2018-11-10T16:26:46-06:00 2017-12-31 350921680 CROWE LLP 330 E JEFFERSON BLVD P O BOX 7 SOUTH BEND IN 466240007 990 2017-01-01 351972384 PARKVIEW HEALTH SYSTEM INC PARK 2603738429 10501 CORPORATE DRIVE FORT WAYNE IN 46845 JEANNE' WICKENS PH CFO 2603738407 2018-11-10 1 KENNETH J KEBER P00240883 5742323992 204.58.171.16 2018-11-10 14:45:29 ES P B38744F01C9F8B49338464F7361C640636AC5E7B B38744F01C9F8B49338464F7361C640636AC5E7B 2017 2019-02-21 02:37:17Z MICHAEL J PACKNETT 10501 CORPORATE DRIVE FORT WAYNE IN 46845 2130554741 0 X WWW.PARKVIEW.COM X 1995 IN AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY- TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS- DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY- PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY- "EXCELLENT CARE, EVERY PERSON, EVERY DAY" 23 17 4529 74 3994963 10777 579845 3928180 509326669 591536729 20315305 64093912 1999232 4751055 532221051 664309876 4074995 7105689 0 0 387773769 452699720 0 1500 1500 196986537 221530573 588835301 681337482 -56614250 -17027606 1813088386 2102074434 778862768 881486967 1034225618 1220587467 X AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY- TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS- DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY- PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY- "EXCELLENT CARE, EVERY PERSON, EVERY DAY" 0 0 650852552 7105689 587541766 PARKVIEW HEALTH SYSTEM, INC. IS A CHARITABLE, NOT-FOR-PROFIT, COMMUNITY-OWNED HEALTH SYSTEM. IT WAS INCORPORATED IN MAY 1995 AND NOW SUPPORTS THE FOLLOWING HOSPITALS: PARKVIEW HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; PARKVIEW WABASH HOSPITAL, INC.; AND WHITLEY MEMORIAL HOSPITAL, INC. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. IS A 60 PERCENT OWNER IN THE PARTNERSHIP OF THE ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. PARKVIEW ORTHOPAEDIC HOSPITAL, INC. IS THE FIRST SPECIALTY HOSPITAL IN NORTHEAST INDIANA DEVOTED SOLELY TO ORTHOPEDIC SURGERY AND POST-SURGERY PATIENT CARE. THE 37 BED STATE-OF-THE-ART FACILITY INCLUDES AN INPATIENT UNIT, AN(SEE SCHEDULE O FOR CONTINUATION)INPATIENT REHABILITATION GYM AND ORTHO NORTH/EAST MEDICAL OFFICES.THE SERVICE AREA FOR PARKVIEW HEALTH SYSTEM, INC. INCLUDES NORTHEAST INDIANA, NORTHWEST OHIO AND SOUTH CENTRAL MICHIGAN. OTHER SPECIALTY SERVICES INCLUDE A VERIFIED LEVEL II ADULT AND PEDIATRIC TRAUMA CENTER, HEART INSTITUTE, A CERTIFIED PRIMARY STROKE CENTER, WOMEN'S & CHILDREN'S HOSPITAL, OUTPATIENT SERVICE CENTER AND CANCER INSTITUTE. THE NEWLY CONSTRUCTED PARKVIEW CANCER INSTITUTE IS SLATED TO OPEN IN JUNE 2018 ON THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS.PARKVIEW HEALTH SYSTEM, INC. EMPLOYS 436 PRIMARY AND SPECIALTY CARE PHYSICIANS AS PART OF PARKVIEW PHYSICIANS GROUP. THESE PHYSICIANS, ALONG WITH 291 ADVANCED PRACTICE PROVIDERS, PROVIDE CARE TO RESIDENTS THROUGHOUT NORTHEAST INDIANA AND NORTHWEST OHIO REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. SEVENTY-ONE NEW PHYSICIANS AND 90 ADVANCED PRACTICE PROVIDERS WERE RECRUITED IN 2017, SIGNIFICANTLY INCREASING THE SYSTEM'S ABILITY TO MEET LOCAL HEALTH NEEDS. PARKVIEW HEALTH EMPLOYS FOUR FULL-TIME PHYSICIAN RECRUITERS AND ONE FULL-TIME ADVANCED PRACTICE PROVIDER RECRUITER WHOSE TIME IS DEVOTED SOLELY TO RECRUITING PHYSICIANS AND ADVANCED PRACTICE PROVIDERS. ALL PHYSICIAN RECRUITMENT ACTIVITY IS BASED ON A PHYSICIAN NEEDS ASSESSMENT AND THE OVERSIGHT OF THE COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS.THE MIRRO RESEARCH AND INNOVATION CENTER LOCATED ON THE CAMPUS OF PARKVIEW REGIONAL MEDICAL CENTER PROVIDES WORLD-CLASS EDUCATION FOR PARKVIEW CO-WORKERS, PHYSICIANS AND MEDICAL PROFESSIONALS IN CUTTING-EDGE MEDICAL SIMULATION CLASSROOMS AND TRAINING LABORATORIES MODELED AFTER CURRENT ORS, EXAM ROOMS, PATIENT ROOMS AND AMBULANCES. PATIENT EXPECTATIONS FOR EXCELLENT CARE ARE SUPPORTED BY ENSURING THAT HEALTHCARE PROFESSIONALS ARE FAMILIAR WITH THE MOST INNOVATIVE AND EFFECTIVE TREATMENTS AVAILABLE. IN 2017, PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION WAS LISTED AS ONE OF "58 HOSPITALS WITH INNOVATION PROGRAMS" BY BECKER'S HOSPITAL REVIEW FOR THE SECOND CONSECUTIVE YEAR. THE HOSPITALS AND HEALTH SYSTEMS LISTED HAVE COMMITTED TO INNOVATION WITH DEDICATED CENTERS AND DEPARTMENTS.IN 2017 PARKVIEW HEALTH SYSTEM, INC. ACHIEVED MAGNET RECOGNITION WHICH DEMONSTRATES COMMITMENT TO NURSING PROFESSIONALISM, TEAMWORK AND SUPERIORITY IN PATIENT CARE. ADDITIONALLY, THE SYSTEM WAS NAMED ONE OF THE NATION'S 15 TOP HEALTH SYSTEMS BY TRUVEN HEALTH ANALYTICS, A LEADING PROVIDER OF INFORMATION AND SOLUTIONS TO IMPROVE THE COST AND QUALITY OF HEALTHCARE. 650852552 1 1 0 1 0 0 1 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 1 0 0 1 1 0 0 0 0 1 1 1 1 0 0 1 X 305 0 1 4529 1 1 1 1 SZ DA SW NO BR PO HU GR JA BE ID CO PL 0 0 0 0 0 0 0 0 X 23 17 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IN X JEANNE' WICKENS 2603738407 10501 CORPORATE DRIVE FORT WAYNE IN 46845 MICHAEL PACKNETT DIRECTOR/PH PRESIDENT & CEO 40.00 17.00 X X 1599863 0 735183 RAYMOND DUSMAN DIRECTOR/VICE CHAIR/PH CHIEF PHY EXE 40.00 0.00 X X 953051 0 187499 ROBERT GODLEY DIRECTOR/PH PHYSICIAN 40.00 1.00 X 668801 0 60842 JOSHUA KLINE DIRECTOR/PH CHIEF MED OFFICER - PPG 40.00 0.00 X 446630 0 116935 ALAN MCGEE DIRECTOR/PH SVR LINE LEADER 9.00 0.00 X 404875 0 0 MICHAEL AXEL DIRECTOR/TREASURER 1.00 1.00 X 3750 4250 0 MARGARET BROOKS DIRECTOR 1.00 0.00 X 5383 0 0 VICKY CARWEIN DIRECTOR 1.00 0.00 X 5836 0 0 ROGER CROMER DIRECTOR 1.00 2.00 X 2631 6250 0 BRIAN DECAMP DIRECTOR 1.00 1.00 X 750 6250 0 BRIAN EMERICK DIRECTOR/SECRETARY 1.00 0.00 X 10116 0 0 DAVID HAIST DIRECTOR/CHAIR 1.00 0.00 X 15019 0 0 JIM HEUER DIRECTOR 1.00 1.00 X 2250 6250 0 THOMAS KIMBROUGH DIRECTOR 1.00 1.00 X 4278 4000 0 KEVIN LAMBRIGHT DIRECTOR 1.00 2.00 X 3866 6750 0 JERRY LONG DIRECTOR 1.00 0.00 X 6060 0 0 MARILYN MORAN-TOWNSEND DIRECTOR 1.00 1.00 X 6750 3000 0 WENDY ROBINSON DIRECTOR 1.00 1.00 X 4631 0 0 LARRY ROWLAND DIRECTOR 1.00 0.00 X 8028 0 0 DAN STARR DIRECTOR 1.00 1.00 X 1500 6508 0 RYAN WARNER DIRECTOR 1.00 1.00 X 4500 5250 0 LUTHER WHITFIELD DIRECTOR 1.00 0.00 X 5310 0 0 STEPHEN WRIGHT DIRECTOR 1.00 0.00 X 3750 0 0 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 40.00 17.00 X 701132 0 135403 RICK HENVEY PH CHIEF OPERATING OFFICER 40.00 0.00 X 868350 0 153784 NEIL SHARMA PRESIDENT PARKVIEW CANCER INSTITUTE 40.00 0.00 X 793067 0 172511 ROY ROBERSTON PRESIDENT PARKVIEW HEART INSTITUTE 39.00 0.00 X 740767 0 164926 SUZANNE EHINGER PH CHIEF EXPERIENCE OFFICER 40.00 0.00 X 607153 0 143431 MITCHELL STUCKY PH PHYSICIAN EXECUTIVE OFFICER 40.00 0.00 X 579728 0 134525 GREG JOHNSON PH CHIEF CLINICAL INTEGRATION OFFCR 40.00 0.00 X 539410 0 136325 RONALD DOUBLE PH CHIEF INFORMATION OFFICER 40.00 0.00 X 537632 0 114738 DAVID STOREY PH SVP GENERAL COUNSEL 40.00 0.00 X 520841 0 118677 JUDITH BOERGER PH CHIEF NURSING EXECUTIVE 40.00 0.00 X 469714 0 105411 MARK KADLEC PH SVP & COO - PPG PARTIAL YEAR 40.00 0.00 X 469201 0 10523 DENA JACQUAY PH CHIEF HUMAN RESOURCES OFFICER 40.00 0.00 X 465139 0 124886 THOMAS BOND PH CHIEF MEDICAL OFFICER-PPG 40.00 0.00 X 465107 0 124648 JEFFREY BOORD PH CHIEF QUALITY & SAFETY 40.00 0.00 X 454309 0 101807 BARBARA CLAYTON PH SVP REV CYCLE/PAYOR STRATEGIES 40.00 0.00 X 419630 0 109721 MARK PIERCE PH CHIEF MED INFORMATICS OFFICER 40.00 0.00 X 417656 0 103020 JEFFREY BROOKES PH MEDICAL DIR - COMMUNITY 6.00 34.00 X 162673 234152 79181 JASON ROW PH CHIEF MED OFFICER PPG 40.00 0.00 X 392235 0 123668 GERALD GRANNAN PH SVP & COO - PPG 41.00 0.00 X 360347 0 78174 DONNA VAN VLERAH PH SVP SUPPORT DIVISION 40.00 0.00 X 343349 0 71260 SCOTT JAMES PH SVP & COO SVR LINE LEADER 40.00 0.00 X 338133 0 91810 PHILIP SMITH PH SVP STRATEGY & BUSINESS DEV'T 40.00 0.00 X 323794 0 81018 MATTHEW GROTHAUS PH PHYSICIAN 40.00 0.00 X 1692934 0 54326 KENNETH AUSTIN PH PHYSICIAN 45.00 0.00 X 1141351 0 28261 STEVEN WYNDER PH PHYSICIAN 40.00 1.00 X 1043148 6247 59293 DOUGLAS GRAY PH PHYSICIAN 44.00 0.00 X 1046835 0 62226 JASON VOORHIES PH PHYSICIAN 40.00 0.00 X 1020199 0 37046 STANTON RISSER FORMER OFFICER/PH VP PARTIAL YEAR 0.00 40.00 X 157067 0 17632 MICHAEL BROWNING FORMER OFFICER 0.00 0.00 X 277686 0 0 JOHN MEISTER FORMER KEY EMPLOYEE 0.00 0.00 X 168385 0 0 21684600 288907 3838690 695 1 1 0 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 PHYSICIANS 4799356 BOYDEN & YOUNGBLUTT 120 WEST SUPERIOR ST FORT WAYNE IN 46802 ADVERTISING 3543446 FTI CONSULTING INC PO BOX 418005 BOSTON MA 02241 CONSULTING 2645042 LOCUMTENENS PO BOX 405547 ATLANTA GA 30384 PHYSICIANS 2433099 STAFF CARE PO BOX 281923 ATLANTA GA 30384 PHYSICIANS 1567970 88 793457 95353 3039370 10000 3928180 NET PATIENT SERVICE 621110 184679741 184679741 CORP SERVICE ALLOCATION 561000 172606053 172606053 PH SUBSIDY 561499 161438909 161438909 ORTHOPAEDIC HOSPITAL AT PARKVIEW 621110 34098582 34098582 INTERUNIT RENT 532000 12506699 12506699 26206745 22211782 3994963 591536729 15817630 15817630 4135260 819079 3316181 3316181 3316181 1513641980 60088 1465404568 21218 48237412 38870 48276282 48276282 CAFETERIA REVENUE 722100 1434874 1434874 1434874 664309876 587541766 3994963 68844967 X 7105689 7105689 18670179 18670179 1035618 414848 620770 341719364 341719364 49664658 49664658 41609901 41609901 890137 699311 190826 392650 392650 136672 136672 1500 1500 2293044 2293044 42979045 37520104 5458941 2115008 2105417 9591 15219753 14483104 736649 33565419 33558219 7200 18524228 18476028 48200 2262944 1823277 439667 914230 834310 79920 31561586 31561586 35782540 35772006 10534 5454326 4608640 845686 MEDICAL SUPPLIES 11856616 11856616 BAD DEBT 5472407 5472407 PROVIDER CME, LICENSES 3003744 3001552 2192 RECRUITMENT 2476092 2457330 18762 6630132 6108185 521947 681337482 650852552 30483430 1500 19769 20932 90052000 113000917 19919323 26212122 137221 2789637 2640201 4009109 5568743 16081583 19006438 633111177 276735888 324666363 356375289 623179402 788158292 223705090 205893016 29832397 29686066 478833713 555375197 1813088386 2102074434 106314422 158393934 1353607 4733231 514736371 542510783 32032686 31161053 124425682 144687966 778862768 881486967 X 1034225618 1220587467 1034225618 1220587467 1813088386 2102074434 X -17027606 30832232 172557223 X 0 1 X 1 0 X X 6 PARKVIEW HOSPITAL INC 350868085 3 1 130157053 0 HUNTINGTON MEMORIAL HOSPITAL INC 351970706 3 1 8076000 0 WHITLEY MEMORIAL HOSPITAL INC 351967665 3 1 9652000 0 COMMUNITY HOSPITAL OF NOBLE COUNTY INC 352089183 3 1 8568000 0 COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC 202401676 3 1 5016000 0 PARKVIEW WABASH HOSPITAL INC 471753440 3 1 5256000 0 6 166725053 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 X 1 1 PART IV, SECTION E, LINE 3A: PARKVIEW HEALTH SYSTEM, INC. IS THE SOLE MEMBER OF THE ORGANIZATION'S SUPPORTED ORGANIZATIONS PARKVIEW HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AND PARKVIEW WABASH HOSPITAL, INC. THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR PARKVIEW HOSPITAL, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) UPON RECOMMENDATION OF THE CORPORATION, THE CORPORATE MEMBER SHALL APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS BY THE CORPORATION AND ITS AFFILIATES, AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. SUCH RIGHT BY THE CORPORATE MEMBER TO DIRECT THE TRANSFER OF ASSETS SHALL NOT INCLUDE ANY TRANSFER WHICH WOULD CAUSE THE CORPORATION TO BE PUT INTO A FINANCIALLY VULNERABLE POSITION AS AN ONGOING CONCERN, NOR SHALL ANY SUCH TRANSFER CAUSE THE CORPORATION TO VIOLATE THE TERMS AND CONDITIONS OF ANY GIFTS, BEQUESTS, BOND COVENANTS, OR RESTRICTIONS SET FORTH IN EXHIBIT A. FURTHER, FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES, TO MAINTAIN THE JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR THE SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW. PART IV, SECTION E, LINE 3A CONT'D: THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER. PART IV, SECTION E, LINE 3A CONT'D: THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER. PART IV, SECTION E, LINE 3A CONT'D: THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR HUNTINGTON MEMORIAL HOSPITAL, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES, AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS; (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION'S ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JCAHO ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS LIST OR THE REQUIREMENT THAT APPOINTED DIRECTORS CAN BE REPRESENTATIVES OF HUNTINGTON COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW. PART IV, SECTION E, LINE 3A CONT'D: THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR WHITLEY MEMORIAL HOSPITAL, INC. AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS EXHIBIT A OR THE REQUIREMENT THAT ELECTED DIRECTORS BE REPRESENTATIVES OF WHITLEY COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF THESE BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW. PART IV, SECTION E, LINE 3A CONT'D: THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS FOR PARKVIEW WABASH HOSPITAL, INC.: (I) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER. PART IV, SECTION E, LINE 3B: SEE EXPLANATION FOR FORM 990, SCHEDULE A, PART IV, SECTION E, LINE 3A 0 0 0 0 0 0 1 136672 0 1 33826 170498 0 PART II-B, LINE 1: DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY THE CORYDON GROUP, LLC $101,914 AND THE STUTZMAN GROUP, LLC $34,758. OTHER ACTIVITIES - REPRESENTS THE PORTION OF DUES PAID TO THE INDIANA CHAMBER OF COMMERCE AND VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. X 2 5.83 1 0 21625 16555340 40846983 57402323 268829366 90244621 178584745 30193593 9872869 20320724 254170225 164415934 89754291 22515670 12202464 10313206 356375289 120693509 C INVESTMENTS IN JVS, MCHA & WRPLX 85199507 C 205893016 DUE TO/FROM INTERUNIT 509404810 MISCELLANEOUS 1257747 NOTE RECEIVABLE FROM LGHOS 5896241 NOTE RECEIVABLE FROM WMHOS 6893500 NOTE RECEIVABLE FROM MCHA 31922899 555375197 ACC RETIREMENTS COST 127723770 RESERVE FOR SIGNATURE CARE 9283327 RESERVE FOR MALPRACTICE 7657808 MISCELLANEOUS 23061 144687966 X PART II, LINE 5: A THIRD PARTY ENVIRONMENTAL COMPANY COMPLETES ALL THE REQUIRED ANNUAL MONITORING INSPECTION AND REPORTING AS PART OF THE 10 YEAR REQUIREMENT WITHIN THE EXISTING PERMIT. IF ANY ENCROACHMENTS BY THE OWNER ON THE MITIGATION AREAS ARE OBSERVED THEY ARE REPORTED AND ENFORCED THROUGH APPROPRIATE LEGAL CHANNELS. PART II, LINE 9: THE ORGANIZATION RECORDS THE PAYMENTS TO THE THIRD PARTY ENVIRONMENTAL COMPANY AS A FEES FOR SERVICES EXPENSE ON THE INCOME STATEMENT. PART X, LINE 2: PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): PAGE 15 OF ATTACHED FINANCIAL STATEMENTS. INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)3 OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2017 AND 2016, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2013 AND PRIOR. 1 1 X 1 X 0 1 1 1 0 1 1 165920 165920 0.00020 1104001 -160974 1264975 0.00190 2625533 2913283 0 0.00000 3895454 2752309 1430895 0.00210 1628771 1272213 356558 0.00050 3606648 164954 3441694 0.00510 5235419 1437167 3798252 0.00560 9130873 4189476 5229147 0.00770 363966 363966 0.00050 186860 186860 0.00030 113905 113905 0.00020 869522 869522 0.00130 1534253 1534253 0.00230 1 6538043 247617 8735265 10884829 -2149564 X 1 1 1 IMAGING SERVICES HOLDING COMPANY LLC HOLDING COMPANY 0.50000 0.50000 2 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC ORTHOPAEDIC HOSPITAL 0.60000 0.40000 1 1 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC 11119 PARKVIEW PLAZA DRIVE FORT WAYNE IN 46845 WWW.PARKVIEW.COM 14-005845-1 X X X ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH 1 0 0 1 X X X X X X X X X 16 1 1 1 1 X WWW.PARKVIEW.COM/LOCALHEALTHNEEDS X 1 16 1 WWW.PARKVIEW.COM/LOCALHEALTHNEEDS 0 1 X 200.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC PART V, SECTION B, LINE 5: PARKVIEW HEALTH SYSTEM, INC. INCLUDING PARKVIEW HOSPITAL, INC. CONDUCTED ITS LAST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2016. OVER THE COURSE OF ADMINISTERING THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE INDIANA PARTNERSHIP FOR HEALTH COMMUNITIES (IN-PHC) RESEARCH TEAM WORKED TO ENSURE THAT THE NEEDS OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WERE TAKEN INTO ACCOUNT. THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT USED THREE SOURCES OF PRIMARY DATA: 1) A PHONE SURVEY OF THE COMMUNITY CONDUCTED ON BEHALF OF PARKVIEW HOSPITAL, INC. AND THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) BY THE EAGLETON CENTER FOR PUBLIC INTEREST POLLING (A CENTER OF RUTGERS UNIVERSITY) COMPLETED IN MARCH 2016; 2) AN ONLINE SURVEY DEVELOPED BY THE IN-PHC AND DISTRIBUTED BY THE HOSPITAL TO AREA PROVIDERS INCLUDING PUBLIC HEALTH OFFICIALS, OTHER HEALTHCARE PROFESSIONALS AND VARIOUS SOCIAL SERVICE ORGANIZATIONS THAT SPECIALIZE IN AIDING VULNERABLE POPULATIONS COMPLETED IN JUNE 2016; AND 3) FOCUS GROUPS WITH SPECIFIC VULNERABLE POPULATIONS, INCLUDING THE HISPANIC/LATINO AND AFRICAN AMERICAN POPULATIONS WERE CONDUCTED BY IN-PHC IN ALLEN, NOBLE AND KOSCIUSKO COUNTIES. FOR THE AMISH COMMUNITY IN LAGRANGE COUNTY, A WRITTEN SURVEY WAS DISTRIBUTED THROUGH COMMUNITY LEADERS. FOCUS GROUP AND WRITTEN SURVEY DATA COLLECTION WAS COMPLETED IN THE SUMMER OF 2016.CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATA BASE WAS USED TO ACCESS SECONDARY DATA FOR THE SEVEN-COUNTY AREA. STATE AND NATIONAL DATA WAS OBTAINED THROUGH THE CENTERS FOR DISEASE CONTROL AND PREVENTION, COUNTY HEALTH RANKINGS, HEALTH INDICATORS WAREHOUSE, INDIANA STATE DEPARTMENT OF HEALTH, INDIANA UNIVERSITY CENTER FOR HEALTH POLICY AND THE US CENSUS BUREAU. ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC PART V, SECTION B, LINE 6A: PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440). ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC PART V, SECTION B, LINE 6B: INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (A PARTNERSHIP BETWEEN THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AND THE POLIS CENTER AT IUPUI) AND CONDUENT HEALTHY COMMUNITIES INSTITUTE. ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC PART V, SECTION B, LINE 11: SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:OBESITY - PARKVIEW HOSPITAL, INC. WILL CONTINUE OUTREACH PROGRAMS ESTABLISHED FROM 2014 THROUGH 2016 TO ADDRESS OBESITY PRIMARILY IN LOW-INCOME AREAS OF ALLEN COUNTY. ACTIONS TO ADDRESS THE ISSUE OF OBESITY CENTER AROUND PROGRAMS THAT ENGAGE CHILDREN AND FAMILIES AND INCLUDE THE FOLLOWING PROGRAMS: 1) THE HEALTHY EATING ACTIVE LIVING (HEAL) INITIATIVE; 2) PLANTING HEALTHY SEEDS FOR 3RD AND 4TH GRADERS; 3) PLANTING HEALTHY SEEDS: EARLY CHILDHOOD EDITION; 4) PLANTING HEALTHY SEEDS: AFTER-SCHOOL EDITION; 5) TAKING ROOT WELL-BEING CHALLENGE PROGRAM FOR 4TH AND 5TH GRADERS; 6) SIMPLE SOLUTIONS FOR PARENTS OF LOW-INCOME, PRE-SCHOOL CHILDREN AND; 7) THE COMMUNITY NURSING NUTRITION AND DIABETES EDUCATION PROGRAM AND CARDIOVASCULAR/DIABETES SCREENING PROGRAM; 8) PARKVIEW COMMUNITY GREENHOUSE AND LEARNING KITCHEN. PARKVIEW IS BOLSTERING ITS EFFORTS IN AREAS DEEMED TO HAVE THE HIGHEST IMPACT FOR OBESITY PREVENTION. ANTICIPATED IMPACT INCLUDE THE FOLLOWING: 1) INCREASE ACCESS TO FRESH, AFFORDABLE AND LOCALLY GROWN FOOD; 2) INCREASE CONSUMPTION OF FRESH PRODUCE; 3) PROVIDE CURRICULUM FOR ELEMENTARY AND MIDDLE SCHOOL STUDENTS AND PARENTS OF PRE-SCHOOL CHILDREN RELATED TO PHYSICAL ACTIVITY AND NUTRITION; 4) PROVIDE PREVENTIVE HEALTH AND SKILL-BUILDING CLASSES FOR FAMILIES AND PREGNANT WOMEN; 5) ENHANCE AND INCREASE PROVIDER DIRECTED WELLNESS RESOURCES INCLUDING REFERRALS TO HEALTH MANAGEMENT PROGRAMS IN THE COMMUNITY. ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC WILL CONTINUE TO PARTNER WITH PARKVIEW HOSPITAL, INC. IN ITS EFFORTS TO PROMOTE HEALTHY LIFESTYLES THROUGH NUTRITION, PHYSICAL ACTIVITY AND INJURY PREVENTION EDUCATION IN ALLEN COUNTY. COMMUNITY OUTREACH CERTIFIED ATHLETIC TRAINER (ATC) AND NUTRITIONIST CREATED AGE-APPROPRIATE SCHOOL CURRICULA RELATED TO ACTIVITIES OF HEALTHY LIVING, I.E., NUTRITION CLASSES FOR OUR CLUB SPORT TEAMS, INJURY PREVENTION CLASSES AT AREA HIGH SCHOOLS AND COLLEGES FOCUSING ON ATHLETES AND COACHES. THIS APPROACH PROMOTES HEALTHY LIFESTYLES FROM CHILDHOOD TO THE ADULT ATHLETE. OTHER HEALTH NEEDS NOT BEING ADDRESSED:-TOBACCO USE - TOBACCO FREE ALLEN COUNTY (TFAC) IS THE LEAD ORGANIZATION IN ALLEN COUNTY RELATED TO TOBACCO FREE EFFORTS. TFAC PROVIDES INFORMATION ON RESOURCES ABOUT LOCAL SMOKING CESSATION PROGRAMS AND ADVOCATES FOR NO-SMOKING PUBLIC POLICY. PARKVIEW HOSPITAL IS A SOURCE OF SMOKING CESSATION PROGRAMS AND OPERATES A TOBACCO FREE CAMPUS. -DIABETES, CARDIOVASCULAR DISEASE AND CANCER - WHILE PARKVIEW HOSPITAL DID NOT SELECT THESE CHRONIC DISEASES AS TOP HEALTH PRIORITIES, OUR INTENT IS TO HELP TO PREVENT AND REDUCE THE PRESENCE OF CHRONIC CONDITIONS LIKE THE AFOREMENTIONED DISEASES BY ADDRESSING OBESITY THROUGH NUTRITION EDUCATION, INCREASED ACCESS TO HEALTHY FOODS, ACTIVE LIVING PROGRAMS AND EDUCATION ON OTHER HEALTHY LIFESTYLE HABITS. -DRUGS/ALCOHOL ABUSE AND ADDICTION - ONE OF PARKVIEW HOSPITAL'S HEALTH PRIORITIES IS MENTAL HEALTH. MANY OF INDIVIDUALS BEING ASSISTED AND REFERRED THROUGH PARKVIEW BEHAVIORAL HEALTH CARE NAVIGATION PROGRAM ARE AFFECTED BY DRUG AND ALCOHOL ABUSE AND ADDICTION.-SEXUALLY TRANSMITTED DISEASES (STDS) - THE FORT WAYNE-ALLEN COUNTY HEALTH DEPARTMENT, IN CONJUNCTION WITH MATTHEW 25 HEALTH CLINIC, OPERATES A SEXUALLY TRANSMITTED DISEASE (STD) CLINIC. THE NE INDIANA POSITIVE RESOURCE CONNECTION (FORMERLY THE AIDS TASK FORCE) PROVIDES STD PREVENTION EDUCATION TO TEENS AND ADULTS. -CHRONIC KIDNEY DISEASE - MAJOR RISK FACTORS RELATED TO CHRONIC KIDNEY DISEASE ARE DIABETES, HIGH BLOOD PRESSURE AND AGE OF 60 AND OLDER. THE LOCAL CHAPTER OF THE NATIONAL KIDNEY FOUNDATION FOCUSES ON PREVENTION EDUCATION AND SERVES AS A RESOURCE TO THOSE AFFECTED BY KIDNEY DISEASE AND THEIR FAMILIES. ADDITIONALLY, THE FOUNDATION PROVIDES KIDNEY EARLY EVALUATION PROGRAM (KEEP) HEALTHY KIDNEY SCREENING EVENTS. -ASTHMA - WHILE ASTHMA WAS NOT SELECTED AS A TOP HEALTH PRIORITY, PARKVIEW HOSPITAL'S COMMUNITY NURSING PROGRAM ADMINISTERS AN ASTHMA PROGRAM THAT PROVIDES AN INTERVENTION THAT MOVES PATIENTS BEYOND EMERGENCY RESCUE CARE TO A MORE PROACTIVE CARE APPROACH. THE PROGRAM INCLUDES EDUCATION, INFORMATION, AND STRATEGIES FOR FOLLOW-UP CARE THAT ARE BOTH INEXPENSIVE AND EFFECTIVE. THIS PROGRAM INCORPORATES MULTIPLE BEST PRACTICES, BUNDLES MANY OF THE RESOURCES ALREADY AVAILABLE AND IN USE, AND APPLIES PRINCIPLES OF CASE MANAGEMENT/CARE NAVIGATION AND PROVIDES SERVICES TO PATIENTS IN A SERIES OF ONE-ON-ONE CONTACTS OVER TIME TO FACILITATE LONG-TERM ASTHMA MANAGEMENT.-AGING - AGING AND IN-HOME SERVICES OF NORTHEAST INDIANA SERVES OLDER ADULTS, PERSONS WITH DISABILITIES AND THEIR CAREGIVERS IN NINE COUNTIES AS A PART OF THIS REGION. THIS NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION IS A FEDERAL AND STATE DESIGNATED AREA AGENCY ON AGING AND AN AGING AND DISABILITY RESOURCE CENTER WHICH PROVIDES A STREAMLINED ACCESS TO INFORMATION, CARE OPTIONS, SHORT-TERM CASE MANAGEMENT, AND BENEFITS ENROLLMENT ACROSS A SPECTRUM OF LONG-TERM CARE SERVICES. THROUGH THE CARE TRANSITIONS PROGRAM, AGING AND IN-HOME SERVICES PARTNERS WITH PARKVIEW HEALTH IN AN EFFORT TO REDUCE MEDICARE READMISSIONS.-PRIMARY CARE ACCESS - INCREASING ACCESS TO HEALTHCARE IS A STRATEGIC INITIATIVE FOR THE HEALTH SYSTEM. PARKVIEW CONDUCTS PERIODIC STUDIES TO DETERMINE THE AREAS WHERE PHYSICIANS ARE NEEDED AND RECRUITS PHYSICIANS ACCORDINGLY. ALLEN COUNTY HAS A STRONG HEALTHCARE SAFETY NET THAT ADDRESSES THE NEEDS OF INDIVIDUALS THAT ARE UNINSURED OR UNDERINSURED. PARTICIPATING ORGANIZATIONS IN THE SAFETY NET INCLUDE MATTHEW 25 HEALTH AND DENTAL CLINIC, NEIGHBORHOOD HEALTH CLINICS, BOTH OF WHICH ARE SUPPORTED IN PART BY PARKVIEW HOSPITAL, INC., FORT WAYNE-ALLEN COUNTY HEALTH DEPARTMENT AND OTHER HEALTH -RELATED ORGANIZATIONS. PARKVIEW ONDEMAND OFFERS TELEHEALTH SERVICES WHERE PATIENTS CAN TALK TO A PRIMARY CARE ANYTIME, ANYWHERE THROUGH CONVENIENT VIDEO OR MOBILE APP VISITS. 110 1 - PARKVIEW PHYSICIANS GROUP 3909 NEW VISION DRIVE FORT WAYNE IN 468451725 PHYSICIAN OFFICE 2 - PARKVIEW PHYSICIANS GROUP 1818 CAREW STREET FORT WAYNE IN 468054788 PHYSICIAN OFFICE 3 - PARKVIEW PHYSICIANS GROUP 11123 PARKVIEW PLAZA DRIVE FORT WAYNE IN 468451707 PHYSICIAN OFFICE 4 - PARKVIEW PHYSICIANS GROUP 11104 PARKVIEW CIRCLE DRIVE FORT WAYNE IN 468451730 PHYSICIAN OFFICE 5 - PARKVIEW PHYSICIANS GROUP 2003 STULTS ROAD HUNTINGTON IN 467501291 PHYSICIAN OFFICE 6 - PARKVIEW PHYSICIANS GROUP 1270 E STATE ROAD 205 COLUMBIA CITY IN 467259492 PHYSICIAN OFFICE 7 - PARKVIEW PHYSICIANS GROUP 8911 LIBERTY MILLS RD FORT WAYNE IN 468046311 PHYSICIAN OFFICE 8 - PARKVIEW PHYSICIANS GROUP 11141 PARKVIEW PLAZA DRIVE FORT WAYNE IN 468451713 PHYSICIAN OFFICE 9 - PARKVIEW PHYSICIANS GROUP 11108 PARKVIEW CIRCLE DRIVE FORT WAYNE IN 468451730 PHYSICIAN OFFICE 10 - 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PARKVIEW PHYSICIANS GROUP 5 MATCHETTE DRIVE PIERCETON IN 465629073 PHYSICIAN OFFICE 68 - PARKVIEW PHYSICIANS GROUP 112 N MAIN ST MILFORD IN 46542 PHYSICIAN OFFICE 69 - PARKVIEW PHYSICIANS GROUP 15707 OLD LIMA ROAD HUNTERTOWN IN 46748 PHYSICIAN OFFICE 70 - PARKVIEW PHYSICIANS GROUP 1314 E SEVENTH STREET AUBURN IN 467062535 PHYSICIAN OFFICE 71 - PARKVIEW PHYSICIANS GROUP 3974 NEW VISION DRIVE FORT WAYNE IN 468451712 PHYSICIAN OFFICE 72 - PARKVIEW PHYSICIANS GROUP 5680 YMCA PARK DRIVE WEST FORT WAYNE IN 468353280 PHYSICIAN OFFICE 73 - PARKVIEW PHYSICIANS GROUP 420 N SAWYER RD KENDALLVILLE IN 467552572 PHYSICIAN OFFICE 74 - PARKVIEW PHYSICIANS GROUP 3828 NEW VISION DR FORT WAYNE IN 468451708 PHYSICIAN OFFICE 75 - PARKVIEW PHYSICIANS GROUP 11115 PARKVIEW PLAZA DRIVE FORT WAYNE IN 468451701 PHYSICIAN OFFICE 76 - PARKVIEW PHYSICIANS GROUP 7030 POINTE INVERNESS WAY FORT WAYNE IN 468049298 PHYSICIAN OFFICE 77 - PARKVIEW ORTHO PERFORMANCE CTR LLC 5680 YMCA PARK DRIVE WEST FORT WAYNE IN 46835 PHYSICAL THERAPY SERVICES 78 - 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PARKVIEW PHYSICIANS GROUP 2701 SPRING ST FORT WAYNE IN 468083939 PHYSICIAN OFFICE 91 - PARKVIEW PHYSICIANS GROUP 2101 E COLISEUM BLVD FORT WAYNE IN 468051445 PHYSICIAN OFFICE 92 - PARKVIEW PHYSICIANS GROUP 203 EAST DOUGLAS AVE FORT WAYNE IN 468023534 PHYSICIAN OFFICE 93 - PARKVIEW PHYSICIANS GROUP 3946 ICE WAY FORT WAYNE IN 468051018 PHYSICIAN OFFICE 94 - PARKVIEW PHYSICIANS GROUP 12124 LIMA RD FORT WAYNE IN 468189508 PHYSICIAN OFFICE 95 - PARKVIEW PHYSICIANS GROUP 1600 E WASHINGTON BLVD FORT WAYNE IN 468031228 PHYSICIAN OFFICE 96 - PARKVIEW PHYSICIANS GROUP 1095 W RUDISILL BLVD FORT WAYNE IN 468072162 PHYSICIAN OFFICE 97 - PARKVIEW PHYSICIANS GROUP 1316 E SEVENTH STREET AUBURN IN 467062523 PHYSICIAN OFFICE 98 - PARKVIEW PHYSICIANS GROUP 1 UNIVERSITY AVE ANGOLA IN 467031764 PHYSICIAN OFFICE 99 - PARKVIEW PHYSICIANS GROUP 604 E COLLEGE AVE NORTH MANCHESTER IN 469621276 PHYSICIAN OFFICE 100 - PARKVIEW PHYSICIANS GROUP 3974 NEW VISION DRIVE FORT WAYNE IN 468451712 PHYSICIAN OFFICE 101 - PARKVIEW PHYSICIANS GROUP 3303 TRIER ROAD FORT WAYNE IN 468154768 PHYSICIAN OFFICE 102 - PARKVIEW PHYSICIANS GROUP 400 ASH STREET WABASH IN 469921954 PHYSICIAN OFFICE 103 - PARKVIEW PHYSICIANS GROUP 3415 HOBSON RD FORT WAYNE IN 468051617 PHYSICIAN OFFICE 104 - PARKVIEW PHYSICIANS GROUP 2303 COLLEGE AVE HUNTINGTON IN 467501237 PHYSICIAN OFFICE 105 - PARKVIEW PHYSICIANS GROUP 9318 AIRPORT DR FORT WAYNE IN 468093047 PHYSICIAN OFFICE 106 - PARKVIEW PHYSICIANS GROUP 3217 LAKE AVENUE FORT WAYNE IN 468055427 PHYSICIAN OFFICE 107 - PARKVIEW PHYSICIANS GROUP 2235 DUBOIS WARSAW IN 465803212 PHYSICIAN OFFICE 108 - PARKVIEW PHYSICIANS GROUP 2280 PROVIDENT WARSAW IN 46580 PHYSICIAN OFFICE 109 - PARKVIEW PHYSICIANS GROUP 3030 LAKE AVENUE FORT WAYNE IN 468055428 PHYSICIAN OFFICE 110 - PARKVIEW PHYSICIANS GROUP 4666 W JEFFERSON BLVD FORT WAYNE IN 468046892 PHYSICIAN OFFICE PART I, LINE 3C: EQUITY IN A HOME OTHER THAN THE PATIENT OR GUARANTOR'S PRIMARY RESIDENCE. PART I, LINE 6A: THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665) AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES. PART I, LINE 7: NOTE TO READER - THE AMOUNTS LISTED ON LINES 7A-C REFLECT ONLY THE FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC AS PARKVIEW HEALTH SYSTEM, INC.'S MEMBER HOSPITALS OF PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) FILE THEIR OWN RESPECTIVE FORM 990. PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BPARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7CPARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEANS-TESTED PATIENTS FROM THE HEALTHY INDIANA PLAN (HIP) WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEANS-TESTED PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING HIP, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED HIP COST REPORTED ON LINE 7C IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE HIP CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF HIP SERVICES RENDERED. THEN, THE COST OF HIP SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR HIP PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARKVIEW HEALTH SYSTEM, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES PARKVIEW HEALTH SYSTEM, INC. INCLUDED NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES. PART I, LN 7 COL(F): PERCENT OF TOTAL EXPENSEPARKVIEW HEALTH SYSTEM, INC. EXCLUDED $5,472,407 OF BAD DEBT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.PARKVIEW HEALTH SYSTEM HAS A STRONG COMMITMENT TO SUPPORTING AND ENHANCING THE VITALITY OF OUR COMMUNITY AND THE NORTHEAST INDIANA REGION. PARKVIEW INVESTS IN PROJECTS THAT HELP TO ULTIMATELY IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF THE COMMUNITY.PHYSICAL IMPROVEMENTS/HOUSING:THE PARKVIEW FAMILY PARK IS A RECREATIONAL PARK AREA OPEN TO THE PUBLIC AND LOCATED ON THE NORTH-FORT WAYNE CAMPUS, WHICH IS HOME OF THE PARKVIEW REGIONAL MEDICAL CENTER. PARKVIEW HEALTH SYSTEM, INC. MAKES THE PARK AVAILABLE TO THE GENERAL PUBLIC AND MAINTAINS THE PROPERTY TO ENHANCE THE COMMUNITY AND PROMOTE PHYSICAL ACTIVITY. PARKVIEW HEALTH SYSTEM, INC. SUPPORTS HABITAT FOR HUMANITY THROUGH CASH DONATIONS AND IN-KIND WORK CREWS FOR THE BUILDING OF NEW HOMES FOR FAMILIES WHO QUALIFY. HABITAT FOR HUMANITY OF GREATER FORT WAYNE HAS A PROVEN TRACK RECORD OF HOME RETENTION FOR THOSE THEY SERVE. THIS ORGANIZATION PROVIDES A COMPREHENSIVE HOME OWNERSHIP PROGRAM THAT THROUGH EDUCATION AND SWEAT EQUITY PROMOTES SELF-SUFFICIENCY FOR THESE NEW HOME OWNERS. ECONOMIC DEVELOPMENT:PARKVIEW HEALTH SYSTEM, INC. FOSTERS ECONOMIC DEVELOPMENT IN SEVERAL WAYS. PARKVIEW HEALTH SYSTEM, INC. HAS PLAYED A KEY ROLE IN THE NORTHEAST INDIANA REGIONAL PARTNERSHIP'S VISION 2020, A REGIONAL INITIATIVE DESIGNED TO TRANSFORM NORTHEAST INDIANA INTO A TOP GLOBAL COMPETITOR BY FOCUSING ON A COMMON MISSION TO DEVELOP, ATTRACT AND RETAIN TALENT. PARKVIEW HEALTH SYSTEM, INC. HAS BEEN INSTRUMENTAL IN WORKING WITH THIS GROUP OF COMMUNITY REPRESENTATIVES FROM BUSINESS, EDUCATION, GOVERNMENT AND FOUNDATION SECTORS TO DEVELOP A COMPELLING AND ACTIONABLE VISION FOR THE 11-COUNTY NORTHEAST INDIANA REGION. VISION 2020'S PRIORITIES ARE TIED TO EDUCATION/WORKFORCE, BUSINESS CLIMATE, ENTREPRENEURSHIP, INFRASTRUCTURE AND QUALITY OF LIFE FOR THE ELEVEN-COUNTY REGION IN NORTHEAST INDIANA.TO SUPPORT THE OVERALL PLAN FOR ECONOMIC DEVELOPMENT IN THE REGION, PARKVIEW HEALTH SYSTEM, INC. SUPPORTS THE NORTHEAST INDIANA INNOVATION CENTER (NIIC), A BUSINESS INCUBATION ORGANIZATION PROVIDING ACCESS TO ENTREPRENEURIAL RESOURCES INCLUDING CAPITAL, TALENT, WORKPLACE AND NETWORKING OPPORTUNITIES. MULTI-YEAR SUPPORT IS PROVIDED TO THE FORT WAYNE REDEVELOPMENT COMMISSION FOR THE LOCAL MINOR LEAGUE BASEBALL STADIUM LOCATED IN DOWNTOWN FORT WAYNE AS PART OF A CONCERTED EFFORT TO BRING RENEWED ECONOMIC VITALITY TO THE DOWNTOWN AREA, THEREBY ENHANCING THE COMMUNITY AS A WHOLE. THE BASEBALL FIELD IS THE CENTERPIECE OF OTHER SIGNIFICANT PROJECTS TOWARD THE GOAL OF DOWNTOWN REVITALIZATION. IN ADDITION, IT SERVES AS A VENUE FOR PROVIDING PREVENTIVE HEALTH AND SAFETY EDUCATION AND SCREENINGS TO THE COMMUNITY.LEADERSHIP DEVELOPMENT/TRAINING FOR COMMUNITY MEMBERS:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS LEADERSHIP DEVELOPMENT IN THE COMMUNITY IN CONJUNCTION WITH ECONOMIC DEVELOPMENT EFFORTS IN ORDER TO IMPROVE THE QUALITY OF LIFE IN ALLEN COUNTY AND THE REGION. STRONG LEADERS PLAY A KEY ROLE IN BUILDING THRIVING COMMUNITIES.PARKVIEW'S COMMUNITY PARTNER DEVELOPMENT CENTER WAS CREATED TO PROVIDE TOOLS AND RESOURCES FOR LOCAL NON-PROFIT ORGANIZATIONS AND THEIR LEADERS THROUGH TRAINING, COACHING, DEVELOPMENT AND STRATEGIC PLANNING. TRAININGS INCLUDE CONDUCTING NEEDS ANALYSIS AND TAILORED DEVELOPMENT PLANS BUILDING ON ORGANIZATIONAL STRENGTHS; LEADERSHIP COURSES REGARDING BEST PRACTICES AND LEADERSHIP PRINCIPLES; AS WELL AS NEEDS-BASED RESTORATIVE INTERVENTIONS DESIGNED TO PROMOTE ORGANIZATIONAL TEAM COHESIVENESS. AS ONE OF THE LARGEST EMPLOYERS IN NORTHEAST INDIANA, PARKVIEW HEALTH SYSTEM, INC. SERVES AS A SIGNIFICANT SPONSOR TO PROMOTE ACCESS TO THE GLOBAL LEADERSHIP SUMMIT NATIONAL LEADERSHIP CONFERENCE WHICH PROVIDES A TWO-DAY TRAINING ON SERVANT LEADERSHIP PRINCIPLES. WORKFORCE DEVELOPMENT:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS PHYSICIAN RECRUITMENT ACTIVITIES TO ASSIST IN TIMELY RESPONSE TO PATIENT CARE NEEDS IN THE COMMUNITY. RECRUITMENT ACTIVITIES ARE BASED ON THE RESULTS OF A PERIODIC PHYSICIAN NEEDS ASSESSMENT. PARKVIEW HEALTH SYSTEM, INC. DEVELOPS A PHYSICIAN RECRUITMENT PLAN TO ADDRESS POTENTIAL GAPS IN PATIENT COVERAGE. PARKVIEW HEALTH SYSTEM, INC. STRIVES TO BRING THE BEST INTEGRATED, QUALITY, AND COST EFFECTIVE CARE AND INNOVATIVE TECHNOLOGY AVAILABLE TO OUR COMMUNITIES. IN DOING SO, WE FOCUS OUR EFFORTS ON RECRUITING AN EXCEPTIONAL TEAM OF PHYSICIANS. PART III, LINE 2: THE AMOUNT REPORTED IS CONSISTENT WITH THE AMOUNT REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS.DISCOUNTS AND PAYMENTS ON PATIENT ACCOUNTS (BAD DEBT RECOVERIES) ARE FACTORED INTO THE ALLOWANCE FOR BAD DEBT ESTIMATION PROCESS. PART III, LINE 3: COSTING METHODOLOGY USED:UNCOLLECTIBLE PATIENT ACCOUNTS ARE CHARGED AGAINST THE PROVISION FOR BAD DEBT IN ACCORDANCE WITH THE POLICIES OF PARKVIEW HEALTH SYSTEM, INC. HOWEVER, DURING THE COLLECTION PROCESS THERE IS A CONTINUOUS EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. THEREFORE, ONCE AN UNCOLLECTIBLE ACCOUNT HAS BEEN CHARGED OFF AND IT IS DETERMINED THROUGH THE COLLECTION PROCESS THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE UNCOLLECTIBLE ACCOUNT IS RECLASSIFIED TO CHARITY CARE AND ALL COLLECTION EFFORTS CEASE. PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME, INCLUDING PATIENTS WHOSE ACCOUNTS HAVE BEEN PLACED IN A BAD DEBT AGENCY. THE AMOUNT REFLECTED ON LINE 3 WAS CALCULATED BY TOTALING THE ACCOUNTS PREVIOUSLY WRITTEN OFF TO BAD DEBT AND PLACED WITH A COLLECTION AGENCY, BUT SUBSEQUENTLY RECLASSIFIED AS CHARITY CARE DURING THE TAX YEAR. THE ACCOUNTS WERE RECLASSIFIED AS CHARITY CARE DUE TO THE FACT THAT PATIENTS APPLIED FOR, AND WERE APPROVED FOR, FINANCIAL ASSISTANCE AFTER THE ACCOUNTS WERE PLACED WITH A BAD DEBT AGENCY. PART III, LINE 4: BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGE 12 OF ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. PARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, PARKVIEW HEALTH SYSTEM, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. PARKVIEW HEALTH SYSTEM, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION. PART III, LINE 9B: IF THE PATIENT CANNOT PAY IN FULL, THE OPTION OF A LOW INTEREST LOAN IS AVAILABLE WITH THE SAME DISCOUNT OFFERED FOR CASH PAYMENTS AS LONG AS THE LOAN IS ARRANGED WITHIN 30 DAYS OF THE FIRST GUARANTOR STATEMENT. IF THE PATIENT DEFAULTS ON THE LOAN, THE DISCOUNT WILL BE REVERSED AND THE PATIENT'S ACCOUNT WILL BE PLACED IN A COLLECTION AGENCY.INTEREST-FREE PAYMENTS WITH PAY-OUT NOT TO EXCEED TWELVE (12) MONTHS ARE AVAILABLE. THE MINIMUM MONTHLY PAYMENT IS $25.FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR THOSE PATIENTS WHO CANNOT PAY THEIR BILL. THOSE OPTIONS ARE GOVERNMENTAL ASSISTANCE OR FREE CARE THROUGH THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM. THE HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON PARKVIEW.COM OR BY VISITING ANY HOSPITAL CASHIER OFFICE OR BY CALLING PATIENT ACCOUNTING AT 260.266.6700 OR TOLL FREE 855.814.0012. A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE ANYTIME DURING THE APPLICATION PERIOD. FAILURE TO MAKE ARRANGEMENTS AS LISTED ABOVE OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING PLACED IN A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES WHICH MAY ULTIMATELY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE. ADDITIONALLY, THE COLLECTION AGENCY MAY SUE AND OBTAIN A JUDGMENT AGAINST THE PATIENT FOR NON-PAYMENT. THESE ACTIONS WILL NOT OCCUR UNTIL 120 DAYS AFTER THE PATIENT IS SENT THEIR FIRST FOLLOW-UP STATEMENT INDICATING THE AMOUNT THEY OWE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN THOUGH THEY HAVE BEEN PLACED IN A COLLECTION AGENCY. IF THE PATIENT WAS SENT THEIR FIRST NOTICE ON THE ACCOUNT FOR WHICH THEY ARE APPLYING FOR FREE CARE BETWEEN 120 DAYS AND THE END OF THE APPLICATION PERIOD, THE ACTIONS ABOVE WILL BE SUSPENDED UNTIL THE FREE CARE APPLICATION ELIGIBILITY IS DETERMINED. PART VI, LINE 2: DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B.IN ADDITION TO IDENTIFYING HEALTH NEEDS THROUGH THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT, PARKVIEW HOSPITAL, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:-OTHER COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS-USE OF CONDUENT'S HEALTHY COMMUNITIES INSTITUTE SECONDARY DATA PLATFORM -OBSERVATIONS BY HEALTHCARE PROFESSIONALS WHO WORK WITH VULNERABLE POPULATIONS-SPECIFIC REQUESTS PROMPTED BY OTHER PROFESSIONALS IN THE COMMUNITYHOSPITAL REPRESENTATIVES MAINTAIN ON-GOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE. PART VI, LINE 3: DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE. PART VI, LINE 4: DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.PARKVIEW HEALTH SYSTEM, INC. SERVES AN 11-COUNTY AREA (ADAMS, ALLEN, DEKALB, HUNTINGTON, KOSCIUSKO, LAGRANGE, NOBLE, STEUBEN, WABASH, WELLS AND WHITLEY) IN NORTHEAST INDIANA, AS WELL AS NORTHWEST OHIO. THE TOTAL POPULATION OF OUR SERVICE AREA IS OVER 880,000. THE SYSTEM OPERATES HOSPITALS IN ALLEN, HUNTINGTON, LAGRANGE, NOBLE, WABASH AND WHITLEY COUNTIES. ALLEN COUNTY IS CONSIDERED THE URBAN AREA AMONGST THE OTHER RURAL COUNTIES AND REPRESENTS 66 PERCENT OF THE TOTAL POPULATION OF THE SIX-COUNTY AREA.EVEN THOUGH PARKVIEW'S PATIENT SERVICE AREA EXTENDS FAR BEYOND THE SIX-COUNTY AREA WHERE HOSPITAL ENTITIES RESIDE, ADDRESSING POPULATION HEALTH PRIORITIES IS BASED LARGELY ON THE DEGREE OF ACCESSIBILITY THAT COMMUNITY MEMBERS POSSESS TO ASSISTANCE PROGRAMS, COMMUNITY RESOURCES, ETC. IN ORDER TO BEST IMPROVE THE POPULATION HEALTH IN THE COMMUNITIES THAT WE SERVE, COMMUNITY HEALTH IMPROVEMENT INITIATIVES ARE PROVIDED PRIMARILY TO THE LOCAL COMMUNITIES IN EACH OF THE SIX COUNTIES. THE AVERAGE PERCENTAGE OF THOSE BELOW THE FEDERAL POVERTY LEVEL IS 8.7 PERCENT FOR THE SIX-COUNTY AREA. THE MEDIAN HOUSEHOLD INCOME RANGES FROM $47,042 (HUNTINGTON) TO $54,837 (WHITLEY). THE UNEMPLOYMENT RATE RANGES FROM 2.3 PERCENT (LAGRANGE COUNTY) TO 3.4 PERCENT (HUNTINGTON COUNTY) AS OF MAY 2018 ACCORDING TO STATS INDIANA. HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA), IS AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES. HRSA DEVELOPS SHORTAGE DESIGNATION CRITERIA AND USES THEM TO DECIDE WHETHER OR NOT A GEOGRAPHIC AREA, POPULATION GROUP OR FACILITY IS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). HRSA HAS DESIGNATED THE WARSAW MENTAL HEALTH CATCHMENT AREA 28 IN WHITLEY COUNTY AND KOSCIUSKO COUNTY AS A GEOGRAPHIC HPSA IN MENTAL HEALTH. HRSA HAS DESIGNATED THE LOW INCOME - WARSAW SERVICE AREA LOCATED IN KOSCIUSKO COUNTY AS A MUP LOW INCOME.HRSA HAS DESIGNATED LOW INCOME - WABASH COUNTY AS A LOW INCOME POPULATION HPSA IN PRIMARY CARE AND DENTAL HEALTH. HRSA HAS DESIGNATED THE WARSAW MENTAL HEALTH CATCHMENT AREA 28 IN WABASH COUNTY AS A GEOGRAPHIC HPSA IN MENTAL HEALTH. HRSA HAS DESIGNATED LOW INCOME WABASH COUNTY AS A MUP LOW INCOME.HRSA HAS DESIGNATED NOBLE COUNTY AS A GEOGRAPHIC HPSA IN PRIMARY CARE, AND THE NORTHEASTERN CATCHMENT AREA 18 IN NOBLE COUNTY AS A GEOGRAPHIC HPSA IN MENTAL HEALTH.HRSA HAS DESIGNATED LOW INCOME - HUNTINGTON COUNTY AS A LOW INCOME POPULATION HPSA. HRSA HAS DESIGNATED THE WARSAW MENTAL HEALTH CATCHMENT AREA 28 IN HUNTINGTON COUNTY AS A GEOGRAPHIC HPSA IN MENTAL HEALTH. HRSA HAS DESIGNATED SALAMONIE SERVICE AREA IN HUNTINGTON COUNTY AS A MUA. HRSA HAS DESIGNATED CITY OF FORT WAYNE AS A HIGH NEEDS GEOGRAPHIC HPSA IN PRIMARY CARE, LOW INCOME - ALLEN COUNTY AS A LOW INCOME POPULATION HPSA, AND MENTAL HEALTH CATCHMENT AREA 20 LOCATED IN ALLEN COUNTY AS A HIGH NEEDS GEOGRAPHIC HPSA. HRSA HAS DESIGNATED LOW INCOME - SOUTH FORT WAYNE SERVICE AREA AS A MUP LOW INCOME. PART VI, LINE 5: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).PARKVIEW HEALTH SYSTEM, INC., AS PARENT OF THE SYSTEM'S VARIOUS HOSPITAL ENTITIES AND PHYSICIAN PRACTICES, SERVES IN AN OVERSIGHT CAPACITY TO FORM AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. EACH OF OUR HEALTHCARE FACILITIES IS EFFICIENTLY SUPPORTED WITH CENTRALIZED, COST-EFFECTIVE ADMINISTRATIVE SUPPORT AND GUIDANCE TO FORM A COMPLETE AND COMPREHENSIVE CARE DELIVERY SYSTEM FOR THE REGION. PARKVIEW HEALTH SYSTEM, INC. SERVES TO MEET ITS MISSION TO ITS COMMUNITIES BY CONDUCTING A TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT OF THE REGION AND OFFERING THE SERVICES NECESSARY FOR A SAFER AND HEALTHIER POPULATION.DATA OBTAINED THROUGH THE COMMUNITY HEALTH NEEDS ASSESSMENTS, PHYSICIAN SURVEYS, AND TREND AND TREATMENT ANALYSIS IS UTILIZED IN PARKVIEW HEALTH SYSTEM, INC.'S STRATEGIC PLANNING PROCESS. THROUGH THIS PROCESS, PARKVIEW HEALTH SYSTEM, INC. HAS ESTABLISHED SEVERAL PRIORITY AREAS. THESE PRIORITY AREAS ALIGN WITH THE SYSTEM'S MISSION, VISION AND GOALS TO HELP DIRECT THE HEALTH SYSTEM'S FOCUS FOR HEALTH INITIATIVES. ALL HOSPITAL ENTITIES SHARE THE COMMUNITY HEALTH PRIORITY OF ADDRESSING OBESITY THROUGH VARIOUS STRATEGIES THAT PROMOTE GOOD NUTRITION AND ACTIVE LIVING. OTHER TOP COMMUNITY HEALTH PRIORITIES ADOPTED THROUGHOUT THE HEALTH SYSTEM INCLUDE MATERNAL/CHILD HEALTH, MENTAL HEALTH, DRUG/ALCOHOL USE AND TOBACCO USE. PARKVIEW HEALTH SYSTEM, INC., THROUGH ITS MEMBER HOSPITALS ALLOCATES FUNDING ON AN ANNUAL BASIS TO FUEL LOCAL COMMUNITY HEALTH IMPROVEMENT EFFORTS. COMMITTEE PARTICIPATION AND RESOURCES ARE COMMITTED TO SUPPORTING HEALTH INITIATIVES AND PARTNER ORGANIZATIONS THAT ADDRESS IDENTIFIED HEALTH PRIORITIES DESIGNED TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITIES THAT WE SERVE. INITIATIVES TO ADDRESS OBESITY THROUGH EDUCATION AND PROMOTION OF HEALTHY LIVING INCLUDE SCHOOL-BASED NUTRITION AND ACTIVE LIFESTYLE CURRICULUMS AND PROGRAMS, HEALTHY EATING ACTIVE LIVING (HEAL) INITIATIVE AND CONSTRUCTION OF PARKVIEW'S COMMUNITY GREENHOUSE AND LEARNING KITCHEN.AS PART OF PROMOTING HEALTHY LIVING, THE HEAL INITIATIVE WAS DEVELOPED AND IS A JOINT PARTNERSHIP BETWEEN PARKVIEW HOSPITAL, INC. AND ST. JOSEPH COMMUNITY HEALTH FOUNDATION. IT CONSISTS OF THREE COMPONENTS INCLUDING OUR HEALING KITCHEN, A NUTRITIOUS FOOD PREPARATION COURSE, OPERATION OF FIVE SEASONAL HEAL FARM MARKETS WHERE SNAP AND WIC/SENIOR VOUCHERS ARE DOUBLED AND SUPPORT OF GATE (GROWTH IN AGRICULTURE THROUGH EDUCATION) URBAN GARDEN. THE HEAL PROGRAM WAS DESIGNED TO DECREASE "FOOD INSECURITY AND THE PLIGHT OF "FOOD DESERT" NEIGHBORHOODS IN ALLEN COUNTY BY ADDRESSING ACCESS BARRIERS TO FRESH, LOCAL PRODUCE AND EDUCATION ON FOOD PREPARATION AND PRESERVATION. IN 2017, THE HOSPITAL BEGAN CONSTRUCTION OF THE PARKVIEW GREENHOUSE AND LEARNING KITCHEN ON THE PARKVIEW BEHAVIORAL HOSPITAL CAMPUS LOCATED IN A FEDERALLY DESIGNATED FOOD DESERT AREA. THIS FACILITY WILL SERVE AS A HUB FOR PARKVIEW'S EXISTING NUTRITION-RELATED OUTREACH EDUCATION PROGRAMS. FOOD TASTINGS, COOKING DEMONSTRATIONS AND HANDS-ON COOKING CLASSES TO EDUCATE COMMUNITY MEMBERS ON HOW TO SHOP FOR, PREPARE, STORE AND USE FRESH FOODS ARE SCHEDULED TO BEGIN OCTOBER 2018. THE ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC CONTINUES TO PARTNER WITH PARKVIEW HOSPITAL, INC. IN ITS EFFORTS TO PROMOTE HEALTHY LIFESTYLES THROUGH NUTRITION, PHYSICAL ACTIVITY AND INJURY PREVENTION EDUCATION. A COMMUNITY OUTREACH CERTIFIED ATHLETIC TRAINER (ATC) AND NUTRITIONIST CREATED AGE-APPROPRIATE SCHOOL CURRICULA RELATED TO ACTIVITIES OF HEALTHY LIVING, I.E., NUTRITION CLASSES FOR OUR CLUB SPORT TEAMS, INJURY PREVENTION CLASSES AT AREA HIGH SCHOOLS AND COLLEGES FOCUSING ON ATHLETES AND COACHES. THIS APPROACH PROMOTES HEALTHY LIFESTYLES FROM CHILDHOOD TO THE ADULT ATHLETE.IN CARRYING OUT OUR MISSION TO IMPROVE ACCESS TO HEALTHCARE AS A NOT-FOR-PROFIT HEALTH SYSTEM, PARKVIEW HEALTH SYSTEM, INC. CONTINUES ITS FOCUS ON THE RECRUITMENT AND TRAINING OF PRIMARY CARE AND SPECIALTY CARE PHYSICIANS, AS WELL AS OTHER HEALTHCARE PROFESSIONALS SUCH AS NURSE PRACTITIONERS, PHYSICIAN ASSISTANTS AND NURSES IN SEVERAL LOCATIONS IN THE REGION. TO INCREASE ACCESS TO SERVICES BEYOND HOSPITAL AND TRADITIONAL PHYSICIAN OFFICE SETTINGS, PARKVIEW HAS DEVELOPED WALK-IN CLINICS WITH EXTENDED HOURS IN SEVERAL LOCATIONS THROUGHOUT THE REGION. PARKVIEW ORTHO HOSPITAL, INC. INTRODUCED A WALK-IN ORTHOPEDIC CLINIC TO PROVIDE SAME-DAY SERVICE FOR INDIVIDUALS WITH MINOR ORTHOPEDIC AND SPORTS INJURIES. PARKVIEW ALSO LAUNCHED PARKVIEW ONDEMAND, A TELEHEALTH PLATFORM THAT CONNECTS INDIVIDUALS WITH A PROVIDER 24/7 FOR NON-EMERGENCY CONDITIONS SUCH AS COLD AND FLU, ALLERGIES AND PINK EYE.PARKVIEW HOSPITAL, INC., HAS FOSTERED CLINICAL RESEARCH SERVICES THROUGH THE PARKVIEW RESEARCH CENTER, TO PARKVIEW HEALTH SYSTEM, INC. PHYSICIANS FOR OVER 25 YEARS. THE PROGRAM HAS DEVELOPED AREAS OF SPECIALIZATION IN CARDIOLOGY, NEUROLOGY, RADIATION ONCOLOGY, EMERGENCY MEDICINE AND CRITICAL CARE SERVICES DURING THAT TIME. THE PARKVIEW RESEARCH CENTER RELOCATED TO THE NEWLY CONSTRUCTED PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION IN 2015 ON THE NORTH-FORT WAYNE CAMPUS, BRINGING TOGETHER PHYSICIANS, PHARMACISTS, NURSES AND ALLIED HEALTHCARE PROFESSIONALS TO COLLABORATE ON INNOVATIVE SOLUTIONS FOR PATIENT CARE. THE ADVANCED MEDICAL SIMULATION LAB ALLOWS MULTIDISCIPLINARY CARE TEAMS THE OPPORTUNITY TO ENHANCE CLINICAL AND COMMUNICATION SKILLS IN ORDER TO IMPROVE THE QUALITY OF CARE PROVIDED.THE HEALTH SYSTEM CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH PARTNERSHIPS BETWEEN PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION AND LOCAL UNIVERSITIES ON THE NORTH-FORT WAYNE CAMPUS, AS WELL AS DEVELOPMENT OF THE LIFE SCIENCE EDUCATION AND RESEARCH CONSORTIUM ON THE RANDALLIA CAMPUS. THE CONSORTIUM IS A COLLABORATIVE EFFORT BETWEEN THE HOSPITAL, TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY AND WILL PROVIDE NEW ACADEMIC PROGRAMS AND RESEARCH TIED TO REHABILITATION SERVICES AND SENIOR CARE. IN ADDITION, DOCTORAL PROGRAMS FOR PHYSICAL THERAPY AND OCCUPATIONAL THERAPY WILL BE OFFERED, FULFILLING A SIGNIFICANT WORKFORCE GAP AND SPECIALTY CARE ACCESS NEED IN THE COMMUNITY.OTHER PROJECTS INCLUDE CONSTRUCTION OF A $100 MILLION, 108,000 SQUARE FOOT CANCER INSTITUTE ON THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS OPENING JUNE 2018. THE CANCER INSTITUTE WILL BE A STATE-OF-THE-ART FACILITY, USING AN INNOVATIVE PATIENT-CENTERED APPROACH TO CANCER CARE. CARE WILL INCLUDE AN INTER-DISCIPLINARY CLINICAL TEAM AND A PERSONAL CARE NAVIGATION PROGRAM. ALL CANCER-RELATED SERVICES ARE UNDER ONE ROOF WHETHER ENGAGED IN PREVENTION, TREATMENT OR AFTERCARE. EXPANSIVE COMMON AREAS WITH INDOOR GARDENS SEPARATE FROM CLINICAL AREAS WILL BE AVAILABLE FOR USE BY PATIENTS AND THEIR FAMILIES. PART VI, LINE 6: IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.: COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC.PARKVIEW CONTRIBUTES TO THE SUCCESS OF THE REGION BY EFFECTIVELY MANAGING ITS FACILITIES, EFFICIENTLY PROVIDING AND DELIVERING ITS SERVICES, AND SUPPORTING LOCAL BUSINESSES, ORGANIZATIONS AND ACTIVITIES. PARKVIEW SEEKS TO CREATE ALIGNMENT OPPORTUNITIES TO DELIVER COMPREHENSIVE HIGH-QUALITY CARE THAT BENEFITS PATIENTS, PHYSICIANS, CO-WORKERS AND COMMUNITIES. EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH CUSTOMIZED TO MEET THE UNIQUE NEEDS OF THEIR RESPECTIVE COMMUNITIES. AFFILIATE HOSPITALS ALSO WORK TOGETHER AND SHARE PROGRAMMING AND MESSAGING WHERE COMMON COMMUNITY HEALTH ISSUES ARE IDENTIFIED. FROM THE LIST OF HEALTH ISSUES IDENTIFIED IN THE SEVEN-COUNTY AREA, THE HEALTH PRIORITY OF OBESITY/HEALTHY LIFESTYLE PROMOTION AND EDUCATION INCLUDING GOOD NUTRITION, ACCESS TO AND CONSUMPTION OF HEALTHY FOODS AND AN ACTIVE LIFESTYLE WAS SELECTED BY ALL AFFILIATE HOSPITALS.PARKVIEW'S 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. PART VI, LINE 7, REPORTS FILED WITH STATES IN PART VI, LINE 7: A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH. 1 PARKVIEW FOUNDATION INC 10622 PARKVIEW PLAZA DRIVE FORT WAYNE IN 46845 237220589 501 ( C ) 3 1880818 OPERATIONS BOYS AND GIRLS CLUB OF FORT WAYNE 2609 FAIRFIELD AVENUE FORT WAYNE IN 46807 351778767 501 ( C ) 3 286000 AFTER-SCHOOL AND SUMMER PROGRAMS THAT PROVIDE POSITIVE, EDUCATIONAL EXPERIENCES FOR LOW-INCOME CHILDREN FORT WAYNE AREA YOUTH FOR CHRIST 6427 OAKBROOK PARKWAY FORT WAYNE IN 46825 351051837 501 ( C ) 3 265400 EDUCATIONAL PROGRAMS WITH A FOCUS ON CHRISTIAN RELIGIOUS VALUES TO CHILDREN RANGING IN AGE FROM MIDDLE-SCHOOL TO HIGH SCHOOL TEENS MATTHEW 25 HEALTH CLINIC 413 E JEFFERSON BLVD FORT WAYNE IN 46802 351484951 501 ( C ) 3 260190 HEALTHCARE AND DENTAL SERVICES PROVIDED TO THE INDIGENT THE HONEYWELL FOUNDATION INC 275 WEST MARKET STREET WABASH IN 46992 350390706 501 ( C ) 3 250000 EDUCATIONAL OUTREACH FUND BIG BROTHERS BIG SISTERS 2439 FAIRFIELD AVENUE FORT WAYNE IN 46807 351271943 501 ( C ) 3 250000 CAPITAL CAMPAIGN PARKVIEW WABASH FOUNDATION INC 10 JOHN KISSINGER DRIVE WABASH IN 46992 351921445 501 ( C ) 3 203266 OPERATIONS INDIANA-PURDUE FOUNDATION AT FT WAYNE 2101 EAST COLISEUM BLVD FORT WAYNE IN 46805 356033698 501 ( C ) 3 188850 HEALTH-RELATED HIGHER EDUCATION SCHOLARSHIPS COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC 401 SAWYER ROAD KENDALLVILLE IN 46755 352089183 501 ( C ) 3 170797 OPERATIONS CITY OF FORT WAYNE ONE EAST MAIN STREET FORT WAYNE IN 46802 GOVT ORG 150000 CAPITAL MAINTENANCE & IMPROVEMENT FUND FOR PARKVIEW FIELD EMERGENCY MEDICINE EDUCATIONAL FOUNDATION OF NORTHEAST INDIANA 3640 NEW VISION DRIVE FORT WAYNE IN IN 46845 465584998 501 ( C ) 3 150000 SUPPORT EMERGENCY MEDICINE PROVIDE EDUCATION AND TRAINING PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC 2001 STULTS ROAD HUNTINGTON IN 46750 320012095 501 ( C ) 3 145335 OPERATIONS WHITLEY MEMORIAL HOSPITAL FOUNDATION INC 1260 E STATE ROAD 205 COLUMBIA CITY IN 46725 311190239 501 ( C ) 3 134048 OPERATIONS YMCA OF DEKALB COUNTY 533 NORTH STREET AUBURN IN 46706 350868958 501 ( C ) 3 132500 CAPITAL CAMPAIGN YMCA OF GREATER FORT WAYNE 347 W BERRY STREET FORT WAYNE IN 46802 350886850 501 ( C ) 3 122600 PROGRAMS FOSTERING YOUTH DEVELOPMENT, HEALTHY LIVING & SOCIAL RESPONSIBILITY ARTS UNITED OF GREATER FORT WAYNE INC 300 EAST MAIN STREET FORT WAYNE IN 46802 350992067 501 ( C ) 3 108333 SPONSORSHIP OF MIDDLE WAVES MUSIC FESTIVAL PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DRIVE FORT WAYNE IN 46845 350868085 501 ( C ) 3 102440 GREENHOUSE PROGRAM IHA HOSPITAL ASSISTANCE FOUNDATION INC 1 AMERICAN SQUARE SUITE 1900 INDIANAPOLIS IN 46282 455573749 501 ( C ) 3 102000 PROMOTE A STABLE AND DIVERSE HOSPITAL INFRASTRUCTURE THROUGHOUT INDIANA ELEVATE VENTURES INC 50 EAST 91ST STREET INDIANAPOLIS IN 46240 274118692 501 ( C ) 3 100000 ENTREPRENEURSHIP ACTION PLAN FORT WAYNE TRAILS INC 300 E MAIN STREET STE 130 FORT WAYNE IN 46802 421545637 501 ( C ) 3 100000 SPONSORSHIP FOR PUFFERBELLY 5K TO SUPPORT TRAIL PROGRAM THAT PROVIDES RECREATION, HEALTH & FITNESS, AND ACTIVE TRANSPORTATION OPPORTUNITIES OAKWOOD FOUNDATION INC 110 W BERRY STREET STE 2105 FORT WAYNE IN 46802 351893123 501 ( C ) 3 78000 CHAUTAUQUA WAWASEE PROGRAMS - HEROIN & PRESCRIPTION PAINKILLER FORUM, HIGH SCHOOL ASSEMBLY PROGRAMS AFRICAN-AMERICAN HEALTHCARE ALLIANCE OF FORT WAYNE INC 4950 IRIS AVENUE FORT WAYNE IN 46825 352134195 501 ( C ) 3 75331 EVENT SPONSORSHIP FOR HEALTHCARE SCHOLARSHIPS FORT WAYNE PHILHARMONIC ORCHESTRA INC 4901 FULLER DRIVE FORT WAYNE IN 46835 350791163 501 ( C ) 3 72500 PROGRAMS TO INSPIRE AND FOSTER A LOVE OF CLASSICAL MUSIC COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC 207 N TOWNLINE ROAD LAGRANGE IN 46761 202401676 501 ( C ) 3 56214 OPERATIONS TROY CENTER SCHOOL 709 W BUSINESS 30 COLUMBIA CITY IN 46725 460634748 501 ( C ) 3 52800 SCHOOL PROGRAMS AMERICAN RED CROSS 2025 E STREET NW WASHINGTON DC 20006 530196605 501 ( C ) 3 52750 SPONSORSHIP 2016 HUMANITARIAN OF THE YEAR RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA 11109 PARKVIEW PLAZA DRIVE FORT WAYNE IN 46845 351950376 501 ( C ) 3 36000 CAPITAL CAMPAIGN & PROGRAMS PROVIDING SUPPORT FOR ALL PEDIATRIC FAMILIES UNITY PERFORMING ARTS FOUNDATION INC PO BOX 10394 FORT WAYNE IN 46852 352110907 501 ( C ) 3 35000 SUPPORT FOR CHARACTER/ARTISTRY/LEADERSHIP DEVELOPMENT FOR CHILDREN AND ADOLESCENTS GLOBAL LEADERSHIP SUMMIT AND BEYOND 7400 EAST STATE BLVD FORT WAYNE IN 46815 351285808 501 ( C ) 3 35000 SCHOLARSHIPS FOR LEADERSHIP TRAINING JUNIOR ACHIEVEMENT NORTHERN INDIANA 601 NOBLE DRIVE FORT WAYNE IN 46825 350922731 501 ( C ) 3 34600 EXPERIENTIAL-BASED LIFE SKILL PROGRAMS FOR CHILDREN NORTHEAST INDIANA INNOVATION CENTER 3201 STELLHORN ROAD FORT WAYNE IN 46815 352097779 501 ( C ) 3 32500 SPONSOR OF IDEAS AT WORK LUNCHEON TO SUPPORT BUSINESS AND OTHER ORGANIZATIONAL DEVELOPMENT FORT WAYNE BALLET 300 E MAIN STREET FORT WAYNE IN 46802 356006394 501 ( C ) 3 30000 SPONSORSHIP OF ANNUAL FUNDRAISING EVENT TO BENEFIT THE BALLET BRIDGE OF GRACE COMPASSIONATE MINISTRIES 5100 GAYWOOD DRIVE FORT WAYNE IN 46806 454056745 501 ( C ) 3 30000 SPONSORSHIP FOR COMPASSIONATE MINISTRIES CENTER AND ITS PROGRAMS AND PROJECTS TRINE UNIVERSITY INC 1 UNIVERSITY AVENUE ANGOLA IN 46703 350715530 501 ( C ) 3 27795 SPONSORSHIP FOR STUDENT SCHOLARSHIP PROGRAM ALWAYS 100 INC 3946 ICE WAY FORT WAYNE IN 46805 453586802 501 ( C ) 3 27200 SPORTS & ATHLETIC TRAINING PROGRAM BLACKHAWK CHRISTIAN SCHOOL 7400 EAST STATE BLVD FORT WAYNE IN 46815 351285808 501 ( C ) 3 27000 SCHOLARSHIPS FOR THE LOCAL GLOBAL LEADERSHIP SUMMIT SOCIAL STATUS FOR AFRICAN AMERICAN MALES COMMISSION 918 E RUDISILL FORT WAYNE IN 46806 473146908 501 ( C ) 3 26500 SPONSORSHIP FOR YOUTH PROGRAMS WABASH COUNTY YMCA 500 S CASS STREET WABASH IN 46992 350733765 501 ( C ) 3 25825 YOUTH PROGRAMS INNER CITY HOPE CORPORATION PO BOX 12045 FORT WAYNE IN 46862 351967440 501 ( C ) 3 25000 SUPPORTING MISS VIRGINIA'S FOOD PANTRY PROVIDING FOOD TO ALL IN NEED, COMMITTED TO THE WELFARE OF THE POOR AND NEEDY WHO REQUIRE FOOD ASSISTANCE PARKVIEW HUNTINGTON FAMILY YMCA 1160 WEST 500 NORTH HUNTINGTON IN 46750 350905959 501 ( C ) 3 25000 PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL GEORGETOWN COMMUNITY NATIONAL LITTLE LEAGUE PO BOX 15430 FORT WAYNE IN 46885 237228299 501 ( C ) 3 22000 YOUTH SPORTS PROGRAM FORT WAYNE URBAN LEAGUE INC 2135 S HANNA STREET FORT WAYNE IN 46803 350869052 501 ( C ) 3 21410 SPONSORSHIP OF ANNUAL EVENTS TO SUPPORT NEEDED SERVICES PROVIDED TO VULNERABLE POPULATIONS CAMERON HOSPITAL FOUNDATION 416 E MAUMEE STREET ANGOLA IN 46703 351722087 501 ( C ) 3 20800 CAMERON HOSPITAL PROGRAMS FORT WAYNE CIVIC THEATRE INC 303 E MAIN STREET FORT WAYNE IN 46802 356001476 501 ( C ) 3 20800 PROGRAMS TO ENTERTAIN, ENLIGHTEN, INSPIRE, EDUCATE AND ENRICH THE COMMUNITY THROUGH QUALITY LIVE THEATRE VINCENT VILLAGE INC 2827 HOLTON AVENUE FORT WAYNE IN 46806 351780135 501 ( C ) 3 20000 TRANSITIONAL HOUSING PROGRAM JUNIOR LEAGUE OF FORT WAYNE INC 1010 MEMORIAL WAY FORT WAYNE IN 46805 350864748 501 ( C ) 3 20000 SPONSORSHIP OF YOUTH PROGRAMS STEUBEN COUNTY COMMUNITY FOUNDATION 1701 N WAYNE STREET ANGOLA IN 46703 351857065 501 ( C ) 3 20000 COMMUNITY PROGRAMS EASTER SEALS OF NORTHEAST INDIANA INC 4919 COLDWATER RD FORT WAYNE IN 46825 350869058 501 ( C ) 3 19500 PROGRAMS TO ASSIST CHILDREN & ADULTS WITH DISABILITIES & SPECIAL NEEDS FORT WAYNE MUSEUM OF ART 311 EAST MAIN STREET FORT WAYNE IN 46802 350953440 501 ( C ) 3 17000 PROGRAMS TO COLLECT, PRESERVE AND PRESENT ART THROUGHOUT THE REGION ERIN'S HOUSE 5670 YMCA PARK DRIVE WEST FORT WAYNE IN 46835 351884264 501 ( C ) 3 16500 PROGRAMS SUPPORTING CHILDREN WHO HAVE SUFFERED THE DEATH OF A LOVED ONE BLESSINGS IN A BACKPACK 111 EAST WAYNE STREET STE 555 FORT WAYNE IN 46802 262627847 501 ( C ) 3 15000 FOOD DISTRIBUTION PROGRAM FOR LOW-INCOME CHILDREN YLNI YOUNG LEADERS OF NORTHEAST IN INC PO BOX 10774 FORT WAYNE IN 46853 134307681 501 ( C ) 3 15000 PROGRAMS TO DEVELOP AND RETAIN EMERGING YOUNG LEADERS THROUGH COMMUNITY, PROFESSIONAL, AND SOCIAL ENGAGEMENT MARCH OF DIMES 303 STABLE DRIVE FORT WAYNE IN 46825 131846366 501 ( C ) 3 14100 RESEARCH & PROGRAMS TO DECREASE BIRTH DEFECTS AND INFANT MORTALITY EARLY CHILDHOOD ALLIANCE INC 3320 FAIRFIELD AVENUE FORT WAYNE IN 46807 350953465 501 ( C ) 3 13506 EVENT SPONSORSHIP TO SUPPORT EARLY CHILDHOOD DEVELOPMENT AND EDUCATION PROGRAMS YMCA OF STEUBEN COUNTY 500 E HARCOURT RD ANGOLA IN 46703 351999599 501 ( C ) 3 12000 YOUTH PROGRAMS SUMMIT EQUESTRIAN CENTER 10808 LACABREAH LANE FORT WAYNE IN 46845 273693550 501 ( C ) 3 12000 PROGRAMS TO IMPROVE THE LIVES OF CHILDREN AND ADULTS OF ALL ABILITIES THROUGH THE INTERACTION WITH HORSES CARRIAGE HOUSE 3327 LAKE AVE FORT WAYNE IN 46805 352026647 501 ( C ) 3 11000 JOB AND LIFE SKILLS PROGRAMS DESIGNED FOR THOSE WITH A MENTAL HEALTH DIAGNOSIS HOPE CENTER PREGNANCY AND RELATIONSHIP 3630 HOBSON ROAD FORT WAYNE IN 46815 311113254 501 ( C ) 3 11000 EVENT SPONSORSHIP TO SUPPORT PREGNANCY TESTING, SERVICES AND EDUCATION FOR EXPECTANT AND NEW MOTHERS KATE'S KART 10376 LEO ROAD STE A FORT WAYNE IN 46845 262615368 501 ( C ) 3 11000 DISTRIBUTION OF BOOKS TO HOSPITALIZED CHILDREN BLOOM PROJECT PO BOX 68717 INDIANAPOLIS IN 46268 462796032 501 ( C ) 3 10520 PROGRAMS TO MOTIVATE AND ENCOURAGE YOUNG MEN, AGES 12-18, TO GROW INTO THE NEXT GENERATION OF FUTURE LEADERS MUSTARD SEED FURNITURE BANK OF 3636 ILLINOIS ROAD FORT WAYNE IN 46804 352149283 501 ( C ) 3 10500 PROGRAMS SUPPORTING IN-KIND FURNITURE DONATIONS TO THOSE IN NEED ADAMS COUNTY MEMORIAL HOSPITAL AND DEVELOPMENT FOUNDATION 1100 MERCER AVENUE PO BOX 151 DECATUR IN 46733 351432587 501 ( C ) 3 10000 HOSPITAL PROGRAMS - SPONSORSHIP FOR THE FOUNDATION GOLF CLASSIC HEARCARE CONNECTION INC 9604 COLDWATER ROAD FORT WAYNE IN 46825 452803181 501 ( C ) 3 10000 PROVIDE AUDIOLOGY SERVICES TO THOSE WHO QUALIFY FINANCIALLY SANGAM CHARITABLE FOUNDATION INC 10214 CHESTNUT PLAZA DRIVE 121 FORT WAYNE IN 46814 311120273 501 ( C ) 3 10000 PROMOTE INDIAN CULTURE THROUGH SOCIAL, EDUCATIONAL, CULTURAL, RECREATIONAL & COMMUNITY PROGRAMS JUST FOR THIS DAY 1309 2920 ANDRE LANE FORT WAYNE IN 46806 464595908 501 ( C ) 3 10000 SCHOLARSHIP PROGRAM IVY TECH FOUNDATION 3800 N ANTHONY BLVD FORT WAYNE IN 46805 237073977 501 ( C ) 3 10000 STUDENT SCHOLARSHIP PROGRAMS LEAGUE FOR THE BLIND AND DISABLED 5821 S ANTHONY BLVD FORT WAYNE IN 46816 350876341 501 ( C ) 3 10000 PROGRAMS TO PROMOTE OPPORTUNITIES THAT EMPOWER PEOPLE WITH DISABILITIES SCAN INC 500 W MAIN STREET FORT WAYNE IN 46802 310899309 501 ( C ) 3 10000 SPONSORSHIP FOR DUCK RACE BENEFITTING THE PREVENTION OF CHILD ABUSE AND NEGLECT UNIVERSITY OF SAINT FRANCIS 2701 SPRING STREET FORT WAYNE IN 46808 350886846 501 ( C ) 3 10000 SPONSORSHIP FOR SCHOOL OF NURSING SCHOLARSHIP PROGRAM COVENANT COMMUNITY DEVELOPMENT CORPORATION 3420 E PAULDING ROAD FORT WAYNE IN 46816 474667808 501 ( C ) 3 10000 SPONSOR OF SOFTBALL FIELD DEVELOPMENT FORT WAYNE SUMMER SWIM AND DIVE INC 415 EAST COOK ROAD SUITE 500 FORT WAYNE IN 46825 814484528 501 ( C ) 3 10000 SPONSORSHIP OF SWIM PROGRAMS EMBASSY THEATRE FOUNDATION INC 125 W JEFFERSON BLVD FORT WAYNE IN 46802 237355731 501 ( C ) 3 9250 SPONSORSHIP FOR EXPERIENCE THE EMBASSY EUELL A WILSON CENTER INC 1512 OXFORD STREET FORT WAYNE IN 46806 351893381 501 ( C ) 3 8510 SUPPORTING EDUCATIONAL, SOCIAL, AND PERFORMING ARTS PROGRAMS AND SPIRITUAL DEVELOPMENT TO EMPOWER YOUTH AND THEIR FAMILIES THREE RIVERS FESTIVAL 102 THREE RIVERS NORTH FORT WAYNE IN 46802 351338028 501 ( C ) 3 8500 SPONSORSHIP FOR FIREWORKS, KIDS FUN RUN, INTERNATIONAL VILLAGE HABITAT FOR HUMANITY 2020 E WASHINGTON BLVD STE 500 FORT WAYNE IN 46803 351687064 501 ( C ) 3 8360 HOME BUILDING PROGRAM NORTHWEST ALLEN COUNTY SCHOOLS 13119 COLDWATER ROAD FORT WAYNE IN 46845 GOVT ORG 8000 STUDENT SCHOLARSHIPS AND STAFF PROFESSIONAL DEVELOPMENT WAGON WHEEL THEATRE INC 2515 E CENTER STREET WARSAW IN 46580 263885020 501 ( C ) 3 7500 THREATRE PRODUCTION SPONSORSHIPS BRAINS FOR HOPE FOUNDATION INC 7726 INVERNESS LAKES DRIVE FORT WAYNE IN 46804 814456605 501 ( C ) 3 7500 PEDIATRIC CANCER RESEARCH COMMUNITY TRANSPORTATION NETWORK 5601 INDUSTRIAL ROAD FORT WAYNE IN 46825 352109955 501 ( C ) 3 7000 MEDICAL TRANSPORTATION PROGRAM THE WANNABEES INC PO BOX 377 HAMILTON IN 46742 010954962 501 ( C ) 3 7000 PROGRAMS TO ASSIST FAMILIES IN NEED DEKALB HEALTH FOUNDATION 1316 EAST SEVENTH STREET AUBURN IN 46706 356047817 501 ( C ) 3 6800 EVENT SPONSORSHIP FOR HEALTHCARE SCHOLARSHIPS ST VINCENT DE PAUL CHURCH 1502 EAST WALLEN ROAD FORT WAYNE IN 46825 351003124 501 ( C ) 3 6500 MISSION TRIP TO HONDURAS COMMUNITY HARVEST FOOD BANK PO BOX 10967 FORT WAYNE IN 46855 311100607 501 ( C ) 3 6200 OPERATIONS & PROGRAMS PROVIDING FOOD TO LOW-INCOME INDIVIDUALS & FAMILIES THE LUTHERAN HEALTH FOUNDATION OF INDIANA INC 3024 FAIRFIELD AVE FORT WAYNE IN 46807 350886840 501 ( C ) 3 6000 PROGRAMS THAT DEMONSTRATE THE COMPASSION OF CHRIST BY CARING FOR PEOPLE MENTALLY, PHYSICALLY &D SPIRITUALLY RESPECT360 INC PO BOX 309 HUNTERTOWN IN 46748 474090921 501 ( C ) 3 6000 SCHLOLARSHIP PROGRAM NORTHEAST ALLEN COUNTY FIRE AND EMS PO BOX 729 ELKHART IN 46515 900220191 GOVT ORG 5850 FIRE AND EMS SERVICES BOY SCOUTS OF AMERICA 8315 W JEFFERSON BLVD FORT WAYNE IN 46804 470966543 501 ( C ) 3 5700 YOUTH PROGRAMS AMANI FAMILY SERVICES INC 2456 LAKE AVENUE FORT WAYNE IN 46805 412205791 501 ( C ) 3 5500 SPONSORSHIP FOR CARE FOR IMMIGRANTS & REFUGEES IN CRISIS DESTINY LIFE CENTER CHURCH OF GOD 3601 WARSAW STREET FORT WAYNE IN 46806 352157218 501 ( C ) 3 5500 MINISTRY PROGRAM 88 0 PART I, LINE 2: COMMUNITY HEALTH IMPROVEMENT FUNDING PARTNER ORGANIZATIONS ARE REQUIRED TO SUBMIT AN ANNUAL PROGRESS REPORT RELATED TO PROGRAM FUNDING. PARTNER ORGANIZATIONS ARE REQUIRED TO RE-APPLY FOR FUNDING ON AN ANNUAL BASIS. X X X X 1 1 X X X X X 1 1 0 0 0 0 0 1 0 MICHAEL PACKNETT DIRECTOR/PH PRESIDENT & CEO 1029197 0 337969 0 232697 0 702543 0 32640 0 2335046 0 0 0 RAYMOND DUSMAN DIRECTOR/VICE CHAIR/PH CHIEF PHY EXE 751158 0 175875 0 26018 0 157268 0 30231 0 1140550 0 0 0 ROBERT GODLEY DIRECTOR/PH PHYSICIAN 584825 0 49064 0 34912 0 29700 0 31142 0 729643 0 0 0 JOSHUA KLINE DIRECTOR/PH CHIEF MED OFFICER - PPG 345574 0 81562 0 19494 0 85500 0 31435 0 563565 0 0 0 ALAN MCGEE DIRECTOR/PH SVR LINE LEADER 386875 0 0 0 18000 0 0 0 0 0 404875 0 0 0 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 597900 0 82480 0 20752 0 103150 0 32253 0 836535 0 0 0 RICK HENVEY PH CHIEF OPERATING OFFICER 676046 0 144146 0 48158 0 120753 0 33031 0 1022134 0 45418 0 NEIL SHARMA PRESIDENT PARKVIEW CANCER INSTITUTE 691917 0 82031 0 19119 0 137900 0 34611 0 965578 0 0 0 ROY ROBERSTON PRESIDENT PARKVIEW HEART INSTITUTE 568109 0 149998 0 22660 0 131700 0 33226 0 905693 0 0 0 SUZANNE EHINGER PH CHIEF EXPERIENCE OFFICER 466091 0 111892 0 29170 0 113559 0 29872 0 750584 0 0 0 MITCHELL STUCKY PH PHYSICIAN EXECUTIVE OFFICER 466793 0 104265 0 8670 0 107935 0 26590 0 714253 0 0 0 GREG JOHNSON PH CHIEF CLINICAL INTEGRATION OFFCR 434875 0 99633 0 4902 0 101967 0 34358 0 675735 0 0 0 RONALD DOUBLE PH CHIEF INFORMATION OFFICER 418495 0 98515 0 20622 0 103856 0 10882 0 652370 0 0 0 DAVID STOREY PH SVP GENERAL COUNSEL 425881 0 93820 0 1140 0 86950 0 31727 0 639518 0 0 0 JUDITH BOERGER PH CHIEF NURSING EXECUTIVE 328712 0 101133 0 39869 0 79581 0 25830 0 575125 0 22763 0 MARK KADLEC PH SVP & COO - PPG PARTIAL YEAR 56958 0 86531 0 325712 0 4579 0 5944 0 479724 0 0 0 DENA JACQUAY PH CHIEF HUMAN RESOURCES OFFICER 370133 0 81984 0 13022 0 87816 0 37070 0 590025 0 11569 0 THOMAS BOND PH CHIEF MEDICAL OFFICER-PPG 363172 0 81579 0 20356 0 93612 0 31036 0 589755 0 17734 0 JEFFREY BOORD PH CHIEF QUALITY & SAFETY 348989 0 85541 0 19779 0 69471 0 32336 0 556116 0 0 0 BARBARA CLAYTON PH SVP REV CYCLE/PAYOR STRATEGIES 316783 0 77343 0 25504 0 85800 0 23921 0 529351 0 0 0 MARK PIERCE PH CHIEF MED INFORMATICS OFFICER 320348 0 74836 0 22472 0 70481 0 32539 0 520676 0 17714 0 JEFFREY BROOKES PH MEDICAL DIR - COMMUNITY 59632 221098 75768 0 27273 13054 25849 37207 6610 9515 195132 280874 34872 0 JASON ROW PH CHIEF MED OFFICER PPG 353156 0 37145 0 1934 0 90900 0 32768 0 515903 0 0 0 GERALD GRANNAN PH SVP & COO - PPG 289756 0 59822 0 10769 0 43649 0 34525 0 438521 0 0 0 DONNA VAN VLERAH PH SVP SUPPORT DIVISION 258087 0 63248 0 22014 0 64776 0 6484 0 414609 0 0 0 SCOTT JAMES PH SVP & COO SVR LINE LEADER 260041 0 67031 0 11061 0 62291 0 29519 0 429943 0 9872 0 PHILIP SMITH PH SVP STRATEGY & BUSINESS DEV'T 258707 0 49436 0 15651 0 58700 0 22318 0 404812 0 11395 0 MATTHEW GROTHAUS PH PHYSICIAN 1512279 0 178698 0 1957 0 24300 0 30026 0 1747260 0 0 0 KENNETH AUSTIN PH PHYSICIAN 974183 0 91557 0 75611 0 13500 0 14761 0 1169612 0 0 0 STEVEN WYNDER PH PHYSICIAN 881986 6247 132703 0 28459 0 29523 177 29417 176 1102088 6600 0 0 DOUGLAS GRAY PH PHYSICIAN 867331 0 159486 0 20018 0 29700 0 32526 0 1109061 0 0 0 JASON VOORHIES PH PHYSICIAN 919925 0 0 0 100274 0 3895 0 33151 0 1057245 0 0 0 STANTON RISSER FORMER OFFICER/PH VP PARTIAL YEAR 87858 0 37484 0 31725 0 4409 0 13223 0 174699 0 10507 0 MICHAEL BROWNING FORMER OFFICER 0 0 0 0 277686 0 0 0 0 0 277686 0 277686 0 JOHN MEISTER FORMER KEY EMPLOYEE 0 0 0 0 168385 0 0 0 0 0 168385 0 0 0 PART I, LINE 1A FIRST-CLASS OR CHARTER TRAVEL - NON-TAXABLE CHARTER FLIGHT FOR PHYSICIAN LEADERSHIP SITE VISIT TO EPIC SYSTEMS CORPORATION IN VERONA, WI REGARDING EPIC'S HEALTH INFORMATION EXCHANGE SOFTWARE: THOMAS BOND; RONALD DOUBLE; RAYMOND DUSMAN; ROBERT GODLEY; GERALD GRANNAN; JOSHUA KLINE; MARK PIERCE; JASON ROW; MITCH STUCKY TRAVEL FOR COMPANIONS - TAXABLE EXPENSE REIMBURSEMENT FOR FAMILY MEMBER PAID TO: JUDITH BOERGER $220; JEFFREY BOORD $69; JEFFREY BROOKES $501; MARGARET BROOKS $133; VICKY CARWEIN $336; ROGER CROMER $131; RAYMOND DUSMAN $616; SUZANNE EHINGER $1,166; BRIAN EMERICK $616; ROBERT GODLEY $680; GERALD GRANNAN $345; DAVID HAIST $519; RICK HENVEY $1,030; SCOTT JAMES $382; MARK KADLEC $354; THOMAS KIMBROUGH $778; JOSHUA KLINE $354; KEVIN LAMBRIGHT $616; JERRY LONG $310; MICHAEL PACKNETT $1,639; ROY ROBERTSON $102; WENDY ROBINSON $131; JASON ROW $344; LARRY ROWLAND $778; NEIL SHARMA $93; PHILIP SMITH $459; MITCHELL STUCKY $1,146; JEANNE' WICKENS $130; LUTHER WHITFIELD $310 TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - TAX ON TAXABLE EXPENSE REIMBURSEMENT: MICHAEL PACKNETT $61,757 PERSONAL SERVICES - TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: JUDITH BOERGER $2,500; RAYMOND DUSMAN $2,500; SUE EHINGER $2,480; DOUGLAS GRAY $500; DENA JACQUAY $225; MICHAEL PACKNETT $5,000 NON-TAXABLE MANDATORY ANNUAL MEDICAL PHYSICAL PAID FOR: JUDITH BOERGER $2,007; RONALD DOUBLE $1,671; RAYMOND DUSMAN $1,809; SUZANNE EHINGER $2,893; GERALD GRANNAN $3,602; DENA JACQUAY $3,160; JEANNE' WICKENS $5,570 PART I, LINES 4A-B SEVERANCE PAYMENT MARK KADLEC $315,827 JOHN MEISTER $168,385 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS TAXABLE - JUDITH BOERGER $22,763; THOMAS BOND $17,734; JEFFREY BROOKES $34,872; MICHAEL BROWNING $277,686 RICK HENVEY $45,418; DENA JACQUAY $11,569: SCOTT JAMES $9,872; MARK PIERCE $17,714; STANTON RISSER $10,507; PHILIP SMITH $11,395; PARTICIPANTS DEFERRED - THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR ALL OF THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION, AND THE COST OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME SET FORTH IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. JUDITH BOERGER $55,281; THOMAS BOND $61,212; JEFFREY BOORD $62,046; JEFFREY BROOKES $54,957; BARBARA CLAYTON $56,100; RONALD DOUBLE $71,456; RAYMOND DUSMAN $127,568; SUZANNE EHINGER $81,159; GERALD GRANNAN $38,249; RICK HENVEY $104,554; DENA JACQUAY $59,466; SCOTT JAMES $44,200; GREG JOHNSON $72,267; JOSHUA KLINE $61,200; MICHAEL PACKNETT $678,243; MARK PIERCE $54,281; ROY ROBERTSON $102,000; JASON ROW $61,200; NEIL SHARMA $119,000; PHILIP SMITH $42,500; DAVID STOREY $68,050; MITCHELL STUCKY $78,235; DONNA VAN VLERAH $45,876; JEANNE' WICKENS $97,750; 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. A INDIANA FINANCE AUTHORITY 351602316 45471ABQ4 2009-08-27 264703254 SEE PART VI 1 0 0 B INDIANA FINANCE AUTHORITY 351602316 45471AAS1 2009-08-27 223665000 SEE PART VI 0 0 0 C INDIANA FINANCE AUTHORITY 351602316 45471AHR6 2012-05-24 94631826 SEE PART VI 1 0 0 D INDIANA FINANCE AUTHORITY 351602316 NONEAVAIL 2016-08-17 58000000 SEE PART VI 0 0 0 A 117485000 121395000 264704689 2676112 3453166 261251523 2009 1 0 1 1 B 1300000 223915573 1369431 193601 149086870 73265671 2011 1 0 1 1 C 8895000 1660000 94631897 1022698 93731970 2012 1 1 1 1 D 58000000 51000000 7000000 0 0 0 1 A 0 1 1 1 1 1 0.00040 0.00040 0 1 0.01430 0 1 B 0 1 1 1 1 1 0.00140 0.00140 0 1 0.00580 0 1 C 0 1 1 1 1 1 0.00070 0.00070 0 1 0.02090 0 1 D 0 1 1 1 1 1 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 B 0 0 1 0 1 1 WELLS FARGO & PNC 20.000000000000 0 0 0 0 1 C 0 0 0 1 0 0 0 0 1 D 0 1 0 0 1 0 0 0 1 A 1 B 1 C 1 D 1 SCHEDULE K NOTE TO READER: ENTITY 2 DESIGNATION USED SOLELY TO ACCOMMODATE REPORTING FIFTH AND SIXTH BOND ISSUES. ENTITY 2 IS NOT A DIFFERENT ENTITY THAN ENTITY 1. ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE A: SERIES 2009A - 1) PARTIALLY REFUNDED OUTSTANDING 2005 SERIES BOND ISSUE WHICH WAS ISSUED ON JULY 28, 2005 2) PARTIALLY REFUNDED OUTSTANDING BONDS FOR 2001 SERIES BOND ISSUE WHICH WERE ISSUED ON NOVEMBER 6, 2001 ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE B SERIES 2009BCD - 1) NEW MONEY FOR CONSTRUCTION OF NEW HOSPITAL IN FORT WAYNE, IN 2) FULLY REFUNDED BALANCE OF OUTSTANDING 2005 SERIES BONDS WHICH WERE ISSUED ON JULY 28, 2005 ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE C: SERIES 2012 - 1) PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009 2) FULLY REFUNDED OUTSTANDING BONDS FOR 1998 SERIES BOND ISSUE WHICH WAS ISSUED ON NOVEMBER 24, 1998 ENTITY 1, SCHEDULE K, PART I, COLUMN F, LINE D: SERIES 2016B - NEW MONEY FOR THE CONSTRUCTION OF NEW CANCER INSTITUTE IN FORT WAYNE, IN. ENTITY 1, SCHEDULE K, PART II, COLUMN A, LINE 3: THIS AMOUNT INCLUDES INTERST OF $1,435 EARNED ON COST OF ISSUANCE FUNDS. ENTITY 1, SCHEDULE K, PART II, COLUMN B, LINE 3: THIS AMOUNT INCLUDES INTEREST OF $250,573 EARNED ON PROJECT AND COST OF ISSUANCE FUNDS. ENTITY 1, SCHEDULE K, PART II, COLUMN C, LINE 3: THIS AMOUNT INCLUDES INTEREST OF $71 EARNED ON COST OF ISSUANCE FUNDS. ENTITY 1, SCHEDULE K, PART III, COLUMNS A-C, LINES 8A-C: THE ORGANIZATION HAS SUBMITTED A REQUEST TO THE IRS TO ENTER INTO A VOLUNTARY CLOSING AGREEMENT WITH RESPECT TO THE BOND-FINANCED PROPERTY THAT WAS SOLD. ENTITY 1, SCHEDULE K, PART IV, COLUMN A, LINE 2C: REBATE CALCULATION PERFORMED ON AUGUST 27, 2014. ENTITY 1, SCHEDULE K, PART IV, COLUMN B, LINE 2C: BOND ISSUE MET THE 24 MONTH REBATE SPENDING EXCEPTION. CALCULATION PERFORMED ON DECEMBER 8, 2011. ENTITY 1, SCHEDULE K, PART IV, COLUMN C, LINE 2C: REBATE CALCULATION PERFORMED ON DECEMBER 4, 2012. ENTITY 2, SCHEDULE K, PART I, COLUMN F, LINE A: SERIES 2016C - FULL REFUNDING OF ALL OUTSTANDING SERIES 2010 BOND ISSUE WHICH WAS REISSUED MAY 24, 2012. ENTITY 2, SCHEDULE K, PART I, COLUMN F, LINE B: SERIES 2017 - PARTIALLY REFUNDED OUTSTANDING 2009A SERIES BOND ISSUE WHICH WAS ISSUED ON AUGUST 27, 2009 A INDIANA FINANCE AUTHORITY 351602316 NONEAVAIL 2016-08-17 27280000 SEE PART VI 0 0 0 B INDIANA FINANCE AUTHORITY 351602316 45471AQB1 2017-08-10 130491406 SEE PART VI 0 0 0 A 1520000 27280000 27280000 2016 1 0 1 1 B 130491406 1283614 129207792 2017 0 1 1 1 A 0 1 1 1 1 1 0.00000 0.00000 0 0 1 B 0 1 1 1 1 1 0.00140 0.00140 0 0 1 A 0 1 0 0 1 0 0 0 1 B 0 1 0 0 0 0 0 0 1 A 1 B 1 JASON VOORHIES HIGHEST COMPENSATED EMPLOYEE EDUCATION LOAN X 150000 89405 0 1 1 JASON VOORHIES HIGHEST COMPENSATED EMPLOYEE MEDICAL MALPRACTICE TAIL POLICY LOAN X 81971 47816 0 1 1 137221 BROOKS CONSTRUCTION ENTITY OF WHICH DIRECTOR MARGARET BROOKS OWNED A 35% OR GREATER INTEREST 422771 VENDOR ARRANGEMENT - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH. 0 KYLEE BENNETT FAMILY MEMBER OF KEY EMPLOYEE SUZANNE EHINGER 75033 EMPLOYEE KYLEE BENNETT RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC. 0 DAVID JAMES FAMILY MEMBER OF KEY EMPLOYEE SCOTT JAMES 227133 EMPLOYEE DAVID JAMES RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC. 0 JOHN STOREY FAMILY MEMBER OF KEY EMPLOYEE DAVID STOREY 43889 EMPLOYEE JOHN STOREY RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC. 0 KRIS CONKLIN FAMILY MEMBER OF FORMER OFFICER STANTON RISSER 68793 EMPLOYEE KRIS CONKLIN RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM PARKVIEW HEALTH SYSTEM, INC. 0 FORM 990, PART V, LINES 1A AND 2A: PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION AS WELL AS RELATED ENTITIES. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2 AND W-3 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2017 WAS 571. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2017 WAS 12,715. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR PARKVIEW HEALTH SYSTEM, INC. WAS 305 AND 4,529 RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL CONSIST OF A MAXIMUM OF NINE (9) MEMBERS, INCLUDING THE FOLLOWING: THE PARKVIEW HEALTH BOARD CHAIR WHO SHALL ALSO SERVE AS CHAIR OF THE COMMITTEE, THE PARKVIEW HEALTH BOARD VICE CHAIR, THE PARKVIEW HEALTH PRESIDENT AND CHIEF EXECUTIVE OFFICER AND UP TO SIX (6) "AT LARGE" MEMBERS NOMINATED ANNUALLY BY THE GOVERNANCE COMMITTEE AND APPOINTED BY THE PARKVIEW HEALTH BOARD CHAIR. ALL MEMBERS SHALL HAVE VOTING RIGHTS. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION. IN ADDITION, THE COMMITTEE SHALL PERFORM ALL RESPONSIBILITIES DELEGATED TO IT BY THE BOARD AND MAY EXERCISE ALL POWERS OF THE BOARD; PROVIDED, HOWEVER, THE COMMITTEE MAY NOT (I) APPROVE PARKVIEW HEALTH STRATEGIC PLANS, (II) FILL BOARD VACANCIES, (III) AMEND OR REPEAL THE BYLAWS OF PARKVIEW HEALTH OR (IV) TAKE ANY OTHER ACTION PROHIBITED BY LAW OR PROHIBITED BY PARKVIEW HEALTH'S BYLAWS OR ARTICLES OF INCORPORATION. THE DUTIES OF THE EXECUTIVE COMMITTEE SHALL BE MORE FULLY SET FORTH IN THE EXECUTIVE COMMITTEE CHARTER APPROVED FROM TIME TO TIME BY A MAJORITY VOTE OF THE BOARD. THE EXECUTIVE COMMITTEE SHALL MEET NO LESS FREQUENTLY THAN QUARTERLY, ON ALTERNATE MONTHS FROM THE BOARD AND SHALL PROVIDE REGULAR REPORTS TO THE FULL BOARD. FORM 990, PART VI, SECTION A, LINE 2 OFFICER JEANNE' WICKENS, RAYMOND DUSMAN, DIRECTOR ALAN MCGEE, AND KEY EMPLOYEES THOMAS BOND, JEFFREY BROOKES, GREG JOHNSON, MITCHELL STUCKY, HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER RAYMOND DUSMAN AND DIRECTOR MICHAEL PACKNETT HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. KEY EMPLOYEES MITCHELL STUCKY AND DAVID STOREY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICERS JEANNE' WICKENS, RICK HENVEY, AND KEY EMPLOYEES MITCHELL STUCKY, PHILIP SMITH HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. KEY EMPLOYEES BARBARA CLAYTON, GREG JOHNSON AND OFFICER JEANNE' WICKENS HAVE BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. KEY EMPLOYEES SUZANNE EHINGER, SCOTT JAMES AND OFFICER RICK HENVEY HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICER JEANNE' WICKENS AND KEY EMPLOYEE PHILIP SMITH HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. DIRECTORS MARGARET BROOKS AND DAVID HAIST HAVE A BUSINESS RELATIONSHIP. DIRECTORS JERRY LONG AND DAVID HAIST HAVE A BUSINESS RELATIONSHIP. FORM 990, PART VI, SECTION A, LINE 4 DURING 2017, THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS OF PARKVIEW HEALTH SYSTEM, INC.: ARTICLE I - CORPORATION, SECTION 3 - MISSION STATEMENT 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 - TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS - DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY - PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY - "EXCELLENT CARE, EVERY PERSON, EVERY DAY" ARTICLE IV - BOARD OF DIRECTORS, SECTION 2 - NUMBER AND QUALIFICATIONS, PARAGRAPHS ONE AND TWO ARE AS FOLLOWS: THE BOARD OF DIRECTORS SHALL BE COMPOSED OF NO MORE THAN TWENTY-FOUR (24) DIRECTORS. THE COMPOSITION OF THE BOARD OF DIRECTORS SHALL CONSIST OF THE FOLLOWING: (A)SEVEN (7) EX-OFFICIO VOTING MEMBERS, WHO SHALL CONSIST OF A REPRESENTATIVE OF EACH PARKVIEW HOSPITAL, PARKVIEW WHITLEY HOSPITAL, PARKVIEW HUNTINGTON HOSPITAL, PARKVIEW NOBLE HOSPITAL, PARKVIEW LAGRANGE HOSPITAL, PARKVIEW WABASH HOSPITAL AND PARKVIEW PHYSICIANS GROUP, WHICH REPRESENTATIVE SHALL BE THE BOARD CHAIR OR SUCH OTHER MEMBER OF THE BOARD AS DESIGNATED BY THE RESPECTIVE BOARD; (B)UP TO FIFTEEN (15) AT-LARGE PHYSICIAN OR COMMUNITY LEADERS; AND (C)THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION AND THE CHIEF PHYSICIAN EXECUTIVE OF THE CORPORATION. A MAJORITY OF THE BOARD OF DIRECTORS SHALL, AT ALL TIMES, BE CONSIDERED TO BE INDEPENDENT, AS DEFINED BY THE INTERNAL REVENUE SERVICE. ARTICLE VI - COMMITTEES OF THE BOARD OF DIRECTORS, SECTION 1 - ESTABLISHMENTS AND APPOINTMENTS IS AS FOLLOWS: THE BOARD MAY ESTABLISH FROM TIME TO TIME SUCH STANDING AND SPECIAL COMMITTEES AS IT SHALL DEEM NECESSARY FOR THE CONDUCT OF THE CORPORATION'S AFFAIRS. UNLESS THE COMMITTEE MEMBERSHIP IS OTHERWISE SPECIFIED BY THESE BYLAWS, ALL STANDING COMMITTEES SHALL BE COMPOSED OF NOT LESS THAN FIVE (5) MEMBERS. MEMBERSHIP ON THE PARKVIEW HEALTH BOARD, OR A PARKVIEW HEALTH SUBSIDIARY OR AFFILIATE BOARD, SHALL NOT BE A REQUIREMENT FOR COMMITTEE MEMBERSHIP OR FOR SERVICE AS A COMMITTEE CHAIR. UNLESS OTHERWISE SPECIFIED IN THESE BYLAWS, THE CHAIR OF THE BOARD SHALL APPOINT THE COMMITTEE MEMBERS AND THE CHAIR OF EACH COMMITTEE AND DESIGNATE THE TERM OF OFFICE FOR EACH COMMITTEE MEMBER. NOTWITHSTANDING ANY SPECIAL DESIGNATION WITHIN THESE BYLAWS AS TO THE COMPOSITION OF A PARTICULAR COMMITTEE, THE CHAIR MAY DESIGNATE OTHER COMMITTEE MEMBERS AS DEEMED NECESSARY. EXCEPT AS TO THE AUDIT AND COMPENSATION COMMITTEES, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE A MEMBER OF EACH COMMITTEE AND MAY DESIGNATE ANOTHER DIRECTOR OR OFFICER TO ATTEND COMMITTEE MEETINGS ON HIS/HER BEHALF; PROVIDED, HOWEVER, THE PRESIDENT AND CEO MAY ATTEND THE AUDIT AND COMPENSATION COMMITTEES WITHOUT A VOTE. ALL COMMITTEES SHALL KEEP MINUTES OF THEIR MEETINGS AND SUBMIT THE MINUTES TO THE BOARD. ARTICLE VI - COMMITTEES OF THE BOARD OF DIRECTORS, SECTION 2 - POWER TO ACT IS AS FOLLOWS: ALL COMMITTEES SHALL HAVE SUCH DUTIES AND POWER TO ACT AS SET FORTH IN THESE BYLAWS AND AS SHALL BE CONFERRED UPON THEM BY THE BOARD. THESE COMMITTEES SHALL ALSO SERVE AS THE BOARD COMMITTEES OF EACH PARKVIEW HEALTH SYSTEM, INC. AFFILIATE AND SUBSIDIARY HOSPITAL, UNLESS THE AFFILIATE OR SUBSIDIARY HAS ESTABLISHED BOARD COMMITTEES TO SERVE THESE FUNCTIONS. ARTICLE VI - COMMITTEES OF THE BOARD OF DIRECTORS, SECTION 3 - STANDING COMMITTEES IS AS FOLLOWS: THE BOARD SHALL HAVE THE FOLLOWING STANDING COMMITTEES: - EXECUTIVE COMMITTEE - GOVERNANCE COMMITTEE - COMPENSATION COMMITTEE - STRATEGIC PLANNING COMMITTEE - FINANCE COMMITTEE - CORPORATE COMPLIANCE COMMITTEE - QUALITY COMMITTEE - AUDIT COMMITTEE - IT GOVERNANCE COMMITTEE ARTICLE VI - COMMITTEES OF THE BOARD OF DIRECTORS, SECTION 4 - EXECUTIVE COMMITTEE, (A) COMPOSITION IS AS FOLLOWS: THE EXECUTIVE COMMITTEE SHALL CONSIST OF A MAXIMUM OF NINE (9) MEMBERS, INCLUDING THE FOLLOWING: THE PARKVIEW HEALTH BOARD CHAIR WHO SHALL ALSO SERVE AS CHAIR OF THE COMMITTEE, THE PARKVIEW HEALTH BOARD VICE CHAIR, THE PARKVIEW HEALTH PRESIDENT AND CHIEF EXECUTIVE OFFICER AND UP TO SIX (6) "AT LARGE" MEMBERS NOMINATED ANNUALLY BY THE GOVERNANCE COMMITTEE AND APPOINTED BY THE PARKVIEW HEALTH BOARD CHAIR. ALL MEMBERS SHALL HAVE VOTING RIGHTS. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. ARTICLE VI - COMMITTEES OF THE BOARD OF DIRECTORS, SECTION 5 - GOVERNANCE COMMITTEE, (A) COMPOSITION IS AS FOLLOWS: THE GOVERNANCE COMMITTEE SHALL CONSIST OF NOT LESS THAN THREE (3) INDEPENDENT AND DISINTERESTED BOARD MEMBERS, AND SHALL INCLUDE THE VICE CHAIR OF THE PARKVIEW HEALTH BOARD. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF PARKVIEW HEALTH SHALL SERVE ON THE COMMITTEE, AND MAY DESIGNATE ANOTHER OFFICER TO ATTEND COMMITTEE MEETINGS ON HIS/HER BEHALF. ARTICLE VI - COMMITTEES OF THE BOARD OF DIRECTORS, SECTION 7 - STRATEGIC PLANNING COMMITTEE IS AS FOLLOWS: (A) COMPOSITION. THE STRATEGIC PLANNING COMMITTEE SHALL CONSIST OF THE CHAIR OF THE BOARD AND NOT LESS THAN THREE (3) INDEPENDENT BOARD MEMBERS. THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF PARKVIEW HEALTH SHALL SERVE ON THE COMMITTEE, AND MAY DESIGNATE ANOTHER OFFICER TO ATTEND COMMITTEE MEETINGS ON HIS/HER BEHALF. THE PARKVIEW HEALTH BOARD CHAIR MAY DESIGNATE OTHER PARKVIEW HEALTH EXECUTIVES AND NON-BOARD MEMBERS TO SERVE ON THE COMMITTEE. (B) DUTIES. THE STRATEGIC PLANNING COMMITTEE SHALL ASSIST THE BOARD WITH ITS RESPONSIBILITIES FOR THE ORGANIZATION'S MISSION, VISION AND STRATEGIC DIRECTION. IN ADDITION, THE STRATEGIC PLANNING COMMITTEE SHALL: - MAKE RECOMMENDATIONS TO THE BOARD REGARDING THE ORGANIZATION'S MISSION, VISION, STRATEGIC INITIATIVES, MAJOR PROGRAMS AND SERVICES. - ASSIST MANAGEMENT IN IDENTIFYING CRITICAL STRATEGIC ISSUES FACING THE ORGANIZATION AND THE ANALYSIS OF ALTERNATIVE STRATEGIC OPTIONS. - ENSURE THAT MANAGEMENT HAS ESTABLISHED AN EFFECTIVE STRATEGIC PLANNING PROCESS, INCLUDING DEVELOPMENT OF A THREE TO FIVE-YEAR STRATEGIC PLAN WITH MEASURABLE GOALS AND TIME TARGETS. - UNDERSTAND THE ORGANIZATION'S INDUSTRY, MARKET/COMMUNITY, AND CORE COMPETENCIES AS WELL AS KEEPING UP-TO-DATE ON INDUSTRY AND LOCAL MARKET TRENDS, COMMUNITY HEALTH CARE NEEDS, ADVANCES IN TECHNOLOGY AND OTHER OPPORTUNITIES TO IMPROVE THE SCOPE, COST EFFECTIVENESS AND QUALITY OF SERVICES PROVIDED BY THE ORGANIZATION. - ANNUALLY REVIEW THE STRATEGIC PLAN AND RECOMMEND UPDATES AS NEEDED BASED ON CHANGES IN THE MARKET, COMMUNITY NEEDS, AND OTHER FACTORS. - REVIEW STRATEGIC PLANS OF SUBSIDIARY ORGANIZATIONS TO ASSURE THEY ARE ALIGNED WITH THE SYSTEM'S STRATEGIC DIRECTION AND GOALS. - REVIEW PROPOSED MAJOR NEW PROGRAMS AND SERVICES. - DEVELOP CRITERIA FOR MANAGEMENT TO USE IN EVALUATING POTENTIAL STRATEGIC INVESTMENTS. - ASSIST IN DEVELOPMENT OF A STRATEGIC DASHBOARD OF KEY INDICATORS AND MONITORING THE ORGANIZATION'S PERFORMANCE AGAINST MEASURABLE TARGETS (E.G., MARKET SHARE, INCREASE IN VOLUMES, ETC.) ARTICLE VI - COMMITTEES OF THE BOARD OF DIRECTORS, SECTION 13 - SPECIAL COMMITTEES AND SUBCOMMITTEES IS AS FOLLOWS: (A) SPECIAL COMMITTEES: THE CHAIR OF THE BOARD MAY, FROM TIME TO TIME, AND WITH THE CONCURRENCE OF THE BOARD APPOINT SPECIAL COMMITTEES COMPRISED OF DIRECTORS AS HE/SHE MAY DEEM DESIRABLE. WITH THE CONCURRENCE OF THE BOARD, INDIVIDUALS HAVING SPECIAL KNOWLEDGE OR BACKGROUND MAY BE APPOINTED TO SERVE UPON SUCH COMMITTEES IN AN ADVISORY OR CONSULTATIVE CAPACITY. A SPECIAL COMMITTEE SHALL LIMIT ITS ACTIVITIES TO THE ACCOMPLISHMENT OF THOSE TASKS FOR WHICH IT WAS APPOINTED AND SHALL HAVE NO POWERS EXCEPT THOSE SPECIFICALLY CONFERRED BY ACTION OF THE BOARD. ON COMPLETION OF THE TASK FOR WHICH SUCH COMMITTEE WAS APPOINTED, THE COMMITTEE SHALL BE DISCHARGED. (B) SUBCOMMITTEES: BOARD COMMITTEES MAY APPOINT SUBCOMMITTEES TO SERVE IN AN ADVISORY OR CONSULTATIVE CAPACITY TO ASSIST WITH SPECIAL PROJECTS AND ONGOING WORK OF THE COMMITTEE. SUCH SUBCOMMITTEES SHALL BE ESTABLISHED AND APPROVED BY THE APPROPRIATE BOARD COMMITTEE AND BE COMPRISED OF COMMITTEE MEMBERS, STAFF AND OTHER INDIVIDUALS HAVING SPECIAL KNOWLEDGE OR BACKGROUND AS NEEDED. A SUBCOMMITTEE SHALL LIMIT ITS ACTIVITIES TO THE ACCOMPLISHMENT OF THOSE TASKS FOR WHICH IT WAS APPOINTED AND SHALL HAVE NO POWERS EXCEPT THOSE SPECIFICALLY CONFERRED BY ACTION OF THE COMMITTEE. THE SUBCOMMITTEE SHALL REGULARLY REPORT TO THE COMMITTEE ON ACTION TAKEN FOR CONSIDERATION AND APPROVAL BY THE COMMITTEE. THE COMMITTEE MAY CHOOSE TO DISCONTINUE A SUBCOMMITTEE AT ANY TIME. FORM 990, PART VI, SECTION B, LINE 11B AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 10, 2018, THE SYSTEM AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES. FORM 990, PART VI, SECTION B, LINE 12C AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL." FORM 990, PART VI, SECTION B, LINE 15 REGARDING LINES 15A AND 15B, TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE ORGANIZATION USED A PROCESS FOR DETERMINING COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2017, THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2017 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. THE COMPENSATION PACKAGE WAS APPROVED BY A MAJORITY OF INDEPENDENT BOARD MEMBERS. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A COMPETITIVE COMPENSATION ANALYSIS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AS WELL AS ALL EXECUTIVES AT THE VICE PRESIDENT LEVEL AND ABOVE. ALL DATA IS SHARED WITH THE BOARD OF DIRECTORS. THE BOARD APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO AND HIS DIRECT REPORTS. APPROVAL IS ALSO PROVIDED FOR THE SALARY BUDGET FOR THE ENTIRE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINES 5-10: PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC. FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E. PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII. FORM 990, PART XI, LINE 9: ASSET ADJUSTMENT TRANSFERS -633,389. BOOK/TAX DIFF FROM K-1'S 8,769,303. CURRENT YEAR EARNINGS TRANSFERRED FROM 501( C )3'S 178,246,561. AMORTIZE BOND SWAP OCI 42,600. ADJUST OCI FOR PENSION -15,267,852. REMOVE 2015 GRANT EXPENSE ACCRUAL REVERSAL 1,400,000. 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