2025-11-06T17:28:33-06:00 2024-12-31 350921680 CROWE LLP 401 E LAS OLAS BLVD SUITE 1100 FORT LAUDERDALE FL 33301 990 2024-01-01 352087092 COMMUNITY HOSPITAL OF NOBLE COUNTY INC COMM 2603738429 401 N SAWYER RD KENDALLVILLE IN 467552568 STANTON RISSER PH ACFO 2602669380 2025-11-06 1 1 BRITTNEY KOCAJ P01320603 9542028600 2024 2025-03-06 01:10:19Z PARKVIEW NOBLE HOSPITAL GREG JOHNSON 1450 PRODUCTION RD FORT WAYNE IN 468081167 78699391 0 X WWW.PARKVIEW.COM X 1999 IN IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 11 6 314 19 0 0 708707 259626 74652767 78239423 58156 -17864 169061 176390 75588691 78657575 34004 31273 0 0 25097825 26219479 0 0 0 41950732 40183097 67082561 66433849 8506130 12223726 60681340 72536597 4806807 3553270 55874533 68983327 X COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 0 0 53582667 31273 78239423 COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. IS A NOT-FOR-PROFIT, COMMUNITY-BASED HOSPITAL THAT IS A PART OF PARKVIEW HEALTH SYSTEM, INC., WHICH SERVES NORTHEAST INDIANA AND NORTHWEST OHIO WITH A TOTAL POPULATION OF MORE THAN 1.3 MILLION PEOPLE. COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. IS A 35-BED FACILITY FULL OF PROVIDERS AND CO-WORKERS PROUD TO HAVE SERVED THE NOBLE COUNTY COMMUNITY FOR DECADES. COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. CONTINUES TO PROVIDE ITS PATIENTS AND THEIR FAMILIES WITH THE QUALITY MEDICAL CARE NEEDED TO HELP THEM MAINTAIN THEIR HEALTH. HERE, PATIENTS CAN ACCESS FEATURED DEPARTMENTS AND SERVICES LIKE THE FAMILY BIRTHING CENTER, 3D MAMMOGRAPHY, ENDOSCOPY CENTER, AND WOUND CARE. WHETHER A PATIENT IS HERE FOR A DIAGNOSTIC(SEE SCHEDULE O FOR CONTINUATION)PROCEDURE, OUTPATIENT REHABILITATION THERAPY, DELIVERY OF A BABY, OR VISITING A FRIEND OR FAMILY MEMBER, OUR TEAM WILL PROVIDE EXCELLENT CARE TO EVERY PERSON, EVERY DAY.FAMILY BIRTHING CENTER:THE FAMILY BIRTHING CENTER AT COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. OFFERS AN AWARD-WINNING TEAM THAT PUTS THE PATIENT AND THEIR BABY AT THE CENTER. WE PROVIDE PRIVATE LABOR, DELIVERY, AND POSTPARTUM ROOMS, FREE PRENATAL CLASSES, CERTIFIED LACTATION CONSULTANTS, ADVANCED MONITORING SYSTEMS, BREASTFEEDING SUPPORT GROUPS, AND MUCH MORE TO PROVIDE OUR PATIENTS WITH A RELAXING BIRTHING EXPERIENCE. IN ADDITION, WE OFFER PARKVIEW'S SAFE SLUMBER PROGRAM (WITH A COMPLIMENTARY SLEEP SACK FOR THE BABY), A STATE-OF-THE-ART INFANT PROTECTION SYSTEM, AND NURSING CARE AND SUPPORT FROM BOARD-CERTIFIED LACTATION CONSULTANTS.3D MAMMOGRAPHY:COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., IS PROUD TO OFFER STATE-OF-THE-ART 3D MAMMOGRAPHY SERVICES IN OUR COMMUNITY. WITH THIS ADVANCED DIAGNOSTIC TOOL, PATIENTS CAN CHOOSE BETWEEN TRADITIONAL 2D MAMMOGRAPHY AND THE LATEST 3D MAMMOGRAPHY USED FOR SCREENING AND DIAGNOSIS. MAMMOGRAPHY IS A SIMPLE, QUICK, NONINVASIVE SCREENING TEST USED IN THE PREVENTION AND EARLY DETECTION OF BREAST CANCER. THE PROCEDURE USES LOW-DOSE DIGITAL IMAGING TO CREATE IMAGES OF THE BREAST TISSUE SAFELY. RADIOLOGISTS READ THE IMAGES TO DETERMINE WHETHER CANCER IS PRESENT.ENDOSCOPY CENTER:AT THE COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. ENDOSCOPY CENTER, PATIENTS CAN FIND COMFORT, PRIVACY, CONVENIENCE, AND THE REGION'S ONLY HIGH-DEFINITION SCOPE TECHNOLOGY. THE AMERICAN CANCER SOCIETY RECOMMENDS A SCREENING COLONOSCOPY FOR EVERYONE AGE 50 AND OLDER. SCREENING IS THE BEST METHOD FOR DISCOVERING POLYPS AND CANCER AT THE EARLIEST STAGES.CENTER FOR WOUND HEALING:COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., CENTER FOR WOUND HEALING HAS EXPERIENCED PROVIDERS DEDICATED TO HEALING STUBBORN WOUNDS. FROM DIABETIC ULCERS TO BURNS, CRUSH INJURIES, AND MORE, THE CENTER TREATS A VARIETY OF CHRONIC, NON-HEALING WOUNDS, OFTEN WITH REMARKABLE RESULTS. THE CARE TEAM WILL EVALUATE THE PATIENTS' WOUNDS AND PERFORM ADDITIONAL TESTING, IF NEEDED, TO DEVELOP A SPECIALIZED TREATMENT PLAN. THERAPIES MAY INCLUDE HYPERBARIC OXYGEN (HBO) THERAPY AND BIOENGINEERED TISSUE GRAFTING TECHNOLOGY.FINANCIAL ASSISTANCE:COMMUNITY HOSPITAL OF NOBLE COUNTY, 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: COMMUNITY HOSPITAL OF NOBLE COUNTY, 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, COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. COLLABORATES WITH OTHERS INSIDE AND OUTSIDE THE HEALTH SYSTEM WHO SHARE PARKVIEW'S MISSION AND VALUES. FUNDED BY A PERCENTAGE OF COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.'S NET OPERATING SURPLUS, CHI STRATEGICALLY REINVESTS DOLLARS INTO COMMUNITY ORGANIZATIONS AND INITIATIVES THAT ADDRESS THE MOST SIGNIFICANT HEALTH NEEDS OUTLINED BY THE HOSPITAL'S MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BASED ON THE 2022 CHNA RESULTS, THE TOP THREE HEALTH CONCERNS FOR COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. ARE MENTAL HEALTH, SUBSTANCE USE DISORDERS, AND OBESITY. BASED UPON THESE RESULTS, COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. CREATES 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- VIZIENT BERNARD A. BIRNBAUM QUALITY AND ACCOUNTABILITY AWARD 53582667 1 1 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 0 0 0 1 X 24 0 1 314 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 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 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER/PRTL YR 1.00 39.00 X 0 1647203 217960 GREG JOHNSON DIRECTOR/REGIONAL MARKET PRESIDENT 1.00 39.00 X X 0 1520046 75084 MYCAL MANSFIELD DIRECTOR/PH PHYSICIAN 1.00 39.00 X 4222 558795 74438 JORDI DISLER DIRECTOR/MARKET PRESIDENT 39.00 1.00 X X 409538 0 123149 PHILLIP CORBIN DIRECTOR/PH PHYSICIAN 1.00 39.00 X 0 391414 70347 KELLY BALYEAT NBHOS PHARMACY MGR 26.00 14.00 X 175657 92401 57393 HEATHER STANLEY NBHOS VP PATIENT CARE SVCS 40.00 0.00 X 245682 0 63292 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 218745 48843 HEATHER ANTAL NBHOS NURSING SVCS MGR 40.00 0.00 X 177905 0 50433 JULIE DESPER NBHOS REHAB MGR 36.00 4.00 X 157358 15040 50357 BENJAMIN VORNDRAN NBHOS PHARMACIST 40.00 0.00 X 140966 0 45896 GARY HEIMAN NBHOS PARAMEDIC 37.00 3.00 X 144567 11275 25184 DOUGLAS SCOTT DIRECTOR/PH CONTRACTED LABOR 1.00 1.00 X 0 36000 0 GARY GATMAN DIRECTOR/CHAIR 1.00 1.00 X X 6500 2250 0 CHRISTOPHER FOUGHT DIRECTOR/TREASURER 1.00 0.00 X X 4500 0 0 CASEY MYERS DIRECTOR/VICE CHAIR 1.00 0.00 X X 4500 0 0 SUSAN JANSEN DIRECTOR/SECRETARY 1.00 0.00 X X 4250 0 0 KARA WARRENER DIRECTOR 1.00 0.00 X 4000 0 0 JARROD RAMER DIRECTOR/PARTIAL YR/VICE CHAIR 1.00 0.00 X X 2000 0 0 RYAN FERGUSON DIRECTOR 1.00 0.00 X 1000 0 0 ERIN GOLDSBERRY FORMER KEY EMPLOYEE/CURRENT PVHOS VP 0.00 40.00 X 0 252896 42556 1482645 4746065 944932 24 1 1 0 PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DR FORT WAYNE IN 46845 LABORATORY SERVICES 3219241 CLINICAL COLLEAGUES INC PO BOX 824246 PHILADELPHIA PA 19182 ANESTHESIOLOGISTS 1267451 NORTHEAST INTERNAL MEDICINE ASSOC INC 2500 N DETROIT ST LAGRANGE IN 46761 HOSPITALISTS 390691 FOCUSONE SOLUTIONS LLC 13609 CALIFORNIA ST OMAHA NE 68154 MEDICAL PERSONNEL 329050 PARKVIEW HEALTH SYSTEM INC 1450 PRODUCTION RD FORT WAYNE IN 46808 DISPATCH SERVICES 224053 7 63114 196512 259626 NET PATIENT SERVICE 622110 77433555 77433555 EMS SUBSIDY 621910 627628 627628 INTERUNIT RENT 531120 141639 141639 CENTER FOR HEALTHY LIVING 621999 29175 29175 HEALTH/DISEASE EDUCATION CLASSES 621990 6342 6342 1084 1084 78239423 24800 23152 1648 1648 1648 800 18664 -17864 -17864 -17864 CAFETERIA 722514 167861 167861 GIFT SHOP 459420 6881 6881 174742 78657575 78239423 0 158526 X 31273 31273 873191 873191 18904648 18904648 6441640 6441640 6758197 5958219 799978 394 394 1322180 1289115 33065 2093 1952 141 2191672 2190504 1168 6501 6072 429 7638 3638 4000 12330 12330 1158297 1150972 7325 137480 137480 CORP SERVICE ALLOCATION 11103305 11103305 MEDICAL SUPPLIES 7907613 7907613 PH CLINICAL SUPPORT 5578587 5578587 HOSPITAL ASSESSMENT FEE 3833412 3833412 163398 134818 28580 66433849 53582667 12851182 0 34923 37557 9776436 12041855 499864 535551 111941 154313 21785878 13160647 5437889 8625231 44820287 51142090 60681340 72536597 1860620 2394718 2946187 1158552 4806807 3553270 X 55874533 68983327 55874533 68983327 60681340 72536597 X 12223726 885068 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2070 2070 0 PART II-B, LINE 1: REPRESENTS THE PORTION OF THE DUES PAID TO THE INDIANA HOSPITAL ASSOCIATION, AND VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. 4270602 2867580 1403022 21157 21157 0 14214202 9549473 4664729 3279917 722437 2557480 8625231 DUE TO/FROM INTERUNIT 50412986 RIGHT OF USE ASSETS 394547 EST MEDICARE/MEDICAID SETTLEMENTS 334557 51142090 EST 3RD PARTY SETTLEMENTS 722818 EST MEDICARE/MEDICAID SETTLEMENTS 30524 LEASE LIABILITY 405210 1158552 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, 2024 AND 2023, 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 275.000000000000 1 1 1 0 1 1 404134 404134 0.00660 14515637 11497368 3018269 0.04960 14919771 11497368 3422403 0.05620 71899 2195 69704 0.00110 309898 309898 0.00510 12479557 7423666 5055891 0.08310 30000 30000 0.00050 12891354 7425861 5465493 0.08980 27811125 18923229 8887896 0.14600 6723 6723 0.00010 6723 6723 0.00010 1 0 0 10137971 8261007 1876964 X 1 1 1 1 COMMUNITY HOSPITAL OF NOBLE COUNTY INC 401 SAWYER RD KENDALLVILLE IN 46755 WWW.PARKVIEW.COM 002434-1 X X X COMMUNITY HOSPITAL OF NOBLE COUNTY INC 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X SEE PART V, SECTION B, LINE 7A X 1 22 1 SEE PART V, SECTION B, LINE 10A 0 1 X 200.000000000000 275.000000000000 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 1 X 0 0 COMMUNITY HOSPITAL OF NOBLE COUNTY, 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 NOBLE COUNTY, INC., DILIGENTLY ENSURED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WHILE ALSO FOCUSING ON THE NEEDS OF VULNERABLE POPULATIONS IN NORTHEAST INDIANA. IN GATHERING COMMUNITY INPUT, PARKVIEW HEALTH SYSTEM, INC., INCLUDING COMMUNITY HOSPITAL OF NOBLE COUNTY, 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 SYSTEM, INC., COUNTIES. THEREFORE, SURVEY DISTRIBUTION AND DATA COLLECTION STRATEGIES INCLUDED FOCUSED EFFORTS TO OBTAIN COMMUNITY INPUT FROM THESE POPULATIONS. IN NOBLE COUNTY, THIS INCLUDED HISPANIC, AMISH, 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 NOBLE COUNTY, IN-PERSON TEAMS OF RESEARCH ASSISTANTS CONDUCTED COMMUNITY SURVEY OUTREACH AT THE LOCAL YMCA, PUBLIC LIBRARY, AND COFFEE SHOP. REGARDING VULNERABLE POPULATIONS SURVEYED IN NOBLE COUNTY, 20.1% OF RESPONDENTS REPORTED AN INCOME OF < $35,000, 1.4% IDENTIFIED AS HISPANIC/LATINO, AND 2.3% WERE AMISH. ADDITIONALLY, RESPONDENTS 65 YEARS AND OLDER WERE WELL-REPRESENTED (37.8%). THE PROVIDER SURVEY INCLUDED RESPONSES FROM PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, MENTAL/BEHAVIORAL HEALTH PROVIDERS, OTHER HEALTHCARE PROVIDERS, COMMUNITY/SOCIAL SERVICE PROVIDERS, PUBLIC SECTOR WORKERS, AND EDUCATORS. IN ADDITION TO DATA COLLECTION, COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., COLLABORATED WITH THE COMMUNITY AND PARTNERING ORGANIZATIONS TO SELECT AND PRIORITIZE NOBLE COUNTY'S HEALTH NEEDS. A MODIFIED HANLON METHOD WAS EMPLOYED TO PRIORITIZE HEALTH CONCERNS FOR PARKVIEW HEALTH SYSTEM, INC., 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 BENEFICIAL 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, THE SERIOUSNESS OF THE HEALTH PROBLEM, AND THE AVAILABILITY OF EFFECTIVE HEALTH INTERVENTIONS.ON SEPTEMBER 23, 2022, COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. HELD A COMMUNITY MEETING TO ENGAGE COMMUNITY MEMBERS IN PRIORITIZATION. THE DATA FROM THE 2022 CHNA WAS PRESENTED TO THE GROUP. THE GROUP OF 16 COMMUNITY STAKEHOLDERS HAD THOUGHTFUL DISCUSSIONS AROUND THE DATA FROM THE ASSESSMENT, COMPLETED A PRIORITIZATION GRID EXERCISE WHERE THEY CONSIDERED SIGNIFICANCE, SEVERITY, SUITABILITY, AND HEALTH DISPARITY RELATED TO SOCIAL DETERMINANTS OF HEALTH FACTORS, AND VOTED ON TWO PRIORITIES FOR NOBLE COUNTY BASED ON THE TOP FIVE PRIORITIES IDENTIFIED IN THE 2022 CHNA. THE INFORMATION FROM THE 2022 CHNA AND THE COMMUNITY SESSION WAS PRESENTED TO THE COMMUNITY HEALTH IMPROVEMENT (CHI) COMMITTEE AT COMMUNITY HOSPITAL OF NOBLE COUNTY, 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 THREE PRIORITIES IN NOBLE COUNTY. THE NEEDS ASSESSMENT, COMMUNITY SESSION DATA, AND CHI COMMITTEE RECOMMENDATIONS WERE PRESENTED TO THE COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. BOARD OF DIRECTORS ON OCTOBER 24, 2022. THE BOARD OF DIRECTORS VOTED TO ADOPT THE ABOVE HEALTH PRIORITY RECOMMENDATIONS AT THE BOARD MEETING.PRIORITIZATION SESSION ATTENDEES REPRESENTED SEVERAL ORGANIZATIONS IN NOBLE COUNTY: COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. ADMINISTRATION, PARKVIEW BEHAVIORAL HEALTH, PARKVIEW HEALTH SERVICES AND INFORMATICS RESEARCH, NOBLE COUNTY SCHOOL DISTRICT, THRIVE BY 5 OF NOBLE COUNTY, EARLY CHILDHOOD EDUCATION, ALLIANCE, COMMUNITY LEARNING CENTER OF NOBLE COUNTY, BRIGHTPOINT HEADSTART OF NOBLE COUNTY, THE CREW YOUTH CENTER, NOBLE COUNTY HEALTHIER MOMS AND BABIES, THE ARC NOBLE COUNTY FOUNDATION, NOBLE COUNTY YMCA, COMMON GRACE MINISTRIES AND FREEDOM ACADEMY. COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:PARKVIEW HOSPITAL, INC. (EIN 35-0868085); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); 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). COMMUNITY HOSPITAL OF NOBLE COUNTY, 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. COMMUNITY HOSPITAL OF NOBLE COUNTY, 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) NOBLE COUNTY SUICIDE PREVENTION: COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. PARTNERS WITH NOBLE COUNTY SUICIDE PREVENTION TO WORK ON REDUCING STIGMA AROUND SUICIDE AND ACCESSING NECESSARY RESOURCES FOR HELP BY PROVIDING PREVENTION EDUCATION & SUPPORT. THIS IS ACCOMPLISHED BY OFFERING IN-PERSON PEER SUPPORT SUICIDE PREVENTION GROUPS BASED ON A CARE MODEL, ALTERNATIVES TO SUICIDE," BY WILDFLOWER ALLIANCE (ENDORSED BY THE INDIANA DEPARTMENT OF MENTAL HEALTH AND ADDICTION (DMHA)). CURRENTLY, 6 PARTICIPANTS MEET ONCE A MONTH AT THE COMMUNITY LEARNING CENTER.2) QUESTION, PERSUADE, REFER (QPR): 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 TO REFER THE PERSON TO THE CARE THEY NEED. PARTICIPANTS THROUGHOUT THE COMMUNITY WHO PARTICIPATE IN THIS PROGRAM WILL LEARN THE WARNING SIGNS OF A SUICIDE CRISIS AND HOW TO RESPOND. 3) COMMON GRACE MINISTRIES - EVICTIONS CLINIC: COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. PARTNERS WITH COMMON GRACE MINISTRIES (CGM) TO REDUCE EVICTIONS IN NOBLE COUNTY TO PREVENT HOMELESSNESS AND ITS ADVERSE EFFECT ON OVERALL MENTAL HEALTH. COMMON GRACE MINISTRIES WAS CHOSEN AS ONE OF THREE PILOT COUNTIES TO IMPLEMENT EVICTION INTERVENTION CLINICS IN COLLABORATION WITH THE VOLUNTEER LAWYER PROGRAM (VLP), INDIANA LEGAL SERVICES (ILS) & THE NOBLE COUNTY COURT. WITH HOUSING AT A PREMIUM, IT IS BENEFICIAL FOR PEOPLE TO BE ABLE TO RETAIN THEIR HOMES, RATHER THAN SEEK NEW ACCOMMODATION. THIS IS ACCOMPLISHED BY ACCESSING THE COURT DOCKET BEFORE THE BIMONTHLY CLINIC DATES, AND COMMUNICATION IS MAILED TO THOSE WITH HEARINGS TO PROVIDE RESOURCES TO TRY TO WORK WITH THE LANDLORDS AND PAY A REASONABLE AMOUNT TO AVOID THE EVICTION. COMMON GRACE MINISTRIES OFFERS HELP WITH PAYMENT, CONNECTION TO FURTHER RESOURCES, AND A PLAN TO PREVENT FURTHER FILINGS. COMMON GRACE MINISTRIES HAS HELPED 167 HOUSEHOLDS AND 404 INDIVIDUALS WITH FINANCIAL ASSISTANCE. COMMON GRACE MINISTRIES' "GETTING STARTED" PROGRAM FOR CAR REPAIRS TO HELP FAMILIES GET TO WORK HELPED THREE HOUSEHOLDS AND SEVEN INDIVIDUALS, $125 FOR TOWING AND $542.61 FOR SIMPLE CAR REPAIRS. 4) NOBLE COUNTY MENTAL HEALTH COLLABORATIVE: THIS COLLABORATIVE WAS FORMED TO ADDRESS MENTAL HEALTH IN NOBLE COUNTY BY EXPLORING OPPORTUNITIES TO COLLABORATE BETTER. IT COMPRISES PARTNERS FROM COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., LAW ENFORCEMENT, MENTAL HEALTH SERVICE PROVIDERS, LOCAL GOVERNMENT, AND LOCAL NON-PROFIT LEADERS AND STAKEHOLDERS.SUBSTANCE USE DISORDER: 1) PREVENTIVE EDUCATION: COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. PARTNERS WITH THE HAROLD W. MCMILLEN CENTER FOR HEALTH EDUCATION TO IMPROVE THE GENERAL KNOWLEDGE AROUND SUBSTANCE USE DISORDERS IN 100% OF PROGRAM PARTICIPANTS. PROGRAM PARTICIPANTS (K-12 STUDENTS) WILL DISCUSS LIFE SKILLS, SUBSTANCE USE PREVENTION, OBESITY/NUTRITION, AND TOBACCO/ALCOHOL. THERE WERE 20 SESSIONS AND 575 STUDENTS, ALONG WITH 36 CLASSROOM TEACHERS. IN ADDITION, PARTICIPANTS WILL BE ABLE TO LEARN AND PRACTICE SELF-REGULATION STRATEGIES.2) PREVENTIVE EDUCATION: COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. PARTNERS WITH DRUG FREE NOBLE COUNTY (DFNC) TO PROVIDE ACCESS TO PREVENTATIVE EDUCATION INITIATIVES AIMED AT PREVENTING THE ONSET OF RISKY BEHAVIORS RELATED TO THE USE OF TOBACCO, ALCOHOL, AND OTHER SUBSTANCES. THIS INITIATIVE SOUGHT TO PROMOTE HEALTH AND WELLNESS FOR CHILDREN AND FAMILIES VIA COMMUNITY OUTREACH ACTIVITIES, SCHOOL PARTNERSHIPS, AND THE DFNC INFORMATION RESOURCE CENTER (WEBSITE/SOCIAL MEDIA COMMUNICATIONS). 3) NOBLE HOUSE MINISTRIES: NOBLE HOUSE MINISTRIES IS A SHELTER THAT PROVIDES SERVICES TO WOMEN AND CHILDREN IN CRISES STEMMING FROM HOMELESSNESS, DOMESTIC VIOLENCE, AND/OR ADDICTIONS. NOBLE HOUSE IS THE ONLY SHELTER IN NOBLE COUNTY THAT SERVES WOMEN AND CHILDREN NEEDING EMERGENCY FOOD AND SHELTER. COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. PARTNERS WITH NOBLE HOUSE MINISTRIES TO PROVIDE A SAFE, NURTURING ENVIRONMENT WHERE WOMEN AND CHILDREN CAN LEARN MANY LIFE SKILLS AND COMMUNITY RESOURCES TO BECOME SELF-SUFFICIENT AND PRODUCTIVE COMMUNITY MEMBERS.4) COMMUNITY SURVEY AND MARKETING: COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. PARTNERS WITH DRUG FREE NOBLE COUNTY (DFNC) TO SUPPORT THEIR ANNUAL COMMUNITY SURVEY. DFNC DEVELOPS A THREE-YEAR COMPREHENSIVE COMMUNITY PLAN BASED ON RESEARCH DATA, LOCAL/REGIONAL/STATE RECORDS/REPORTS, STRATEGIC PLANNING, AND FIRSTHAND KNOWLEDGE OF COALITION PARTNERS FOUND THROUGH THE COMMUNITY SURVEY. THE SURVEYS ARE MAINLY SENT THROUGH COALITION PARTNERS, FACEBOOK, DRUG FREE NOBLE COUNTY'S WEBPAGE, AND SCHOOLS THROUGHOUT THEIR NETWORKS TO HAVE STUDENTS TAKE THE SURVEY. THIS REPORT IDENTIFIES SPECIFIC PROBLEM AREAS, DETERMINES QUALITATIVE AND QUANTITATIVE MEASURES TO MEASURE IMPACT, IDENTIFIES STRATEGIES TO EFFECT CHANGE, AND MONITORS PROGRESS TOWARDS GOALS. 5) INSPIRATION MINISTRIES: COMMUNITY HOSPITAL OF NOBLE COUNTY, 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 COMMUNITY RECOVERY 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. INSPIRATION HAS PRODUCED 38 GRADUATES FROM ITS 9-MONTH RECOVERY PROGRAM - 26 IN DEKALB AND 12 IN NOBLE.6) INSTALL NALOXBOX IN NOBLE COUNTY: TO ACCOMPLISH THIS INITIATIVE, COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. PARTNERED WITH OVERDOSE LIFELINE, INC. IN 2023 TO INSTALL THEIR NALOXBOX ON COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.'S CAMPUS. WE 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 DISORDERS. SINCE INSTALLING THE NALOBOX, WE HAVE ADDED FENTANYL, XYLAZINE, AND BENZODIAZEPINE STRIPS TO COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. WE HAVE GIVEN OUT OVER 112 NARCAN, 26 FENTANYL STRIPS, 18 XYLAZINE STRIPS, AND 12 BENZODIAZEPINE STRIPS.OBESITY: 1) COOKING DEMONSTRATIONS: COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. PARTNERS WITH THE COMMUNITY LEARNING CENTER, INC. (CLC) TO SUPPORT THEIR TEACHING AND LEARNING KITCHEN FOR COOKING CLASSES. THESE PROGRAMS ARE OFFERED AT A FREE OR REDUCED COST. THEY ARE TAUGHT BY CLC'S INSTRUCTORS, EMPHASIZING HEALTHY COOKING DEMOS TAUGHT BY A DIETITIAN FROM COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. OTHER INSTRUCTORS MAY INCLUDE THE PURDUE EXTENSION DIETITIAN, A HEALTHIER MOMS AND BABIES REPRESENTATIVE, AND OTHER HEALTH PROFESSIONALS. WE ANTICIPATE THAT THIS PROGRAM WILL INCREASE ACCESS TO NUTRITIONAL EDUCATION, ALLOWING MORE COMMUNITY MEMBERS TO LEAD HEALTHY AND ACTIVE LIFESTYLES.2) CLEANER EATING PROGRAM: - THIS PROGRAM IS LED BY A COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., REGISTERED DIETITIAN AND AIMS TO IMPROVE EATING HABITS BY TEACHING PARTICIPANTS HOW THEY CAN EAT "CLEANER", IN SEASON, AND UTILIZE ALL PARTS OF THE FRUIT/VEGETABLE. CLEAN EATING MEANS CONSUMING FOODS AS CLOSE TO THEIR NATURAL STATE TO PRESERVE AS MUCH OF THEIR NUTRITION AS POSSIBLE. PARTICIPANTS IN THE PROGRAM ARE PROVIDED WITH FRESH GARDEN PRODUCE FROM LOCAL FARMERS, THEN, AS A GROUP, THEY PREP THE FOOD. THEN THEY CAN TAKE THE PREPARED FOOD HOME TO COOK. 3) DIABETES WORKSHOPS & SUPPORT GROUPS: THIS PROGRAM PROVIDES FREE DIABETES WORKSHOPS AND SUPPORT GROUPS. THE DIABETES SUPPORT GROUP OF COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. MEETS MONTHLY AT THE PARKVIEW CENTER FOR HEALTHY LIVING -THE COMMUNITY LEARNING CENTER. DURING EACH MEETING, A TOPIC IS DISCUSSED, AND PARTICIPANTS CAN ASK QUESTIONS, SHARE IDEAS, AND MORE. THE WORKSHOPS AND SUPPORT GROUPS ARE LED BY A REGISTERED NURSE, CERTIFIED DIABETES EDUCATOR, AND REGISTERED DIETITIAN. PART V, SECTION B, LINE 11 CONT'D: 4) COLE FAMILY CENTER YMCA SCHOLARSHIP PROGRAM: COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. PARTNERS WITH THE COLE FAMILY CENTER YMCA SCHOLARSHIP PROGRAM TO INCREASE ACCESS TO PHYSICAL ACTIVITY OPPORTUNITIES FOR ALL COMMUNITY MEMBERS. SCHOLARSHIPS ALLOW INDIVIDUALS TO GAIN ACCESS TO THE YMCA AT AN AFFORDABLE PRICE. THE YMCA STRIVES TO REACH UNDERSERVED AREAS OF OUR COMMUNITY TO INCREASE THE NUMBER OF VULNERABLE POPULATIONS SERVED THROUGH SCHOLARSHIPS. 5) PREVENTIVE EDUCATION: COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. PARTNERS WITH MCMILLEN HEALTH TO OFFER STUDENTS PREVENTATIVE EDUCATION PROGRAMMING TO INCREASE THEIR KNOWLEDGE OF HEALTHY LIFESTYLES. PROGRAMS ADDRESS NOBLE COUNTY'S COMMUNITY HEALTH NEEDS OF OBESITY, MENTAL HEALTH, SUBSTANCE USE PREVENTION, AND TEEN PREGNANCY PREVENTION. THESE PROGRAMS TEACH RESPONSIBLE DECISION-MAKING, THE IMPORTANCE OF MAKING HEALTHY CHOICES, AND TAKING RESPONSIBILITY FOR THOSE CHOICES. THESE PROGRAMS SERVE NOBLE COUNTY AS MORE THAN 40% OF THE STUDENT POPULATION AT EAST AND WEST NOBLE SCHOOL DISTRICTS ARE CONSIDERED ECONOMICALLY DISADVANTAGED. 6) ASK THE RD: GOOD EATING HABITS ARE PIVOTAL IN OVERALL HEALTH. AS SUCH, THIS PROGRAM SEEKS TO INCREASE THE COMMUNITY'S NUTRITION KNOWLEDGE. "ASK THE RD" INVITES COMMUNITY RESIDENTS TO JOIN COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. THIS PROGRAM IS A FREE SHORT SESSION TO ANSWER QUESTIONS ON DIET, NUTRITION, OR OTHER FOOD-RELATED ISSUES. IDENTIFIED HEALTH NEEDS NOT BEING ADDRESSED:COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. DID NOT ADDRESS THE FOLLOWING SEVEN HEALTH NEEDS IDENTIFIED AS A TOP TEN HEALTH CONCERN BY THE 2022 COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. CHNA: ASTHMA, CANCER, CARDIOVASCULAR DISEASE, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, ALZHEIMER'S DISEASE OR DEMENTIA, KIDNEY DISEASE, AND CHILD ABUSE OR NEGLECT. AS A COMMUNITY HOSPITAL, COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. DOES NOT HAVE THE RESOURCES TO ADDRESS ALL THE TOP TEN HEALTH CONCERNS EFFECTIVELY. THEREFORE, WE GATHERED COMMUNITY STAKEHOLDERS TO PRIORITIZE NOBLE COUNTY'S TOP THREE HEALTH PRIORITIES. IN ADDITION TO THE PRIORITY RANKING SCORES (PG. 42 OF 2022 COMMUNITY HOSPITAL OF NOBLE COUNTY, 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 NOBLE COUNTY. 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 V, SECTION B, LINE 7A: HTTPS://WWW.PARKVIEW.COM/ABOUT-US/COMMUNITY-IMPACT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINE 10A: HTTPS://WWW.PARKVIEW.COM/ABOUT-US/COMMUNITY-IMPACT/COMMUNITY-HEALTH-NEEDS-ASSESSMENTPART V, SECTION B, LINES 16A, 16B, AND 16C: HTTPS://WWW.PARKVIEW.COM/PATIENTS-AND-VISITORS/BILLING-AND-INSURANCE/FINANCIAL-ASSISTANCE PART V, SECTION B, LINE 20D: WHILE THE HOSPITAL DOES NOT EMPLOY A PRESUMPTIVE ELIGIBILITY PROCESS, IT HAS TAKEN MEANINGFUL STEPS TO EXPAND ACCESS TO CARE AND SUPPORT PATIENTS FACING FINANCIAL HARDSHIP. IN 2024, THE HOSPITAL INCREASED ITS FINANCIAL ASSISTANCE POLICY ELIGIBILITY THRESHOLD FROM 250% TO 275% OF THE FEDERAL POVERTY GUIDELINES, ENSURING MORE FAMILIES QUALIFY FOR FREE OR DISCOUNTED CARE. TO FURTHER SUPPORT PATIENTS, THE HOSPITAL PARTNERS WITH A THIRD-PARTY VENDOR TO HELP INDIVIDUALS APPLY FOR MEDICAID AND OFFERS A ROBUST FINANCIAL COUNSELING PROGRAM WHERE TRAINED STAFF GUIDE PATIENTS THROUGH THE ASSISTANCE PROCESS. TOGETHER, THESE EFFORTS DEMONSTRATE THE HOSPITAL'S DEDICATION TO MEETING COMMUNITY NEEDS, MAINTAINING COMPLIANCE WITH SECTION 501(R), AND UPHOLDING ITS MISSION TO PROVIDE EQUITABLE ACCESS TO HEALTHCARE WHILE REFLECTING ITS COMMITMENT TO COMPASSIONATE BILLING PRACTICES. 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 7BCOMMUNITY HOSPITAL OF NOBLE COUNTY, 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, COMMUNITY HOSPITAL OF NOBLE COUNTY, 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 EXPENSECOMMUNITY HOSPITAL OF NOBLE COUNTY, INC. EXCLUDED $5,578,587 OF PH CLINICAL SUPPORT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTES THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.WORKFORCE DEVELOPMENT:COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., OFFERS INNOVATIVE LEARNING EXPERIENCES TO HIGH SCHOOL, UNIVERSITY, AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS AN OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HAS MORE THAN 130 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 24 - 27 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSCOMMUNITY HOSPITAL OF NOBLE COUNTY, INC. BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, WHILE COMMUNITY HOSPITAL OF NOBLE COUNTY, 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. EVEN IN YEARS WHEN THERE IS NO SHORTFALL, THE HOSPITAL'S WILLINGNESS TO SERVE ALL MEDICARE PATIENTS DEMONSTRATES ITS COMMITMENT TO COMMUNITY BENEFIT. 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, COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, COLLABORATION WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND FRONTLINE STAFF. COMMUNITY HOSPITAL OF NOBLE COUNTY, 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 ONGOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING 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 WHOM THEY CAN CONTACT FOR ASSISTANCE. TO FURTHER SUPPORT PATIENTS, THE HOSPITAL PARTNERS WITH A THIRD-PARTY VENDOR TO HELP INDIVIDUALS APPLY FOR MEDICAID AND OFFERS A ROBUST FINANCIAL COUNSELING PROGRAM WHERE TRAINED STAFF GUIDE PATIENTS THROUGH THE ASSISTANCE PROCESS. PART VI, LINE 4: DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. IS THE SOLE LICENSED HEALTHCARE FACILITY WITHIN NOBLE COUNTY, SERVING THE COMMUNITIES OF KENDALLVILLE, LIGONIER, AVILLA, ALBION, ROME CITY, CROMWELL, WOLCOTTVILLE, AND, TO A LIMITED EXTENT, OTHER SURROUNDING COMMUNITIES. ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY (ACS) DATABASE (2019-2023), NOBLE COUNTY HAS A POPULATION OF 47,417 RESIDENTS ACCORDING TO THE 2020 CENSUS. DELVING INTO THE SOCIO-ECONOMIC MAKE-UP, THE ACS SURVEY REPORTS THAT THE MEDIAN HOUSEHOLD INCOME IN NOBLE COUNTY STANDS AT APPROXIMATELY $70,908. IN CONTRAST, 7.8% OF HOUSEHOLDS HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL (2019-2023). A TESTAMENT TO THE COMMUNITY'S COMMITMENT TO HEALTH, THE ACS SURVEY REPORTS THAT AROUND 89.1% OF NOBLE COUNTY RESIDENTS ARE COVERED BY HEALTH INSURANCE (2019-2023), 32.4% OF WHICH ARE COVERED BY GOVERNMENT-SPONSORED HEALTH INSURANCE, ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (2019-2023).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. THIS MEANS THAT THE HIGHER THE HPSA SCORE, THE HIGHER THE PRIORITY. HRSA HAS DESIGNATED/IDENTIFIED THE FOLLOWING MEDICALLY UNDERSERVED AREAS/POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1189509197HPSA NAME: NOBLE COUNTYDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: NOBLE COUNTYHPSA SCORE: 9 STATUS: DESIGNATEDRURAL STATUS: RURAL2) DISCIPLINE: MENTAL HEALTHHSPA ID: 7186175063HPSA NAME: NORTHEASTERN CATCHMENT AREA 18DESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: DEKALB, LAGRANGE, NOBLE, AND STEUBEN COUNTIESHPSA SCORE: 17 STATUS: DESIGNATEDRURAL STATUS: RURAL 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.).COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. SEEKS TO DELIVER EXCELLENT CARE TO EVERY PERSON, EVERY DAY. THE HOSPITAL HAS DEVELOPED ITS INFRASTRUCTURE, POLICIES, AND PROCEDURES TO ALIGN WITH THIS GOAL. THIS INCLUDES HAVING A BOARD OF DIRECTORS FOR COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. THAT IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS RESIDING WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA; EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY; AND COMMITTING A PERCENTAGE OF EACH HOSPITAL'S NET INCOME (SURPLUS FUNDS) TO SUPPORT COMMUNITY HEALTH EFFORTS ON AN ANNUAL BASIS. WHILE THESE THREE 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 PERSON, EVERY DAY. TO PARKVIEW HOSPITAL, INC., ACHIEVING THIS STANDARD OF CARE REQUIRES PARTNERING WITH COMMUNITY ORGANIZATIONS THROUGH COMMUNITY HEALTH AT THE HOSPITAL LEVEL. AT THE SYSTEM LEVEL, COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. CONTRIBUTES TO AND PARTICIPATES IN SYSTEM-WIDE INVESTMENTS THAT WORK TOWARD FURTHERING EDUCATION AND RESEARCH AND ADVANCING HEALTHCARE DELIVERY AND ACCESS.COMMUNITY HEALTH: COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. IS COMMITTED TO INVESTING 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 THE BEST PRACTICES AND INNOVATIVE METHODS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY, PARTICULARLY THE UNDERSERVED. COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. SUPPORTS CHI EFFORTS BY COMMITTING A PERCENTAGE OF ITS NET INCOME ANNUALLY. WITH OVERSIGHT BY THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE, CONSISTING OF COMMUNITY LEADERS, MEMBERS OF THE COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. BOARD OF DIRECTORS, AND HOSPITAL MANAGEMENT, THESE SURPLUS 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 THE COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., CHNA. COMMON GRACE MINISTRIES, COMMUNITY LEARNING CENTER, COLE CENTER FAMILY YMCA, DRUG FREE NOBLE COUNTY, NOBLE COUNTY SUICIDE PREVENTION, HAROLD W. MCMILLEN CENTER FOR HEALTH EDUCATION, INSPIRATION MINISTRIES, YOUTH FOR CHRIST, RESPECT 360, AND COMMUNITY FOUNDATION OF NOBLE COUNTY ARE JUST A FEW OF OUR PARTNER ORGANIZATIONS. ADDITIONALLY, THE HOSPITAL SUPPORTS NOBLE TRANSIT SERVICE (NTS) AS THEY PROVIDE MEDICAL TRANSPORTATION FOR THE SENIOR, DISABLED, AND LOW-INCOME POPULATIONS THROUGHOUT THE COMMUNITY.INTERNALLY, COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.'S CHI PROGRAM OFFERS INITIATIVES THAT ADDRESS THE HOSPITAL'S CURRENT HEALTH PRIORITIES. EXAMPLES OF THESE INITIATIVES INCLUDE ASK THE DIETITIAN, HEALTHY COOKING DEMO PROGRAMS, AND MATERNAL/INFANT LACTATION PROGRAMS. THE HOSPITAL ALSO FUNDS AND MANAGES AN INTEGRATED NURSING PROGRAM. THESE REGISTERED NURSES, ALONG WITH A REGISTERED DIETITIAN AND COMMUNITY HEALTH WORKERS, DELIVER EDUCATION AND SERVICES OUTSIDE OUR FACILITIES TO ADDRESS COMMUNITY HEALTH ISSUES, ENGAGE VULNERABLE FAMILIES, AND PROMOTE HEALTH IN POPULATIONS OTHERWISE UNDERSERVED BY THE TRADITIONAL HEALTHCARE SYSTEM. OTHER COMMUNITY OUTREACH PROGRAMS INCLUDE ASSISTANCE WITH FOOD, CHECKUP DAYS, MOBILE MAMMOGRAM SERVICES, AND MOBILE DENTISTRY.IN ADDITION TO CHI'S PARTNERSHIPS SEEKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY, COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. ALSO VALUES AND MAINTAINS UPSTREAM ALLIANCES WITH LOCAL, STATE, AND FEDERAL GOVERNMENT LEADERS 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.EDUCATION:COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., OFFERS INNOVATIVE LEARNING EXPERIENCES TO K-12, UNIVERSITY, AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HEALTH SYSTEM, INC. HAS MORE THAN 130 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, WHICH SUPPORT STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW FACILITIES. STUDENTS MAY BEGIN TO EXPLORE POTENTIAL CAREER PATHS THROUGH HANDS-ON EXPERIENCES PROVIDED BY PARKVIEW AND CAREER EXPLORATION CENTERS AND THROUGH UNIQUE EVENTS OFFERED ONSITE AT PARKVIEW HEALTH SYSTEM, INC. FACILITIES. AS STUDENTS ADVANCE INTO HIGH SCHOOL AND COLLEGE, THEY CAN EXPERIENCE JOB SHADOWS AND OBSERVATIONS, AND THEN ADVANCE INTO INTERNSHIPS AND SPECIALTY CLINICALS AS THEY PROGRESS THROUGH THEIR EDUCATION JOURNEY. BEFORE LAUNCHING THEIR CAREER, STUDENTS CAN ACCESS PARKVIEW HEALTH SYSTEM, INC.'S SPECIALLY DESIGNED WORK-STUDY OPPORTUNITIES THAT HELP THEM BECOME PRACTICE-READY BY GRADUATION.THE PARKVIEW EDUCATION CENTER (PEC) OFFERS STUDENTS AND PROFESSIONALS A UNIQUE ENVIRONMENT WHERE THEY CAN LEARN TOGETHER UNDER THE SAME ROOF. THIS FACILITY RESULTS FROM A COLLABORATION BETWEEN PARKVIEW HEALTH AND FORT WAYNE COMMUNITY SCHOOLS (FWCS). TOGETHER, WE ENHANCE THE WAY THAT STUDENTS AND HEALTHCARE PROFESSIONALS LEARN AND WORK TOGETHER. THROUGH REGULAR COLLABORATION, THE PARTNERS ENSURE THE EDUCATION OFFERED AT THE PEC MEETS TODAY'S AND TOMORROW'S TALENT PIPELINE NEEDS. FURTHERMORE, PEC OFFERS BOTH CLASSROOM AND SIMULATED EXPERIENCE OPTIONS FOR STUDENTS AND CURRENT HEALTHCARE PROFESSIONALS, WHICH PROVIDE PARTICIPANTS FROM ALL SKILLSETS AND BACKGROUNDS THE OPPORTUNITY TO GROW TOGETHER. THIS ENABLES HIGH SCHOOL STUDENTS TO DISCOVER POTENTIAL CAREER PATHS, ALLOWS ADULTS TO EARN COLLEGE DEGREES AND CERTIFICATIONS, AND ALLOWS PARKVIEW CO-WORKERS TO ENHANCE THEIR SKILLS.COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH INNOVATIVE PARTNERSHIPS WITH LOCAL UNIVERSITIES AND THE PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION, LOCATED ON THE PARKVIEW REGIONAL MEDICAL CENTER CAMPUS. IN 2024, PARKVIEW HEALTH SYSTEM, INC. HOSTED NEARLY 5,000 STUDENTS FOR HANDS-ON EXPERIENCES AT PARKVIEW HOSPITALS, OUTPATIENT FACILITIES, AND PARKVIEW PHYSICIANS GROUP OFFICES.(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., A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF COMMUNITY HOSPITALS AND WELLNESS CENTERS; COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; DEKALB MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; PARK CENTER, INC.; PARKVIEW HOSPITAL, 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 ITS RESPECTIVE COMMUNITY. 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). THE HEALTH SYSTEM 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, THE HEALTH SYSTEM 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 IMPACT COMMUNITY HEALTH STATUS POSITIVELY. 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.).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 (CLINICAL TRIALS CONDUCTED PRIMARILY TO ADVANCE PATIENT CARE AND SCIENTIFIC KNOWLEDGE), WITH TWO-THIRDS OF OUR ACTIVE RESEARCH IN CANCER TREATMENTS. THE PARKVIEW RESEARCH CENTER ALSO PROVIDES ACCESS TO HUMANITARIAN USE DEVICES (HUD) AND 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 COLLABORATE 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 OVER 30 YEARS AGO AND CONTINUES SERVING 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 FUNDAMENTAL SKILLS FOR CONDUCTING RESEARCH AND DISSEMINATING 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 COMPRISES INTERDISCIPLINARY SCIENTISTS, PROJECT MANAGERS, DATA/SOFTWARE ENGINEERS, 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 INTEGRATION AND USABILITY OF HEALTHCARE TECHNOLOGIES. EXAMPLES OF THEIR PROJECTS INCLUDE ACCESS TO HEALTH EVALUATION, IMPACTS OF TECHNOLOGY ON 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 INFORM PUBLIC HEALTH POLICY.ADVANCING HEALTH CARE DELIVERY AND ACCESS:COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., 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 WE CAN CONNECT WITH COMMUNITY HOSPITALS, COMMUNITY PARTNERS, AND PATIENTS TO EXPEDITE CARE THAT MAY HAVE PREVIOUSLY REQUIRED ADDITIONAL STAFFING, PATIENT MOVEMENT, 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 CONVENIENT AND SECURE ACCESS TO MEDICAL RECORDS AND A RANGE OF SERVICES, RESOURCES, AND FEATURES THAT ENHANCE THE PATIENT'S EXPERIENCE. PATIENTS WHO INTEGRATE MYCHART INTO THEIR EVERYDAY LIVES CAN SAVE TIME ORGANIZING HEALTH AND INSURANCE INFORMATION, COMMUNICATING WITH THEIR PROVIDER OFFICE, VIEWING SCHEDULING OPTIONS, AND BETTER UNDERSTANDING THEIR HEALTH AND WELL-BEING. OVER THE LAST 12 MONTHS, PARKVIEW HEALTH SYSTEM, INC. ENGAGED MORE THAN 570,000 PATIENTS THROUGH THE MYCHART PLATFORM, WHO LOGGED INTO THEIR ACCOUNTS TO ACTIVELY MANAGE OR PARTICIPATE IN THEIR CARE. AS PART OF PARKVIEW HEALTH SYSTEM, INC., COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. ALSO OFFERS THE PARKVIEW HEALTH APP IN THE GOOGLE AND APPLE APP STORES. THIS APP CONNECTS USERS TO HELPFUL TOOLS DESIGNED TO ENHANCE THE PATIENT JOURNEY OR PROVIDE ACCESS TO HEALTH RECORDS. WITH THE APP, USERS CAN START A VIDEO VISIT, SCHEDULE A NEW PATIENT APPOINTMENT WITH A PRIMARY CARE PROVIDER, AND GET TURN-BY-TURN WAYFINDING INSIDE THE HEALTH SYSTEM'S FACILITIES, AMONG OTHER FEATURES. THE APP ALSO ALLOWS ACCESS TO THE USER'S PARKVIEW MYCHART ACCOUNT.AS PART OF PARKVIEW HEALTH SYSTEM, INC., COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. HAS FOCUSED RECENTLY ON LEVERAGING SOME OF OUR CONNECTIVITY OPTIONS TO CREATE VIRTUAL NURSING AND VIRTUAL SITTING OPTIONS. USING CAMERAS IN PATIENT ROOMS, A CAREGIVER CAN CONNECT BY VIDEO AND TALK TO THE PATIENT. THIS ALLOWS VIRTUAL NURSING STAFF TO DISCUSS ADMISSION OR DISCHARGE INSTRUCTIONS, MEDICATIONS, AND ADDRESS OTHER PATIENT QUESTIONS. FOR PATIENTS WHO HAVE MONITORING ORDERS AND REQUIRE CONSTANT SUPERVISION TO MAINTAIN THEIR SAFETY, A TEAM OF TRAINED STAFF MEMBERS CAN MONITOR PATIENTS ACROSS THE HEALTH SYSTEM THROUGH CAMERAS. THIS HELPS REDUCE FALLS, LEADS TO MORE IMMEDIATE INTERVENTION WHEN NECESSARY, AND ALLOWS FOR THE SCALABILITY OF EXISTING RESOURCES. 1 HAROLD W MCMILLEN CENTER FOR HEALTH EDUCATION INC 600 JIM KELLEY BLVD FORT WAYNE IN 46816 351186994 501(C)(3) 8000 0 PROVIDE VITAL & EFFECTIVE HEALTH EDUCATION THAT PROMOTES PHYSICAL, EMOTIONAL & SOCIAL WELL-BEING COLE CENTER FAMILY YMCA P O BOX 233 KENDALLVILLE IN 46755 237077600 501(C)(3) 5250 0 HEALTH AND WELLNESS PROGRAMS 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 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER/PRTL YR 0 991526 0 492356 0 163321 0 186966 0 30994 0 1865163 0 125575 GREG JOHNSON DIRECTOR/REGIONAL MARKET PRESIDENT 0 760582 0 263340 0 496124 0 37950 0 37134 0 1595130 0 357700 MYCAL MANSFIELD DIRECTOR/PH PHYSICIAN 4222 467984 0 62321 0 28490 233 30817 325 43063 4780 632675 0 0 JORDI DISLER DIRECTOR/MARKET PRESIDENT 288138 0 83790 0 37610 0 91380 0 31769 0 532687 0 0 34571 PHILLIP CORBIN DIRECTOR/PH PHYSICIAN 0 338745 0 45331 0 7338 0 27600 0 42747 0 461761 0 0 KELLY BALYEAT NBHOS PHARMACY MGR 142037 92401 31570 0 2050 0 16309 8579 21300 11205 213266 112185 0 0 HEATHER STANLEY NBHOS VP PATIENT CARE SVCS 182205 0 53924 0 9553 0 26203 0 37089 0 308974 0 0 0 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 0 190916 0 25000 0 2829 0 35417 0 13426 0 267588 0 0 HEATHER ANTAL NBHOS NURSING SVCS MGR 155801 0 20908 0 1196 0 21927 0 28506 0 228338 0 0 0 JULIE DESPER NBHOS REHAB MGR 135573 15040 20107 0 1678 0 19441 1858 26523 2535 203322 19433 0 0 BENJAMIN VORNDRAN NBHOS PHARMACIST 139804 0 0 0 1162 0 10196 0 35700 0 186862 0 0 0 GARY HEIMAN NBHOS PARAMEDIC 142003 11275 0 0 2564 0 6511 508 16851 1314 167929 13097 0 0 ERIN GOLDSBERRY FORMER KEY EMPLOYEE/CURRENT PVHOS VP 0 204330 0 45127 0 3439 0 14124 0 28432 0 295452 0 0 PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF THE 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 THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFITS. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION, AND THE AMOUNT OF THE BENEFITS MAY VARY YEARLY. 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): JORDI DISLER $34,571; GREG JOHNSON $488,600; JEANNE' WICKENS $125,575 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 OUTLINED 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: JORDI DISLER $49,980; STANTON RISSER $35,417; JEANNE' WICKENS $162,816 PART I, LINE 7 THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) IS AN ANNUAL INCENTIVE PROGRAM. THE COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENT FOR MICP. AT THE CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES THE 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, COMMUNITY HOSPITAL OF NOBLE COUNTY, INC., EIN 35-2087092. THEREFORE, PH REPORTS AND FILES ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2, AND W-3. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2024, WAS 703. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2024, WAS 18,730. FOR COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBERS REPORTED FOR THE COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. WERE 24 AND 314, 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 PRESIDENT 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 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, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF COMMUNITY HOSPITAL OF NOBLE COUNTY, 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 (I) APPOINT 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 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, 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 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. COMMUNITY HOSPITAL OF NOBLE COUNTY, 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 23, 2025, 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 2024, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL CEO & EVP LEVEL COMPENSATION, BENEFITS, AND PERQUISITES FOR THE 2024 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 THE 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, LINE 11G OTHER: PROGRAM SERVICE EXPENSES 1,031,575. MANAGEMENT AND GENERAL EXPENSES 315,753. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,347,328. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,707,403. MANAGEMENT AND GENERAL EXPENSES 390,691. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,098,094. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 93,534. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,534. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 3,219,241. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,219,241. 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 885,068. 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