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 320012095 PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC PARK 2603738429 2001 STULTS RD HUNTINGTON IN 467501291 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 1950442 0 X WWW.PARKVIEW.COM X 2002 IN TO SERVE AS THE PRIMARY FUNDRAISING ENTITY FOR HUNTINGTON MEMORIAL HOSPITAL, INC. X 8 6 0 6 0 0 79507 67938 55637 19722 55626 32932 -950 0 189820 120592 166221 136963 0 0 45905 0 0 0 1722 16336 18851 228462 155814 -38642 -35222 3039699 0 567 0 3039132 0 X TO SERVE AS THE PRIMARY FUNDRAISING ENTITY FOR HUNTINGTON MEMORIAL HOSPITAL, INC. FUNDS ARE USED FOR THE CONTINUED IMPROVEMENT OF THE HOSPITAL'S FACILITIES, EQUIPMENT, PROGRAMS & SERVICES IN ACCORDANCE WITH THE NEEDS OF THE COMMUNITY WHERE THE HOSPITAL IS LOCATED. 0 1 136989 136963 19722 PARKVIEW HEALTH SYSTEM, INC. MAINTAINS FOUNDATIONS FOR EACH OF ITS HOSPITALS. THESE NONPROFIT ORGANIZATIONS PROVIDE PHILANTHROPIC SUPPORT FOR THE SYSTEM'S MISSION OF PROVIDING QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO PARKVIEW AND IMPROVING THE HEALTH OF THE COMMUNITIES PARKVIEW SERVES.THE STAFF AT PARKVIEW HUNTINGTON HOSPITAL FOUNDATION, INC., BUILD LASTING RELATIONSHIPS THAT FOSTER GIFT-GIVING FOR THE BENEFIT OF CAREGIVERS, HOSPITAL PROGRAMS AND SERVICES, AS WELL AS NEW EQUIPMENT. THESE RELATIONSHIPS ARE MADE WITH HUNTINGTON MEMORIAL HOSPITAL, INC., CO-WORKERS, PHYSICIANS, VENDORS, PATIENT FAMILIES, AND THE BROADER(SEE SCHEDULE O FOR CONTINUATION)COMMUNITY. THESE EFFORTS HELP MAKE PARKVIEW HUNTINGTON HOSPITAL FOUNDATION, INC., BENEFACTORS A COLLECTION OF CARING INDIVIDUALS WHO RECOGNIZE HUNTINGTON MEMORIAL HOSPITAL, INC., AS AN AGENT FOR SAVING AND CHANGING LIVES AND A FORCE FOR CREATING HEALTHIER COMMUNITIES FOR GENERATIONS TO COME.AMONG THE IMPROVEMENTS TO PATIENT CARE, GIFTS TO PARKVIEW HUNTINGTON HOSPITAL FOUNDATION. INC. FUNDED IN 2023 ARE:TRAINING AND EDUCATION:-THE FOUNDATION CONTINUED ITS COMMITMENT TO HELP MAINTAIN THE HIGHEST STANDARDS OF TRAINING AND CERTIFICATION OF HOSPITAL CO-WORKERS WITH ANOTHER YEAR OF APPROPRIATIONS FOR THE CLINICIAN EDUCATION FUND AND THE REMEMBERING HOLLY EDUCATION AND TRAINING FUND. THERE WERE TEN OPPORTUNITIES FOR CO-WORKERS IN 2023, FOR BOTH ONSITE AND REMOTE TRAINING. THOSE FRONTLINE STAFF MEMBERS FROM CLINICAL DEPARTMENTS WERE ABLE TO TAKE ADVANTAGE OF ADVANCED, SPECIALIZED INSTRUCTION AND SHARE BEST PRACTICES WITH THEIR SUPERVISORS AND CO-WORKERS. SOME EXAMPLES OF THE TRAINING AND EDUCATION OPPORTUNITIES INCLUDE CERTIFIED SURGICAL FIRST ASSISTANT CLASS, ZANDER CERTIFIED PERIOPERATIVE NURSING CLASS, NEONATAL RESUSCITATION PROGRAM SYMPOSIUM AND A LACTATION CONFERENCE. SPECIAL TOUCH FUND:-THE SPECIAL TOUCH FUND, WHICH FOCUSES ON PATIENT ASSISTANCE, WAS ABLE TO PROVIDE NEW CLOTHING TO REPLACE PARKVIEW HUNTINGTON HOSPITAL'S EMERGENCY ROOM PATIENTS' DAMAGED OR STAINED ITEMS. THIS ALLOWED PATIENTS TO WEAR CLEAN CLOTHES UPON HOSPITAL DISCHARGE. GREATEST NEED FUND: -THE HOSPITAL'S EMERGENCY DEPARTMENT RECEIVED A NEW ACCUVEIN FINDER. -THE INPATIENT AND CRITICAL CARE UNITS RECEIVED NEW PHILIPS MONITORS FOR PATIENT ROOMS.-THE CARDIOPULMONARY DEPARTMENT WAS PROVIDED WITH NEW CODE BOXES. -A NEW CHAIR WAS PROVIDED TO THE SLEEP LAB.HOME HEALTH AND HOSPICE:-PARKVIEW HOME HEALTH AND HOSPICE RECEIVED FOUNDATION SUPPORT TO ENHANCE PATIENT CARE WHICH MADE IT POSSIBLE FOR THEM TO OFFER PATIENT MASSAGES AND MUSIC THERAPY, AS WELL AS PROVIDING BEREAVEMENT CARE BY PROVIDING CHAPLAINCY VISITS, FAMILY SUPPORT GROUPS AND BEREAVEMENT MATERIALS FOR LOVED ONES FACING GRIEF AND LOSS.HOLLY SALE EQUIPMENT AND TECHNOLOGY FUND:-PEDIATRIC PHYSICAL THERAPY EQUIPMENT INCLUDING WOODEN PEDIATRIC HIGHCHAIRS AND TWIN TALK COMMUINCATORS WERE PURCHASED FOR THE REHAB AND WELLNESS AREA. OTHER ITEMS PROVIDED FOR THE REHAB AND WELLNESS AREA INCLUDE UPPER EXTREMITY AND HAND MODELS.SCHOLARSHIPS:-THE FIFTH YEAR OF THE PARKVIEW HUNTINGTON SPIRIT OF SERVICE SCHOLARSHIP AWARDS PROVIDED FUNDING TO THREE COMMUNITY STUDENTS PURSUING DEGREES IN HEALTHCARE-RELATED FIELDS 136989 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 X 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 8 6 0 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 DOUGLAS SELIG DIRECTOR/PARTIAL YR/CURRENT HMHOS VP PATIENT CARE 1.00 39.00 X 0 291227 99501 ANNETTE CARROLL DIRECTOR 1.00 0.00 X 0 0 0 JOHN GARROTT DIRECTOR 1.00 0.00 X 0 0 0 JENNIFER GOFF DIRECTOR 1.00 0.00 X 0 0 0 MARJORIE HINER DIRECTOR/SECRETARY/TREASURER 1.00 0.00 X X 0 0 0 NICOLE JOHNSON DIRECTOR/CHAIR 1.00 0.00 X X 0 0 0 NICOLE SCHEIMAN DIRECTOR/VICE CHAIR 1.00 0.00 X X 0 0 0 DEBRA POTEMPA DIRECTOR/MARKET PRESIDENT 1.00 39.00 X 0 312151 67387 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 2165508 277888 MICHAEL PACKNETT FORMER OFFICER/RETIRED PH CEO 0.00 0.00 X 0 5034209 29253 0 9432909 770526 0 1 1 0 0 10250 57688 639 67938 FNDRSNG SER ALLOCATION 561499 19292 19292 GRIEF SUPPORT SALES 459900 430 430 19722 52943 52943 1809839 1829850 -20011 -20011 -20011 120592 19722 0 32932 132463 132463 4500 4500 7255 7255 1789 19 55 1715 14 7 7 CORPORATE SERVICE ALLOC 9793 9793 155814 136989 17103 1722 0 139539 0 25414 0 0 0 0 0 0 0 0 0 0 0 2455992 0 0 0 0 418754 0 3039699 0 567 0 567 0 X 557722 0 2481410 0 3039132 0 3039699 0 X -35222 232706 -3236616 X 0 1 X 1 0 X X 1 HUNTINGTON MEMORIAL HOSPITAL INC 351970706 3 1 40034 0 1 40034 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 244155 27920 272075 266947 -14467 8325 244155 261575 8601 3229 266947 259794 5066 3285 261575 251351 5000 3443 259794 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. THE GOAL OF THE HUNTINGTON COUNTY MEDICAL SOCIETY ENDOWMENT FUND IS TO PROVIDE SUPPORT FOR EDUCATION, TRAINING AND PROFESSIONAL CERTIFICATION REIMBURSEMENT FOR MEMBERS OF THE STAFF OF THE HOLLY D. SALE REHABILITATION AND WELLNESS CENTER AND THE PARKVIEW HUNTINGTON HOSPITAL CENTER FOR WOUND HEALING, AND THAT ARE CONSISTENT WITH THE MISSION AND PURPOSES OF THE FOUNDATION. 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 HUNTINGTON MEMORIAL HOSPITAL INC 2001 STULTS RD HUNTINGTON IN 467501291 351970706 501(C)(3) 40034 0 HOSPITAL PROGRAMS PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DR FORT WAYNE IN 468451701 350868085 501(C)(3) 36330 0 HOME HEALTH AND HOSPICE PROGRAM FOR SERVICE AREA OF HUNTINGTON MEMORIAL HOSPITAL INC BOYS AND GIRLS CLUB OF HUNTINGTON COUNTY INC 608 EAST STATE STREET PO BOX 673 HUNTINGTON IN 46750 352094506 501(C)(3) 10000 0 LIFE SKILLS PROGRAMS FOR ALL YOUNG PEOPLE IN HUNTINGTON COUNTY NEW LIFE MINISTRIES - INDIANA INC 313E FRANKLIN ST HUNTINGTON IN 46750 824403740 501(C)(3) 10000 0 TO SERVE THOSE IN NEED OF FOOD, SHELTER AND A PURPOSE-FILLED LIFE IN HUNTINGTON COUNTY BLESSINGS IN A BACKPACK INC 4121 SHELBYVILLE ROAD LOUISVILLE KY 40207 261964620 501(C)(3) 9000 0 RESOURCES TO PROVIDE FOOD FOR ELEMENTARY SCHOOL CHILDREN WHO MIGHT OTHERWISE GO HUNGRY IN HUNTINGTON COUNTY PARKVIEW HUNTINGTON FAMILY YMCA INC 1160 WEST 500 NORTH HUNTINGTON IN 46750 350905959 501(C)(3) 5500 0 PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL IN HUNTINGTON COUNTY 6 0 PART I, LINE 2: HOSPITAL DEPARTMENTS COMPLETE FUNDING REQUEST FORMS THAT ARE RETURNED TO THE FOUNDATION. UPON COMPLETION OF THE PROJECT, THE DEPARTMENT SUBMITS A REIMBURSEMENT REQUEST ALONG WITH AN ATTACHED PURCHASE ORDER OR RECEIPT FOR SUPPLIES. BASED UPON THE ORGANIZATION'S AUTHORITY TO ACT POLICY, APPROVALS ARE MADE BY THE FOUNDATION DIRECTOR AND FOUNDATION BOARD. GRANTS AND ASSISTANCE LISTED IN SCHEDULE I, PART II, TO UNRELATED 501(C)(3) ORGANIZATIONS ARE MADE FROM THE PHYSICIANS LEGACY FUND. PURSUANT TO THE TERMS OF A WRITTEN AGREEMENT, THE PHYSICIANS LEGACY FUND IS TO PROVIDE COMMUNITY SUPPORT FOR THE HEALTH NEEDS IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY HUNTINGTON MEMORIAL HOSPITAL, INC. 0 1 0 0 0 0 0 0 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 DOUGLAS SELIG DIRECTOR/PARTIAL YR/CURRENT HMHOS VP 0 223935 0 42768 0 24524 0 69739 0 29762 0 390728 0 0 DEBRA POTEMPA DIRECTOR/MARKET PRESIDENT 0 273549 0 32597 0 6005 0 51313 0 16074 0 379538 0 0 PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARKVIEW HUNTINGTON HOSPITAL FOUNDATION, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. PART I, 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): DENA JACQUAY $685,401; 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: DENA JACQUAY $200,000; DEBRA POTEMPA $47,648; DOUGLAS SELIG $36,966; JEANNE' WICKENS $216,128 NET ASSETS 2023-12-31 3228281 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 HUNTINGTON HOSPITAL 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 AND 2A: PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, PARKVIEW HUNTINGTON HOSPITAL FOUNDATION, INC., EIN 32-0012095. 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 PARKVIEW HUNTINGTON HOSPITAL FOUNDATION, INC. WAS 0 AND 0 RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE DIRECTOR OF THE CORPORATION, THE CHIEF ADMINISTRATIVE OFFICER OF PARKVIEW FOUNDATION, INC., THE 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. 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 6 THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, HUNTINGTON MEMORIAL HOSPITAL, INC. EIN 35-1970706 IS THE SOLE MEMBER OF PARKVIEW HUNTINGTON HOSPITAL 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 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, 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 HUNTINGTON HOSPITAL FOUNDATION, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY 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 XI, LINE 9: DOUBTFUL PLEDGE EXPENSE -8,335. TRANSFER OF NET ASSETS TO PARKVIEW HEALTH SYSTEM, INC. -3,228,281. 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