2021-03-12T15:47:41-06:00 2019-12-31 350921680 CROWE LLP 330 EAST JEFFERSON BLVD PO BOX 7 SOUTH BEND IN 466240007 990 2019-01-01 351970706 HUNTINGTON MEMORIAL HOSPITAL INC HUNT 2603738429 2001 STULTS ROAD HUNTINGTON IN 46750 JEANNE' WICKENS PH CFO 2602669313 2021-03-12 1 BRITTNEY KOCAJ P01320603 5742323992 2019 2022-09-23 18:48:47Z X MICHAEL J PACKNETT 10501 CORPORATE DRIVE FORT WAYNE IN 46845 171538124 0 X WWW.PARKVIEW.COM X 1995 IN HUNTINGTON MEMORIAL HOSPITAL, INC. WORKS TO IMPROVE THE HEALTH OF OUR COMMUNITIES AND PROVIDES QUALITY HEALTH SERVICES TO ALL WHO ENTRUST THEIR CARE TO US. 12 6 348 63 0 0 32684 217711 70952792 73010264 1072948 1313278 64203 157015 72122627 74698268 408973 358663 0 0 19981377 22104595 0 0 205133 37923503 41720643 58313853 64183901 13808774 10514367 60396413 66868332 19064993 11731320 41331420 55137012 X HUNTINGTON MEMORIAL HOSPITAL, INC. 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THE CONSISTENTLY HIGH LEVEL OF QUALITY CARE DELIVERED IS EVIDENCED BY THE HOSPITAL'S RECOGNITION WITH NUMEROUS STATE AND NATIONAL HONORS, INCLUDING ITS HAVING BEEN NAMED:- ONE OF THE NATION'S 100 TOP HOSPITALS BY IBM WATSON HEALTH -- RECEIVED IN 2018 FOR THE SIXTH TIME - ONE OF THE BECKER'S HOSPITAL REVIEW 100 GREAT COMMUNITY HOSPITALS - RECEIVED IN 2019 FOR THE FIFTH CONSECUTIVE YEAR(SEE SCHEDULE O FOR CONTINUATION) 53217021 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 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 1 0 0 1 X 23 0 1 348 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 6 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 IN X JEANNE' WICKENS 2602669313 10501 CORPORATE DRIVE FORT WAYNE IN 46845 MICHAEL PACKNETT DIRECTOR/PH PRESIDENT & CEO 1.00 56.00 X X 0 3051353 797690 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 1.00 56.00 X 0 843129 327919 STEVEN WYNDER DIRECTOR/PH PHYSICIAN 1.00 40.00 X 12907 1042284 56911 JULIE UTENDORF DIRECTOR/PH PHYSICIAN 1.00 40.00 X 7395 327208 62961 JULI JOHNSON DIRECTOR/HMHOS PRESIDENT 40.00 1.00 X X 258862 0 86951 ROWENA YU-MENDADOR DIRECTOR/PH PHYSICIAN 1.00 38.00 X 16412 284994 44226 DOUGLAS SELIG HMHOS VP PATIENT CARE 40.00 X 217979 0 44607 EDWARD STRUBEL FORMER HC EMPLOYEE/CURRENT PVHOS EMP 0.00 40.00 X 0 195610 55048 BRYAN HALL HMHOS MGR PHARMACY 40.00 X 155311 0 43561 SCOTT AMBURGEY FORMER HC EMPLOYEE/CURRENT PH EMP 0.00 40.00 X 0 144777 38316 STEVEN HOMRICH HMHOS PHARMACIST 32.00 9.00 X 115884 34391 30544 PAULA OPHEIM HMHOS PHARMACIST 38.00 2.00 X 114580 5948 21685 CYNTHIA MARSHALL HMHOS MGR OR 40.00 X 110211 0 24732 ANGELA HORMANN HMHOS MGR REH 40.00 X 108822 0 11738 JOHN NELSON DIRECTOR/CHAIR 1.00 1.00 X 6382 5400 0 DEREK DYER DIRECTOR/TREASURER 1.00 1.00 X 4750 0 0 DARLENE STANLEY DIRECTOR/VICE CHAIR 1.00 X 4750 0 0 SUSAN ZAHN DIRECTOR 1.00 X 4750 0 0 MATT ECKERT DIRECTOR/SECRETARY 1.00 X 4500 0 0 JENNIFER NEWTON DIRECTOR 1.00 X 4250 0 0 CHARLES DAUGHERTY DIRECTOR 1.00 X 3000 0 0 1150745 5935094 1646889 9 1 1 0 PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DRIVE FORT WAYNE IN 46845 LABORATORY SERVICES 2548766 CLINICAL COLLEAGUES INC PO BOX 824246 PHILADELPHIA PA 19182 ANESTHESIOLOGISTS 947991 NORTHEAST INTERNAL MEDICINE ASSOC INC 2500 N DETROIT ST LAGRANGE IN 46761 HOSPITALISTS 382853 HEALOGICS WOUND CARE & HYPERBARIC SERVIC PO BOX 551187 JACKSONVILLE FL 32255 MEDICAL SERVICES 299331 AVERA HEALTH 3900 WEST AVERA DRIVE SIOUX FALLS SD 57108 HOSPITALISTS 152838 9 171152 43874 2685 217711 NET PATIENT SERVICE 622000 72045941 72045941 EMS SUBSIDY 900099 467397 467397 AMBULANCE SERVICES WBHOS 621910 190290 190290 PHARMACY 446110 133038 133038 INTERUNIT RENT 531120 95215 95215 78383 78383 73010264 918457 918457 100331 194898 -94567 -94567 -94567 97031579 8200 96632870 12088 398709 -3888 394821 394821 CAFETERIA REVENUE 722210 181929 181929 GIFT SHOP 453220 67683 67683 FITNESS CENTER - EMPLOYEES 713940 1970 1970 251582 74698268 73010264 0 1470293 X 358663 358663 681991 681991 13322 13322 15855236 15855236 5554046 5554046 107391 107391 6276101 5423334 852767 8602 8197 405 1381140 1310721 70419 9612 9612 1991769 1991453 316 50666 42473 8193 29406 26227 3179 4803 4803 1539073 1537305 1768 161167 161167 CORP SERVICE ALLOCATION 8989332 8989332 PH CLINICAL SUPPORT 8441177 8441177 BAD DEBT 6987922 6987922 MEDICAL SUPPLIES 5408387 5408387 334095 82976 45986 205133 64183901 53217021 10761747 205133 2677 2324 457798 465816 7961070 9564460 411303 538815 19375 77537 25668953 13212997 11629262 12455956 35919987 40388655 246000 246000 3748941 3128769 60396413 66868332 2764339 2907411 110950 88304 16189704 8735605 19064993 11731320 X 41331420 55137012 41331420 55137012 60396413 66868332 X 10514367 3268751 22474 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4471 4471 0 PART II-B, LINE 1: OTHER ACTIVITIES - REPRESENTS THE PORTION OF THE DUES PAID TO INDIANA HOSPITAL AND HEALTH ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION AND VARIOUS PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. 251351 5000 3443 259794 250000 1351 251351 0.00000 0.38490 0.61510 0 1 1 9260360 1783316 7477044 32500 32500 0 15750632 10996254 4754378 625461 400927 224534 12455956 DUE TO/FROM INTERUNIT 7044125 EST 3RD PARTY SETTLEMENTS 1691480 8735605 X PART V, LINE 4: THE GOAL OF THE HUNTINGTON COUNTY MEDICAL SOCIETY ENDOWMENT FUND IS TO PROVIDE SUPPORT FOR EDUCATION, TRAINING AND PROFESSIONAL CERTIFICATION REIMBURSEMENT FOR MEMBERS OF THE STAFF OF THE HOLLY D. SALE REHABILITATION AND WELLNESS CENTER AND THE PARKVIEW HUNTINGTON HOSPITAL CENTER FOR WOUND HEALING, AND THAT ARE CONSISTENT WITH THE MISSION AND PURPOSES OF THE FOUNDATION. PART X, LINE 2: PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2019 AND 2018, 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 NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2015 AND PRIOR. 1 1 X 1 X 0 1 1 0 1 1 985183 0 985183 0.01720 6086720 3982927 2103793 0.03680 6592379 4463596 2128783 0.03720 13664282 8446523 5217759 0.09120 111155 0 111155 0.00190 327121 0 327121 0.00570 438276 438276 0.00760 14102558 8446523 5656035 0.09880 2000 0 2000 0.00000 61917 0 61917 0.00110 63917 63917 0.00110 1 6987922 38796 8440572 10233310 -1792738 X 1 1 1 1 HUNTINGTON MEMORIAL HOSPITAL INC 2001 STULTS ROAD HUNTINGTON IN 46750 WWW.PARKVIEW.COM 14-005081-1 X X X HUNTINGTON MEMORIAL HOSPITAL INC 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS X 1 19 1 HTTPS://WWW.PARKVIEW.COM/LOCALHEALTHNEEDS 0 1 X 200.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X HTTPS://WWW.PARKVIEW.COM/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE X X X X X X 1 X 0 X X X X 1 X 0 0 HUNTINGTON MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 5: DESCRIBE HOW THE HOSPITAL FACILITY TOOK INTO ACCOUNT INPUT FROM PERSONS WHO REPRESENT THE COMMUNITY, AND IDENTIFY THE PERSONS THE HOSPITAL FACILITY CONSULTED:WHEN CONDUCTING ITS 2019 CHNA, PARKVIEW HEALTH SYSTEM, INC. INCLUDING HUNTINGTON MEMORIAL HOSPITAL, INC. AND THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (IN-PHC) RESEARCH TEAM WERE DILIGENT IN ENSURING THE INPUT FROM PERSONS REPRESENTING THE BROADER INTERESTS OF THE COMMUNITY'S VULNERABLE POPULATIONS WAS CONSIDERED.IN GATHERING QUALITATIVE COMMUNITY INPUT, PARKVIEW HEALTH SYSTEM, INC. INCLUDING HUNTINGTON MEMORIAL HOSPITAL, INC. AND ITS RESEARCH PARTNERS OBTAINED THE FOLLOWING: 1) PRIMARY DATA OBTAINED THROUGH AN ONLINE SURVEY OF PARKVIEW HEALTHCARE PROVIDERS (E.G., PHYSICIANS, NURSES, SOCIAL WORKERS, ETC.) AND A SURVEY OF THE COMMUNITY RESIDENTS IN EACH PARKVIEW HEALTH COUNTY AND 2) SECONDARY DATA FROM CONDUENT'S HEALTHY COMMUNITIES INSTITUTE (HCI) DATABASE AND OTHER LOCAL AND NATIONAL AGENCIES (E.G., COUNTY HEALTH RANKINGS, ETC.).HUNTINGTON COUNTY HAD THE SECOND HIGHEST RATE OF PARTICIPATION AMONG THE SEVEN COUNTIES SURVEYED ONLINE. ALL MEMBERS OF THE HEALTH & WELLNESS COALITION OF HUNTINGTON COUNTY WERE INVITED TO TAKE PART. MANY OF THESE PARTNERS WORK WITH INDIVIDUALS AND GROUPS IN THE AREAS IDENTIFIED AS THE TOP TWO COMMUNITY HEALTH ISSUES OF GREATEST CONCERN BY PROVIDERS AND THE TOP TWO SOCIAL SERVICE NEEDS FROM A COMMUNITY PERCEPTION: SUBSTANCE ABUSE AND MENTAL HEALTH. THE POPULATION SUFFERING FROM MENTAL ILLNESS IS OUR MEDICALLY UNDERSERVED AND MOST VULNERABLE IN HUNTINGTON COUNTY. IN ADDITION TO DATA COLLECTION, HUNTINGTON MEMORIAL HOSPITAL, INC. TURNED TO THE COMMUNITY AND PARTNERING ORGANIZATIONS WHEN SELECTING AND PRIORITIZING HUNTINGTON COUNTY'S HEALTH NEEDS. IN DOING SO, A MODIFIED HANLON METHOD PRIORITIZED HEALTH CONCERNS FOR PARKVIEW HEALTH HOSPITAL COMMUNITIES. THIS METHOD, ALSO KNOWN AS THE BASIC PRIORITY RATING SYSTEM (BPRS) 2.0, IS RECOMMENDED BY THE NATIONAL ASSOCIATION OF COUNTY AND CITY HEALTH OFFICIALS (NACCHO) FOR PRIORITIZING COMMUNITY HEALTH NEEDS (GUIDE-TO-PRIORITIZATION-TECHNIQUES.PDF, N.D.). ALTHOUGH COMPLEX TO IMPLEMENT, IT IS USEFUL 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, SERIOUSNESS OF THE HEALTH PROBLEM AND THE AVAILABILITY OF EFFECTIVE HEALTH INTERVENTIONS.THE INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES PRESENTED AN OVERVIEW OF THE REGIONAL CHNA FINDINGS ON JULY 16, 2019, TO ATTENDEES REPRESENTING THE PARKVIEW HEALTH SYSTEM. IN TOTAL OVER 60 INDIVIDUALS PARTICIPATED IN THE PRIORITIZATION PROCESS, INCLUDING REPRESENTATIVES FROM HOSPITAL SERVICE LINES, COMMUNITY HOSPITALS, HEALTHCARE PROVIDERS/PHYSICIANS, EXECUTIVE LEADERSHIP TEAM, COMMUNITY HEALTH AND HOSPITAL BOARD OF DIRECTORS. AFTER A THOROUGH REVIEW OF THE DATA AND CONSIDERABLE DISCUSSION, THE GROUP USED AN ELECTRONIC VOTING SYSTEM TO RANK THE VARIOUS HEALTH NEEDS IDENTIFIED IN THE CHNA. ULTIMATELY, THE GROUP VOTED ON SUBSTANCE USE DISORDER/MENTAL HEALTH, AS THE SHARED HEALTH PRIORITY ACROSS THE HEALTH SYSTEM.AS A CONTINUATION OF THE PRIORITIZATION PROCESS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S BOARD OF DIRECTORS MET ON AUGUST 18TH, 2019 AND DISCUSSED THE RESULTS OF THE CHNA. AFTER A THOUGHTFUL REVIEW OF THE DATA AND EXTENSIVE DISCUSSION, THE BOARD CHOSE TO CONTINUE TO SUPPORT THE PRIOR WORK RELATED TO OBESITY AND SUBSTANCE ABUSE DISORDER IN ADDITION TO ADOPTING THE SHARED HEALTH PRIORITY OF MENTAL HEALTH. OUR PRIORITIES WERE SHARED AND DISCUSSED WITH THE HUNTINGTON COUNTY HEALTH & WELLNESS COALITION ON SEPTEMBER 17TH, 2019. HUNTINGTON MEMORIAL 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); COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC. (EIN 20-2401676); COMMUNITY HOSPITAL OF NOBLE COUNTY, INC. (EIN 35-2087092); WHITLEY MEMORIAL HOSPITAL, INC. (EIN 35-1967665); PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) AND ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH, LLC (EIN 26-0143823). HUNTINGTON MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 6B: THE HOSPITAL FACILITY'S CHNA WAS ALSO CONDUCTED WITH THE FOLLOWING ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES:PARKVIEW HEALTH SYSTEM, INC. (EIN 35-1972384): INDIANA PARTNERSHIP FOR HEALTHY COMMUNITIES (A PARTNERSHIP BETWEEN THE INDIANA UNIVERSITY RICHARD M. FAIRBANKS SCHOOL OF PUBLIC HEALTH AND THE POLIS CENTER AT IUPUI) AND CONDUENT HEALTHY COMMUNITIES INSTITUTE. HUNTINGTON MEMORIAL HOSPITAL, INC. PART V, SECTION B, LINE 11: DESCRIBE HOW THE HOSPITAL FACILITY IS ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS THAT ARE NOT BEING ADDRESSED TOGETHER WITH THE REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED:SIGNIFICANT HEALTH NEEDS BEING ADDRESSED:OBESITY (HAVING A BODY MASS INDEX (BMI) GREATER THAN 30.0 KG/M) AFFECTS ALL AGE GROUPS. ELEVATED BMI AFFECTS PEOPLE OF DIFFERENT SOCIOECONOMIC STATUSES AND RACIAL/ETHNIC GROUPS DISPROPORTIONATELY. MANY COMPLICATIONS CAN OCCUR AS A DIRECT OR INDIRECT RESULT OF OBESITY. OBESITY RATES IN INDIANA ARE HIGHER THAN THE NATIONAL AVERAGE, WITH RATES IN MOST OF NORTHEAST INDIANA BEING ABOVE THE STATE AVERAGE. INDIANA'S ADULT OBESITY RATE IS THE 15TH HIGHEST IN THE NATION AT 34.1 PERCENT. FOR CHILDREN AGES 10 TO 17, 16.6 PERCENT ARE CONSIDERED OBESE, PUTTING INDIANA IN 13TH PLACE. IN COLLABORATION WITH OTHER COMMUNITY LEADERS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S ACTIONS ARE TO SUPPORT THE FURTHER DEVELOPMENT OF HEALTHY LIFESTYLE CHOICES AMONG RESIDENTS OF HUNTINGTON COUNTY. THE STRATEGIC GOAL OF THIS INITIATIVE IS TO INCREASE OVERALL AWARENESS OF HEALTHY LIFESTYLE CHOICES, INCREASE THE NUMBER OF ADULTS WHO REPORT CONSUMING FRUITS AND VEGETABLES DAILY, AND INCREASE THE NUMBER OF NUTRITIONAL AND ACTIVITY-BASED PROGRAMS OFFERED FOR FAMILIES. THE ANTICIPATED IMPACT IS REDUCTION OF THE OBESITY RATE AND THE CORRESPONDING CHRONIC DISEASES THAT GO HAND IN HAND WITH OBESITY. FUNDED PARTNERS HAVE PARTICIPATED IN VARIOUS ENDEAVORS TO PROMOTE HEALTHY LIVING AND THUS PREVENT OR TREAT OBESITY ACROSS THE LIFESPAN. EVERY THIRD-GRADER HAS THE OPPORTUNITY TO PARTICIPATE IN A WEEK-LONG SWIM PROGRAM TO INCREASE THEIR SWIMMING PROFICIENCY, AND THUS, SAFETY AROUND WATER. TWENTY-THREE NUTRITION AND WELLNESS LESSONS WERE TAUGHT TO 301 FOURTH-GRADERS BY PURDUE EXTENSION. ONE HUNDRED PERCENT OF FIFTH-GRADERS AT A LOCAL ELEMENTARY SCHOOL WERE ABLE TO TRY LETTUCES AND GREENS THEY GREW IN TOWER GARDENS AND USED STATISTICS TO DETERMINE WHICH TYPES OF LETTUCE CREATED THE GREATEST HARVEST BY VOLUME. BLESSINGS IN A BACKPACK IS WORKING AT COMBATING FOOD INSECURITY BY SENDING ABOUT 317 STUDENTS HOME WITH MEALS FOR THE WEEKEND THROUGHOUT THE SCHOOL YEAR; NOVEMBER AND DECEMBER OF 2019 AVERAGED 448 STUDENTS EACH OF THOSE MONTHS. PARKVIEW BOYS & GIRLS CLUB OF HUNTINGTON COUNTY IS INCREASING THE NUMBER OF YOUTHS EATING FRESH FRUIT AND VEGETABLES DAILY THROUGH ITS HEALTHY HABITS PROGRAM. AFTERSCHOOL AND SUMMER PROGRAMMING (POWER CLUB AND BOOST CAMP) INCORPORATED BOTH PHYSICAL ACTIVITY AND NUTRITION EDUCATION TO REACH AT-RISK YOUTH. ADULTS FROM GROUP HOMES, TRANSITIONAL HOUSING, AND A MENTAL HEALTH FACILITY ARE ABLE TO INCREASE THEIR ACTIVITY WITH ACCESS TO WELLNESS THROUGH THE YMCA, WHICH LOGGED MORE THAN 455 VISITS BY THEM PER MONTH.ALL AGES HAVE BENEFITED FROM THE HELPING HANDS COMMUNITY GARDEN. NINETY-ONE PERCENT OF GARDEN PARTICIPANTS REPORT EATING MORE FRUITS AND VEGETABLES BECAUSE OF THE COMMUNITY GARDEN. TRANSITIONING TO RAISED BEDS IN 2019 YIELDED LESS PRODUCE, BUT OFFERED MORE EDUCATIONAL AND HEALTHY OUTDOOR FAMILY-FRIENDLY ACTIVITIES ON A MONTHLY BASIS, INCLUDING YOGA AND A BUTTERFLY WORKSHOP. COOKING CLASSES TARGETED TO LOW-INCOME FAMILIES ENCOURAGED THEM TO LEARN TO PREPARE HEALTHY MEALS AT HOME AND INCORPORATED PRODUCE FROM THE COMMUNITY GARDEN. AN AVERAGE OF 1,069 INDIVIDUALS PER MONTH BENEFITED FROM A YEAR-ROUND PRODUCE OPTION PROVIDED THROUGH LOVE, INC., A LOCAL FOOD PANTRY IN THE CITY OF HUNTINGTON, AND MORE THAN 444 PER MONTH BENEFITED THROUGH A RURAL COMMUNITY'S WARREN BREAD OF LIFE PANTRY. HUNTINGTON MEMORIAL HOSPITAL, INC.'S SENIOR EXERCISE CLASS AND CHRONIC PAIN SUPPORT GROUP HAVE ALSO ADDRESSED KEY ELEMENTS TO TACKLE THE OBESITY EPIDEMIC ALONG WITH OUTREACH AT IN-HOUSE AND COMMUNITY HEALTH FAIRS AND PRESENTATIONS. THE HOSPITAL'S "MY WELL-BEING" COMMITTEE PROVIDES RESOURCES FOR CO-WORKERS TO ENABLE THEM TO BE GOOD EXAMPLES FOR THE REST OF THE COMMUNITY. IN COLLABORATION WITH OTHER COMMUNITY LEADERS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S ACTIONS ARE TO SUPPORT THE PREVENTION AND TREATMENT OF ALCOHOL AND SUBSTANCE ABUSE/ADDICTION AMONG RESIDENTS OF HUNTINGTON COUNTY. THE STRATEGIC GOAL OF THIS INITIATIVE IS TO INCREASE OVERALL AWARENESS OF THIS MAJOR ISSUE; DECREASE THE NUMBER OF ADULTS WHO REPORT THINKING OF, OR USING, ALCOHOL AND DRUGS; AND INCREASE THE NUMBER OF PREVENTION AND TREATMENT-BASED PROGRAMS OFFERED IN THE COMMUNITY. THE ANTICIPATED IMPACT IS THE IMPROVED PHYSICAL, MENTAL, AND FINANCIAL WELL-BEING OF AREA RESIDENTS. PARTNERS ARE WORKING TO PREVENT AND TREAT ADDICTION AT ALL AGES. PARKVIEW BOYS & GIRLS CLUB OF HUNTINGTON COUNTY'S DRUG PREVENTION PROGRAM REPORTED 37 CHILDREN ATTENDING THE EIGHT-WEEK PROGRAM, WITH 97% STATING THEY STAYED AWAY FROM SUBSTANCES WITHIN 30 DAYS OF THE END OF THE PROGRAM. HUNTINGTON HOUSE SHELTER SPENT $902 FOR DRUG TESTING TO ENSURE THE SHELTER REMAINS 100% DRUG-FREE. PLACE OF GRACE TRANSITIONAL HOUSING REPORTED 100% OF GRADUATES WERE GAINFULLY EMPLOYED BY THE TIME OF GRADUATION, 100% REPORTED AN INCREASE IN KNOWLEDGE OF COMMUNITY RESOURCES, AND 86% AN INCREASE IN SELF-ESTEEM. NINETY-SIX PERCENT OF 235 ADULTS WHO PARTICIPATED IN A SUICIDE PREVENTION PROGRAM THROUGH YOUTH SERVICES BUREAU DEMONSTRATED AN INCREASE IN KNOWLEDGE. A CURRICULUM EDUCATING ON SUICIDE WARNING SIGNS, RISK FACTORS, AND APPROPRIATE ACTION STEPS IN SUICIDE PREVENTION REACHED 220 SEVENTH-GRADERS ALL OF WHOM DEMONSTRATED AN INCREASE IN KNOWLEDGE. THE NEW ADDITIONS OF MCMILLEN HEALTH CENTER AND YOUTH FOR CHRIST AS COMMUNITY PARTNERS FOR 2019 WERE GREAT ASSETS RELATIVE TO THIS PRIORITY. MCMILLEN PROVIDED 40 PREVENTIVE HEALTH EDUCATION SESSIONS FOCUSING ON DRUG PREVENTION FOR STUDENTS IN GRADES K-3, SERVING 1,274 STUDENTS. INCREASE IN KNOWLEDGE WAS 23.22% COMPARED TO THE GOAL OF 35%, BUT THE PRE- AND POST-TEST QUESTIONS FOR THIS AGE RANGE WERE DESIGNED TO REINFORCE WHAT YOUTH ALREADY KNEW, WHILE INTRODUCING ONLY ONE OR TWO PIECES OF NEW INFORMATION. YOUTH FOR CHRIST SURPASSED ITS GOAL OF 80 STUDENTS IN CORE STUDENT LEADERSHIP MEETINGS; 100 STUDENTS PARTICIPATED IN MEETINGS AS WELL AS A SERVICE PROJECT WITH BLESSINGS IN A BACKPACK. SUBSTANCE ABUSE PROGRAMMING REACHED 370 STUDENTS. EIGHTY PARTICIPATED IN SMALL GROUP MEETINGS THAT FOCUSED ON PERSONAL GROWTH, HEALTHY RELATIONSHIPS, ACCOUNTABILITY, SUPPORT SYSTEMS, AND SENSE OF BELONGING. ONE-ON-ONE APPOINTMENTS WITH ADULT MINISTRY LEADERS INVOLVED 225 STUDENTS. OTHER HEALTH NEEDS NOT BEING ADDRESSED:A. DIABETES, CARDIOVASCULAR DISEASE AND CANCER - WHILE HUNTINGTON MEMORIAL HOSPITAL, INC., DID NOT SELECT THESE CHRONIC DISEASES AS TOP HEALTH PRIORITIES, OUR INTENT IS TO HELP TO PREVENT AND REDUCE THE PRESENCE OF CHRONIC CONDITIONS SUCH AS THE AFOREMENTIONED DISEASES BY ADDRESSING OBESITY THROUGH NUTRITION EDUCATION, INCREASED ACCESS TO HEALTHY FOODS, ACTIVE LIVING PROGRAMS, AND EDUCATION ON OTHER HEALTHY LIFESTYLE HABITS. B. MATERNAL/INFANT/CHILD HEALTH - PRENATAL CARE IS OFFERED BY HUNTINGTON MEMORIAL HOSPITAL, INC., VIA THE BIRTH PLANNING PROGRAM. WIC AND KIDS KAMPUS ALSO PROVIDE SERVICES. C. HEALTHCARE ACCESS (COST AND QUALITY) - HUNTINGTON MEMORIAL HOSPITAL, INC., COLLABORATES WITH PARKVIEW PHYSICIANS GROUP (PPG) TO PROVIDE THE MEDICAL COVERAGE NEEDED FOR THE COMMUNITY. IF AN INDIVIDUAL DOES NOT HAVE A LOCAL PRIMARY CARE PHYSICIAN, THEY ARE PROVIDED WITH A LIST OF THE LOCAL PHYSICIANS AND THEIR CONTACT NUMBERS. MATTHEW 25 HEALTH & DENTAL CLINICS, BASED IN FORT WAYNE, HAS A SATELLITE OFFICE IN THE HUNTINGTON COMMUNITY TO WHICH PPG OFFICES AND THE HOSPITAL CAN REFER PEOPLE WHO DO NOT HAVE HEALTH INSURANCE. D. MENTAL HEALTH - IN 2019, HUNTINGTON MEMORIAL HOSPITAL, INC., HAD REPRESENTATION AT COMMUNITY & FAMILY SERVICES ADVISORY BOARD MEETINGS AND THE CITY OF HUNTINGTON PREVENTION TASKFORCE FOCUSING COMMUNITY CONVERSATIONS ON MENTAL HEALTH. IN ADDITION, THE HOSPITAL PARTNERS WITH THE BOWEN CENTER THROUGH MONTHLY SYSTEMS OF CARE MEETINGS. HUNTINGTON UNIVERSITY ALSO OFFERS ITS LIFESPRING COUNSELING PROGRAM, AND MERIDIAN HEALTH SERVICES PROVIDES COUNSELING SERVICES AS WELL. E. CHRONIC KIDNEY DISEASE - MAJOR RISK FACTORS RELATED TO CHRONIC KIDNEY DISEASE ARE DIABETES, HIGH BLOOD PRESSURE, AND AGE (60 AND OLDER). BY DECREASING OBESITY, THE HOSPITAL AND ITS COMMUNITY PARTNERS ARE WORKING TO ADDRESS SUCH RISK FACTORS. F. ASTHMA - PATHFINDER KIDS KAMPUS - A HUNTINGTON MEMORIAL HOSPITAL, INC., FUNDED PARTNER - PROVIDES KIDS KLINIC, WHICH ADDRESSES THE NEEDS OF CHILDREN WITH ASTHMA. G. AGING - HUNTINGTON MEMORIAL HOSPITAL, INC., PROVIDES LOCAL SENIORS WITH DISCOUNTS AS WELL AS OTHER OPPORTUNITIES THROUGH THE PARKVIEW SENIORS CLUB. THE HOSPITAL ALSO SUPPORTS PROGRAMMING THROUGH THE HUNTINGTON COUNTY COUNCIL ON AGING, A FUNDED PARTNER, WHICH IS INVOLVED WITH THE LOCAL HEALTH & WELLNESS COALITION. 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. 2 1 - PARKVIEW HUNTINGTON YMCA 1160 W 500 NORTH HUNTINGTON IN 46750 PHYSICAL THERAPY 2 - PARKVIEW MEDICAL PLAZA 2708 GUILFORD STREET HUNTINGTON IN 46750 LAB DRAW SITE PART I, LINE 3C: EQUITY IN A HOME OTHER THAN THE PATIENT OR GUARANTOR'S PRIMARY RESIDENCE. 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) 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 7BHUNTINGTON MEMORIAL HOSPITAL, INC. 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 7CHUNTINGTON MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEANS-TESTED PATIENTS FROM THE HEALTHY INDIANA PLAN (HIP) WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEANS-TESTED 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 HIP, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. THE UNREIMBURSED HIP COST REPORTED ON LINE 7C IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE HIP CHARGES ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF HIP SERVICES RENDERED. THEN, THE COST OF HIP SERVICES RENDERED IS DEDUCTED FROM THE REIMBURSEMENT RECEIVED FOR HIP 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 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, HUNTINGTON MEMORIAL HOSPITAL, INC. CONTINUES ITS TRADITION OF CONTRIBUTING TO NUMEROUS ORGANIZATIONS ON BOTH AN AS-NEEDED BASIS AND NEGOTIATED BASIS. AMOUNTS PRESENTED REPRESENT ACTUAL SPEND TO ORGANIZATIONS THROUGHOUT OUR COMMUNITIES. PART I, LN 7 COL(F): PERCENT OF TOTAL EXPENSEHUNTINGTON MEMORIAL HOSPITAL, INC. EXCLUDED $6,987,922 OF BAD DEBT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: DESCRIBE HOW THE ORGANIZATION'S COMMUNITY BUILDING ACTIVITIES, AS REPORTED, PROMOTE THE HEALTH OF THE COMMUNITIES THE ORGANIZATION SERVES.HUNTINGTON MEMORIAL HOSPITAL, INC. PROVIDES SUPPORT FOR LOCAL ECONOMIC DEVELOPMENT PROGRAMS. THESE EFFORTS ARE ALIGNED WITH OF THE HEALTH SYSTEM'S STRATEGIC INVOLVEMENT IN THE NORTHEAST INDIANA REGIONAL PARTNERSHIP'S VISION 2020, A REGIONAL INITIATIVE DESIGNED TO TRANSFORM NORTHEAST INDIANA INTO A TOP GLOBAL COMPETITOR BY FOCUSING ON A COMMON MISSION TO DEVELOP, ATTRACT AND RETAIN TALENT. VISION 2020'S REGIONAL PRIORITIES ARE TIED TO EDUCATION/WORKFORCE, BUSINESS CLIMATE, ENTREPRENEURSHIP, INFRASTRUCTURE AND QUALITY OF LIFE FOR THE ELEVEN-COUNTY REGION IN NORTHEAST INDIANA. PROMOTION OF ECONOMIC DEVELOPMENT IN HUNTINGTON COUNTY IS A PART OF A COLLECTIVE PLAN TO IMPROVE THE QUALITY OF LIFE AND ULTIMATELY THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY.HUNTINGTON MEMORIAL HOSPITAL, INC. ALSO SUPPORTS PHYSICIAN RECRUITMENT ACTIVITIES TO ASSIST IN TIMELY RESPONSE TO PATIENT CARE NEEDS IN THE COMMUNITY. THESE RECRUITMENT ACTIVITIES ARE BASED ON RESULTS OF A PERIODIC PHYSICIAN NEEDS ASSESSMENT. HUNTINGTON MEMORIAL HOSPITAL, INC. DEVELOPED A PHYSICIAN RECRUITMENT PLAN TO ADDRESS POTENTIAL GAPS IN PATIENT COVERAGE. HUNTINGTON MEMORIAL HOSPITAL, INC. STRIVES TO BRING THE BEST INTEGRATED, QUALITY, AND COST EFFECTIVE CARE AND INNOVATIVE TECHNOLOGY TO OUR COMMUNITIES. IN DOING SO, WE FOCUS OUR EFFORTS ON RECRUITING AN EXCEPTIONAL TEAM OF PHYSICIANS. EVERY MEMBER OF HUNTINGTON MEMORIAL HOSPITAL, INC.'S HEALTHCARE TEAM IS RESPONSIBLE FOR NURTURING AN ENVIRONMENT OF EXCELLENCE AS THE BEST PLACE FOR CO-WORKERS TO WORK, PHYSICIANS TO PRACTICE MEDICINE, AND PATIENTS TO RECEIVE CARE. WE ARE COMMITTED TO PROVIDING EXCEPTIONAL CUSTOMER SERVICE TO ALL PEOPLE. WE KNOW HOW IMPORTANT CLINICAL, SERVICE AND OPERATIONAL EXCELLENCE IS TO THE SUCCESS OF HUNTINGTON MEMORIAL HOSPITAL, INC., AND WE RECOGNIZE HOW IMPORTANT OUR SUCCESS IS TO THE COMMUNITY. PART III, LINE 2: BAD DEBT ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER GENERALLY ACCEPTED ACCOUNTING STANDARDS IS REPORTED IN ACCORDANCE WITH ASU 2014-09 AND HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT 15. TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES ACCOUNTING FOR BAD DEBT EXPENSE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS AT PAGES 13 AND 25 - 29. PART III, LINE 3: COSTING METHODOLOGY USED:UNCOLLECTIBLE PATIENT ACCOUNTS ARE CHARGED AGAINST THE PROVISION FOR BAD DEBT IN ACCORDANCE WITH THE POLICIES OF HUNTINGTON MEMORIAL HOSPITAL, INC. HOWEVER, DURING THE COLLECTION PROCESS THERE IS A CONTINUOUS EFFORT TO DETERMINE IF THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE. THEREFORE, ONCE AN UNCOLLECTIBLE ACCOUNT HAS BEEN CHARGED OFF AND IT IS DETERMINED THROUGH THE COLLECTION PROCESS THAT THE PATIENT QUALIFIES FOR FINANCIAL ASSISTANCE, THE UNCOLLECTIBLE ACCOUNT IS RECLASSIFIED TO CHARITY CARE AND ALL COLLECTION EFFORTS CEASE. PATIENTS ARE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME, INCLUDING PATIENTS WHOSE ACCOUNTS HAVE BEEN PLACED IN A BAD DEBT AGENCY. THE AMOUNT REFLECTED ON LINE 3 WAS CALCULATED BY TOTALING THE ACCOUNTS PREVIOUSLY WRITTEN OFF TO BAD DEBT AND PLACED WITH A COLLECTION AGENCY, BUT SUBSEQUENTLY RECLASSIFIED AS CHARITY CARE DURING THE TAX YEAR. THE ACCOUNTS WERE RECLASSIFIED AS CHARITY CARE DUE TO THE FACT THAT PATIENTS APPLIED FOR, AND WERE APPROVED FOR, FINANCIAL ASSISTANCE AFTER THE ACCOUNTS WERE PLACED WITH A BAD DEBT AGENCY. 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 13 AND 25-29 OF ATTACHED FINANCIAL STATEMENTS. PART III, LINE 8: COMMUNITY BENEFIT & METHODOLOGY FOR DETERMINING MEDICARE COSTSSUBSTANTIAL SHORTFALLS TYPICALLY ARISE FROM PAYMENTS THAT ARE LESS THAN THE COST TO PROVIDE THE CARE OR SERVICES AND DO NOT INCLUDE ANY AMOUNTS RELATING TO INEFFICIENT OR POOR MANAGEMENT. HUNTINGTON MEMORIAL HOSPITAL, INC. ACCEPTS ALL MEDICARE PATIENTS, AS REFLECTED ON THE YEAR-END MEDICARE COST REPORT, WITH THE KNOWLEDGE THAT THERE MAY BE SHORTFALLS. INTERNAL REVENUE SERVICE (IRS) REVENUE RULING 69-545 IMPLIES THAT TREATING MEDICARE 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 MEDICARE, THEN THIS IS AN INDICATION THAT THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. HOWEVER, MEDICARE PAYMENTS REPRESENT A PROXY OF COST CALLED THE "UPPER PAYMENT LIMIT." IT HAS HISTORICALLY BEEN ASSUMED THAT UPPER PAYMENT LIMIT PAYMENTS DO NOT GENERATE A SHORTFALL. AS A RESULT, HUNTINGTON MEMORIAL HOSPITAL, INC. HAS TAKEN THE POSITION NOT TO INCLUDE THE MEDICARE SHORTFALLS OR SURPLUSES AS PART OF COMMUNITY BENEFIT. HUNTINGTON MEMORIAL HOSPITAL, INC. RECOGNIZES THAT THE SHORTFALL OR SURPLUS FROM MEDICARE DOES NOT INCLUDE THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS. AS SUCH, THE TOTAL SHORTFALL OR SURPLUS OF MEDICARE IS UNDERSTATED DUE TO THE COSTS AND REVENUES ASSOCIATED WITH MEDICARE ADVANTAGE PATIENTS NOT BEING INCLUDED IN THE COMMUNITY BENEFIT DETERMINATION. PART III, LINE 9B: IF THE PATIENT CANNOT PAY IN FULL, THE OPTION OF A LOW INTEREST LOAN IS AVAILABLE WITH THE SAME DISCOUNT OFFERED FOR CASH PAYMENTS AS LONG AS THE LOAN IS ARRANGED WITHIN 30 DAYS OF THE FIRST GUARANTOR STATEMENT. IF THE PATIENT DEFAULTS ON THE LOAN, THE DISCOUNT WILL BE REVERSED AND THE PATIENT'S ACCOUNT WILL BE PLACED IN A COLLECTION AGENCY.INTEREST-FREE PAYMENTS WITH PAY-OUT NOT TO EXCEED THIRTY-SIX (36) MONTHS ARE AVAILABLE. THE MINIMUM MONTHLY PAYMENT IS $25.FINANCIAL ASSISTANCE MAY BE AVAILABLE FOR THOSE PATIENTS WHO CANNOT PAY THEIR BILL. THOSE OPTIONS ARE GOVERNMENTAL ASSISTANCE OR FREE CARE THROUGH THE HOSPITAL FINANCIAL ASSISTANCE PROGRAM. THE HEALTH SYSTEM FINANCIAL ASSISTANCE POLICY IS AVAILABLE ON PARKVIEW.COM OR BY VISITING ANY HOSPITAL CASHIER OFFICE OR BY CALLING PATIENT ACCOUNTING AT 260.266.6700 OR TOLL FREE 855.814.0012. A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE ANYTIME DURING THE APPLICATION PERIOD. FAILURE TO MAKE ARRANGEMENTS AS LISTED ABOVE OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING PLACED IN A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES WHICH MAY ULTIMATELY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE. ADDITIONALLY, THE COLLECTION AGENCY MAY SUE AND OBTAIN A JUDGMENT AGAINST THE PATIENT FOR NON-PAYMENT. THESE ACTIONS WILL NOT OCCUR UNTIL 120 DAYS AFTER THE PATIENT IS SENT THEIR FIRST FOLLOW-UP STATEMENT INDICATING THE AMOUNT THEY OWE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN THOUGH THEY HAVE BEEN PLACED IN A COLLECTION AGENCY. IF THE PATIENT WAS SENT THEIR FIRST NOTICE ON THE ACCOUNT FOR WHICH THEY ARE APPLYING FOR FREE CARE BETWEEN 120 DAYS AND THE END OF THE APPLICATION PERIOD, THE ACTIONS ABOVE WILL BE SUSPENDED UNTIL THE FREE CARE APPLICATION ELIGIBILITY IS DETERMINED. 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 HEALTH SYSTEM, INC. INCLUDING HUNTINGTON MEMORIAL HOSPITAL, INC. ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITY IT SERVES THROUGH PRIMARY AND SECONDARY DATA ANALYSIS, WORKING WITH THE ORGANIZATION'S COMMUNITY PARTNERS, AND ITS FRONTLINE STAFF.- DATA COLLECTION FROM COMMUNITY HEALTH WORKERS- HCI SECONDARY DATA- MEETING WITH COMMUNITY PARTNERS- OBSERVATIONS FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS- REVIEW OF CHNA CONDUCTED BY LOCAL ORGANIZATIONSHOSPITAL REPRESENTATIVES MAINTAIN ON-GOING 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 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.HUNTINGTON MEMORIAL HOSPITAL, INC., PRIMARILY SERVES THE HUNTINGTON COUNTY COMMUNITIES OF HUNTINGTON, ANDREWS, MARKLE, MT. ETNA, ROANOKE AND WARREN. ACCORDING TO WWW.STATS.INDIANA.EDU IN 2019 HUNTINGTON COUNTY HAD APPROXIMATELY 36,520 RESIDENTS, PRIMARILY CAUCASIAN (96.8%), FOLLOWED BY HISPANIC (2.6%) AND AFRICAN-AMERICAN (0.7%). THE COUNTY'S ANNUAL UNEMPLOYMENT RATE WAS 3.3%. THE MEDIAN INCOME IN HUNTINGTON COUNTY WAS $53,809. THE EMPLOYMENT AND EARNINGS BY INDUSTRY WAS HEAVILY MANUFACTURING (18.9%) FOLLOWED BY HEALTHCARE/SOCIAL SERVICES (10.1%) AND RETAIL TRADE (9.7%). THE POVERTY RATE IN HUNTINGTON COUNTY STOOD AT 10.1%. 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.).THE HUNTINGTON MEMORIAL HOSPITAL, INC. BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS WHO RESIDE IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN THE COMMUNITY. PEOPLE THROUGHOUT THE COMMUNITY CAN COUNT ON HUNTINGTON MEMORIAL HOSPITAL, INC. TO BE STANDING BY WITH EMERGENCY CARE 24 HOURS A DAY, 365 DAYS A YEAR. THE EMERGENCY DEPARTMENT IS STAFFED WITH BOARD-CERTIFIED EMERGENCY CARE PHYSICIANS AND A NURSING STAFF THAT IS TRAINED AND EXPERIENCED IN EMERGENCY CARE. FURTHERMORE, NO PATIENT IS EVER DENIED TREATMENT, REGARDLESS OF THEIR ABILITY TO PAY. ADDITIONALLY, HUNTINGTON MEMORIAL HOSPITAL, INC. FUNDS COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND PARTNERS WITH COMMUNITY ORGANIZATIONS TO ENCOURAGE HEALTHIER LIFESTYLES AMONG THE CITIZENS OF NORTHEAST INDIANA. KEY PROJECTS AND AREAS OF FOCUS FUNDED THROUGH THE COMMUNITY HEALTH IMPROVEMENT INITIATIVES AND OTHER HOSPITAL FUNDS INCLUDE:-INVESTMENT IN KEY ORGANIZATIONS (HEALTH PARTNERS) THAT ENCOURAGE HEALTHIER LIFESTYLES AMONG THE CITIZENS OF HUNTINGTON COUNTY AND NORTHEAST INDIANA. 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. (PARKVIEW), A HEALTHCARE SYSTEM SERVING NORTHEAST INDIANA AND NORTHWEST OHIO THROUGH OUR HOSPITALS AND PHYSICIAN CLINICS, INCLUDES THE NOT-FOR-PROFIT HOSPITALS OF PARKVIEW HOSPITAL, INC.: COMMUNITY HOSPITAL OF LAGRANGE COUNTY, INC.; COMMUNITY HOSPITAL OF NOBLE COUNTY, INC.; PARKVIEW WABASH HOSPITAL, INC.; WHITLEY MEMORIAL HOSPITAL, INC.; HUNTINGTON MEMORIAL HOSPITAL, INC.; DEKALB MEMORIAL HOSPITAL, INC.; AS WELL AS 60 PERCENT OWNERSHIP IN THE JOINT VENTURE OF ORTHOPEDIC HOSPITAL AT PARKVIEW NORTH, LLC.THE CORPORATE MISSION AND VISION IS AS FOLLOWS: AS A COMMUNITY OWNED, NOT-FOR-PROFIT ORGANIZATION, PARKVIEW HEALTH IS DEDICATED TO IMPROVING YOUR HEALTH AND INSPIRING YOUR WELL-BEING BY: 1) TAILORING A PERSONALIZED HEALTH JOURNEY TO ACHIEVE YOUR UNIQUE GOALS, 2) DEMONSTRATING WORLD-CLASS TEAMWORK AS WE PARTNER WITH YOU ALONG THAT JOURNEY 3) PROVIDING THE EXCELLENCE, INNOVATION AND VALUE YOU SEEK IN TERMS OF CONVENIENCE, COMPASSION, SERVICE, COST AND QUALITY.EACH HOSPITAL ENTITY ENGAGES IN COMMUNITY OUTREACH ACTIVITIES CUSTOMIZED TO MEET THE UNIQUE HEALTH NEEDS OF THEIR RESPECTIVE COMMUNITIES. 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 THE SEVEN-COUNTY AREA, THE HEALTH PRIORITY OF SUBSTANCE USE DISORDER/MENTAL HEALTH PROMOTION WAS SELECTED BY ALL AFFILIATE HOSPITALS.PARKVIEW 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, PARKVIEW 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 IN OUR EFFORTS TO POSITIVELY IMPACT COMMUNITY HEALTH STATUS. PART VI, LINE 7, REPORTS FILED WITH STATES IN PART VI, LINE 7: A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH. 1 BOYS AND GIRLS CLUB OF HUNTINGTON COUNTY INC 608 EAST STATE STREET HUNTINGTON IN 46750 352094506 501(C)(3) 115714 LIFE SKILLS PROGRAMS FOR ALL YOUNG PEOPLE UNITED WAY OF HUNTINGTON COUNTY INC PO BOX 347 HUNTINGTON IN 46750 351134872 501(C)(3) 32120 PROGRAMS & RESOURCES TO ENHANCE THE QUALITY OF LIFE FOR THE CITIZENS OF HUNTINGTON COUNTY PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC 2001 STULTS ROAD HUNTINGTON IN 46750 320012095 501(C)(3) 30344 OPERATIONS PATHFINDER SERVICES INC 2824 THEATER AVE HUNTINGTON IN 46750 351122311 501(C)(3) 30000 LOCAL SICK-CARE DAYCARE FOR CHILDREN HUNTINGTON COUNTY COUNCIL ON AGING INC 354 NORTH JEFFERSON STREET HUNTINGTON IN 46750 351323270 501(C)(3) 30000 HUNTINGTON AREA TRANSPORTATION AND PROGRAMMING LOVE INC OF HUNTINGTON COUNTY INDIANA 715 BRYON STREET HUNTINGTON IN 46750 311144508 501(C)(3) 15500 ASSISTANCE PROGRAM FOR THOSE IN NEED PLACE OF GRACE INC 540 GUILFORD STREET HUNTINGTON IN 46750 471569406 501(C)(3) 15000 PROVIDE STRUCTURAL ASSISTANCE TO WOMEN RECENTLY RELEASED FROM JAIL BLESSINGS IN A BACKPACK INC 4121 SHELBYVILLE ROAD LOUISVILLE KY 40207 261964620 501(C)(3) 15000 RESOURCES TO PROVIDE FOOD FOR ELEMENTARY SCHOOL CHILDREN WHO MIGHT OTHERWISE GO HUNGRY PARKVIEW HUNTINGTON FAMILY YMCA INC 1160 WEST 500 NORTH HUNTINGTON IN 46750 350905959 501(C)(3) 10000 PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL CANCER SERVICES OF HUNTINGTON COUNTY PO BOX 51 HUNTINGTON IN 46750 351579660 501(C)(3) 10000 FINANCIAL ASSISTANCE FOR INDIVIDUALS WITH A CANCER DIAGNOSIS HUNTINGTON UNIVERSITY INC 2303 COLLEGE AVENUE HUNTINGTON IN 46750 350868101 501(C)(3) 10000 NURSING EQUIPMENT SIMULATION LAB HAROLD W MCMILLEN CENTER FOR HEALTH EDUCATION 600 JIM KELLEY BLVD FORT WAYNE IN 46816 351186994 501(C)(3) 10000 PROVIDE VITAL & EFFECTIVE HEALTH EDUCATION THAT PROMOTES PHYSICAL, EMOTIONAL & SOCIAL WELL-BEING CANCER SERVICES OF ALLEN COUNTY INC 6316 MUTUAL DRIVE FORT WAYNE IN 46825 350965609 501(C)(3) 7500 PATIENT ADVOCACY YOUTH SERVICES BUREAU OF HUNTINGTON COUNTY INC 1344 MAPLE DRIVE HUNTINGTON IN 46750 311207251 501(C)(3) 7200 ON YOUR WAY UP & SUICIDE PREVENTION PROGRAMS 14 0 PART I, LINE 2: COMMUNITY HEALTH IMPROVEMENT FUNDING PARTNER ORGANIZATIONS ARE REQUIRED TO SUBMIT AN ANNUAL PROGRESS REPORT RELATED TO PROGRAM FUNDING. PARTNER ORGANIZATIONS ARE REQUIRED TO RE-APPLY FOR FUNDING ON AN ANNUAL BASIS. X 1 1 0 1 0 0 0 0 0 1 0 MICHAEL PACKNETT DIRECTOR/PH PRESIDENT & CEO 0 1115831 0 248595 0 1686927 0 758944 0 38746 0 3849043 0 1637768 JEANNE' WICKENS PH CHIEF FINANCIAL OFFICER 0 689476 0 131971 0 21682 0 295719 0 32200 0 1171048 0 0 STEVEN WYNDER DIRECTOR/PH PHYSICIAN 12466 857057 0 154913 441 30314 377 30423 319 25792 13603 1098499 0 0 JULIE UTENDORF DIRECTOR/PH PHYSICIAN 7395 269381 0 56815 0 1012 681 30119 711 31450 8787 388777 0 0 JULI JOHNSON DIRECTOR/HMHOS PRESIDENT 200765 0 43553 0 14544 0 60422 0 26529 0 345813 0 13389 0 ROWENA YU-MENDADOR DIRECTOR/PH PHYSICIAN 16412 212568 0 48352 0 24074 1067 18533 1341 23285 18820 326812 0 0 DOUGLAS SELIG HMHOS VP PATIENT CARE 171528 0 36080 0 10371 0 19207 0 25400 0 262586 0 9015 0 EDWARD STRUBEL FORMER HC EMPLOYEE/CURRENT PVHOS EMP 0 174009 0 20311 0 1290 0 24017 0 31031 0 250658 0 0 BRYAN HALL HMHOS MGR PHARMACY 142432 0 12613 0 266 0 11268 0 32293 0 198872 0 0 0 SCOTT AMBURGEY FORMER HC EMPLOYEE/CURRENT PH EMP 0 131532 0 12693 0 552 0 15276 0 23040 0 183093 0 0 STEVEN HOMRICH HMHOS PHARMACIST 113864 34212 1425 0 595 179 5934 1761 17620 5229 139438 41381 0 0 PART I, LINE 1A TRAVEL FOR COMPANIONS - TAXABLE EXPENSE REIMBURSEMENT FOR FAMILY MEMBER PAID TO: JULI JOHNSON $132; MATT ECKERT/HEATHER ECKERT $132; JOHN NELSON $132; DOUGLAS SELIG $132; PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF HUNTINGTON MEMORIAL HOSPITAL, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF 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 RELATED ORGANIZATION PARKVIEW HEALTH SYSTEM, INC. PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFIT. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION AND THE AMOUNT OF THE BENEFITS MAY VARY FROM YEAR TO YEAR. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): JULI JOHNSON $13,389; MICHAEL PACKNETT $1,637,768; DOUGLAS SELIG $9,015; AMOUNTS LISTED ABOVE THAT HAVE BEEN REPORTED AS DEFERRED COMPENSATION ON PRIOR FORM 990 WILL ALSO BE REFLECTED IN SCHEDULE J, PART II, COLUMN (F). FOR EXAMPLE, THE AMOUNT OF $1,637,768 REPORTED AS REQUIRED FOR MR. PACKNETT WAS A RESULT OF THE VESTING OF SUCH AMOUNT UNDER THE TERMS OF THE RESPECTIVE PLANS. HOWEVER, THESE AMOUNTS WERE PREVIOUSLY REPORTED IN MR. PACKNETT'S DEFERRED COMPENSATION OVER MORE THAN 10 YEARS AS THE AMOUNTS WERE DEFERRED UNDER THE PLANS. AS SUCH, THE AMOUNT REPORTED IN SCHEDULE J, PART II, COLUMN (F) IS AN INDICATION OF AMOUNTS THAT HAVE BEEN REPORTED TWICE, ONCE AS A DEFERRAL AND ONCE AS VESTED. THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME SET FORTH IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: JULI JOHNSON $34,238; MICHAEL PACKNETT $733,744; JEANNE' WICKENS $281,719; PART I, LINE 7 MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP) ARE ANNUAL INCENTIVE PROGRAMS. SYSTEM GOALS ARE APPROVED BY THE BOARD. AT CONCLUSION OF THE PLAN YEAR, RESULTS ARE SHARED WITH THE BOARD AND THE EXECUTIVE COMMITTEE OF THE BOARD APPROVES FINAL PAYMENT. HEATHER ECKERT FAMILY MEMBER OF DIRECTOR MATT ECKERT 13322 EMPLOYEE HEATHER ECKERT RECEIVED COMPENSATION (INCLUDING TAXABLE AND NONTAXABLE FRINGE BENEFITS TREATED AS COMPENSATION) FROM HUNTINGTON MEMORIAL HOSPITAL, INC. 0 FORM 990, PART III, LINE 4A: - ONE OF THE TOP 100 RURAL & COMMUNITY HOSPITALS IN THE UNITED STATES BY THE CHARTIS CENTER FOR RURAL HEALTH - RECEIVED IN 2020 FOR THE THIRD YEAR - ONE OF THE BEST PLACES TO WORK IN INDIANA BY THE INDIANA CHAMBER OF COMMERCE - RECEIVED IN 2018 AND 2019 - ONE OF MODERN HEALTHCARE'S BEST PLACES TO WORK IN HEALTHCARE - RECEIVED IN 2018 AND 2019 SERVICES INCLUDE: - FULL-SERVICE, 24-HOUR EMERGENCY DEPARTMENT WITH EIGHT TREATMENT ROOMS, ONE TRAUMA BAY AND A "SAFE ROOM" FOR PATIENTS WHO MAY BE EXPERIENCING A BEHAVIORAL HEALTH CRISIS - TWO SURGICAL SUITES, ONE ENDOSCOPY ROOM, EIGHT PRE-/POST-OP ROOMS AND THREE RECOVERY ROOMS - MEDICAL INFUSION UNIT PROVIDING OUTPATIENT MEDICATIONS, INFUSIONS, TRANSFUSIONS AND CENTRAL LINE CARE UNDER THE SUPERVISION OF A DEDICATED RN - FAMILY BIRTHING CENTER WITH SIX PRIVATE LABOR/DELIVERY/RECOVERY/POSTPARTUM ROOMS - REHABILITATION AND WELLNESS SERVICES INCLUDING ADULT AND PEDIATRIC PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, DIABETES EDUCATION, MEDICAL NUTRITION THERAPY, AND CARDIAC AND PULMONARY REHAB - FULL-SERVICE LAB AND PHARMACY, INCLUDING AN ATU CLINIC FOR PATIENTS TAKING BLOOD THINNERS - A SLEEP DISORDERS LAB OFFERING TWO PATIENT ROOMS FOR OVERNIGHT ON-SITE SLEEP STUDIES AND INSTRUCTION FOR PATIENTS RECEIVING HOME SLEEP STUDIES - AN OUTPATIENT CENTER FOR WOUND HEALING OFFERING BIOLOGIC AND BIOSYNTHETIC DRESSINGS, GROWTH FACTOR THERAPIES, NEGATIVE PRESSURE THERAPY, DEBRIDEMENT AND HYPERBARIC OXYGEN THERAPY - DIAGNOSTIC IMAGING SERVICES: MAMMOGRAPHY, ULTRASOUND, CT SCAN, MRI, NUCLEAR MEDICINE, DEXA SCAN, EKG, EEG AND CARDIOPULMONARY PROCEDURES, VASCULAR SCREENING AND FLUOROSCOPY - ON-SITE CLINIC HOUSING SPECIALTY PHYSICIANS WHO TRAVEL TO HUNTINGTON ON SCHEDULED DAYS TO ACCOMMODATE THE NEEDS OF PATIENTS FOR CONSULTATIONS, FOLLOW-UP VISITS AND/OR PROCEDURES IN A NUMBER OF MEDICAL SPECIALTIES - PRIMARY CARE AND SPECIALTY SERVICES ON THE HOSPITAL CAMPUS AND IN NEARBY LOCATIONS COMMUNITY-FOCUSED AS A NOT-FOR-PROFIT HOSPITAL, MISSION IS CENTRAL TO HOW THE STAFF DELIVERS CARE. HUNTINGTON MEMORIAL HOSPITAL, INC., EXISTS TO IMPROVE THE HEALTH AND INSPIRE THE WELL-BEING OF SURROUNDING COMMUNITIES. HUNTINGTON MEMORIAL HOSPITAL, INC., SUPPORTS THE NEEDS OF PEOPLE IN HUNTINGTON COUNTY WITH CERTIFIED NURSING STAFF, HEALTH EDUCATION AND OUTREACH PROGRAMS, AND FREE AND DISCOUNTED MEDICAL CARE. THE FIVE PROGRAMS LISTED HERE DEMONSTRATE SOME OF THE WAYS IN WHICH HUNTINGTON MEMORIAL HOSPITAL, INC., REACHES OUT TO NEIGHBORHOODS AND HELPS AREA RESIDENTS CREATE HEALTHIER LIVES. FINANCIAL ASSISTANCE HUNTINGTON MEMORIAL HOSPITAL, INC., IS COMMITTED TO MAKING MEDICALLY NECESSARY HEALTHCARE ACCESSIBLE TO PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. PATIENTS WHOSE FAMILY INCOME DOES NOT EXCEED TWICE THE FEDERAL POVERTY GUIDELINES MAY BE ELIGIBLE FOR FINANCIAL ASSISTANCE. THE PATIENT ACCESS TEAM INFORMS PATIENTS OF THE FINANCIAL ASSISTANCE POLICY AS PART OF THE REGISTRATION PROCESS. THE HOSPITAL COMMITS TO PROVIDING THE BEST POSSIBLE CARE TO ALL. COMMUNITY HEALTH IMPROVEMENT INITIATIVES THE PURPOSE OF HUNTINGTON MEMORIAL HOSPITAL, INC.'S COMMUNITY HEALTH IMPROVEMENT PROGRAM IS TO FUND COMMUNITY HEALTH IMPROVEMENT EFFORTS WITHIN THE HOSPITAL'S SERVICE AREA. THE HOSPITAL SETS ASIDE FUNDS ANNUALLY TO SUPPORT PROGRAMS OF COMMUNITY HEALTH PARTNERS THAT ALIGN WITH HEALTH PRIORITIES IDENTIFIED PERIODICALLY BY THE COMMUNITY HEALTH ASSESSMENT. WITH ITS COMMUNITY HEALTH PARTNERS PROGRAM, HUNTINGTON MEMORIAL HOSPITAL, INC., INVESTS IN KEY ORGANIZATIONS THAT PROMOTE THE HEALTHY LIFESTYLE CHOICES AND WELL-BEING OF INDIVIDUALS, CHILDREN, AND FAMILIES OF HUNTINGTON COUNTY. IN CALENDAR YEAR 2019, THE HOSPITAL SELECTED 14 COMMUNITY AGENCIES OR ORGANIZATIONS WITH WHICH TO COLLABORATE IN ADDRESSING FOCUS AREAS: ALCOHOL AND SUBSTANCE ABUSE, AND OBESITY. IN COLLABORATION WITH OTHER COMMUNITY LEADERS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S ACTIONS ARE TO SUPPORT THE PREVENTION AND TREATMENT OF ALCOHOL AND SUBSTANCE ABUSE/ADDICTION AMONG RESIDENTS OF HUNTINGTON COUNTY. THE STRATEGIC GOAL OF THIS INITIATIVE IS TO INCREASE OVERALL AWARENESS OF THIS MAJOR ISSUE; DECREASE THE NUMBER OF ADULTS WHO REPORT THINKING OF, OR USING, ALCOHOL AND DRUGS; AND INCREASE THE NUMBER OF PREVENTION AND TREATMENT-BASED PROGRAMS OFFERED IN THE COMMUNITY. THE ANTICIPATED IMPACT IS THE IMPROVED PHYSICAL, MENTAL, AND FINANCIAL WELL-BEING OF AREA RESIDENTS. PARTNERS ARE WORKING TO PREVENT AND TREAT ADDICTION AT ALL AGES. PARKVIEW BOYS & GIRLS CLUB OF HUNTINGTON COUNTY'S DRUG PREVENTION PROGRAM REPORTED 37 CHILDREN ATTENDING THE EIGHT-WEEK PROGRAM, WITH 97% STATING THEY STAYED AWAY FROM SUBSTANCES WITHIN 30 DAYS OF THE END OF THE PROGRAM. HUNTINGTON HOUSE SHELTER SPENT $902 FOR DRUG TESTING TO ENSURE THE SHELTER REMAINS 100% DRUG-FREE. PLACE OF GRACE TRANSITIONAL HOUSING REPORTED 100% OF GRADUATES WERE GAINFULLY EMPLOYED BY THE TIME OF GRADUATION, 100% REPORTED AN INCREASE IN KNOWLEDGE OF COMMUNITY RESOURCES, AND 86% AN INCREASE IN SELF-ESTEEM. NINETY-SIX PERCENT OF 235 ADULTS WHO PARTICIPATED IN A SUICIDE PREVENTION PROGRAM THROUGH YOUTH SERVICES BUREAU DEMONSTRATED AN INCREASE IN KNOWLEDGE. A CURRICULUM EDUCATING ON SUICIDE WARNING SIGNS, RISK FACTORS, AND APPROPRIATE ACTION STEPS IN SUICIDE PREVENTION REACHED 220 SEVENTH-GRADERS, ALL OF WHOM DEMONSTRATED AN INCREASE IN KNOWLEDGE. THE NEW ADDITIONS OF MCMILLEN HEALTH CENTER AND YOUTH FOR CHRIST AS COMMUNITY PARTNERS FOR 2019 WERE GREAT ASSETS RELATIVE TO THIS PRIORITY. MCMILLEN PROVIDED 40 PREVENTIVE HEALTH EDUCATION SESSIONS FOCUSING ON DRUG PREVENTION FOR STUDENTS IN GRADES K-3, SERVING 1,274 STUDENTS. INCREASE IN KNOWLEDGE WAS 23.22% COMPARED TO THE GOAL OF 35%, BUT THE PRE- AND POST-TEST QUESTIONS FOR THIS AGE RANGE WERE DESIGNED TO REINFORCE WHAT YOUTH ALREADY KNEW, WHILE INTRODUCING ONLY ONE OR TWO PIECES OF NEW INFORMATION. YOUTH FOR CHRIST SURPASSED ITS GOAL OF 80 STUDENTS IN CORE STUDENT LEADERSHIP MEETINGS; 100 STUDENTS PARTICIPATED IN MEETINGS AS WELL AS A SERVICE PROJECT WITH BLESSINGS IN A BACKPACK. SUBSTANCE ABUSE PROGRAMMING REACHED 370 STUDENTS. EIGHTY PARTICIPATED IN SMALL GROUP MEETINGS THAT FOCUSED ON PERSONAL GROWTH, HEALTHY RELATIONSHIPS, ACCOUNTABILITY, SUPPORT SYSTEMS, AND SENSE OF BELONGING. ONE-ON-ONE APPOINTMENTS WITH ADULT MINISTRY LEADERS INVOLVED 225 STUDENTS. OBESITY (HAVING A BODY MASS INDEX (BMI) GREATER THAN 30.0 KG/M) AFFECTS ALL AGE GROUPS. ELEVATED BMI AFFECTS PEOPLE OF DIFFERENT SOCIOECONOMIC STATUSES AND RACIAL/ETHNIC GROUPS DISPROPORTIONATELY. MANY COMPLICATIONS CAN OCCUR AS A DIRECT OR INDIRECT RESULT OF OBESITY. OBESITY RATES IN INDIANA ARE HIGHER THAN THE NATIONAL AVERAGE, WITH RATES IN MOST OF NORTHEAST INDIANA BEING ABOVE THE STATE AVERAGE. INDIANA'S ADULT OBESITY RATE IS THE 15TH HIGHEST IN THE NATION AT 34.1 PERCENT. FOR CHILDREN AGES 10 TO 17, 16.6 PERCENT ARE CONSIDERED OBESE, PUTTING INDIANA IN 13TH PLACE. IN COLLABORATION WITH OTHER COMMUNITY LEADERS, HUNTINGTON MEMORIAL HOSPITAL, INC.'S ACTIONS ARE TO SUPPORT THE FURTHER DEVELOPMENT OF HEALTHY LIFESTYLE CHOICES AMONG RESIDENTS OF HUNTINGTON COUNTY. THE STRATEGIC GOAL OF THIS INITIATIVE IS TO INCREASE OVERALL AWARENESS OF HEALTHY LIFESTYLE CHOICES, INCREASE THE NUMBER OF ADULTS WHO REPORT CONSUMING FRUITS AND VEGETABLES DAILY, AND INCREASE THE NUMBER OF NUTRITIONAL AND ACTIVITY-BASED PROGRAMS OFFERED FOR FAMILIES. THE ANTICIPATED IMPACT IS REDUCTION OF THE OBESITY RATE AND THE CORRESPONDING CHRONIC DISEASES THAT GO HAND IN HAND WITH OBESITY. FUNDED PARTNERS HAVE PARTICIPATED IN VARIOUS ENDEAVORS TO PROMOTE HEALTHY LIVING AND THUS PREVENT OR TREAT OBESITY ACROSS THE LIFESPAN. EVERY THIRD-GRADER HAS THE OPPORTUNITY TO PARTICIPATE IN A WEEK-LONG SWIM PROGRAM TO INCREASE THEIR SWIMMING PROFICIENCY, AND THUS, SAFETY AROUND WATER. TWENTY-THREE NUTRITION AND WELLNESS LESSONS WERE TAUGHT TO 301 FOURTH-GRADERS BY PURDUE EXTENSION. ONE HUNDRED PERCENT OF FIFTH-GRADERS AT A LOCAL ELEMENTARY SCHOOL WERE ABLE TO TRY LETTUCES AND GREENS THEY GREW IN TOWER GARDENS, AND USED STATISTICS TO DETERMINE WHICH TYPES OF LETTUCE CREATED THE GREATEST HARVEST BY VOLUME. BLESSINGS IN A BACKPACK IS WORKING AT COMBATING FOOD INSECURITY BY SENDING ABOUT 317 STUDENTS HOME WITH MEALS FOR THE WEEKEND THROUGHOUT THE SCHOOL YEAR; NOVEMBER AND DECEMBER OF 2019 AVERAGED 448 STUDENTS EACH OF THOSE MONTHS. PARKVIEW BOYS & GIRLS CLUB OF HUNTINGTON COUNTY IS INCREASING THE NUMBER OF YOUTHS EATING FRESH FRUIT AND VEGETABLES DAILY THROUGH ITS HEALTHY HABITS PROGRAM. AFTERSCHOOL AND SUMMER PROGRAMMING (POWER CLUB AND BOOST CAMP) INCORPORATED BOTH PHYSICAL ACTIVITY AND NUTRITION EDUCATION TO REACH AT-RISK YOUTH. ADULTS FROM GROUP HOMES, TRANSITIONAL HOUSING, AND A MENTAL HEALTH FACILITY ARE ABLE TO INCREASE THEIR ACTIVITY WITH ACCESS TO WELLNESS THROUGH THE YMCA, WHICH LOGGED MORE THAN 455 VISITS BY THEM PER MONTH. FORM 990, PART III, LINE 4A CONT'D: ALL AGES HAVE BENEFITED FROM THE HELPING HANDS COMMUNITY GARDEN. NINETY-ONE PERCENT OF GARDEN PARTICIPANTS REPORT EATING MORE FRUITS AND VEGETABLES BECAUSE OF THE COMMUNITY GARDEN. TRANSITIONING TO RAISED BEDS IN 2019 YIELDED LESS PRODUCE, BUT OFFERED MORE EDUCATIONAL AND HEALTHY OUTDOOR FAMILY-FRIENDLY ACTIVITIES ON A MONTHLY BASIS, INCLUDING YOGA AND A BUTTERFLY WORKSHOP. COOKING CLASSES TARGETED TO LOW-INCOME FAMILIES ENCOURAGED THEM TO LEARN TO PREPARE HEALTHY MEALS AT HOME AND INCORPORATED PRODUCE FROM THE COMMUNITY GARDEN. AN AVERAGE OF 1,069 INDIVIDUALS PER MONTH BENEFITED FROM A YEAR-ROUND PRODUCE OPTION PROVIDED THROUGH LOVE, INC., A LOCAL FOOD PANTRY IN THE CITY OF HUNTINGTON, AND MORE THAN 444 PER MONTH BENEFITED THROUGH A RURAL COMMUNITY'S WARREN BREAD OF LIFE PANTRY. HUNTINGTON MEMORIAL HOSPITAL, INC.'S SENIOR EXERCISE CLASS AND CHRONIC PAIN SUPPORT GROUP HAVE ALSO ADDRESSED KEY ELEMENTS TO TACKLE THE OBESITY EPIDEMIC ALONG WITH OUTREACH AT IN-HOUSE AND COMMUNITY HEALTH FAIRS AND PRESENTATIONS. THE HOSPITAL'S "MY WELL-BEING" COMMITTEE PROVIDES RESOURCES FOR CO-WORKERS TO ENABLE THEM TO BE GOOD EXAMPLES FOR THE REST OF THE COMMUNITY. PRIMARY HEALTH CARE/ACCESS HUNTINGTON MEMORIAL HOSPITAL, INC., COLLABORATES WITH PARKVIEW PHYSICIANS GROUP (PPG) TO PROVIDE THE MEDICAL COVERAGE NEEDED FOR THE COMMUNITY. IF AN INDIVIDUAL DOES NOT HAVE A LOCAL PRIMARY CARE PHYSICIAN, THEY ARE PROVIDED WITH A LIST OF THE LOCAL PHYSICIANS AND THEIR CONTACT NUMBERS. MATTHEW 25 HEALTH & DENTAL CLINICS, BASED IN FORT WAYNE, HAS A SATELLITE OFFICE IN THE HUNTINGTON COMMUNITY TO WHICH PPG OFFICES AND THE HOSPITAL CAN REFER PEOPLE WHO DO NOT HAVE HEALTH INSURANCE. IN ADDITION, THE HOSPITAL PROVIDES SUPPORT FOR THE HUNTINGTON MEDICATION ASSISTANCE PROGRAM, WHICH ASSISTS THOSE WHO QUALIFY IN OBTAINING MEDICAL SUPPLIES AND PRESCRIPTION MEDICATIONS AT NO OR LOW COST. THE PROGRAM ALSO HELPS PATIENTS ENROLL IN PHARMACEUTICAL ASSISTANCE PROGRAMS. HEALTH SCREENING AND PREVENTION HUNTINGTON MEMORIAL HOSPITAL, INC., PARTICIPATES IN HEALTH FAIRS AND ACTIVITIES THROUGHOUT THE YEAR TO PROVIDE HEALTH EDUCATION AND SCREENINGS FOR DISEASE PREVENTION, AND TO PROMOTE HEALTHY LIFESTYLES. HUNTINGTON MEMORIAL HOSPITAL, INC.'S CLINICAL DIETITIAN, FOR EXAMPLE, PRESENTED TO 135 CITY EMPLOYEES IN THE SPRING, PROMOTING HEALTH AND WELLNESS WITH A FOCUS ON NUTRITION. A HUNTINGTON MEMORIAL HOSPITAL, INC., EXERCISE SPECIALIST DEMONSTRATED STRETCHING EXERCISES TO COMMUNITY MEMBERS AT THE HUNTINGTON COUNTY CHAMBER OF COMMERCE BUSINESS EXPO. HUNTINGTON MEMORIAL HOSPITAL, INC., HOSTS HEALTHY STEPS, A POPULAR, SEMI-ANNUAL HEALTH AND WELLNESS EVENT FOR HUNTINGTON COUNTY RESIDENTS. AT EACH OF THE SPRING AND FALL EVENTS, AN AVERAGE OF 450 - 500 INDIVIDUALS VISIT THE HOSPITAL FOR BLOOD/LAB WORK, PHYSICIAN CONSULTATIONS, IMAGING FOR BREAST AND HEART HEALTH, AND TO TAKE ADVANTAGE OF EDUCATIONAL BOOTHS OFFERING A VARIETY OF SCREENINGS FOR BONE DENSITY, STRENGTH AND BALANCE, PULMONARY FUNCTION, SKIN CANCER, AND DENTAL, VISION AND HEARING ISSUES. IN ADDITION, ONE HOSPITAL VOLUNTEER DONATED 156 HOURS IN 2019 TO TAKE 926 BLOOD PRESSURE READINGS FREE OF CHARGE ON TUESDAY MORNINGS IN THE HOSPITAL LOBBY. HUNTINGTON MEMORIAL HOSPITAL, INC.'S EMERGENCY MANAGEMENT SERVICES (EMS) PLAYS A VITAL ROLE IN THE COMMUNITY AS WELL WITH REGARD TO HEALTH PREVENTION. OVER 160 HOURS WERE SPENT INSTRUCTING A HIGH SCHOOL EMT CLASS. OUR COMMUNITY PARAMEDIC MADE 27 HOUSE CALLS THE FIRST HALF OF 2019 WITH THE AIM OF IMPROVING THE SAFETY AND WELL-BEING OF COMMUNITY MEMBERS WHO WERE AT KNOWN RISK FOR FALLS AND OTHER SAFETY ISSUES AT HOME. NARCAN TRAINING WAS PROVIDED TO 40 FIREFIGHTERS FROM AREA FIRE AND RESCUE DEPARTMENTS. EMS TEAM MEMBERS DEVOTED 325 HOURS TO PROVIDING A MEDICAL EMERGENCY PRESENCE AT COMMUNITY EVENTS, INCLUDING FESTIVALS AND HIGH SCHOOL FOOTBALL GAMES. TWENTY-FIVE HOURS WERE SPENT IN PROVIDING CPR, FIRST AID, OR TOURNIQUET TRAININGS TO A TOTAL OF 172 COMMUNITY MEMBERS. COMMUNITY NURSING HUNTINGTON MEMORIAL HOSPITAL, INC., PROVIDES FUNDING TO KIDS KAMPUS TO PROVIDE SICK-CARE FOR YOUNGSTERS ENROLLED AT THE DAY CARE CENTER, WHICH IS AFFILIATED WITH PATHFINDER SERVICES. THERE WAS A 10% INCREASE IN COMMUNITY DROP-OFF OF SICK CHILDREN IN 2019. THIS CARE PROVIDED ON SITE ENSURES PARENTS HAVE A QUALITY, CONVENIENT PLACE WHERE THEIR SICK CHILD CAN RECEIVE INDIVIDUALIZED ATTENTION. INDIVIDUAL HEALTH COACHING CONSULTS BETWEEN PARENTS AND PATHFINDER'S MEDICAL STAFF IN 2019 INCREASED BY 35%. HUNTINGTON MEMORIAL HOSPITAL, INC., AFFORDED 38 EXPECTANT PARENTS THE OPPORTUNITY TO ATTEND CHILDBIRTH CLASSES PRESENTED BY A REGISTERED NURSE WHO IS A CERTIFIED LACTATION CONSULTANT. THE CLASSES PROVIDE ANSWERS TO ANY QUESTIONS AN EXPECTANT MOTHER MAY HAVE; IN ADDITION, OTHER RESOURCES ARE AVAILABLE AT APPOINTMENTS WITH THE HOSPITAL'S BIRTH PLANNER. SOME 410 INDIVIDUALS ATTENDED BIRTH PLANNING APPOINTMENTS LAST YEAR. OUR CRIB CLASS IS A SAFE-SLEEP CLASS DESIGNED TO HELP PREVENT SUDDEN INFANT DEATH SYNDROME (SIDS); IN THE PAST YEAR, THIS CLASS BENEFITED 21 INDIVIDUALS. PARENTS GO HOME WITH A FREE PORTABLE CRIB/PLAYPEN IF THEY NEED A SAFE PLACE FOR THEIR BABY TO SLEEP. SIBLING CLASSES REACHED 20 PARTICIPANTS, PREPARING CHILDREN TO BECOME BIG BROTHERS AND SISTERS. ADDITIONAL SUPPORT ONCE A BABY IS BORN INCLUDES THE BREASTFEEDING MOMS GROUP; EVERY WEDNESDAY, THE HOSPITAL LACTATION CONSULTANT PROVIDES WEIGHT CHECKS FOR INFANTS AND ANSWERS ANY QUESTIONS THE MOTHERS HAVE. THIS GROUP HELPED 128 MOMS IN 2019. THE HOSPITALS EXTERNAL PARTNER WIC PROVIDES FOOD VOUCHERS FOR PREGNANT MOTHERS AND INFANTS IN NEED. EXPECTANT PARENTS ALSO HAVE THE OPPORTUNITY, THROUGH YOUTH SERVICES BUREAU (YSB) OF HUNTINGTON COUNTY, TO RECEIVE INCENTIVES SUCH AS CAR SEATS AND SAFETY ITEMS BY PARTICIPATING IN HEALTHY ACTIVITIES (WIC PRENATAL CLASSES, IMMUNIZATIONS, MENTAL HEALTH SERVICES, ETC.). AS PART OF YSB'S ON YOUR WAY UP PROGRAM, PARENTS CAN RECEIVE FREE CAR SEAT INSPECTIONS; OF 34 CAR SEATS INSPECTED IN 2019, 26 WERE REPLACED. ALSO IN 2019, PARKVIEW PHYSICIANS GROUP PHYSICIANS AND HUNTINGTON MEMORIAL HOSPITAL, INC., CO-WORKERS WHO IDENTIFIED A NEED FOR SMOKING CESSATION AID REFERRED PATIENTS TO APPROPRIATE RESOURCES. DURING HOSPITAL ADMISSIONS, PATIENTS ARE SCREENED WITH REGARD TO TOBACCO USE AND OFFERED HELP. THE TRANSITIONAL CARE NURSE PROVIDES THE 1-800-QUIT-NOW PAMPHLET AND OFFERS TO FAX THE APPLICATION FOR PATIENTS. THIS PROGRAM PROVIDES NICOTINE PATCHES AND GUM FREE OF CHARGE FOR THOSE WHO QUALIFY. THE HOSPITAL'S COMMUNITY PARAMEDIC ALSO EDUCATES PATIENTS IN THEIR HOMES WITH REGARDS TO SMOKING CESSATION. PREVIOUSLY, THE PARKVIEW HUNTINGTON FAMILY YMCA OFFERED SMOKING CESSATION CLASSES, BUT THOSE WERE DISCONTINUED IN LATE 2016. HUNTINGTON MEMORIAL HOSPITAL, INC., IDENTIFIED THIS GAP IN SERVICES AND ENABLED ONE OF ITS REGISTERED NURSES TO BECOME CERTIFIED IN THE AMERICAN LUNG ASSOCIATION'S FREEDOM FROM SMOKING PROGRAM. FOUR TIMES IN 2019, SHE LED A SEVEN-WEEK SERIES OF SMOKING CESSATION CLASSES TO HELP A TOTAL OF 22 PARTICIPANTS WORK TOWARD BECOMING NON-SMOKERS. HUNTINGTON MEMORIAL HOSPITAL, INC., STRIVES TO BE A RESPONSIBLE CORPORATE CITIZEN AND TO CONTRIBUTE IN MEANINGFUL WAYS TO THE HEALTH AND WELL-BEING OF INDIVIDUALS AND ALL OF HUNTINGTON COUNTY. 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, HUNTINGTON MEMORIAL HOSPITAL, INC., EIN 35-1970706. 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, 2019 WAS 524. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2019 WAS 15,019. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A AND 2A, THE NUMBER REPORTED FOR THE HUNTINGTON MEMORIAL HOSPITAL, INC. WAS 23 AND 348 RESPECTIVELY. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE BOARD, THE PRESIDENT OF THE CORPORATION, THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER OR HIS/HER DESIGNEE, THE CURRENT CHIEF OF THE MEDICAL STAFF, AND SUCH OTHER PERSONS AS IDENTIFIED BY THE CHAIR OF THE BOARD, EACH OF WHOM SHALL BE ENTITLED TO VOTE. IN NO EVENT SHALL THE MEMBERS OF THE EXECUTIVE COMMITTEE EXCEED EIGHT (8) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION AS THE PLANNING COMMITTEE AND IN ANY OTHER MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR ITS RATIFICATION OF ITS ACTION. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIR OR BY THREE (3) MEMBERS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF HUNTINGTON MEMORIAL HOSPITAL, INC. WITH CERTAIN RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384, SHALL HAVE THE FOLLOWING RESERVED POWERS AS DEFINED IN THE NETWORK AGREEMENT: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION AND ITS AFFILIATES, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION OR ITS AFFILIATES AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES, AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION AND ITS AFFILIATES; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, INCLUDING THE ISSUANCE OF BONDS, BY THE CORPORATION AND ITS AFFILIATES AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION AND ITS AFFILIATES; (F) APPROVE THE TRANSFER OF ASSETS BY THE CORPORATION AND ITS AFFILIATES, INCLUDING TRANSFERS OF REAL PROPERTY, PERSONAL PROPERTY, CASH, STOCK OR OTHER TANGIBLE OR INTANGIBLE ASSETS, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS; (G) REQUIRE AND DIRECT THE TRANSFER OF ASSETS BY THE CORPORATION OR ITS AFFILIATES, PROVIDED THAT APPROVAL OF THE BOARD IS ALSO REQUIRED IF THE TRANSFER INVOLVES A TRANSFER OR SALE OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION OR WOULD PREVENT THE CORPORATION FROM OPERATING AN ACUTE CARE HOSPITAL IN THE COMMUNITY. FOR PURPOSES OF THIS SECTION, BOARD APPROVAL SHALL NOT BE REQUIRED FOR PARTICIPATION IN A MASTER TRUST INDENTURE, POOLED FINANCING OR ANY OTHER KIND OF DEBT INSTRUMENT, BORROWING OR GUARANTY OBLIGATING CORPORATION'S ASSETS; (H) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION AND ITS AFFILIATES IN NETWORKS, AFFILIATIONS, JOINT VENTURES, PARTNERSHIPS, MERGERS OR ACQUISITIONS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH ARRANGEMENTS; (I) APPROVE DECISIONS OF THE CORPORATION AND ITS AFFILIATES TO PARTICIPATE (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) IN MANAGED CARE OR OTHER HEALTH CARE SERVICE PURCHASING ARRANGEMENTS AND REQUIRE PARTICIPATION BY THE CORPORATION AND ITS AFFILIATES IN SUCH HEALTH CARE SERVICE PURCHASING ARRANGEMENTS; (J) DEVELOP AND REQUIRE ADOPTION OF MINIMUM MEDICAL STAFF QUALITY ASSURANCE AND UTILIZATION REVIEW STANDARDS, CRITERIA AND PROCEDURES FOR THE CORPORATION AND ITS AFFILIATES IN CONSULTATION WITH THE CORPORATION; (K) APPROVE ANY ACTION OF THE CORPORATION OR AN AFFILIATE TO CHANGE THE HOSPITAL FROM A GENERAL, ACUTE CARE COMMUNITY HOSPITAL OR TO CLOSE THE HOSPITAL; AND (L) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND THE ARTICLES AND BYLAWS OF ANY NEWLY CREATED AFFILIATE AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES; TO MAINTAIN JCAHO ACCREDITATION, TAX-EXEMPT STATUS, PARTICIPATION IN MEDICARE/MEDICAID OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR SYSTEM, EXCEPT THAT THERE CAN BE NO AMENDMENT TO THE RESERVED POWERS LISTED IN SECTIONS (G) AND (K) OF THIS LIST OR THE REQUIREMENT THAT APPOINTED DIRECTORS CAN BE REPRESENTATIVES OF HUNTINGTON COUNTY, AS DESCRIBED IN ARTICLE V, SECTIONS 2 AND 10 OF BYLAWS WITHOUT THE CONSENT OF THE CORPORATION. THE CORPORATE MEMBER SHALL DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS, INCLUDING MATERIALITY POLICIES REGARDING MATTERS SUBJECT TO REVIEW. 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 AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. HUNTINGTON MEMORIAL HOSPITAL, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 6, 2020, THE SYSTEM 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 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. TO THE EXTENT THAT THE ORGANIZATION HAS VICE PRESIDENT OR ABOVE, THE COMPENSATION COMMITTEE OF RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., DETERMINES THE COMPENSATION OF THE CEO, OFFICERS, AND KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART IX, LINES 5-10: PARKVIEW HEALTH SYSTEM, INC., EIN 35-1972384, SERVES AS THE COMMON PAYING AGENT FOR ALL TAX-EXEMPT ORGANIZATIONS OF THE SYSTEM. SALARIES AND WAGES OF EMPLOYEES WORKING FOR THESE ORGANIZATIONS ARE CHARGED DIRECTLY TO THE ORGANIZATIONS IN WHICH THEY WORK. THE ACTUAL EXPENSES FOR PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS ARE REFLECTED ON THE BOOKS OF PARKVIEW HEALTH SYSTEM, INC. FOR FINANCIAL REPORTING PURPOSES. TO ACCOUNT FOR BENEFIT COSTS ON THE BOOKS OF THE OTHER TAX EXEMPT ORGANIZATIONS, AN ALLOCATION METHODOLOGY IS UTILIZED TO CHARGE THESE ORGANIZATIONS WITH AN ESTIMATE OF THE OVERALL COSTS, REFERRED TO AS A "BENEFIT ALLOCATION" FROM PARKVIEW HEALTH SYSTEM, INC. THE ALLOCATION DOES NOT DISTINGUISH BETWEEN THE COSTS OF THE VARIOUS COMPONENTS (I.E. PAYROLL TAXES, EMPLOYEE BENEFITS, AND PENSION PLAN CONTRIBUTIONS). THEREFORE, FOR PURPOSES OF THE FORM 990, PART IX, THE TOTAL BENEFIT ALLOCATION FOR THE EMPLOYEES' SALARIES AND WAGES REPORTED ON LINE 7 IS REFLECTED ON LINE 9 AND NOT ALLOCATED BETWEEN LINES 8 OR 10. FOR PURPOSES OF THE FORM 990, PART IX, LINES 5 AND 6 REFLECT COMPENSATION AND BENEFIT AMOUNTS REPORTED IN PART VII. FORM 990, PART XI, LINE 9: ASSET TRANSFERS/ADJUSTMENTS 22,474. FORM 990, BOX B - AMENDED RETURN THE AMENDED RETURN REPORTS A CHANGE TO PART VII, SECTION A AND SCHEDULE J, PART II FOR MICHAEL PACKNETT'S DEFERRED COMPENSATION ONLY. ON THE ORIGINALLY FILED RETURN, THE DEFERRED COMPENSATION FOR MICHAEL PACKNETT WAS INCORRECTLY REPORTED (AT PART VII, SECTION A AND AT SCHEDULE J, PART II, COLUMN (C) OF $2,854,466). THE AMENDED FORM 990 SHOWS THE CORRECT 2019 DEFERRAL OF $758,944. PARKVIEW HEALTH SYSTEM INC 10501 CORPORATE DRIVE FORT WAYNE IN 46845 351972384 HEALTH CARE IN 501(C)(3) LINE 12C, III-FI N/A 0 PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC 2001 STULTS ROAD HUNTINGTON IN 46750 320012095 FUND MGMT IN 501(C)(3) LINE 12A, I HUNTINGTON MEMORIAL HOSPITAL INC 1 PARKVIEW OCCUPATIONAL HEALTH CENTERS INC 10501 CORPORATE DRIVE FORT WAYNE IN 46845 352064353 OCCUP HEALTH IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC 0 PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DRIVE FORT WAYNE IN 46845 350868085 HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC 0 COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC 207 N TOWNLINE ROAD LAGRANGE IN 46761 202401676 HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC 0 WHITLEY MEMORIAL HOSPITAL INC 1260 E STATE ROAD 205 COLUMBIA CITY IN 46725 351967665 HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC 0 COMMUNITY HOSPITAL OF NOBLE COUNTY INC 401 SAWYER ROAD KENDALLVILLE IN 46755 352087092 HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC 0 PARKVIEW WABASH HOSPITAL INC 10 JOHN KISSINGER DRIVE WABASH IN 46992 471753440 HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC 0 PARK CENTER INC 909 EAST STATE BLVD FORT WAYNE IN 46805 351135451 COMPREHENSIVE MENTAL HEALTH CENTER IN 501(C)(3) LINE 10 PARKVIEW HEALTH SYSTEM INC 0 PARK CENTER HOLDINGS INC 909 EAST STATE BLVD FORT WAYNE IN 46805 843684074 TO SUPPORT PARK CENTER, INC. IN 501(C)(3) LINE 12B, II PARKVIEW HEALTH SYSTEM INC 0 DEKALB MEMORIAL HOSPITAL INC 1316 EAST SEVENTH STREET AUBURN IN 46706 351064295 HOSPITAL CARE IN 501(C)(3) LINE 3 PARKVIEW HEALTH SYSTEM INC 0 ORTHOPAEDIC HOSPITAL AT PARKVIEW NORTH LLC 10501 CORPORATE DRIVE FORT WAYNE IN 46845 260143823 ORTHO HOSPITAL IN N/A N/A 0 0 MANAGED CARE SERVICES LLC 10501 CORPORATE DRIVE FORT WAYNE IN 46845 351996535 HEALTH PLAN ADMIN IN N/A N/A 0 0 MIDWEST COMMUNITY HEALTH ASSOCIATES INC 442 W HIGH STREET BRYAN OH 43506 341045870 PHYSICIANS OH N/A C 0 WOODLAND PLAZA MEDICAL PARK CONDO ASSOC INC 202 W BERRY ST SUITE 800 FORT WAYNE IN 46802 352058340 CONDO MANAGEMENT IN N/A C 0 0 1 1 0 0 0 0 0 0 1 1 1 1 1 0 1 1 1 1 PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC C 171152 PART VII SUPPLEMENTAL INFORMATION PARKVIEW HUNTINGTON HOSPITAL FOUNDATION INC M 205133 PART VII SUPPLEMENTAL INFORMATION SCHEDULE R, PART V, LINE 2, COLUMN (C): THE AMOUNTS REPORTED AS TRANSACTIONS WITH RELATED ORGANIZATIONS ARE CONSISTENT WITH THE AMOUNTS REPORTED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS UNDER THE GENERALLY ACCEPTED ACCOUNTING STANDARDS DEPENDING ON THE TYPE OF TRANSACTION INVOLVED.