2023-11-08T16:02:20-06:00 2022-12-31 350921680 CROWE LLP 401 E LAS OLAS BLVD SUITE 1100 FORT LAUDERDALE FL 33301 990 2022-01-01 356047817 PARKVIEW DEKALB HOSPITAL FOUNDATION INC PARK 2603738429 1316 E 7TH ST AUBURN IN 467062515 JEANNE' WICKENS PH CFO 2602669313 2023-11-08 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 468081167 212324 0 X WWW.PARKVIEWFOUNDATIONS.ORG X 1964 IN TO SERVE AS THE PRIMARY FUNDRAISING ENTITY FOR DEKALB MEMORIAL HOSPITAL, INC. 7 4 0 4 0 0 43930 33908 24437 6324 0 968 0 0 68367 41200 19929 5556 0 0 22350 0 0 0 1730 2087 6461 44366 12017 24001 29183 65077 88121 0 0 65077 88121 X TO SERVE AS THE PRIMARY FUNDRAISING ENTITY FOR DEKALB MEMORIAL HOSPITAL, INC. FUNDS ARE USED FOR THE CONTINUED IMPROVEMENT OF THE HOSPITAL'S FACILITIES, EQUIPMENT, PROGRAMS & SERVICES IN ACCORDANCE WITH THE NEEDS OF THE COMMUNITY WHERE THE HOSPITAL IS LOCATED. 0 0 5556 5556 6324 THE MISSION OF THE PARKVIEW FOUNDATIONS IS TO INSPIRE THE GENEROUS SPIRIT OF OUR COMMUNITY THAT BRINGS GIFTS OF HEALING AND COMFORT TO EVERYONE PARKVIEW SERVES.PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. ADHERES TO THIS MISSION. THE FOUNDATION RAISES FUNDS TO SUPPORT NEW PROGRAMS AND SERVICES, EDUCATIONAL NEEDS, AND INNOVATIVE TECHNOLOGY FOR THE DEKALB MEMORIAL HOSPITAL INC., D.B.A. PARKVIEW DEKALB HOSPITAL, WITH THE GOAL OF ENABLING THIS COMMUNITY HOSPITAL TO PROVIDE THE EXCELLENT CARE AND SERVICES THAT WOULD NOT BE POSSIBLE WITHOUT THE SUPPORT OF PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. DONORS.(SEE SCHEDULE O FOR CONTINUATION)PARKVIEW HEALTH SYSTEM, INC. MAINTAINS FOUNDATIONS FOR EACH OF ITS HOSPITALS. THESE NONPROFIT ORGANIZATIONS PROVIDE PHILANTHROPIC SUPPORT FOR PARKVIEW'S MISSION OF PROVIDING QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO PARKVIEW AND IMPROVING THE HEALTH OF THE COMMUNITIES PARKVIEW SERVES.THE GIFTS RECEIVED BY PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. WERE DESIGNATED TO TEMPORARILY RESTRICTED OR UNRESTRICTED FUNDS, ACCORDING TO DONOR WISHES, AND WERE USED FOR SEVERAL MISSION-DRIVEN PURPOSES THAT TOUCHED THE LIVES OF PARKVIEW DEKALB HOSPITAL PATIENTS AND THEIR FAMILIES IN NUMEROUS WAYS.THE STAFF AT PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. BUILDS LASTING RELATIONSHIPS THAT FOSTER GIFT-GIVING FOR THE BENEFIT OF CAREGIVERS, HOSPITAL PROGRAMS AND SERVICES, AS WELL AS NEW EQUIPMENT. BY CONNECTING WITH CO-WORKERS, PHYSICIANS, VENDORS, PATIENT FAMILIES, AND THE BROADER COMMUNITY, THE PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. PROVIDES DONORS WITH AN OPPORTUNITY TO SUPPORT THE IMPORTANT WORK OF CARING FOR OUR COMMUNITY. THIS WORK RESONATES WITH OUR COMMUNITY BY ALLOWING DONORS TO SUPPORT EXCELLENT CARE, CLOSE TO HOME.THE FOLLOWING ARE EXAMPLES OF PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. PROVIDING FUNDING TO PARKVIEW DEKALB HOSPITAL FOR VARIOUS HOSPITAL PROGRAMS, SERVICES, EQUIPMENT, AND IMPROVEMENTS:-PANIC ALARMS WERE PROVIDED FOR STAFF IN THE EMERGENCY DEPARTMENT REGISTRATION LOBBY AND THE EMERGENCY DEPARTMENT NURSES STATION TO PROVIDE EMERGENCY NOTIFICATION OF POLICE AND PUBLIC SAFETY.-PARKVIEW DEKALB HOSPITAL'S MEDICATION ASSISTANCE PROGRAM (MAP) SERVES QUALIFIED PATIENTS WHO NEED ASSISTANCE IN PROCURING MEDICATIONS NEEDED FOR ACUTE ILLNESSES, LONG-TERM ASSISTANCE OR TO BE RELEASED FROM THE HOSPITAL. THE PROGRAM PROVIDES EMERGENCY MEDICATIONS OR VOUCHERS TO QUALIFIED PATIENTS FOR ESSENTIAL, NON-OPIOID PRESCRIPTIONS.NOT ONLY DOES THIS ASSIST IN REDUCING RE-ADMISSION RATES AT THE HOSPITAL, BUT IT ALSO ADDRESSES A CRITICAL AREA OF PARKVIEW'S MISSION TO IMPROVE THE HEALTH OF OUR COMMUNITY.-DONORS CREATED A NEW FUND TO SUPPORT FRONTLINE CO-WORKERS DURING THE CHALLENGES OF THE COVID PANDEMIC. THESE FUNDS WERE USED TO PROVIDE MEALS, SNACKS, TEAM GEAR AND SUPPORT FOR FRONTLINE CO-WORKERS DURING HIGH COVID PATIENT CENSUS PERIODS. THE COVID FUND CONTINUED ITS SUPPORT OF TEAM MEMBERS THROUGHOUT 2022. SOME EXAMPLES INCLUDE HOLIDAY TREATS FOR CO-WORKERS, A CO-WORKER APPRECIATION EVENT AND A LUNCH FOR CO-WORKERS. 5556 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 7 4 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 DENA JACQUAY DIRECTOR/PH CHIEF ADMIN OFFICER 0.00 40.00 X X 0 908033 284995 NATASHA EICHER DIRECTOR/DMHOS PRESIDENT 0.00 40.00 X 0 342897 100409 KARRA HEGGEN DIRECTOR/DMHOS VP PATIENT CARE SVCS 0.00 40.00 X 0 285591 36161 ANNA NIXON DIRECTOR-PARTIAL YEAR/CHAIR 1.00 0.00 X X 0 0 0 MICHAEL TULLIS DIRECTOR 1.00 1.00 X 0 4500 0 JOYCE HEFTY-COVELL DIRECTOR-PARTIAL YEAR 1.00 0.00 X 0 0 0 KENDRA KLINK DIRECTOR 1.00 0.00 X 0 0 0 REBECCA SCHMIDT DIRECTOR 1.00 0.00 X 0 0 0 CLARAMARY WINEBRENNER DIRECTOR 1.00 1.00 X 0 4250 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 BENJAMIN MILES FORMER OFFICER/CURRENT HPS PRESIDENT 0.00 40.00 X 0 582664 6193 0 5995176 1123824 0 1 1 0 0 174 1050 128 32556 230 33908 FNDRSNG SER ALLOCATION 561499 6324 6324 6324 870 870 171222 171124 98 98 98 41200 6324 0 968 5556 5556 135 135 1836 106 1730 CORPORATE SERVICE ALLOC 4490 4490 12017 5556 4731 1730 49284 6728 0 48980 15793 32413 65077 88121 0 0 X 43510 69559 21567 18562 65077 88121 65077 88121 29183 -6139 0 X 0 1 X 1 0 X X 1 DEKALB MEMORIAL HOSPITAL INC 351064295 3 1 5326 230 1 5326 230 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART I, LINE 11G, COLUMN VI CHRISTMAS TREE, FLOWERS, CHOCOLATES & CARDS RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 DUE TO/FROM INTERUNIT 32413 32413 X 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 DEKALB MEMORIAL HOSPITAL INC 1316 E 7TH ST AUBURN IN 467062515 351064295 501(C)(3) 5326 230 OTHER CHRISTMAS TREE, FLOWERS, CHOCOLATES & CARDS HOSPITAL PROGRAMS 1 0 PART I, LINE 2: HOSPITAL FUNDING: HOSPITAL DEPARTMENTS COMPLETE FUNDING REQUEST FORMS THAT ARE RETURNED TO THE FOUNDATION. UPON COMPLETION OF THE PROJECT, THE DEPARTMENT SUBMITS A REIMBURSEMENT REQUEST ALONG WITH AN ATTACHED PURCHASE ORDER OR RECEIPT FOR SUPPLIES. BASED UPON THE ORGANIZATION'S AUTHORITY TO ACT POLICY, APPROVALS ARE MADE BY THE FOUNDATION DIRECTOR AND FOUNDATION BOARD. 1 1 0 0 0 0 0 0 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 DENA JACQUAY DIRECTOR/PH CHIEF ADMIN OFFICER 0 648964 0 217050 0 42019 0 239919 0 45076 0 1193028 0 39944 BENJAMIN MILES FORMER OFFICER/CURRENT HPS PRESIDENT 0 64367 0 0 0 518297 0 1948 0 4245 0 588857 0 242356 NATASHA EICHER DIRECTOR/DMHOS PRESIDENT 0 222868 0 92054 0 27975 0 62741 0 37668 0 443306 0 6634 KARRA HEGGEN DIRECTOR/DMHOS VP PATIENT CARE SVCS 0 196331 0 64404 0 24856 0 19772 0 16389 0 321752 0 0 PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARKVIEW DEKALB HOSPITAL FOUNDATION, 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, LINES 4A-B SEVERANCE PAYMENT BENJAMIN MILES $275,656 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): NATASHA EICHER $6,634; DENA JACQUAY $39,944; BENJAMIN MILES $242,356; MICHAEL PACKNETT $577,374; JEANNE' WICKENS $70,644 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 OVER MORE THAN 10 YEARS AS THE AMOUNTS WERE DEFERRED UNDER THE PLANS. AS SUCH, THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) IS AN INDICATION OF AMOUNTS THAT HAVE BEEN REPORTED TWICE, ONCE AS A DEFERRAL AND ONCE AS VESTED. THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME SET FORTH IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: NATASHA EICHER $41,391; DENA JACQUAY $203,319; MICHAEL PACKNETT $268,732; JEANNE' WICKENS $303,865 FORM 990, PART V, LINES 1A, 1B AND 2A: PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384 IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, PARKVIEW DEKALB HOSPITAL FOUNDATION, INC., EIN 35-6047817. 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, 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, 1B, AND 2A, THE NUMBER REPORTED FOR THE PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. WAS 0 AND 0 RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF: THE CHAIR; THE VICE-CHAIR; THE CHIEF ADMINISTRATIVE OFFICER; THE CHIEF ADMINISTRATIVE OFFICER OF PARKVIEW FOUNDATION, INC.; THE PRESIDENT OF DMH; AND SUCH OTHER PERSONS AS IDENTIFIED BY THE CHAIR, EACH OF WHOM SHALL BE ENTITLED TO VOTE. IN NO EVENT SHALL THE MEMBERS OF THE EXECUTIVE COMMITTEE EXCEED EIGHT (8) PEOPLE. THE CHAIR SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIR OR BY THREE (3) EXECUTIVE COMMITTEE MEMBERS. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE BOARD IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR ITS RATIFICATION OF ITS ACTION, EXCEPT IN ACCORD WITH ACT SECTION 23-17-15-6 THE EXECUTIVE COMMITTEE MAY NOT: (A) AUTHORIZE DISTRIBUTIONS; (B) APPROVE OR RECOMMEND TO THE MEMBERS ACTION REQUIRED TO BE APPROVED BY THE MEMBER UNDER THE ACT; (C) FILL VACANCIES ON THE BOARD OR ON A COMMITTEE; OR (D) ADOPT, AMEND, OR REPEAL BYLAWS FOR THE CORPORATION. FORM 990, PART VI, SECTION A, LINE 2 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, DEKALB MEMORIAL HOSPITAL, INC. EIN 35-1064295 IS THE SOLE MEMBER OF PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. WITH CERTAIN RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBER SHALL HAVE AS RESERVED POWERS THE POWER TO: (1) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION, 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 AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (2) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (3) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION, WHERE APPROPRIATE; (4) APPROVE THOSE TRANSFERS OF ASSETS BY THE CORPORATION, WHETHER BY SALE OR GIFT, WHERE THE ASSET BEING TRANSFERRED IS AN INTEREST IN REAL PROPERTY OR IS AN OPERATING ASSET OF THE CORPORATION, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS; (5) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, AND REQUIRE PARTICIPATION BY THE CORPORATION IN SUCH ARRANGEMENTS; AND (6) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES, TO MAINTAIN TAX-EXEMPT STATUS, OR TO PREVENT SIGNIFICANT, ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR THE MEMBER. THE MEMBER SHALL FROM TIME TO TIME DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7B SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION B, LINE 11B PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. PARKVIEW DEKALB HOSPITAL FOUNDATION, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY, PRIOR TO FILING WITH THE IRS. ON OCTOBER 24, 2023, THE SYSTEM AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES. FORM 990, PART VI, SECTION B, LINE 12C AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL." FORM 990, PART VI, SECTION B, LINE 15 LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. TO THE EXTENT THAT THE ORGANIZATION HAS 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. 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