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 471753440 PARKVIEW WABASH HOSPITAL INC PARK 2603738429 10 JOHN KISSINGER DR WABASH IN 469921648 STANTON RISSER PH ACFO 2602669380 2025-11-06 1 1 BRITTNEY KOCAJ P01320603 9542028600 2024 2025-03-06 01:10:19Z GREG JOHNSON 1450 PRODUCTION RD FORT WAYNE IN 468081167 74531706 0 X WWW.PARKVIEW.COM X 2014 IN IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 12 8 230 15 0 0 353179 250247 68136159 74026144 -1918 -13692 213131 230948 68700551 74493647 372384 14875 0 0 18940027 19704940 0 0 0 45595668 47018779 64908079 66738594 3792472 7755053 41251499 40140578 45962482 37132924 -4710983 3007654 X PARKVIEW WABASH 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 54059579 14875 74026144 PARKVIEW WABASH HOSPITAL, INC. IS A 25-BED, CRITICAL ACCESS HOSPITAL ESTABLISHED IN 1919. IT HAS BEEN A MEMBER OF PARKVIEW HEALTH, INC., SINCE 2015. THE CAMPUS OPENED IN 2018 AND INCLUDES A TWO-STORY 82,000-SQUARE-FOOT HOSPITAL AND A 31,000-SQUARE-FOOT MEDICAL OFFICE BUILDING, HOME TO PARKVIEW PHYSICIANS GROUP AND SERVICES. THE HOSPITAL FEATURES AMENITIES BEYOND THE TYPICAL MEDICAL SERVICES (DESCRIBED BELOW) TO INCLUDE A FULL-SERVICE CAFE, CHAPEL, GIFT SHOP, AND ONE-MILE PAVED WALKING PATH WITH PICNIC PAVILION. THE PRIMARY SERVICE AREA INCLUDES ALL OF WABASH COUNTY, WITH EXPANSION INTO MIAMI AND GRANT COUNTIES. (SEE SCHEDULE O FOR CONTINUATION)SERVICES OFFERED:OUR PRIMARY SERVICE AREA INCLUDES 30,670 (2023) RESIDENTS OF WABASH COUNTY. THOSE RESIDENTS HAVE ACCESS TO CARE CLOSE TO HOME. THE PARKVIEW WABASH HOSPITAL, INC., OFFERS 18 INPATIENT ROOMS EQUIPPED WITH "SMART BEDS AND A CENTRAL MONITORING SYSTEM. OF THOSE BEDS, 14 ARE MEDICAL SURGICAL, AND FOUR ARE CONSTANT CARE UNIT ROOMS. ALL ROOMS HAVE REMOTE MONITORING CAPABILITIES, WITH TELEHEALTH AVAILABLE FOR CONSULTATIONS.PARKVIEW WABASH HOSPITAL, INC., OFFERS A SWING BED PROGRAM, KNOWN AS THE CONTINUING CARE PROGRAM, THAT COMBINES 24-HOUR SKILLED NURSING CARE WITH REHABILITATION THERAPIES TO HELP PATIENTS TRANSITION BACK TO HOME OR TO A LONG-TERM CARE FACILITY FOLLOWING SURGERY OR AN ILLNESS. THE FOCUS IS ON HELPING THE PATIENT REGAIN STRENGTH, MOBILITY, AND INDEPENDENCE WHILE ASSESSING THE SERVICES OR EQUIPMENT NEEDED TO ACHIEVE THOSE GOALS.A NINE-BED EMERGENCY DEPARTMENT IS STAFFED 24 HOURS A DAY, 365 DAYS A YEAR BY BOARD-CERTIFIED PHYSICIANS AND REGISTERED NURSES WHO ARE TRAINED IN EMERGENCY MEDICINE AND CARE. THE ROOMS INCLUDE A TRAUMA ROOM AND A "SAFE ROOM" FOR PATIENTS WHO MAY BE EXPERIENCING A BEHAVIORAL HEALTH CRISIS.TWO SURGICAL SUITES, ONE ENDOSCOPY ROOM, AND SIX PRIVATE PRE-/POST-OP ROOMS MAKE UP OUR SURGERY DEPARTMENT. SURGICAL SERVICES INCLUDE GENERAL SURGERY, UROLOGY, ENDOSCOPY, GYNECOLOGY, ORTHOPEDICS, PAIN MANAGEMENT, AND COLORECTAL. WE PERFORM LAPAROSCOPIC AND ENDOSCOPIC PROCEDURES AND OFFER 24-HOUR COVERAGE.PARKVIEW WABASH HOSPITAL, INC. PROVIDES A FULL BREADTH OF REHABILITATIVE SERVICES - BOTH INPATIENT AND OUTPATIENT. THE REHAB PLACE OF PARKVIEW WABASH HOSPITAL, LOCATED AT THE WABASH COUNTY YMCA, OFFERS PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, AQUATIC REHAB, WOMEN'S HEALTH THERAPY, AND SPORTS MEDICINE. OUR INPATIENT AND SWING BED PROGRAMS INCLUDE PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY AS WELL. ADDITIONALLY, WE OFFER OUTPATIENT CARDIAC AND PULMONARY REHABILITATION.PATIENTS WHO MAY REQUIRE INTRAVENOUS CHEMOTHERAPY, INTRAVENOUS HYDRATION, OR OTHER MEDICATIONS, PORT PLACEMENTS, OR BLOOD TRANSFUSIONS CAN STAY CLOSE TO HOME AND BE CARED FOR IN OUR OUTPATIENT INFUSION DEPARTMENT.THE HOSPITAL OFFERS A WIDE RANGE OF OUTPATIENT DIAGNOSTIC SERVICES FROM ADVANCED IMAGING - CT, MRI, AND NUCLEAR MEDICINE - TO CARDIAC MONITORING, PULMONARY FUNCTION TESTING, VASCULAR AND HEARTSMART SCREENING, AS WELL AS AN IMAGING CENTER WITH 3D MAMMOGRAPHY, BONE DENSITY SCANNING, AND ULTRASOUND. WE ALSO OFFER A FULL-SERVICE LABORATORY.PARKVIEW WABASH HOSPITAL, INC., IN PARTNERSHIP WITH PARKVIEW BEHAVIORAL HEALTH, OFFERS OUTPATIENT ALCOHOL AND OPIOID DEPENDENCY MEDICATION TREATMENT. INTENSIVE OUTPATIENT GROUP TREATMENT OFFERS THREE PHASES OF GROUP SESSIONS FOR TREATMENT, ENABLING PATIENTS TO ENGAGE IN DAILY ROUTINES AND CONTINUE LIVING AT HOME. ANOTHER LONG-STANDING BEHAVIORAL HEALTH SERVICE IS LIFEBRIDGE OUTPATIENT PROGRAM FOR SENIORS, WHICH OFFERS MEDICAL MANAGEMENT AND GROUP/INDIVIDUAL THERAPY FOR THOSE OLDER THAN 65.OTHER SERVICES INCLUDE AN ATU WALK-IN CLINIC TO ASSIST WARFARIN PATIENTS AND MONITOR BLOOD-THINNER MEDICATION DOSING; AN ON-SITE SLEEP CENTER AS WELL AS HOME SLEEP STUDIES TO DIAGNOSE AND TREAT SLEEP-RELATED DISORDERS; AND NUMEROUS PHYSICIAN SPECIALTY CLINICS.WABASH-AREA RESIDENTS ALSO HAVE ACCESS TO A WALK-IN CLINIC OPEN SEVEN DAYS PER WEEK AND AN OFF-CAMPUS OCCUPATIONAL THERAPY DEPARTMENT.FINANCIAL POLICY:PARKVIEW WABASH 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 FINANCIAL OBSTACLES THEY MIGHT FACE. OUR FINANCIAL ASSISTANCE SERVICES INCLUDE USING FAIR AND CONSISTENT BILLING AND COLLECTION PRACTICES, INCLUDING CHARITABLE CARE AND FINANCIAL ASSISTANCE POLICIES AND A STANDARD APPLICATION PROCESS; AND PROVIDING EMERGENCY CARE, REGARDLESS OF ABILITY TO PAY.ANY PATIENT EXPERIENCING FINANCIAL HARDSHIP CAN REACH OUR SINGLE BILLING OFFICE TO DISCUSS OPTIONS AT 260-266-6700 OR TOLL-FREE AT 855-814-0012. COMMUNITY BENEFIT: PARKVIEW WABASH HOSPITAL, INC.'S COMMITMENT TO IMPROVING HEALTH AND INSPIRING WELL-BEING EXTENDS BEYOND THE HOSPITAL WALLS AND THROUGHOUT OUR COMMUNITY. THROUGH PARKVIEW'S COMMUNITY HEALTH IMPROVEMENT (CHI) PROGRAM, PARKVIEW WABASH HOSPITAL, INC. COLLABORATES WITH OTHERS INSIDE AND OUTSIDE PARKVIEW HEALTH SYSTEM, INC., WHO SHARE PARKVIEW'S MISSION AND VALUES. FUNDED BY A PERCENTAGE OF PARKVIEW'S NET OPERATING SURPLUS, CHI STRATEGICALLY REINVESTS DOLLARS INTO COMMUNITY ORGANIZATIONS AND INITIATIVES THAT ADDRESS THE GREATEST HEALTH NEEDS OUTLINED BY THE HOSPITAL'S MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BASED ON THESE RESULTS, THE TOP THREE HEALTH CONCERNS FOR PARKVIEW WABASH HOSPITAL, INC. ARE MENTAL HEALTH, SUBSTANCE USE, AND OBESITY. BASED UPON THESE RESULTS, PARKVIEW WABASH HOSPITAL, INC., CREATES AN IMPLEMENTATION STRATEGY THAT SERVES AS AN IN-DEPTH PLAN DEFINING HOW WE PLAN TO ADDRESS EACH IDENTIFIED HEALTH NEED. WE ARE DEDICATED TO IMPROVING AND INSPIRING THE HEALTH OF THE COMMUNITIES WE SERVE. WE ACCOMPLISH THIS THROUGH DELIVERING WORLD-CLASS TEAMWORK AND EXCELLENT CARE. WE PARTNER WITH PATIENTS AND OTHER COMMUNITY ORGANIZATIONS TO TAILOR PERSONALIZED HEALTH JOURNEYS. EXCELLENCE, INNOVATION, AND VALUE ARE IMPORTANT TO OUR PATIENTS AND US. OUR CARE IS DELIVERED WHILE ALWAYS KEEPING IN MIND CONVENIENCE, COMPASSION, AND EXCELLENCE BOTH IN COST AND QUALITY. WE DEVELOP AND VALUE RELATIONSHIPS WITH OUR PATIENTS AND OUR COMMUNITY.AWARDS:PARKVIEW WABASH HOSPITAL, INC., WAS AWARDED THE FOLLOWING ACCOLADES DURING 2024:-BECKER'S TOP HOSPITALS FOR STAFF RESPONSIVENESS-BECKER'S QUIETEST HOSPITALS-INDIANA CHAMBER OF COMMERCE'S BEST PLACES TO WORK IN INDIANA-ASHE SUSTAINED PERFORMANCE AWARD 54059579 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 X 20 0 1 230 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 8 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 DEBRA POTEMPA DIRECTOR/MARKET PRESIDENT 39.00 1.00 X X 551970 0 24969 DOUGLAS SPARKS DIRECTOR/PH PHYSICIAN 1.00 39.00 X 8778 487665 71356 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 218745 48843 PAULA OPHEIM WBHOS PHARMACY MGR 40.00 0.00 X 225101 0 34928 SHERRY SCHOENING WBHOS SUPERVISOR OP THERAPY 40.00 0.00 X 175870 0 58952 JAMI METZGER WBHOS NURSE PRACTITIONER 39.00 1.00 X 172680 311 56322 GRACE STANLEY WBHOS NURSE PRACTITIONER 40.00 0.00 X 166031 0 29242 ALLISON PERSHING WBHOS OR MGR 40.00 0.00 X 15892 147155 2313 WILLIAM RAUH DIRECTOR/PH CONTRACTED LABOR 1.00 1.00 X 0 12000 0 KENT TERRILL DIRECTOR/CHAIR 1.00 1.00 X X 6500 1750 0 KELLY STOUFFER DIRECTOR/VICE CHAIR 1.00 0.00 X X 4500 0 0 BENJAMIN VANDERPOOL DIRECTOR 1.00 0.00 X 4500 0 0 CELIA COOK-HUFFMAN DIRECTOR 1.00 0.00 X 4418 0 0 KEVIN BOWMAN DIRECTOR/SECRETARY/TREASURER 1.00 0.00 X X 4250 0 0 ROGER CROMER DIRECTOR 1.00 0.00 X 4250 0 0 ANDREW BAIN DIRECTOR 1.00 0.00 X 3250 0 0 AMANDA LOPEZ DIRECTOR 1.00 0.00 X 3250 0 0 CATHY WOLFE FORMER KEY EMPLOYEE 0.00 0.00 X 160461 0 0 MARILYN CUSTER-MITCHELL FORMER OFFICER 0.00 0.00 X 120746 0 0 1632447 4034875 619969 39 1 1 0 PARKVIEW HEALTH SYSTEM INC 1450 PRODUCTION RD FORT WAYNE IN 46808 RHC OPERATIONS 6374818 PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DR FORT WAYNE IN 46845 LABORATORY SERVICES 2658754 NORTHEAST INTERNAL MEDICINE ASSOC INC 2500 N DETROIT ST LAGRANGE IN 46761 HOSPITALISTS 390691 XTEND HEALTHCARE LLC 90 VOLUNTEER DR STE 200 HENDERSONVILLE TN 37075 BILLING SERVICES 238104 COMPLETE BILLING SERVICES LLC 517 US HIGHWAY 31 N GREENWOOD IN 46142 BILLING SERVICES 126210 6 250247 250247 NET PATIENT SERVICE 622110 73939757 73939757 INTERUNIT RENT 531120 51118 51118 PHARMACY 456110 28311 28311 MEDICAL STAFF DUES 900099 5000 5000 MEALS ON WHEELS 624210 1958 1958 74026144 19806 24367 -4561 -4561 -4561 13692 -13692 -13692 -13692 CAFETERIA 722514 229667 229667 GIFT SHOP 459420 5842 5842 235509 74493647 74026144 0 217256 X 14875 14875 621897 621897 281207 281207 13906946 13906946 4894890 4894890 10797202 9893310 903892 843 843 737491 690683 46808 2127 2127 1705326 1666608 38718 24187 17908 6279 6213 3504 2709 649649 649649 2080451 2073874 6577 103087 41418 61669 CORP SERVICE ALLOCATION 10644142 10644142 MEDICAL SUPPLIES 10417432 10417432 PH CLINICAL SUPPORT 4892448 4892448 HOSPITAL ASSESSMENT FEE 4825083 4825083 133098 67981 65117 66738594 54059579 12679015 0 1350 1350 9447655 10302451 1109523 948171 46149 43157 47963663 19729526 29727209 28234137 919613 611312 41251499 40140578 2273561 2245395 20350505 19500844 23338416 15386685 45962482 37132924 X -4710983 3007654 -4710983 3007654 41251499 40140578 X 7755053 -36416 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1916 1916 0 PART II-B, LINE 1: OTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO THE INDIANA HOSPITAL ASSOCIATION, NATIONAL RURAL HEALTH ASSOCIATION, AND VARIOUS PROFESSIONAL ORGANIZATIONS USED FOR LOBBYING ACTIVITIES. 1304482 10000 224153 5082 10789 1522764 1261279 20000 49238 16221 9814 1304482 1406260 -134295 10686 1261279 1199665 218314 11719 1406260 1154580 54264 9179 1199665 0.00000 0.64360 0.35640 1 1 1 860257 860257 31823938 8939157 22884781 13047334 9442113 3605221 2232134 1348256 883878 28234137 LEASE LIABILITY 637517 DUE TO/FROM INTERUNIT 11047278 EST 3RD PARTY SETTLEMENTS 762578 EST MEDICARE/MEDICAID SETTLEMENTS 1284751 RHC SETTLEMENTS 1654561 15386685 X PART V, LINE 4: ENDOWMENT FUNDS ARE USED FOR THE ORGANIZATION'S PROGRAMS AND OPERATIONS RELATED TO PATIENT-FOCUSED CARE. 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 248766 248766 0.00400 14427621 10248097 4179524 0.06760 14676387 10248097 4428290 0.07160 105389 31037 74352 0.00120 306463 306463 0.00500 9497056 6028186 3468870 0.05610 19960 19960 0.00030 9928868 6059223 3869645 0.06260 24605255 16307320 8297935 0.13420 18075 18075 0.00030 18075 18075 0.00030 1 0 0 16612336 13825318 2787018 X 1 1 1 1 PARKVIEW WABASH HOSPITAL INC 10 JOHN KISSINGER DRIVE WABASH IN 46992 WWW.PARKVIEW.COM 005094-1 X X X X PARKVIEW WABASH 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 PARKVIEW WABASH 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 PARKVIEW WABASH 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 PARKVIEW WABASH 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 WABASH 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 WABASH COUNTY, IN-PERSON TEAMS OF RESEARCH ASSISTANTS CONDUCTED COMMUNITY SURVEY OUTREACH AT THE LOCAL YMCA, THRIFT STORE, AND COFFEE SHOP. REGARDING VULNERABLE POPULATIONS SURVEYED IN WABASH COUNTY, 22.1% OF RESPONDENTS REPORTED AN INCOME OF < $35,000, AND 1.1% IDENTIFIED AS HISPANIC/LATINO. ADDITIONALLY, RESPONDENTS 65 YEARS AND OLDER WERE WELL-REPRESENTED (45.5%). THE PROVIDER SURVEY INCLUDED RESPONSES FROM PHYSICIANS, NURSE PRACTITIONERS, REGISTERED NURSES, OTHER HEALTHCARE PROVIDERS, COMMUNITY/SOCIAL SERVICE PROVIDERS, PUBLIC HEALTH/COMMUNITY HEALTH WORKERS, AND SOCIAL WORKERS/CASE MANAGERS. IN ADDITION TO DATA COLLECTION, PARKVIEW WABASH HOSPITAL, INC. COLLABORATED WITH THE COMMUNITY AND PARTNERING ORGANIZATIONS TO SELECT AND PRIORITIZE WABASH COUNTY'S HEALTH NEEDS. A MODIFIED HANLON METHOD WAS EMPLOYED TO PRIORITIZE HEALTH CONCERNS FOR PARKVIEW HEALTH SYSTEM, INC. 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.AS A CONTINUATION OF THE PRIORITIZATION PROCESS, PARKVIEW WABASH HOSPITAL, INC., HELD A COMMUNITY MEETING ON SEPTEMBER 12, 2022, TO ENGAGE WABASH COUNTY COMMUNITY LEADERS IN HELPING DETERMINE TWO HEALTH PRIORITIES FOR THE COUNTY IN ADDITION TO THE HEALTH PRIORITY OF MENTAL HEALTH THAT WAS SET FOR ALL HOSPITALS IN THE PARKVIEW HEALTH SYSTEM, INC., OVER THE NEXT THREE YEARS. THE AREAS OF EDUCATION, GOVERNMENT, SOCIAL SERVICE AGENCIES, AND RECREATION WERE ALL REPRESENTED IN THE MEETING, ALONG WITH MEMBERS OF THE PARKVIEW WABASH HOSPITAL ADMINISTRATIVE TEAM. THE GROUP OF STAKEHOLDERS CONDUCTED A THOUGHTFUL REVIEW OF THE 2022 CHNA DATA AND ENGAGED IN A PRIORITIZATION GRID EXERCISE, WHICH INVOLVED EXAMINING THE TOP 10 HEALTH PRIORITIES IDENTIFIED IN THE SURVEY OF THE COMMUNITY AND LOCAL PROVIDERS. THE FINDINGS WERE SUMMARIZED IN THE CHNA. PARTICIPANTS WERE THEN ASKED TO RATE THE SIGNIFICANCE, SEVERITY, SUITABILITY, AND SOCIAL DETERMINANTS OF HEALTH FOR EACH OF THE 10 PRIORITIES. THE STAKEHOLDERS WERE ASKED TO VOTE ON THEIR TOP TWO RECOMMENDATIONS FOR THE TWO ADDITIONAL HEALTH PRIORITIES. GREAT DISCUSSION ENSUED BEFORE VOTING BEGAN. FROM THIS DISCUSSION, IT WAS UNANIMOUSLY AGREED UPON THAT A VOTE WAS UNNECESSARY. ALL CONCURRED THAT THE FOLLOWING SHOULD BE THE HEALTH PRIORITIES FOR WABASH COUNTY: SUBSTANCE ABUSE/USE AND OBESITY. THE COMMITTEE'S RECOMMENDATIONS WERE PRESENTED TO THE PARKVIEW WABASH HOSPITAL, INC.'S BOARD EXECUTIVE PLANNING COMMITTEE ON SEPTEMBER 30, 2022. THEY VOTED UNANIMOUSLY TO ADOPT SUBSTANCE ABUSE/USE AND OBESITY AS ADDITIONAL PRIORITIES. THE PRIORITIZATION SESSION ATTENDEES REPRESENTED SEVERAL ORGANIZATIONS IN WABASH COUNTY: WABASH CITY GOVERNMENT, WABASH COMMUNITY FOUNDATION, PARKVIEW ADMINISTRATION, WABASH CITY SCHOOLS, MANCHESTER COMMUNITY SCHOOLS, METROPOLITAN SCHOOL DISTRICT OF WABASH COUNTY, WAYPOINT WOMEN'S RECOVERY HOME, AND WABASH YMCA. PARKVIEW WABASH HOSPITAL, 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); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); HUNTINGTON MEMORIAL HOSPITAL, INC. (EIN 35-1970706); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARK CENTER, INC. (EIN 35-1135451); AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823). PARKVIEW WABASH 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. PARKVIEW WABASH 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: WHILE PARKVIEW WABASH HOSPITAL, INC. CONSIDERS ITSELF THE COMMUNITY'S HEALTHCARE LEADER, IT IS UNDERSTOOD THAT THE HOSPITAL CANNOT ADDRESS ALL SIGNIFICANT HEALTH NEEDS ALONE. THEREFORE, IN COLLABORATION WITH A VARIETY OF SOCIAL SERVICE AGENCIES AND ORGANIZATIONS IN WABASH COUNTY, PARKVIEW WABASH HOSPITAL, INC. SUPPORTS AND ENCOURAGES THE DEVELOPMENT OF HEALTHY LIFESTYLE CHOICES OF OUR COMMUNITY. FROM THE RESULTS OF THE 2022 COMMUNITY HEALTH, PRIORITY AREAS WERE DETERMINED TO BE: MENTAL HEALTH, SUBSTANCE USE, AND OBESITY.OBESITY:THE HOSPITAL PARTNERS WITH VISIT WABASH COUNTY AND THE SPIKES AND BIKES CLUB TO OFFER "LIKING FOR BIKING," A WEEKLY 60-MINUTE BIKE RIDE FOR PEOPLE OF ALL AGES AND FITNESS LEVELS. THE GOAL IS TO ENCOURAGE PHYSICAL ACTIVITY IN A CASUAL AND FUN GROUP SETTING. FORTY-ONE PEOPLE PARTICIPATED IN 17 RIDES FROM MAY THROUGH AUGUST, WITH AN AVERAGE OF 16 RIDERS EACH WEEK. OF THE PARTICIPANTS SURVEYED, 5 NOTED WEIGHT LOSS OVER THE COURSE OF LIKING FOR BIKING, WHILE 90 PERCENT REPORTED THE PROGRAM HAD HELPED THEM ACHIEVE THEIR OVERALL HEALTH GOALS. NINE OF THE RIDERS RODE MORE THAN 500 MILES DURING LIKING FOR BIKING, AND ONE YOUTH (AGE 7) RODE MORE THAN 100 MILES.THROUGH THE SUPPORT OF A GENEROUS DONOR TO THE PARKVIEW HEALTH FOUNDATION, PARKVIEW WABASH HOSPITAL, INC. EXPANDED THE WALKING PATH LOCATED ON ITS CAMPUS TO A FULL MILE. SINCE THE EXPANSION IN LATE 2024, USAGE HAS MARKEDLY INCREASED. THE PATH IS EASILY ACCESSIBLE TO SEVERAL NEIGHBORHOODS AND TWO SCHOOLS ON THE NORTH SIDE OF THE CITY. THE WABASH HIGH SCHOOL TRACK AND CROSS COUNTRY TEAMS UTILIZE THE PATH IN THEIR WARM-UPS AND WORKOUTS DURING THE SEASON. WALKERS AND RUNNERS ALIKE NOTE THE SAFE, WELL-MAINTAINED PATH AS HIGHLY DESIRABLE FOR THEIR HEALTHCARE JOURNEYS.A PRESCRIPTION PRODUCE PROGRAM CALLED VEGGIE RX LAUNCHED IN 2024. THE PROGRAM OFFERS A COMBINATION OF FINANCIAL SUPPORT AND NUTRITION EDUCATION AND IS SHOWN TO BOOST FRUIT AND VEGETABLE CONSUMPTION IN UNDERSERVED CLIENTS EXPERIENCING DIET-RELATED HEALTH ISSUES. 45 PATIENTS ENROLLED IN VEGGIE RX IN 2024. WHILE OFFICIAL DATA ON RESULTS HAVE NOT BEEN RELEASED, PATIENTS HAVE REPORTED WEIGHT LOSS ON FEEDBACK FORMS.BLESSINGS IN A BACKPACK WORKED AT COMBATING FOOD INSECURITY BY FEEDING, ON AVERAGE, 550 ELEMENTARY STUDENTS WEEKLY THROUGHOUT 2024. TEN PARKVIEW WABASH HOSPITAL, INC. LEADERS DONATED AN HOUR OF THEIR TIME EACH MONTH TO HELP PACK MEALS FOR THIS PROGRAM IN 2024. MENTAL HEALTH:PARKVIEW WABASH HOSPITAL, INC. IDENTIFIED THE INCREASING NEED FOR ACCESS TO MENTAL HEALTH SERVICES IN OUR PRIMARY CARE OFFICES. IN THE FOURTH QUARTER OF 2024, THE HOSPITAL PLACED A LICENSED CLINICAL SOCIAL WORKER IN THE CLINICS FOR A DAY AND A HALF A WEEK. THIS MENTAL HEALTH PROFESSIONAL TAKES APPOINTMENTS, BUT ALSO MAKES HERSELF AVAILABLE FOR SAME-DAY VISITS WHEN PATIENTS ARE IDENTIFIED AS NEEDING IMMEDIATE ATTENTION BY A PROVIDER.THROUGH OUR BEHAVIORAL HEALTH PROGRAM, PARKVIEW WABASH HOSPITAL, INC., OFFERS OUTPATIENT ALCOHOL AND OPIOID DEPENDENCY MEDICATION TREATMENT. INTENSIVE OUTPATIENT GROUP TREATMENT OFFERS THREE PHASES OF GROUP SESSIONS FOR TREATMENT, ENABLING PATIENTS TO ENGAGE IN DAILY ROUTINES AND CONTINUE LIVING AT HOME.PARKVIEW WABASH HOSPITAL, INC. CONTINUED ITS WORK ON TWO TOGETHER WE WILL GRANT FROM THE INDIANA DEPARTMENT OF HEALTH IN 2024. THE GRANTS WERE UTILIZED TO CREATE TWO PROGRAMS FOR PATIENTS DIAGNOSED WITH SUBSTANCE USE OR MENTAL HEALTH DISORDERS AND ENROLLED IN THERAPY. ONE PROGRAM FOCUSES ON NUTRITION EDUCATION, WHILE THE OTHER IS AIMED AT ENCOURAGING AND INCREASING LEVELS OF PHYSICAL FITNESS. THE PROGRAMS ARE DESIGNED TO SHOW THE POSITIVE AFFECTS GOOD NUTRITION AND EXERCISE CAN HAVE ON THOSE WITH SUBSTANCE USE AND MENTAL HEALTH ISSUES. AS ONE PARTICIPANT IN THE NUTRITION GRANT EXPRESSED: "I AM DOING GREAT. THE NUTRITIONAL PROGRAM HELPS ME STAY HEALTHY AND IS A REAL BLESSING TO MY FAMILY."THE LIFEBRIDGE SENIOR INTENSIVE OUTPATIENT PROGRAM IS A SPECIALTY MENTAL/BEHAVIORAL PROGRAM DESIGNED TO MEET THE NEEDS OF OLDER ADULTS FOCUSING ON PROVIDING INTENSIVE INDIVIDUAL, FAMILY AND/OR GROUP SERVICES. EACH OF THE INDIVIDUALS ENROLLED IN THE LIFEBRIDGE PROGRAM ATTENDS MONTHLY APPOINTMENTS WITH THE MEDICAL DIRECTOR/PSYCHIATRIST FOR MEDICATION MANAGEMENT AND TREATMENT PLANNING. AT EACH VISIT, INDIVIDUALS ARE SCREENED BY NURSING STAFF FOR VITALS, MEDICATION RECONCILIATION, AND ANY MEDICAL CONCERNS ARE IMMEDIATELY COMMUNICATED TO THE INDIVIDUAL'S PRIMARY CARE PHYSICIAN. FAMILY AND SIGNIFICANT OTHERS ARE ENCOURAGED TO PARTICIPATE IN THE TREATMENT PROCESS. LIFEBRIDGE PROVIDES A COHESIVE TREATMENT TEAM TO INCREASE INDIVIDUALS' MENTAL HEALTH AND PHYSICAL WELL-BEING.SUBSTANCE USE DISORDERS:PARKVIEW WABASH HOSPITAL, INC., PARTNERS CLOSELY WITH THE WABASH COUNTY TOBACCO FREE COALITION ON SEVERAL INITIATIVES. WE PROVIDE FUNDING FOR NICOTINE REPLACEMENT THERAPY AND YOUTH PREVENTION PROGRAMS FOR ELEMENTARY THROUGH HIGH SCHOOL AGE STUDENTS. THE COALITION OFFERED 42 PRESENTATIONS IN 2024 TO A TOTAL OF 1,165 STUDENTS. PARKVIEW WABASH HOSPITAL, INC. CO-WORKERS PROVIDE MEALS ONCE A MONTH FOR BRIANNA'S HOPE, A SUPPORT GROUP FOR THOSE IN SUBSTANCE USE RECOVERY AND THEIR FAMILIES. APPROXIMATELY 25-30 PEOPLE BENEFIT FROM THE MEAL, WHICH ALSO FEATURES A SPEAKER.THE LIVING WELL OF WABASH COUNTY TRANSIT PROVIDED RIDES IN 2024. THIS PROGRAM ALLOWS SAFE AND RELIABLE TRANSPORTATION TO APPOINTMENTS, INCLUDING GROUP THERAPY FOR SUBSTANCE USE AND MENTAL HEALTH. ACCESS TO CARE:PARKVIEW WABASH HOSPITAL, INC. LAUNCHED A MOM'S GROUP IN 2024. LED BY A REGISTERED NURSE WITH 14 YEARS OF OB EXPERIENCE, THE GROUP HAS GROWN TO SEVEN NEW MOMS IN A SHORT PERIOD OF TIME. THE GROUP MEETS WEEKLY AT THE HOSPITAL FOR 90 MINUTES. THEY RECEIVE FREE DIAPERS, WEIGHT CHECKS, BREASTFEEDING SUPPORT, AND GENERAL SUPPORT FROM ONE ANOTHER. ONE MOM SAID THE BEST PART OF THE GROUP WAS HAVING A SAFE PLACE TO COME OUT OF THE HOUSE THAT IS A COMPLETELY JUDGEMENT-FREE ZONE."PARKVIEW WABASH HOSPITAL, INC., PARTICIPATED IN COMMUNITY HEALTH FAIRS AND ACTIVITIES THROUGHOUT 2024 TO PROVIDE HEALTH EDUCATION AND SCREENINGS FOR DISEASE PREVENTION, AND TO PROMOTE HEALTHY LIFESTYLES. PARKVIEW WABASH HOSPITAL, INC., WAS ABLE TO COLLABORATE WITH PARKVIEW CENTER FOR HEALTHY LIVING TO PROVIDE TWO "CHECK-UP DAY" EVENTS TO PROVIDE REDUCED-COST LABORATORY WORK TO AREA RESIDENTS. A TOTAL OF 71 PARTICIPANTS TOOK ADVANTAGE OF THE OPPORTUNITY. STAFF NURSES PROVIDE FREE BLOOD PRESSURE CHECKS EACH MONTH AT THE DALLAS WINCHESTER SENIOR CENTER AND ROCK CITY LOFTS. AS MANDATORY REPORTERS, PARKVIEW WABASH HOSPITAL, INC.'S EMERGENCY DEPARTMENT SCREENS ALL PATIENTS FOR ABUSE AND NEGLECT AND REPORTS TO CHILD OR ADULT PROTECTIVE SERVICES, AS DOES ANY PARKVIEW WABASH HOSPITAL, INC. DEPARTMENT.SIGNIFICANT NEEDS NOT BEING ADDRESSED:PARKVIEW WABASH HOSPITAL, INC. DID NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED AS A TOP TEN HEALTH CONCERN BY THE 2022 PARKVIEW WABASH HOSPITAL, INC. CHNA: ASTHMA, CANCER, CHRONIC DISEASE, KIDNEY DISEASE, CARDIOVASCULAR DISEASE, ALZHEIMER'S DISEASE, AND DIABETES. BEING A COMMUNITY HOSPITAL, PARKVIEW WABASH HOSPITAL, INC., LACKS THE RESOURCES TO ADDRESS ALL THE TOP TEN HEALTH CONCERNS EFFECTIVELY. THEREFORE, WE GATHERED COMMUNITY STAKEHOLDERS TO PRIORITIZE WABASH COUNTY'S TOP THREE HEALTH PRIORITIES. IN ADDITION TO THE PRIORITY RANKING SCORES (PG. 42 OF 2022 PARKVIEW WABASH HOSPITAL, INC. CHNA), COMMUNITY STAKEHOLDERS CONSIDERED SIGNIFICANCE, SEVERITY, SUITABILITY, AND HEALTH DISPARITY RELATED TO SOCIAL DETERMINANTS OF HEALTH. THE COMMITTEE IDENTIFIED MENTAL HEALTH, SUBSTANCE USE DISORDERS, AND OBESITY AS THE TOP THREE PRIORITIES IN WABASH 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 7BPARKVIEW WABASH 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, PARKVIEW WABASH 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 EXPENSEPARKVIEW WABASH HOSPITAL, INC. EXCLUDED $4,892,448 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:PARKVIEW WABASH 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. PARKVIEW WABASH HOSPITAL, INC., CONTINUED ITS PARTNERSHIP WITH THE ARC OF WABASH COUNTY AND THE PROJECT SEARCH PROGRAM. PROJECT SEARCH IS AN INNOVATIVE MODEL THAT FEATURES WORKPLACE IMMERSION FOR YOUNG ADULTS WITH INTELLECTUAL AND/OR DEVELOPMENTAL DISABILITIES (IDD). THE GOAL IS TO ACHIEVE EMPLOYMENT IN JOBS THAT GO BEYOND THE TRADITIONAL LIMITS OFTEN IMPOSED ON INDIVIDUALS WITH IDD. PARKVIEW WABASH HOSPITAL, INC., ACCEPTED FOUR STUDENTS FOR THE NINE-MONTH PROGRAM. THEY HAVE TRAINED AND PERFORMED DUTIES IN ENVIRONMENTAL SERVICES, NUTRITION SERVICES, FACILITIES, ADMINISTRATION, AND GUEST RELATIONS. 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 COSTSPARKVIEW WABASH HOSPITAL, INC. BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, WHILE PARKVIEW WABASH 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, PARKVIEW WABASH HOSPITAL, 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. PARKVIEW WABASH HOSPITAL, INC. IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING:1. HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS2. OBSERVATIONS AND DATA COLLECTED FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKERS)3. REVIEW OF COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) 4. PARKVIEW LEADERS SERVING ON HEALTH-RELATED AND SOCIAL SERVICE BOARDS OF DIRECTORS IN THE COMMUNITY5. OTHER PUBLIC HEALTH DATABASES (E.G., COMMUNITY COMMONS, COUNTY HEALTH RANKINGS) KEY HOSPITAL REPRESENTATIVES MAINTAIN 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.PARKVIEW WABASH HOSPITAL, INC. IS LOCATED IN WABASH COUNTY AND IS THE ONLY FULL-SERVICE HOSPITAL IN WABASH COUNTY. PARKVIEW WABASH HOSPITAL, INC. PRIMARILY SERVES THE COMMUNITIES OF WABASH, NORTH MANCHESTER, ROANN, URBANA, LAGRO, AND LAFONTAINE. ACCORDING TO CONDUENT HEALTHY COMMUNITIES INSTITUTE (HCI), WABASH COUNTY IS A RURAL AREA WITHIN THE HEALTH SYSTEM'S SERVICE AREA WITH A POPULATION OF 30,670 (2023). IN ADDITION, HCI REPORTS THE MEDIAN HOUSEHOLD INCOME OF WABASH COUNTY RESIDENTS IS APPROXIMATELY $68,414, WITH 10.7% LIVING BELOW THE FEDERAL POVERTY LEVEL (2019-2023). APPROXIMATELY 93.2% OF WABASH COUNTY RESIDENTS HAVE HEALTH INSURANCE (2023). ADDITIONALLY, MEDICAID PLAYS A SIGNIFICANT ROLE IN SAFEGUARDING THE WELL-BEING OF THE COMMUNITY, EXTENDING ITS COVERAGE TO 12.6% OF THE COUNTY'S INSURED POPULATION, AS CONFIRMED BY DATA FROM THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (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 THE HIGHER THE HPSA SCORE, THE HIGHER THE PRIORITY. HRSA HAS DESIGNATED AND IDENTIFIED THE FOLLOWING MEDICALLY UNDERSERVED AREAS AND POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS IN WABASH COUNTY:1) DISCIPLINE: PRIMARY CAREHPSA ID: 1185544898SERVICE AREA NAME: LI - WABASH COUNTYDESIGNATION TYPE: LOW INCOME POPULATION HPSACOUNTY NAME: WABASH COUNTYHPSA SCORE: 14STATUS: DESIGNATEDRURAL STATUS: RURAL2) DISCIPLINE: MENTAL HEALTHHSPA ID: 7186918305HPSA NAME: MENTAL HEALTH CATCHMENT AREA 28 - WARSAWDESIGNATION TYPE: GEOGRAPHIC HPSACOUNTY NAME: HUNTINGTON, KOSCIUSKO, MARSHALL, WABASH, AND WHITLEY COUNTIESHPSA SCORE:17 STATUS: DESIGNATEDRURAL STATUS: PARTIALLY 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 (EG OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.)PARKVIEW WABASH HOSPITAL, 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 PARKVIEW HEALTH SYSTEM, 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 WABASH HOSPITAL, INC., ACHIEVING THIS STANDARD OF CARE REQUIRES PARTNERING WITH COMMUNITY ORGANIZATIONS THROUGH COMMUNITY HEALTH AT THE HOSPITAL LEVEL. AT THE SYSTEM LEVEL, PARKVIEW WABASH 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: PARKVIEW WABASH 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 THE BEST PRACTICES AND INNOVATIVE METHODS TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY, PARTICULARLY THE UNDERSERVED. PARKVIEW WABASH 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, PARKVIEW WABASH HOSPITAL, INC. BOARD OF DIRECTORS MEMBERS, 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 PARKVIEW WABASH HOSPITAL, INC.'S MOST RECENT CHNA. THE TOBACCO FREE COALITION OF WABASH COUNTY, VISIT WABASH COUNTY, THE WABASH COUNTY YMCA, AND BLESSINGS IN A BACKPACK ARE JUST A FEW OF OUR PARTNER ORGANIZATIONS. ADDITIONALLY, THE HOSPITAL SUPPORTS LIVING WELL OF WABASH COUNTY BY PROVIDING MEDICAL TRANSPORTATION FOR THE SENIOR, DISABLED, AND LOW-INCOME POPULATIONS THROUGHOUT THE COMMUNITY.INTERNALLY, PARKVIEW WABASH HOSPITAL, INC., OFFERS INITIATIVES THAT ADDRESS THE HOSPITAL'S CURRENT HEALTH PRIORITIES. EXAMPLES OF THESE INITIATIVES INCLUDE A PRODUCE PRESCRIPTION PROGRAM AND MATERNAL/INFANT INTERVENTION PROGRAMS. OTHER COMMUNITY OUTREACH PROGRAMS INCLUDE MEDICATION ASSISTANCE, MOBILE MAMMOGRAPHY SERVICES, AND INJURY PREVENTION EDUCATION.IN ADDITION TO CHI'S PARTNERSHIPS SEEKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY, PARKVIEW 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:PARKVIEW WABASH 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 PARKVIEW AND CAREER EXPLORATION CENTERS, AND THROUGH UNIQUE ONSITE EVENTS AT PARKVIEW. 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 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.PARKVIEW WABASH 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 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:PARKVIEW WABASH HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, INC., HAS EXPANDED ITS PRESENCE IN SOUTHWEST ALLEN COUNTY, MAKING HIGHLY SPECIALIZED, WORLD-CLASS CARE MORE CONVENIENT FOR ITS SOUTHWEST RESIDENTS. THIS FACILITY ALLOWS US TO DELIVER MULTIPLE LEVELS OF OUTPATIENT CARE MORE EFFICIENTLY, OFFERING CONVENIENT, "HOSPITAL-LIKE" SERVICE WITHOUT A HOSPITAL. THE NEW FACILITY AND RENOVATIONS OPENED ON NOVEMBER 1, 2023, WHICH BROUGHT IN NEW SERVICES AND EXPANDED EXISTING SERVICES ON THE PARKVIEW SOUTHWEST CAMPUS IN RESPONSE TO GROWING DEMAND. THE PARKVIEW SOUTHWEST CAMPUS FEATURES A PARKVIEW PHYSICIANS GROUP PRIMARY CARE OFFICE, THE PARKVIEW SOUTHWEST SURGERY CENTER, THE NEWLY COMPLETED PARKVIEW SOUTHWEST WOMEN'S & CHILDREN'S CENTER (CONSTRUCTION COMPLETED SPRING 2024), AND A NEW THREE-STORY PARKVIEW SOUTHWEST OUTPATIENT CENTER. IN 2024, THE PARKVIEW SOUTHWEST OUTPATIENT CENTER INCREASED ACCESS BY ADDING GI, ENDOCRINOLOGY, RHEUMATOLOGY, PHARMACY CONSULTS, AND ALLERGY AND ASTHMA CONSULTS (INCLUDING AN ALLERGY SHOT CLINIC) IN THE SPECIALTY PRACTICE CLINIC SPACE. PARKVIEW WABASH HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, 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 VARIOUS 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. PARKVIEW WABASH HOSPITAL, INC., AS PART OF PARKVIEW HEALTH SYSTEM, 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., PARKVIEW WABASH HOSPITAL, INC., HAS RECENTLY FOCUSED 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. X 1 1 1 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 DEBRA POTEMPA DIRECTOR/MARKET PRESIDENT 298478 0 105210 0 148282 0 6900 0 18069 0 576939 0 84170 0 DOUGLAS SPARKS DIRECTOR/PH PHYSICIAN 8778 423978 0 31831 0 31856 671 37279 591 32815 10040 557759 0 0 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 0 190916 0 25000 0 2829 0 35417 0 13426 0 267588 0 0 PAULA OPHEIM WBHOS PHARMACY MGR 198282 0 26051 0 768 0 15866 0 19062 0 260029 0 0 0 SHERRY SCHOENING WBHOS SUPERVISOR OP THERAPY 153364 0 19560 0 2946 0 19996 0 38956 0 234822 0 0 0 JAMI METZGER WBHOS NURSE PRACTITIONER 149658 311 21352 0 1670 0 19528 35 36693 66 228901 412 0 0 GRACE STANLEY WBHOS NURSE PRACTITIONER 142962 0 19836 0 3233 0 14933 0 14309 0 195273 0 0 0 ALLISON PERSHING WBHOS OR MGR 15858 0 0 0 34 147155 1170 0 1143 0 18205 147155 0 0 CATHY WOLFE FORMER KEY EMPLOYEE 0 0 0 0 160461 0 0 0 0 0 160461 0 0 0 MARILYN CUSTER-MITCHELL FORMER OFFICER 0 0 0 0 120746 0 0 0 0 0 120746 0 120746 0 PART I, LINE 1A DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: JAMI METZGER; GRACE STANLEY PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARKVIEW WASBASH 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, LINES 4A-B SEVERANCE PAYMENT ALLISON PERSHING $147,155; CATHY WOLFE $160,461 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): MARILYN CUSTER-MITCHELL $120,746; GREG JOHNSON $488,600; DEBRA POTEMPA $135,374; 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: STANTON RISSER $35,417; JEANNE' WICKENS $162,816 PART I, LINE 7 THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. THE COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR MICP AND PICP. AT THE CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES THE FINAL PAYMENT. A INDIANA FINANCE AUTHORITY 351602316 NONEAVAIL 2016-08-17 25000000 SEE PART VI 0 0 0 A 5450000 25247064 25247064 2018 0 0 1 1 A 0 1 0 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 0 0 0 0 1 A 1 SCHEDULE K, PART I, COLUMN F, LINE A: CONSTRUCTION OF NEW HOSPITAL FACILITY FOR PARKVIEW WABASH HOSPITAL, INC. IN WABASH, INDIANA SCHEDULE K, PART II, COLUMN A, LINE 3: THIS AMOUNT INCLUDES INTEREST OF $247,064. EARNED ON PROJECT FUND. SCHEDULE K, PART III, COLUMN A, LINE 7: BECAUSE PARKVIEW MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, TO ENSURE THAT THE PRIVATE BUSINESS USE LIMIT IS NOT EXCEEDED, PARKVIEW DOES NOT CALCULATE THE AMOUNT OF PRIVATE PAYMENTS. SCHEDULE K, PART IV, COLUMN A, LINE 2C: REBATE CALCULATION PERFORMED ON JANUARY 23, 2019. FORM 990, PART V, LINES 1A AND 2A: PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, PARKVIEW WABASH HOSPITAL, INC., EIN 47-1753440. THEREFORE, ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2, AND W-3, ARE REPORTED AND FILED BY PH. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 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 PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBERS REPORTED FOR THE PARKVIEW WABASH HOSPITAL, INC. WERE 20 AND 230, 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 PARKVIEW WABASH 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: (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. PARKVIEW WABASH HOSPITAL, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING SUPPLEMENTAL 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 849,098. MANAGEMENT AND GENERAL EXPENSES 444,023. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,293,121. RHC OPERATIONS: PROGRAM SERVICE EXPENSES 6,374,818. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,374,818. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 10,640. MANAGEMENT AND GENERAL EXPENSES 390,691. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 401,331. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 2,658,754. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,658,754. COLLECTIONS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 69,178. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,178. 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 -36,416. 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