﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xsi:schemaLocation="http://www.irs.gov/efile" returnVersion="2023v5.1">
  <ReturnHeader binaryAttachmentCnt="0">
    <ReturnTs>2024-11-05T11:27:02-06:00</ReturnTs>
    <TaxPeriodEndDt>2023-12-31</TaxPeriodEndDt>
    <PreparerFirmGrp>
      <PreparerFirmEIN>350921680</PreparerFirmEIN>
      <PreparerFirmName>
        <BusinessNameLine1Txt>CROWE LLP</BusinessNameLine1Txt>
      </PreparerFirmName>
      <PreparerUSAddress>
        <AddressLine1Txt>401 E LAS OLAS BLVD SUITE 1100</AddressLine1Txt>
        <CityNm>FORT LAUDERDALE</CityNm>
        <StateAbbreviationCd>FL</StateAbbreviationCd>
        <ZIPCd>33301</ZIPCd>
      </PreparerUSAddress>
    </PreparerFirmGrp>
    <ReturnTypeCd>990</ReturnTypeCd>
    <TaxPeriodBeginDt>2023-01-01</TaxPeriodBeginDt>
    <Filer>
      <EIN>351135451</EIN>
      <BusinessName>
        <BusinessNameLine1Txt>PARK CENTER INC</BusinessNameLine1Txt>
      </BusinessName>
      <BusinessNameControlTxt>PARK</BusinessNameControlTxt>
      <PhoneNum>2603738429</PhoneNum>
      <USAddress>
        <AddressLine1Txt>909 E STATE BLVD</AddressLine1Txt>
        <CityNm>FORT WAYNE</CityNm>
        <StateAbbreviationCd>IN</StateAbbreviationCd>
        <ZIPCd>468053404</ZIPCd>
      </USAddress>
    </Filer>
    <BusinessOfficerGrp>
      <PersonNm>STANTON RISSER</PersonNm>
      <PersonTitleTxt>PH ASSOCIATE CFO</PersonTitleTxt>
      <PhoneNum>2602669380</PhoneNum>
      <SignatureDt>2024-11-05</SignatureDt>
      <DiscussWithPaidPreparerInd>1</DiscussWithPaidPreparerInd>
    </BusinessOfficerGrp>
    <IRSResponsiblePrtyInfoCurrInd>1</IRSResponsiblePrtyInfoCurrInd>
    <PreparerPersonGrp>
      <PreparerPersonNm>BRITTNEY KOCAJ</PreparerPersonNm>
      <PTIN>P01320603</PTIN>
      <PhoneNum>9542028600</PhoneNum>
    </PreparerPersonGrp>
    <TaxYr>2023</TaxYr>
    <BuildTS>2024-10-15 13:58:12Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCnt="9">
    <IRS990 documentId="RetDoc1038000001" referenceDocumentId="RetDoc1044400001">
      <PrincipalOfficerNm>GREG JOHNSON</PrincipalOfficerNm>
      <USAddress>
        <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
        <CityNm>FORT WAYNE</CityNm>
        <StateAbbreviationCd>IN</StateAbbreviationCd>
        <ZIPCd>46808</ZIPCd>
      </USAddress>
      <GrossReceiptsAmt>47876413</GrossReceiptsAmt>
      <GroupReturnForAffiliatesInd>0</GroupReturnForAffiliatesInd>
      <Organization501c3Ind>X</Organization501c3Ind>
      <WebsiteAddressTxt>WWW.PARKVIEW.COM</WebsiteAddressTxt>
      <TypeOfOrganizationCorpInd>X</TypeOfOrganizationCorpInd>
      <FormationYr>1967</FormationYr>
      <LegalDomicileStateCd>IN</LegalDomicileStateCd>
      <ActivityOrMissionDesc>PARK CENTER, INC.'S MISSION IS TO RESTORE LIVES. BY PARTNERING WITH CONSUMERS, WE STRIVE TO SUPPORT AND FACILITATE THEIR JOURNEY TOWARD HEALTH.</ActivityOrMissionDesc>
      <VotingMembersGoverningBodyCnt>11</VotingMembersGoverningBodyCnt>
      <VotingMembersIndependentCnt>9</VotingMembersIndependentCnt>
      <TotalEmployeeCnt>416</TotalEmployeeCnt>
      <TotalVolunteersCnt>8</TotalVolunteersCnt>
      <TotalGrossUBIAmt>0</TotalGrossUBIAmt>
      <NetUnrelatedBusTxblIncmAmt>0</NetUnrelatedBusTxblIncmAmt>
      <PYContributionsGrantsAmt>10504843</PYContributionsGrantsAmt>
      <CYContributionsGrantsAmt>9570596</CYContributionsGrantsAmt>
      <PYProgramServiceRevenueAmt>32323041</PYProgramServiceRevenueAmt>
      <CYProgramServiceRevenueAmt>38071228</CYProgramServiceRevenueAmt>
      <PYInvestmentIncomeAmt>2639364</PYInvestmentIncomeAmt>
      <CYInvestmentIncomeAmt>-1521</CYInvestmentIncomeAmt>
      <PYOtherRevenueAmt>274370</PYOtherRevenueAmt>
      <CYOtherRevenueAmt>53951</CYOtherRevenueAmt>
      <PYTotalRevenueAmt>45741618</PYTotalRevenueAmt>
      <CYTotalRevenueAmt>47694254</CYTotalRevenueAmt>
      <PYGrantsAndSimilarPaidAmt>0</PYGrantsAndSimilarPaidAmt>
      <CYGrantsAndSimilarPaidAmt>4357</CYGrantsAndSimilarPaidAmt>
      <PYBenefitsPaidToMembersAmt>0</PYBenefitsPaidToMembersAmt>
      <CYBenefitsPaidToMembersAmt>0</CYBenefitsPaidToMembersAmt>
      <PYSalariesCompEmpBnftPaidAmt>26192518</PYSalariesCompEmpBnftPaidAmt>
      <CYSalariesCompEmpBnftPaidAmt>27924556</CYSalariesCompEmpBnftPaidAmt>
      <PYTotalProfFndrsngExpnsAmt>0</PYTotalProfFndrsngExpnsAmt>
      <CYTotalProfFndrsngExpnsAmt>0</CYTotalProfFndrsngExpnsAmt>
      <CYTotalFundraisingExpenseAmt>0</CYTotalFundraisingExpenseAmt>
      <PYOtherExpensesAmt>17200780</PYOtherExpensesAmt>
      <CYOtherExpensesAmt>15411433</CYOtherExpensesAmt>
      <PYTotalExpensesAmt>43393298</PYTotalExpensesAmt>
      <CYTotalExpensesAmt>43340346</CYTotalExpensesAmt>
      <PYRevenuesLessExpensesAmt>2348320</PYRevenuesLessExpensesAmt>
      <CYRevenuesLessExpensesAmt>4353908</CYRevenuesLessExpensesAmt>
      <TotalAssetsBOYAmt>24494855</TotalAssetsBOYAmt>
      <TotalAssetsEOYAmt>32147650</TotalAssetsEOYAmt>
      <TotalLiabilitiesBOYAmt>11468696</TotalLiabilitiesBOYAmt>
      <TotalLiabilitiesEOYAmt>14763130</TotalLiabilitiesEOYAmt>
      <NetAssetsOrFundBalancesBOYAmt>13026159</NetAssetsOrFundBalancesBOYAmt>
      <NetAssetsOrFundBalancesEOYAmt>17384520</NetAssetsOrFundBalancesEOYAmt>
      <InfoInScheduleOPartIIIInd>X</InfoInScheduleOPartIIIInd>
      <MissionDesc>PARK CENTER, INC.'S MISSION IS TO RESTORE LIVES. BY PARTNERING WITH CONSUMERS, WE STRIVE TO SUPPORT AND FACILITATE THEIR JOURNEY TOWARD HEALTH.(SEE SCHEDULE O FOR CONTINUATION)PARK CENTER'S VISION IS A COMMUNITY WHERE:- BEHAVIORAL HEALTH CHALLENGES ARE NO LONGER IN THE SHADOWS,- PEOPLE WHO EXPERIENCE THE PAIN OF A BEHAVIORAL HEALTH ISSUE HAVE EASY ACCESS TO EFFECTIVE CARE,- THE BURDEN OF UNADDRESSED BEHAVIORAL HEALTH CHALLENGES NO LONGER REDUCE THE PRODUCTIVITY AND VIBRANCY OF OUR COMMUNITY, AND- PARK CENTER IS RECOGNIZED AS A VITAL CONTRIBUTOR TO THIS NEW REALITY.</MissionDesc>
      <SignificantNewProgramSrvcInd>0</SignificantNewProgramSrvcInd>
      <SignificantChangeInd>0</SignificantChangeInd>
      <ExpenseAmt>33412871</ExpenseAmt>
      <GrantAmt>4357</GrantAmt>
      <RevenueAmt>38071228</RevenueAmt>
      <Desc>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, INC., WE OFFER A COMPREHENSIVE SELECTION OF SERVICES IN THE PROFESSIONAL SETTING YOU EXPECT, WHILE TAILORING TREATMENTS TO ACHIEVE THE PERSONAL CARE YOU DESERVE.IN 2023, PARK CENTER, INC. EXPANDED INTENSIVE OUTPATIENT (IOP) PROGRAMMING. AN ADDITIONAL 6 IOPS WERE ADDED TO PARK CENTER'S PROGRAMMING IN 2023, BRINGING THE TOTAL NUMBER OF IOPS OFFERED TO 18.(SEE SCHEDULE O FOR CONTINUATION)SPECIALIZED IOPS TO SERVE THE COMMUNITY IN A ROBUST MANNER WERE ADDED TO PROGRAMMING, INCLUDING WOMEN'S TRAUMA, ANXIETY AND OBSESSIVE-COMPULSIVE DISORDER, ADOLESCENT SUBSTANCE USE, AND THOUGH/PSYCHOTIC DISORDERS. THIS RESULTED IN OVER 4,000 ADDITIONAL IOP BILLED DAYS IN 2023. DURING 2023, PARK CENTER, INC. CONTINUED IMPROVEMENT WORK FOR ACCESS TO OUTPATIENT SERVICES BY CONTINUING TO STREAMLINE THE ASSESSMENT MODEL. PARK CENTER, INC. ALSO HAS WALK-IN ACCESS MONDAY THROUGH FRIDAY FOR CLIENTS TO RECEIVE CRISIS CARE WITHOUT WAITING AND WALK-IN WEDNESDAYS FOR URGENT MEDICATION FOLLOW-UP APPOINTMENTS FOR EXISTING PATIENTS. ADDITIONALLY, PARK CENTER CONTINUES TO FOCUS ON DEVELOPMENT OF THERAPY GROUPS FOR CLIENTS REGARDING MENTAL HEALTH, TRAUMA, SUBSTANCE ABUSE, AND DIALECTICAL BEHAVIOR THERAPY (DBT). ANOTHER ACCOMPLISHMENT IN 2023 WAS THE CONTINUED EXPANSION OF THE MOBILE CRISIS TEAM (SOS) TO ADDRESS 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 NURSE PRACTITIONERS, 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), MEDICATION ASSISTED TREATMENT (MAT) FOR OPIOID USE DISORDER, EATING DISORDERS, AND INTENSIVE OUTPATIENT (IOP). SERVICES ARE AVAILABLE TO INDIVIDUALS ACROSS THE LIFESPAN. PARK CENTER, INC. OFFERS COMMUNITY-BASED SERVICES IN ALLEN, ADAMS, HUNTINGTON, WHITLEY AND WELLS COUNTIES. THESE SERVICES ARE AVAILABLE BASED 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 SUBSTANCE USE NEEDS. PARK CENTER, INC. ALSO HAS A RESIDENTIAL ADDICTIONS PROGRAM FOR INDIVIDUALS, INCLUDING THOSE 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.FINANCIAL POLICY:PARK CENTER, INC. IS COMMITTED TO MAKING HEALTHCARE ACCESSIBLE TO THOSE WHO NEED IT, REGARDLESS OF THEIR HEALTH STATUS OR ABILITY TO PAY. WITH OUR FINANCIAL ASSISTANCE, PATIENTS CAN RECEIVE THE PARKVIEW CARE THEY EXPECT - NO MATTER WHAT MEDICAL OBSTACLES THEY MIGHT FACE. OUR FINANCIAL ASSISTANCE SERVICES INCLUDE: 1) USING FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES, INCLUDING CHARITABLE CARE AND FINANCIAL ASSISTANCE POLICIES AND A STANDARD APPLICATION PROCESS; 2) PROVIDING EXTENDED PAYMENT PLAN OPTIONS; AND 3) PROVIDING EMERGENCY CARE, REGARDLESS OF ABILITY TO PAY.COMMUNITY BENEFIT: PARK CENTER, INC.'S COMMITMENT TO IMPROVING HEALTH AND INSPIRING WELL-BEING EXTENDS BEYOND THE HOSPITAL WALLS AND THROUGHOUT NORTHEAST INDIANA. THROUGH PARKVIEW'S COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM, PARK CENTER, INC. COLLABORATES WITH OTHERS INSIDE AND OUTSIDE THE HEALTH SYSTEM WHO SHARE PARKVIEW'S MISSION AND VALUES. FUNDED BY A PERCENTAGE OF PARKVIEW'S NET OPERATING SURPLUS, CHI STRATEGICALLY REINVESTS DOLLARS INTO COMMUNITY ORGANIZATIONS AND INITIATIVES THAT ADDRESS THE GREATEST HEALTH NEEDS OUTLINED BY THE HOSPITALS MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BASED ON THE 2022 CHNA RESULTS, THE TOP THREE HEALTH CONCERNS FOR PARK CENTER, INC. ARE MOOD DISORDERS, CHILDHOOD TRAUMA AND SUBSTANCE USE/ABUSE. BASED UPON THESE RESULTS, PARK CENTER, INC. CREATES AN IMPLEMENTATION STRATEGY THAT SERVES AS AN IN-DEPTH PLAN DEFINING HOW WE PLAN TO ADDRESS EACH IDENTIFIED HEALTH NEED.</Desc>
      <TotalProgramServiceExpensesAmt>33412871</TotalProgramServiceExpensesAmt>
      <DescribedInSection501c3Ind referenceDocumentId="RetDoc1039100001">1</DescribedInSection501c3Ind>
      <ScheduleBRequiredInd referenceDocumentId="RetDoc1234500001">1</ScheduleBRequiredInd>
      <PoliticalCampaignActyInd referenceDocumentId="RetDoc1039700001">0</PoliticalCampaignActyInd>
      <LobbyingActivitiesInd referenceDocumentId="RetDoc1039700001">1</LobbyingActivitiesInd>
      <SubjectToProxyTaxInd referenceDocumentId="RetDoc1039700001">0</SubjectToProxyTaxInd>
      <DonorAdvisedFundInd referenceDocumentId="RetDoc1040000001">0</DonorAdvisedFundInd>
      <ConservationEasementsInd referenceDocumentId="RetDoc1040000001">0</ConservationEasementsInd>
      <CollectionsOfArtInd referenceDocumentId="RetDoc1040000001">0</CollectionsOfArtInd>
      <CreditCounselingInd referenceDocumentId="RetDoc1040000001">1</CreditCounselingInd>
      <DonorRstrOrQuasiEndowmentsInd>0</DonorRstrOrQuasiEndowmentsInd>
      <ReportLandBuildingEquipmentInd referenceDocumentId="RetDoc1040000001">1</ReportLandBuildingEquipmentInd>
      <ReportInvestmentsOtherSecInd referenceDocumentId="RetDoc1040000001">0</ReportInvestmentsOtherSecInd>
      <ReportProgramRelatedInvstInd referenceDocumentId="RetDoc1040000001">0</ReportProgramRelatedInvstInd>
      <ReportOtherAssetsInd referenceDocumentId="RetDoc1040000001">0</ReportOtherAssetsInd>
      <ReportOtherLiabilitiesInd referenceDocumentId="RetDoc1040000001">1</ReportOtherLiabilitiesInd>
      <IncludeFIN48FootnoteInd referenceDocumentId="RetDoc1040000001">1</IncludeFIN48FootnoteInd>
      <IndependentAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">0</IndependentAuditFinclStmtInd>
      <ConsolidatedAuditFinclStmtInd referenceDocumentId="RetDoc1040000001">1</ConsolidatedAuditFinclStmtInd>
      <SchoolOperatingInd>0</SchoolOperatingInd>
      <ForeignOfficeInd>0</ForeignOfficeInd>
      <ForeignActivitiesInd>0</ForeignActivitiesInd>
      <MoreThan5000KToOrgInd>0</MoreThan5000KToOrgInd>
      <MoreThan5000KToIndividualsInd>0</MoreThan5000KToIndividualsInd>
      <ProfessionalFundraisingInd>0</ProfessionalFundraisingInd>
      <FundraisingActivitiesInd>0</FundraisingActivitiesInd>
      <GamingActivitiesInd>0</GamingActivitiesInd>
      <OperateHospitalInd referenceDocumentId="RetDoc1041500001">1</OperateHospitalInd>
      <AuditedFinancialStmtAttInd referenceDocumentId="RetDoc2317200001">1</AuditedFinancialStmtAttInd>
      <GrantsToOrganizationsInd>0</GrantsToOrganizationsInd>
      <GrantsToIndividualsInd>0</GrantsToIndividualsInd>
      <ScheduleJRequiredInd referenceDocumentId="RetDoc1042400001">1</ScheduleJRequiredInd>
      <TaxExemptBondsInd>0</TaxExemptBondsInd>
      <EngagedInExcessBenefitTransInd>0</EngagedInExcessBenefitTransInd>
      <PYExcessBenefitTransInd>0</PYExcessBenefitTransInd>
      <LoanOutstandingInd>0</LoanOutstandingInd>
      <GrantToRelatedPersonInd>0</GrantToRelatedPersonInd>
      <BusinessRlnWithOrgMemInd>0</BusinessRlnWithOrgMemInd>
      <BusinessRlnWithFamMemInd>0</BusinessRlnWithFamMemInd>
      <BusinessRlnWith35CtrlEntInd>0</BusinessRlnWith35CtrlEntInd>
      <DeductibleNonCashContriInd>0</DeductibleNonCashContriInd>
      <DeductibleArtContributionInd>0</DeductibleArtContributionInd>
      <TerminateOperationsInd>0</TerminateOperationsInd>
      <PartialLiquidationInd>0</PartialLiquidationInd>
      <DisregardedEntityInd referenceDocumentId="RetDoc1043400001">0</DisregardedEntityInd>
      <RelatedEntityInd referenceDocumentId="RetDoc1043400001">1</RelatedEntityInd>
      <RelatedOrganizationCtrlEntInd>1</RelatedOrganizationCtrlEntInd>
      <TransactionWithControlEntInd referenceDocumentId="RetDoc1043400001">0</TransactionWithControlEntInd>
      <TrnsfrExmptNonChrtblRltdOrgInd referenceDocumentId="RetDoc1043400001">0</TrnsfrExmptNonChrtblRltdOrgInd>
      <ActivitiesConductedPrtshpInd referenceDocumentId="RetDoc1043400001">0</ActivitiesConductedPrtshpInd>
      <ScheduleORequiredInd>1</ScheduleORequiredInd>
      <InfoInScheduleOPartVInd>X</InfoInScheduleOPartVInd>
      <IRPDocumentCnt>30</IRPDocumentCnt>
      <IRPDocumentW2GCnt>0</IRPDocumentW2GCnt>
      <BackupWthldComplianceInd>1</BackupWthldComplianceInd>
      <EmployeeCnt>416</EmployeeCnt>
      <EmploymentTaxReturnsFiledInd>1</EmploymentTaxReturnsFiledInd>
      <UnrelatedBusIncmOverLimitInd>0</UnrelatedBusIncmOverLimitInd>
      <ForeignFinancialAccountInd>0</ForeignFinancialAccountInd>
      <ProhibitedTaxShelterTransInd>0</ProhibitedTaxShelterTransInd>
      <TaxablePartyNotificationInd>0</TaxablePartyNotificationInd>
      <NondeductibleContributionsInd>0</NondeductibleContributionsInd>
      <QuidProQuoContributionsInd>0</QuidProQuoContributionsInd>
      <Form8282PropertyDisposedOfInd>0</Form8282PropertyDisposedOfInd>
      <RcvFndsToPayPrsnlBnftCntrctInd>0</RcvFndsToPayPrsnlBnftCntrctInd>
      <PayPremiumsPrsnlBnftCntrctInd>0</PayPremiumsPrsnlBnftCntrctInd>
      <IndoorTanningServicesInd>0</IndoorTanningServicesInd>
      <SubjToTaxRmnrtnExPrchtPymtInd>0</SubjToTaxRmnrtnExPrchtPymtInd>
      <SubjectToExcsTaxNetInvstIncInd>0</SubjectToExcsTaxNetInvstIncInd>
      <InfoInScheduleOPartVIInd>X</InfoInScheduleOPartVIInd>
      <GoverningBodyVotingMembersCnt>11</GoverningBodyVotingMembersCnt>
      <IndependentVotingMemberCnt>9</IndependentVotingMemberCnt>
      <FamilyOrBusinessRlnInd>0</FamilyOrBusinessRlnInd>
      <DelegationOfMgmtDutiesInd>0</DelegationOfMgmtDutiesInd>
      <ChangeToOrgDocumentsInd>0</ChangeToOrgDocumentsInd>
      <MaterialDiversionOrMisuseInd>0</MaterialDiversionOrMisuseInd>
      <MembersOrStockholdersInd>1</MembersOrStockholdersInd>
      <ElectionOfBoardMembersInd>1</ElectionOfBoardMembersInd>
      <DecisionsSubjectToApprovaInd>1</DecisionsSubjectToApprovaInd>
      <MinutesOfGoverningBodyInd>1</MinutesOfGoverningBodyInd>
      <MinutesOfCommitteesInd>1</MinutesOfCommitteesInd>
      <OfficerMailingAddressInd>0</OfficerMailingAddressInd>
      <LocalChaptersInd>0</LocalChaptersInd>
      <Form990ProvidedToGvrnBodyInd>1</Form990ProvidedToGvrnBodyInd>
      <ConflictOfInterestPolicyInd>1</ConflictOfInterestPolicyInd>
      <AnnualDisclosureCoveredPrsnInd>1</AnnualDisclosureCoveredPrsnInd>
      <RegularMonitoringEnfrcInd>1</RegularMonitoringEnfrcInd>
      <WhistleblowerPolicyInd>1</WhistleblowerPolicyInd>
      <DocumentRetentionPolicyInd>1</DocumentRetentionPolicyInd>
      <CompensationProcessCEOInd>0</CompensationProcessCEOInd>
      <CompensationProcessOtherInd>0</CompensationProcessOtherInd>
      <InvestmentInJointVentureInd>0</InvestmentInJointVentureInd>
      <StatesWhereCopyOfReturnIsFldCd>IN</StatesWhereCopyOfReturnIsFldCd>
      <UponRequestInd>X</UponRequestInd>
      <BooksInCareOfDetail>
        <BusinessName>
          <BusinessNameLine1Txt>STANTON RISSER</BusinessNameLine1Txt>
        </BusinessName>
        <PhoneNum>2602669380</PhoneNum>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
      </BooksInCareOfDetail>
      <Form990PartVIISectionAGrp>
        <PersonNm>GREG JOHNSON</PersonNm>
        <TitleTxt>DIRECTOR/REGIONAL MARKET PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>888491</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>189006</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CHARLES CLARK</PersonNm>
        <TitleTxt>DIRECTOR/PARTIAL YR/BHI PRESIDENT</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>332674</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>67276</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>GARY ZWIERZYNSKI</PersonNm>
        <TitleTxt>DIRECTOR/PARTIAL YR/SEC/TREAS</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>412473</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24652</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>AHSAN MAHMOOD</PersonNm>
        <TitleTxt>DIRECTOR/PHYSICIAN EXEC PBH SVC LINE</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>437455</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>52520</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RICHARD ROBINSON</PersonNm>
        <TitleTxt>DIRECTOR/CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>4500</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>THERESA BROWN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEREMY BROWN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>WENDY DAVIS</PersonNm>
        <TitleTxt>DIRECTOR/VICE CHAIR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TRAVIS FRIEND</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIM GALL</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>STEVEN MANNING</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JULIE MEITZLER</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANGELA STEWART-MARTIN</PersonNm>
        <TitleTxt>DIRECTOR</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <IndividualTrusteeOrDirectorInd>X</IndividualTrusteeOrDirectorInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>0</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>0</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>JEANNE' WICKENS</PersonNm>
        <TitleTxt>PH CHIEF FINANCIAL OFFICER</TitleTxt>
        <AverageHoursPerWeekRt>1.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>39.00</AverageHoursPerWeekRltdOrgRt>
        <OfficerInd>X</OfficerInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>2165508</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>277888</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>TIMOTHY KOWALESKI</PersonNm>
        <TitleTxt>PARKC PSYCHIATRIST</TitleTxt>
        <AverageHoursPerWeekRt>21.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>19.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>225415</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>196803</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>54175</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>ANDREA NAAUM</PersonNm>
        <TitleTxt>PARKC PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>21.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>19.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>195599</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>163261</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>38866</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>CONNIE KERRIGAN</PersonNm>
        <TitleTxt>PARKC COMM SUPPT SVCS DIR</TitleTxt>
        <AverageHoursPerWeekRt>39.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>1.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>176841</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>3089</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24991</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>RONALD PANCNER</PersonNm>
        <TitleTxt>PARKC PHYSICIAN</TitleTxt>
        <AverageHoursPerWeekRt>24.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>16.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>104534</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>69111</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>10419</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>SHERRI ALBERTSON</PersonNm>
        <TitleTxt>PARKC NURSE PRACTITIONER</TitleTxt>
        <AverageHoursPerWeekRt>19.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>21.00</AverageHoursPerWeekRltdOrgRt>
        <HighestCompensatedEmployeeInd>X</HighestCompensatedEmployeeInd>
        <ReportableCompFromOrgAmt>78506</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>78607</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>24059</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <Form990PartVIISectionAGrp>
        <PersonNm>MICHAEL PACKNETT</PersonNm>
        <TitleTxt>FORMER OFFICER/RETIRED PH CEO</TitleTxt>
        <AverageHoursPerWeekRt>0.00</AverageHoursPerWeekRt>
        <AverageHoursPerWeekRltdOrgRt>0.00</AverageHoursPerWeekRltdOrgRt>
        <FormerOfcrDirectorTrusteeInd>X</FormerOfcrDirectorTrusteeInd>
        <ReportableCompFromOrgAmt>0</ReportableCompFromOrgAmt>
        <ReportableCompFromRltdOrgAmt>5034209</ReportableCompFromRltdOrgAmt>
        <OtherCompensationAmt>29253</OtherCompensationAmt>
      </Form990PartVIISectionAGrp>
      <TotalReportableCompFromOrgAmt>780895</TotalReportableCompFromOrgAmt>
      <TotReportableCompRltdOrgAmt>9786181</TotReportableCompRltdOrgAmt>
      <TotalOtherCompensationAmt>793105</TotalOtherCompensationAmt>
      <IndivRcvdGreaterThan100KCnt>25</IndivRcvdGreaterThan100KCnt>
      <FormerOfcrEmployeesListedInd>1</FormerOfcrEmployeesListedInd>
      <TotalCompGreaterThan150KInd>1</TotalCompGreaterThan150KInd>
      <CompensationFromOtherSrcsInd>0</CompensationFromOtherSrcsInd>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>FOCUSONE SOLUTIONS LLC</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>13609 CALIFORNIA STREET</AddressLine1Txt>
            <CityNm>OMAHA</CityNm>
            <StateAbbreviationCd>NE</StateAbbreviationCd>
            <ZIPCd>68154</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>MEDICAL PERSONNEL</ServicesDesc>
        <CompensationAmt>459580</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>EXECUTIVE MANAGEMENT SERVICES</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 31355</AddressLine1Txt>
            <CityNm>SALT LAKE CITY</CityNm>
            <StateAbbreviationCd>UT</StateAbbreviationCd>
            <ZIPCd>84131</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>CLEANING SERVICES</ServicesDesc>
        <CompensationAmt>273596</CompensationAmt>
      </ContractorCompensationGrp>
      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>REDWOOD TOXICOLOGY LABORATORY</BusinessNameLine1Txt>
          </BusinessName>
        </ContractorName>
        <ContractorAddress>
          <USAddress>
            <AddressLine1Txt>PO BOX 5680</AddressLine1Txt>
            <CityNm>SANTA ROSE</CityNm>
            <StateAbbreviationCd>CA</StateAbbreviationCd>
            <ZIPCd>95402</ZIPCd>
          </USAddress>
        </ContractorAddress>
        <ServicesDesc>LABORATORY SERVICES</ServicesDesc>
        <CompensationAmt>127253</CompensationAmt>
      </ContractorCompensationGrp>
      <CntrctRcvdGreaterThan100KCnt>3</CntrctRcvdGreaterThan100KCnt>
      <GovernmentGrantsAmt>9570574</GovernmentGrantsAmt>
      <AllOtherContributionsAmt>22</AllOtherContributionsAmt>
      <TotalContributionsAmt>9570596</TotalContributionsAmt>
      <ProgramServiceRevenueGrp>
        <Desc>NET PATIENT SERVICE REVENUE</Desc>
        <BusinessCd>621300</BusinessCd>
        <TotalRevenueColumnAmt>37939988</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>37939988</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>CLINICAL SUPPORT</Desc>
        <BusinessCd>561499</BusinessCd>
        <TotalRevenueColumnAmt>91022</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>91022</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <ProgramServiceRevenueGrp>
        <Desc>INTERUNIT RENT</Desc>
        <BusinessCd>531120</BusinessCd>
        <TotalRevenueColumnAmt>40218</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>40218</RelatedOrExemptFuncIncomeAmt>
      </ProgramServiceRevenueGrp>
      <TotalProgramServiceRevenueAmt>38071228</TotalProgramServiceRevenueAmt>
      <GrossRentsGrp>
        <RealAmt>234589</RealAmt>
      </GrossRentsGrp>
      <LessRentalExpensesGrp>
        <RealAmt>180638</RealAmt>
      </LessRentalExpensesGrp>
      <RentalIncomeOrLossGrp>
        <RealAmt>53951</RealAmt>
      </RentalIncomeOrLossGrp>
      <NetRentalIncomeOrLossGrp>
        <TotalRevenueColumnAmt>53951</TotalRevenueColumnAmt>
        <ExclusionAmt>53951</ExclusionAmt>
      </NetRentalIncomeOrLossGrp>
      <LessCostOthBasisSalesExpnssGrp>
        <OtherAmt>1521</OtherAmt>
      </LessCostOthBasisSalesExpnssGrp>
      <GainOrLossGrp>
        <OtherAmt>-1521</OtherAmt>
      </GainOrLossGrp>
      <NetGainOrLossInvestmentsGrp>
        <TotalRevenueColumnAmt>-1521</TotalRevenueColumnAmt>
        <ExclusionAmt>-1521</ExclusionAmt>
      </NetGainOrLossInvestmentsGrp>
      <TotalRevenueGrp>
        <TotalRevenueColumnAmt>47694254</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>38071228</RelatedOrExemptFuncIncomeAmt>
        <UnrelatedBusinessRevenueAmt>0</UnrelatedBusinessRevenueAmt>
        <ExclusionAmt>52430</ExclusionAmt>
      </TotalRevenueGrp>
      <GrantsToDomesticOrgsGrp>
        <TotalAmt>4357</TotalAmt>
        <ProgramServicesAmt>4357</ProgramServicesAmt>
      </GrantsToDomesticOrgsGrp>
      <OtherSalariesAndWagesGrp>
        <TotalAmt>21303967</TotalAmt>
        <ProgramServicesAmt>21303967</ProgramServicesAmt>
      </OtherSalariesAndWagesGrp>
      <OtherEmployeeBenefitsGrp>
        <TotalAmt>6620589</TotalAmt>
        <ProgramServicesAmt>6620589</ProgramServicesAmt>
      </OtherEmployeeBenefitsGrp>
      <FeesForServicesLegalGrp>
        <TotalAmt>22076</TotalAmt>
        <ManagementAndGeneralAmt>22076</ManagementAndGeneralAmt>
      </FeesForServicesLegalGrp>
      <FeesForServicesOtherGrp>
        <TotalAmt>733451</TotalAmt>
        <ProgramServicesAmt>718692</ProgramServicesAmt>
        <ManagementAndGeneralAmt>14759</ManagementAndGeneralAmt>
      </FeesForServicesOtherGrp>
      <OfficeExpensesGrp>
        <TotalAmt>1200042</TotalAmt>
        <ProgramServicesAmt>1046801</ProgramServicesAmt>
        <ManagementAndGeneralAmt>153241</ManagementAndGeneralAmt>
      </OfficeExpensesGrp>
      <OccupancyGrp>
        <TotalAmt>1859857</TotalAmt>
        <ProgramServicesAmt>1742697</ProgramServicesAmt>
        <ManagementAndGeneralAmt>117160</ManagementAndGeneralAmt>
      </OccupancyGrp>
      <TravelGrp>
        <TotalAmt>255188</TotalAmt>
        <ProgramServicesAmt>227490</ProgramServicesAmt>
        <ManagementAndGeneralAmt>27698</ManagementAndGeneralAmt>
      </TravelGrp>
      <ConferencesMeetingsGrp>
        <TotalAmt>37353</TotalAmt>
        <ProgramServicesAmt>33138</ProgramServicesAmt>
        <ManagementAndGeneralAmt>4215</ManagementAndGeneralAmt>
      </ConferencesMeetingsGrp>
      <InterestGrp>
        <TotalAmt>163518</TotalAmt>
        <ProgramServicesAmt>163518</ProgramServicesAmt>
      </InterestGrp>
      <DepreciationDepletionGrp>
        <TotalAmt>492834</TotalAmt>
        <ProgramServicesAmt>407342</ProgramServicesAmt>
        <ManagementAndGeneralAmt>85492</ManagementAndGeneralAmt>
      </DepreciationDepletionGrp>
      <InsuranceGrp>
        <TotalAmt>43734</TotalAmt>
        <ProgramServicesAmt>43734</ProgramServicesAmt>
      </InsuranceGrp>
      <OtherExpensesGrp>
        <Desc>CORPORATE SERVICE ALLOC</Desc>
        <TotalAmt>9452253</TotalAmt>
        <ManagementAndGeneralAmt>9452253</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>HOSPITAL ASSESSMENT FEE</Desc>
        <TotalAmt>781507</TotalAmt>
        <ProgramServicesAmt>781507</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>MHFR ADMINISTRATIVE FEE</Desc>
        <TotalAmt>130899</TotalAmt>
        <ProgramServicesAmt>130899</ProgramServicesAmt>
      </OtherExpensesGrp>
      <OtherExpensesGrp>
        <Desc>DUES &amp; SUBSCRIPTIONS</Desc>
        <TotalAmt>59235</TotalAmt>
        <ProgramServicesAmt>14615</ProgramServicesAmt>
        <ManagementAndGeneralAmt>44620</ManagementAndGeneralAmt>
      </OtherExpensesGrp>
      <AllOtherExpensesGrp>
        <TotalAmt>179486</TotalAmt>
        <ProgramServicesAmt>173525</ProgramServicesAmt>
        <ManagementAndGeneralAmt>5961</ManagementAndGeneralAmt>
      </AllOtherExpensesGrp>
      <TotalFunctionalExpensesGrp>
        <TotalAmt>43340346</TotalAmt>
        <ProgramServicesAmt>33412871</ProgramServicesAmt>
        <ManagementAndGeneralAmt>9927475</ManagementAndGeneralAmt>
        <FundraisingAmt>0</FundraisingAmt>
      </TotalFunctionalExpensesGrp>
      <CashNonInterestBearingGrp>
        <BOYAmt>4091893</BOYAmt>
        <EOYAmt>12029100</EOYAmt>
      </CashNonInterestBearingGrp>
      <PledgesAndGrantsReceivableGrp>
        <BOYAmt>651192</BOYAmt>
        <EOYAmt>409404</EOYAmt>
      </PledgesAndGrantsReceivableGrp>
      <AccountsReceivableGrp>
        <BOYAmt>5520243</BOYAmt>
        <EOYAmt>6394276</EOYAmt>
      </AccountsReceivableGrp>
      <PrepaidExpensesDefrdChargesGrp>
        <BOYAmt>153510</BOYAmt>
        <EOYAmt>73156</EOYAmt>
      </PrepaidExpensesDefrdChargesGrp>
      <LandBldgEquipCostOrOtherBssAmt>15427886</LandBldgEquipCostOrOtherBssAmt>
      <LandBldgEquipAccumDeprecAmt>3368811</LandBldgEquipAccumDeprecAmt>
      <LandBldgEquipBasisNetGrp>
        <BOYAmt>12251816</BOYAmt>
        <EOYAmt>12059075</EOYAmt>
      </LandBldgEquipBasisNetGrp>
      <OtherAssetsTotalGrp>
        <BOYAmt>1826201</BOYAmt>
        <EOYAmt>1182639</EOYAmt>
      </OtherAssetsTotalGrp>
      <TotalAssetsGrp>
        <BOYAmt>24494855</BOYAmt>
        <EOYAmt>32147650</EOYAmt>
      </TotalAssetsGrp>
      <AccountsPayableAccrExpnssGrp>
        <BOYAmt>1445709</BOYAmt>
        <EOYAmt>1436012</EOYAmt>
      </AccountsPayableAccrExpnssGrp>
      <DeferredRevenueGrp>
        <BOYAmt>1030225</BOYAmt>
        <EOYAmt>827348</EOYAmt>
      </DeferredRevenueGrp>
      <EscrowAccountLiabilityGrp>
        <BOYAmt>345722</BOYAmt>
        <EOYAmt>238241</EOYAmt>
      </EscrowAccountLiabilityGrp>
      <OtherLiabilitiesGrp>
        <BOYAmt>8647040</BOYAmt>
        <EOYAmt>12261529</EOYAmt>
      </OtherLiabilitiesGrp>
      <TotalLiabilitiesGrp>
        <BOYAmt>11468696</BOYAmt>
        <EOYAmt>14763130</EOYAmt>
      </TotalLiabilitiesGrp>
      <OrganizationFollowsFASB117Ind>X</OrganizationFollowsFASB117Ind>
      <NoDonorRestrictionNetAssetsGrp>
        <BOYAmt>13026159</BOYAmt>
        <EOYAmt>17384520</EOYAmt>
      </NoDonorRestrictionNetAssetsGrp>
      <TotalNetAssetsFundBalanceGrp>
        <BOYAmt>13026159</BOYAmt>
        <EOYAmt>17384520</EOYAmt>
      </TotalNetAssetsFundBalanceGrp>
      <TotLiabNetAssetsFundBalanceGrp>
        <BOYAmt>24494855</BOYAmt>
        <EOYAmt>32147650</EOYAmt>
      </TotLiabNetAssetsFundBalanceGrp>
      <InfoInScheduleOPartXIInd>X</InfoInScheduleOPartXIInd>
      <ReconcilationRevenueExpnssAmt>4353908</ReconcilationRevenueExpnssAmt>
      <OtherChangesInNetAssetsAmt>4453</OtherChangesInNetAssetsAmt>
      <MethodOfAccountingAccrualInd>X</MethodOfAccountingAccrualInd>
      <AccountantCompileOrReviewInd>0</AccountantCompileOrReviewInd>
      <FSAuditedInd>1</FSAuditedInd>
      <FSAuditedBasisGrp>
        <ConsolidatedBasisFinclStmtInd>X</ConsolidatedBasisFinclStmtInd>
      </FSAuditedBasisGrp>
      <AuditCommitteeInd>1</AuditCommitteeInd>
      <FederalGrantAuditRequiredInd>1</FederalGrantAuditRequiredInd>
      <FederalGrantAuditPerformedInd>1</FederalGrantAuditPerformedInd>
    </IRS990>
    <IRS990ScheduleA documentId="RetDoc1039100001">
      <PubliclySupportedOrg509a2Ind>X</PubliclySupportedOrg509a2Ind>
      <GiftsGrantsContrisRcvd509Grp>
        <CurrentTaxYearMinus4YearsAmt>9665765</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>13010942</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>14335582</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>10504843</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>9570596</CurrentTaxYearAmt>
        <TotalAmt>57087728</TotalAmt>
      </GiftsGrantsContrisRcvd509Grp>
      <GrossReceiptsAdmissionsGrp>
        <CurrentTaxYearMinus4YearsAmt>10665152</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>18177115</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>24304990</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>32323041</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>38071228</CurrentTaxYearAmt>
        <TotalAmt>123541526</TotalAmt>
      </GrossReceiptsAdmissionsGrp>
      <Total509Grp>
        <CurrentTaxYearMinus4YearsAmt>20330917</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>31188057</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>38640572</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>42827884</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>47641824</CurrentTaxYearAmt>
        <TotalAmt>180629254</TotalAmt>
      </Total509Grp>
      <AmountsRcvdDsqlfyPersonGrp>
        <TotalAmt>0</TotalAmt>
      </AmountsRcvdDsqlfyPersonGrp>
      <SubstantialContributorsAmtGrp>
        <TotalAmt>0</TotalAmt>
      </SubstantialContributorsAmtGrp>
      <SubstAndDsqlfyPrsnsTotGrp>
        <TotalAmt>0</TotalAmt>
      </SubstAndDsqlfyPrsnsTotGrp>
      <PublicSupportTotal509Amt>180629254</PublicSupportTotal509Amt>
      <GrossInvestmentIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>9760</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus1YearAmt>530400</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>234589</CurrentTaxYearAmt>
        <TotalAmt>774749</TotalAmt>
      </GrossInvestmentIncome509Grp>
      <InvestmentIncomeAndUBTIGrp>
        <CurrentTaxYearMinus4YearsAmt>9760</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus1YearAmt>530400</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>234589</CurrentTaxYearAmt>
        <TotalAmt>774749</TotalAmt>
      </InvestmentIncomeAndUBTIGrp>
      <OtherIncome509Grp>
        <CurrentTaxYearMinus4YearsAmt>224186</CurrentTaxYearMinus4YearsAmt>
        <TotalAmt>224186</TotalAmt>
      </OtherIncome509Grp>
      <TotalSupportCalendarYearGrp>
        <CurrentTaxYearMinus4YearsAmt>20564863</CurrentTaxYearMinus4YearsAmt>
        <CurrentTaxYearMinus3YearsAmt>31188057</CurrentTaxYearMinus3YearsAmt>
        <CurrentTaxYearMinus2YearsAmt>38640572</CurrentTaxYearMinus2YearsAmt>
        <CurrentTaxYearMinus1YearAmt>43358284</CurrentTaxYearMinus1YearAmt>
        <CurrentTaxYearAmt>47876413</CurrentTaxYearAmt>
        <TotalAmt>181628189</TotalAmt>
      </TotalSupportCalendarYearGrp>
      <PublicSupportCY509Pct>0.99450</PublicSupportCY509Pct>
      <PublicSupportPY509Pct>0.99500</PublicSupportPY509Pct>
      <InvestmentIncomeCYPct>0.00430</InvestmentIncomeCYPct>
      <InvestmentIncomePYPct>0.00330</InvestmentIncomePYPct>
      <ThirtyThrPctSuprtTestsCY509Ind>X</ThirtyThrPctSuprtTestsCY509Ind>
      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER INCOME - 2019 AMOUNT: $ 13,908. DSH FEDERAL FUNDS - 2019 AMOUNT: $ 210,278.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="RetDoc1234500001">
      <ContributorInformationGrp>
        <ContributorNum>RESTRICTED</ContributorNum>
        <ContributorBusinessName>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorBusinessName>
        <ContributorUSAddress>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorUSAddress>
        <TotalContributionsAmt>RESTRICTED</TotalContributionsAmt>
      </ContributorInformationGrp>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="RetDoc1039700001">
      <VolunteersInd>0</VolunteersInd>
      <PaidStaffOrManagementInd>0</PaidStaffOrManagementInd>
      <MediaAdvertisementsInd>0</MediaAdvertisementsInd>
      <MailingsMembersInd>0</MailingsMembersInd>
      <PublicationsOrBroadcastInd>0</PublicationsOrBroadcastInd>
      <GrantsOtherOrganizationsInd>0</GrantsOtherOrganizationsInd>
      <DirectContactLegislatorsInd>0</DirectContactLegislatorsInd>
      <RalliesDemonstrationsInd>0</RalliesDemonstrationsInd>
      <OtherActivitiesInd>1</OtherActivitiesInd>
      <OtherActivitiesAmt>4266</OtherActivitiesAmt>
      <TotalLobbyingExpendituresAmt>4266</TotalLobbyingExpendituresAmt>
      <NotDescribedSection501c3Ind>0</NotDescribedSection501c3Ind>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II-B, LINE 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>OTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO INDIANA COUNCIL AND VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="RetDoc1040000001">
      <AgentTrusteeEtcInd>0</AgentTrusteeEtcInd>
      <InclEscrowCustodialAcctLiabInd>1</InclEscrowCustodialAcctLiabInd>
      <ExplanationProvidedInd>X</ExplanationProvidedInd>
      <LandGrp>
        <OtherCostOrOtherBasisAmt>1202234</OtherCostOrOtherBasisAmt>
        <BookValueAmt>1202234</BookValueAmt>
      </LandGrp>
      <BuildingsGrp>
        <OtherCostOrOtherBasisAmt>11985618</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>2623385</DepreciationAmt>
        <BookValueAmt>9362233</BookValueAmt>
      </BuildingsGrp>
      <LeaseholdImprovementsGrp>
        <OtherCostOrOtherBasisAmt>28950</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>14122</DepreciationAmt>
        <BookValueAmt>14828</BookValueAmt>
      </LeaseholdImprovementsGrp>
      <EquipmentGrp>
        <OtherCostOrOtherBasisAmt>1573755</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>665876</DepreciationAmt>
        <BookValueAmt>907879</BookValueAmt>
      </EquipmentGrp>
      <OtherLandBuildingsGrp>
        <OtherCostOrOtherBasisAmt>637329</OtherCostOrOtherBasisAmt>
        <DepreciationAmt>65428</DepreciationAmt>
        <BookValueAmt>571901</BookValueAmt>
      </OtherLandBuildingsGrp>
      <TotalBookValueLandBuildingsAmt>12059075</TotalBookValueLandBuildingsAmt>
      <OtherLiabilitiesOrgGrp>
        <Desc>LEASE LIABILITY</Desc>
        <Amt>1141808</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>EST 3RD PARTY SETTLEMENTS</Desc>
        <Amt>100326</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>EST MEDICARE/MEDICAID SETTLEMENTS</Desc>
        <Amt>1131</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>NOTE PAYABLE TO PH</Desc>
        <Amt>3081992</Amt>
      </OtherLiabilitiesOrgGrp>
      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO/FROM INTERUNIT</Desc>
        <Amt>7936272</Amt>
      </OtherLiabilitiesOrgGrp>
      <TotalLiabilityAmt>12261529</TotalLiabilityAmt>
      <FootnoteTextInd>X</FootnoteTextInd>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV, LINE 2B:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS AN AGENT FOR HELD FUNDS FOR PATIENTS' REPRESENTATIVE PAYEE ACCOUNTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART X, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>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, 2023 AND 2022, 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 2019 AND PRIOR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="RetDoc1041500001">
      <FinancialAssistancePolicyInd>1</FinancialAssistancePolicyInd>
      <WrittenPolicyInd>1</WrittenPolicyInd>
      <AllHospitalsPolicyInd>X</AllHospitalsPolicyInd>
      <FPGReferenceFreeCareInd>1</FPGReferenceFreeCareInd>
      <Percent200Ind>X</Percent200Ind>
      <FPGReferenceDiscountedCareInd>1</FPGReferenceDiscountedCareInd>
      <Percent250Ind>X</Percent250Ind>
      <FreeCareMedicallyIndigentInd>1</FreeCareMedicallyIndigentInd>
      <FinancialAssistanceBudgetInd>1</FinancialAssistanceBudgetInd>
      <ExpensesExceedBudgetInd>1</ExpensesExceedBudgetInd>
      <UnableToProvideCareInd>0</UnableToProvideCareInd>
      <AnnualCommunityBnftReportInd>1</AnnualCommunityBnftReportInd>
      <ReportPublicallyAvailableInd>1</ReportPublicallyAvailableInd>
      <FinancialAssistanceAtCostTyp>
        <TotalCommunityBenefitExpnsAmt>823420</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>823420</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.01900</TotalExpensePct>
      </FinancialAssistanceAtCostTyp>
      <UnreimbursedMedicaidGrp>
        <TotalCommunityBenefitExpnsAmt>32076527</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>31083633</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>992894</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.02290</TotalExpensePct>
      </UnreimbursedMedicaidGrp>
      <TotalFinancialAssistanceTyp>
        <TotalCommunityBenefitExpnsAmt>32899947</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>31083633</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1816314</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04190</TotalExpensePct>
      </TotalFinancialAssistanceTyp>
      <CommunityHealthServicesGrp>
        <TotalCommunityBenefitExpnsAmt>669399</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>653725</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>15674</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00040</TotalExpensePct>
      </CommunityHealthServicesGrp>
      <HealthProfessionsEducationGrp>
        <TotalCommunityBenefitExpnsAmt>83608</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>83608</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00190</TotalExpensePct>
      </HealthProfessionsEducationGrp>
      <CashAndInKindContributionsGrp>
        <TotalCommunityBenefitExpnsAmt>6939</TotalCommunityBenefitExpnsAmt>
        <NetCommunityBenefitExpnsAmt>6939</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00020</TotalExpensePct>
      </CashAndInKindContributionsGrp>
      <TotalOtherBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>759946</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>653725</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>106221</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.00250</TotalExpensePct>
      </TotalOtherBenefitsGrp>
      <TotalCommunityBenefitsGrp>
        <TotalCommunityBenefitExpnsAmt>33659893</TotalCommunityBenefitExpnsAmt>
        <DirectOffsettingRevenueAmt>31737358</DirectOffsettingRevenueAmt>
        <NetCommunityBenefitExpnsAmt>1922535</NetCommunityBenefitExpnsAmt>
        <TotalExpensePct>0.04440</TotalExpensePct>
      </TotalCommunityBenefitsGrp>
      <BadDebtExpenseReportedInd>1</BadDebtExpenseReportedInd>
      <BadDebtExpenseAmt>0</BadDebtExpenseAmt>
      <BadDebtExpenseAttributableAmt>0</BadDebtExpenseAttributableAmt>
      <ReimbursedByMedicareAmt>1078421</ReimbursedByMedicareAmt>
      <CostOfCareReimbursedByMedcrAmt>981754</CostOfCareReimbursedByMedcrAmt>
      <MedicareSurplusOrShortfallAmt>96667</MedicareSurplusOrShortfallAmt>
      <CostingMethodologyUsedGrp>
        <CostToChargeRatioInd>X</CostToChargeRatioInd>
      </CostingMethodologyUsedGrp>
      <WrittenDebtCollectionPolicyInd>1</WrittenDebtCollectionPolicyInd>
      <FinancialAssistancePrvsnInd>1</FinancialAssistancePrvsnInd>
      <HospitalFacilitiesCnt>1</HospitalFacilitiesCnt>
      <HospitalFacilitiesGrp>
        <FacilityNum>1</FacilityNum>
        <BusinessName>
          <BusinessNameLine1Txt>PARK CENTER INC</BusinessNameLine1Txt>
        </BusinessName>
        <USAddress>
          <AddressLine1Txt>1909 CAREW ST</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46805</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.PARKCENTER.ORG</WebsiteAddressTxt>
        <StateLicenseNum>419-10-PIP</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <OtherDesc>COMMUNITY MENTAL HEALTH CENTER</OtherDesc>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>PARK CENTER INC</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>0</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>0</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>1</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>22</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>1</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>1</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>1</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>1</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>1</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>22</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>1</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>0</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>1</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.000000000000</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>250.000000000000</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ResidencyCriteriaInd>X</ResidencyCriteriaInd>
        <ExplainedBasisInd>1</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>1</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>1</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>SEE PART V, LINES 16A B &amp; C</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>SEE PART V, LINES 16A B &amp; C</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>SEE PART V, LINES 16A B &amp; C</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <CommuntityNotifiedFAPInd>X</CommuntityNotifiedFAPInd>
        <FAPTranslatedInd>X</FAPTranslatedInd>
        <FAPActionsOnNonpaymentInd>1</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>0</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>1</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>0</AmountsGenerallyBilledInd>
        <GrossChargesInd>0</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARK CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), PARKVIEW HEALTH SYSTEM, INC., INCLUDING ITS AFFILIATE PARK CENTER, INC., WERE DILIGENT IN ENSURING INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WAS INCLUDED, WHILE ALSO FOCUSING ON THE NEEDS OF VULNERABLE POPULATIONS IN NORTHEAST INDIANA. THE MAJORITY OF PARK CENTER, INC. PATIENTS ARE SERVED IN ALLEN, ADAMS, AND WELLS COUNTIES ACCORDING TO PARK CENTER, INC.'S ACTIVE CASES; THEREFORE, THE 2022 PARK CENTER CHNA PROVIDES AN OVERVIEW AND PROVIDER INPUT FROM THESE THREE SERVICE AREAS.IN GATHERING COMMUNITY INPUT, PARK CENTER, INC. OBTAINED THE FOLLOWING: 1) PRIMARY DATA COLLECTED THROUGH AN ONLINE SURVEY OF HEALTHCARE AND SOCIAL SERVICE PROVIDERS IN EACH OF THE THREE COUNTIES THAT PROVIDE SERVICES DIRECTLY TO THE UNDERSERVED IN THESE COMMUNITIES (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.), AND 2) SECONDARY DATA COLLECTED FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES (E.G., COUNTY HEALTH RANKINGS, INDIANA STATE DEPARTMENT OF HEALTH, ETC.).PARK CENTER SERVICE AREA PROVIDER INPUT WAS GATHERED VIA E-MAIL TO HEALTHCARE AND SOCIAL SERVICE PROVIDERS WITH AN EMBEDDED ONLINE SURVEY LINK. THE SURVEY COVERED ASPECTS OF THE PROVIDER'S WORK INCLUDING THE SETTING IN WHICH THEY PRACTICED, THE DURATION OF TIME IN PRACTICE IN THE REGION/COUNTY, AND THEIR PERCEPTION OF THE CHIEF MENTAL HEALTH-RELATED CONCERNS, BARRIERS TO CARE, AND AWARENESS OF AVAILABLE RESOURCES IN THEIR COMMUNITIES. PROVIDERS WERE NOT ASKED TO DISCLOSE THEIR SPECIFIC ORGANIZATION NAME IN ORDER TO PROTECT PARTICIPANT PRIVACY. A TOTAL OF 154 PROVIDERS RESPONDED TO THE SURVEY. MOST RESPONDENTS PRACTICED IN ALLEN COUNTY (55.2%), FOLLOWED BY ADAMS COUNTY (30.5%). RESPONDENTS WERE PRIMARILY FEMALE (72.7%), WHITE (83.8%), AND NON-HISPANIC (89.6%). THE SURVEY INCLUDED RESPONSES FROM MENTAL/BEHAVIORAL HEALTH PROVIDERS, SOCIAL WORKERS/CASE MANAGERS, REGISTERED NURSES, OTHER HEALTHCARE PROVIDERS, PUBLIC SECTOR WORKERS, EDUCATORS, COMMUNITY/SOCIAL SERVICE PROVIDERS, PHYSICIANS, PHYSICIAN'S ASSISTANTS, AND PUBLIC HEALTH/COMMUNITY HEALTH WORKERS.PARK CENTER, INC. HELD A MEETING ON OCTOBER 14, 2022, TO ENGAGE THE LEADERS AND BOARD MEMBERS IN THE PRIORITIZATION PROCESS. THE 11 ATTENDEES INCLUDED ADMINISTRATORS AND BOARD MEMBERS. ADDITIONALLY, FIVE RESEARCH AND COMMUNITY HEALTH IMPROVEMENT (CHI) TEAM MEMBERS WERE PRESENT TO FACILITATE THE SESSION; HOWEVER, THESE TEAM MEMBERS WERE NON-VOTING ATTENDEES. SURVEY DATA COLLECTION METHODS WERE EXPLAINED, AND THE SIX ISSUES WITH THE HIGHEST ENDORSEMENT AS A MENTAL HEALTH CONCERN WERE PRESENTED VIA SLIDES. THE GROUP OF STAKEHOLDERS DECIDED TO ADAPT THE SUBCATEGORIES BASED ON CURRENT TRENDS IN THE MENTAL HEALTH FIELD. ATTENDEES USED MENTIMETER, AN ANONYMOUS, SYNCHRONOUS POLLING SYSTEM, TO SCORE EACH HEALTH CONCERN USING FOUR CRITERIA: (1) SIGNIFICANCE OF THE HEALTH PROBLEM (I.E., HOW MANY PEOPLE ARE AFFECTED?); (2) SEVERITY OF THE HEALTH PROBLEM (I.E., HOW LIKELY IS IT TO LIMIT LENGTH AND QUALITY OF LIFE?); (3) SUITABILITY FOR A STRATEGIC INTERVENTION (I.E., CAN PARKVIEW ADDRESS THE PROBLEM?; AND (4) SDOH (I.E., DO SOCIAL DETERMINANTS OF HEALTH DRIVE HEALTH DISPARITIES IN RATES AND OUTCOMES?). FOR EACH HEALTH CONCERN, PARTICIPANTS WERE ASKED TO SCORE EACH CRITERION ON A SCALE OF 1 (VERY LITTLE) TO 10 (VERY MUCH). ONCE ALL SIX HEALTH CONCERNS WERE VOTED ON IN THE FIRST ROUND, THEIR OVERALL COMBINED SCORES ACROSS THE FOUR CRITERIA WERE COMPUTED, AND FIVE MENTAL HEALTH CONCERNS WERE THEN RANKED AGAIN AND DISCUSSED USING A CHATHAM HOUSE RULE CONDITION (WHEREBY THE GROUP AGREES THAT THE IDENTITY OF THE SPEAKER SHOULD REMAIN ANONYMOUS) AND A "PRO, CON, CON, PRO" DISCUSSION FORMAT TO ENCOURAGE BOTH SUPPORTIVE AND OPPOSITIONAL VIEWS TO BE PRESENTED FOR EACH HEALTH CONCERN. A LARGE-GROUP DISCUSSION ENSUED AROUND THE FIVE MENTAL HEALTH ISSUES, AND ATTENDEES WERE THEN ASKED TO VOTE AGAIN TO RANK THE FIVE HEALTH CONCERNS IN TERMS OF THEIR TOP PRIORITIES FOR PARK CENTER, INC. MOOD DISORDERS (CHILD/ADOLESCENT DEPRESSION), CHILDHOOD TRAUMA, AND SUBSTANCE USE/ABUSE WERE SELECTED AS TOP PRIORITIES. THE NEEDS ASSESSMENT, COMMUNITY SESSION DATA AND CHI COMMITTEE RECOMMENDATIONS WERE PRESENTED TO THE PARK CENTER BOARD OF DIRECTORS IN NOVEMBER 2022. THE BOARD OF DIRECTORS VOTED TO ADOPT THE ABOVE HEALTH PRIORITY RECOMMENDATIONS AT THE BOARD MEETING. PRIORITIZATION SESSION ATTENDEES REPRESENTED SEVERAL ORGANIZATIONS IN ALLEN, ADAMS AND WELLS COUNTIES: PARKVIEW ADMINISTRATION, PARK CENTER BOARD, PARKVIEW BEHAVIORAL INSTITUTE ADMINISTRATION AND PARKVIEW COMMUNITY OUTREACH.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARK CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES: PARKVIEW HOSPITAL, INC. (EIN 35-0868085); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823).</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARK CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384), THROUGH PARKVIEW'S HEALTH SERVICES AND INFORMATICS RESEARCH (HSIR) GROUP, DESIGNED AND CONDUCTED BOTH PRIMARY AND SECONDARY DATA COLLECTION AND ANALYSIS ACTIVITIES FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). HSIR EMPLOYS MULTIPLE RESEARCH STAFF, WHICH INCLUDES PHD PREPARED SCIENTISTS, USER EXPERIENCE SPECIALISTS AND PROJECT MANAGERS. AS A RESEARCH UNIT EMBEDDED IN PARKVIEW, HSIR HAS DEDICATED TIME TO SUPPORT INITIATIVES THAT REQUIRE RESEARCH SKILLS, SUCH AS THE CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PARK CENTER, INC.</FormAndLineReferenceDesc>
        <ExplanationTxt>PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:PARK CENTER, INC. PROVIDES INPATIENT AND OUTPATIENT SERVICES EXCLUSIVELY TREATING MENTAL, BEHAVIORAL AND SUBSTANCE USE AILMENTS. WITH DEDICATION TO THAT 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, WITH THE TOP THREE PRIORITIES FOR 2022 THROUGH 2025 DISCUSSED BELOW.MOOD DISORDERS (CHILD/ADOLESCENT DEPRESSION):THE IMPLEMENTATION STRATEGY FOR THIS IDENTIFIED NEED INCLUDES INCREASING TEAM-BASED SERVICES FOR CHILDREN AND ADOLESCENTS WITH MOOD DISORDERS WITH THE GOAL FOR AT LEAST 50% OF YOUTH SERVED TO HAVE MORE THAN ONE SERVICE AS PART OF THEIR TREATMENT. THIS WILL OCCUR THROUGH COLLABORATION BETWEEN INTERNAL DEPARTMENTS WITHIN PARK CENTER AS WELL AS COLLABORATION WITH EXTERNAL PARTNERS INCLUDING DCS, SCHOOLS, AND CRIMINAL JUSTICE. INTERVENTIONS TO MEET THIS GOAL INCLUDE MONITORING PROVISION OF APPROPRIATE PROGRAMMING FOR THIS POPULATION, CASE MANAGERS EMBEDDED IN SCHOOLS AND PROVISION OF WRAPAROUND SERVICES. PARK CENTER, INC. PARTNERS WITH SCHOOLS IN ALLEN AND ADAMS COUNTIES TO PROVIDE SKILLS TRAINING FOR STUDENTS WHO HAVE BEEN IDENTIFIED AS IN NEED OF SERVICES. CASE MANAGERS ARE IN THE SCHOOL EVERY DAY ASSISTING THE STUDENTS AND TEACHING SKILLS THAT CAN HELP THEM BE SUCCESSFUL. ADDITIONALLY, THE CASE MANAGERS ARE PROVIDING RESOURCES AND OFFERING ADDITIONAL SERVICES FOR THE FAMILIES.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.CHILDHOOD TRAUMA:IN ORDER TO ADDRESS THIS IDENTIFIED NEED, THE GOAL IS TO INCREASE THE PERCENTAGE OF STAFF TRAINED IN EVIDENCE-BASED TREATMENT INTERVENTIONS FOR CHILD/ADOLESCENT TRAUMA, WITH AT LEAST 50% OF CHILD/ADOLESCENT THERAPISTS TRAINED IN THESE PRACTICES BY THE END OF THE THREE-YEAR NEEDS ASSESSMENT PERIOD. PARK CENTER, INC.'S HOME-BASED SERVICES REACH INTO CLIENTS' HOMES TO REMOVE BARRIERS IMPACTING THE COMMUNITY'S ABILITY TO RECEIVE TREATMENT. OUR HOME-BASED SERVICES WORK WITH THE DEPARTMENT OF CHILD SERVICES (DCS) TO REDUCE AND PREVENT CHILD ABUSE AND NEGLECT BY HELPING PARENTS IN THEIR OWN ENVIRONMENT.PARK 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.'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. SUBSTANCE USE/ABUSE:TO ADDRESS THIS IDENTIFIED NEED, THE GOAL IS TO IMPROVE ACCESS TO SERVICES FOR THOSE WITH SUBSTANCE USE/ABUSE BY REDUCING WAIT TIME FOR AN INITIAL APPOINTMENT. THIS WILL BE ACCOMPLISHED THROUGH NAVIGATORS EMBEDDED IN COURT ROOMS, SPECIALIZED INTAKE PROVIDERS, NAVIGATORS PLACED AT THE ALLEN COUNTY ACCESS SITE AND CRIMINAL JUSTICE MARKETPLACE, PEER RECOVERY COACHES, AND INVOLVEMENT IN THE ALLEN COUNTY JUVENILLE CENTER (ACJC) PLACEMENT BOARD. PARK CENTER, INC. ADDRESSES SUBSTANCE USE WITH A CONTINUUM OF SERVICES FROM INPATIENT TO OUTPATIENT SERVICES, INCLUDING MEDICATION ASSISTED TREATMENT FOR OPIOID USE DISORDER, OUTPATIENT TREATMENT INCLUDING INDIVIDUAL AND GROUP THERAPY, INTENSIVE OUTPATIENT TREATMENT, AND RESIDENTIAL SERVICES FOR SUBSTANCE USE AT THE ASAM 3.5 LEVEL. OUR CARE PROVIDERS INCLUDE A BOARD-CERTIFIED ADDICTIONOLOGIST, 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. 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. 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, INCLUDING 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 A COMMUNITY MENTAL HEALTH CENTER (CMHC) AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. WE 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 A CMHC AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. WE PROVIDE REFERRALS TO FOOD BANKS AND CONNECT PEOPLE WITH RESOURCES AS NEEDED. FINANCIAL ASSISTANCE - PARK CENTER, INC. IS A CMHC AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. WE PROVIDE REFERRALS TO AND CONNECT PEOPLE WITH RESOURCES AS NEEDED. PARK CENTER, INC. WILL ADDRESS MENTAL HEALTH NEEDS THAT CONTRIBUTE TO FINANCIAL ISSUES. TRANSPORTATION- PARK CENTER, INC. IS A CMHC AND THIS IS NOT ONE OF THE PRIMARY FUNCTIONS OF A CMHC. WE 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. CONNECTS INDIVIDUALS WITH PROVIDERS THAT CAN PROVIDE GUIDANCE ON BIRTH CONTROL NEEDS AS NEEDED. JOB TRAINING- PARK CENTER, INC. IS A 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 AS NEEDED. ACCESS TO PRIMARY CARE PROVIDERS - PARK CENTER, INC. DOES NOT DIRECTLY ADDRESS ACCESS TO PRIMARY CARE PROVIDERS BUT REFERS TO LOCAL PRIMARY CARE RESOURCES AS NEEDED. PARKVIEW PHYSICIANS GROUP IS ALSO A RESOURCE THAT PARK CENTER, INC. CAN CONNECT PEOPLE WITH AS NEEDED.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, LINES 16A, 16B AND 16C:</FormAndLineReferenceDesc>
        <ExplanationTxt>HTTPS://WWW.PARKVIEW.COM/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>PART V, SECTION B, LINE 3E:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6A:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295; PARK CENTER, INC. (EIN 35-1135451); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7:</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BPARK CENTER, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE (INCLUDING HEALTHY INDIANA PLAN - HIP), AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, PARK CENTER, INC. CONTINUES ITS TRADITION OF PROVIDING SUPPORT TO NUMEROUS ORGANIZATIONS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGES 13 AND 24 - 27 OF ATTACHED FINANCIAL STATEMENTS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 8:</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY BENEFIT &amp; METHODOLOGY FOR DETERMINING MEDICARE COSTSPARK CENTER, INC. BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, WHILE PARK CETNER, INC. ACCEPTS ALL MEDICARE PATIENTS, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III, LINE 9B:</FormAndLineReferenceDesc>
        <ExplanationTxt>A PATIENT'S FAILURE TO MAKE PAYMENT ARRANGEMENTS THROUGH VARIOUS AVAILABLE PAYMENT OPTIONS OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING REFERRED TO A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES, WHICH MAY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY. IF AN INDIVIDUAL SUBMITS A COMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, AND PARKVIEW HEALTH DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN PARKVIEW HEALTH WILL TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION (EXCEPT FOR A SALE OF DEBT) TAKEN AGAINST THE INDIVIDUAL TO OBTAIN PAYMENT FOR THE CARE. ALSO, IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, PARKVIEW WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL (WITH RESPECT TO CHARGES TO WHICH THE FINANCIAL ASSISTANCE APPLICATION UNDER REVIEW RELATES) UNTIL THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED AND AN ELIGIBILITY DECISION RENDERED.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B. IN ADDITION TO COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT ON A TRIENNIAL BASIS, PARK CENTER, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 3:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 4:</FormAndLineReferenceDesc>
        <ExplanationTxt>DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.PARK CENTER, INC. 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 391,449 (2022). IN ADDITION, HCI REPORTS THE MEDIAN HOUSEHOLD INCOME OF ALLEN COUNTY RESIDENTS IS APPROXIMATELY $66,222 WITH 12% OF HOUSEHOLDS LIVING BELOW THE FEDERAL POVERTY LEVEL (2018-2022). APPROXIMATELY 90.2% OF ALLEN COUNTY RESIDENTS HAVE HEALTH INSURANCE (2021). MEDICAID EXTENDS COVERAGE TO 20.94% OF THE COUNTY'S INSURED POPULATION, AS CONFIRMED BY DATA FROM THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (2022).ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), WELLS COUNTY, IS A RURAL AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 28,335 (2022). IN ADDITION, HCI REPORTS THE MEDIAN HOUSEHOLD INCOME OF WELLS COUNTY RESIDENTS IS APPROXIMATELY $68,074 WITH 6.4% LIVING BELOW THE FEDERAL POVERTY LEVEL (2018-2022). APPROXIMATELY 92% OF WELLS COUNTY RESIDENTS HAVE HEALTH INSURANCE (2021). MEDICAID EXTENDS COVERAGE TO 15.47% OF THE COUNTY'S INSURED POPULATION, AS CONFIRMED BY DATA FROM THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (2022).ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), ADAMS COUNTY, IS A RURAL AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 36,068 (2022). IN ADDITION, HCI REPORTS THE MEDIAN HOUSEHOLD INCOME OF ADAMS COUNTY RESIDENTS IS APPROXIMATELY $61,731 WITH 11.5% LIVING BELOW THE FEDERAL POVERTY LEVEL (2018-2022). APPROXIMATELY 87% OF ADAMS COUNTY RESIDENTS HAVE HEALTH INSURANCE (2021). MEDICAID EXTENDS COVERAGE TO 16.52% OF THE COUNTY'S INSURED POPULATION, AS CONFIRMED BY DATA FROM THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (2022).HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, DEVELOPS SHORTAGE DESIGNATION CRITERIA INTENDED TO IDENTIFY A GEOGRAPHIC AREA, POPULATION GROUP OR FACILITY AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). EACH HPSA DESIGNATION IS GIVEN A SCORE (RANGING FROM 0 TO 26) THAT EXPRESSES THE PRIORITY LEVEL FOR CLINICIAN ASSIGNMENT. MEANING, THE HIGHER THE HPSA SCORE, THE HIGHER THE PRIORITY IS. HRSA HAS DESIGNATED/IDENTIFIED THE FOLLOWING MEDICALLY UNDERSERVED AREAS/POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1189856255SERVICE AREA NAME: ADAMS COUNTYDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: ADAMS COUNTYHPSA SCORE: 15 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL2) DISCIPLINE: PRIMARY CAREHSPA ID: 1181110870HPSA NAME: ADAMS MEDICAL GROUP - BERNEDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 16 STATUS: DESIGNATEDRURAL STATUS: RURAL3) DISCIPLINE: PRIMARY CAREHSPA ID: 1185760375HPSA NAME: ADAMS MEDICAL GROUP - HIGH STREETDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17 STATUS: DESIGNATEDRURAL STATUS: RURAL4) DISCIPLINE: PRIMARY CAREHSPA ID: 1186989441HPSA NAME: DECATUR FAMILY MEDICINE - WOODCREST CONNECTIONDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL5) DISCIPLINE: PRIMARY CAREHSPA ID: 1187530087HPSA NAME: MONROE FAMILY MEDICINEDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 16 STATUS: DESIGNATEDRURAL STATUS: RURAL6) DISCIPLINE: MENTAL HEALTHHSPA ID: 7188785005HPSA NAME: ADAMS MEDICAL GROUP - BERNEDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17 STATUS: DESIGNATEDRURAL STATUS: RURAL7) DISCIPLINE: MENTAL HEALTHHSPA ID: 7185408306HPSA NAME: ADAMS MEDICAL GROUP - HIGH STREETDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: RURAL8) DISCIPLINE: MENTAL HEALTHHSPA ID: 7189176491HPSA NAME: DECATUR FAMILY MEDICINE - WOODCREST CONNECTIONDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: NON-RURAL9) DISCIPLINE: MENTAL HEALTHHSPA ID: 7181784085HPSA NAME: MONROE FAMILY MEDICINEDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: ADAMS COUNTYHPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: RURAL10) DISCIPLINE: MENTAL HEALTHHSPA ID: 1189107418HPSA NAME: MHCA 20 - ADAMS/ALLEN/WELLS COUNTIESDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: ADAMS, ALLEN, AND WELLS COUNTIESHPSA SCORE: 12 STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL11) DISCIPLINE: PRIMARY CAREHSPA ID: 1188138606HPSA NAME: LI - NORTH FORT WAYNEDESIGNATION TYPE: LOW INCOME POPULATION HPSACOUNTY NAME: ALLEN COUNTYHPSA SCORE: 16STATUS: DESIGNATEDRURAL STATUS: NON-RURAL12) DISCIPLINE: PRIMARY CAREHSPA ID: 1181781876HPSA NAME: LI-SOUTH GREATER FORT WAYNEDESIGNATION TYPE: LOW INCOME POPULATION HPSACOUNTY NAME: ALLEN COUNTYHPSA SCORE:18 STATUS: DESIGNATEDRURAL STATUS: RURAL13) DISCIPLINE: PRIMARY CAREHSPA ID: 1189991870HPSA NAME: NEIGHBORHOOD HEALTH CLINICS INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERCOUNTY NAME: ALLEN COUNTYHPSA SCORE: 21STATUS: DESIGNATEDRURAL STATUS: NON-RURAL14) DISCIPLINE: PRIMARY CAREHSPA ID: 1189107418HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: ALLEN COUNTYHPSA SCORE: 16STATUS: DESIGNATEDRURAL STATUS: NON-RURAL15) DISCIPLINE: MENTAL HEALTHHSPA ID: 7189991824HPSA NAME: NEIGHBORHOOD HEALTH CLINICS INC.DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERCOUNTY NAME: ALLEN COUNTYHPSA SCORE: 19 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL16) DISCIPLINE: MENTAL HEALTHHSPA ID: 7185458158HPSA NAME: ALLIANCE HEALTH CENTERS, INC. DESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTER LOOK-ALIKECOUNTY NAME: ALLEN COUNTYHPSA SCORE:16 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 5:</FormAndLineReferenceDesc>
        <ExplanationTxt>PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).PARK CENTER, INC. SEEKS TO DELIVER EXCELLENT CARE TO EVERY 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 IS RESPONSIBLE FOR OVERSIGHT OF 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 2023, PARK CENTER, INC. CONTINUED THEIR WORK WITH THE BEHAVIORAL HEALTH ACADEMY, WHICH PROVIDES A PATHWAY FOR RECRUITING ADDITIONAL THERAPISTS. ALONG WITH THE BEHAVIORAL HEALTH ACADEMY PROGRAM, PARK CENTER, INC. WORKS WITH MULTIPLE OTHER SCHOOLS TO PROVIDE INTERNSHIPS FOR BOTH UNDERGRADUATE AND GRADUATE DEGREES. PARK CENTER, INC. ALSO OFFERS AN APA ACCREDITED PSYCHOLOGIST-LEVEL INTERNSHIP PROGRAM. PARK CENTER, INC. PROVIDED SPECIALIZED PROGRAMMING THAT TARGETS SPECIFIC NEEDS, SUCH AS THE MOBILE CRISIS TEAM THAT MADE CONTACT IN A VARIETY OF WAYS WITH INDIVIDUALS IN CRISIS. WE CONTINUE TO OFFER OUTREACH SERVICES IN MULTIPLE WAYS TO THE HOMELESS POPULATION. PARK CENTER, INC. IS PROUD TO OFFER A WELL-RECOGNIZED OUTPATIENT DIALECTICAL BEHAVIOR THERAPY (DBT) PROGRAM 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 6:</FormAndLineReferenceDesc>
        <ExplanationTxt>IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (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 ORTHOPAEDIC 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 PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.AFFILIATE HOSPITALS EACH HAVE A LOCAL BOARD OF DIRECTORS. PARKVIEW HEALTH SYSTEM, INC. ALSO ENGAGES WITH A BOARD OF DIRECTORS THAT CONSISTS OF REPRESENTATION FROM EACH OF THE AFFILIATE HOSPITAL BOARDS AND UP TO 15 AT-LARGE PHYSICIANS OR COMMUNITY LEADERS. MOST OF THE BOARD OF DIRECTORS SHALL ALWAYS BE INDEPENDENT AS DEFINED BY THE INTERNAL REVENUE SERVICE (IRS). 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/WELL-BEING ACROSS THE REGION. WITH A CONSISTENT FOCUS ON OUR MISSION AND VISION, WE WORK TO PROVIDE THE BEST CARE TO EVERY PERSON, EVERY DAY WITHIN OUR FACILITIES WHILE SERVING AS GOOD STEWARDS OF SURPLUS FUNDS TO POSITIVELY IMPACT COMMUNITY HEALTH STATUS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7, REPORTS FILED WITH STATES</FormAndLineReferenceDesc>
        <ExplanationTxt>IN</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART VI, LINE 7 CONT'D:</FormAndLineReferenceDesc>
        <ExplanationTxt>A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleJ documentId="RetDoc1042400001">
      <DiscretionarySpendingAcctInd>X</DiscretionarySpendingAcctInd>
      <WrittenPolicyRefTAndEExpnssInd>1</WrittenPolicyRefTAndEExpnssInd>
      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
      <SeverancePaymentInd>1</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>1</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>0</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>0</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>0</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>0</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>1</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>0</InitialContractExceptionInd>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL PACKNETT</PersonNm>
        <TitleTxt>FORMER OFFICER/RETIRED PH CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>66747</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>351881</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>4615581</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>26400</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>2853</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>5063462</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>4613104</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEANNE' WICKENS</PersonNm>
        <TitleTxt>PH CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>834975</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>187034</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1143499</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>239228</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>38660</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>2443396</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>1101767</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GREG JOHNSON</PersonNm>
        <TitleTxt>DIRECTOR/REGIONAL MARKET PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>681591</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>112796</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>94104</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>155300</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>33706</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>1077497</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>84817</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>AHSAN MAHMOOD</PersonNm>
        <TitleTxt>DIRECTOR/PHYSICIAN EXEC PBH SVC LINE</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>353779</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>25812</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>57864</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>16500</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>36020</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>489975</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TIMOTHY KOWALESKI</PersonNm>
        <TitleTxt>PARKC PSYCHIATRIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>210918</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>163743</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>21463</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>14497</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>11597</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>8809</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>7691</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20114</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>17561</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>254338</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>222055</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>GARY ZWIERZYNSKI</PersonNm>
        <TitleTxt>DIRECTOR/PARTIAL YR/SEC/TREAS</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>168997</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>45075</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>198401</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>6545</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18107</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>437125</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>117290</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CHARLES CLARK</PersonNm>
        <TitleTxt>DIRECTOR/PARTIAL YR/BHI PRESIDENT</TitleTxt>
        <BaseCompensationFilingOrgAmt>0</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>155008</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>46427</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>131239</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>0</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>49082</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>18194</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>0</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>399950</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>25537</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREA NAAUM</PersonNm>
        <TitleTxt>PARKC PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>161602</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>140421</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>32000</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>21243</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1997</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>1597</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>12591</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>10509</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8593</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>7173</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>216783</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>180943</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CONNIE KERRIGAN</PersonNm>
        <TitleTxt>PARKC COMM SUPPT SVCS DIR</TitleTxt>
        <BaseCompensationFilingOrgAmt>133534</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>16541</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>26766</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>3089</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>9684</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>169</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>14878</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>260</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>201403</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>3518</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RONALD PANCNER</PersonNm>
        <TitleTxt>PARKC PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>104534</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>69111</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>0</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6272</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>4147</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>110806</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>73258</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHERRI ALBERTSON</PersonNm>
        <TitleTxt>PARKC NURSE PRACTITIONER</TitleTxt>
        <BaseCompensationFilingOrgAmt>77418</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>56920</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>9223</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>1088</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>12464</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>5447</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>5454</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>6575</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>6583</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>90528</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>90644</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: SHERRI ALBERTSON $583; TIMOTHY KOWALESKI $1,167; ANDREA NAAUM $1,167;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARK CENTER, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINES 4A-B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEVERANCE PAYMENTS CHARLES CLARK $89,140; CONNIE KERRIGAN $8,907; GARY ZWIERZYNSKI $76,928 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 $25,537; GREG JOHNSON $84,817; MICHAEL PACKNETT $4,613,104; JEANNE' WICKENS $1,101,767; GARY ZWIERZYNSKI $117,290 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 $4,613,104 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 $25,537; GREG JOHNSON $119,000; JEANNE' WICKENS $216,128;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. THE COMPENSATION COMMITTEE OF RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR MICP AND PICP. AT CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES FINAL PAYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART V, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, PARK CENTER, INC., EIN 35-1135451. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099 AND 1096 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2023 WAS 704. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2023 WAS 18,435. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR THE PARK CENTER, INC. WAS 30 AND 416 RESPECTIVELY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>EXECUTIVE COMMITTEE A. COMPOSITION. THE EXECUTIVE COMMITTEE SHALL BE SUCH NUMBER OF DIRECTORS AS MAY FROM TIME-TO-TIME BE APPOINTED BY THE BOARD. B. RESPONSIBILITIES AND FUNCTIONS: THE RESPONSIBILITIES AND FUNCTIONS OF THE EXECUTIVE COMMITTEE AS DELEGATED TO SUCH COMMITTEE BY THE BOARD OF DIRECTORS ARE AS FOLLOWS: (1) TRANSACT ALL EMERGENCY BUSINESS BETWEEN REGULAR MEETINGS OF THE BOARD OF DIRECTORS; (2) ASSIST THE BOARD OF DIRECTORS BY SERVING AS A FORUM WHERE STRATEGIC AND OTHER CRITICAL ISSUES MAY BE SUBSTANTIALLY DEVELOPED BEFORE GOING TO THE BOARD OF DIRECTORS FOR DISCUSSION AND CONSIDERATION; (3) SERVE AS THE EVALUATION COMMITTEE TO ANNUALLY EVALUATE THE PERFORMANCE OF THE PRESIDENT AND CHIEF EXECUTIVE OFFICER AND REPORT SUCH EVALUATION TO THE BOARD OF DIRECTORS; (4) OVERSEE THE PLANNING OF THE ANNUAL MEETING OF THE BOARD; (5) REVIEW PERSONNEL TRENDS, PROVIDE OVERSIGHT FOR ALL PERSONNEL FUNCTIONS OF THE CORPORATION TO INCLUDE, BUT NOT LIMITED TO: ANNUAL REVIEW OF SALARY SCHEDULES AND BENEFIT PROGRAMS; ANNUAL STAFFING PLAN; AFFIRMATIVE ACTION PLANS; AND SUCCESSION PLANS; (6) PERFORM SUCH OTHER TASKS OR PROJECTS AS MAY BE DELEGATED BY THE BOARD OF DIRECTORS; AND (7) MONITOR CONTRACTS FOR SERVICES DIRECTLY RELATED TO PATIENT CARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF PARK CENTER, INC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS AS STATED IN PARK CENTER, INC.'S BYLAWS UNDER ARTICLE IV - POWERS AND RESPONSIBILITIES, SECTION 4.3 - POWERS OF THE MEMBER: THE FOLLOWING POWERS AND RESPONSIBILITIES SHALL BE RESERVED TO THE MEMBER, ACTING BY A MEMBER OF ITS SENIOR LEADERSHIP TEAM, AND THE MEMBER OR THE BOARD OF DIRECTORS SHALL ACT TO CARRY OUT THE MEMBER'S DIRECTIONS WITH RESPECT TO: A. APPOINTING DIRECTORS (INCLUDING APPOINTMENTS TO FILL VACANCIES) AND INITIATING THE REMOVAL OF, AND REMOVING, ANY DIRECTOR OF THE CORPORATION; B. APPOINTING (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATING THE REMOVAL OF, AND REMOVING, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; C. APPROVING AND ADOPTING THE STRATEGIC PLAN, AND ANY AMENDMENTS THERETO, FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; D. APPROVING AND ADOPTING THE CAPITAL AND OPERATING BUDGETS AND FINANCIAL PLANS, AND ANY AMENDMENTS THERETO, OF THE CORPORATION AND ITS AFFILIATES; E. APPROVING THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS BY THE CORPORATION AND ITS AFFILIATES, AND REQUIRING THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; F. APPROVING THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS; G. REQUIRING AND DIRECTING THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING A PSYCHIATRIC HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION ASSETS; H. APPROVING PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS, DISSOLUTIONS OR ACQUISITIONS AND REQUIRING AND DIRECTING PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; I. EXCEPT AS OTHERWISE DIRECTED BY THE MEMBER, APPROVING DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE IN ANY NOVEL, QUALITATIVELY OR QUANTITATIVELY UNIQUE MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS, OTHER THAN (I) APPLICATIONS FOR FUNDING FROM THE DIVISION OF MENTAL HEALTH AND ADDICTIONS (OR ANY SUCCESSOR AGENCY), OR (II) ALLOCATIONS OF PUBLIC SUBSIDIES, OR ANY SIMILAR ARRANGEMENTS TO THE EXTENT THEY ARE IN THE ORDINARY COURSE OF THE CORPORATION'S EXISTING MANAGED CARE OR PURCHASING RELATIONSHIPS (E.G., MEDICAID MANAGED CARE AGREEMENTS, ETC.); J. DEVELOPING AND REQUIRING ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; K. APPROVING ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A PSYCHIATRIC HOSPITAL OR TO CLOSE THE HOSPITAL; AND L. APPROVING OR REQUIRING AND DIRECTING ANY AMENDMENT TO THE BYLAWS OR ARTICLES OF INCORPORATION OF THE CORPORATION OR AN AFFILIATE THEN IN EFFECT, AND THE ARTICLES OF INCORPORATION AND BYLAWS OR SIMILAR GOVERNING DOCUMENTS OF ANY NEWLY CREATED AFFILIATE, INCLUDING AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES, TO MAINTAIN THE JOINT COMMISSION ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR THE MEMBER; PROVIDED, THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN THIS SECTION 4.3 WITHOUT THE CONSENT OF MEMBER.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7B</FormAndLineReferenceDesc>
        <ExplanationTxt>SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. PARK CENTER, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF PARK CENTER, INC.'S GOVERNING BODY AND THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 24, 2024, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE AND AUDIT COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., HAS A PROCESS IN PLACE FOR REVIEWING AND APPROVING COMPENSATION OF THE CEO &amp; EVP LEVEL EXECUTIVES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2023, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL CEO &amp; EVP LEVEL COMPENSATION, BENEFITS, AND PERQUISITES FOR THE 2023 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. IN ADDITION, AGGREGATE INFORMATION ON ALL OTHER EXECUTIVE ROLES (OUTSIDE OF THE CEO &amp; EVPS) IS SHARED. THE COMPENSATION PACKAGE OF THE CEO AND EVPS WAS APPROVED BY A MAJORITY OF INDEPENDENT COMPENSATION COMMITTEE MEMBERS. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A SUMMARY OF THE EXECUTIVE COMPENSATION PROCESS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AND EVP LEVEL EXECUTIVES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>ASSET TRANSFERS/ADJUSTMENTS 4,453.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="RetDoc1043400001">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>351972384</EIN>
        <PrimaryActivitiesTxt>HEALTH CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12C, III-FI</PublicCharityStatusTxt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>921994990</EIN>
        <PrimaryActivitiesTxt>FUND MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKVIEW HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>11109 PARKVIEW PLAZA DR</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468451701</ZIPCd>
        </USAddress>
        <EIN>350868085</EIN>
        <PrimaryActivitiesTxt>HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKVIEW FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3844 NEW VISION DR</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468451724</ZIPCd>
        </USAddress>
        <EIN>237220589</EIN>
        <PrimaryActivitiesTxt>FUND MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HOSPITAL INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DEKALB MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1316 E 7TH ST</AddressLine1Txt>
          <CityNm>AUBURN</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>467062515</ZIPCd>
        </USAddress>
        <EIN>351064295</EIN>
        <PrimaryActivitiesTxt>HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKVIEW DEKALB HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1316 E 7TH ST</AddressLine1Txt>
          <CityNm>AUBURN</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>467062515</ZIPCd>
        </USAddress>
        <EIN>356047817</EIN>
        <PrimaryActivitiesTxt>FUND MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>DEKALB MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>HUNTINGTON MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2001 STULTS RD</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>467501291</ZIPCd>
        </USAddress>
        <EIN>351970706</EIN>
        <PrimaryActivitiesTxt>HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>2001 STULTS RD</AddressLine1Txt>
          <CityNm>HUNTINGTON</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>467501291</ZIPCd>
        </USAddress>
        <EIN>320012095</EIN>
        <PrimaryActivitiesTxt>FUND MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>HUNTINGTON MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>207 N TOWNLINE RD</AddressLine1Txt>
          <CityNm>LAGRANGE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>467611325</ZIPCd>
        </USAddress>
        <EIN>202401676</EIN>
        <PrimaryActivitiesTxt>HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKVIEW LAGRANGE HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>207 N TOWNLINE RD</AddressLine1Txt>
          <CityNm>LAGRANGE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>467611325</ZIPCd>
        </USAddress>
        <EIN>833347115</EIN>
        <PrimaryActivitiesTxt>FUND MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL OF NOBLE COUNTY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>401 N SAWYER RD</AddressLine1Txt>
          <CityNm>KENDALLVILLE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>467552568</ZIPCd>
        </USAddress>
        <EIN>352087092</EIN>
        <PrimaryActivitiesTxt>HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL OF NOBLE COUNTY FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>401 N SAWYER RD</AddressLine1Txt>
          <CityNm>KENDALLVILLE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>467552568</ZIPCd>
        </USAddress>
        <EIN>352089183</EIN>
        <PrimaryActivitiesTxt>FUND MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITAL OF NOBLE COUNTY INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKVIEW WABASH HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10 JOHN KISSINGER DRIVE</AddressLine1Txt>
          <CityNm>WABASH</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>469921648</ZIPCd>
        </USAddress>
        <EIN>471753440</EIN>
        <PrimaryActivitiesTxt>HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKVIEW WABASH HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>10 JOHN KISSINGER DR</AddressLine1Txt>
          <CityNm>WABASH</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>469921648</ZIPCd>
        </USAddress>
        <EIN>351921445</EIN>
        <PrimaryActivitiesTxt>FUND MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW WABASH HOSPITAL INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WHITLEY MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1260 E STATE ROAD 205</AddressLine1Txt>
          <CityNm>COLUMBIA CITY</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>467259492</ZIPCd>
        </USAddress>
        <EIN>351967665</EIN>
        <PrimaryActivitiesTxt>HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WHITLEY MEMORIAL HOSPITAL FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1260 E STATE ROAD 205</AddressLine1Txt>
          <CityNm>COLUMBIA CITY</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>467259492</ZIPCd>
        </USAddress>
        <EIN>311190239</EIN>
        <PrimaryActivitiesTxt>FUND MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>WHITLEY MEMORIAL HOSPITAL INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITALS AND WELLNESS CENTERS</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>433 W HIGH ST</AddressLine1Txt>
          <CityNm>BRYAN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>435061690</ZIPCd>
        </USAddress>
        <EIN>341048666</EIN>
        <PrimaryActivitiesTxt>HOSPITAL CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SHARE FOUNDATION OF COMMUNITY HOSPITALS OF WILLIAMS COUNTY INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>433 W HIGH ST</AddressLine1Txt>
          <CityNm>BRYAN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>435061690</ZIPCd>
        </USAddress>
        <EIN>341596175</EIN>
        <PrimaryActivitiesTxt>FUND MGMT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12B, II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITALS AND WELLNESS CENTERS</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MIDWEST COMMUNITY HEALTH ASSOCIATES INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>442 W HIGH ST</AddressLine1Txt>
          <CityNm>BRYAN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>435061681</ZIPCd>
        </USAddress>
        <EIN>341045870</EIN>
        <PrimaryActivitiesTxt>PHYSICIANS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PARKVIEW OCCUPATIONAL HEALTH CENTERS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>352064353</EIN>
        <PrimaryActivitiesTxt>OCCUPATIONAL HEALTH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>OUABACHE VILLAGE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>909 E STATE BLVD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468053404</ZIPCd>
        </USAddress>
        <EIN>020731922</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARK CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RICHARDVILLE APARTMENTS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>909 E STATE BLVD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468053404</ZIPCd>
        </USAddress>
        <EIN>050543940</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARK CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>RICHARDVILLE APARTMENTS II INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>909 E STATE BLVD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468053404</ZIPCd>
        </USAddress>
        <EIN>861077255</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARK CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>SEDDLEMEYER APARTMENTS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>909 E STATE BLVD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468053404</ZIPCd>
        </USAddress>
        <EIN>352067590</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARK CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WAYNEDALE APARTMENTS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>909 E STATE BLVD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468053404</ZIPCd>
        </USAddress>
        <EIN>351972197</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARK CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WAYNEDALE II APARTMENTS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>909 E STATE BLVD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468053404</ZIPCd>
        </USAddress>
        <EIN>223972135</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARK CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>WOODSIDE APARTMENTS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>909 E STATE BLVD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468053404</ZIPCd>
        </USAddress>
        <EIN>351937426</EIN>
        <PrimaryActivitiesTxt>PROVIDE HOUSING TO HANDICAPPED INDIVIDUALS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>PARK CENTER INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>260143823</EIN>
        <PrimaryActivitiesTxt>ORTHOPAEDIC HOSPITAL</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MANAGED CARE SERVICES LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>351996535</EIN>
        <PrimaryActivitiesTxt>HEALTH PLAN ADMINISTRATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>FOUNDATION SURGERY AFFILIATE OF FORT WAYNE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>201394120</EIN>
        <PrimaryActivitiesTxt>SURGICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>COMMUNITY HOSPITALS AND WELLNESS CENTERS PAIN MANAGEMENT LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>433 W HIGH ST</AddressLine1Txt>
          <CityNm>BRYAN</CityNm>
          <StateAbbreviationCd>OH</StateAbbreviationCd>
          <ZIPCd>435061690</ZIPCd>
        </USAddress>
        <EIN>461084537</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>OH</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EXCEL SPORTS GROUP LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>921435049</EIN>
        <PrimaryActivitiesTxt>SPORTS CAMPS &amp; LEAGUES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARKVIEW PROFESSIONAL PROGRAMS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>351668888</EIN>
        <PrimaryActivitiesTxt>REFERENCE LAB</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>202 W BERRY ST</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468022273</ZIPCd>
        </USAddress>
        <EIN>352058340</EIN>
        <PrimaryActivitiesTxt>PROPERTY OWNERS ASSOCIATION</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC 457(B) PLAN</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>357048812</EIN>
        <PrimaryActivitiesTxt>TRUST - 457(B) PLAN 003</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>357048813</EIN>
        <PrimaryActivitiesTxt>TRUST - SERP PLAN 004</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM INC 457(F) PLAN</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>357048810</EIN>
        <PrimaryActivitiesTxt>TRUST - 457(F) PLAN 005</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM SUPPLEMENTAL</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>996407150</EIN>
        <PrimaryActivitiesTxt>TRUST - SUPPLEMENTAL PLAN 008</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PARKVIEW HEALTH SYSTEM EVPCEO</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1450 PRODUCTION RD</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>468081167</ZIPCd>
        </USAddress>
        <EIN>936856743</EIN>
        <PrimaryActivitiesTxt>TRUST - EVP/CEO PLAN 009</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>T</EntityTypeTxt>
        <ControlledOrganizationInd>0</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>0</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>0</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>0</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>1</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>