2023-11-10T14:15:41-06:00 2022-12-31 350921680 CROWE LLP 401 E LAS OLAS BLVD SUITE 1100 FORT LAUDERDALE FL 33301 990 2022-01-01 351135451 PARK CENTER INC PARK 2603738429 909 E STATE BLVD FORT WAYNE IN 468053404 JEANNE' WICKENS PH CFO 2602669313 2023-11-10 1 JEANNE WICKENS 999009999 1 BRITTNEY KOCAJ P01320603 9542028600 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RICK HENVEY 1450 PRODUCTION RD FORT WAYNE IN 46808 49576660 0 X WWW.PARKVIEW.COM X 1967 IN PARK CENTER, INC.'S MISSION IS TO RESTORE LIVES. BY PARTNERING WITH CONSUMERS, WE STRIVE TO SUPPORT AND FACILITATE THEIR JOURNEY TOWARD HEALTH. 13 10 417 10 0 0 14335582 10504843 24304990 32323041 -6674 2639364 0 274370 38633898 45741618 0 0 0 0 21273103 26192518 0 0 0 14799544 17200780 36072647 43393298 2561251 2348320 24282606 24494855 13494049 11468696 10788557 13026159 X 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. 0 0 34648176 0 32323041 PARK CENTER, INC. IS A COMMUNITY MENTAL HEALTH CENTER (CMHC) WITH OFFICES IN ALLEN, ADAMS, WELLS, HUNTINGTON AND WHITLEY COUNTIES. OUR GOAL IS TO PROVIDE QUALITY CARE AND SUPPORT TO PROMOTE WELLNESS AND HEALING FOR CLIENTS OF ALL AGES AND AT EVERY STAGE OF RECOVERY. AT PARK CENTER, WE OFFER A COMPREHENSIVE SELECTION OF SERVICES IN THE PROFESSIONAL SETTING YOU EXPECT, WHILE TAILORING TREATMENTS TO ACHIEVE THE PERSONAL CARE YOU DESERVE.DURING 2022, PARK CENTER, INC. CONTINUED IMPROVEMENT ON ACCESS FOR OUTPATIENT SERVICES BY STREAMLINING THE ASSESSMENT PROCESS BY CREATING A SPECIALIZED TEAM TO CONDUCT QUALITY AND IN-DEPTH ASSESSMENTS. WAIT(SEE SCHEDULE O FOR CONTINUATION)TIME FOR THE FIRST APPOINTMENT WENT FROM MORE THAN 10 DAYS TO AN AVERAGE OF SEVEN DAYS OR LESS. PARK CENTER, INC. ALSO CREATED WALK-IN ACCESS EVERY DAY FOR CLIENTS TO RECEIVE INTAKES OR CRISIS CARE WITHOUT WAITING. THE ASSESSMENT TEAM PROVIDED SERVICES FOR ROUTINE AND URGENT CLIENTS REDUCING PATIENTS IN LOCAL EMERGENCY DEPARTMENTS. ADDITIONALLY, PARK CENTER STARTED OVER 40 THERAPY GROUPS FOR CLIENTS REGARDING MENTAL HEALTH, TRAUMA, SUBSTANCE ABUSE AND DIALECTICAL BEHAVIOR THERAPY (DBT). PARK CENTER, INC. ALSO CREATED WALK-IN WEDNESDAYS FOR MEDICATION FOLLOW-UP APPOINTMENTS. NOT WAITING TO SEE A PRESCRIBER FOR FOLLOW-UP APPOINTMENT IN THE EVENT OF AN ISSUE HAS BEEN A CUSTOMER SATISFIER. ANOTHER ACCOMPLISHMENT IN 2022, WAS THE EXPANSION OF THE SOS TEAM TO A WELL-ROUNDED MOBILE INTERVENTION TEAM ADDRESSING A WIDE VARIETY OF CRISES INCLUDING SUICIDE. OUR TEAM OF LICENSED SOCIAL WORKERS, MENTAL HEALTH COUNSELORS, MARRIAGE AND FAMILY THERAPISTS, ADDICTION COUNSELORS, PSYCHIATRISTS, PHYSICIAN ASSISTANTS, ADVANCED NURSES AND PSYCHOLOGISTS ARE UNIQUELY QUALIFIED TO ADDRESS BEHAVIORAL HEALTH NEEDS. PARK CENTER, INC. OFFERS SPECIALIZED SERVICES IN EARLY CHILDHOOD MENTAL HEALTH, DIALECTAL BEHAVIORAL THERAPY (DBT), MEDICALLY ASSISTED TREATMENT (MAT) FOR OPIOID DISORDER, EATING DISORDERS, INTENSIVE OUTPATIENT (IOP), AND EARLY BREAK PSYCHOSIS TREATMENT. SERVICES ARE AVAILABLE TO BOTH THE CHILD AND ADULT POPULATION. DESPITE CONTINUED CHALLENGES OF THE PANDEMIC, THE ORGANIZATION CONTINUED TO PROVIDE ALL LEVELS OF CARE FOR CLIENTS UTILIZING A VARIETY OF TREATMENT METHODS TO REMOVE BARRIERS. PARK CENTER, INC. OFFERS COMMUNITY-BASED SERVICES IN ALLEN, ADAMS, HUNTINGTON, WHITLEY AND WELLS COUNTIES. THESE SERVICES ARE AVAILABLE BASED UPON AN ASSESSMENT OF NEED. OUR TEAM OF THERAPISTS AND CASEWORKERS WORK 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, CLIENTS ARE ASSISTED WITH CREATING PLANS FOR SAFETY MANAGEMENT AND LINKING TO OTHER LESS INTENSIVE SERVICES.PARK CENTER, INC. HAS A NUMBER OF ADULT GROUP HOMES IN WHICH WE SERVE CLIENTS WITH MENTAL HEALTH AND CHEMICAL DEPENDENCY NEEDS. PARK CENTER, INC. ALSO HAS A RESIDENTIAL ADDICTIONS PROGRAM FOR INDIVIDUALS REFERRED BY THE COURT SYSTEM.PARK CENTER, INC. UTILIZES A HOSPITAL LIAISON AND A COURT LIAISON TO ASSIST CONSUMERS WITH HIGHER NEEDS. THE HOSPITAL LIAISON PROVIDES SUPPORT SERVICES TO INDIVIDUALS AT STATE OR LOCAL PSYCHIATRIC HOSPITALS. THE COURT LIAISON COLLABORATES WITH CONSUMERS, FAMILIES AND THE COURT SYSTEM WHEN THE SEVERITY OF SYMPTOMS REQUIRES EMERGENCY DETENTION, INVOLUNTARY COMMITMENTS AND GUARDIANSHIP. 34648176 1 1 0 1 0 0 0 0 1 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 36 0 1 417 1 0 0 0 0 0 0 0 0 0 0 0 0 X 13 10 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IN X JEANNE' WICKENS 2602669313 1450 PRODUCTION RD FORT WAYNE IN 468081167 GREG JOHNSON DIRECTOR/PH CCIO 0.00 40.00 X 0 849582 167528 CHARLES CLARK DIRECTOR/BHI PRESIDENT 0.00 40.00 X X 0 384458 101340 GARY ZWIERZYNSKI DIRECTOR/SECRETARY/TREASURER 0.00 40.00 X X 0 333894 87825 RICHARD ROBINSON DIRECTOR/CHAIR 1.00 1.00 X X 0 5000 0 JAN NES DIRECTOR/VICE CHAIR 1.00 0.00 X X 0 0 0 THERESA BROWN DIRECTOR 1.00 0.00 X 0 0 0 JEREMY BROWN DIRECTOR 1.00 0.00 X 0 0 0 WENDY DAVIS DIRECTOR 1.00 0.00 X 0 0 0 TRAVIS FRIEND DIRECTOR 1.00 0.00 X 0 0 0 TIM GALL DIRECTOR 1.00 1.00 X 0 0 0 STEVEN MANNING DIRECTOR 1.00 0.00 X 0 0 0 JULIE MEITZLER DIRECTOR 1.00 0.00 X 0 0 0 ANGELA STEWART-MARTIN DIRECTOR 1.00 0.00 X 0 0 0 MICHAEL PACKNETT PH PRESIDENT & CEO 0.00 40.00 X 0 2602841 338299 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 0.00 40.00 X 0 1264400 357767 CONNIE KERRIGAN PARKC COMM SUPPT SVCS DIR 17.00 23.00 X 60040 104699 35645 RODNEY GRIMES PARKC HOUSE SPV 40.00 0.00 X 112169 17766 12743 ELIZABETH DAY PARKC VP OPS BHI 40.00 0.00 X 118661 750 4793 ZIPPORAH FONDO PARKC NURSE 40.00 0.00 X 97114 17274 25055 LORETTA GAGE PARKC NURSING SVCS MGR 40.00 0.00 X 112138 0 22372 500122 5580664 1153367 7 0 1 0 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA STREET OMAHA NE 68154 MEDICAL PERSONNEL 2949528 EXECUTIVE MANAGEMENT SERVICES PO BOX 31355 SALT LAKE CITY UT 84131 CLEANING SERVICES 192369 2 2501 10502331 11 10504843 NET PATIENT SERVICE REVENUE 621300 32283541 32283541 INTERUNIT RENT 531120 39500 39500 32323041 530400 256030 274370 274370 274370 6218376 3579012 2639364 2639364 2639364 45741618 32323041 0 2913734 19736832 19736832 6455686 6455686 50806 50806 13000 13000 3476270 3452641 23629 1291037 1020149 270888 1840357 1825383 14974 218722 199359 19363 14729 9564 5165 113908 113908 865598 779342 86256 125860 10660 115200 CORPORATE SERVICE ALLOC 8026770 8026770 HOSPITAL ASSESSMENT FEE 782830 782830 DUES & SUBSCRIPTIONS 115885 4651 111234 MHFR ADMINISTRATIVE FEE 112207 112207 152801 144964 7837 43393298 34648176 8745122 0 538075 4091893 1337775 651192 4331229 5520243 28862 0 116884 153510 15097816 2846000 15934693 12251816 1995088 1826201 24282606 24494855 1945805 1445709 608068 1030225 437779 345722 10502397 8647040 13494049 11468696 X 10788557 13026159 10788557 13026159 24282606 24494855 X 2348320 -110718 X 0 1 X 1 1 1 X 13214304 9665765 13010942 14335582 10504843 60731436 24248791 10665152 18177115 24304990 32323041 109719089 37463095 20330917 31188057 38640572 42827884 170450525 0 0 0 170450525 26487 9760 0 0 530400 566647 26487 9760 530400 566647 66346 224186 290532 37555928 20564863 31188057 38640572 43358284 171307704 0.99500 0.99680 0.00330 0.00030 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 66,346. 2019 AMOUNT: $ 13,908. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. DSH FEDERAL FUNDS - 2018 AMOUNT: $ 0. 2019 AMOUNT: $ 210,278. 2020 AMOUNT: $ 0. 2021 AMOUNT: $ 0. 2022 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 3040 3040 0 PART II-B, LINE 1: OTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO INDIANA COUNCIL USED FOR LOBBYING ACTIVITIES. 0 1 X 1202234 1202234 11985618 2330897 9654721 28950 5649 23301 1533227 488630 1044597 347787 20824 326963 12251816 RESTRICTED FUND - RESIDENCES 345722 RIGHT OF USE ASSETS 1455044 EST MEDICARE/MEDICAID SETTLEMENTS 25435 1826201 LEASE LIABILITY 1544975 EST 3RD PARTY SETTLEMENTS 290169 NOTE PAYABLE TO PH 3444058 DUE TO/FROM INTERUNIT 3367838 8647040 X PART IV, LINE 2B: THE ORGANIZATION IS AN AGENT FOR HELD FUNDS FOR PATIENTS' REPRESENTATIVE PAYEE ACCOUNTS. PART X, LINE 2: PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2022 AND 2021, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2018 AND PRIOR. 1 1 X 1 X 1 X 1 1 1 0 1 1 1093030 1093030 0.02520 20755286 19594596 1160690 0.02670 9957233 7204914 2752319 0.06340 31805549 26799510 5006039 0.11530 54468 54468 0.00130 3965 3965 0.00010 58433 58433 0.00140 31863982 26799510 5064472 0.11670 1 0 0 1355367 1290249 65118 X 1 1 1 1 PARK CENTER INC 1909 CAREW ST FORT WAYNE IN 46805 WWW.PARKCENTER.ORG 419-10-PIP X COMMUNITY MENTAL HEALTH CENTER PARK CENTER INC 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS X 1 22 1 HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS 0 1 X 200.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, LINES 16A B & C X SEE PART V, LINES 16A B & C X SEE PART V, LINES 16A B & C X X X X X X 1 X 0 X X X X 1 X 0 0 PARK CENTER, INC. PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), PARKVIEW HEALTH SYSTEM, INC., INCLUDING 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. 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. PARK CENTER, INC. PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: PARKVIEW HOSPITAL, INC. (EIN 35-0868085); 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). PARK CENTER, INC. PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384), THROUGH PARKVIEW'S HEALTH SERVICES AND INFORMATICS RESEARCH (HSIR) GROUP, DESIGNED AND CONDUCTED BOTH PRIMARY AND SECONDARY DATA COLLECTION AND ANALYSIS ACTIVITIES FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). HSIR EMPLOYS MULTIPLE RESEARCH STAFF, WHICH INCLUDES PHD PREPARED SCIENTISTS, USER EXPERIENCE SPECIALISTS AND PROJECT MANAGERS. AS A RESEARCH UNIT EMBEDDED IN PARKVIEW, HSIR HAS DEDICATED TIME TO SUPPORT INITIATIVES THAT REQUIRE RESEARCH SKILLS, SUCH AS THE CHNA. PARK CENTER, INC. PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:PARK CENTER, INC. PROVIDES INPATIENT AND OUTPATIENT SERVICES EXCLUSIVELY TREATING MENTAL, BEHAVIORAL AND SUBSTANCE USE AILMENTS. WITH DEDICATION TO THE MISSION PARK CENTER, INC. IS BEST EQUIPPED TO FOCUS ON MENTAL HEALTH AND SUBSTANCE USE DISORDERS. AS SUCH, PARK CENTER'S COMMUNITY HEALTH PRIORITIES ARE MENTAL HEALTH AND SUBSTANCE USE DISORDERS.SUBSTANCE ABUSEPARK CENTER, INC. ADDRESSES SUBSTANCE ABUSE TREATMENT WITH A CONTINUUM OF SERVICES FROM INPATIENT TO OUTPATIENT SERVICES. MEDICATION ASSISTED TREATMENT FOR OPIOID USE DISORDER, OUTPATIENT TREATMENT INCLUDING INDIVIDUAL AND GROUP THERAPY, AND RESIDENTIAL SERVICES FOR SUBSTANCE ABUSE AND ALCOHOL USE AND DEPENDENCY. OUR CARE PROVIDERS INCLUDE A TEAM OF BOARD-CERTIFIED ADDICTIONOLOGISTS, THERAPISTS, AND LICENSED ADDICTION COUNSELORS WHO WILL WALK BESIDE CLIENTS IN THEIR JOURNEY TO RECOVERY. PARK CENTER, INC. PARTNERS WITH COMMUNITY CORRECTIONS AND OTHER KEY COMMUNITY STAKEHOLDERS TO PROVIDE THE RIGHT LEVEL OF CARE TO THOSE IN NEED. PARK CENTER, INC. PROVIDES MULTIPLE INTENSIVE OUTPATIENT PROGRAMS (IOP) FOR THOSE WITH ADDICTIONS AND SUBSTANCE ABUSE NEEDS. CLIENTS PARTICIPATE IN OUR IOPS FOR THREE HOURS PER DAY, THREE TIMES A WEEK. PARK CENTER, INC. HAS AN ADDICTIONS RESIDENTIAL 3.5 PROGRAM THAT 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 ADDITION, PARK CENTER, INC. HAS A PEER SUPPORT PROGRAM THAT PARTNERS PEOPLE WITH A RECOVERY COACH WHO SEEKS TO DEVELOP AN INDIVIDUALIZED PERSONAL SUPPORT AND RECOVERY. MENTAL HEALTHPARK CENTER, INC. HAS ROBUST SERVICES THAT ADDRESS THE MENTAL HEALTH NEEDS IN THE COMMUNITY, ADDRESSING CHRONIC MENTAL HEALTH DISEASE, TRAUMA FROM ASSAULT, VIOLENT CRIMES OR SEXUAL VIOLENCE, CHILD ABUSE/ NEGLECT AND SUICIDE. PARK CENTER, INC. PROVIDES HOUSING THROUGH GROUP HOMES AND APARTMENT HOUSING FOR THE SERIOUSLY MENTALLY ILL AND PROVIDES CASE MANAGEMENT SERVICES ALONG WITH NURSING SERVICES TO ENSURE CLIENT SAFETY AND PROMOTE STABILITY IN THE COMMUNITY. PARK CENTER, INC. HAS ADULT CASE MANAGERS, WORKING WITH THOSE WHO ARE STRUGGLING WITH MENTAL ILLNESS IN THE COMMUNITY. THEY PROVIDE SKILL BUILDING AND CARE COORDINATION FOR THOSE TO GET THE SUPPORT THEY NEED TO MAINTAIN THEIR INDEPENDENCE SAFELY. PARK CENTER, INC. OFFERS A MOBILE INTERVENTION TEAM(SOS) PROGRAM. THE SOS PROGRAM NAVIGATORS WALK ALONGSIDE PATIENTS EXPERIENCING CRISIS INCLUDING BUT NOT LIMITED TO SUICIDALITY, DOMESTIC VIOLENCE OR TRAUMA. ADDITIONALLY, NAVIGATORS ENSURE PATIENTS HAVE FOLLOW-UP APPOINTMENTS, NECESSARY MEDICATIONS AND SAFETY PLANS AS WELL AS CONNECTIONS TO VALUABLE SERVICES LIKE CASE MANAGEMENT. PARK CENTER, INC. PARTNERS WITH SCHOOLS IN ALLEN AND ADAMS COUNTIES TO PROVIDE SKILLS TRAINING FOR STUDENTS WHO HAVE BEEN IDENTIFIED AS OR ARE HIGH RISK FOR NEED OF SERVICES. CASE MANAGERS ARE IN THE SCHOOL EVERY DAY ASSISTING THE STUDENTS AND LEARNING SKILLS THAT CAN HELP THEM BE SUCCESSFUL. ADDITIONALLY, THE CASE MANAGERS ARE PROVIDING RESOURCES AND OFFERING ADDITIONAL SERVICES FOR THE FAMILIES. PARK CENTER, INC.'S OUTPATIENT SERVICES MEET CLIENTS WHERE THEY ARE, WHETHER THAT IS IN-OFFICE OR IN THEIR HOME. IN-OFFICE SERVICES PROVIDES 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. HOME-BASED SERVICES REACH INTO CLIENTS' HOMES TO REMOVE BARRIERS IMPACTING THE COMMUNITY'S ABILITY TO RECEIVE TREATMENT. OUR HOME-BASED SERVICES WORK WITH DEPARTMENT OF CHILD SERVICES TO REDUCE AND PREVENT CHILD ABUSE AND NEGLECT BY HELPING PARENTS IN THEIR OWN ENVIRONMENT. THE THREE WISHES PROGRAM OFFERS ASSISTANCE TO PARENTS AND CARETAKERS BY PROVIDING KNOWLEDGE, RESOURCES AND SUPPORT. THE GOAL IS FOR THE CHILD TO FUNCTION IN TRADITIONAL ENVIRONMENTS, WHETHER THOSE ENVIRONMENTS ARE HOME, SCHOOL OR DAYCARE. THIS IS ACCOMPLISHED THROUGH A TEAM APPROACH, WITH PARENTS AS PARTNERS. OUR CARING TEAM PROVIDES THERAPY AND SKILLS TRAINING IN THE OFFICE, HOME OR COMMUNITY TO PROVIDE SUPPORT WHEREVER THE CHILD IS HAVING DIFFICULTY. PARK CENTER, INC. OFFERS COMPREHENSIVE MEDICATION SERVICES, INCLUDING ASSESSMENTS, MEDICATION REVIEWS, INJECTIONS AND MENTAL HEALTH EDUCATION FOR PEOPLE OF ALL AGES WITH ACCESS TO MEDICAL STAFF AND PSYCHOLOGISTS.IN ADDITION, PARK CENTER, INC. OPERATES A 16-BED PSYCHIATRIC HOSPITAL FOR ADULTS. LOCATED IN ALLEN COUNTY, THIS FACILITY PROVIDES SHORT-TERM STABILIZATION AND SUPPORT TO PEOPLE WHO ARE EXPERIENCING A PSYCHIATRIC EMERGENCY. PRIOR TO DISCHARGE, PATIENTS AND STAFF WORK TOGETHER TO CREATE A SAFETY PLAN. PATIENTS ALSO LINK TO OTHER, LESS INTENSIVE SERVICES TO HELP PREVENT FUTURE EMERGENCIES.SIGNIFICANT HEALTH NEEDS NOT BEING ADDRESSED:BASED UPON 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 OUR SYSTEM.HOUSING- PARK CENTER, INC. WORKS WITH MANY COMMUNITY STAKEHOLDERS TO ADDRESS HOUSING NEEDS FOR EXAMPLE, HUD, BRIGHT POINT AND THE HOUSING AUTHORITY. IN ADDITION, PARK CENTER, INC. OPERATES TRANSITIONAL HOUSING APARTMENTS TO ASSIST WITH PEOPLE FINDING HOMES. CHILDCARE- PARK CENTER, INC. IS THE COMMUNITY MENTAL HEALTH CENTER (CMHC) AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. WE WILL PROVIDE REFERRALS TO ORGANIZATIONS WHO SPECIALIZE IN CHILDCARE NEEDS. PARK CENTER, INC. WILL CONNECT PEOPLE WITH RESOURCES AS NEEDED.ACCESS TO HEALTH FOOD- PARK CENTER, INC. IS THE CMHC AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. WE WILL PROVIDE REFERRALS TO FOOD BANKS AND CONNECT PEOPLE WITH RESOURCES AS NEEDED. TRANSPORTATION- PARK CENTER, INC. IS THE CMHC AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. WE WILL PROVIDE REFERRALS AND CONNECT PEOPLE WITH RESOURCES AS NEEDED.ACCESS TO BIRTH CONTROL- PARK CENTER, INC'S. EXPERTISE IS IN THE MENTAL HEALTH FIELD. PARK CENTER, INC. WILL CONNECT INDIVIDUAL WITH PROVIDERS THAT CAN PROVIDE GUIDANCE ON BIRTH CONTROL NEEDS. JOB TRAINING- PARK CENTER, INC. IS THE CMHC AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. PARK CENTER, INC. WILL ADDRESS MENTAL HEALTH NEEDS THAT CONTRIBUTE TO EMPLOYMENT NEEDS. PARK CENTER, INC. ALSO REFERS TO JOB TRAINING PROGRAMS LIKE LSSI WORKS AND OTHERS IN THE COMMUNITY. PART V, LINES 16A, 16B AND 16C HTTPS://WWW.PARKVIEW.COM/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART I, LINE 6A: THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295; PARK CENTER, INC. (EIN 35-1135451); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES. PART I, LINE 7: PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BPARK CENTER, 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 7CPARK CENTER, INC. ACCEPTS ALL CERTAIN MEANS-TESTED PATIENTS FROM THE HEALTHY INDIANA PLAN (HIP) WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEANS-TESTED PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING HIP, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED HIP COST REPORTED ON LINE 7C IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE HIP CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF HIP SERVICES RENDERED. THEN, THE COST OF HIP SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR HIP PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 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. PART III, LINE 2: FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. PART III, LINE 4: BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGES 12 AND 23 - 27 OF ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. PARK CENTER, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, PARK CENTER, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. PARK CENTER, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION. PART III, LINE 9B: A PATIENT'S FAILURE TO MAKE PAYMENT ARRANGEMENTS THROUGH VARIOUS AVAILABLE PAYMENT OPTIONS OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING REFERRED TO A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES, WHICH MAY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY. IF AN INDIVIDUAL SUBMITS A COMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, AND PARKVIEW HEALTH DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN PARKVIEW HEALTH WILL TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION (EXCEPT FOR A SALE OF DEBT) TAKEN AGAINST THE INDIVIDUAL TO OBTAIN PAYMENT FOR THE CARE. ALSO, IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, PARKVIEW WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL (WITH RESPECT TO CHARGES TO WHICH THE FINANCIAL ASSISTANCE APPLICATION UNDER REVIEW RELATES) UNTIL THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED AND AN ELIGIBILITY DECISION RENDERED. PART VI, LINE 2: DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B. IN ADDITION TO COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT ON A TRIENNIAL BASIS, PARK CENTER, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, WORKING WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND FRONTLINE STAFF. 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 ON-GOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE. PART VI, LINE 3: DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE. PART VI, LINE 4: DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.PARK CENTER, INC. HAS THREE DESIGNATED PRIMARY CATCHMENT AREAS WHERE WE PROVIDE SERVICES. OUR SERVICES EXPAND ACROSS THE LIFETIME AND SUPPORT THOSE WITH SUBSTANCE USE AND MENTAL HEALTH NEEDS. OUR LARGEST COUNTY WITHIN OUR CATCHMENT AREA IS ALLEN COUNTY, 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 WE SERVE (ADAMS AND WELLS) ARE RURAL IN COMPOSITION. ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), ALLEN COUNTY, IS THE LARGEST URBAN (CONTAINS SUBURBAN AND RURAL AREAS TOO) AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 388,608 (2021). IN ADDITION, HCI REPORTS THE MEDIAN HOUSEHOLD INCOME OF ALLEN COUNTY RESIDENTS IS APPROXIMATELY $61,456 WITH 12.3% LIVING BELOW THE FEDERAL POVERTY LEVEL (2017-2021). APPROXIMATELY 90.8% OF ALLEN COUNTY RESIDENTS HAVE HEALTH INSURANCE (2020).ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), ADAMS COUNTY, IS A RURAL AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 35,961 (2021). IN ADDITION, HCI REPORTS THE MEDIAN HOUSEHOLD INCOME OF ADAMS COUNTY RESIDENTS IS APPROXIMATELY $56,037 WITH 15.3% LIVING BELOW THE FEDERAL POVERTY LEVEL (2017-2021). APPROXIMATELY 87.7% OF ADAMS COUNTY RESIDENTS HAVE HEALTH INSURANCE (2020). ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), WELLS COUNTY, IS A RURAL AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 28,197 (2021). IN ADDITION, HCI REPORTS THE MEDIAN HOUSEHOLD INCOME OF WELLS COUNTY RESIDENTS IS APPROXIMATELY $62,802 WITH 7% LIVING BELOW THE FEDERAL POVERTY LEVEL (2017-2021). APPROXIMATELY 92.3% OF WELLS COUNTY RESIDENTS HAVE HEALTH INSURANCE (2020). HEALTH RESOURCES & 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). HEALTH RESOURCES & SERVICES ADMINISTRATION (HRSA) HAS DESIGNATED/IDENTIFIED THE FOLLOWING MEDICALLY UNDERSERVED AREAS/POPULATIONS:1) DISCIPLINE: PRIMARY CAREMUA/P ID: 00955SERVICE AREA NAME: LOW INCOME - SOUTH FORT WAYNE SERVICE AREADESIGNATION TYPE: MUP LOW INCOMEINDEX OF MEDICAL UNDERSERVICE SCORE: 59.5 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL2) DISCIPLINE: MENTAL HEALTHHSPA ID: 7184233749HPSA NAME: MHCA 20 - ADAMS/ALLEN/WELLS COUNTIESDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: ADAMS, ALLEN, WELLS COUNTIESHPSA SCORE:12 STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL3) DISCIPLINE: PRIMARY CAREHSPA ID: 1189991870HPSA NAME: NEIGHBORHOOD HEALTH CLINICS INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERCOUNTY NAME: ALLEN COUNTYHPSA SCORE:21 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL4) DISCIPLINE: PRIMARY CAREHSPA ID: 1189107418HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: ALLEN COUNTYHPSA SCORE:16 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL5) DISCIPLINE: MENTAL HEALTHHSPA ID: 7189991824HPSA NAME: NEIGHBORHOOD HEALTH CLINICS INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERCOUNTY NAME: ALLEN COUNTYHPSA SCORE:19 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL6) DISCIPLINE: MENTAL HEALTHHSPA ID: 7185458158HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: ALLEN COUNTYHPSA SCORE:16 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL7) DISCIPLINE: PRIMARY CAREMUA/P ID: 07885SERVICE AREA NAME: LOW INCOME - ADAMS COUNTYDESIGNATION TYPE: MEDICALLY UNDERSERVED POPULATION - LOW INCOMEINDEX OF MEDICAL UNDERSERVICE SCORE: 61.1 STATUS: DESIGNATEDRURAL STATUS: RURAL8) DISCIPLINE: PRIMARY CAREHSPA ID: 1189856255HPSA NAME: ADAMS COUNTYDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: ADAMS COUNTYHPSA SCORE:15 STATUS: DESIGNATEDRURAL STATUS: RURAL PART VI, LINE 5: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).PARK CENTER, INC. SEEKS TO DELIVER EXCELLENT CARE TO EVERY CLIENT, EVERY DAY. IN DOING SO, PARK CENTER, INC. 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 ORGANIZATION'S PRIMARY SERVICE AREA AND EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY.IN ORDER TO DELIVER EXCELLENT SERVICES TO THE WHOLE COMMUNITY, PARK CENTER, INC. RECOGNIZES THAT WE MUST INVEST IN THE FUTURE WORKFORCE. PARK CENTER, INC. HAS BEEN PARTNERING WITH SCHOOLS AND BUILDING A PIPELINE OF THERAPISTS AND MENTAL HEALTH PROFESSIONALS. IN 2022, PARK CENTER, INC. EXPANDED THEIR WORK WITH THE BEHAVIORAL HEALTH ACADEMY BY ADDING BALL STATE AND PURDUE UNIVERSITY WHILE STRENGTHENING THEIR RELATIONSHIP WITH INDIANA UNIVERSITY SCHOOL OF SOCIAL WORK. PARK CENTER HAD EIGHT STUDENTS GRADUATE FROM THIS PROGRAM AND SIX WERE HIRED ON AS FULL-TIME THERAPISTS ADDING MENTAL HEALTH RESOURCES TO THE COMMUNITY. ALONG WITH THE BEHAVIORAL HEALTH ACADEMY PROGRAM PARK CENTER, INC. WORKS WITH MULTIPLE OTHER SCHOOLS TO PROVIDE INTERNSHIPS FOR BOTH, UNDERGRADUATE AND GRADUATE DEGREES. IN 2022, PARK CENTER, INC. EXPANDED THEIR MOBILE INTERVENTION TEAM CALLED SOS. THEY ASSISTED WITH GETTING INDIVIDUALS THE SERVICES THEY NEEDED QUICKLY PREVENTING THE PERSON FROM HAVING TO GO TO THE EMERGENCY ROOM. INDIVIDUALS CAN CALL OUR HELPLINE SELF-REFERRAL PHONE LINE AND ARE CONNECTED WITH A MENTAL HEALTH PROFESSIONAL.PARK CENTER, INC. PROVIDED SPECIALIZED PROGRAMMING THAT TARGETS SPECIFIC NEEDS SUCH AS OUR SOS PROGRAM THAT MADE CONTACT IN A VARIETY OF WAYS WITH INDIVIDUALS IN CRISIS OVER 3,000 TIMES. 75% OF THE PEOPLE CONNECTED WITH THE SOS TEAM WERE ABLE TO STAY OUT OF THE HOSPITAL. OUR HOMELESS OUTREACH SERVICES CONNECTED 200 INDIVIDUALS TO SERVICES.PARK CENTER, INC. IS PROUD TO OFFER THE ONLY OUTPATIENT DIALECTICAL BEHAVIOR THERAPY (DBT) PROGRAM RECOGNIZED IN NORTHERN INDIANA. DIALECTICAL BEHAVIOR THERAPY IS AN INTENSIVE PROGRAM DESIGNED TO TREAT ADOLESCENTS AND ADULTS WHO HAVE BEEN DIAGNOSED WITH BORDERLINE PERSONALITY DISORDER, OR FOR WHOM DBT IS OTHERWISE INDICATED. PEOPLE WHO SEEK DBT SERVICES MAY FREQUENTLY SUFFER FROM THOUGHTS OF SUICIDE OR SUICIDE ATTEMPTS, SELF-INJURIOUS BEHAVIOR, EMOTIONAL DYSREGULATION, AND IMPULSIVITY. AT DBT, PATIENTS RECEIVE A COMBINATION OF ONE-ON-ONE THERAPY AND ATTEND A WEEKLY EDUCATIONAL GROUP. PART VI, LINE 6: IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; DEKALB MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; PARK CENTER, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC.EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH ACTIVITIES CUSTOMIZED TO MEET THE UNIQUE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. AFFILIATE HOSPITALS ALSO WORK TOGETHER AND SHARE PROGRAMMING AND MESSAGING WHERE COMMON COMMUNITY HEALTH ISSUES ARE IDENTIFIED. FROM THE LIST OF HEALTH ISSUES IDENTIFIED IN NORTHEAST INDIANA AS PART OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT, THE HEALTH PRIORITY OF MENTAL HEALTH WAS SELECTED BY ALL AFFILIATE HOSPITALS.AFFILIATE HOSPITALS EACH HAVE A LOCAL BOARD OF DIRECTORS. PARKVIEW HEALTH SYSTEM, INC. ALSO ENGAGES WITH A BOARD OF DIRECTORS THAT CONSISTS OF REPRESENTATION FROM EACH OF THE AFFILIATE HOSPITAL BOARDS AND UP TO 15 AT-LARGE PHYSICIANS OR COMMUNITY LEADERS. MOST OF THE BOARD OF DIRECTORS SHALL ALWAYS BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE (IRS). PARKVIEW CONTRIBUTES TO THE OVERALL SUCCESS OF THE REGION THROUGH SIGNIFICANT INVOLVEMENT IN THE COMMUNITIES WE SERVE. BY DEVELOPING VARIOUS PARTNERSHIPS AND ALIGNMENTS WITH DIFFERENT SECTORS AND ORGANIZATIONS, PARKVIEW HELPS TO BENEFIT THE ECONOMY, QUALITY OF LIFE, AND HEALTH AND WELL-BEING ACROSS THE REGION. WITH A CONSISTENT FOCUS ON OUR MISSION AND VISION, WE WORK TO PROVIDE EXCELLENT CARE TO EVERY PERSON, EVERY DAY WITHIN OUR FACILITIES WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS TO POSITIVELY IMPACT COMMUNITY HEALTH STATUS. PART VI, LINE 7, REPORTS FILED WITH STATES IN PART VI, LINE 7 CONT'D: A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH. X 1 1 0 1 0 0 0 0 0 1 0 MICHAEL PACKNETT PH PRESIDENT & CEO 0 1330197 0 664677 0 607967 0 302282 0 36017 0 2941140 0 577374 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 0 804432 0 363922 0 96046 0 325215 0 32552 0 1622167 0 70644 GREG JOHNSON DIRECTOR/PH CCIO 0 589394 0 203987 0 56201 0 125684 0 41844 0 1017110 0 48677 CHARLES CLARK DIRECTOR/BHI PRESIDENT 0 242155 0 90900 0 51403 0 74418 0 26922 0 485798 0 40868 GARY ZWIERZYNSKI DIRECTOR/SECRETARY/TREASURER 0 236395 0 88274 0 9225 0 61028 0 26797 0 421719 0 3916 CONNIE KERRIGAN PARKC COMM SUPPT SVCS DIR 58769 75627 750 28401 521 671 3454 6024 9537 16630 73031 127353 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - TAX ON TAXABLE GIFT: ELIZABETH DAY $13 PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARK CENTER, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF 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 RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION AND THE AMOUNT OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): CHARLES CLARK $40,868; GREG JOHNSON $48,677; MICHAEL PACKNETT $577,374; JEANNE' WICKENS $70,644; GARY ZWIERZYNSKI $3,916 AMOUNTS LISTED ABOVE THAT HAVE BEEN REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990 WILL ALSO BE REFLECTED IN SCHEDULE J, PART II, COLUMN (F). FOR EXAMPLE, THE AMOUNT OF $577,374 REPORTED AS REQUIRED FOR MR. PACKNETT WAS A RESULT OF THE VESTING OF SUCH AMOUNT UNDER THE TERMS OF THE RESPECTIVE PLANS. HOWEVER, THESE AMOUNTS WERE PREVIOUSLY REPORTED IN MR. PACKNETT'S DEFERRED COMPENSATION AS THE AMOUNTS WERE DEFERRED UNDER THE PLANS. AS SUCH, THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) IS AN INDICATION OF AMOUNTS THAT HAVE BEEN REPORTED TWICE, ONCE AS A DEFERRAL AND ONCE AS VESTED. THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME SET FORTH IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: CHARLES CLARK $40,868; GREG JOHNSON $92,134; MICHAEL PACKNETT $268,732; JEANNE' WICKENS $303,865; GARY ZWIERZYNSKI $39,678 PART I, LINE 7 MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. SYSTEM GOALS ARE APPROVED BY THE BOARD. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES FINAL PAYMENT. FORM 990, PART V, LINE 1A: 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, 2022 WAS 627. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2022 WAS 17,284. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR THE PARK CENTER, INC. WAS 36 AND 417 RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 1A 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. FORM 990, PART VI, SECTION A, LINE 2 DIRECTOR GREG JOHNSON AND OFFICER JEANNE' WICKENS HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. OFFICERS MICHAEL PACKNETT AND JEANNE' WICKENS HAVE BUSINESS RELATIONSHIPS AS OFFICERS OF RELATED ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF PARK CENTER, INC. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS AS 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. FORM 990, PART VI, SECTION A, LINE 7B SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION B, LINE 11B 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, PRIOR TO FILING WITH THE IRS. ON OCTOBER 24, 2023, THE AUDIT COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES. FORM 990, PART VI, SECTION B, LINE 12C AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL." FORM 990, PART VI, SECTION B, LINE 15 LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. TO THE EXTENT THAT THE ORGANIZATION HAS A VICE PRESIDENT OR ABOVE, THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., HAS A PROCESS IN PLACE FOR DETERMINING COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2022, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL EXECUTIVE COMPENSATION, BENEFITS, AND PERQUISITES FOR THE 2022 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. THE COMPENSATION PACKAGE WAS APPROVED BY A MAJORITY OF INDEPENDENT COMPENSATION 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. THE BOARD APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO AND THEIR DIRECT REPORTS. APPROVAL IS ALSO PROVIDED FOR THE SALARY BUDGET FOR THE ENTIRE ORGANIZATION. THE BOARD REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: ASSET TRANSFERS/ADJUSTMENTS -110,718. 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