2013-07-15T10:18:08-05:00 2012-08-31 351178661 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2011-09-01 350876396 UNION HOSPITAL INC UNIO 8122387000 1606 NORTH SEVENTH STREET TERRE HAUTE IN 47804 WAYNE HUTSON 8122387000 2013-07-10 1 CARRIE A MERRILL CPA P00832283 3176334705 2011 2016-02-24 21:20:13Z SEE SCHEDULE O WAYNE HUTSON 1606 NORTH SEVENTH STREET TERRE HAUTE IN 47804 430878046 0 X WWW.UHHG.ORG X 1892 IN WE EXIST TO SERVE OUR PATIENTS WITH COMPASSIONATE HEALTH CARE OF THE HIGHEST QUALITY. 14 9 2621 253 579525 -105373 1496433 1653317 413557285 420167469 598160 522520 4444700 5054297 420096578 427397603 172159 253127 0 0 138416504 140973547 0 0 0 281589094 258901608 420177757 400128282 -81179 27269321 464415498 482069093 337089154 337447866 127326344 144621227 X WE EXIST TO SERVE OUR PATIENTS WITH COMPASSIONATE HEALTH CARE OF THE HIGHEST QUALITY. 0 0 374800825 253127 421264638 UNION HOSPITAL, UNION HOSPITAL CLINTON, AND OUR NETWORK OF PRIMARY CARE PHYSICIANS JOIN TOGETHER TO PROVIDE COMPREHENSIVE CARE TO RESIDENTS OF WEST CENTRAL INDIANA AND EASTERN ILLINOIS. OUR FACILITIES INCLUDE TWO HOSPITALS AND MORE THAN 40 PRIMARY AND SPECIALTY CARE PHYSICIANS AND MID-LEVEL PROVIDERS. WE ARE THE LARGEST PROVIDER OF HEALTH CARE SERVICES BETWEEN INDIANAPOLIS AND ST. LOUIS ALONG THE I-70 CORRIDOR, SERVING VERMILLION, VIGO, SULLIVAN AND CLAY COUNTIES IN INDIANA, AND CLARK AND EDGAR COUNTIES IN ILLINOIS AS OUR PRIMARY SERVICE AREA. OUR SECONDARY SERVICE AREA INCLUDES PARKE AND GREEN COUNTIES IN INDIANA AND CRAWFORD COUNTY IN ILLINOIS.CONTINUE TO SCHEDULE O: CLAY GREENE SULLIVAN PARKE VERMILLION VIGOPOPULATION 26,894 32,895 21,356 17,237 16,231 108,182 RANK IN IND. 59TH 51ST 69TH 77TH 79TH 17TH SQ MILES 357.60 541.7 447.20 444.80 256.9 403.30POP/SQ MILE 75.21 60.3 47.75 38.75 63.18 268.24LARGEST CITY BRAZIL LINTON SULLIVAN ROCKVILLE CLINTON TERRE HAUTE POPULATION 8,073 5,369 4,224 2,589 4,898 60,961MEDIAN AGE 40.3 41.6 40.3 41.8 42.2 35.8POVERTY RATE 13.7% 14.3% 18.0% 17.8% 13.1% 19.2%UNMPLYMNT RATE 9.9 9.4 11.8 10.1 12.1 10.0AVG HOUSEHOLD INCOME 44,574 42,877 42,608 40,790 45,089 39,173CHILDREN LIVING BELOW POVERTY 21.9% 19.7% 12.9% 26.9% 21.9 27.5% "THE RELATIONSHIP BETWEEN POVERTY AND ILL-HEALTH IS NOT A SIMPLE ONE. IT IS MULTI-FACETED AND BIDIRECTIONAL. ILL-HEALTH CAN BE A CATALYST FOR POVERTY SPIRALS AND IN TURN POVERTY CAN CREATE AND PERPETUATE POOR HEALTH STATUS. THE RELATIONSHIPS ALSO WORK POSITIVELY. GOOD PHYSICAL AND MENTAL HEALTH IS ESSENTIAL FOR EFFECTIVE PRODUCTION, REPRODUCTION AND CITIZENSHIP, WHILE PRODUCTIVE LIVELIHOOD STRATEGIES AND RISK MANAGEMENT ARE CRITICAL TO SAFEGUARDING INDIVIDUAL AND HOUSEHOLD HEALTH STATUS." (HARPHAM AND GRANT 2002, IN HULME AND LAWSON, FORTHCOMING: 12) IN GRANT, U. (FEBRUARY 2005). HEALTH AND POVERTY LINKAGES: PERSPECTIVES OF THE CHRONICALLY POOR, BACKGROUND PAPER FOR THE CHRONIC POVERTY REPORT 2008-09. HTTP://94.126.106.9/R4D/PDF/OUTPUTS/CHRONICPOVERTY_RC/OTHER-GRANT-HEALTH.PDF UNION HOSPITAL HAS BEEN SERVING COMMUNITIES IN WEST CENTRAL INDIANA AND EAST CENTRAL ILLINOIS FOR THE PAST 120 YEARS. UNION HOSPITAL SERVES 275,000 PEOPLE IN BOTH URBAN AND RURAL AREAS; CLAY, GREENE, SULLIVAN, PARKE, VERMILLION AND VIGO COUNTIES IN INDIANA ALONG WITH CLARK AND CRAWFORD COUNTIES IN ILLINOIS MAKE UP OUR PRIMARY SERVICE AREA AS IT RELATES TO COMMUNITY BENEFIT. THE MAJORITY OF FAMILIES IN OUR SERVICE AREA FALL SIGNIFICANTLY BELOW THE NATIONAL AND STATE MEDIAN HOUSEHOLD INCOME. AS THE LARGEST NOT-FOR-PROFIT HEALTHCARE PROVIDER BETWEEN ST. LOUIS AND INDIANAPOLIS, WE ARE PROUD TO BE THE SAFETY NET HOSPITAL FOR OUR COMMUNITY PROVIDING $33.1 MILLION IN CHARITY CARE AND AN ADDITIONAL $41.9 MILLION IN PATIENT BAD DEBT FOR A TOTAL OF $75 MILLION IN UNCOMPENSATED CARE IN FISCAL YEAR 2011. OUR BENEFIT TO THE COMMUNITY IS FAR REACHING. UNION IS THE LARGEST EMPLOYER IN VIGO COUNTY EMPLOYING 2,300 PEOPLE WITH SALARY AND BENEFITS TOTALING $145 MILLION IN OUR LAST FISCAL YEAR. IN 2010, WE OPENED THE DOORS TO OUR $185 MILLION HOSPITAL ADDITION THE SINGLE LARGEST BUILDING PROJECT IN TERRE HAUTE HISTORY. BUT, OUR COMMITMENT TO OUR COMMUNITY GOES FAR BEYOND THE WALLS OF THE HOSPITAL. THOSE SAME 2,300 EMPLOYEES ARE NOT JUST CARING FOR OUR PATIENTS; THEY ARE CARING FOR OUR COMMUNITY. IN 2010 ALONE UHI EMPLOYEES GAVE OVER 16,000 HOURS OF THEIR TIME VOLUNTEERING.ACCESS TO HEALTH CARE FOR OUR COMMUNITIES IS A CHALLENGE WE HAVE BEEN WORKING TO MEET FOR MANY YEARS. WHEN AN IMPENDING SHORTAGE OF PRIMARY CARE PROVIDERS WAS IDENTIFIED IN THE 1970'S, UNION HOSPITAL ESTABLISHED A FAMILY MEDICINE RESIDENCY PROGRAM TO TRAIN AND RETAIN DOCTORS FOR SERVICE IN OUR AREA. IN RESPONSE TO HEALTH CARE PROFESSIONAL SHORTAGES IN RURAL AREAS, THE RICHARD G. LUGAR CENTER FOR RURAL HEALTH (FORMERLY THE MIDWEST CENTER FOR RURAL HEALTH) WAS ESTABLISHED IN 1993 AS A DIVISION OF THE FAMILY MEDICINE RESIDENCY PROGRAM. THIS INNOVATIVE CENTER HAS DEVELOPED A CURRICULUM FOR RESIDENTS SPECIALIZING IN RURAL FAMILY MEDICINE AS WELL AS PRACTICE MODELS THAT INCORPORATE A MULTIDISCIPLINARY TEAM APPROACH AND STATE-OF-THE-ART TECHNOLOGY TO ENSURE THE SATISFACTION AND SUCCESS OF PROFESSIONALS WHO CHOOSE TO SERVE IN RURAL AREAS. SINCE 1976, THE PROGRAM HAS PLACED 92 PHYSICIANS IN COMMUNITIES IN INDIANA, 25 IN ILLINOIS, 3 IN JAPAN, 1 IN CANADA, 1 IN SUDAN AND 43 OTHERS IN COMMUNITIES ACROSS THE UNITED STATES. THE LUGAR CENTER'S INNOVATIVE PROGRAMS AND PROJECTS INCLUDE PARTNERSHIPS WITH THE INDIANA UNIVERSITY SCHOOL OF MEDICINE, THE INDIANA STATE UNIVERSITY SCHOOL OF NURSING, THE STATE AND NATIONAL RURAL HEALTH ASSOCIATIONS, THE STATE OF INDIANA, THE U.S. DEPARTMENT OF AGRICULTURE, AND THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, AMONG MANY OTHERS. GRANTS TO SUPPORT ITS INITIATIVES TOTAL MORE THAN NEARLY $14 MILLION. THESE GRANTS SUPPORT CHRONIC DISEASE MANAGEMENT, TELEMEDICINE TECHNOLOGY, AND THE FUNDING OF RURAL HEALTH CLINICS AND SERVICES. THE CLAY CITY CENTER FOR FAMILY MEDICINE IS OUR MODEL RURAL HEALTH CLINIC AND TRAINING SITE FOR RESIDENTS AND PROVIDES VITAL CARE TO THE MEDICALLY UNDERSERVED CITIZENS OF CLAY COUNTY, INDIANA. OUR COMMUNITY LOOKS TO UHI FOR A HIGH LEVEL OF SUPPORT. IN FISCAL YEAR 2011, MORE THAN $11 MILLION WAS DONATED TO THE POOR AND THE COMMUNITY THROUGH DONATIONS, SUBSIDIZED HEALTH SERVICES, THE EDUCATION OF MEDICAL PROFESSIONALS, AND EDUCATION FOR PATIENTS AND THE COMMUNITY. ANNUALLY, THE UNION HOSPITAL FOUNDATION AWARDS 20 SCHOLARSHIPS FOR AREA STUDENTS. IN A RECENT SURVEY, 88% OF PERSONS IN OUR SERVICE AREA ASSOCIATED UNION HOSPITAL WITH HIGH QUALITY COMMUNITY HEALTH PROGRAMS. FINANCIAL COMMITMENT FOR THESE INITIATIVES COMES FROM THE BOARD OF DIRECTORS THROUGH THE ORGANIZATION AS PART OF THE BUDGETING PROCESS. THE UNION HOSPITAL FOUNDATION, THE UNION HOSPITAL CLINTON FOUNDATION AND GUILD, AND THE SERVICE LEAGUE OF UNION HOSPITAL ARE ACTIVELY ENGAGED IN RAISING FUNDS TO SUPPORT THESE VITAL COMMUNITY SERVICES. GRANT SOURCES INCLUDE: THE U.S. DEPARTMENT OF AGRICULTURE, THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, THE STATE OF INDIANA, MARCH OF DIMES, AND THE SUSAN G. KOMEN FOUNDATION, AMONG OTHERS. 374800825 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 1 1 1 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 0 0 1 191 0 1 2621 1 1 1 0 0 0 0 0 0 0 0 0 X 14 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X WAYNE HUTSON CFO 8122387000 1606 N SEVENTH STREET TERRE HAUTE IN 47804 JOHN LUKENS 2.00 X 0 0 0 CURTIS BRIGHTON 2.00 X 0 0 0 WILLIAM G GRIMES 2.00 X 0 0 0 DAN DEBARD 2.00 X 0 0 0 WARD HUBBARD 2.00 X 0 0 0 FREDERICK BAUER 2.00 X 0 0 0 ANNA ZIMMERMAN 2.00 X 0 0 0 CINDY MARTIN 2.00 X 0 0 0 DR DAVID SOUTHWICK 2.00 X 25956 0 0 MARK LYNCH 2.00 X 0 0 0 MOLLY CALLAHAN 2.00 X 0 0 0 ROBERT HAERR 2.00 X 0 0 0 ROBERT MCLAUGHLIN 2.00 X 0 0 0 SCOTT TEFFETELLER 40.00 X X 392191 0 32100 WAYNE HUTSON 40.00 X 221379 0 22003 KYM PFRANK 40.00 X 227519 0 29633 JOHN BOLINGER 40.00 X 144432 0 5196 CAROL ROESCH 40.00 X 83071 0 10758 RHONDA SMITH 40.00 X 94551 0 11889 SALLY ZUEL 40.00 X 178439 0 19562 RAMESH TANK 40.00 X 944477 0 33851 LINGAN SIDDA 40.00 X 910894 0 28831 SANJAY PATHAK 40.00 X 841930 0 37340 NABIL MNAYARJI 40.00 X 832987 0 14948 RITA TATANI 40.00 X 793238 0 14249 DAVID DOERR 40.00 X 347866 0 41205 6038930 0 301565 85 1 1 0 PROVIDENCE MEDICAL GROUP 2723 S 7TH ST TERRE HAUTE IN 47802 MEDICAL SERVICES AND RENT 19518550 CARDIOVASCULAR MANAGEMENT 2723 S 7TH ST TERRE HAUTE IN 47802 MEDICAL MANAGEMENT SERVICES 16289977 AMBULATORY SURGERY MANAGEMENT 221 S 6TH ST TERRE HAUTE IN 47802 MEDICAL MANAGEMENT SERVICES 6485684 ONCOLOGY SERVICES GROUP LLC 6100 W 96TH STE 125 INDIANAPOLIS IN 46278 MEDICAL SERVICES 2773411 FRESENIUS MEDICAL 16343 COLLECTION CENTER DR CHICAGO IL 60693 MEDICAL SERVICES 1536855 53 398539 1254778 1653317 NET PATIENT REVENUE 900099 420167469 420167469 420167469 596447 596447 1414907 3354232 -1939325 -1939325 -1939325 52284 126211 -73927 -73927 -73927 CAFETERIA REVENUE 900099 1486261 1486261 AP & S PURCHASED SERVI 900099 1135141 1135141 CHILD DEVELOPMENT REVE 624410 595068 248163 346905 3777152 3036494 331362 409296 6993622 427397603 421264638 579525 3900123 221487 221487 31640 31640 1581766 1481482 100284 124662941 116759311 7903630 5207595 4877433 330162 1095035 1025610 69425 8426210 7891988 534222 24000 22478 1522 226920 212533 14387 4006 3752 254 11241327 10528627 712700 488696 457713 30983 14225555 13323655 901900 13195237 12358659 836578 504631 472637 31994 14902184 13957386 944798 24492622 22939790 1552832 15705306 14709590 995716 PURCHASED SERVICES 77380792 72474850 4905942 MEDICAL SUPPLIES 64566381 60472872 4093509 HAF FEE 17902630 16767603 1135027 4041321 3809729 231592 400128282 374800825 25327457 0 28919312 33228407 53853217 54497818 4386794 4361427 5223132 5276747 487323195 191800924 290321652 295522271 70018346 76864206 3170237 3244483 4651848 5982856 3870960 3090878 464415498 482069093 47653026 51832211 401447 301122 255640000 254340000 23178118 24480793 10216563 6493740 337089154 337447866 X 121024812 139069623 5343087 4575246 958445 976358 127326344 144621227 464415498 482069093 X 27269321 -9974438 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 16861 16861 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PERCENTAGE OF INDIANA HOSPITAL ASSOCATION AND AMERICAN HOSPITAL ASSOCIATION DUES PAID ATTRIBUTABLE TO LOBBYING EXPENSES AS DEFINED IN FEDERAL LAW. 958444 17914 976358 946496 44026 20970 11108 958444 969067 17441 27706 12306 946496 1010484 4129 33684 11862 969067 1.00000 0 0 36335115 36335115 311471149 102877672 208593477 3017414 1870839 1146575 119419088 87052413 32366675 17080429 17080429 295522271 PENSION LIABILITY 3420210 ESTIMATED THIRD PARTY SETTLEMENTS 3073530 6493740 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE CORPORATION'S ENDOWMENT CONSISTS OF INDIVIDUAL FUNDS ESTABLISHED FOR A VARIETY OF PURPOSES WHICH WERE DONOR-RESTRICTED. NET ASSETS ASSOCIATED WITH ENDOWMENT FUNDS, INCLUDING FUNDS DESIGNATED BY THE CORPORATION TO FUNCTION AS ENDOWMENTS, ARE CLASSIFIED AND REPORTED BASED ON THE EXISTENCE OR ABSENCE OF DONOR-IMPOSED RESTRICTIONS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE CORPORATION AND RECOGNIZE A TAX LIABILITY IF THE CORPORATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE CORPORATION, AND HAS CONCLUDED THAT AS OF AUGUST 31, 2012 AND 2011, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE CORPORATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. FILINGS ARE CURRENT THROUGH 2011. THE IMPACT OF THE SUBSIDIARIES TAX CONSEQUENCES IS IMMATERIAL TO THESE FINANCIAL STATEMENTS. FORM 990, PART IV LINE 12 HAS BEEN CHECKED NO PER 990 INSTRUCTIONS. PART XI, XII, AND XIII ARE NOT REQUIRED AS THE ORGANIZATION IS PART OF A CONSOLIDATED FINANCIAL STATEMENT. THE CONSOLIDATED FINANCIAL STATEMENTS ARE AUDITED BY AN INDEPENDENT ACCOUNTING FIRM AND PREPARED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. 1 1 X 1 X 1 X 1 1 1 0 1 1 3983580 3983580 0.01000 76439169 46232291 30206878 0.07550 172499253 144387234 28112019 0.07030 252922002 190619525 62302477 0.15580 1355140 1355140 0.00340 9321622 2829384 6492238 0.01620 193625 5500 188125 0.00050 222177 222177 0.00060 11092564 2834884 8257680 0.02070 264014566 193454409 70560157 0.17650 259775 259775 0.00060 684124 684124 0.00170 15090 15090 0.00000 23500 23500 0.00010 982489 982489 0.00240 1 13052562 126078214 138546141 -12467927 X 1 1 2 1 UNION HOSPITAL INC

1606 NORTH SEVENTH STREET TERRE HAUTE IN 47804

X X X X PHYSICIAN PRACTICES, OFF CAMPUS THERAPY, RADIOLOGY 2 UNION HOSPITAL CLINTON

801 S MAIN ST CLINTON IN 47842

X X X UNION HOSPITAL 1 1 1 150.000000000000 1 250.000000000000 1 X X X X X X 1 1 X 1 0 1 0 0 UNION HOSPITAL CLINTON 2 1 1 150.000000000000 1 250.000000000000 1 X X X X X X 1 1 X 1 0 1 0 0 14 CLARA FAIRBANKS CENTER FOR WOMEN

1711 N 6 1/2 ST HUX CANCER CTR 3RD FLOOR TERRE HAUTE IN 47804

MAMMOGRAPHY CENTER CLAY CITY CENTER FOR FAMILY MEDICINE

315 LANKFORD ST PO BOX 96 CLAY CITY IN 47841

FAMILY MEDICINE CENTER IMAGING SERVICES - THOMAS PROF PLAZA

5500 S US HWY 41 TERRE HAUTE IN 47802

OUTPATIENT THERAPY & IMAGING CENTER PEDIATRIC THERAPY SERVICES

450 8TH AVE TERRE HAUTE IN 47804

OUTPATIENT THERAPY CENTER PROVIDENCE MEDICAL GROUP CATH LAB

2723 S 7TH ST TERRE HAUTE IN 47802

OUTPATIENT CATH LAB PROVIDENCE MEDICAL GROUP CHEMO THERAPY

2723 S 7TH ST TERRE HAUTE IN 47802

CHEMO THERAPY/INFUSION CENTER THERAPY SERVICES (UPA BONE & JOINT)

1725 N 5TH ST TERRE HAUTE IN 47804

OUTPATIENT THERAPY CENTER THERAPY SERVICES - PROFESSIONAL PLAZA

4001 E WABASH AVENUE TERRE HAUTE IN 47803

OUTPATIENT THERAPY CENTER THERAPY SERVICES - ST MARY OF THE WOODS

ONE SISTER OF PROVIDENCE ST MARY OF THE WOOD IN 47876

OUTPATIENT THERAPY CENTER UNION FAMILY MEDICINE EAST

4001 E WABASH AVENUE TERRE HAUTE IN 47803

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FAMILY MEDICINE CENTER UNION HOSPTIAL HUX CANCER CENTER

1711 N 6 1/2 ST TERRE HAUTE IN 47804

CANCER CARE CENTER WABASH VALLEY SURGERY CENTER

1421 N 7TH ST TERRE HAUTE IN 47807

SURGERY CENTER PROFESSIONAL OFFICE BUILDING

1530 N 7TH ST TERRE HAUTE IN 47807

P.E.T. SCANS PART I, LINE 3C: SCHEDULE H PART I LINE 3BDESCRIPTION OF FAMILY INCOME LIMIT FOR DISCOUNTED CARETHE ORGANIZATION PROVIDES PARTIAL ASSISTANCE FOR INCOME LEVELS BETWEEN 150% AND 200% OF FEDERAL POVERTY GUIDELINES, AND OFFERS DISCOUNTED CARE ON A SLIDING SCALE FOR INCOME LEVELS BETWEEN 250% AND 400% OF FEDERAL POVERTY GUIDELINES. PART II: TO BETTER MEET THE NEEDS OF OUR COMMUNITIES UHI PARTICIPATES IN COMMUNITY BUILDING ACTIVITIES TO IMPROVE THE HEALTH IN THE COMMUNITY. PROGRAMS HAVE BEEN DEVELOPED TO SPECIFICALLY HELP MEET THE NEEDS AS DEFINED BY OUR COMMUNITY HEALTH NEEDS ASSESSMENT. MANY OF THE PROGRAMS OR SERVICES DEVELOPED MEET SEVERAL DEFINED NEEDS AND SOME OF THEM ARE MORE FOCUSED ON A CENTRAL IDEA, FOR EXAMPLE PARTNERING WITH OUR LOCAL WABASH VALLEY HARLEY DAVIDSON DEALER AND OFFERING A FREE PROSTATE CANCER SCREENING TO OUR MALE POPULATION. THE CENTRAL FOCUS IS TO IDENTIFY MALES THAT HAVE AN ELEVATED PSA LEVELS SO THEY CAN GET TREATMENT BEFORE MAJOR HEALTH COMPLICATIONS ARISE. SEE PART VI, LINE 5 NARRATIVES. PART III, LINE 4: FOOTNOTE TO ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSES: EFFECTIVE SEPTEMBER 1, 2011, THE CORPORATION ADOPTED ACCOUNTING STANDARDS UPDATE (ASU) 2010-23, HEALTHCARE ENTITIES (TOPIC 954) "MEASURING CHARITY CARE FOR DISCLOSURE" WHICH REQUIRES CERTAIN HEALTHCARE ENTITIES TO DISCLOSE THE COST OF PROVIDING CHARITY CARE. ALL PERIODS PRESENTED HAVE BEEN RECLASSIFIED TO CONFORM TO THIS PRESENTATION. THE CORPORATION'S ADOPTION OF THIS STANDARD HAD NO NET IMPACT ON FINANCIAL POSITION, RESULTS OF OPERATIONS, OR CASH FLOWS. ALSO ASU 2011-7 "PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTH CARE ENTITIES", EFFECTIVE FOR THE FIRST ANNUAL PERIOD ENDING AFTER DECEMBER 15, 2012, HAS BEEN ADOPTED EARLY BY THE CORPORATION. THIS ADDITIONAL REQUIREMENT OF TOPIC 954 MOVES THE PROVISION FOR BAD DEBTS FROM AN OPERATIONAL EXPENSE TO A DEDUCTION TO ARRIVE AT NET PATIENT SERVICE REVENUE LESS PROVISION OF BAD DEBTS. ASU 2010-24 "PRESENTATION OF INSURANCE CLAIMS AND RELATED INSURANCE RECOVERIES", EFFECTIVE FOR FISCAL YEARS BEGINNING AFTER DECEMBER 15, 2010, HAS BEEN ADOPTED BY THE CORPORATION TO PROPERLY RECORD HEALTH INSURANCE CLAIMS AND ANY RELATED RECOVERIES SEPARATELY ON THE BALANCE SHEET.ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE CORPORATION ANALYZES ITS PAST HISTORY AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE CORPORATION ANALYZES CONTRACTUALLY DUE AMOUNTS AND PROVIDES AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (FOR EXAMPLE, FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD-PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), THECORPORATION RECORDS A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS.DURING 2012, THE CORPORATION'S ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS STAYED CONSISTENT AT APPROXIMATELY $19,100,000. AS OF AUGUST 31, 2012, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS OF $19,100,000 WAS COMPRISED OF APPROXIMATELY $11,884,000 RESERVED FOR SELF-PAY BALANCES AND APPROXIMATELY $7,204,000 RESERVED FOR THIRD-PARTY PAYOR BALANCES. AS OF AUGUST 31, 2011, THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS OF $19,100,000 WAS COMPRISED OF APPROXIMATELY $10,433,000 RESERVED FOR SELF-PAY BALANCES AND APPROXIMATELY $8,702,000 RESERVED FOR THIRD-PARTY PAYOR BALANCES.EXPLANATION FOR LINE 2 AND 3 OR RATIONAL FOR INCLUDING OTHER BAD DEBT AMOUNT IN COMMUNITY BENEFIT: THE HOSPITAL HAS A DETAILED FINANCIAL ASSISTANCE POLICY WHICH STATES THAT TO PARTICIPATE IN CHARITY CARE CANDIDATES MUST COOPERATE FULLY. IN ADDITION THE HOSPITAL EDUCATES PATIENTS WITH LIMITED ABILITY TO PAY REGARDING FINANCIAL ASSISTANCE. FOR THIS REASON THE ORGANIZATION BELIEVES THAT IT ACCURATELY CAPTURES ALL CHARITY CARE DEDUCTIONS PROVIDED ACCORDING TO THE FINANCIAL ASSISTANCE POLICY AND THE AMOUNT OF BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY IS NEGLIGIBLE. PART III, LINE 8: THE SOURCE USED TO DETERMINE THE AMOUNT OF MEDICARE ALLOWABLE COSTS REPORTED FOR PART III, SECTION B, MEDICARE HAS BEEN PROVIDED FROM THE YEAR ENDED AUGUST 31, 2012 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. PART III, LINE 9B: IF THE PATIENT DOES NOT QUALIFY FOR CHARITY, BUT QUALIFIES FOR LIMITED MEANS ASSISTANCE, A REDUCTION IN CHARGES WILL BE MADE TO THE ACCOUNT AND THE PATIENT WILL BE NOTIFIED VIA MAIL. AT THE PATIENT'S REQUEST, PAYMENT ARRANGEMENTS WILL BE MADE FOR THE REMAINING BALANCE. PART VI, LINE 2: AT UNION HOSPITAL, ASSESSING THE NEEDS OF OUR COMMUNITY IS AN ONGOING ACTIVITY. ON FEBRUARY 7, 2012, THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS OFFICIALLY LAUNCHED AND MADE AVAILABLE FOR PUBLIC USE. THE CHNA REPRESENTS A UNIQUE COLLABORATION BETWEEN THE TWO LARGEST HEALTHCARE PROVIDERS IN THE WABASH VALLEY (UNION HOSPITAL AND REGIONAL HOSPITAL), ALONG WITH THE THCC AND ITS BHWV INITIATIVE. BOTH UNION HOSPITAL ($21,000) AND TERRE HAUTE REGIONAL HOSPITAL ($16,500) PROVIDED FUNDING FOR THIS PROJECT, WHICH TOOK NEARLY SIX MONTHS TO COMPLETE. THE SIX COUNTIES ASSESSED INCLUDE CLAY, GREENE, PARKE, SULLIVAN, VERMILLION AND VIGO COUNTIES. HEALTHY COMMUNITY INSTITUTE (HCI) USES DATA FROM SECONDARY SOURCES BY COMPILING THE DATA INTO ONE CHNA REPORT PROVIDING NEARLY 100 INDICATORS MEASURING HEALTH AND WELLNESS, ECONOMIC FACTORS, EDUCATION, PUBLIC SAFETY AND SOCIAL ENVIRONMENT. THIS TOOL CAN BE USED BY MANY DIFFERENT SEGMENTS OF THE COMMUNITY. THE DATA IS AUTOMATICALLY UPDATED BY HCI REPRESENTATIVES AS NEW DATA IS MADE PUBLIC BY OTHER SECONDARY DATA SOURCES. THE CHNA INDICATORS EACH FEATURE A "DASHBOARD" REPRESENTING DATA THAT HAS BEEN COLLECTED FROM ROUGHLY 40 DIFFERENT SOURCES. EACH "DASHBOARD" HAS A NEEDLE POINTING TO ONE OF THREE COLORS REPRESENTING THE GOOD (GREEN), THE CAUTIONARY (YELLOW) AND THE SERIOUS CONDITION (RED) OF A PARTICULAR INDICATOR. SIDE-BY-SIDE COMPARISONS OF THE FIVE COUNTIES FEATURED ON THE WEBSITE, ALONG WITH STATEWIDE AND NATIONWIDE COMPARISONS ARE ALSO AVAILABLE. THE CHNA IS HOUSED ON THE THCC WEBSITE, TERREHAUTECHAMBER.COM AND CAN BE ACCESSED THROUGH BOTH THE TERRE HAUTE REGIONAL HOSPITAL AND UNION HOSPITAL WEBSITES. THE BHWV IMPLEMENTATION PLAN WAS DEVELOPED BY A SUB-COMMITTEE OF BHWV. MEMBERS OF THIS SUB-COMMITTEE HAVE KNOWLEDGE OF PUBLIC HEALTH AND REPRESENT THE COMMUNITY AS A WHOLE. THIS IMPLEMENTATION PLAN IS INTENDED TO BE A "COMMUNITY PLAN". NO SINGLE ORGANIZATION CAN IMPACT THE HEALTH OF THE COMMUNITY ALONE. IT IS BHWV VISION THAT EACH COMMUNITY INCLUDED IN THE CHNA SHOULD HAVE A SAY NOT ONLY IN WHAT NEEDS THEY WILL FOCUS ON BUT HOW THEY WILL GO ABOUT POSITIVELY IMPACTING THOSE NEEDS. THE EXPECTATION IS THAT MANY OF THE COUNTIES INCLUDED IN THE CHNA WILL HAVE SIMILAR NEEDS AND PROJECTS, PROGRAMS AND EDUCATION WILL BE DEVELOPED FOR IMPLEMENTATION ACROSS THE ENTIRE "REGION". THE IMPLEMENTATION PLAN WILL GO INTO EFFECT ON JANUARY 1, 2014. THE PLAN IS A THREE YEAR PLAN WITH ANNUAL REVIEW OF EFFECTIVENESS, BENCHMARKS, PROGRAMS AND COMMUNITY HEALTH NEEDS. BHWV ORGANIZATIONS MAY FORMALLY CHOOSE TO ADOPT THE INITIATIVES OUTLINED IN THIS DOCUMENT. THE PATIENT PROTECTION AND AFFORDABLE CARE ACT (PPACA) REQUIRES ALL NOT-FOR-PROFIT HOSPITALS TO COMPLETE A COMMUNITY HEALTH NEEDS ASSESSMENT AND ALSO COMPLETE AN IMPLEMENTATION PLAN, SEEKING INPUT FROM THE COMMUNITY AND BOARD APPROVAL OF THE PLAN IS REQUIRED. FAILURE TO COMPLY WITH THE PPACA COULD RESULT IN FORFEITURE OF TAX EXEMPT STATUS OR A $50,000 FINE UNTIL THE REQUIREMENTS ARE MET. UNION HOSPITAL, SULLIVAN COUNTY COMMUNITY HOSPITAL, GREENE COUNTY GENERAL HOSPITAL AND ST. VINCENT CLAY HOSPITAL ARE ALL PARTNERS IN THE BHWV INITIATIVE THAT HAVE REQUIREMENTS THEY HAVE TO FULFILL TO BE IN COMPLIANCE WITH THE PPACA. TO HELP SUPPLEMENT OUR INVOLVEMENT IN BHWV, UNION HOSPITAL OFFICIALS HAVE FORMED THE UNION HOSPITAL COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION PLAN WHICH INCORPORATES DATA FROM THE COMMUNITY HEALTH NEEDS ASSESSMENT, INPUT FROM COMMUNITY LEADERS HAVING INTEREST AND KNOWLEDGE IN PUBLIC HEALTH THAT ARE MEMBERS OF BHWV, THE UNION HOSPITAL BOARD OF DIRECTORS AND THE COMMUNITY AS A WHOLE. ADDITIONALLY, TO HELP SUPPLEMENT OUR FORMAL COMMUNITY HEALTH NEEDS ASSESSMENT, AN ONLINE SURVEY WAS DEVELOPED FOR THE COMMUNITY TO RANK NEEDS BASED ON THE AREA CODE IN WHICH THEY RESIDE. THIS DATA HAS BEEN TAKEN INTO CONSIDERATION AND WILL HELP US PLAN AND IMPLEMENT PROGRAMS FOR COMMUNITY HEALTH IMPROVEMENT. UNION HOSPITAL ALSO SEEKS PUBLIC INPUT IN VARIOUS STAKEHOLDER MEETINGS THAT TAKE PLACE AT THE HOSPITAL ON A BI-MONTHLY BASIS. THOSE STAKEHOLDER MEETINGS CONSIST OF; COMMUNITY IMPACT COMMITTEE, PATIENT FAMILY ADVISORY, BOARD OF DIRECTORS ADVISORY AND VENDOR ADVISORY. THESE ADVISORY COMMITTEES WERE FORMED TO HELP THE HOSPITAL PERFORM A SWOT ANALYSIS AND GAIN DIFFERENT PERSPECTIVE FROM DIFFERENT INDIVIDUALS THAT THE HOSPITALS COME IN CONTACT WITH ON A DAILY BASIS. THIS ANALYSIS HAS BEEN COMPILED TO HELP WITH OUR STRATEGIC PLANNING PROCESS. UNION EMPLOYS A FULL-TIME POSITION (COMMUNITY BENEFIT SPECIALIST) DEDICATED TO COMMUNITY BENEFIT ACTIVITIES FOR THE ORGANIZATION. THE COMMUNITY BENEFIT SPECIALIST TAKES ON THE LEAD ROLE IN COLLECTING DATA TO ASSIST IN ASSESSING THE NEEDS OF OUR COMMUNITY. THE WEB SITE STATSINDIANA.EDU HAS A WEALTH OF HEALTH, DEMOGRAPHIC AND INCOME DATA PROVIDING UNION WITH AN ASSESSMENT OF ALL INDIANA COUNTIES IN OUR SERVICE AREA. THE U.S. CENSUS BUREAU AND COUNTYHEALTHRANKINGS.ORG PROVIDED US MORE DATA THAT CAN BE DRILLED DOWN TO THE STATE, COUNTY AND CITY LEVELS TO HELP UNION OFFICIALS ACCURATELY ASSESS COMMUNITY HEALTH NEEDS. UNION ALSO WORKS CLOSELY WITH INDIANA STATE UNIVERSITY HEALTH AND HUMAN SERVICES AND THE VIGO COUNTY HEALTH DEPARTMENT. THE HOSPITAL UTILIZES NATIONAL RESEARCH CORPORATION (NRC) TO CONDUCT ITS PATIENT SATISFACTIONS SURVEY PROCESS, THE NRC PRODUCT PROVIDES UNION WITH COMMUNITY HEALTH NEEDS ASSESSMENT AND PROGRAM INDICATORS. PART VI, LINE 3: UHI USES A VARIETY OF TOOLS TO EDUCATE PATIENTS ABOUT THEIR ELIGIBILITY FOR FINANCIAL ASSISTANCE. SIGNS ARE DISPLAYED IN THE ADMITTING AREAS, BROCHURES AND THE FINANCIAL ASSISTANCE POLICY IS ATTAINED ON OUR STATEMENTS. CLAIMAID IS AVAILABLE OF POINT OF SERVICE ONSITE MEDICAID ELIGIBILITY ADVISOR THAT ASSISTS OUR PATIENTS IN QUALIFYING FOR ANY MEDICAID PROGRAMS. ALL OF OUR FINANCIAL COUNSELORS ARE TRAINED AND SCRIPTED TO COMMUNICATE FINANCIAL ASSISTANCE PROGRAMS AND ASSIST IN SETTING UP MEETINGS FOR THE CLAIMAID STAFF. FINANCIAL COUNSELORS ARE LOCATED IN THE ADMITTING IN BOTH UNION HOSPITAL EAST AND WEST FACILITIES AND AT UNION CLINTON FACILITY TO ASSIST OUR PATIENTS. THIS INCLUDES STAFF THAT CAN SPEAK SPANISH TO ASSIST IN ANY INTERPRETATION FOR A SPANISH SPEAKING PATIENT. PART VI, LINE 4: THE ORGANIZATION SERVES A SIX COUNTY "REGION" LOCATED IN WABASH VALLEY INCLUDING CLAY, GREEN, PARKE, SULLIVAN, VERMILLION, AND VIGO COUNTIES. FOLLOWING IS A DESCRIPTION OF THE COMMUNITY BY COUNTY.CLAY COUNTY - THE TOTAL POPULATION OF CLAY COUNTY IS 26,894, WHICH RANKS CLAY COUNTY AS 59TH IN INDIANA. THE LARGEST CITY IN CLAY COUNTY IS BRAZIL, WITH A POPULATION OF 8,073. THE COUNTY IS 357.60 SQUARE MILES, WHICH MAKES THE POPULATION PER SQUARE MILE 75.21. THERE ARE 1,554 PRESCHOOL CHILDREN AGES 0 TO 4, 4,762 SCHOOL CHILDREN AGES 5 TO 7, 2,222 COLLEGE AGES 18 TO 24, 6,599 YOUNG ADULTS AGES 25 TO 44, 7,628 OLDER ADULTS AGES 45 TO 64, AND 4,129 SENIORS AGES 65 AND OLDER. THE MEDIAN AGE OF PEOPLE IN CLAY COUNTY IS 40.3 YEARS OLD. IN CLAY COUNTY THERE ARE 26,362 WHITES, 336 HISPANICS, 136 BLACKS, 74 ASIANS, 64 AMERICAN INDIAN AND ALASKA NATIVE, 9 NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND, AND 249 WITH TWO OR MORE RACIAL GROUPS. THE MEDIAN HOUSEHOLD INCOME IN 2011 WAS $44,574, WHICH RANKED 47TH IN THE STATE. THE POVERTY RATE IS 13.7%, WHICH RANKS 50TH IN THE STATE. THE POVERTY RATE AMONG CHILDREN UNDER 18 YEARS OLD IS 21.4%, WHICH RANKS 44TH IN THE STATE. IN 2010 THERE WERE AN AVERAGE OF 112 FAMILIES ON WELFARE EACH MONTH, WHICH IS 42ND IN THE STATE. THERE WERE 3,595 PEOPLE HAD FOOD STAMPS IN 2010, WHICH RANKS 52ND IN THE STATE. THERE WERE 2,227 CHILDREN ON FREE AND REDUCED FEE LUNCHES IN 2011, WHICH RANKS 55TH IN THE STATE. IN CLAY COUNTY 11,368 PEOPLE ARE EMPLOYED, WHICH RANKS 62ND IN THE STATE. 1,368 PEOPLE ARE UNEMPLOYED, WHICH RANKS 53RD IN THE STATE.GREENE COUNTY - THE POPULATION IN GREENE COUNTY IS 32,895, WHICH RANKS THEM AS 51ST IN INDIANA. THE LARGEST CITY IN GREENE COUNTY IS LINTON, WITH A POPULATION OF 5,369. THE COUNTY IS 541.7 SQUARE MILES, WHICH MAKES THE POPULATION PER SQUARE MILE 60.73. THERE ARE 1,934 PRESCHOOL CHILDREN AGES 0 TO 4; 5,786 SCHOOL CHILDREN AGES 5 TO 17; 2,475 COLLEGE AGES 18 TO 24; 7,800 YOUNG ADULTS AGES 25 TO 44; 9,615 OLDER ADULTS AGES 45 TO 64; AND, 5,285 SENIORS AGES 65 AND OLDER. THE MEDIAN AGE IN GREENE COUNTY IS 41.6 YEARS OLD. IN GREENE COUNTY THERE ARE 32,277 WHITES, 363 HISPANICS, 127 BLACKS, 111 ASIANS, 99 AMERICAN INDIAN OR ALASKA NATIVE, 7 NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND, AND 274 WITH TWO OR MORE RACIAL GROUPS. THE MEDIAN HOUSEHOLD INCOME IN 2010 WAS $41,504, WHICH IS RANKED 67TH IN THE STATE. THE POVERTY RATE IS 14%, WHICH RANKS 41ST IN INDIANA. THE POVERTY RATE AMONG CHILDREN UNDER 18 YEARS OLD IS 20.7%, WHICH RANKS 44TH IN THE STATE. IN 2010 THERE WAS AN AVERAGE OF 96 FAMILIES ON WELFARE EACH MONTH, WHICH IS 48TH IN THE STATE. THERE WERE 4,148 PEOPLE RECEIVING FOOD STAMPS IN 2010, WHICH RANKS 44TH IN THE STATE. THERE WERE 2,425 CHILDREN ON FREE AND REDUCED FEE LUNCHES IN 2011, THIS IS 47TH IN THE STATE. IN GREENE COUNTY 14,069 PEOPLE ARE EMPLOYED, WHICH RANKS 52ND IN THE STATE. 1,406 PEOPLE ARE UNEMPLOYED, WHICH RANKS 49TH IN INDIANA. SULLIVAN COUNTY - THE TOTAL POPULATION IS JUST OVER 21,000, WHICH RANKS SULLIVAN 70TH IN INDIANA. THE LARGEST CITY IS SULLIVAN, WITH A POPULATION OF 2,224. THE COUNTY IS 447.10 SQUARE MILES, WHICH MAKES THE POPULATION PER SQUARE MILE 47.39. THERE ARE 1,098 PRESCHOOL CHILDREN AGES 0 TO 4; 3,342 SCHOOL CHILDREN AGES 5 TO 17; 1,875 COLLEGE AGES 18 TO 24; 5,744 YOUNG ADULTS AGES 25 TO 44; 6,021 OLDER ADULTS AGES 45 TO 64; AND, 3,276 SENIORS AGES 65 AND OLDER. THE MEDIAN AGE OF PEOPLE IN SULLIVAN COUNTY IS 40.3 YEARS OLD. IN SULLIVAN COUNTY THERE ARE 20,031 WHITES, 325 HISPANICS, 992 BLACKS, 48 ASIANS, 63 AMERICAN INDIAN AND ALASKA NATIVE, 1 NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND, AND 221 WITH TWO OR MORE RACIAL GROUPS. THE MEDIAN HOUSEHOLD INCOME IN 2011 WAS $42,608, WHICH RANKED 63RD IN THE STATE. THE POVERTY RATE IS 18%, WHICH RANKS 16TH IN THE STATE. THE POVERTY RATE AMONG CHILDREN UNDER 18 YEARS OLD IS 22.6%, WHICH RANKS 36TH IN THE STATE. IN 2010 THERE WAS AN AVERAGE OF 91 FAMILIES ON WELFARE EACH MONTH, WHICH IS 55TH IN THE STATE. THERE WERE 2,651 PEOPLE RECEIVING FOOD STAMPS IN 2010, WHICH RANKS 66TH IN THE STATE. THERE WERE 2,227 CHILDREN ON FREE AND REDUCED FEE LUNCHES IN 2011, WHICH RANKS 55TH IN THE STATE. IN SULLIVAN COUNTY 7,721 PEOPLE ARE EMPLOYED, WHICH RANKS 76TH IN THE STATE. 961 PEOPLE ARE UNEMPLOYED, WHICH RANKS 66TH IN THE STATE.PARKE/VERMILLION COUNTY - THE POPULATION IN PARKE COUNTY IS 17,237, WHICH RANKS 77TH IN THE STATE OF INDIANA. THE LARGEST CITY IS ROCKVILLE WITH A POPULATION OF 2,589 PEOPLE. PARKE COUNTY HAS 444.8 SQUARE MILES WITH 38.75 PEOPLE PER SQUARE MILE. THERE ARE 979 PRESCHOOL AGES 0 TO 4; 2,608 SCHOOL CHILDREN AGES 5 TO 17; 1,483 COLLEGE AGES 18 TO 24; 4,283 YOUNG ADULTS AGES 25 TO 44; 5,143 OLDER ADULTS AGES 45 TO 64; AND, 2,741 SENIORS AGES 65 AND OLDER. THE MEDIAN AGE IN PARKE COUNTY IS 41.8 YEARS OLD. THERE ARE 16,580 WHITES, 440 BLACKS, 240 HISPANICS, 72 AMERICAN INDIAN OR ALASKA NATIVE, 43, ASIAN, 4 NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND, AND 98 PEOPLE WITH TWO OR MORE RACIAL GROUPS. THE MEDIAN HOUSEHOLD INCOME IN PARKE COUNTY IS $42,749, WHICH RANKS 52ND IN THE STATE. THE POVERTY RATE IS 16.6%, WHICH RANKS 21ST IN THE STATE, AND THE POVERTY RATE AMONG CHILDREN UNDER 18 YEARS OLD IS 27.5%, WHICH RANKS 9TH IN THE STATE. IN 2010 AN AVERAGE OF 93 FAMILIES EACH MONTH WAS ON WELFARE. THIS RANKS 51ST IN INDIANA. THERE WERE 1,952 PEOPLE ON FOOD STAMPS IN 2010, WHICH IS 76TH IN THE STATE. THERE WERE 1,257 CHILDREN ON FREE AND REDUCED FEE LUNCHES IN 2011, WHICH IS 74TH IN INDIANA. THERE ARE 7,138 EMPLOYED PEOPLE IN PARKE COUNTY, WHICH RANKS 78TH IN THE STATE. THERE ARE 775 UNEMPLOYED PEOPLE, WHICH RANKS 79TH IN THE STATE. THE POPULATION IN VERMILLION COUNTY IS 16,231, WHICH RANKS 79TH IN THE STATE. THE LARGEST CITY IN VERMILLION COUNTY IS CLINTON WITH A POPULATION OF 4,898 PEOPLE. VERMILLION COUNTY HAS 256.9 SQUARE MILES AND A POPULATION PER SQUARE MILE OF 63.18. THERE ARE 872 PRESCHOOL AGES 0 TO 4; 2,842 SCHOOL CHILDREN AGES 5 TO 17; 1,205 COLLEGE AGES 18 TO 24; 3,763 YOUNG ADULTS AGES 25 TO 44; 4,746 OLDER ADULTS AGES 45 TO 64; AND, 2,803 SENIORS AGES 65 AND OLDER. THE MEDIAN AGE IN VERMILLION COUNTY IS 42.2 YEARS OLD. IN VERMILLION COUNTY THERE ARE 15,950 WHITES, 167 HISPANICS, 57 BLACKS, 44 AMERICAN INDIAN OR ALASKA NATIVE, 30 ASIANS, 6 NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND, AND 144 WITH TWO OR MORE RACIAL GROUPS. THE MEDIAN HOUSEHOLD INCOME IN 2010 IS $42,613, WHICH RANKS 54TH IN INDIANA. THE POVERTY RATE IN 2010 WAS 13.6%, WHICH RANKS 45TH IN THE STATE. THE POVERTY RATE AMONG CHILDREN UNDER 18 IS 20.2%, WHICH RANKS 46TH IN INDIANA. IN 2010 THE AVERAGE NUMBER OF FAMILIES ON WELFARE EACH MONTH WAS 66, THIS IS 68TH IN THE STATE. THERE WERE 2,005 PEOPLE ON FOOD STAMPS IN 2010, WHICH RANKS 74TH IN INDIANA. THERE WERE 1,338 CHILDREN ON FREE AND REDUCED FEE LUNCHES IN 2011. IN VERMILLION COUNTY THERE ARE 6,830 PEOPLE EMPLOYED, WHICH RANKS 80TH IN THE INDIANA. THERE ARE 908 PEOPLE UNEMPLOYED, WHICH RANKS 71ST IN THE STATE. VIGO COUNTY - THE TOTAL POPULATION OF VIGO COUNTY IS 108,182 PEOPLE. VIGO COUNTY IS RANKED 17TH IN THE STATE OF INDIANA ACCORDING TO POPULATION. THERE ARE 6,198 PRESCHOOL AGES 0 TO 4, 16,579 SCHOOL AGE CHILDREN AGES 5 TO 17, 16,194 COLLEGE AGE ADULTS AGES 18 TO 24, 27,134 YOUNG ADULTS AGES 25 TO 44, 27,514 OLDER ADULTS AGES 45 TO 64, AND 14,563 SENIORS AGES 65 AND OVER. THE MEDIAN AGE FOR VIGO COUNTY IS 35.8 YEARS OLD. THE LARGEST CITY IN VIGO COUNTY IS TERRE HAUTE, WHICH HAS A POPULATION OF 60,961 PEOPLE. TERRE HAUTE IS THE HOME TO 56.4% OF THE COUNTYS POPULATION. THE POPULATION MAJORITY IS WHITE WITH 95,810 PEOPLE. THERE ARE 7,733 BLACKS, 1,918 ASIANS, 2,597 HISPANIC, 389 AMERICAN INDIAN OR ALASKA NATIVE, 35 NATIVE HAWAIIAN AND OTHER PACIFIC ISLAND, AND 2,297 PEOPLE WITH TWO OR MORE RACIAL GROUPS. THE AVERAGE HOUSEHOLD INCOME FOR VIGO COUNTY IS $39,089, WHICH RANKS 82ND IN THE STATE OF INDIANA. THE POVERTY RATE IS 19.1%, WHICH IS 7TH IN INDIANA AND THE POVERTY RATE AMONG CHILDREN UNDER 18 YEARS OLD IS 27%, WHICH IS 12TH IN INDIANA. IN 2010 THERE WERE 16,375 PEOPLE WHO RECEIVED FOOD STAMPS, WHICH IS 10TH IN THE STATE. THERE ARE 8,194 CHILDREN ON FREE AND REDUCED FEE LUNCH IN VIGO COUNTY, WHICH IS 14TH IN INDIANA. IN 2010 THERE WAS AN AVERAGE OF 636 FAMILIES ON WELFARE EACH MONTH. THIS IS 8TH IN THE STATE OF INDIANA. THERE ARE 45,314 PEOPLE EMPLOYED IN VIGO COUNTY, WHICH RANKS 17TH IN THE STATE AND 5,169 PEOPLE UNEMPLOYED, WHICH RANKS 15TH IN THE STATE. THE ANNUAL UNEMPLOYMENT RATE IS 10.2, WHICH IS 22ND IN THE STATE OF INDIANA. PART VI, LINE 5: UNION HOSPITAL, ALONG WITH TERRE HAUTE REGIONAL HOSPITAL ARE FOUNDING MEMBERS OF THE TERRE HAUTE CHAMBER OF COMMERCE BETTER HEALTH WABASH VALLEY INITIATIVE (BHWV). THE ORIGINAL COMMITMENT WAS TO ASSIST IN THE PURCHASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT DATA AND TO MAKE THAT DATA WIDELY AVAILABLE TO THE PUBLIC. BETTER HEALTH WABASH VALLEY NOW HAS ADDITIONAL SUPPORTING MEMBERS INCLUDING SULLIVAN COUNTY COMMUNITY HOSPITAL, HAMILTON CENTER AND UNITED WAY OF THE WABASH VALLEY. THESE ORGANIZATIONS HAVE MADE A FINANCIAL CONTRIBUTION TO BETTER HEALTH WABASH VALLEY. ALL MONIES CONTRIBUTED TO BETTER HEALTH WABASH VALLEY GO THROUGH THE TERRE HAUTE CHAMBER OF COMMERCE FOUNDATION WHICH IS A 501C3 ORGANIZATION. BETTER HEALTH WABASH VALLEY'S MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY WHILE MAKING THE WABASH VALLEY A HEALTHIER COMMUNITY TO LIVE, WORK AND PLAY. BETTER HEALTH WABASH VALLEY IS REPRESENTED BY SEVERAL DIFFERENT ORGANIZATIONS IN THE COMMUNITY INCLUDING, HEALTHCARE AND MENTAL HEALTH ORGANIZATIONS, SCHOOL CORPORATIONS, UNIVERSITIES, NOT-FOR-PROFITS AND BUSINESSES. UNION HOSPITAL WILL REMAIN HEAVILY INVOLVED AND COMMITTED TO THE BETTER HEALTH WABASH VALLEY INITIATIVE OVER THE NEXT SEVERAL YEARS. AS EMPLOYERS IN THE WABASH VALLEY LOOK FOR WAYS TO KEEP HEALTH INSURANCE CLAIMS AT A MINIMUM WE WILL WORK WITH THEM ON EMPLOYEE WELLNESS STRATEGIES, ADDITIONALLY WE WILL ASSIST IN PROGRAM DEVELOPMENT THAT COULD BE IMPLEMENTED ON AN ORGANIZATIONAL LEVEL AT LITTLE TO NO COST TO THE EMPLOYER. AN EXAMPLE OF THIS MIGHT BE PROVIDING MATERIALS OR ONLINE RESOURCES FOR A WALKING PROGRAM. BETTER HEALTH WABASH VALLEY AND ITS MEMBERS HAVE DECIDED TO FOCUS ON CARDIOVASCULAR DISEASE, OBESITY AND CHILDHOOD OBESITY AS TOP ISSUES THAT THEY WILL FOCUS ON OVER THE NEXT THREE YEARS. SCHEDULE H, PART VI, LINE 5: RICHARD G. LUGAR CENTER FOR RURAL HEALTH THE LUGAR CENTER'S MISSION IS TO ADVANCE RURAL HEALTH THROUGH EDUCATION, INNOVATION AND COLLABORATION. THE LUGAR CENTER IS A PART OF UNION HOSPITAL AND ITS FAMILY MEDICINE RESIDENCY PROGRAM DEDICATED TO PREPARING PHYSICIANS TO SERVE IN RURAL COMMUNITIES. THIS PROGRAM CONSISTS OF HANDS-ON CURRICULUM FOR FUTURE RURAL HEALTH PROVIDERS BASED ON A UNIQUE HUB-AND-SPOKE STRUCTURE THAT ALLOWS RESIDENTS TO WORK OUT OF THE MAIN HOSPITAL-BASED SITE DURING THEIR FULL THREE YEARS OF TRAINING WHILE STILL GAINING FIRST-HAND RURAL EXPERIENCE AT A FEDERALLY-DESIGNATED RURAL HEALTH CLINIC AND A FEDERALLY QUALIFIED HEALTH CENTER. IT HAS DEVELOPED INTO A POLICY AND PROGRAM LEADER WITH THE DEVELOPMENT OF INNOVATIVE METHODOLOGIES TO SUPPORT A WORKFORCE THAT IS WELL-PREPARED TO PROVIDE ACCESS TO QUALITY HEALTH CARE SERVICES IN REMOTE AREAS NATIONALLY AND INTERNATIONALLY. IT WAS FIRST ESTABLISHED IN 1993 AS THE MIDWEST CENTER FOR RURAL HEALTH TO PREPARE PRIMARY CARE PHYSICIANS FOR SUCCESSFUL RURAL PRACTICE AND TO EXPOSE INDIVIDUALS NOT YET DECIDED ON A CAREER TO THE REWARDS OF DELIVERING HEALTH CARE IN A RURAL AREA. THE CENTER WAS RENAMED IN 2006 TO HONOR U.S. SENATOR RICHARD G. LUGAR A SUPPORTER OF THE CENTER'S MISSION AND AN ADVOCATE FOR THE ADVANCEMENT OF RURAL HEALTHCARE. IN 1993, UNION SET UP A MODEL RURAL HEALTH CLINIC AND TRAINING SITE IN CLAY CITY, INDIANA TO PROVIDE MUCH NEEDED HEALTH CARE SERVICES TO A MEDICALLY UNDERSERVED COMMUNITY. THIS FEDERALLY DESIGNATED RURAL HEALTH CLINIC (RHC) ALSO PROVIDES A UNIQUE HANDS-ON TRAINING SITE FOR PHYSICIANS ENROLLED IN UNION HOSPITAL'S FAMILY MEDICINE RESIDENCY'S RURAL TRAINING TRACK. A MULTIDISCIPLINARY TEAM OF PHYSICIANS, PHYSICIANS ASSISTANTS, NURSE PRACTITIONERS, MENTAL HEALTH COUNSELORS, PSYCHOLOGY INTERNS, AN X-RAY TECHNICIAN, AND AN OPTOMETRIST PROVIDE COMPREHENSIVE CARE TO ALL REGARDLESS OF THE PATIENT'S ABILITY TO PAY. THE CLINIC COLLABORATES WITH THE LOCALLY OWNED PHARMACY TO PROVIDE PRESCRIPTION SERVICES TO UNINSURED AND UNDERINSURED PATIENTS USING THE SAME DISCOUNTED SLIDING FEE SCALE USED BY THE CLINIC. A VITAL COMPONENT OF THIS CLINIC IS THE 10 MEMBER COMMUNITY ADVISORY BOARD. CLAY CITY CENTER FOR FAMILY MEDICINE SERVES AS A MEDICAL HOME FOR APPROXIMATELY 5,000 AREA RESIDENTS, DELIVERING OVER 10,000 VISITS ANNUALLY, IN ADDITION TO HOUSE CALLS AND IN-PATIENT HOSPITAL CARE. IN 2001, THE LUGAR CENTER DEVELOPED AND IMPLEMENTED A CHRONIC DISEASE MANAGEMENT PROGRAM AT THE CLINIC THAT IS STILL BEING INTEGRATED INTO CARE PLANS FOR PATIENTS AS APPROPRIATE. THIS EVIDENCE BASED PROGRAM INCLUDES FIVE CHRONIC DISEASES-HYPERTENSION, DIABETES MELLITUS, CHRONIC OBSTRUCTIVE PULMONARY DISEASE, CONGESTIVE HEART FAILURE, AND ASTHMA. THERE REMAINS AN ENORMOUS NEED FOR ADDITIONAL PROVIDERS IN THE SMALL COMMUNITIES SURROUNDING UH AS WELL AS CLINICAL TRAINING SITES. THE LUGAR CENTER IN COORDINATION WITH THE FAMILY MEDICINE RESIDENCY HAS EXPANDED TRAINING CAPACITY FOR FUTURE RURAL HEALTH CARE PROVIDERS THROUGH COLLABORATIVE EFFORTS WITH RURAL PARTNERS AROUND THE WABASH VALLEY. THE LUGAR CENTER RECEIVED GRANT FUNDING IN THE AMOUNT OF $1,041,412 DURING FISCAL YEAR 2012 TO HELP SUPPORT THE UNION HOSPITAL FAMILY MEDICINE RESIDENCY PROGRAM, CLAY CITY CENTER FOR FAMILY MEDICINE, AND THE WABASH VALLEY RURAL TELEHEALTH NETWORK. SCHEDULE H, PART VI, LINE 5: RURAL HEALTH INNOVATION COLLABORATIVE ON DEC. 2, 2008, UNION HOSPITAL'S LUGAR CENTER HELPED LAUNCH A RURAL HEALTH COLLABORATIVE AIMED AT IMPROVING AND EXPANDING HEALTH CARE IN OUR COMMUNITY. WHAT BEGAN AS AN INFORMAL EXERCISE IN CREATIVE PROBLEM-SOLVING HAS BECOME THE RURAL HEALTH INNOVATION COLLABORATIVE (THE RHIC). FOUNDING PARTNERS INCLUDE INDIANA STATE UNIVERSITY (ISU), INDIANA UNIVERSITY SCHOOL OF MEDICINE (IUSM), UNION HOSPITAL AND IT'S RICHARD G. LUGAR CENTER FOR RURAL HEALTH (UH), THE TERRE HAUTE ECONOMIC DEVELOPMENT CORPORATION (THEDC), THE CITY OF TERRE HAUTE (THE CITY), AND IVY TECH COMMUNITY COLLEGE WABASH VALLEY (IVY TECH). THE MISSION OF THE RURAL HEALTH INNOVATION COLLABORATIVE (RHIC) IS TO IMPROVE AND EXPAND EDUCATION AND TRAINING OF HEALTH CARE PROFESSIONALS AND FUTURE HEALTH CARE PROFESSIONALS, ESPECIALLY FOR THOSE COMMITTED TO SERVING RURAL AND UNDERSERVED POPULATIONS.KEY COMPONENTS OF THIS MISSION INCLUDE: TO PROMOTE THE RETENTION OF HEALTH CARE PROFESSIONALS TO SERVE RURAL AND UNDERSERVED POPULATIONS; TO INVITE COMMUNITY REVITALIZATION BY PROMOTING THE ENHANCEMENT OF OPPORTUNITIES FOR EDUCATION, TRAINING, AND EXPERIENCE IN HEALTH-RELATED PROFESSIONS AND FIELDS; TO PROMOTE SOCIAL WELFARE AND TO ENCOURAGE AND COORDINATE COMMUNITY INITIATIVES TO ADDRESS CHALLENGES AFFECTING HEALTH CARE DELIVERY; TO PROMOTE THE EFFICIENT USE OF PUBLIC AND PRIVATE RESOURCES AND COLLABORATE WITH OTHER ENTITIES WITH SIMILAR OR COMPLEMENTARY PURPOSES; TO DESIGN AND IMPLEMENT INNOVATIVE BEST PRACTICES AND STRATEGIES THAT ARE CAPABLE OF REPLICATION IN OTHER AREAS OF THE UNITED STATES; AND TO DISSEMINATE EDUCATIONAL INFORMATION, THEREBY POTENTIALLY OR ACTUALLY BENEFITING THOSE OTHER AREAS. A RECENT STUDY COMMISSIONED BY RHIC PARTNERS AND CONDUCTED BY INDIANA UNIVERSITY SCHOOL OF MEDICINE'S BOWEN RESEARCH CENTER, FOUND SHORTAGES IN ALMOST EVERY HEALTH CARE FIELD IN THE WABASH VALLEY. THE WABASH VALLEY IS A REGION WITH COUNTIES IN BOTH INDIANA AND ILLINOIS. NURSES AND PHYSICIANS TOP THE LIST OF SHORTAGE AREAS. THE SURVEY FOUND A NEED FOR 702 TO 827 ADDITIONAL NURSES AND 134 TO 275 PRIMARY CARE PHYSICIANS IN AN 11-COUNTY AREA OF WEST-CENTRAL INDIANA. THE ELEVEN COUNTIES INCLUDED IN THIS REGION WERE: CLAY, FOUNTAIN, GREENE, MONTGOMERY, OWEN, PARKE, PUTNAM, SULLIVAN, VERMILLION, VIGO, AND WARREN. SIGNIFICANT SHORTAGES WERE ALSO FOUND IN MENTALHEALTH COUNSELORS, PHYSICAL THERAPISTS, PHARMACISTS, SOCIAL WORKERS, HEALTH EDUCATORS, SPEECH PATHOLOGISTS, PHYSICIAN ASSISTANTS AND PSYCHOLOGISTS. IN MORE THAN THREE FOURTHS OF THE PROFESSIONS ANALYZED THE STUDY PROJECTS THAT BY 2016 THE NUMBER OF HEALTH CARE PROVIDERS PER 100,000 RESIDENTS WILL BE LOWER IN THE WABASH VALLEY THAN STATEWIDE. ADDITIONALLY THE STUDY FOUND A NEED FOR INCREASED ACCESS TO EDUCATION PROGRAMS, EXPANDING EXISTING PROGRAMS AND MAKING NEW PROGRAMS AVAILABLE. RHIC LEADERS ENVISION TACKLING THE CURRENT AND WORSENING HEALTH CARE WORKER SHORTAGES THROUGH INNOVATIONS AND COLLABORATIONS IN HEALTH CARE EDUCATION ACROSS THE PARTNERSHIP. THE PARTNERS ARE FOCUSED NOT JUST ON INCREASING NUMBERS OF STUDENTS AND EDUCATIONAL OPPORTUNITIES, BUT ALSO ON TRANSFORMING OUR TRADITIONAL EDUCATION MODEL TO ENSURE AN OPTIMALLY PREPARED WORKFORCE, RESULTING IN IMPROVED ACCESS TO CARE AND PATIENT OUTCOMES. THERE ARE SEVERAL CHALLENGES TO MINIMIZING THE HEALTH CARE WORKFORCE SHORTAGES IN RURAL WEST-CENTRAL INDIANA AND THROUGHOUT THE NATION. ONE OF THE BIGGEST CHALLENGES IS CHANGING THE EDUCATIONAL METHODOLOGY WHEN TRAINING FUTURE HEALTH CARE PROVIDERS. TRADITIONALLY, OUR WORKFORCE IS EDUCATED IN "SILOS", RATHER THAN IN INTERPROFESSIONAL TEAMS. EVEN A QUICK REVIEW OF THE LITERATURE REVEALS QUALITATIVE AND QUANTITATIVE EVIDENCE SUGGESTING THE NEED TO CHANGE THE METHODS THAT HAVE HISTORICALLY BEEN UTILIZED TO TRAIN HEALTH PROFESSIONALS. YET, THIS IS NOT AN EASY TASK. THE RHIC PARTNERS HAVE BEGUN TO ADDRESS THIS CHALLENGE BY EMBRACING INTERPROFESSIONAL EDUCATION (IPE) AS A MAJOR FOCUS OF THE RHIC. ONE IMPORTANT COMPONENT OF THE RHIC'S IPE INITIATIVE IS TO DEVELOP A COLLABORATIVE CURRICULUM WHERE STUDENTS FROM MULTIPLE HEALTH CARE PROFESSIONS LEARN TOGETHER. AS A PART OF THIS EFFORT, THE RHIC IMPLEMENTED A COLLABORATIVE SIMULATION CENTER FOR INTERPROFESSIONAL EDUCATION AND TRAINING. THE PRIMARY PURPOSE OF THE RHIC SIMULATION CENTER IS DEDICATED TO ENHANCING HANDS-ON EDUCATIONAL OPPORTUNITIES FOR TEAMS OF FUTURE HEALTH CARE PROFESSIONALS, PARTICULARLY THOSE PREPARING TO PRACTICE IN RURAL AREAS. THE CENTER ENSURES A ROBUST, WELL-PREPARED TEAM OF HEALTH CARE PROFESSIONALS WHO PROVIDE ENHANCED ACCESS TO QUALITY CARE IN RURAL COMMUNITIES. IN ADDITION TO MORE AND BETTER PREPARED HEALTH CARE PROFESSIONALS THIS COLLABORATIVE LEADS TO ADDITIONAL CUTTING-EDGE TRAINING AND RESEARCH FACILITIES, AS WELL AS SUPPORT FOR BUSINESS AND HEALTH CARE SERVICE EXPANSION. THIS OUTCOME LEADS THE WAY FOR NEIGHBORHOOD REVITALIZATION AND ECONOMIC DEVELOPMENT IN TERRE HAUTE AND IN SURROUNDING RURAL, UNDERSERVED COMMUNITIES. THE RHIC COLLABORATIVE INCLUDES URBAN AND RURAL PARTNERS AS WELL AS PRIVATE, PUBLIC AND GOVERNMENT PARTNERS. THE LEADERS OF EACH PARTNER ORGANIZATION BRING MULTIPLE RESOURCES AND EXPERTISE TO THE COLLABORATIVE AND PROVIDE GUIDANCE AS A PART OF A ROBUST BOARD OF DIRECTORS. COMMITTEES OF THE BOARD MANAGE ACTIVITIES IN: COMMUNICATIONS, EDUCATION, FACILITIES, FINANCE, ECONOMIC DEVELOPMENT AND RESOURCE DEVELOPMENT. AD-HOC COMMITTEES ARE CREATED AS NEEDED FOR TARGETED STUDY AND WORK. THROUGH THIS ROBUST COLLABORATIVE--INCLUDING THROUGH THE SHARING OF RESOURCES AMONG URBAN, RURAL, GOVERNMENT, PUBLIC AND PRIVATE ENTITIES THAT ARE ALL REPRESENTED WITHIN THE RHIC--WE ARE IMPROVING EFFICIENCIES, CREATING AND IMPLEMENTINNOVATING ADVANCES IN CURRICULUM AND TRAINING FOR INTERPROFESSIONAL TEAMS OF PROVIDERS, AND ENSURING LONG-TERM RESULTS TOWARD IMPROVED ACCESS TO QUALITY HEALTH CARE IN ALL OF OUR COMMUNITIES, ESPECIALLY INCLUDING OUR SURROUNDING RURAL COMMUNITIES. NO COLLABORATION EVER COMES EASILY. YET, IT IS THROUGH COLLABORATION THAT WE ARE ABLE TO ACHIEVE THE MOST. RHIC MEMBERS HAVE HIRED A FULL-TIME DIRECTOR TO ASSIST WITH THOUGHTFULLY BUILDING A SOLID FOUNDATION FOR THE RHIC COLLABORATIVE, INCLUDING THROUGH THE CREATION OF FORMAL BYLAWS AND OTHER GOVERNING MECHANISMS. TOWARD THIS END, IN DECEMBER 2009, THE RHIC WAS FORMALLY RECOGNIZED BY THE IRS AS A 501(C)(3) NONPROFIT ENTITY. RHIC MEMBERS COME TOGETHER MONTHLY FOR INTENSE MEETINGS DURING WHAT HAS COME TO BE KNOWN AS "RHIC WEEK" EACH MONTH. THE BOARD IS MADE UP OF MEMBERS FROM THE HIGHEST LEVELS OF LEADERSHIP FROM EACH OF THE PARTNER ENTITIES. IN ADDITION TO RHIC COMMITTEE MEMBERS MEETING MONTHLY, THESE LEADERS ARE ALSO COMING TOGETHER ON A CONTINUOUS, CONSISTENT BASIS. THIS SHARING OF TIME TO REVIEW VISION DOCUMENTS AS WELL AS THE MOST MUNDANE DOCUMENTS, HAS BEEN INVALUABLE IN TERMS OF MOVING THE COLLABORATIVE FORWARD TOWARD ITS ULTIMATE GOAL OF ENSURING A ROBUST WORKFORCE AND ENVIRONMENT TO BE ABLE TO PROVIDE LONG-TERM, SUSTAINABLE ACCESS TO QUALITY HEALTH CARE. FUTURE GOALS, AS STATED ABOVE, INCLUDE CREATING A TRULY INNOVATIVE INTERPROFESSIONAL HEALTH CURRICULUM AND TRAINING PROGRAM. IN ADDITION TO CREATING A ROBUST INNOVATIVE, LEARNING ENVIRONMENT, THE RHIC MEMBERS ENVISION CREATING A "DISTRICT" THAT CONNECTS UNION HOSPITAL TO THE INDIANA STATE UNIVERSITY CAMPUS IN TERRE HAUTE. THIS "NEIGHBORHOOD", ABOUT 270 ACRES, BETWEEN THE UNION HOSPITAL AND ISU CAMPUSES IS A BLIGHTED NEIGHBORHOOD. THROUGH THIS ECONOMIC DEVELOPMENT INITIATIVE OF THE RHIC, WE ENVISION CREATING A MIXED-USE LEARN-LIVE-WORK-PLAY DISTRICT THAT INCORPORATES HEALTHY LIVING DESIGN FEATURES AND FOSTERS JOB CREATION AND A CULTURE OF INNOVATION, CONTINUOUS LEARNING AND EXCELLENCE. TOWARD THIS END, THE RHIC PARTNERS HAVE HIRED AN ARCHITECTURAL FIRM TO LEAD A MASTER PLANNING PROCESS THAT WILL INVOLVE STAKEHOLDERS FROM ACROSS THE COMMUNITY AND FROM ACROSS DISCIPLINES. WE FULLY EXPECT THIS "RHIC DISTRICT" TO BECOME A MODEL IN THE UNITED STATES FOR INNOVATION AND EXCELLENCE. CURRENT OPERATING EXPENSES ARE FUNDED THROUGH THE RHIC MEMBER ORGANIZATIONS. IN ADDITION, SOME INITIAL FEDERAL AND STATE GRANTS HAVE BEEN SECURED TO BEGIN IMPLEMENTATION. FOR EXAMPLE, A $100,000 GRANT WAS SECURED THROUGH THE HEALTH RESOURCES AND SERVICES ADMINISTRATION TO ESTABLISH THE COLLABORATIVE SIMULATION CENTER. IN ADDITION, THE RHIC'S RESOURCE DEVELOPMENT COMMITTEE HAS TAKEN A LEADING ROLE TO BEGIN APPLYING FOR GRANTS TO ASSIST WITH PROGRAM DEVELOPMENT AND IMPLEMENTATION TO MAXIMIZE IMPACT AND FURTHER THE VISION OF PROVIDING A ROBUST HEALTHCARE WORKFORCE THAT IS SUFFICIENT TO MEET ALL OF THE HEALTHCARE NEEDS IN OUR SERVICE AREAS, ESPECIALLY INCLUDING IN OUR RURAL UNDERSERVED COMMUNITIES THROUGHOUT THE WEST-CENTRAL REGION OF INDIANA. SCHEDULE H, PART VI, LINE 5: PRE-NATAL CARE FOR INDIGENT POPULATION UNION HOSPITAL SERVES AS THE COMMUNITY SAFETY NET TO ASSURE THAT PRENATAL AND BIRTH CARE IS AVAILABLE TO ALL PREGNANT WOMEN IN THE WABASH VALLEY REGARDLESS OF FINANCIAL STATUS THROUGH ITS FAMILY MEDICINE CENTER. AS IN MANY AREAS OF HEALTH CARE, FISCAL REALITIES AFFECT SERVICES THAT CAN BE PROVIDED. WE ARE STRIVING TO MAINTAIN AND INNOVATIVELY IMPROVE SERVICES AND OPTIONS FOR THE VULNERABLE AND HIGH-RISK POPULATION WE SERVE. EACH COUNTY THAT WE SERVE HAS A HIGHER PERCENT OF REPORTED PRENATAL SMOKING THAN THE 2005 REPORTED STATE OF INDIANA AVERAGE OF 17.9%. THERE IS A COMBINED AVERAGE OF 27.94% FOR WOMEN FROM THE FIVE COUNTIES THAT WE SERVE. WE STRIVE TO ADDRESS THIS PROBLEM AS WELL AS BREASTFEEDING AND PRENATAL CARE INITIATION IN THE FIRST TRIMESTER. THE MHC IS PROUD TO PROVIDE A MULTIDISCIPLINARY APPROACH TO CARE FROM PHYSICIANS, RESIDENT PHYSICIANS, MIDWIVES, A FAMILY NURSE PRACTITIONER, NURSES, SOCIAL WORKERS, A SONOGRAPHER, AND A SUBSTANCE ABUSE COUNSELOR. REFERRALS ARE MADE TO APPROPRIATE COMMUNITY AGENCIES WITH SERVICES FOR HOUSING, FOOD STAMPS, WOMEN INFANTS AND CHILDREN NUTRITION PROGRAM, ADOPTION RESOURCES, DENTAL, TRANSPORTATION, DOMESTIC ABUSE SUPPORT RESOURCES, MENTAL HEALTH COUNSELING, BEREAVEMENT, CHILD PROTECTION, FAMILY PLANNING, AND BABY SUPPLIES. WE ENROLLED 284 NEW PATIENTS IN THE PAST FISCAL YEAR. 130 OF OUR PATIENTS WERE ASSESSED AS BEING MODERATE TO HIGH RISK SOCIALLY. THE POVERTY RATE IN VIGO COUNTY IN 2010 WAS 19.1%. BECAUSE OF THIS, IT IS APPARENT THAT WOMEN IN OUR AREA ARE IN NEED OF THE SERVICES THAT THE MHC PROVIDES. WE ARE A MEDICAID ENROLLMENT SITE, AND WE PROVIDE CARE ON A SLIDING FEE FOR SERVICE SCALE FOR THOSE WHO ARE NOT ELIGIBLE FOR MEDICAID. FIRST TRIMESTER CARE HAS BEEN INCREASED FROM 77% IN 2007 TO 81% IN 2009. BREASTFEEDING RATES HAVE INCREASED FROM 65.8% IN 2007 TO 69.6% IN 2009. OVER HALF OF OUR CLIENTS WHO SMOKED WHEN THEY BECAME PREGNANT STOPPED SMOKING BY THE TIME THEIR BABIES WERE BORN. WE HAVE RECENTLY STARTED AURICULAR (EAR) ACUPRESSURE AND ACUPUNCTURE IN OUR CLINIC TO ASSIST IN DECREASING SMOKING RATES. WOMEN ARE READY TO BE HELPED DURING PREGNANCY TO DECREASE AND/OR STOP SMOKING. WE HAVE IMPLEMENTED HOME VISITS, EDUCATION, AND AURICULAR THERAPY TO AID IN THIS TRANSITION. WE KNOW THAT WOMEN WANT CONSISTENT CARE AND MANY WANT FEMALE PROVIDERS. WE HAVE THE CARE PROVIDERS TO DO JUST THOSE THINGS. WE PROMOTE AND ASSIST WITH BREASTFEEDING EDUCATION AND SUPPORT. WE ADOPTED AN INCENTIVE PROGRAM TO MOTIVATE WOMEN TO PARTICIPATE IN EDUCATIONAL OPPORTUNITIES AND MAKE POSITIVE BEHAVIOR CHANGES. PATIENTS EARN POINTS FOR KEEPING APPOINTMENTS, CHANGING DIETS, RELEASING ADDICTIONS, AND BREASTFEEDING. THESE POINTS CAN BE EXCHANGED FOR USED CLOTHING AND HOUSEHOLD ITEMS AT THE NONPROFIT STORE RUN BY THE HELPING HANDS ORGANIZATION. BY 2012, WE PLAN TO HAVE OUR FIRST TRIMESTER CARE RATES AT 80% AND OUR BREASTFEEDING AT 70%. THROUGH OUR OPTIONS FOR SMOKING REDUCTION, WE PLAN TO DECREASE THIS RATE TO 98%.UNION HOSPITAL'S PERINATAL SERVICE OFFERS THE ONLY LEVEL III-B NICU IN A SEVENTY-MILE RADIUS. IN FACT, UNION HOSPITAL HAD THE FIRST NICU IN THE STATE WHICH WAS DEVELOPED IN 1964 BY A GROUP OF PEDIATRICIANS. WE CURRENTLY OFFER THE EXPERTISE OF NEONATOLOGISTS WHICH ENABLES US TO CARE FOR THE VERY LOW BIRTH WEIGHT NEONATES TO ANY FULL TERM INFANT THAT MAY REQUIRE MEDICAL INTERVENTIONS. RECENT RENOVATIONS WILL INCREASE THE NICU BEDS FROM NINE TO FIFTEEN. IN 2011 OVER THREE-HUNDRED NEWBORNS WERE ADMITTED FOR CARE. ANY NEWBORN THAT REQUIRES SURGICAL INTERVENTIONS DUE TO A CONGENITAL ANOMALY IS TRANSFERRED TO INDIANAPOLIS. OUR PRIMARY GOAL IS TO CARE FOR THIS VULNERABLE POPULATION IN OUR TECHNOLOGICALLY ADVANCED UNIT SO THAT WE CAN DECREASE ANY UNNECESSARY STRESS TO FAMILIES. ADDITIONALLY, WE HAVE A TRANSPORT TEAM WHO WILL GO TO SEVERAL SURROUNDING COUNTIES TO BRING INFANTS BACK TO UNION'S NICU FOR THE EXPERT MEDICAL AND NURSING CARE. LABOR AND DELIVERY MOVED TO THE RENOVATED AREA ON JULY 9, 2012. THE NEW 23,000 SQUARE FOOT RENOVATIONS INCREASED THE BIRTHING SUITES FROM 5 BEDS TO 8. THE TRIAGE AREA EXPANDED FROM 3 BEDS TO 9, WITH THE CESAREAN BIRTHING AREA ACQUIRING AN ADDITIONAL ROOM FOR A TOTAL OF TWO. IN 2012 THERE WERE 1732 BIRTHS AND APPROXIMATELY THE SAME NUMBER OF OUTPATIENTS. WE PROVIDE ALL OPTIONS FOR THE PREGNANT WOMAN TO CHOOSE IN HOW SHE WOULD TO BIRTH HER NEWBORN - FROM HIGH TOUCH WITH NO PAIN MEDICATIONS TO HIGH TECH WHERE SHE CAN HALF AN EPIDURAL. THE BIRTHING SUITES HAVE SHOWERS WHERE ONE CAN USE HYDROTHERAPY FOR ANY LABORING DISCOMFORT. WE MAKE EVERY EFFORT TO KEEP MOTHER AND NEWBORN TOGETHER FROM BIRTH TO DISCHARGE AND INITIATE BREAST FEEDING WITHIN THE FIRST HOUR OF LIFE. THERE ARE LACTATION CONSULTANTS TO ASSIST WITH BREAST FEEDING DURING THE HOSPITALIZATION AND THE "STORK SHOP" WHERE ELECTRIC BREAST PUMPS, BRAS, AND SUPPLIES CAN BE PURCHASED. PRENATAL CLASSES ARE ALSO OFFERED TO THOSE NEWLY PREGNANT FAMILIES AND FOR ANYONE WHO NEEDS A REFRESHER. SCHEDULE H, PART VI, LINE 5: ST. ANN MEDICAL CLINIC FOUNDED IN SEPTEMBER 1997 TO PROVIDE COMPREHENSIVE OUTPATIENT MEDICAL CARE FOR THE POOR OF VIGO AND SURROUNDING COUNTIES. ST. ANN MEDICAL CLINIC IS A PROGRAM OF PROVIDENCE SELF SUFFICIENCY MINISTRIES. CLIENTS SERVED MUST BE FINANCIALLY AT OR BELOW THE 125% POVERTY LEVEL AS ESTABLISHED BY THE FEDERAL GUIDELINES, MUST HAVE NO INSURANCE AND NO PHYSICIAN, AND BE WITHOUT THE RESOURCES OF MEDICARE OR MEDICAID. UNION'S PHYSICIANS, NURSES AND OTHERS PROVIDE VOLUNTEER SERVICE AND LEADERSHIP WITH ONE OF OUR PHYSICIANS SERVING AS MEDICAL DIRECTOR, AND LEADERS SUCH AS THE UNION HOSPITAL FOUNDATION DIRECTOR, THE CHAIRMAN OF THE BOARD OF DIRECTORS AND THE HOSPITAL'S LEGAL COUNSEL SERVING ON ITS ADVISORY COMMITTEE. HOSPITAL PHYSICIANS AND STAFF PROVIDE THOUSANDS OF VOLUNTEER HOURS TO THE CLINIC EACH YEAR. BEGINNING IN 2007, UNION HEALTH SYSTEM PLACED A NURSE PRACTITIONER FULL TIME WITHIN THE CLINIC. IN ADDITION, UNION HOSPITAL UHI ANNUALLY PROVIDES MORE THAN $13,000 IN MONETARY SUPPORT AND NEARLY $150,000 IN IN-KIND SUPPORT IN THE FORM OF FOLLOWUP TESTING AND CARE. SINCE 1997, THE CLINIC HAS TALLIED 83,750 CLIENT VISITS WITH NEARLY 59,000 OF THOSE VISITS OCCURRING SINCE FISCAL YEAR 2007. THE CLINIC OPERATES WITH A STAFF OF 141 DEDICATED CORE VOLUNTEERS, INCLUDING DOCTORS, NURSE PRACTITIONERS, NURSES, PHARMACISTS AND CLERICAL SUPPORT. THE NUMBER OF UNDERSERVED POOR IN THE VIGO COUNTY AREA IS INCREASING RAPIDLY AS EVIDENCED BY THE INCREASING NUMBERS OF CLINIC VISITS AND DECREASING ECONOMIC OPPORTUNITIES. THE CLINIC HAS DECREASED VISITS TO THE ALREADY OVERLOADED HOSPITAL EMERGENCY ROOMS. FURTHERMORE INDIVIDUALS AND FAMILIES, WHO HAVE NO OTHER RESOURCES, WOULD TYPICALLY NOT SEEK MEDICAL CARE, THUS RESULTING IN HIGHER IN HIGHER INCIDENCES OF MORE SERIOUS MEDICAL CONDITIONS GOING UNTREATED, POORER QUALITY OF LIFE AND INCREASING STRESS ON THE FAMILY. SCHEDULE H, PART VI, LINE 5: UNION HOSPITAL CLARA FAIRBANKS CENTER FOR WOME CLARA FAIRBANKS CENTER FOR WOMEN PROVIDES QUALITY CARE AND STATE-OF-THE-ART TECHNOLOGY IN MAMMOGRAPHY SERVICES FOR ALL PATIENTS OF THE WABASH VALLEY AND SURROUNDING COUNTIES. WE NOW HAVE THREE LOCATIONS TO SERVE OUR PATIENTS: THE MAIN CENTER AT 1711 N. 6 1/2 ST., SUITE 300, HUX CANCER CENTER IN TERRE HAUTE, SECOND LOCATION IS SOUTH OF THE CITY AT THOMAS PLAZA, 5500 S. US HWY. 41, TERRE HAUTE, AND THE THIRD LOCATION AT UNION HOSPITAL CLINTON, 801 S. MAIN, CLINTON, IN. THE SERVICES PROVIDED INCLUDE: DIGITAL MAMMOGRAPHY, BREAST ULTRASOUND, STEREOTACTIC AND ULTRASOUND GUIDED BREAST BIOPSY PROCEDURES, BONE DENSITY SCANS, AND A BOUTIQUE TO SUPPLY SPECIAL GARMENTS FOR PATIENTS WHO HAVE UNDERGONE BREAST SURGERY. BECAUSE PERSONALIZED CARE IS AS VITAL A PART OF GUIDING A PATIENT THROUGH BREAST CARE, AS IT IS IMPORTANT TO BE SURE TO TREAT EACH PATIENT AS AN INDIVIDUAL NOT JUST A CANCER DIAGNOSIS; THE CENTER IDENTIFIED THE NEED FOR A PATIENT NAVIGATOR IN 2004. THE PATIENT NAVIGATOR HELPS GUIDE THE PATIENTS AND THEIR FAMILIES THROUGH THE SOMETIMES-OVERWHELMING PROCESS OF A BREAST CANCER DIAGNOSIS AND TREATMENT. SHE IS ABLE TO ACCOMPLISH THIS BY MAKING HERSELF AVAILABLE TO ANSWER QUESTIONS, SCHEDULE APPOINTMENTS AND COORDINATE REFERRALS. THE STAFF EDUCATES THE PATIENTS AND COMMUNITY ABOUT BREAST CARE, AVAILABLE GRANT DOLLARS, AND MAMMOGRAPHY SERVICES THROUGH DIRECT COMMUNICATION WITH THE CENTER, COMMUNITY HEALTH FAIRS AND PUBLIC SPEAKING. THE CLARA FAIRBANKS CENTER MEETS ALL STANDARDS SET FORTH BY THE HEALTHCARE FACILITIES ACCREDITATION PROGRAM (HFAP), FEDERAL DRUG ADMINISTRATION (FDA), AMERICAN COLLEGE OF RADIOLOGY (ACR), AND THE REQUIREMENTS SET FORTH BY THE INDIANA STATE DEPARTMENT OF HEALTH. THE CENTER IS THE LEADING MAMMOGRAPHY FACILITY IN THE WABASH VALLEY. SINCE 1998, THE CENTER HAS BEEN A MAJOR PARTICIPANT IN THE INDIANA BREAST AND CERVICAL CANCER PREVENTION PROGRAM (BCCP), A PROGRAM TO ASSIST INDIGENT WOMEN WITH FUNDING FOR MAMMOGRAPHY SERVICES. FOR THE LAST FIVE YEARS, THE CENTER HAS BEEN APPROVED FOR GRANT DOLLARS THROUGH THE INDIANA BREAST CANCER AWARENESS TRUST. IN 2012, THE CLARA FAIRBANKS CENTER PROVIDED OVER 17,000 MAMMOGRAPHY SERVICES (BREAST BIOPSIES, ULTRASOUNDS, AND MAMMOGRAMS). THIS SAME YEAR, THE CLARA FAIRBANKS CENTER FOR WOMEN DIAGNOSED 165 WOMEN WITH BREAST CANCER AND ANOTHER 28 THAT WERE HIGH RISK. THE WABASH VALLEY BREAST CANCER SURVIVOR ORGANIZATION GAVE DOLLARS IN THE AMOUNT OF $7,500.00. THE BCCP GAVE FUNDS FOR APPROXIMATELY 86 MAMMOGRAPHY SERVICES. THROUGH A WABASH VALLEY KOMEN FOUNDATION GRANT IN THE AMOUNT OF $27,764 .00 ANOTHER 46 WOMEN WERE ASSISTED WITH ADDITIONAL SERVICES (MOSTLY BREAST BIOPSY PROCEDURES AND DIAGNOSTIC MAMMOGRAPHY). FIFTY WOMEN RECEIVED SCREENING MAMMOGRAMS FROM A $6,000 GRANT FROM INDIANA BREAST CANCER AWARENESS TRUST. THESE WERE WOMEN WHO MIGHT NOT HAVE RECEIVED THESE SERVICES IF THIS FUNDING HAD NOT BEEN AVAILABLE. BREAST CANCER SHOWS NO AGE BOUNDARIES; EARLY DETECTION IS STILL THE BEST PREVENTION. WITH EARLIER DIAGNOSIS, THERE IS LESS TREATMENT COST AND BETTER PROGNOSIS FOR THE PATIENT. WHILE BCCP IS A WORTHWHILE PROGRAM TO ASSIST INDIGENT WOMEN WITH MAMMOGRAPHY SERVICES, IT ONLY SUPPLIES FUNDING FOR MAMMOGRAPHY SERVICES FOR WOMEN 40 YEARS AND OLDER. WE KNOW THAT BREAST CANCER HAS THE POTENTIAL TO GROW MORE RAPIDLY IN YOUNGER WOMEN: THEREFORE IT IS OF UTMOST IMPORTANCE TO DETECT THESE CANCERS AT THE FIRST POSSIBLE SIGN. SINCE THERE HAS BEEN AN INCREASED NEED FOR FUNDING TO INCLUDE SCREENING, DIAGNOSIS, AND TREATMENT FOR WOMEN UNDER THE AGE OF 40, CLARA FAIRBANKS WILL CONTINUE TO PARTNER WITH ORGANIZATIONS LIKE THE SUSAN G. KOMEN FOUNDATION. THE CENTER WILL LOOK FOR EVERY OPPORTUNITY TO REQUEST GRANTS TO HELP ASSIST NOT ONLY WOMEN BUT MEN FOR THESE SERVICES. THE CENTER WILL CONTINUE TO EDUCATE ABOUT THE IMPORTANCE OF EARLY DETECTION AND FURTHER ENHANCE THE HOSPITAL'S "TEAM APPROACH" FOR BREAST CANCER PATIENTS. SCHEDULE H, PART VI, LINE 5: FRANKLIN ELEMENTARY SCHOOL WHAT BEGAN IN 1983 AS AN INDIANA STATE UNIVERSITY GRADUATE STUDENT'S PROJECT TO LINK LOCAL BUSINESSES WITH ELEMENTARY SCHOOLS HAS BECOME A LONG-STANDING PARTNERSHIP TO ENCOURAGE HEALTHY LIFESTYLES IN ONE OF TERRE HAUT'S POOREST ELEMENTARY SCHOOLS. THE PAIRING OF UNION HOSPITAL WITH BENJAMIN FRANKLIN ELEMENTARY SCHOOL IN TERRE HAUTE HAS PROVEN TO BE A "PERFECT PARTNERSHIP" IN MATCHING THE NEEDS OF STUDENTS WITH STAFF AND VOLUNTEERS FROM THE HOSPITAL. FRANKLIN SCHOOL IS LOCATED IN A POOR INNER-CITY NEIGHBORHOOD WHERE 98% OF STUDENTS QUALIFY FOR THE FEDERAL FREE BREAKFAST AND LUNCH PROGRAM. THE STUDENT POPULATION IS TRANSIENT; 90% OF STUDENTS WHO BEGIN ELEMENTARY SCHOOL AT FRANKLIN DO NOT FINISH ELEMENTARY SCHOOL AT THE SCHOOL DUE TO INSTABILITY IN THEIR HOME AND FAMILY LIVES. FOR MOST, GOOD NUTRITION, HYGIENE AND PHYSICAL FITNESS ARE NOT TAUGHT OR ENCOURAGED IN THE HOME. EACH YEAR UNION PROGRAM DIRECTORS MEET WITH THE PRINCIPAL AND TEACHERS FROM THE SCHOOL TO SET CRITERIA AND PLAN THE YEAR'S ACTIVITIES. ENGAGING THE CLASSROOM TEACHER IN THE PLANNING AND PREPARATION FOR THESE ACTIVITIES AND WORKING WITH THEM TO INCORPORATE GOOD HEALTH MESSAGES INTO THEIR CURRICULA IS VITAL TO THE PROGRAMS SUCCESS. ACTIVITIES MAY VARY FROM YEAR TO YEAR BUT TWO ACTIVITIES HAVE REMAINED CONSTANT: THE ANNUAL HEALTH FAIR AND THE HEALTH CAREERS DAY. FOR THE STUDENT HEALTH FAIR STUDENTS ARE TESTED ON HEALTH INDICATORS: HEIGHT, WEIGHT, BLOOD PRESSURE, SIT-UP, SIT AND REACH, BAR HANG AND SHUTTLE RUN. THE RESULTS OF EACH TEST ARE RECORDED AND SENT TO THE HOMES OF EACH STUDENT. DURING CAREER DAY, HEALTH PROFESSIONALS TALK ABOUT THEIR WORK AND THE EDUCATION THEY'VE RECEIVED. PHYSICIANS, PHARMACISTS, FITNESS EXPERTS, NURSES, THERAPISTS, NUTRITION SERVICES STAFF AND MANY OTHERS HAVE VOLUNTEERED TIME TO TALK TO THE KIDS. THIS PARTNERSHIP IS FAR FROM ONE-SIDED. FOR EACH HOLIDAY, STUDENTS FROM THE SCHOOL MAKE TRAY FAVORS FOR PATIENT MEAL TRAYS TO BRIGHTEN THEIR DAY. CAROLERS FROM THE SCHOOL AT CHRISTMAS PROVIDE CHEER TO PATIENTS AND STAFF. MORE THAN 350 STUDENTS PARTICIPATE EACH YEAR IN THESE ACTIVITIES. GIVEN THE TRANSIENT NATURE OF THIS POPULATION, IT IS DIFFICULT TO MEASURE THE LONG-TERM EFFECTS HOWEVER AT EVERY HEALTH FAIR, 3-6 STUDENTS ARE IDENTIFIED WITH SIGNIFICANT HEALTH ISSUES SUCH AS HIGH BLOOD PRESSURE, HIGH BLOOD SUGAR, MALNOURISHMENT OR OBESITY. FOLLOW-UP IS DONE WITH FAMILIES TO ENCOURAGE FURTHER MEDICAL EVALUATION AND LINK THEM TO APPROPRIATE SOCIAL SERVICES. ANECDOTALLY, NURSES AND OTHER HEALTH PROFESSIONALS HAVE TOLD US OF THE INFLUENCE OUR STAFF HAD IN THEIR DECISION TO BECOME CARE PROVIDERS AS A RESULT OF HEARING THEM AT FRANKLIN SCHOOL. WHILE THE SCHOOL HAS HAD THREE PRINCIPLES IN THE LAST 15 YEARS, EACH ONE HAS KEPT THE PROGRAM GROWING AND VIABLE. AN AVERAGE OF $2,000 IS SPENT FROM THE MARKETING BUDGET EACH YEAR ON T-SHIRTS, PRINTING, RIBBONS, BUS TRANSPORTATION AND MEALS. STAFF DONATES ABOUT 60 HOURS EACH YEAR FOR THESE ACTIVITIES.TO HELP FIGHT CHILDHOOD OBESITY AND TO BETTER COMBAT HEART DISEASE THE FRANKLIN SCHOOL HEALTH PROGRAM UNDERWENT A MAJOR OVERHAUL IN 2011. THE NEW PROGRAM TITLED, UNION HOSPITAL HEALTHY ME AT FRANKLIN ELEMENTARY IS A MORE FORMALIZED PROGRAM THAT INCLUDES PRE AND POST HEALTH TESTING. BUILDING ON OUR ADOPTION OF THE PRESIDENTIAL FITNESS CHALLENGE IN FY 2010, THE HEALTHY ME PROGRAM INCLUDES FOLLOW-UP TESTING AT THE END OF THE SCHOOL YEAR. EACH STUDENT WILL BE TESTED ON THEIR HEIGHT, WEIGHT AND BLOOD PRESSURE AT THE BEGINNING AND END OF EACH SCHOOL YEAR TO PROVIDE US WITH MEASURABLE BODY MASS INDEX (BMI) DATA FOR EACH STUDENT. THE DATA WILL BE COLLECTED ON EACH STUDENT FOR THE DURATION OF THEIR EDUCATION AT FRANKLIN. IF THE STUDENTS DO NOT EAT HEALTHY AND EXERCISE OUTSIDE OF SCHOOL, THE HEALTHY ME PROGRAM WILL BE LESS IMPACTFUL. THUS, THE NEW PROGRAM FEATURES THREE FAMILY DINNER NIGHTS, OFFERING A FREE MEAL AND EDUCATION FROM A UNION HOSPITAL NUTRITIONIST AND FITNESS CENTER SPECIALISTS WILL INCLUDE FAMILIES IN THE PROGRAM. SCHEDULE H, PART VI, LINE 5: BETTER HEALTH WABASH VALLEY (BHWV) UNION HOSPITAL, ALONG WITH TERRE HAUTE REGIONAL HOSPITAL ARE FOUNDING MEMBERS OF THE TERRE HAUTE CHAMBER OF COMMERCE BETTER HEALTH WABASH VALLEY INITIATIVE. THE ORIGINAL COMMITMENT WAS TO ASSIST IN THE PURCHASE OF THE COMMUNITY HEALTH NEEDS ASSESSMENT DATA AND TO MAKE THAT DATA WIDELY AVAILABLE TO THE PUBLIC. BETTER HEALTH WABASH VALLEY NOW HAS ADDITIONAL SUPPORTING MEMBERS INCLUDING SULLIVAN COUNTY COMMUNITY HOSPITAL, HAMILTON CENTER AND UNITED WAY OF THE WABASH VALLEY. THESE ORGANIZATIONS HAVE MADE A FINANCIAL CONTRIBUTION TO BETTER HEALTH WABASH VALLEY. ALL MONIES CONTRIBUTED TO BETTER HEALTH WABASH VALLEY GO THROUGH THE TERRE HAUTE CHAMBER OF COMMERCE FOUNDATION WHICH IS A 501C3 ORGANIZATION. BETTER HEALTH WABASH VALLEY'S MISSION IS TO IMPROVE THE OVERALL HEALTH OF THE COMMUNITY WHILE MAKING THE WABASH VALLEY A HEALTHIER COMMUNITY TO LIVE, WORK AND PLAY. BETTER HEALTH WABASH VALLEY IS REPRESENTED BY SEVERAL DIFFERENT ORGANIZATIONS IN THE COMMUNITY INCLUDING, HEALTHCARE AND MENTAL HEALTH ORGANIZATIONS, SCHOOL CORPORATIONS, UNIVERSITIES, NOT-FOR-PROFITS AND BUSINESSES. UNION HOSPITAL WILL REMAIN HEAVILY INVOLVED AND COMMITTED TO THE BETTER HEALTH WABASH VALLEY INITIATIVE OVER THE NEXT SEVERAL YEARS. AS EMPLOYERS IN THE WABASH VALLEY LOOK FOR WAYS TO KEEP HEALTH INSURANCE CLAIMS AT A MINIMUM WE WILL WORK WITH THEM ON EMPLOYEE WELLNESS STRATEGIES, ADDITIONALLY WE WILL ASSIST IN PROGRAM DEVELOPMENT THAT COULD BE IMPLEMENTED ON AN ORGANIZATIONAL LEVEL AT LITTLE TO NO COST TO THE EMPLOYER. AN EXAMPLE OF THIS MIGHT BE PROVIDING MATERIALS OR ONLINE RESOURCES FOR A WALKING PROGRAM. BETTER HEALTH WABASH VALLEY AND ITS MEMBERS HAVE DECIDED TO FOCUS ON CARDIOVASCULAR DISEASE, OBESITY AND CHILDHOOD OBESITY AS TOP ISSUES THAT THEY WILL FOCUS ON OVER THE NEXT THREE YEARS. SCHEDULE H, PART VI, LINE 5: VERMILLION PARKE COMMUNITY HEALTH CENTER VERMILLION PARKE COMMUNITY HEALTH CENTER MOBILE SCHOOL BASED HEALTH UNIT:THE PURPOSE AND GOAL OF VPCHC'S SCHOOL-BASED CAPITAL GRANT PROJECT IS TO CREATE A COLLABORATIVE PARTNERSHIP BETWEEN VPCHC AND THE FIVE SCHOOL CORPORATIONS LOCATED IN PARKE AND VERMILLION COUNTIES, TO HELP CHILDREN STAY IN SCHOOL BY IDENTIFYING AND ADDRESSING HEALTH PROBLEMS THAT MAY INTERFERE IN THE LEARNING PROCESS. THE MSBHC WILL DELIVER A COMBINATION OF PRIMARY HEALTH AND A VARIETY OF OTHER HEALTH-RELATED SERVICES TO THE CHILDREN ATTENDING THESE SCHOOLS. OTHER PRIMARY GOALS OF THE MSBHC INCLUDE:-IMPROVE ACCESS TO COMPREHENSIVE, QUALITY HEALTH CARE SERVICES BY PROVIDING A CONVENIENT RESOURCE FOR STUDENTS TO GAIN ACCESS TO THE HEALTH CARE SYSTEM, AS WELL AS A SOURCE FOR ONGOING CARE FOR SCHOOL-AGE CHILDREN. -REDUCE THE PERCENTAGE OF SCHOOL-AGE CHILDREN WHO ARE UNABLE TO OBTAIN OR DELAYED IN OBTAINING NECESSARY MEDICAL CARE.-IMPLEMENT EVIDENCE-BASED CLINICAL SERVICES THROUGH THE HIGHLY-TRAINED STAFF OF VPCHC, ALONG WITH OTHER COMMUNITY PARTNERS.-PROVIDE TRAINING OPPORTUNITIES FOR STUDENTS ENROLLED IN COURSES GEARED TOWARD THE DELIVERY OF HEALTH AND HUMAN SERVICES, AND TO -CREATE A QUALIFIED LOCAL HEALTHCARE WORKFORCE. PART VI, LINE 6: THE ORGANIZATION IS PART OF AN AFFILATED HEALTH CARE SYSTEM TO PROVIDE VISION AND STRATEGIC DIRECTION IN THE FORMATION OF A REGIONAL HEALTH CARE SYSTEM TO EXPAND AND IMPROVE THE DELIVERY OF HEALTH CARE SERVCIES IN ORDER TO MEET THE HEALTH CARE NEEDS OF RESIDENTS IN THE SYSTEM'S SERVICE AREA. REPORTS FILED WITH STATES PART VI, LINE 7 IN 1 VIGO COUNTY SCHOOL CORPORATION PO BOX 3703 TERRE HAUTE IN 47803 356007261 N/A 29000 GENERAL DONATION TERRE HAUTE SYMPHONY 25 N 6TH STREET TERRE HAUTE IN 47807 350868182 501C3 5000 GENERAL DONATION MARION UNIVERSITY 3200 COLD SPRING RD INDIANAPOLIS IN 46222 350868175 501C3 20000 MAKE HISTORY PLEDGE YMCA OF TERRE HAUTE 951 DRESSER DR TERRE HAUTE IN 47807 350868217 501C3 10000 RESTORE THE YMCA BUILDING TERRE HAUTE CROW COMMITTEE PO BOX 3688 TERRE HAUTE IN 47803 273875936 501C3 5000 GENERAL DONATION VIGO COUNTY SHERIFF 201 CHERRY ST TERRE HAUTE IN 47807 N/A 9103 GENERAL DONATION 4 2 SCHOLARSHIPS 7 31640 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GRANTS TO ENTITIES IN THE UNITED STATES AND SCHOLARSHIPS PROVIDED: GRANTS AND ASSISTANCE ARE PROVIDED TO ELIGIBLE 501(C)(3) PUBLIC CHARITIES, LOCAL SCHOOL CORPORATION FOR GENERAL SUPPORT, AND SCHOLARSHIPS FOR ELIGIBLE INDIVIDUALS. UNION HOSPITAL DOES NOT MONITOR THE USE OF THESE FUNDS BY THE ORGANIZATIONS OR INDIVIDUAL. 1 X X X X 0 0 0 0 0 0 0 1 0 SCOTT TEFFETELLER 379760 0 0 0 12431 0 8320 0 23780 0 424291 0 0 0 WAYNE HUTSON 222431 0 0 0 -1052 0 13509 0 8494 0 243382 0 0 0 KYM PFRANK 154796 0 0 0 72723 0 13392 0 16241 0 257152 0 0 0 SALLY ZUEL 147011 0 0 0 31428 0 10441 0 9121 0 198001 0 0 0 RAMESH TANK 428279 0 0 0 516198 0 9800 0 24051 0 978328 0 0 0 LINGAN SIDDA 454423 0 0 0 456471 0 11025 0 17806 0 939725 0 0 0 SANJAY PATHAK 425000 0 0 0 416930 0 11025 0 26315 0 879270 0 0 0 NABIL MNAYARJI 700000 0 0 0 132987 0 9800 0 5148 0 847935 0 0 0 RITA TATANI 433183 0 0 0 360055 0 9800 0 4449 0 807487 0 0 0 DAVID DOERR 304230 0 0 0 43636 0 15925 0 25280 0 389071 0 0 0 PART I, LINE 7 THE ORGANIZATION PROVIDES NON-FIXED PAYMENTS TO SEVERAL INDIVIDUALS LISTED ON FORM 990, PART VII, SECTION A, LINE 1A. THESE NON-FIXED PAYMENTS ARE BASED ON THE ORGANIZATION'S ABILITY TO PAY AND ARE NOT CONSTRUED AS A CONTRACT BETWEEN UNION AND ITS EXECUTIVES. THE EXECUTIVE BONUS PLAN IS A MIXTURE OF OBJECTIVES, STANDARDS AND SUBJECTIVE STANDARDS THAT BOTH THE POLICY AND THE IMPLEMENTATION OF THE POLICY BY THE PERSONNEL COMMITTEE AND THE BOARD OF DIRECTORS APPROVES AND AWARDS DEPENDING ON UNION'S ABILITY TO PAY. THERE IS NO AUTOMATIC RIGHT TO A BONUS OR A SPECIFIC BONUS AMOUNT EVEN IF ALL CRITERIA ARE MET. THE PERFORMANCE MEASURE PLAN IS LINKED TO THE UNION STRATEGIC AND FISCAL-YEAR BUSINESS PLANNING PROCESS. THE PLAN IS INTENDED TO FOCUS PARTICIPANTS' ATTENTION ON MISSION-CRITICAL GOALS AND KEY STRATEGIC PRIORITIES. THE PLAN IS ALSO INTENDED TO ENHANCE THE PERFORMANCE OF UNION EXECUTIVES AND THE ORGANIZATION. PRIOR TO THE START OF THE FISCAL YEAR AND AS PART OF THE BUSINESS PLANNING PROCESS, THE UNION PRESIDENT AND CEO WILL FINALIZE A LIST OF GOALS, WEIGHTS AND MEASURES TO BE USED TO ASSESS PERFORMANCE DURING THE FISCAL YEAR. THE LIST IS PRESENTED TO AND DISCUSSED WITH THE COMMITTEE. THE COMMITTEE REVIEWS AND APPROVES THE BONUS PLAN GOALS, WEIGHTS, AND MEASURES. ORGANIZATION GOALS WILL BE ASSIGNED TO EACH PARTICIPANT HOSPITAL-WIDE. IN ADDITION TO HOSPITAL-WIDE GOALS INDIVIDUAL AND/OR FUNCTIONAL/DEPARTMENT GOALS MAY OR MAY NOT BE INCLUDED. AFTER THE CONCLUSION OF EACH FISCAL YEAR, THE PRESIDENT AND CEO WILL PREPARE AN ANNUAL BONUS PLAN REPORT FOR THE COMMITTEE. THE REPORT CONTAINS: AN APPRAISAL OF UNION AND HOSPITAL/OPERATING UNIT PERFORMANCE DURING THE RECENTLY-COMPLETED FISCAL YEAR; AND THE PRESIDENT AND CEO'S RECOMMENDED PAYOUT FOR EACH PLAN PARTICIPANT. THE BONUS RECOMMENDATIONS FOR ALL SR. MANAGEMENT ARE RECEIVED AND REVIEWED FIRST BY THE PERSONNEL COMMITTEE WHO THEN MAKE DECISIONS AND SUBMITS TO THE BOARD TO VOTE. THE COMMITTEE WILL DETERMINE AND SUBMIT THE PAYOUT FOR THE PRESIDENT AND CEO TO THE BOARD OF DIRECTORS WHO, ABSENT THE PRESIDENT AND CEO, WILL VOTE ON APPROVAL. AWARD DETERMINATIONS ARE CALCULATED AS PERCENTAGES OF PARTICIPANT'S SALARIES PAID FOR TIME WORKED DURING THE FISCAL YEAR. PAYOUT FOR THE PRESIDENT IS 0% TO 30%; CFO AND COO ARE 0% TO 25%; AND OTHER EXECUTIVES ARE 0% TO 20%. THE EXECUTIVE BONUS PLAN PAYOUTS ARE TO BE PAID WHEN DETERMINED BY THE PERSONNEL COMMITTEE, SUBJECT TO THE APPROVAL OF THE BOARD OF DIRECTORS. SUPPLEMENTAL INFORMATION PART III PART II, COLUMN (B)(III) - THE HOSPITAL PROVIDES SPLIT DOLLAR LIFE INSURANCE POLICIES TO CERTAIN OFFICERS, DIRECTORS, KEY EMPLOYEES AND HIGHEST COMPENSATED EMPLOYEES. FOR THE TAX YEAR 2012 THE FOLLOWING PAYMENTS WERE MADE TO PARTICIPATE IN THE POLICY AND ARE RECORDED AS NEGATIVE AMOUNT IN THE OTHER REPORTABLE COMPENSATION COLUMN (III): (2) WAYNE HUTSON $33,460 (4) SALLY ZUEL $14,622 (5) RAMESH TANK $14,199 (6) LINGAN SIDDA $13,891 (7) SANJAY PATHAK $14,298 (8) NABIL MNAYARJI $24,592 (10)DAVID DOEER $13,650 HOSPITAL AUTHORITY OF VIGO COUNTY (REVENUE BONDS SERIES 2007) 351656988 926742BY2 2007-07-12 176052475 CONSTRUCT NEW HOSPITAL BUILDING 0 0 0 HOSPITAL AUTHORITY OF VIGO COUNTY (REVENUE BONDS SERIES 2011) 351656988 926742CF2 2011-03-02 53989054 CAPITAL ASSET RENOVATION/CONSTRUCTION, REFUNDING OF BONDS 0 0 0 176052475 15716590 2151525 158184360 2010 0 0 1 1 53989054 5504000 1669896 1078426 17009396 30397232 1 0 0 1 0 1 1 1 0 0.00000 0.00000 0.00000 1 0 1 1 1 0 0.00000 0.00000 0.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 SERIES 2011 BONDS PURPOSE DETAIL THE PROCEEDS FROM THE SALE OF THE SERIES 2011 BONDS, TOGETHER WITH CERTAIN OTHER MONEIES, WILL BE USED TO (I) FINANCE THE COST OF CONSTRUCTING, ACQUIRING, EQUIPPING OR RENOVATING CERTAIN CAPITAL ASSETS OF THE CORPORATION,(II) REFUND THE INDIANA HEALTH FACILITY FINANCING AUTHORITY VARIABLE RATE DEMAND REVENUE BONDS, SERIES 2002 AND THE INDIANA HEALTH AND EDUCATIONAL FACILITY FINANCING AUTHORITY VARIABLE RATE DEMAND REVENUE BONDS, SERIES 2006A, (III) FUND A DEBT SERVICE RESERVE FUND FOR THE SERIES 2011 BONDS, AND (IV) PAY A PORTION OF THE COST OF ISSUANCE OF THE SERIES 2011 BONDS. FOREST SHERER INC SEE PART V BELOW 781772 SEE PART V 0 AP&S CLINIC NORTH SIDE SEE PART V BELOW 2406800 SEE PART V 0 BUNCH NURSERIES INC SEE PART V BELOW 80128 SEE PART V 0 (A) NAME OF PERSON: FOREST SHERER, INC(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: JOHN LUKENS IS THE UNION HOSPITAL BOARD CHAIRMAN AND PRESIDENT OF FORREST SHERER, INC.(D) DESCRIPTION OF TRANSACTION: THE HOSPITAL PURCHASES INSURANCE FROM THE INDEPENDENT INSURANCE AGENCY ON AN ARMS LENGTH BASIS.(A) NAME OF PERSON: AP&S CLINIC NORTHSIDE(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ANNA ZIMMERMAN IS A UNION HOSPITAL BOARD MEMBER AND MEDICAL DOCTOR FOR AP&S CLINIC NORTHSIDE(D) DESCRIPTION OF TRANSACTION: THE HOSPITAL HAS A CONTRACTUAL ARRANGEMENT FOR SERVICES WHICH ARE PROVIDED ON AN ARMS LENGTH BASIS.A) NAME OF PERSON: BUNCH NURSERIES, INC.(B) RELATIONSHIP BETWEEN INTERESTED PERSON AND ORGANIZATION: ENTITY IS MORE THAN 35% OWNED BY HUSBAND OF CINDY MARTIN, UNION BOARD MEMBER(D) DESCRIPTION OF TRANSACTION: ENTITY PROVIDED SERVICES TO THE HOSPITAL. ORGANIZATION MISSION STATEMENT FORM 990, PART I, DOING BUSINESS AS: CARDIAC REHAB GROUP OF UNION HOSPITAL CLARA FAIRBANKS CENTER FOR WOMEN CLAY CITY CENTER FOR FAMILY MEDICINE HEARTLAND MIDWIVES HUX CANCER CENTER RICHARD G. LUGAR CENTER FOR RURAL HEALTH UH REGISTERED DIETITIAN GROUP UNION CENTER FOR JOINT REPLACEMENT UNION CENTER FOR SPORTS MEDICINE UNION HOSPITAL CLINTON UNION HOSPITAL CLINTON WESTERN INDIANA RURAL MEDICINE UNION HOSPITAL CVT/NEURO GROUP UNION HOSPITAL FAMILY MEDICINE CENTER UNION HOSPITAL HEALTH GROUP UNION HOSPITAL HUX HEART CENTER UNION HOSPITAL MEDICAL GROUP UNION HOSPITAL NEUROSCIENCE UNION HOSPITAL TERRE HAUTE UNION HOSPITALISTS GROUP WABASH VALLEY SURGERY CENTER WEST CENTRAL COMMUNITY HOSPITAL FORM 990, PART VI, SECTION A, LINE 6 UNION HOSPITAL HAS ONE MEMBER, UNION HEALTH SYSTEM, INC., AN INDIANA NONPROFIT, TAX EXEMPT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S MEMBER MAY APPOINT THE HOSPITAL BOARD DIRECTORS WITH THE RECOMMENDATION OF THE HOSPITAL'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B GOVERNING BODY DECISIONS SUBJECT TO APPROVAL BY THE MEMBER INCLUDE: 1. MISSION AND VISION STATEMENT CHANGES; 2. CHANGES TO THE GOVERNING DOCUMENT; 3. APPROVAL AND REMOVAL OF BOARD DIRECTORS; 4. INCURRING DEBT; 5. APPROVAL, SALE, TRANSFER OR SUBSTANTIAL CHANGE IN USE OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS; 6. FORMATION OF A SUBSIDIARY; 7. TRANSFER OR ENCUMBRANCE OF THE ASSETS; 8. APPROVAL OF ANNUAL OPERATING BUDGET, CAPITAL PLAN, STRATEGIC PLAN, AND BUSINESS PLAN; 9. APPOINTMENT OF THE CEO; 10. TRANSACTIONS OVER $250,000; AND 11. APPROVAL OF ANY MANAGEMENT AGREEMENTS. FORM 990, PART VI, SECTION B, LINE 11 THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW OF THE FORM 990 BY THE ORGANIZATION'S MANAGEMENT. THE GOVERNING BODY REVIEWS AND APPROVES THE FORM 990 AND THE FINAL FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, ARE PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY THE CORPORATE COMPLIANCE OFFICER. THE SCOPE OF THIS POLICY INCLUDES DIRECTORS, OFFICERS, MANAGEMENT, AND EMPLOYEES. THE POLICY IS IN PLACE TO AVOID PERSONAL INTERESTS THAT CONFLICT, OR MAY APPEAR TO CONFLICT, WITH THE BEST INTERESTS OF UNION AND ITS AFFILIATES AND THE COMMUNITIES THEY SERVE. THE COVERED PERSONS ARE TO REFRAIN FROM PERSONAL INTERESTS, DIRECT OR INDIRECT WITH ANY THIRD PARTIES. IT IS THE RESPONSIBILITY OF OFFICERS, MANAGEMENT, AND EMPLOYEES TO SCRUTINIZE THEIR TRANSACTIONS AND OUTSIDE BUSINESS INTERESTS AND RELATIONSHIPS FOR POTENTIAL CONFLICTS AND TO IMMEDIATELY MAKE SUCH DISCLOSURES AND ACT ACCORDINGLY. A SELF-DISCLOSURE FROM COVERED PERSONS TO THE CORPORATE COMPLIANCE OFFICER IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. THE COVERED PERSONS ARE TO REFRAIN FROM PARTICIPATING IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. THE CONFLICTS DISCLOSED ARE REVIEWED AND RESOLVED BY THE CORPORATE COMPLIANCE OFFICER. FORM 990, PART VI, SECTION B, LINE 15 THE PROCESS FOR DETERMINING COMPENSATION UNDER THE BY-LAWS OF UNION HOSPITAL INCLUDES A BOARD OF DIRECTORS PERSONNEL COMMITTEE WHOSE RESPONSIBILITIES INCLUDE IN CHARGE OF DOING THE APPROPRIATE REVIEW OF COMPENSATION FOR THE SR. MANAGEMENT TEAM, INCLUDING THE CEO. THEY GATHER INFORMATION AND FOLLOW THE STEPS SET FORTH BELOW AND IN TURN SUBMIT TO THE FULL BOARD OF DIRECTORS THE RECOMMENDATIONS IN TERMS OF COMPENSATION AND BENEFITS FOR THE CEO AND SR. MANAGEMENT. THE PERSONNEL COMMITTEE CONSISTS OF INDIVIDUALS WHO ARE DISINTERESTED. THE CEO IS EXCUSED FROM THE MEETING WHEN HIS COMPENSATION/BENEFITS ARE REVIEWED BOTH AT THE PERSONNEL COMMITTEE LEVEL AND THE BOARD LEVEL. NOTE: DURING THE CURRENT FISCAL YEAR, SALARY INCREASES WERE NOT GIVEN TO THE SR. MANAGEMENT TEAM INCLUDING THE CEO, AND THUS, AN ANALYSIS OF COMPENSATION WAS NOT COMPLETED. IN FUTURE PERIODS, THIS PROCEDURE WILL RESUME AS STATED IN THIS POLICY. THE STEPS INCLUDE: 1. THE PERSONNEL COMMITTEE RETAINS AN OUTSIDE INDEPENDENT CONSULTANT TO (1) PROVIDE THE COMMITTEE WITH INFORMATION, AND (2) TO REVIEW THE ACTIONS AND COMPENSATION/BENEFITS TO BE SURE THAT THERE IS NOT EXCESSIVE COMPENSATION. THE CONSULTANT THAT HAS BEEN USED THE PAST THREE (3) YEARS IS SULLIVAN COTTER & ASSOCIATES, INC. UNDER THE PROCESS, SULLIVAN COTTER FIRST IS PROVIDED WITH THE NAMES AND JOB DESCRIPTIONS FOR THE SR. MANAGEMENT TEAM THAT IS BEING EVALUATED. THE INDEPENDENT ADVISOR THEN SUBMITS TO THE PERSONNEL COMMITTEE COMPARABLE INFORMATION, SPECIFICALLY: > FIVE COMMERCIALLY AVAILABLE EXECUTIVE HEALTH CARE COMPENSATION SURVEYS PREPARED BY INDEPENDENT FIRMS, WERE REFERENCED TO OBTAIN MARKET DATA FOR THIS REVIEW - INTEGRATED HEALTHCARE STRATEGIES: 2009 HEALTHCARE EXECUTIVE COMPENSATION SURVEY - INDIANA HOSPITAL & HEALTH ASSOCIATION: 2009 COMPENSATION SURVEY REPORT - SULLIVAN, COTTER, AND ASSOCIATES: 2009 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS - WATSON WYATT DATA SERVICES: 2009/2010 HOSPITAL AND HEALTHCARE MANAGEMENT COMPENSATION REPORT - MERCER HUMAN RESOURCE CONSULTING: 2009 INTEGRATED HEALTH NETWORKS COMPENSATION SURVEY > MARKET DATA REFLECTING FUNCTIONALLY-COMPARABLE POSITIONS WERE OBTAINED FOR ALL SEVEN EXECUTIVE POSITIONS > DATA WERE ABSTRACTED FOR COMPARABLY-SIZED ORGANIZATIONS AS MEASURED BY NET REVENUE > THE DATA REPORTED REPRESENTED THE 50TH, 75TH, AND 90TH PERCENTILES OF BASE SALARY AND TOTAL CASH COMPENSATION (BASE SALARY PLUS ACTUAL ANNUAL INCENTIVE - ABBREVIATED TCC) > REGIONAL MARKET DATA WERE ALSO COLLECTED FROM THE PUBLISHED COMPENSATION SURVEYS AS WELL AS A SPECIAL CUT OF THE FOLLOWING INDIANA HOSPITALS FROM SULLIVAN COTTER'S 2009 SURVEY OF MANAGER AND EXECUTIVE COMPENSATION IN HOSPITALS AND HEALTH SYSTEMS - BALL MEMORIAL HOSPITAL - REID HOSPITAL & HEALTH CARE SERVICES - BLOOMINGTON HOSPITAL - RILEY HOSPITAL FOR CHILDREN - ELKHART GENERAL HOSPITAL - SAINT JOHN'S HEALTH SYSTEM - GOOD SAMARITAN HOSPITAL - SAINT JOSEPH REGIONAL MEDICAL CENTER - MEMORIAL HOSPITAL OF SOUTH BEND - SAINT MARY'S MEDICAL CENTER - METHODIST HOSPITALS - TERRE HAUTE REGIONAL HOSPITAL - PARKVIEW HOSPITAL > THAT DATA WAS ALSO REPORTED WITH NATIONAL AVERAGE, REGIONAL AVERAGE AND INDIANA AVERAGE. 2. THE PERSONNEL COMMITTEE OF UNION HOSPITAL'S BOARD OF DIRECTORS TAKES THE DATA PROVIDED BY THE INDEPENDENT CONSULTANTS AND FOLLOWING A REVIEW OF THE PERFORMANCE OF EACH INDIVIDUAL SUBMITS TO THE FULL BOARD FOR APPROVAL RECOMMENDATIONS IN TERMS OF SALARIES, BENEFITS, AND BONUSES. FINAL APPROVAL IS BY THE BOARD OF DIRECTORS. THE CEO DOES NOT TAKE PART IN THE DISCUSSION OR ACTION ON HIS SALARY, BENEFITS AND BONUS. 3. MINUTES OF THE PERSONNEL COMMITTEE AND THE BOARD MEETINGS ARE CONTEMPORANEOUSLY KEPT AND MAINTAIN WITH THE CORPORATE MINUTE BOOKS. 4. FOLLOWING THE ACTION OF THE BOARD OF DIRECTORS THE NEW PROPOSED SALARIES, BENEFITS AND BONUSES ARE SENT TO THE INDEPENDENT CONSULTANT (SULLIVAN COTTER) WHO SUBMITS BACK TO THE PERSONNEL COMMITTEE THEIR OPINION IN TERMS OF THE COMPENSATION BEING REASONABLE IN RELATION TO THE MARKET DATA AND MARKET PRACTICES. THIS REPORT IS ALSO RECEIVED AND REVIEWED BY THE BOARD PERSONNEL COMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION DOES NOT MAKE THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, OR FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 845,821. CHANGE IN PERMANETLY RESTRICTED NET ASSETS 17,913. CHANGE IN PENSION LIABILITY -307,884. TRANSFER TO RELATED PARTY -12,071,545. CHANGE IN INVESTMENT IN IHRRRG 1,541,257. TOTAL TO FORM 990, PART XI, LINE 5: -9,974,438. OVERSIGHT OF AUDIT PART XII, LINE 2C THE AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM PRIOR YEAR. IPACS INC 1606 N SEVENTH ST TERRE HAUTE IN 47804 351720998 CLINIC MANAGEMENT IN 262677 2326853 UNION HOSPITAL UNION ASSOCIATED PHYSICIANS CLINIC INC 1606 N SEVENTH ST TERRE HAUTE IN 47804 270581401 PHYSICIAN GROUP IN 5715773 16582905 UNION HEALTH SYSTEM UNION HEALTH SYSTEMS 1606 N SEVENTH ST TERRE HAUTE IN 47804 270581133 MANAGEMENT ORGANIZATION IN 501(C)(3) LINE 11B, II N/A 0 CENTER FOR OCCUPATIONAL HEALTH 4001 WABASH AVE TERRE HAUTE IN 47803 352118417 OCCUPATIONAL HEALTH SERVICES IN 501(C)(3) LINE 7 UNION HOSPITAL 1 UNION HOSPITAL HEALTH SERVICES INC 1606 N SEVENTH ST TERRE HAUTE IN 47804 351642805 HEALTH SERVICES IN 501(C)(3) LINE 9 UNION HOSPITAL 1 UNION HOSPITAL FOUNDATION 1659 N SEVENTH ST TERRE HAUTE IN 47804 351642823 FUNDRAISING IN 501(C)(3) LINE 11C, III-FI UNION HOSPITAL 1 1 0 1 0 0 0 0 0 1 0 1 0 0 1 0 1 0 1 UNION HOSPITAL FOUNDATION R 1518991