2024-11-05T11:27:02-06:00 2023-12-31 350921680 CROWE LLP 401 E LAS OLAS BLVD SUITE 1100 FORT LAUDERDALE FL 33301 990 2023-01-01 351064295 DEKALB MEMORIAL HOSPITAL INC DEKA 2603738429 1316 E 7TH ST AUBURN IN 467062515 STANTON RISSER PH ACFO 2602669380 2024-11-05 1 1 BRITTNEY KOCAJ P01320603 9542028600 2023 2024-10-15 13:58:12Z PARKVIEW DEKALB HOSPITAL GREG JOHNSON 1450 PRODUCTION RD FORT WAYNE IN 468081167 82948863 0 X WWW.PARKVIEW.COM X 1964 IN IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 11 8 373 24 2038338 0 258327 171 73855983 82467723 272972 -1659 422701 328536 74809983 82794771 25694 34684 0 0 26522840 26973031 0 0 0 51023879 52563677 77572413 79571392 -2762430 3223379 61926781 64921838 3822960 3702106 58103821 61219732 X DEKALB MEMORIAL HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 0 0 65090353 34684 80429385 AS A NOT-FOR-PROFIT HOSPITAL, DEKALB MEMORIAL HOSPITAL, INC. IS COMMITTED TO PROVIDING EXCEPTIONAL CARE TO THE COMMUNITY WE HAVE PROUDLY SERVED FOR DECADES. AT DEKALB MEMORIAL HOSPITAL, INC., PATIENTS WILL FIND THE CARE TEAM PROVIDERS AND SPECIALTY SERVICES THEY NEED LOCALLY, ALONG WITH THE FULL RESOURCES OF PARKVIEW HEALTH, THE LARGEST HEALTH SYSTEM IN NORTHEAST INDIANA. WHETHER PATIENTS ARE VISITING THE DEKALB CAMPUS FOR A SCHEDULED APPOINTMENT, NEED EMERGENCY OR WALK-IN CARE OR ARE VISITING A LOVED ONE, OUR CAREGIVERS WILL MAKE SURE THEY FEEL LIKE FAMILY.(SEE SCHEDULE O FOR CONTINUATION)FEATURED SERVICES:LOCATED NEAR THE CENTER OF DEKALB COUNTY, DEKALB MEMORIAL HOSPITAL, INC. IS A 57-BED FACILITY FEATURING ORTHOPEDIC, SURGICAL SERVICES AND 24/7 EMERGENCY CARE. OUR PHYSICIANS, NURSES AND OTHER MEDICAL PROFESSIONALS DISTINGUISH THEMSELVES AS BEING THE MOST COMPASSIONATE CAREGIVERS PATIENTS WILL FIND ANYWHERE. THEY SHARE OUR GOAL OF PROVIDING THE BEST POSSIBLE PATIENT EXPERIENCE, AND THEY'RE DEDICATED TO CARING FOR PATIENTS AND THEIR FAMILIES.AS OUR POPULATION AGES, ACCESS TO ORTHOPEDIC CARE BECOMES MORE AND MORE IMPORTANT TO OUR LOCAL COMMUNITY. DEKALB MEMORIAL HOSPITAL, INC. HAS PRIORITIZED ITS ORTHOPEDIC FACILITIES AND SERVICES, DEBUTING ON-SITE ORTHOPEDIC PHYSICIAN SUITES, DIAGNOSTIC AREAS AND TREATMENT FACILITIES. PATIENTS CAN RECEIVE THE HIGHEST QUALITY ORTHOPEDIC TREATMENTS LOCALLY AND AVAILABLE CLOSER TO HOME. THE HOSPITAL'S NORTH CAMPUS SERVES AS A HUB FOR OFTEN INTERRELATED SERVICES LIKE ORTHOPEDICS, REHABILITATION AND OCCUPATIONAL HEALTH, PROVIDING CONVENIENCE FOR CLINICIANS, AS WELL AS PATIENTS WHO MAY FREQUENT THESE CARE DESTINATIONS IN THEIR TREATMENT JOURNEY.IN ADDITION TO GOLD-STANDARD FACILITIES, OUR EXPERIENCED TEAM OF ORTHOPEDIC PHYSICIANS BOASTS EXPERTISE IN MANY SOUGHT-AFTER PROCEDURES AND NON-SURGICAL OPTIONS. OUR COMPREHENSIVE SERVICES INCLUDE COMPLETE BONE, JOINT AND SPINE CARE, WITH TREATMENT AVAILABLE FOR A COMPLETE RANGE OF ORTHOPEDIC CONDITIONS, INCLUDING BONE CONDITIONS, TRAUMA, ATHLETIC INJURIES, JOINT DISORDERS, SPINAL ISSUES AND MUSCLE CARE. WE ARE EXCITED ABOUT THE SKILLED ORTHOPEDIC SURGEONS AT DEKALB MEMORIAL HOSPITAL, INC. WHETHER THEY ARE PROVIDING DIRECT CARE TO OUTPATIENTS AND IN-PATIENTS, OR PERFORMING SURGERIES, DEDICATED ORTHOPEDIC SPECIALISTS ARE HERE TO SERVE THE GROWING NEEDS OF THE LOCAL COMMUNITY.WE'RE VERY PROUD OF THE SURGICAL CENTER AT DEKALB MEMORIAL HOSPITAL, INC. AND THE EMPHASIS THAT HAS BEEN PLACED ON CREATING A HEALING ENVIRONMENT, FROM THE SOOTHING COLOR PALETTE TO THE ENHANCED TECHNOLOGY AND PRIVATE ROOMS. DEKALB MEMORIAL HOSPITAL INC.'S 40,000-SQUARE-FOOT SURGICAL CENTER INCLUDES 17 PRIVATE ROOMS, FOUR SURGICAL SUITES, THREE ENDOSCOPY SUITES, FIVE PATIENT INFUSION THERAPY TREATMENT AREAS AND A ROBOTIC SURGERY PROGRAM. THIS CENTER PROVIDES PATIENTS ACCESS TO ADVANCED TECHNOLOGY FOR THE DELIVERY OF QUALITY SURGICAL CARE, LEADING-EDGE TECHNOLOGIES AND A BROAD RANGE OF SURGICAL EXPERTISE. ONE EXAMPLE OF THIS TECHNOLOGY IS DA VINCI XI SURGICAL SYSTEM. THE SYSTEM ENABLES THE SURGEON TO VIEW STRUCTURES INSIDE THE PATIENT'S BODY IN VERY FINE DETAIL AND PERFORM DELICATE OPERATIONS WITH A HIGH DEGREE OF PRECISION. INCISIONS CAN BE SMALLER AND FEWER AND THE ENTIRE PROCESS IS LESS INVASIVE THAN TRADITIONAL SURGERY. OUR SURGICAL SPECIALISTS ARE ON CALL 24 HOURS A DAY, SEVEN DAYS A WEEK.THE DIAGNOSTIC IMAGING DEPARTMENT AT DEKALB MEMORIAL HOSPITAL, INC. PRIDES ITSELF ON PROVIDING AN ARRAY OF PREMIER DIAGNOSTIC AND SCREENING EXAMS TO MEET THE NEEDS OF OUR LOCAL COMMUNITY. IN RESPONSE TO THE ESCALATING PREVALENCE OF HEART DISEASE, OUR DEPARTMENT OFFERS CUTTING-EDGE CT CARDIAC SCREENING EXAMS. THROUGH COLLABORATIVE EFFORTS WITH CARDIOLOGY, WE DELIVER ECHOCARDIOGRAMS AND NUCLEAR MEDICINE MYOVIEW (HEART) EXAMS, ENSURING CONVENIENT ACCESS FOR PATIENTS AND EXPEDITIOUS SCHEDULING.MOREOVER, OUR COMMITMENT EXTENDS TO THE REALM OF WOMEN'S HEALTH, WITH COMPREHENSIVE SERVICES INCLUDING MAMMOGRAPHY, ULTRASOUND, AND DEXA (BONE DENSITY) SCANS. SETTING A BENCHMARK IN HEALTHCARE PROVISION, WE ARE ONE OF THE ONLY COMMUNITY HOSPITALS IN THE AREA OFFERING BREAST MRI EXAMS. OUR UNWAVERING DEDICATION IS UPHELD BY A TEAM OF HIGHLY SKILLED TECHNOLOGISTS AND THE UTILIZATION OF STATE-OF-THE-ART EQUIPMENT, ALL AIMED AT DELIVERING UNPARALLELED CARE TO OUR COMMUNITY.DEKALB MEMORIAL HOSPITAL, INC. FEATURES A 24/7 EMERGENCY DEPARTMENT (ED) THAT OFFERS COMPREHENSIVE AND QUALITY CARE IN A STATE-OF-THE ART SETTING. OUR EMERGENCY DEPARTMENT CONSISTS OF 13 PRIVATE EXAM ROOMS AND ONE TREATMENT ROOM. THE ED ALSO OFFERS PATIENTS AND STAFF THE LATEST IN TECHNOLOGICAL INNOVATION AND CARE. EXAMPLES INCLUDE COMPUTERS IN EVERY ROOM; A DIGITAL TRACKING BOARD PROVIDES DOCTORS AND NURSES WITH REAL-TIME COMMUNICATIONS AND STATUS UPDATES; STATE-OF-THE-ART CARDIAC MONITORING SYSTEMS; PATIENT BEDS FEATURE BUILT-IN DIGITAL SCALES; AND A ONE-CALL SYSTEM THAT PROVIDES QUICKER, DIRECT ACCESS TO AREA TERTIARY FACILITIES.AT THE HEART OF OUR ED IS A SPACIOUS, CENTRALLY LOCATED NURSES' STATION. DESIGNED TO OPTIMIZE AND ENHANCE WORKFLOW AND PATIENT MONITORING, THE NURSE'S STATION PUT ALL LEVELS OF TREATMENT ROOMS WITHIN THE DIRECT VIEW OF NURSES. COMBINED WITH TECHNOLOGICAL ADVANCES, THE ED AT DEKALB MEMORIAL HOSPITAL, INC. OFFERS PATIENTS THE UTMOST IN CARE, CONVENIENCE AND PRIVACY.FINANCIAL ASSISTANCE:DEKALB MEMORIAL HOSPITAL, 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: DEKALB MEMORIAL HOSPITAL, 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, DEKALB MEMORIAL HOSPITAL, 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 PARKVIEW HOSPITAL, INC. ARE MENTAL HEALTH, SUBSTANCE USE DISORDER AND OBESITY. BASED UPON THESE RESULTS, DEKALB MEMORIAL HOSPITAL, INC. CREATED AN IMPLEMENTATION STRATEGY THAT SERVES AS AN IN-DEPTH PLAN DEFINING HOW WE PLAN TO ADDRESS EACH IDENTIFIED HEALTH NEED. AWARDS/RECOGNITION:-LEAPFROG HOSPITAL SAFETY GRADE: SPRING - A FALL - A - THE CHARTIS CENTER FOR RURAL HEALTH PERFORMANCE LEADERSHIP AWARDS (PREVIOUSLY IVANTAGE HEALTH ANALYTICS)- CMS 5-STAR RATING- BECKER'S TOP HOSPITALS FOR STAFF RESPONSIVENESS- VIZIENT TOP COMMUNITY HOSPITAL 65090353 1 0 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 X 26 0 1 373 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 8 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IN X STANTON RISSER 2602669380 1450 PRODUCTION RD FORT WAYNE IN 468081167 THOMAS MASON DIRECTOR/PH PHYSICIAN 1.00 39.00 X 9196 405873 73918 NATASHA EICHER DIRECTOR/MARKET PRESIDENT 39.00 1.00 X X 363341 0 104491 DOUGLAS MORROW DIRECTOR/CHAIR 1.00 1.00 X X 6000 1250 0 THOMAS HARTMAN DIRECTOR 1.00 0.00 X 4000 0 0 MICHAEL TULLIS DIRECTOR 1.00 1.00 X 4500 0 0 BRYAN NUGEN DIRECTOR/SECRETARY/TREASURER 1.00 0.00 X X 4500 0 0 TRENTON STUCKEY DIRECTOR 1.00 0.00 X 3750 0 0 SCOTT PFLUGHOEFT DIRECTOR/VICE CHAIR 1.00 0.00 X X 4500 0 0 CLARAMARY WINEBRENNER DIRECTOR 1.00 1.00 X 4250 0 0 JEREMY PFISTER DIRECTOR 1.00 0.00 X 3000 0 0 GREG JOHNSON DIRECTOR/REGIONAL MARKET PRESIDENT 1.00 39.00 X X 0 888491 189006 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 2165508 277888 KARRA HEGGEN DMHOS VP PATIENT CARE SVCS 39.00 1.00 X 263484 0 34219 LON KEYES DMHOS PHARMACY MGR 40.00 0.00 X 195160 0 28287 JACOB CLENDENEN DMHOS PHARMACIST 39.00 1.00 X 160652 147 41867 PEGGY ROBERTS DMHOS REGISTERED NURSE 39.00 1.00 X 126676 20000 14185 BETHANY HEILEMAN DMHOS PHARMACIST 39.00 1.00 X 144130 1194 48552 ANTHONY STUMP DMHOS MGR REHAB 40.00 0.00 X 142516 0 45322 MICHAEL PACKNETT FORMER OFFICER/RETIRED PH CEO 0.00 0.00 X 0 5034209 29253 BRET CLAGHORN FORMER OFFICER/CURRENT PH VP 0.00 40.00 X 0 261770 62463 1439655 8778442 949451 25 1 1 0 PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DR FORT WAYNE IN 46845 LABORATORY SERVICES 3462746 ASSOCIATED ANESTHESIOLOGISTS OF FORT WAY 10315 DAWSON CREEK BLVD SUITE A/B FORT WAYNE IN 46825 ANESTHESIOLOGISTS 809431 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA STREET OMAHA NE 68154 MEDICAL PERSONNEL 551689 NORTHEAST INTERNAL MEDICINE ASSOC INC 2500 N DETROIT STREET LAGRANGE IN 46761 HOSPITALISTS 318000 HOSPITAL LAUNDRY SERVICES INC 3322 CAVALIER DR FORT WAYNE IN 46808 LAUNDRY SERVICES 185912 10 171 171 NET PATIENT SERVICE REVENUE 622110 71878804 71878804 PHARMACY 456110 9131499 7093161 2038338 INTERUNIT RENT 531120 1193599 1193599 EMS SUBSIDY 621910 250000 250000 HEALTH/DISEASE EDUCATION CLASSES 621990 8211 8211 5610 5610 82467723 140908 152433 -11525 -11525 -11525 1659 -1659 -1659 -1659 CAFETERIA 722514 340061 340061 340061 82794771 80429385 2038338 326877 X 34684 34684 810868 810868 19728354 19728354 6433809 6433809 6381209 6069202 312007 218 218 1507469 1466635 40834 8142 7976 166 1584946 1577496 7450 5263 3854 1409 2695 2695 28537 28537 1614745 1613586 1159 195554 172703 22851 MEDICAL SUPPLIES 15094325 15094325 CORP SERVICE ALLOCATION 13248323 13248323 PH CLINICAL SUPPORT 8961708 8961708 HOSPITAL ASSESSMENT FEE 3799938 3799938 130605 94633 35972 79571392 65090353 14481039 0 2950 2950 143440 418767 9292554 10054689 1145094 1398237 31711 52059 40377579 8470526 31527616 31907053 19783416 21088083 61926781 64921838 3022963 2620929 146 0 799851 1081177 3822960 3702106 X 58103821 61219732 58103821 61219732 61926781 64921838 X 3223379 -107468 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 4599 4599 0 PART II-B, LINE 1: OTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO INDIANA HOSPITAL AND HEALTH ASSOCIATION AND AMERICAN HOSPITAL ASSOCIATION USED FOR LOBBYING ACTIVITIES. 4509748 4509748 24870586 4424603 20445983 9290 9290 0 8430580 3859383 4571197 2557375 177250 2380125 31907053 DUE TO/FROM INTERUNIT 20178746 RIGHT OF USE ASSETS 893535 EST 3RD PARTY SETTLEMENTS 15802 21088083 LEASE LIABILITY 907464 EST MEDICARE/MEDICAID SETTLEMENTS 173713 1081177 X PART X, LINE 2: PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 1063296 1063296 0.01510 16401275 11672482 4728793 0.06700 17464571 11672482 5792089 0.08210 2903746 2693671 210075 0.00300 116681 116681 0.00170 10272361 6529186 3743175 0.05300 114639 114639 0.00160 13407427 9222857 4184570 0.05930 30871998 20895339 9976659 0.14140 6224 6224 0.00010 6224 6224 0.00010 1 0 0 7745387 8347530 -602143 X 1 1 1 1 DEKALB MEMORIAL HOSPITAL INC 1316 EAST SEVENTH STREET AUBURN IN 46706 WWW.PARKVIEW.COM 20-005041-1 X X X DEKALB MEMORIAL HOSPITAL INC 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS X 1 22 1 HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS 0 1 X 200.000000000000 250.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, LINES 16A B & C X SEE PART V, LINES 16A B & C X SEE PART V, LINES 16A B & C X X X X X X 1 X 0 X X X X 1 X 0 0 DEKALB MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), PARKVIEW HEALTH SYSTEM, INC., INCLUDING THE COMMUNITY HOSPITAL OF DEKALB MEMORIAL HOSPITAL, 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. IN GATHERING COMMUNITY INPUT, PARKVIEW HEALTH SYSTEM, INC., INCLUDING DEKALB MEMORIAL HOSPITAL, INC., OBTAINED THE FOLLOWING: 1) PRIMARY DATA COLLECTED THROUGH A COMMUNITY SURVEY OF RESIDENTS IN EACH PARKVIEW HEALTH COUNTY, 2) PRIMARY DATA COLLECTED THROUGH AN ONLINE SURVEY OF HEALTHCARE AND SOCIAL SERVICE PROVIDERS IN EACH COUNTY THAT PROVIDE SERVICES DIRECTLY TO THE UNDERSERVED IN OUR COMMUNITIES (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.), AND 3) 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.). COMMUNITY MEMBER AND PROVIDER INPUT WAS GATHERED FROM MARCH THROUGH MAY 2022 VIA MULTIPLE RECRUITMENT AND DATA COLLECTION METHODS: 1) E-MAIL TO HEALTHCARE AND SOCIAL SERVICE PROVIDERS WITH AN EMBEDDED ONLINE SURVEY LINK; 2) MAILED PAPER AND E-MAILED ONLINE SURVEYS TO COMMUNITY MEMBERS; 3) PAPER SURVEYS DISTRIBUTED TO INDIVIDUALS, CLINICS OR ORGANIZATIONS SERVING HISPANIC, AMISH, OR PEOPLE OF BURMA POPULATIONS; 4) IN-PERSON RECRUITMENT AT LOCATIONS PROVIDING SERVICES TO LOW-INCOME POPULATIONS IN EACH PARKVIEW HEALTH COUNTY; AND 5) PRESS RELEASE AND SOCIAL MEDIA NOTIFICATIONS WITH A SURVEY LINK. THE SURVEY WAS MADE AVAILABLE IN ENGLISH, SPANISH, AND BURMESE.HISPANIC, AMISH, PEOPLE OF BURMA, AND LOW-INCOME POPULATIONS WERE IDENTIFIED AS VULNERABLE POPULATIONS IN PARKVIEW HEALTH COUNTIES, AND THEREFORE SURVEY DISTRIBUTION AND DATA COLLECTION STRATEGIES INCLUDED FOCUSED EFFORTS TO OBTAIN COMMUNITY INPUT FROM THESE POPULATIONS. IN DEKALB COUNTY, THIS INCLUDED HISPANIC AND LOW-INCOME POPULATIONS. THE RESEARCH TEAM COORDINATED WITH COMMUNITY HEALTH WORKERS, LOCAL HEALTH DEPARTMENTS, AND KNOWN CONTACTS IN EACH COUNTY TO IDENTIFY LOCATIONS TO SURVEY UNDERREPRESENTED OR VULNERABLE POPULATIONS. IN DEKALB COUNTY, IN-PERSON TEAMS OF RESEARCH ASSISTANTS CONDUCTED COMMUNITY SURVEY OUTREACH AT THE LOCAL YMCA AND PUBLIC LIBRARY. DEKALB COUNTY HAD THE SECOND HIGHEST RATE OF COMMUNITY MEMBER PARTICIPATION AMONG THE EIGHT COUNTIES SURVEYED. REGARDING VULNERABLE POPULATIONS SURVEYED IN DEKALB COUNTY, 17.1% OF RESPONDENTS REPORTED AN INCOME OF < $35,000 AND 1.7% OF RESPONDENTS IDENTIFIED AS HISPANIC/LATINO. ADDITIONALLY, RESPONDENTS 65 YEARS AND OLDER WERE WELL-REPRESENTED (38.0%). THE PROVIDER SURVEY INCLUDED RESPONSES FROM PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, MENTAL/BEHAVIORAL HEALTH PROVIDERS, COMMUNITY/SOCIAL SERVICE PROVIDERS, SOCIAL WORKERS/CASE MANAGERS, AND PUBLIC SECTOR WORKERS. IN ADDITION TO DATA COLLECTION, DEKALB MEMORIAL HOSPITAL, INC. COLLABORATED WITH THE COMMUNITY AND PARTNERING ORGANIZATIONS TO SELECT AND PRIORITIZE DEKALB COUNTY'S HEALTH NEEDS. IN DOING SO, A MODIFIED HANLON METHOD WAS EMPLOYED TO PRIORITIZE HEALTH CONCERNS FOR PARKVIEW HEALTH HOSPITAL COMMUNITIES. THIS METHOD, ALSO KNOWN AS THE BASIC PRIORITY RATING SYSTEM (BPRS) 2.0, IS RECOMMENDED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) FOR PRIORITIZING COMMUNITY HEALTH NEEDS (GUIDE-TO-PRIORITIZATION-TECHNIQUES.PDF, N.D.). THIS METHOD IS PARTICULARLY USEFUL WHEN THE DESIRED OUTCOME IS AN OBJECTIVELY SELECTED LIST. EXPLICIT IDENTIFICATION OF FACTORS MUST BE CONSIDERED TO SET PRIORITIES, WHICH ENABLES A TRANSPARENT AND REPLICABLE PROCESS. PRIORITY SCORES ARE CALCULATED BASED ON THE SIZE OF THE HEALTH PROBLEM, SERIOUSNESS OF THE HEALTH PROBLEM AND THE AVAILABILITY OF EFFECTIVE HEALTH INTERVENTIONS. ON SEPTEMBER 26, 2022, DEKALB MEMORIAL HOSPITAL, INC. CONVENED A COMMUNITY MEETING TO PRIORITIZE THE SIGNIFICANT HEALTH ISSUES UNCOVERED IN THE 2022 CHNA REPORT. THE DATA FROM THE 2022 CHNA WAS PRESENTED TO A GROUP OF 38 COMMUNITY MEMBERS. THE GROUP OF COMMUNITY STAKEHOLDERS HAD THOUGHTFUL DISCUSSIONS AROUND THE DATA FROM THE ASSESSMENT AND PRIORITY RANKING SCORES, COMPLETED A PRIORITIZATION GRID EXERCISE TO CONSIDER SIGNIFICANCE, SEVERITY, SUITABILITY, AND HEALTH DISPARITY RELATED TO SOCIAL DETERMINANTS OF HEALTH, AND ELECTRONICALLY VOTED ON WHAT THEY THOUGHT SHOULD BE THE NUMBER 2 AND 3 PRIORITIES FOR DEKALB COUNTY BASED ON THE TOP 10 PRIORITIES IDENTIFIED IN THE CHNA. THE COMMITTEE IDENTIFIED MENTAL HEALTH, SUBSTANCE ABUSE AND OBESITY AS THE TOP THREE PRIORITIES IN DEKALB COUNTY, ADOPTING THE #1 HEALTH PRIORITY OF MENTAL HEALTH THAT WAS SET FOR THE PARKVIEW HEALTH REGION ON AUGUST 22, 2022. PRIORITIZATION SESSION ATTENDEES REPRESENTED SEVERAL ORGANIZATIONS IN DEKALB COUNTY: PARKVIEW DEKALB ADMINISTRATION, WOMEN'S CARE CENTER OF NORTHEAST INDIANA, FORTIFY LIFE DEKALB COUNTY, CHILDREN FIRST OF DEKALB COUNTY, UNITED WAY DEKALB, INSPIRATION MINISTRIES, PARKVIEW BEHAVIORAL HEALTH, WARM HEART MINISTRIES, JUNIOR ACHIEVEMENT OF DEKALB COUNTY, YMCA, SWEITZER FAMILY FOUNDATION, IMAGE OF HOPE RANCH, JAM RECREATION CENTER OF DEKALB COUNTY, AND DEKALB SCHOOL CORPORATION.AS A CONTINUATION OF THE PRIORITIZATION PROCESS, INFORMATION FROM THE CHNA AND THE COMMUNITY SESSION WERE BROUGHT TO THE COMMUNITY HEALTH IMPROVEMENT (CHI) COMMITTEE AT DEKALB MEMORIAL HOSPITAL, INC. THE COMMITTEE HAD AN IN-DEPTH DISCUSSION AROUND THE DATA AND RESPONSES FROM THE COMMUNITY SESSION. BASED ON THIS DISCUSSION, THE COMMITTEE IDENTIFIED MENTAL HEALTH, SUBSTANCE ABUSE AND OBESITY AS THE TOP 3 PRIORITIES IN DEKALB COUNTY. THE NEEDS ASSESSMENT, COMMUNITY SESSION DATA AND CHI COMMITTEE RECOMMENDATIONS WERE PRESENTED TO THE DEKALB HOSPITAL BOARD OF DIRECTORS ON OCTOBER 21, 2022. THE BOARD OF DIRECTORS VOTED TO ADOPT THE ABOVE HEALTH PRIORITY RECOMMENDATIONS AT THE BOARD MEETING. DEKALB MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S 2022 CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440); PARK CENTER, INC. (EIN 35-1135451); AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823). DEKALB MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384), THROUGH PARKVIEW'S HEALTH SERVICES AND INFORMATICS RESEARCH (HSIR) GROUP, DESIGNED AND CONDUCTED BOTH PRIMARY AND SECONDARY DATA COLLECTION AND ANALYSIS ACTIVITIES FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). HSIR EMPLOYS MULTIPLE RESEARCH STAFF, WHICH INCLUDES PHD PREPARED SCIENTISTS, USER EXPERIENCE SPECIALISTS AND PROJECT MANAGERS. AS A RESEARCH UNIT EMBEDDED IN PARKVIEW, HSIR HAS DEDICATED TIME TO SUPPORT INITIATIVES THAT REQUIRE RESEARCH SKILLS, SUCH AS THE CHNA. DEKALB MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED: MENTAL HEALTH: 1) PREVENTATIVE EDUCATION: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH THE HAROLD W. MCMILLEN CENTER FOR HEALTH EDUCATION IN EFFORT TO IMPROVE THE GENERAL KNOWLEDGE AROUND MENTAL HEALTH IN 100% OF PROGRAM PARTICIPANTS. PROGRAM PARTICIPANTS (K-12 STUDENTS) WILL DISCUSS TOPICS LIKE BULLYING, TEEN SUICIDE, DATING VIOLENCE AND SOCIAL AND EMOTIONAL HEALTH. IN ADDITION, PARTICIPANTS WILL BE ABLE TO LEARN AND PRACTICE SELF-REGULATION STRATEGIES. 2) WARM-A-HEART COMMUNITY OUTREACH: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH WARM-A-HEART COMMUNITY OUTREACH TO BUILD CONNECTIONS WITH AND SUPPORT THOSE ACCESSING THE FOODBANK. THROUGH THESE CONNECTIONS, INDIVIDUALS CAN BE LINKED TO THE AVAILABLE COMMUNITY RESOURCES THEY NEED. 3) QUESTION PERSUADE REFER (QPR): WHEN IT COMES TO MENTAL HEALTH, EARLY INTERVENTION CAN BE THE DIFFERENCE BETWEEN LIFE AND DEATH. DURING A CARDIOVASCULAR EMERGENCY, PERFORMING CPR CAN SAVE A LIFE. IN THE EVENT OF A MENTAL HEALTH EMERGENCY, QPR CAN BE USED IN THE SAME MANNER. THE QPR TECHNIQUE IS USED TO RECOGNIZE THE SIGNS THAT SOMEONE IS AT RISK OF SUICIDE, TO OFFER HOPE AND REFER THE PERSON TO THE CARE THEY NEED. PARTICIPANTS IN THIS PROGRAM WILL LEARN WARNING SIGNS OF SUICIDE CRISIS AND HOW TO RESPOND.4) DEKALB COUNTY MENTAL HEALTH COLLABORATIVE: THIS COLLABORATIVE WAS BROUGHT TOGETHER TO ADDRESS MENTAL HEALTH IN DEKALB COUNTY BY EXPLORING OPPORTUNITIES TO COLLABORATE BETTER. THIS GROUP CONSISTS OF PARTNERS FROM DEKALB MEMORIAL HOSPITAL, INC., LAW ENFORCEMENT, MENTAL HEALTH SERVICE PROVIDERS, LOCAL GOVERNMENT AND LOCAL NOT-FOR-PROFIT LEADERS AND STAKEHOLDERS.5) INSPIRATION MINISTRIES: DEKALB MEMORIAL HOSPITAL, INC. PARTNERED WITH INSPIRATION MINISTRIES TO ADDRESS SYSTEMIC COMMUNITY ISSUES SUCH AS ADDICTION AND POVERTY TO CREATE PRODUCTIVE INDIVIDUALS AND FAMILIES. INSPIRATION MINISTRIES IS A RECOVERY COMMUNITY ORGANIZATION THAT UTILIZES THE POWER OF COMMUNITY, PEER RECOVERY AND EVIDENCE-BASED PRACTICES TO PROMOTE HEALTHY LIFESTYLES AND INCREASE SPIRITUAL TRANSFORMATION. THIS CAN INCLUDE ADDICTION RECOVERY, FAMILY RECONCILIATION, CAREER BUILDING, FINANCIAL RESPONSIBILITY AND DRIVING RESTORATION. 6) ST. MARTINS HEALTHCARE: DEKALB MEMORIAL HOSPITAL, INC. PROVIDED SUPPORT TO ST. MARTINS BEHAVIORAL HEALTH SERVICES PROGRAM. THIS PROGRAM PROVIDES MENTAL HEALTH COUNSELING TO UNINSURED AND UNDERINSURED PATIENTS IN DEKALB, NOBLE, STEUBEN AND LAGRANGE COUNTIES. IN ADDITION TO COUNSELING, ST MARTINS OFFERS TOBACCO CESSATION EDUCATION AND TREATMENT FOR SUBSTANCE USE DISORDERS IF NEEDED. 7) CHILDREN FIRST CENTER: DEKALB MEMORIAL HOSPITAL, INC. PROVIDED SUPPORT TO THE CHILDREN FIRST CENTER TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES FOR CHILDREN AND FAMILIES. THE PROGRAM CONNECTS PARTICIPANTS WITH APPROPRIATE SERVICES BASED ON THEIR FINANCIAL NEEDS, WHILE PROVIDING COUNSELING OR THERAPY TO TAKE CARE OF THEIR MENTAL HEALTH NEEDS. THEY HAVE LICENSED THERAPISTS THAT CAN MEET WITH THE FAMILIES IN THEIR HOME TO PROVIDE SUCH SERVICES. THIS REMOVES THE BARRIER OF TRANSPORTATION ALONG WITH THE FULL COST OF A COUNSELING APPOINTMENT. SUBSTANCE USE DISORDER: 1) PREVENTATIVE EDUCATION: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH THE HAROLD W. MCMILLEN CENTER FOR HEALTH EDUCATION IN EFFORT TO IMPROVE THE GENERAL KNOWLEDGE AROUND SUBSTANCE USE DISORDERS IN 100% OF PROGRAM PARTICIPANTS. PROGRAM PARTICIPANTS (K-12 STUDENTS) WILL DISCUSS MAKING HEALTHY CHOICES, TOBACCO (ALL GRADES), VAPING (GRADES 6-12), ALCOHOL (GRADES 6-12). IN ADDITION, PARTICIPANTS WILL BE ABLE TO LEARN AND PRACTICE SELF-REGULATION STRATEGIES.2) ST. MARTINS HEALTHCARE: DEKALB MEMORIAL HOSPITAL, INC. PROVIDED SUPPORT TO ST. MARTINS BEHAVIORAL HEALTH SERVICES PROGRAM. THIS PROGRAM PROVIDES MENTAL HEALTH COUNSELING TO UNINSURED AND UNDERINSURED PATIENTS IN DEKALB, NOBLE, STEUBEN AND LAGRANGE COUNTIES. IN ADDITION TO COUNSELING, ST MARTINS OFFERS TOBACCO CESSATION EDUCATION AND TREATMENT FOR SUBSTANCE USE DISORDERS IF NEEDED. PART V, SECTION B, LINE 11 CONT'D: 3) HEARTEN HOUSE: THIS PROGRAM ASSISTS WOMEN IN OVERCOMING DESTRUCTIVE THOUGHT AND BEHAVIOR PATTERNS. THE PROGRAM HAS A 16-BED FACILITY GIVING VULNERABLE WOMEN A PLACE TO STAY WHILE THEY OVERCOME THEIR BARRIERS. IN ADDITION TO PROVIDING THEM A PLACE TO STAY, THE PROGRAM SETS WOMEN UP WITH HEALTH INSURANCE, GETS THEM SOCIAL SECURITY CARDS, BIRTH CERTIFICATES AND ID'S. IT ALSO INCLUDES LIFE SKILLS CLASSES, HELP WITH SUBSTANCE USE DISORDERS, AND BIBLE STUDIES.4) PURSUE IMPLEMENTING AN INTENSIVE OUTPATIENT PROGRAM (IOP) AT DEKALB MEMORIAL HOSPITAL, INC.: IOPS ARE A MORE PROGRESSIVE APPROACH TO TRADITIONAL OUTPATIENT THERAPY WHEN YOU SEE A THERAPIST ONCE OR TWICE A WEEK IN THEIR OFFICE. AN IOP IS A DIFFERENT TYPE OF THERAPY (BOTH GROUP AND INDIVIDUAL) WHERE A PATIENT IS IN THERAPY FOR THREE HOURS A DAY, THREE DAYS A WEEK. WHILE THIS PROJECT IS STILL UNDERWAY, THE PURPOSE OF THIS INITIATIVE IS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES IN DEKALB COUNTY. 5) INSTALL NALOXBOX IN DEKALB COUNTY: TO ACCOMPLISH THIS INITIATIVE, DEKALB MEMORIAL HOSPITAL, INC. PARTNERED WITH OVERDOSE LIFELINE, INC. IN 2023 TO INSTALL THEIR NALOXBOX ON DEKALB MEMORIAL HOSPITAL, INC.'S CAMPUS. IT IS OUR HOPE THAT THIS NALOXBOX WILL SAVE MANY LIVES IN OUR COMMUNITY. THIS PROJECT WAS PART OF AN INITIATIVE STARTED BY GOVERNOR ERIC HOLCOMB IN 2021 TO IMPROVE ACCESS TO NALOXONE TO REACH VULNERABLE POPULATIONS MORE EFFECTIVELY. THE PROGRAM IS COORDINATED BY OVERDOSE LIFELINE, INC., AN INDIANA NONPROFIT DEDICATED TO HELPING THOSE AFFECTED BY SUBSTANCE USE DISORDER.OBESITY: 1) COOKING DEMONSTRATIONS: COOKING DEMONSTRATIONS ARE GOING TO BE OFFERED TO THE COMMUNITY BY PARKVIEW HEALTH DIETICIANS IN DEKALB COUNTY. THESE CLASSES ARE GREAT FOR KIDS AND PARENTS. THIS CLASS WILL TEACH LITTLE ONES HOW TO BE ACTIVE PARTICIPANTS IN THE KITCHEN AND THEY HAVE THE CHANCE TO ENJOY THE FOOD THEY PREPARE. 2) JUDY A. MORRILL RECREATION CENTER (JAM CENTER): BY PARTNERING WITH THE JAM CENTER THROUGH PROGRAM SUPPORT, DEKALB MEMORIAL HOSPITAL, INC. HOPES TO INCREASE ACCESS TO PHYSICAL ACTIVITY THROUGHOUT THE COMMUNITY. THROUGH THE JAM CENTER, PROGRAM PARTICIPANTS CAN ACCESS A FULL-SIZE GYMNASIUM, FITNESS CENTER, AND AQUATIC CENTER (FEATURING A SPLASH PAD, SLIDE AND ZERO-ENTRY RAMP) ALL WHILE IN AN ENVIRONMENT THAT SUPPORTS EVERYONE REGARDLESS OF THEIR FITNESS LEVEL, AGE, BACKGROUND OR INCOME. THROUGH THIS FACILITY, THE JAM CENTER IS ABLE TO ADMINISTER A WIDE VARIETY OF PROGRAMMING THAT ALIGNS WITH OUR GOAL OF REDUCING OBESITY IN DEKALB COUNTY. EXAMPLES INCLUDE COSMIC KIDS YOGA, TRX (A BODYWEIGHT SUSPENSION TRAINING CLASS), SILVERSNEAKERS CLASSIC (A LOW-IMPACT FITNESS CLASS FOR SENIORS), AND TOGETHER SO MUCH LESS (A WEEKLY ACCOUNTABILITY GROUP FOCUSED ON TRACKING CALORIES). 3) WARM-A-HEART COMMUNITY OUTREACH: AT WARM-A-HEART COMMUNITY OUTREACH, THEY SERVE MEALS TO 90-110 CUSTOMERS A WEEK AND GIVE OUT 55-65 SETS OF GROCERIES A WEEK AT THIS POINT. THEY SERVE MEALS AND HAND OUT GROCERIES ON TUESDAYS AND THURSDAYS. THEIR PRIMARY SERVICE AREA IS DEKALB COUNTY, HOWEVER THEY DO SERVE SOME FAMILIES FROM STEUBEN AND NOBLE COUNTIES AS WELL. ANYONE THAT IS IN NEED AND WALKS THROUGH THEIR DOORS WILL BE PROVIDED WITH A MEAL ALONG WITH ENOUGH GROCERIES TO LAST APPROXIMATELY THREE TO FOUR DAYS. 4) PREVENTATIVE EDUCATION: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH MCMILLEN HEALTH TO OFFER STUDENTS PREVENTATIVE EDUCATION PROGRAMMING IN AN EFFORT TO INCREASE THEIR KNOWLEDGE ON LIVING A HEALTHY LIFESTYLE. ALL MCMILLEN PROGRAMMING TEACHES RESPONSIBLE DECISION MAKING, THE IMPORTANCE OF MAKING HEALTHY CHOICES, AND TAKING RESPONSIBILITY FOR THOSE CHOICES. THESE PROGRAMS SERVE THREE DEKALB COUNTY SCHOOL DISTRICTS AND FOUR ADDITIONAL SCHOOLS THAT HAVE A STUDENT POPULATION WITH 40% OR MORE STUDENTS IDENTIFIED AS ECONOMICALLY DISADVANTAGED. HEALTH NEEDS IDENTIFIED BY MOST RECENT CHNA THAT WERE NOT SELECTED AS A TOP PRIORITY, BUT DEKALB MEMORIAL HOSPITAL, INC. STILL ADDRESSES: WHILE CARDIOVASCULAR DISEASE AND DIABETES WERE NOT SELECTED AS A TOP HEALTH PRIORITY, THE HOSPITAL STILL ADDRESS BOTH NEEDS THROUGH THEIR SUPPORT OF OBESITY PROGRAMMING AT THE JAM CENTER; COOKING DEMONSTRATIONS OFFERED AT THE YMCA; AND MCMILLEN HEALTH'S OBESITY PREVENTATIVE EDUCATION. IDENTIFIED HEALTH NEEDS NOT BEING ADDRESSED THROUGH COMMUNITY HEALTH:DEKALB MEMORIAL HOSPITAL, INC. DID NOT ADDRESS THE FOLLOWING SEVEN HEALTH NEEDS IDENTIFIED AS A TOP TEN HEALTH CONCERN BY THE 2022 DEKALB MEMORIAL HOSPITAL, INC. CHNA: ASTHMA, CANCER, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, KIDNEY DISEASE, AND MOTHERS NOT IN EARLY PRENATAL CARE. BEING A COMMUNITY HOSPITAL, DEKALB MEMORIAL HOSPITAL, INC. DOES NOT HAVE THE RESOURCES NECESSARY TO EFFECTIVELY ADDRESS ALL TOP TEN HEALTH CONCERNS. THEREFORE, WE GATHERED COMMUNITY STAKEHOLDERS IN AN EFFORT TO PRIORITIZE DEKALB COUNTY'S TOP THREE HEALTH PRIORITIES. IN ADDITION TO THE PRIORITY RANKING SCORES (PG. 42 OF 2022 DEKALB MEMORIAL HOSPITAL, INC. CHNA), COMMUNITY STAKEHOLDERS CONSIDERED SIGNIFICANCE, SEVERITY, SUITABILITY, AND HEALTH DISPARITY RELATED TO SOCIAL DETERMINANTS OF HEALTH. THE COMMITTEE IDENTIFIED MENTAL HEALTH, SUBSTANCE USE DISORDERS AND OBESITY AS THE TOP THREE PRIORITIES IN DEKALB COUNTY. PART V, LINES 16A, 16B AND 16C: HTTPS://WWW.PARKVIEW.COM/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 3E: THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. PART I, LINE 6A: THE RELATED ENTITIES OF PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384); PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295; PARK CENTER, INC. (EIN 35-1135451); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES. PART I, LINE 7: PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BDEKALB MEMORIAL HOSPITAL, 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 7GAMOUNTS PRESENTED DO NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, DEKALB MEMORIAL HOSPITAL, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. PART I, LN 7 COL(F): PERCENT OF TOTAL EXPENSEDEKALB MEMORIAL HOSPITAL, INC. EXCLUDED $8,961,708 OF PH CLINICAL SUPPORT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.WORKFORCE DEVELOPMENT: DEKALB MEMORIAL HOSPITAL, INC. AS PART OF PARKVIEW HEALTH SYSTEM, INC. OFFERS INNOVATIVE LEARNING EXPERIENCES TO HIGH SCHOOL, UNIVERSITY AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HAS MORE THAN 150 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, WHICH SUPPORT STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW FACILITIES. STUDENTS MAY BEGIN TO EXPLORE POTENTIAL CAREER PATHS THROUGH JOB SHADOWS AND OBSERVATIONS AND THEN ADVANCE INTO INTERNSHIPS AND SPECIALTY CLINICALS AS THEY PROGRESS THROUGH THEIR EDUCATION JOURNEY. PART III, LINE 2: FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. PART III, LINE 4: BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGES 13 AND 24 - 27 OF ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSDEKALB MEMORIAL HOSPITAL, INC. BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, WHILE DEKALB MEMORIAL HOSPITAL, 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. PART III, LINE 9B: A PATIENT'S FAILURE TO MAKE PAYMENT ARRANGEMENTS THROUGH VARIOUS AVAILABLE PAYMENT OPTIONS OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING REFERRED TO A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES, WHICH MAY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY. IF AN INDIVIDUAL SUBMITS A COMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, AND PARKVIEW HEALTH DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN PARKVIEW HEALTH WILL TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION (EXCEPT FOR A SALE OF DEBT) TAKEN AGAINST THE INDIVIDUAL TO OBTAIN PAYMENT FOR THE CARE. ALSO, IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, PARKVIEW WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL (WITH RESPECT TO CHARGES TO WHICH THE FINANCIAL ASSISTANCE APPLICATION UNDER REVIEW RELATES) UNTIL THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED AND AN ELIGIBILITY DECISION RENDERED. PART VI, LINE 2: DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B.IN ADDITION TO COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT ON A TRIENNIAL BASIS, DEKALB MEMORIAL HOSPITAL, 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. DEKALB MEMORIAL HOSPITAL, 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. PARKVIEW LEADERS SERVING ON HEALTH-RELATED AND SOCIAL SERVICE BOARDS OF DIRECTORS IN THE COMMUNITY5. OTHER PUBLIC HEALTH DATABASES (E.G. COMMUNITY COMMONS, COUNTY HEALTH RANKINGS) KEY HOSPITAL REPRESENTATIVES MAINTAIN ON-GOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE. PART VI, LINE 3: DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE. PART VI, LINE 4: DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.DEKALB MEMORIAL HOSPITAL, INC., STANDS AS THE SOLE LICENSED HEALTHCARE FACILITY WITHIN DEKALB COUNTY. ACCORDING TO DATA PROVIDED BY THE CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), DEKALB COUNTY HAS A POPULATION OF 43,731 INDIVIDUALS (AS OF 2022). ADDITIONALLY, THE DATA REVEALS A MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $68,110, WHILE ACKNOWLEDGING THAT 10% OF RESIDENTS GRAPPLE WITH FINANCIAL CHALLENGES, LIVING BELOW THE FEDERAL POVERTY LEVEL (FROM 2018 TO 2022). HEALTHCARE COVERAGE EXTENDS TO MOST OF DEKALB COUNTY'S RESIDENTS, WITH APPROXIMATELY 91.6% OF RESIDENTS COVERED BY HEALTH INSURANCE (AS OF 2021). ADDITIONALLY, MEDICAID PLAYS A SIGNIFICANT ROLE IN SAFEGUARDING THE WELL-BEING OF THE COMMUNITY, EXTENDING ITS COVERAGE TO 17.74% 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: 1186905830SERVICE AREA NAME: DEKALB COUNTYDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: DEKALB COUNTYHPSA SCORE:8 STATUS: DESIGNATEDRURAL STATUS: RURAL2) DISCIPLINE: MENTAL HEALTHHPSA ID: 7186175063SERVICE AREA NAME: NORTHEASTERN CATCHMENT AREA 18DESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: DEKALB, LAGRANGE, NOBLE, AND STEUBEN COUNTIESHPSA SCORE:17 STATUS: DESIGNATEDRURAL STATUS: RURALALSO, LOCATED IN DEKALB COUNTY, A FREE MEDICAL, DENTAL AND VISION CLINIC, ST. MARTINS HEALTHCARE, INC., SERVES UNINSURED, LOW-INCOME INDIVIDUALS IN DEKALB AND NOBLE COUNTY. PART VI, LINE 5: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).DEKALB MEMORIAL HOSPITAL, INC. SEEKS TO DELIVER EXCELLENT CARE TO EVERY PATIENT, EVERY DAY. IN DOING SO, THE HOSPITAL HAS DEVELOPED ITS INFRASTRUCTURE, POLICIES AND PROCEDURES TO ALIGN WITH THIS GOAL. THIS INCLUDES HAVING A BOARD OF DIRECTORS FOR DEKALB MEMORIAL HOSPITAL, INC. THAT IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS RESIDING WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA AND EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. WHILE THESE TWO COMPONENTS ARE CENTRAL IN PROVIDING THE HOSPITAL WITH A STRONG FOUNDATION, IT TAKES A LOT MORE THAN THIS TO MEET THE HOSPITAL'S STANDARD OF DELIVERING EXCELLENT CARE TO EVERY PATIENT, EVERY DAY. TO DEKALB MEMORIAL HOSPITAL, INC., ACHIEVING THIS STANDARD OF CARE REQUIRES FURTHERING EDUCATION AND RESEARCH, PARTNERING WITH COMMUNITY ORGANIZATIONS THROUGH COMMUNITY HEALTH, AND ADVANCING HEALTHCARE DELIVERY AND ACCESS. EDUCATION:DEKALB MEMORIAL HOSPITAL, INC. AS PART OF PARKVIEW HEALTH SYSTEM, INC. OFFERS INNOVATION LEARNING EXPERIENCES TO HIGH SCHOOL, UNIVERSITY AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HAS MORE THAN 150 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, WHICH SUPPORT STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW FACILITIES. STUDENTS MAY BEGIN TO EXPLORE POTENTIAL CAREER PATHS THROUGH JOB SHADOWS AND OBSERVATIONS AND THEN ADVANCE INTO INTERNSHIPS AND SPECIALTY CLINICALS AS THEY PROGRESS THROUGH THEIR EDUCATION JOURNEY. PRIOR TO LAUNCHING THEIR CAREER, STUDENTS CAN ACCESS PARKVIEW'S SPECIALLY DESIGNED WORK-STUDY OPPORTUNITIES THAT HELP THEM BECOME PRACTICE-READY BY GRADUATION.BEYOND THE HOSPITAL WALLS, THE PARKVIEW EDUCATION CENTER (PEC) OFFERS YOUNG PEOPLE, COLLEGE STUDENTS AND PROFESSIONALS A UNIQUE ENVIRONMENT WHERE THEY CAN LEARN TOGETHER UNDER THE SAME ROOF. THIS FACILITY IS THE RESULT OF A COLLABORATION BETWEEN PARKVIEW HEALTH, FORT WAYNE COMMUNITY SCHOOLS (FWCS) AND IVY TECH COMMUNITY COLLEGE. TOGETHER WE ENHANCE THE WAY THAT STUDENTS AND HEALTHCARE PROFESSIONALS LEARN AND WORK TOGETHER. EDUCATORS CAN PARTNER ACROSS THE CONSORTIUM, SHARING NOT ONLY SPACE BUT RESOURCES, TECHNOLOGY, AND BEST PRACTICES. FURTHERMORE, PEC OFFERS BOTH CLASSROOM AND SIMULATED EXPERIENCE OPTIONS FOR STUDENTS AND CURRENT HEALTHCARE PROFESSIONALS. THE CLASSROOMS, LABORATORIES AND COLLABORATIVE SPACES PROVIDE PARTICIPANTS FROM ALL SKILLSETS AND BACKGROUNDS WITH THE OPPORTUNITY TO GROW TOGETHER. THIS ENABLES HIGH SCHOOL STUDENTS TO DISCOVER POTENTIAL CAREER PATHS, GIVES ADULTS THE CHANCE TO EARN COLLEGE DEGREES AND CERTIFICATIONS, AND GIVES PARKVIEW CO-WORKERS AN OPPORTUNITY TO ENHANCE THEIR SKILLS.DEKALB MEMORIAL HOSPITAL, INC. AS PART OF PARKVIEW HEALTH SYSTEM, INC. CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH INNOVATIVE PARTNERSHIPS WITH LOCAL UNIVERSITIES. THIS INCLUDES THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION AND LOCAL UNIVERSITIES WORKING TOGETHER AT THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS, AS WELL AS DEVELOPMENT OF THE LIFE SCIENCE EDUCATION AND RESEARCH CONSORTIUM ON THE PARKVIEW RANDALLIA CAMPUS. THE CONSORTIUM IS A COLLABORATION BETWEEN THE HOSPITAL, TRINE UNIVERSITY AND HUNTINGTON UNIVERSITY. TOGETHER THEY PRESENT ACADEMIC PROGRAMS AND RESEARCH TIED TO REHABILITATION SERVICES AND SENIOR CARE. IN ADDITION, DOCTORAL PROGRAMS FOR PHYSICAL THERAPY AND OCCUPATIONAL THERAPY ARE OFFERED TO ADDRESS SIGNIFICANT WORKFORCE GAPS AND SPECIALTY CARE ACCESS NEEDS IN THE COMMUNITY.RESEARCH:THE PARKVIEW RESEARCH CENTER (FOUNDED IN 1993) AT THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION HAS BROUGHT MORE THAN 800 CLINICAL TRIALS TO PATIENTS AND PROVIDERS FOR NOVEL AND POTENTIALLY LIFE-SAVING TREATMENTS, WITH AN AVERAGE OF 150 OPEN STUDIES AT ANY GIVEN TIME. THE PRIMARY FOCUS AT THE CENTER HAS BEEN PHASE II AND PHASE III SPONSORED CLINICAL TRIALS, WITH TWO-THIRDS OF OUR ACTIVE RESEARCH IN CANCER TREATMENTS. THE PARKVIEW RESEARCH CENTER ALSO PROVIDES ACCESS TO HUMANITARIAN USE DEVICES (HUD) AS WELL AS EXPANDED ACCESS PROGRAMS THAT ALLOW OUR PATIENTS ACCESS TO INVESTIGATIONAL DRUGS AND DEVICES IN LIFE-THREATENING OR SPECIAL CIRCUMSTANCES. THE PARKVIEW RESEARCH CENTER IS UNIQUELY SITUATED TO PARTICIPATE IN COLLABORATIVE RESEARCH EFFORTS WITH LOCAL AND NATIONAL ACADEMIC PARTNERS. ONE OF OUR OLDEST COLLABORATIONS IS WITH THE INDIANA UNIVERSITY SCHOOL OF MEDICINE ON THE STUDENT EDUCATION AND RESEARCH FELLOWSHIP (SERF) PROGRAM (FORMERLY THE MIDWEST ALLIANCE FOR HEALTH EDUCATION). THIS PROGRAM WAS ESTABLISHED MORE THAN 30 YEARS AGO AND CONTINUES TO SERVE THE SURROUNDING REGION. WITHIN THIS FELLOWSHIP PROGRAM, STUDENTS ARE IN-RESIDENCE FOR NINE WEEKS, LEARNING ABOUT RESEARCH AND INTERACTING WITH PARKVIEW PHYSICIANS ON ONGOING RESEARCH STUDIES. STUDENTS GAIN BASIC RESEARCH SKILLS AND DISSEMINATE THEIR WORK THROUGH A POSTER OR PODIUM PRESENTATION AT THE END OF THE PROGRAM.IN ADDITION TO TRAINING AND EDUCATION, THE MIRRO CENTER FOR RESEARCH AND INNOVATION ALSO HOUSES THE HEALTH SERVICES AND INFORMATICS RESEARCH GROUP, WHICH IS COMPRISED OF INTERDISCIPLINARY SCIENTISTS, PROJECT MANAGERS AND USER-EXPERIENCE SPECIALISTS. THIS TEAM WORKS ON A BROAD ARRAY OF PROJECTS, INCLUDING INVESTIGATOR-INITIATED RESEARCH, PROGRAM EVALUATION, PILOT STUDIES, COMMUNITY SURVEYS AND USER-EXPERIENCE PROJECTS THAT IMPROVE THE USABILITY OF HEALTHCARE TECHNOLOGIES. EXAMPLES OF THEIR PROJECTS INCLUDE YOUTH MENTAL HEALTH RESEARCH, INNOVATIVE PRACTICE MODEL EVALUATION, SCREENING FOR AND ADDRESSING SOCIAL DETERMINANTS OF HEALTH, AND SUPPORTING PEOPLE LIVING WITH CHRONIC DISEASE. MUCH OF THIS TEAM'S WORK HAS LED TO PUBLICATION IN PEER-REVIEWED JOURNALS, PRESENTATIONS AT TOP-TIER SCIENTIFIC CONFERENCES, AND THE DISSEMINATION OF FINDINGS TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFLUENCE PUBLIC HEALTH POLICY.COMMUNITY HEALTH:DEKALB MEMORIAL HOSPITAL, INC. IS COMMITTED TO THE INVESTMENT OF TIME AND RESOURCES, IN THE PROCESS AND CHALLENGES OF IMPROVING THE HEALTH AND WELL-BEING OF THE COMMUNITY THROUGH ITS COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM. THE GOAL OF THE CHI PROGRAM IS TO UTILIZE BEST PRACTICES AND INNOVATIVE METHODS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY, PARTICULARLY THE UNDERSERVED. DEKALB MEMORIAL HOSPITAL, INC. SUPPORTS CHI EFFORTS BY COMMITTING A PERCENTAGE OF ITS NET INCOME ON AN ANNUAL BASIS. WITH OVERSIGHT BY THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE, CONSISTING OF COMMUNITY LEADERS, MEMBERS OF THE PARKVIEW HOSPITAL, INC. BOARD OF DIRECTORS AND HOSPITAL MANAGEMENT, THESE FUNDS ARE USED TO STRATEGICALLY ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED BY THE TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). THIS IS ACCOMPLISHED BY BUILDING INNOVATIVE INTERNAL AND EXTERNAL PROGRAMS IN COLLABORATION WITH COMMUNITY PARTNERS THAT ADDRESS IDENTIFIED HEALTH PRIORITIES. IN PARTNERING WITH OTHER ORGANIZATIONS TO IMPROVE THE HEALTH OF OUR COMMUNITY, THE CHI PROGRAM WORKS WITH SEVERAL COMMUNITY PARTNERS TO ADDRESS THE PRIORITIES OUTLINED BY DEKALB MEMORIAL HOSPITAL, INC.'S MOST RECENT CHNA. MCMILLEN HEALTH, INSPIRATION MINISTRIES, WARM-A-HEART COMMUNITY OUTREACH, JUDY A. MORRILL CENTER AND THE HEARTEN HOUSE ARE JUST A FEW OF OUR PARTNER ORGANIZATIONS. IN ADDITION TO CHI'S PARTNERSHIPS SEEKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY, PARKVIEW ALSO VALUES AND MAINTAINS UPSTREAM PARTNERSHIPS WITH LOCAL, STATE AND FEDERAL GOVERNMENT LEADERS IN ORDER TO COLLABORATE ON PUBLIC POLICY THAT PROMOTES A HEALTHIER AND MORE VIBRANT COMMUNITY. PARKVIEW'S KEY ADVOCACY PILLARS INCLUDE REDUCING THE TOTAL COST OF CARE; PROTECTING AND EXPANDING ACCESS TO CARE; IMPROVING COMMUNITY HEALTH AND QUALITY OF PLACE; AND ADVANCING INFRASTRUCTURE, TALENT, RESEARCH AND INNOVATION.(NARRATIVE CONTINUED AFTER PART VI, LINE 7 CONT'D) PART VI, LINE 6: IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.PARKVIEW HEALTH SYSTEM, INC. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; DEKALB MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; PARK CENTER, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF 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. PART VI, LINE 7, REPORTS FILED WITH STATES IN PART VI, LINE 7 CONT'D: A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH. PART VI, SUPPLEMENTAL INFORMATION, LINE 5 CONT'D: CONTINUED FROM ABOVE: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).ADVANCING HEALTHCARE DELIVERY AND ACCESS:PARKVIEW CONTINUES TO ADVANCE INNOVATION IN PATIENT ACCESS TO HEALTHCARE SERVICES THROUGH ITS DIGITAL HEALTH AND VIRTUAL CARE TECHNOLOGY. PARKVIEW USES THE ELECTRONIC MEDICAL RECORD (EMR), THIRD PARTIES AND ADDITIONAL TOOLS TO FACILITATE VIRTUAL CONNECTIONS BETWEEN STAFF MEMBERS, PROVIDERS AND PATIENTS. THESE CONNECTIONS ENSURE THAT WE CAN CONNECT WITH COMMUNITY HOSPITALS, COMMUNITY PARTNERS AND PATIENTS TO EXPEDITE CARE THAT MAY HAVE PREVIOUSLY REQUIRED ADDITIONAL STAFFING, PATIENT MOVEMENT AND TRANSPORT, OR DELAYED CARE.ONE OF THE LARGEST PLATFORMS UTILIZED IS THE PATIENT PORTAL, BRANDED AS PARKVIEW'S MYCHART. PARKVIEW MYCHART IS AN EASY-TO-USE TOOL THAT ENABLES PATIENTS TO PLAY AN ACTIVE ROLE IN THEIR HEALTHCARE JOURNEY. IT OFFERS NOT ONLY CONVENIENT AND SECURE ACCESS TO MEDICAL RECORDS BUT ALSO A RANGE OF SERVICES, RESOURCES AND FEATURES THAT ENHANCE THE PATIENT EXPERIENCE. PATIENTS WHO INTEGRATE MYCHART INTO THEIR EVERYDAY LIFE CAN SAVE TIME ORGANIZING HEALTH AND INSURANCE INFORMATION, COMMUNICATE WITH THEIR PROVIDER OFFICE, VIEW SCHEDULING OPTIONS AND GAIN A BETTER UNDERSTANDING OF THEIR HEALTH AND WELL-BEING. OVER THE LAST 12 MONTHS, PARKVIEW HEALTH ENGAGED MORE THAN 500,000 PATIENTS THROUGH THE MYCHART PLATFORM, WHO LOGGED INTO THEIR ACCOUNT TO ACTIVELY MANAGE OR PARTICIPATE IN THEIR CARE. PARKVIEW ONDEMAND IS A TELEHEALTH PLATFORM THAT ALLOWS INDIVIDUALS TO CONNECT WITH A PROVIDER 24/7, ANYTIME AND ANYWHERE, THROUGH VIDEO VISITS USING A COMPUTER, TABLET OR SMARTPHONE. THIS SERVICE ENABLES PROVIDERS TO SEE PATIENTS FOR SIMPLE FOLLOW-UPS, WELLNESS EXAMS, AND NON-EMERGENCY CONDITIONS LIKE COLD AND FLU, ALLERGIES AND PINK EYE. CONVENIENTLY, PARKVIEW ONDEMAND CAN ALSO SUBMIT PRESCRIPTIONS DIRECTLY TO THE PATIENT'S PHARMACY OF CHOICE WHEN NEEDED.PARKVIEW ALSO OFFERS THE PARKVIEW HEALTH APP, AVAILABLE IN THE GOOGLE AND APPLE APP STORES. THIS APP CONNECTS USERS TO VARIOUS HELPFUL TOOLS DESIGNED TO ENHANCE THE PATIENT JOURNEY AND PROVIDE ACCESS TO HEALTH RECORDS. WITH THE APP, USERS CAN START A VIDEO VISIT, SCHEDULE A NEW PATIENT APPOINTMENT WITH A PRIMARY CARE PROVIDER, GET TURN-BY-TURN WAYFINDING INSIDE PARKVIEW REGIONAL MEDICAL CENTER AND PARKVIEW RANDALLIA, AMONG OTHER FEATURES. THE APP ALSO ALLOWS ACCESS TO THE USER'S PARKVIEW MYCHART ACCOUNT.PARKVIEW HAS FOCUSED RECENTLY ON LEVERAGING SOME OF OUR CONNECTIVITY OPTIONS TO CREATE VIRTUAL NURSING AND VIRTUAL SITTING OPTIONS. BY USING CAMERAS IN PATIENT ROOMS, A CAREGIVER CAN CONNECT BY VIDEO, TO TALK TO THE PATIENT. THIS ALLOWS VIRTUAL NURSING STAFF TO DISCUSS ADMISSION OR DISCHARGE INSTRUCTIONS, MEDICATION QUESTIONS, AND OTHER QUESTIONS THAT A PATIENT MAY HAVE, WHICH ASSISTS THE CAREGIVER AT THE BEDSIDE. FOR PATIENTS WHO HAVE MONITORING ORDERS AND REQUIRE CONSTANT SUPERVISION TO MAINTAIN THEIR SAFETY, A TEAM OF TRAINED STAFF MEMBERS ARE ABLE TO MONITOR PATIENTS ACROSS THE HEALTH SYSTEM THROUGH THE CAMERAS. THIS HELPS REDUCE FALLS, ALLOWS FOR QUICK INTERVENTION, AND SCALABLE RESOURCES DURING A TIME OF CHALLENGED LABOR CONSTRAINTS. 1 INSPIRATION MINISTRIES INC 173 W OAK STREET BUTLER IN 46721 800798094 501(C)(3) 10000 0 HELP PEOPLE TRANSFORM THEIR LIVES IN TIMES OF TRANSITION GARRETT COMMUNITY CENTER INC 1200 E HOUSTON STREET GARRETT IN 46738 352010882 501(C)(3) 6684 0 PROGRAMS TO CELEBRATE AND STRENGTHEN THE VIBRANT COMMUNITY BY CONNECTING PEOPLE AND ORGANIZATIONS THROUGH ACTIVITIES THAT IMPROVE THE QUALITY OF LIFE FOR THE GREATER GARRETT INDIANA AREA. 2 0 PART I, LINE 2: COMMUNITY HEALTH IMPROVEMENT FUNDING PARTNER ORGANIZATIONS ARE REQUIRED TO SUBMIT AN ANNUAL PROGRESS REPORT RELATED TO PROGRAM FUNDING. PARTNER ORGANIZATIONS ARE REQUIRED TO RE-APPLY FOR FUNDING ON AN ANNUAL BASIS. 0 1 0 0 0 0 0 1 0 MICHAEL PACKNETT FORMER OFFICER/RETIRED PH CEO 0 66747 0 351881 0 4615581 0 26400 0 2853 0 5063462 0 4613104 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 0 834975 0 187034 0 1143499 0 239228 0 38660 0 2443396 0 1101767 GREG JOHNSON DIRECTOR/REGIONAL MARKET PRESIDENT 0 681591 0 112796 0 94104 0 155300 0 33706 0 1077497 0 84817 THOMAS MASON DIRECTOR/PH PHYSICIAN 9196 327956 0 29809 0 48108 804 35496 833 36785 10833 478154 0 0 NATASHA EICHER DIRECTOR/MARKET PRESIDENT 253450 0 47021 0 62870 0 71793 0 32698 0 467832 0 38673 0 BRET CLAGHORN FORMER OFFICER/CURRENT PH VP 0 229678 0 30283 0 1809 0 24340 0 38123 0 324233 0 0 KARRA HEGGEN DMHOS VP PATIENT CARE SVCS 202846 0 32782 0 27856 0 18228 0 15991 0 297703 0 0 0 LON KEYES DMHOS PHARMACY MGR 179772 0 13408 0 1980 0 15568 0 12719 0 223447 0 0 0 JACOB CLENDENEN DMHOS PHARMACIST 159132 147 500 0 1020 0 6792 6 35037 32 202481 185 0 0 BETHANY HEILEMAN DMHOS PHARMACIST 142700 1194 500 0 930 0 16393 136 31760 263 192283 1593 0 0 ANTHONY STUMP DMHOS MGR REHAB 130080 0 9959 0 2477 0 13250 0 32072 0 187838 0 0 0 PEGGY ROBERTS DMHOS REGISTERED NURSE 119101 0 6350 20000 1225 0 927 146 11324 1788 138927 21934 0 0 PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF DEKALB MEMORIAL HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION AND THE AMOUNT OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): NATASHA EICHER $38,673; GREG JOHNSON $84,817; MICHAEL PACKNETT $4,613,104; JEANNE' WICKENS $1,101,767 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 OVER MORE THAN 10 YEARS AS THE AMOUNTS WERE DEFERRED UNDER THE PLANS. AS SUCH, THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) IS AN INDICATION OF AMOUNTS THAT HAVE BEEN REPORTED TWICE, ONCE AS A DEFERRAL AND ONCE AS VESTED. THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME SET FORTH IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: NATASHA EICHER $48,772; GREG JOHNSON $119,000; JEANNE' WICKENS $216,128 PART I, LINE 7 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. FORM 990, PART V, LINES 1A AND 2A: PARKVIEW HEALTH SYSTEM, INC.(PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, DEKALB MEMORIAL HOSPITAL, INC., EIN 35-1064295. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2 AND W-3 ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 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 DEKALB MEMORIAL HOSPITAL, INC. WAS 26 AND 373 RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE PRESIDENT OF THE CORPORATION, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER OR HIS/HER DESIGNEE, THE CURRENT CHIEF OF THE MEDICAL STAFF, AND SUCH OTHER PERSONS AS IDENTIFIED BY THE CHAIR OF THE BOARD, EACH OF WHOM SHALL BE ENTITLED TO VOTE. IN NO EVENT SHALL THE MEMBERS OF THE EXECUTIVE COMMITTEE EXCEED EIGHT (8) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION AS THE PLANNING COMMITTEE AND IN ANY OTHER MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR ITS RATIFICATION OF ITS ACTION. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIR OR BY THREE (3) MEMBERS. FORM 990, PART VI, SECTION A, LINE 4 THE FOLLOWING SIGNIFICANT CHANGES WERE MADE TO THE BYLAWS OF DEKALB MEMORIAL HOSPITAL, INC.: ARTICLE V - BOARD OF DIRECTORS: SECTION 2 - NUMBER AND CHARACTERISTICS THE NUMBER OF HOSPITAL MEDICAL STAFF THAT CAN BE VOTING BOARD MEMBERS WAS CHANGED FROM THREE (3), AND NOW READS A MINIMUM OF TWO (2), NOT TO EXCEED THREE (3). PRIOR TO THE CHANGE, THE CHAIR OF THE BOARD WAS REQUIRED TO RESIDE IN DEKALB COUNTY. THE CHANGE NOW REQUIRES THE CHAIR OF THE BOARD TO RESIDE IN OR BE EMPLOYED IN DEKALB COUNTY. ARTICLE VII - OFFICERS: VICE PRESIDENT OF FINANCE WAS REMOVED AS BEING AN OFFICER OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF DEKALB MEMORIAL HOSPITAL, INC. WITH CERTAIN RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS AS DEFINED IN THE NETWORK AGREEMENT: (I) APPOINT (INCLUDING TO FILL A VACANCY) AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT (INCLUDING TO FILL A VACANCY) AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, JOINT VENTURE, PARTNERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION B, LINE 11B 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. DEKALB MEMORIAL HOSPITAL, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY 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. FORM 990, PART VI, SECTION B, LINE 12C AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE 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." FORM 990, PART VI, SECTION B, LINE 15 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 & 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 & 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 & 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. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINES 5-10: PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC. FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E. PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII. FORM 990, PART XI, LINE 9: ASSET TRANSFERS/ADJUSTMENTS -107,468. 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