HUNTINGTON MEMORIAL HOSPITAL INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: HUNTINGTON MEMORIAL HOSPITAL INC (EIN 35-1970706)
Tax period: 2021-01-01 to 2021-12-31
Filed: 2022-11-02
IRS object ID: 202203069349303300
Schema version: 2021v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-11-02T17:35:31-05:00	ReturnTs
Tax Period End	2021-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	330 EAST JEFFERSON BLVD PO BOX 7	AddressLine1Txt
City	SOUTH BEND	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	466240007	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	351970706	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HUNTINGTON MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HUNT	BusinessNameControlTxt
Phone	2603738429	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2001 STULTS RD	AddressLine1Txt
City	HUNTINGTON	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	467501291	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JEANNE' WICKENS	PersonNm
Person Title	PH CFO	PersonTitleTxt
Phone	2602669313	PhoneNum
Signature	2022-11-02	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	JEANNE	PersonFirstNm
Person Last	WICKENS	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BRITTNEY KOCAJ	PreparerPersonNm
PTIN	P01320603	PTIN
Phone	5742323992	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	PARKVIEW HUNTINGTON HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	MICHAEL J PACKNETT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1450 PRODUCTION RD	AddressLine1Txt
City	FORT WAYNE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	468081167	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$166,968,531	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.PARKVIEW.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	335	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$7,969,214	PYContributionsGrantsAmt
CY Contributions Grants	$3,245,154	CYContributionsGrantsAmt
PY Program Service Revenue	$62,114,305	PYProgramServiceRevenueAmt
CY Program Service Revenue	$67,524,980	CYProgramServiceRevenueAmt
PY Investment Income	$1,877,725	PYInvestmentIncomeAmt
CY Investment Income	$3,120,465	CYInvestmentIncomeAmt
PY Other Revenue	$58,840	PYOtherRevenueAmt
CY Other Revenue	$222,905	CYOtherRevenueAmt
PY Total Revenue	$72,020,084	PYTotalRevenueAmt
CY Total Revenue	$74,113,504	CYTotalRevenueAmt
PY Grants And Similar Paid	$332,533	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$92,034	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$21,690,519	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$22,562,955	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$101,609	CYTotalFundraisingExpenseAmt
PY Other Expenses	$41,518,261	PYOtherExpensesAmt
CY Other Expenses	$37,998,261	CYOtherExpensesAmt
PY Total Expenses	$63,541,313	PYTotalExpensesAmt
CY Total Expenses	$60,653,250	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,478,771	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$13,460,254	CYRevenuesLessExpensesAmt
Total Assets BOY	$75,329,589	TotalAssetsBOYAmt
Total Assets EOY	$89,904,381	TotalAssetsEOYAmt
Total Liabilities BOY	$9,043,960	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$8,096,438	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$66,285,629	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$81,807,943	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	HUNTINGTON MEMORIAL HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$49,266,328	ExpenseAmt
Grant	$92,034	GrantAmt
Revenue	$67,524,980	RevenueAmt
Desc	QUALITY RECOGNITIONTHE STAFF OF HUNTINGTON MEMORIAL HOSPITAL, INC., STRIVES TO PROVIDE EXCELLENT CARE TO EVERY PERSON, EVERY DAY. THE CONSISTENTLY HIGH-QUALITY CARE DELIVERED IS EVIDENCED BY THE HOSPITAL'S RECOGNITION WITH NUMEROUS STATE AND NATIONAL HONORS, INCLUDING ITS HAVING BEEN:- AWARDED AN "A" SAFETY GRADE FOR FALL 2021 BY THE LEAPFROG GROUP- RECOGNIZED BY THE CHARTIS CENTER FOR RURAL HEALTH AS WELL AS THE NATIONAL ORGANIZATION OF STATE OFFICES OF RURAL HEALTH (NOSORH) WITH A PERFORMANCE LEADERSHIP AWARD IN THE PATIENT PERSPECTIVE CATEGORY FOR 2021(SEE SCHEDULE O FOR CONTINUATION)	Desc
Total Program Service Expenses	$49,266,328	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (1)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	28	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	335	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	0	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	JEANNE' WICKENS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	2602669313	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1450 PRODUCTION RD	AddressLine1Txt
City	FORT WAYNE	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	468081167	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO	0.00	40.00	Yes (X)	Yes (X)	$0	$2,037,606	$326,073
JULIE UTENDORF
DIRECTOR/PH PHYSICIAN	0.00	40.00	Yes (X)		$18,442	$355,363	$64,901
DOUGLAS SELIG
DIRECTOR/HMHOS PRESIDENT	40.00	0.00	Yes (X)	Yes (X)	$242,329	$0	$77,780
JULI JOHNSON
DIRECTOR-PARTIAL YR/PH CNE	8.00	32.00	Yes (X)	Yes (X)	$78,317	$299,187	$96,829
JOHN NELSON
DIRECTOR/CHAIR	1.00	1.00	Yes (X)	Yes (X)	$6,500	$4,000	$0
DEREK DYER
DIRECTOR/TREASURER	1.00	0.00	Yes (X)	Yes (X)	$4,500	$0	$0
MATT ECKERT
DIRECTOR/VICE CHAIR	1.00	0.00	Yes (X)	Yes (X)	$4,500	$0	$0
SUSAN ZAHN
DIRECTOR/SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$4,500	$0	$0
JENNIFER NEWTON
DIRECTOR	1.00	0.00	Yes (X)		$4,500	$0	$0
ERICH ELLER
DIRECTOR	1.00	0.00	Yes (X)		$4,500	$0	$0
BARBARA DRUMMOND
DIRECTOR	1.00	0.00	Yes (X)		$4,500	$0	$0
JEREMIAH ASHE
DIRECTOR	1.00	0.00	Yes (X)		$1,500	$0	$0
CHAD DAUGHERTY
DIRECTOR	1.00	0.00	Yes (X)		$4,500	$0	$0
JEANNE' WICKENS
PH CHIEF FINANCIAL OFFICER	0.00	40.00		Yes (X)	$0	$1,059,636	$349,980
TODD SIDER
HMHOS CMO COMMUNITY HOSPITALS	12.00	28.00			$137,613	$129,007	$59,533	Yes (X)
EDWARD STRUBEL
HMHOS PHARMACIST	39.00	1.00			$118,002	$2,656	$40,096		Yes (X)
BRYAN HALL
HMHOS MGR PHARMACY	40.00	0.00			$162,993	$0	$46,417		Yes (X)
STEVEN HOMRICH
HMHOS PHARMACIST	32.00	8.00			$123,302	$30,744	$23,003		Yes (X)
AMY MAHER
HMHOS RN	40.00	0.00			$121,886	$0	$2,432		Yes (X)
ALISON PERSHING
HMHOS VP PAT CARE SVCS	25.00	15.00			$84,401	$52,224	$34,057		Yes (X)
STEVEN WYNDER
FORMER OFFICER/PH PHYSICIAN	0.00	40.00			$0	$944,062	$59,280			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,126,785	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,914,485	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,180,381	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	20	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
PARKVIEW HOSPITAL INC
11109 PARKVIEW PLAZA DR	FORT WAYNE	IN	46845	LABORATORY SERVICES	$2,594,799
CLINICAL COLLEAGUES INC
PO BOX 824246	PHILADELPHIA	PA	19182	ANESTHESIOLOGISTS	$1,149,384
NORTHEAST INTERNAL MEDICINE ASSOC INC
2500 N DETROIT ST	LAGRANGE	IN	46761	HOSPITALISTS	$413,119
HEALOGICS WOUND CARE & HYPERBARIC SERVIC
PO BOX 551187	JACKSONVILLE	FL	32255	MEDICAL SERVICES	$393,727
FOCUSONE SOLUTIONS LLC
13609 CALIFORNIA ST	OMAHA	NE	68154	MEDICAL PERSONNEL	$376,712

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	10	CntrctRcvdGreaterThan100KCnt
Related Organizations	$53,321	RelatedOrganizationsAmt
Government Grants	$3,191,833	GovernmentGrantsAmt
Total Contributions	$3,245,154	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE	622000	$66,926,527	$66,926,527
EMS SUBSIDY	621910	$472,200	$472,200
INTERUNIT RENT	531120	$80,294	$80,294
PHARMACY	446110	$34,799	$34,799
HEALTH/DISEASE EDUCATION CLASSES	621990	$11,160	$11,160

Field	Value	IRS element (for citing)
Total Program Service Revenue	$67,524,980	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$666,942	TotalRevenueColumnAmt
Exclusion	$666,942	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$72,028	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$153,027	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$80,999	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$80,999	TotalRevenueColumnAmt
Exclusion	-$80,999	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$95,153,368	SecuritiesAmt
Other	$2,155	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$92,702,000	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$2,451,368	SecuritiesAmt
Other	$2,155	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,453,523	TotalRevenueColumnAmt
Exclusion	$2,453,523	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	722514	$280,296	$280,296
GIFT SHOP	453220	$23,608	$23,608

Field	Value	IRS element (for citing)
Other Revenue Total	$303,904	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$74,113,504	TotalRevenueColumnAmt
Related Or Exempt Func Income	$67,524,980	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$3,343,370	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$92,034	TotalAmt
Program Services	$92,034	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$647,998	TotalAmt
Management And General	$647,998	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$28,729	TotalAmt
Program Services	$28,729	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$16,789,732	TotalAmt
Program Services	$16,789,732	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$5,096,496	TotalAmt
Program Services	$5,096,496	ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$117,768	TotalAmt
Management And General	$117,768	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$6,718,347	TotalAmt
Program Services	$5,946,897	ProgramServicesAmt
Management And General	$771,450	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,355	TotalAmt
Program Services	$20	ProgramServicesAmt
Management And General	$1,335	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,243,482	TotalAmt
Program Services	$1,211,422	ProgramServicesAmt
Management And General	$32,060	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,027	TotalAmt
Program Services	$10,027	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,902,831	TotalAmt
Program Services	$1,901,954	ProgramServicesAmt
Management And General	$877	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$7,142	TotalAmt
Program Services	$6,601	ProgramServicesAmt
Management And General	$541	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$12,012	TotalAmt
Program Services	$12,012	ProgramServicesAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,734	TotalAmt
Program Services	$2,734	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,903,248	TotalAmt
Program Services	$1,875,254	ProgramServicesAmt
Management And General	$27,994	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$122,909	TotalAmt
Program Services	$122,909	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
CORP SERVICE ALLOCATION	$9,642,367	$9,642,367
PH CLINICAL SUPPORT	$7,445,946		$7,445,946
MEDICAL SUPPLIES	$5,877,371		$5,877,371
HOSPITAL ASSESSMENT FEE	$2,736,664		$2,736,664

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$254,058	TotalAmt
Program Services	$109,526	ProgramServicesAmt
Management And General	$42,923	ManagementAndGeneralAmt
Fundraising	$101,609	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$60,653,250	TotalAmt
Program Services	$49,266,328	ProgramServicesAmt
Management And General	$11,285,313	ManagementAndGeneralAmt
Fundraising	$101,609	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,324	BOYAmt
EOY	$2,324	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$250,000	BOYAmt
EOY	$252,637	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
EOY	$252,971	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$9,976,536	BOYAmt
EOY	$11,196,982	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$385,903	BOYAmt
EOY	$312,508	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$70,274	BOYAmt
EOY	$32,601	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$27,167,748	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$15,722,990	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$12,443,669	BOYAmt
EOY	$11,444,758	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$44,797,946	BOYAmt
EOY	$49,641,375	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$246,000	BOYAmt
EOY	$246,000	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$7,156,937	BOYAmt
EOY	$16,522,225	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$75,329,589	BOYAmt
EOY	$89,904,381	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,699,734	BOYAmt
EOY	$2,127,153	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$3,629,703	BOYAmt
EOY	$2,432,431	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$2,714,523	BOYAmt
EOY	$3,536,854	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$9,043,960	BOYAmt
EOY	$8,096,438	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$66,285,629	BOYAmt
EOY	$81,807,943	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$66,285,629	BOYAmt
EOY	$81,807,943	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$75,329,589	BOYAmt
EOY	$89,904,381	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$13,460,254	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,845,525	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$216,535	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$4,745	OtherActivitiesAmt
Total Lobbying Expenditures	$4,745	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$261,575	BeginningYearBalanceAmt
Investment Earnings Or Losses	$8,601	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,229	GrantsOrScholarshipsAmt
End Year Balance	$266,947	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$259,794	BeginningYearBalanceAmt
Investment Earnings Or Losses	$5,066	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$3,285	GrantsOrScholarshipsAmt
End Year Balance	$261,575	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$251,351	BeginningYearBalanceAmt
Contributions	$5,000	ContributionsAmt
Investment Earnings Or Losses	$3,443	InvestmentEarningsOrLossesAmt
End Year Balance	$259,794	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Contributions	$250,000	ContributionsAmt
Investment Earnings Or Losses	$1,351	InvestmentEarningsOrLossesAmt
End Year Balance	$251,351	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.00000	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.93650	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.06350	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (1)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (1)	RelatedOrgListSchRInd

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,098,058	OtherCostOrOtherBasisAmt
Depreciation	$2,773,106	DepreciationAmt
Book Value	$7,324,952	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,500	OtherCostOrOtherBasisAmt
Depreciation	$32,500	DepreciationAmt
Book Value	$0	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,327,094	OtherCostOrOtherBasisAmt
Depreciation	$12,429,410	DepreciationAmt
Book Value	$3,897,684	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$710,096	OtherCostOrOtherBasisAmt
Depreciation	$487,974	DepreciationAmt
Book Value	$222,122	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$11,444,758	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE TO/FROM INTERUNIT	$15,758,649
RIGHT OF USE ASSETS	$763,576

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$16,522,225	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
EST 3RD PARTY SETTLEMENTS	$1,244,874
EST MEDICARE/MEDICAID SETTLEMENTS	$1,544,504
LEASE LIABILITY	$747,476

Field	Value	IRS element (for citing)
Total Liability	$3,536,854	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE GOAL OF THE HUNTINGTON COUNTY MEDICAL SOCIETY ENDOWMENT FUND IS TO PROVIDE SUPPORT FOR EDUCATION, TRAINING AND PROFESSIONAL CERTIFICATION REIMBURSEMENT FOR MEMBERS OF THE STAFF OF THE HOLLY D. SALE REHABILITATION AND WELLNESS CENTER AND THE PARKVIEW HUNTINGTON HOSPITAL CENTER FOR WOUND HEALING, AND THAT ARE CONSISTENT WITH THE MISSION AND PURPOSES OF THE FOUNDATION.

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, 2021 AND 2020, 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 2017 AND PRIOR.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent250	Yes (X)	Percent250Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$953,620	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$953,620	NetCommunityBenefitExpnsAmt
Total Expense	0.01790	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,227,185	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,813,251	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,413,934	NetCommunityBenefitExpnsAmt
Total Expense	0.04540	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,734,390	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,542,907	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,191,483	NetCommunityBenefitExpnsAmt
Total Expense	0.02240	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$15,915,195	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,356,158	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,559,037	NetCommunityBenefitExpnsAmt
Total Expense	0.08570	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$176,119	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$176,119	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,469	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$109,469	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,442,482	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,001,035	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,441,447	NetCommunityBenefitExpnsAmt
Total Expense	0.06470	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,403	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$84,403	NetCommunityBenefitExpnsAmt
Total Expense	0.00160	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$9,812,473	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$6,001,035	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,811,438	NetCommunityBenefitExpnsAmt
Total Expense	0.07170	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,727,668	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,357,193	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,370,475	NetCommunityBenefitExpnsAmt
Total Expense	0.15740	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$0	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$8,789,246	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$9,158,901	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$369,655	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HUNTINGTON MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2001 STULTS ROAD	AddressLine1Txt
City	HUNTINGTON	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46750	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.PARKVIEW.COM	WebsiteAddressTxt
State License	14-005081-1	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	HUNTINGTON MEMORIAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	250.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
HUNTINGTON MEMORIAL 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 2019 CHNA, PARKVIEW HEALTH SYSTEM, INC. - INCLUDING HUNTINGTON MEMORIAL HOSPITAL, INC., AND THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) RESEARCH TEAM -- WERE DILIGENT IN ENSURING THAT THE INPUT OF PERSONS REPRESENTING THE BROADER INTERESTS OF THE COMMUNITY'S VULNERABLE POPULATIONS WAS CONSIDERED.IN GATHERING QUALITATIVE COMMUNITY INPUT, PARKVIEW HEALTH SYSTEM, INC. - INCLUDING HUNTINGTON MEMORIAL HOSPITAL, INC., AND ITS RESEARCH PARTNERS - OBTAINED THE FOLLOWING: 1) PRIMARY DATA OBTAINED THROUGH AN ONLINE SURVEY OF PARKVIEW HEALTHCARE PROVIDERS (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.) AND A SURVEY OF THE COMMUNITY RESIDENTS IN EACH PARKVIEW HEALTH COUNTY, AND 2) SECONDARY DATA FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES (E.G., COUNTY HEALTH RANKINGS, ETC.).HUNTINGTON COUNTY HAD THE SECOND HIGHEST RATE OF PARTICIPATION AMONG THE SEVEN COUNTIES SURVEYED ONLINE. ALL MEMBERS OF THE HEALTH & WELLNESS COALITION OF HUNTINGTON COUNTY WERE INVITED TO TAKE PART. MANY OF THESE PARTNERS WORK WITH INDIVIDUALS AND GROUPS IN THE AREAS IDENTIFIED AS THE TOP TWO COMMUNITY HEALTH ISSUES OF GREATEST CONCERN BY PROVIDERS AND THE TOP TWO SOCIAL SERVICE NEEDS BASED ON COMMUNITY PERCEPTION: SUBSTANCE ABUSE AND MENTAL HEALTH. THE POPULATION SUFFERING FROM MENTAL ILLNESS IS OUR MEDICALLY UNDERSERVED AND MOST VULNERABLE IN HUNTINGTON COUNTY. IN ADDITION TO DATA COLLECTION, HUNTINGTON MEMORIAL HOSPITAL, INC., TURNED TO THE COMMUNITY AND PARTNERING ORGANIZATIONS WHEN SELECTING AND PRIORITIZING HUNTINGTON COUNTY'S HEALTH NEEDS. IN DOING SO, A MODIFIED HANLON METHOD PRIORITIZED 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.). ALTHOUGH COMPLEX TO IMPLEMENT, IT IS USEFUL WHEN THE DESIRED OUTCOME IS AN OBJECTIVELY SELECTED LIST. EXPLICIT IDENTIFICATION OF FACTORS MUST BE CONSIDERED TO SET PRIORITIES, 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.THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES PRESENTED AN OVERVIEW OF THE REGIONAL CHNA FINDINGS ON JULY 16, 2019, TO ATTENDEES REPRESENTING THE PARKVIEW HEALTH SYSTEM. IN TOTAL, MORE THAN 60 INDIVIDUALS PARTICIPATED IN THE PRIORITIZATION PROCESS, INCLUDING REPRESENTATIVES FROM HOSPITAL SERVICE LINES, COMMUNITY HOSPITALS, HEALTHCARE PROVIDERS/PHYSICIANS, EXECUTIVE LEADERSHIP TEAM, COMMUNITY HEALTH AND HOSPITAL BOARDS OF DIRECTORS. AFTER A THOROUGH REVIEW OF THE DATA AND CONSIDERABLE DISCUSSION, THE GROUP USED AN ELECTRONIC VOTING SYSTEM TO RANK THE VARIOUS HEALTH NEEDS IDENTIFIED IN THE CHNA. ULTIMATELY, THE GROUP VOTED ON SUBSTANCE USE DISORDER/MENTAL HEALTH, AS THE SHARED HEALTH PRIORITY ACROSS THE HEALTH SYSTEM.AS A CONTINUATION OF THE PRIORITIZATION PROCESS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S BOARD OF DIRECTORS MET ON AUGUST 18, 2019, AND DISCUSSED THE RESULTS OF THE CHNA. AFTER A THOUGHTFUL REVIEW OF THE DATA AND EXTENSIVE DISCUSSION, THE BOARD CHOSE TO CONTINUE TO SUPPORT THE PRIOR WORK RELATED TO OBESITY AND SUBSTANCE ABUSE DISORDER IN ADDITION TO ADOPTING THE SHARED HEALTH PRIORITY OF MENTAL HEALTH. OUR HOSPITAL'S PRIORITIES WERE DISCUSSED WITH THE HUNTINGTON COUNTY HEALTH & WELLNESS COALITION ON SEPTEMBER 17, 2019.
HUNTINGTON MEMORIAL HOSPITAL, INC.	PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823).
HUNTINGTON MEMORIAL 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): INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (A PARTNERSHIP BETWEEN THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AND THE POLIS CENTER AT IUPUI) AND CONDUENT HEALTHY COMMUNITIES INSTITUTE.
HUNTINGTON MEMORIAL 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:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:OBESITY, HAVING A BODY MASS INDEX (BMI) GREATER THAN 30.0 KG/M, AFFECTS ALL AGE GROUPS. ELEVATED BMI AFFECTS PEOPLE OF DIFFERENT SOCIOECONOMIC STATUSES AND RACIAL/ETHNIC GROUPS DISPROPORTIONATELY. MANY COMPLICATIONS CAN OCCUR AS A DIRECT OR INDIRECT RESULT OF OBESITY. INDIANA'S ADULT OBESITY RATE IS THE 5TH HIGHEST IN THE NATION AT 36.8 PERCENT. FOR CHILDREN AGES 10 TO 17, 15.6 PERCENT ARE CONSIDERED OBESE, PUTTING INDIANA IN 24TH PLACE. IN COLLABORATION WITH OTHER COMMUNITY LEADERS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S ACTIONS ARE TO SUPPORT THE FURTHER DEVELOPMENT OF HEALTHY LIFESTYLE CHOICES AMONG RESIDENTS OF HUNTINGTON COUNTY. THE CONTINUED STRATEGIC GOAL OF THE OBESITY INITIATIVE IS TO INCREASE ACCESS TO NUTRITIOUS FOOD AND PHYSICAL ACTIVITY IN HUNTINGTON COUNTY WITH THE SMART OBJECTIVE OF IMPROVING KNOWLEDGE AND BEHAVIOR RELATED TO NUTRITION AND ACTIVITY IN 100 PERCENT OF PROGRAM PARTICIPANTS. THE ANTICIPATED IMPACT IS REDUCTION OF THE OBESITY RATE AND THE CORRESPONDING CHRONIC DISEASES THAT GO HAND IN HAND WITH OBESITY. FUNDED PARTNERS HAVE PARTICIPATED IN VARIOUS ENDEAVORS TO PROMOTE HEALTHY LIVING AND THUS PREVENT OR TREAT OBESITY ACROSS THE LIFESPAN. ALL AGES HAVE BENEFITED FROM THE SUPPORTED COMMUNITY GARDEN. OVER 35% OF THE GARDEN'S VISITORS INDICATE THEY CONSUME MORE FRUIT AND VEGETABLES BECAUSE OF THE GARDEN. FIFTY-EIGHT OF 140 VISITS TO THE GARDEN THIS YEAR WERE FIRST TIME VISITORS. VOLUNTEERS LOGGED MORE THAN 125 HOURS OF COMMUNITY SERVICE AT THE GARDEN INCLUDING 21 HOURS COMPLETED BY YOUTH. THE GARDEN IN ADDITION CONTINUED TO PROVIDE A SPACE FOR HEALTHY OUTDOOR FAMILY FRIENDLY ACTIVITIES TWICE A MONTH DURING THE GROWING AND HARVESTING SEASON.MONTHLY SUPPORTED COOKING CLASSES HISTORICALLY REACHING AN AVERAGE OF 15 INDIVIDUALS AT A LOCAL FOOD PANTRY ENCOURAGE LEARNING TO PREPARE HEALTHY AND BUDGET FRIENDLY MEALS AT HOME OFTEN UTILIZING FOOD OFFERINGS FROM THE PANTRY AND THE COMMUNITY GARDEN WERE POSTPONED AGAIN IN 2021 DUE TO COVID RESTRICTIONS AND THE FOOD PANTRY'S RENOVATION. INSTEAD, HUNTINGTON NORTH HIGH SCHOOL'S PRE-EMPLOYMENT TRANSITION CLASS UTILIZED LOVE'S KITCHEN TO HOST WEEKLY CLASSES THAT INCLUDE COOKING AND NUTRITION. FOUR TO 10 STUDENTS PARTICIPATED, AND ALL REPORTED TRYING NEW FRUIT AND VEGETABLES. LOVE CONTINUED TO PROVIDE SUPPLEMENTAL NUTRITION INFORMATION AND RECIPES TO THOSE THAT UTILIZE THE FOOD IN LIEU OF IN-PERSON COOKING CLASSES. THEY UTILIZED A VERBAL SURVEY AGAIN TO MINIMIZE CONTACT WITH THE PUBLIC. NINETY PERCENT REPORTED RECEIVING NUTRITION INFORMATION AND RECIPES WHEN PICKING UP THEIR FOOD, UP ABOUT 21% FROM LAST YEAR. ABOUT 89% REPORTED USING THE INFORMATION, AND 67% TRIED THE RECIPES THEY RECEIVED. COOKING CLASSES AT THE BOWEN CENTER WERE NOT HELD AGAIN IN 2021 PER COVID AND FUNDS WILL BE HELD IN HOPES OF RESUMING IN 2022. A TOTAL OF 18 "SIMPLE AND HEALTHY" COOKING CLASSES WERE ABLE TO BE OFFERED IN 2021 REACHING 155 PARTICIPANTS. EIGHTY PERCENT OF PARTICIPANTS INDICATED THEY UNDERSTAND HOW THEIR FOOD CHOICES AFFECT THEIR HEALTH BECAUSE OF THE PROGRAM. EIGHTY PERCENT ALSO KNOW HOW TO FOLLOW SAFE FOOD HANDLING PRACTICES AND 96 PERCENT PLAN TO FOLLOW THOSE PRACTICES. SEVENTY-NINE PERCENT KNOW HOW TO MAKE CHANGES THAT WILL IMPROVE THEIR PHYSICAL HEALTH. NINETY-TWO PERCENT PLAN TO MAKE SMALL CHANGES TO BUILD THEIR HEALTHY EATING STYLE INCLUDING 85 PERCENT WHO AIM TO FOLLOW A HEALTHY EATING PATTERN. NINETY-THREE PERCENT INTEND TO MAKE A CHANGE TO IMPROVE THEIR OVERALL HEALTH. ONE PARTICIPANT WAS QUOTED, "I WILL BE LOOKING MUCH MORE DEEPLY INTO WHAT I PUT INTO MY BODY SO I CAN GET OUT OF IT WHAT I NEED TO GET." AN AVERAGE OF 1308 INDIVIDUALS MONTHLY BENEFITED FROM THE YEAR-ROUND PRODUCE OPTION PROVIDED THROUGH LOVE, INC. WHICH IS ABOUT 333 LESS THAN THE MONTHLY AVERAGE IN 2020, BUT 240 MORE PEOPLE THAN IN 2019. DINING WITH DIABETES IN PARTNERSHIP WITH PURDUE EXTENSION WAS ABLE TO OFFER ONE SERIES OF FOUR CLASSES AT A LOCAL SENIOR LIVING COMMUNITY. THE COURSE HAD FIVE PARTICIPANTS. ONE HUNDRED PERCENT OF ATTENDEES ADOPTED ONE OR MORE PRACTICES TO IMPROVE FOOD CHOICES AND/OR ACTIVITY LEVELS THREE MONTHS FOLLOWING THE PROGRAM. EVERYONE COULD ALSO VERBALIZE AT LEAST ONE NEW THING THEY LEARNED DURING THE SERIES WITH REGARDS TO THE RELATIONSHIP BETWEEN NUTRITION AND HEALTH. DINING WITH DIABETES WAS UNABLE TO BE FACILITATED THE LAST HALF OF THE YEAR DUE TO SCHEDULING CONFLICTS AND COVID RESTRICTIONS.BLESSINGS IN A BACKPACK IS WORKING AT COMBATING FOOD INSECURITY BY FEEDING, ON AVERAGE, 391 ELEMENTARY STUDENTS WEEKLY THROUGHOUT 2021 (UP FROM 20 CHILDREN IN 2011 AND 376 DURING 2020). SURVEYS INDICATED THAT 58 PERCENT OF TEACHERS FELT FOOD PROVIDED HELPS CHILDREN IMPROVE IN THE CLASSROOM. THOSE TEACHERS THAT COULD NOT CONFIRM AN IMPROVEMENT STATED THE PROGRAM THOUGH IS A CRITICAL NEED FOR STUDENTS, SO THEY DO NOT GO HUNGRY. THE STUDENT SURVEY SHOWED STUDENTS ENJOY THE FOOD PROVIDED AND SHARE WITH THEIR FAMILY. PARKVIEW HUNTINGTON FAMILY YMCA YOUTH MEMBERSHIPS WERE PROVIDED TO 98 STUDENTS (UP FROM 86 STUDENTS IN 2020) OR 8.2 PERCENT OF HUNTINGTON COUNTY YOUTH IN GRADES 6-8TH (AN ADDITIONAL 50.2 PERCENT STUDENTS ALREADY HAD MEMBERSHIPS). MORE THAN 82 PERCENT OF THOSE THAT WERE AWARDED MEMBERSHIPS CHECKED IN ON AVERAGE TWO DAYS PER WEEK FOR A TOTAL OF 1517 VISITS TO THE YMCA DURING 2021. THE YMCA HAD HOPED 10 PERCENT OF THIS AGE GROUP WOULD PARTICIPATE IN A YMCA AFTER-SCHOOL PROGRAM AND THIS WAS EXCEEDED WITH ABOUT 25 PERCENT DOING SO. PARKVIEW BOYS & GIRLS CLUB OF HUNTINGTON COUNTY HAD 36 CLUB MEMBERS PARTICIPATED IN THE SUMMER COOKING CLUB BETWEEN THE HUNTINGTON AND WARREN SITES IN JUNE OF 2021 IN WHICH THEY LEARNED TO MAKE HEALTHY SNACKS AND DINNERS FIVE DAYS A WEEK FOR GRADES K-5TH. THE SMART GIRLS AND G2M MALE PROGRAMS REACHED GRADE LEVELS 6-12TH FOR TWO HOURS PER WEEK FOR EIGHT WEEKS ALSO WITH A FOCUS ON HEALTHY MEALS AND SNACKS. ONE HUNDRED AND FIFTY-EIGHT MEMBERS (ABOUT 70 PERCENT OF THE AVERAGE NUMBER OF DAILY CLUB MEMBERS) PARTICIPATED IN 60 MINUTES OF PHYSICAL ACTIVITY THREE DAYS PER WEEK, AND 32 GIRLS (UP FROM 20 GIRLS IN 2020) PARTICIPATED IN DANCE CLUB WHICH MEETS FOR AN HOUR A DAY, THREE DAYS PER WEEK. THE HOSPITAL'S "MY WELL-BEING" COMMITTEE PROVIDES RESOURCES FOR CO-WORKERS TO ENABLE THEM TO BE GOOD EXAMPLES FOR THE REST OF THE COMMUNITY. IN COLLABORATION WITH OTHER COMMUNITY LEADERS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S OTHER VAST PRIORITY OF SUBSTANCE USE DISORDER/MENTAL HEALTH GOAL IS TO ADDRESS SUBSTANCE ABUSE AND BREAK THE STIGMA OF MENTAL HEALTH IN HUNTINGTON COUNTY WITH THE SMART OBJECTIVE OF IMPROVING KNOWLEDGE AND/OR BEHAVIOR RELATED TO SUBSTANCE ABUSE AND MENTAL HEALTH IN 100 PERCENT OF PROGRAM PARTICIPANTS. ANTICIPATED IMPACT IS THE IMPROVED PHYSICAL, MENTAL, AND FINANCIAL WELL-BEING OF AREA RESIDENTS. PARTNERS ARE WORKING TO PREVENT AND TREAT ADDICTION AT ALL AGES. THROUGH YOUTH SERVICES BUREAU OF HUNTINGTON COUNTY 100 PERCENT OF 79 ADULTS AND 289 SEVENTH GRADERS WHO PARTICIPATED IN A SUICIDE PREVENTION PROGRAM DEMONSTRATED AN INCREASE IN KNOWLEDGE. IN ADDITION, FOUR COMMUNITY EVENTS WERE HELD IN WHICH 117 ADULTS PARTICIPATED AND A TOTAL OF 1755 SUICIDE PREVENTION INFORMATIONAL CARDS WERE DISTRIBUTED. THE CRISIS PHONE LINE WAS STAFFED 24/7 IN 2021, AND YOUTH WERE PROVIDED WITH IMMEDIATE CRISIS INTERVENTION AS NEEDED (51 UTILIZED THE COMMUNITY PROTOCOL WITH 100 PERCENT HAVING A SAFETY PLAN IN PLACE). THIRTY-SEVEN PARKVIEW BOYS & GIRLS CLUB MEMBERS BETWEEN THE AGES OF 6 AND 12 FINISHED AN EVIDENCE-BASED LIFE SKILLS PROGRAM IN WHICH 89 PERCENT STATED, "MOST DAYS, I AM PROUD OF THE WAY I AM LIVING MY LIFE." FIRST THROUGH FIFTH GRADERS PARTICIPATED IN A SIMILAR PROGRAM, 91 OUT OF 102 PARTICIPANTS REPLIED AGREE OR STRONGLY AGREE TO THE STATEMENT "UNDERSTANDING WHO YOU ARE AND STANDING UP FOR WHAT YOU BELIEVE, MEANS THAT YOU HAVE STRONG SELF-ESTEEM." (SEE PART V, SECTION B, LINE 11 CONT'D: FOR CONTINUATION OF NARRATIVE)
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.
PART V, SECTION B, LINE 11 CONT'D:	THE WALK AWAY PROGRAM AT THE HIGH SCHOOL WAS DESIGNED THREE YEARS AGO FOR THOSE WANTING TO "WALK AWAY" FROM ANXIETY, DEPRESSION, EXTRA WEIGHT, SCHOOL AND HOME DRAMA. IN 2021 THE PROGRAM WAS EXTENDED TO ONE OF THE MIDDLE SCHOOLS WHICH WILL CREATE A CONTINUITY AS THOSE STUDENTS IN 8TH GRADE WILL FIND A HOME IN THE HIGH SCHOOL PROGRAM. PARTICIPANTS WERE ABLE TO MEET EVERY WEEK SCHOOL WAS IN SESSION DURING 2021. THREE STUDENTS ATTENDED FAITHFULLY AND AN ADDITIONAL THREE CAME ON A SEMI-REGULAR BASIS. PURDUE EXTENSION EMPLOYEES CONTINUE TO WALK AND ARE MENTORS TO THE STUDENTS. AS A RESULT OF A REFERRAL MADE TO A SCHOOL COUNSELOR BASED ON INFORMATION SHARED DURING A WALKING SESSION, ONE OF THE STUDENTS WAS ABLE TO CONNECT WITH COUNSELING SERVICES THROUGH THE BOWEN CENTER AND RESTART MEDICATION THEY HAD PREVIOUSLY STOPPED TAKING. PLACE OF GRACE TRANSITIONAL HOME SERVES WOMEN REENTERING THE COMMUNITY AFTER INCARCERATION. NINETY-SIX PERCENT OF GRADUATES WERE GAINFULLY EMPLOYED BY GRADUATION, AND 100 PERCENT SINCE 2020 REPORTED AN INCREASE IN KNOWLEDGE OF COMMUNITY RESOURCES AND AN INCREASE IN SELF-ESTEEM BECAUSE OF PROGRAMING OFFERED. DUE TO COVID THE BOWEN CENTER WAS UNABLE TO GO INTO THE JAIL THE FIRST HALF OF THE YEAR. THIRTY MORAL RECONATION THERAPY (MRT) WORKBOOKS WERE PURCHASED AND GIVEN TO INDIVIDUALS SEEKING SUBSTANCE USE TREATMENT IN THE OUTPATIENT AND JAIL SETTING. FUNDS ALSO HELPED THREE INDIVIDUALS TO PAY FEES TO CONTINUE IN SUBSTANCE USE TREATMENT WHEN FINANCIAL HARDSHIPS OCCURRED DUE TO COVID.CO-PARENTING FOR SUCCESSFUL KIDS BENEFITED SEVEN PARTICIPANTS AT PLACE OF GRACE DESIGNED TO HELP FAMILIES COPE WITH DIVORCE AND CUSTODY. ONE HUNDRED PERCENT KNOWLEDGE INCREASE IN ALL AREAS: HOW CHILDREN ARE AFFECTED BY DIVORCE, WHAT I CAN DO TO HELP MY CHILD(REN) ADJUST TO DIVORCE, HOW TO USE "I" MESSAGES, AND HOW TO KEEP MY CHILD(REN) "OUT OF THE MIDDLE" OF CONFLICT. INTENDED BEHAVIOR CHANGE: 100 PERCENT INTEND TO HELP THEIR CHILD ADJUST TO DIVORCE BASED ON THEIR AGES AND STAGES, TO USE "I" MESSAGES MORE FREQUENTLY, TO STOP CRITICIZING THE OTHER PARENT IN FRONT OF THEIR CHILD(REN), TO USE STRATEGIES LEARNED IN CLASS TO KEEP THEIR CHILD(REN) "OUT OF THE MIDDLE" OF CONFLICT, TO DEVELOP AND FOLLOW A CHILD-FOCUSED CO-PARENTING PLAN, AND TO STOP ASKING THEIR CHILD(REN) TO RELAY MESSAGES TO THE OTHER PARENT. EIGHTY-FIVE PERCENT INTEND TO SEARCH FOR POSITIVES IN THEIR CHILD(REN)'S OTHER PARENT TO POINT OUT TO CHILD. AN OVERDOSE AWARENESS DAY VIGIL TOOK PLACE ON AUGUST 31ST ON NATIONAL OVERDOSE AWARENESS DAY. OVER 120 PERSONS ATTENDED TO HONOR LOVED ONES LOST TO OVERDOSE, HEAR FROM PERSONS IMPACTED BY OVERDOSE, AND RECEIVE INFORMATION FROM LOCAL SUBSTANCE ABUSE PROVIDERS. INFORMATION WAS PROVIDED TO ALL ATTENDEES REGARDING LOCAL RESOURCES FOR PERSONS IN RECOVERY AND THEIR LOVED ONES. OTHER HEALTH NEEDS NOT BEING ADDRESSED:A. DIABETES, CARDIOVASCULAR DISEASE, AND CANCER -- WHILE HUNTINGTON MEMORIAL HOSPITAL, INC., DID NOT SELECT THESE CHRONIC DISEASES AS TOP HEALTH PRIORITIES, OUR INTENT IS TO HELP TO PREVENT AND REDUCE THE PRESENCE OF CHRONIC CONDITIONS SUCH AS THE AFOREMENTIONED DISEASES BY ADDRESSING OBESITY THROUGH NUTRITION EDUCATION, INCREASED ACCESS TO HEALTHY FOODS, ACTIVE LIVING PROGRAMS, AND EDUCATION ON OTHER HEALTHY LIFESTYLE HABITS.B. MATERNAL/INFANT/CHILD HEALTH -- PRENATAL CARE IS OFFERED BY HUNTINGTON MEMORIAL HOSPITAL, INC., VIA THE BIRTH PLANNING PROGRAM. WIC AND KIDS KAMPUS ALSO PROVIDE SERVICES. C. HEALTHCARE ACCESS (COST AND QUALITY) -- HUNTINGTON MEMORIAL HOSPITAL, INC., COLLABORATES WITH PARKVIEW PHYSICIANS GROUP (PPG) TO PROVIDE THE MEDICAL COVERAGE NEEDED FOR THE COMMUNITY. IF AN INDIVIDUAL DOES NOT HAVE A LOCAL PRIMARY CARE PHYSICIAN, THEY ARE PROVIDED WITH A LIST OF THE LOCAL PHYSICIANS AND THEIR CONTACT NUMBERS. MATTHEW 25 HEALTH AND CARE, BASED IN FORT WAYNE, HAS A SATELLITE OFFICE IN THE HUNTINGTON COMMUNITY TO WHICH PPG OFFICES AND THE HOSPITAL CAN REFER PEOPLE WHO DO NOT HAVE HEALTH INSURANCE. D. CHRONIC KIDNEY DISEASE -- MAJOR RISK FACTORS RELATED TO CHRONIC KIDNEY DISEASE ARE DIABETES, HIGH BLOOD PRESSURE, AND AGE (60 AND OLDER). BY DECREASING OBESITY, THE HOSPITAL AND ITS COMMUNITY PARTNERS ARE WORKING TO ADDRESS SUCH RISK FACTORS. E. ASTHMA -- PATHFINDER KIDS KAMPUS -- A HUNTINGTON MEMORIAL HOSPITAL, INC., FUNDED PARTNER -- PROVIDES KIDS KLINIC, WHICH ADDRESSES THE NEEDS OF CHILDREN WITH ASTHMA. F. AGING - HUNTINGTON MEMORIAL HOSPITAL, INC., SUPPORTS PROGRAMMING THROUGH THE HUNTINGTON COUNTY COUNCIL ON AGING, A FUNDED PARTNER, WHICH IS INVOLVED WITH THE LOCAL HEALTH & WELLNESS COALITION.

Supplemental Information Detail SupplementalInformationDetail (16 entries)

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PART I, LINE 3C:	EQUITY IN A HOME OTHER THAN THE PATIENT OR GUARANTOR'S PRIMARY RESIDENCE.
PART I, LINE 6A:	THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); 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 7BHUNTINGTON MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7CHUNTINGTON MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEANS-TESTED PATIENTS FROM THE HEALTHY INDIANA PLAN (HIP) WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEANS-TESTED PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING HIP, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED HIP COST REPORTED ON LINE 7C IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE HIP CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF HIP SERVICES RENDERED. THEN, THE COST OF HIP SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR HIP PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7GAMOUNTS PRESENTED DO NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, HUNTINGTON MEMORIAL 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 EXPENSEHUNTINGTON MEMORIAL HOSPITAL, INC. EXCLUDED $7,445,946 OF PH CLINICAL SUPPORT EXPENSE.
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 12 AND 23 - 26 OF ATTACHED FINANCIAL STATEMENTS.
PART III, LINE 8:	COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. HUNTINGTON MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, HUNTINGTON MEMORIAL HOSPITAL, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. HUNTINGTON MEMORIAL HOSPITAL, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION.
PART III, LINE 9B:	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 HEALTH SYSTEM, INC., INCLUDING HUNTINGTON MEMORIAL HOSPITAL, INC., ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, WORKING WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND ITS FRONTLINE STAFF.- DATA COLLECTION FROM COMMUNITY HEALTH WORKERS- HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA- MEETING WITH COMMUNITY PARTNERS- OBSERVATIONS FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS- REVIEW OF CHNA CONDUCTED BY LOCAL ORGANIZATIONSHOSPITAL REPRESENTATIVES MAINTAIN ONGOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE 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.HUNTINGTON MEMORIAL HOSPITAL, INC., PRIMARILY SERVES THE HUNTINGTON COUNTY COMMUNITIES OF HUNTINGTON, ANDREWS, MARKLE, MT. ETNA, ROANOKE AND WARREN. ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (2019), HUNTINGTON COUNTY HAD APPROXIMATELY 36,520 RESIDENTS, PRIMARILY WHITE (96.7 PERCENT), FOLLOWED BY HISPANIC (2.8 PERCENT) AND BLACK (.08 PERCENT). THE PERCENTAGE OF THE COUNTY'S UNEMPLOYED WORKERS IN CIVILIAN LABOR FORCE WAS 2% PERCENT (2022). THE MEDIAN HOUSEHOLD INCOME IN HUNTINGTON COUNTY WAS $54,286 (2016-2020). THE PERCENTAGE OF PEOPLE LIVING BELOW THE POVERTY LEVEL IN HUNTINGTON COUNTY WAS 11.1% (2016-2020). ACCORDING TO STATS INDIANA, THE EMPLOYMENT AND EARNINGS BY INDUSTRY WAS HEAVILY MANUFACTURING-BASED (25.6 PERCENT) FOLLOWED BY HEALTHCARE/SOCIAL SERVICES (12.1 PERCENT) AND RETAIL TRADE (9.2 PERCENT). THE POPULATION OF HUNTINGTON COUNTY THAT ARE UNINSURED IS 10% PERCENT ACCORDING TO COUNTY HEALTH RANKINGS (2019). ACCORDING TO WWW.DATAUSA.IO. OF THOSE WITH INSURANCE, 10.4 PERCENT ARE ON MEDICAID.ACCORDING TO THE INDIANA HOSPITAL ASSOCIATION DIMENSIONS DATABASE, HUNTINGTON MEMORIAL HOSPITAL, INC., HAD 23.6% OF INPATIENT DISCHARGES THAT WERE MEDICAID PATIENTS AND 2.1% WERE SELF-PAY. FOR OUTPATIENT PROCEDURES, 21.1% WERE MEDICAID PATIENTS, AND 2.8% WERE SELF-PAY (2021)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). HRSA HAS DESIGNATED THE FOLLOWING:1) COUNTIES: HUNTINGTON, KOSCIUSKO, MARSHALL, WABASH AND WHITLEY COUNTYDISCIPLINE: MENTAL HEALTHHPSA ID: 7186918305HPSA NAME: MENTAL HEALTH CATCHMENT AREA 28 - WARSAWDESIGNATION TYPE: GEOGRAPHIC HPSAHPSA FTE SHORT: 11.02HPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL
PART VI, LINE 5:	PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).THE HUNTINGTON MEMORIAL HOSPITAL, INC., BOARD OF DIRECTORS COMPRISES INDEPENDENT COMMUNITY MEMBERS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON HUNTINGTON MEMORIAL HOSPITAL, INC., TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENT IS STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS EVER DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY. ADDITIONALLY, HUNTINGTON MEMORIAL HOSPITAL, INC., FUNDS COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND PARTNERS WITH COMMUNITY ORGANIZATIONS TO ENCOURAGE HEALTHIER LIFESTYLES AMONG THE CITIZENS OF NORTHEAST INDIANA. KEY PROJECTS AND AREAS OF FOCUS FUNDED THROUGH THE COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND OTHER HOSPITAL FUNDS INCLUDE:-CANCER SERVICES OF HUNTINGTON COUNTY HELPED 24 CLIENTS IN 2021 (19 OF WHICH WERE NEW TO THEIR PROGRAM) WITH REGARD TO MILEAGE REIMBURSEMENT AND PRESCRIPTION DRUG ASSISTANCE. -CANCER SERVICES OF NORTHEAST INDIANA SERVED 213 CLIENTS IN 2021 DISTRIBUTING HEALTHCARE SUPPLIES, WIGS, HATS, SCARVES, NUTRITIONAL SUPPLEMENTS, AND DURABLE MEDICAL EQUIPMENT ITEMS. EDUCATION AND WELLNESS PROGRAMMING INCLUDED BUT WAS NOT LIMITED TO SUPPORT GROUPS, FINANCIAL COACHING, NUTRITION, MASSAGE, TAI CHI, YOGA, AND STRETCHING.-THE HUNTINGTON COUNTY COUNCIL ON AGING PROVIDED 96.5% OF TRANSPORTATION REQUESTED AND PROVIDED 30,769 TRIPS IN 2021.-HUNTINGTON MEMORIAL HOSPITAL, INC. HOURLY AND SALARIED STAFF MEMBERS SUPPORTED THE HUNTINGTON COUNTY COVID VACCINE CLINIC IN 2021 LOGGING 261.5 HOURS. -HUNTINGTON MEMORIAL HOSPITAL, INC. TEAM MEMBERS LOGGED OVER 200 HOURS SERVING ON PROJECTS AND ADVISORY BODIES FOR THE FOLLOWING: PATHFINDER SERVICES, EMPOWERING HUMANITIES, YOUTH SERVICES BUREAU, HEALTHY FAMILIES, NORTHERN INDIANA LACTATION CONSULTANT ASSOCIATION, UNITED WAY OF HUNTINGTON COUNTY, LOVE INC, KIDS CAMPUS HEALTH, TEEN SUICIDE PREVENTION TASK FORCE, SPECIAL OLYMPICS, HUNTINGTON COUNTY HEALTH AND WELLNESS COALITION AND FOOD RESOURCE GROUPS, AND PLACE OF GRACE.
PART VI, LINE 6:	IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.: COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; DEKALB MEMORIAL HOSPITAL, INC.; PARK CENTER, INC, AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC.THE CORPORATE MISSION AND VISION IS AS FOLLOWS: AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY: 1) TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS; 2) DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY; 3) PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY; AND 4)"EXCELLENT CARE, EVERY PERSON, EVERY DAY."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 THE SEVEN-COUNTY AREA, THE HEALTH PRIORITY OF SUBSTANCE USE DISORDER/MENTAL HEALTH PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.PARKVIEW CONTRIBUTES TO THE OVERALL SUCCESS OF THE REGION THROUGH SIGNIFICANT INVOLVEMENT IN THE COMMUNITIES WE SERVE. BY DEVELOPING VARIOUS PARTNERSHIPS AND ALIGNMENTS WITH DIFFERENT SECTORS AND ORGANIZATIONS, PARKVIEW HELPS TO BENEFIT THE ECONOMY, QUALITY OF LIFE AND HEALTH/WELL-BEING ACROSS THE REGION. WITH A CONSISTENT FOCUS ON OUR MISSION AND VISION, WE WORK TO PROVIDE THE BEST CARE TO EVERY PERSON, EVERY DAY WITHIN OUR FACILITIES WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS IN OUR EFFORTS TO POSITIVELY 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 V, SECTION B, LINE 19:	DISCLOSURE STATEMENT FOR CORRECTION SECTION 501(R) OMISSIONS, ERRORS AND OTHER FAILURES PURSUANT TO INTERNAL REVENUE SERVICE REVENUE PROCEDURE 2015-21. IN JANUARY AND FEBRUARY 2021, THE ORGANIZATION'S INTERNAL AUDIT DEPARTMENT PERFORMED A COMPREHENSIVE REVIEW OF ALL APPLICABLE POLICIES AND PRACTICES UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE AND THE TREASURY REGULATIONS ISSUED THEREUNDER. THE AUDIT PERIOD WAS AUGUST 1, 2020, THROUGH DECEMBER 31, 2020. AS A RESULT OF THE AUDIT, MINOR POLICY CHANGES WERE MADE, AND MINOR PROCEDURAL CHANGES RELATED TO SECTION 501(R) COMPLIANCE WERE IMPLEMENTED.ALSO, IT WAS DETERMINED THAT 55 PATIENT ACCOUNTS WERE PRESUMPTIVELY DETERMINED TO BE ELIGIBLE FOR LESS-THAN-100% FINANCIAL ASSISTANCE, WERE NOT NOTIFIED REGARDING THE WAY TO APPLY FOR MORE GENEROUS ASSISTANCE UNDER THE FAP AND WERE INADVERTENTLY SUBJECT TO ADVERSE CREDIT REPORTING. THE ADVERSE CREDIT REPORTING, HOWEVER, WAS IMMEDIATELY REMOVED IN MAY 2021. IN ADDITION TO THE FINANCIAL ASSISTANCE NOTIFICATION ON ALL PATIENT STATEMENTS, THE HOSPITAL FACILITY INSTITUTED PROCEDURES TO PROVIDE WRITTEN NOTICE TO PATIENTS WHO RECEIVE PARTIAL PRESUMPTIVE FINANCIAL ASSISTANCE THAT INFORMS THE INDIVIDUAL REGARDING THE BASIS FOR THE PRESUMPTIVE FAP ELIGIBILITY DETERMINATION AND THE WAY TO APPLY FOR MORE GENEROUS ASSISTANCE DURING THE APPLICATION PERIOD.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt
HUNTINGTON COUNTY COUNCIL ON AGING INC
354 NORTH JEFFERSON STREET	HUNTINGTON	IN	46750	351323270	501(C)(3)	$30,000	$0	HUNTINGTON AREA TRANSPORTATION AND PROGRAMMING
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS ROAD	HUNTINGTON	IN	46750	320012095	501(C)(3)	$16,034	$0	OPERATIONS AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES
LOVE IN THE NAME OF CHRIST OF HUNTINGTON COUNTY INC
715 BRYON STREET	HUNTINGTON	IN	46750	311144508	501(C)(3)	$10,000	$0	ASSISTANCE PROGRAM FOR THOSE IN NEED
PARKVIEW HUNTINGTON FAMILY YMCA INC
1160 WEST 500 NORTH	HUNTINGTON	IN	46750	350905959	501(C)(3)	$9,000	$0	PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL
BLESSINGS IN A BACKPACK INC
4121 SHELBYVILLE ROAD	LOUISVILLE	KY	40207	261964620	501(C)(3)	$6,000	$0	RESOURCES TO PROVIDE FOOD FOR ELEMENTARY SCHOOL CHILDREN WHO MIGHT OTHERWISE GO HUNGRY
BOYS AND GIRLS CLUB OF HUNTINGTON COUNTY INC
608 EAST STATE STREET	HUNTINGTON	IN	46750	352094506	501(C)(3)	$6,000	$0	LIFE SKILLS PROGRAMS FOR ALL YOUNG PEOPLE

Field	Value	IRS element (for citing)
Total501c3 Org	6	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Discretionary Spending Acct	Yes (X)	DiscretionarySpendingAcctInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL PACKNETT
DIRECTOR/PH PRESIDENT & CEO	$0	$1,220,966	$0	$259,085	$0	$557,555	$0	$292,805	$0	$33,268	$0	$2,363,679	$0	$507,042
JEANNE' WICKENS
PH CHIEF FINANCIAL OFFICER	$0	$770,820	$0	$142,288	$0	$146,528	$0	$320,169	$0	$29,811	$0	$1,409,616	$0	$124,406
STEVEN WYNDER
FORMER OFFICER/PH PHYSICIAN	$0	$811,775	$0	$95,691	$0	$36,596	$0	$31,900	$0	$27,380	$0	$1,003,342	$0	$0
JULI JOHNSON
DIRECTOR-PARTIAL YR/PH CNE	$41,963	$264,954	$0	$34,233	$36,354	$0	$14,072	$53,759	$6,016	$22,982	$98,405	$375,928	$33,918	$0
JULIE UTENDORF
DIRECTOR/PH PHYSICIAN	$18,442	$297,053	$0	$53,292	$0	$5,018	$1,574	$30,326	$1,628	$31,373	$21,644	$417,062	$0	$0
TODD SIDER
HMHOS CMO COMMUNITY HOSPITALS	$64,634	$129,007	$12,659	$0	$60,320	$0	$15,510	$14,540	$15,217	$14,266	$168,340	$157,813	$0	$0
DOUGLAS SELIG
DIRECTOR/HMHOS PRESIDENT	$185,179	$0	$28,385	$0	$28,765	$0	$51,496	$0	$26,284	$0	$320,109	$0	$0	$0
BRYAN HALL
HMHOS MGR PHARMACY	$151,677	$0	$10,514	$0	$802	$0	$15,199	$0	$31,218	$0	$209,410	$0	$0	$0
STEVEN HOMRICH
HMHOS PHARMACIST	$119,436	$30,586	$3,250	$0	$616	$158	$8,686	$2,166	$9,726	$2,425	$141,714	$35,335	$0	$0
ALISON PERSHING
HMHOS VP PAT CARE SVCS	$68,980	$52,224	$7,786	$0	$7,635	$0	$5,295	$3,276	$15,744	$9,742	$105,440	$65,242	$0	$0
EDWARD STRUBEL
HMHOS PHARMACIST	$114,330	$2,642	$3,056	$0	$616	$14	$14,554	$328	$24,659	$555	$157,215	$3,539	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: TODD SIDER $2,100
PART I, LINE 3	RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF HUNTINGTON MEMORIAL HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC.
PART I, LINE 4B	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): JULI JOHNSON $33,918; MICHAEL PACKNETT $507,042; JEANNE' WICKENS $124,406 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 $507,042 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: JULI JOHNSON $37,381; MICHAEL PACKNETT $260,905; DOUGLAS SELIG $24,367; JEANNE' WICKENS $299,869
PART I, LINE 7	MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. SYSTEM GOALS ARE APPROVED BY THE BOARD. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES FINAL PAYMENT.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	HEATHER ECKERT	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER OF DIRECTOR MATT ECKERT	RelationshipDescriptionTxt
Transaction	$28,729	TransactionAmt
Transaction	EMPLOYEE HEATHER ECKERT RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM HUNTINGTON MEMORIAL HOSPITAL, INC.	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A:	- RECOGNIZED AS AN INSPIRE HOSPITAL OF DISTINCTION FOR 2021 BY THE INDIANA HOSPITAL ASSOCIATION, IN PARTNERSHIP WITH GOVERNOR ERIC HOLCOMB AND STATE HEALTH COMMISSIONER KRIS BOX, FACOG, FOR ITS EXCELLENCE IN CARING FOR MOTHERS AND BABIES, HAVING IMPLEMENTED BEST PRACTICES IN SIX KEY AREAS THAT ARE DRIVERS OF INFANT AND MATERNAL HEALTH - NAMED ONE OF THE NATION'S 100 TOP HOSPITALS BY IBM WATSON HEALTH -- RECEIVED IN 2020 FOR THE SEVENTH TIME - NAMED ONE OF THE TOP 100 RURAL & COMMUNITY HOSPITALS IN THE UNITED STATES BY THE CHARTIS CENTER FOR RURAL HEALTH -- RECEIVED IN 2020 FOR THE THIRD YEAR - NAMED ONE OF THE BEST PLACES TO WORK IN INDIANA BY THE INDIANA CHAMBER OF COMMERCE -- RECEIVED IN 2018 AND 2019 - NAMED ONE OF MODERN HEALTHCARE'S BEST PLACES TO WORK IN HEALTHCARE -- RECEIVED IN 2018 AND 2019 - NAMED ONE OF THE BECKER'S HOSPITAL REVIEW 100 GREAT COMMUNITY HOSPITALS -- RECEIVED IN 2019 FOR THE FIFTH CONSECUTIVE YEAR HOSPITAL SERVICES SERVICES INCLUDE: - FULL-SERVICE, 24-HOUR EMERGENCY DEPARTMENT WITH EIGHT TREATMENT ROOMS, ONE TRAUMA BAY AND A "SAFE ROOM" FOR PATIENTS WHO MAY BE EXPERIENCING A BEHAVIORAL HEALTH CRISIS - TWO SURGICAL SUITES, ONE ENDOSCOPY ROOM, EIGHT PRE-/POST-OP ROOMS AND THREE RECOVERY ROOMS - MEDICAL INFUSION UNIT PROVIDING OUTPATIENT MEDICATIONS, INFUSIONS, TRANSFUSIONS AND CENTRAL LINE CARE UNDER THE SUPERVISION OF A DEDICATED RN - FAMILY BIRTHING CENTER WITH SIX PRIVATE LABOR/DELIVERY/RECOVERY/POSTPARTUM ROOMS - REHABILITATION AND WELLNESS SERVICES INCLUDING ADULT AND PEDIATRIC PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, DIABETES EDUCATION, MEDICAL NUTRITION THERAPY, AND CARDIAC AND PULMONARY REHAB - FULL-SERVICE LAB AND PHARMACY, INCLUDING AN ATU CLINIC FOR PATIENTS TAKING BLOOD THINNERS - A SLEEP DISORDERS LAB OFFERING TWO PATIENT ROOMS FOR OVERNIGHT, ON-SITE SLEEP STUDIES AND INSTRUCTION FOR PATIENTS RECEIVING HOME SLEEP STUDIES - AN OUTPATIENT CENTER FOR WOUND HEALING OFFERING BIOLOGIC AND BIOSYNTHETIC DRESSINGS, GROWTH FACTOR THERAPIES, NEGATIVE PRESSURE THERAPY, DEBRIDEMENT AND HYPERBARIC OXYGEN THERAPY - DIAGNOSTIC IMAGING SERVICES: 3D MAMMOGRAPHY, 3D AND 4D ULTRASOUND, CT SCAN, MRI, NUCLEAR MEDICINE, DEXA SCAN, EKG, EEG AND CARDIOPULMONARY PROCEDURES, VASCULAR SCREENING AND FLUOROSCOPY - ON-SITE CLINIC HOUSING SPECIALTY PHYSICIANS WHO TRAVEL TO HUNTINGTON ON SCHEDULED DAYS TO ACCOMMODATE THE NEEDS OF PATIENTS FOR CONSULTATIONS, FOLLOW-UP VISITS AND/OR PROCEDURES IN A NUMBER OF MEDICAL SPECIALTIES - PRIMARY CARE AND SPECIALTY SERVICES ON THE HOSPITAL CAMPUS AND IN NEARBY LOCATIONS COMMUNITY-FOCUSED AS A NOT-FOR-PROFIT HOSPITAL, MISSION IS CENTRAL TO HOW THE STAFF DELIVERS CARE. HUNTINGTON MEMORIAL HOSPITAL, INC., EXISTS TO IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF SURROUNDING COMMUNITIES. HUNTINGTON MEMORIAL HOSPITAL, INC., SUPPORTS THE NEEDS OF PEOPLE IN HUNTINGTON COUNTY WITH CERTIFIED NURSING STAFF, HEALTH EDUCATION AND OUTREACH PROGRAMS, AND FREE AND DISCOUNTED MEDICAL CARE. THE FIVE PROGRAMS LISTED HERE DEMONSTRATE SOME OF THE WAYS IN WHICH HUNTINGTON MEMORIAL HOSPITAL, INC., REACHES OUT TO NEIGHBORHOODS AND HELPS AREA RESIDENTS CREATE HEALTHIER LIVES. FINANCIAL ASSISTANCE HUNTINGTON MEMORIAL HOSPITAL, INC., IS COMMITTED TO MAKING MEDICALLY NECESSARY HEALTHCARE ACCESSIBLE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS WHOSE FAMILY INCOME DOES NOT EXCEED TWICE THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE PATIENT ACCESS TEAM INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY AS PART OF THE REGISTRATION PROCESS. THE HOSPITAL COMMITS TO PROVIDING THE BEST POSSIBLE CARE TO ALL. COMMUNITY HEALTH IMPROVEMENT INITIATIVES THE PURPOSE OF HUNTINGTON MEMORIAL HOSPITAL, INC.'S COMMUNITY HEALTH IMPROVEMENT PROGRAM IS TO FUND COMMUNITY HEALTH IMPROVEMENT EFFORTS WITHIN THE HOSPITAL'S SERVICE AREA. THE HOSPITAL SETS ASIDE FUNDS ANNUALLY TO SUPPORT PROGRAMS OF SELECTED COMMUNITY HEALTH PARTNERS THAT ALIGN WITH HEALTH PRIORITIES IDENTIFIED PERIODICALLY BY THE COMMUNITY HEALTH NEEDS ASSESSMENT. WITH ITS COMMUNITY HEALTH PARTNERS PROGRAM, HUNTINGTON MEMORIAL HOSPITAL, INC., INVESTS IN PROGRAMMING BY KEY ORGANIZATIONS THAT PROMOTE THE HEALTHY LIFESTYLE CHOICES AND WELL-BEING OF INDIVIDUALS, CHILDREN, AND FAMILIES OF HUNTINGTON COUNTY. IN CALENDAR YEAR 2021, THE HOSPITAL SELECTED 10 COMMUNITY AGENCIES OR ORGANIZATIONS WITH WHICH TO COLLABORATE IN ADDRESSING FOCUS AREAS: SUBSTANCE USE DISORDER/MENTAL HEALTH AND OBESITY. PRIMARY HEALTH CARE/ACCESS HUNTINGTON MEMORIAL HOSPITAL, INC., COLLABORATES WITH PARKVIEW PHYSICIANS GROUP (PPG) TO PROVIDE THE MEDICAL COVERAGE NEEDED FOR THE COMMUNITY. IF AN INDIVIDUAL DOES NOT HAVE A LOCAL PRIMARY CARE PHYSICIAN, THEY ARE PROVIDED WITH A LIST OF THE LOCAL PHYSICIANS AND THEIR CONTACT NUMBERS. MATTHEW 25 HEALTH AND CARE, BASED IN FORT WAYNE, HAS A SATELLITE OFFICE IN THE HUNTINGTON COMMUNITY TO WHICH PPG OFFICES AND THE HOSPITAL CAN REFER PEOPLE WHO DO NOT HAVE HEALTH INSURANCE. IN ADDITION, THE HOSPITAL PROVIDES SUPPORT FOR THE HUNTINGTON MEDICATION ASSISTANCE PROGRAM, WHICH ASSISTS THOSE WHO QUALIFY IN OBTAINING MEDICAL SUPPLIES AND PRESCRIPTION MEDICATIONS AT NO OR LOW COST. THE PROGRAM ALSO HELPS PATIENTS ENROLL IN PHARMACEUTICAL ASSISTANCE PROGRAMS. HEALTH SCREENING AND PREVENTION HUNTINGTON MEMORIAL HOSPITAL, INC., HISTORICALLY PARTICIPATED IN COMMUNITY HEALTH FAIRS AND ACTIVITIES THROUGHOUT THE YEAR TO PROVIDE HEALTH EDUCATION AND SCREENINGS FOR DISEASE PREVENTION, AND TO PROMOTE HEALTHY LIFESTYLES, BUT 2021 ONCE AGAIN CHALLENGED THESE ENDEAVORS WITH PANDEMIC SHUTDOWNS AND SOCIAL DISTANCING GUIDELINES. HUNTINGTON MEMORIAL HOSPITAL, INC., WAS ABLE TO COLLABORATE WITH PARKVIEW CENTER FOR HEALTHY LIVING TO SAFELY PROVIDE FOUR SOCIALLY DISTANCED, MASK-REQUIRED "CHECK-UP DAY" EVENTS TO PROVIDE REDUCED-COST LABORATORY WORK TO AREA RESIDENTS. ALMOST 200 HOURS OF STAFF TIME WAS SPENT IN 2021 AT OUR HUNTINGTON COUNTY COVID VACCINE CLINIC, ADMINISTERING VACCINES AND PROVIDING INFORMATION TO DISCOURAGE THE DISEASE SPREAD. HUNTINGTON MEMORIAL HOSPITAL, INC.'S EMERGENCY MANAGEMENT SERVICES (EMS) ALSO PLAY A VITAL ROLE IN THE COMMUNITY WITH REGARD TO HEALTH PREVENTION SERVICES. FORTY-FOUR HOURS WERE DEVOTED TO CPR AND AED TRAINING TO GROUPS INCLUDING CITY AND COUNTY POLICE AND FIRE AND HUNTINGTON UNIVERSITY NURSING STUDENTS. TWO HOURS WERE DEVOTED TO PEER SUPPORT TRAINING TO THE MT. ETNA FIRE DEPARTMENT AND AN ADDITIONAL TWO HOURS FOR SAMARITAN SCENE SAFETY TRAINING. SIXTY HOURS WERE SPENT FOR A FIRST RESPONDER CLASS FOR HUNTINGTON COUNTY. A SAFE PROM PROGRAM TOOK ONE HOUR. STOP THE BLEED CLASS FOR CITY AND COUNTY POLICE INVOLVED FOUR HOURS OF STAFF TIME. AN AMBULANCE REVIEW WITH MARKLE FIRE DEPARTMENT TOOK TWO HOURS, AND A PRESENTATION FOR COUNTY SCHOOL NURSES ABOUT FIRST-AID TRAINING ALSO INVOLVED TWO HOURS OF TIME. COMMUNITY NURSING HUNTINGTON MEMORIAL HOSPITAL, INC., AFFORDED 284 EXPECTANT PARENTS THE OPPORTUNITY TO ATTEND CHILDBIRTH CLASSES (IN PERSON OR VIRTUALLY) BY A REGISTERED NURSE WHO IS A CERTIFIED LACTATION CONSULTANT. THE CLASSES PROVIDE ANSWERS TO ANY QUESTIONS AN EXPECTANT MOTHER MAY HAVE; IN ADDITION, OTHER RESOURCES ARE AVAILABLE AT APPOINTMENTS WITH THE HOSPITAL'S BIRTH PLANNER. SOME 604 INDIVIDUALS ATTENDED BIRTH PLANNING APPOINTMENTS LAST YEAR (MAINLY VIRTUALLY). ADDITIONAL SUPPORT ONCE A BABY IS BORN INCLUDES THE BREASTFEEDING MOMS GROUP; EVERY WEDNESDAY, THE HOSPITAL LACTATION CONSULTANT PROVIDES WEIGHT CHECKS FOR INFANTS AND ANSWERS ANY QUESTIONS THE MOTHERS HAVE. THIS GROUP HELPED 80 MOMS, BABIES AND SIBLINGS IN 2021. VIRTUAL BREASTFEEDING CLASSES REACHED 192 SOON-TO-BE PARENTS. ANOTHER VIRTUAL COURSE ABOUT PARENTING AND BABY CARE REACHED 162 INDIVIDUALS IN 2021.
FORM 990, PART III, LINE 4A CONT'D FROM ABOVE:	THE HOSPITAL'S EXTERNAL PARTNER WIC PROVIDES FOOD VOUCHERS FOR PREGNANT MOTHERS AND INFANTS IN NEED. EXPECTANT PARENTS ALSO HAVE THE OPPORTUNITY, THROUGH YOUTH SERVICES BUREAU (YSB) OF HUNTINGTON COUNTY, TO RECEIVE INCENTIVES SUCH AS CAR SEATS AND SAFETY ITEMS BY PARTICIPATING IN HEALTHY ACTIVITIES (WIC PRENATAL CLASSES, IMMUNIZATIONS, MENTAL HEALTH SERVICES, ETC.). AS PART OF YSB'S "ON YOUR WAY UP" PROGRAM, 19 CAR SEATS WERE DISTRIBUTED, AND PROPER INSTALLATION INSTRUCTIONS WERE PROVIDED, IN 2021. ALSO IN 2021, PARKVIEW PHYSICIANS GROUP PHYSICIANS AND HUNTINGTON MEMORIAL HOSPITAL, INC., CO-WORKERS WHO IDENTIFIED A NEED FOR SMOKING CESSATION AID REFERRED PATIENTS TO APPROPRIATE RESOURCES. DURING HOSPITAL ADMISSIONS, PATIENTS ARE ASKED SCREENING QUESTIONS REGARDING TOBACCO USE AND OFFERED HELP. THE TRANSITIONAL CARE NURSE PROVIDES RESOURCES INCLUDING THE 1-800-QUIT-NOW PAMPHLET AND ENCOURAGES THEM TO CALL THE PHONE NUMBER PROVIDED. THIS PROGRAM PROVIDES NICOTINE PATCHES AND GUM FREE OF CHARGE FOR THOSE WHO QUALIFY. PREVIOUSLY, THE PARKVIEW HUNTINGTON FAMILY YMCA OFFERED SMOKING CESSATION CLASSES, BUT THOSE WERE DISCONTINUED IN LATE 2016. HUNTINGTON MEMORIAL HOSPITAL, INC., IDENTIFIED THIS GAP IN SERVICES AND ENABLED ONE OF ITS REGISTERED NURSES TO BECOME CERTIFIED IN THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING PROGRAM. IN-PERSON CLASSES CEASED IN 2020 DUE TO COVID, BUT VIRTUAL CLASSES ARE BEING OFFERED AND ENCOURAGED. HUNTINGTON MEMORIAL HOSPITAL, INC., STRIVES TO BE A RESPONSIBLE CORPORATE CITIZEN AND TO CONTRIBUTE IN MEANINGFUL WAYS TO THE HEALTH AND WELL-BEING OF INDIVIDUALS AND ALL OF HUNTINGTON COUNTY.
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, HUNTINGTON MEMORIAL HOSPITAL, INC., EIN 35-1970706. 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, 2021 WAS 593. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2021 WAS 16,240. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR THE HUNTINGTON MEMORIAL HOSPITAL, INC. WAS 28 AND 335. RESPECTIVELY.
FORM 990, PART VI, SECTION A, LINE 1A	THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE PRESIDENT OF THE CORPORATION, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER OR HIS/HER DESIGNEE, THE CURRENT CHIEF 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 EIGHT (8) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION AS THE PLANNING COMMITTEE AND IN ANY OTHER MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR ITS RATIFICATION OF ITS ACTION. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. 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 MICHAEL PACKNETT AND OFFICER JEANNE' WICKENS HAVE BUSINESS RELATIONSHIPS AS OFFICERS OF RELATED ENTITIES.
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 HUNTINGTON MEMORIAL 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 AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES, AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS; (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION'S ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JCAHO ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS LIST OR THE REQUIREMENT THAT APPOINTED DIRECTORS CAN BE REPRESENTATIVES OF HUNTINGTON COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW.
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 AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. HUNTINGTON MEMORIAL 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 AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 26, 2022, THE SYSTEM AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES.
FORM 990, PART VI, SECTION B, LINE 12C	AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL."
FORM 990, PART VI, SECTION B, LINE 15	LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE COMPENSATION COMMITTEE OF RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., DETERMINES THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES.
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, LINE 11G	OTHER: PROGRAM SERVICE EXPENSES 1,321,922. MANAGEMENT AND GENERAL EXPENSES 68,524. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,390,446. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 2,030,176. MANAGEMENT AND GENERAL EXPENSES 404,000. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,434,176. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 2,594,799. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,594,799. COLLECTION EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 298,926. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 298,926.
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 216,535.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (25 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
PARKVIEW HEALTH SYSTEM INC
1450 PRODUCTION RD	FORT WAYNE	IN	468081167	351972384	HEALTH CARE	IN	501(C)(3)	LINE 12C, III-FI	N/A	0
PARKVIEW HOSPITAL INC
11109 PARKVIEW PLAZA DR	FORT WAYNE	IN	468451701	350868085	HOSPITAL CARE	IN	501(C)(3)	LINE 3		0	PARKVIEW HEALTH SYSTEM INC
PARKVIEW FOUNDATION INC
3844 NEW VISION DR	FORT WAYNE	IN	468451724	237220589	FUND MGMT	IN	501(C)(3)	LINE 12A, I		0	PARKVIEW HOSPITAL INC
DEKALB MEMORIAL HOSPITAL INC
1316 E 7TH ST	AUBURN	IN	467062515	351064295	HOSPITAL CARE	IN	501(C)(3)	LINE 3		0	PARKVIEW HEALTH SYSTEM INC
PARKVIEW DEKALB HOSPITAL FOUNDATION INC
1316 E 7TH ST	AUBURN	IN	467062515	351064295	FUND MGMT	IN	501(C)(3)	LINE 12A, I		0	DEKALB MEMORIAL HOSPITAL INC
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
2001 STULTS RD	HUNTINGTON	IN	467501291	320012095	FUND MGMT	IN	501(C)(3)	LINE 12A, I		Yes (1)	HUNTINGTON MEMORIAL HOSPITAL INC
COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
207 N TOWNLINE RD	LAGRANGE	IN	467611325	202401676	HOSPITAL CARE	IN	501(C)(3)	LINE 3		0	PARKVIEW HEALTH SYSTEM INC
PARKVIEW LAGRANGE HOSPITAL FOUNDATION INC
207 N TOWNLINE RD	LAGRANGE	IN	467611325	833347115	FUND MGMT	IN	501(C)(3)	LINE 12A, I		0	COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC
COMMUNITY HOSPITAL OF NOBLE COUNTY INC
401 N SAWYER RD	KENDALLVILLE	IN	467552568	352087092	HOSPITAL CARE	IN	501(C)(3)	LINE 3		0	PARKVIEW HEALTH SYSTEM INC
COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC
401 N SAWYER RD	KENDALLVILLE	IN	467552568	352089183	FUND MGMT	IN	501(C)(3)	LINE 12A, I		0	COMMUNITY HOSPITAL OF NOBLE COUNTY INC
PARKVIEW WABASH HOSPITAL INC
10 JOHN KISSINGER DR	WABASH	IN	469921648	471753440	HOSPITAL CARE	IN	501(C)(3)	LINE 3		0	PARKVIEW HEALTH SYSTEM INC
PARKVIEW WABASH HOSPITAL FOUNDATION INC
10 JOHN KISSINGER DR	WABASH	IN	469921648	351921445	FUND MGMT	IN	501(C)(3)	LINE 12A, I		0	PARKVIEW WABASH HOSPITAL INC
WHITLEY MEMORIAL HOSPITAL INC
1260 E STATE ROAD 205	COLUMBIA CITY	IN	467259492	351967665	HOSPITAL CARE	IN	501(C)(3)	LINE 3		0	PARKVIEW HEALTH SYSTEM INC
WHITLEY MEMORIAL HOSPITAL FOUNDATION INC
1260 E STATE ROAD 205	COLUMBIA CITY	IN	467259492	311190239	FUND MGMT	IN	501(C)(3)	LINE 12A, I		0	WHITLEY MEMORIAL HOSPITAL INC
MIDWEST COMMUNITY HEALTH ASSOCIATES INC
442 W HIGH ST	BRYAN	OH	435061681	341045870	PHYSICIANS	OH	501(C)(3)	LINE 3		0	PARKVIEW HEALTH SYSTEM INC
PARKVIEW OCCUPATIONAL HEALTH CENTERS INC
1450 PRODUCTION RD	FORT WAYNE	IN	468081167	352064353	OCCUPATIONAL HEALTH	IN	501(C)(3)	LINE 3		0	PARKVIEW HEALTH SYSTEM INC
PARK CENTER INC
909 E STATE BLVD	FORT WAYNE	IN	468053404	351135451	COMPREHENSIVE MENTAL HEALTH CENTER	IN	501(C)(3)	LINE 10		0	PARKVIEW HEALTH SYSTEM INC
PARK CENTER HOLDINGS INC
909 E STATE BLVD	FORT WAYNE	IN	468053404	843684074	TO SUPPORT PARK CENTER INC	IN	501(C)(3)	LINE 12D, III-O		0	PARKVIEW HEALTH SYSTEM INC
OUABACHE VILLAGE INC
909 E STATE BLVD	FORT WAYNE	IN	468053404	020731922	PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS	IN	501(C)(3)	LINE 10		0	PARK CENTER INC
RICHARDVILLE APARTMENTS INC
909 E STATE BLVD	FORT WAYNE	IN	468053404	050543940	PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS	IN	501(C)(3)	LINE 10		0	PARK CENTER INC
RICHARDVILLE APARTMENTS II INC
909 E STATE BLVD	FORT WAYNE	IN	468053404	861077255	PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS	IN	501(C)(3)	LINE 10		0	PARK CENTER INC
SEDDLEMEYER APARTMENTS INC
909 E STATE BLVD	FORT WAYNE	IN	468053404	352067590	PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS	IN	501(C)(3)	LINE 10		0	PARK CENTER INC
WAYNEDALE APARTMENTS INC
909 E STATE BLVD	FORT WAYNE	IN	468053404	351972197	PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS	IN	501(C)(3)	LINE 10		0	PARK CENTER INC
WAYNEDALE II APARTMENTS INC
909 E STATE BLVD	FORT WAYNE	IN	468053404	223972135	PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS	IN	501(C)(3)	LINE 10		0	PARK CENTER INC
WOODSIDE APARTMENTS INC
909 E STATE BLVD	FORT WAYNE	IN	468053404	351937426	PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS	IN	501(C)(3)	LINE 10		0	PARK CENTER INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd
ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC
1450 PRODUCTION RD	FORT WAYNE	IN	468081167	260143823	ORTHOPAEDIC HOSPITAL	IN	N/A	N/A	0	0
MANAGED CARE SERVICES LLC
1450 PRODUCTION RD	FORT WAYNE	IN	468081167	351996535	HEALTH PLAN ADMINISTRATION	IN	N/A	N/A	0	0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd
PARKVIEW PROFESSIONAL PROGRAMS INC
1450 PRODUCTION RD	FORT WAYNE	IN	468081167	351668888	REFERENCE LAB	IN	N/A	C	0
WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC
202 W BERRY ST	FORT WAYNE	IN	468022273	352058340	PROPERTY OWNERS ASSOCIATION	IN	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
C	$53,321	PART VII SUPPLEMENTAL INFORMATION
PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC
M	$101,609	PART VII SUPPLEMENTAL INFORMATION

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE R, PART V, LINE 2, COLUMN (C):	FormAndLineReferenceDesc
Explanation	THE AMOUNTS REPORTED AS TRANSACTIONS WITH RELATED ORGANIZATIONS ARE CONSISTENT WITH THE AMOUNTS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS DEPENDING ON THE TYPE OF TRANSACTION INVOLVED.	ExplanationTxt