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      <MissionDesc>PARK CENTER, INC.'S MISSION IS TO RESTORE LIVES. BY PARTNERING WITH CONSUMERS, WE STRIVE TO SUPPORT AND FACILITATE THEIR JOURNEY TOWARD HEALTH.(SEE SCHEDULE O FOR CONTINUATION)PARK CENTER'S VISION IS A COMMUNITY WHERE:- BEHAVIORAL HEALTH CHALLENGES ARE NO LONGER IN THE SHADOWS,- PEOPLE WHO EXPERIENCE THE PAIN OF A BEHAVIORAL HEALTH ISSUE HAVE EASY ACCESS TO EFFECTIVE CARE,- THE BURDEN OF UNADDRESSED BEHAVIORAL HEALTH CHALLENGES NO LONGER REDUCE THE PRODUCTIVITY AND VIBRANCY OF OUR COMMUNITY, AND- PARK CENTER IS RECOGNIZED AS A VITAL CONTRIBUTOR TO THIS NEW REALITY.</MissionDesc>
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      <Desc>PARK CENTER, INC. IS A COMMUNITY MENTAL HEALTH CENTER IN INDIANA WITH OFFICES IN ALLEN, ADAMS, AND WELLS COUNTIES, WITH ADDITIONAL OFFICES IN HUNTINGTON AND WHITLEY COUNTIES. IN 2024, 14,621 CLIENTS WERE SERVED THAT RESIDED IN THESE COUNTIES, WITH 17,118 CLIENTS BEING SERVED OVERALL. PARK CENTER, INC.'S GOAL IS TO PROVIDE QUALITY CARE AND SUPPORT TO PROMOTE WELLNESS AND HEALING FOR PATIENTS OF ALL AGES AND AT EVERY STAGE OF RECOVERY. AT PARK CENTER, INC., A COMPREHENSIVE SELECTION OF SERVICES IS OFFERED IN THE PROFESSIONAL SETTING A PATIENT WOULD EXPECT, WHILE TAILORING TREATMENTS TO ACHIEVE THE PERSONAL CARE PATIENTS DESERVE. (SEE SCHEDULE O FOR CONTINUATION)PARK CENTER, INC.'S TEAM OF LICENSED SOCIAL WORKERS, MENTAL HEALTH COUNSELORS, MARRIAGE AND FAMILY THERAPISTS, ADDICTION COUNSELORS, PSYCHIATRISTS, PHYSICIAN ASSISTANTS, ADVANCED NURSE PRACTITIONERS, PSYCHOLOGISTS, AND OTHER STAFF ARE UNIQUELY QUALIFIED TO ADDRESS BEHAVIORAL HEALTH NEEDS. PARK CENTER, INC. OFFERS SPECIALIZED SERVICES IN EARLY CHILDHOOD MENTAL HEALTH, DIALECTAL BEHAVIORAL THERAPY (DBT), MEDICATION ASSISTED TREATMENT (MAT) FOR OPIOID USE DISORDER, AND INTENSIVE OUTPATIENT TREATMENT (IOP). SERVICES ARE AVAILABLE TO INDIVIDUALS ACROSS THE LIFESPAN. PARK CENTER, INC. OFFERS COMMUNITY-BASED SERVICES IN ALLEN, ADAMS, HUNTINGTON, WHITLEY, AND WELLS COUNTIES. THESE SERVICES ARE AVAILABLE BASED ON AN ASSESSMENT OF NEED. PARK CENTER, INC.'S TEAM OF THERAPISTS AND CASEWORKERS WORKS ALONGSIDE INDIVIDUALS IN THEIR HOME, SCHOOL, AND COMMUNITY ENVIRONMENTS. PARK CENTER, INC. HAS A 16-BED ACUTE PSYCHIATRIC HOSPITAL FOR ADULTS LOCATED IN ALLEN COUNTY. THIS FACILITY PROVIDES SHORT-TERM STABILIZATION, ASSESSMENT, MEDICATION REVIEW AND TREATMENT PLANNING. PRIOR TO DISCHARGE, PATIENTS ARE ASSISTED WITH CREATING PLANS FOR SAFETY MANAGEMENT AND LINKAGE TO OTHER LESS INTENSIVE SERVICES. TWO BRIDGE CASE MANAGERS WERE HIRED IN 2024 TO CREATE A MORE UNIFORM AND PATIENT-FRIENDLY PROCESS TO LINK PATIENTS TO SERVICES AFTER DISCHARGE. IN 2024, THE PSYCHIATRIC INPATIENT UNIT PROVIDED 4,288 PATIENT DAYS. PARK CENTER, INC. HAS TWO ADULT GROUP HOMES IN WHICH PATIENTS WITH MENTAL HEALTH AND SUBSTANCE USE NEEDS ARE SERVED. IN 2024, THESE GROUP HOMES WERE OCCUPIED FOR 7,216 PATIENT DAYS. PARK CENTER, INC. ALSO HAS A RESIDENTIAL ADDICTIONS PROGRAM AT THE ASAM 3.5 LEVEL OF CARE FOR INDIVIDUALS, INCLUDING THOSE REFERRED BY THE COURT SYSTEM. 7,603 PATIENT DAYS WERE PROVIDED BY THIS DEPARTMENT IN 2024.PARK CENTER, INC. UTILIZES HOSPITAL AND COURT LIAISONS TO ASSIST CONSUMERS WITH HIGHER NEEDS. THE HOSPITAL LIAISON PROVIDES SUPPORT SERVICES TO INDIVIDUALS AT STATE OR LOCAL PSYCHIATRIC HOSPITALS. THE COURT LIAISONS COLLABORATE WITH CONSUMERS, FAMILIES, AND THE COURT SYSTEM WHEN THE SEVERITY OF SYMPTOMS REQUIRES EMERGENCY DETENTION, INVOLUNTARY COMMITMENTS, AND GUARDIANSHIP.DURING 2024, PARK CENTER, INC. CONTINUED IMPROVEMENT WORK FOR ACCESS TO OUTPATIENT SERVICES BY STREAMLINING THE ASSESSMENT MODEL, CREATING A HYBRID WALK-IN MODEL AT THE MAIN ALLEN COUNTY LOCATION. PARK CENTER, INC. CREATED INCREASED WALK-IN ACCESS, MONDAY THROUGH FRIDAY, FOR PATIENTS TO RECEIVE CRISIS CARE AND AN INITIAL ASSESSMENT WITHOUT WAITING. WAIT TIME FOR A SCHEDULED APPOINTMENT DROPPED FROM 25.73 DAYS IN JANUARY OF 2024 (WITH LITTLE WALK-IN INITIAL ASSESSMENT AVAILABILITY) TO 8.23 DAYS IN DECEMBER 2024, WHILE WALK-IN ACCESS IN DECEMBER 2024 WAS AVAILABLE SAME-DAY FOR MOST CLIENTS WHO WALKED IN. ADDITIONALLY, PARK CENTER, INC. CONTINUES TO FOCUS ON THE DEVELOPMENT OF THERAPY GROUPS FOR PATIENTS REGARDING MENTAL HEALTH, TRAUMA, SUBSTANCE ABUSE, AND DBT, WITH OVER 20 DIFFERENT GROUPS BEING OFFERED IN 2024. ANOTHER ACCOMPLISHMENT IN 2024 WAS THE CONTINUED EXPANSION OF THE MOBILE CRISIS TEAM (SOS) TO 24/7 SERVICES, ALLOWING THE TEAM TO FURTHER ADDRESS A WIDE VARIETY OF CRISES, INCLUDING SUICIDE. THE TEAM SAW 1,142 PATIENTS IN 2024.PARK CENTER, INC. HAS A STRONG COMMITMENT TO SUPPORTING AND ENHANCING THE VITALITY OF THE COMMUNITY AND INVESTS IN PROJECTS THAT HELP IMPROVE THE COMMUNITY. A FEW EXAMPLES IN 2024 WERE PARK CENTER, INC'S. INVOLVEMENT IN THE FOLLOWING ACTIVITIES. 1.) PARK CENTER, INC. WORKS WITH THE BEHAVIORAL HEALTH ACADEMY, A PROGRAM THAT INCORPORATES TRAINING AND DEVELOPMENT OF LOCAL MASTER'S-LEVEL INTERNS. PARK CENTER, INC. WAS ABLE TO MENTOR AND PROVIDE HANDS ON EXPERIENCES TO CREATE MORE BEHAVIORAL RESOURCES FOR THE COMMUNITY. FOUR INTERNS WERE HOSTED AT PARK CENTER, INC. IN 2024.2.) PARK CENTER, INC. PROVIDED QPR (QUESTION, PERSUADE, REFER), A SUICIDE PREVENTION TRAINING, FOR COMMUNITY STAKEHOLDERS LIKE POLICE DEPARTMENTS, HOSPITALS, LOCAL ORGANIZATIONS AND MANY OTHERS. OVER 115 PEOPLE AT A VARIETY OF ORGANIZATIONS WERE TRAINED AT NO COST TO THE COMMUNITY ORGANIZATIONS IN 2024.3.) PARK CENTER, INC. PARTICIPATES IN BOTH THE ALLEN COUNTY, INDIANA ADULT AND YOUTH MENTAL HEALTH TASK FORCES, A COALITION OF COMMUNITY ORGANIZATIONS LOOKING TO IMPROVE ADULT AND YOUTH MENTAL HEALTH. AS PART OF THIS, PARK CENTER, INC. CO-HOSTED THE FIRST ANNUAL NORTHEASTERN INDIANA YOUTH MENTAL HEALTH SUMMIT ON MAY 21, 2024, AND THE SECOND ANNUAL NORTHEASTERN INDIANA ADULT MENTAL HEALTH SUMMIT ON OCTOBER 11, 2024, WITH THE SUMMITS ADVOCATING FOR AND IMPROVING COMMUNITY MENTAL HEALTH. APPROXIMATELY 400 INDIVIDUALS ATTENDED THE YOUTH MENTAL HEALTH SUMMIT, AND OVER 500 INDIVIDUALS ATTENDED THE ADULT MENTAL HEALTH SUMMIT. ATTENDEES INCLUDED REPRESENTATIVES FROM LOCAL MENTAL HEALTH AND SUBSTANCE USE ORGANIZATIONS, RELIGIOUS ORGANIZATIONS, LAW ENFORCEMENT, JUDICIAL REPRESENTATIVES AND OTHERS FROM THE COMMUNITY. 4.) PARK CENTER, INC. WORKS WITH THE LOCAL HOMELESS POPULATION TO PROVIDE OUTREACH AND SUPPORT THROUGH THE ACTIVITIES OF THE HOMELESS OUTREACH TEAM. APPROXIMATELY 260 INDIVIDUALS WERE PROVIDED OUTREACH AND SERVICES THROUGH THIS PROGRAM IN 2024.5.) PARK CENTER, INC. HOSTED ITS SECOND ANNUAL SUICIDE WALK IN ADAMS COUNTY, INDIANA ON SEPTEMBER 28, 2024, TO SUPPORT INDIVIDUALS WHO HAVE LOST A LOVED ONE TO SUICIDE AND TO PROMOTE MENTAL HEALTH IN THE COMMUNITY. APPROXIMATELY 200 PEOPLE ATTENDED IN 2024.FINANCIAL POLICY:PARK CENTER, INC. IS COMMITTED TO MAKING HEALTHCARE ACCESSIBLE TO THOSE WHO NEED IT, REGARDLESS OF THEIR HEALTH STATUS OR ABILITY TO PAY. WITH OUR FINANCIAL ASSISTANCE, PATIENTS CAN RECEIVE THE PARKVIEW CARE THEY EXPECT - NO MATTER WHAT MEDICAL OBSTACLES THEY MIGHT FACE. OUR FINANCIAL ASSISTANCE SERVICES INCLUDE: 1) USING FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES, INCLUDING CHARITABLE CARE AND FINANCIAL ASSISTANCE POLICIES AND A STANDARD APPLICATION PROCESS; 2) PROVIDING EXTENDED PAYMENT PLAN OPTIONS; AND 3) PROVIDING EMERGENCY CARE, REGARDLESS OF ABILITY TO PAY.COMMUNITY BENEFIT: PARK CENTER, INC.'S COMMITMENT TO IMPROVING HEALTH AND INSPIRING WELL-BEING EXTENDS BEYOND THE HOSPITAL WALLS AND THROUGHOUT NORTHEAST INDIANA. THROUGH PARKVIEW'S COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM, PARK CENTER, INC. COLLABORATES WITH OTHERS INSIDE AND OUTSIDE THE HEALTH SYSTEM WHO SHARE PARKVIEW'S MISSION AND VALUES. FUNDED BY A PERCENTAGE OF PARKVIEW'S NET OPERATING SURPLUS, CHI STRATEGICALLY REINVESTS DOLLARS INTO COMMUNITY ORGANIZATIONS AND INITIATIVES THAT ADDRESS THE GREATEST HEALTH NEEDS OUTLINED BY THE HOSPITALS' MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BASED UPON THE RESULTS OF THE CHNA, PARK CENTER, INC. CREATES AN IMPLEMENTATION STRATEGY THAT SERVES AS AN IN-DEPTH PLAN DEFINING HOW PARK CENTER, INC. PLANS TO ADDRESS EACH IDENTIFIED HEALTH NEED. PARK CENTER, INC. ALSO ENGAGES IN OTHER ACTIVITIES THAT BENEFIT THE COMMUNITY BEYOND THOSE IDENTIFIED BY THE CHNA, INCLUDING GRANT PROGRAMS THAT PROVIDED MUCH-NEEDED SERVICES, TRAININGS OFFERED AT NO COST TO THE COMMUNITY, AND ADVOCACY AND AWARENESS ACTIVITIES.AWARDS AND RECOGNITIONS: ON APRIL 3, 2024, DR. MATTHEW RUNYAN RECEIVED THE AMERICAN PSYCHIATRIC ASSOCIATION (APA) DISTINGUISHED FELLOW AWARD. RUNYAN IS THE FIRST PARKVIEW (OF WHICH PARK CENTER, INC. IS A PART) PSYCHIATRIST TO EARN THE ELITE DESIGNATION FROM THE APA AND ONE OF ONLY ABOUT 50 PHYSICIANS IN INDIANA TO RECEIVE THE TITLE. DISTINGUISHED FELLOWSHIP IS AWARDED TO OUTSTANDING PSYCHIATRISTS WHO HAVE MADE SIGNIFICANT CONTRIBUTIONS TO THE PROFESSION IN AT LEAST FIVE AREAS: ADMINISTRATION, TEACHING, SCIENTIFIC AND SCHOLARLY PUBLICATIONS, VOLUNTEERING IN MENTAL HEALTH AND MEDICAL ACTIVITIES OF SOCIAL SIGNIFICANCE, COMMUNITY INVOLVEMENT AND/OR CLINICAL EXCELLENCE. IT IS THE HIGHEST MEMBERSHIP HONOR BESTOWED BY THE APA.</Desc>
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        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>1425430</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>319359</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREG JOHNSON</PersonNm>
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        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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        <ReportableCompFromRltdOrgAmt>1520046</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>75084</OtherCompensationAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD CHURCH</PersonNm>
        <TitleTxt>DIRECTOR/PH CHIEF GROWTH &amp; STRATEGY</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>AHSAN MAHMOOD</PersonNm>
        <TitleTxt>DIRECTOR/PHYSICIAN EXEC PBH SVC LINE</TitleTxt>
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        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
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        <OfficerInd>X</OfficerInd>
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      <Form990PartVIISectionAGrp>
        <PersonNm>STANTON RISSER</PersonNm>
        <TitleTxt>PH ASSOCIATE CHIEF FINANCIAL OFFICER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ELIZABETH HAY PFEIFFER</PersonNm>
        <TitleTxt>PARKC PHYSICIAN</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY KOWALESKI</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>LAURA MURPHY</PersonNm>
        <TitleTxt>PARKC DIRECTOR CLINICAL SVCS</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREA NAAUM</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>MELODIE GAVIN</PersonNm>
        <TitleTxt>PARKC NURSE PRACTITIONER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA BROWN</PersonNm>
        <TitleTxt>DIRECTOR/SECRETARY/TREASURER</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JEREMY BROWN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>WENDY DAVIS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TRAVIS FRIEND</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TIM GALL</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE MEITZLER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA STEWART-MARTIN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>TAYLOR VANOVER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>GARY ZWIERZYNSKI</PersonNm>
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        <PersonNm>CHARLES CLARK</PersonNm>
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        <ReportableCompFromRltdOrgAmt>168376</ReportableCompFromRltdOrgAmt>
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          <BusinessName>
            <BusinessNameLine1Txt>EXECUTIVE MANAGEMENT SERVICES</BusinessNameLine1Txt>
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        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 31355</AddressLine1Txt>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
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          <USAddress>
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        <ExclusionAmt>-163576</ExclusionAmt>
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        <ProgramServicesAmt>253247</ProgramServicesAmt>
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        <ProgramServicesAmt>30972</ProgramServicesAmt>
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        <ProgramServicesAmt>207465</ProgramServicesAmt>
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        <ProgramServicesAmt>87288</ProgramServicesAmt>
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        <ProgramServicesAmt>34534531</ProgramServicesAmt>
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        <EOYAmt>4967820</EOYAmt>
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        <EOYAmt>65167</EOYAmt>
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        <EOYAmt>11917126</EOYAmt>
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        <EOYAmt>7490726</EOYAmt>
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      <TotalAssetsGrp>
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        <EOYAmt>28683785</EOYAmt>
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        <EOYAmt>2088309</EOYAmt>
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        <EOYAmt>3871352</EOYAmt>
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        <EOYAmt>196302</EOYAmt>
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        <EOYAmt>4133436</EOYAmt>
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      <TotalLiabilitiesGrp>
        <BOYAmt>14763130</BOYAmt>
        <EOYAmt>10289399</EOYAmt>
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        <BOYAmt>17384520</BOYAmt>
        <EOYAmt>18394386</EOYAmt>
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        <BOYAmt>17384520</BOYAmt>
        <EOYAmt>18394386</EOYAmt>
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      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>32147650</BOYAmt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARK CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), PARKVIEW HEALTH SYSTEM, INC., INCLUDING ITS AFFILIATE PARK CENTER, INC., WERE DILIGENT IN ENSURING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WAS INCLUDED, WHILE ALSO FOCUSING ON THE NEEDS OF VULNERABLE POPULATIONS IN NORTHEAST INDIANA. THE MAJORITY OF PARK CENTER, INC. PATIENTS ARE SERVED IN ALLEN, ADAMS, AND WELLS COUNTIES, ACCORDING TO PARK CENTER, INC.'S ACTIVE CASES; THEREFORE, THE 2022 PARK CENTER CHNA PROVIDES AN OVERVIEW AND PROVIDER INPUT FROM THESE THREE SERVICE AREAS.IN GATHERING COMMUNITY INPUT, PARK CENTER, INC. OBTAINED THE FOLLOWING: 1) PRIMARY DATA COLLECTED THROUGH AN ONLINE SURVEY OF HEALTHCARE AND SOCIAL SERVICE PROVIDERS IN EACH OF THE THREE COUNTIES THAT PROVIDE SERVICES DIRECTLY TO THE UNDERSERVED IN THESE COMMUNITIES (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.), AND 2) SECONDARY DATA COLLECTED FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES (E.G., COUNTY HEALTH RANKINGS, INDIANA STATE DEPARTMENT OF HEALTH, ETC.).PARK CENTER SERVICE AREA PROVIDER INPUT WAS GATHERED VIA E-MAIL TO HEALTHCARE AND SOCIAL SERVICE PROVIDERS WITH AN EMBEDDED ONLINE SURVEY LINK. THE SURVEY COVERED ASPECTS OF THE PROVIDER'S WORK, INCLUDING THE SETTING IN WHICH THEY PRACTICED, THE DURATION OF TIME IN PRACTICE IN THE REGION/COUNTY, AND THEIR PERCEPTION OF THE CHIEF MENTAL HEALTH-RELATED CONCERNS, BARRIERS TO CARE, AND AWARENESS OF AVAILABLE RESOURCES IN THEIR COMMUNITIES. PROVIDERS WERE NOT ASKED TO DISCLOSE THEIR SPECIFIC ORGANIZATION NAME IN ORDER TO PROTECT PARTICIPANT PRIVACY. A TOTAL OF 154 PROVIDERS RESPONDED TO THE SURVEY. MOST RESPONDENTS PRACTICED IN ALLEN COUNTY (55.2%), FOLLOWED BY ADAMS COUNTY (30.5%). RESPONDENTS WERE PRIMARILY FEMALE (72.7%), WHITE (83.8%), AND NON-HISPANIC (89.6%). THE SURVEY INCLUDED RESPONSES FROM MENTAL/BEHAVIORAL HEALTH PROVIDERS, SOCIAL WORKERS/CASE MANAGERS, REGISTERED NURSES, OTHER HEALTHCARE PROVIDERS, PUBLIC SECTOR WORKERS, EDUCATORS, COMMUNITY/SOCIAL SERVICE PROVIDERS, PHYSICIANS, PHYSICIAN'S ASSISTANTS, AND PUBLIC HEALTH/COMMUNITY HEALTH WORKERS.PARK CENTER, INC. HELD A MEETING ON OCTOBER 14, 2022, TO ENGAGE THE LEADERS AND BOARD MEMBERS IN THE PRIORITIZATION PROCESS. THE 11 ATTENDEES INCLUDED ADMINISTRATORS AND BOARD MEMBERS. ADDITIONALLY, FIVE RESEARCH AND COMMUNITY HEALTH IMPROVEMENT (CHI) TEAM MEMBERS WERE PRESENT TO FACILITATE THE SESSION; HOWEVER, THESE TEAM MEMBERS WERE NON-VOTING ATTENDEES. SURVEY DATA COLLECTION METHODS WERE EXPLAINED, AND THE SIX ISSUES WITH THE HIGHEST ENDORSEMENT AS A MENTAL HEALTH CONCERN WERE PRESENTED VIA SLIDES. THE GROUP OF STAKEHOLDERS DECIDED TO ADAPT THE SUBCATEGORIES BASED ON CURRENT TRENDS IN THE MENTAL HEALTH FIELD. ATTENDEES USED MENTIMETER, AN ANONYMOUS, SYNCHRONOUS POLLING SYSTEM, TO SCORE EACH HEALTH CONCERN USING FOUR CRITERIA: (1) SIGNIFICANCE OF THE HEALTH PROBLEM (I.E., HOW MANY PEOPLE ARE AFFECTED?); (2) SEVERITY OF THE HEALTH PROBLEM (I.E., HOW LIKELY IS IT TO LIMIT LENGTH AND QUALITY OF LIFE?); (3) SUITABILITY FOR A STRATEGIC INTERVENTION (I.E., CAN PARKVIEW ADDRESS THE PROBLEM?; AND (4) SDOH (I.E., DO SOCIAL DETERMINANTS OF HEALTH DRIVE HEALTH DISPARITIES IN RATES AND OUTCOMES?). FOR EACH HEALTH CONCERN, PARTICIPANTS WERE ASKED TO SCORE EACH CRITERION ON A SCALE OF 1 (VERY LITTLE) TO 10 (VERY MUCH). ONCE ALL SIX HEALTH CONCERNS WERE VOTED ON IN THE FIRST ROUND, THEIR OVERALL COMBINED SCORES ACROSS THE FOUR CRITERIA WERE COMPUTED, AND FIVE MENTAL HEALTH CONCERNS WERE THEN RANKED AGAIN AND DISCUSSED USING A CHATHAM HOUSE RULE CONDITION (WHEREBY THE GROUP AGREES THAT THE IDENTITY OF THE SPEAKER SHOULD REMAIN ANONYMOUS) AND A "PRO, CON, CON, PRO" DISCUSSION FORMAT TO ENCOURAGE BOTH SUPPORTIVE AND OPPOSITIONAL VIEWS TO BE PRESENTED FOR EACH HEALTH CONCERN. A LARGE-GROUP DISCUSSION ENSUED AROUND THE FIVE MENTAL HEALTH ISSUES, AND ATTENDEES WERE THEN ASKED TO VOTE AGAIN TO RANK THE FIVE HEALTH CONCERNS IN TERMS OF THEIR TOP PRIORITIES FOR PARK CENTER, INC. MOOD DISORDERS (CHILD/ADOLESCENT DEPRESSION), CHILDHOOD TRAUMA, AND SUBSTANCE USE/ABUSE WERE SELECTED AS TOP PRIORITIES. THE NEEDS ASSESSMENT, COMMUNITY SESSION DATA, AND CHI COMMITTEE RECOMMENDATIONS WERE PRESENTED TO THE PARK CENTER BOARD OF DIRECTORS IN NOVEMBER 2022. THE BOARD OF DIRECTORS VOTED TO ADOPT THE ABOVE HEALTH PRIORITY RECOMMENDATIONS AT THE BOARD MEETING. THE PRIORITIZATION SESSION ATTENDEES REPRESENTED SEVERAL ORGANIZATIONS IN ALLEN, ADAMS, AND WELLS COUNTIES: PARKVIEW ADMINISTRATION, PARK CENTER BOARD, PARKVIEW BEHAVIORAL INSTITUTE ADMINISTRATION, AND PARKVIEW COMMUNITY OUTREACH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARK CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: PARKVIEW HOSPITAL, INC. (EIN 35-0868085); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARK CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384), THROUGH PARKVIEW'S HEALTH SERVICES AND INFORMATICS RESEARCH (HSIR) GROUP, DESIGNED AND CONDUCTED BOTH PRIMARY AND SECONDARY DATA COLLECTION AND ANALYSIS ACTIVITIES FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). HSIR EMPLOYS MULTIPLE RESEARCH STAFF, WHICH INCLUDES PHD PREPARED SCIENTISTS, USER EXPERIENCE SPECIALISTS AND PROJECT MANAGERS. AS A RESEARCH UNIT EMBEDDED IN PARKVIEW, HSIR HAS DEDICATED TIME TO SUPPORT INITIATIVES THAT REQUIRE RESEARCH SKILLS, SUCH AS THE CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARK CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:PARK CENTER, INC. PROVIDES INPATIENT AND OUTPATIENT SERVICES EXCLUSIVELY TREATING BEHAVIORAL HEALTH AND SUBSTANCE USE DISORDERS (SUD). WITH DEDICATION TO THAT MISSION, PARK CENTER, INC. IS BEST EQUIPPED TO FOCUS ON THESE CONDITIONS. AS SUCH, PARK CENTER INC.'S COMMUNITY HEALTH PRIORITIES ARE MENTAL HEALTH AND SUBSTANCE USE DISORDERS, WITH THE TOP THREE PRIORITIES AND ACTIONS TAKEN TO ADDRESS THEM DURING THE 2022 THROUGH 2025 CHNA CYCLE DISCUSSED BELOW.MOOD DISORDERS (CHILD/ADOLESCENT DEPRESSION):PARK CENTER, INC. HAS A ROBUST SERVICE OFFERING FOR CHILDREN AND ADOLESCENTS. TO BETTER SERVE THIS POPULATION, PARK CENTER, INC. HAS WORKED AND CONTINUES TO WORK TO INCREASE THE NUMBER OF SERVICES PROVIDED TO CHILDREN AND ADOLESCENTS TO ASSIST IN THE TREATMENT OF MOOD DISORDERS. THIS INCLUDES PROVIDING AND EXPANDING AVAILABLE MEDICATION SERVICES, THERAPY, CASE MANAGEMENT, SCHOOL-BASED SERVICES, AND INTENSIVE OUTPATIENT SERVICES (IOP) USING A TEAM-BASED APPROACH. THE IMPLEMENTATION STRATEGY FOR THIS IDENTIFIED NEED INCLUDES THE GOAL OF INCREASING TEAM-BASED SERVICES FOR CHILDREN AND ADOLESCENTS WITH MOOD DISORDERS, WITH AT LEAST 50% OF YOUTH SERVED WITH A MOOD DISORDER HAVING MORE THAN ONE SERVICE AS PART OF THEIR TREATMENT. THIS GOAL IS ADDRESSED THROUGH COLLABORATION BETWEEN INTERNAL DEPARTMENTS WITHIN PARK CENTER, INC., AS WELL AS THROUGH COLLABORATION WITH EXTERNAL PARTNERS, INCLUDING DCS, SCHOOLS, AND CRIMINAL JUSTICE. INTERVENTIONS TO MEET THIS GOAL INCLUDE MONITORING PROVISION OF APPROPRIATE PROGRAMMING FOR THIS POPULATION, CASE MANAGERS EMBEDDED IN SCHOOLS, AND PROVISION OF WRAPAROUND SERVICES. IN 2024, THE FOLLOWING ACTIONS HAVE BEEN TAKEN TO ADDRESS THIS IDENTIFIED NEED:-A FULL-TIME WRAPAROUND FACILITATOR WAS ADDED AND MAINTAINED TO CONTINUE TO GROW PARK CENTER, INC.'S WRAPAROUND AVAILABILITY. IN 2024, AN AVERAGE OF 36 PATIENTS WERE INVOLVED IN THE WRAPAROUND PROGRAM AT A TIME.-PARK CENTER, INC.'S CONTRACT WITH FORT WAYNE COMMUNITY SCHOOLS (FWCS) WAS EXPANDED; NEW CONTRACTS WITH BLUFFTON HARRISON MSD AND NORTHWEST ALLEN COUNTY SCHOOLS (NACS) WERE ADDED; AND THE SCHOOL CONTRACT IN SOUTH ADAMS FOR SCHOOL-BASED MENTAL HEALTH SERVICES WAS MAINTAINED. APPROXIMATELY 330 PATIENTS WERE SERVED IN THESE SCHOOLS IN 2024.-PARK CENTER, INC. JOINED WITH ALLEN COUNTY JUVENILE CENTER (ACJC) IN THEIR E-CONNECT PROGRAM TO STREAMLINE REFERRALS FOR AT-RISK YOUTH.-PARK CENTER, INC.'S DCS CONTRACT WAS EXPANDED TO TAKE FAMILY PRESERVATION REFERRALS FROM DCS. IN 2024, AN AVERAGE OF SIX REFERRALS FROM FAMILY PRESERVATION WERE INVOLVED IN SERVICES AT A TIME. -PARK CENTER, INC. LED EFFORTS TO CREATE AND IMPLEMENT THE YOUTH MENTAL HEALTH TASK FORCE IN ALLEN COUNTY, AND IN MAY OF 2024, PARK CENTER, INC., CO-HOSTED THE FIRST ANNUAL YOUTH MENTAL HEALTH SUMMIT WITH A VARIETY OF OTHER COMMUNITY ORGANIZATIONS FOCUSED ON SERVING YOUTH AND ADDRESSING YOUTH SUICIDE RISK. APPROXIMATELY 400 PEOPLE ATTENDED THE EVENT.-OF THE 3,294 YOUTH SERVED IN 2024, APPROXIMATELY 45% HAD MORE THAN ONE SERVICE AS PART OF THEIR TREATMENT. IN 2024, PARK CENTER, INC. CONTINUED TO PARTNER WITH SCHOOLS IN ALLEN, ADAMS, AND WELLS COUNTIES TO PROVIDE SKILLS TRAINING FOR STUDENTS WHO HAVE BEEN IDENTIFIED AS IN NEED OF SERVICES. CASE MANAGERS WERE AND CONTINUE TO BE EMBEDDED IN THE SCHOOL EVERY DAY, ASSISTING THE STUDENTS AND TEACHING SKILLS THAT CAN HELP THEM BE SUCCESSFUL. ADDITIONALLY, THE CASE MANAGERS PROVIDE RESOURCES AND OFFER ADDITIONAL SERVICES FOR FAMILIES.CHILDHOOD TRAUMA:TO ADDRESS THIS IDENTIFIED NEED, THE GOAL IS TO INCREASE THE PERCENTAGE OF STAFF TRAINED IN EVIDENCE-BASED TREATMENT INTERVENTIONS FOR CHILD/ADOLESCENT TRAUMA, WITH AT LEAST 50% OF CHILD/ADOLESCENT THERAPISTS TRAINED AND/OR CERTIFIED IN TRAUMA EVIDENCE-BASED PRACTICES BY THE END OF THE THREE-YEAR NEEDS ASSESSMENT PERIOD. THIS INCLUDES TRAINING SUPERVISORS IN THE SUPERVISION OF EVIDENCE-BASED PRACTICES.TO WORK TOWARDS THIS GOAL, IN 2024, THE FOLLOWING ACTIONS WERE TAKEN:-2 THERAPISTS ATTENDED 3 DAYS OF DIALECTICAL BEHAVIORAL THERAPY (DBT) TRAINING AND IMPLEMENTED THEIR NEW SKILLS AS PART OF THEIR PATIENT CARE IN 2024.-6 CASE MANAGERS WERE TRAINED IN THE NURTURED HEART APPROACH AND IMPLEMENTED THEIR NEW SKILLS AS PART OF THEIR PATIENT CARE IN 2024.-4 THERAPISTS WERE TRAINED IN PARENT CHILD INTERACTION THERAPY (PCIT) AND IMPLEMENTED THEIR NEW SKILLS AS PART OF THEIR PATIENT CARE IN 2024.-46 STAFF MEMBERS WERE TRAINED IN SKILLS SYSTEM AND IMPLEMENTED THEIR NEW SKILLS AS PART OF THEIR PATIENT CARE IN 2024.-4 LEADERS WERE TRAINED IN SUPERVISING SKILLS SYSTEM AND IMPLEMENTED SKILLS LEARNED IN THEIR SUPERVISION IN 2024.-3 LICENSED THERAPISTS WERE TRAINED IN TRAUMA FOCUSED - COGNITIVE BEHAVIORAL THERAPY (TF-CBT). CONSULTATION CALLS FOR SUPERVISION, WHICH ARE REQUIRED FOR CERTIFICATION, WERE STARTED IN 2024.- 1 STAFF MEMBER WAS TRAINED IN EMDR IN 2024.-22 SUPERVISORS WERE TRAINED IN ADVANCED MOTIVATIONAL INTERVIEWING IN 2024.-63 STAFF MEMBERS WERE TRAINED IN MOTIVATIONAL INTERVIEWING IN 2024.-25 STAFF MEMBERS WERE TRAINED IN EMOTIONALLY FOCUSED THERAPY (EFT) IN 2024.-28 STAFF MEMBERS WERE TRAINED IN INTERNAL FAMILY SYSTEMS IN 2024.-22 STAFF MEMBERS WERE TRAINED IN THE PARENTING WITH LOVE AND LIMITS (PLL) APPROACH IN 2024.-13 STAFF MEMBERS ATTENDED TRAINING ON CBT FOR YOUTH AND ADOLESCENTS IN 2024.-4 STAFF MEMBERS ATTENDED TRAINING ON CBT FOR SUICIDE PREVENTION IN 2024.-PARK CENTER, INC. LED EFFORTS TO CREATE AND IMPLEMENT THE YOUTH MENTAL HEALTH TASK FORCE IN ALLEN COUNTY, AND IN MAY OF 2024, PARK CENTER, INC., CO-HOSTED THE FIRST ANNUAL YOUTH MENTAL HEALTH SUMMIT WITH A VARIETY OF OTHER COMMUNITY ORGANIZATIONS FOCUSED ON SERVING YOUTH AND ADDRESSING YOUTH SUICIDE RISK. APPROXIMATELY 400 PEOPLE ATTENDED THE EVENT AND WERE EDUCATED ON YOUTH SUICIDE RISK AND DBT SKILLS.PARK CENTER, INC.'S HOME-BASED SERVICES REACH INTO CLIENTS' HOMES TO REMOVE BARRIERS IMPACTING THE COMMUNITY'S ABILITY TO RECEIVE TREATMENT. HOME-BASED SERVICES WORK WITH THE DEPARTMENT OF CHILD SERVICES (DCS) TO REDUCE AND PREVENT CHILD ABUSE AND NEGLECT BY HELPING PARENTS IN THEIR OWN ENVIRONMENT. IN-OFFICE SERVICES PROVIDE INDIVIDUAL, GROUP AND INTENSIVE OUTPATIENT SUPPORT FOR A WIDE VARIETY OF MENTAL HEALTH NEEDS INCLUDING BUT NOT LIMITED TO DEPRESSION, TRAUMA, EATING DISORDERS, BIPOLAR DISORDER AND ANXIETY.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 11 CONT'D:</FormAndLineReferenceDesc>
        <ExplanationTxt>SUBSTANCE USE/ABUSE:TO ADDRESS THIS IDENTIFIED NEED, THE GOAL IS TO IMPROVE ACCESS TO SERVICES FOR THOSE WITH SUBSTANCE USE/ABUSE BY REDUCING WAIT TIME FOR AN INITIAL APPOINTMENT TO 10 DAYS OR LESS ACROSS ALL COUNTIES/PROGRAMS. THIS WILL BE ACCOMPLISHED THROUGH NAVIGATORS EMBEDDED IN COURTROOMS, SPECIALIZED INTAKE PROVIDERS, NAVIGATORS PLACED AT THE ALLEN COUNTY ACCESS SITE AND CRIMINAL JUSTICE MARKETPLACE, PEER RECOVERY COACHES, AND INVOLVEMENT IN THE ALLEN COUNTY JUVENILE CENTER (ACJC) PLACEMENT BOARD.IN 2024, THE FOLLOWING ACTIONS HAVE BEEN TAKEN TO ADDRESS THIS NEED:-A DRUG COURT NAVIGATOR WAS ADDED TO THE BLUFFTON/DECATUR AND HUNTINGTON OFFICES.-SUD ACCESS WAS STREAMLINED THROUGH THE ASSESSMENT CENTER. WAIT TIME DECREASED TO A MEDIAN OF 0 DAYS FOR WALK-INS AND BETWEEN 8 AND 10 DAYS FOR SCHEDULED APPOINTMENTS IN DECEMBER 2024.-STAFF WERE PLACED ON-SITE AT WORK RELEASE AND MARKETPLACE WEEKLY.-PARK CENTER, INC. STAFF ATTENDED ACJC PLACEMENT BOARD AS A MEMBER.-VIRTUAL SUD IOP WAS OFFERED IN 2 OFFICES AS HYBRID GROUPS.-11 THERAPISTS WERE TRAINED IN THE MATRIX MODEL.-PARK CENTER, INC. ADDED 2 BRIDGE CASE MANAGER POSITIONS IN 2024 TO BRIDGE THE GAP BETWEEN INPATIENT/OUTPATIENT CARE.PARK CENTER, INC. CONTINUES TO ADDRESS SUBSTANCE USE WITH A CONTINUUM OF SERVICES FROM INPATIENT TO OUTPATIENT SERVICES, INCLUDING MEDICATION ASSISTED TREATMENT FOR OPIOID USE DISORDER, OUTPATIENT TREATMENT INCLUDING INDIVIDUAL AND GROUP THERAPY, INTENSIVE OUTPATIENT TREATMENT AND RESIDENTIAL SERVICES FOR SUBSTANCE USE AT THE ASAM 3.5 LEVEL. THE ADDICTIONS RESIDENTIAL 3.5 PROGRAM HOUSES INDIVIDUALS FOR UP TO 30 DAYS TO ASSIST IN THEIR TREATMENT. WHILE THERE, THEY RECEIVE INTENSIVE THERAPY, SUPPORT, AND EDUCATION TO BE SUCCESSFUL STEPPING DOWN TO AN OUTPATIENT LEVEL OF CARE.IN 2024, PARK CENTER, INC.'S CARE PROVIDERS CONTINUED TO INCLUDE A BOARD-CERTIFIED ADDICTIONOLOGIST, THERAPISTS, AND LICENSED ADDICTION COUNSELORS WHO WALK BESIDE CLIENTS IN THEIR JOURNEY TO RECOVERY. PARK CENTER, INC. CONTINUED TO PARTNER WITH COMMUNITY CORRECTIONS AND OTHER KEY COMMUNITY STAKEHOLDERS TO PROVIDE THE RIGHT LEVEL OF CARE TO THOSE IN NEED. SIGNIFICANT HEALTH NEEDS NOT BEING ADDRESSED:BASED ON FEASIBILITY AND AVAILABLE PUBLIC HEALTH INTERVENTIONS, THE HEALTH NEEDS DEFINED BELOW ARE NOT BEING ADDRESSED BY PARK CENTER, INC. FEASIBILITY INCLUDES THE SUITABILITY, AVAILABILITY OF RESOURCES, PRE-EXISTING COMMUNITY AGENCIES, AND OTHER INTERNAL PARTNERS IN THE HEALTH SYSTEM.HOUSING:PARK CENTER, INC. WORKS WITH MANY COMMUNITY STAKEHOLDERS TO ADDRESS HOUSING NEEDS, INCLUDING HUD, BRIGHT POINT, AND THE HOUSING AUTHORITY. IN ADDITION, PARK CENTER, INC. OPERATES TRANSITIONAL HOUSING APARTMENTS TO ASSIST PEOPLE IN FINDING HOUSING. CHILDCARE, ACCESS TO HEALTH FOOD, FINANCIAL ASSISTANCE, TRANSPORTATION, ACCESS TO BIRTH CONTROL, JOB TRAINING, AND ACCESS TO PRIMARY CARE PROVIDERS: PARK CENTER, INC. IS A COMMUNITY MENTAL HEALTH CENTER (CMHC), AND THESE NEEDS ARE NOT PRIMARY FUNCTIONS OF A CMHC. PARK CENTER, INC. PROVIDES REFERRALS TO ORGANIZATIONS THAT SPECIALIZE IN THESE NEEDS AND CONNECTS PEOPLE WITH THE APPROPRIATE RESOURCES TO ADDRESS THESE ITEMS AS NEEDED THROUGH ESTABLISHED PARTNERSHIP AND REFERRAL PATHWAYS. ADDITIONALLY, PARK CENTER, INC. ADDRESSES UNDERLYING MENTAL HEALTH AND SUBSTANCE USE NEEDS THAT CONTRIBUTE TO THE HEALTH NEEDS LISTED HERE.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 3E:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 7A:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.PARKVIEW.COM/ABOUT-US/COMMUNITY-IMPACT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: HTTPS://WWW.PARKVIEW.COM/ABOUT-US/COMMUNITY-IMPACT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINES 16A, 16B, AND 16C: HTTPS://WWW.PARKVIEW.COM/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 20D:</FormAndLineReferenceDesc>
        <ExplanationTxt>WHILE THE HOSPITAL DOES NOT EMPLOY A PRESUMPTIVE ELIGIBILITY PROCESS, IT HAS TAKEN MEANINGFUL STEPS TO EXPAND ACCESS TO CARE AND SUPPORT PATIENTS FACING FINANCIAL HARDSHIP. IN 2024, THE HOSPITAL INCREASED ITS FINANCIAL ASSISTANCE POLICY ELIGIBILITY THRESHOLD FROM 250% TO 275% OF THE FEDERAL POVERTY GUIDELINES, ENSURING MORE FAMILIES QUALIFY FOR FREE OR DISCOUNTED CARE. TO FURTHER SUPPORT PATIENTS, THE HOSPITAL PARTNERS WITH A THIRD-PARTY VENDOR TO HELP INDIVIDUALS APPLY FOR MEDICAID AND OFFERS A ROBUST FINANCIAL COUNSELING PROGRAM WHERE TRAINED STAFF GUIDE PATIENTS THROUGH THE ASSISTANCE PROCESS. TOGETHER, THESE EFFORTS DEMONSTRATE THE HOSPITAL'S DEDICATION TO MEETING COMMUNITY NEEDS, MAINTAINING COMPLIANCE WITH SECTION 501(R), AND UPHOLDING ITS MISSION TO PROVIDE EQUITABLE ACCESS TO HEALTHCARE WHILE REFLECTING ITS COMMITMENT TO COMPASSIONATE BILLING PRACTICES.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295); PARK CENTER, INC. (EIN 35-1135451); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>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 7BPARK CENTER, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE (INCLUDING HEALTHY INDIANA PLAN - HIP), AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARK CENTER, INC. CONTINUES ITS TRADITION OF PROVIDING SUPPORT TO NUMEROUS ORGANIZATIONS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGES 24 - 27 OF THE ATTACHED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BENEFIT &amp; METHODOLOGY FOR DETERMINING MEDICARE COSTSPARK CENTER, INC. BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, WHILE PARK CENTER, INC. ACCEPTS ALL MEDICARE PATIENTS, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. EVEN IN YEARS WHEN THERE IS NO SHORTFALL, THE HOSPITAL'S WILLINGNESS TO SERVE ALL MEDICARE PATIENTS DEMONSTRATES ITS COMMITMENT TO COMMUNITY BENEFIT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>A PATIENT'S FAILURE TO MAKE PAYMENT ARRANGEMENTS THROUGH VARIOUS AVAILABLE PAYMENT OPTIONS OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING REFERRED TO A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES, WHICH MAY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY. IF AN INDIVIDUAL SUBMITS A COMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, AND PARKVIEW HEALTH DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN PARKVIEW HEALTH WILL TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION (EXCEPT FOR A SALE OF DEBT) TAKEN AGAINST THE INDIVIDUAL TO OBTAIN PAYMENT FOR THE CARE. ALSO, IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, PARKVIEW WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL (WITH RESPECT TO CHARGES TO WHICH THE FINANCIAL ASSISTANCE APPLICATION UNDER REVIEW RELATES) UNTIL THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED AND AN ELIGIBILITY DECISION RENDERED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B. IN ADDITION TO COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT ON A TRIENNIAL BASIS, PARK CENTER, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, COLLABORATION WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND FRONTLINE STAFF. PARK CENTER, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:1. HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS2. OBSERVATIONS AND DATA COLLECTED FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKERS)3. REVIEW OF COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) 4. PARK CENTER LEADERS SERVING ON HEALTH-RELATED AND SOCIAL SERVICE BOARDS OF DIRECTORS IN THE COMMUNITY5. OTHER PUBLIC HEALTH DATABASES (E.G., COMMUNITY COMMONS, COUNTY HEALTH RANKINGS) KEY HOSPITAL REPRESENTATIVES MAINTAIN ONGOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>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. 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 WHOM THEY CAN CONTACT FOR ASSISTANCE. TO FURTHER SUPPORT PATIENTS, THE HOSPITAL PARTNERS WITH A THIRD-PARTY VENDOR TO HELP INDIVIDUALS APPLY FOR MEDICAID AND OFFERS A ROBUST FINANCIAL COUNSELING PROGRAM WHERE TRAINED STAFF GUIDE PATIENTS THROUGH THE ASSISTANCE PROCESS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.PARK CENTER, INC. IS DESIGNATED AS A COMMUNITY MENTAL HEALTH CENTER (CMHC) BY THE DEPARTMENT OF MENTAL HEALTH AND ADDICTION (DMHA) IN THREE PRIMARY CATCHMENT AREAS. PARK CENTER, INC.'S SERVICES EXPAND ACROSS THE LIFETIME AND SUPPORT THOSE WITH SUBSTANCE USE AND MENTAL HEALTH NEEDS. THE LARGEST COUNTY WITHIN THE CATCHMENT AREA IS ALLEN COUNTY, WHICH IS COMPRISED OF URBAN, SUBURBAN, AND RURAL COMMUNITIES. ALLEN COUNTY IS HOME TO THE SECOND-LARGEST CITY IN INDIANA BY POPULATION AND BOASTS THE LARGEST COUNTY BY ACREAGE IN INDIANA. THE OTHER TWO COUNTIES SERVED IN THE PRIMARY CATCHMENT AREA (ADAMS AND WELLS) ARE RURAL/MIXED (ADAMS) AND RURAL (WELLS) IN COMPOSITION, ACCORDING TO THE PURDUE CENTER FOR REGIONAL DEVELOPMENT. ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY (ACS), ALLEN COUNTY IS THE LARGEST URBAN (CONTAINING SUBURBAN AND RURAL AREAS) AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA, WITH A POPULATION OF 388,791 (2019 - 2023). IN ADDITION, ACCORDING TO ACS, THE MEDIAN HOUSEHOLD INCOME OF ALLEN COUNTY RESIDENTS IS APPROXIMATELY $68,839, WITH 11.6% OF HOUSEHOLDS LIVING BELOW THE FEDERAL POVERTY LEVEL (2019 - 2023, 2017 - 2021). APPROXIMATELY 8.17% OF ALLEN COUNTY RESIDENTS ARE UNINSURED (2019 - 2023), AND PUBLIC HEALTH INSURANCE (INCLUDING MEDICAID) EXTENDS COVERAGE TO 34.71% OF THE COUNTY'S INSURED POPULATION, AS CONFIRMED BY DATA FROM THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (2019 - 2023).ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY (ACS), WELLS COUNTY IS A RURAL AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 28,261 (2019 - 2023). IN ADDITION, ACCORDING TO ACS, THE MEDIAN HOUSEHOLD INCOME OF WELLS COUNTY RESIDENTS IS APPROXIMATELY $69,741, WITH 8.5% LIVING BELOW THE FEDERAL POVERTY LEVEL (2019 - 2023, 2017 - 2021). APPROXIMATELY 6.57% OF WELLS COUNTY RESIDENTS ARE UNINSURED (2019 - 2023), AND PUBLIC HEALTH INSURANCE (INCLUDING MEDICAID) EXTENDS COVERAGE TO 31.54% OF THE COUNTY'S INSURED POPULATION, AS CONFIRMED BY DATA FROM THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (2019 - 2023).ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY (ACS), ADAMS COUNTY IS A RURAL AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 35,995 (2019 - 2023). IN ADDITION, ACCORDING TO ACS, THE MEDIAN HOUSEHOLD INCOME OF ADAMS COUNTY RESIDENTS IS APPROXIMATELY $63,128, WITH 13.3% LIVING BELOW THE FEDERAL POVERTY LEVEL (2019 - 2023, 2017 - 2021). APPROXIMATELY 23.30% OF ADAMS COUNTY RESIDENTS ARE UNINSURED (2019 - 2023), AND PUBLIC HEALTH INSURANCE (INCLUDING MEDICAID) EXTENDS COVERAGE TO 28.94% OF THE COUNTY'S INSURED POPULATION, AS CONFIRMED BY DATA FROM THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (2019 - 2023).HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, DEVELOPS SHORTAGE DESIGNATION CRITERIA INTENDED TO IDENTIFY A GEOGRAPHIC AREA, POPULATION GROUP, OR FACILITY AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). EACH HPSA DESIGNATION IS GIVEN A SCORE (RANGING FROM 0 TO 26) THAT EXPRESSES THE PRIORITY LEVEL FOR CLINICIAN ASSIGNMENT. THIS MEANS THAT THE HIGHER THE HPSA SCORE, THE HIGHER THE PRIORITY IS. HRSA HAS DESIGNATED/IDENTIFIED THE FOLLOWING MEDICALLY UNDERSERVED AREAS/POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1189856255SERVICE AREA NAME: ADAMS COUNTYDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: ADAMS COUNTYHPSA SCORE: 15 STATUS: DESIGNATEDRURAL STATUS: RURAL2) DISCIPLINE: PRIMARY CAREHSPA ID: 1181110870HPSA NAME: ADAMS MEDICAL GROUP - BERNEDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 16 STATUS: DESIGNATEDRURAL STATUS: RURAL3) DISCIPLINE: PRIMARY CAREHSPA ID: 1185760375HPSA NAME: ADAMS MEDICAL GROUP - HIGH STREETDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17 STATUS: DESIGNATEDRURAL STATUS: RURAL4) DISCIPLINE: PRIMARY CAREHSPA ID: 1186989441HPSA NAME: DECATUR FAMILY MEDICINE - WOODCREST CONNECTIONDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17 STATUS: DESIGNATEDRURAL STATUS: RURAL5) DISCIPLINE: PRIMARY CAREHSPA ID: 1187530087HPSA NAME: MONROE FAMILY MEDICINEDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 16 STATUS: DESIGNATEDRURAL STATUS: RURAL6) DISCIPLINE: MENTAL HEALTHHSPA ID: 7188785005HPSA NAME: ADAMS MEDICAL GROUP - BERNEDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17 STATUS: DESIGNATEDRURAL STATUS: RURAL7) DISCIPLINE: MENTAL HEALTHHSPA ID: 7185408306HPSA NAME: ADAMS MEDICAL GROUP - HIGH STREETDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: RURAL8) DISCIPLINE: MENTAL HEALTHHSPA ID: 7189176491HPSA NAME: DECATUR FAMILY MEDICINE - WOODCREST CONNECTIONDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: RURAL9) DISCIPLINE: MENTAL HEALTHHSPA ID: 7181784085HPSA NAME: MONROE FAMILY MEDICINEDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: RURAL10) DISCIPLINE: MENTAL HEALTHHSPA ID: 7184233749HPSA NAME: MHCA 20 - ADAMS/ALLEN/WELLS COUNTIESDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: ADAMS, ALLEN, AND WELLS COUNTIESHPSA SCORE: 13STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL11) DISCIPLINE: PRIMARY CAREHSPA ID: 1188138606HPSA NAME: LI - NORTH FORT WAYNEDESIGNATION TYPE: LOW INCOME POPULATION HPSACOUNTY NAME: ALLEN COUNTYHPSA SCORE: 16STATUS: DESIGNATEDRURAL STATUS: NON-RURAL12) DISCIPLINE: PRIMARY CAREHSPA ID: 1181781876HPSA NAME: LI-SOUTH GREATER FORT WAYNEDESIGNATION TYPE: LOW INCOME POPULATION HPSACOUNTY NAME: ALLEN COUNTYHPSA SCORE: 18 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL13) DISCIPLINE: PRIMARY CAREHSPA ID: 1189991870HPSA NAME: NEIGHBORHOOD HEALTH CLINICS, INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERCOUNTY NAME: ALLEN COUNTYHPSA SCORE: 21STATUS: DESIGNATEDRURAL STATUS: NON-RURAL14) DISCIPLINE: PRIMARY CAREHSPA ID: 1189107418HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: ALLEN COUNTYHPSA SCORE: 16STATUS: DESIGNATEDRURAL STATUS: NON-RURAL15) DISCIPLINE: MENTAL HEALTHHSPA ID: 7189991824HPSA NAME: NEIGHBORHOOD HEALTH CLINICS, INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERCOUNTY NAME: ALLEN COUNTYHPSA SCORE: 19 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL16) DISCIPLINE: MENTAL HEALTHHSPA ID: 7185458158HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: ALLEN COUNTYHPSA SCORE:16 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.).PARK CENTER, INC. SEEKS TO DELIVER EXCELLENT CARE TO EVERY PERSON, EVERY DAY. IN DOING SO, THE HOSPITAL HAS DEVELOPED ITS INFRASTRUCTURE, POLICIES, AND PROCEDURES TO ALIGN WITH THIS GOAL. THIS INCLUDES HAVING A BOARD OF DIRECTORS FOR PARK CENTER, INC. THAT IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS RESIDING WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA; EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY; AND COMMITTING A PERCENTAGE OF EACH HOSPITAL'S NET INCOME (SURPLUS FUNDS) TO SUPPORT COMMUNITY HEALTH EFFORTS ON AN ANNUAL BASIS. WHILE THESE THREE COMPONENTS ARE CENTRAL IN PROVIDING THE HOSPITAL WITH A STRONG FOUNDATION, IT TAKES A LOT MORE THAN THIS TO MEET THE HOSPITAL'S STANDARD OF DELIVERING EXCELLENT CARE TO EVERY PERSON, EVERY DAY. TO PARK CENTER, INC., ACHIEVING THIS STANDARD OF CARE REQUIRES PARTNERING WITH COMMUNITY ORGANIZATIONS THROUGH COMMUNITY HEALTH AT THE HOSPITAL LEVEL. AT THE SYSTEM LEVEL, PARK CENTER, INC. CONTRIBUTES TO AND PARTICIPATES IN SYSTEM-WIDE INVESTMENTS THAT WORK TOWARD FURTHERING EDUCATION AND RESEARCH AND ADVANCING HEALTHCARE DELIVERY AND ACCESS.COMMUNITY HEALTH: PARK CENTER, INC. IS COMMITTED TO THE INVESTMENT OF TIME AND RESOURCES IN THE PROCESS AND CHALLENGES OF IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY THROUGH ITS COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM. THE GOAL OF THE CHI PROGRAM IS TO UTILIZE BEST PRACTICES AND INNOVATIVE METHODS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY, PARTICULARLY THE UNDERSERVED. PARK CENTER, INC. SUPPORTS CHI EFFORTS BY COMMITTING A PERCENTAGE OF ITS NET INCOME ON AN ANNUAL BASIS. WITH OVERSIGHT BY THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE, CONSISTING OF COMMUNITY LEADERS, MEMBERS OF THE PARK CENTER, INC. BOARD OF DIRECTORS, AND HOSPITAL MANAGEMENT, THESE SURPLUS FUNDS ARE USED TO STRATEGICALLY ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED BY THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS IS ACCOMPLISHED BY BUILDING INNOVATIVE INTERNAL AND EXTERNAL PROGRAMS IN COLLABORATION WITH COMMUNITY PARTNERS THAT ADDRESS IDENTIFIED HEALTH PRIORITIES. IN PARTNERING WITH OTHER ORGANIZATIONS TO IMPROVE THE HEALTH OF OUR COMMUNITY, THE CHI PROGRAM WORKS WITH SEVERAL COMMUNITY PARTNERS TO ADDRESS THE PRIORITIES OUTLINED BY PARK CENTER, INC.'S MOST RECENT CHNA. THE INDIANA DEPARTMENT OF CHILD SERVICES; LOCAL SCHOOLS SUCH AS FORT WAYNE COMMUNITY SCHOOLS, NORTHWEST ALLEN COUNTY SCHOOLS, BLUFFTON HARRISON MSD, AND SOUTH ADAMS; AND CRIMINAL JUSTICE PARTNERS THROUGHOUT THE SERVICE AREA, LIKE THE ALLEN COUNTY JUVENILE CENTER, PROBLEM SOLVING COURTS, SUPERIOR COURTS, PROBATION AND CORRECTIONS ARE JUST A FEW OF OUR PARTNER ORGANIZATIONS. THIS ALSO INCLUDES INVOLVEMENT AND LEADERSHIP ON COMMUNITY BOARDS AND TASK FORCES LIKE THE LOCAL JUSTICE REINVESTMENT ADVISORY COUNCIL (JRAC) AND YOUTH MENTAL HEALTH TASK FORCE, WHICH SUPPORT ALTERNATIVE OPTIONS FOR INDIVIDUALS INVOLVED WITH THE JUSTICE SYSTEM AND FOCUS ON ADDRESSING THE NEEDS OF YOUTH IN THE COMMUNITY, RESPECTIVELY. IN ADDITION TO CHI'S PARTNERSHIPS SEEKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY, PARK CENTER, INC. ALSO VALUES AND MAINTAINS UPSTREAM PARTNERSHIPS WITH LOCAL, STATE, AND FEDERAL GOVERNMENT LEADERS IN ORDER TO COLLABORATE ON PUBLIC POLICY THAT PROMOTES A HEALTHIER AND MORE VIBRANT COMMUNITY. PARK CENTER, INC.'S KEY ADVOCACY PILLARS INCLUDE REDUCING THE TOTAL COST OF CARE; PROTECTING AND EXPANDING ACCESS TO CARE; IMPROVING COMMUNITY HEALTH AND QUALITY OF PLACE; AND ADVANCING INFRASTRUCTURE, TALENT, RESEARCH, AND INNOVATION.EDUCATION:PARK CENTER, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., OFFERS INNOVATIVE LEARNING EXPERIENCES TO K-12, UNIVERSITY, AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HAS MORE THAN 130 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, WHICH SUPPORT STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW FACILITIES. STUDENTS MAY BEGIN TO EXPLORE POTENTIAL CAREER PATHS THROUGH HANDS-ON EXPERIENCES PROVIDED BY PARKVIEW AND CAREER EXPLORATION CENTERS, AND THROUGH UNIQUE EVENTS OFFERED ONSITE AT PARKVIEW. AS STUDENTS ADVANCE INTO HIGH SCHOOL AND COLLEGE, THEY CAN EXPERIENCE JOB SHADOWS AND OBSERVATIONS, AND THEN ADVANCE INTO INTERNSHIPS AND SPECIALTY CLINICALS AS THEY PROGRESS THROUGH THEIR EDUCATION JOURNEY. PRIOR TO LAUNCHING THEIR CAREER, STUDENTS CAN ACCESS PARKVIEW'S SPECIALLY DESIGNED WORK-STUDY OPPORTUNITIES THAT HELP THEM BECOME PRACTICE-READY BY GRADUATION.THE PARKVIEW EDUCATION CENTER (PEC) OFFERS STUDENTS AND PROFESSIONALS A UNIQUE ENVIRONMENT WHERE THEY CAN LEARN TOGETHER UNDER THE SAME ROOF. THIS FACILITY IS THE RESULT OF A COLLABORATION BETWEEN PARKVIEW HEALTH SYSTEM, INC., AND FORT WAYNE COMMUNITY SCHOOLS (FWCS). TOGETHER, WE ENHANCE THE WAY THAT STUDENTS AND HEALTHCARE PROFESSIONALS LEARN AND WORK TOGETHER. THROUGH REGULAR COLLABORATION, THE PARTNERS WORK TO ENSURE THE EDUCATION OFFERED AT THE PEC MEETS TODAY'S AND TOMORROW'S TALENT PIPELINE NEEDS. FURTHERMORE, PEC OFFERS BOTH CLASSROOM AND SIMULATED EXPERIENCE OPTIONS FOR STUDENTS AND CURRENT HEALTHCARE PROFESSIONALS, WHICH PROVIDES PARTICIPANTS FROM ALL SKILLSETS AND BACKGROUNDS THE OPPORTUNITY TO GROW TOGETHER. THIS ENABLES HIGH SCHOOL STUDENTS TO DISCOVER POTENTIAL CAREER PATHS, GIVES ADULTS THE CHANCE TO EARN COLLEGE DEGREES AND CERTIFICATIONS, AND GIVES PARKVIEW CO-WORKERS AN OPPORTUNITY TO ENHANCE THEIR SKILLS.PARK CENTER, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH INNOVATIVE PARTNERSHIPS WITH LOCAL UNIVERSITIES AND THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION, LOCATED ON THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS. IN 2024, PARKVIEW HEALTH SYSTEM, INC. HOSTED NEARLY 5,000 STUDENTS FOR HANDS-ON EXPERIENCES AT PARKVIEW HOSPITALS, OUTPATIENT FACILITIES, AND PARKVIEW PHYSICIANS GROUP OFFICES.(NARRATIVE CONTINUES AFTER PART VI, LINE 7 CONT'D)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>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., A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF COMMUNITY HOSPITALS AND WELLNESS CENTERS; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; DEKALB MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; PARK CENTER, INC.; PARKVIEW HOSPITAL, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC.EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH ACTIVITIES CUSTOMIZED TO MEET THE UNIQUE HEALTH NEEDS OF ITS RESPECTIVE COMMUNITY. AFFILIATE HOSPITALS ALSO WORK TOGETHER AND SHARE PROGRAMMING AND MESSAGING WHERE COMMON COMMUNITY HEALTH ISSUES ARE IDENTIFIED. FROM THE LIST OF HEALTH ISSUES IDENTIFIED IN NORTHEAST INDIANA AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH PRIORITY OF MENTAL HEALTH PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.AFFILIATE HOSPITALS EACH HAVE A LOCAL BOARD OF DIRECTORS. PARKVIEW HEALTH SYSTEM, INC. ALSO ENGAGES WITH A BOARD OF DIRECTORS THAT CONSISTS OF REPRESENTATION FROM EACH OF THE AFFILIATE HOSPITAL BOARDS AND UP TO 15 AT-LARGE PHYSICIANS OR COMMUNITY LEADERS. MOST OF THE BOARD OF DIRECTORS SHALL ALWAYS BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE (IRS). THE HEALTH SYSTEM CONTRIBUTES TO THE OVERALL SUCCESS OF THE REGION THROUGH SIGNIFICANT INVOLVEMENT IN THE COMMUNITIES WE SERVE. BY DEVELOPING VARIOUS PARTNERSHIPS AND ALIGNMENTS WITH DIFFERENT SECTORS AND ORGANIZATIONS, THE HEALTH SYSTEM HELPS TO BENEFIT THE ECONOMY, QUALITY OF LIFE, AND HEALTH/WELL-BEING ACROSS THE REGION. WITH A CONSISTENT FOCUS ON OUR MISSION AND VISION, WE WORK TO PROVIDE THE BEST CARE TO EVERY PERSON, EVERY DAY, WITHIN OUR FACILITIES, WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS TO IMPACT COMMUNITY HEALTH STATUS POSITIVELY.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>IN</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7 CONT'D:</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, SUPPLEMENTAL INFORMATION, LINE 5 CONT'D:</FormAndLineReferenceDesc>
        <ExplanationTxt>CONTINUED FROM ABOVE: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).RESEARCH:THE PARKVIEW RESEARCH CENTER (FOUNDED IN 1993) AT THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION HAS BROUGHT MORE THAN 800 CLINICAL TRIALS TO PATIENTS AND PROVIDERS FOR NOVEL AND POTENTIALLY LIFE-SAVING TREATMENTS, WITH AN AVERAGE OF 150 OPEN STUDIES AT ANY GIVEN TIME. THE PRIMARY FOCUS AT THE CENTER HAS BEEN PHASE II AND PHASE III SPONSORED CLINICAL TRIALS(CLINICAL TRIALS CONDUCTED PRIMARILY TO ADVANCE PATIENT CARE AND SCIENTIFIC KNOWLEDGE), WITH TWO-THIRDS OF OUR ACTIVE RESEARCH IN CANCER TREATMENTS. THE PARKVIEW RESEARCH CENTER ALSO PROVIDES ACCESS TO HUMANITARIAN USE DEVICES (HUD) AND EXPANDED ACCESS PROGRAMS THAT ALLOW OUR PATIENTS ACCESS TO INVESTIGATIONAL DRUGS AND DEVICES IN LIFE-THREATENING OR SPECIAL CIRCUMSTANCES. THE PARKVIEW RESEARCH CENTER IS UNIQUELY SITUATED TO COLLABORATE WITH LOCAL AND NATIONAL ACADEMIC PARTNERS. ONE OF OUR OLDEST COLLABORATIONS IS WITH THE INDIANA UNIVERSITY SCHOOL OF MEDICINE ON THE STUDENT EDUCATION AND RESEARCH FELLOWSHIP (SERF) PROGRAM (FORMERLY THE MIDWEST ALLIANCE FOR HEALTH EDUCATION). THIS PROGRAM WAS ESTABLISHED OVER 30 YEARS AGO AND CONTINUES SERVING THE SURROUNDING REGION. WITHIN THIS FELLOWSHIP PROGRAM, STUDENTS ARE IN-RESIDENCE FOR A PERIOD OF NINE WEEKS, LEARNING ABOUT RESEARCH AND INTERACTING WITH PARKVIEW HEALTH SYSTEM, INC. PHYSICIANS ON ONGOING RESEARCH STUDIES. STUDENTS GAIN FUNDAMENTAL SKILLS FOR CONDUCTING RESEARCH AND DISSEMINATING THEIR WORK THROUGH A POSTER OR PODIUM PRESENTATION AT THE END OF THE PROGRAM.IN ADDITION TO TRAINING AND EDUCATION, THE MIRRO CENTER FOR RESEARCH AND INNOVATION ALSO HOUSES THE HEALTH SERVICES AND INFORMATICS RESEARCH GROUP, WHICH COMPRISES INTERDISCIPLINARY SCIENTISTS, PROJECT MANAGERS, DATA/SOFTWARE ENGINEERS, AND USER-EXPERIENCE SPECIALISTS. THIS TEAM WORKS ON A BROAD ARRAY OF PROJECTS, INCLUDING INVESTIGATOR-INITIATED RESEARCH, PROGRAM EVALUATION, PILOT STUDIES, COMMUNITY SURVEYS, AND USER-EXPERIENCE PROJECTS THAT IMPROVE THE INTEGRATION AND USABILITY OF HEALTHCARE TECHNOLOGIES. EXAMPLES OF THEIR PROJECTS INCLUDE ACCESS TO HEALTH EVALUATION, IMPACTS OF TECHNOLOGY ON YOUTH MENTAL HEALTH RESEARCH, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MUCH OF THIS TEAM'S WORK HAS LED TO PUBLICATION IN PEER-REVIEWED JOURNALS, PRESENTATIONS AT TOP-TIER SCIENTIFIC CONFERENCES, AND THE DISSEMINATION OF FINDINGS TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFORM PUBLIC HEALTH POLICY.ADVANCING HEALTH CARE DELIVERY AND ACCESS:THE HEALTH SYSTEM HAS EXPANDED ITS PRESENCE IN SOUTHWEST ALLEN COUNTY, MAKING HIGHLY SPECIALIZED, WORLD-CLASS CARE MORE CONVENIENT FOR ITS SOUTHWEST RESIDENTS. THE PARKVIEW SOUTHWEST FACILITY ALLOWS US TO DELIVER MULTIPLE LEVELS OF OUTPATIENT CARE MORE EFFICIENTLY, OFFERING CONVENIENT, "HOSPITAL-LIKE" SERVICE WITHOUT A HOSPITAL. THE NEW FACILITY AND RENOVATIONS OPENED ON NOVEMBER 1, 2023, WHICH BROUGHT IN NEW SERVICES AND EXPANDED EXISTING SERVICES ON THE PARKVIEW SOUTHWEST CAMPUS IN RESPONSE TO GROWING DEMAND. THE PARKVIEW SOUTHWEST CAMPUS FEATURES A PARKVIEW PHYSICIANS GROUP PRIMARY CARE OFFICE, THE PARKVIEW SOUTHWEST SURGERY CENTER, THE NEWLY COMPLETED PARKVIEW SOUTHWEST WOMEN'S &amp; CHILDREN'S CENTER (CONSTRUCTION COMPLETED SPRING 2024), AND A NEW THREE-STORY PARKVIEW SOUTHWEST OUTPATIENT CENTER. IN 2024, THE PARKVIEW SOUTHWEST OUTPATIENT CENTER INCREASED ACCESS BY ADDING GI, ENDOCRINOLOGY, RHEUMATOLOGY, PHARMACY CONSULTS, AND ALLERGY, ASTHMA &amp; IMMUNOLOGY CONSULTS (INCLUDING AN ALLERGY SHOT CLINIC) IN THE SPECIALTY PRACTICE CLINIC SPACE. PARK CENTER, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., CONTINUES TO ADVANCE INNOVATION IN PATIENT ACCESS TO HEALTHCARE SERVICES THROUGH ITS DIGITAL HEALTH AND VIRTUAL CARE TECHNOLOGY. PARKVIEW USES THE ELECTRONIC MEDICAL RECORD (EMR), THIRD PARTIES, AND ADDITIONAL TOOLS TO FACILITATE VIRTUAL CONNECTIONS BETWEEN CO-WORKERS, PROVIDERS, AND PATIENTS. THESE CONNECTIONS ENSURE WE CAN CONNECT WITH COMMUNITY HOSPITALS, COMMUNITY PARTNERS, AND PATIENTS TO EXPEDITE CARE THAT MAY HAVE PREVIOUSLY REQUIRED ADDITIONAL STAFFING, PATIENT MOVEMENT, TRANSPORT, OR DELAYED CARE. ONE OF THE LARGEST PLATFORMS UTILIZED IS THE PATIENT PORTAL, BRANDED AS PARKVIEW'S MYCHART. PARKVIEW MYCHART IS AN EASY-TO-USE TOOL THAT ENABLES PATIENTS TO PLAY AN ACTIVE ROLE IN THEIR HEALTHCARE JOURNEY. IT OFFERS CONVENIENT AND SECURE ACCESS TO MEDICAL RECORDS AND A RANGE OF SERVICES, RESOURCES, AND FEATURES THAT ENHANCE THE PATIENT EXPERIENCE. PATIENTS WHO INTEGRATE MYCHART INTO THEIR EVERYDAY LIFE CAN SAVE TIME ORGANIZING HEALTH AND INSURANCE INFORMATION, COMMUNICATE WITH THEIR PROVIDER OFFICE, VIEW SCHEDULING OPTIONS, AND GAIN A BETTER UNDERSTANDING OF THEIR HEALTH AND WELL-BEING. OVER THE LAST 12 MONTHS, PARKVIEW HEALTH SYSTEM, INC. ENGAGED MORE THAN 570,000 PATIENTS THROUGH THE MYCHART PLATFORM, WHO LOGGED INTO THEIR ACCOUNTS TO ACTIVELY MANAGE OR PARTICIPATE IN THEIR CARE. PARK CENTER, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., ALSO OFFERS THE PARKVIEW HEALTH APP, AVAILABLE IN THE GOOGLE AND APPLE APP STORES. THIS APP CONNECTS USERS TO HELPFUL TOOLS DESIGNED TO ENHANCE THE PATIENT JOURNEY OR PROVIDE ACCESS TO HEALTH RECORDS. WITH THE APP, USERS CAN START A VIDEO VISIT, SCHEDULE A NEW PATIENT APPOINTMENT WITH A PRIMARY CARE PROVIDER, GET TURN-BY-TURN WAYFINDING INSIDE PARKVIEW REGIONAL MEDICAL CENTER AND PARKVIEW RANDALLIA HOSPITAL, AMONG OTHER FEATURES. THE APP ALSO ALLOWS ACCESS TO THE USER'S PARKVIEW MYCHART ACCOUNT.PARK CENTER, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., HAS FOCUSED RECENTLY ON LEVERAGING SOME OF OUR CONNECTIVITY OPTIONS TO CREATE VIRTUAL NURSING AND VIRTUAL SITTING OPTIONS. USING CAMERAS IN PATIENT ROOMS, A CAREGIVER CAN CONNECT BY VIDEO AND TALK TO THE PATIENT. THIS ALLOWS VIRTUAL NURSING STAFF TO DISCUSS ADMISSION OR DISCHARGE INSTRUCTIONS, MEDICATIONS, AND ADDRESS OTHER PATIENT QUESTIONS. FOR PATIENTS WHO HAVE MONITORING ORDERS AND REQUIRE CONSTANT SUPERVISION TO MAINTAIN THEIR SAFETY, A TEAM OF TRAINED STAFF MEMBERS CAN MONITOR PATIENTS ACROSS THE HEALTH SYSTEM THROUGH CAMERAS. THIS HELPS REDUCE FALLS, LEADS TO MORE IMMEDIATE INTERVENTION WHEN NECESSARY, AND ALLOWS FOR THE SCALABILITY OF EXISTING RESOURCES.</ExplanationTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES CLARK</PersonNm>
        <TitleTxt>FORMER OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>168376</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>168376</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: MELODIE GAVIN; ELIZABETH HAY PFEIFFER; TIMOTHY KOWALESKI; ANDREA NAAUM</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARK CENTER, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS CHARLES CLARK $168,376; GARY ZWIERZYNSKI $173,088 SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFITS. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION, AND THE AMOUNT OF THE BENEFITS MAY VARY YEARLY. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): DENA JACQUAY $97,203; GREG JOHNSON $488,600; JEANNE' WICKENS $125,575 THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME OUTLINED IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: RICHARD CHURCH $163,800; DENA JACQUAY $220,000; STANTON RISSER $35,417; JEANNE' WICKENS $162,816</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. THE COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR MICP AND PICP. AT THE CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES THE FINAL PAYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A CONT'D FROM ABOVE:</FormAndLineReferenceDesc>
        <ExplanationTxt>ELIZABETH WENDT, NURSE LEADER AT PARK CENTER, INC.'S INPATIENT UNIT, RECEIVED THE DAISY AWARD IN THE FIRST QUARTER OF 2024. THE DAISY FOUNDATION WAS FOUNDED IN MEMORY OF PATRICK BARNES, A 33-YEAR-OLD MAN WHO SPENT EIGHT WEEKS IN A HOSPITAL BEING TREATED FOR AN AUTOIMMUNE DISORDER. DURING HIS STAY, BARNES RECEIVED EXCELLENT NURSING CARE, AND, IN HIS MEMORY, HIS FAMILY CREATED THE DAISY FOUNDATION TO HONOR NURSES WHO GO ABOVE AND BEYOND FOR THEIR PATIENTS. WENDT WAS RECOGNIZED FOR HER EFFORTS TO HELP DEFUSE A CRISIS SITUATION AT HER PARK CENTER, INC. OFFICE. A PATIENT EXPERIENCING A MENTAL HEALTH CRISIS WAS REFUSING TO LEAVE THE OFFICE AFTER CONSULTING WITH THE DOCTOR, AND WENDT STEPPED IN TO PROVIDE ADDITIONAL SUPPORT AND ADDRESS THE PATIENT'S PROBLEM THROUGH ONE-ON-ONE SUPPORT AND ACTIVE LISTENING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, PARK CENTER, INC., EIN 35-1135451. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099 AND 1096, 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, 2024, WAS 703. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2024, WAS 18,730. FOR COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBERS REPORTED FOR THE PARK CENTER, INC. WERE 26 AND 410, RESPECTIVELY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMMITTEE A. COMPOSITION. THE EXECUTIVE COMMITTEE SHALL BE SUCH NUMBER OF DIRECTORS AS MAY FROM TIME-TO-TIME BE APPOINTED BY THE BOARD. B. RESPONSIBILITIES AND FUNCTIONS: THE RESPONSIBILITIES AND FUNCTIONS OF THE EXECUTIVE COMMITTEE AS DELEGATED TO SUCH COMMITTEE BY THE BOARD OF DIRECTORS ARE AS FOLLOWS: (1) TRANSACT ALL EMERGENCY BUSINESS BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS; (2) ASSIST THE BOARD OF DIRECTORS BY SERVING AS A FORUM WHERE STRATEGIC AND OTHER CRITICAL ISSUES MAY BE SUBSTANTIALLY DEVELOPED BEFORE GOING TO THE BOARD OF DIRECTORS FOR DISCUSSION AND CONSIDERATION; (3) SERVE AS THE EVALUATION COMMITTEE TO ANNUALLY EVALUATE THE PERFORMANCE OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND REPORT SUCH EVALUATION TO THE BOARD OF DIRECTORS; (4) OVERSEE THE PLANNING OF THE ANNUAL MEETING OF THE BOARD; (5) REVIEW PERSONNEL TRENDS, PROVIDE OVERSIGHT FOR ALL PERSONNEL FUNCTIONS OF THE CORPORATION TO INCLUDE, BUT NOT LIMITED TO: ANNUAL REVIEW OF SALARY SCHEDULES AND BENEFIT PROGRAMS; ANNUAL STAFFING PLAN; AFFIRMATIVE ACTION PLANS; AND SUCCESSION PLANS; (6) PERFORM SUCH OTHER TASKS OR PROJECTS AS MAY BE DELEGATED BY THE BOARD OF DIRECTORS; AND (7) MONITOR CONTRACTS FOR SERVICES DIRECTLY RELATED TO PATIENT CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 2</FormAndLineReferenceDesc>
        <ExplanationTxt>OFFICERS JEANNE' WICKENS, STANTON RISSER, AND DIRECTOR RICHARD CHURCH HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF PARK CENTER, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS AS STATED IN PARK CENTER, INC.'S BYLAWS UNDER ARTICLE IV - POWERS AND RESPONSIBILITIES, SECTION 4.3 - POWERS OF THE MEMBER: THE FOLLOWING POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE MEMBER, ACTING BY A MEMBER OF ITS SENIOR LEADERSHIP TEAM, AND THE MEMBER OR THE BOARD OF DIRECTORS SHALL ACT TO CARRY OUT THE MEMBER'S DIRECTIONS WITH RESPECT TO: A. APPOINTING DIRECTORS (INCLUDING APPOINTMENTS TO FILL VACANCIES) AND INITIATING THE REMOVAL OF, AND REMOVING, ANY DIRECTOR OF THE CORPORATION; B. APPOINTING (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATING THE REMOVAL OF, AND REMOVING, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER 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. APPROVING AND ADOPTING THE STRATEGIC PLAN, AND ANY AMENDMENTS THERETO, FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; D. APPROVING AND ADOPTING THE CAPITAL AND OPERATING BUDGETS AND FINANCIAL PLANS, AND ANY AMENDMENTS THERETO, OF THE CORPORATION AND ITS AFFILIATES; E. APPROVING THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS BY THE CORPORATION AND ITS AFFILIATES, AND REQUIRING THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; F. APPROVING 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. REQUIRING AND DIRECTING 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 A PSYCHIATRIC 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. APPROVING PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS, DISSOLUTIONS OR ACQUISITIONS AND REQUIRING AND DIRECTING PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; I. EXCEPT AS OTHERWISE DIRECTED BY THE MEMBER, APPROVING DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE IN ANY NOVEL, QUALITATIVELY OR QUANTITATIVELY UNIQUE 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, OTHER THAN (I) APPLICATIONS FOR FUNDING FROM THE DIVISION OF MENTAL HEALTH AND ADDICTIONS (OR ANY SUCCESSOR AGENCY), OR (II) ALLOCATIONS OF PUBLIC SUBSIDIES, OR ANY SIMILAR ARRANGEMENTS TO THE EXTENT THEY ARE IN THE ORDINARY COURSE OF THE CORPORATION'S EXISTING MANAGED CARE OR PURCHASING RELATIONSHIPS (E.G., MEDICAID MANAGED CARE AGREEMENTS, ETC.); J. DEVELOPING AND REQUIRING 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. APPROVING ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A PSYCHIATRIC HOSPITAL OR TO CLOSE THE HOSPITAL; AND L. APPROVING OR REQUIRING AND DIRECTING ANY AMENDMENT TO THE BYLAWS OR ARTICLES OF INCORPORATION OF THE CORPORATION OR AN AFFILIATE THEN IN EFFECT, AND THE ARTICLES OF INCORPORATION AND BYLAWS OR SIMILAR GOVERNING DOCUMENTS OF ANY NEWLY CREATED AFFILIATE, INCLUDING 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 MEMBER; PROVIDED, THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN THIS SECTION 4.3 WITHOUT THE CONSENT OF MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. PARK CENTER, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF PARK CENTER, INC.'S GOVERNING BODY AND THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 23, 2025, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE AND AUDIT COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., HAS A PROCESS IN PLACE FOR REVIEWING AND APPROVING COMPENSATION OF THE CEO &amp; EVP LEVEL EXECUTIVES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY, CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2024, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL CEO &amp; EVP LEVEL COMPENSATION, BENEFITS, AND PERQUISITES FOR THE 2024 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. IN ADDITION, AGGREGATE INFORMATION ON ALL OTHER EXECUTIVE ROLES (OUTSIDE OF THE CEO &amp; EVPS) IS SHARED. THE COMPENSATION PACKAGE OF THE CEO AND EVPS WAS APPROVED BY A MAJORITY OF THE INDEPENDENT COMPENSATION COMMITTEE MEMBERS. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A SUMMARY OF THE EXECUTIVE COMPENSATION PROCESS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AND EVP LEVEL EXECUTIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <CityNm>LAGRANGE</CityNm>
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          <ZIPCd>467552568</ZIPCd>
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          <ZIPCd>467259492</ZIPCd>
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          <AddressLine1Txt>433 W HIGH ST</AddressLine1Txt>
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          <BusinessNameLine1Txt>SHARE FOUNDATION OF COMMUNITY HOSPITALS OF WILLIAMS COUNTY INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>433 W HIGH ST</AddressLine1Txt>
          <CityNm>BRYAN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>435061690</ZIPCd>
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        <EIN>341596175</EIN>
        <PrimaryActivitiesTxt>FUND MGMT</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>COMMUNITY HOSPITALS AND WELLNESS CENTERS</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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          <ZIPCd>435061681</ZIPCd>
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        <EIN>341045870</EIN>
        <PrimaryActivitiesTxt>PHYSICIANS</PrimaryActivitiesTxt>
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      <IdRelatedTaxExemptOrgGrp>
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          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
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        <EIN>352064353</EIN>
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        <ControlledOrganizationInd>0</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OUABACHE VILLAGE INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>909 E STATE BLVD</AddressLine1Txt>
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        <EIN>020731922</EIN>
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          <AddressLine1Txt>909 E STATE BLVD</AddressLine1Txt>
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        <EIN>050543940</EIN>
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          <AddressLine1Txt>909 E STATE BLVD</AddressLine1Txt>
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          <StateAbbreviationCd>IN</StateAbbreviationCd>
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        <EIN>861077255</EIN>
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        <RelatedOrganizationName>
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          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>996407150</EIN>
        <PrimaryActivitiesTxt>TRUST - SUPPLEMENTAL PLAN 008</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM EVPCEO</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>936856743</EIN>
        <PrimaryActivitiesTxt>TRUST - EVP/CEO PLAN 009</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>