2025-11-06T17:28:33-06:00 2024-12-31 350921680 CROWE LLP 401 E LAS OLAS BLVD SUITE 1100 FORT LAUDERDALE FL 33301 990 2024-01-01 921994990 PARKVIEW HEALTH FOUNDATION INC PARK 2603738429 1450 PRODUCTION RD FORT WAYNE IN 468081167 STANTON RISSER PH ACFO 2602669380 2025-11-06 1 1 BRITTNEY KOCAJ P01320603 9542028600 2024 2025-03-06 01:10:19Z DENA JACQUAY 1450 PRODUCTION RD FORT WAYNE IN 468081167 15005576 0 X WWW.PARKVIEW.COM X 2023 IN TO SERVE AS THE PRIMARY FUNDRAISING ENTITY FOR PARKVIEW HEALTH SYSTEM, INC. 3 0 5 0 0 0 5074448 1784666 0 777901 1 1469244 0 0 5074449 4031811 20000 3006267 0 0 0 524104 0 0 337583 0 333534 20000 3863905 5054449 167906 36405714 37303731 25768 29024 36379946 37274707 X TO SERVE AS THE PRIMARY FUNDRAISING ENTITY FOR PARKVIEW HEALTH SYSTEM, INC., AND EACH OF THE SEPARATELY LICENSED HOSPITALS FOR WHICH PARKVIEW HEALTH SYSTEM, INC. SERVES AS THE SOLE CORPORATE MEMBER. 0 0 3196820 3006267 777901 THE MISSION OF THE PARKVIEW HEALTH FOUNDATION IS TO IMPROVE HEALTH AND INSPIRE WELL-BEING IN THE COMMUNITIES WE SERVE. OUR MISSION IS PARKVIEW HEALTH'S MISSION, AND WE ACTIVELY SUPPORT ITS ABILITY TO LEAD THE REGION IN EXPERT, SPECIALIZED HEALTHCARE AND ENHANCE THE PATIENT'S EXPERIENCE THROUGH COMFORT AND HEALING. OUR PURPOSE IS TO RAISE THE CHARITABLE FUNDS PARKVIEW HEALTH NEEDS TO ADVANCE HEALTHCARE AND POSITIVELY IMPACT THE LIVES OF EVERY PATIENT IT SERVES. BY PARTNERING WITH AREA ORGANIZATIONS AND SUPPORTING PARKVIEW HEALTH WITH GENEROUS CONTRIBUTIONS FROM COMMUNITY MEMBERS AND CO-WORKERS, WE ARE HELPING ENSURE PATIENT CARE IN NEW AND INNOVATIVE WAYS, ENABLING THEM, THEIR FAMILIES, AND OUR ENTIRE REGION TO THRIVE.(SEE SCHEDULE O FOR CONTINUATION)IN 2024, THE FOUNDATION HELD OVER 250 UNIQUE FUNDS TO SUPPORT PARKVIEW HOSPITALS, SERVICE LINES, AND CO-WORKERS ACROSS THE PARKVIEW FOOTPRINT. THE FOLLOWING ARE EXAMPLES OF HOW FOUNDATION FUNDS HELPED IMPROVE HEALTH AND WELL-BEING IN THE COMMUNITIES WE SERVE:THE BETTER FUTURE CHILD MALTREATMENT CLINIC, MADE POSSIBLE THROUGH CAPITAL FUNDING, PROVIDES HEALTH CARE FOR ABUSED OR NEGLECTED CHILDREN FROM EMERGENCY ROOM REFERRALS ACROSS NORTHEAST INDIANA. THE MOBILE MAMMOGRAPHY COACH WAS PURCHASED FOR FRANCINE'S FRIENDS MOBILE MAMMOGRAPHY PROGRAM, WHICH PROVIDES MAMMOGRAMS FOR LOW-INCOME WOMEN ACROSS THE PARKVIEW FOOTPRINT. HEALING ARTS PROVIDED MUSICAL AND VISUAL ARTISTS BEDSIDE, IN INFUSION AREAS, AND LOBBIES THROUGH ARTS VISITS AND PERFORMANCES TO GIVE COMFORT AND JOY TO PATIENTS. THE REACH OUT & READ PROGRAM PROVIDED A BOOK AT EVERY PEDIATRIC PATIENT APPOINTMENT FOR CHILDREN AGED 0-5, WITH ENCOURAGEMENT FROM PEDIATRICIANS ON THE IMPORTANCE OF EARLY LITERACY TO PARENTS AT THREE PARKVIEW PEDIATRIC LOCATIONS. VEGGIE RX PROVIDED EDUCATION ON NUTRITION TO PATIENTS REFERRED BY THEIR PHYSICIANS TO LEARN HOW FOOD AS MEDICINE CAN POSITIVELY IMPACT THEIR HEALTH AND REDUCE THE SYMPTOMS AND SEVERITY OF CHRONIC HEALTH CONDITIONS. MATERNAL HEALTH EDUCATION PROVIDED GROUP HEALTH EDUCATION TO POSTNATAL MOMS ON INFANT CPR AND SAFE SLEEP, AND CREATED A FORUM FOR BONDING AND COACHING FOR NEW MOMS. THE SPECIAL TOUCH FUND PROVIDED URGENT SUPPORT FOR PATIENTS NEEDING A RIDE HOME, A SMALL MEDICAL DEVICE, OR SUPPLIES. THE TRANSFORMATIVE CANCER CARE FUND PROVIDED WIGS, HEAD COVERINGS, FOOD BANK VOUCHERS, GAS CARDS, AND NUTRITIONAL DRINKS FOR CANCER PATIENTS. HOSPICE FUNDS PROVIDED SUPPORT TO ENHANCE PATIENT CARE WITH MASSAGE AND MUSIC THERAPY AND BEREAVEMENT CARE, SUCH AS BEREAVEMENT ITEMS FOR FAMILIES, SUPPORT GROUPS, SOCIAL WORKERS, AND CHAPLAINCY VISITS. CHAPLAINCY PROVIDED BEREAVEMENT AND GRIEF SUPPORT SUPPLIES TO FAMILY MEMBERS AFTER A LOVED ONE PASSED, INCLUDING GRIEF PACKETS, SUPPORT GROUP MEETINGS, AND SMALL ITEMS LIKE BEREAVEMENT BEARS. PEDIATRIC HEMATOLOGY & ONCOLOGY PROVIDED GAS CARDS, FOOD VOUCHERS, AND MEDICAL ITEMS NEEDED FOR CHILDREN FIGHTING CANCER. PARKVIEW PUPS VISITED CO-WORKERS FROM PUPS AND THEIR CO-WORKER OWNERS TO HELP BRIGHTEN THE DAY FOR CO-WORKERS WORKING LONG SHIFTS AND DEALING WITH GRIEF, LOSS, AND HIGH PATIENT CENSUS. THE MEDICATION ASSISTANCE PROGRAM PROVIDED FREE PRESCRIPTIONS FOR LOW-INCOME PATIENTS AT DISCHARGE. HER HEART PROGRAM, FACILITATED BY THE PARKVIEW HEART INSTITUTE, CREATES AN EDUCATIONAL OPPORTUNITY FOR WOMEN TO REDUCE THEIR RISK OF HEART DISEASE. THIS INCLUDED GROUP MEETINGS, FREE LAB WORK, AND OPPORTUNITIES TO MEET WITH DIETITIANS AND BEHAVIORAL THERAPISTS. THE CO-WORKER EMERGENCY FUND PROVIDED EMERGENCY ASSISTANCE TO TWENTY-EIGHT CO-WORKERS FACING URGENT NEEDS DUE TO HEALTH EMERGENCIES, DOMESTIC VIOLENCE, LOSING AN IMMEDIATE FAMILY MEMBER, OR NATURAL DISASTERS. FIFTY-FIVE STUDENTS AND PARKVIEW CO-WORKERS WERE AWARDED SCHOLARSHIPS, WHICH PROVIDED TUITION ASSISTANCE TO HELP THEM PURSUE NURSING OR MEDICAL CAREERS OR ASSIST WITH COLLEGE ATTAINMENT, AS ESTABLISHED BY DONORS. 3196820 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 X 15 0 1 5 1 0 0 0 0 0 0 0 0 0 0 0 0 X 3 0 0 0 0 0 1 1 1 1 0 0 0 1 1 1 1 1 1 0 0 0 IN X STANTON RISSER 2602669380 1450 PRODUCTION RD FORT WAYNE IN 468081167 JEANNE' WICKENS DIRECTOR/PARTIAL YR/PH CFO 1.00 39.00 X X 0 1647203 217960 RAYMOND DUSMAN DIRECTOR/PCE PRESIDENT 1.00 39.00 X 0 2222699 87881 DAVID STOREY DIRECTOR/PH CHIEF LEGAL & COMPLIANCE OFFICER 1.00 39.00 X 0 1013417 192160 DENA JACQUAY DIRECTOR/PH CHIEF ADMIN OFFICER 1.00 39.00 X X 0 1425430 319359 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 1.00 39.00 X 0 218745 48843 DENISE ANDORFER PVFND DIRECTOR 40.00 0.00 X 180452 0 27144 JENNIFER LEDGER PVFND LEAD DEVELOPMENT COORDINATOR 40.00 0.00 X 103352 0 13030 283804 6527494 906377 2 0 1 0 0 350 125326 9773 1649217 106254 1784666 FNDRSNG SER ALLOCATION 561499 777901 777901 777901 564634 564634 11878375 10973765 904610 904610 904610 4031811 777901 0 1469244 2882567 2882567 123700 123700 392590 137407 137407 117776 131514 46030 46030 39454 16679 16679 80949 80949 34712 3925 4724 26063 905 905 30198 1263 2642 26293 125575 320 125255 37109 194 36409 506 2308 1154 1154 1859 1859 107 107 1320 330 132 858 DUES & SUBSCRIPTIONS 1363 1339 24 SPONSORSHIPS 250 250 LICENSES 200 200 3863905 3196820 329502 337583 1473339 1240820 287846 127861 336820 212546 116338 124274 26071754 26773457 8456437 9037319 36405714 37303731 712 4391 23000 23242 2056 1391 25768 29024 X 22147306 23094972 14232640 14179735 36379946 37274707 36405714 37303731 X 167906 723590 3265 X 0 1 X 1 0 X 5074448 1784666 6859114 5074448 1784666 6859114 5251903 1607211 1 564634 564635 7423749 777901 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 23 23 0 PART II-B, LINE 1: REPRESENTS THE PORTION OF THE DUES PAID TO PROFESSIONAL ASSOCIATIONS USED FOR LOBBYING ACTIVITIES. 9766610 43041 841897 406441 10245107 9766610 9766610 0.57280 0.28530 0.14190 1 0 227845 212546 15299 108975 108975 124274 DUE TO/FROM INTERUNIT 8023312 INTEREST IN ASSETS AT COMMUNITY FOUNDATION OF WABASH COUNTY 798257 INTEREST IN ASSETS AS WHITLEY COUNTY COMMUNITY FOUNDATION, INC. 210550 GIFT CARDS 5200 9037319 CHARITABLE GIFT ANNUITY 1391 1391 X PART V, LINE 4: ALLEN: BOARD DESIGNATED ENDOWMENTS ARE USED TO COVER THE OPERATING EXPENSES OF THE FOUNDATION. PERMANENT ENDOWMENTS ARE USED FOR SCHOLARSHIPS, CHAPLAINCY SERVICES, AND CANCER INSTITUTE SERVICES. HUNTINGTON: THE GOAL OF THE HUNTINGTON COUNTY MEDICAL SOCIETY ENDOWMENT FUND IS TO PROVIDE SUPPORT FOR EDUCATION, TRAINING, AND PROFESSIONAL CERTIFICATION REIMBURSEMENT FOR MEMBERS OF THE STAFF OF THE HOLLY D. SALE REHABILITATION AND WELLNESS CENTER AND THE PARKVIEW HUNTINGTON HOSPITAL CENTER FOR WOUND HEALING, AND THAT ARE CONSISTENT WITH THE MISSION AND PURPOSES OF THE FOUNDATION. WABASH: THE PRIMARY PURPOSE OF THE ENDOWMENT FUNDS IS TO PROVIDE FINANCIAL SUPPORT TO PROGRAMS AND OPERATIONS RELATED TO PATIENT-FOCUSED CARE AT PARKVIEW WABASH HOSPITAL, INC. ENDOWMENT FUNDS ARE ALSO USED FOR SCHOLARSHIPS. WHITLEY: THE GOAL OF THE SCHULTZ ENDOWMENT FUND IS TO CONTINUALLY IMPROVE PATIENT CARE AND THE EDUCATION OF LOCAL STAFF MEMBERS. WHITLEY MEMORIAL HOSPITAL, INC. EMPLOYEES APPLY FOR SCHOLARSHIPS FUNDED THROUGH THE SUPPORT OF THIS GENEROUS BEQUEST. PART X, LINE 2: PARKVIEW HEALTH SYSTEM, INC. AND SUBSIDIARIES - NOTES TO THE CONSOLIDATED FINANCIAL STATEMENTS TEXT OF THE FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT DESCRIBES THE LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 (ASC 740): INCOME TAXES: THE INTERNAL REVENUE SERVICE HAS DETERMINED THAT THE CORPORATION AND CERTAIN AFFILIATED ENTITIES ARE TAX-EXEMPT ORGANIZATIONS AS DEFINED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. CERTAIN SUBSIDIARIES OF THE CORPORATION ARE TAXABLE ENTITIES, THE TAX EXPENSE AND LIABILITIES OF WHICH ARE NOT MATERIAL TO THE CONSOLIDATED FINANCIAL STATEMENTS. THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES EACH FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE TAX-EXEMPT STATUS OF EACH ENTITY, THE CONTINUED TAX-EXEMPT STATUS OF BONDS, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME, AND VARIOUS POSITIONS RELATING TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (REPORTED ON FORM 990T). AS OF DECEMBER 31, 2024 AND 2023, THERE ARE NO UNRECOGNIZED TAX BENEFITS RESULTING FROM UNCERTAIN TAX POSITIONS. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY THE CORPORATION AND ITS TAX-EXEMPT AFFILIATED ENTITIES ARE GENERALLY NO LONGER SUBJECT TO EXAMINATION FOR THE YEAR 2019 AND PRIOR. 1 PARKVIEW HOSPITAL INC 11109 PARKVIEW PLAZA DR FORT WAYNE IN 46845 350868085 501(C)(3) 1965453 73953 ESTIMATED VALUE CHEMO PACKETS, GAS CARDS, BEREAVEMENT POUCHES, BOOKS, TOYS, HATS, QUILTS HOSPITAL PROGRAMS PARKVIEW WABASH HOSPITAL INC 10 JOHN KISSINGER DR WABASH IN 46992 471753440 501(C)(3) 250247 0 HOSPITAL PROGRAMS PARKVIEW HEALTH SYSTEM INC 1450 PRODUCTION RD FORT WAYNE IN 46808 351972384 501(C)(3) 201957 1227 ESTIMATED VALUE BLANKETS, QUILTS, PILLOWS, AND WALKER BAGS SYSTEM PROGRAMS WHITLEY MEMORIAL HOSPITAL INC 1260 E STATE ROAD 205 COLUMBIA CITY IN 46725 351967665 501(C)(3) 166810 25 ESTIMATED VALUE GIFT CARD HOSPITAL PROGRAMS COMMUNITY HOSPITAL OF NOBLE COUNTY INC 401 N SAWYER RD KENDALLVILLE IN 46755 352087092 501(C)(3) 63114 0 HOSPITAL PROGRAMS HUNTINGTON MEMORIAL HOSPITAL INC 2001 STULTS RD HUNTINGTON IN 46750 351970706 501(C)(3) 37504 800 ESTIMATED VALUE TOYS AND EXERCISE BIKE HOSPITAL PROGRAMS COMMUNITY HOSPITAL OF LAGRANGE COUNTY INC 207 N TOWNLINE RD LAGRANGE IN 46761 202401676 501(C)(3) 19393 157 ESTIMATED VALUE BOTTLED WATER AND SNACKS HOSPITAL PROGRAMS DEKALB MEMORIAL HOSPITAL INC 1316 E 7TH ST AUBURN IN 46706 351064295 501(C)(3) 15946 0 HOSPITAL PROGRAMS PLACE OF GRACE INC 540 GUILFORD STREET HUNTINGTON IN 46750 471569406 501(C)(3) 15000 0 WOMEN'S TRANSITIONAL HOUSING SERVICES IN HUNTINGTON COUNTY BOYS AND GIRLS CLUB OF HUNTINGTON COUNTY INC 608 EAST STATE STREET HUNTINGTON IN 46750 352094506 501(C)(3) 10000 0 LIFE SKILLS PROGRAMS FOR ALL YOUNG PEOPLE IN HUNTINGTON COUNTY LOVE IN THE NAME OF CHRIST OF HUNTINGTON COUNTY INC 715 BRYON STRET HUNTINGTON IN 46750 311144508 501(C)(3) 7500 0 ASSISTANCE PROGRAM FOR THOSE IN NEED IN HUNTINGTON COUNTY MIDWEST COMMUNITY HEALTH ASSOCIATES INC 442 W HIGH ST BRYAN OH 43506 341045870 501(C)(3) 6785 0 HOSPITAL PROGRAMS PARKVIEW HUNTINGTON FAMILY YMCA INC 1160 W 500 N HUNTINGTON IN 46750 350905959 501(C)(3) 5500 0 PROGRAMS THAT BUILD HEALTHY SPIRIT, MIND AND BODY FOR ALL IN HUNTINGTON COUNTY 13 0 CO-WORKER EMERGENCY FUND (CEF) 28 24457 SCHOLARSHIPS 55 99243 PART I, LINE 2: HOSPITAL AND HEALTH SYSTEM FUNDING: HOSPITAL AND HEALTH SYSTEM DEPARTMENTS COMPLETE FUNDING REQUEST FORMS AND RETURN THEM TO THE FOUNDATION. UPON COMPLETION OF THE PROJECT, THE DEPARTMENT SUBMITS A REIMBURSEMENT REQUEST ALONG WITH AN ATTACHED PURCHASE ORDER OR RECEIPT FOR SUPPLIES. BASED ON THE ORGANIZATION'S AUTHORITY TO ACT POLICY, APPROVALS ARE MADE BY THE FOUNDATION DIRECTOR AND THE FOUNDATION BOARD. GRANTS AND ASSISTANCE LISTED IN SCHEDULE I, PART II, TO UNRELATED 501(C)(3) ORGANIZATIONS ARE MADE FROM THE PHYSICIANS LEGACY FUND. UNDER THE TERMS OF A WRITTEN AGREEMENT, THE PHYSICIANS LEGACY FUND IS TO PROVIDE COMMUNITY SUPPORT FOR THE HEALTH NEEDS IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT CONDUCTED BY HUNTINGTON MEMORIAL HOSPITAL, INC. INFORMATION ABOUT GRANTS AND ASSISTANCE TO DOMESTIC INDIVIDUALS IS PRESENTED AFTER PART II, LINE 1, COLUMN (G). PART I, LINE 2 - CO-WORKER EMERGENCY FUND (CEF): THE CEF PROVIDES LIMITED FINANCIAL ASSISTANCE FOR PARKVIEW CO-WORKERS FOR SHORT-TERM CRISIS SITUATIONS THAT ARE THE RESULT OF EMERGENCIES OR CATASTROPHIC EVENTS. THE FUNDS ARE USED AS A LAST RESORT FOR BASIC NEEDS SUCH AS FOOD, SHELTER, UTILITIES, ETC. TO BE ELIGIBLE, A CO-WORKER MUST: -BE A CO-WORKER OF PARKVIEW FOR A MINIMUM OF 6 MONTHS -BE AT LEAST A .6 FTE STATUS -HAVE NOT RECEIVED MONEY FROM THE FUND IN THE LAST 12 MONTHS OR MORE THAN TWICE DURING THE LIFETIME OF EMPLOYMENT -COMPLETE AN APPLICATION FORM THE CEF COMMITTEE SHALL: -REVIEW, CONSIDER, AND MAKE DECISIONS RELATIVE TO THE CO-WORKER'S APPLICATION FOR ASSISTANCE AND APPROVE A REQUEST BY A MAJORITY OF AFFIRMATIVE VOTES -CONSISTS OF AT LEAST FIVE (5) PARKVIEW CO-WORKERS (ONE FROM EVERY PARKVIEW HOSPITAL ENTITY APPOINTED ANNUALLY BY THE CHIEF ADMINISTRATIVE OFFICER, ALONG WITH ONE MEMBER EACH FROM EMPLOYEE ASSISTANCE PROGRAM & FOUNDATION) AND WILL INCLUDE BOTH MANAGEMENT AND NON-MANAGEMENT CO-WORKERS -NOT BE AWARE OF THE IDENTITY OF THE CO-WORKER MAKING THE REQUEST PART I, LINE 2 - SCHOLARSHIPS: 1) FLORENCE ROLLAND SCHOLARSHIP: -APPLICANTS MUST BE HIGH SCHOOL SENIORS PREPARING TO ENTER THE SCHOOL OF NURSING AT THE UNIVERSITY OF SAINT FRANCIS OR PURDUE UNIVERSITY FORT WAYNE WITH THE INTENT OF COMPLETING AN R.N. PROGRAM OF STUDY. -APPLICANTS MUST RESIDE IN ALLEN, DEKALB, NOBLE, WHITLEY, HUNTINGTON, WELLS, OR ADAMS COUNTY. -APPLICANTS MUST SHOW ACADEMIC ABILITY, AS EVIDENCED BY A "B" AVERAGE OR BETTER ON THE HIGH SCHOOL TRANSCRIPT, AND EXHIBIT SOME FINANCIAL NEED, AS EVIDENCED BY THE STATEMENT OF FINANCIAL CHALLENGES. ONE SCHOLARSHIP WILL BE AWARDED ANNUALLY AND IS RENEWABLE FOR UP TO THREE ADDITIONAL YEARS, PROVIDED THE STUDENT MAINTAINS A "B" AVERAGE OR BETTER. APPLICATIONS ARE AVAILABLE AT LOCAL HIGH SCHOOLS. THE EXECUTIVE DIRECTOR OF THE FOUNDATION MEETS WITH MEMBERS OF THE ROLLAND FAMILY TO REVIEW QUALIFIED APPLICANTS' INFORMATION. THE FAMILY MAKES THE FINAL DECISION. 2) DARLENE TIELKER MEMORIAL SCHOLARSHIP: QUALIFICATIONS FOR CONSIDERATION: -BE ACCEPTED TO OR PLANNING TO ATTEND THE B.S. NURSING PROGRAM AT A SCHOOL WITH A NURSING PROGRAM THAT HAS A NATIONAL NURSING ACCREDITATION THROUGH EITHER ACEN OR CCNE -HAVE AT LEAST TWO (2) YEARS OF SERVICE WITH PARKVIEW -BE IN GOOD STANDING WITH NO DISCIPLINARY ACTIONS IN THE PREVIOUS TWO (2) YEARS -PROVIDE TWO (2) PROFESSIONAL RECOMMENDATIONS, ONE OF WHICH MUST BE FROM A SUPERVISOR, CO-WORKER, OR EDUCATOR -PROVIDE PROOF OF FINANCIAL NEED RENEWAL CRITERIA: RENEWABLE FOR THREE (3) ADDITIONAL YEARS, PROVIDED THE STUDENT MAINTAINS A "B" AVERAGE OR BETTER AND IS PROGRESSING TOWARDS COMPLETING THE B.S. NURSING PROGRAM AS DEFINED BY THE UNIVERSITY STANDARDS. 3) CATHY E. HARRIS GOOD SAMARITAN SCHOLARSHIP: SCHOLARSHIPS WILL PROVIDE $2,000 A YEAR AT THE BEGINNING OF THE SCHOOL YEAR AND WILL BE DISTRIBUTED AMONG THE RECIPIENTS. THOSE PURSUING BASIC EMT WILL BE ELIGIBLE FOR $300, ADVANCED EMT $700, AND PARAMEDIC $1,000. THE SCHOLARSHIP DOLLARS, DISTRIBUTED DIRECTLY TO THE SCHOOL OR PROGRAM, MAY BE USED TOWARD TUITION AND/OR BOOKS. SCHOLARSHIPS ARE AVAILABLE TO ALL ELIGIBLE CANDIDATES OF NORTHEAST INDIANA AND NORTHWEST OHIO. CANDIDATES MUST MEET THE FOLLOWING CRITERIA TO BE CONSIDERED FOR THE SCHOLARSHIP: -ACCEPTED INTO OR ENROLLED IN AN EMT, ADVANCED EMT, OR PARAMEDIC PROGRAM -HAVE AT LEAST ONE (1) YEAR OF SERVICE WITH PARKVIEW HEALTH -BE IN GOOD STANDING WITH NO DISCIPLINARY ACTIONS IN THE PREVIOUS YEAR -MUST PROVIDE ONE (1) PROFESSIONAL RECOMMENDATION FROM A SUPERVISOR, COWORKER, OR EDUCATOR A PANEL OF PARKVIEW SENIOR STAFF REVIEWS QUALIFIED APPLICANTS' INFORMATION. 4) ALBRIGHT-GEMLICK EXCELLENCE SCHOLARSHIP: THE SCHOLARSHIP HONORS REMARKABLE SENIOR STUDENT-ATHLETES. STUDENTS MUST MEET THE FOLLOWING QUALIFICATIONS FOR CONSIDERATION: -EACH NOMINEE MUST BE NOMINATED BY A PARKVIEW SPORTS MEDICINE (PSM) ATHLETIC TRAINER AND ULTIMATELY BE APPROVED BY THE PSM WORKING COMMITTEE. EACH PSM HIGH SCHOOL MAY NOMINATE UP TO THREE STUDENTS, AND CLUB ATHLETIC TRAINERS MAY NOMINATE UP TO THREE STUDENTS FROM THEIR CLUB. ALL NOMINEES MUST BE CURRENT PSM HIGH SCHOOL OR CLUB STUDENTS PARTICIPATING IN OR WORKING WITH AT LEAST ONE SPORT IN THEIR SENIOR YEAR OF HIGH SCHOOL AND HAVE A GPA OF AT LEAST 3.2/4.0 OR 9.0/12.0. -TO BE CONSIDERED, NOMINEES MAY NOT HAVE A FAMILY RELATION TO PSM AND/OR SCHOOL ADMINISTRATION OR ATHLETICS. -ALL SCHOLARSHIPS ARE AWARDED AT THE DISCRETION OF PSM. 5) DR. DARRYL R. SMITH MED-TECH SCHOLARSHIP: SCHOLARSHIPS WILL PROVIDE (2) $1,000 A YEAR AWARDS AT THE BEGINNING OF THE SCHOOL YEAR, DISTRIBUTED AMONGST RECIPIENTS TO INCLUDE THE FOLLOWING: -ONE INCOMING PARKVIEW MED-TECH STUDENT WITH THE HIGHEST GRADE POINT AVERAGE (GPA) -PARKVIEW MED-TECH STUDENT(S) WITH THE MOST SIGNIFICANT FINANCIAL NEED - DR. SMITH HAS APPROVED FOR THIS SECOND SCHOLARSHIP TO BE SPLIT BETWEEN MORE THAN ONE STUDENT (EX: $500 / $500 OR $333 / $333 / $333) DR. AND MRS. SMITH OF THE SCHOLARSHIP RECIPIENTS, INCLUDING BIOGRAPHICAL INFORMATION ABOUT THE AWARDEES. 6) THE SHERRY SNYDER MEMORIAL SCHOLARSHIP: SCHOLARSHIPS WILL PROVIDE $2,000 PER YEAR AND ARE RENEWABLE FOR ONE YEAR. SCHOLARSHIPS ARE AVAILABLE TO ALL ELIGIBLE PARKVIEW CO-WORKERS PURSUING A BSN. CANDIDATES MUST MEET THE FOLLOWING CRITERIA TO BE CONSIDERED FOR THE SCHOLARSHIP: -BE ACCEPTED INTO AND PLANNING TO ATTEND A BSN PROGRAM THAT IS NATIONALLY ACCREDITED THROUGH EITHER THE ACEN OR CCNE -BE IN GOOD STANDING WITH NO DISCIPLINARY ACTION IN THE PREVIOUS TWO YEARS -PROVIDE TWO RECOMMENDATIONS, INCLUDING ONE FROM A SUPERVISOR, CO-WORKER, OR EDUCATOR -SUBMIT A ONE-PAGE NARRATIVE ON WHY YOU ARE SEEKING THIS SCHOLARSHIP -PROVIDE PROOF OF ENROLLMENT, SUCH AS A LETTER OF ACCEPTANCE OR CLASS REGISTRATION -SECOND-YEAR FUNDING PROVIDES PROOF OF COMPLETING THE FIRST YEAR WITH AT LEAST A "B" AVERAGE OR EQUIVALENT A PANEL OF CLINICAL STAFF DEVELOPMENT AND A FOUNDATION STAFF MEMBER REVIEWS QUALIFIED APPLICANTS' INFORMATION. 7) PARKVIEW SCHOOL OF NURSING ALUMNI ASSOCIATION SCHOLARSHIP: APPLICANTS: -MUST BE CURRENT PARKVIEW EMPLOYEES AND MUST APPLY FOR THE SCHOLARSHIP -MUST BE CURRENTLY ENROLLED IN AN ACCREDITED NURSING PROGRAM IN INDIANA. -MUST BE IN GOOD STANDING WITH NO DISCIPLINARY ACTIONS IN THE PREVIOUS TWO YEARS -MAY RECEIVE THE AWARD FOR A MAXIMUM OF TWO YEARS -WILL PROVIDE TWO PROFESSIONAL LETTERS OF RECOMMENDATION AND A ONE-PAGE NARRATIVE ADMINISTRATION OF THE FUND: -SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -THE SELECTION COMMITTEE SHALL COMPRISE THE CHIEF NURSING EXECUTIVE (OR EQUIVALENT) OF PARKVIEW HEALTH, PLUS TWO ADDITIONAL NURSING LEADERS FROM WITHIN THE PARKVIEW HEALTH SYSTEM AS SELECTED BY THE CHIEF NURSING EXECUTIVE. -SCHOLARSHIP FUNDS WILL BE AWARDED NO LATER THAN JULY OF EACH YEAR. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -SCHOLARSHIP FUNDS, VALUED AT UP TO $2,000 EACH, WILL BE AWARDED EQUALLY AMONG THE TWO MOST HIGHLY QUALIFIED APPLICANTS. TO RECEIVE THE AWARD IN A SECOND YEAR, RECIPIENTS MUST MAINTAIN A GRADE POINT AVERAGE OF "B OR HIGHER AND PROVIDE CURRENT ENROLLMENT DOCUMENTATION. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR INTERNAL PROMOTION OF THE SCHOLARSHIP AND ENSURING THAT THE PARKVIEW NURSING ALUMNI ASSOCIATION'S PRESIDENT IS INFORMED OF THE RECIPIENTS' NAMES. 8) SHIRLEY TRASTER NURSING SCHOLARSHIP: APPLICANTS: - MUST BE CURRENT PARKVIEW EMPLOYEES AT PNH OR PRMC -HAVE AT LEAST TWO YEARS OF SERVICE WITH PARKVIEW -HAVE APPLIED TO, OR BE ENROLLED IN, AN ACCREDITED HEALTHCARE-RELATED EDUCATIONAL PROGRAM -MUST BE IN GOOD STANDING WITH NO DISCIPLINARY ACTIONS IN THE PREVIOUS TWO YEARS -PROVIDE ONE PROFESSIONAL LETTER OF RECOMMENDATION FROM A SUPERVISOR OR INSTRUCTOR ADMINISTRATION OF THE FUND: -SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR THE INTERNAL PROMOTION OF THE SCHOLARSHIP 9) THE SCHULTZ AWARD: SCHOLARSHIP FUNDS WILL PROVIDE ONE RECIPIENT WITH $1,000 (PAYABLE DIRECTLY TO THE SCHOOL). THAT RECIPIENT MAY REAPPLY FOR A SECOND YEAR. APPLICANTS: -MUST BE EMPLOYED BY PARKVIEW WHITLEY HOSPITAL -MUST BE ENROLLED IN A COLLEGE, UNIVERSITY, OR ACCREDITED INSTITUTION, CONTINUING EDUCATION AS A NURSE OR IN A MEDICAL-RELATED FIELD -PROVIDE ONE PROFESSIONAL RECOMMENDATION FROM AN IMMEDIATE SUPERVISOR -MUST BE IN GOOD STANDING WITH NO DISCIPLINARY ACTION IN THE PREVIOUS TWO YEARS ADMINISTRATION OF THE FUND: -SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR THE INTERNAL PROMOTION OF THE SCHOLARSHIP PART I, LINE 2 - SCHOLARSHIPS CONT'D: 10) BEV GOSS NURSING SCHOLARSHIP: THE SCHOLARSHIP FUNDS WILL PROVIDE $1000 TO ONE RECIPIENT (ELIGIBLE TO REAPPLY FOR A SECOND YEAR). THEY ARE PAYABLE DIRECTLY TO THE SCHOOL OR INSTITUTION. APPLICANTS: - MUST BE EMPLOYED BY PARKVIEW WHITLEY HOSPITAL -MUST BE ENROLLED IN A COLLEGE, UNIVERSITY, OR ACCREDITED INSTITUTION CONTINUING EDUCATION IN A B.S. NURSING PROGRAM -HAVE AT LEAST 2 YEARS OF SERVICE WITH PARKVIEW (.4 STATUS OR HIGHER) -PROVIDE ONE PROFESSIONAL RECOMMENDATION FROM AN IMMEDIATE SUPERVISOR, CO-WORKER, OR EDUCATOR -MUST BE IN GOOD STANDING WITH NO DISCIPLINARY ACTION IN THE PREVIOUS THREE YEARS ADMINISTRATION OF THE FUND: -SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR THE INTERNAL PROMOTION OF THE SCHOLARSHIP 11) JILL DREYER NURSING SCHOLARSHIP: SCHOLARSHIP FUNDS WILL PROVIDE $1000 TO TWO RECIPIENTS, WHICH MAY BE USED TO REIMBURSE EDUCATION-RELATED COSTS. APPLICANTS: - MUST BE EMPLOYED BY PARKVIEW HUNTINGTON HOSPITAL -MUST BE ENROLLED IN A COLLEGE, UNIVERSITY, OR ACCREDITED INSTITUTION FOR CONTINUING EDUCATION IN NURSING -PROVIDE ONE PROFESSIONAL RECOMMENDATION FROM A NURSING LEADER THAT SUMMARIZES YOUR QUALIFICATIONS FOR THIS AWARD PROVIDE A TWO-TO-THREE-PAGE ESSAY DETAILING YOUR SHORT- AND LONG-TERM GOALS IN NURSING AND YOUR NEED FOR THIS ASSISTANCE. -MUST BE IN GOOD STANDING WITH NO DISCIPLINARY ACTION IN THE PREVIOUS YEAR ADMINISTRATION OF THE FUND: -SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR THE INTERNAL PROMOTION OF THE SCHOLARSHIP 12) SUE JOHNSON NURSING SCHOLARSHIP: SCHOLARSHIP FUNDS WILL PROVIDE $2000 TO ONE RECIPIENT (ELIGIBLE TO REAPPLY FOR THE SECOND YEAR). THE FUNDS ARE PAYABLE DIRECTLY TO THE SCHOOL/INSTITUTION. APPLICANTS: - MUST BE EMPLOYED BY PARKVIEW -MUST BE ENROLLED IN A COLLEGE, UNIVERSITY, OR ACCREDITED INSTITUTION CONTINUING EDUCATION IN A B.S. NURSING PROGRAM -HAVE AT LEAST 2 YEARS OF SERVICE WITH PARKVIEW (.4 STATUS OR HIGHER) -PROVIDE ONE PROFESSIONAL RECOMMENDATION FROM AN IMMEDIATE SUPERVISOR, CO-WORKER, OR EDUCATOR -MUST BE IN GOOD STANDING WITH NO DISCIPLINARY ACTION IN THE PREVIOUS TWO YEARS -SUBMIT A ONE-PAGE NARRATIVE ON WHY YOU ARE SEEKING THIS SCHOLARSHIP AND THE BENEFIT YOU WILL PROVIDE PARKVIEW AND ITS PATIENTS IF YOU COMPLETE YOUR BSN DEGREE ADMINISTRATION OF THE FUND: - SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -THE SELECTION COMMITTEE SHALL COMPRISE THE CHIEF NURSING EXECUTIVE (OR EQUIVALENT) OF PARKVIEW HEALTH, PLUS TWO ADDITIONAL NURSING LEADERS FROM WITHIN THE PARKVIEW HEALTH SYSTEM AS SELECTED BY THE CHIEF NURSING EXECUTIVE. -SCHOLARSHIP FUNDS WILL BE AWARDED NO LATER THAN JULY OF EACH YEAR. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -SCHOLARSHIP FUNDS, VALUED AT UP TO $2,000 EACH, WILL BE AWARDED EQUALLY AMONG THE TWO MOST HIGHLY QUALIFIED APPLICANTS. TO RECEIVE THE AWARD IN A SECOND YEAR, RECIPIENTS MUST MAINTAIN A GRADE POINT AVERAGE OF "B OR HIGHER AND PROVIDE CURRENT ENROLLMENT DOCUMENTATION. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR THE INTERNAL PROMOTION OF THE SCHOLARSHIP 13) GLOOR-HIRSCHY NURSING SCHOLARSHIP: SCHOLARSHIP FUNDS WILL PROVIDE $1500 TO TWO RECIPIENTS, WHICH MAY BE USED TO REIMBURSE EDUCATION-RELATED COSTS. APPLICANTS: - MUST BE EMPLOYED BY PARKVIEW (STATUS OF .4 FTE OR HIGHER) -MUST BE ENROLLED IN A COLLEGE, UNIVERSITY, OR ACCREDITED INSTITUTION FOR CONTINUING EDUCATION IN NURSING -PROVIDE TWO PROFESSIONAL RECOMMENDATIONS, ONE MUST BE FROM A PARKVIEW LEADER OR CO-WORKER -SUBMIT A ONE-PAGE NARRATIVE ON WHY YOU ARE SEEKING THIS SCHOLARSHIP AND THE BENEFIT YOU WILL PROVIDE PARKVIEW AND ITS PATIENTS IF YOU COMPLETE YOUR BSN DEGREE -MUST BE IN GOOD STANDING WITH NO DISCIPLINARY ACTION IN TWO YEARS ADMINISTRATION OF THE FUND: -SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR THE INTERNAL PROMOTION OF THE SCHOLARSHIP 14) LEON J. RIBLEY SCHOLARSHIP: THE SCHOLARSHIP IS AVAILABLE TO ALL ELIGIBLE PARKVIEW WABASH HOSPITAL CO-WORKERS AND/OR CO-WORKER DEPENDENTS - SUCH AS SPOUSES, UNMARRIED CHILDREN, STEPCHILDREN, OR ADOPTED CHILDREN UNDER 23 - PURSUING A POST-SECONDARY PROGRAM RELATED TO THE HEALTHCARE FIELD. CANDIDATES MUST MEET THE FOLLOWING CRITERIA TO BE CONSIDERED FOR THE SCHOLARSHIP: -BE ACCEPTED INTO A POST-SECONDARY PROGRAM RELATED TO THE HEALTHCARE FIELD -HAVE AT LEAST SIX MONTHS OF SERVICE WITH PARKVIEW OR BE AN ELIGIBLE CO-WORKER DEPENDENT -BE IN GOOD STANDING WITH NO DISCIPLINARY ACTION IN THE PREVIOUS TWO YEARS -SUBMIT A GRADE TRANSCRIPT FROM THE MOST RECENTLY COMPLETED SCHOOL YEAR -PROVIDE TWO PROFESSIONAL RECOMMENDATIONS: ONE FROM A SUPERVISOR, CO-WORKER, OR EDUCATOR, AND THE OTHER FROM A TEACHER, EMPLOYER, CHURCH OR COMMUNITY LEADER, OR MENTOR -PROVIDE A ONE-PAGE NARRATIVE ON WHY YOU'RE SEEKING THIS SCHOLARSHIP AND THE ANTICIPATED BENEFIT TO PARKVIEW, ITS PATIENTS, AND THE COMMUNITY IF YOU COMPLETE THIS PROGRAM -PROVIDE PROOF OF ENROLLMENT, SUCH AS A LETTER OF ACCEPTANCE OR CLASS REGISTRATION NOTE: HOSPITAL CO-WORKERS WILL RECEIVE PRIORITY AMONG THE APPLICANTS. ADMINISTRATION OF THE FUND: -SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR THE INTERNAL PROMOTION OF THE SCHOLARSHIP 15) PARKVIEW HUNTINGTON SPIRIT OF SERVICE SCHOLARSHIP: UP TO THREE SCHOLARSHIPS OF $1,500 WILL BE AWARDED ANNUALLY. APPLICANTS: -HUNTINGTON COUNTY STUDENTS PURSUING POST-SECONDARY EDUCATION IN A HEALTHCARE-RELATED FIELD OF STUDY AT ANY ACCREDITED INSTITUTION OF HIGHER LEARNING OR TECHNICAL TRAINING, AS WELL AS STUDENTS RESIDING OUTSIDE OF HUNTINGTON COUNTY WHO ARE ENROLLED AT HUNTINGTON UNIVERSITY. -RECIPIENTS MUST ENROLL FOR THE ACADEMIC YEAR FOR WHICH THE SCHOLARSHIP IS AWARDED, OR THE SCHOLARSHIP WILL BE REVOKED. -SUBMIT TWO PERSONAL LETTERS OF REFERENCE (NOT FROM FAMILY MEMBERS) -SUBMIT A BIOGRAPHICAL STATEMENT, NOT TO EXCEED 500 WORDS, EXPLAINING WHY THE APPLICANT HAS CHOSEN A MEDICAL-RELATED COURSE OF STUDY AND DETAILING EXTRACURRICULAR SCHOOL ACTIVITIES AND/OR PERTINENT INVOLVEMENT IN COMMUNITY ACTIVITIES, INCLUDING WORK EXPERIENCE. ALSO INCLUDE ANY REASON OF FINANCIAL NEED. ADMINISTRATION OF THE FUND: -SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR INTERNAL AND EXTERNAL PROMOTION OF THE SCHOLARSHIP 16) KAREN DENNEY NURSING SCHOLARSHIP: THE KAREN DENNEY SCHOLARSHIP COMMITTEE AWARDS A $1,000 SCHOLARSHIP ANNUALLY TO THE STUDENT WHO BEST FULFILLS THE STATED QUALIFICATIONS AND CAREER ASPIRATION REQUIREMENTS. THE COMMITTEE'S DECISIONS ARE FINAL. APPLICANTS: -MUST BE A CURRENT HIGH SCHOOL SENIOR PREPARING TO ENTER AN ACCREDITED NURSE'S TRAINING PROGRAM WITH THE INTENT OF COMPLETING AN RN PROGRAM -BE CURRENTLY PARTICIPATING IN OR HAVE COMPLETED THE HEALTH OCCUPATIONS EDUCATION PROGRAM AT PARKVIEW NOBLE AND PARKVIEW LAGRANGE HOSPITALS -HAVE A "B" AVERAGE OR BETTER. EXTRACURRICULAR AND VOLUNTEER SERVICE ACTIVITIES WILL ALSO BE CONSIDERED -PROVIDE ONE LETTER OF RECOMMENDATION FROM A TEACHER, EMPLOYER, CHURCH/COMMUNITY LEADER, EXTRACURRICULAR COACH, OR MENTOR -PROVIDE OFFICIAL HIGH SCHOOL TRANSCRIPTS SHOWING GRADES THROUGH THE FIRST SEMESTER OR TRIMESTER OF THE SENIOR YEAR. ADMINISTRATION OF THE FUND: -SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR INTERNAL AND EXTERNAL PROMOTION OF THE SCHOLARSHIP PART I, LINE 2 - SCHOLARSHIPS CONT'D: 17) PARKVIEW LAGRANGE HOSPITAL SCHOLARSHIP: THE SCHOLARSHIP IS OPEN TO STUDENTS AND ADULTS WHO RESIDE IN LAGRANGE COUNTY AND ARE PURSUING A DEGREE IN HEALTHCARE. UP TO FOUR $1,000 SCHOLARSHIPS ARE OFFERED TO THREE HIGH SCHOOL SENIORS AND ONE ADULT STUDENT. APPLICANTS: -ADULT APPLICANT - EDUCATION MUST BE FOR TRAINING IN ANY AREA OF THE HEALTHCARE INDUSTRY. MUST RESIDE IN LAGRANGE COUNTY. -STUDENT APPLICANT-THE STUDENT MUST PURSUE A HEALTHCARE CAREER. THE STUDENT MUST BE A HIGH SCHOOL SENIOR RESIDING IN LAGRANGE COUNTY. -A ONE-TIME $1,000 SCHOLARSHIP WILL BE AWARDED TO SELECTED RECIPIENTS. -APPLICANTS MAY BE REQUIRED TO ATTEND A PERSONAL INTERVIEW WITH THE SCHOLARSHIP COMMITTEE. ADMINISTRATION OF THE FUND: -SCHOLARSHIP RECIPIENTS SHALL BE CHOSEN ANNUALLY BY THE SELECTION COMMITTEE. -FINANCIAL PAYMENT OF SCHOLARSHIP FUNDS WILL BE MADE DIRECTLY TO THE APPLICABLE NURSING SCHOOL, NOT TO SCHOLARSHIP RECIPIENTS, AND SHALL BE USED EXCLUSIVELY FOR TUITION ASSISTANCE. -THE PARKVIEW FOUNDATION IS RESPONSIBLE FOR INTERNAL AND EXTERNAL PROMOTION OF THE SCHOLARSHIP. 0 1 0 0 0 0 0 1 0 RAYMOND DUSMAN DIRECTOR/PCE PRESIDENT 0 1176102 0 609840 0 436757 0 37950 0 49931 0 2310580 0 71075 JEANNE' WICKENS DIRECTOR/PARTIAL YR/PH CFO 0 991526 0 492356 0 163321 0 186966 0 30994 0 1865163 0 125575 DENA JACQUAY DIRECTOR/PH CHIEF ADMIN OFFICER 0 845814 0 443520 0 136096 0 261400 0 57959 0 1744789 0 97203 DAVID STOREY DIRECTOR/PH CHIEF LEGAL & COMPLIANCE 0 643269 0 280803 0 89345 0 148451 0 43709 0 1205577 0 87635 STANTON RISSER PH ASSOCIATE CHIEF FINANCIAL OFFICER 0 190916 0 25000 0 2829 0 35417 0 13426 0 267588 0 0 DENISE ANDORFER PVFND DIRECTOR 145191 0 31429 0 3832 0 12662 0 14482 0 207596 0 0 0 PART I, LINE 3 RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., USES THE FOLLOWING TO ESTABLISH THE COMPENSATION OF PARKVIEW HEALTH FOUNDATION, INC.'S CEO/EXECUTIVE DIRECTOR: COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. INDEPENDENT COMPENSATION CONSULTANT FORM 990 OF OTHER ORGANIZATIONS COMPENSATION SURVEY OR STUDY APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC. PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PAYMENTS THE FOLLOWING INDIVIDUALS PARTICIPATE IN SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLANS. BENEFITS EARNED UNDER THE PLANS WILL FUND THE EMPLOYEES' EVENTUAL RETIREMENT BENEFITS. THESE BENEFITS ARE PROVIDED IN EXCHANGE FOR THE EMPLOYEES' YEARS OF SERVICE TO THE ORGANIZATION, AND THE AMOUNT OF THE BENEFITS MAY VARY YEARLY. THE FOLLOWING INDIVIDUALS VESTED IN A PORTION OF THEIR DEFERRED COMPENSATION PLANS, WHICH IS TREATED AS TAXABLE INCOME TO THE INDIVIDUALS AT THE TIME OF VESTING. THESE AMOUNTS ARE REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III): RAYMOND DUSMAN $373,575; DENA JACQUAY $97,203; DAVID STOREY $87,635; JEANNE' WICKENS $125,575 THE FOLLOWING INDIVIDUALS HAVE AN AMOUNT INCLUDED IN SCHEDULE J, PART II, COLUMN (C) FOR AN AMOUNT EARNED BUT NOT YET VESTED UNDER ONE OF PARKVIEW'S DEFERRED COMPENSATION PLANS. THE AMOUNTS ARE AT RISK AND WILL NOT BE PAID UNLESS AND UNTIL EACH EMPLOYEE HAS PROVIDED SUBSTANTIAL FUTURE SERVICES TO THE ORGANIZATION. BENEFITS UNDER THE PLANS VEST AT THE TIME OUTLINED IN THE PLAN DOCUMENTS AND ARE FORFEITED IF THE EMPLOYEES TERMINATE EMPLOYMENT BEFORE SATISFYING THOSE PLAN CONDITIONS. DEFERRALS REPORTED IN SCHEDULE J, PART II, COLUMN (C) INCLUDE: DENA JACQUAY $220,000; STANTON RISSER $35,417; DAVID STOREY $110,501; JEANNE' WICKENS $162,816 PART I, LINE 7 THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) IS AN ANNUAL INCENTIVE PROGRAM. THE COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., REVIEWS AND APPROVES THE PLAN DOCUMENT FOR MICP. AT THE CONCLUSION OF THE PLAN YEAR, THE PARKVIEW HEALTH SYSTEM, INC. EXECUTIVE COMMITTEE APPROVES THE FINAL PAYMENT. X 1 30092 AVG TRADING PRICE X CHEMO PACKETS, GAS CARDS, BEREAVEMENT POUCHES, BOOKS, TOYS, HATS, QUIL 52 76162 ESTIMATED VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION USED THE NUMBER OF CONTRIBUTORS FOR LINES 9 & 25 FORM 990, PART V, LINES 1A, 1B AND 2A: PARKVIEW HEALTH SYSTEM, INC. (PH), EIN 35-1972384, IS THE COMMON PAYING AGENT FOR THE FILING ORGANIZATION, PARKVIEW HEALTH FOUNDATION, INC., EIN 92-1994990. THEREFORE, PH REPORTS AND FILES ALL APPLICABLE IRS TAX FILINGS, INCLUDING FORMS 1099, 1096, W-2, AND W-3. THE TOTAL NUMBER REPORTED IN BOX 3 OF FORM 1096 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2024, WAS 703. THE TOTAL NUMBER OF EMPLOYEES REPORTED ON FORM W-3 AND FILED BY THE COMMON PAYING AGENT, PH, FOR THE YEAR ENDED DECEMBER 31, 2024, WAS 18,730. FOR PURPOSES OF COMPLETING FORM 990, PART V, LINE 1A, 1B, AND 2A, THE NUMBERS REPORTED FOR THE PARKVIEW HEALTH FOUNDATION, INC. WERE 15 AND 5, RESPECTIVELY. OF THE 15 REPORTED ON PART V, LINE 1A, PARKVIEW HEALTH FOUNDATION, INC. DIRECTLY FILED 1 FORM 1099-R TO REPORT ANNUITIES EARNED BY A PROGRAM OWNED AND FUNDS HELD BY PARKVIEW HEALTH FOUNDATION, INC. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION IS ORGANIZED AS A NOT-FOR-PROFIT CORPORATION. PURSUANT TO THE ORGANIZATION'S GOVERNING DOCUMENTS, PARKVIEW HEALTH SYSTEM, INC. EIN 35-1972384 IS THE SOLE MEMBER OF PARKVIEW HEALTH FOUNDATION, INC. WITH CERTAIN RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATE MEMBER SHALL HAVE THE FOLLOWING RESERVED POWERS: (A) APPOINT DIRECTORS (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE ANY DIRECTOR OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD OR A SYSTEM HOSPITAL, AS APPROPRIATE, REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (B) APPOINT (INCLUDING APPOINTMENTS TO FILL A VACANCY) AND INITIATE THE REMOVAL AND REMOVE THE SENIOR VICE PRESIDENT OF THE CORPORATION, WITH OR WITHOUT CAUSE, PROVIDED CONSIDERATION IS GIVEN TO RECOMMENDATIONS OF THE BOARD REGARDING SUCH APPOINTMENT OR REMOVAL, IF ANY ARE SO MADE; (C) APPROVE AND ADOPT THE STRATEGIC PLAN FOR THE CORPORATION, INCLUDING ANY INDIVIDUAL INITIATIVES OR ARRANGEMENTS, SUCH AS A NEW SERVICE OR CONTRACTUAL ARRANGEMENT, DEEMED BY THE CORPORATE MEMBER TO BE OF STRATEGIC IMPORTANCE TO THE CORPORATION AND DIRECT AND MONITOR COMPLIANCE WITH SUCH PLANS, INITIATIVES AND ARRANGEMENTS; (D) APPROVE AND ADOPT THE CAPITAL AND OPERATING BUDGETS OF THE CORPORATION; (E) APPROVE THE INCURRENCE OF ANY DEBT PROPOSED BY THE CORPORATION, AND REQUIRE THE INCURRENCE OF DEBT BY THE CORPORATION, WHERE APPROPRIATE; (F) APPROVE THOSE TRANSFERS OF ASSETS BY THE CORPORATION, WHETHER BY SALE OR GIFT, WHERE THE ASSET BEING TRANSFERRED IS AN INTEREST IN REAL PROPERTY OR IS AN OPERATING ASSET OF THE CORPORATION, UNLESS OTHERWISE IDENTIFIED IN PREVIOUSLY APPROVED STRATEGIC PLANS, INITIATIVES, ARRANGEMENTS OR BUDGETS. (G) APPROVE PARTICIPATION (INCLUDING THE EXERCISE OF RENEWAL OPTIONS) BY THE CORPORATION IN NETWORKS, AFFILIATIONS, JOINT VENTURES, AND PARTNERSHIPS, AND REQUIRE PARTICIPATION BY THE CORPORATION IN SUCH ARRANGEMENTS; (H) APPROVE ANY AMENDMENT TO THE BYLAWS OR THE ARTICLES OF INCORPORATION OF THE CORPORATION, AND REQUIRE AMENDMENT OF THESE GOVERNING DOCUMENTS AS NECESSARY OR ADVISABLE TO RESOLVE SIGNIFICANT ETHICAL ISSUES, TO MAINTAIN TAX-EXEMPT STATUS, OR TO PREVENT SIGNIFICANT ADVERSE LEGAL OR FINANCIAL EFFECTS TO THE CORPORATION OR THE CORPORATE MEMBER. THE CORPORATE MEMBER SHALL FROM TIME TO TIME DEVELOP POLICIES FOR THE IMPLEMENTATION OF THE RESERVED POWERS. FORM 990, PART VI, SECTION A, LINE 7B SEE SCHEDULE O EXPLANATION FOR FORM 990, PART VI, SECTION A, LINE 7A FORM 990, PART VI, SECTION A, LINE 8B AT THE CURRENT TIME, NO EXECUTIVE COMMITTEE EXISTS. THE BYLAWS ALLOW FOR SUCH A COMMITTEE IN THE FOLLOWING PASSAGE: THE EXECUTIVE COMMITTEE SHALL BE COMPOSED OF THE OFFICERS OF THE CORPORATION, THE SENIOR VICE PRESIDENT OF THE CORPORATION, THE CHIEF ADMINISTRATIVE OFFICER OF THE CORPORATE MEMBER, AND THE CHIEF EXECUTIVE OFFICER OF THE CORPORATE MEMBER OR HIS/HER DESIGNEE, AND SUCH OTHER PERSONS AS IDENTIFIED BY THE CHAIR, EACH OF WHOM SHALL BE ENTITLED TO VOTE, AND ALL OF WHOM SHALL BE DIRECTORS OF THE CORPORATION. IN NO EVENT SHALL THE MEMBERS OF THE EXECUTIVE COMMITTEE EXCEED EIGHT (8) PEOPLE. THE EXECUTIVE COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION IN ANY MATTER WHEN THE BOARD IS NOT IN SESSION, REPORTING TO THE BOARD FOR ITS RATIFICATION OF ITS ACTION, EXCEPT, IN ACCORD WITH ACT SECTION 23-17-15-6, THE EXECUTIVE COMMITTEE MAY NOT: (A) AUTHORIZE DISTRIBUTIONS; (B) APPROVE OR RECOMMEND TO THE CORPORATE MEMBER ACTION REQUIRED TO BE APPROVED BY THE CORPORATE MEMBER UNDER THE ACT; (C) FILL VACANCIES ON THE BOARD OR ON A COMMITTEE; OR (D) ADOPT, AMEND, OR REPEAL BYLAWS FOR THE CORPORATION. THE CHAIR OF THE BOARD SHALL SERVE AS CHAIR OF THE EXECUTIVE COMMITTEE. MEETINGS OF THE EXECUTIVE COMMITTEE MAY BE CALLED BY THE CHAIR OR BY THREE (3) MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B PURSUANT TO PARKVIEW HEALTH SYSTEM INC.'S BYLAWS, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE MAY ACT ON BEHALF OF THE CORPORATION TO PROVIDE REVIEW OF THE CORPORATION AND ITS SUBSIDIARY CORPORATIONS' FORM 990 FILINGS. PARKVIEW HEALTH FOUNDATION, INC. IS A SUBSIDIARY CORPORATION OF PARKVIEW HEALTH SYSTEM, INC. AN ELECTRONIC COPY OF THE ORGANIZATION'S FINAL FORM 990 (INCLUDING REQUIRED SCHEDULES) WAS PROVIDED TO EACH VOTING MEMBER OF THE ORGANIZATION'S GOVERNING BODY AND THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE, PRIOR TO FILING WITH THE IRS. ON OCTOBER 23, 2025, THE SYSTEM COMPLIANCE AND AUDIT COMMITTEE REVIEWED THE FORM 990 AS ULTIMATELY FILED WITH THE IRS. THIS REVIEW INCLUDED A PRESENTATION BY THE ORGANIZATION'S TAX PREPARER TO HIGHLIGHT THE SIGNIFICANT AREAS ON THE FORM 990 AND SUPPLEMENTAL SCHEDULES. FORM 990, PART VI, SECTION B, LINE 12C AS DESCRIBED IN ARTICLE IX SECTION 6, OF THE PARKVIEW HEALTH SYSTEM, INC. (PH) BYLAWS, PH ADOPTED PH'S COMPLIANCE POLICY FOR THE ORGANIZATION AND ITS NOT-FOR-PROFIT RELATED ORGANIZATIONS (AND AS LIKEWISE NOTED IN THEIR BYLAWS) WHEN ADDRESSING CONFLICTS OR POTENTIAL CONFLICTS OF INTEREST. THIS COMPLIANCE POLICY (COMPLIANCE POLICY #14) REQUIRES THAT EACH BOARD MEMBER, BOARD COMMITTEE MEMBER, AND KEY MANAGEMENT PERSONNEL MUST ANNUALLY COMPLETE A CONFLICT OF INTEREST FORM. THIS INFORMATION IS PROVIDED TO THE CHAIRMAN OF THE BOARD (FOR BOARD AND BOARD COMMITTEE MEMBERS) AND TO SENIOR MANAGEMENT (FOR KEY MANAGEMENT PERSONNEL). IN ADDITION, AS TO THE CONDUCT OF BOARD MEETINGS, THE FOLLOWING PROCESS IS FOLLOWED: "WHENEVER A PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE IS CONSIDERING A TRANSACTION OR ARRANGEMENT WITH AN ORGANIZATION, ENTITY OR INDIVIDUAL IN WHICH A PERSON COVERED BY THIS POLICY HAS A FINANCIAL OR CONFLICTING INTEREST, THE FOLLOWING SHALL OCCUR: 1. THE INTERESTED PERSON MUST DISCLOSE THE FINANCIAL OR CONFLICTING INTEREST AND ALL MATERIAL FACTS TO THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE; 2. THE INTERESTED PERSON WITH THAT FINANCIAL OR CONFLICTING INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR BOARD COMMITTEE MEETING REGARDING THE TRANSACTION OR ARRANGEMENT HOWEVER, HE/SHE SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE FINANCIAL OR CONFLICTING INTEREST; AND 3. THE PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE MUST APPROVE THE TRANSACTION OR ARRANGEMENT BY A MAJORITY VOTE OF THE BOARD MEMBERS PRESENT AT A MEETING THAT HAS A QUORUM, NOT INCLUDING THE VOTE OF THE INTERESTED PERSON. THE INTERESTED PERSON MAY NOT VOTE ON THE MATTER. A. UPON THE REQUEST OF PH OR PH AFFILIATE BOARD OR BOARD COMMITTEE, THE MATTER MAY BE DELEGATED TO THE PH COMPLIANCE AND AUDIT COMMITTEE FOR EVALUATION, RECOMMENDATION AND/OR DETERMINATION. 4. WHENEVER A FINANCIAL OR CONFLICTING INTEREST IS ADDRESSED BY A PH OR PH AFFILIATE BOARD, NOTICE SHALL BE GIVEN TO THE PH COMPLIANCE OFFICER / GENERAL COUNSEL." FORM 990, PART VI, SECTION B, LINE 15 LINES 15A AND 15B ARE ANSWERED NO IN ACCORDANCE WITH THE IRS INSTRUCTIONS. RELATED ORGANIZATION, PARKVIEW HEALTH SYSTEM, INC., HAS A PROCESS IN PLACE FOR REVIEWING AND APPROVING COMPENSATION OF THE CEO & EVP LEVEL EXECUTIVES. THE PROCESS INCLUDES CONSULTATIONS WITH AN INDEPENDENT COMPENSATION ADVISOR AND THE REVIEW OF APPROPRIATE COMPARABILITY DATA; REVIEW AND APPROVAL BY THE COMPENSATION COMMITTEE OF THE GOVERNING BODY, CONSISTING OF MEMBERS WHO DO NOT HAVE A CONFLICT OF INTEREST CONCERNING THE COMPENSATION; AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENTS. IN 2024, THE COMPENSATION COMMITTEE OF PARKVIEW HEALTH SYSTEM, INC. REVIEWED AND APPROVED ALL CEO & EVP LEVEL COMPENSATION, BENEFITS, AND PERQUISITES FOR THE 2024 COMPENSATION PACKAGE, PURSUANT TO THE PARKVIEW HEALTH BYLAWS. IN ADDITION, AGGREGATE INFORMATION ON ALL OTHER EXECUTIVE ROLES (OUTSIDE OF THE CEO & EVPS) IS SHARED. THE COMPENSATION PACKAGE OF THE CEO AND EVPS WAS APPROVED BY A MAJORITY OF THE INDEPENDENT COMPENSATION COMMITTEE MEMBERS. ADDITIONALLY, THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE PLAN DOCUMENTS FOR THE MANAGEMENT INCENTIVE COMPENSATION PLAN (MICP) AND THE PHYSICIAN AND PROVIDER INCENTIVE COMPENSATION PLAN (PICP). THE BOARD OF PARKVIEW HEALTH SYSTEM, INC. APPROVES ANY CHANGES IN COMPENSATION FOR THE CEO. PARKVIEW'S INDEPENDENT CONSULTANT PREPARES A SUMMARY OF THE EXECUTIVE COMPENSATION PROCESS USING DATA FROM MULTIPLE PUBLISHED SURVEYS PREPARED BY INDEPENDENT FIRMS FOR POSITIONS THAT ARE FUNCTIONALLY COMPARABLE IN SIMILAR-SIZED HEALTH SYSTEMS AND HOSPITAL ORGANIZATIONS ON BOTH A REGIONAL AND NATIONAL BASIS. THE INDEPENDENT CONSULTANT PROVIDES A STATEMENT OF REASONABLENESS OF THE COMPENSATION PROVIDED TO THE CEO AND EVP LEVEL EXECUTIVES. FORM 990, PART VI, SECTION C, LINE 19 COPIES OF THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: DOUBTFUL PLEDGE EXPENSE 3,265. 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