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 237220589 PARKVIEW FOUNDATION INC PARK 2603738429 3844 NEW VISION DR FORT WAYNE IN 468451724 STANTON RISSER PH ACFO 2602669380 2024-11-05 1 1 BRITTNEY KOCAJ P01320603 9542028600 2023 2024-10-15 13:58:12Z X DENA JACQUAY 1450 PRODUCTION RD FORT WAYNE IN 468081167 12455105 0 X WWW.PARKVIEW.COM X 1972 IN TO SERVE AS THE PRIMARY FUNDRAISING ENTITY FOR PARKVIEW HOSPITAL, INC. X 9 5 5 5 0 0 871456 2006915 826668 864963 285443 181187 -2385 1487 1981182 3054552 925550 1100840 0 0 495440 461592 0 0 391397 365869 439879 1786859 2002311 194323 1052241 15654244 0 5652 0 15648592 0 X TO SERVE AS THE PRIMARY FUNDRAISING ENTITY FOR PARKVIEW HOSPITAL, INC. FUNDS ARE USED FOR THE CONTINUED IMPROVEMENT OF THE HOSPITAL'S FACILITIES, EQUIPMENT, PROGRAMS & SERVICES IN ACCORDANCE WITH THE NEEDS OF THE COMMUNITY WHERE THE HOSPITAL IS LOCATED. 0 1 1249558 1100840 864963 THE PARKVIEW HEALTH SYSTEM, INC. OPERATES FOUNDATIONS FOR EACH OF OUR HOSPITALS. THESE NONPROFIT ORGANIZATIONS PROVIDE PHILANTHROPIC SUPPORT FOR OUR MISSION OF PROVIDING HIGH QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO PARKVIEW. WE ALSO STRIVE TO IMPROVE THE HEALTH OF THE COMMUNITIES THAT WE SERVE. THE PARKVIEW FOUNDATION, INC. BUILDS RELATIONSHIPS THAT FOSTER GIFT GIVING FOR THE BENEFIT OF OUR PATIENTS AND THEIR FAMILY MEMBERS, AND CAREGIVERS, IN THE FORM OF HOSPITAL PROGRAMS, SERVICES, AND EQUIPMENT. THESE RELATIONSHIPS ARE BUILT WITH PARKVIEW HOSPITAL, INC. CO-WORKERS, (SEE SCHEDULE O FOR CONTINUATION)PHYSICIANS, VENDORS, PATIENT FAMILIES, AND THE COMMUNITY AT LARGE. THE PARKVIEW FOUNDATION, INC. IS COMPOSED OF A COLLECTION OF CORPORATE, FOUNDATION, AND INDIVIDUAL DONORS WHO SEE PARKVIEW HOSPITAL, INC., AS AN AGENT FOR SAVING AND CHANGING LIVES. MOREOVER, THEY VIEW PARKVIEW FOUNDATION, INC. AS A VEHICLE FOR TRANSFORMING LIVES, PROVIDING HOPE, AND ULTIMATELY IMPROVING THE HEALTH AND WELLBEING OF OUR COMMUNITY. IN 2023, AN ARRAY OF NEEDS FROM BOTH PARKVIEW REGIONAL MEDICAL CENTER (PRMC) AND PARKVIEW HOSPITAL RANDALLIA WERE PRESENTED TO THE PARKVIEW FOUNDATION. THE FOLLOWING ARE EXAMPLES OF PARKVIEW FOUNDATION, INC. PROVIDING FUNDING TO PARKVIEW HOSPITAL, INC. FOR VARIOUS HOSPITAL PROGRAMS, SERVICES, EQUIPMENT, AND IMPROVEMENTS: CO-WORKER EMERGENCY FUND: -THE CO-WORKER EMERGENCY FUND ASSISTED CO-WORKERS FACING EMERGENCIES SUCH AS A HEALTH EMERGENCY, DOMESTIC VIOLENCE OR OTHER LIFE CRISIS. THIS FUND PROVIDED PAYMENTS FOR RENT, UTILITIES AND ADDRESSED FOOD INSECURITY BY PROVIDING KROGER GIFT CARDS. PARKVIEW PACKNETT FAMILY CANCER INSTITUTE: -THE PARKVIEW PACKNETT FAMILY CANCER INSTITUTE WAS ABLE TO PROVIDE BASIC NEEDS TO LOW-INCOME CANCER PATIENTS. SOME EXAMPLES INCLUDE WIGS/HATS, GAS CARDS, FOOD BANK VOUCHERS AND NUTRITIONAL DRINKS. WOMEN'S & CHILDREN'S UNIT: -IN 2023, THE WOMEN'S AND CHILDREN'S UNIT WAS ABLE TO PROVIDE TRANSPORTATION OF CHILDREN AND THEIR PARENT TO SPECIALISTS FOR COORDINATED CARE. THIS WAS AVAILABLE FOR LOW-INCOME FAMILIES, OR FAMILIES THAT DID NOT HAVE ACCESS TO TRANSPORTATION. -THE WOMEN'S AND CHILDREN'S UNIT WAS ALSO ABLE TO PROVIDE A MENTAL HEALTH NAVIGATOR TO SERVE FAMILIES WITH COMPLEX NEEDS. -THE FAMILY BIRTHING CENTER WAS PROVIDED BIRTHING TUBS FOR PATIENT USE.-A NEW INCUBATOR WAS PROVIDED TO THE NICU FOR BABIES 26-34 WEEKS GESTATION. PARKVIEW CO-WORKER SUPPORT: -EXAMPLES INCLUDE MINDFUL SELF COMPASSION SESSIONS AND A HOLISTIC NURSING CART. -THE PARKVIEW FOUNDATION FUNDED A NEW PROGRAM CALLED PARKVIEW PUPS. A GROUP OF CO-WORKERS AND THEIR DOGS ARE TRAINED TO BECOME THERAPY DOG CERTIFIED. AFTER CERTIFICATION, THE DOGS TRAVEL WITH THEIR OWNER AROUND THE HOSPITALS TO VISIT CO-WORKERS. CO-WORKER EDUCATION & TRAINING: -CO-WORKERS WERE ABLE TO ATTEND THE GLOBAL LEADERSHIP SUMMIT THAT IS HELD YEARLY IN AUGUST. MEDICAL EDUCATION WAS ALSO PROVIDED FOR DRY NEEDLING AND ECHO. SCHOLARSHIPS:-SCHOLARSHIPS WERE PROVIDED TO BOTH CO-WORKERS SEEKING HEALTHCARE EDUCATION DEGREES AS WELL AS TO HIGH SCHOOL STUDENTS. ONE EXAMPLE IS THE PARKVIEW SPORTS MEDICINE TRAINING PROGRAM. PEDIATRICS: -ESTABLISHED THE READY TO READ PROGRAM, CHILDREN ARE GIVEN A BOOK AT EACH VISIT FROM 0-5 YEARS OLD. -RONALD MCDONALD CARE MOBILE WAS PROVIDED WITH SUPPORT TO SERVE CHILDREN THROUGHOUT THE COMMUNITY WITH MOBILE CARE INCLUDING VACCINATIONS.EQUIPMENT: - PURCHASE OF POWERLOADER STRETCHER FOR EMS VEHICLES. - PURCHASE OF POINT OF CARE ULTRASOUND EQUIPMENT AND TRAINING FOR GME STUDENTS. FRANCINE'S FRIENDS MOBILE MAMMOGRAPHY PROGRAM: -FRANCINE'S FRIENDS MOBILE MAMMOGRAPHY PROGRAM PROVIDED MAMMOGRAM SCREENINGS FOR 391 UNINSURED OR UNDERINSURED WOMEN. IN 2023, 12 BREAST CANCER DIAGNOSES WERE MADE AS A RESULT OF THESE LIFESAVING MAMMOGRAMS. SPECIAL TOUCH FUND: -THE SPECIAL TOUCH FUND, WHICH FOCUSES ON PATIENT ASSISTANCE, WAS ABLE TO PROVIDE CAR SEATS TO FAMILIES IN NEED IN ORDER TO BE DISCHARGED FROM THE HOSPITAL. IT ALSO PROVIDED HOTEL STAYS FOR FAMILY MEMBERS SO THEY COULD BE CLOSE TO THEIR LOVED ONE WHILE THEY WERE PATIENTS AT PARKVIEW REGIONAL MEDICAL CENTER OR PARKVIEW HOSPITAL RANDAILIA. -THE MEDICATION ASSISTANCE PROGRAM (MAP) PROVIDED PATIENTS WITH HELP COVERING COSTS OF PRESCRIPTIONS NECESSARY FOR DISCHARGE. CHAPLAINCY FUND: -PROVIDED BEREAVEMENT AND GRIEF SUPPORT SUPPLIES TO FAMILY MEMBERS AFTER A LOVED ONE HAS PASSED INCLUDING GRIEF PACKETS. -GAS GIFT CARDS WERE PROVIDED TO LOW-INCOME PATIENTS FOR TRAVEL TO AND FROM APPOINTMENTS. PARKVIEW HOSPICE PROGRAM: -EACH YEAR, ONGOING FINANCIAL SUPPORT IS PROVIDED TO PARKVIEW HOME HEALTH AND HOSPICE IN THE FORM OF MONTHLY SUPPORT FOR END-OF-LIFE CARE PROGRAMMING. FUNDS PROVIDED BY DONORS HAVE BEEN USED FOR BEREAVEMENT CARE, SUPPORT GROUPS, MASSAGE AND MUSIC THERAPY AND PILL BOXES. PARKVIEW HEART INSTITUTE: -THE PARKVIEW HEART INSTITUTE WAS ABLE TO PROVIDE SUPPORT FOR THE HER HEART PROGRAM TO REDUCE RISKS OF HEART DISEASE. THIS PROGRAM INCLUDED SUPPORT GROUP MEETINGS AT THE PRMC CAMPUS, FREE LAB WORK, OPPORTUNITIES FOR PHYSICAL ACTIVITY AND ACCESS TO HEALTH EXPERTS INCLUDING DIETICIANS, PHYSICIANS, AND BEHAVIORAL THERAPISTS. 1249558 1 1 0 1 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 1 0 0 1 0 0 0 1 X 21 0 1 5 1 0 0 0 0 0 0 0 0 0 0 0 0 X 9 5 1 0 0 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 DENA JACQUAY DIRECTOR/PH CHIEF ADMIN OFFICER 1.00 39.00 X X 0 1629814 296497 JOHN BOWEN DIRECTOR/PVHOS PRESIDENT 1.00 39.00 X 0 616722 142810 ROBERT GODLEY DIRECTOR/PH PHYSICIAN 1.00 39.00 X 0 409266 65106 MARY WISSMAN DIRECTOR/VICE CHAIR/PVHOS CO COORD 1.00 24.00 X X 0 56948 14954 GREGG POLLANDER DIRECTOR 1.00 0.00 X 0 0 0 SUSAN TRENT DIRECTOR/CHAIR 1.00 0.00 X X 0 0 0 BETH REGEDANZ-BREUNING DIRECTOR/SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 RENATA THURAIRATNAM DIRECTOR 1.00 0.00 X 0 0 0 MARYANN ZIEMBO DIRECTOR 1.00 0.00 X 0 0 0 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 2165508 277888 DENISE ANDORFER PVFND DIR LEADERSHIP GIFTS 40.00 0.00 X 159211 0 23217 MICHAEL PACKNETT FORMER OFFICER/RETIRED PH CEO 0.00 0.00 X 0 5034209 29253 159211 9912467 849725 1 1 1 0 0 140 64399 8070 1934306 98912 2006915 FNDRSNG SER ALLOCATION 561499 864963 864963 864963 289141 289141 9290859 9398813 -107954 -107954 -107954 3227 1740 1487 1487 3054552 864963 0 182674 X 980268 980268 120572 120572 347578 104274 121652 121652 114014 34204 39905 39905 56337 56337 38111 38111 64076 96 3799 60181 17998 1313 3794 12891 123910 249 123661 40684 7315 3639 29730 4118 1484 143 2491 6389 6389 190 190 128 32 13 83 CORP SERVICE ALLOCATION 86332 86332 DUES & SUBSCRIPTIONS 1606 803 803 2002311 1249558 361356 391397 0 859250 0 382906 0 0 0 0 0 0 4300 0 0 0 91495 0 13498488 0 0 0 0 817805 0 15654244 0 2822 0 2830 0 5652 0 X 8785016 0 6863576 0 15648592 0 15654244 0 X 1052241 1323004 -18023837 X 0 1 X 1 0 X X 1 PARKVIEW HOSPITAL INC 350868085 3 1 655353 70382 1 655353 70382 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 PART I, LINE 11G, COLUMN VI BREASTIE BOXES, GAS CARDS, BEREAVEMENT POUCHES, FLEECE BLANKETS, CHEMO TOTES RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 35 35 0 PART II-B, LINE 1: OTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. 7311278 48385 766246 70671 8055238 7629800 73493 -340804 51211 7311278 7133453 279521 292285 75459 7629800 6836798 95072 262525 60942 7133453 6056425 529929 283894 33450 6836798 0.00000 0.00000 0.00000 0 0 0 X PART V, LINE 4: THE LINE OF OTHER EXPENDITURES FOR FACILITIES AND PROGRAMS REFLECTS THE AMOUNT OF NET ASSETS TRANSFERRED TO PARKVIEW HEALTH FOUNDATION, INC. BOARD DESIGNATED ENDOWMENTS ARE USED TO COVER THE OPERATING EXPENSES OF THE FOUNDATION. PERMANENT ENDOWMENTS ARE USED FOR SCHOLARSHIPS, CHAPLAINCY SERVICES AND CANCER INSTITUTE SERVICES. 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 PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DR FORT WAYNE IN 468451701 350868085 501(C)(3) 655353 70382 OTHER BREASTIE BOXES, GAS CARDS, BEREAVEMENT POUCHES, FLEECE BLANKETS, CHEMO TOTES HOSPITAL PROGRAMS PARKVIEW HEALTH SYSTEM INC 1450 PRODUCTION RD FORT WAYNE IN 468081167 351972384 501(C)(3) 254533 0 SYSTEM PROGRAMS 2 0 CO-WORKER EMERGENCY FUND (CEF) 44 40572 SCHOLARSHIPS 45 80000 PART I, LINE 2: HOSPITAL AND HEALTH SYSTEM FUNDING: HOSPITAL AND HEALTH SYSTEM DEPARTMENTS COMPLETE FUNDING REQUEST FORMS THAT ARE RETURNED TO THE FOUNDATION. UPON COMPLETION OF THE PROJECT, THE DEPARTMENT SUBMITS A REIMBURSEMENT REQUEST ALONG WITH AN ATTACHED PURCHASE ORDER OR RECEIPT FOR SUPPLIES. BASED UPON THE ORGANIZATION'S AUTHORITY TO ACT POLICY, APPROVALS ARE MADE BY THE FOUNDATION DIRECTOR AND FOUNDATION BOARD. INFORMATION PERTAINING TO GRANTS AND ASSISTANCE TO DOMESTIC INDIVIDUALS IS PRESENTED AFTER PART II, LINE 1, COLUMN (G). PART I, LINE 2 - CO-WORKER EMERGENCY FUND (CEF): THE CEF PROVIDES LIMITED FINANCIAL ASSISTANCE FOR PARKVIEW CO-WORKERS FOR SHORT-TERM CRISIS SITUATIONS THAT ARE THE RESULT OF EMERGENCIES OR CATASTROPHIC EVENTS. THE FUNDS ARE USED AS A LAST RESORT FOR BASIC NEEDS SUCH AS FOOD, SHELTER, UTILITIES, ETC. TO BE ELIGIBLE A CO-WORKER MUST: -BE A CO-WORKER OF PARKVIEW FOR A MINIMUM OF 6 MONTHS -BE AT LEAST A .6 FTE STATUS -HAVE NOT RECEIVED MONEY FROM THE FUND IN THE LAST 12 MONTHS OR MORE THAN TWICE DURING LIFETIME OF EMPLOYMENT -COMPLETE AN APPLICATION FORM THE CEF COMMITTEE SHALL: -REVIEW, CONSIDER AND MAKE DECISIONS RELATIVE TO THE CO-WORKER'S APPLICATION FOR ASSISTANCE AND APPROVE A REQUEST BY A MAJORITY OF AFFIRMATIVE VOTES -CONSIST OF AT LEAST FIVE (5) PARKVIEW CO-WORKERS (ONE FROM EVERY PARKVIEW HOSPITAL ENTITY APPOINTED ANNUALLY BY THE CHIEF ADMINISTRATIVE OFFICER ALONG WITH ONE MEMBER EACH FROM EMPLOYEE ASSISTANCE PROGRAM & FOUNDATION) AND WILL INCLUDE BOTH MANAGEMENT AND NON-MANAGEMENT CO-WORKERS -NOT BE AWARE OF THE IDENTITY OF THE CO-WORKER MAKING THE REQUEST PART I, LINE 2 - SCHOLARSHIPS: 1) ROLLAND SCHOLARSHIP -APPLICANTS MUST BE A HIGH SCHOOL SENIOR PREPARING TO ENTER THE SCHOOL OF NURSING AT THE UNIVERSITY OF SAINT FRANCIS OR PURDUE UNIVERSITY FORT WAYNE WITH THE INTENT OF COMPLETING AN R.N. PROGRAM OF STUDY. -APPLICANTS MUST RESIDE IN ALLEN, DEKALB, NOBLE, WHITLEY, HUNTINGTON, WELLS OR ADAMS COUNTY. -APPLICANTS MUST SHOW ACADEMIC ABILITY, AS EVIDENCED BY A "B" AVERAGE OR BETTER ON THE HIGH SCHOOL TRANSCRIPT AND EXHIBIT SOME FINANCIAL NEED, AS EVIDENCED BY THE STATEMENT OF FINANCIAL CHALLENGES. ONE SCHOLARSHIP WILL BE AWARDED ANNUALLY AND IS RENEWABLE FOR UP TO THREE ADDITIONAL YEARS, PROVIDED THE STUDENT MAINTAINS A "B" AVERAGE OR BETTER AND IS MAKING PROGRESS, AS DEFINED BY UNIVERSITY STANDARDS, TOWARD COMPLETION OF THE R.N. DEGREE. APPLICATIONS ARE AVAILABLE AT LOCAL HIGH SCHOOLS. THE EXECUTIVE DIRECTOR OF THE FOUNDATION MEETS WITH MEMBERS OF THE ROLLAND FAMILY TO REVIEW QUALIFIED APPLICANTS' INFORMATION. THE FAMILY MAKES THE FINAL DECISION. 2) DARLENE TIELKER MEMORIAL SCHOLARSHIP QUALIFICATIONS FOR CONSIDERATION: -BE ACCEPTED TO OR PLANNING TO ATTEND THE B.S. NURSING PROGRAM AT A SCHOOL WITH A NURSING PROGRAM THAT HAS A NATIONAL NURSING ACCREDITATION THROUGH EITHER ACEN OR CCNE -HAVE AT LEAST TWO (2) YEARS OF SERVICE WITH PARKVIEW -BE IN GOOD STANDING WITH NO DISCIPLINARY ACTIONS IN THE PREVIOUS TWO (2) YEARS -PROVIDE TWO (2) PROFESSIONAL RECOMMENDATIONS, ONE OF WHICH MUST BE FROM A SUPERVISOR, CO-WORKER OR EDUCATOR -PROVIDE PROOF OF FINANCIAL NEED RENEWAL CRITERIA: RENEWABLE THREE (3) ADDITIONAL YEARS, PROVIDED THE STUDENT MAINTAINS A "B" AVERAGE OR BETTER AND IS MAKING PROGRESS, AS DEFINED BY THE UNIVERSITY STANDARDS, TOWARDS COMPLETION OF THE B.S. NURSING PROGRAM. 3) CATHY E. HARRIS GOOD SAMARITAN SCHOLARSHIP SCHOLARSHIP WILL PROVIDE A TOTAL OF $2,000 A YEAR AT THE BEGINNING OF THE SCHOOL YEAR, DISTRIBUTED AMONGST THE RECIPIENTS. THOSE PURSUING BASIC EMT WILL BE ELIGIBLE FOR $300, ADVANCED EMT $700, AND PARAMEDIC $1,000. THE SCHOLARSHIP DOLLARS, WHICH WILL BE DISTRIBUTED DIRECTLY TO THE SCHOOL OR PROGRAM, MAY BE USED TOWARD TUITION AND/OR BOOKS. SCHOLARSHIP IS AVAILABLE TO ALL ELIGIBLE CANDIDATES OF NORTHEAST INDIANA AND NORTHWEST OHIO. CANDIDATES MUST MEET THE FOLLOWING CRITERIA IN ORDER TO BE CONSIDERED FOR THE SCHOLARSHIP: -ACCEPTED INTO OR ENROLLED INTO AN EMT, ADVANCED EMT, OR PARAMEDIC PROGRAM -HAVE AT LEAST ONE (1) YEAR OF SERVICE WITH PARKVIEW HEALTH -BE IN GOOD STANDING WITH NO DISCIPLINARY ACTIONS IN THE PREVIOUS YEAR -MUST PROVIDE ONE (1) PROFESSIONAL RECOMMENDATION FROM A SUPERVISOR, COWORKER, OR EDUCATOR QUALIFIED APPLICANTS' INFORMATION IS REVIEWED BY A PANEL CONSISTING OF PARKVIEW SENIOR STAFF. 4) ALBRIGHT-GEMLICK EXCELLENCE SCHOLARSHIP THE SCHOLARSHIP HONORS REMARKABLE SENIOR STUDENT ATHLETES. STUDENTS MUST MEET THE FOLLOWING QUALIFICATIONS FOR CONSIDERATION: -EACH NOMINEE MUST BE NOMINATED BY A PARKVIEW SPORTS MEDICINE (PSM) ATHLETIC TRAINER AND ULTIMATELY BE APPROVED BY THE PSM WORKING COMMITTEE. -EACH PSM HIGH SCHOOL MAY NOMINATE UP TO THREE STUDENTS FROM THEIR HIGH SCHOOL. CLUB ATHLETIC TRAINERS MAY NOMINATE UP TO THREE STUDENTS FROM THEIR CLUB. -ALL NOMINEES MUST BE A CURRENT PSM HIGH SCHOOL OR CLUB STUDENT AND PARTICIPATING IN OR WORKING WITH, AT LEAST ONE SPORT THEIR SENIOR YEAR OF HIGH SCHOOL, WITH A GPA OF AT LEAST 3.2/4.0 OR 9.0/12.0. -TO BE CONSIDERED, NOMINEES MAY NOT HAVE A FAMILY RELATION TO PSM AND/OR SCHOOL ADMINISTRATION OR ATHLETICS. -ALL SCHOLARSHIPS ARE AWARDED AT THE DISCRETION OF PSM. 5) DR. DARRYL R. SMITH MED-TECH SCHOLARSHIP SCHOLARSHIP WILL PROVIDE (2) $1,000 A YEAR AWARDS AT THE BEGINNING OF THE SCHOOL YEAR, DISTRIBUTED AMONGST RECIPIENTS TO INCLUDE THE FOLLOWING: -ONE INCOMING PARKVIEW MED-TECH STUDENT WITH THE HIGHEST GRADE POINT AVERAGE (GPA) -PARKVIEW MED-TECH STUDENT(S) WITH THE GREATEST FINANCIAL NEED - DR. SMITH HAS APPROVED FOR THIS SECOND SCHOLARSHIP TO BE SPLIT BETWEEN MORE THAN ONE STUDENT (EX: $500 / $500 OR $333 / $333 / $333) QUALIFIED APPLICANTS' INFORMATION IS REVIEWED BY A PANEL CONSISTING OF PARKVIEW MED-TECH SENIOR STAFF. THE PANEL WILL INFORM THE FOUNDATION OF THE SELECTED RECIPIENTS AND THE FOUNDATION WILL INFORM DR. AND MRS. SMITH OF THE SCHOLARSHIP RECIPIENTS, INCLUDING BIOGRAPHICAL INFORMATION ABOUT THE AWARDEES. 6) THE SHERRY SNYDER MEMORIAL SCHOLARSHIP SCHOLARSHIP WILL PROVIDE $2,000 PER YEAR AND IS RENEWABLE FOR ONE YEAR. SCHOLARSHIP IS AVAILABLE TO ALL ELIGIBLE PARKVIEW CO-WORKERS PURSUING A BSN. CANDIDATES MUST MEET THE FOLLOWING CRITERIA TO BE CONSIDERED FOR THE SCHOLARSHIP: -BE ACCEPTED INTO AND PLANNING TO ATTEND A BSN PROGRAM THAT IS NATIONALLY ACCREDITED THROUGH EITHER THE ACEN OR CCNE -BE IN GOOD STANDING WITH NO DISCIPLINARY ACTION IN THE PREVIOUS TWO YEARS -PROVIDE TWO RECOMMENDATIONS, INCLUDING ONE FROM A SUPERVISOR, CO-WORKER OR EDUCATOR -SUBMIT A ONE-PAGE NARRATIVE ON WHY YOU ARE SEEKING THIS SCHOLARSHIP -PROVIDE PROOF OF ENROLLMENT, SUCH AS A LETTER OF ACCEPTANCE OR CLASS REGISTRATION -SECOND-YEAR FUNDING PROVIDE PROOF OF COMPLETING THE FIRST YEAR WITH AT LEAST A "B" AVERAGE OR EQUIVALENT QUALIFIED APPLICANTS' INFORMATION IS REVIEWED BY A PANEL CONSISTING OF SVP PATIENT CARE, MANAGER CLINICAL STAFF DEVELOPMENT, AND A FOUNDATION STAFF MEMBER. 7) PARKVIEW SCHOOL OF NURSING ALUMNI ASSOCIATION SCHOLARSHIP APPLICANTS: -MUST BE CURRENT PARKVIEW EMPLOYEES AND MUST APPLY FOR THE SCHOLARSHIP -MUST BE CURRENTLY ENROLLED IN AN ACCREDITED NURSING PROGRAM IN THE STATE OF INDIANA. -MUST BE IN GOOD STANDING WITH NO DISCIPLINARY ACTIONS IN THE PREVIOUS TWO YEARS -MAY RECEIVE THE AWARD A MAXIMUM OF TWO YEARS -WILL PROVIDE 2 PROFESSIONAL LETTERS OF RECOMMENDATION AND A ONE-PAGE NARRATIVE ADMINISTRATION OF THE FUND: -SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -THE SELECTION COMMITTEE SHALL BE COMPRISED OF THE CHIEF NURSING EXECUTIVE (OR EQUIVALENT) OF PARKVIEW HEALTH, PLUS TWO ADDITIONAL NURSING LEADERS FROM WITHIN THE PARKVIEW HEALTH SYSTEM AS SELECTED BY THE CHIEF NURSING EXECUTIVE. -SCHOLARSHIP FUNDS WILL BE AWARDED NO LATER THAN JULY OF EACH YEAR. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -SCHOLARSHIP FUNDS, VALUED AT UP TO $2,000 EACH, WILL BE AWARDED EQUALLY AMONG THE TWO MOST HIGHLY QUALIFIED APPLICANTS. TO RECEIVE THE AWARD A SECOND YEAR, RECIPIENTS MUST MAINTAIN A GRADE POINT AVERAGE OF "B OR HIGHER AND MUST PROVIDE DOCUMENTATION OF CURRENT ENROLLMENT. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR INTERNAL PROMOTION OF THE SCHOLARSHIP AND FOR ENSURING THAT THE PRESIDENT OF THE PARKVIEW NURSING ALUMNI ASSOCIATION IS INFORMED OF THE NAMES OF RECIPIENTS. 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 DENA JACQUAY DIRECTOR/PH CHIEF ADMIN OFFICER 0 759072 0 149247 0 721495 0 239600 0 56897 0 1926311 0 685401 JOHN BOWEN DIRECTOR/PVHOS PRESIDENT 0 473614 0 86520 0 56588 0 104683 0 38127 0 759532 0 54927 ROBERT GODLEY DIRECTOR/PH PHYSICIAN 0 344907 0 27858 0 36501 0 36300 0 28806 0 474372 0 0 DENISE ANDORFER PVFND DIR LEADERSHIP GIFTS 119300 0 37427 0 2484 0 7994 0 15223 0 182428 0 0 0 PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARKVIEW FOUNDATION, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. PART I, 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): JOHN BOWEN $54,927; DENA JACQUAY $685,401; MICHAEL PACKNETT $4,613,104; JEANNE' WICKENS $1,107,767 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: JOHN BOWEN $81,583; DENA JACQUAY $200,000; 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. X 1 28530 AVG TRADING PRICE X BREASTIE BOXES, GAS CARDS, BEREAVEMENT POUCHES, FLEECE BLANKETS, CHEMO 57 70382 ESTIMATED VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION USED NUMBER OF CONTRIBUTORS FOR LINES 1 & 25 NET ASSETS 2023-12-31 18026797 BOOK VALUE 921994990 PARKVIEW HEALTH FOUNDATION INC 1450 PRODUCTION RD FORT WAYNE IN 468081167 501(C)(3) 1 0 0 0 1 1 1 1 0 PART I, LINE 2E: PERSON(S) INVOLVED: JEANNE' WICKENS PART I, LINE 2E: EXPLANATION OF INVOLVEMENT: JEANNE' WICKENS IS AN OFFICER OF PARKVIEW FOUNDATION, INC. AND IS A DIRECTOR/OFFICER OF PARKVIEW HEALTH FOUNDATION, INC. FORM 990, PART III, LINE 3 AS DETAILED IN THE ARTICLES OF MERGER OF NONPROFIT CORPORATIONS, ATTACHED TO THIS RETURN AND FILED WITH THE INDIANA SECRETARY OF STATE, THE ORGANIZATION SHALL BE MERGED WITH AND INTO THE LEGAL ENTITY OF PARKVIEW HEALTH FOUNDATION, INC. (EIN 92-1994990) AN INDIANA NONPROFIT CORPORATION GOVERNED BY THE LAWS OF THE STATE OF INDIANA. EFFECTIVE DECEMBER 31, 2023, THE ORGANIZATION'S ASSETS AND LIABILITIES SHALL BECOME ASSETS AND LIABILITIES OF PARKVIEW HEALTH FOUNDATION, INC. TO THE EXTENT ANY ASSETS ARE SUBJECT TO ANY RESTRICTIONS UPON USE OR OTHER ENCUMBRANCES OR LIMITATIONS, WHETHER ARISING IN CONTRACT, BY LAW, OR OTHERWISE, ALL SUCH RESTRICTIONS, ENCUMBRANCES, AND/OR LIMITATIONS SHALL SURVIVE THE MERGER. PARKVIEW HEALTH FOUNDATION, INC. RECEIVED ITS DETERMINATION LETTER FROM THE INTERNAL REVENUE SERVICE RECOGNIZING IT AS A PUBLIC CHARITY EXEMPT FROM FEDERAL INCOME TAX UNDER SECTIONS 501(C)(3) AND 170(B)(1)(A)(VI). FORM 990, PART V, LINES 1A, 1B AND 2A: PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384 IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, PARKVIEW FOUNDATION, INC., EIN 23-7220589. 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, 1B, AND 2A, THE NUMBER REPORTED FOR THE PARKVIEW FOUNDATION, INC. WAS 21 AND 5 RESPECTIVELY. OF THE 21 REPORTED ON PART V, LINE 1A, PARKVIEW FOUNDATION, INC. DIRECTLY FILED 1 FORM 1099-R TO REPORT ANNUITIES EARNED BY A PROGRAM OWNED AND FUNDS HELD BY PARKVIEW FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE CHIEF ADMINISTRATIVE OFFICER OF THE CORPORATION, THE PRESIDENT AND CHIEF EXECUTIVE OFFICER OF PARKVIEW HEALTH OR HIS/HER DESIGNEE, AND THE PRESIDENT OR CHIEF OPERATING OFFICER OF THE CORPORATE MEMBER, AND SUCH OTHER PERSONS AS IDENTIFIED BY THE CHAIR, EACH OF WHOM SHALL BE ENTITLED TO VOTE. IN NO EVENT SHALL THE MEMBERS OF THE EXECUTIVE COMMITTEE EXCEED EIGHT (8) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR ITS RATIFICATION OF ITS ACTION, EXCEPT, IN ACCORD WITH ACT SECTION 23-17-15-6, THE EXECUTIVE COMMITTEE MAY NOT: (A) AUTHORIZE DISTRIBUTIONS; (B) APPROVE OR RECOMMEND TO THE CORPORATE MEMBER ACTION REQUIRED TO BE APPROVED BY THE CORPORATE MEMBER UNDER THE ACT; (C) FILL VACANCIES ON THE BOARD OR ON A COMMITTEE; OR (D) ADOPT, AMEND, OR REPEAL BYLAWS FOR THE CORPORATION. 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 2 OFFICERS JOHN BOWEN AND JEANNE' WICKENS HAVE BUSINESS RELATIONSHIPS AS OFFICERS OF RELATED ENTITIES. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HOSPITAL, INC. EIN 35-0868085 IS THE SOLE MEMBER OF PARKVIEW FOUNDATION, INC. WITH CERTAIN RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR 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; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE CHIEF ADMINISTRATIVE 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) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION, WHERE APPROPRIATE; (F) APPROVE THOSE TRANSFERS OF ASSETS BY THE CORPORATION, WHETHER BY SALE OR GIFT, WHERE THE ASSET BEING TRANSFERRED IS AN INTEREST IN REAL PROPERTY OR IS AN OPERATING ASSET OF THE CORPORATION, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS; (G) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION IN NETWORKS, AFFILIATIONS, JOINT VENTURES, AND PARTNERSHIPS, AND REQUIRE PARTICIPATION BY THE CORPORATION IN SUCH ARRANGEMENTS; (H) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES, TO MAINTAIN TAX-EXEMPT STATUS, OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR THE CORPORATE MEMBER. THE CORPORATE MEMBER SHALL FROM TIME TO TIME DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7B SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION B, LINE 11B PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. PARKVIEW FOUNDATION, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY 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: DOUBTFUL PLEDGE EXPENSE 2,960. TRANSFER OF NET ASSETS TO PARKVIEW HEALTH FOUNDATION INC -18,026,797. 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