2024-11-05T11:27:02-06:00 2023-12-31 350921680 CROWE LLP 401 E LAS OLAS BLVD SUITE 1100 FORT LAUDERDALE FL 33301 990 2023-01-01 350868085 PARKVIEW HOSPITAL INC PARK 2603738429 11109 PARKVIEW PLAZA DR FORT WAYNE IN 468451701 STANTON RISSER PH ACFO 2602669380 2024-11-05 1 1 BRITTNEY KOCAJ P01320603 9542028600 2023 2024-10-15 13:58:12Z GREG JOHNSON 1450 PRODUCTION RD FORT WAYNE IN 468081167 1956449479 0 X WWW.PARKVIEW.COM X 1941 IN IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 17 9 7599 333 3249982 114310 57784807 5923130 1815665084 1910992676 426126 -56336 17639722 17804997 1891515739 1934664467 1752027 1142916 0 0 515643059 538401511 0 0 0 1237317577 1296341088 1754712663 1835885515 136803076 98778952 1055454687 1062300853 241493080 148769040 813961607 913531813 X PARKVIEW HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 0 0 1537899647 1142916 1915574030 PARKVIEW HOSPITAL, INC. IS A NOT-FOR-PROFIT, COMMUNITY-BASED HOSPITAL SERVING A NORTHEAST INDIANA AND NORTHWEST OHIO POPULATION OF MORE THAN 1.3 MILLION. PARKVIEW HOSPITAL, INC. CONSISTS OF PARKVIEW REGIONAL MEDICAL CENTER, PARKVIEW HOSPITAL RANDALLIA AND PARKVIEW BEHAVIORAL HEALTH INSTITUTE), LOCATED IN FORT WAYNE, INDIANA. PARKVIEW HOSPITAL, INC. IS HOME TO A VERIFIED LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER IN ADDITION TO THE SAMARITAN MEDICAL FLIGHT AND GROUND TRANSPORT SERVICES, AND A FULL-SERVICE, 24-HOUR EMERGENCY DEPARTMENT. (SEE SCHEDULE O FOR CONTINUATION)FEATURED SERVICES:LOCATED ON THE NORTH SIDE OF FORT WAYNE, INDIANA, PARKVIEW REGIONAL MEDICAL CENTER (PRMC) IS A 587-BED REGIONAL TERTIARY REFERRAL CENTER DEDICATED TO BUILDING A HEALTHIER COMMUNITY. MORE THAN A HOSPITAL, PRMC IS AN ENTIRE CAMPUS DEVOTED TO THE HEALTH AND WELL-BEING OF ITS SURROUNDING COMMUNITIES. FEATURED SERVICES OF THE PRMC CAN BE FOUND ON CAMPUS AT THE PARKVIEW PACKNETT FAMILY CANCER INSTITUTE, PARKVIEW HEART INSTITUTE AND THE PARKVIEW WOMEN'S & CHILDREN'S HOSPITAL.PARKVIEW PACKNETT FAMILY CANCER INSTITUTE IS A STATE-OF-THE-ART FACILITY WHICH INCORPORATES A HEALING ENVIRONMENT THROUGH THE USE OF NATURAL LIGHTING, PRIVATE SPACES FOR FAMILIES, RESPITE ROOMS AND MORE. THIS PHYSICIAN-LED FACILITY USES AN ENHANCED NURSE NAVIGATOR SYSTEM THAT ALLOWS FOR COORDINATED CARE THROUGHOUT A PATIENT'S CANCER JOURNEY. THE INSTITUTE OFFERS INFUSION, RADIATION ONCOLOGY AND OTHER OUTPATIENT SERVICES, SUCH AS THE REGION'S ONLY CYBERKNIFE TECHNOLOGY THAT DESTROYS TUMORS IN DIFFICULT-TO-REACH AREAS.PARKVIEW HEART INSTITUTE (PHI), THE REGION'S ONLY DEDICATED HEART HOSPITAL AND AN AFFILIATE OF CLEVELAND CLINIC'S HEART, VASCULAR AND THORACIC INSTITUTE, IS DEDICATED TO THE PREVENTION, AWARENESS, DETECTION AND TREATMENT OF HEART DISEASE. PHYSICIANS, ADVANCED-PRACTICE PROVIDERS, NURSES AND CO-WORKERS WITHIN THE FACILITY DELIVER SPECIALIZED CARDIAC INTENSIVE CARE, ACUTE CARE AND SUPPORT ACCREDITED PROGRAMS SUCH AS HEART FAILURE, AFIB AND ELECTROPHYSIOLOGY. PHI OFFERS SIXTEEN OUTPATIENT SPECIALTY CLINICS TO SUPPORT PATIENTS WITH STANDARDIZED, PROTOCOL DRIVEN CARE BY A COLLABORATIVE TEAM DEDICATED TO TREATING THEIR CONDITION.PARKVIEW WOMEN'S & CHILDREN'S HOSPITAL INCLUDES A NEWLY RENOVATED 40-BED FAMILY BIRTHING CENTER THAT CONSISTS OF 16 LABOR AND DELIVERY ROOMS, FOUR TRIAGE BAYS, TWO OPERATING ROOMS, 24 POST-PARTUM ROOMS, AND A BRAND NEW 8-BED NEWBORN NURSERY. FOR OUR LITTLEST PATIENTS WHO NEED EXTRA CARE, OUR NEONATAL ICU HAS ALSO BEEN RECENTLY RENOVATED AND EXPANDED TO A TOTAL OF 45 BEDS (35 PRIVATE ROOMS AND 10 CONTINUOUS CARE BAYS). THE PEDIATRIC UNIT HAS 27 PRIVATE ROOMS TO MAKE THE STAY FOR YOUNG PATIENTS AS COMFORTING AS POSSIBLE.WITHIN THE HEART OF FORT WAYNE, INDIANA RESIDES PARKVIEW RANDALLIA HOSPITAL, A 225-BED COMMUNITY HOSPITAL SERVING AREA RESIDENTS AT ITS CURRENT LOCATION SINCE 1953. PARKVIEW RANDALLIA HOSPITAL CONTINUES TO BE A FULL-SERVICE CENTER OF HEALTHCARE ACTIVITY AND EXCELLENCE, DEDICATED TO PROVIDING EXCEPTIONAL SERVICE WITH KINDNESS AND CONCERN FOR EVERY INDIVIDUAL SITUATION. THIS FACILITY FEATURES A FAMILY BIRTHING CENTER, PARKVIEW CENTER FOR WOUND HEALING, SLEEP DISORDERS CENTER AND THE PARKVIEW REHABILITATION CENTER.FINANCIAL ASSISTANCE:PARKVIEW HOSPITAL, INC. IS COMMITTED TO MAKING HEALTHCARE ACCESSIBLE TO THOSE WHO NEED IT, REGARDLESS OF THEIR HEALTH STATUS OR ABILITY TO PAY. WITH OUR FINANCIAL ASSISTANCE, PATIENTS CAN RECEIVE THE PARKVIEW CARE THEY EXPECT - NO MATTER WHAT MEDICAL OBSTACLES THEY MIGHT FACE. OUR FINANCIAL ASSISTANCE SERVICES INCLUDE: 1) USING FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES, INCLUDING CHARITABLE CARE AND FINANCIAL ASSISTANCE POLICIES AND A STANDARD APPLICATION PROCESS; 2) PROVIDING EXTENDED PAYMENT PLAN OPTIONS; AND 3) PROVIDING EMERGENCY CARE, REGARDLESS OF ABILITY TO PAY.COMMUNITY BENEFIT: PARKVIEW HOSPITAL, INC.'S COMMITMENT TO IMPROVING HEALTH AND INSPIRING WELL-BEING EXTENDS BEYOND THE HOSPITAL WALLS AND THROUGHOUT NORTHEAST INDIANA. THROUGH PARKVIEW'S COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM, PARKVIEW HOSPITAL, INC. COLLABORATES WITH OTHERS INSIDE AND OUTSIDE THE HEALTH SYSTEM WHO SHARE PARKVIEW'S MISSION AND VALUES. FUNDED BY A PERCENTAGE OF PARKVIEW'S NET OPERATING SURPLUS, CHI STRATEGICALLY REINVESTS DOLLARS INTO COMMUNITY ORGANIZATIONS AND INITIATIVES THAT ADDRESS THE GREATEST HEALTH NEEDS OUTLINED BY THE HOSPITAL'S MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BASED ON THE 2022 CHNA RESULTS, THE TOP THREE HEALTH CONCERNS FOR PARKVIEW HOSPITAL, INC. ARE MENTAL HEALTH, OBESITY AND MATERNAL & CHILD HEALTH. BASED UPON THESE RESULTS, PARKVIEW HOSPITAL, INC. CREATES AN IMPLEMENTATION STRATEGY THAT SERVES AS AN IN-DEPTH PLAN DEFINING HOW WE PLAN TO ADDRESS EACH IDENTIFIED HEALTH NEED. AWARDS/RECOGNITION: PARKVIEW HOSPITAL INC. RECEIVED THE FOLLOWING AWARDS AND RECOGNITIONS IN 2023: -LEAPFROG HOSPITAL SAFETY GRADE: FALL A- INDIANA HOSPITAL ASSOCIATION CATEGORY OF EXCELLENCE -BECKER'S TOP RECOMMENDED HOSPITALS - PARKVIEW BEHAVIORAL HEALTH INSTITUTE RECEIVED THE 2023 PRESS GANEY HUMAN EXPERIENCE AWARD, WINNING THE NDNQI AWARD FOR OUTSTANDING NURSING QUALITY - PSYCHIATRIC HOSPITAL.- PRMC RECEIVED THE E-QUAL HONOR ROLL AWARD BY THE AMERICAN COLLEGE OF EMERGENCY PHYSICIANS FOR THEIR IMPROVEMENT IN EMERGENCY CARE RELATED TO OPIOID USE DISORDER TREATMENT.- ALL PARKVIEW HOSPITALS WITH A FAMILY BIRTHING CENTER IN INDIANA WERE RECOGNIZED IN THE INDIANA HOSPITAL ASSOCIATION'S FOURTH ANNUAL INSPIRE HOSPITAL OF DISTINCTION PROGRAM. PRMC WAS RECOGNIZED IN THE CATEGORY OF EXCELLENCE. 1537899647 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1 0 0 1 X 166 0 1 7599 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 17 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 1 1 IN OH X STANTON RISSER 2602669380 1450 PRODUCTION RD FORT WAYNE IN 468081167 GREG JOHNSON DIRECTOR/REGIONAL MARKET PRESIDENT 1.00 39.00 X X 0 888491 189006 SATISH VELAGAPUDI DIRECTOR/PH PHYSICIAN 1.00 39.00 X 47926 634262 57546 LINDA FRANCIES PVHOS CHIEF NURSING OFFICER 40.00 0.00 X 409448 0 83196 JOHN BOWEN DIRECTOR/PVHOS PRESIDENT 39.00 1.00 X X 616722 0 142810 PETER CHAILLE DIRECTOR/PH PHYSICIAN 1.00 39.00 X 0 883731 74106 ABHIJIT SHUKLA DIRECTOR/PH PHYSICIAN 1.00 39.00 X 0 312710 70274 RUSS ABEL DIRECTOR 1.00 0.00 X 4500 0 0 IAN BOYCE DIRECTOR/CHAIR 1.00 1.00 X X 6500 2000 0 DONOVAN COLEY DIRECTOR 1.00 0.00 X 4500 0 0 MARK DANIEL DIRECTOR 1.00 0.00 X 3000 0 0 JOSEPH JORDAN DIRECTOR 1.00 0.00 X 4500 0 0 THOMAS KIMBROUGH DIRECTOR/SECRETARY 1.00 1.00 X X 4500 3500 0 TROY LINDER DIRECTOR 1.00 0.00 X 3250 0 0 DAVID MCFADDEN DIRECTOR 1.00 0.00 X 4250 0 0 MARK MICHAEL DIRECTOR/TREASURER 1.00 0.00 X X 4250 0 0 RICHARD ROBINSON DIRECTOR/VICE CHAIR 1.00 1.00 X X 4500 0 0 JUDY ROY DIRECTOR 1.00 0.00 X 3250 0 0 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 2165508 277888 MICHAEL MIRRO PVHOS CHIEF ACADEM/RESEARCH OFFICER 40.00 0.00 X 752870 0 139805 GARY ZWIERZYNSKI PVHOS SVP GRADUATE MEDICAL EDUCATION 39.00 1.00 X 343888 68585 24652 JOSIAH WELLS PVHOS VP OPERATIONS 40.00 0.00 X 278360 0 37456 MARK GILLESPIE PVHOS VP OPERATIONS 40.00 0.00 X 252244 0 55767 JESSICA MURPHY PVHOS VP SURGICAL SERVICES 40.00 0.00 X 236577 0 58397 PAULA BOSTWICK PVHOS VP BHI 40.00 0.00 X 200021 0 56267 GAIL ALTEKRUSE PVHOS VP OPERATIONS 40.00 0.00 X 241756 0 54403 ERIN GOLDSBERRY PVHOS VP PAT CARE 40.00 0.00 X 224478 0 38113 PATRICK WOODMAN PVHOS PHYSICIAN 24.00 16.00 X 296087 154933 22935 SUSAN STEFFY PVHOS CMO GRAD MED EDUCATION 20.00 20.00 X 227836 175848 78571 JEFFREY BROWN PVHOS PHYSICIAN 40.00 0.00 X 284661 0 38181 CHUANYA ZHOA PVHOS SUPERVISOR CERT RAD PHYSICIST 40.00 0.00 X 283423 0 38878 SARA BROWN PVHOS ASSOCIATE CMO 40.00 0.00 X 261149 0 34268 MICHAEL PACKNETT FORMER OFFICER/RETIRED PH CEO 0.00 0.00 X 0 5034209 29253 MICHAEL YURKANIN FORMER KEY EMPLOYEE/CURRENT PH CMO 5.00 35.00 X 58342 583839 160006 MEGAN SMITH FORMER KEY EMPLOYEE/CURRENT PH SVP 0.00 40.00 X 0 459430 134418 CHARLES CLARK FORMER KEY EMPLOYEE/FORMER BHI PRES 0.00 40.00 X 0 332674 67276 MARCELINE ROGERS FORMER KEY EMPLOYEE/CURRENT PH SVP 0.00 40.00 X 0 377517 117782 MICHAEL GERUE FORMER KEY EMPLOYEE/CURRENT PH SVP 0.00 40.00 X 0 494001 142103 MOLLY CAIN FORMER KEY EMPLOYEE/CURRENT PH SVP 0.00 40.00 X 0 451152 122253 CHRISTINE HEPLER FORMER KEY EMPLOYEE/CURRENT PH VP 0.00 40.00 X 0 246072 59147 5062788 13268462 2404757 595 1 1 0 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA STREET OMAHA NE 68154 MEDICAL PERSONNEL 55278925 TRELLISRX LLC 1180 W PEACHTREE ST NE ATLANTA GA 30309 PHARMACY SERVICES 14560232 QUEST DIAGNOSTICS PO BOX 912512 PASADENA CA 91110 DIAGNOSTIC SERVICES 5454616 TOTAL RENAL CARE INC PO BOX 781607 PHILADELPHIA PA 19178 MEDICAL SERVICES 3704925 HOSPITAL LAUNDRY SERVICES INC 3322 CAVALIER DR FORT WAYNE IN 46808 LAUNDRY SERVICES 3385160 88 958565 4672720 291845 70382 5923130 NET PATIENT SERVICE 622110 1707224534 1707224534 PHARMACY 456110 177103889 175452247 1651642 LAB SERVICES 621500 21361653 21361653 INTERUNIT RENT 531120 4669530 4669530 CENTER FOR HEALTHY LIVING 621999 241670 195002 46668 391400 208216 183184 1910992676 565043 565043 4333261 1698794 2634467 2634467 2634467 19437905 26934 19656109 430109 -218204 -403175 -621379 -621379 CAFETERIA & MEALS 722514 7246879 7246879 ORTHO BILLINGS 541900 3523004 2173141 1349863 RESEARCH CENTER 541700 3160934 3160934 1239713 1128773 18625 92315 15170530 1934664467 1915574030 3249982 9917325 X 1142916 1142916 4414978 4414978 233578 233578 403344756 403344756 130408199 130408199 78466 78466 123313935 116330744 6983191 249269 171567 77702 27032068 25857535 1174533 828080 821109 6971 20553436 18995073 1558363 1468107 1379459 88648 298497 295906 2591 535210 504809 30401 47943694 47653157 290537 2014404 108514 1905890 MEDICAL SUPPLIES 420757528 420757528 CORP SERVICE ALLOCATION 280509730 280509730 PH CLINICAL SUPPORT 269643738 269643738 FEDERAL & STATE INCOME 330000 330000 100784926 100251059 533867 1835885515 1537899647 297985868 0 20806 117820 410836 1490721 253611084 234117148 22960811 25991560 994424 1339597 1406342518 695759048 711344907 710583470 28811961 31657552 2366409 1158575 22491443 22491443 12442006 33352967 1055454687 1062300853 88865858 73768324 602332 1115225 152024890 73885491 241493080 148769040 X 813961607 913531813 813961607 913531813 1055454687 1062300853 X 98778952 2583660 -1792406 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 83310 83310 0 PART II-B, LINE 1: OTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO INDIANA HOSPITAL AND HEALTH ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. 1408506 148997 36900 1520603 1642653 8445 -205289 37303 1408506 1489500 202426 49273 1642653 1276765 64385 189880 41530 1489500 650942 454072 193952 22201 1276765 0.00000 0.61320 0.38680 0 1 1 7248452 7248452 761462852 343456001 418006851 14745268 12833112 1912156 520554395 298617709 221936686 102331551 40852226 61479325 710583470 LEASE LIABILITY 13591888 EST. MEDICARE/MEDICAID SETTLEMENTS 4108490 EST. 3RD PARTY SETTLEMENTS 5987549 RESTRICTED FUNDS 702109 DUE TO/FROM INTERUNIT 49495455 73885491 X PART V, LINE 4: ENDOWMENT FUNDS ARE USED FOR CHAPLAINCY SERVICES AND OPERATIONS RELATED TO PATIENT-FOCUSED CANCER CARE. 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, 2023 AND 2022, 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 2019 AND PRIOR. 1 1 X 1 X 1 X 1 1 0 1 1 16810735 16810735 0.01070 329434588 240908091 88526497 0.05650 346245323 240908091 105337232 0.06720 11564653 1171127 10393526 0.00660 15785284 2778333 13006951 0.00830 140533151 112750947 27782204 0.01770 1423685 56359 1367326 0.00090 1133410 1133410 0.00070 170440183 116756766 53683417 0.03420 516685506 357664857 159020649 0.10140 288060 288060 0.00020 288060 288060 0.00020 1 0 0 223807758 231014422 -7206664 X 1 1 1 1 PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DR FORT WAYNE IN 46845 WWW.PARKVIEW.COM 14-005020-1 X X X X X PARKVIEW HOSPITAL INC 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS X 1 22 1 HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS 0 1 X 200.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, LINES 16A B & C X SEE PART V, LINES 16A B & C X SEE PART V, LINES 16A B & C X X X X X X 1 X 0 X X X X 1 X 0 0 PARKVIEW HOSPITAL INC 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 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), PARKVIEW HEALTH SYSTEM, INC., INCLUDING PARKVIEW HOSPITAL, INC. (ALLEN COUNTY), WERE DILIGENT IN ENSURING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WERE INCLUDED, WHILE ALSO FOCUSING ON THE NEEDS OF VULNERABLE POPULATIONS IN NORTHEAST INDIANA. IN GATHERING COMMUNITY INPUT, PARKVIEW HEALTH SYSTEM, INC., INCLUDING PARKVIEW HOSPITAL, INC. (ALLEN COUNTY), OBTAINED THE FOLLOWING: 1) PRIMARY DATA COLLECTED THROUGH A COMMUNITY SURVEY OF RESIDENTS IN EACH PARKVIEW HEALTH COUNTY, 2) PRIMARY DATA COLLECTED THROUGH AN ONLINE SURVEY OF HEALTHCARE AND SOCIAL SERVICE PROVIDERS IN EACH COUNTY THAT PROVIDE SERVICES DIRECTLY TO THE UNDERSERVED IN OUR COMMUNITIES (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.), AND 3) SECONDARY DATA COLLECTED FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES (E.G., COUNTY HEALTH RANKINGS, INDIANA STATE DEPARTMENT OF HEALTH, ETC.). COMMUNITY MEMBER AND PROVIDER INPUT WAS GATHERED FROM MARCH THROUGH MAY 2022 VIA MULTIPLE RECRUITMENT AND DATA COLLECTION METHODS: 1) E-MAIL TO HEALTHCARE AND SOCIAL SERVICE PROVIDERS WITH AN EMBEDDED ONLINE SURVEY LINK; 2) MAILED PAPER AND E-MAILED ONLINE SURVEYS TO COMMUNITY MEMBERS; 3) PAPER SURVEYS DISTRIBUTED TO INDIVIDUALS, CLINICS OR ORGANIZATIONS SERVING HISPANIC, AMISH, OR PEOPLE OF BURMA POPULATIONS; 4) IN-PERSON RECRUITMENT AT LOCATIONS PROVIDING SERVICES TO LOW-INCOME POPULATIONS IN EACH PARKVIEW HEALTH COUNTY; AND 5) PRESS RELEASE AND SOCIAL MEDIA NOTIFICATIONS WITH A SURVEY LINK. THE SURVEY WAS MADE AVAILABLE IN ENGLISH, SPANISH, AND BURMESE.HISPANIC, AMISH, PEOPLE OF BURMA, AND LOW-INCOME POPULATIONS WERE IDENTIFIED AS VULNERABLE POPULATIONS IN PARKVIEW HEALTH COUNTIES, AND THEREFORE SURVEY DISTRIBUTION AND DATA COLLECTION STRATEGIES INCLUDED FOCUSED EFFORTS TO OBTAIN COMMUNITY INPUT FROM THESE POPULATIONS. IN ALLEN COUNTY, THIS INCLUDED HISPANIC, AMISH, PEOPLE OF BURMA, AND LOW-INCOME POPULATIONS. THE RESEARCH TEAM COORDINATED WITH COMMUNITY HEALTH WORKERS, LOCAL HEALTH DEPARTMENTS, AND KNOWN CONTACTS IN EACH COUNTY TO IDENTIFY LOCATIONS TO SURVEY UNDERREPRESENTED OR VULNERABLE POPULATIONS. IN ALLEN COUNTY, IN-PERSON TEAMS OF RESEARCH ASSISTANTS CONDUCTED COMMUNITY SURVEY OUTREACH AT THE LOCAL YMCA, PUBLIC LIBRARY, AND LUTHERAN CHURCH. ALLEN COUNTY HAD THE HIGHEST RATES OF COMMUNITY MEMBER AND PROVIDER PARTICIPATION AMONG THE EIGHT COUNTIES SURVEYED. REGARDING VULNERABLE POPULATIONS SURVEYED IN ALLEN COUNTY, 14.1% OF RESPONDENTS REPORTED AN INCOME OF < $35,000, 3.5% OF RESPONDENTS IDENTIFIED AS HISPANIC/LATINO, 0.6% WERE AMISH, AND 3.1% WERE PEOPLE OF BURMA. ADDITIONALLY, RESPONDENTS 65 YEARS AND OLDER WERE WELL-REPRESENTED (44.9%). THE PROVIDER SURVEY INCLUDED RESPONSES FROM PHYSICIANS, PHYSICIAN'S ASSISTANTS, NURSE PRACTITIONERS, REGISTERED NURSES, MENTAL/BEHAVIORAL HEALTH PROVIDERS, OTHER HEALTHCARE PROVIDERS, COMMUNITY/SOCIAL SERVICE PROVIDERS, PUBLIC HEALTH/COMMUNITY HEALTH WORKERS, SOCIAL WORKERS/CASE MANAGERS, AND PUBLIC SECTOR WORKERS. IN ADDITION TO DATA COLLECTION, PARKVIEW HOSPITAL, INC. COLLABORATED WITH THE COMMUNITY AND PARTNERING ORGANIZATIONS TO SELECT AND PRIORITIZE ALLEN COUNTY'S HEALTH NEEDS. IN DOING SO, A MODIFIED HANLON METHOD WAS EMPLOYED 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 (GUIDE-TO-PRIORITIZATION-TECHNIQUES.PDF, N.D.). THIS METHOD IS PARTICULARLY USEFUL WHEN THE DESIRED OUTCOME IS AN OBJECTIVELY SELECTED LIST. EXPLICIT IDENTIFICATION OF FACTORS MUST BE CONSIDERED TO SET PRIORITIES, WHICH ENABLES 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.A PRIORITIZATION SESSION WAS CONVENED ON SEPTEMBER 21, 2022, WITH 26 ATTENDEES. ATTENDEES INCLUDED PROVIDERS, ADMINISTRATORS, BOARD MEMBERS, AND COMMUNITY HEALTH PARTNERS. SURVEY DATA COLLECTION METHODS WERE EXPLAINED, AND THE 10 HEALTH CONCERNS WITH THE HIGHEST HANLON SCORES WERE PRESENTED VIA SLIDES. ONCE ALL 10 HEALTH CONCERNS WERE PRESENTED, ATTENDEES DISCUSSED AND AMENDED THE CATEGORIES. THROUGH THIS PROCESS, CONSENSUS EMERGED AROUND THE TOP FOUR PRIORITIES. A LARGE-GROUP DISCUSSION ENSUED AROUND THESE FOUR HEALTH ISSUES, AND ATTENDEES WERE THEN ASKED TO VOTE TO RANK THE FOUR HEALTH CONCERNS IN TERMS OF THEIR TOP PRIORITIES FOR PARKVIEW HEALTH. TWENTY-THREE INDIVIDUALS (3 HEALTH SERVICES AND INFORMATICS RESEARCH EMPLOYEES DID NOT VOTE) PARTICIPATED IN THE VOTING. ATTENDEES USED MENTIMETER, AN ANONYMOUS, SYNCHRONOUS POLLING SYSTEM, TO SCORE EACH HEALTH CONCERN USING FOUR CRITERIA: (1) SIGNIFICANCE OF THE HEALTH PROBLEM (I.E., HOW MANY PEOPLE ARE AFFECTED?); (2) SEVERITY OF THE HEALTH PROBLEM (I.E., HOW LIKELY IS IT TO LIMIT LENGTH AND QUALITY OF LIFE?); (3) SUITABILITY FOR A STRATEGIC INTERVENTION (I.E., CAN PARKVIEW ADDRESS THE PROBLEM?; AND (4) SDOH (I.E., DO SOCIAL DETERMINANTS OF HEALTH DRIVE HEALTH DISPARITIES IN RATES AND OUTCOMES?). FOR EACH HEALTH CONCERN, PARTICIPANTS WERE ASKED TO SCORE EACH CRITERION ON A SCALE OF 1 (VERY LITTLE) TO 10 (VERY MUCH). THE HEALTH CONCERNS OBESITY AND MATERNAL/CHILD HEALTH WERE SELECTED AS THE TOP PRIORITIES. MENTAL HEALTH WAS DETERMINED TO BE THE SINGLE SHARED PRIORITY ACROSS PARKVIEW HEALTH AT THE SYSTEM-WIDE PRIORITIZATION SESSION HELD IN AUGUST.PRIORITIZATION SESSION ATTENDEES REPRESENTED SEVERAL ORGANIZATIONS IN ALLEN COUNTY: PARKVIEW BOARD, PARKVIEW HOME HEALTH AND HOSPICE, PARKVIEW ADMINISTRATION, PARKVIEW QUALITY DEPARTMENT, PARKVIEW COMMUNITY HEALTH IMPROVEMENT, PARKVIEW BEHAVIORAL HEALTH, PARKVIEW WOMEN'S AND CHILDREN'S HOSPITAL, PARKVIEW ENDOCRINOLOGY, AND ALLIANCE HEALTH CENTERS OF ALLEN COUNTY. PARKVIEW HOSPITAL INC PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295); 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); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440); PARK CENTER, INC. (EIN 35-1135451) AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823). PARKVIEW HOSPITAL INC PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384), THROUGH PARKVIEW'S HEALTH SERVICES AND INFORMATICS RESEARCH (HSIR) GROUP, DESIGNED AND CONDUCTED BOTH PRIMARY AND SECONDARY DATA COLLECTION AND ANALYSIS ACTIVITIES FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). HSIR EMPLOYS MULTIPLE RESEARCH STAFF, WHICH INCLUDES PHD PREPARED SCIENTISTS, USER EXPERIENCE SPECIALISTS AND PROJECT MANAGERS. AS A RESEARCH UNIT EMBEDDED IN PARKVIEW, HSIR HAS DEDICATED TIME TO SUPPORT INITIATIVES THAT REQUIRE RESEARCH SKILLS, SUCH AS THE CHNA. PARKVIEW HOSPITAL INC 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:IN SEPTEMBER 2022, THE HEALTH SERVICES AND INFORMATICS RESEARCH GROUP CONVENED 26 STAKEHOLDERS FROM ALLEN COUNTY TO PRIORITIZE THE SIGNIFICANT HEALTH ISSUES UNCOVERED IN OUR ANALYSIS. IN ADDITION TO THE PRIORITY RANKING SCORES, THESE STAKEHOLDERS CONSIDERED THE FEASIBILITY OF INTERVENTIONS FOR EACH HEALTH CONCERN, WHICH INCLUDES THE SUITABILITY AND ACCEPTABILITY OF THE INTERVENTIONS, AVAILABILITY OF RESOURCES, COST-BENEFITS RATIO AND LEGALITY. THE STAKEHOLDER GROUP IDENTIFIED OBESITY AND MATERNAL/CHILD HEALTH AS THEIR TOP PRIORITIES TO ADDRESS, ALONG WITH MENTAL HEALTH, THE PARKVIEW HEALTH SYSTEMWIDE PRIORITY.IN RESPONSE TO THE 2022 CHNA, PARKVIEW HOSPITAL, INC. CREATED AN IMPLEMENTATION STRATEGY (POSTED MAY 12, 2023), WHICH PROVIDES A COMPREHENSIVE SUMMARY OF THE HOSPITAL'S CURRENT PLANNED HEALTH PROMOTION INITIATIVES. IN SUMMATIVE FORM, THE IMPLEMENTATION STRATEGY REPORTED THE FOLLOWING FOR EACH DEFINED HEALTH PRIORITY TO BE ADDRESSED: MENTAL HEALTH: SOS PROGRAM: GOAL: BY DECEMBER 31, 2025, THE SOS TEAM, PARKVIEW/PARK CENTER'S MOBILE CRISIS TEAM, WILL DECREASE UNNECESSARY MENTAL HEALTH CRISIS VISITS TO EMERGENCY DEPARTMENTS (ED) WITHIN THE PARKVIEW/PARK CENTER HEALTH SYSTEM SERVICE AREA (ADAMS, WELLS, ALLEN, DEKALB, NOBLE, LAGRANGE, WHITLEY, KOSCIUSKO, WABASH AND HUNTINGTON COUNTIES) BY RESPONDING TO INDIVIDUALS IN CRISIS WHEREVER THEY ARE LOCATED, DE-ESCALATING THE SITUATION AND CONNECTING THE PERSON TO ONGOING WRAP-AROUND SERVICES TO BETTER SUPPORT THEIR MENTAL HEALTH NEEDS. TO ACHIEVE THIS GOAL, PARKVIEW HOSPITAL, INC. OFFERS THE SOS PROGRAM WHICH SEEKS TO MEET THE FOLLOWING OBJECTIVES: 1) INCREASE THE PERCENTAGE OF PATIENTS MAINTAINED IN THE COMMUNITY AS A RESULT OF A MOBILE CRISIS VISIT BY 2% EACH YEAR; 2) INCREASE THE NUMBER OF CRISIS RUNS, CRISIS CALLS AND FOLLOW-UP CALLS AND VISITS COMPLETED BY THE SOS TEAM BY 5% EACH YEAR; AND 3) INCREASE THE AVERAGE NUMBER OF SERVICES EACH PATIENT IN CRISIS IS REFERRED/CONNECTED TO.PEER RECOVERY PROGRAM: GOAL: REDUCE THE NUMBER OF INDIVIDUALS WITH SUBSTANCE USE DISORDERS (SUD) IN INDIVIDUALS/FAMILIES IN ALLEN/ADAMS/WELLS COUNTY WHO GO WITHOUT SERVICES. TO ACCOMPLISH THIS, PARKVIEW HOSPITAL, INC. OFFERS THE SAMHSA SUD/OUD PEER RECOVERY COACH PROGRAM WHICH ALLOWS PEER RECOVERY COACHES TO SERVE PATIENTS IN THE FOLLOWING THREE ROLES: MENTOR, CONNECTOR AND LIAISON. THIS PROGRAM HAS EXPANDED FROM A CENTRAL TREATMENT "HUB" AT THE ALLEN COUNTY-BASED MEDICATION-ASSISTED TREATMENT (MAT), TO "SPOKES" IN PARKVIEW HOSPITALS IN SURROUNDING COUNTIES, INCLUDING RURAL COUNTIES, A MOBILE RESPONSE UNIT (IN CONJUNCTION WITH THE FORT WAYNE POLICE DEPARTMENT AND THE LUTHERAN FOUNDATION), HUNTINGTON DRUG COURTS AND OTHER COMMUNITY ORGANIZATIONS THAT SERVE INDIVIDUALS IN RECOVERY (E.G., RESIDENTIAL FACILITIES AND WORKPLACE SUPPORT).MATERNAL SUBSTANCE USE DISORDER NAVIGATOR PROGRAM: GOAL: REDUCE THE NUMBER OF PRE-TERM BIRTHS DUE TO SUBSTANCE USE IN ALLEN COUNTY. TO ADDRESS THIS GOAL, THE PERINATAL SUBSTANCE USE DISORDER NAVIGATOR PROGRAM WAS STARTED. THIS PROGRAM IS EXCLUSIVELY FOR PREGNANT WOMEN WITH A SUBSTANCE USE DISORDER. IT OFFERS WOMEN A HELPING HAND VIA A NAVIGATOR WHO COORDINATES CARE AND TRACKS PATIENTS TO ENSURE THEY HAVE ACCESS TO THE RESOURCES THEY NEED TO ACHIEVE THE BEST OUTCOMES. THE PROGRAM HAS TWO MAIN OBJECTIVES: 1) DECREASE THE HEALTH RISKS DUE TO SUBSTANCE USE DISORDER FOR MOM AND BABY DURING PREGNANCY AND THE POSTPARTUM PERIOD, AND 2) TO LINK 100% OF PROGRAM PARTICIPANTS WITH APPROPRIATE SERVICES. HOMELESS OUTREACH PROGRAM: GOAL: TO IMPROVE ACCESS TO HEALTH CARE SERVICES AND CARE COORDINATION EACH YEAR BY SUPPORTING CLIENTS AT LOCAL SHELTERS NEEDING ASSISTANCE WITH CARE NAVIGATION AND OTHER HEALTHCARE NEEDS. TO REACH THIS GOAL, PARKVIEW HOSPITAL, INC.'S HOMELESS OUTREACH PROGRAM SEEKS TO ASSIST ALL CLIENTS WITH MENTAL HEALTH CARE NAVIGATION, PAIRING THEM WITH THE CARE, TOOLS AND RESOURCES TO BETTER SELF-REGULATE. THIS CAN INCLUDE NURSING CARE, MEDICAL EDUCATION, NAVIGATING HEALTH INSURANCE, MEDICATION ASSISTANCE, WHERE TO PICK UP MEDICATIONS, CARE COMPLIANCE, DISCHARGE PAPERWORK AND CONNECTING TO OTHER COMMUNITY RESOURCES. OBESITY:TAKING ROOT: GOAL: BY DECEMBER 31, 2025, TAKING ROOT WILL HELP REDUCE CHILDHOOD OBESITY IN ALLEN COUNTY AMONG PROGRAM PARTICIPANTS. TO MEET THIS GOAL PARKVIEW HOSPITAL, INC. WILL CONTINUE ITS WORK WITH THE SCHOOL-BASED PROGRAM THAT COMBINES WELL-BEING EDUCATION WITH STRUCTURED CHALLENGES OVER THE COURSE OF THE SCHOOL YEAR. ONE TO THREE ADULTS FROM EACH PARTICIPATING SCHOOL SERVE AS WELLNESS CHAMPIONS. THEY ARE TRAINED BY PARKVIEW'S COMMUNITY WELL-BEING TEAM TO LEAD SCHOOL CHALLENGES. AT THE END OF THE PROGRAM, A COMMITTEE REVIEWS DATA COLLECTED FROM PARTICIPATING SCHOOLS AND AWARDS CASH PRIZES TO THE TOP PERFORMING SCHOOLS THAT CAN BE PUT TOWARD WELLNESS INITIATIVES.YOUTH AND FAMILY COMMUNITY NUTRITION PROGRAMS: GOAL: YOUTH AND FAMILY COMMUNITY NUTRITION PROGRAMS WILL AID IN THE REDUCTION OF CHILDHOOD OBESITY WHILE ALSO IMPROVING DIETARY BEHAVIORS AMONG PROGRAM PARTICIPANTS BY DECEMBER 31, 2025. TO ACCOMPLISH THIS, THESE NUTRITION-FOCUSED PROGRAMS WILL EDUCATE, EQUIP AND EMPOWER THE AUDIENCE ON HOW TO MAKE INFORMED NUTRITION DECISIONS, CREATE A BALANCED PLATE, AND PREPARE NUTRITIOUS MEALS AND SNACKS.HEALTHY EATING ACTIVE LIVING (HEAL) INITIATIVE: GOAL: PROMOTE ACCESS OF PRODUCE THROUGH HEAL FARMERS MARKETS AND IMPORTANCE OF HEALTHY EATING THROUGH A TRAIN THE TRAINER MODEL FOR NUTRITION EDUCATION TO BE DELIVERED TO COMMUNITY MEMBERS (GOAL OF 1,000 PER YEAR) THROUGH GRANTS AWARDED TO LOCAL ORGANIZATIONS FROM PARTNER ORGANIZATIONS. IN DOING SO, HEAL PROMOTES HEALTHY LIVING PRACTICES THROUGH EDUCATION AND HEALTHY FOOD ACCESS FOR VULNERABLE ALLEN COUNTY RESIDENTS. HEAL MARKETS OPERATE IN DESIGNATED FOOD DESERTS IN FORT WAYNE AND ALL MARKETS ACCEPT VEGGIE RX PRODUCE PRESCRIPTION VOUCHERS AND OFFER INCENTIVES TO PURCHASE PRODUCE BY DOUBLING THE VALUE OF SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP) BENEFITS, WOMEN, INFANTS, AND CHILDREN (WIC) VOUCHERS, AND SENIOR FARMER'S MARKET NUTRITION VOUCHERS. HEAL FARM MARKETS CONTINUE TO BE THE SECOND LARGEST WIC REDEMPTION SITES IN INDIANA.FITKIDS 360: GOAL: BY DECEMBER 31, 2025, DECREASE OBESITY AND THE EFFECTS OF CHRONIC DISEASE AMONG CHILDREN AGES 5-17 AND THEIR FAMILIES WHO PARTICIPATE IN THE PROGRAM. THIS EIGHT-WEEK PROGRAM ADDRESSES OBESITY BY FOCUSING ON IMPROVING OBESOGENIC RISK SCORES AND WELL-BEING BEHAVIORS OF PARTICIPANTS (CHILDREN AGES 5 TO 17 WITH A BODY MASS INDEX (BMI) IN THE 85TH PERCENTILE OR HIGHER AND THEIR FAMILIES). THIS COMPREHENSIVE PROGRAM PROVIDES CHILDREN AND THEIR FAMILY WITH BASIC EDUCATION ON NUTRITION, BEHAVIOR AND EXERCISE WITH A WIDE RANGE OF PHYSICAL ACTIVITIES.VEGGIE RX: GOAL: ADMINISTER A PRODUCE PRESCRIPTION PROGRAM ENGAGING PHYSICIANS TO OFFER LIFESAVING PRODUCE TO THEIR MEDICALLY UNDERSERVED POPULATION WITH CHRONIC DISEASE AND TO REDUCE THE FINANCIAL BARRIER TO HEALTHY EATING. IN DOING SO, VEGGIE RX OFFERS A NUTRITION PRESCRIPTION PROGRAM THAT PROVIDES PRODUCE VOUCHERS TO LOCAL INDIVIDUALS WHO ARE FOOD INSECURE OR ARE LOW-INCOME WITH CHRONIC DISEASE. VEGGIE RX PARTICIPANTS RECEIVE PRODUCE VOUCHERS EACH MONTH FOR THE DURATION OF THE PROGRAM THAT CAN BE REDEEMED AT HEAL MARKETS AND OTHER SELECT FARMERS MARKETS AND GROCERY STORES AROUND THE CITY. ADDITIONALLY, AS A PART OF THIS PROGRAM, PARTICIPANTS ARE REQUIRED TO ATTEND EDUCATION SESSIONS LED BY REGISTERED DIETITIANS WHERE THEY ARE TAUGHT THE HEALTH IMPACT OF PRODUCE CONSUMPTION AND HOW TO MAKE THE MOST OF THE MONTHLY VOUCHERS.FRESH FOOD FARMACY: GOALS: 1. DISPENSE HEALTHY GROCERIES THROUGH MONTHLY BOXES (GROCERIES WORTH $25 THAT ARE CULTURALLY TAILORED, WITH NUTRITION EDUCATION MATERIALS, AND LOCAL RESOURCES) FOR 3 MONTHS TO 50 FAMILIES WITH CHILDREN 0-5 THAT IDENTIFY AS FOOD INSECURE. 2. DISPENSE MEDICALLY TAILORED GROCERIES THROUGH MONTHLY BOXES (GROCERIES WORTH $25 THAT ARE CULTURALLY TAILORED, WITH NUTRITION EDUCATION MATERIALS, AND LOCAL RESOURCES) FOR 3 MONTHS TO 50 SENIORS 50+ PER YEAR THAT IDENTIFY AS FOOD INSECURE. TO ACCOMPLISH EACH GOAL, THE FRESH FOOD FARMACY PROGRAM OFFERS MEDICALLY TAILORED, CULTURALLY SENSITIVE GROCERIES. THE PROGRAM DISPENSES HEALTHY FOOD BOXES TO TWO PILOT PATIENT POPULATIONS (FAMILIES AND SENIORS) ALONG WITH NUTRITION AND SKILL BUILDING EDUCATION, FOOD RESOURCES AND RECIPES FOR VARIOUS ITEMS IN TAILORED GROCERY BOXES. IT ALSO CONNECTS THOSE RECEIVING SERVICES TO THE FOOD ASSISTANCE SUPPORT TEAM TO ASSIST WITH THE APPLICATION PROCESS FOR FEDERAL NUTRITION ASSISTANCE PROGRAMS (SNAP, WIC, TANF), COMMUNITY RESOURCES AND REGISTERED DIETITIANS AS NEEDED. PART V, SECTION B, LINE 11 CONT'D: SIMPLE SOLUTIONS FOR HEALTHY LIVING: GOAL: INCREASE GOOD NUTRITION, PHYSICAL ACTIVITY AND OTHER HEALTHY HABITS IN YOUNG FAMILY PARTICIPANTS AND PREGNANT WOMEN. TO ACCOMPLISH THIS GOAL, THIS PROGRAM, IN PARTNERSHIP WITH COMMUNITY AGENCIES, PROVIDES HOME-BASED EDUCATION TO YOUNG, LOW-INCOME FAMILIES. THE CURRICULUM OFFERS INFORMATION ON NUTRITION/FEEDING IN THE CRITICAL EARLY YEARS OF LIFE AS WELL AS OVERALL HEALTHY HABIT GUIDANCE FOR YOUNG, VULNERABLE FAMILIES. THE OVERARCHING GOAL OF SIMPLE SOLUTIONS IS TO PROVIDE PARTICIPANTS WITH THE KNOWLEDGE AND TOOLS THEY NEED TO FEED THEIR FAMILIES IN A HEALTHY WAY AND PREVENT OVERWEIGHT AND OBESITY IN CHILDREN 0 TO 5 YEARS OF AGE.PARKVIEW COMMUNITY GREENHOUSE AND LEARNING KITCHEN: GOAL: PROMOTE ACCESS AND IMPORTANCE OF FRESH PRODUCE THROUGH FARMERS MARKETS (8-16 WEEKS PER YEAR), NUTRITION AND GROWING EDUCATION CLASSES (MINIMUM OF 36 PER YEAR), AND FACILITATION OF FOOD INSECURITY PROGRAMS (>400 PARTICIPANTS OVER 3 YEARS). THIS PROGRAM OFFERS SKILL BUILDING LEARNING LABS (NUTRITION AND GARDENING); YOUTH WELL-BEING FOOD AND GARDEN EDUCATION; WEEKLY HEAL FARM MARKETS AND FACILITATOR TRAININGS, AND COLLABORATIVE COOKING DEMONSTRATIONS WITH PARKVIEW CHEFS, FITNESS INSTRUCTORS, AND DIETITIANS. ALL PROGRAMMING IS OFFERED TO THE COMMUNITY AT NO COST. THE TARGET POPULATION FOR GREENHOUSE AND LEARNING KITCHEN CLASSES ARE THOSE VULNERABLE ADULTS AND CHILDREN LIVING IN THE SURROUNDING 46805 ZIP CODE.FOOD ASSISTANCE SUPPORT TEAM (FAST): GOALS: 1. OFFER URGENT ACCESS TO HEALTHY FOODS BOXES FOR 100 PATIENTS PER YEAR WHO IDENTIFY AS FOOD INSECURE. 2. IDENTIFY INTERNAL AND EXTERNAL RESOURCES TAILORED TO THEIR NEEDS BY OUR FAST TEAM TO HELP ENSURE PATIENTS BECOME FOOD SECURE (50%). TO ACCOMPLISH THIS, THE PROGRAM CONNECTS INDIVIDUALS TO HEALTHCARE PROVIDERS AND COMMUNITY-BASED FOOD ASSISTANCE PROGRAMS TO PROVIDE OPTIMAL ACCESS TO NUTRITIOUS FOODS AND IMPROVED HEALTH TO THOSE IDENTIFIED AS FOOD INSECURE. ONCE AN INDIVIDUAL SCREENS POSITIVE FOR FOOD INSECURITY, THEY ARE CONNECTED WITH A PARKVIEW FAST COMMUNITY HEALTH WORKER (CHW). THE REPRESENTATIVE WILL CONDUCT AN ASSESSMENT TO ADDRESS EVERYONE'S UNIQUE SITUATION. THE FAST TEAM MEMBER WILL THEN ACTIVELY GUIDE AND ASSIST PATIENTS WITH PROGRAMS THAT ARE TAILORED TO THEIR NEEDS. THERE ARE A VARIETY OF PATHWAYS THE CHW COULD RECOMMEND FOR INDIVIDUALS, DEPENDING UPON THE SITUATION - INCLUDING EMERGENT ASSISTANCE, SHORT-TERM ASSISTANCE, AND LONG-TERM ASSISTANCE. FAST STRIVES TO PROVIDE HIGH QUALITY, NUTRITIOUS FOOD OPTIONS THROUGH LOCAL AND FEDERAL RESOURCES.MATERNAL/CHILD HEALTH:SAFE SLEEP EDUCATION AND PACK 'N PLAY DISTRIBUTION: GOAL: REDUCE THE NUMBER OF INFANT (<1 YEAR OF AGE) DEATHS IN ALLEN COUNTY DUE TO UNSAFE SLEEP EACH YEAR. TO MEET THIS GOAL, THE CONTINUATION OF THE SAFE SLEEP CLASSES AND PACK 'N PLAY DISTRIBUTION PROGRAM IS REQUIRED. THIS PROGRAM PROVIDES PARTICIPANTS WITH FREE SAFE SLEEP EDUCATION, DISTRIBUTION OF A SAFE SLEEP KIT (INCLUDING A PACK 'N PLAY CRIB), CULTURAL SUPPORT AND HOME ENVIRONMENT SAFE SLEEP INSPECTIONS. COMMUNITY BREASTFEEDING CLASSES AND SUPPORT: GOAL: INCREASE THE NUMBER OF NEW MOTHERS WHO ENGAGE IN BREASTFEEDING YEAR TO YEAR BY PROVIDING ASSISTANCE AND EDUCATION TO VULNERABLE MOTHERS THROUGH SUPPORT GROUPS IN THE TARGETED ZIP CODES. THIS PROGRAM PROVIDES PARTICIPANTS WITH INSTRUCTION ON BREASTFEEDING HEALTH BENEFITS, MECHANICS, AND RESOURCES FOR ONGOING SUPPORT. THE PROGRAM OFFERS VIRTUAL AND IN-PERSON SUPPORT GROUPS AVAILABLE. ALLEN COUNTY FETAL INFANT MORTALITY REVIEW: GOAL: BY DECEMBER 31, 2025, IDENTIFY AND DISSEMINATE INFORMATION ABOUT TRENDS IMPACTING INFANT MORTALITY IN ALLEN COUNTY. TO MEET THIS GOAL, PARKVIEW HOSPITAL, INC. WORKS WITH THE FETAL INFANT MORTALITY REVIEW (FIMR) INITIATIVE. FIMR IS A MULTIDISCIPLINARY GROUP ORGANIZED TO REVIEW CASES OF FETAL AND INFANT DEATHS FOR PREVENTION PURPOSES. THEY LOOK TO IMPROVE OUR UNDERSTANDING OF FACTORS AFFECTING MATERNAL AND INFANT HEALTH AND TO ENGAGE IN COMMUNITY ACTION PROJECTS TO ADDRESS IDENTIFIED NEEDS. COMMUNITY HEALTH WORKERS - FOOD INSECURITY: GOAL: BY DECEMBER 31, 2025, IMPROVE ACCESS TO HEALTHY FOODS AMONG AT-RISK PREGNANT WOMEN IN ALLEN COUNTY BY PROVIDING SUPPORT AND FOOD RESOURCES TO 100% OF PREGNANT PATIENTS SERVED BY COMMUNITY HEALTH WORKERS WITH IDENTIFIED FOOD INSECURITY. THIS PROGRAM LOOKS TO IDENTIFY PATIENTS SEEN BY COMMUNITY HEALTH WORKERS WHO ARE FOOD INSECURE BY SCREENING EVERY PATIENT AND THEN CONNECTING THEM WITH THE RESOURCES NEEDED TO ALLEVIATE THEIR FOOD INSECURITY. COMMUNITY HEALTH WORKERS - TRANSPORTATION: GOAL: BY DECEMBER 31, 2025, IMPROVE ACCESS TO PRENATAL CARE WITHIN UNDERSERVED COMMUNITIES IN ALLEN COUNTY BY PROVIDING SUPPORT AND TRANSPORTATION RESOURCES TO 100% OF PREGNANT PATIENTS SERVED BY COMMUNITY HEALTH WORKERS WITH IDENTIFIED TRANSPORTATION BARRIERS. THE PROGRAM SEEKS TO ACCOMPLISH ITS GOAL BY HAVING NURSE NAVIGATORS AND COMMUNITY HEALTH WORKERS ASSESS PATIENTS FOR TRANSPORTATION RELIABILITY AND BARRIERS. ONCE A BARRIER IS IDENTIFIED, THE TEAM CONNECTS EVERY PATIENT WITH CRITICAL COMMUNITY RESOURCES TO ALLEVIATE THEIR BARRIER. HEALTH NEEDS IDENTIFIED BY MOST RECENT CHNA THAT WERE NOT SELECTED AS A TOP PRIORITY, BUT PARKVIEW HOSPITAL, INC. STILL ADDRESSES: - CARDIOVASCULAR DISEASE (STROKE, CORONARY HEART DISEASE) -THIS NEED ISN'T BEING DIRECTLY ADDRESSED WITH COMMUNITY HEALTH FUNDING. HOWEVER, COMMUNITY HEALTH PROGRAMMING RELATED TO OBESITY DOES ADDRESS THIS NEED INDIRECTLY.- SUBSTANCE USE/ABUSE (DRUGS, ALCOHOL, TOBACCO) - THIS NEED ISN'T BEING DIRECTLY ADDRESSED WITH COMMUNITY HEALTH FUNDING. HOWEVER, COMMUNITY HEALTH PROGRAMMING RELATED TO MENTAL HEALTH DOES ADDRESS THIS NEED THROUGH THE PERINATAL SUBSTANCE USE AND PEER RECOVERY PROGRAM.- DIABETES - WHILE PARKVIEW HOSPITAL DID NOT SELECT DIABETES AS A TOP PRIORITY, IT IS OUR INTENT TO HELP PREVENT AND REDUCE THE PREVALENCE OF THIS CHRONIC CONDITION BY ADDRESSING OBESITY THROUGH NUTRITION EDUCATION, INCREASED ACCESS TO HEALTHY FOODS, ACTIVE LIVING PROGRAMS, AND EDUCATION ON OTHER HEALTHY LIFESTYLE HABITS.- CHRONIC OBSTRUCTIVE PULMONARY DISEASE - WHILE PARKVIEW HOSPITAL DID NOT SELECT CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD) AS A TOP PRIORITY, THE HOSPITAL IS ADDRESSING COPD PREVALENCE THROUGH SMOKING PREVENTION AND CESSATION PROGRAMS. THESE PROGRAMS PROVIDE FREE SMOKING CESSATION SUPPORT TO THE COMMUNITY. PARKVIEW HOSPITAL ALSO PARTNERS WITH TOBACCO FREE ALLEN COUNTY (TFAC), THROUGH SERVING AS THE FISCAL AGENT FOR THIS ORGANIZATION.- ASTHMA - WHILE ASTHMA WAS NOT SELECTED AS A TOP HEALTH PRIORITY, PARKVIEW HOSPITAL'S COMMUNITY NURSING PROGRAM ADMINISTERS AN ASTHMA PROGRAM THAT PROVIDES AN INTERVENTION THAT MOVES PATIENTS BEYOND EMERGENCY RESCUE CARE TOWARD A MORE PROACTIVE APPROACH. THE PROGRAM INCLUDES EDUCATION, INFORMATION AND STRATEGIES FOR FOLLOW-UP CARE THAT ARE BOTH INEXPENSIVE AND EFFECTIVE.- CANCER - WHILE PARKVIEW HOSPITAL DID NOT SELECT CANCER AS A TOP HEALTH PRIORITY, PARKVIEW HOSPITAL, INC.'S COMMUNITY HEALTH IMPROVEMENT PROGRAM DOES PROVIDE FUNDING SUPPORT TO CANCER SERVICES OF NORTHEAST INDIANA'S CLIENT ADVOCATE PROGRAM.SIGNIFICANT HEALTH NEEDS NOT BEING ADDRESSED:- KIDNEY DISEASE - THIS NEED IS BETTER SUPPORTED THROUGH EXTERNAL COMMUNITY AGENCIES SUCH AS THE LOCAL CHAPTER OF THE NATIONAL KIDNEY FOUNDATION. THIS GROUP FOCUSES ON PREVENTION EDUCATION AND SERVES AS A RESOURCE TO THOSE AFFECTED BY KIDNEY DISEASE AND THEIR FAMILIES. PART V, LINES 16A, 16B AND 16C: HTTPS://WWW.PARKVIEW.COM/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE 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. 17 1 - PARKVIEW MED PARK 11 OP PHARMACY 11104 PARKVIEW CIRCLE DR FORT WAYNE IN 46845 OP PHARMACY 2 - PARKVIEW CANCER INSTITUTE LAB 11104 PARKVIEW CIRCLE DR FORT WAYNE IN 46845 LAB DRAW 3 - CAREW MEDICAL PARK LAB 1818 CAREW ST FORT WAYNE IN 46805 LAB DRAW 4 - LIMA ROAD FAMILY MEDICINE LAB 11055 TWIN CREEKS COVE FORT WAYNE IN 46804 LAB DRAW 5 - BRYAN OHIO LAB 442 W HIGH ST BRYAN OH 43506 LAB DRAW 6 - ST JOE ROAD LAB SERVICES 5693 YMCA PARK DR FORT WAYNE IN 46835 LAB DRAW 7 - NORTH CLINTON LAB 5104 NORTH CLINTON ST FORT WAYNE IN 46825 LAB DRAW 8 - ARCHBOLD OHIO LAB 121 WESTFIELD DR ARCHBOLD OH 43502 LAB DRAW 9 - PRMC MOB2 OB-GYN LAB 11123 PARKVIEW PLAZA DR SUITE 101 FORT WAYNE IN 46845 LAB DRAW 10 - GLENCARIN BLVD LAB 8202 GLENCARIN BLVD FORT WAYNE IN 46804 LAB DRAW 11 - PARKVIEW RESEARCH CENTER 10622 PARKVIEW PLAZA DR FORT WAYNE IN 46845 CLINICAL RESEARCH 12 - MONTPELIER OHIO LAB 935 SNYDER MONTPELIER OH 43543 LAB DRAW 13 - WAUSEON OHIO LAB SHOOP AVE 495 S SHOOP AVE WAUSEON OH 43567 LAB DRAW 14 - WAYNEDALE TEMPLE LAB 8607 TEMPLE DR FORT WAYNE IN 46809 LAB DRAW 15 - GRABILL MAIN LAB 13430 MAIN ST GRABILL IN 46741 LAB DRAW 16 - ELECTRIC WORKS LAB 1660 BROADWAY SUITE 165 FORT WAYNE IN 46802 LAB DRAW 17 - PARKVIEW CENTER FOR HEALTHY LIVING 1234 E DUPONT RD SUITE 2 FORT WAYNE IN 46845 HEALTH AND WELLNESS 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); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295; PARK CENTER, INC. (EIN 35-1135451); 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: 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 HOSPITAL, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE (INCLUDING HEALTHY INDIANA PLAN - HIP), 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 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 7GAMOUNTS PRESENTED DO NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS.PART I, LINE 7HAMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO SUPPORT THE RESEARCH CONDUCTED BY THE PARKVIEW RESEARCH CENTER. SPEND IS BASED ON THE OPERATING EXPENSES ASSOCIATED WITH RESEARCH ACTIVITIES OVER AND ABOVE GRANTS AND OTHER REVENUE RECEIVED BY THE CENTER.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARKVIEW HOSPITAL, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. PART I, LN 7 COL(F): PERCENT OF TOTAL EXPENSEPARKVIEW HOSPITAL, INC. EXCLUDED $269,643,738 OF PH CLINICAL SUPPORT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTES THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.WORKFORCE DEVELOPMENT: PARKVIEW HOSPITAL, INC. AS PART OF PARKVIEW HEALTH SYSTEM, INC. OFFERS INNOVATIVE LEARNING EXPERIENCES TO HIGH SCHOOL, UNIVERSITY AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HAS MORE THAN 150 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, WHICH SUPPORT STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW FACILITIES. STUDENTS MAY BEGIN TO EXPLORE POTENTIAL CAREER PATHS THROUGH JOB SHADOWS AND OBSERVATIONS AND THEN ADVANCE INTO INTERNSHIPS AND SPECIALTY CLINICALS AS THEY PROGRESS THROUGH THEIR EDUCATION JOURNEY. PRIOR TO LAUNCHING THEIR CAREER, STUDENTS CAN ACCESS PARKVIEW'S SPECIALLY DESIGNED WORK-STUDY OPPORTUNITIES THAT HELP THEM BECOME PRACTICE-READY BY GRADUATION.BEYOND THE HOSPITAL WALLS, THE PARKVIEW EDUCATION CENTER (PEC) OFFERS YOUNG PEOPLE, COLLEGE STUDENTS AND PROFESSIONALS A UNIQUE ENVIRONMENT WHERE THEY CAN LEARN TOGETHER UNDER THE SAME ROOF. THIS FACILITY IS THE RESULT OF A COLLABORATION BETWEEN PARKVIEW HEALTH, FORT WAYNE COMMUNITY SCHOOLS (FWCS) AND IVY TECH COMMUNITY COLLEGE. TOGETHER WE ENHANCE THE WAY THAT STUDENTS AND HEALTHCARE PROFESSIONALS LEARN AND WORK TOGETHER. EDUCATORS CAN PARTNER ACROSS THE CONSORTIUM, SHARING NOT ONLY SPACE BUT RESOURCES, TECHNOLOGY AND BEST PRACTICES. FURTHERMORE, PEC OFFERS BOTH CLASSROOM AND SIMULATED EXPERIENCE OPTIONS FOR STUDENTS AND CURRENT HEALTHCARE PROFESSIONALS. THE CLASSROOMS, LABORATORIES AND COLLABORATIVE SPACES PROVIDE PARTICIPANTS FROM ALL SKILLSETS AND BACKGROUNDS THE OPPORTUNITY TO GROW TOGETHER. THIS ALLOWS HIGH SCHOOL STUDENTS TO DISCOVER POTENTIAL CAREER PATHS, GIVES ADULTS THE CHANCE TO EARN COLLEGE DEGREES AND CERTIFICATIONS, AND GIVES PARKVIEW CO-WORKERS AN OPPORTUNITY TO ENHANCE THEIR SKILLS. 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. 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 COSTSPARKVIEW HOSPITAL, INC. BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, WHILE PARKVIEW HOSPITAL, INC. ACCEPTS ALL MEDICARE PATIENTS, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. PART III, LINE 9B: A PATIENT'S FAILURE TO MAKE PAYMENT ARRANGEMENTS THROUGH VARIOUS AVAILABLE PAYMENT OPTIONS OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING REFERRED TO A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES, WHICH MAY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY. IF AN INDIVIDUAL SUBMITS A COMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, AND PARKVIEW HEALTH DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN PARKVIEW HEALTH WILL TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION (EXCEPT FOR A SALE OF DEBT) TAKEN AGAINST THE INDIVIDUAL TO OBTAIN PAYMENT FOR THE CARE. ALSO, IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, PARKVIEW WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL (WITH RESPECT TO CHARGES TO WHICH THE FINANCIAL ASSISTANCE APPLICATION UNDER REVIEW RELATES) UNTIL THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED AND AN ELIGIBILITY DECISION RENDERED. 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 HOSPITAL, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, WORKING WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND FRONTLINE STAFF. PARKVIEW HOSPITAL, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:1. HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS2. OBSERVATIONS AND DATA COLLECTED FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKERS)3. REVIEW OF COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) 4. PARKVIEW LEADERS SERVING ON HEALTH-RELATED AND SOCIAL SERVICE BOARDS OF DIRECTORS IN THE COMMUNITY5. OTHER PUBLIC HEALTH DATABASES (E.G. COMMUNITY COMMONS, COUNTY HEALTH RANKINGS) KEY HOSPITAL REPRESENTATIVES MAINTAIN ON-GOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE. PART VI, LINE 3: DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE. PART VI, LINE 4: DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.PARKVIEW HOSPITAL, INC. BOASTS A COMPREHENSIVE NETWORK, COMPRISED OF PARKVIEW REGIONAL MEDICAL CENTER, PARKVIEW HOSPITAL RANDALLIA AND THE PARKVIEW BEHAVIORAL HEALTH INSTITUTE, ALL STRATEGICALLY LOCATED WITHIN ALLEN COUNTY. ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), THIS COUNTY, NOTABLY FORT WAYNE, INDIANA, SERVES AS THE HEALTH SYSTEM'S FOCAL URBAN AREA, ENCOMPASSING SUBURBAN AND RURAL ZONES, WITH A SIZABLE POPULATION OF 391,449 AS OF 2022. DELVING INTO THE SOCIO-ECONOMIC FABRIC, HCI REPORTS THAT THE MEDIAN HOUSEHOLD INCOME IN ALLEN COUNTY STANDS AT APPROXIMATELY $66,222, WHILE 12% OF HOUSEHOLDS HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL (2018-2022). A TESTAMENT TO THE COMMUNITY'S COMMITMENT TO HEALTH, HCI REPORTS THAT AROUND 90.2% OF ALLEN COUNTY RESIDENTS ARE COVERED BY HEALTH INSURANCE AS OF 2021, WITH MEDICAID EXTENDING ITS COVERAGE TO 20.94% OF THE INSURED POPULATION, ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (2022).HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, DEVELOPS SHORTAGE DESIGNATION CRITERIA INTENDED TO IDENTIFY A GEOGRAPHIC AREA, POPULATION GROUP OR FACILITY AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). EACH HPSA DESIGNATION IS GIVEN A SCORE (RANGING FROM 0 TO 26) THAT EXPRESSES THE PRIORITY LEVEL FOR CLINICIAN ASSIGNMENT. MEANING, THE HIGHER THE HPSA SCORE, THE HIGHER THE PRIORITY IS. HRSA HAS DESIGNATED/IDENTIFIED THE FOLLOWING MEDICALLY UNDERSERVED AREAS/POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS:ALLEN COUNTY:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1188138606SERVICE AREA NAME: LOW INCOME - NORTH FORT WAYNEDESIGNATION TYPE: LOW INCOME POPULATION HPSAHPSA SCORE: 16 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL2) DISCIPLINE: PRIMARY CAREHPSA ID: 1181781876SERVICE AREA NAME: LOW INCOME - SOUTH GREATER FORT WAYNEDESIGNATION TYPE: LOW INCOME POPULATION HPSAHPSA SCORE: 18 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL2) DISCIPLINE: MENTAL HEALTHHSPA ID: 7184233749HPSA NAME: MHCA 20 - ADAMS/ALLEN/WELLS COUNTIESDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: ADAMS, ALLEN, WELLS COUNTIESHPSA SCORE:12 STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL3) DISCIPLINE: PRIMARY CAREHSPA ID: 1189991870HPSA NAME: NEIGHBORHOOD HEALTH CLINICS INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERCOUNTY NAME: ALLEN COUNTYHPSA SCORE: 21 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL4) DISCIPLINE: PRIMARY CAREHSPA ID: 1189107418HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: ALLEN COUNTYHPSA SCORE:16 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL5) DISCIPLINE: MENTAL HEALTHHSPA ID: 7189991824HPSA NAME: NEIGHBORHOOD HEALTH CLINICS INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERCOUNTY NAME: ALLEN COUNTYHPSA SCORE:19 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL6) DISCIPLINE: MENTAL HEALTHHSPA ID: 7185458158HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: ALLEN COUNTYHPSA SCORE:16 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL7) DISCIPLINE: MENTAL HEALTHHPSA ID: 7184233749HPSA NAME: MHCA 20 - ADAMS/ALLEN/WELLS COUNTIESDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: ADAMS, ALLEN, AND WELLS COUNTIESHPSA SCORE: 12STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURALIN ADDITION TO PARKVIEW HOSPITAL, INC., ALLEN COUNTY IS SERVED BY LUTHERAN HEALTH NETWORK, A FOR-PROFIT HEALTH SYSTEM OPERATING THREE HOSPITAL FACILITIES IN ALLEN COUNTY. PART VI, LINE 5: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).PARKVIEW HOSPITAL, INC. SEEKS TO DELIVER EXCELLENT CARE TO EVERY PERSON, EVERY DAY. IN DOING SO, THE HOSPITAL HAS DEVELOPED ITS INFRASTRUCTURE, POLICIES AND PROCEDURES TO ALIGN WITH THIS GOAL. THIS INCLUDES HAVING A BOARD OF DIRECTORS FOR PARKVIEW HOSPITAL, INC. THAT IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS RESIDING WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AND EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. WHILE THESE TWO COMPONENTS ARE CENTRAL IN PROVIDING THE HOSPITAL WITH A STRONG FOUNDATION, IT TAKES A LOT MORE THAN THIS TO MEET THE HOSPITAL'S STANDARD OF DELIVERING EXCELLENT CARE TO EVERY PERSON, EVERY DAY. TO PARKVIEW HOSPITAL, INC., ACHIEVING THIS STANDARD OF CARE REQUIRES FURTHERING EDUCATION AND RESEARCH, PARTNERING WITH COMMUNITY ORGANIZATIONS THROUGH COMMUNITY HEALTH AND ADVANCING HEALTHCARE DELIVERY AND ACCESS. EDUCATION:PARKVIEW HOSPITAL, INC. AS PART OF PARKVIEW HEALTH SYSTEM, INC. OFFERS INNOVATION LEARNING EXPERIENCES TO HIGH SCHOOL, UNIVERSITY AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HAS MORE THAN 150 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, WHICH SUPPORT STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW FACILITIES. STUDENTS MAY BEGIN TO EXPLORE POTENTIAL CAREER PATHS THROUGH JOB SHADOWS AND OBSERVATIONS AND THEN ADVANCE INTO INTERNSHIPS AND SPECIALTY CLINICALS AS THEY PROGRESS THROUGH THEIR EDUCATION JOURNEY. PRIOR TO LAUNCHING THEIR CAREER, STUDENTS CAN ACCESS PARKVIEW'S SPECIALLY DESIGNED WORK-STUDY OPPORTUNITIES THAT HELP THEM BECOME PRACTICE-READY BY GRADUATION.BEYOND THE HOSPITAL WALLS, THE PARKVIEW EDUCATION CENTER (PEC) OFFERS YOUNG PEOPLE, COLLEGE STUDENTS AND PROFESSIONALS A UNIQUE ENVIRONMENT WHERE THEY CAN LEARN TOGETHER UNDER THE SAME ROOF. THIS FACILITY IS THE RESULT OF A COLLABORATION BETWEEN PARKVIEW HEALTH, FORT WAYNE COMMUNITY SCHOOLS (FWCS) AND IVY TECH COMMUNITY COLLEGE. TOGETHER WE ENHANCE THE WAY THAT STUDENTS AND HEALTHCARE PROFESSIONALS LEARN AND WORK TOGETHER. EDUCATORS CAN PARTNER ACROSS THE CONSORTIUM, SHARING NOT ONLY SPACE BUT RESOURCES, TECHNOLOGY, AND BEST PRACTICES. FURTHERMORE, PEC OFFERS BOTH CLASSROOM AND SIMULATED EXPERIENCE OPTIONS FOR STUDENTS AND CURRENT HEALTHCARE PROFESSIONALS. THE CLASSROOMS, LABORATORIES AND COLLABORATIVE SPACES PROVIDE PARTICIPANTS FROM ALL SKILLSETS AND BACKGROUNDS THE OPPORTUNITY TO GROW TOGETHER. THIS ENABLES HIGH SCHOOL STUDENTS TO DISCOVER POTENTIAL CAREER PATHS, GIVES ADULTS THE CHANCE TO EARN COLLEGE DEGREES AND CERTIFICATIONS, AND GIVES PARKVIEW CO-WORKERS AN OPPORTUNITY TO ENHANCE THEIR SKILLS.THE HEALTH SYSTEM CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH INNOVATIVE PARTNERSHIPS WITH LOCAL UNIVERSITIES. THIS INCLUDES THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION AND LOCAL UNIVERSITIES WORKING TOGETHER AT THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS, AS WELL AS DEVELOPMENT OF THE LIFE SCIENCE EDUCATION AND RESEARCH CONSORTIUM ON THE PARKVIEW RANDALLIA CAMPUS. THE CONSORTIUM IS A COLLABORATION BETWEEN THE HOSPITAL, TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY. TOGETHER THEY PRESENT ACADEMIC PROGRAMS AND RESEARCH TIED TO REHABILITATION SERVICES AND SENIOR CARE. IN ADDITION, DOCTORAL PROGRAMS FOR PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ARE OFFERED TO ADDRESS SIGNIFICANT WORKFORCE GAPS AND SPECIALTY CARE ACCESS NEEDS IN THE COMMUNITY.RESEARCH:THE PARKVIEW RESEARCH CENTER (FOUNDED IN 1993) AT THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION HAS BROUGHT MORE THAN 800 CLINICAL TRIALS TO PATIENTS AND PROVIDERS FOR NOVEL AND POTENTIALLY LIFE-SAVING TREATMENTS, WITH AN AVERAGE OF 150 OPEN STUDIES AT ANY GIVEN TIME. THE PRIMARY FOCUS AT THE CENTER HAS BEEN PHASE II AND PHASE III SPONSORED CLINICAL TRIALS, WITH TWO-THIRDS OF OUR ACTIVE RESEARCH IN CANCER TREATMENTS. THE PARKVIEW RESEARCH CENTER ALSO PROVIDES ACCESS TO HUMANITARIAN USE DEVICES (HUD) AS WELL AS EXPANDED ACCESS PROGRAMS THAT ALLOW OUR PATIENTS ACCESS TO INVESTIGATIONAL DRUGS AND DEVICES IN LIFE-THREATENING OR SPECIAL CIRCUMSTANCES. THE PARKVIEW RESEARCH CENTER IS UNIQUELY SITUATED TO PARTICIPATE IN COLLABORATIVE RESEARCH EFFORTS WITH LOCAL AND NATIONAL ACADEMIC PARTNERS. ONE OF OUR OLDEST COLLABORATIONS IS WITH THE INDIANA UNIVERSITY SCHOOL OF MEDICINE ON THE STUDENT EDUCATION AND RESEARCH FELLOWSHIP (SERF) PROGRAM (FORMERLY THE MIDWEST ALLIANCE FOR HEALTH EDUCATION). THIS PROGRAM WAS ESTABLISHED MORE THAN 30 YEARS AGO AND CONTINUES TO SERVE THE SURROUNDING REGION. WITHIN THIS FELLOWSHIP PROGRAM, STUDENTS ARE IN-RESIDENCE FOR A PERIOD OF NINE WEEKS, LEARNING ABOUT RESEARCH AND INTERACTING WITH PARKVIEW PHYSICIANS ON ONGOING RESEARCH STUDIES. STUDENTS GAIN BASIC SKILLS FOR THE CONDUCT OF RESEARCH AND DISSEMINATE THEIR WORK THROUGH A POSTER OR PODIUM PRESENTATION AT THE END OF THE PROGRAM.IN ADDITION TO TRAINING AND EDUCATION, THE MIRRO CENTER FOR RESEARCH AND INNOVATION ALSO HOUSES THE HEALTH SERVICES AND INFORMATICS RESEARCH GROUP, WHICH 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 SURVEYS AND USER-EXPERIENCE PROJECTS THAT IMPROVE THE USABILITY OF HEALTHCARE TECHNOLOGIES. EXAMPLES OF THEIR PROJECTS INCLUDE YOUTH MENTAL HEALTH RESEARCH, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MUCH OF THIS TEAM'S WORK HAS LED TO PUBLICATION IN PEER-REVIEWED JOURNALS, PRESENTATIONS AT TOP-TIER SCIENTIFIC CONFERENCES, AND THE DISSEMINATION OF FINDINGS TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFLUENCE PUBLIC HEALTH POLICY.COMMUNITY HEALTH:PARKVIEW HOSPITAL, INC. IS COMMITTED TO THE INVESTMENT OF TIME AND RESOURCES IN THE PROCESS AND CHALLENGES OF IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY THROUGH ITS COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM. THE GOAL OF THE CHI PROGRAM IS TO UTILIZE BEST PRACTICES AND INNOVATIVE METHODS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY, PARTICULARLY THE UNDERSERVED. PARKVIEW HOSPITAL, INC. SUPPORTS CHI EFFORTS BY COMMITTING A PERCENTAGE OF ITS NET INCOME ON AN ANNUAL BASIS. WITH OVERSIGHT BY THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE, CONSISTING OF COMMUNITY LEADERS, MEMBERS OF THE PARKVIEW HOSPITAL, INC. BOARD OF DIRECTORS AND HOSPITAL MANAGEMENT, THESE FUNDS ARE USED TO STRATEGICALLY ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED BY THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS IS ACCOMPLISHED BY BUILDING INNOVATIVE INTERNAL AND EXTERNAL PROGRAMS IN COLLABORATION WITH COMMUNITY PARTNERS THAT ADDRESS IDENTIFIED HEALTH PRIORITIES. IN PARTNERING WITH OTHER ORGANIZATIONS TO IMPROVE THE HEALTH OF OUR COMMUNITY, THE CHI PROGRAM WORKS WITH SEVERAL COMMUNITY PARTNERS TO ADDRESS THE PRIORITIES OUTLINED BY PARKVIEW HOSPITAL, INC.'S MOST RECENT CHNA. MATTHEW 25 HEALTH AND DENTAL CLINIC, NEIGHBORHOOD HEALTH CLINIC, ALLIANCE HEALTH CENTER, NORTHEAST INDIANA POSITIVE RESOURCE CONNECTION, A HOPE CENTER, THE RESCUE MISSION AND BRIGHTPOINT ARE JUST A FEW OF OUR PARTNER ORGANIZATIONS. ADDITIONALLY, THE HOSPITAL SUPPORTS COMMUNITY TRANSPORTATION NETWORK (CTN) AS THEY PROVIDE MEDICAL TRANSPORTATION FOR THE SENIOR, DISABLED AND LOW-INCOME POPULATIONS THROUGHOUT THE COMMUNITY.INTERNALLY, PARKVIEW HOSPITAL, INC.'S CHI PROGRAM OFFERS INITIATIVES THAT ADDRESS THE HOSPITAL'S CURRENT HEALTH PRIORITIES. EXAMPLES OF THESE INITIATIVES INCLUDE SCHOOL-BASED NUTRITION AND ACTIVE LIFESTYLE CURRICULA AND PROGRAMS; THE PARKVIEW COMMUNITY GREENHOUSE AND LEARNING KITCHEN PROGRAMMING; MATERNAL/INFANT INTERVENTION PROGRAMS; AND A BEHAVIORAL HEALTHCARE NAVIGATOR PROGRAM. THE HOSPITAL ALSO FUNDS AND MANAGES AN INTEGRATED COMMUNITY-BASED NURSING PROGRAM. THESE REGISTERED NURSES, ALONG WITH A REGISTERED RESPIRATORY THERAPIST AND COMMUNITY HEALTH WORKERS, DELIVER EDUCATION AND SERVICES OUTSIDE THE WALLS OF OUR FACILITIES TO ADDRESS COMMUNITY HEALTH ISSUES, ENGAGE VULNERABLE FAMILIES AND PROMOTE HEALTH IN POPULATIONS WHO ARE OTHERWISE UNDERSERVED BY THE TRADITIONAL HEALTHCARE SYSTEM. OTHER COMMUNITY OUTREACH PROGRAMS INCLUDE MEDICATION ASSISTANCE, MOBILE MAMMOGRAPHY SERVICES, PEDIATRIC CARE MOBILE UNIT AND INJURY PREVENTION EDUCATION.(NARRATIVE CONTINUED AFTER PART VI, LINE 7 CONT'D) 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 HOSPITALS AND WELLNESS CENTERS, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; DEKALB MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; PARK CENTER, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPAEDIC 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 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH PRIORITY OF 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 (IRS). 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 AND 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 CONT'D: 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.).IN ADDITION TO CHI'S PARTNERSHIPS SEEKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY, PARKVIEW ALSO VALUES AND MAINTAINS UPSTREAM PARTNERSHIPS WITH LOCAL, STATE AND FEDERAL GOVERNMENT LEADERS IN ORDER TO COLLABORATE ON PUBLIC POLICY THAT PROMOTES A HEALTHIER AND MORE VIBRANT COMMUNITY. PARKVIEW'S KEY ADVOCACY PILLARS INCLUDE REDUCING THE TOTAL COST OF CARE; PROTECTING AND EXPANDING ACCESS TO CARE; IMPROVING COMMUNITY HEALTH AND QUALITY OF PLACE; AND ADVANCING INFRASTRUCTURE, TALENT, RESEARCH AND INNOVATION.ADVANCING HEALTH CARE DELIVERY AND ACCESS:PARKVIEW HAS EXPANDED ITS PRESENCE IN SOUTHWEST ALLEN COUNTY, MAKING HIGHLY SPECIALIZED, WORLD CLASS CARE MORE CONVENIENT TO THE AREA'S SOUTHWEST RESIDENTS. THIS FACILITY ALLOWS US TO DELIVER MULTIPLE LEVELS OF OUTPATIENT CARE IN A MORE EFFICIENT MANNER, OFFERING CONVENIENT, "HOSPITAL-LIKE" SERVICE WITHOUT A HOSPITAL. THE NEW FACILITY AND RENOVATIONS OPENED NOVEMBER 1, 2023, WHICH BROUGHT IN NEW SERVICES AND EXPAND EXISTING SERVICES ON THE PARKVIEW SOUTHWEST CAMPUS IN RESPONSE TO GROWING DEMAND. THE PARKVIEW SOUTHWEST CAMPUS FEATURES A PARKVIEW PHYSICIANS GROUP PRIMARY CARE OFFICE, THE PARKVIEW SOUTHWEST SURGERY CENTER, THE PARKVIEW SOUTHWEST WOMEN'S & CHILDREN'S CENTER (UNDER CONSTRUCTION, EXPECTED EARLY 2024), AND THE NEW THREE-STORY PARKVIEW SOUTHWEST OUTPATIENT CENTER.PARKVIEW CONTINUES TO ADVANCE INNOVATION IN PATIENT ACCESS TO HEALTHCARE SERVICES THROUGH ITS DIGITAL HEALTH AND VIRTUAL CARE TECHNOLOGY. PARKVIEW USES THE ELECTRONIC MEDICAL RECORD (EMR), THIRD PARTIES AND ADDITIONAL TOOLS TO FACILITATE VIRTUAL CONNECTIONS BETWEEN STAFF MEMBERS, PROVIDERS AND PATIENTS. THESE CONNECTIONS ENSURE THAT WE CAN CONNECT WITH COMMUNITY HOSPITALS, COMMUNITY PARTNERS AND PATIENTS TO EXPEDITE CARE THAT MAY HAVE PREVIOUSLY REQUIRED ADDITIONAL STAFFING, PATIENT MOVEMENT AND TRANSPORT, OR DELAYED CARE. ONE OF THE LARGEST PLATFORMS UTILIZED IS THE PATIENT PORTAL, BRANDED AS PARKVIEW'S MYCHART. PARKVIEW MYCHART IS AN EASY-TO-USE TOOL THAT ENABLES PATIENTS TO PLAY AN ACTIVE ROLE IN THEIR HEALTHCARE JOURNEY. IT OFFERS NOT ONLY CONVENIENT AND SECURE ACCESS TO MEDICAL RECORDS BUT ALSO A RANGE OF SERVICES, RESOURCES AND FEATURES THAT ENHANCE THE PATIENT EXPERIENCE. PATIENTS WHO INTEGRATE MYCHART INTO THEIR EVERYDAY LIFE CAN SAVE TIME ORGANIZING HEALTH AND INSURANCE INFORMATION, COMMUNICATE WITH THEIR PROVIDER OFFICE, VIEW SCHEDULING OPTIONS, AND GAIN A BETTER UNDERSTANDING OF THEIR HEALTH AND WELL-BEING. OVER THE LAST 12 MONTHS, PARKVIEW HEALTH ENGAGED MORE THAN 500,000 PATIENTS THROUGH THE MYCHART PLATFORM, WHO LOGGED INTO THEIR ACCOUNT TO ACTIVELY MANAGE OR PARTICIPATE IN THEIR CARE. PARKVIEW ONDEMAND IS A TELEHEALTH PLATFORM THAT ALLOWS INDIVIDUALS TO CONNECT WITH A PROVIDER 24/7, ANYTIME AND ANYWHERE, THROUGH VIDEO VISITS USING A COMPUTER, TABLET, OR SMARTPHONE. THIS SERVICE ENABLES PROVIDERS TO SEE PATIENTS FOR SIMPLE FOLLOW-UPS, WELLNESS EXAMS AND NON-EMERGENCY CONDITIONS LIKE COLD AND FLU, ALLERGIES AND PINK EYE. CONVENIENTLY, PARKVIEW ONDEMAND CAN ALSO SUBMIT PRESCRIPTIONS DIRECTLY TO THE PATIENT'S PHARMACY OF CHOICE WHEN NEEDED.PARKVIEW ALSO OFFERS THE PARKVIEW HEALTH APP, AVAILABLE IN THE GOOGLE AND APPLE APP STORES. THIS APP CONNECTS USERS TO VARIOUS HELPFUL TOOLS DESIGNED TO ENHANCE THE PATIENT JOURNEY OR PROVIDE ACCESS TO HEALTH RECORDS. WITH THE APP, USERS CAN START A VIDEO VISIT, SCHEDULE A NEW PATIENT APPOINTMENT WITH A PRIMARY CARE PROVIDER, GET TURN-BY-TURN WAYFINDING INSIDE PARKVIEW REGIONAL MEDICAL CENTER AND PARKVIEW RANDALLIA, AMONG OTHER FEATURES. THE APP ALSO ALLOWS ACCESS TO THE USER'S PARKVIEW MYCHART ACCOUNT.PARKVIEW HAS FOCUSED RECENTLY ON LEVERAGING SOME OF OUR CONNECTIVITY OPTIONS TO CREATE VIRTUAL NURSING AND VIRTUAL SITTING OPTIONS. BY USING CAMERAS IN PATIENT ROOMS, A CAREGIVER CAN CONNECT BY VIDEO AND TALK TO THE PATIENT. THIS ALLOWS VIRTUAL NURSING STAFF TO DISCUSS ADMISSION OR DISCHARGE INSTRUCTIONS, MEDICATIONS, AND ADDRESS OTHER QUESTIONS THE PATIENT MAY HAVE. FOR PATIENTS WHO HAVE MONITORING ORDERS AND REQUIRE CONSTANT SUPERVISION TO MAINTAIN THEIR SAFETY, A TEAM OF TRAINED STAFF MEMBERS ARE ABLE TO MONITOR PATIENTS ACROSS THE HEALTH SYSTEM THROUGH THE CAMERAS. THIS HELPS REDUCE FALLS, LEADS TO MORE IMMEDIATE INTERVENTION WHEN NECESSARY, AND ALLOWS FOR SCALABILITY OF EXISTING RESOURCES. 1 CITY OF FORT WAYNE REDEVELOPMENT COMMISSION ONE EAST MAIN ST FORT WAYNE IN 46802 GOVT ORG 304000 0 PONTIAC STREET MARKET PROGRAM MATTHEW 25 INC 413 EAST JEFFERSON BLVD FORT WAYNE IN 46802 351484951 501(C)(3) 240810 0 HEALTHCARE SERVICES FOR UNINSURED AND UNDERINSURED NEIGHBORHOOD HEALTH CLINICS INC 1717 SOUTH CALHOUN ST FORT WAYNE IN 46802 351922483 501(C)(3) 100000 0 HEALTHCARE SERVICES FOR UNINSURED AND UNDERINSURED ST JOSEPH COMMUNITY HEALTH FOUNDATION INC 347 W BERRY ST SUITE 101 FORT WAYNE IN 46802 311016570 501(C)(3) 65480 0 HEALTHY EATING ACTIVE LIVING PROGRAM FORENSIC NURSING SPECIALTIES INC DBA FORT WAYNE SEXUAL ASSAULT TREATMENT 1420 KERRWAY COURT FORT WAYNE IN 46805 351943648 501(C)(3) 50000 0 MEDICAL FORENSIC CARE PROGRAM NORTHEAST INDIANA CHRISTIAN ACTION COUNCIL EDUCATION AND CHA 3630 HOBSON RD FORT WAYNE IN 46815 311113254 501(C)(3) 40000 0 SERVICES FOR PREGNANT WOMEN CANCER SERVICES OF ALLEN COUNTY INC 6316 MUTUAL DRIVE FORT WAYNE IN 46825 350965609 501(C)(3) 36500 0 PATIENT ADVOCACY COMMUNITY TRANSPORTATION NETWORK INC 5601 INDUSTRIAL RD FORT WAYNE IN 46825 352109955 501(C)(3) 35000 0 MEDICAL TRANSPORTATION PROGRAM FOR THE UNDERSERVED NORTHEAST INDIANA POSITIVE RESOURCE CONNECTION INC 525 OXFORD ST FORT WAYNE IN 46806 311191147 501(C)(3) 35000 0 COMPREHENSIVE SERVICES PROGRAM FOR THOSE WITH AIDS HEALTH AND HOSPITAL CORPORATION OF MARION COUNTY 1100 W 42ND ST INDIANAPOLIS IN 46208 356005697 GOVT ORG 30000 0 HEALTH INSURANCE ENROLLMENT SERVICES FOR THE UNDERSERVED TURNSTONE CENTER FOR CHILDREN & ADULTS WITH DISABILITIES INC 3320 NORTH CLINTON ST FORT WAYNE IN 46805 350913541 501(C)(3) 30000 0 THERAPY AND WELLNESS PROGRAMS FOR DISABLED CHILDREN & ADULTS EARLY CHILDHOOD ALLIANCE INC 3800 NORTH ANTHONY BLVD FORT WAYNE IN 46805 350953465 501(C)(3) 25000 0 SUPPORT FOR EARLY CHILDHOOD DEVELOPMENT & EDUCATION PROGRAMS MENTAL HEALTH AMERICA IN ALLEN COUNTY INC 1025 WEST RUDISILL - BOX 8 FORT WAYNE IN 46807 461326514 501(C)(3) 25000 0 SUPPORT FOR INDIVIDUALS FACING MENTAL HEALTH CHALLENGES BIBLICAL LIFE RECOVERY CENTER INC 10507 BENT TREE LANE FORT WAYNE IN 46804 472109588 501(C)(3) 20000 0 BUILDING PROJECT COMMUNITY HARVEST FOOD BANK OF NORTHEAST INDIANA INC PO BOX 10967 FORT WAYNE IN 46855 311100607 501(C)(3) 18000 0 OPERATIONS & PROGRAMS PROVIDING FOOD TO LOW-INCOME INDIVIDUALS & FAMILIES A MOTHERS HOPE INC 13622 WALKER MILL GRABILL IN 46741 472760786 501(C)(3) 15000 0 HOMELESS SHELTER FOR PREGNANT WOMEN HEALTHIER MOMS AND BABIES 215 E BERRY ST FORT WAYNE IN 46802 834507606 501(C)(3) 12000 0 CASE MANAGEMENT PROGRAM FOR AT-RISK PREGNANT WOMEN PARKVIEW FOUNDATION INC 3844 NEW VISION DR FORT WAYNE IN 46845 237220589 501(C)(3) 11315 0 PROGRAM FUNDS YMCA OF GREATER FORT WAYNE 347 W BERRY ST SUITE 500 FORT WAYNE IN 46802 350886850 501(C)(3) 11000 0 DIABETES PREVENTION PROGRAM BOYS AND GIRLS CLUB OF FORT WAYNE 2609 FAIRFIELD AVE FORT WAYNE IN 46807 351778767 501(C)(3) 10000 0 AFTER-SCHOOL AND SUMMER PROGRAMS THAT PROVIDE POSITIVE, EDUCATIONAL EXPERIENCES FOR LOW-INCOME CHILDREN HUMAN AGRICULTURAL COOPERATIVE INC 4617 BARRINGTON DR FORT WAYNE IN 46806 841916240 501(C)(3) 10000 0 YOUTH FARMING PROGRAM SUPER SHOT INC 1515 HOBSON RD FORT WAYNE IN 46805 352122575 501(C)(3) 10000 0 TO EDUCATE, PROMOTE VACCINATION AND INCREASE AVENUES FOR IMMUNIZATIONS FOR ALL CHILDREN IN ALLEN COUNTY AND SURROUNDING COMMUNITIES HAROLD W MCMILLEN CENTER FOR HEALTH EDUCATION INC 600 JIM KELLEY BLVD FORT WAYNE IN 46816 351186994 501(C)(3) 7300 0 PROVIDE VITAL & EFFECTIVE HEALTH EDUCATION THAT PROMOTES PHYSICAL, EMOTIONAL & SOCIAL WELL-BEING 23 0 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. X X 1 1 1 1 0 0 0 0 0 1 0 MICHAEL PACKNETT FORMER OFFICER/RETIRED PH CEO 0 66747 0 351881 0 4615581 0 26400 0 2853 0 5063462 0 4613104 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 0 834975 0 187034 0 1143499 0 239228 0 38660 0 2443396 0 1101767 GREG JOHNSON DIRECTOR/REGIONAL MARKET PRESIDENT 0 681591 0 112796 0 94104 0 155300 0 33706 0 1077497 0 84817 PETER CHAILLE DIRECTOR/PH PHYSICIAN 0 728122 0 128619 0 26990 0 36300 0 37806 0 957837 0 0 MICHAEL MIRRO PVHOS CHIEF ACADEM/RESEARCH OFFICER 534338 0 100766 0 117766 0 131316 0 8489 0 892675 0 95016 0 MICHAEL YURKANIN FORMER KEY EMPLOYEE/CURRENT PH CMO 58342 463200 0 92497 0 28142 11792 118008 2744 27462 72878 729309 0 0 JOHN BOWEN DIRECTOR/PVHOS PRESIDENT 473614 0 86520 0 56588 0 104683 0 38127 0 759532 0 54927 0 SATISH VELAGAPUDI DIRECTOR/PH PHYSICIAN 47926 516524 0 87732 0 30006 2550 33750 1493 19753 51969 687765 0 0 MICHAEL GERUE FORMER KEY EMPLOYEE/CURRENT PH SVP 0 361559 0 78243 0 54199 0 102812 0 39291 0 636104 0 50827 MEGAN SMITH FORMER KEY EMPLOYEE/CURRENT PH SVP 0 339867 0 118438 0 1125 0 92600 0 41818 0 593848 0 0 MOLLY CAIN FORMER KEY EMPLOYEE/CURRENT PH SVP 0 344022 0 63731 0 43399 0 83194 0 39059 0 573405 0 41439 MARCELINE ROGERS FORMER KEY EMPLOYEE/CURRENT PH SVP 0 296715 0 78217 0 2585 0 90600 0 27182 0 495299 0 0 LINDA FRANCIES PVHOS CHIEF NURSING OFFICER 335068 0 48675 0 25705 0 66129 0 17067 0 492644 0 0 0 SUSAN STEFFY PVHOS CMO GRAD MED EDUCATION 173586 173586 27424 0 26826 2262 22350 17250 21995 16976 272181 210074 0 0 PATRICK WOODMAN PVHOS PHYSICIAN 232399 154933 36350 0 27338 0 4333 2267 10724 5611 311144 162811 0 0 GARY ZWIERZYNSKI PVHOS SVP GRADUATE MEDICAL EDUCATION 168997 0 45075 0 129816 68585 5457 1088 15096 3011 364441 72684 117290 0 CHARLES CLARK FORMER KEY EMPLOYEE/FORMER BHI PRES 0 155008 0 46427 0 131239 0 49082 0 18194 0 399950 0 25537 ABHIJIT SHUKLA DIRECTOR/PH PHYSICIAN 0 263271 0 20951 0 28488 0 34793 0 35481 0 382984 0 0 JEFFREY BROWN PVHOS PHYSICIAN 256323 0 0 0 28338 0 20001 0 18180 0 322842 0 0 0 CHUANYA ZHOA PVHOS SUPERVISOR CERT RAD PHYSICIST 282325 0 500 0 598 0 25581 0 13297 0 322301 0 0 0 JOSIAH WELLS PVHOS VP OPERATIONS 242760 0 35072 0 528 0 11273 0 26183 0 315816 0 0 0 MARK GILLESPIE PVHOS VP OPERATIONS 189230 0 31132 0 31882 0 29681 0 26086 0 308011 0 0 0 CHRISTINE HEPLER FORMER KEY EMPLOYEE/CURRENT PH VP 0 188733 0 31501 0 25838 0 29971 0 29176 0 305219 0 0 GAIL ALTEKRUSE PVHOS VP OPERATIONS 202839 0 30035 0 8882 0 28579 0 25824 0 296159 0 0 0 SARA BROWN PVHOS ASSOCIATE CMO 260899 0 0 0 250 0 0 0 34268 0 295417 0 0 0 JESSICA MURPHY PVHOS VP SURGICAL SERVICES 204844 0 30823 0 910 0 21973 0 36424 0 294974 0 0 0 ERIN GOLDSBERRY PVHOS VP PAT CARE 194352 0 28500 0 1626 0 12723 0 25390 0 262591 0 0 0 PAULA BOSTWICK PVHOS VP BHI 148863 0 25493 0 25665 0 22265 0 34002 0 256288 0 0 0 PART I, LINE 1A DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: JEFFREY BROWN; SUSAN STEFFY; PATRICK WOODMAN PERSONAL SERVICES - TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: JOHN BOWEN PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARKVIEW HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATION COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. PART I, LINES 4A-B SEVERANCE PAYMENT CHARLES CLARK $89,140; GARY ZWIERZYNSKI $76,928 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): JOHN BOWEN $54,927; MOLLY CAIN $41,439; CHARLES CLARK $25,537; MICHAEL GERUE $50,827; GREG JOHNSON $84,817; MICHAEL MIRRO $95,016; MICHAEL PACKNETT $4,613,104; JEANNE' WICKENS $1,101,767; GARY ZWIERZYNSKI $117,290 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 $4,613,104 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: JOHN BOWEN $81,583; MOLLY CAIN $60,094; CHARLES CLARK $ 25,537; LINDA FRANCIES $43,029; MICHAEL GERUE $63,212; GREG JOHNSON $119,000; MICHAEL MIRRO $95,016; MARCELINE ROGERS $51,000; MEGAN SMITH $62,900; JEANNE' WICKENS $216,128; MICHAEL YURKANIN $93,500; PART I, LINE 7 THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. THE COMPENSATION COMMITTEE OF RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR MICP AND PICP. AT CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES FINAL PAYMENT. AMANDA PLATO FAMILY MEMBER OF KEY EMPLOYEE JESSICA MURPHY 114998 EMPLOYEE AMANDA PLATO RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC. 0 JILL LINDER FAMILY MEMBER OF DIRECTOR TROY LINDER 10535 EMPLOYEE JILL LINDER RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC. 0 ALYSSA HAMILTON FAMILY MEMBER OF DIRECTOR JUDY ROY 108045 EMPLOYEE ALYSSA HAMILTON RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HOSPITAL, INC. 0 X BREASTIE BOXES, GAS CARDS, BEREAVEMENT POUCHES, FLEECE BLANKETS, CHEMO 1 70382 ESTIMATED VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION USED NUMBER OF CONTRIBUTORS FOR LINE 25. PARKVIEW FOUNDATION INC PROVIDED ALL OF THE NON-CASH CONTRIBUTIONS LISTED ON SCHEDULE M. 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, PARKVIEW HOSPITAL, INC., EIN 35-0868085. 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, 2023 WAS 704. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2023 WAS 18,435. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR THE PARKVIEW HOSPITAL, INC. WAS 166 AND 7,599 RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF THE OFFICERS OF THE BOARD, THE PRESIDENT OF THE CORPORATION, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER, THE IMMEDIATE PAST CHAIR OF THE BOARD IF STILL SERVING AS A MEMBER OF THE BOARD, THE CURRENT PRESIDENT OF THE MEDICAL STAFF, AND SUCH OTHER PERSONS AS IDENTIFIED BY THE CHAIR OF THE BOARD, EACH OF WHOM SHALL BE ENTITLED TO VOTE. IN NO EVENT SHALL THE MEMBERS OF THE EXECUTIVE COMMITTEE EXCEED NINE (9) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR RATIFICATION OF ITS ACTION. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIR OR BY THREE (3) MEMBERS. FORM 990, PART VI, SECTION A, LINE 2 DIRECTOR/OFFICER JOHN BOWEN AND OFFICER JEANNE' WICKENS HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF PARKVIEW HOSPITAL, INC. WITH CERTAIN RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS: (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. FORM 990, PART VI, SECTION A, LINE 7B SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION B, LINE 11B PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. PARKVIEW HOSPITAL, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. 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 COMPLIANCE AND AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 24, 2024, THE SYSTEM COMPLIANCE AND 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 AND AUDIT 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 LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., HAS A PROCESS IN PLACE FOR REVIEWING AND APPROVING COMPENSATION OF THE CEO & EVP LEVEL EXECUTIVES. 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 2023, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL CEO & EVP LEVEL COMPENSATION, BENEFITS, AND PERQUISITES FOR THE 2023 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. IN ADDITION, AGGREGATE INFORMATION ON ALL OTHER EXECUTIVE ROLES (OUTSIDE OF THE CEO & EVPS) IS SHARED. THE COMPENSATION PACKAGE OF THE CEO AND EVPS WAS APPROVED BY A MAJORITY OF INDEPENDENT COMPENSATION COMMITTEE MEMBERS. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A SUMMARY OF THE EXECUTIVE COMPENSATION PROCESS 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 AND EVP LEVEL EXECUTIVES. 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 TRANSFERS/ADJUSTMENTS -442,807. INCOME (LOSS) FROM HOSPITAL LAUNDRY SERVICE, INC. 58,632. INCOME (LOSS) FROM PARKVIEW PROFESSIONAL PROGRAMS, INC. -1,266,466. BOOK/TAX DIFFERENCES K-1'S -141,765. 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