4A (Expenses $ 49266328 including grants of $ 92034) (Revenue $ 67524980)
"QUALITY RECOGNITIONTHE STAFF OF HUNTINGTON MEMORIAL HOSPITAL, INC., STRIVES TO PROVIDE EXCELLENT CARE TO EVERY PERSON, EVERY DAY. THE CONSISTENTLY HIGH-QUALITY CARE DELIVERED IS EVIDENCED BY THE HOSPITAL'S RECOGNITION WITH NUMEROUS STATE AND NATIONAL HONORS, INCLUDING ITS HAVING BEEN:- AWARDED AN ""A"" SAFETY GRADE FOR FALL 2021 BY THE LEAPFROG GROUP- RECOGNIZED BY THE CHARTIS CENTER FOR RURAL HEALTH AS WELL AS THE NATIONAL ORGANIZATION OF STATE OFFICES OF RURAL HEALTH (NOSORH) WITH A PERFORMANCE LEADERSHIP AWARD IN THE PATIENT PERSPECTIVE CATEGORY FOR 2021(SEE SCHEDULE O FOR CONTINUATION)"

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 THAT THE INPUT OF 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 BASED ON 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, MORE THAN 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 BOARDS 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 18, 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 HOSPITAL'S PRIORITIES WERE DISCUSSED WITH THE HUNTINGTON COUNTY HEALTH & WELLNESS COALITION ON SEPTEMBER 17, 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. INDIANA'S ADULT OBESITY RATE IS THE 5TH HIGHEST IN THE NATION AT 36.8 PERCENT. FOR CHILDREN AGES 10 TO 17, 15.6 PERCENT ARE CONSIDERED OBESE, PUTTING INDIANA IN 24TH 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 CONTINUED STRATEGIC GOAL OF THE OBESITY INITIATIVE IS TO INCREASE ACCESS TO NUTRITIOUS FOOD AND PHYSICAL ACTIVITY IN HUNTINGTON COUNTY WITH THE SMART OBJECTIVE OF IMPROVING KNOWLEDGE AND BEHAVIOR RELATED TO NUTRITION AND ACTIVITY IN 100 PERCENT OF PROGRAM PARTICIPANTS. 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. ALL AGES HAVE BENEFITED FROM THE SUPPORTED COMMUNITY GARDEN. OVER 35% OF THE GARDEN'S VISITORS INDICATE THEY CONSUME MORE FRUIT AND VEGETABLES BECAUSE OF THE GARDEN. FIFTY-EIGHT OF 140 VISITS TO THE GARDEN THIS YEAR WERE FIRST TIME VISITORS. VOLUNTEERS LOGGED MORE THAN 125 HOURS OF COMMUNITY SERVICE AT THE GARDEN INCLUDING 21 HOURS COMPLETED BY YOUTH. THE GARDEN IN ADDITION CONTINUED TO PROVIDE A SPACE FOR HEALTHY OUTDOOR FAMILY FRIENDLY ACTIVITIES TWICE A MONTH DURING THE GROWING AND HARVESTING SEASON.MONTHLY SUPPORTED COOKING CLASSES HISTORICALLY REACHING AN AVERAGE OF 15 INDIVIDUALS AT A LOCAL FOOD PANTRY ENCOURAGE LEARNING TO PREPARE HEALTHY AND BUDGET FRIENDLY MEALS AT HOME OFTEN UTILIZING FOOD OFFERINGS FROM THE PANTRY AND THE COMMUNITY GARDEN WERE POSTPONED AGAIN IN 2021 DUE TO COVID RESTRICTIONS AND THE FOOD PANTRY'S RENOVATION. INSTEAD, HUNTINGTON NORTH HIGH SCHOOL'S PRE-EMPLOYMENT TRANSITION CLASS UTILIZED LOVE'S KITCHEN TO HOST WEEKLY CLASSES THAT INCLUDE COOKING AND NUTRITION. FOUR TO 10 STUDENTS PARTICIPATED, AND ALL REPORTED TRYING NEW FRUIT AND VEGETABLES. LOVE CONTINUED TO PROVIDE SUPPLEMENTAL NUTRITION INFORMATION AND RECIPES TO THOSE THAT UTILIZE THE FOOD IN LIEU OF IN-PERSON COOKING CLASSES. THEY UTILIZED A VERBAL SURVEY AGAIN TO MINIMIZE CONTACT WITH THE PUBLIC. NINETY PERCENT REPORTED RECEIVING NUTRITION INFORMATION AND RECIPES WHEN PICKING UP THEIR FOOD, UP ABOUT 21% FROM LAST YEAR. ABOUT 89% REPORTED USING THE INFORMATION, AND 67% TRIED THE RECIPES THEY RECEIVED. COOKING CLASSES AT THE BOWEN CENTER WERE NOT HELD AGAIN IN 2021 PER COVID AND FUNDS WILL BE HELD IN HOPES OF RESUMING IN 2022. A TOTAL OF 18 ""SIMPLE AND HEALTHY"" COOKING CLASSES WERE ABLE TO BE OFFERED IN 2021 REACHING 155 PARTICIPANTS. EIGHTY PERCENT OF PARTICIPANTS INDICATED THEY UNDERSTAND HOW THEIR FOOD CHOICES AFFECT THEIR HEALTH BECAUSE OF THE PROGRAM. EIGHTY PERCENT ALSO KNOW HOW TO FOLLOW SAFE FOOD HANDLING PRACTICES AND 96 PERCENT PLAN TO FOLLOW THOSE PRACTICES. SEVENTY-NINE PERCENT KNOW HOW TO MAKE CHANGES THAT WILL IMPROVE THEIR PHYSICAL HEALTH. NINETY-TWO PERCENT PLAN TO MAKE SMALL CHANGES TO BUILD THEIR HEALTHY EATING STYLE INCLUDING 85 PERCENT WHO AIM TO FOLLOW A HEALTHY EATING PATTERN. NINETY-THREE PERCENT INTEND TO MAKE A CHANGE TO IMPROVE THEIR OVERALL HEALTH. ONE PARTICIPANT WAS QUOTED, ""I WILL BE LOOKING MUCH MORE DEEPLY INTO WHAT I PUT INTO MY BODY SO I CAN GET OUT OF IT WHAT I NEED TO GET."" AN AVERAGE OF 1308 INDIVIDUALS MONTHLY BENEFITED FROM THE YEAR-ROUND PRODUCE OPTION PROVIDED THROUGH LOVE, INC. WHICH IS ABOUT 333 LESS THAN THE MONTHLY AVERAGE IN 2020, BUT 240 MORE PEOPLE THAN IN 2019. DINING WITH DIABETES IN PARTNERSHIP WITH PURDUE EXTENSION WAS ABLE TO OFFER ONE SERIES OF FOUR CLASSES AT A LOCAL SENIOR LIVING COMMUNITY. THE COURSE HAD FIVE PARTICIPANTS. ONE HUNDRED PERCENT OF ATTENDEES ADOPTED ONE OR MORE PRACTICES TO IMPROVE FOOD CHOICES AND/OR ACTIVITY LEVELS THREE MONTHS FOLLOWING THE PROGRAM. EVERYONE COULD ALSO VERBALIZE AT LEAST ONE NEW THING THEY LEARNED DURING THE SERIES WITH REGARDS TO THE RELATIONSHIP BETWEEN NUTRITION AND HEALTH. DINING WITH DIABETES WAS UNABLE TO BE FACILITATED THE LAST HALF OF THE YEAR DUE TO SCHEDULING CONFLICTS AND COVID RESTRICTIONS.BLESSINGS IN A BACKPACK IS WORKING AT COMBATING FOOD INSECURITY BY FEEDING, ON AVERAGE, 391 ELEMENTARY STUDENTS WEEKLY THROUGHOUT 2021 (UP FROM 20 CHILDREN IN 2011 AND 376 DURING 2020). SURVEYS INDICATED THAT 58 PERCENT OF TEACHERS FELT FOOD PROVIDED HELPS CHILDREN IMPROVE IN THE CLASSROOM. THOSE TEACHERS THAT COULD NOT CONFIRM AN IMPROVEMENT STATED THE PROGRAM THOUGH IS A CRITICAL NEED FOR STUDENTS, SO THEY DO NOT GO HUNGRY. THE STUDENT SURVEY SHOWED STUDENTS ENJOY THE FOOD PROVIDED AND SHARE WITH THEIR FAMILY. PARKVIEW HUNTINGTON FAMILY YMCA YOUTH MEMBERSHIPS WERE PROVIDED TO 98 STUDENTS (UP FROM 86 STUDENTS IN 2020) OR 8.2 PERCENT OF HUNTINGTON COUNTY YOUTH IN GRADES 6-8TH (AN ADDITIONAL 50.2 PERCENT STUDENTS ALREADY HAD MEMBERSHIPS). MORE THAN 82 PERCENT OF THOSE THAT WERE AWARDED MEMBERSHIPS CHECKED IN ON AVERAGE TWO DAYS PER WEEK FOR A TOTAL OF 1517 VISITS TO THE YMCA DURING 2021. THE YMCA HAD HOPED 10 PERCENT OF THIS AGE GROUP WOULD PARTICIPATE IN A YMCA AFTER-SCHOOL PROGRAM AND THIS WAS EXCEEDED WITH ABOUT 25 PERCENT DOING SO. PARKVIEW BOYS & GIRLS CLUB OF HUNTINGTON COUNTY HAD 36 CLUB MEMBERS PARTICIPATED IN THE SUMMER COOKING CLUB BETWEEN THE HUNTINGTON AND WARREN SITES IN JUNE OF 2021 IN WHICH THEY LEARNED TO MAKE HEALTHY SNACKS AND DINNERS FIVE DAYS A WEEK FOR GRADES K-5TH. THE SMART GIRLS AND G2M MALE PROGRAMS REACHED GRADE LEVELS 6-12TH FOR TWO HOURS PER WEEK FOR EIGHT WEEKS ALSO WITH A FOCUS ON HEALTHY MEALS AND SNACKS. ONE HUNDRED AND FIFTY-EIGHT MEMBERS (ABOUT 70 PERCENT OF THE AVERAGE NUMBER OF DAILY CLUB MEMBERS) PARTICIPATED IN 60 MINUTES OF PHYSICAL ACTIVITY THREE DAYS PER WEEK, AND 32 GIRLS (UP FROM 20 GIRLS IN 2020) PARTICIPATED IN DANCE CLUB WHICH MEETS FOR AN HOUR A DAY, THREE DAYS PER WEEK. 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 OTHER VAST PRIORITY OF SUBSTANCE USE DISORDER/MENTAL HEALTH GOAL IS TO ADDRESS SUBSTANCE ABUSE AND BREAK THE STIGMA OF MENTAL HEALTH IN HUNTINGTON COUNTY WITH THE SMART OBJECTIVE OF IMPROVING KNOWLEDGE AND/OR BEHAVIOR RELATED TO SUBSTANCE ABUSE AND MENTAL HEALTH IN 100 PERCENT OF PROGRAM PARTICIPANTS. 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. THROUGH YOUTH SERVICES BUREAU OF HUNTINGTON COUNTY 100 PERCENT OF 79 ADULTS AND 289 SEVENTH GRADERS WHO PARTICIPATED IN A SUICIDE PREVENTION PROGRAM DEMONSTRATED AN INCREASE IN KNOWLEDGE. IN ADDITION, FOUR COMMUNITY EVENTS WERE HELD IN WHICH 117 ADULTS PARTICIPATED AND A TOTAL OF 1755 SUICIDE PREVENTION INFORMATIONAL CARDS WERE DISTRIBUTED. THE CRISIS PHONE LINE WAS STAFFED 24/7 IN 2021, AND YOUTH WERE PROVIDED WITH IMMEDIATE CRISIS INTERVENTION AS NEEDED (51 UTILIZED THE COMMUNITY PROTOCOL WITH 100 PERCENT HAVING A SAFETY PLAN IN PLACE). THIRTY-SEVEN PARKVIEW BOYS & GIRLS CLUB MEMBERS BETWEEN THE AGES OF 6 AND 12 FINISHED AN EVIDENCE-BASED LIFE SKILLS PROGRAM IN WHICH 89 PERCENT STATED, ""MOST DAYS, I AM PROUD OF THE WAY I AM LIVING MY LIFE."" FIRST THROUGH FIFTH GRADERS PARTICIPATED IN A SIMILAR PROGRAM, 91 OUT OF 102 PARTICIPANTS REPLIED AGREE OR STRONGLY AGREE TO THE STATEMENT ""UNDERSTANDING WHO YOU ARE AND STANDING UP FOR WHAT YOU BELIEVE, MEANS THAT YOU HAVE STRONG SELF-ESTEEM."" (SEE PART V, SECTION B, LINE 11 CONT'D: FOR CONTINUATION OF NARRATIVE)"

PART V, SECTION B, LINE 3E:
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

PART V, SECTION B, LINE 11 CONT'D:
"THE WALK AWAY PROGRAM AT THE HIGH SCHOOL WAS DESIGNED THREE YEARS AGO FOR THOSE WANTING TO ""WALK AWAY"" FROM ANXIETY, DEPRESSION, EXTRA WEIGHT, SCHOOL AND HOME DRAMA. IN 2021 THE PROGRAM WAS EXTENDED TO ONE OF THE MIDDLE SCHOOLS WHICH WILL CREATE A CONTINUITY AS THOSE STUDENTS IN 8TH GRADE WILL FIND A HOME IN THE HIGH SCHOOL PROGRAM. PARTICIPANTS WERE ABLE TO MEET EVERY WEEK SCHOOL WAS IN SESSION DURING 2021. THREE STUDENTS ATTENDED FAITHFULLY AND AN ADDITIONAL THREE CAME ON A SEMI-REGULAR BASIS. PURDUE EXTENSION EMPLOYEES CONTINUE TO WALK AND ARE MENTORS TO THE STUDENTS. AS A RESULT OF A REFERRAL MADE TO A SCHOOL COUNSELOR BASED ON INFORMATION SHARED DURING A WALKING SESSION, ONE OF THE STUDENTS WAS ABLE TO CONNECT WITH COUNSELING SERVICES THROUGH THE BOWEN CENTER AND RESTART MEDICATION THEY HAD PREVIOUSLY STOPPED TAKING. PLACE OF GRACE TRANSITIONAL HOME SERVES WOMEN REENTERING THE COMMUNITY AFTER INCARCERATION. NINETY-SIX PERCENT OF GRADUATES WERE GAINFULLY EMPLOYED BY GRADUATION, AND 100 PERCENT SINCE 2020 REPORTED AN INCREASE IN KNOWLEDGE OF COMMUNITY RESOURCES AND AN INCREASE IN SELF-ESTEEM BECAUSE OF PROGRAMING OFFERED. DUE TO COVID THE BOWEN CENTER WAS UNABLE TO GO INTO THE JAIL THE FIRST HALF OF THE YEAR. THIRTY MORAL RECONATION THERAPY (MRT) WORKBOOKS WERE PURCHASED AND GIVEN TO INDIVIDUALS SEEKING SUBSTANCE USE TREATMENT IN THE OUTPATIENT AND JAIL SETTING. FUNDS ALSO HELPED THREE INDIVIDUALS TO PAY FEES TO CONTINUE IN SUBSTANCE USE TREATMENT WHEN FINANCIAL HARDSHIPS OCCURRED DUE TO COVID.CO-PARENTING FOR SUCCESSFUL KIDS BENEFITED SEVEN PARTICIPANTS AT PLACE OF GRACE DESIGNED TO HELP FAMILIES COPE WITH DIVORCE AND CUSTODY. ONE HUNDRED PERCENT KNOWLEDGE INCREASE IN ALL AREAS: HOW CHILDREN ARE AFFECTED BY DIVORCE, WHAT I CAN DO TO HELP MY CHILD(REN) ADJUST TO DIVORCE, HOW TO USE ""I"" MESSAGES, AND HOW TO KEEP MY CHILD(REN) ""OUT OF THE MIDDLE"" OF CONFLICT. INTENDED BEHAVIOR CHANGE: 100 PERCENT INTEND TO HELP THEIR CHILD ADJUST TO DIVORCE BASED ON THEIR AGES AND STAGES, TO USE ""I"" MESSAGES MORE FREQUENTLY, TO STOP CRITICIZING THE OTHER PARENT IN FRONT OF THEIR CHILD(REN), TO USE STRATEGIES LEARNED IN CLASS TO KEEP THEIR CHILD(REN) ""OUT OF THE MIDDLE"" OF CONFLICT, TO DEVELOP AND FOLLOW A CHILD-FOCUSED CO-PARENTING PLAN, AND TO STOP ASKING THEIR CHILD(REN) TO RELAY MESSAGES TO THE OTHER PARENT. EIGHTY-FIVE PERCENT INTEND TO SEARCH FOR POSITIVES IN THEIR CHILD(REN)'S OTHER PARENT TO POINT OUT TO CHILD. AN OVERDOSE AWARENESS DAY VIGIL TOOK PLACE ON AUGUST 31ST ON NATIONAL OVERDOSE AWARENESS DAY. OVER 120 PERSONS ATTENDED TO HONOR LOVED ONES LOST TO OVERDOSE, HEAR FROM PERSONS IMPACTED BY OVERDOSE, AND RECEIVE INFORMATION FROM LOCAL SUBSTANCE ABUSE PROVIDERS. INFORMATION WAS PROVIDED TO ALL ATTENDEES REGARDING LOCAL RESOURCES FOR PERSONS IN RECOVERY AND THEIR LOVED ONES. 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 AND CARE, 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. 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. E. ASTHMA -- PATHFINDER KIDS KAMPUS -- A HUNTINGTON MEMORIAL HOSPITAL, INC., FUNDED PARTNER -- PROVIDES KIDS KLINIC, WHICH ADDRESSES THE NEEDS OF CHILDREN WITH ASTHMA. F. AGING - HUNTINGTON MEMORIAL HOSPITAL, INC., SUPPORTS PROGRAMMING THROUGH THE HUNTINGTON COUNTY COUNCIL ON AGING, A FUNDED PARTNER, WHICH IS INVOLVED WITH THE LOCAL HEALTH & WELLNESS COALITION."

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); DEKALB MEMORIAL HOSPITAL, INC. (EIN 35-1064295; PARK CENTER, INC. (EIN 35-1135451); AND PARKVIEW WABASH HOSPITAL, INC. (EIN 47-1753440) PREPARED A COMBINED REPORT TO THE COMMUNITY DETAILING COMMUNITY BENEFIT PROGRAMS AND SERVICES.

PART I, LINE 7:
PART I, LINE 7ATHE FINANCIAL ASSISTANCE COST REPORTED ON LINE 7A IS CALCULATED UNDER THE COST TO CHARGE RATIO METHODOLOGY. UNDER THIS METHOD, THE FINANCIAL ASSISTANCE CHARGES FOREGONE ARE MULTIPLIED BY THE RATIO OF COST TO CHARGES TO DETERMINE THE COST OF SERVICES RENDERED.PART I, LINE 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 7FAMOUNTS PRESENTED ARE BASED UPON ACTUAL SPEND AND ARE IN CONFORMITY WITH AGREED UPON COMMITMENTS WITH THE VARIOUS EDUCATIONAL PROGRAMS.PART I, LINE 7GAMOUNTS PRESENTED DO NOT INCLUDE ANY COSTS ASSOCIATED WITH PHYSICIAN CLINICS.PART I, LINE 7IIN KEEPING WITH OUR MISSION AND COMMITMENT TO THE COMMUNITIES IN WHICH WE SERVE, 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 $7,445,946 OF PH CLINICAL SUPPORT EXPENSE.

PART III, LINE 2:
FOR FINANCIAL STATEMENT PURPOSES, THE ORGANIZATION HAS ADOPTED ACCOUNTING STANDARDS UPDATE NO. 2014-09 (TOPIC 606). IMPLICIT PRICE CONCESSIONS INCLUDES BAD DEBTS. THEREFORE, BAD DEBTS ARE INCLUDED IN NET PATIENT REVENUE IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15 AND BAD DEBT EXPENSE IS NOT SEPARATELY REPORTED AS AN EXPENSE.

PART III, LINE 4:
BAD DEBT EXPENSE - PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTSTEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES BAD DEBT EXPENSE OR THE PAGE NUMBER ON WHICH THIS FOOTNOTE IS CONTAINED IN THE ATTACHED FINANCIAL STATEMENTS:PAGES 12 AND 23 - 26 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 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 7, REPORTS FILED WITH STATES
IN

PART VI, LINE 7 CONT'D:
A COPY OF FORM 990, SCHEDULE H IS FILED WITH THE INDIANA STATE DEPARTMENT OF HEALTH.

PART III, LINE 9B:
A PATIENT'S FAILURE TO MAKE PAYMENT ARRANGEMENTS THROUGH VARIOUS AVAILABLE PAYMENT OPTIONS OR FAILURE TO APPLY FOR AND RECEIVE APPROVAL UNDER THE FINANCIAL ASSISTANCE POLICY MAY RESULT IN THE ACCOUNT BEING REFERRED TO A COLLECTION AGENCY DUE TO NON-PAYMENT. THE COLLECTION AGENCY MAY REPORT THE ACCOUNT TO ONE OR ALL THREE CREDIT REPORTING AGENCIES, WHICH MAY ADVERSELY AFFECT THE PATIENT'S CREDIT SCORE.A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME DURING THE APPLICATION PERIOD, EVEN IF THE ACCOUNT HAS BEEN PLACED WITH A COLLECTION AGENCY. IF AN INDIVIDUAL SUBMITS A COMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, AND PARKVIEW HEALTH DETERMINES THE INDIVIDUAL IS ELIGIBLE FOR FINANCIAL ASSISTANCE, THEN PARKVIEW HEALTH WILL TAKE ALL REASONABLE AVAILABLE MEASURES TO REVERSE ANY EXTRAORDINARY COLLECTION ACTION (EXCEPT FOR A SALE OF DEBT) TAKEN AGAINST THE INDIVIDUAL TO OBTAIN PAYMENT FOR THE CARE. ALSO, IF AN INDIVIDUAL SUBMITS AN INCOMPLETE FINANCIAL ASSISTANCE APPLICATION DURING THE APPLICATION PERIOD, PARKVIEW WILL SUSPEND ANY EXTRAORDINARY COLLECTION ACTIONS AGAINST THE INDIVIDUAL (WITH RESPECT TO CHARGES TO WHICH THE FINANCIAL ASSISTANCE APPLICATION UNDER REVIEW RELATES) UNTIL THE FINANCIAL ASSISTANCE APPLICATION HAS BEEN PROCESSED AND AN ELIGIBILITY DECISION RENDERED.

PART VI, LINE 2:
DESCRIBE HOW THE ORGANIZATION ASSESSES THE HEALTH CARE NEEDS OF THE COMMUNITIES IT SERVES, IN ADDITION TO ANY CHNAS REPORTED IN PART V, SECTION B.IN ADDITION TO COMPLETING A COMMUNITY HEALTH NEEDS ASSESSMENT ON A TRIENNIAL BASIS, PARKVIEW 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- HEALTHY COMMUNITIES INSTITUTE (HCI) SECONDARY DATA- MEETING WITH COMMUNITY PARTNERS- OBSERVATIONS FROM FRONTLINE STAFF WORKING WITH VULNERABLE POPULATIONS- REVIEW OF CHNA CONDUCTED BY LOCAL ORGANIZATIONSHOSPITAL REPRESENTATIVES MAINTAIN ONGOING RELATIONSHIPS THROUGHOUT THE COMMUNITY AND MEET REGULARLY WITH ORGANIZATIONS THAT SHARE THE MISSION OF IMPROVING THE HEALTH AND INSPIRING THE WELL-BEING OF THE COMMUNITY WE SERVE.

PART VI, LINE 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 CONDUENT HEALTHY COMMUNITIES INSTITUTE (2019), HUNTINGTON COUNTY HAD APPROXIMATELY 36,520 RESIDENTS, PRIMARILY WHITE (96.7 PERCENT), FOLLOWED BY HISPANIC (2.8 PERCENT) AND BLACK (.08 PERCENT). THE PERCENTAGE OF THE COUNTY'S UNEMPLOYED WORKERS IN CIVILIAN LABOR FORCE WAS 2% PERCENT (2022). THE MEDIAN HOUSEHOLD INCOME IN HUNTINGTON COUNTY WAS $54,286 (2016-2020). THE PERCENTAGE OF PEOPLE LIVING BELOW THE POVERTY LEVEL IN HUNTINGTON COUNTY WAS 11.1% (2016-2020). ACCORDING TO STATS INDIANA, THE EMPLOYMENT AND EARNINGS BY INDUSTRY WAS HEAVILY MANUFACTURING-BASED (25.6 PERCENT) FOLLOWED BY HEALTHCARE/SOCIAL SERVICES (12.1 PERCENT) AND RETAIL TRADE (9.2 PERCENT). THE POPULATION OF HUNTINGTON COUNTY THAT ARE UNINSURED IS 10% PERCENT ACCORDING TO COUNTY HEALTH RANKINGS (2019). ACCORDING TO WWW.DATAUSA.IO. OF THOSE WITH INSURANCE, 10.4 PERCENT ARE ON MEDICAID.ACCORDING TO THE INDIANA HOSPITAL ASSOCIATION DIMENSIONS DATABASE, HUNTINGTON MEMORIAL HOSPITAL, INC., HAD 23.6% OF INPATIENT DISCHARGES THAT WERE MEDICAID PATIENTS AND 2.1% WERE SELF-PAY. FOR OUTPATIENT PROCEDURES, 21.1% WERE MEDICAID PATIENTS, AND 2.8% WERE SELF-PAY (2021)HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA), AN AGENCY OF THE U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, DEVELOPS SHORTAGE DESIGNATION CRITERIA INTENDED TO IDENTIFY A GEOGRAPHIC AREA, POPULATION GROUP OR FACILITY AS A HEALTH PROFESSIONAL SHORTAGE AREA (HPSA) OR A MEDICALLY UNDERSERVED AREA OR POPULATION (MUA/P). HRSA HAS DESIGNATED THE FOLLOWING:1) COUNTIES: HUNTINGTON, KOSCIUSKO, MARSHALL, WABASH AND WHITLEY COUNTYDISCIPLINE: MENTAL HEALTHHPSA ID: 7186918305HPSA NAME: MENTAL HEALTH CATCHMENT AREA 28 - WARSAWDESIGNATION TYPE: GEOGRAPHIC HPSAHPSA FTE SHORT: 11.02HPSA SCORE: 17STATUS: DESIGNATEDRURAL STATUS: PARTIALLY RURAL

PART VI, LINE 5:
PROVIDE ANY OTHER INFORMATION IMPORTANT TO DESCRIBING HOW THE ORGANIZATION'S HOSPITAL FACILITIES OR OTHER HEALTH CARE FACILITIES FURTHER ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF THE COMMUNITY (E.G. OPEN MEDICAL STAFF, COMMUNITY BOARD, USE OF SURPLUS FUNDS, ETC.).THE HUNTINGTON MEMORIAL HOSPITAL, INC., BOARD OF DIRECTORS COMPRISES 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:-CANCER SERVICES OF HUNTINGTON COUNTY HELPED 24 CLIENTS IN 2021 (19 OF WHICH WERE NEW TO THEIR PROGRAM) WITH REGARD TO MILEAGE REIMBURSEMENT AND PRESCRIPTION DRUG ASSISTANCE. -CANCER SERVICES OF NORTHEAST INDIANA SERVED 213 CLIENTS IN 2021 DISTRIBUTING HEALTHCARE SUPPLIES, WIGS, HATS, SCARVES, NUTRITIONAL SUPPLEMENTS, AND DURABLE MEDICAL EQUIPMENT ITEMS. EDUCATION AND WELLNESS PROGRAMMING INCLUDED BUT WAS NOT LIMITED TO SUPPORT GROUPS, FINANCIAL COACHING, NUTRITION, MASSAGE, TAI CHI, YOGA, AND STRETCHING.-THE HUNTINGTON COUNTY COUNCIL ON AGING PROVIDED 96.5% OF TRANSPORTATION REQUESTED AND PROVIDED 30,769 TRIPS IN 2021.-HUNTINGTON MEMORIAL HOSPITAL, INC. HOURLY AND SALARIED STAFF MEMBERS SUPPORTED THE HUNTINGTON COUNTY COVID VACCINE CLINIC IN 2021 LOGGING 261.5 HOURS. -HUNTINGTON MEMORIAL HOSPITAL, INC. TEAM MEMBERS LOGGED OVER 200 HOURS SERVING ON PROJECTS AND ADVISORY BODIES FOR THE FOLLOWING: PATHFINDER SERVICES, EMPOWERING HUMANITIES, YOUTH SERVICES BUREAU, HEALTHY FAMILIES, NORTHERN INDIANA LACTATION CONSULTANT ASSOCIATION, UNITED WAY OF HUNTINGTON COUNTY, LOVE INC, KIDS CAMPUS HEALTH, TEEN SUICIDE PREVENTION TASK FORCE, SPECIAL OLYMPICS, HUNTINGTON COUNTY HEALTH AND WELLNESS COALITION AND FOOD RESOURCE GROUPS, AND PLACE OF GRACE.

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.; PARK CENTER, 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; AND 4)""EXCELLENT CARE, EVERY PERSON, EVERY DAY.""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 V, SECTION B, LINE 19:
DISCLOSURE STATEMENT FOR CORRECTION SECTION 501(R) OMISSIONS, ERRORS AND OTHER FAILURES PURSUANT TO INTERNAL REVENUE SERVICE REVENUE PROCEDURE 2015-21. IN JANUARY AND FEBRUARY 2021, THE ORGANIZATION'S INTERNAL AUDIT DEPARTMENT PERFORMED A COMPREHENSIVE REVIEW OF ALL APPLICABLE POLICIES AND PRACTICES UNDER SECTION 501(R) OF THE INTERNAL REVENUE CODE AND THE TREASURY REGULATIONS ISSUED THEREUNDER. THE AUDIT PERIOD WAS AUGUST 1, 2020, THROUGH DECEMBER 31, 2020. AS A RESULT OF THE AUDIT, MINOR POLICY CHANGES WERE MADE, AND MINOR PROCEDURAL CHANGES RELATED TO SECTION 501(R) COMPLIANCE WERE IMPLEMENTED.ALSO, IT WAS DETERMINED THAT 55 PATIENT ACCOUNTS WERE PRESUMPTIVELY DETERMINED TO BE ELIGIBLE FOR LESS-THAN-100% FINANCIAL ASSISTANCE, WERE NOT NOTIFIED REGARDING THE WAY TO APPLY FOR MORE GENEROUS ASSISTANCE UNDER THE FAP AND WERE INADVERTENTLY SUBJECT TO ADVERSE CREDIT REPORTING. THE ADVERSE CREDIT REPORTING, HOWEVER, WAS IMMEDIATELY REMOVED IN MAY 2021. IN ADDITION TO THE FINANCIAL ASSISTANCE NOTIFICATION ON ALL PATIENT STATEMENTS, THE HOSPITAL FACILITY INSTITUTED PROCEDURES TO PROVIDE WRITTEN NOTICE TO PATIENTS WHO RECEIVE PARTIAL PRESUMPTIVE FINANCIAL ASSISTANCE THAT INFORMS THE INDIVIDUAL REGARDING THE BASIS FOR THE PRESUMPTIVE FAP ELIGIBILITY DETERMINATION AND THE WAY TO APPLY FOR MORE GENEROUS ASSISTANCE DURING THE APPLICATION PERIOD.