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 351064295 DEKALB MEMORIAL HOSPITAL INC DEKA 2603738429 1316 E 7TH ST AUBURN IN 467062515 STANTON RISSER PH ACFO 2602669380 2025-11-06 1 1 BRITTNEY KOCAJ P01320603 9542028600 2024 2025-03-06 01:10:19Z PARKVIEW DEKALB HOSPITAL GREG JOHNSON 1450 PRODUCTION RD FORT WAYNE IN 468081167 82455837 0 X WWW.PARKVIEW.COM X 1964 IN IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 11 7 363 23 2178955 0 171 20146 82467723 81989917 -1659 0 328536 397910 82794771 82407973 34684 31400 0 0 26973031 26129439 0 0 0 52563677 52238792 79571392 78399631 3223379 4008342 64921838 69674244 3702106 4450160 61219732 65224084 X DEKALB MEMORIAL HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 0 0 64667797 31400 79810962 AS A NOT-FOR-PROFIT HOSPITAL, DEKALB MEMORIAL HOSPITAL, INC. IS COMMITTED TO PROVIDING EXCEPTIONAL CARE TO THE COMMUNITY WE HAVE PROUDLY SERVED FOR DECADES. AT DEKALB MEMORIAL HOSPITAL, INC., PATIENTS WILL FIND THE CARE TEAM PROVIDERS AND SPECIALTY SERVICES THEY NEED LOCALLY, ALONG WITH THE FULL RESOURCES OF PARKVIEW HEALTH, THE LARGEST HEALTH SYSTEM IN NORTHEAST INDIANA. WHETHER PATIENTS ARE VISITING THE DEKALB CAMPUS FOR A SCHEDULED APPOINTMENT, NEED EMERGENCY OR WALK-IN CARE, OR ARE VISITING A LOVED ONE, OUR CAREGIVERS WILL MAKE SURE THEY FEEL LIKE FAMILY.(SEE SCHEDULE O FOR CONTINUATION)FEATURED SERVICES:LOCATED NEAR THE CENTER OF DEKALB COUNTY, DEKALB MEMORIAL HOSPITAL, INC. IS A 57-BED FACILITY WITH ORTHOPEDIC AND SURGICAL SERVICES AND 24/7 EMERGENCY CARE. OUR PHYSICIANS, NURSES, AND OTHER MEDICAL PROFESSIONALS DISTINGUISH THEMSELVES AS THE MOST COMPASSIONATE CAREGIVERS PATIENTS FIND ANYWHERE. THEY SHARE OUR GOAL OF PROVIDING THE BEST POSSIBLE PATIENT EXPERIENCE AND ARE DEDICATED TO CARING FOR PATIENTS AND THEIR FAMILIES.AS OUR POPULATION AGES, ACCESS TO ORTHOPEDIC CARE BECOMES INCREASINGLY IMPORTANT TO OUR LOCAL COMMUNITY. DEKALB MEMORIAL HOSPITAL, INC., HAS PRIORITIZED ITS ORTHOPEDIC FACILITIES AND SERVICES, DEBUTING ON-SITE ORTHOPEDIC PHYSICIAN SUITES, DIAGNOSTIC AREAS, AND TREATMENT FACILITIES. PATIENTS CAN RECEIVE THE HIGHEST-QUALITY ORTHOPEDIC TREATMENTS LOCALLY AND CLOSER TO HOME. THE HOSPITAL'S NORTH CAMPUS IS OFTEN A HUB FOR INTERRELATED SERVICES LIKE ORTHOPEDICS, REHABILITATION, AND OCCUPATIONAL HEALTH. IT IS CONVENIENT FOR CLINICIANS AND PATIENTS WHO MAY FREQUENT THESE CARE DESTINATIONS IN THEIR TREATMENT JOURNEY.IN ADDITION TO GOLD-STANDARD FACILITIES, OUR EXPERIENCED TEAM OF ORTHOPEDIC PHYSICIANS BOASTS EXPERTISE IN MANY SOUGHT-AFTER PROCEDURES AND NON-SURGICAL OPTIONS. OUR COMPREHENSIVE SERVICES INCLUDE COMPLETE BONE, JOINT, AND SPINE CARE, WITH TREATMENT AVAILABLE FOR A FULL RANGE OF ORTHOPEDIC CONDITIONS, INCLUDING BONE CONDITIONS, TRAUMA, ATHLETIC INJURIES, JOINT DISORDERS, SPINAL ISSUES, AND MUSCLE CARE. WE ARE EXCITED ABOUT THE SKILLED ORTHOPEDIC SURGEONS AT DEKALB MEMORIAL HOSPITAL, INC. WHETHER THEY ARE PROVIDING DIRECT CARE TO OUTPATIENTS AND INPATIENTS OR PERFORMING SURGERIES, DEDICATED ORTHOPEDIC SPECIALISTS ARE HERE TO SERVE THE GROWING NEEDS OF THE LOCAL COMMUNITY.WE'RE VERY PROUD OF THE SURGICAL CENTER AT DEKALB MEMORIAL HOSPITAL, INC., AND THE EMPHASIS THAT HAS BEEN PLACED ON CREATING A HEALING ENVIRONMENT, FROM THE SOOTHING COLOR PALETTE TO ENHANCED TECHNOLOGY AND PRIVATE ROOMS. DEKALB MEMORIAL HOSPITAL INC.'S 40,000-SQUARE-FOOT SURGICAL CENTER INCLUDES 17 PRIVATE ROOMS, FOUR SURGICAL SUITES, THREE ENDOSCOPY SUITES, FIVE PATIENT INFUSION THERAPY TREATMENT AREAS, AND A ROBOTIC SURGERY PROGRAM. THIS CENTER PROVIDES PATIENTS ACCESS TO ADVANCED TECHNOLOGY FOR DELIVERING QUALITY SURGICAL CARE, LEADING-EDGE TECHNOLOGIES, AND A BROAD RANGE OF SURGICAL EXPERTISE. ONE EXAMPLE OF THIS TECHNOLOGY IS THE DA VINCI XI SURGICAL SYSTEM. THE SYSTEM ENABLES THE SURGEON TO VIEW STRUCTURES INSIDE THE PATIENT'S BODY IN FINE DETAIL AND PERFORM DELICATE OPERATIONS WITH HIGH PRECISION. THE PROCESS IS LESS INVASIVE THAN TRADITIONAL SURGERY, INCLUDING SMALLER AND FEWER INCISIONS. OUR SURGICAL SPECIALISTS ARE ON CALL 24 HOURS A DAY, SEVEN DAYS A WEEK.THE DIAGNOSTIC IMAGING DEPARTMENT AT DEKALB MEMORIAL HOSPITAL, INC. PRIDES ITSELF ON PROVIDING AN ARRAY OF PREMIER DIAGNOSTIC AND SCREENING EXAMS TO MEET THE NEEDS OF OUR LOCAL COMMUNITY. OUR DEPARTMENT OFFERS CUTTING-EDGE CT CARDIAC SCREENING EXAMS IN RESPONSE TO THE ESCALATING PREVALENCE OF HEART DISEASE. THROUGH COLLABORATIVE EFFORTS WITH CARDIOLOGY, WE DELIVER ECHOCARDIOGRAMS AND NUCLEAR MEDICINE MYOVIEW (HEART) EXAMS, ENSURING CONVENIENT ACCESS FOR PATIENTS AND EXPEDITIOUS SCHEDULING.MOREOVER, OUR COMMITMENT EXTENDS TO WOMEN'S HEALTH, WITH COMPREHENSIVE SERVICES INCLUDING MAMMOGRAPHY, ULTRASOUND, AND DEXA (BONE DENSITY) SCANS. SETTING A BENCHMARK IN HEALTHCARE PROVISION, WE ARE ONE OF THE ONLY COMMUNITY HOSPITALS IN THE AREA OFFERING BREAST MRI EXAMS. OUR UNWAVERING DEDICATION IS UPHELD BY A TEAM OF HIGHLY SKILLED TECHNOLOGISTS AND THE UTILIZATION OF STATE-OF-THE-ART EQUIPMENT, ALL AIMED AT DELIVERING UNPARALLELED CARE TO OUR COMMUNITY.DEKALB MEMORIAL HOSPITAL, INC. FEATURES A 24/7 EMERGENCY DEPARTMENT (ED) THAT OFFERS COMPREHENSIVE AND QUALITY CARE IN A STATE-OF-THE-ART SETTING. OUR EMERGENCY DEPARTMENT CONSISTS OF 13 PRIVATE EXAM ROOMS AND ONE TREATMENT ROOM. THE ED ALSO PROVIDES PATIENTS AND STAFF WITH THE LATEST TECHNOLOGICAL INNOVATIONS AND CARE. EXAMPLES INCLUDE COMPUTERS IN EVERY ROOM; A DIGITAL TRACKING BOARD OFFERS DOCTORS AND NURSES REAL-TIME COMMUNICATIONS AND STATUS UPDATES; STATE-OF-THE-ART CARDIAC MONITORING SYSTEMS; PATIENT BEDS FEATURE BUILT-IN DIGITAL SCALES; AND A ONE-CALL SYSTEM THAT PROVIDES QUICKER, DIRECT ACCESS TO AREA TERTIARY FACILITIES.AT THE HEART OF OUR ED IS A SPACIOUS, CENTRALLY LOCATED NURSES' STATION. DESIGNED TO OPTIMIZE AND ENHANCE WORKFLOW AND PATIENT MONITORING, THE NURSE'S STATION PUTS ALL LEVELS OF TREATMENT ROOMS WITHIN THE DIRECT VIEW OF NURSES. COMBINED WITH TECHNOLOGICAL ADVANCES, THE ED AT DEKALB MEMORIAL HOSPITAL, INC. OFFERS PATIENTS THE UTMOST CARE, CONVENIENCE, AND PRIVACY.FINANCIAL ASSISTANCE:DEKALB MEMORIAL HOSPITAL, INC. IS COMMITTED TO MAKING HEALTHCARE ACCESSIBLE TO THOSE WHO NEED IT, REGARDLESS OF THEIR HEALTH STATUS OR ABILITY TO PAY. WITH OUR FINANCIAL ASSISTANCE, PATIENTS CAN RECEIVE THE PARKVIEW CARE THEY EXPECT, NO MATTER WHAT MEDICAL OBSTACLES THEY MIGHT FACE. OUR FINANCIAL ASSISTANCE SERVICES INCLUDE: 1) USING FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES, INCLUDING CHARITABLE CARE AND FINANCIAL ASSISTANCE POLICIES AND A STANDARD APPLICATION PROCESS; 2) PROVIDING EXTENDED PAYMENT PLAN OPTIONS; AND 3) PROVIDING EMERGENCY CARE, REGARDLESS OF ABILITY TO PAY.COMMUNITY BENEFIT: THROUGH DEKALB MEMORIAL HOSPITAL, INC.'S MISSION AND VALUES, ITS COMMITMENT TO IMPROVING HEALTH AND INSPIRING WELL-BEING EXTENDS BEYOND THE HOSPITAL WALLS AND THROUGHOUT NORTHEAST INDIANA. FUNDED BY A PERCENTAGE OF DEKALB MEMORIAL HOSPITAL, INC.'S NET OPERATING SURPLUS, THE COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM 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 UPON THESE RESULTS, DEKALB MEMORIAL HOSPITAL, INC. CREATED AN IMPLEMENTATION STRATEGY THAT SERVES AS AN IN-DEPTH PLAN DEFINING HOW WE PLAN TO ADDRESS EACH IDENTIFIED HEALTH NEED. THE HOSPITAL'S STRATEGIC REINVESTMENTS INCLUDE ANNUAL GRANTS TO SUPPORT LOCAL NON-PROFIT PROGRAMMING. AWARDS/RECOGNITION:-LEAPFROG HOSPITAL SAFETY GRADE: SPRING - A, FALL - A - THE CHARTIS CENTER FOR RURAL HEALTH PERFORMANCE LEADERSHIP AWARDS (PREVIOUSLY IVANTAGE HEALTH ANALYTICS)- BECKER'S CLEANEST HOSPITALS AWARD 64667797 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 27 0 1 363 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 7 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 GREG JOHNSON DIRECTOR/REGIONAL MARKET PRESIDENT 1.00 39.00 X X 0 1520046 75084 THOMAS MASON DIRECTOR/PH PHYSICIAN 1.00 39.00 X 0 511848 80823 NATASHA EICHER DIRECTOR/MARKET PRESIDENT/SVP SLL 34.00 6.00 X X 423524 69736 123084 JESSICA BARTOCK-LANKFORD DIRECTOR/PH PHYSICIAN 1.00 39.00 X 3024 552667 60614 THOMAS HARTMAN DIRECTOR/SECRETARY/TREASURER 1.00 0.00 X X 4000 0 0 MICHAEL TULLIS DIRECTOR 1.00 0.00 X 4500 0 0 BRYAN NUGEN DIRECTOR/VICE CHAIR 1.00 0.00 X X 4500 0 0 TRENTON STUCKEY DIRECTOR 1.00 0.00 X 3750 0 0 SCOTT PFLUGHOEFT DIRECTOR/CHAIR 1.00 1.00 X X 5750 1500 0 CLARAMARY WINEBRENNER DIRECTOR 1.00 0.00 X 4500 0 0 JEREMY PFISTER DIRECTOR 1.00 0.00 X 4500 0 0 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER/PRTL YR 1.00 39.00 X 0 1647203 217960 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 218745 48843 KARRA HEGGEN DMHOS VP PATIENT CARE SVCS 40.00 0.00 X 311378 0 38264 LON KEYES DMHOS PHARMACY MGR 40.00 0.00 X 232981 0 32872 ANTHONY STUMP DMHOS REHAB MGR 40.00 0.00 X 173083 0 52065 JACOB CLENDENEN DMHOS PHARMACIST 33.00 7.00 X 138927 27593 45979 JEANNETTE STURGES DMHOS NURSING SERVICES MGR 40.00 0.00 X 160787 0 44370 PAULA AMSTUTZ DMHOS RADIOLOGY MGR 17.00 23.00 X 64896 91315 39448 1540100 4640653 859406 27 0 1 0 PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DR FORT WAYNE IN 46845 LABORATORY SERVICES 3471357 ASSOCIATED ANESTHESIOLOGISTS OF FORT WAY 10315 DAWSON CREEK BLVD STE A/B FORT WAYNE IN 46825 ANESTHESIOLOGISTS 785390 NORTHEAST INTERNAL MEDICINE ASSOC INC 2500 N DETROIT ST LAGRANGE IN 46761 HOSPITALISTS 397857 XTEND HEALTHCARE LLC 90 VOLUNTEER DR STE 200 HENDERSONVILLE TN 37075 BILLING SERVICES 184798 HOSPITAL LAUNDRY SERVICES INC 3322 CAVALIER DR FORT WAYNE IN 46808 LAUNDRY SERVICES 182124 8 15946 4200 20146 NET PATIENT SERVICE REVENUE 622110 71186389 71186389 PHARMACY 456110 9342278 7163323 2178955 INTERUNIT RENT 531120 1199179 1199179 EMS SUBSIDY 621910 250000 250000 MEALS ON WHEELS 624210 7762 7762 4309 4309 81989917 90581 47864 42717 42717 42717 CAFETERIA 722514 355193 355193 355193 82407973 79810962 2178955 397910 X 31400 31400 913703 913703 18773310 18773310 6442426 6442426 6225305 5796227 429078 602 202 400 1653013 1627240 25773 2023 1857 166 1425878 1416117 9761 4622 3460 1162 7350 7350 21737 21737 2022926 2022839 87 187151 165877 21274 MEDICAL SUPPLIES 16558554 16558554 CORP SERVICE ALLOCATION 12306878 12306878 PH CLINICAL SUPPORT 7537326 7537326 HOSPITAL ASSESSMENT FEE 4165099 4165099 120328 96776 23552 78399631 64667797 13731834 0 2950 2950 418767 236761 10054689 12593974 1398237 1557056 52059 147491 41841748 10159938 31907053 31681810 21088083 23454202 64921838 69674244 2620929 2496922 1081177 1953238 3702106 4450160 X 61219732 65224084 61219732 65224084 64921838 69674244 X 4008342 -3990 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2078 2078 0 PART II-B, LINE 1: OTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO THE INDIANA HOSPITAL ASSOCIATION, AND VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. 4509748 4509748 25081599 5007825 20073774 9290 9290 0 9469634 4840565 4629069 2771477 302258 2469219 31681810 DUE TO/FROM INTERUNIT 22877093 RIGHT OF USE ASSETS 577109 23454202 LEASE LIABILITY 594920 EST MEDICARE/MEDICAID SETTLEMENTS 949814 EST 3RD PARTY SETTLEMENTS 408504 1953238 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 0 1 1 296615 296615 0.00420 14238325 9062230 5176095 0.07300 14534940 9062230 5472710 0.07720 3315599 2755163 560436 0.00790 147355 147355 0.00210 9638788 6094497 3544291 0.05000 37102 37102 0.00050 13138844 8849660 4289184 0.06050 27673784 17911890 9761894 0.13770 15483 15483 0.00020 15483 15483 0.00020 1 0 0 8205482 8293598 -88116 X 1 1 1 1 DEKALB MEMORIAL HOSPITAL INC 1316 EAST SEVENTH STREET AUBURN IN 46706 WWW.PARKVIEW.COM 005041-1 X X X DEKALB MEMORIAL HOSPITAL INC 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X 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 DEKALB MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), PARKVIEW HEALTH SYSTEM, INC., INCLUDING THE COMMUNITY HOSPITAL OF DEKALB MEMORIAL HOSPITAL, INC., DILIGENTLY ENSURED INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY WAS INCLUDED, WHILE ALSO FOCUSING ON THE NEEDS OF VULNERABLE POPULATIONS IN NORTHEAST INDIANA. IN GATHERING COMMUNITY INPUT, PARKVIEW HEALTH SYSTEM, INC., INCLUDING DEKALB MEMORIAL HOSPITAL, INC., OBTAINED THE FOLLOWING: 1) PRIMARY DATA COLLECTED THROUGH A COMMUNITY SURVEY OF RESIDENTS IN EACH PARKVIEW HEALTH COUNTY, 2) PRIMARY DATA COLLECTED THROUGH AN ONLINE SURVEY OF HEALTHCARE AND SOCIAL SERVICE PROVIDERS IN EACH COUNTY THAT PROVIDE SERVICES DIRECTLY TO THE UNDERSERVED IN OUR COMMUNITIES (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.), AND 3) SECONDARY DATA COLLECTED FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES (E.G., COUNTY HEALTH RANKINGS, INDIANA STATE DEPARTMENT OF HEALTH, ETC.). COMMUNITY MEMBER AND PROVIDER INPUT WAS GATHERED FROM MARCH THROUGH MAY 2022 VIA MULTIPLE RECRUITMENT AND DATA COLLECTION METHODS: 1) E-MAIL TO HEALTHCARE AND SOCIAL SERVICE PROVIDERS WITH AN EMBEDDED ONLINE SURVEY LINK; 2) MAILED PAPER AND E-MAILED ONLINE SURVEYS TO COMMUNITY MEMBERS; 3) PAPER SURVEYS DISTRIBUTED TO INDIVIDUALS, CLINICS OR ORGANIZATIONS SERVING HISPANIC, AMISH, OR PEOPLE OF BURMA POPULATIONS; 4) IN-PERSON RECRUITMENT AT LOCATIONS PROVIDING SERVICES TO LOW-INCOME POPULATIONS IN EACH PARKVIEW HEALTH COUNTY; AND 5) PRESS RELEASE AND SOCIAL MEDIA NOTIFICATIONS WITH A SURVEY LINK. THE SURVEY WAS MADE AVAILABLE IN ENGLISH, SPANISH, AND BURMESE.HISPANIC, AMISH, PEOPLE OF BURMA, AND LOW-INCOME POPULATIONS WERE IDENTIFIED AS VULNERABLE POPULATIONS IN PARKVIEW HEALTH COUNTIES. THEREFORE, SURVEY DISTRIBUTION AND DATA COLLECTION STRATEGIES INCLUDED FOCUSED EFFORTS TO OBTAIN COMMUNITY INPUT FROM THESE POPULATIONS. IN DEKALB COUNTY, THIS INCLUDED HISPANIC AND LOW-INCOME POPULATIONS. THE RESEARCH TEAM COORDINATED WITH COMMUNITY HEALTH WORKERS, LOCAL HEALTH DEPARTMENTS, AND KNOWN CONTACTS IN EACH COUNTY TO IDENTIFY LOCATIONS TO SURVEY UNDERREPRESENTED OR VULNERABLE POPULATIONS. IN DEKALB COUNTY, IN-PERSON TEAMS OF RESEARCH ASSISTANTS CONDUCTED COMMUNITY SURVEY OUTREACH AT THE LOCAL YMCA AND PUBLIC LIBRARY. DEKALB COUNTY HAD THE SECOND-HIGHEST RATE OF COMMUNITY MEMBER PARTICIPATION AMONG THE EIGHT COUNTIES SURVEYED. REGARDING VULNERABLE POPULATIONS SURVEYED IN DEKALB COUNTY, 17.1% OF RESPONDENTS REPORTED AN INCOME OF < $35,000, AND 1.7% OF RESPONDENTS IDENTIFIED AS HISPANIC/LATINO. ADDITIONALLY, RESPONDENTS 65 YEARS AND OLDER WERE WELL-REPRESENTED (38.0%). THE PROVIDER SURVEY INCLUDED RESPONSES FROM PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, MENTAL/BEHAVIORAL HEALTH PROVIDERS, COMMUNITY/SOCIAL SERVICE PROVIDERS, SOCIAL WORKERS/CASE MANAGERS, AND PUBLIC SECTOR WORKERS. IN ADDITION TO DATA COLLECTION, DEKALB MEMORIAL HOSPITAL, INC., COLLABORATED WITH THE COMMUNITY AND PARTNERING ORGANIZATIONS TO SELECT AND PRIORITIZE DEKALB COUNTY'S HEALTH NEEDS. A MODIFIED HANLON METHOD WAS EMPLOYED TO PRIORITIZE HEALTH CONCERNS FOR PARKVIEW HEALTH HOSPITAL COMMUNITIES. THIS METHOD, ALSO KNOWN AS THE BASIC PRIORITY RATING SYSTEM (BPRS) 2.0, IS RECOMMENDED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) FOR PRIORITIZING COMMUNITY HEALTH NEEDS (GUIDE-TO-PRIORITIZATION-TECHNIQUES.PDF, N.D.). THIS METHOD IS 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 26, 2022, DEKALB MEMORIAL HOSPITAL, INC., CONVENED A COMMUNITY MEETING TO PRIORITIZE THE SIGNIFICANT HEALTH ISSUES UNCOVERED IN THE 2022 CHNA REPORT. THE DATA FROM THE 2022 CHNA WAS PRESENTED TO A GROUP OF 38 COMMUNITY MEMBERS. THE GROUP OF COMMUNITY STAKEHOLDERS HAD THOUGHTFUL DISCUSSIONS AROUND THE DATA FROM THE ASSESSMENT AND PRIORITY RANKING SCORES, COMPLETED A PRIORITIZATION GRID EXERCISE TO CONSIDER SIGNIFICANCE, SEVERITY, SUITABILITY, AND HEALTH DISPARITY RELATED TO SOCIAL DETERMINANTS OF HEALTH, AND ELECTRONICALLY VOTED ON WHAT THEY THOUGHT SHOULD BE THE NUMBER 2 AND 3 PRIORITIES FOR DEKALB COUNTY BASED ON THE TOP 10 PRIORITIES IDENTIFIED IN THE CHNA. THE COMMITTEE IDENTIFIED MENTAL HEALTH, SUBSTANCE ABUSE, AND OBESITY AS THE TOP THREE PRIORITIES IN DEKALB COUNTY, ADOPTING THE #1 HEALTH PRIORITY OF MENTAL HEALTH THAT WAS SET FOR THE PARKVIEW HEALTH REGION ON AUGUST 22, 2022. PRIORITIZATION SESSION ATTENDEES REPRESENTED SEVERAL ORGANIZATIONS IN DEKALB COUNTY: DEKALB MEMORIAL HOSPITAL, INC. ADMINISTRATION, WOMEN'S CARE CENTER OF NORTHEAST INDIANA, FORTIFY LIFE DEKALB COUNTY, CHILDREN FIRST OF DEKALB COUNTY, UNITED WAY DEKALB, INSPIRATION MINISTRIES, PARKVIEW BEHAVIORAL HEALTH (UNDER PARKVIEW HOSPITAL, INC.), WARM HEART MINISTRIES, JUNIOR ACHIEVEMENT OF DEKALB COUNTY, YMCA, SWEITZER FAMILY FOUNDATION, IMAGE OF HOPE RANCH, JAM RECREATION CENTER OF DEKALB COUNTY AND DEKALB SCHOOL CORPORATION.AS A CONTINUATION OF THE PRIORITIZATION PROCESS, INFORMATION FROM THE CHNA AND THE COMMUNITY SESSION WAS BROUGHT TO THE COMMUNITY HEALTH IMPROVEMENT (CHI) COMMITTEE AT DEKALB MEMORIAL HOSPITAL, INC. THE COMMITTEE HAD AN IN-DEPTH DISCUSSION AROUND THE DATA AND RESPONSES FROM THE COMMUNITY SESSION. BASED ON THIS DISCUSSION, THE COMMITTEE IDENTIFIED MENTAL HEALTH, SUBSTANCE ABUSE, AND OBESITY AS THE TOP 3 PRIORITIES IN DEKALB COUNTY. THE NEEDS ASSESSMENT, COMMUNITY SESSION DATA, AND CHI COMMITTEE RECOMMENDATIONS WERE PRESENTED TO THE DEKALB HOSPITAL BOARD OF DIRECTORS ON OCTOBER 21, 2022. THE BOARD OF DIRECTORS VOTED TO ADOPT THE ABOVE HEALTH PRIORITY RECOMMENDATIONS AT THE BOARD MEETING. DEKALB MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 6A: THE HOSPITAL FACILITY'S 2022 CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITAL FACILITIES:PARKVIEW HOSPITAL, INC. (EIN 35-0868085); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440); PARK CENTER, INC. (EIN 35-1135451); AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823). DEKALB MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384), THROUGH PARKVIEW'S HEALTH SERVICES AND INFORMATICS RESEARCH (HSIR) GROUP, DESIGNED AND CONDUCTED BOTH PRIMARY AND SECONDARY DATA COLLECTION AND ANALYSIS ACTIVITIES FOR THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). HSIR EMPLOYS MULTIPLE RESEARCH STAFF, WHICH INCLUDES PHD PREPARED SCIENTISTS, USER EXPERIENCE SPECIALISTS AND PROJECT MANAGERS. AS A RESEARCH UNIT EMBEDDED IN PARKVIEW, HSIR HAS DEDICATED TIME TO SUPPORT INITIATIVES THAT REQUIRE RESEARCH SKILLS, SUCH AS THE CHNA. DEKALB MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED: MENTAL HEALTH: 1) PREVENTATIVE EDUCATION: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH THE HAROLD W. MCMILLEN CENTER FOR HEALTH EDUCATION IN AN EFFORT TO IMPROVE THE GENERAL KNOWLEDGE AROUND MENTAL HEALTH IN 100% OF PROGRAM PARTICIPANTS. PROGRAM PARTICIPANTS (K-12 STUDENTS) WILL DISCUSS TOPICS LIKE BULLYING, TEEN SUICIDE, DATING VIOLENCE, AND SOCIAL AND EMOTIONAL HEALTH. IN ADDITION, PARTICIPANTS WILL BE ABLE TO LEARN AND PRACTICE SELF-REGULATION STRATEGIES. 2) WARM-A-HEART COMMUNITY OUTREACH: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH WARM-A-HEART COMMUNITY OUTREACH TO BUILD CONNECTIONS WITH AND SUPPORT THOSE ACCESSING THE FOOD BANK. THROUGH THESE CONNECTIONS, INDIVIDUALS CAN BE LINKED TO THE AVAILABLE COMMUNITY RESOURCES THEY NEED. 3) QUESTION, PERSUADE, REFER (QPR): REGARDING MENTAL HEALTH, EARLY INTERVENTION CAN BE THE DIFFERENCE BETWEEN LIFE AND DEATH. DURING A CARDIOVASCULAR EMERGENCY, PERFORMING CPR CAN SAVE A LIFE. IN THE EVENT OF A MENTAL HEALTH EMERGENCY, QPR CAN BE USED IN THE SAME MANNER. THE QPR TECHNIQUE IS USED TO RECOGNIZE THE SIGNS THAT SOMEONE IS AT RISK OF SUICIDE, TO OFFER HOPE, AND TO REFER THE PERSON TO THE CARE THEY NEED. PARTICIPANTS IN THIS PROGRAM WILL LEARN THE WARNING SIGNS OF A SUICIDE CRISIS AND HOW TO RESPOND.4) DEKALB COUNTY MENTAL HEALTH COLLABORATIVE: THIS COLLABORATIVE WAS FORMED TO ADDRESS MENTAL HEALTH IN DEKALB COUNTY BY EXPLORING OPPORTUNITIES TO COLLABORATE BETTER. IT COMPRISES PARTNERS FROM DEKALB MEMORIAL HOSPITAL, INC., LAW ENFORCEMENT, MENTAL HEALTH SERVICE PROVIDERS, LOCAL GOVERNMENT, AND LOCAL NOT-FOR-PROFIT LEADERS AND STAKEHOLDERS.5) INSPIRATION MINISTRIES: DEKALB MEMORIAL HOSPITAL, INC. PARTNERED WITH INSPIRATION MINISTRIES TO ADDRESS SYSTEMIC COMMUNITY ISSUES SUCH AS ADDICTION AND POVERTY TO CREATE PRODUCTIVE INDIVIDUALS AND FAMILIES. INSPIRATION MINISTRIES IS A RECOVERY COMMUNITY ORGANIZATION THAT UTILIZES THE POWER OF COMMUNITY, PEER RECOVERY, AND EVIDENCE-BASED PRACTICES TO PROMOTE HEALTHY LIFESTYLES AND INCREASE SPIRITUAL TRANSFORMATION. THIS CAN INCLUDE ADDICTION RECOVERY, FAMILY RECONCILIATION, CAREER BUILDING, FINANCIAL RESPONSIBILITY, AND DRIVING RESTORATION. 6) ST. MARTIN'S HEALTHCARE: DEKALB MEMORIAL HOSPITAL, INC. PROVIDES SUPPORT TO ST. MARTIN'S BEHAVIORAL HEALTH SERVICES PROGRAM. THIS PROGRAM PROVIDES MENTAL HEALTH COUNSELING TO UNINSURED AND UNDERINSURED PATIENTS IN DEKALB, NOBLE, STEUBEN, AND LAGRANGE COUNTIES. SUBSTANCE USE DISORDER: 1) PREVENTATIVE EDUCATION: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH THE HAROLD W. MCMILLEN CENTER FOR HEALTH EDUCATION IN AN EFFORT TO IMPROVE THE GENERAL KNOWLEDGE AROUND SUBSTANCE USE DISORDERS IN 100% OF PROGRAM PARTICIPANTS. PROGRAM PARTICIPANTS (K-12 STUDENTS) WILL DISCUSS MAKING HEALTHY CHOICES, TOBACCO (ALL GRADES), VAPING (GRADES 6-12), AND ALCOHOL (GRADES 6-12). IN ADDITION, PARTICIPANTS WILL BE ABLE TO LEARN AND PRACTICE SELF-REGULATION STRATEGIES.2) ST. MARTIN'S HEALTHCARE: DEKALB MEMORIAL HOSPITAL, INC. SUPPORTS ST. MARTIN'S, WHICH OFFERS TOBACCO CESSATION EDUCATION AND TREATMENT FOR SUBSTANCE USE DISORDERS.3) HEARTEN HOUSE: THIS PROGRAM ASSISTS WOMEN IN OVERCOMING DESTRUCTIVE THOUGHT AND BEHAVIOR PATTERNS. IT HAS A 16-BED FACILITY GIVING VULNERABLE WOMEN A PLACE TO STAY WHILE THEY OVERCOME THEIR BARRIERS. IN ADDITION TO PROVIDING THEM A PLACE TO STAY, THE PROGRAM SETS WOMEN UP WITH HEALTH INSURANCE, GETS THEM SOCIAL SECURITY CARDS, BIRTH CERTIFICATES, AND IDS. IT ALSO INCLUDES LIFE SKILLS CLASSES, HELP WITH SUBSTANCE USE DISORDERS, AND BIBLE STUDIES.4) PURSUE IMPLEMENTING AN INTENSIVE OUTPATIENT PROGRAM (IOP) AT DEKALB MEMORIAL HOSPITAL, INC.: IOPS ARE A MORE PROGRESSIVE APPROACH TO TRADITIONAL OUTPATIENT THERAPY, WHERE YOU SEE A THERAPIST ONCE OR TWICE A WEEK IN THEIR OFFICE. AN IOP IS A DIFFERENT TYPE OF THERAPY (BOTH GROUP AND INDIVIDUAL) WHERE A PATIENT IS IN THERAPY FOR THREE HOURS A DAY, THREE DAYS A WEEK. WHILE THIS PROJECT IS STILL UNDERWAY, THIS INITIATIVE AIMS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES IN DEKALB COUNTY. 5) INSTALL NALOXBOX IN DEKALB COUNTY: TO ACCOMPLISH THIS INITIATIVE, DEKALB MEMORIAL HOSPITAL, INC. PARTNERED WITH OVERDOSE LIFELINE, INC. IN 2023 TO INSTALL THEIR NALOXBOX ON DEKALB MEMORIAL HOSPITAL, INC.'S CAMPUS. IT IS OUR HOPE THAT THIS NALOXBOX WILL SAVE MANY LIVES IN OUR COMMUNITY. THIS PROJECT WAS PART OF AN INITIATIVE STARTED BY GOVERNOR ERIC HOLCOMB IN 2021 TO IMPROVE ACCESS TO NALOXONE TO REACH VULNERABLE POPULATIONS MORE EFFECTIVELY. THE PROGRAM IS COORDINATED BY OVERDOSE LIFELINE, INC., AN INDIANA NON-PROFIT DEDICATED TO HELPING THOSE AFFECTED BY SUBSTANCE USE DISORDER.OBESITY: 1) COOKING DEMONSTRATIONS: COOKING DEMONSTRATIONS WILL BE OFFERED TO THE COMMUNITY BY DEKALB MEMORIAL HOSPITAL, INC., DIETITIANS IN DEKALB COUNTY. THESE CLASSES ARE GREAT FOR KIDS AND PARENTS. THIS CLASS WILL TEACH LITTLE ONES HOW TO BE ACTIVE PARTICIPANTS IN THE KITCHEN, AND THEY WILL HAVE THE CHANCE TO ENJOY THE FOOD THEY PREPARE. 2) JUDY A. MORRILL RECREATION CENTER (JAM CENTER): BY PARTNERING WITH THE JAM CENTER THROUGH PROGRAM SUPPORT, DEKALB MEMORIAL HOSPITAL, INC. HOPES TO INCREASE ACCESS TO PHYSICAL ACTIVITY THROUGHOUT THE COMMUNITY. THROUGH THE JAM CENTER, PROGRAM PARTICIPANTS CAN ACCESS A FULL-SIZE GYMNASIUM, FITNESS CENTER, AND AQUATIC CENTER (FEATURING A SPLASH PAD, SLIDE, AND ZERO-ENTRY RAMP) ALL WHILE IN AN ENVIRONMENT THAT SUPPORTS EVERYONE REGARDLESS OF THEIR FITNESS LEVEL, AGE, BACKGROUND, OR INCOME. THROUGH THIS FACILITY, THE JAM CENTER CAN ADMINISTER A WIDE VARIETY OF PROGRAMMING THAT ALIGNS WITH OUR GOAL OF REDUCING OBESITY IN DEKALB COUNTY. EXAMPLES INCLUDE COSMIC KIDS YOGA, TRX (A BODYWEIGHT SUSPENSION TRAINING CLASS), SILVER SNEAKERS CLASSIC (A LOW-IMPACT FITNESS CLASS FOR SENIORS), AND TOGETHER SO MUCH LESS (A WEEKLY ACCOUNTABILITY GROUP FOCUSED ON TRACKING CALORIES).3) WARM-A-HEART COMMUNITY OUTREACH: AT WARM-A-HEART COMMUNITY OUTREACH, THEY SERVE MEALS TO 90-110 CUSTOMERS A WEEK AND GIVE OUT 55-65 SETS OF GROCERIES A WEEK. THEY SERVE MEALS AND HAND OUT GROCERIES ON TUESDAYS AND THURSDAYS. THEIR PRIMARY SERVICE AREA IS DEKALB COUNTY; HOWEVER, THEY ALSO SERVE SOME FAMILIES FROM STEUBEN AND NOBLE COUNTIES. ANYONE WHO IS IN NEED AND WALKS THROUGH THEIR DOORS WILL BE PROVIDED WITH A MEAL, ALONG WITH ENOUGH GROCERIES TO LAST APPROXIMATELY THREE TO FOUR DAYS. 4) PREVENTATIVE EDUCATION: DEKALB MEMORIAL HOSPITAL, INC. PARTNERS WITH MCMILLEN HEALTH TO OFFER STUDENTS PREVENTATIVE EDUCATION PROGRAMMING TO INCREASE THEIR KNOWLEDGE ON LIVING A HEALTHY LIFESTYLE. ALL MCMILLEN PROGRAMMING TEACHES RESPONSIBLE DECISION MAKING, THE IMPORTANCE OF MAKING HEALTHY CHOICES, AND TAKING RESPONSIBILITY FOR THOSE CHOICES. THESE PROGRAMS SERVE THREE DEKALB COUNTY SCHOOL DISTRICTS AND FOUR ADDITIONAL SCHOOLS WITH A STUDENT POPULATION OF 40% OR MORE STUDENTS IDENTIFIED AS ECONOMICALLY DISADVANTAGED. WHILE CARDIOVASCULAR DISEASE AND DIABETES WERE NOT SELECTED AS THE TOP THREE HEALTH PRIORITIES, DEKALB MEMORIAL HOSPITAL, INC. STILL ADDRESSES BOTH NEEDS BY SUPPORTING OBESITY PROGRAMMING AT THE JAM CENTER, COOKING DEMONSTRATIONS AT THE YMCA, AND MCMILLEN HEALTH'S OBESITY PREVENTATIVE EDUCATION. IDENTIFIED HEALTH NEEDS NOT BEING ADDRESSED THROUGH COMMUNITY HEALTH:DEKALB MEMORIAL HOSPITAL, INC. DID NOT ADDRESS SEVEN HEALTH NEEDS IDENTIFIED AS TOP TEN HEALTH CONCERNS BY THE 2022 DEKALB MEMORIAL HOSPITAL, INC. CHNA OF ASTHMA, CANCER, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, KIDNEY DISEASE, AND MOTHERS NOT IN EARLY PRENATAL CARE. BEING A COMMUNITY HOSPITAL, DEKALB MEMORIAL HOSPITAL, INC., DOES NOT HAVE THE RESOURCES TO EFFECTIVELY ADDRESS ALL THE TOP TEN HEALTH CONCERNS. THEREFORE, WE GATHERED COMMUNITY STAKEHOLDERS TO PRIORITIZE DEKALB COUNTY'S TOP THREE HEALTH PRIORITIES. IN ADDITION TO THE PRIORITY RANKING SCORES (PG. 42 OF CHNA), COMMUNITY STAKEHOLDERS CONSIDERED SIGNIFICANCE, SEVERITY, SUITABILITY, AND HEALTH DISPARITY RELATED TO SOCIAL DETERMINANTS OF HEALTH. THE COMMITTEE IDENTIFIED MENTAL HEALTH, SUBSTANCE USE DISORDERS, AND OBESITY AS THE TOP THREE PRIORITIES IN DEKALB COUNTY. PART V, 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 7BDEKALB MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE (INCLUDING HEALTHY INDIANA PLAN - HIP), AND OUT-OF-STATE MEDICAID PATIENTS WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICAID PATIENTS IS A COMMUNITY BENEFIT. IRS REVENUE RULING 69-545, WHICH ESTABLISHED THE COMMUNITY BENEFIT STANDARD FOR NONPROFIT HOSPITALS, STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENTAL HEALTH BENEFITS, INCLUDING MEDICAID, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED MEDICAID COST REPORTED ON LINE 7B IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE MEDICAID CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF MEDICAID SERVICES RENDERED. THEN, THE COST OF MEDICAID SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR MEDICAID PATIENTS TO ARRIVE AT A GAIN/(LOSS) RELATIVE TO THESE PATIENTS.PART I, LINE 7EAMOUNTS PRESENTED ARE BASED ON ACTUAL SPEND FOR THOSE SERVICES AND BENEFITS PROVIDED DEEMED TO IMPROVE THE HEALTH OF THE COMMUNITIES IN WHICH WE SERVE AND CONFORM WITH THE MISSION OF OUR EXEMPT PURPOSE.PART I, LINE 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7GAMOUNTS PRESENTED DO NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, DEKALB MEMORIAL HOSPITAL, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. PART I, LN 7 COL(F): PERCENT OF TOTAL EXPENSEDEKALB MEMORIAL HOSPITAL, INC. EXCLUDED $7,537,326 OF PH CLINICAL SUPPORT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.WORKFORCE DEVELOPMENT: DEKALB MEMORIAL HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., OFFERS INNOVATIVE LEARNING EXPERIENCES TO HIGH SCHOOL, UNIVERSITY, AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HAS MORE THAN 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 COSTSDEKALB MEMORIAL HOSPITAL, INC. BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, WHILE DEKALB MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEDICARE PATIENTS, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. 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, DEKALB MEMORIAL HOSPITAL, INC. ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, COLLABORATING WITH THE ORGANIZATION'S COMMUNITY PARTNERS AND FRONTLINE STAFF. DEKALB MEMORIAL HOSPITAL, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:1. HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS2. OBSERVATIONS AND DATA COLLECTED FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKERS)3. REVIEW COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) 4. DEKALB MEMORIAL HOSPITAL, INC. 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 THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE. PART VI, LINE 3: DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW-UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND 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.DEKALB MEMORIAL HOSPITAL, INC., IS THE SOLE LICENSED HEALTHCARE FACILITY WITHIN DEKALB COUNTY. ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (2019-2023), DEKALB COUNTY HAS A POPULATION OF 43,731 INDIVIDUALS. ADDITIONALLY, THE DATA REVEALS A MEDIAN HOUSEHOLD INCOME OF APPROXIMATELY $68,110, ACKNOWLEDGING THAT 10% OF RESIDENTS GRAPPLE WITH FINANCIAL CHALLENGES, LIVING BELOW THE FEDERAL POVERTY LEVEL (2019-2023). HEALTHCARE COVERAGE EXTENDS TO MOST OF DEKALB COUNTY'S RESIDENTS, WITH APPROXIMATELY 91.6% COVERED BY HEALTH INSURANCE (2019-2023). ADDITIONALLY, MEDICAID SIGNIFICANTLY SAFEGUARDS THE COMMUNITY'S WELL-BEING, EXTENDING ITS COVERAGE TO 17.74% OF THE COUNTY'S INSURED POPULATION, AS CONFIRMED BY DATA FROM THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (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: 1186905830SERVICE AREA NAME: DEKALB COUNTYDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: DEKALB COUNTYHPSA SCORE:8 STATUS: DESIGNATEDRURAL STATUS: RURAL2) DISCIPLINE: MENTAL HEALTHHPSA ID: 7186175063SERVICE AREA NAME: NORTHEASTERN CATCHMENT AREA 17DESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: DEKALB, LAGRANGE, NOBLE, AND STEUBEN COUNTIESHPSA SCORE:17 STATUS: DESIGNATEDRURAL STATUS: RURALALSO, LOCATED IN DEKALB COUNTY, A FREE MEDICAL, DENTAL, AND VISION CLINIC, ST. MARTIN'S HEALTHCARE, INC., SERVES UNINSURED, LOW-INCOME INDIVIDUALS IN DEKALB AND NOBLE COUNTY. PART VI, LINE 5: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G., OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).DEKALB MEMORIAL HOSPITAL, INC. SEEKS TO DELIVER EXCELLENT CARE TO EVERY PERSON, EVERY DAY. IN DOING SO, THE HOSPITAL HAS DEVELOPED ITS INFRASTRUCTURE, POLICIES, AND PROCEDURES TO ALIGN WITH THIS GOAL. THIS INCLUDES HAVING A BOARD OF DIRECTORS FOR DEKALB MEMORIAL HOSPITAL, INC. THAT IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS RESIDING WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA; EXTENDING MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY; AND COMMITTING A PERCENTAGE OF DEKALB MEMORIAL HOSPITAL, INC.'S NET INCOME (SURPLUS FUNDS) TO SUPPORT COMMUNITY HEALTH EFFORTS ON AN ANNUAL BASIS. WHILE THESE THREE COMPONENTS ARE CENTRAL IN PROVIDING DEKALB MEMORIAL HOSPITAL, INC. WITH A STRONG FOUNDATION, IT TAKES A LOT MORE THAN THIS TO MEET DEKALB MEMORIAL HOSPITAL, INC.'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, DEKALB MEMORIAL HOSPITAL, INC. CONTRIBUTES TO AND PARTICIPATES IN SYSTEM-WIDE INVESTMENTS THAT WORK TOWARD FURTHERING EDUCATION AND RESEARCH AND ADVANCING HEALTHCARE DELIVERY AND ACCESS.COMMUNITY HEALTH: DEKALB MEMORIAL HOSPITAL, 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 BEST PRACTICES AND INNOVATIVE METHODS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY, PARTICULARLY THE UNDERSERVED. DEKALB MEMORIAL HOSPITAL, INC. SUPPORTS CHI EFFORTS BY COMMITTING A PERCENTAGE OF ITS NET INCOME ANNUALLY. WITH OVERSIGHT BY THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE, CONSISTING OF COMMUNITY LEADERS, MEMBERS OF THE DEKALB MEMORIAL HOSPITAL, 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 DEKALB MEMORIAL HOSPITAL, INC., IN ITS MOST RECENT CHNA. DEKALB MEMORIAL HOSPITAL, INC. ADDRESSES SIGNIFICANT COMMUNITY HEALTH NEEDS BY PRIORITIZING MENTAL HEALTH, SUBSTANCE USE DISORDERS, AND OBESITY. MENTAL HEALTH INITIATIVES INCLUDE PREVENTATIVE EDUCATION FOR K-12 STUDENTS, COMMUNITY OUTREACH PROGRAMS LIKE WARM-A-HEART, AND PARTNERSHIPS WITH ORGANIZATIONS SUCH AS ST. MARTIN'S HEALTHCARE AND INSPIRATION MINISTRIES TO PROVIDE COUNSELING, ADDICTION RECOVERY SUPPORT, AND SOCIAL SERVICES. PROGRAMS LIKE QUESTION PERSUADE REFER (QPR) AND THE DEKALB COUNTY MENTAL HEALTH COLLABORATIVE ENHANCE CRISIS INTERVENTION AND RESOURCE COORDINATION. SUBSTANCE USE DISORDER EFFORTS FOCUS ON EDUCATION, TREATMENT ACCESSIBILITY, AND HARM REDUCTION, INCLUDING THE DEVELOPMENT OF AN INTENSIVE OUTPATIENT PROGRAM (IOP) AND THE INSTALLATION OF A NALOXBOX TO PREVENT OPIOID OVERDOSES. ADDITIONALLY, PROGRAMS LIKE HEARTEN HOUSE PROVIDE RESIDENTIAL SUPPORT FOR WOMEN OVERCOMING ADDICTION AND RELATED CHALLENGES.TO COMBAT OBESITY, THE HOSPITAL COLLABORATES WITH THE JAM CENTER TO OFFER COOKING DEMONSTRATIONS AND FITNESS PROGRAMS THAT PROMOTE HEALTHY LIFESTYLES. WARM-A-HEART COMMUNITY OUTREACH ENSURES FOOD SECURITY BY DISTRIBUTING MEALS AND GROCERIES TO THOSE IN NEED. PREVENTATIVE EDUCATION PROGRAMS THROUGH MCMILLEN HEALTH FURTHER REINFORCE HEALTHY DECISION-MAKING AMONG STUDENTS. DEKALB MEMORIAL HOSPITAL, INC. HELD A PRIORITIZATION MEETING WITH COMMUNITY PARTNERS AND LEADERS TO DETERMINE THAT MENTAL HEALTH, SUBSTANCE USE DISORDERS, AND OBESITY WERE THE MOST PRESSING HEALTH PRIORITIES BASED ON SIGNIFICANCE, SEVERITY, AND SOCIAL DETERMINANTS OF HEALTH. OTHER COMMUNITY OUTREACH PROGRAMS INCLUDE MEDICATION ASSISTANCE.IN ADDITION TO CHI'S PARTNERSHIPS SEEKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY, DEKALB MEMORIAL HOSPITAL, 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. DEKALB MEMORIAL HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., 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:DEKALB MEMORIAL HOSPITAL, 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 OVER 130 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, SUPPORTING STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW HEALTH SYSTEM, INC. FACILITIES. STUDENTS MAY BEGIN EXPLORING POTENTIAL CAREER PATHS THROUGH HANDS-ON EXPERIENCES PROVIDED BY THE HEALTH SYSTEM AND CAREER EXPLORATION CENTERS, AS WELL AS THROUGH UNIQUE ONSITE EVENTS 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 SYSTEM, INC., 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 PROVIDES 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.DEKALB MEMORIAL HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., CONTINUES TO ENHANCE HEALTHCARE EDUCATION AND MEDICAL RESEARCH THROUGH INNOVATIVE PARTNERSHIPS WITH LOCAL UNIVERSITIES 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 HEALTH SYSTEM, INC. 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 DISSEMINATION OF FINDINGS TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFORM PUBLIC HEALTH POLICY.ADVANCING HEALTH CARE DELIVERY AND ACCESS:DEKALB MEMORIAL HOSPITAL, 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. DEKALB MEMORIAL HOSPITAL, INC. USES ELECTRONIC MEDICAL RECORDS (EMR), THIRD PARTIES, AND ADDITIONAL TOOLS TO FACILITATE VIRTUAL CONNECTIONS BETWEEN CO-WORKERS, 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 MANAGE OR PARTICIPATE IN THEIR CARE ACTIVELY. AS PART OF PARKVIEW HEALTH SYSTEM, INC., DEKALB MEMORIAL HOSPITAL, 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'S JOURNEY AND PROVIDE ACCESS TO HEALTH RECORDS. WITH THE APP, USERS CAN START A VIDEO VISIT, SCHEDULE A NEW PATIENT APPOINTMENT WITH A PRIMARY CARE PROVIDER, 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.DEKALB MEMORIAL HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, 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 THE CAMERAS. THIS HELPS REDUCE FALLS, LEADS TO MORE IMMEDIATE INTERVENTION WHEN NECESSARY, AND ALLOWS FOR SCALABILITY OF EXISTING RESOURCES. 1 INSPIRATION MINISTRIES INC 173 W OAK STREET BUTLER IN 46721 800798094 501(C)(3) 10000 0 HELP PEOPLE TRANSFORM THEIR LIVES IN TIMES OF TRANSITION DEKALB COMMUNITY IMPACT CORPORATION 1304 CENTER STREET AUBURN IN 46706 264203950 501(C)(3) 6000 0 SUPPORT COMMUNITY NEEDS 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 NATASHA EICHER DIRECTOR/MARKET PRESIDENT/SVP SLL 208581 68970 148927 0 66016 766 69085 11375 36598 6026 529207 87137 40990 0 JESSICA BARTOCK-LANKFORD DIRECTOR/PH PHYSICIAN 3024 477620 0 48703 0 26344 66 12009 264 48275 3354 612951 0 0 THOMAS MASON DIRECTOR/PH PHYSICIAN 0 438703 0 44057 0 29088 0 37950 0 42873 0 592671 0 0 KARRA HEGGEN DMHOS VP PATIENT CARE SVCS 214094 0 65868 0 31416 0 21570 0 16694 0 349642 0 0 0 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 0 190916 0 25000 0 2829 0 35417 0 13426 0 267588 0 0 LON KEYES DMHOS PHARMACY MGR 205096 0 25905 0 1980 0 18571 0 14301 0 265853 0 0 0 ANTHONY STUMP DMHOS REHAB MGR 151261 0 18876 0 2946 0 15863 0 36202 0 225148 0 0 0 JACOB CLENDENEN DMHOS PHARMACIST 138157 27593 0 0 770 0 5819 1156 32541 6463 177287 35212 0 0 JEANNETTE STURGES DMHOS NURSING SERVICES MGR 140737 0 17852 0 2198 0 17953 0 26417 0 205157 0 0 0 PAULA AMSTUTZ DMHOS RADIOLOGY MGR 45746 91315 17154 0 1996 0 7314 10292 9074 12768 81284 114375 0 0 PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF DEKALB MEMORIAL HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF 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): NATASHA EICHER $38,673; 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: NATASHA EICHER $40,990; 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, DEKALB MEMORIAL HOSPITAL, INC., EIN 35-1064295. 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 DEKALB MEMORIAL HOSPITAL, INC. WERE 27 AND 363, RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE PRESIDENT OF THE CORPORATION, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER OR HIS/HER DESIGNEE, THE CURRENT CHIEF OF THE MEDICAL STAFF, AND SUCH OTHER PERSONS AS IDENTIFIED BY THE CHAIR OF THE BOARD, EACH OF WHOM SHALL BE ENTITLED TO VOTE. IN NO EVENT SHALL THE MEMBERS OF THE EXECUTIVE COMMITTEE EXCEED EIGHT (8) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION AS THE PLANNING COMMITTEE AND IN ANY OTHER MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR ITS RATIFICATION OF ITS ACTION. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIR OR BY THREE (3) MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF DEKALB MEMORIAL HOSPITAL, INC. WITH CERTAIN RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS AS DEFINED IN THE NETWORK AGREEMENT: (I) APPOINT (INCLUDING TO FILL A VACANCY) AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD SUBJECT TO THE COMPOSITION REQUIREMENTS REGARDING COMMUNITY AND PHYSICIAN REPRESENTATION SET FORTH IN ARTICLE V, SECTION 2; (II) APPOINT (INCLUDING TO FILL A VACANCY) AND REMOVE, WITH OR WITHOUT CAUSE, THE CHAIR AND VICE CHAIR OF THE BOARD AND THE PRESIDENT OF THE CORPORATION; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, JOINT VENTURE, PARTNERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION B, LINE 11B PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. DEKALB MEMORIAL HOSPITAL, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 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, 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 -3,990. 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