2012-11-02T11:51:02-05:00 2011-12-31 351178661 BLUE & CO LLC ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 990 2011-01-01 356067049 MARGARET MARY COMMUNITY HOSPITAL INC MARG 8129346624 321 MITCHELL AVENUE BATESVILLE IN 470068913 BRIAN DAEGER 8129346624 2012-11-02 1 KEISHA CORSO CPA P00852354 3176334705 2011 2016-02-24 21:20:13Z BRIAN DAEGER 321 MITCHELL AVENUE BATESVILLE IN 470068913 89072898 0 X WWW.MMCH.ORG X 1967 IN IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 14 12 596 57 0 0 194886 480972 62638938 71736916 -402511 1193195 705770 608935 63137083 74020018 89257 38000 0 0 30302767 33499846 0 0 0 28931182 33330144 59323206 66867990 3813877 7152028 106910562 111889864 43096876 44747545 63813686 67142319 X IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES. 0 0 1461928 0 97288 COMMUNITY HEALTH SERVICES-OVER 77,397 INDIVIDUALS TOOK PART IN SERVICES AND PROGRAMS SUCH AS CANCER SCREENINGS, CPR AND AED TRAINING, DIABETES CARE, FLU CLINICS, NUTRITION CLASSES, SMOKING CESSATION SUPPORT, BLOOD PRESSURE AND THYROID SCREENINGS, WOMEN'S HEALTH EVENTS, OSTEOPOROSIS SCREENINGS, WELLNESS SCREENINGS, EMERGENCY PREPAREDNESS, AND HEALTH INSURANCE ENROLLMENT AND REFERRALS. 349258 0 0 SUBSIDIZED HEALTH SERVICES - 7,518 INDIVIDUALS RECEIVED BENEFITS FROM OUR HOSPITAL OWNED PHYSICIAN PRACTICE IN OSGOOD. THIS PRIMARY CARE PRACTICE IS LOCATED IN A RURAL AREA AND IS ALSO LOCATED IN A MEDICALLY UNDERSERVED AREA. 639 INDIVIDUALS RECEIVED BENEFITS FROM OUR EMERGENCY AND TRAUMA SERVICES (CHEST PAIN AND TELESTROKE). 251552 0 7585 FINANCIAL AND IN-KIND CONTRIBUTIONS - 3,957 INDIVIDUALS HAVE RECEIVED BENEFITS FROM OUR EMS AND PARAMEDIC TRAINING AND SUBSIDY PROGRAMS. MMCH SUBSIDIZES A PORTION OF THE RIPLEY COUNTY PARAMEDIC/EMS DIRECTOR'S SALARY. MMCH ALSO COORDINATES AND SUBSIDIZES TRAINING FOR THE 4 RIPLEY COUNTY SQUADS LOCATED IN VERSAILLES, SUNMAN, MILAN, AND BATESVILLE. IN ADDITION, VARIOUS MMCH TEAM MEMBERS SERVE ON NUMEROUS COMMUNITY BOARDS INCLUDING MARCH OF DIMES, RELAY FOR LIFE, AND THE BATESVILLE COORDINATED SCHOOL HEALTH BOARD. 56529955 38000 71775200 OVER 7,000 INDIVIDUALS HAVE TAKEN PART IN ADDITIONAL PROGRAMS AND SERVICES PROVIDED BY MMCH, INCLUDING CAREER AND WORKFORCE DEVELOPMENT FOR PHYSICIAN, NURSING, AND OTHER MEDICAL STUDENTS THROUGH OUR MENTORING PROGRAMS AND CAREER FAIRS. IN ADDITION, MMCH IS INVOLVED IN CLINICAL RESEARCH AT THE HANSEN CENTER, A CANCER TREATMENT CENTER OWNED AND OPERATED BY MMCH IN BATESVILLE. VARIOUS COMMUNITY NEEDS/HEALTH ASSESSMENTS ALSO TAKE PLACE ON A CONTINUOUS BASIS. 56529955 38000 71775200 58592693 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 101 0 1 596 1 0 0 0 0 0 1 1 0 0 0 0 X 14 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IN X TOM WALKER ACCOUNTING MANAGER 8129346624 321 MITCHELL AVENUE BATESVILLE IN 470060226 TIMOTHY PUTNAM 40.00 X X 258516 0 38726 JOHN DICKEY 2.00 X 0 0 0 MARK GIESTING 2.00 X 0 0 0 JEFFREY HATCHER MD 40.00 X 432932 0 58307 GEORGE JUNKER 2.00 X 0 0 0 DONALD KARBOWSKI 2.00 X 0 0 0 RONALD KNUEVEN 2.00 X 0 0 0 CINDY LAUBER 2.00 X 0 0 0 JIM ROBERTS 2.00 X 0 0 0 SAM ROW 2.00 X 0 0 0 JAN SANTERRE 2.00 X 0 0 0 CHRIS TRAINOR 2.00 X 0 0 0 MARY ANN WISE-CASTNER 2.00 X 0 0 0 STEVE YOUNGMAN 2.00 X 0 0 0 BRIAN DAEGER 40.00 X 190320 0 34095 JULIE KEENE 40.00 X 128076 0 32247 BONNIE PLOEGER 40.00 X 125286 0 21721 NANCY MARTICKE 40.00 X 190141 0 36211 KIM INSCHO 40.00 X 160584 0 33933 THOMAS BROWN MD 40.00 X 375365 0 39107 BRIAN ALBERS MD 40.00 X 372869 0 59260 JON GEERS MD 40.00 X 342588 0 30184 KIMBERLY KICK MD 40.00 X 230729 0 36792 THOMAS DECILLES MD 40.00 X 207847 0 34131 3015253 0 454714 27 0 1 0 PREFERRED EMERGENCY SPECIALISTS INC 235 INDUSTRIAL DR FRANKLIN OH 45005 EMERGENCY ROOM PHYSICIAN STAFFING SERVIC 813396 MIDWEST EMERGENCY DEPT SERVICES 320 EAST HIGHWAY 50 OFALLON IL 62269 EMERGENCY ROOM PHYSICIAN STAFFING SERVIC 772945 SOUTH BEND MEDICAL FOUNDATION 530 N LAFAYETTE BLVD SOUTH BEND IN 46601 LAB SERVICES 269786 HOOSIER ENTERPRISES 9455 DELEGATES ROW INDIANAPOLIS IN 46240 HOSPICE SERVICES 250234 BLUE & CO ONE AMERICAN SQUARE 2200 INDIANAPOLIS IN 46282 CPA FIRM 204095 15 21490 260000 199482 480972 NET PATIENT SERVICE RE 621110 126348387 126348387 CHARITY CARE 621110 -1855734 -1855734 CONTRACTUAL ALLOWANCES 621110 -52755737 -52755737 71736916 888463 888463 143157 0 143157 143157 143157 15332248 11069 15028567 10018 303681 1051 304732 304732 6165 21490 14295 -8130 -8130 MISCELLANEOUS 900099 271627 271627 CAFETERIA 900099 197825 197825 VENDING 900099 4456 4456 473908 74020018 71880073 0 1658973 38000 38000 1744037 1528202 215835 23608701 20686989 2921712 661899 579985 81914 5743192 5032439 710753 1742017 1526432 215585 8279691 7255032 1024659 157710 138192 19518 9067767 7945579 1122188 1337424 1171910 165514 267231 234160 33071 174384 152803 21581 1443156 1264557 178599 4999428 4380720 618708 592709 519358 73351 BAD DEBT 6324882 5542142 782740 OTHER EXP 445194 385397 59797 DUES & SUB. 240568 210796 29772 66867990 58592693 8275297 0 13234945 13845347 7270089 7086953 865276 948755 468904 616076 106319471 54989189 49956584 51330282 34269423 36228694 845341 1833757 106910562 111889864 4800177 6216701 34925235 33782073 3371464 4748771 43096876 44747545 X 63665762 67047592 147924 94727 63813686 67142319 106910562 111889864 X 7152028 -3823395 X X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 4678 4678 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PORTION OF ANNUAL DUES PAID TO TRADE ASSOCIATIONS ALLOCATED TO LOBBYING. 44740699 3183091 -1255562 3770057 42898171 28745024 12087147 3997487 35690 53269 44740699 28185363 79491 585756 105586 28745024 21243317 63435 6993987 115376 28185363 0.99780 0.00220 0 0 2371158 2371158 62109016 27274259 34834757 37800680 27714930 10085750 4038617 4038617 51330282 DERIVATIVE LIABILITY 3364601 ESTIMATED THIRD-PARTY SETTLEMENT 1384170 4748771 74020018 66867990 7152028 -3823395 -3823395 3328633 70196623 -2308297 -1515098 -3823395 74020018 0 74020018 66867990 0 66867990 0 66867990 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: THE ASSETS WHOSE USE IS LIMITED ARE ASSETS WHOSE USE IS LIMITED BY INTERNAL BOARD DESIGNATION INCLUDING CASH AND CASH EQUIVALENTS, ACCRUED INTEREST RECEIVABLE, AND MARKET SECURITIES WHICH ARE BEING USED FOR CAPITAL IMPROVEMENTS, RETIREMENT PLAN, AND FOR DEBT SERVICE PAYMENTS. TEMPORARILY RESTRICTED NET ASSESTS ARE THE FUNDS WHOSE USE HAS BEEN LIMITED BY EXTERANAL SOURCES FOR A SPECIFIC TIME PERIOD OR PURPOSE WHICH ARE BEING USED FOR SCHOLARSHIPS AND OTHER HOSPITAL PROGRAMS. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: FOOTNOTE TO THE ORGANIZATION'S FINANCIAL STATEMENTS THAT REPORTS THE ORGANIZATION'S LIABILITY FOR UNCERTAIN TAX POSITIONS UNDER FIN 48 SUPERSEDED BY FASB ACCOUNTING STANDARD CODIFICATION 740-10: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL 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 HOSPITAL, AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2011 AND 2010, 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 HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. PART XII, LINE 2D - OTHER ADJUSTMENTS: UNREALIZED LOSS ON DERIVATIVES -1,515,098. GOLF EVENT 17980 13827 4153 5574 4986 3735 HOSPICE FUN RUN 9675 7663 2012 27655 21490 6165 5574 4986 3735 14295 -8130 1 1 1 X 275.000000000000 1 X 275.000000000000 1 1 1 0 1 1 1748 784975 784975 0.01300 3171845 726336 2445509 0.04040 1748 3956820 726336 3230484 0.05340 47 78579 1723420 102313 1621107 0.02680 5 3958 538986 10814 528172 0.00870 3 8157 349258 349258 0.00580 1 502 86486 86486 0.00140 11 3957 251552 7585 243967 0.00400 67 95153 2949702 120712 2828990 0.04670 67 96901 6906522 847048 6059474 0.10010 1 207 49539 49539 0.00080 1 243 1962 1962 0.00000 1 414 5351 5351 0.00010 1 35 3515 3515 0.00010 4 899 60367 60367 0.00100 0 2675425 0 12393249 16303697 -3910448 X 1 0 1 1 MARGARET MARY COMMUNITY HOSPITAL

321 MITCHELL AVENUE BATESVILLE IN 47006

X X X X MARGARET MARY COMMUNITY HOSPITAL 1 1 1 275.000000000000 1 275.000000000000 1 X X X X X X 1 1 X X X X X X 1 0 1 X 0 0 4 THE HANSEN CENTER

6 PINE RANCH RD BATESVILLE IN 47006

CANCER TREATMENT CENTER OUTPATIENT REHABILITATION CENTER

STATE RD 129 BATESVILLE IN 47006

THERAPY & ORTHOPEDIC CENTER OCCUPATIONAL HEALTH CLINIC

374 NORTHSIDE DR SUITE D BATESVILLE IN 47006

CLINIC WELLNESS CLINIC

4 W PEARL ST BATESVILLE IN 47006

CLINIC PART I, LINE 3C: FOR ELIGIBILITY GUIDELINES A SLIDING SCALE IS USED FOR DISCOUNTED CARE IF THE PATIENT IS OVER OUR 275% FEDERAL POVERTY GUIDELINES. PART I, LINE 7: THE COST TO CHARGE RATIO METHOD WAS USED TO CALCULATE THE CHARITY CARE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST. PART I, LINE 7G: N/A - ORGANIZATION DOES NOT INCLUDE ANY COST ATTRIBUTABLE TO A PHYSICIAN CLINIC IN THE SUBSIDIZED HEALTH SERVICES COSTS. PART I, L7 COL(F): TOTAL BAD DEBT EXPENSE OF $6,324,822 INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A) HAS BEEN EXCLUDED FROM THE DENOMINATOR FOR THE PERCENTAGE CALCULATION PER IRS INSTRUCTION. PART II: MMCH SUPPORTS COMMUNITY BUILDING BY PARTICIPATING AND BEING AN ACTIVE PARTNER IN EMERGENCY PREPAREDNESS. MMCH PROMOTES BUILDING THE FUTURE OF HEALTHCARE BY DEVELOPING MENTOR AND CAREER DEVELOPMENT PROGRAMS IN THE HEALTHCARE FIELD. MMCH ALSO HAS A RECRUITMENT PLAN TO ENSURE ACCESS TO THE MEDICAL CARE. PART III, LINE 4: SECTION A, LINE 2 EXPLANATION: AUDITED FINANCIAL STATEMENT FOOTNOTE 1 SIGNIFICANT ACCOUNT POLICIES: MANAGEMENT ESTIMATES AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RECEIVABLE BASED ON AN EVALUATION OF HISTORICAL LOSSES, CURRENT ECONOMIC CONDITIONS, AND OTHER FACTORS UNIQUE TO THE HOSPITAL'S CUSTOMER BASE. PART III, LINE 4, SECTION A, LINE 3 EXPLANATION: NO OTHER BAD DEBT AMOUNTS HAVE BEEN INCLUDED AS 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 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 DECEMBER 31, 2011 REPORT: HOSPITAL STATEMENT OF REIMBURSABLE COST. MARGARET MARY COMMUNITY HOSPITAL PART V, SECTION B, LINE 9: FOR ELIGIBILITY GUIDELINES A SLIDING SCALE IS USED FOR DISCOUNTED CARE IF THE PATIENT IS OVER OUR 275% FEDERAL POVERTY GUIDELINES. MARGARET MARY COMMUNITY HOSPITAL PART V, SECTION B, LINE 19D: CHARGES ARE APPLIED TO ALL ACCOUNTS AT THE TIME OF SERVICES, REGARDLESS OF WHETHER THE PATIENT IS COVERED BY INSURANCE OR NOT. ONCE INDIVIDUALS ARE DETERMINED TO MEET THE FINANCIAL ASSISTANCE POLICY REQUIREMENTS DISCOUNTS ARE APPLIED. PART VI, LINE 2: MMCH COMPLETES A COMMUNITY HEALTH ASSESSMENT EVERY 3 TO 5 YEARS WHICH INCLUDES FOCUS GROUPS WITH LOCAL PARTNERS AND LEADERS. PART VI, LINE 3: MMCH INFORMS AND EDUCATES PATIENTS AND PERSONS ABOUT ELIGIBILITY FOR ASSISTANCE WITH POSTED SIGNAGE IN ALL REGISTRATION AREAS AND ON OUR WEBSITE. PART VI, LINE 4: MMCH SERVES A PRIMARY AND SECONDARY MARKET THAT INCLUDED RIPLEY, FRANKLIN, AND DECATUR COUNTIES. THIS IS PRIMARILY A RURAL COMMUNITY. PART VI, LINE 5: MMCH IS GOVERNED BY A COMMUNITY BOARD. MMCH OPERATES A 24 HOUR EMERGENCY ROOM. MMCH COMPLETES A COMMUNITY ASSESSMENT AND A PLAN TO ADDRESS OUR COMMUNITY NEEDS. PART VI, LINE 6: N/A - THE ORGANIZATION IS NOT PART OF AN AFFILIATED HEALTH CARE SYSTEM.PART VI, LINE 8: LIST OF STATES RECEIVING COMMUNITY BENEFIT REPORT: INDIANA 1 X 0 0 SCHOLARSHIPS, FIVE RECIPIENTS RECEIVED $1,000 AND ELEVEN RECIPIENTS RECEIVED $3,000. 16 38000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: ASSISTANCE TO ORGANIZATIONS: ALL GRANTS ARE PROVIDED TO 501(C)(3) PUBLIC CHARITIES FOR GENERAL SUPPORT. MARGARET MARY COMMUNITY HOSPITAL DOES NOT MONITOR THE USE OF THESE FUNDS BY THESE PUBLIC CHARITIES. ASSISTANCE TO INDIVIDUALS: SCHOLARSHIP APPLICATIONS ARE REVIEWED BY SENIOR MANAGERS AND A HUMAN RESOURCE REPRESENTATIVE. CRITERIA REVIEWED INCLUDE GPA, DEGREE PURSUING, YEAR THEY WOULD GRADUATE AND THE NEED OF MMCH. TO RECEIVE FUTURE INSTALLMENTS STUDENT MUST MAINTAIN MINIMUM 3.0 GPA AND PROVIDE A COPY OF TRANSCRIPTS. X X X X 0 0 0 0 0 0 0 0 0 TIMOTHY PUTNAM 258516 0 0 0 0 0 7350 0 31376 0 297242 0 0 0 JEFFREY HATCHER MD 432932 0 0 0 0 0 22350 0 35957 0 491239 0 0 0 BRIAN DAEGER 190320 0 0 0 0 0 5751 0 28344 0 224415 0 0 0 JULIE KEENE 128076 0 0 0 0 0 3907 0 28340 0 160323 0 0 0 NANCY MARTICKE 190141 0 0 0 0 0 5760 0 30451 0 226352 0 0 0 KIM INSCHO 160584 0 0 0 0 0 4871 0 29062 0 194517 0 0 0 THOMAS BROWN MD 375365 0 0 0 0 0 5410 0 33697 0 414472 0 0 0 BRIAN ALBERS MD 372869 0 0 0 0 0 22350 0 36910 0 432129 0 0 0 JON GEERS MD 342588 0 0 0 0 0 0 0 30184 0 372772 0 0 0 KIMBERLY KICK MD 230729 0 0 0 0 0 6977 0 29815 0 267521 0 0 0 THOMAS DECILLES MD 207847 0 0 0 0 0 6316 0 27815 0 241978 0 0 0 SUPPLEMENTAL INFORMATION PART III MR. PUTNAM AND MR. HATCHER SERVE AS BOARD MEMBER AND ARE EMPLOYEES OF MARGARET MARY COMMUNITY HOSPITAL. THEIR HOURS AND COMPENSATION DOCUMENTED ON THE FORM 990, PART VII AND SCHEDULE J RELATE THEIR DUTIES AS EMPLOYEES OF THE HOSPITAL. INDIANA HEALTH FACILITY FINANCING AUTHORITY 351611409 454798PAL 2004-04-01 22000000 FINANCE ONCOLOGY AND OUTPATIENT CENTERS 0 0 0 INDIANA FINANCE AUTHORITY 351602316 2010-12-16 16625235 REFINANCE 2008 BONDS AND FINANCE 28,000 SQUARE FEET MEDICAL OFFICE BUILDING. 0 0 0 22000000 264000 21736000 2004 0 0 1 0 16625235 379878 16625 3162004 8625235 4821371 2012 0 1 0 0 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 1 PIPER JAFFRAY FINANCIAL PRODUCTS 25.000000000000 0 0 0 0 1 0 1 0 0 0 1 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS. ALL ADULT RESIDENTS OF THE AREA SERVED BY MARGARET MARY COMMUNITY HOSPITAL SHALL BE ELIGIBLE FOR MEMBERSHIP IN THE ORGANIZATION. ANY SUCH RESIDENT MAY BECOME A MEMBER BY PAYMENT OF THE ANNUAL MEMBERSHIP FEE PROVIDED FOR IN THE BY-LAWS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A EACH MEMBER WHOSE CURRENT ANNUAL MEMBERSHIP HAS BEEN PAID AT LEAST TEN DAYS IN ADVANCE OF ANY MEETING SHALL BE ENTITLED TO ONE VOTE AT ANY MEETING OF THE MEMBERS. THE MEMBERS OF THE ORGANIZATION ELECT THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 11 THE PROCESS OF REVIEWING THE FORM 990 ENTAILS A DETAILED REVIEW BY THE ORGANIZATION'S ACCOUNTING DEPARTMENT. THE FORM 990 IS THEN PRESENTED AND REVIEWED WITH THE FINANCE COMMITTEE. ONCE APPROVED BY THE FINANCE COMMITTEE, THE GOVERNING BODY RECEIVES AN ELECTRONIC COPY OF THE FORM 990 INCLUDING REQUESTED SCHEDULES, AS ULTIMATELY FILED WITH THE IRS, FOR REVIEW AND APPROVAL PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE WRITTEN CONFLICT OF INTEREST POLICY IS REGULARLY AND CONSISTENTLY MONITORED AND COMPLIANCE ENFORCED BY BRIAN DAEGER, MMCH CORPORATE COMPLIANCE OFFICER. THE SCOPE OF THIS POLICY INCLUDES ALL BOARD AND FINANCE COMMITTEE MEMBERS, SENIOR MANAGEMENT OF MMCH, AND ANY PHYSICIAN WHO HOLDS A MEDICAL DIRECTORSHIP POSITION AT MMCH. THE POLICY IS IN PLACE TO IDENTIFY AND APPROPRIATELY DEAL WITH A CONFLICT OF INTEREST SITUATION THAT MAY EXIST. THE COVERED PERSONS ARE TO REFRAIN FROM TRANSACTIONS THAT COULD POTENTIALLY CREATE A CONFLICT OF INTEREST. A SELF DISCLOSURE FROM COVERED PERSONS TO BRIAN DAEGER, MMCH CORPORATE COMPLIANCE OFFICER, IS REQUIRED ON ANY POTENTIAL CONFLICTS OF INTEREST. DEPENDING ON THE TYPE OF CONFLICT OF INTEREST, THE COVERED PERSON WOULD NOT PARTICIPATE IN ANY DELIBERATION OR DECISIONS ON SUCH TRANSACTIONS. THIS WOULD INCLUDE ABSTAINING FROM VOTING ON CERTAIN MATTERS. BRIAN DAEGER, MMCH CORPORATE COMPLIANCE OFFICER, IS RESPONSIBLE FOR REVIEWING AND RESEARCHING THE CONFLICTS DISCLOSED. FORM 990, PART VI, SECTION B, LINE 15 CEO COMPENSATION DETERMINED BY BOARD. OTHER OFFICERS OR KEY EMPLOYEES COMPENSATION DETERMINED BY CEO. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED LOSSES ON INVESTMENTS: -3,823,395. OVERSIGHT OF AUDIT THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS ASSUMES RESPONSIBILITY FOR THE OVERSIGHT OF THE AUDIT OF THE FINANCIAL STATEMENTS AND NO PROCESSES HAVE CHANGED FROM THE PRIOR YEAR.