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 341048666 COMMUNITY HOSPITALS AND WELLNESS CENTERS COMM 2603738429 433 W HIGH ST BRYAN OH 435061690 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 103643672 0 X WWW.PARKVIEW.COM X 1969 OH IMPROVE HEALTH & PROVIDE QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 14 9 585 2 -27880 0 12976 20180 24695855 102435214 478388 447800 145841 556753 25333060 103459947 0 0 0 0 11056770 40099979 0 0 0 9456620 81263188 20513390 121363167 4819670 -17903220 119525040 64210425 53988345 14284643 65536695 49925782 X COMMUNITY HOSPITALS AND WELLNESS CENTERS WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 0 0 95068619 102435214 COMMUNITY HOSPITALS AND WELLNESS CENTERS, BRYAN HOSPITAL IS A 58-BED HOSPITAL THAT PROVIDES COMPREHENSIVE, PATIENT-CENTERED HEALTHCARE. IT INCLUDES A REGIONAL INTERVENTIONAL CARDIOLOGY PROGRAM, A FAMILY BIRTHING CENTER, RADIATION ONCOLOGY, EMERGENCY MEDICINE, SURGICAL SERVICES, AND INPATIENT AND OUTPATIENT SPECIALTY SERVICES. FAMILY BIRTHING CENTER:THE FAMILY BIRTHING CENTER AT COMMUNITY HOSPITALS AND WELLNESS CENTERS OFFERS AN AWARD-WINNING TEAM THAT PUTS THE PATIENT AND THEIR BABY AT THE CENTER OF IT ALL. WE PROVIDE PRIVATE LABOR, DELIVERY, AND(SEE SCHEDULE O FOR CONTINUATION)POSTPARTUM ROOMS, FREE ONLINE PRENATAL CLASSES, CERTIFIED LACTATION CONSULTANTS, ADVANCED MONITORING SYSTEMS, AND MUCH MORE TO PROVIDE OUR PATIENTS WITH A RELAXING BIRTHING EXPERIENCE. IN ADDITION, WE OFFER A STATE-OF-THE-ART INFANT PROTECTION SYSTEM, NURSING CARE, AND SUPPORT FROM BOARD-CERTIFIED LACTATION CONSULTANTS.RADIATION ONCOLOGY:COMMUNITY HOSPITALS AND WELLNESS CENTERS FEATURES A RADIATION ONCOLOGY DEPARTMENT SPECIALIZING IN USING HIGH-ENERGY RADIATION TO TREAT CANCER AND CERTAIN BENIGN CONDITIONS. OUR MULTIDISCIPLINARY TEAM OF RADIATION ONCOLOGISTS, MEDICAL PHYSICISTS, DOSIMETRISTS, RADIATION THERAPISTS, AND ONCOLOGY NURSES WORKS COLLABORATIVELY TO PROVIDE INDIVIDUALIZED TREATMENT PLANS USING STATE-OF-THE-ART TECHNOLOGY. THE RADIATION DEPARTMENT HAS TWO EXAM ROOMS, A SIEMENS CT SCANNER, AND A VARIAN TRUE BEAM. OUR EXTERNAL BEAM THERAPIES INCLUDE: STEREOTACTIC RADIOSURGERY (SRS), STEREOTACTIC BODY RADIATION THERAPY (SBRT), INTENSITY-MODULATED RADIATION THERAPY (IMRT), IMAGE-GUIDED RADIATION THERAPY (IGRT), PRONE BREAST TREATMENT, DEEP BREATH INSPIRATION BREATH HOLD TREATMENT (DIBH), AND SURFACE GUIDED RADIATION THERAPY.SURGICAL SERVICES:WE'RE VERY PROUD OF OUR SURGICAL SERVICES AT COMMUNITY HOSPITALS AND WELLNESS CENTERS, AND THE EMPHASIS THAT HAS BEEN PLACED ON CREATING A HEALING ENVIRONMENT, FROM THE SOOTHING COLOR PALETTE TO THE ENHANCED TECHNOLOGY. COMMUNITY HOSPITALS AND WELLNESS CENTERS' SURGICAL CENTER INCLUDES SIX OR SUITES, FOUR ENDOSCOPY ROOMS, AND MULTIPLE PROCEDURE ROOMS. OUR SURGICAL SPECIALISTS INCLUDE GENERAL SURGERY, ENT, PODIATRY, ORTHOPEDICS, ENDOSCOPY, GYNECOLOGY, AND PAIN MANAGEMENT. OUTSIDE OF OUR SURGEONS, OUR STAFF INCLUDES NURSE CIRCULATORS, CERTIFIED SCRUB TECHS, CERTIFIED SCRUB TECH FIRST ASSIST, AND REGISTERED NURSE FIRST ASSIST.COMMUNITY HOSPITALS AND WELLNESS CENTERS, MONTPELIER HOSPITAL, IS A 25-BED CRITICAL ACCESS HOSPITAL THAT PROVIDES HEALTHCARE SERVICES INCLUDING EMERGENCY MEDICINE, LAB AND DIAGNOSTIC IMAGING, REHABILITATION AND THERAPY SERVICES, AND A SLEEP LAB.LOCATED IN FULTON COUNTY, COMMUNITY HOSPITALS AND WELLNESS CENTERS, ARCHBOLD, HAS NO INPATIENT BEDS BUT OPERATES FOUR SURGICAL SUITES, PHYSICIAN CLINICS, AND PROVIDES A BROAD RANGE OF OUTPATIENT SERVICES. COMMUNITY BENEFIT:COMMUNITY HOSPITALS AND WELLNESS CENTERS' COMMITMENT TO IMPROVING HEALTH AND INSPIRING WELL-BEING EXTENDS BEYOND THE HOSPITAL WALLS AND THROUGHOUT NORTHWEST OHIO. COMMUNITY HOSPITALS AND WELLNESS CENTERS COLLABORATES WITH VARIOUS AREA ORGANIZATIONS THAT SHARE ITS MISSION AND VALUES. COMMUNITY HOSPITALS AND WELLNESS CENTERS STRATEGICALLY INVESTS IN INITIATIVES THAT ADDRESS THE GREATEST COMMUNITY HEALTH NEEDS OUTLINED BY THE MOST RECENT TRIENNIAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). BASED ON THE 2022 CHNA RESULTS, THE TOP HEALTH CONCERNS FOR WILLIAMS COUNTY, OHIO, ARE ACCESS TO CARE, HEALTH BEHAVIORS, MENTAL HEALTH, AND ADDICTION. BASED UPON THESE RESULTS, COMMUNITY HOSPITALS AND WELLNESS CENTERS, AS WELL AS CRITICAL AREA HEALTH PARTNERS, CREATE A COMMUNITY HEALTH IMPROVEMENT PLAN THAT SERVES AS AN IN-DEPTH PLAN DEFINING HOW TO ADDRESS EACH IDENTIFIED HEALTH NEED. FINANCIAL ASSISTANCE:COMMUNITY HOSPITALS AND WELLNESS CENTERS IS COMMITTED TO MAKING HEALTHCARE ACCESSIBLE TO THOSE WHO NEED IT, REGARDLESS OF THEIR HEALTH STATUS OR ABILITY TO PAY. WITH FINANCIAL ASSISTANCE, PATIENTS CAN RECEIVE THE PARKVIEW CARE THEY EXPECT - NO MATTER WHAT MEDICAL OBSTACLES THEY MIGHT FACE. 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.AWARDS/RECOGNITION:IN 2024, COMMUNITY HOSPITALS AND WELLNESS CENTERS RECEIVED THE FOLLOWING AWARDS AND ACCOLADES: - COMMUNITY HOSPITALS AND WELLNESS CENTERS BRYAN HOSPITAL WAS NAMED IN THE CHARTIS CENTER'S TOP 100 RURAL HOSPITAL LIST. - COMMUNITY HOSPITALS AND WELLNESS CENTERS BRYAN HOSPITAL RECEIVED AN "A" GRADE BY THE LEAPFROG GROUP- HOSPITAL SAFETY GRADE AWARD 95068619 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 X 58 0 1 585 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 14 9 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 OH 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 RICHARD CHURCH DIRECTOR/PH CHIEF GROWTH & STRATEGY 1.00 39.00 X 0 1024144 229813 DAVID COOLEY DIRECTOR/MCHA PHYSICIAN 1.00 39.00 X 0 903342 72464 CHAD TINKEL DIRECTOR/MARKET PRESIDENT 39.00 1.00 X X 382680 0 131563 CAROLYN SHARROCK-DORSTEN DIRECTOR/MCHA PHYSICIAN 1.00 39.00 X 0 370320 77385 JEFFREY BENDER CHWC ASSOCIATE CMO 40.00 0.00 X 266279 0 51164 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 218745 48843 ANCEL PATRICK CHWC VP OPERATIONS 40.00 0.00 X 221311 0 36862 STEVEN BUMB DIRECTOR/PARTIAL YR/MCHA HOSPITALIST 1.00 39.00 X 0 209558 27490 ELIZABETH GRIMES CHWC VP PATIENT CARE SVCS 40.00 0.00 X 185442 0 41393 CRAIG BUELL CHWC PHARMACY MGR 40.00 0.00 X 173591 0 43598 GARY BROWN CHWC PHARMACIST 40.00 0.00 X 153880 0 31056 ELIZABETH KLEMAN CHWC PHARMACY MGR 40.00 0.00 X 144423 0 39437 TAMMRA BUENGER CHWC PHARMACIST 40.00 0.00 X 145744 0 29661 CHRISTOPHER KANNEL DIRECTOR/CHAIR 1.00 2.00 X X 6750 1500 0 RUSSELL DAVIES DIRECTOR 1.00 1.00 X 4750 0 0 ALLYN LUCE DIRECTOR 1.00 1.00 X 4750 0 0 CINTHIA REED DIRECTOR 1.00 1.00 X 4750 0 0 JAMES WATKINS DIRECTOR/TREASURER 1.00 1.00 X X 4750 0 0 ELENA WEST DIRECTOR/VICE CHAIR 1.00 1.00 X X 4668 0 0 LARS ELLER DIRECTOR/SECRETARY 1.00 1.00 X X 4500 0 0 KARLA BALL DIRECTOR 1.00 1.00 X 3250 0 0 JENNIFER HORN DIRECTOR 1.00 1.00 X 3250 0 0 CHRISTA POMEROY FORMER OFFICER/CURRENT PH DIR TREAS 0.00 40.00 X 0 220685 55605 1714768 6115543 1209378 26 1 1 0 PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DR FORT WAYNE IN 46845 LABORATORY SERVICES 3940412 CLINICAL COLLEAGUES INC PO BOX 824246 PHILADELPHIA PA 19182 ANESTHESIOLOGISTS 2406527 FORT WAYNE RADIOLOGY ASSN LLC 3707 NEW VISION DR FORT WAYNE IN 46845 RADIOLOGY SERVICES 1846267 WILLIAMS EMERGENCY GROUP LLC PO BOX 677979 DALLAS TX 75267 PHYSICIAN SERVICES 1831046 NORTHEAST INTERNAL MEDICINE ASSOC INC 2500 N DETROIT ST LAGRANGE IN 46761 HOSPITALISTS 361067 16 957 14223 5000 20180 NET PATIENT SERVICE 622110 101825043 101825043 CHWPM BILLINGS 561000 345052 345052 INTERUNIT RENT 531120 265119 265119 102435214 447800 447800 295993 183725 112268 112268 112268 CAFETERIA 722514 472365 472365 LOSS FROM VANTAGE HEALTHCARE 900099 -27880 -27880 444485 103459947 102435214 -27880 1032433 X 1040669 1040669 29031791 29031791 10027519 10027519 500 500 12294090 11303945 990145 8065 625 7440 2002276 1909921 92355 40242 40242 3029037 2960735 68302 63728 59943 3785 7870 7070 800 3672597 2708333 964264 418251 4264 413987 CORPORATE SERVICE ALLOC 22536909 22536909 MEDICAL SUPPLIES 18086374 18086374 MCHA CLINICAL SUPPORT 15079698 15079698 FRANCHISE FEES & TAXES 3152185 3152185 871366 695474 175892 121363167 95068619 26294548 0 3445 2635 32679900 4243839 0 2210 12791586 23158840 2246106 1310403 1020409 412836 38255678 4589794 33701749 33665884 34047426 0 655168 1006583 2379251 407195 119525040 64210425 2982254 4507685 51006091 9776958 53988345 14284643 X 65536695 49925782 65536695 49925782 119525040 64210425 X -17903220 2474903 -182596 X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 1820 1820 0 PART II-B, LINE 1: REPRESENTS THE PORTION OF THE DUES PAID TO THE OHIO HOSPITAL ASSOCIATION USED FOR LOBBYING ACTIVITIES. 2340000 1350000 3690000 25715153 2750287 22964866 8146821 1839507 6307314 703704 703704 33665884 DUE TO/FROM INTERUNIT 7520948 EST. MEDICARE/MEDICAID SETTLEMENTS 957430 OTHER LIABILITIES 1298580 9776958 X PART X, LINE 2: PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2019 AND PRIOR. 1 1 X 1 X 1 X 275.000000000000 1 1 1 0 0 542549 542549 0.00510 17848756 9327444 8521312 0.08020 18391305 9327444 9063861 0.08530 197840 197840 0.00190 143500 143500 0.00140 8516 8516 0.00010 349856 349856 0.00340 18741161 9327444 9413717 0.08870 1 0 0 23863621 28376844 -4513223 X 1 1 2 1 PARKVIEW BRYAN HOSPITAL 433 W HIGH ST BRYAN OH 435061690 WWW.PARKVIEW.COM 1293LH 341048666 X X X 2 PARKVIEW MONTPELIER HOSPITAL 909 E SNYDER AVE MONTPELIER OH 435431251 WWW.PARKVIEW.COM 1294LH 341048666 X X X SWING BEDS COMMUNITY HOSPITALS AND WELLNESS CENTERS 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 SEE PART V, SECTION B, LINE 7D X X 1 22 1 SEE PART V, SECTION B, LINE 10A 0 1 X 200.000000000000 275.000000000000 X X X X X 1 1 X X X 1 X SEE PART V, LINES 16A B & C X SEE PART V, LINES 16A B & C X SEE PART V, LINES 16A B & C X X X X X X 1 X 0 X X X 1 X 0 0 COMMUNITY HOSPITALS AND WELLNESS CENTERS 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:THE WILLIAMS COUNTY HEALTH PARTNERS HAS BEEN CONDUCTING COMMUNITY HEALTH ASSESSMENTS SINCE 2006 FOR THE PURPOSE OF MEASURING COMMUNITY HEALTH STATUS. THE MOST RECENT WILLIAMS COUNTY COMMUNITY HEALTH ASSESSMENT (CHA) WAS CROSS-SECTIONAL IN NATURE AND INCLUDED A WRITTEN SURVEY OF ADULTS AND AN ELECTRONIC SURVEY OF ADOLESCENTS WITHIN WILLIAMS COUNTY. THE QUESTIONS WERE MODELED AFTER THE SURVEY INSTRUMENTS USED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) FOR THEIR NATIONAL AND STATE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS) AND YOUTH RISK BEHAVIOR SURVEILLANCE SYSTEM (YRBSS). THIS HAS ALLOWED WILLIAMS COUNTY TO COMPARE THEIR CHA DATA TO NATIONAL, STATE, AND LOCAL HEALTH TRENDS. COMMUNITY STAKEHOLDERS WERE ACTIVELY ENGAGED IN THE EARLY PHASES OF CHA PLANNING AND HELPED DEFINE THE CONTENT, SCOPE, AND SEQUENCE OF THE PROJECT. THE WILLIAMS COUNTY COMBINED HEALTH DISTRICT CONTRACTED WITH THE HOSPITAL COUNCIL OF NORTHWEST OHIO (HCNO), A NEUTRAL, REGIONAL, NONPROFIT HOSPITAL ASSOCIATION, TO FACILITATE THE CHA AND COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). THE WILLIAMS COUNTY COMBINED HEALTH DISTRICT, ALONG WITH COMMUNITY HOSPITALS AND WELLNESS CENTERS, INC., THEN INVITED VARIOUS COMMUNITY STAKEHOLDERS TO PARTICIPATE IN THE COMMUNITY HEALTH IMPROVEMENT PROCESS. DATA FROM THE MOST RECENT CHA WERE CAREFULLY CONSIDERED AND CATEGORIZED INTO COMMUNITY PRIORITIES WITH ACCOMPANYING STRATEGIES. THIS WAS DONE USING THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS'(NACCHO) NATIONAL FRAMEWORK: MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP). OVER THE NEXT THREE YEARS, THESE PRIORITIES AND STRATEGIES WILL BE IMPLEMENTED AT THE COUNTY-LEVEL WITH THE HOPE TO IMPROVE POPULATION HEALTH AND CREATE LASTING, SUSTAINABLE CHANGE. IT IS THE HOPE OF THE WILLIAMS COUNTY HEALTH PARTNERS THAT EACH AGENCY IN THE COUNTY WILL TIE THEIR INTERNAL STRATEGIC PLAN TO AT LEAST ONE STRATEGY IN THE CHIP. THE CHIP WAS PLANNED BY VARIOUS AGENCIES AND SERVICE-PROVIDERS WITHIN WILLIAMS COUNTY. FROM OCTOBER 2022 TO JANUARY 2023, THE WILLIAMS COUNTY HEALTH PARTNERS REVIEWED MANY DATA SOURCES CONCERNING THE HEALTH AND SOCIAL CHALLENGES THAT WILLIAMS COUNTY RESIDENTS ARE FACING. THEY DETERMINED PRIORITY ISSUES WHICH, IF ADDRESSED, COULD IMPROVE FUTURE OUTCOMES; DETERMINED GAPS IN CURRENT PROGRAMMING AND POLICIES; EXAMINED BEST PRACTICES AND SOLUTIONS; AND DETERMINED SPECIFIC STRATEGIES TO ADDRESS IDENTIFIED PRIORITY ISSUES. WE WOULD LIKE TO RECOGNIZE THESE INDIVIDUALS AND THANK THEM FOR THEIR DEDICATION TO THIS PROCESS: WILLIAMS COUNTY HEALTH PARTNERS; ALICIA GRAHAM, SHALOM COUNSELING & MEDIATION CENTER; ALLYN LUCE, ALTENLOH, BRINCK & CO.; AMY KIRBY, UNITED WAY OF WILLIAMS COUNTY; ASHLEY EPLING, WILLIAMS COUNTY ECONOMIC; DEVELOPMENT CORPORATION (WEDCO); BECKY KIMBLE, THE ABILITY CENTER; BECKY MCGUIRE, OHIO STATE UNIVERSITY EXTENSION OFFICE; BETHANY COUTZ, EDUCATING COMMUNITIES ON HEALTHY OPPORTUNITIES (ECHO) COALITION; BETHANY SHIRKEY, FOUR COUNTY ALCOHOL, DRUG ADDICTION AND MENTAL HEALTH SERVICES (ADAMHS) BOARD; BOBBI CASE, COMMUNITY HOSPITALS AND WELLNESS CENTERS (CHWC); CHASITY YODER, UNITED WAY OF WILLIAMS COUNTY; CHRIS KANNEL, VILLAGE OF MONTPELIER; DEANNA CUSTAR, WILLIAMS COUNTY BOARD OF HEALTH; DONNA SPROW, WILLIAMS COUNTY DEPARTMENT OF AGING; GENE MCBRIDE, PIONEER AREA MINISTERIAL ASSOCIATION; JENNI MCKARNS, WILLIAMS COUNTY COMMUNITY GARDENING ASSOCIATION (WCCGA); JIM WATKINS, WILLIAMS COUNTY HEALTH DEPARTMENT (WCHD); JIM WYSE, MILLCREEK-WEST UNITY LOCAL SCHOOLS; KAREN VONDEYLEN, MAUMEE VALLEY GUIDANCE CENTER; KATIE BROWN, WCHD; KEIRA CHRISTMAN, WEDCO; KERMIT RIEHLE, EDGERTON SCHOOLS; KIM LAMMERS, MAUMEE VALLEY PLANNING ORGANIZATION; MELISSA EWERS, VILLAGE OF MONTPELIER; MICHELLE KANNEL, MONTPELIER SCHOOLS; NATHAN HOFFER, WCHD; RACHEL AESCHLIMAN, WCHD; RACHEL BLANTON, SARAH'S FRIENDS; RUTH PECK, RECOVERY SERVICES OF NORTHWEST OHIO; SALLY TAYLOR, PARKVIEW PHYSICIANS GROUP; SARAH VASHAW, BRYAN CITY SCHOOLS; SHEANA BEHRINGER, NOCAC; SUSAN SHEETS, WILLIAMS COUNTY JUVENILE COURTS; TAMMY RIEGSECKER, WCHD; TODD ROTH, WILLIAMS COUNTY ENGINEER'S OFFICE; AND VICTORIA SMITH, WCHD. PROGRESS WILL BE MONITORED WITH MEASURABLE INDICATORS IDENTIFIED FOR EACH STRATEGY. MOST INDICATORS ALIGN DIRECTLY WITH THE CHIP. THE INDIVIDUALS OR AGENCIES THAT ARE WORKING ON STRATEGIES WILL MEET ON AN AS-NEEDED BASIS. THE FULL COMMITTEE WILL MEET QUARTERLY OR AS NEEDED TO REPORT OUT PROGRESS. THE COMMITTEE WILL CREATE A PLAN TO DISSEMINATE THE CHIP TO THE COMMUNITY. STRATEGIES, RESPONSIBLE AGENCIES, AND TIMELINES WILL BE REVIEWED AT THE END OF EACH YEAR BY THE COMMITTEE. AS THIS CHIP IS A LIVING DOCUMENT, EDITS AND REVISIONS WILL BE MADE ACCORDINGLY. WILLIAMS COUNTY WILL CONTINUE FACILITATING CHA EVERY THREE YEARS TO COLLECT DATA AND DETERMINE TRENDS. PRIMARY DATA WILL BE COLLECTED FOR ADULTS AND YOUTH USING NATIONAL SETS OF QUESTIONS TO NOT ONLY COMPARE TRENDS IN WILLIAMS COUNTY, BUT ALSO BE ABLE TO COMPARE WITH THE STATE AND NATION. THIS DATA WILL SERVE AS MEASURABLE OUTCOMES FOR EACH PRIORITY AREA. IN ADDITION TO OUTCOME EVALUATION, PROCESS EVALUATION WILL ALSO BE USED CONTINUOUSLY TO FOCUS ON THE STRATEGIES' SUCCESS. AREAS OF PROCESS EVALUATION THAT THE CHIP COMMITTEE WILL MONITOR INCLUDE THE FOLLOWING: NUMBER OF PARTICIPANTS, LOCATION(S) WHERE SERVICES ARE PROVIDED, NUMBER OF POLICIES IMPLEMENTED, ECONOMIC STATUS AND RACIAL/ETHNIC BACKGROUND OF THOSE RECEIVING SERVICES (WHEN APPLICABLE), AND INTERVENTION DELIVERY (QUANTITY AND FIDELITY). FURTHERMORE, ALL STRATEGIES HAVE BEEN INCORPORATED INTO A "PROGRESS REPORT" TEMPLATE THAT CAN BE COMPLETED AT ALL FUTURE MEETINGS, KEEPING THE COMMITTEE ON TASK AND ACCOUNTABLE. THIS PROGRESS REPORT MAY ALSO SERVE AS MEETING MINUTES.THE OVERALL GOAL OF THE NEEDS ASSESSMENT WAS TO PERFORM A COMMUNITY HEALTH ASSESSMENT THAT WILL LEAD TO IMPROVED QUALITY OF PUBLIC AND PRIVATE HEALTH SERVICES. IN ADDITION, THE HEALTH ASSESSMENT CAN BE USED FOR A VARIETY OF PURPOSES, SUCH AS THE FOLLOWING:- TO ASSESS THE DISTRIBUTION OF DISEASE AND BEHAVIORAL RISK FACTORS.- TO ASSESS BROAD COMMUNITY HEALTH ISSUES AND TO SHAPE A BROADER DEFINITION OF COMMUNITY HEALTH.- TO MONITOR THE IMPACT OF COMMUNITY HEALTH ACTION PLANS AND TRENDS IN BEHAVIORAL RISK MODIFICATIONS.- TO PROVIDE A VEHICLE TO DISCUSS WAYS TO IMPROVE COMMUNITY HEALTH. THE STUDY CAN ASSIST STAKEHOLDERS WORKING COLLABORATIVELY IN THE COMMUNITY TO ADDRESS ISSUES THAT AFFECT HEALTH.THE COMMUNITY HEALTH ASSESSMENT WILL CONTINUE TO BE REPEATED EVERY THREE YEARS TO DETERMINE IF ACTIONS TAKEN BY COMMUNITIES ARE IMPACTING THE BEHAVIORS THAT LEAD TO POOR HEALTH. COMMUNITY HOSPITALS AND WELLNESS CENTERS PART V, SECTION B, LINE 6A: PARKVIEW BRYAN HOSPITAL AND PARKVIEW MONTPELIER HOSPITAL ARE BOTH UNDER THE LEGAL ENTITY OF COMMUNITY HOSPITALS AND WELLNESS CENTERS. COMMUNITY HOSPITALS AND WELLNESS CENTERS PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:WILLIAMS COUNTY HEALTH DEPARTMENT COMMUNITY HOSPITALS AND WELLNESS CENTERS 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:THE STRATEGIC PLAN OF ACTION IS TO ADDRESS THREE PRIORITIES: 1) ACCESS TO CARE, 2) HEALTH BEHAVIORS AND BUILT ENVIRONMENT, 3) MENTAL HEALTH AND ADDICTION. ALL PRIORITIES HAVE SPECIFIC STRATEGIES AS STATED IN THE FOLLOWING.THE ACCESS TO CARE PRIORITY ADDRESSES TRANSIT ADVOCACY, ACCESS TO CARE INITIATIVES, AND CANCER EDUCATION OUTREACH. ACTIONS TAKEN TO MEET THE TRANSIT ADVOCACY SUB-PRIORITY ARE BEING ADDRESSED BY THE COORDINATED TRANSPORTATION PLAN FOR DEFIANCE, FULTON, HENRY, PAULDING, AND WILLIAMS COUNTIES. IN 2024 THE COMMITTEE IDENTIFIED THE GEOGRAPHIC AREAS OF WILLIAMS COUNTY THAT WOULD BE COVERED BY THE PLAN AND MAJOR TRIP GENERATORS IN THE GEOGRAPHIC AREA, IDENTIFIED POPULATION DEMOGRAPHICS, ASSESSED AVAILABLE SERVICES, ASSESSED TRANSPORTATION NEEDS AND GAPS, AND CREATED GOALS AND STRATEGIES TO IMPROVE THE RISING NEEDS OF TRANSPORTATION THROUGH THE FIVE-COUNTY COORDINATED TRANSPORTATION PLAN.FOR THE ACCESS TO CARE INITIATIVES SUB-PRIORITY COMMUNITY HOSPITALS AND WELLNESS CENTERS MET TO DISCUSS BARRIERS TO HEALTHCARE SERVICES. COST IS LISTED AS THE BIGGEST BARRIER FOLLOWED BY TRANSPORTATION. THE GROUP AGREED THAT ADDRESSING THE COST OF HEALTHCARE IS BEYOND OUR SCOPE AND ABILITY TO MAKE AN IMPACT, BUT TRANSPORTATION COULD BE ADDRESSED. THE WILLIAMS COUNTY HEALTH DEPARTMENT (WCHD) WAS TASKED TO INQUIRE WITH MAUMEE VALLEY PLANNING ORGANIZATION (MVPO) ABOUT FUTURE TRANSPORTATION PLANS FOR WILLIAMS COUNTY. FOR THE CANCER EDUCATION OUTREACH SUB-PRIORITY, COMMUNITY HOSPITALS AND WELLNESS CENTERS PROVIDED BOTH SMARTLUNG CT SCANS BY APPOINTMENT AND ORDERS FROM A PROVIDER IN BRYAN OR MONTPELIER ANY DAY OF THE WEEK. THEY ALSO CREATED A PANEL CARD THAT HIGHLIGHTS CANCER SCREENING INFORMATION, BUT MOST IMPORTANTLY, DIRECTS PATIENTS TO THE PARKVIEW WEBSITE THAT INCLUDES MORE IN-DEPTH INFORMATION ABOUT SCREENING AND HOW TO SCHEDULE.THE HEALTH BEHAVIORS AND BUILT ENVIRONMENT ADDRESSES COMPLETE STREETS, GREEN SPACE AND PARKS/BIKE AND PEDESTRIAN MASTER PLANS, COMMUNITY FITNESS PROGRAMS, COMMUNITY GARDENS, HEALTHY FOOD INITIATIVES AND NUTRITION EDUCATION, AND HEALTH IN ALL POLICIES. FOR THE COMPLETE STREETS SUB-PRIORITY, THE COLLECTIVE GROUP CONTINUED EFFORTS FROM YEAR ONE AND ADVOCATED FOR COMPLETE STREETS WITH LOCAL POLICYMAKERS AND LEADERSHIP TO BUILD BUY-IN, REVIEWED POTENTIAL GRANTS AND FUNDING OPPORTUNITIES, CONTINUED TO RAISE AWARENESS OF COMPLETE STREETS POLICIES AND RECOMMENDED THAT ALL LOCAL JURISDICTIONS ADOPT COMPREHENSIVE COMPLETE STREETS POLICIES. FOR THE GREEN SPACE AND PARKS/BIKE AND PEDESTRIAN MASTER PLANS SUB-PRIORITY, THE WILLIAMS COUNTY ENGINEER'S OFFICE ADDED GREENSPACE AND TRAILS MAPS FOR THE COUNTY ON THE WILLIAMS COUNTY GREENSPACE & TRAILS WEBSITE THROUGH GIS. THERE IS A LINK TO THE ACTIVITY PAGE ON THE HEALTH DEPARTMENT'S WEBSITE AND THE GIS EXPERIENCE IS BRANDED WITH WILLIAMS COUNTY HEALTH PARTNERS LOGOS. FOR THE COMMUNITY FITNESS PROGRAMS SUB-PRIORITY, THE WILLIAMS COUNTY YMCA WORKED TOWARDS THE GOAL OF PROVIDING YMCA 360 APP TO THE COUNTY AT NO COST. FOR THE COMMUNITY GARDENS SUB-PRIORITY, A MASTER GARDENER CLASS WAS PROVIDED BY THE OHIO STATE UNIVERSITY EXTENSION OFFICE TO EDUCATE THREE ACTIVE APPLICANTS WITH INCREASED GARDENING KNOWLEDGE FOR THEM TO ASSIST WITH COMMUNITY GARDENING PROGRAMS. FOR THE HEALTHY FOOD INITIATIVES AND NUTRITION EDUCATION, THE WILLIAMS COUNTY DEPARTMENT OF AGING PROVIDED NUTRITION, HEALTHY RECIPES, AND EATING LESSONS MONTHLY AT SENIOR CENTER SITES IN THE COUNTY. THE NATIONAL ALLIANCE ON MENTAL ILLNESS FOUR COUNTY ORGANIZATION ALSO WORKED TOWARDS DEVELOPING AND IMPLEMENTING LESSONS RELATED TO HEALTHY EATING AND MENTAL WELLNESS. FOR THE HEALTH IN ALL POLICIES SUB-PRIORITY, THE HEALTH IN ALL POLICIES TASKFORCE ADVOCATED TO LOCAL GOVERNMENT OFFICIALS FOR HEALTH IN ALL POLICIES RESOLUTION.THE MENTAL HEALTH AND ADDICTION PRIORITY ADDRESSES SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMS, SCHOOL-BASED SOCIAL EMOTIONAL INSTRUCTION, MENTAL HEALTH FIRST AID, AND SUICIDE PREVENTION INITIATIVES. FOR THE SCHOOL-BASED ALCOHOL/OTHER DRUG PREVENTION PROGRAMS SUB-PRIORITY, THE COLLABORATIVE GROUP IMPLEMENTED CATCH MY BREATH AT THE JUVENILE DETENTION CENTER, TOO GOOD FOR DRUGS IN ALL SCHOOLS, SUMMER PROGRAMMING SUBSTANCE USE PREVENTION, AND A VAPING AND SUBSTANCE USE PROGRAM FOR KIDS IN THE SYSTEM IN WILLIAMS COUNTY ONLY.FOR THE SCHOOL-BASED SOCIAL EMOTIONAL INSTRUCTION SUB-PRIORITY, THE NORTHWEST OHIO EDUCATIONAL SERVICE CENTER MET WITH BRYAN MIDDLE SCHOOL GUIDANCE AND SOCIAL WORK STAFF IN MAY TO PLAN FOR SOURCES OF STRENGTH IMPLEMENTATION FOR FALL OF 2024. THE COLLABORATIVE GROUP SCHEDULED AN ADULT TRAINING SESSION FOR BRYAN MIDDLE SCHOOL GUIDANCE, SOCIAL WORKERS, AND PRINCIPAL. PLANS WERE DISCUSSED TO RECRUIT PEER LEADERS, AND A PLAN WAS MADE TO SCHEDULE A TRAINING DAY FOR THEM. FOR THE MENTAL HEALTH FIRST AID (MHFA) SUB-PRIORITY, THE PROGRAM TRANSITIONED TO 2.0 SO INDIVIDUALS WHO HAD ATTENDED PREVIOUS SESSIONS COULD ATTEND AN UPDATED PROGRAM. A TEEN MENTAL HEALTH FIRST AIDE COURSE WAS HELD AT EDON SCHOOLS. MENTAL HEALTH FIRST AIDE WAS OFFERED TO FOUR COUNTY CAREER CENTER STAFF, EDUCATIONAL SERVICES CENTER SCHOOL STAFF (FOUR COUNTY AREA), NORTHWEST OHIO PSYCH STUDENTS, AND NORTHWEST OHIO MANUFACTURING. FOR THE SUICIDE PREVENTION INITIATIVES SUB-PRIORITY, SAVE OUR SOULS TRAINING WAS PROVIDED IN EVERY SCHOOL DISTRICT. THE FRANKLIN COUNTY SUICIDE PREVENTION CENTER WORKED TO PROVIDE LUNCH & LEARNS IN FULTON COUNTY AND EXPANDED TO WILLIAMS COUNTY. THE LUNCH AND LEARNS WERE USED TO EDUCATE PROVIDERS ABOUT SCREENINGS FOR SUICIDE AND HOW TO HAVE CONVERSATIONS WITH PATIENTS ABOUT SUICIDE PREVENTION. THE COLLABORATIVE GROUP ALSO LOOKED TO BRING LIFESIDE OHIO TO NORTHWEST OHIO. IT TARGETS LAW ENFORCEMENT, VETERANS, AND HUNTING COMMUNITIES AND FOCUSES ON SAFE FIREARM USE. NORTHWEST OHIO ALSO WORKED ON A STATE LEVEL FOCUS GROUP WITH LOCAL REPRESENTATION.IDENTIFIED NEEDS NOT ADDRESSED: COMMUNITY HOSPITALS AND WELLNESS CENTERS DID NOT ADDRESS THE FOLLOWING HEALTH NEEDS IDENTIFIED AS A TOP HEALTH CONCERN BY THE 2022 COMMUNITY HOSPITALS AND WELLNESS CENTERS CHNA: HEALTH CARE COVERAGE, PREVENTATIVE MEDICINE, WOMEN'S HEALTH, MEN'S HEALTH, ORAL HEALTH, HEALTH STATUS PERCEPTIONS, ADULT WEIGHT STATUS, ADULT SEXUAL BEHAVIOR, CARDIOVASCULAR HEALTH, ASTHMA, DIABETES, QUALITY OF LIFE, SOCIAL DETERMINANTS OF HEALTH, ENVIRONMENTAL CONDITIONS, PARENTING, COVID-19, YOUTH WEIGHT STATUS, YOUTH PERCEPTIONS, YOUTH COMMUNITY CONTEXT, AND YOUTH VIOLENCE. BEING A COMMUNITY HOSPITAL, COMMUNITY HOSPITALS AND WELLNESS CENTERS DOES NOT HAVE THE RESOURCES NECESSARY TO EFFECTIVELY ADDRESS ALL TOP HEALTH CONCERNS. THEREFORE, WE GATHERED COMMUNITY STAKEHOLDERS TO PRIORITIZE WILLIAMS COUNTY'S TOP THREE HEALTH PRIORITIES. IN ADDITION TO THE PRIORITY RANKING SCORES, COMMUNITY STAKEHOLDERS CONSIDERED SIGNIFICANCE, SEVERITY, SUITABILITY, AND HEALTH DISPARITY RELATED TO SOCIAL DETERMINANTS OF HEALTH. THE COMMITTEE IDENTIFIED ACCESS TO CARE, HEALTH BEHAVIORS AND BUILT ENVIRONMENT AND MENTAL HEALTH AND ADDICTION AS THE TOP THREE PRIORITIES IN WILLIAMS 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 7D:HTTPS://WWW.WILLIAMSCOUNTYHEALTH.ORG/WP-CONTENT/UPLOADS/2024/05/2022-WILLIAMS-CHA-9-16-22-FINAL.PDFHTTPS://WWW.WILLIAMSCOUNTYHEALTH.ORG/RESOURCES/HEALTH-ASSESSMENTS/PART 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. 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. 2 1 - PARKVIEW ARCHBOLD 121 WESTFIELD DR ARCHBOLD OH 43502 OP SURGERY CENTER, OP RADIOLOGY, OP LAB, OP THERAPIES AND MOB 2 - RADIATION ONCOLOGY CENTER 524 WEST HIGH ST BRYAN OH 43506 RADIATION ONCOLOGY PART I, LINE 7: PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 7BCOMMUNITY HOSPITALS AND WELLNESS CENTERS ACCEPTS ALL MEDICAID, MEDICAID MANAGED CARE, 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 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, COMMUNITY HOSPITALS AND WELLNESS CENTERS CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. PART I, LN 7 COL(F): PERCENT OF TOTAL EXPENSECOMMUNITY HOSPITALS AND WELLNESS CENTERS EXCLUDED $15,079,698 OF MCHA CLINICAL SUPPORT EXPENSE. PART III, LINE 2: FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE. PART III, LINE 4: BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGES 24 - 27 OF THE ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSCOMMUNITY HOSPITALS AND WELLNESS CENTERS BELIEVES THERE ARE SEVERAL REASONS WHY MEDICARE SHORTFALL SHOULD BE TREATED AS COMMUNITY BENEFIT. FIRST, WHILE COMMUNITY HEALTH AND WELLNESS CENTERS ACCEPTS ALL MEDICARE PATIENTS, NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES OUT-OF-LINE WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS. SECOND, BY CONTINUING TO TREAT PATIENTS ELIGIBLE FOR MEDICARE, HOSPITALS ALLEVIATE THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES. THIRD, IRS REVENUE RULING 69-545 STATES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. EVEN IN YEARS WHEN THERE IS NO SHORTFALL, THE HOSPITAL'S WILLINGNESS TO SERVE ALL MEDICARE PATIENTS DEMONSTRATES ITS COMMITMENT TO COMMUNITY BENEFIT. PART III, LINE 9B: A PATIENT'S FAILURE TO MAKE PAYMENT ARRANGEMENTS THROUGH VARIOUS AVAILABLE PAYMENT OPTIONS OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING REFERRED TO A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES, WHICH MAY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY. IF AN INDIVIDUAL SUBMITS A COMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, AND PARKVIEW HEALTH DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN PARKVIEW HEALTH WILL TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION (EXCEPT FOR A SALE OF DEBT) TAKEN AGAINST THE INDIVIDUAL TO OBTAIN PAYMENT FOR THE CARE. ALSO, IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, PARKVIEW WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL (WITH RESPECT TO CHARGES TO WHICH THE FINANCIAL ASSISTANCE APPLICATION UNDER REVIEW RELATES) UNTIL THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED AND AN ELIGIBILITY DECISION RENDERED. PART VI, LINE 2: DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B. IN ADDITION TO COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT ON A TRIENNIAL BASIS, COMMUNITY HOSPITALS AND WELLNESS CENTERS ASSESSES THE HEALTHCARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, COLLABORATION WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND FRONTLINE STAFF. COMMUNITY HOSPITALS AND WELLNESS CENTERS IDENTIFIES AND VERIFIES COMMUNITY HEALTH NEEDS THROUGH THE FOLLOWING: 1. HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA ANALYSIS2. OBSERVATIONS AND DATA COLLECTED FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS (I.E., COMMUNITY NURSES AND COMMUNITY HEALTH WORKERS)3. REVIEW OF COMMUNITY NEEDS ASSESSMENTS CONDUCTED BY LOCAL ORGANIZATIONS (I.E., UNITED WAY, BRIGHTPOINT, ETC.) 4. PARKVIEW LEADERS SERVING ON HEALTH-RELATED AND SOCIAL SERVICE BOARDS OF DIRECTORS IN THE COMMUNITY5. OTHER PUBLIC HEALTH DATABASES (E.G., COMMUNITY COMMONS, COUNTY HEALTH RANKINGS) KEY HOSPITAL REPRESENTATIVES MAINTAIN ONGOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE. PART VI, LINE 3: DESCRIBE HOW THE ORGANIZATION INFORMS AND EDUCATES PATIENTS AND PERSONS WHO MAY BE BILLED FOR PATIENT CARE ABOUT THEIR ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.SIGNAGE AND BROCHURES ARE POSTED AND AVAILABLE AT ALL HOSPITAL POINTS OF REGISTRATION AND IN THE EMERGENCY DEPARTMENT. PATIENTS ARE OFFERED PLAIN LANGUAGE SUMMARIES OF THE FINANCIAL ASSISTANCE POLICY DURING THE REGISTRATION PROCESS AND IN EACH FOLLOW UP STATEMENT SENT TO THE PATIENT. PATIENT STATEMENTS WILL INDICATE HOW A PATIENT CAN OBTAIN FINANCIAL ASSISTANCE APPLICATIONS AND WHO THEY CAN CONTACT FOR ASSISTANCE. PART VI, LINE 4: DESCRIBE THE COMMUNITY THE ORGANIZATION SERVES, TAKING INTO ACCOUNT THE GEOGRAPHIC AREA AND DEMOGRAPHIC CONSTITUENTS IT SERVES.ACCORDING TO THE UNITED STATES CENSUS BUREAU'S 2020 AMERICAN COMMUNITY SURVEY (ACS) 5-YEAR ESTIMATES, COMMUNITY HOSPITALS AND WELLNESS CENTERS SERVES A RURAL POPULATION OF 36,862 IN WILLIAMS COUNTY. WHEN DELVING INTO THE SOCIO-ECONOMIC FABRIC OF THE COUNTY, THE U.S. CENSUS BUREAU'S ACS REPORTS THAT THE MEDIAN HOUSEHOLD INCOME STANDS AT $61,834, WHILE 10.1% OF HOUSEHOLDS HAVE INCOMES BELOW THE FEDERAL POVERTY LEVEL (2020). A TESTAMENT TO THE COMMUNITY'S COMMITMENT TO HEALTH, AROUND 94.68% OF THE COUNTY'S RESIDENTS ARE COVERED BY HEALTH INSURANCE, WITH 42.14% OF THE INSURED POPULATION BEING COVERED BY GOVERNMENT-SPONSORED HEALTH INSURANCE ACCORDING TO THE U.S. CENSUS BUREAU'S AMERICAN COMMUNITY SURVEY DATABASE (2020).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. MEANING, THE HIGHER THE HPSA SCORE, THE HIGHER THE PRIORITY. HRSA HAS DESIGNATED/IDENTIFIED THE FOLLOWING MEDICALLY UNDERSERVED AREAS/POPULATIONS AND HEALTH PROFESSIONAL SHORTAGE AREAS:WILLIAMS COUNTY:1) DISCIPLINE: PRIMARY CAREHPSA ID: 139999392BSERVICE AREA NAME: HEALTH PARTNERS OF WESTERN OHIODESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERHPSA SCORE: 21 STATUS: DESIGNATEDRURAL STATUS: NON-RURAL2) DISCIPLINE: PRIMARY CAREHPSA ID: 1396199989SERVICE AREA NAME: EDGERTON FAMILY HEALTH CENTERDESIGNATION TYPE: RURAL HEALTH CLINICHPSA SCORE: 14STATUS: DESIGNATEDRURAL STATUS: RURAL3) DISCIPLINE: MENTAL HEALTH HSPA ID: 7393813179HPSA NAME: LI-DEFIANCE/FULTON/HENRY/WILLIAMS COUNTIESDESIGNATION TYPE: LOW INCOME POPULATION HPSACOUNTY NAME: DEFIANCE, FULTON, HENRY, AND WILLIAMS COUNTYHPSA SCORE:16 STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL4) DISCIPLINE: MENTAL HEALTHHSPA ID: 7395863055HPSA NAME: EDGERTON FAMILY HEALTH CENTERDESIGNATION TYPE: RURAL HEALTH CLINICCOUNTY NAME: WILLIAMS COUNTYHPSA SCORE:17STATUS: DESIGNATEDRURAL STATUS: RURAL5) DISCIPLINE: MENTAL HEALTHHSPA ID: 7399993985HPSA NAME: HEALTH PARTNERS OF WESTERN OHIODESIGNATION TYPE: FEDERALLY QUALIFIED HEALTH CENTERCOUNTY NAME: WILLIAMS COUNTYHPSA SCORE:23STATUS: DESIGNATEDRURAL STATUS: RURAL PART VI, LINE 5: PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).COMMUNITY HOSPITALS AND WELLNESS CENTERS, AS PART OF PARKVIEW HEALTH SYSTEM, INC., SEEKS TO DELIVER EXCELLENT CARE TO EVERY PERSON, EVERY DAY. THE HOSPITAL HAS DEVELOPED ITS INFRASTRUCTURE, POLICIES, AND PROCEDURES TO ALIGN WITH THIS GOAL. THIS INCLUDES HAVING A BOARD OF DIRECTORS FOR COMMUNITY HOSPITALS AND WELLNESS CENTERS 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 COMMUNITY HOSPITALS AND WELLNESS CENTERS, ACHIEVING THIS STANDARD OF CARE REQUIRES PARTNERING WITH COMMUNITY ORGANIZATIONS THROUGH COMMUNITY HEALTH AT THE HOSPITAL LEVEL. AT THE SYSTEM LEVEL, COMMUNITY HOSPITALS AND WELLNESS CENTERS CONTRIBUTES TO AND PARTICIPATES IN SYSTEM-WIDE INVESTMENTS THAT WORK TOWARD FURTHERING EDUCATION AND RESEARCH AND ADVANCING HEALTHCARE DELIVERY AND ACCESS.COMMUNITY HEALTH: COMMUNITY HOSPITALS AND WELLNESS CENTERS 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. COMMUNITY HOSPITALS AND WELLNESS CENTERS SUPPORTS CHI EFFORTS BY COMMITTING A PERCENTAGE OF ITS NET INCOME ANNUALLY. WITH OVERSIGHT BY THE COMMUNITY HEALTH IMPROVEMENT COMMITTEE, CONSISTING OF COMMUNITY LEADERS, MEMBERS OF THE COMMUNITY HOSPITALS AND WELLNESS CENTERS 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 COMMUNITY HOSPITALS AND WELLNESS CENTERS, MOST RECENT CHNA. THE WILLIAMS COUNTY HEALTH DEPARTMENT, THE WILLIAMS COUNTY DEPARTMENT OF AGING, OHIO GUIDESTONE, FOUR COUNTY ADAMS BOARD, SHALOM COUNSELING AND MEDIATION CENTER, THE WILLIAMS COUNTY YMCA, AND THE UNITED WAY OF WILLIAMS COUNTY ARE JUST A FEW OF OUR PARTNER ORGANIZATIONS. ADDITIONALLY, WITH THE SUPPORT OF MIDWEST COMMUNITY HEALTH ASSOCIATES, INC. (PARKVIEW PHYSICIANS GROUP - OHIO), AND BRYAN CITY SCHOOLS, THE HOSPITAL SUPPORTS A SCHOOL-BASED ATHLETIC TRAINER AT BRYAN HIGH SCHOOL, MONTPELIER HIGH SCHOOL, NORTH CENTRAL HIGH SCHOOL, AND STRYKER HIGH SCHOOL.INTERNALLY, COMMUNITY HOSPITALS AND WELLNESS CENTERS' CHI PROGRAM OFFERS INITIATIVES THAT ADDRESS THE HOSPITAL'S CURRENT HEALTH PRIORITIES. EXAMPLES OF THESE INITIATIVES INCLUDE MONTHLY DIABETIC SUPPORT GROUP MEETINGS AND COMMUNITY PRESENTATIONS GIVEN BY HOSPITAL DIETITIANS, FREE LACTATION CONSULTATIONS FOR MOMS FOLLOWING CHILDBIRTH GIVEN BY OUR LACTATION CONSULTANTS, AND COMMUNITY COMMITTEE AND TASK FORCE PARTICIPATION BY MEMBERS OF UPPER MANAGEMENT.IN ADDITION TO CHI'S PARTNERSHIPS SEEKING TO IMPROVE THE HEALTH AND WELL-BEING OF THE COMMUNITY, PARKVIEW ALSO VALUES AND MAINTAINS UPSTREAM PARTNERSHIPS WITH LOCAL, STATE, AND FEDERAL GOVERNMENT LEADERS TO COLLABORATE ON PUBLIC POLICY THAT PROMOTES A HEALTHIER AND MORE VIBRANT COMMUNITY. PARKVIEW'S KEY ADVOCACY PILLARS INCLUDE REDUCING THE TOTAL COST OF CARE; PROTECTING AND EXPANDING ACCESS TO CARE; IMPROVING COMMUNITY HEALTH AND QUALITY OF PLACE; AND ADVANCING INFRASTRUCTURE, TALENT, RESEARCH, AND INNOVATION.EDUCATION:COMMUNITY HOSPITALS AND WELLNESS CENTERS, AS PART OF PARKVIEW HEALTH SYSTEM, INC., OFFERS INNOVATIVE LEARNING EXPERIENCES TO K-12, UNIVERSITY, AND ADULT EDUCATION STUDENTS, GRANTING STUDENTS THE OPPORTUNITY TO EXPLORE HEALTHCARE CAREERS AND PURSUE AN ADVANCED EDUCATION. PARKVIEW HEALTH SYSTEM, INC. HAS MORE THAN 130 AFFILIATION AGREEMENTS WITH SCHOOL PARTNERS, WHICH SUPPORT STUDENT LEARNING OPPORTUNITIES AT ALL PARKVIEW FACILITIES. STUDENTS MAY BEGIN TO EXPLORE POTENTIAL CAREER PATHS THROUGH HANDS-ON EXPERIENCES PROVIDED BY PARKVIEW AND CAREER EXPLORATION CENTERS AND THROUGH UNIQUE EVENTS OFFERED ONSITE AT PARKVIEW HEALTH SYSTEM, INC. FACILITIES. AS STUDENTS ADVANCE INTO HIGH SCHOOL AND COLLEGE, THEY CAN EXPERIENCE JOB SHADOWS AND OBSERVATIONS, AND THEN ADVANCE INTO INTERNSHIPS AND SPECIALTY CLINICALS AS THEY PROGRESS THROUGH THEIR EDUCATION JOURNEY. BEFORE LAUNCHING THEIR CAREER, STUDENTS CAN ACCESS PARKVIEW HEALTH SYSTEM, INC.'S SPECIALLY DESIGNED WORK-STUDY OPPORTUNITIES THAT HELP THEM BECOME PRACTICE-READY BY GRADUATION.THE PARKVIEW EDUCATION CENTER (PEC) OFFERS STUDENTS AND PROFESSIONALS A UNIQUE ENVIRONMENT WHERE THEY CAN LEARN TOGETHER UNDER THE SAME ROOF. THIS FACILITY RESULTS FROM A COLLABORATION BETWEEN PARKVIEW HEALTH AND FORT WAYNE COMMUNITY SCHOOLS (FWCS). TOGETHER, WE ENHANCE THE WAY THAT STUDENTS AND HEALTHCARE PROFESSIONALS LEARN AND WORK TOGETHER. THROUGH REGULAR COLLABORATION, THE PARTNERS ENSURE THE EDUCATION OFFERED AT THE PEC MEETS TODAY'S AND TOMORROW'S TALENT PIPELINE NEEDS. FURTHERMORE, PEC OFFERS BOTH CLASSROOM AND SIMULATED EXPERIENCE OPTIONS FOR STUDENTS AND CURRENT HEALTHCARE PROFESSIONALS, WHICH PROVIDE PARTICIPANTS FROM ALL SKILLSETS AND BACKGROUNDS THE OPPORTUNITY TO GROW TOGETHER. THIS ENABLES HIGH SCHOOL STUDENTS TO DISCOVER POTENTIAL CAREER PATHS, ALLOWS ADULTS TO EARN COLLEGE DEGREES AND CERTIFICATIONS, AND ALLOWS PARKVIEW CO-WORKERS TO ENHANCE THEIR SKILLS.COMMUNITY HOSPITALS AND WELLNESS CENTERS, 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 6) 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, 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 PARKVIEW MIRRO CENTER FOR RESEARCH AND INNOVATION ALSO HOUSES THE HEALTH SERVICES AND INFORMATICS RESEARCH GROUP, WHICH IS COMPRISED OF 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 DISSEMINATING FINDINGS TO OUR LOCAL PUBLIC HEALTH AND GOVERNMENT OFFICIALS TO INFORM PUBLIC HEALTH POLICY.ADVANCING HEALTH CARE DELIVERY AND ACCESS:COMMUNITY HOSPITALS AND WELLNESS CENTERS, AS PART OF PARKVIEW HEALTH SYSTEM, INC., CONTINUES TO ADVANCE INNOVATION IN PATIENT ACCESS TO HEALTHCARE SERVICES THROUGH ITS DIGITAL HEALTH AND VIRTUAL CARE TECHNOLOGY. PARKVIEW USES THE ELECTRONIC MEDICAL RECORD (EMR), THIRD PARTIES, AND ADDITIONAL TOOLS TO FACILITATE VIRTUAL CONNECTIONS BETWEEN STAFF MEMBERS, PROVIDERS, AND PATIENTS. THESE CONNECTIONS ENSURE WE CAN CONNECT WITH COMMUNITY HOSPITALS, COMMUNITY PARTNERS, AND PATIENTS TO EXPEDITE CARE THAT MAY HAVE PREVIOUSLY REQUIRED ADDITIONAL STAFFING, PATIENT MOVEMENT, TRANSPORT, OR DELAYED CARE. ONE OF THE LARGEST PLATFORMS UTILIZED IS THE PATIENT PORTAL, BRANDED AS PARKVIEW'S MYCHART. PARKVIEW MYCHART IS AN EASY-TO-USE TOOL THAT ENABLES PATIENTS TO PLAY AN ACTIVE ROLE IN THEIR HEALTHCARE JOURNEY. IT OFFERS CONVENIENT AND SECURE ACCESS TO MEDICAL RECORDS AND VARIOUS SERVICES, RESOURCES, AND FEATURES THAT ENHANCE THE PATIENT EXPERIENCE. PATIENTS WHO INTEGRATE MYCHART INTO THEIR EVERYDAY LIFE CAN SAVE TIME ORGANIZING HEALTH AND INSURANCE INFORMATION, COMMUNICATE WITH THEIR PROVIDER OFFICE, VIEW SCHEDULING OPTIONS, AND GAIN A BETTER UNDERSTANDING OF 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., COMMUNITY HOSPITALS AND WELLNESS CENTERS 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.COMMUNITY HOSPITALS AND WELLNESS CENTERS, 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. X X 1 1 0 1 0 0 0 0 0 0 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 RICHARD CHURCH DIRECTOR/PH CHIEF GROWTH & STRATEGY 0 620941 0 365221 0 37982 0 177600 0 52213 0 1253957 0 0 DAVID COOLEY DIRECTOR/MCHA PHYSICIAN 0 851748 0 25000 0 26594 0 24150 0 48314 0 975806 0 0 CHAD TINKEL DIRECTOR/MARKET PRESIDENT 379768 0 0 0 2912 0 98819 0 32744 0 514243 0 0 0 CAROLYN SHARROCK-DORSTEN DIRECTOR/MCHA PHYSICIAN 0 323627 0 40675 0 6018 0 37950 0 39435 0 447705 0 0 JEFFREY BENDER CHWC ASSOCIATE CMO 238891 0 0 0 27388 0 8825 0 42339 0 317443 0 0 0 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 0 190916 0 25000 0 2829 0 35417 0 13426 0 267588 0 0 ANCEL PATRICK CHWC VP OPERATIONS 214427 0 0 0 6884 0 15433 0 21429 0 258173 0 0 0 STEVEN BUMB DIRECTOR/PARTIAL YR/MCHA HOSPITALIST 0 206517 0 0 0 3041 0 6292 0 21198 0 237048 0 0 ELIZABETH GRIMES CHWC VP PATIENT CARE SVCS 181422 0 0 0 4020 0 20520 0 20873 0 226835 0 0 0 CRAIG BUELL CHWC PHARMACY MGR 151193 0 0 0 22398 0 19006 0 24592 0 217189 0 0 0 GARY BROWN CHWC PHARMACIST 151692 0 0 0 2188 0 16942 0 14114 0 184936 0 0 0 ELIZABETH KLEMAN CHWC PHARMACY MGR 143261 0 0 0 1162 0 13231 0 26206 0 183860 0 0 0 TAMMRA BUENGER CHWC PHARMACIST 143808 0 0 0 1936 0 16024 0 13637 0 175405 0 0 0 CHRISTA POMEROY FORMER OFFICER/CURRENT PH DIR TREAS 0 219735 0 0 0 950 0 15913 0 39692 0 276290 0 0 PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS - TAX ON TAXABLE GIFT: CRAIG BUELL DISCRETIONARY SPENDING ACCOUNT - TAXABLE DISCRETIONARY SPENDING ACCOUNT PAID TO: JEFFREY BENDER PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF COMMUNITY HOSPITALS AND WELLNESS CENTERS' CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKIEW 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): GREG JOHNSON $488,600; JEANNE' WICKENS $125,574 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: RICHARD CHURCH $163,800; STANTON RISSER $35,417; CHAD TINKEL $60,869; JEANNE' WICKENS $162,816 FORM 990, PART V, LINES 1A AND 2A: PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, COMMUNITY HOSPITALS AND WELLNESS CENTERS, EIN 34-1048666. THEREFORE, PH REPORTS AND FILES ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2, AND W-3. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2024, WAS 703. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2024, WAS 18,730. FOR COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBERS REPORTED FOR THE COMMUNITY HOSPITALS AND WELLNESS CENTERS WERE 58 AND 585, 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 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 2 OFFICERS JEANNE' WICKENS, STANTON RISSER, AND DIRECTOR RICHARD CHURCH HAVE A BUSINESS RELATIONSHIP AS DIRECTORS ON THE BOARD OF A RELATED ENTITY. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF COMMUNITY HOSPITALS AND WELLNESS CENTERS 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; PROVIDED, HOWEVER, THAT THE CHAIR SHALL BE A COMMUNITY DIRECTOR; (III) APPROVE AND/OR REQUIRE THE ADOPTION OF AMENDMENTS TO THE ARTICLES OF INCORPORATION OR CODE OF REGULATIONS OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; PROVIDED, THAT NO AMENDMENT TO THE CORPORATION'S ARTICLES OR CODE OF REGULATIONS THAT MODIFIES THE TERMS AND CONDITIONS PERTAINING TO THE COMPOSITION OR STRUCTURE OF THE CORPORATION'S BOARD SET FORTH IN ARTICLE V, SECTIONS 2 AND 3 OF THIS CODE OF REGULATIONS (THE "BOARD PROVISIONS") MAY BE ADOPTED BY THE CORPORATE MEMBER DURING THE THREE (3) YEAR PERIOD COMMENCING ON THE DATE OF ADOPTION (THE "RESTRICTION PERIOD"); PROVIDED, HOWEVER, THAT THE CORPORATE MEMBER MAY AMEND THE BOARD PROVISIONS DURING THE RESTRICTION PERIOD IF, AND ONLY TO THE EXTENT THAT, THE CORPORATE MEMBER REASONABLY DETERMINES SUCH AMENDMENT (I) IS IN CONJUNCTION WITH A CHANGE OF CONTROL OR CHANGE OF OWNERSHIP OF THE CORPORATE MEMBER OR COMMUNITY HOSPITALS AND WELLNESS CENTERS, AND (II) AMENDS THE COMPOSITION AND/OR STRUCTURE OF THE BOARD SO THAT THE SAME IS SUBSTANTIALLY SIMILAR TO THE COMPOSITION AND/OR STRUCTURE OF THE BOARDS OF THE CORPORATE MEMBER'S OTHER SUBSIDIARY HOSPITALS; (IV) APPROVE AND/OR REQUIRE THE ESTABLISHMENT, ACQUISITION, DIVESTITURE, DISSOLUTION, CLOSURE, MERGER, CONSOLIDATION, CHANGE IN CORPORATE MEMBERSHIP, AFFILIATION OR CORPORATE REORGANIZATION OF THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (V) APPROVE AND ADOPT THE STRATEGIC PLAN AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (VI) APPROVE AND/OR REQUIRE THE INCURRENCE OF ANY DEBT, INCLUDING THE ISSUANCE OF ANY BONDS, PROPOSED BY THE CORPORATION OR ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VII) APPROVE AND/OR REQUIRE THE APPROVAL OF CONTRACTS OR LOANS OBLIGATING THE CORPORATION TO EXPEND OR REPAY AN AMOUNT IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (VIII) APPROVE AND/OR REQUIRE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, TRANSFER, ENCUMBRANCE OR OTHER DISPOSITION OF PROPERTY AND ASSETS OF THE CORPORATION IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; (IX) APPROVE AND ADOPT THE CAPITAL BUDGET, OPERATING BUDGET, FINANCIAL PLANS AND ANY AMENDMENTS THERETO FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (X) APPROVE AND/OR REQUIRE THE ADOPTION OF A MANAGED CARE POLICY FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION, INCLUDING NETWORK PARTICIPATION, PARTICIPATION IN ANY MANAGED CARE AGREEMENT AND PARTICIPATION IN ANY OTHER HEALTH CARE SERVICE ARRANGEMENTS; (XI) APPOINT AND REMOVE AUDITORS, ATTORNEYS AND OTHER PROFESSIONAL ADVISORS FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XII) DEVELOP, APPROVE AND/OR REQUIRE THE ADOPTION OF MEDICAL STAFF QUALITY ASSURANCE STANDARDS, UTILIZATION REVIEW STANDARDS, CRITERIA, POLICIES AND PROCEDURES FOR THE CORPORATION AND ANY SUBSIDIARY OR AFFILIATE OF THE CORPORATION; (XIII) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION TO CHANGE THE CORPORATION FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE CORPORATION'S CURRENT LOCATION; (XIV) APPROVE EACH ANNUAL LIST OF PROPOSED DONORS AND AMOUNTS OF DONATIONS OR GRANTS NOT INCLUDED IN THE ANNUAL BUDGET, AND MAKE PROPOSALS TO DEVIATE THEREFROM THROUGHOUT EACH YEAR IN EXCESS OF LIMITS SPECIFIED IN THE POLICY OF THE CORPORATE MEMBER; AND (XV) APPROVE AND/OR REQUIRE THE ADOPTION OF ANY ACTION THAT IS INCONSISTENT WITH THE POLICY OF THE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION B, LINE 11B PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. COMMUNITY HOSPITALS AND WELLNESS CENTERS 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 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 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 3,751,447. MANAGEMENT AND GENERAL EXPENSES 193,653. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,945,100. MEDICAL PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,612,086. MANAGEMENT AND GENERAL EXPENSES 794,985. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,407,071. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 3,940,412. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,940,412. COLLECTION EXPENSE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,507. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,507. 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 3,406. BOOK/TAX DIFF FROM K-1'S 13,998. REVERSE THE RELEASE OF INTERCOMPANY RECEIVABLE -200,000. 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