN THEIR FIELDS OF INTEREST. LEARNERS CAN ENCOURAGE EACH OTHER DESPITE THEIR AGE, ACADEMIC ACCOMPLISHMENTS OR EXPERIENCE LEVELS.(NARRATIVE CONTINUED AFTER PART VI, LINE 7)
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.; DEKALB MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC.EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH ACTIVITIES CUSTOMIZED TO MEET THE UNIQUE HEALTH 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 NORTHEAST INDIANA AS PART OF THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH PRIORITY OF SUBSTANCE USE DISORDER/MENTAL HEALTH PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.AFFILIATE HOSPITALS EACH HAVE A LOCAL BOARD OF DIRECTORS. PARKVIEW HEALTH SYSTEM, INC. ALSO ENGAGES WITH A BOARD OF DIRECTORS THAT CONSISTS OF REPRESENTATION FROM EACH OF THE AFFILIATE HOSPITAL BOARDS AND UP TO 15 AT-LARGE PHYSICIANS OR COMMUNITY LEADERS. MOST OF THE BOARD OF DIRECTORS SHALL ALWAYS BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE. 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 TO POSITIVELY IMPACT 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.
PART VI, SUPPLEMENTAL INFORMATION, LINE 5, CONT'D CONTINUED FROM ABOVE: 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.).EVEN THOUGH HEALTHCARE CAREERS ARE THE PRIMARY FOCUS, THE PEC HOSTS A VARIETY OF CLASSES, MEETINGS AND ACTIVITIES FOR VARIOUS OTHER CAREERS. INVESTING IN BOTH CURRENT AND FUTURE LEADERS RESULTS IN BETTER OUTCOMES FOR LOCAL ORGANIZATIONS AND, IN TURN, OUR COMMUNITIES. LEARNING ACTIVITIES OF ALL KINDS WILL ENHANCE THE KNOWLEDGE OF OUR FUTURE LEADERS AND MAKE THEM MORE EFFECTIVE. THE PEC WAS BUILT WITH THE BELIEF THAT ALLOWING SUCH A DIVERSE GROUP OF PEOPLE TO SHARE IDEAS FUELS INNOVATION AND RESULTS IN A MORE COMPREHENSIVE LEARNING EXPERIENCE FOR CURRENT AND ASPIRING HEALTHCARE PROFESSIONALS. BY OFFERING AN INNOVATIVE APPROACH TO EDUCATION, WE ARE HELPING TO ENSURE THAT HEALTHCARE IN OUR REGION WILL THRIVE WELL INTO THE FUTURE.THE YEAR OF 2020 PRESENTED PARKVIEW HEALTH SYSTEM, INC. WITH MANY NEW CHALLENGES WITH THE SPREAD OF COVID-19 THROUGHOUT THE UNITED STATES. HOWEVER, DUE TO THE HEALTH SYSTEM'S GROWTH AND PREPAREDNESS FOR SUCH TRYING TIMES, PARKVIEW WAS ABLE TO STEP UP AND OFFER MANY ADDITIONAL RESOURCES TO THE COMMUNITY IN ADDITION TO CARING FOR THE LARGE INFLUX OF COVID-19 PATIENTS. THE FOLLOWING IS A TIMELINE COVERING THE EXTENSIVE EFFORTS MADE POSSIBLE BY THE DEDICATED STAFF OF PARKVIEW HEALTH SYSTEM, INC. AND ITS PARTNERS IN THE COMMUNITY IN 2020:APRIL 17, 2020 - ADDED A FREE COVID-19 SYMPTOM CHECKER TO PARKVIEW.COM. THE INTERACTIVE TOOL ALLOWS PATIENTS TO COMPLETE A SELF-ASSESSMENT AND BE DIRECTED TO APPROPRIATE CARE. PATIENTS CAN ACCESS THIS TOOL AT PARKVIEW.COM/COVID19SYMPTOMCHECKER. APRIL 22, 2020 - PARKVIEW COMMUNITY NURSING AND THE PARKVIEW COMMUNITY GREENHOUSE AND LEARNING KITCHEN PARTNERED TOGETHER TO PROVIDE FRESH PRODUCE FOR MOMS IN THE BREASTFEEDING SUPPORT GROUP, AS WELL AS FAMILIES AT VINCENT VILLAGE, MOMS PARTICIPATING IN THE SAFETY PIN GRANT AND RESIDENTS AT BEACON HEIGHTS. IN ALL, PARKVIEW WAS ABLE TO PROVIDE OVER 65 BAGS OF PRODUCE FROM BOTH THE PARKVIEW COMMUNITY GREENHOUSE AND THE FORT WAYNE FARMER'S MARKET TO FAMILIES IN NEED. THIS PROGRAM HAS HELPED TO PROVIDE ACCESS TO NUTRITIOUS FOODS WITHOUT POTENTIALLY EXPOSING MOTHERS AND BABIES TO UNNECESSARY OUTSIDE CONTACT.MAY 11, 2020 - IN PARTNERSHIP WITH GREATER FORT WAYNE, INC. AND NORTHEAST INDIANA REGIONAL PARTNERSHIP, LEADERS AND PHYSICIANS FROM PARKVIEW HEALTH SYSTEM, INC. DEVELOPED A WEBINAR THAT PROVIDED A "ROADMAP TO REOPENING" FOR BUSINESS LEADERS AND INDIVIDUALS/CO-WORKERS. THE WEBINAR PROVIDED ADVICE ON SAFELY RETURNING TO WORK AND COMMUNITY LIFE. IN ADDITION TO THE WEBINAR, PARKVIEW PUBLISHED THE BUSINESS CONNECT DASHBOARD WHERE LOCAL BUSINESS LEADERS CAN LOCATE MORE INFORMATION ABOUT REOPENING SAFELY AND OTHER ADDITIONAL RESOURCES. JULY 24, 2020 - PRODUCED A FREE WEBINAR OFFERING GUIDANCE TO PARENTS FOR SAFELY RETURNING CHILDREN TO SCHOOL. THE WEBINAR INCLUDED INFORMATION ABOUT: - THE CURRENT STATE OF THE COVID-19 PANDEMIC IN NORTHEAST INDIANA- HOW IN-PERSON EDUCATION PLAYS A ROLE IN THE OVERALL HEALTH OF CHILDREN- WHY SCHOOLS ARE INTRODUCING NEW SAFETY MEASURES - WHAT STUDENTS MIGHT EXPECT TO SEE OR EXPERIENCE- HOW TO SUPPORT YOUR CHILDREN AND EDUCATORS AS THEY NAVIGATE THE YEAR AHEADSEPTEMBER 9, 2020 - IN PARTNERSHIP WITH THE STATE OF INDIANA, PARKVIEW HEALTH SYSTEM, INC. OBTAINED A NEW ROCHE COBAS MACHINE THAT REDUCED THE TURNAROUND TIME FOR COVID-19 DIAGNOSTIC TESTS IN THE REGION. THE NEW EQUIPMENT WAS INSTALLED IN THE LAB AT PARKVIEW REGIONAL MEDICAL CENTER AND ALLOWED THE HEALTH SYSTEM TO PROCESS A HIGH VOLUME OF COVID-19 POLYMERASE CHAIN REACTION (PCR) TESTS, WITH MOST RESULTS AVAILABLE IN FEWER THAN 24 HOURS. THE SHORTER TURNAROUND TIME BENEFITTED THE REGION IN SEVERAL WAYS: - ALLOWED PROVIDERS TO MAKE BETTER INFORMED CARE DECISIONS AND IMPLEMENT CARE PLANS SOONER- INFORMED PATIENTS SOONER OF THE NEED TO REMAIN QUARANTINED OR ISOLATED- PROVIDED INFORMATION ON POSITIVE TESTS TO CONTACT TRACERS SOONER TO MORE QUICKLY IDENTIFY THOSE WHO MAY HAVE BEEN EXPOSEDNOVEMBER 5, 2020 - PARKVIEW HEALTH SYSTEM, INC. IN PARTNERSHIP WITH THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AT IUPUI, INDIANA UNIVERSITY SCHOOL OF MEDICINE AND THE REGENSTRIEF INSTITUTE, BEGAN COMMUNICATING CLINICAL GUIDANCE AND EXPERTISE IN A NEW PROGRAM DESIGNED TO SUPPORT INDIANA NURSING HOMES WITH OPERATIONAL ISSUES RELATED TO COVID-19. PARKVIEW SERVED AS A VIRTUAL TRAINING CENTER FOR THE NEW STATEWIDE PROGRAM, AS PART OF THE NATIONAL NURSING HOME COVID-19 ACTION NETWORK USING THE PROJECT ECHO (EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES) MODEL.DECEMBER 14, 2020 - AS A PILOT SITE FOR THE INDIANA DEPARTMENT OF HEALTH (IDOH) COVID-19 VACCINE DISTRIBUTION PLAN, PARKVIEW HEALTH PREPARED TO BEGIN VACCINATING THE FIRST GROUP OF ELIGIBLE HEALTHCARE WORKERS. IN DOING SO, AN EXTENSIVE EFFORT WAS MADE TO PLAN AND DEVELOP A VACCINE CLINIC AT THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION. THE PARKVIEW MIRRO CENTER VACCINE CLINIC HAD FOUR SCREENING STATIONS, 10 REGISTRATION STATIONS, 10 VACCINATION STATIONS AND A POST-VACCINATION WAITING AREA TO ACCOMMODATE UP TO 120 PEOPLE.
Schedule H (Form 990) 2020
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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
2020
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) THE HONEYWELL FOUNDATION INC
275 WEST MARKET STREET
WABASH,IN46992
35-0390706 501(C)(3) 760,000       RENOVATION PROJECT AND EDUCATION OUTREACH PROGRAM
(2) ALLIANCE HEALTH CENTER INC
2700 LAFAYETTE ST SUITE 050
FORT WAYNE,IN46806
85-2036759 501(C)(3) 280,487       SUPPORT FOR THE DELIVERY OF MEDICAL SERVICES
(3) CITY OF FORT WAYNE REDEVELOPMENT COMMISSION
ONE EAST MAIN STREET
FORT WAYNE,IN46802
GOVT ORG 170,500       CAPITAL MAINTENANCE & IMPROVEMENT FUND FOR PARKVIEW FIELD & SUPPORT FOR VARIOUS CITY EVENTS
(4) EMERGENCY MEDICINE EDUCATIONAL FOUNDATION OF NORTHEAST INDIANA
3640 NEW VISION DRIVE
FORT WAYNE,IN46845
46-5584998 501(C)(3) 150,000       SUPPORT OF EMERGENCY MEDICINE EDUCATION AND TRAINING
(5) TURNSTONE CENTER FOR CHILDREN & ADULTS WITH DISABILITIES INC
3320 NORTH CLINTON ST
FORT WAYNE,IN46805
35-0913541 501(C)(3) 100,000       SUPPORTING THERAPY AND WELLNESS PROGRAMS FOR DISABLED CHILDREN & ADULTS
(6) BOYS AND GIRLS CLUB OF FORT WAYNE INC
2609 FAIRFIELD AVENUE
FORT WAYNE,IN46807
35-1778767 501(C)(3) 75,000       AFTER-SCHOOL AND SUMMER PROGRAMS THAT PROVIDE POSITIVE, EDUCATIONAL EXPERIENCES FOR LOW-INCOME CHILDREN
(7) FORT WAYNE BALLET INC
300 E MAIN STREET SUITE 100
FORT WAYNE,IN46802
35-6006394 501(C)(3) 62,800       PROGRAMS TO FEED THE SPIRIT AND SPARK THE IMAGINATION THROUGH THE HIGHEST CALIBER PROFESSIONAL & ACADEMY PERFORMANCES, DANCE TRAINING, AND COMMUNITY ENGAGEMENT
(8) BRIDGE OF GRACE INC
5100 GAYWOOD DRIVE
FORT WAYNE,IN46806
45-4056745 501(C)(3) 50,000       OUTREACH PROGRAMS FOR CHILDREN AND FAMILIES
(9) GLOBAL LEADERSHIP SUMMIT AND BEYOND INC
7400 EAST STATE BLVD
FORT WAYNE,IN46815
47-2474572 501(C)(3) 40,000       SCHOLARSHIPS FOR LEADERSHIP EDUCATION
(10) TROY CENTER SCHOOL
709 W BUSINESS 30
COLUMBIA CITY,IN46725
46-0634748 501(C)(3) 39,650       SCHOOL PROGRAMS
(11) LEUKEMIA AND LYMPHOMA SOCIETY INC
PO BOX 80365
FORT WAYNE,IN46898
13-5644916 501(C)(3) 32,500       RESEARCH EFFORTS RELATED TO BLOOD CANCER
(12) TRUSTEES OF PURDUE UNIVERSITY
2550 NORTHWESTERN AVE SUITE 1100
WEST LAFAYETTE,IN47906
35-6002041 501(C)(3) 31,825       HEALTH-RELATED SCHOLARSHIP PROGRAM
(13) YMCA OF DEKALB COUNTY
533 NORTH STREET
AUBURN,IN46706
35-0868958 501(C)(3) 27,500       PROGRAMS FOSTERING YOUTH DEVELOPMENT & HEALTHY LIVING
(14) MARCH OF DIMES INC
303 STABLE DRIVE
FORT WAYNE,IN46825
13-1846366 501(C)(3) 25,000       RESEARCH & PROGRAMS TO DECREASE BIRTH DEFECTS AND INFANT MORTALITY
(15) BLACKHAWK CHRISTIAN SCHOOL
7400 EAST STATE BLVD
FORT WAYNE,IN46815
35-1285808 501(C)(3) 23,000       SUPPORT TO PROVIDE QUALITY CHRISTIAN EDUCATION
(16) EASTER SEALS OF NORTHEAST INDIANA INC
4919 COLDWATER RD
FORT WAYNE,IN46825
35-0998711 501(C)(3) 21,000       PROGRAMS TO ASSIST CHILDREN & ADULTS WITH DISABILITIES & SPECIAL NEEDS
(17) FORT WAYNE CIVIC THEATRE INC
303 E MAIN STREET
FORT WAYNE,IN46802
35-6001476 501(C)(3) 20,500       PROGRAMS TO ENTERTAIN, ENLIGHTEN, INSPIRE, EDUCATE AND ENRICH THE COMMUNITY THROUGH QUALITY LIVE THEATRE
(18) TRINE UNIVERSITY INC
ONE UNIVERSITY AVENUE
ANGOLA,IN46703
35-0715530 501(C)(3) 20,500       STUDENT SCHOLARSHIP PROGRAM
(19) COMMUNITY HARVEST FOOD BANK OF NORTHEAST INDIANA INC
PO BOX 10967
FORT WAYNE,IN46855
31-1100607 501(C)(3) 20,000       PROGRAM SUPPORT
(20) FORT 4 FITNESS INC
2826 S CALHOUN STREET
FORT WAYNE,IN46807
26-1936423 501(C)(3) 20,000       PROGRAMS TO PROMOTE ACTIVE AND HEALTHY LIVING
(21) FRIENDS OF THE RIVERS INC
429 E DUPONT RD 145
FORT WAYNE,IN46825
05-0608001 501(C)(3) 20,000       2020 SPONSORSHIP OF SWEET BREEZE EVENT
(22) STEUBEN COUNTY COMMUNITY FOUNDATION
1701 N WAYNE STREET
ANGOLA,IN46703
35-1857065 501(C)(3) 20,000       COMMUNITY PROGRAMS
(23) YMCA OF GREATER FORT WAYNE
347 W BERRY STREET
FORT WAYNE,IN46802
35-0886850 501(C)(3) 20,000       PROGRAMS FOSTERING YOUTH DEVELOPMENT, HEALTHY LIVING & SOCIAL RESPONSIBILITY
(24) ERIN'S HOUSE FOR GRIEVING CHILDREN INC
5670 YMCA PARK DRIVE WEST
FORT WAYNE,IN46835
35-1884264 501(C)(3) 17,500       PROGRAMS SUPPORTING CHILDREN WHO HAVE SUFFERED THE DEATH OF A LOVED ONE
(25) RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA
11109 PARKVIEW PLAZA DRIVE
FORT WAYNE,IN46845
35-1950376 501(C)(3) 16,000       PEDIATRIC RESEARCH & PROGRAMS PROVIDING SUPPORT FOR ALL PEDIATRIC FAMILIES
(26) ARTS UNITED OF GREATER FORT WAYNE INC
300 EAST MAIN STREET
FORT WAYNE,IN46802
35-0992067 501(C)(3) 15,000       PROGRAMS SUPPORTING THE ADVANCEMENT OF THE ARTS AND CULTURE
(27) LOVE IN THE NAME OF CHRIST OF HUNTINGTON COUNTY INC
715 BYRON ST
FORT WAYNE,IN46750
31-1144508 501(C)(3) 15,000       RENT & UTILITY ASSISTANCE DURING COVID-19 PANDEMIC
(28) PARKVIEW FOUNDATION INC
3844 NEW VISION DR
FORT WAYNE,IN46845
23-7220589 501(C)(3) 13,647       PROGRAM FUNDS
(29) SCAN INC
500 W MAIN STREET
FORT WAYNE,IN46802
31-0899309 501(C)(3) 12,500       PROGRAMS FOR THE PREVENTION OF CHILD ABUSE AND NEGLECT
(30) CROSSWINDS INC
4150 ILLINOIS RD
FORT WAYNE,IN46804
45-4222417 501(C)(3) 11,000       PROGRAMS SUPPORTING FAMILY COUNSELING AND RESIDENTIAL PROGRAMS FOR TROUBLED TEENS
(31) COMMUNITY TRANSPORTATION NETWORK INC
5601 INDUSTRIAL ROAD
FORT WAYNE,IN46825
35-2109955 501(C)(3) 10,000       MEDICAL TRANSPORTATION PROGRAM FOR THE UNDERSERVED
(32) EARLY CHILDHOOD ALLIANCE INC
3800 NORTH ANTHONY
FORT WAYNE,IN46805
35-0953465 501(C)(3) 10,000       PROGRAMS TO IMPROVE THE EDUCATIONAL, HEALTH & EMOTIONAL WELL-BEING OF YOUNG CHILDREN
(33) FORT WAYNE CHILDRENS CHOIR INC
2101 E COLISEUM BLVD
FORT WAYNE,IN46805
35-1638989 501(C)(3) 10,000       TO PROVIDE A CHORAL PROGRAM EXEMPLIFYING ARTISTIC AND EDUCATIONAL EXCELLENCE FOR CHILDREN FROM DIVERSE BACKGROUNDS
(34) FORT WAYNE MEDICAL SOCIETY FOUNDATION INC
709 CLAY STREET SUITE 101
FORT WAYNE,IN46802
35-6049685 501(C)(3) 10,000       PROGRAMS PROVIDING MOTHERS-TO-BE WITH EDUCATION, SUPPORT, AND TOOLS TOWARD A HEALTHY PREGNANCY AND DELIVERY
(35) FORT WAYNE MUSEUM OF ART INC
311 EAST MAIN STREET
FORT WAYNE,IN46802
35-0953440 501(C)(3) 10,000       PROGRAMS TO COLLECT, PRESERVE AND PRESENT ART THROUGHOUT THE REGION
(36) MARTIN LUTHER KING JR CLUB INC
PO BOX 15694
FORT WAYNE,IN46885
35-1974348 501(C)(3) 10,000       PROGRAMS TO PROMOTE THE LIFE LEGACY AND MESSAGE OF DR. MARTIN LUTHER KING JR.
(37) NORTHEAST INDIANA CHRISTIAN ACTION COUNCIL EDUCATION & C H A
3630 HOBSON ROAD
FORT WAYNE,IN46815
31-1113254 501(C)(3) 10,000       PREGNANCY TESTING, SERVICES AND EDUCATION FOR EXPECTANT AND NEW MOTHERS
(38) RESPECT360 INC
PO BOX 309
HUNTERTOWN,IN46748
47-4090921 501(C)(3) 10,000       SCHOLARSHIP PROGRAM
(39) SAFE FAMILIES FOR CHILDREN ALLIANCE
30 W MONROE ST STE 800
CHICAGO,IL60603
45-3194102 501(C)(3) 10,000       PROGRAMS FOR HELPING FAMILIES AND CHILDREN IN CRISIS
(40) SAFE HAVEN BABY BOXES INC
PO BOX 185
WOODBURN,IN46797
47-3038555 501(C)(3) 10,000       PROGRAMS OFFERING A 24-HOUR HOTLINE FOR MOTHERS IN CRISIS
(41) SUPER SHOT INC
1515 HOBSON ROAD
FORT WAYNE,IN46805
35-2122575 501(C)(3) 10,000       CHILDREN'S VACCINATION CLINIC FOR THE UNDERSERVED
(42) THE BRANDON FOUNDATION INCORPORATED
4004 CRAWFORD ROAD
FORT WAYNE,IN46845
46-2999089 501(C)(3) 10,000       MENTORING AND TUTORING PROGRAM
(43) YWCA OF NORTHEAST INDIANA INC
5920 DECATUR RD
FORT WAYNE,IN46816
35-0868220 501(C)(3) 10,000       DOMESTIC VIOLENCE PREVENTION EDUCATION PROGRAMS AND SERVICES FOR SURVIVORS
(44) FORT WAYNE COMMUNITY SCHOOLS
1200 S CLINTON ST
FORT WAYNE,IN46802
GOVT ORG 7,500       SCHOOL PROGRAMS
(45) SANGAM CHARITABLE FOUNDATION INC
10214 CHESTNUT PLAZA DRIVE 121
FORT WAYNE,IN46814
31-1120273 501(C)(3) 7,500       SHRUTI INDIAN PERFORMANCE SERIES
(46) UNITED WAY OF WHITLEY COUNTY INC
128 W VAN BUREN ST
COLUMBIA CITY,IN46725
23-7300114 501(C)(3) 7,000       PROGRAMS TO IMPROVE THE QUALITY OF LIFE IN WHITELY COUNTY
(47) CHRIST CHILD FESTIVAL OF FORT WAYNE
3009 SANDARAC LN
FORT WAYNE,IN46815
46-2131355 501(C)(3) 6,000       PROGRAMS TO SUPPORT DOWNTOWN LIGHTING FESTIVAL
(48) FORT WAYNE TRAILS INC
300 EAST MAIN STREET SUITE 131
FORT WAYNE,IN46802
42-1545637 501(C)(3) 6,000       DEVELOPMENT OF A CONNECTED, MULTI-PURPOSE SYSTEM OF TRAILS IN ALLEN COUNTY
(49) JUNIOR ACHIEVEMENT NORTHERN INDIANA INC
601 NOBLE DRIVE
FORT WAYNE,IN46825
35-0922731 501(C)(3) 5,179       EXPERIENTIAL-BASED LIFE SKILL PROGRAMS FOR CHILDREN
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
49
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) 2020

Schedule I (Form 990) 2020
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) 2020



Additional Data


Software ID:  
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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow Attach to Form 990.
Graphic Arrow Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2020
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 on 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 on 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
Yes
 
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) 2020

Schedule J (Form 990) 2020
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)
1,193,402
-------------
0
487,482
-------------
0
367,537
-------------
0
1,624,548
-------------
0
32,305
-------------
0
3,705,274
-------------
0
319,527
-------------
0
2RAYMOND DUSMAN
DIRECTOR/VICE CHAIR/PH CPE & EVP
(i)

(ii)
824,939
-------------
0
299,060
-------------
0
174,754
-------------
0
338,767
-------------
0
32,808
-------------
0
1,670,328
-------------
0
144,818
-------------
0
3RICK HENVEY
PH CHIEF OPERATING OFFICER
(i)

(ii)
838,015
-------------
0
289,168
-------------
0
54,276
-------------
0
307,025
-------------
0
37,171
-------------
0
1,525,655
-------------
0
50,425
-------------
0
4JEANNE' WICKENS
PH CHIEF FINANCIAL OFFICER
(i)

(ii)
750,792
-------------
0
262,181
-------------
0
71,579
-------------
0
309,952
-------------
0
29,943
-------------
0
1,424,447
-------------
0
49,457
-------------
0
5NEIL SHARMA
PCI PRESIDENT
(i)

(ii)
809,315
-------------
0
261,663
-------------
0
77,354
-------------
0
156,297
-------------
0
39,709
-------------
0
1,344,338
-------------
0
56,714
-------------
0
6ROY ROBERTSON
PHI PRESIDENT
(i)

(ii)
841,751
-------------
0
217,711
-------------
0
24,402
-------------
0
150,432
-------------
0
29,308
-------------
0
1,263,604
-------------
0
0
-------------
0
7KENNETH AUSTIN
PH PHYSICIAN
(i)

(ii)
929,687
-------------
0
236,034
-------------
0
25,838
-------------
0
19,950
-------------
0
17,677
-------------
0
1,229,186
-------------
0
0
-------------
0
8JAMES DOZIER
PH PHYSICIAN
(i)

(ii)
1,157,553
-------------
0
1,000
-------------
0
34,356
-------------
0
14,250
-------------
0
19,008
-------------
0
1,226,167
-------------
0
0
-------------
0
9STEVEN WYNDER
PH PHYSICIAN
(i)

(ii)
776,858
-------------
11,840
210,454
-------------
0
31,478
-------------
0
30,990
-------------
360
26,688
-------------
310
1,076,468
-------------
12,510
0
-------------
0
10DOUGLAS GRAY
PH PHYSICIAN
(i)

(ii)
832,648
-------------
0
159,136
-------------
0
27,156
-------------
0
31,350
-------------
0
37,982
-------------
0
1,088,272
-------------
0
0
-------------
0
11DAVID LLOYD
PH PHYSICIAN
(i)

(ii)
826,372
-------------
0
123,908
-------------
0
36,596
-------------
0
31,350
-------------
0
35,339
-------------
0
1,053,565
-------------
0
0
-------------
0
12MITCHELL STUCKY
PH PHYSICIAN EXECUTIVE OFFICER
(i)

(ii)
509,153
-------------
0
139,291
-------------
0
180,999
-------------
0
116,839
-------------
0
29,415
-------------
0
975,697
-------------
0
164,221
-------------
0
13RONALD DOUBLE
PH CHIEF INFORMATION OFFICER
(i)

(ii)
486,338
-------------
0
150,394
-------------
0
55,333
-------------
0
244,282
-------------
0
38,404
-------------
0
974,751
-------------
0
28,431
-------------
0
14DENA JACQUAY
PH CHIEF ADMINISTRATIVE OFFICER
(i)

(ii)
492,473
-------------
0
132,231
-------------
0
32,794
-------------
0
211,459
-------------
0
38,627
-------------
0
907,584
-------------
0
30,488
-------------
0
15BENJAMIN MILES
HPS PRESIDENT
(i)

(ii)
124,993
-------------
414,216
1,000
-------------
153,815
0
-------------
41,540
18,862
-------------
91,256
6,142
-------------
29,716
150,997
-------------
730,543
0
-------------
38,835
16GREG JOHNSON
PH CHIEF CLINICAL INTEG OFFICER
(i)

(ii)
522,781
-------------
0
151,837
-------------
0
20,100
-------------
0
116,541
-------------
0
38,358
-------------
0
849,617
-------------
0
15,198
-------------
0
17DAVID STOREY
PH CHIEF LEGAL & COMPLIANCE OFFICER
(i)

(ii)
497,239
-------------
0
144,211
-------------
0
1,140
-------------
0
108,178
-------------
0
35,651
-------------
0
786,419
-------------
0
0
-------------
0
18JEFFREY BOORD
PH CHIEF QUALITY & SAFETY OFFICER
(i)

(ii)
440,999
-------------
0
124,130
-------------
0
53,650
-------------
0
89,724
-------------
0
37,044
-------------
0
745,547
-------------
0
31,528
-------------
0
19JOSHUA KLINE
DIRECTOR/PH CHIEF MEDICAL OFFICER
(i)

(ii)
421,893
-------------
0
109,180
-------------
0
50,513
-------------
0
92,525
-------------
0
36,353
-------------
0
710,464
-------------
0
29,303
-------------
0
20JASON ROW
PH CHIEF MEDICAL OFFICER-PPG
(i)

(ii)
424,907
-------------
0
109,088
-------------
0
30,069
-------------
0
98,168
-------------
0
37,151
-------------
0
699,383
-------------
0
28,359
-------------
0
21THOMAS BOND
PH CHIEF MEDICAL OFFICER-PPG
(i)

(ii)
435,871
-------------
0
109,201
-------------
0
2,622
-------------
0
101,088
-------------
0
35,153
-------------
0
683,935
-------------
0
0
-------------
0
22JUDITH BOERGER
PH CHIEF NURSING EXECUTIVE
(i)

(ii)
358,068
-------------
0
107,600
-------------
0
102,806
-------------
0
86,057
-------------
0
26,860
-------------
0
681,391
-------------
0
58,822
-------------
0
23THOMAS MILLER
DIRECTOR/PH PHYSICIAN
(i)

(ii)
524,586
-------------
10,286
44,058
-------------
0
26,869
-------------
0
30,818
-------------
532
33,660
-------------
581
659,991
-------------
11,399
0
-------------
0
24MARK PIERCE
PH CHIEF MED INFORMATICS OFFICER
(i)

(ii)
396,878
-------------
0
108,226
-------------
0
26,275
-------------
0
78,372
-------------
0
37,436
-------------
0
647,187
-------------
0
23,653
-------------
0
25JOLYNN SUKO
PH SVP & CHIEF INNOVAT OFF & VIR HLT
(i)

(ii)
340,021
-------------
0
140,000
-------------
0
19,157
-------------
0
77,750
-------------
0
27,761
-------------
0
604,689
-------------
0
17,453
-------------
0
26GERALD GRANNAN
PH SVP & COO - PPG
(i)

(ii)
353,632
-------------
0
92,025
-------------
0
33,345
-------------
0
79,467
-------------
0
37,879
-------------
0
596,348
-------------
0
25,850
-------------
0
27MICHAEL GERUE
PH SVP & COO SVR LINE LEADER
(i)

(ii)
290,159
-------------
36,609
97,793
-------------
0
21,957
-------------
0
78,205
-------------
6,984
36,963
-------------
3,301
525,077
-------------
46,894
19,549
-------------
0
28GARY BREUER
PH SVP & ENTERPRISE REV CYCLE
(i)

(ii)
342,456
-------------
0
103,954
-------------
0
22,122
-------------
0
66,765
-------------
0
35,849
-------------
0
571,146
-------------
0
0
-------------
0
29DAVID JEANS
PH SVP PAYER/EMPLOYER HLTH PLAN
(i)

(ii)
350,295
-------------
0
102,974
-------------
0
2,622
-------------
0
69,185
-------------
0
37,105
-------------
0
562,181
-------------
0
0
-------------
0
30SCOTT JAMES
PH SVP & COO SVR LINE LEADER
(i)

(ii)
311,589
-------------
0
97,818
-------------
0
20,901
-------------
0
70,593
-------------
0
33,682
-------------
0
534,583
-------------
0
19,732
-------------
0
31PHILIP SMITH
PH SVP STRATEGY & BUSINESS DVLP
(i)

(ii)
294,299
-------------
0
88,602
-------------
0
59,248
-------------
0
66,741
-------------
0
25,576
-------------
0
534,466
-------------
0
19,418
-------------
0
32ALAN MCGEE
DIRECTOR/ORTHO PHYSICIAN
(i)

(ii)
412,520
-------------
59,095
0
-------------
1,000
17,057
-------------
2,443
0
-------------
0
0
-------------
0
429,577
-------------
62,538
0
-------------
0
33JOSEPH WOLFCALE
FORMER KEY EMPLOYEE
(i)

(ii)
0
-------------
0
0
-------------
0
285,637
-------------
0
0
-------------
0
0
-------------
0
285,637
-------------
0
0
-------------
0
Schedule J (Form 990) 2020

Schedule J (Form 990) 2020
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 TRAVEL FOR COMPANIONS - TAXABLE EXPENSE REIMBURSEMENT FOR FAMILY MEMBER PAID TO: MICHAEL AXEL $412; RAYMOND DUSMAN $412; BRIAN EMERICK $622; GERALD GRANNAN $93; DOUGLAS GRAY $116; DAVID HAIST $60; HOWARD HALDERMAN $449; RICK HENVEY $1,230; SCOTT JAMES $129; MICHAEL PACKNETT $519; SHERRYL RHINESMITH $99; LUTHER WHITFIELD $776 DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: KENNETH AUSTIN $3,500; JAMES DOZIER $3,500; DOUGLAS GRAY $3,500; DAVID LLOYD $3,500; THOMAS MILLER $3,500; STEVEN WYNDER $3,500 PERSONAL SERVICES - TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: JUDITH BOERGER $1,000; RONALD DOUBLE $2,500; RAYMOND DUSMAN $2,500; GERALD GRANNAN $2,500; DENA JACQUAY $210; MICHAEL PACKNETT $750; MITCHELL STUCKY $2,300 NON-TAXABLE MANDATORY ANNUAL MEDICAL PHYSICAL PAID FOR: RAYMOND DUSMAN $2,319; GERALD GRANNAN $2,610
PART I, LINES 4A-B SEVERANCE PAYMENT JOSEPH WOLFCALE $285,637 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION AND THE AMOUNT OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): JUDITH BOERGER $58,822; JEFFREY BOORD $31,528; RONALD DOUBLE $28,431; RAYMOND DUSMAN $144,818; MICHAEL GERUE $19,549; GERALD GRANNAN $25,850; RICK HENVEY $50,425; DENA JACQUAY $30,488: SCOTT JAMES $19,732; GREG JOHNSON $15,198; JOSHUA KLINE $29,303; BENJAMIN MILES $38,835; MICHAEL PACKNETT $319,527; MARK PIERCE $23,653; JASON ROW $28,359; NEIL SHARMA $56,714; PHILIP SMITH $19,418; MITCHELL STUCKY $164,221; JOLYNN SUKO $17,453; JEANNE' WICKENS $49,457 AMOUNTS LISTED ABOVE THAT HAVE BEEN REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990 WILL ALSO BE REFLECTED IN SCHEDULE J, PART II, COLUMN (F). FOR EXAMPLE, THE AMOUNT OF $319,527 REPORTED AS REQUIRED FOR MR. PACKNETT WAS A RESULT OF THE VESTING OF SUCH AMOUNT UNDER THE TERMS OF THE RESPECTIVE PLANS. HOWEVER, THESE AMOUNTS WERE PREVIOUSLY REPORTED IN MR. PACKNETT'S DEFERRED COMPENSATION OVER MORE THAN 10 YEARS AS THE AMOUNTS WERE DEFERRED UNDER THE PLANS. AS SUCH, THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) IS AN INDICATION OF AMOUNTS THAT HAVE BEEN REPORTED TWICE, ONCE AS A DEFERRAL AND ONCE AS VESTED. 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. 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. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: JUDITH BOERGER $60,407; THOMAS BOND $66,888; JEFFREY BOORD $69,774; GARY BREUER $60,352; RONALD DOUBLE $210,082; RAYMOND DUSMAN $307,417; MICHAEL GERUE $50,989; GERALD GRANNAN $59,517; RICK HENVEY $289,925; DENA JACQUAY $181,534; SCOTT JAMES $50,643; DAVID JEANS $57,785; GREG JOHNSON $85,191; JOSHUA KLINE $66,875; BENJAMIN MILES $90,167; MICHAEL PACKNETT $1,598,898; MARK PIERCE $61,272; ROY ROBERTSON $119,082; JASON ROW $66,818; NEIL SHARMA $136,347; PHILIP SMITH $49,641; DAVID STOREY $82,528; MITCHELL STUCKY $85,489; JOLYNN SUKO $57,800; JEANNE' WICKENS $290,002
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) 2020

Additional Data


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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 instructions and the latest information.
OMB No. 1545-0047
2020
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 45471AAS1 08-27-2009 223,665,000 SEE PART VI   X   X   X
B INDIANA FINANCE AUTHORITY
 
35-1602316 45471AHR6 05-24-2012 94,631,826 SEE PART VI X     X   X
C INDIANA FINANCE AUTHORITY
 
35-1602316 NONEAVAIL 08-17-2016 58,000,000 SEE PART VI   X   X   X
D 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 .................. 1,960,000 18,995,000 4,555,000 21,430,000
2 Amount of bonds legally defeased ..............   2,425,000    
3 Total proceeds of issue .................. 223,915,573 94,631,897 58,000,000 130,491,406
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 1,369,431 1,022,698   1,283,614
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 ............. 73,265,671 93,731,970   129,207,792
12 Other unspent proceeds ............. 1,459,175      
13 Year of substantial completion ............. 2011 2012 2018 2017
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2019, a current refunding issue)? ........
X   X     X   X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2019, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 2
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  
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 0.050 % 0.030 %   0.050 %
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 ............. 0.050 % 0.030 %   0.050 %
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. .. 0.890 % 2.570 %   0.020 %
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
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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            
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 BOND ISSUE. ENTITY 2 IS NOT A DIFFERENT ENTITY THAN ENTITY 1.
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE A 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 B: 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 C: SERIES 2016B - NEW MONEY FOR THE CONSTRUCTION OF NEW CANCER INSTITUTE IN FORT WAYNE, IN.
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE D: SERIES 2017 - PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009.
ENTITY 1, SCHEDULE K, PART II, COLUMN A, LINE 3: THIS AMOUNT INCLUDES INTEREST OF $250,573 EARNED ON PROJECT AND COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART II, COLUMN B, LINE 3: THIS AMOUNT INCLUDES INTEREST OF $71 EARNED ON COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART III, COLUMNS A-B, 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: BOND ISSUE MET THE 24 MONTH REBATE SPENDING EXCEPTION. CALCULATION PERFORMED ON DECEMBER 8, 2011.
ENTITY 1, SCHEDULE K, PART IV, COLUMN B, LINE 2C: REBATE CALCULATION PERFORMED ON DECEMBER 4, 2012.
ENTITY 1, SCHEDULE K, PART IV, COLUMN C, LINE 2C: NO CALCULATION REQUIRED BECAUSE THE BONDS ARE DRAW BONDS AND NO PROCEEDS WERE INVESTED.
ENTITY 1, SCHEDULE K, PART IV, COLUMN D, LINE 2C: REBATE CALCULATION PERFORMED ON JANUARY 23, 2019.
ENTITY 2, SCHEDULE K, PART I, COLUMN F, LINE A: 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").
ENTITY 2, SCHEDULE K, PART II, COLUMN A, LINE 3: THIS INCLUDES INTEREST OF $1,942,831 EARNED ON PROJECT FUNDS.
ENTITY 2, SCHEDULE K, PART III, COLUMN A, 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 & 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) 2020

Additional Data


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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 instructions and the latest information.
OMB No. 1545-0047
2020
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 45471AAS1 08-27-2009 223,665,000 SEE PART VI   X   X   X
B INDIANA FINANCE AUTHORITY
 
35-1602316 45471AHR6 05-24-2012 94,631,826 SEE PART VI X     X   X
C INDIANA FINANCE AUTHORITY
 
35-1602316 NONEAVAIL 08-17-2016 58,000,000 SEE PART VI   X   X   X
D 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 .................. 1,960,000 18,995,000 4,555,000 21,430,000
2 Amount of bonds legally defeased ..............   2,425,000    
3 Total proceeds of issue .................. 223,915,573 94,631,897 58,000,000 130,491,406
4 Gross proceeds in reserve funds .............        
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ...............        
7 Issuance costs from proceeds ............... 1,369,431 1,022,698   1,283,614
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 ............. 73,265,671 93,731,970   129,207,792
12 Other unspent proceeds ............. 1,459,175      
13 Year of substantial completion ............. 2011 2012 2018 2017
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue of tax-exempt
bonds (or, if issued prior to 2019, a current refunding issue)? ........
X   X     X   X
15 Were the bonds issued as part of an advance refunding issue of taxable
bonds (or, if issued prior to 2019, 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  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 2
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  
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 0.050 % 0.030 %   0.050 %
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 ............. 0.050 % 0.030 %   0.050 %
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. .. 0.890 % 2.570 %   0.020 %
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
Schedule K (Form 990) 2020

Schedule K (Form 990) 2020
Page 3
Part
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
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            
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 BOND ISSUE. ENTITY 2 IS NOT A DIFFERENT ENTITY THAN ENTITY 1.
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE A 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 B: 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 C: SERIES 2016B - NEW MONEY FOR THE CONSTRUCTION OF NEW CANCER INSTITUTE IN FORT WAYNE, IN.
ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE D: SERIES 2017 - PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009.
ENTITY 1, SCHEDULE K, PART II, COLUMN A, LINE 3: THIS AMOUNT INCLUDES INTEREST OF $250,573 EARNED ON PROJECT AND COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART II, COLUMN B, LINE 3: THIS AMOUNT INCLUDES INTEREST OF $71 EARNED ON COST OF ISSUANCE FUNDS.
ENTITY 1, SCHEDULE K, PART III, COLUMNS A-B, 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: BOND ISSUE MET THE 24 MONTH REBATE SPENDING EXCEPTION. CALCULATION PERFORMED ON DECEMBER 8, 2011.
ENTITY 1, SCHEDULE K, PART IV, COLUMN B, LINE 2C: REBATE CALCULATION PERFORMED ON DECEMBER 4, 2012.
ENTITY 1, SCHEDULE K, PART IV, COLUMN C, LINE 2C: NO CALCULATION REQUIRED BECAUSE THE BONDS ARE DRAW BONDS AND NO PROCEEDS WERE INVESTED.
ENTITY 1, SCHEDULE K, PART IV, COLUMN D, LINE 2C: REBATE CALCULATION PERFORMED ON JANUARY 23, 2019.
ENTITY 2, SCHEDULE K, PART I, COLUMN F, LINE A: 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").
ENTITY 2, SCHEDULE K, PART II, COLUMN A, LINE 3: THIS INCLUDES INTEREST OF $1,942,831 EARNED ON PROJECT FUNDS.
ENTITY 2, SCHEDULE K, PART III, COLUMN A, 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 & 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) 2020

Additional Data


Software ID:  
Software Version:  

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 instructions and the latest information.
OMB No. 1545-0047
2020
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 section 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 the 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) 2020
Schedule L (Form 990 or 990-EZ) 2020
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 189,869 VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH.   No
(2) JOHN STOREY FAMILY MEMBER OF KEY EMPLOYEE DAVID STOREY 54,850 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) 2020


Additional Data


Software ID:  
Software Version:  




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
2020
Open to Public
Inspection
Name of the organization
PARKVIEW HEALTH SYSTEM INC
 
Employer identification number

35-1972384
Return Reference Explanation
PART III, LINE 4A CONT'D: JULY 24, 2020 - PRODUCED A FREE WEBINAR OFFERING GUIDANCE TO PARENTS FOR SAFELY RETURNING CHILDREN TO SCHOOL. THE WEBINAR INCLUDED INFORMATION ABOUT: - THE CURRENT STATE OF THE COVID-19 PANDEMIC IN NORTHEAST INDIANA - HOW IN-PERSON EDUCATION PLAYS A ROLE IN THE OVERALL HEALTH OF CHILDREN - WHY SCHOOLS ARE INTRODUCING NEW SAFETY MEASURES - WHAT STUDENTS MIGHT EXPECT TO SEE OR EXPERIENCE - HOW TO SUPPORT YOUR CHILDREN AND EDUCATORS AS THEY NAVIGATE THE YEAR AHEAD SEPTEMBER 9, 2020 - IN PARTNERSHIP WITH THE STATE OF INDIANA, PARKVIEW HEALTH SYSTEM, INC. OBTAINED A NEW ROCHE COBAS MACHINE THAT REDUCED THE TURNAROUND TIME FOR COVID-19 DIAGNOSTIC TESTS IN THE REGION. THE NEW EQUIPMENT WAS INSTALLED IN THE LAB AT PARKVIEW REGIONAL MEDICAL CENTER AND ALLOWED THE HEALTH SYSTEM TO PROCESS A HIGH VOLUME OF COVID-19 POLYMERASE CHAIN REACTION (PCR) TESTS, WITH MOST RESULTS AVAILABLE IN FEWER THAN 24 HOURS. THE SHORTER TURNAROUND TIME BENEFITTED THE REGION IN SEVERAL WAYS: - ALLOWED PROVIDERS TO MAKE BETTER INFORMED CARE DECISIONS AND IMPLEMENT CARE PLANS SOONER - INFORMED PATIENTS SOONER OF THE NEED TO REMAIN QUARANTINED OR ISOLATED - PROVIDED INFORMATION ON POSITIVE TESTS TO CONTACT TRACERS SOONER TO MORE QUICKLY IDENTIFY THOSE WHO MAY HAVE BEEN EXPOSED NOVEMBER 5, 2020 - PARKVIEW HEALTH SYSTEM, INC. IN PARTNERSHIP WITH THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AT IUPUI, INDIANA UNIVERSITY SCHOOL OF MEDICINE AND THE REGENSTRIEF INSTITUTE, BEGAN COMMUNICATING CLINICAL GUIDANCE AND EXPERTISE IN A NEW PROGRAM DESIGNED TO SUPPORT INDIANA NURSING HOMES WITH OPERATIONAL ISSUES RELATED TO COVID-19. PARKVIEW SERVED AS A VIRTUAL TRAINING CENTER FOR THE NEW STATEWIDE PROGRAM, AS PART OF THE NATIONAL NURSING HOME COVID-19 ACTION NETWORK USING THE PROJECT ECHO (EXTENSION FOR COMMUNITY HEALTHCARE OUTCOMES) MODEL. DECEMBER 14, 2020 - AS A PILOT SITE FOR THE INDIANA DEPARTMENT OF HEALTH (IDOH) COVID-19 VACCINE DISTRIBUTION PLAN, PARKVIEW HEALTH PREPARED TO BEGIN VACCINATING THE FIRST GROUP OF ELIGIBLE HEALTHCARE WORKERS. IN DOING SO, AN EXTENSIVE EFFORT WAS MADE TO PLAN AND DEVELOP A VACCINE CLINIC AT THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION. THE PARKVIEW MIRRO CENTER VACCINE CLINIC HAD FOUR SCREENING STATIONS, 10 REGISTRATION STATIONS, 10 VACCINATION STATIONS AND A POST-VACCINATION WAITING AREA TO ACCOMMODATE UP TO 120 PEOPLE. AS A RESULT OF THE HARD WORK BY THE MORE THAN 13,000 DEDICATED CO-WORKERS OF PARKVIEW HEALTH SYSTEM, INC. IN 2020, THE HEALTH SYSTEM ACCOMPLISHED THE FOLLOWING: - 2020 BEST AND BRIGHTEST IN WELLNESS - THIS AWARD RECOGNIZES THE MOST INFLUENTIAL, TREND-SETTING COMPANIES ACROSS THE COUNTRY, AND CELEBRATES QUALITY AND EXCELLENCE IN HEALTH AWARENESS. - MAINTAINED MAGNET STATUS BY DEMONSTRATING NURSING EXCELLENCE AND MAINTAINING A COMMITMENT TO NURSING PROFESSIONALISM, TEAMWORK AND SUPERIOR PATIENT CARE. THE MAGNET RECOGNITION PROGRAM DESIGNATES ORGANIZATIONS WORLDWIDE WHERE NURSING LEADERS ALIGN THEIR NURSING STRATEGIC GOALS TO IMPROVE THE ORGANIZATION'S PATIENT OUTCOMES. -PARKVIEW HEALTH HAS AGAIN BEEN NAMED ONE OF THE NATION'S 15 TOP HEALTH SYSTEMS BY IBM WATSON HEALTH. THE STUDY, WHICH IDENTIFIES THE TOP FIVE SYSTEMS IN THREE CATEGORIES ACCORDING TO SIZE, NAMED PARKVIEW AMONG THE TOP FIVE IN THE MEDIUM-SIZED CATEGORY FOR 2020. - FOR THE SEVENTH YEAR IN A ROW, PARKVIEW HEALTH SYSTEM, INC HAS BEEN RECOGNIZED AS ONE OF THE COLLEGE OF HEALTHCARE INFORMATION MANAGEMENT EXECUTIVES (CHIME) "HEALTHCARE'S MOST WIRED HEALTH SYSTEMS."
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, 2020 WAS 738. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2020 WAS 15,150. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR PARKVIEW HEALTH SYSTEM, INC. WAS 298 AND 5,662 RESPECTIVELY.
FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF A MAXIMUM OF TEN (10) MEMBERS, THE MAJORITY OF WHOM SHALL BE INDEPENDENT AND DISINTERESTED, AND SHALL INCLUDE THE PARKVIEW HEALTH BOARD CHAIR WHO SHALL ALSO SERVE AS CHAIR OF THE COMMITTEE, THE PARKVIEW HEALTH BOARD VICE CHAIR, THE PARKVIEW HEALTH BOARD CHAIR-ELECT, IF APPLICABLE, 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 OFFICERS JEANNE' WICKENS, RICK HENVEY, AND KEY EMPLOYEES MITCHELL STUCKY, PHILIP SMITH, DAVID STOREY HAVE BUSINESS RELATIONSHIPS AS DIRECTORS ON THE BOARDS OF RELATED ENTITIES. KEY EMPLOYEES GREG JOHNSON, DAVID JEANS, BENJAMIN MILES AND OFFICER JEANNE' WICKENS 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 THOMAS LEEDY AND MICHAEL AXEL HAVE A FAMILY RELATIONSHIP.
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 27, 2021, 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 2020, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2020 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. THE COMPENSATION PACKAGE WAS APPROVED BY A MAJORITY OF INDEPENDENT COMPENSATION COMMITTEE MEMBERS. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A COMPETITIVE COMPENSATION ANALYSIS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AS WELL AS ALL EXECUTIVES AT THE VICE PRESIDENT LEVEL AND ABOVE. ALL DATA IS SHARED WITH THE BOARD OF DIRECTORS. 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 2,163,721. BOOK/TAX DIFF FROM K-1'S 6,680,460. AMORTIZE BOND SWAP OCI 42,600. ADJUST OCI FOR PENSION -15,129,478. REMOVE INVESTMENT IN MCHA -19,083,090. ADJUST PRIOR YEAR ACCRUALS 685,000.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2020


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
2020
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,IN46808
46-4037822
REAL ESTATE IN 0 0 PARKVIEW HEALTH SYSTEM INC
 
(2) PARKVIEW CARE PARTNERS LLC
1450 PRODUCTION RD
FORT WAYNE,IN46808
46-2201508
CLINICAL INTEGRATION NETWORK IN 5,001,339 9,949,473 PARKVIEW HEALTH SYSTEM INC
 
(3) PARKVIEW ACCOUNTABLE CARE LLC
1450 PRODUCTION RD
FORT WAYNE,IN46808
81-2787982
ACCOUNTABLE CARE ORGANIZATION IN 0 0 PARKVIEW HEALTH SYSTEM INC
 
(4) PARKVIEW STRATEGIC ENTERPRISES LLC
1450 PRODUCTION RD
FORT WAYNE,IN46808
83-2076007
HOLDING COMPANY IN 0 0 PARKVIEW HEALTH SYSTEM INC
 
(5) PARKVIEW RETAIL SERVICES LLC
1450 PRODUCTION RD
FORT WAYNE,IN46808
83-2081254
RETAIL IN 94,404 21,116 PARKVIEW HEALTH SYSTEM INC
 
(6) FOUNDATION SURGERY AFFLIATE OF FORT WAYNE LLC
1450 PRODUCTION RD
FORT WAYNE,IN46808
20-1394120
SURGICAL SERVICES IN 580,566 -7,542 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
3844 NEW VISION DR

FORT WAYNE,IN46845
23-7220589
FUND MGMT IN 501(C)(3) LINE 12A, I PARKVIEW HOSPITAL INC
 
Yes
 
(3)PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
1450 PRODUCTION RD

FORT WAYNE,IN46808
35-2064353
OCCUPATIONAL 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)PARKVIEW LAGRANGE HOSPITAL FOUNDATION INC
207 N TOWNLINE ROAD

LAGRANGE,IN46761
83-3347115
FUND MGMT IN 501(C)(3) LINE 12A, I COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
 
Yes
 
(6)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
 
(7)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
 
(8)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
 
(9)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
 
(10)HUNTINGTON MEMORIAL HOSPITAL INC
2001 STULTS ROAD

HUNTINGTON,IN46750
35-1970706
HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC
 
Yes
 
(11)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
 
(12)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
 
(13)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
 
(14)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
 
(15)PARK CENTER HOLDINGS INC
909 EAST STATE BLVD

FORT WAYNE,IN46805
84-3684074
TO SUPPORT PARK CENTER, INC. IN 501(C)(3) LINE 12D, III-O PARKVIEW HEALTH SYSTEM INC
 
Yes
 
(16)DEKALB MEMORIAL HOSPITAL INC
1316 EAST SEVENTH STREET

AUBURN,IN46706
35-1064295
HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC
 
Yes
 
(17)PARKVIEW DEKALB HOSPITAL FOUNDATION INC
1316 EAST SEVENTH STREET

AUBURN,IN46706
35-6047817
FUND MGMT IN 501(C)(3) LINE 12A, I DEKALB MEMORIAL HOSPITAL INC
 
Yes
 
(18)MIDWEST COMMUNITY HEALTH ASSOCIATES INC
442 W HIGH STREET

BRYAN,OH43506
34-1045870
PHYSICIANS OH 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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

1450 PRODUCTION RD
FORT WAYNE,IN46808
26-0143823
ORTHO HOSPITAL IN PARKVIEW HEALTH SYSTEM INC
 
RELATED 52,279,512 44,411,776   No   Yes   60.000 %
(2) MANAGED CARE SERVICES LLC

1450 PRODUCTION RD
FORT WAYNE,IN46808
35-1996535
HEALTH PLAN ADMIN IN PARKVIEW HEALTH SYSTEM INC
 
RELATED 1,583,239 8,148,223   No   Yes   90.000 %










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

1450 PRODUCTION RD
FORT WAYNE,IN46808
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 4,255,244   100.000 % Yes  
(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 137,308 377,695 92.300 % Yes  








Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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
Yes
 
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
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
Yes
 
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 1,273,141 PART VII SUPPLEMENTAL INFORMATION
(2) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

A 1,474,503 PART VII SUPPLEMENTAL INFORMATION
(3) PARKVIEW OCCUPATIONAL HEALTH CENTERS INC

A 545,268 PART VII SUPPLEMENTAL INFORMATION
(4) PARKVIEW FOUNDATION INC

A 136,163 PART VII SUPPLEMENTAL INFORMATION
(5) PARKVIEW HOSPITAL INC

A 4,849,662 PART VII SUPPLEMENTAL INFORMATION
(6) WHITLEY MEMORIAL HOSPITAL INC

A 2,918,464 PART VII SUPPLEMENTAL INFORMATION
(7) PARKVIEW WABASH HOSPITAL INC

A 485,251 PART VII SUPPLEMENTAL INFORMATION
(8) MIDWEST COMMUNITY HEALTH ASSOCIATES INC

A 1,636,026 PART VII SUPPLEMENTAL INFORMATION
(9) PARKVIEW FOUNDATION INC

C 139,359 PART VII SUPPLEMENTAL INFORMATION
(10) PARKVIEW HOSPITAL INC

C 200,712 PART VII SUPPLEMENTAL INFORMATION
(11) WHITLEY MEMORIAL HOSPITAL INC

D 6,893,500 PART VII SUPPLEMENTAL INFORMATION
(12) PARK CENTER INC

D 2,285,552 PART VII SUPPLEMENTAL INFORMATION
(13) ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC

H 260,000 PART VII SUPPLEMENTAL INFORMATION
(14) HUNTINGTON MEMORIAL HOSPITAL INC

J 1,273,141 PART VII SUPPLEMENTAL INFORMATION
(15) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

J 1,474,503 PART VII SUPPLEMENTAL INFORMATION
(16) PARKVIEW OCCUPATIONAL HEALTH CENTERS INC

J 545,268 PART VII SUPPLEMENTAL INFORMATION
(17) PARKVIEW FOUNDATION INC

J 136,163 PART VII SUPPLEMENTAL INFORMATION
(18) PARKVIEW HOSPITAL INC

J 4,849,662 PART VII SUPPLEMENTAL INFORMATION
(19) WHITLEY MEMORIAL HOSPITAL INC

J 2,918,464 PART VII SUPPLEMENTAL INFORMATION
(20) PARKVIEW WABASH HOSPITAL INC

J 485,251 PART VII SUPPLEMENTAL INFORMATION
(21) MIDWEST COMMUNITY HEALTH ASSOCIATES INC

J 1,636,026 PART VII SUPPLEMENTAL INFORMATION
(22) DEKALB MEMORIAL HOSPITAL INC

K 350,845 PART VII SUPPLEMENTAL INFORMATION
(23) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

K 116,285 PART VII SUPPLEMENTAL INFORMATION
(24) PARKVIEW HOSPITAL INC

K 3,688,252 PART VII SUPPLEMENTAL INFORMATION
(25) PARKVIEW WABASH HOSPITAL INC

K 78,018 PART VII SUPPLEMENTAL INFORMATION
(26) WHITLEY MEMORIAL HOSPITAL INC

K 977,370 PART VII SUPPLEMENTAL INFORMATION
(27) ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC

L 10,334,433 PART VII SUPPLEMENTAL INFORMATION
(28) PARKVIEW HOSPITAL INC

L 216,793,503 PART VII SUPPLEMENTAL INFORMATION
(29) DEKALB MEMORIAL HOSPITAL INC

L 10,007,872 PART VII SUPPLEMENTAL INFORMATION
(30) HUNTINGTON MEMORIAL HOSPITAL INC

L 10,933,908 PART VII SUPPLEMENTAL INFORMATION
(31) COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC

L 6,068,221 PART VII SUPPLEMENTAL INFORMATION
(32) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

L 10,359,940 PART VII SUPPLEMENTAL INFORMATION
(33) PARKVIEW OCCUPATIONAL HEALTH CENTERS INC

L 2,158,391 PART VII SUPPLEMENTAL INFORMATION
(34) MIDWEST COMMUNITY HEALTH ASSOCIATES INC

L 4,938,002 PART VII SUPPLEMENTAL INFORMATION
(35) PARKVIEW FOUNDATION INC

L 143,758 PART VII SUPPLEMENTAL INFORMATION
(36) MANAGED CARE SERVICES LLC

L 484,726 PART VII SUPPLEMENTAL INFORMATION
(37) PARKVIEW WABASH HOSPITAL INC

L 7,243,770 PART VII SUPPLEMENTAL INFORMATION
(38) WHITLEY MEMORIAL HOSPITAL INC

L 15,572,719 PART VII SUPPLEMENTAL INFORMATION
(39) PARKVIEW HOSPITAL INC

Q 232,487,882 PART VII SUPPLEMENTAL INFORMATION
(40) DEKALB MEMORIAL HOSPITAL INC

Q 3,385,350 PART VII SUPPLEMENTAL INFORMATION
(41) HUNTINGTON MEMORIAL HOSPITAL INC

Q 9,458,384 PART VII SUPPLEMENTAL INFORMATION
(42) COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC

Q 3,542,492 PART VII SUPPLEMENTAL INFORMATION
(43) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

Q 8,315,902 PART VII SUPPLEMENTAL INFORMATION
(44) PARKVIEW WABASH HOSPITAL INC

Q 4,162,285 PART VII SUPPLEMENTAL INFORMATION
(45) WHITLEY MEMORIAL HOSPITAL INC

Q 10,334,676 PART VII SUPPLEMENTAL INFORMATION
(46) PARKVIEW HOSPITAL INC

R 1,359,268 PART VII SUPPLEMENTAL INFORMATION
(47) COMMUNITY HOSPITAL OF NOBLE COUNTY INC

S 1,160,069 PART VII SUPPLEMENTAL INFORMATION
Schedule R (Form 990) 2020
Schedule R (Form 990) 2020
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) 2020
Schedule R (Form 990) 2020
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) 2020

Additional Data


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