2011-11-08T12:26:11-06:00 2010-12-31 CROWE HORWATH LLP 330 E JEFFERSON BLVD P O BOX 7 SOUTH BEND IN 466240007 990 2010-01-01 351972384 PARKVIEW HEALTH SYSTEM INC PARK 2603738407 10501 CORPORATE DRIVE FORT WAYNE IN 46845 MICHAEL P BROWNING 2603738407 2011-11-08 1 KENNETH J KEBER 5742323992 2010 2016-02-24 21:20:13Z MICHAEL PACKNETT 10501 CORPORATE DRIVE FORT WAYNE IN 46845 2077003398 0 X WWW.PARKVIEW.COM X 1995 IN PARKVIEW HEALTH SYSTEM, INC. WILL PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US AND WE WILL WORK TO IMPROVE THE HEALTH OF OUR COMMUNITIES. 15 10 2190 8 2115794 17047 26933 36881 101154439 250801671 -4780948 16042418 888526 -34586 97288950 266846384 1212529 1280134 0 0 68924711 156056725 0 0 0 52585577 115470282 122722817 272807141 -25433867 -5960757 1077596927 1163484562 751696963 792370514 325899964 371114048 X PARKVIEW HEALTH SYSTEM, INC. WILL PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US AND WE WILL WORK TO IMPROVE THE HEALTH OF OUR COMMUNITIES. 0 0 261767319 1280134 248603867 PARKVIEW HEALTH SYSTEM, INC. SUPPORTS THESE HOSPITALS: PARKVIEW HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; AND WHITLEY MEMORIAL HOSPITAL, INC. IMPROVING THE HEALTH OF THE COMMUNITY IS A FUNDAMENTAL PART OF PARKVIEW HEALTH SYSTEM, INC.'S MISSION. AS A NOT-FOR-PROFIT, COMMUNITY-BASED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. REINVESTS ITS FUNDS AND OTHER RESOURCES IN COMMUNITY SERVICES AND HOSPITAL PROGRAMS DESIGNED TO IMPROVE THE HEALTH AND WELL BEING OF RESIDENTS IN THE AREAS WHERE PARKVIEW HEALTH SYSTEM, INC. HOSPITALS ARE LOCATED.TO GUIDE US IN THIS ENDEAVOR, PARKVIEW HEALTH SYSTEM, INC. ROUTINELY SPONSORS A COMMUNITY HEALTH SURVEY. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. REVIEWS TREND AND TREATMENT ANALYSIS DATA ON AN ONGOING BASIS. DATA OBTAINED FROM THESE STUDIES IS USED IN PARKVIEW HEALTH SYSTEM, INC.'S STRATEGIC PLANNING PROCESS TO IDENTIFY AND SET PRIORITIES FOR CRITICAL HEALTH INITIATIVES IN THE COMMUNITIES PARKVIEW HEALTH SYSTEM, INC. SERVES.PARKVIEW HEALTH SYSTEM, INC. EMPLOYS 264 PRIMARY AND SPECIALTY CARE PHYSICIANS AS PART OF THE PARKVIEW PHYSICIANS' GROUP. THESE PHYSICIANS PROVIDE CARE TO RESIDENTS THROUGHOUT NORTHEAST INDIANA AND NORTHWEST OHIO REGARDLESS OF THEIR ABILITY TO PAY FOR THOSE SERVICES. PARKVIEW HEALTH EMPLOYS ONE FULL TIME PHYSICIAN RECRUITER WHOSE TIME IS DEVOTED TO RECRUITING PHYSICIANS. ALL PHYSICIAN RECRUITMENT ACTIVITY IS BASED ON A PHYSICIAN NEEDS ASSESSMENT AND THE OVERSIGHT OF THE COMPLIANCE COMMITTEE OF THE BOARD OF DIRECTORS TO ENSURE THAT WE FOLLOW THE GUIDELINES SET FORTH BY THE FEDERAL GOVERNMENT. ON THE AVERAGE, 15-25 NEW PHYSICIANS ARE RECRUITED EACH YEAR.PARKVIEW HEALTH SYSTEM, INC. PROVIDES SIGNIFICANT FUNDING TO LOCAL UNIVERSITIES TO PROMOTE AND SUPPORT THE NURSING PROGRAMS IN ORDER TO DEVELOP, TEACH AND TRAIN TALENTED STUDENTS FOR THE NURSING PROFESSION. PARKVIEW HEALTH SYSTEM, INC. HAS PARTNERSHIPS WITH THE NURSING DEPARTMENTS AT INDIANA UNIVERSITY PURDUE UNIVERSITY AT FORT WAYNE, AND THE UNIVERSITY OF SAINT FRANCIS TO PROVIDE FINANCIAL ASSISTANCE FOR SCHOLARSHIPS, OPERATIONAL, CAPITAL, AND MARKETING SUPPORT. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. IS A SIGNIFICANT CONTRIBUTOR TO THE NORTHEAST INDIANA ECONOMIC DEVELOPMENT COUNCIL TO SUSTAIN THE ECONOMIC VITALITY OF THIS AREA. PARKVIEW HEALTH SYSTEM, INC. HAS PLAYED A KEY ROLE IN THE REGION'S VISION 20/20 INITIATIVE GEARED TOWARD THE DEVELOPMENT OF STRATEGIES IMPERATIVE TO THE REGION'S FUTURE GROWTH AND VITALITY. 261767319 1 1 0 1 0 0 0 0 0 1 1 0 0 1 0 0 1 0 0 1 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 1 0 0 1 X 249 0 1 2190 1 1 1 1 DA IT NO SW SZ 0 0 0 0 0 0 0 0 X 15 10 1 0 1 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 IN X MICHAEL P BROWNING 2603738407 10501 CORPORATE DRIVE FORT WAYNE IN 46845 X MICHAEL PACKNETT 40.00 X X 912103 0 158919 RAYMOND DUSMAN 40.00 X 623425 0 44655 DUANE HOUGENDOBLER 40.00 X 513914 596 48348 MITCHELL STUCKY 40.00 X 164738 118166 38381 MICHAEL AXEL 1.00 X 3500 5250 0 RICHARD BAKER 1.00 X 3750 6250 0 THOMAS BEAVER 1.00 X 3000 6500 0 JANET CHRZAN 1.00 X 10750 0 0 DAVID HAIST 1.00 X 3500 4750 0 MICHAEL LEE 1.00 X 6750 0 0 LAURA LEFEVER 1.00 X 4500 7250 0 JOHN PRICE 1.00 X 3000 7250 0 CHARLES SCHRIMPER 1.00 X 11500 0 0 WIL SMITH 1.00 X 4500 4500 0 THOMAS WALSH 1.00 X 11000 0 0 MICHAEL BROWNING 40.00 X 80871 0 5343 JEFFREY FRANCIS 40.00 X 206802 0 15269 STANTON RISSER 40.00 X 138872 0 24814 MARK NAFZIGER 40.00 X 588952 0 56938 ARTHUR DETORE 40.00 X 449416 0 79719 CATHERINE WILCOX 40.00 X 348390 0 60925 JEFFREY BROOKES 1.00 X 77405 263027 56424 JAMES STAPEL 40.00 X 335889 2010 75369 RICK HENVEY 40.00 X 301648 0 53626 RONALD DOUBLE 40.00 X 297464 0 57972 DEBRA WILLIAMS 40.00 X 287353 0 42705 JAMES WITMER 40.00 X 256214 0 40608 JAMES HAUGUEL 40.00 X 213132 0 44409 SAILAJA BLACKMON 40.00 X 788837 0 44775 DAVID SOWDEN 40.00 X 745999 400 41212 DOUGLAS GRAY 40.00 X 717431 0 43613 DAVID LLOYD 40.00 X 710534 0 37540 SATISH VELAGAPUDI 40.00 X 652492 0 34775 CHARLES MASON 0.00 X 448413 0 0 9926044 425949 1106339 249 1 1 0 INDIANA MEDICAL ASSOCIATES LLC 7900 W JEFFERSON STE 201 FORT WAYNE IN 46804 PHYSICIANS 798730 NAVVIS CONSULTING LLC 15450 SOUTH OUTER FORTY DRIVE STE 2 CHESTERFIELD MO 63017 CONSULTANTS 570994 ERNST & YOUNG US LLP P O BOX 96550 CHICAGO IL 60693 CPA FIRM 344654 BEERS MALLERS BACK & SALIN LLP 110 W BERRY STREET STE 1100 FORT WAYNE IN 46802 ATTORNEYS 311122 GALILEO MANAGEMENT SERVICES LLC 5025 LITCHFIELD ROAD FORT WAYNE IN 46835 CONSULTANTS 300000 18 36881 36881 CORP SER ALLOCATION 561000 110882088 110882088 NET PATIENT SERVICE 621110 100375806 100375806 PH SUBSIDY 561499 15958555 15958555 ORTHOPAEDIC HOSPITAL 621110 10508533 10508533 BILLING & MGMT FEES 561000 4591083 2673710 1917373 8485606 8169809 315797 250801671 11730889 11730889 194645 194645 2188991 2864228 -675237 -675237 -117376 -557861 1811336398 73272 1807162087 130699 4174311 -57427 4116884 4116884 CAFETERIA REVENUE 722100 605285 605285 MISCELLANEOUS 900099 35366 35366 640651 266846384 248603867 2115794 16089842 1280134 1280134 6706630 6706630 121160215 121160215 6608814 6608814 21581066 21581066 606678 606678 682174 682174 1507177 1507177 15244087 12359893 2884194 2357148 2352998 4150 13320691 12751492 569199 20339932 20339932 7343606 7307729 35877 714749 554103 160646 1702344 1622376 79968 21282189 21282189 18359946 18345657 14289 2114693 1902973 211720 UBI TAXES & REFUNDS -59538 -59538 BAD DEBT 6067549 6067549 DUES & SUBSCRIPTIONS 863780 550175 313605 PHYSICIAN RECRUITMENT 736825 736825 TUITION & CERTIFICATION 646794 646794 1639458 1579914 59544 272807141 261767319 11039822 0 17495 21381 42478235 52978116 32744783 16282925 11377966 10857261 321199 306862 9911986 10086500 669096958 157497185 257109405 511599773 628459235 438922625 84209612 110263867 7057081 8762222 3909930 3403030 1077596927 1163484562 42903074 67707293 192943 173103 562234647 565576364 8894606 16560649 137471693 142353105 751696963 792370514 X 325899964 371114048 325899964 371114048 1077596927 1163484562 X -5960757 51174841 X X 0 1 1 X 1 1 X X X 0 0 0 PARKVIEW HOSPITAL INC 350868085 3 1 1 1 85228452 HUNTINGTON MEMORIAL HOSPITAL INC 351970706 3 1 1 1 7193616 WHITLEY MEMORIAL HOSPITAL INC 351967665 3 1 1 1 6362832 COMMUNITY HOSPITAL OF NOBLE COUNTY INC 352089183 3 1 1 1 7096224 COMMUNITY HOSPITAL OF 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880571 880571 0.00330 1550318 1550318 0.00580 1 3059386 0 5468277 7390121 -1921844 X 1 1 1 IMAGING SERVICES HOLDING COMPANY LLC HOLDING COMPANY 0.50000 0.50000 2 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC ORTHOPAEDIC HOSPITAL 0.60000 0.40000 3 PREMIER SURGERY CENTER LLC SURGERY CENTER 0.50000 0.50000 1 1 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH

11119 PARKVIEW PLAZA DRIVE FORT WAYNE IN 46845

X X X NOT REQUIRED 1 74 PARKVIEW PHYSICIANS' GROUP

1819 CAREW STREET FORT WAYNE IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

3909 NEW VISION DRIVE FORT WAYNE IN 46845

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1818 CAREW STREET FORT WAYNE IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

11123 PARKVIEW PLAZA DR FORT WAYNE IN 46845

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

2003 STULTS RD HUNTINGTON IN 46750

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

11141 PARKVIEW PLAZA DRIVE FORT WAYNE IN 46845

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

8028 CARNEGIE BLVD FORT WAYNE IN 46804

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1515 HOBSON ROAD FORT WAYNE IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

2710 LAKE AVE FORT WAYNE IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

2414 E STATE FORT WAYNE IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

885 CONNEXION WAY COLUMBIA CITY IN 46725

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1331 MINNICH RD NEW HAVEN IN 46774

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

4665 S STATE RD 5N SOUTH WHITLEY IN 46787

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

104 NICHOLAS PLACE WAY AVILLA IN 46710

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

6130 TRIER RD FORT WAYNE IN 46815

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

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PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

6108 MAPLECREST ROAD FORT WAYNE IN 46835

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

5104 N CLINTON STREET FORT WAYNE IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

710 NORTH EAST STREET WABASH IN 46992

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

2512 E DUPONT FORT WAYNE IN 46825

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

2300 DUBOIS DRIVE WARSAW IN 46580

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

13430 MAIN STREET GRABILL IN 46741

PHYSICIAN OFFICE PREMIER SURGERY CENTER LLC

1333 MAYCREST DRIVE FORT WAYNE IN 46805

SURGERY CENTER PARKVIEW PHYSICIANS' GROUP

15707 OLD LIMA RD HUNTERTOWN IN 46748

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1234 E DUPONT RD FORT WAYNE IN 46825

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

4084 N US HWY 33 CHURUBUSCO IN 46723

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

10515 ILLINOIS ROAD FORT WAYNE IN 46814

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1464 LINCOLNWAY S LIGONIER IN 46767

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

333 N OAK STREET COLUMBIA CITY IN 46725

PHYSICIAN OFFICE FOUNDATION SURGERY AFF OF FT WAYNE LLC

8004 CARNEGIE BLVD FORT WAYNE IN 46804

SURGERY CENTER PARKVIEW PHYSICIANS' GROUP

326 SAWYER ROAD KENDALLVILLE IN 46755

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

514 N PROFESSIONAL WAY KENDALLVILLE IN 46755

PHYSICIAN OFFICE NORTHEAST INDIANA CANCER CENTER LLC

516 E MAUMEE STREET ANGOLA IN 46703

MEDICAL SERVICES PARKVIEW PHYSICIANS' GROUP

524 BRANCH COURT COLUMBIA CITY IN 46725

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

420 SAWYER ROAD KENDALLVILLE IN 46755

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

US HWY 30 WEST 5 MATCHETT DR PIERCETON IN 46562

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

207 N TOWNLINE RD LAGRANGE IN 46761

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1836 IDA RED ROAD KENDALLVILLE IN 46755

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

817 TRAIL RIDGE ROAD ALBION IN 46701

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

240 S JEFFERSON SUITE B HUNTINGTON IN 46750

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

8175 W US 20 SHIPSHEWANA IN 46565

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1381 N WAYNE STREET TOTAL ANGOLA IN 46703

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

3439 HOBSON ROAD FORT WAYNE IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1722 BEACON ST FORT WAYNE IN IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

MEDICAL ARTS CENTER - WEST AUBURN IN 46706

PHYSICIAN OFFICE IMAGING SYSTEMS HOLDINGS LLC

3707 NEW VISION DRIVE FORT WAYNE IN 46845

IMAGING SERVICES PARKVIEW PHYSICIANS' GROUP

401 SAWYER ROAD KENDALLVILLE IN 46755

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

3217 LAKE AVENUE FORT WAYNE IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

2402 LAKE AVENUE FORT WAYNE IN 46805

PHYSICIAN OFFICE FORT WAYNE ENDOSCOPY CENTER LLC

3415 HOBSON ROAD FORT WAYNE IN 46805

OUTPATIENT SERVICES PARKVIEW PHYSICIANS' GROUP

500 W VOTAW STREET PORTLAND IN 47371

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

800 W 600 N HOWE IN 46746

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

410 E MITCHELL STREET KENDALLVILLE IN 46755

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

208 N COLUMBUS STREET HICKSVILLE OH 43526

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

5110 N CLINTON STREET FORT WAYNE IN 46825

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

2600 N DETROIT STREET LAGRANGE IN 46761

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

306 E MAUMEE STREET ANGOLA IN 46703

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1035 W WAYNE STREET PAULDING OH 45879

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1310 EAST 7TH STREET AUBURN IN 46706

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1129 FIRST STREET HUNTINGTON IN 46750

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1726 BEACON ST FORT WAYNE IN IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1391 N BALDWIN AVE MARION IN 46952

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

3250 INTERTECH DRIVE ANGOLA IN 46703

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1721 BEACON ST FORT WAYNE IN IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1720 BEACON ST FORT WAYNE IN IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

2001 STULTS RD STE 200 HUNTINGTON IN 46750

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

344 N MAIN STREET COLUMBIA CITY IN 46725

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

213 FAIRVIEW BLVD KENDALLVILLE IN 46755

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

815 HIGH STREET DECATUR IN 46733

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1724 BEACON ST FORT WAYNE IN IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

1725 BEACON ST FORT WAYNE IN IN 46805

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

577 GEIGER DR STE C ROANOKE IN 46783

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

276 MANCHESTER AVE WABASH IN 46992

PHYSICIAN OFFICE PARKVIEW PHYSICIANS' GROUP

11135 PARKVIEW PLAZA DRIVE FORT WAYNE IN 46845

PHYSICIAN OFFICE PART I, LINE 3C: ELIGIBILITY CRITERIA FOR FREE OR DISCOUNTED CAREPARKVIEW HEALTH SYSTEM, INC. PROVIDES DISCOUNTED CARE TO UNINSURED PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. IF THE PATIENT ULTIMATELY QUALIFIES FOR CHARITY CARE USING THE 200% FPG, THE REMAINING BALANCE AFTER THE DISCOUNT IS WRITTEN OFF TO CHARITY. PART I, LINE 6A: PARKVIEW HOSPITAL, INC. PART I, LINE 7: COSTING METHODOLOGY USED TO CALCULATE CHARITY CAREPART I, LINE 7APARKVIEW HEALTH SYSTEM, INC. IS COMMITTED TO PROVIDING CHARITY CARE TO PATIENTS UNABLE TO MEET THEIR FINANCIAL OBLIGATIONS. IT IS FURTHERMORE THE POLICY OF PARKVIEW HEALTH SYSTEM, INC. NOT TO WITHHOLD OR DENY ANY REQUIRED MEDICAL CARE AS A RESULT OF A PATIENT'S FINANCIAL INABILITY TO PAY HIS/HER MEDICAL EXPENSES.THE CHARITY CARE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE CHARITY CARE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BPARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7GAMOUNTS PRESENTED REPRESENT ACTUAL SPEND RELATIVE TO CLINICAL OPERATIONS AND SERVICES. PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARKVIEW HEALTH SYSTEM, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES PARKVIEW HEALTH SYSTEM, INC. INCLUDED NO COSTS ATTRIBUTABLE TO A PHYSICIAN CLINIC AS SUBSIDIZED HEALTH SERVICES. PART I, L7 COL(F): PERCENT OF TOTAL EXPENSESPARKVIEW HEALTH SYSTEM, INC. EXCLUDED $6,067,549 OF BAD DEBT EXPENSE. PART II: DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.PARKVIEW HEALTH SYSTEM, INC. HAS A STRONG COMMITMENT TO THE VITALITY OF THE LOCAL COMMUNITY AND TO THE NORTHEAST INDIANA REGION AND INVESTS IN ENHANCING VARIOUS ASPECTS OF THE COMMUNITY THAT CONTRIBUTE TO IMPROVED HEALTH OF THE COMMUNITY. PHYSICAL IMPROVEMENTS:PARKVIEW NORTH FAMILY PARK IS A RECREATIONAL PARK AREA OPEN TO THE PUBLIC LOCATED ON THE NORTH CAMPUS, FUTURE HOME OF PARKVIEW REGIONAL MEDICAL CENTER. PARKVIEW HEALTH SYSTEM, INC. MAKES THE PARK AVAILABLE AND MAINTAINS THE PROPERTY TO ENHANCE THE COMMUNITY AND PROMOTE PHYSICAL ACTIVITY. ECONOMIC DEVELOPMENT:PARKVIEW HEALTH SYSTEM, INC. FOSTERS ECONOMIC DEVELOPMENT IN SEVERAL WAYS. PARKVIEW HEALTH SYSTEM, INC. HAS PLAYED A KEY ROLE IN THE NORTHEAST INDIANA REGIONAL MARKETING PARTNERSHIP'S NEI=ROI CAMPAIGN TO MARKET NORTHEAST INDIANA ON A GLOBAL BASIS. PARKVIEW HEALTH SYSTEM, INC. MADE A MULTI-YEAR PLEDGE TO THE CAMPAIGN AND ISSUED AN ANNUAL CHALLENGE FOR MATCHING FUNDS FROM AREA BUSINESSES. THE VISION 20/20 INITIATIVE (DISCUSSED IN LINE 4) DESIGNED TO ENGAGE ALL CITIZENS IN THE DEVELOPMENT OF THE REGION IS AN EXTENSION OF THE NORTHEAST INDIANA REGIONAL MARKETING PARTNERSHIP EFFORTS. PARKVIEW HEALTH SYSTEM, INC. ALSO SUPPORTS THE REGIONAL CHAMBER OF NORTHEAST INDIANA. SUPPORT PROVIDED TO THE CITY OF FORT WAYNE FOR A NEWLY BUILT BASEBALL STADIUM LOCATED IN DOWNTOWN FORT WAYNE IS AN EFFORT TO BRING RENEWED ECONOMIC VITALITY TO THE DOWNTOWN AREA ENHANCING THE COMMUNITY AS A WHOLE. THE BASEBALL FIELD IS THE CENTERPIECE OF OTHER SIGNIFICANT PROJECTS TOWARD THE GOAL OF DOWNTOWN REVITALIZATION. RELATED TO ECONOMIC DEVELOPMENT AND COMMUNITY OUTREACH, PARKVIEW HEALTH SYSTEM, INC. PARTNERED WITH THE FORT WAYNE CIVIC THEATRE TO PROVIDE SCHOLARSHIPS FOR TICKETS TO ATTEND PERFORMANCES FOR THOSE THAT MAY NOT OTHERWISE HAVE THE OPPORTUNITY TO ATTEND. LEADERSHIP DEV/TRAINING FOR COMMUNITY MEMBERS:IN CONJUNCTION WITH THE BETTER BUSINESS BUREAU, PARKVIEW HEALTH SYSTEM, INC. PROVIDED SUPPORT FOR A LOCAL EDUCATIONAL PROGRAM DESIGNED FOR AREA COMMUNITY AND BUSINESS LEADERS.WORKFORCE DEVELOPMENT:PARKVIEW HEALTH SYSTEM, INC. SUPPORTS PHYSICIAN RECRUITMENT ACTIVITIES TO ASSIST IN TIMELY RESPONSE TO PATIENT CARE NEEDS IN THE COMMUNITY. THESE RECRUITMENT ACTIVITIES ARE BASED ON RESULTS OF A PERIODIC PHYSICIAN NEEDS ASSESSMENT. PARKVIEW HEALTH SYSTEM, INC. DEVELOPS A PHYSICIAN RECRUITMENT PLAN TO ADDRESS POTENTIAL GAPS IN PATIENT COVERAGE.IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. PROMOTES HEALTH CARE CAREERS THROUGH STUDENT JOB SHADOWING AND INTERNSHIP PROGRAMS IN VARIOUS HEALTH CARE AREAS THROUGHOUT THE ORGANIZATION. PART III, LINE 4: BAD DEBT EXPENSE - FINANCIAL STATEMENT FOOTNOTETEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE:THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTH CARE COVERAGE, AND OTHER COLLECTION INDICATORS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR BAD DEBTS BASED UPON THESE INDICATORS AND ACCOUNTS RECEIVABLE PAYOR COMPOSITION AND AGING AND CONSIDERING HISTORICAL WRITE-OFF EXPERIENCE BY PAYOR CATEGORY AND AGING. THE RESULTS OF THIS REVIEW ARE THEN USED TO MAKE ANY MODIFICATIONS TO THE PROVISION FOR BAD DEBT AND TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR BAD DEBTS. IN ADDITION, PH FOLLOWS ESTABLISHED GUIDELINES FOR PLACING CERTAIN PAST-DUE PATIENT BALANCES WITH COLLECTION AGENCIES.COSTING METHODOLOGY USED:UNCOLLECTIBLE PATIENT ACCOUNTS ARE CHARGED AGAINST THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IN ACCORDANCE WITH THE POLICIES OF PARKVIEW HEALTH SYSTEM, INC. THE BAD DEBT EXPENSE REPORTED ON LINE 2 IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. HOWEVER, DURING THE COLLECTION PROCESS THERE IS A CONTINUOUS EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR CHARITY. THEREFORE, ONCE AN UNCOLLECTIBLE ACCOUNT HAS BEEN CHARGED OFF AND IT IS DETERMINED THROUGH THE COLLECTION PROCESS THAT THE PATIENT QUALIFIES FOR CHARITY CARE, THE UNCOLLECTIBLE ACCOUNT IS RECLASSIFIED TO CHARITY AND ALL COLLECTION EFFORTS CEASE. PARKVIEW HEALTH SYSTEM, INC. PROVIDES HEALTH CARE SERVICES THROUGH VARIOUS PROGRAMS THAT ARE DESIGNED, AMONG OTHER THINGS, TO ENHANCE THE HEALTH OF THE COMMUNITY AND IMPROVE THE HEALTH OF AT-RISK POPULATIONS. IN ADDITION, PARKVIEW HEALTH SYSTEM, INC. PROVIDES SERVICES INTENDED TO BENEFIT THE POOR AND UNDERSERVED, INCLUDING THOSE PERSONS WHO CANNOT AFFORD HEALTH INSURANCE DUE TO INADEQUATE RESOURCES OR WHO ARE UNINSURED OR UNDERINSURED. PART III, LINE 8: COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. PARKVIEW HEALTH SYSTEM, INC. ACCEPTS ALL MEDICARE AND MEDICARE ADVANTAGE PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE AND MEDICARE ADVANTAGE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, PARKVIEW HEALTH SYSTEM, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE AND MEDICARE ADVANTAGE SHORTFALLS AS PART OF THE COMMUNITY BENEFIT REPORT THAT IS SUBMITTED TO THE STATE OF INDIANA. PART III, LINE 9B: COLLECTION PRACTICES FOR PATIENTS ELIGIBLE FOR CHARITY CARETHE LAST PARAGRAPH OF THE PAYMENT POLICY STATES:"FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR THOSE PATIENTS WHO CANNOT PAY THEIR BILL. THOSE OPTIONS ARE WELFARE ASSISTANCE OR FREE CARE THROUGH THE HOSPITAL CHARITY PROGRAM. (SEE CHARITY CARE POLICY.) PATIENTS WILL BE INSTRUCTED TO CONTACT A COUNSELOR TO DISCUSS THE AVAILABLE OPTIONS."ADDITIONALLY, THERE IS AN ONGOING EFFORT THROUGHOUT THE COLLECTION PROCESS TO SCREEN FOR MEDICAID ELIGIBILITY AND THE NEED FOR PROVIDING CHARITY CARE APPLICATIONS TO PATIENTS. IF A PATIENT MAY BE ELIGIBLE FOR MEDICAID, THE HOSPITAL PROVIDES A SERVICE TO OUR PATIENTS THAT HELPS THEM APPLY FOR MEDICAID WITH THE STATE IN WHICH THEY RESIDE. IF A PATIENT IS APPROVED FOR CHARITY CARE, THEIR ACCOUNT IS WRITTEN OFF AND COLLECTION EFFORTS CEASE. PART VI, LINE 2: DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES.PARKVIEW HEALTH SYSTEM, INC. CONDUCTED A COMMUNITY HEALTH ASSESSMENT IN LATE 2007 AS A JOINT PROJECT OF PARKVIEW HOSPITAL, INC., WHITLEY MEMORIAL HOSPITAL, INC., COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC., COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., AND HUNTINGTON MEMORIAL HOSPITAL, INC. PROFESSIONAL RESEARCH CONSULTANTS, INC. OF OMAHA, NEBRASKA, WAS ENGAGED TO CONDUCT THE SURVEY AND TO PROVIDE AN EVALUATION OF THE STUDY. THE SURVEY SAMPLE INCLUDED 1,400 RESIDENTS AGE 18 AND OLDER OF ALLEN, HUNTINGTON, LAGRANGE, NOBLE, AND WHITLEY COUNTIES. A TELEPHONE INTERVIEW METHODOLOGY WAS EMPLOYED. THE SURVEY INSTRUMENT USED FOR THIS STUDY WAS LARGELY BASED ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM AS WELL AS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO NATIONAL HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND RECOGNIZED HEALTH ISSUES. THE INFORMATION FROM THIS SURVEY HAS BEEN A VALUABLE TOOL AS WE SEEK AND PRIORITIZE OPPORTUNITIES TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND AS WE IDENTIFY OPPORTUNITIES FOR COLLABORATION AMONG COMMUNITY ORGANIZATIONS AND LEADERS. PARKVIEW HEALTH SYSTEM, INC. REPRESENTATIVES HAVE RELATIONSHIPS THROUGH OUT THE COMMUNITY AND MEET REGULARLY WITH VARIOUS ORGANIZATIONS THAT SHARE PARKVIEW HEALTH SYSTEM, INC.'S MISSION OF IMPROVING THE HEALTH OF THE COMMUNITIES THAT WE SERVE.ADDITIONALLY, PARKVIEW HEALTH SYSTEM, INC. PLANS TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT BEGINNING IN 2012. PART VI, LINE 3: DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.-AT POINT OF REGISTRATION OR SCHEDULING, IF A PATIENT EXPRESSES THEIR INABILITY TO PAY, THE REGISTRAR OR SCHEDULER WILL REFER THE PATIENT TO A FINANCIAL COUNSELOR OR WILL PROVIDE FINANCIAL COUNSELING CONTACT INFORMATION IN THE FORM OF A BUSINESS CARD TO THE PATIENT OUTSIDE OF NORMAL BUSINESS HOURS.-SIGNAGE IN THE EMERGENCY DEPARTMENT AND CASHIER AREAS INFORMS THE PATIENT OF THEIR RIGHT TO RECEIVE CARE REGARDLESS OF THEIR ABILITY TO PAY AND TELLS THEM THEY MAY BE ELIGIBLE FOR GOVERNMENTAL ASSISTANCE.-THE PATIENT'S INITIAL STATEMENT INSTRUCTS THE PATIENT TO CALL THE PATIENT ACCOUNTING DEPARTMENT IF THEY CANNOT PAY IN FULL. THE PATIENT ACCOUNTING CALL CENTER COLLECTORS SCREEN FOR THE APPLICABILITY OF GOVERNMENT ASSISTANCE AND OFFER FREE CARE APPLICATIONS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR BILLS.-THE ONLINE ACCOUNT MANAGER OF PARKVIEW HEALTH SYSTEM, INC.'S WEBSITE (WWW.PARKVIEW.COM) CONTAINS INFORMATION ON HOW TO CONTACT THE PATIENT ACCOUNTING DEPARTMENT FOR PAYMENT OPTIONS OR FREE CARE ELIGIBILITY.-ALL UNINSURED OR UNDERINSURED PATIENTS WHO ARE INPATIENT OR OBSERVATION STATUS ARE VISITED BY FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS PROVIDE PAYMENT OPTIONS, INCLUDING SCREENING FOR THE APPLICABILITY OF GOVERNMENT ASSISTANCE, AS WELL AS OFFERING FREE CARE APPLICATIONS TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR BILLS.-OUTBOUND PHONE CALLS ARE MADE TO PATIENTS TO SET UP PAYMENT ARRANGEMENTS. IF A PATIENT CANNOT MAKE PAYMENT ON THEIR ACCOUNT, THEY WILL BE SCREENED FOR THE APPLICABILITY OF GOVERNMENT ASSISTANCE. ADDITIONALLY, FREE CARE APPLICATIONS WILL BE OFFERED TO PATIENTS WHO CANNOT AFFORD TO PAY THEIR BILLS.-IF A PATIENT'S ACCOUNT IS PLACED WITH A COLLECTION AGENCY, THE AGENCY IS INSTRUCTED TO SCREEN FOR FREE CARE IF THE PATIENT EXPRESSES THEIR INABILITY TO PAY. PART VI, LINE 4: DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.PARKVIEW HEALTH SYSTEM, INC. SERVES THE NORTHEAST INDIANA REGION AND OPERATES FACILITIES AND MEDICAL PRACTICES IN ALLEN, HUNTINGTON, LAGRANGE, NOBLE, AND WHITLEY COUNTIES. ALLEN COUNTY IS CONSIDERED THE URBAN AREA AMONGST THE OTHER FOUR RURAL COUNTIES. SINCE 1995, NORTHEAST INDIANA HAS EXPERIENCED A 15 PERCENT DECREASE IN PER CAPITA INCOME COMPARED TO THE NATION OVERALL. ACCORDING TO THE LATEST STATISTICS, NORTHEAST INDIANA WORKERS ARE EARNING NEARLY 20 PERCENT LESS THAN THE NATIONAL AVERAGE. IN LIGHT OF THIS FACT AND OTHER ECONOMIC INDICATORS, MICHAEL PACKNETT, PRESIDENT AND CEO OF PARKVIEW HEALTH, SERVES AS CO-CHAIR OF THE VISION 20/20 INITIATIVE, LEADING A GROUP OF COMMUNITY REPRESENTATIVES FROM ACROSS BUSINESS, EDUCATION, GOVERNMENT AND FOUNDATION SECTORS TO DEVELOP A COMPELLING AND ACTIONABLE VISION FOR THE TEN-COUNTY NORTHEAST INDIANA REGION. COMPLETION OF THE FIRST PHASE OF VISION 20/20 WILL REVEAL A CLEAR, UNIFYING VISION FOR THE FUTURE, SHARED REGIONAL PRIORITIES AND ACCOUNTABILITY, PLANS WITH SPECIFIC STRATEGIES AND TACTICS, AND AN ATTITUDE OF PASSION AND URGENCY TO SEE THE VISION TO ACTION. HEALTH IS AN IMPORTANT COMPONENT OF THE VISION. PART VI, LINE 6: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).PARKVIEW HEALTH SYSTEM, INC.'S BOARD OF DIRECTORS IS COMPOSED OF MEMBERS, OF WHICH SUBSTANTIALLY ALL ARE INDEPENDENT COMMUNITY MEMBERS. A MAJORITY OF THE BOARD RESIDES IN PARKVIEW HEALTH SYSTEM, INC.'S PRIMARY SERVICE AREA. PARKVIEW HEALTH SYSTEM, INC. AS PARENT OF THE SYSTEM'S VARIOUS HOSPITALS AND PHYSICIAN PRACTICES, SERVES IN AN OVERSIGHT CAPACITY TO FORM AN INTEGRATED HEALTHCARE DELIVERY SYSTEM. IN DOING SO, THE HOSPITALS ARE PROVIDED WITH CENTRALIZED, COST-EFFECTIVE ADMINISTRATIVE SUPPORT AND GUIDANCE TO FORM A COMPLETE AND COMPREHENSIVE CARE DELIVERY SYSTEM FOR THE REGION. BY ITSELF AND THROUGH ITS MEMBER HOSPITALS AND ORGANIZATIONS, PARKVIEW HEALTH SYSTEM, INC. SERVES TO MEET ITS MISSION TO ITS COMMUNITIES BY PERIODICALLY ASSESSING THE NEEDS OF THE REGION AND OFFERING THE SERVICES NECESSARY FOR A SAFER AND HEALTHIER POPULATION. DATA OBTAINED THROUGH PERIODIC COMMUNITY HEALTH ASSESSMENTS, PHYSICIAN SURVEYS, AND TREND AND TREATMENT ANALYSIS IS UTILIZED IN PARKVIEW HEALTH SYSTEM, INC.'S STRATEGIC PLANNING PROCESS IN IDENTIFYING COMMUNITY HEALTH NEEDS. AS A RESULT OF THIS STRATEGIC PLANNING PROCESS, PARKVIEW HEALTH SYSTEM, INC. HAS ESTABLISHED SEVERAL PRIORITY AREAS. THESE PRIORITY AREAS ARE ALIGNED WITH PARKVIEW HEALTH SYSTEM, INC.'S MISSION, VISION, AND GOALS, AND HELP DIRECT THE TYPES OF HEALTH INITIATIVES THAT THE HOSPITAL AND THE HEALTH SYSTEM UNDERTAKE. PRIORITY AREAS INCLUDE THE FOLLOWING:PRIMARY HEALTH CARE/ACCESS TO HEALTH CARE:-ADDITIONAL RECRUITMENT AND TRAINING OF PRIMARY CARE PHYSICIANS FOR THE COMMUNITY-EXPANSION OF PRIMARY CARE ACCESS AND NON-TRADITIONAL HOURS OF PRACTICE-CONTINUED SUPPORT OF PROGRAMS PROVIDING PRIMARY CARE TO THE UNINSURED-PROGRAMS TO INCREASE DISTRIBUTION OF FREE MEDICATIONS TO THE POOR-PROMOTION OF HEALTH CAREERS, PARTICULARLY THOSE IN WHICH THE COMMUNITY IS EXPERIENCING A CURRENT SHORTAGE OF HEALTH CARE PROFESSIONALS-SUPPORT FOR ACTIVITIES WHICH INCREASE THE AFFORDABILITY AND ACCESSIBILITY OF HEALTH INSURANCE TO THE UNINSUREDHEALTH SCREENING AND PREVENTION:-CANCER SCREENING PROGRAMS PARTICULARLY MAMMOGRAM, COLORECTAL, AND PROSTATE SCREENING-TOBACCO CESSATION PROGRAMS-INJURY PREVENTION FOR YOUNG PEOPLE-EDUCATION, SCREENING AND PREVENTION OF SEXUALLY TRANSMITTED DISEASES-DIABETES EDUCATION AND SCREENING-CARDIOVASCULAR DISEASE EDUCATION AND SCREENING-PNEUMONIA VACCINATIONS FOR INDIVIDUALS AGE 65 AND OLDER-PROGRAMS TO REDUCE DANGEROUS DRIVINGDISEASE MANAGEMENT:-CARDIOVASCULAR DISEASE -CANCER-MENTAL ILLNESSES-TRAUMA AND ORTHOPAEDIC AILMENTS-WOMEN AND CHILDREN'S MEDICINE WITH AN EMPHASIS ON CHILDREN'S ASTHMA-DIABETES AND OBESITY HEALTH INNOVATION, EDUCATION, AND RESEARCH AND DEVELOPMENT:THIS AREA CONCENTRATES ON OPPORTUNITIES FOR: -ENHANCING HEALTH CARE EDUCATION, MEDICAL RESEARCH, AND TECHNOLOGY-PROMOTING ECONOMIC AND OTHER DEVELOPMENT OF THE COMMUNITY PARKVIEW HEALTH SYSTEM, INC., AS THE PARENT ORGANIZATION AND THROUGH ITS MEMBER HOSPITALS, ANNUALLY FUNDS LOCAL COMMUNITY HEALTH IMPROVEMENT EFFORTS. THESE FUNDS ARE USED TO SUPPORT HEALTH-RELATED, COMMUNITY-BASED PROGRAMS, PROJECTS AND ORGANIZATIONS. FUNDS ARE ALSO USED TO SUPPORT COMMUNITY OUTREACH PROGRAMS AND HEALTH INITIATIVES. THE EMPHASIS WITH THESE PROJECTS CONTINUES TO BE ON IMPROVING THE HEALTH OF THE COMMUNITIES WE SERVE. PARKVIEW HEALTH SYSTEM, INC., THROUGH ITS FLAGSHIP HOSPITAL PARKVIEW HOSPITAL, INC., PROVIDES A COMMUNITY-BASED NURSING PROGRAM THAT PROVIDES SUPPORT AND EDUCATION TO THOUSANDS OF CHILDREN AND THEIR FAMILIES EACH YEAR IN SCHOOL SYSTEMS THROUGHOUT THE REGION. OTHER PARKVIEW HOSPITAL, INC. OUTREACH PROGRAMS INCLUDE MEDICATION ASSISTANCE, MOBILE MAMMOGRAPHY, NUTRITION EDUCATION AND TRAUMA INJURY PREVENTION EDUCATION. CURRENTLY UNDER CONSTRUCTION, THE PARKVIEW REGIONAL MEDICAL CENTER ON THE PARKVIEW HOSPITAL, INC. NORTH CAMPUS AND SLATED FOR A MARCH 2012 OPENING REPRESENTS A SIGNIFICANT INVESTMENT IN THE LOCAL COMMUNITY AND THE NORTHEAST INDIANA REGION. THE CENTER WILL BLEND THE LATEST MEDICAL TECHNOLOGY WITH THE BEST POSSIBLE PATIENT-CENTERED CARE AND PROVIDE GREATER ACCESS TO HEALTH CARE FOR THE ENTIRE REGION. THE PARKVIEW HOSPITAL, INC. CAMPUS LOCATED IN NORTH CENTRAL FORT WAYNE WILL RECEIVE A FACELIFT AND REMAIN A VITAL PART OF THE LOCAL NEIGHBORHOOD. IN ADDITION, PARKVIEW HOSPITAL, INC. WILL BE PARTNERING WITH THE LIFE SCIENCE AND RESEARCH CONSORTIUM OF NORTHEAST INDIANA TO CREATE A CAMPUS FOR ACADEMIC PROGRAMS AND RESEARCH TIED TO BEHAVIORAL HEALTH, REHABILITATION, AND SENIOR CARE. PART VI, LINE 7: IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTH CARE SYSTEM SERVING NORTHEAST INDIANA, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC., COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC., COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., WHITLEY MEMORIAL HOSPITAL, INC. AND HUNTINGTON MEMORIAL HOSPITAL, INC. AS WELL AS 60% OWNERSHIP IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. PARKVIEW IS GUIDED BY A MISSION TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. PARKVIEW CONTRIBUTES TO THE SUCCESS OF NORTHEAST INDIANA BY EFFICIENTLY OPERATING ITS FACILITIES, DELIVERING HIGH QUALITY HEALTHCARE SERVICES TO ITS PATIENTS, AND PROVIDING SUPPORT TO LOCAL BUSINESSES AND ACTIVITIES. PARKVIEW SEEKS TO CREATE ALIGNMENT OPPORTUNITIES TO DELIVER COMPREHENSIVE HIGH-QUALITY CARE THAT BENEFITS ITS PATIENTS, COMMUNITIES, PHYSICIANS, AND CO-WORKERS.PARKVIEW PRIDES ITSELF IN NOT ONLY OFFERING THE HIGHEST LEVEL OF CARE TO ITS PATIENTS BUT ALSO IN PROVIDING A WORKPLACE THAT IS SECOND TO NONE FOR ITS PHYSICIANS, NURSES AND STAFF. PARKVIEW'S MISSION IS TO PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US AND WILL WORK TO IMPROVE THE HEALTH OF OUR COMMUNITIES. PARKVIEW BELIEVES THAT THE COMMUNITIES IT SERVES SHOULD ALL HAVE THE PEACE OF MIND THAT COMES WITH ACCESS TO COMPASSIONATE, HIGH-QUALITY HEALTH CARE, REGARDLESS OF WHETHER THE CARE IS DELIVERED IN A RURAL OR URBAN SETTING. REPORTS FILED WITH STATES PART VI, LINE 7 IN 1 IPFW 2101 EAST COLISEUM BLVD FORT WAYNE IN 46805 356033698 501 ( C ) 3 560546 SUPPORT FOR SCHOOL UNIVERSITY OF SAINT FRANCIS 2701 SPRING STREET FORT WAYNE IN 46806 350886846 501 ( C ) 3 300000 SUPPORT FOR SCHOOL CITY OF FORT WAYNE REDEVELOPMENT COMMISSION ONE EAST MAIN STREET FORT WAYNE IN 46802 GOVT ORG 150000 CAPITAL MAINTENANCE & IMPROVEMENT FUND - PARKVIEW FIELD FRIENDS OF LINCOLN COLLECTION OF INDIANA INC PO BOX 11083 FORT WAYNE IN 46855 352101024 501 ( C ) 3 83333 OPERATING FUNDS FORT 4 FITNESS PO BOX 9007 FORT WAYNE IN 46899 261936423 501 ( C ) 3 25000 SPONSORSHIP RONALD MCDONALD HOUSE CHARITIES OF NORTHEAST INDIANA 2200 RANDALLIA DRIVE FORT WAYNE IN 46805 351950376 501 ( C ) 3 25000 PROGRAMS & OPERATING FUNDS AMERICAN HEART ASSOCIATION 6100 WEST 96TH STREET INDIANAPOLIS IN 46278 135613797 501 ( C ) 3 17760 PROGRAMS & OPERATING FUNDS UNITY PERFORMING ARTS FOUNDATION PO BOX 10394 FORT WAYNE IN 46825 352110907 501 ( C ) 3 12491 PROGRAMS & OPERATING FUNDS FORT WAYNE URBAN LEAGUE 2135 SOUTH HANNA STREET FORT WAYNE IN 46803 350869052 501 ( C ) 3 12000 PROGRAMS & OPERATING FUNDS AMERICAN RED CROSS 2025 E STREET NW WASHINGTON DC 20006 530196605 501 ( C ) 3 10000 PROGRAMS & OPERATING FUNDS ERINS HOUSE 3811 ILLINOIS ROAD SUITE 205 FORT WAYNE IN 46804 351884264 501 ( C ) 3 8100 PROGRAMS & OPERATING FUNDS VERA BRADLEY FOUNDATION FOR BREAST CANCER P O BOX 80201 FORT WAYNE IN 46898 352058177 501 ( C ) 3 7500 SUPPORT FOR RESEARCH 12 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: COMMUNITY HEALTH IMPROVEMENT FUNDING PARTNER ORGANIZATIONS ARE REQUIRED TO SUBMIT AN ANNUAL PROGRESS REPORT RELATED TO PROGRAM FUNDING. PARTNER ORGANIZATIONS ARE REQUIRED TO RE-APPLY FOR FUNDING ON AN ANNUAL BASIS. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 MICHAEL PACKNETT 638622 0 270643 0 2838 0 145546 0 13373 0 1071022 0 0 0 RAYMOND DUSMAN 604787 0 0 0 18638 0 26950 0 17705 0 668080 0 0 0 DUANE HOUGENDOBLER 442820 592 67760 0 3334 4 26919 31 21373 25 562206 652 0 0 MITCHELL STUCKY 150034 116923 13109 0 1595 1243 15693 11257 6656 4775 187087 134198 0 0 JEFFREY FRANCIS 103936 0 56980 0 45886 0 5960 0 9309 0 222071 0 8835 0 STANTON RISSER 106781 0 31911 0 180 0 7098 0 17716 0 163686 0 0 0 MARK NAFZIGER 407974 0 162245 0 18733 0 54054 0 2884 0 645890 0 0 0 ARTHUR DETORE 335903 0 75118 0 38395 0 66540 0 13179 0 529135 0 19057 0 CATHERINE WILCOX 261323 0 68254 0 18813 0 48154 0 12771 0 409315 0 0 0 JEFFREY BROOKES 10110 260295 67189 0 106 2732 10318 35061 2511 8534 90234 306622 0 0 JAMES STAPEL 250722 1857 64104 0 21063 153 59943 359 14977 90 410809 2459 0 0 RICK HENVEY 237847 0 52777 0 11024 0 32842 0 20784 0 355274 0 10364 0 RONALD DOUBLE 243971 0 51753 0 1740 0 51005 0 6967 0 355436 0 0 0 DEBRA WILLIAMS 229857 0 56396 0 1100 0 33672 0 9033 0 330058 0 0 0 JAMES WITMER 192937 0 49956 0 13321 0 35904 0 4704 0 296822 0 10432 0 JAMES HAUGUEL 180055 0 33008 0 69 0 36376 0 8033 0 257541 0 0 0 SAILAJA BLACKMON 711376 0 75971 0 1490 0 17150 0 27625 0 833612 0 0 0 DAVID SOWDEN 641369 387 83787 0 20843 13 26936 14 14254 8 787189 422 0 0 DOUGLAS GRAY 606315 0 93131 0 17985 0 22050 0 21563 0 761044 0 0 0 DAVID LLOYD 605879 0 83799 0 20856 0 17150 0 20390 0 748074 0 0 0 SATISH VELAGAPUDI 634354 0 0 0 18138 0 17150 0 17625 0 687267 0 0 0 CHARLES MASON 0 0 0 0 448413 0 0 0 0 0 448413 0 448413 0 PART I, LINE 1A PERSONAL SERVICES TAXABLE ALLOWANCE FOR FINANCIAL PLANNING PAID TO: SAILAJA BLACKMON $500; RONALD DOUBLE $750; RAYMOND DUSMAN $500; DOUGLAS GRAY $385; DUANE HOUGENDOBLER $500; JAMES STAPEL $300; CATHERINE WILCOX $675 PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS TAXABLE - ARTHUR DETORE $19,057; JEFFREY FRANCIS $8,835; RICK HENVEY $10,364; CHARLES MASON $448,413; JAMES WITMER $10,432 PARTICIPANTS DEFERRED - JEFFREY BROOKES $30,137; MICHAEL BROWNING $3,835; ARTHUR DETORE $40,815; RONALD DOUBLE $25,280; JAMES HAUGUEL $21,240; RICK HENVEY $27,942; MARK NAFZIGER $46,704; MICHAEL PACKNETT $133,296; JAMES STAPEL $30,902; CATHERINE WILCOX $32,336; DEBRA WILLIAMS $27,547; JAMES WITMER $22,640 PART I, LINE 7 MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) IS AN ANNUAL INCENTIVE PROGRAM. SYSTEM GOALS ARE APPROVED BY THE BOARD IN ADVANCE OF THE PLAN YEAR. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE BOARD APPROVES FINAL PAYMENT. INDIANA FINANCE AUTHORITY 351602316 45471ABQ4 2009-08-27 264703254 SEE PART V 0 0 0 INDIANA FINANCE AUTHORITY 351602316 45471AAS1 2009-08-27 223665000 SEE PART V 0 0 0 INDIANA FINANCE AUTHORITY 351602316 NONEAVAIL 2010-05-04 30000000 SEE PART V 0 0 0 7910000 264704689 3451766 261252923 2009 1 0 1 1 223909069 1367866 193601 140225815 73266604 8855183 2011 1 0 0 1 30000000 155500 12900000 16944500 2011 0 0 0 1 0 1 1 1 1 0.00000 0.00000 0.00000 1 0 1 1 1 1 0.00000 0.00000 0.00000 1 0 1 1 1 1 0.00000 0.00000 0.00000 1 0 0 0 NA 0 NA 0 1 0 1 1 CITIGROUP 20.000000000000 0 0 0 NA 0 1 0 1 0 NA 0 NA 0 1 SCHEDULE K, PART 1,A,F DESCRIPTION OF PURPOSE SERIES 2009A - 1) PARTIALLY REFUNDED OUTSTANDING 2005 SERIES BOND ISSUE 2) PARTIALLY REFUNDED OUTSTANDING BONDS FOR 2001 SERIES BOND ISSUE SCHEDULE K, PART 1,B,F DESCRIPTION OF PURPOSE SERIES 2009BCD - 1) NEW MONEY FOR CONSTRUCTION OF NEW HOSPITAL IN FORT WAYNE, IN 2) FULLY REFUNDED BALANCE OF OUTSTANDING 2005 SERIES BONDS SCHEDULE K, PART 1,C,F DESCRIPTION OF PURPOSE SERIES 2010 - NEW MONEY FOR CONSTRUCTION OF NEW PARKVIEW WHITLEY HOSPITAL FACILITY IN COLUMBIA CITY, IN SCHEDULE K, PART II, 3, C TOTAL PROCEEDS ON ISSUE THIS IS A CONSTRUCTION DRAW BOND AND THEREFORE NO INTEREST WILL BE EARNED ON ANY PROJECT FUNDS. SCHEDULE K, PART III, LINES 4-6 PRIVATE BENEFIT USE PARKVIEW HEALTH SYSTEM, INC. CLOSELY MONITORS THE LEVEL OF PRIVATE USE AT OUR BOND FINANCED FACILITIES. THE LEVEL OF EQUITY PROVIDED BY PARKVIEW HEALTH SYSTEM, INC. FOR THIS FACILITY IS MORE THAN SUFFICIENT TO COVER THE LOW LEVEL OF PRIVATE USE OCCURING WITHIN THE FACILITY CONSTRUCTED IN PART WITH BOND FINANCING. FCFP LLC ENTITY OF WHICH DIRECTOR MITCHELL STUCKY OWNED A GREATER THAN 5% INTEREST 789632 RENTAL OF PROPERTY TO PARKVIEW HEALTH SYSTEM, INC. - TRANSACTIONS WERE ENTERED INTO AT ARM'S LENGTH. ADDITIONALLY, DIRECTOR MITCHELL STUCKY DOES NOT PARTICIPATE IN THE DISCUSSIONS/DECISION TO LEASE PROPERTY OR THE LEASE TERMS AND PAYMENTS. 0 NORTHEAST ORTHOPAEDIC HOSPITAL INVESTORS LLC ENTITY OF WHICH DIRECTOR MICHAEL LEE OWNED A GREATER THAN 5% INTEREST 21198333 PARKVIEW HEALTH SYSTEM, INC. AND NORTHEAST ORTHOPAEDIC HOSPITAL INVESTORS, LLC ARE BOTH MEMBERS IN THE JOINT VENTURE OF ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC. THE TOTAL AMOUNT INVESTED BY PARKVIEW HEALTH SYSTEM, INC. IN THE JOINT VENTURE AS OF 12/31/2010 IS $21,198,333. 0 FORM 990, PART VI, SECTION A, LINE 2 KEY EMPLOYEE JAMES WITMER AND DIRECTORS THOMAS BEAVER AND CHARLES SCHRIMPER HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF AN UNRELATED ENTITY. FORM 990, PART VI, SECTION A, LINE 4 DURING 2010, SEVERAL CHANGES WERE MADE TO THE BYLAWS OF PARKVIEW HEALTH SYSTEM, INC. AND ARE AS FOLLOWS: THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE IV, SECTION 2 IS AS FOLLOWS: WHEN VACANCIES ON THE BOARD OCCUR BY REASON OF DEATH, RESIGNATION, OR OTHERWISE, THE NUMBER OF DIRECTORS SHALL BE REDUCED BY SUCH VACANCIES UNTIL QUALIFIED REPLACEMENTS ARE ELECTED, AS SET FORTH IN ARTICLE IV, SECTION 4. ARTICLE IV, SECTION 3 IS AS FOLLOWS: ELECTED DIRECTORS SHALL SERVE FOR A TERM OF THREE (3) YEARS AND UNTIL A SUCCESSOR HAS BEEN DULY ELECTED AND QUALIFIED. NO ELECTED DIRECTOR SHALL BE ELIGIBLE FOR ELECTION TO MORE THAN THREE (3) CONSECUTIVE THREE (3) YEAR TERMS. AFTER AN ABSENCE OF ONE (1) YEAR, A PERSON SHALL BECOME ELIGIBLE FOR RE-ELECTION TO THE BOARD. TERMS SHALL COMMENCE ON JANUARY 1 OF EACH CALENDAR YEAR. IF A DIRECTOR BEGINS THEIR SERVICE MIDWAY THROUGH THE YEAR (JUNE 30TH) OR AFTER, THE DIRECTOR SHALL NOT BE DEEMED TO HAVE COMMENCED THE FIRST YEAR OF THEIR TERM UNTIL JANUARY 1 OF THE FOLLOWING YEAR. ARTICLE IV, SECTION 4 IS AS FOLLOWS: IN THE EVENT THAT A VACANCY OF A DIRECTOR WHO IS NOT SERVING IN AN EX OFFICIO CAPACITY OCCURS IN THE BOARD, THE EXECUTIVE COMMITTEE SHALL NOMINATE A CANDIDATE AND PRESENT THE NAME TO THE BOARD. THE NEW DIRECTOR SHALL NOT SERVE FOR THE UNEXPIRED TERM OF THE DIRECTOR THAT IS REPLACED, BUT SHALL INSTEAD BEGIN THEIR OWN TERM ON THE BOARD. ANY CURRENT DIRECTOR THAT FILLED AN UNEXPIRED TERM OF THEIR PREDECESSOR PRIOR TO JANUARY 1, 2010, SHALL BE "GRANDFATHERED". ARTICLE IV, SECTION 9 IS AS FOLLOWS: THE CHAIR, REGARDLESS OF TENURE OF BOARD MEMBERSHIP AND THE RESTRICTIONS OF ELIGIBILITY SET FORTH IN THIS ARTICLE, MAY BE SUCCESSIVELY ELECTED FOR NO MORE THAN FIVE (5) ONE-YEAR TERMS, WHERE CONSECUTIVE SERVICE AS THE CHAIR IS DETERMINED TO BE APPROPRIATE FOR ORGANIZATIONAL EFFECTIVENESS. AFTER SERVICE AS CHAIR, THE CHAIR SHALL NOT BE ELIGIBLE FOR RE-ELECTION TO THE SAME POSITION UNTIL EXPIRATION OF THREE (3) INTERVENING YEARS. IF A CHAIR'S NORMAL TERM AS A DIRECTOR EXPIRES WHILE SERVING AS THE CHAIR, AND IF HE/SHE IS NOMINATED FOR RE-ELECTION AS CHAIR, IN ORDER TO SERVE AS CHAIR, HE/SHE WILL BE RE-ELECTED TO THE BOARD FOR AN ADDITIONAL YEAR BEYOND THEIR TERM AS CHAIR, SECTION 3 OF THIS ARTICLE NOTWITHSTANDING. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE V, SECTION 2 IS AS FOLLOWS: THE CHAIR SHALL APPOINT MEMBERS AND CHAIRS OF ALL STANDING COMMITTEES AND SUCH SPECIAL COMMITTEES AS MAY BE CONSTITUTED. THE CHAIR MAY, AT HIS/HER DISCRETION, ATTEND AND VOTE AS AN EX OFFICIO MEMBER AT ALL COMMITTEE MEETINGS. ARTICLE VI, SECTION 1 IS AS FOLLOWS: THE BOARD MAY ESTABLISH FROM TIME TO TIME SUCH STANDING AND SPECIAL COMMITTEES AS IT SHALL DEEM NECESSARY FOR THE CONDUCT OF THE CORPORATION'S AFFAIRS. UNLESS THE COMMITTEE MEMBERSHIP IS OTHERWISE SPECIFIED BY THESE BYLAWS, ALL STANDING COMMITTEES SHALL BE COMPOSED OF NOT LESS THAN FIVE (5) MEMBERS. MEMBERSHIP ON THE PARKVIEW HEALTH BOARD, OR A PARKVIEW HEALTH SUBSIDIARY OR AFFILIATE BOARD, SHALL NOT BE A REQUIREMENT FOR COMMITTEE MEMBERSHIP OR FOR SERVICE AS A COMMITTEE CHAIR. UNLESS OTHERWISE SPECIFIED IN THESE BYLAWS, THE CHAIR OF THE BOARD SHALL APPOINT THE COMMITTEE MEMBERS AND THE CHAIR OF EACH COMMITTEE AND DESIGNATE THE TERM OF OFFICE FOR EACH COMMITTEE MEMBER. NOTWITHSTANDING ANY SPECIAL DESIGNATION WITHIN THESE BYLAWS AS TO THE COMPOSITION OF A PARTICULAR COMMITTEE, THE CHAIR MAY DESIGNATE OTHER COMMITTEE MEMBERS AS DEEMED NECESSARY. EXCEPT AS TO THE AUDIT COMMITTEE, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER SHALL BE A MEMBER OF EACH COMMITTEE AND MAY DESIGNATE ANOTHER DIRECTOR OR OFFICER TO ATTEND COMMITTEE MEETINGS ON HIS/HER BEHALF. ALL COMMITTEES SHALL KEEP MINUTES OF THEIR MEETINGS AND SUBMIT THE MINUTES TO THE BOARD. ARTICLE VI, SECTION 4(A)IS AS FOLLOWS: THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE CHAIR OF THE BOARD, VICE CHAIR OF THE BOARD, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, TREASURER AND SECRETARY OF THE CORPORATION AND AT LEAST ONE DIRECTOR WHO IS AN EX-OFFICIO VOTING MEMBER OF THE BOARD AND SUCH OTHER DIRECTORS AS ARE DESIGNATED BY THE CHAIR OF THE BOARD. THE EXECUTIVE COMMITTEE MAY ACT AS THE EXECUTIVE COMPENSATION COMMITTEE FOR THE CORPORATION. OTHER THAN THE PRESIDENT AND CHIEF EXECUTIVE OFFICER (WHO SHALL NOT PARTICIPATE WITH THE EXECUTIVE COMMITTEE WHEN IT ACTS AS THE EXECUTIVE COMPENSATION COMMITTEE), ALL VOTING MEMBERS OF THE EXECUTIVE COMMITTEE SHALL BE INDEPENDENT, AS DEFINED BY THE INTERNAL REVENUE SERVICE. AT THE DISCRETION OF THE CHAIR, OTHERS MAY BE INVITED TO PARTICIPATE IN EXECUTIVE COMMITTEE MEETINGS WITHOUT VOTE. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE VI, SECTION 4(B) IS AS FOLLOWS: THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION. IN ADDITION, THE COMMITTEE SHALL PERFORM ALL RESPONSIBILITIES DELEGATED TO IT BY THE BOARD. THE EXECUTIVE COMMITTEE MAY SERVE AS THE EXECUTIVE COMPENSATION COMMITTEE FOR THE CORPORATION AND ALL OF ITS ENTITIES, AS DETERMINED BY THE CHAIR OF THE BOARD, AT WHICH TIME, THE EXECUTIVE COMPENSATION COMMITTEE SHALL ESTABLISH THE COMPENSATION FOR ALL KEY MANAGEMENT PERSONNEL, PURSUANT TO THE STANDARDS OF CONDUCT RELATING TO EXECUTIVE COMPENSATION. NO OTHER BOARD OR COMMITTEE CAN APPROVE EXECUTIVE COMPENSATION ARRANGEMENTS. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE VI, SECTION 5(B) IS AS FOLLOWS: THE SYSTEM FINANCE COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) MEMBERS, THE MAJORITY OF WHOM SHALL BE DISINTERESTED, AND SHALL INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CHIEF FINANCIAL OFFICER AND INCLUDE PARKVIEW HEALTH SERVICE AREA REPRESENTATION, AS DESIGNATED BY THE CHAIR OF THE BOARD. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE VI, SECTION 5(C) IS AS FOLLOWS: THE SYSTEM CORPORATE COMPLIANCE COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) MEMBERS, THE MAJORITY OF WHOM SHALL BE DISINTERESTED, AND SHALL INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CORPORATE COMPLIANCE OFFICER, AND INCLUDE PARKVIEW HEALTH SERVICE AREA REPRESENTATION, AS DESIGNATED BY THE CHAIR OF THE BOARD. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE VI, SECTION 5(D) IS AS FOLLOWS: THE QUALITY COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) MEMBERS, AND SHALL INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE ADMINISTRATIVE CORPORATE OFFICER RESPONSIBLE FOR THE SYSTEM'S QUALITY INITIATIVES, AND INCLUDE PARKVIEW HEALTH SERVICE AREA REPRESENTATION, AS DESIGNATED BY THE CHAIR OF THE BOARD. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE VI, SECTION 5(E) IS AS FOLLOWS: THE SYSTEM AUDIT COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) MEMBERS, THE MAJORITY OF WHOM SHALL BE DISINTERESTED, AND SHALL INCLUDE THE CHAIR OF THE AUDIT COMMITTEE, WHO SHALL BE DISINTERESTED, AND INCLUDE PARKVIEW HEALTH SERVICE AREA REPRESENTATION, AS DESIGNATED BY THE CHAIR OF THE BOARD. THE AUDIT COMMITTEE SHALL BE CONDUCTED CONSISTENT WITH THE TERMS OF THE AUDIT COMMITTEE CHARTER. THE SYSTEM AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS AFFILIATE AND SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. THE CHANGED PORTION AS NOW FINALIZED, OF ARTICLE VI, SECTION 5(F) IS AS FOLLOWS: THE SYSTEM INFORMATION TECHNOLOGY GOVERNANCE COMMITTEE SHALL CONSIST OF AT LEAST FIVE (5) MEMBERS, THE MAJORITY OF WHOM SHALL BE DISINTERESTED, AND SHALL INCLUDE THE PRESIDENT AND CHIEF EXECUTIVE OFFICER, THE CHIEF INFORMATION OFFICER, AND INCLUDE PARKVIEW HEALTH SERVICE AREA REPRESENTATION, AS DESIGNATED BY THE CHAIR OF THE BOARD. FORM 990, PART VI, SECTION B, LINE 11 AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 12, 2011, THE SYSTEM AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE REDESIGNED FORM 990 AND SUPPLEMENTAL SCHEDULES. FORM 990, PART VI, SECTION B, LINE 12C AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT. HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. IN ADDITION, THE FOLLOWING CONSIDERATIONS SHOULD BE MADE: 4. IF APPROPRIATE, THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MAY APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE PROPOSED TRANSACTION OR ARRANGEMENT; AND 5. IN ORDER TO APPROVE THE TRANSACTION, THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST FIRST FIND, BY A MAJORITY VOTE OF THE DISINTERESTED BOARD MEMBERS, THAT THE PROPOSED TRANSACTION OR ARRANGEMENT IS IN THE BEST INTERESTS OF AND FOR THE BENEFIT OF PH AND/OR PH AFFILIATES AND THE PROPOSED TRANSACTION IS FAIR AND REASONABLE TO PH AND/OR PH AFFILIATES AND, AFTER REASONABLE INVESTIGATION, THAT THE PH AND/OR PH AFFILIATES CANNOT OBTAIN A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT WITH REASONABLE EFFORTS UNDER THE CIRCUMSTANCES." FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION USED A PROCESS FOR DETERMINING COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR; REVIEW, AND APPROVAL BY THE GOVERNING BODY; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. THE BOARD EXECUTIVE COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. SERVED AS THE EXECUTIVE COMPENSATION COMMITTEE IN 2010, PURSUANT TO THE ORGANIZATION'S BYLAWS, FOR PURPOSES OF REVIEWING AND APPROVING ALL EXECUTIVE COMPENSATION, BENEFITS AND PERQUISITES FOR THE 2010 COMPENSATION PACKAGE. THE COMPENSATION PACKAGE WAS APPROVED BY A MAJORITY OF INDEPENDENT BOARD EXECUTIVE COMMITTEE MEMBERS. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A COMPETITIVE COMPENSATION ANALYSIS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AS WELL AS ALL EXECUTIVES AT THE VICE PRESIDENT LEVEL AND ABOVE. ALL DATA IS SHARED WITH THE BOARD OF DIRECTORS EXECUTIVE COMMITTEE. THE BOARD APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO AND HIS DIRECT REPORTS. APPROVAL IS ALSO PROVIDED FOR THE MERIT BUDGET FOR THE ENTIRE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP). OFFICES OR POSITIONS REVIEWED AT THE 2010 MEETING: PRESIDENT AND CEO PH EXECUTIVE VICE PRESIDENT STRATEGIC DIRECTION AND BUSINESS DEVELOPMENT EXECUTIVE VICE PRESIDENT PARKVIEW HEALTH/COO PARKVIEW HOSPITAL EXECUTIVE VICE PRESIDENT AND COO PARKVIEW HEALTH MEDICAL DIRECTOR COMMUNITY HOSPITALS SENIOR VICE PRESIDENT OPERATIONS / SERVICE EXCELLENCE SENIOR VICE PRESIDENT HUMAN RESOURCES SENIOR VICE PRESIDENT AND GENERAL COUNSEL SENIOR VICE PRESIDENT HEALTH PLAN SERVICES SENIOR VICE PRESIDENT PATIENT CARE SENIOR VICE PRESIDENT AND CHIEF QUALITY OFFICER / PATIENT SAFETY OFFICER SENIOR VICE PRESIDENT OPERATIONS SENIOR VICE PRESIDENT AND CHIEF INFORMATION OFFICER SENIOR VICE PRESIDENT/COO ORTHOPEDIC HOSPITAL SENIOR VICE PRESIDENT/COO COMMUNITY HOSPITALS - HUNTINGTON SENIOR VICE PRESIDENT/COO COMMUNITY HOSPITALS - NOBLE SENIOR VICE PRESIDENT/COO COMMUNITY HOSPITALS - WHITLEY SENIOR VICE PRESIDENT/COO COMMUNITY HOSPITALS - LAGRANGE SENIOR VICE PRESIDENT/COO PHYSICIAN PRACTICES SENIOR VICE PRESIDENT AND CHIEF FINANCIAL OFFICER SENIOR VICE PRESIDENT REVENUE CYCLE MANAGEMENT MEDICAL DIRECTOR PARKVIEW PHYSICIAN GROUP SENIOR VICE PRESIDENT FACILITY DESIGN AND OVERSIGHT EXECUTIVE DIRECTOR WOMEN AND CHILDREN'S SERVICES VICE PRESIDENT - PATIENT CARE - NOBLE VICE PRESIDENT - PATIENT CARE - WHITLEY VICE PRESIDENT - PATIENT CARE - LAGRANGE CORPORATE DIRECTOR MARKETING, COMMUNICATIONS, COMMUNITY RELATIONS VICE PRESIDENT/ADMINISTRATOR PRIMARY CARE PRACTICE GROUP EXECUTIVE DIRECTOR CANCER SERVICES VICE PRESIDENT CHANGING SPACES CONSTRUCTION/PROJECT MANAGEMENT MEDICAL DIRECTOR HEALTH PLAN SERVICES CORPORATE DIRECTOR DIETETICS/FOOD SERVICES VICE PRESIDENT PLANNING AND DECISION SUPPORT VICE PRESIDENT STRATEGIC AND BUSINESS PLANNING VICE PRESIDENT HEALTH INFORMATION MANAGEMENT EXECUTIVE DIRECTOR PKV OUTPATIENT ENTERPRISE VICE PRESIDENT/ADMINISTRATOR SPECIALTY PRACTICE GROUP VP SPECIAL PROJECTS VP PPG FINANCE VP SUPPLY CHAIN COO PARKVIEW HEART INSTITUTE FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. COMMON PAYING AGENT FOR FILING ORGANIZATION FORM 990, PART V, LINE 1A, 2A AND PART VII, SECTION B, LINE 2: PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION AS WELL AS RELATED ENTITIES. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2 AND W-3 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2010 WAS 510. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2010 WAS 7,707. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR PARKVIEW HEALTH SYSTEM, INC. WAS 249 AND 2,190 RESPECTIVELY. AS REFLECTED IN PART VII, SECTION B, APPROXIMATELY 18 INDEPENDENT CONTRACTORS RECEIVED MORE THAN $100,000 IN COMPENSATION FOR SERVICES FROM PARKVIEW HEALTH SYSTEM, INC. AVERAGE HOURS PER WEEK DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, SECTION A, COLUMN B: MICHAEL PACKNETT (DIRECTOR/PH CEO), MICHAEL BROWNING (CURRENT PH SVP & CFO), JEFFREY FRANCIS (PH SVP & CFO), STANTON RISSER (INTERIM PH CFO), MARK NAFZIGER (PH EVP & COO), CATHERINE WILCOX (PH SVP), RONALD DOUBLE (PH CIO), AND DEBRA WILLIAMS (PH SVP) DEVOTED APPROXIMATELY 40 HOURS PER WEEK TO PARKVIEW HEALTH SYSTEM, INC. (PH), AND ONE HOUR PER WEEK TO EACH OF THE FOLLOWING TAX-EXEMPT AND TAXABLE ORGANIZATIONS RELATED TO PH: PARKVIEW HOSPITAL, INC. (PVHOS) PARKVIEW OCCUPATIONAL HEALTH CENTERS, INC. (POHCI) HUNTINGTON MEMORIAL HOSPITAL, INC. (HMHOS) COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (LGHOS) COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (NBHOS) WHITLEY MEMORIAL HOSPITAL, INC. (WMHOS) PARKVIEW FOUNDATION, INC. (PVFND) PARKVIEW HUNTINGTON HOSPITAL FOUNDATION, INC. (HMFND) COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION, INC. (NBFND) WHITLEY MEMORIAL HOSPITAL FOUNDATION, INC. (WMFND) PARKVIEW PROFESSIONAL PROGRAMS, INC. (PPP) MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. (MCHA) ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (ORTHO) MANAGED CARE SERVICES, LLC (MCS) FOUNDATION SURGERY AFFILIATE OF FORT WAYNE, LLC (ISCLC) PARKVIEW IMAGING HUNTINGTON, LLC (PIHLC) DUANE HOUGENDOBLER (DIRECTOR/PH PHYSICIAN) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO HMHOS AND 40 HOURS PER WEEK TO PH. MITCHELL STUCKY (DIRECTOR/PH PHYSICIAN) DEVOTED APPROXIMATELY 20 HOURS PER WEEK TO PVHOS AND 20 HOURS PER WEEK TO PH. MICHAEL AXEL (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO NBHOS AND ONE HOUR PER WEEK TO PH. RICHARD BAKER (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO HMHOS AND ONE HOUR PER WEEK TO PH. THOMAS BEAVER (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO PVHOS AND ONE HOUR PER WEEK TO PH. DAVID HAIST (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO PVHOS AND ONE HOUR PER WEEK TO PH. LAURA LEFEVER (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO WMFND, ONE HOUR PER WEEK TO PH AND ONE HOUR PER WEEK TO WMHOS. JOHN PRICE (DIRECTOR) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO LGHOS, AND ONE HOUR PER WEEK TO PH. WIL SMITH (DIRECTOR/TREASURER) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO PVHOS AND ONE HOUR PER WEEK TO PH. JEFFREY BROOKES (PH MEDICAL DIR - COMMUNITY HOSPITALS) DEVOTED APPROXIMATELY 10 HOURS PER WEEK TO HMHOS, 10 HOURS PER WEEK TO LGHOS, 10 HOURS PER WEEK TO NBHOS, 10 HOURS PER WEEK TO WMHOS AND ONE HOUR PER WEEK TO PH. JAMES STAPEL (PH MEDICAL DIR - PPG) DEVOTED APPROXIMATELY 40 HOURS PER WEEK TO PH AND AS-NEEDED HOURS TO HMHOS, LGHOS, NBHOS, AND WMHOS. RICK HENVEY (PH COO-COMMUNITY HOSPITALS) DEVOTED APPROXIMATELY ONE HOUR PER WEEK TO WMFND FOR PARTIAL YEAR WHILE WMHOS INTERIM COO, 40 HOURS PER WEEK TO WMHOS FOR PARTIAL YEAR WHILE WMHOS INTERIM COO, 40 HOURS PER WEEK TO PH FOR PARTIAL YEAR DURING HIS REGULAR POSITION OF PH COO-COMMUNITY HOSPITALS AND ONE HOUR PER WEEK TO PVHOS, POHCI, HMHOS, LGHOS, AND NBHOS. SALES OF SECURITIES FORM 990 PART VIII, LINES 7A, B & C, COLUMN I: LINE 7A GROSS AMOUNT FROM SALES OF ASSETS OTHER THAN INVENTORY $1,811,336,398. LINE 7B LESS: COST OR OTHER BASIS AND SALES EXPENSES $1,807,162,087. LINE 7C GAIN OR (LOSS) $4,174,310. SALARIES AND WAGES, OTHER EMPLOYEE BENEFITS AND PAYROLL TAXES FORM 990, PART IX, LINES 5-10: PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC. FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E. PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 4,966,345. ASSET ADJUSTMENT TRANSFERS 733,097. BOOK/TAX DIFF FROM K-1'S 1,409,219. CURRENT YEAR EARNINGS TRANSFERRED FROM 501( C )3'S 40,714,705. AMORTIZE BOND SWAP OCI 42,600. ADJUST OCI FOR PENSION 3,308,875. TOTAL TO FORM 990, PART XI, LINE 5: 51,174,841. REQUIREMENTS UNDER SINGLE AUDIT ACT AND OMB CIRCULAR A-133 FORM 990, PART XII, LINE 3: AS REQUIRED BY THE U.S. OFFICE OF MANAGEMENT AND BUDGET CIRCULAR A-133, AUDITS OF STATES, LOCAL GOVERNMENTS, AND NON-PROFIT ORGANIZATIONS, IN 2010 PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES RECEIVED AN AUDIT FOR THE 2009 CONSOLIDATED FINANCIAL STATEMENTS IN ACCORDANCE WITH THE SINGLE AUDIT ACT. 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