2025-11-06T13:56:12-06:00 2024-12-31 990 2024-01-01 311040231 MIAMI VALLEY HOSPITAL FOUNDATION MIAM 9374999942 110 N MAIN ST SUITE 200 DAYTON OH 45402 J MICHAEL SIMS TREASURER, MVHF 9374999942 2025-11-06 0 2024 2025-03-06 01:10:19Z JENNY LEWIS ONE WYOMING ST DAYTON OH 45402 46577225 0 X WWW.PREMIERHEALTH.COM X 1983 OH SEE PART III, LINE 1 11 9 10 97 0 0 4947920 6565249 0 0 4808079 3922888 -38732 -29689 9717267 10458448 1940585 5329011 0 0 1138272 1229518 0 0 679626 359909 345674 3438766 6904203 6278501 3554245 76873256 82323079 3714564 3863370 73158692 78459709 X ENHANCE THE PATIENT AND FAMILY EXPERIENCE AT MIAMI VALLEY HOSPITAL BY RAISING COMMUNITY SUPPORT FOR CUTTING-EDGE PROGRAMS AND SERVICES WHICH HELP BUILD HEALTHY COMMUNITIES. 0 0 359917 359917 PROMISE TO HOPE IS A DONOR-FUNDED SERVICE OFFERED AT MIAMI VALLEY HOSPITAL FOR PREGNANT AND POSTPARTUM WOMEN WITH SUBSTANCE USE DISORDER. THE PROGRAM STAFF COORDINATES PRENATAL AND POSTPARTUM CARE AND CONNECTS PATIENTS WITH CHEMICAL DEPENDENCY TREATMENT AND MENTAL HEALTH SERVICES. PROGRAM STAFF SUPPORTS THE MOTHER AND BABY UNTIL THE INFANT'S FIRST BIRTHDAY. THE TEAM CONDUCTS WEEKLY SUPPORT GROUP MEETINGS TO PROMOTE A SAFE PLACE FOR MOMS TO MEET AND BUILD HEALTHY RELATIONSHIPS, LEARN PARENTING AND LIFE SKILLS, AND CONNECT WITH RESOURCES AVAILABLE IN THE COMMUNITY. OUTSIDE SPEAKERS ATTEND THESE MEETINGS TO PROVIDE EDUCATION AND SHARE INFORMATION ABOUT THEIR SERVICES.PROMISE TO HOPE HAS CULTIVATED STRATEGIC PARTNERSHIPS WITH AREA COMMUNITY SERVICE AGENCIES TO OFFER SEAMLESS ACCESS TO CARE. COLLABORATION WITH OUR PROGRAM PARTNERS HELPS PROVIDE ONGOING SUPPORT AND COORDINATED CARE. THIS CARE INCLUDES MEDICATION-ASSISTED TREATMENT, GROUP AND INDIVIDUAL COUNSELING, PRENATAL CARE, WEEKLY SUPPORT GROUPS, AND OTHER SOCIAL SERVICES. PROMISE TO HOPE CARE COORDINATORS ASSESS EACH MOM'S UNIQUE NEEDS TO PROVIDE CONTINUING INDIVIDUALIZED SUPPORT, ADVOCACY, AND REFERRALS. SINCE ITS INCEPTION IN MAY 2015, 986 MOMS HAVE ENROLLED IN THE PROGRAM. IN 2024, 108 MOTHERS ENROLLED IN PROMISE TO HOPE. 118574 118574 PREMIER HEALTH WAS THE FIRST IN THE MIAMI VALLEY REGION TO HIRE A SUBSTANCE USE NAVIGATOR (SUN). THE SUN PROGRAM STAFF WORK WITH PATIENTS IN THE EMERGENCY DEPARTMENT TO COMPLETE CHEMICAL DEPENDENCY ASSESSMENTS AND PROVIDE LINKAGES TO CARE, PLACEMENT IN TREATMENT FACILITIES, AND OTHER WRAPAROUND SERVICES WITH WARM HANDOFFS. IN 2024, 649 PATIENTS WERE SEEN BY A SUBSTANCE USE NAVIGATOR; 128 PATIENTS WERE PLACED "BED TO BED," FROM THE EMERGENCY DEPARTMENT TO INPATIENT TREATMENT FOR SUBSTANCE USE DISORDER. 110989 110989 EMMETT'S PLACE IS AN AREA OF RESPITE AND HOSPITALITY FOR THE IMMEDIATE FAMILY MEMBERS OF NEWBORN INFANTS WHO ARE HOSPITALIZED IN THE NICU, AND FOR HOSPITALIZED PREGNANT WOMEN AND THEIR FAMILIES EXPERIENCING A LONGER THAN USUAL HOSPITALIZATION. IT PROVIDES FAMILIES WITH AN AREA TO BE TOGETHER DURING A HOSPITAL STAY AND DECREASES THE STRESS FAMILIES FACE AS THEY LOOK FOR WAYS TO NAVIGATE HOME, SCHOOL, AND WORK LIFE, WHILE TRYING TO SPEND TIME WITH THEIR NEW INFANT. THIS SPACE INCLUDES SLEEPING ROOMS, PRIVATE BATHROOMS WITH SHOWERS, LAUNDRY MACHINES, KITCHEN, DINING NOOK, LIVING ROOM, AND CHILDREN'S AREA WITH ACTIVITIES. THE OPERATIONS OF EMMETT'S PLACE IS 100% DONOR FUNDED. PROCEEDS FROM THE ANNUAL EMMETT'S PLACE EVENT AND DONOR CONTRIBUTIONS BENEFIT THIS SPACE, WITH AN AVERAGE OF OF 300 INDIVIDUAL VISITS EACH DAY IN 2024. 5077938 4739531 5077938 4739531 5667418 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 0 0 10 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 11 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X J MICHAEL SIMS 9374999942 110 N MAIN ST SUITE 200 DAYTON OH 45402 JHANSI L KODURI MD TRUSTEE 0.50 39.50 X 0 1013349 13085 MELANIE M GLOVER MD TRUSTEE 0.50 39.50 X 0 294804 23667 SHON P ANDERSON TRUSTEE (FROM JUN) 0.50 0.00 X 0 0 0 DAN DRISKELL TRUSTEE 0.50 0.00 X 0 0 0 SHARDA GUPTA TRUSTEE 0.50 0.00 X 0 0 0 CORI HAPER TRUSTEE 0.50 0.00 X 0 0 0 JEAN IRELAND TRUSTEE 0.50 0.00 X 0 0 0 NOREEN KENNEDY TRUSTEE (FROM JUN) 0.50 0.00 X 0 0 0 NICK KEYES JR TRUSTEE 0.50 0.00 X 0 0 0 REGINA MIOLAN TRUSTEE 0.50 0.00 X 0 0 0 L TONY ORTIZ TRUSTEE 0.50 0.00 X 0 0 0 THOMAS RETZIOS DPM FACFAS TRUSTEE (TO JUN) 0.50 0.00 X 0 0 0 R EDWIN SPITZMILLER DO FACOP TRUSTEE (TO JUN) 0.50 0.00 X 0 0 0 J MICHAEL SIMS BOARD TREASURER 0.50 39.50 X 0 635424 50996 JENNY M LEWIS SYSTEM VP - PHILANTHROPY 26.67 13.33 X 408308 0 52523 JENNA M DOWNEY ESQ BOARD SECRETARY 0.50 39.50 X 0 416852 22416 ROBERT SIEBENTHALER BOARD CHAIR 0.50 0.00 X 0 0 0 LISA KELCHNER PHD BOARD VICE-CHAIR 0.50 0.00 X 0 0 0 ELIZABETH B HUTTER VP - MVH & GSH FOUNDATIONS 40.00 0.00 X 216011 0 32096 ANNE M MCDEVITT DIR-DEVELOPMENT 40.00 0.00 X 160555 0 22314 DENNIS J PERCY DIR-DEVELOPMENT 40.00 0.00 X 156045 0 17462 940919 2360429 234559 4 0 1 0 0 3590 334813 64251 6162595 287473 6565249 1721941 1721941 38213445 36012498 2200947 2200947 2200947 76590 334813 106279 -29689 -29689 10458448 0 0 3893199 5250761 5250761 78250 78250 460831 115208 115208 230415 670152 167538 167538 335076 98535 24634 24634 49267 217815 217815 29884 7471 7471 14942 29948 7487 7487 14974 48632 12158 12158 24316 3749 937 2812 SPECIAL EVENTS 7347 1836 1836 3675 REPAIRS & MAINTENANCE 4080 1020 1020 2040 DUES & SUBSCRIPTIONS 2325 581 581 1163 OPERATING SUPPLIES 1094 274 274 546 800 200 200 400 6904203 5667418 557159 679626 68175 642516 4517066 4060782 57549 48762 10168 8787 49001451 52315553 21543901 21950243 1732495 3345198 76873256 82323079 257349 229398 3457215 3633972 3714564 3863370 X 20787035 21542208 52371657 56917501 73158692 78459709 76873256 82323079 X 3554245 1592014 77116 77642 X 0 1 X 1 0 X 3460696 4066537 4816306 4947920 6565249 23856708 3460696 4066537 4816306 4947920 6565249 23856708 2408437 21448271 965834 929087 840419 1320993 1721941 5778274 29634982 327240 0.72370 0.66910 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 52371657 6298130 3688198 5440484 56917501 47082889 4832077 4728393 4271702 52371657 52972479 4610225 -6237334 4262481 47082889 48328446 3951132 5141100 -4448199 52972479 42975470 3237277 4877761 -2762061 48328446 0.00000 0.42200 0.57800 0 0 57549 48762 8787 8787 ALTERNATIVE INVESTMENTS 21950243 F 21950243 DEFERRED ANNUITIES 3130184 AFFILIATES PAYABLE 503788 3633972 X PART V, LINE 4: THE MIAMI VALLEY HOSPITAL FOUNDATION (MVHF) MAKES EVERY EFFORT TO FOLLOW THE INTENT AND WISHES OF ALL ITS DONORS. THE INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS AND/OR EARNINGS FROM ENDOWMENT FUNDS ARE DRIVEN BY THE WISHES/RESTRICTIONS PLACED ON THE FUNDS BY THE DONOR. A PERMANENT ENDOWMENT RESULTS WHEN A DONATION IS RECEIVED WITH A RESTRICTION THAT THE PRINCIPAL OR GIFT AMOUNT IS TO BE RETAINED IN PERPETUITY AND CANNOT BE SPENT. THE EARNINGS FROM THE PERMANENT ENDOWMENT ARE USED FOR THE PURPOSE SPECIFIED BY THE DONOR. TEMPORARY ENDOWMENTS ARE FUNDS IN WHICH ALL OR PART OF THE PRINCIPAL MAY BE EXPENDED ONLY AFTER THE EXPIRATION OF A STATED PERIOD OF TIME OR OCCURRENCE OF A SPECIFIED EVENT, DEPENDING ON THE DONOR'S WISHES. EARNINGS FROM TEMPORARILY RESTRICTED ENDOWMENTS CAN BE EITHER UNRESTRICTED OR RESTRICTED. THE MVHF USES THE TEMPORARILY RESTRICTED ENDOWMENTS FOR THE INTENDED PURPOSE SET UP BY THE DONOR, ONLY AFTER THE PERIOD OF TIME OR SPECIFIED EVENT SET BY THE DONOR HAS BEEN MET. THE CATEGORIES OF PERMANENTLY AND TEMPORARILY RESTRICTED ENDOWMENTS ARE AS FOLLOWS: FUND VARIOUS DEPARTMENTS OF MIAMI VALLEY HOSPITAL, INCLUDING MATERNITY, NICU AND TRAUMA SURGERY (24%); HOSPITAL OPERATIONS (19%); EDUCATION (8%), RESEARCH (5%), AND MISCELLANEOUS MIAMI VALLEY HOSPITAL OPERATIONS (44%). PART X, LINE 2: THE FOLLOWING FOOTNOTE IS FROM THE 2024 CONSOLIDATED AUDITED FINANCIAL STATEMENTS FOR PREMIER HEALTH (PHP) AND AFFILIATES. PHP IS THE SOLE MEMBER OF MIAMI VALLEY HOSPITAL FOUNDATION. PHP HAS BEEN DETERMINED BY THE INTERNAL REVENUE SERVICE TO BE A TAX-EXEMPT NON-PROFIT CORPORATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS A TAX-EXEMPT ORGANIZATION, ITS INCOME IS EXEMPT FROM FEDERAL INCOME TAX EXCEPT TO THE EXTENT OF ANY UNRELATED BUSINESS ACTIVITIES. PHP CONSOLIDATES CERTAIN SUBSIDIARIES WHICH ARE FOR-PROFIT CORPORATIONS SUBJECT TO FEDERAL INCOME TAXES. THESE ARE: * PREMIER HEALTH HOLDING COMPANY (PHHC) (WHOLLY OWNED SUBSIDIARY OF PHP) * MVHE, INC., (AND ITS WHOLLY OWNED SUBSIDARY EXTENDED CARE), SAMARITAN FAMILY CARE, INC., PREMIER HEALTH SPECIALISTS, INC. AND PREMIER HEALTH URGENT CARE, INC. (WHOLLY OWNED SUBSIDIARIES OF PHHC) MANAGEMENT ANNUALLY REVIEWS THE TAX POSITIONS AND HAS DETERMINED THAT THERE ARE NO MATERIAL UNCERTAIN TAX POSITIONS. VALLEY CLASSIC 170213 138813 31400 46352 3109 EMMETT'S PLACE 160115 130265 29850 18293 10072 1 81075 65735 15340 5260 13389 9804 411403 334813 76590 51612 31682 22985 106279 -29689 1 MIAMI VALLEY HOSPITAL 110 N MAIN ST 200 DAYTON OH 45402 310537504 501(C)(3) 1143281 3265050 FMV EMPLOYEE FOOD, MEDICAL EQUIPMENT OPERATIONS SUPPORT PREMIER HEALTH PARTNERS 110 N MAIN ST 200 DAYTON OH 45402 311446699 501(C)(3) 185766 0 N/A N/A SUPPORT RONDALD MCDONALD HOUSE 555 VALLEY ST DAYTON OH 45404 310964793 501(C)(3) 110989 0 N/A N/A SUPPORT FIVE RIVERS HEALTH CENTER 25 E FORAKER ST DAYTON OH 45409 311434282 501(C)(3) 53211 0 N/A N/A SUPPORT WRIGHT STATE UNIVERSITY 3640 COLONEL GLENN HWY DAYTON OH 45435 310732831 501(C)(3) 43377 0 N/A N/A SUPPORT FIDELITY 110 N MAIN ST 200 DAYTON OH 45402 311075381 501(C)(3) 14514 10975 FMV EMPLOYEE FOOD, MEDICAL EQUIPMENT SUPPORT SINCLAIR 444 W 3RD ST RM 7321 DAYTON OH 45402 237032312 501(C)(3) 15006 0 N/A N/A SUPPORT COMPUNET CLINICAL LABORATORIES 110 N MAIN ST 200 DAYTON OH 45402 311258010 501(C)(3) 0 11295 FMV EMPLOYEE FOOD, MEDICAL EQUIPMENT SUPPORT PREMIER COMMUNITY HEALTH 110 N MAIN ST 200 DAYTON OH 45402 311122883 501(C)(3) 6197 4159 FMV MEDICAL EQUIPMENT SUPPORT WILBERFORCE UNIVERSITY PO BOX 370 WILBERFORCE OH 45384 310604719 501(C)(3) 10000 0 N/A N/A SUPPORT CENTRAL STATE UNIVERSTIY PO BOX 1004 WILBERFORCE OH 45384 310675386 501(C)(3) 10000 0 N/A N/A SUPPORT 11 0 EDUCATIONAL SCHOLARSHIPS 82 78250 PART I, LINE 2: ALL DISTRIBUTIONS (GRANTS PAID) FOLLOW THE ENTITY'S DISBURSEMENT POLICY, INCLUDING: (A) ASSUMING FUNDS AVAILABILITY, HOSPITAL DEPARTMENT PERSONNEL COMPLETE REQUISITION FORM. FOR AMOUNTS IN EXCESS OF $1,000, THE DIRECTOR AND VICE PRESIDENT SIGNATURES ARE REQUIRED. (B) FOR CHECKS GREATER THAN $5,000, A SECOND SIGNATURE IS NECESSARY. (C) REPORTING FOR GRANTS IS THE RESPONSIBILITY OF THE OPERATIONAL UNIT. PART III, LINE 1: SCHOLARSHIPS ARE GRANTED TO DEPENDENTS OF MIAMI VALLEY HOSPITAL AND/OR AFFILIATES FOR EDUCATIONAL PURPOSES. THE DIRECTOR OF OPERATIONS OF THE FOUNDATION REVIEWS AND APPROVES ALL REQUESTS. 0 1 0 0 0 0 0 0 0 JHANSI L KODURI MD TRUSTEE 0 857117 0 0 0 156232 0 9372 0 3713 0 1026434 0 0 J MICHAEL SIMS BOARD TREASURER 0 407084 0 165482 0 62858 0 23409 0 27587 0 686420 0 0 JENNY M LEWIS SYSTEM VP - PHILANTHROPY 299290 0 105590 0 3428 0 27031 0 25492 0 460831 0 0 0 JENNA M DOWNEY ESQ BOARD SECRETARY 0 297195 0 119017 0 640 0 10962 0 11454 0 439268 0 0 MELANIE M GLOVER MD TRUSTEE 0 293464 0 0 0 1340 0 12058 0 11609 0 318471 0 0 ELIZABETH B HUTTER VP - MVH & GSH FOUNDATIONS 159817 0 53935 0 2259 0 9411 0 22685 0 248107 0 0 0 ANNE M MCDEVITT DIR-DEVELOPMENT 126197 0 33152 0 1206 0 10478 0 11836 0 182869 0 0 0 DENNIS J PERCY DIR-DEVELOPMENT 123451 0 32018 0 576 0 4728 0 12734 0 173507 0 0 0 PART I, LINE 3 COMPENSATION FOR MVHF'S CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH MVHF IS AN AFFILIATE. SEE EXPLANATION ON SCHEDULE O FOR FORM 990, PART VI, SECTION B, LINE 15. PART I, LINE 4B DUE TO RESTRICTIONS IMPOSED BY THE INTERNAL REVENUE CODE, CERTAIN PERSONS ARE LIMITED IN THE AMOUNT OF BENEFIT THAT CAN BE EARNED UNDER A QUALIFIED RETIREMENT PLAN. LIKE MANY EMPLOYERS, MIAMI VALLEY HOSPITAL FOUNDATION (MVHF) AND ITS AFFILIATED ORGANIZATIONS COMPENSATE FOR THIS LIMITATION AND SUPPLEMENT THE AFFECTED EXECUTIVES' QUALIFIED PENSION THROUGH CERTAIN NONQUALIFIED PLANS. MVHF SUPPLEMENTS THE AFFECTED EXECUTIVES THROUGH A PENSION RESTORATION PLAN OR A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). THE BENEFITS UNDER THESE SUPPLEMENTAL NONQUALIFIED PLANS ARE SUBJECT TO MULTI-YEAR VESTING AND A PARTICIPANT CAN FORFEIT BENEFITS EARNED IF VESTING REQUIREMENTS ARE NOT SATISFIED. UNDER THE TERMS OF THE SUPPLEMENTAL PLANS, AND BECAUSE OF TAX RULES PERTAINING TO TAXATION OF THE EARNED BENEFITS UPON VESTING, CERTAIN INDIVIDUALS RECEIVED A PAYOUT OF THE CUMULATIVE VESTED BENEFITS UNDER THEIR SUPPLEMENTAL PLAN DURING 2024. THE INDIVIDUAL LISTED BELOW HAS MET THE MULTI-YEAR VESTING REQUIREMENT UNDER THE PENSION RESTORATION PLAN AND RECEIVED THE ASSOCIATED PAYMENT IN 2024: J. MICHAEL SIMS $56,017. IN ADDITION, THE FOLLOWING SERP AMOUNTS WERE DEFERRED ON THE PARTICIPANTS' BEHALF DURING THE YEAR AND WILL BE HELP UNTIL THE INCREMENTAL AMOUNTS ARE VESTED: JENNY LEWIS $4,742. BASED ON THE GUIDANCE PROVIDED IN THE INSTRUCTIONS TO THE FORM 990, ANY PAYMENTS TO THE PARTICIPANTS RELATED TO THESE PLANS THAT WERE MADE WITHIN 2-1/2 MONTHS AFTER THE END OF THE ORGANIZATION'S TAX YEAR ARE NOT TREATED AS DEFERRED COMPENSATION FOR PURPOSES OF SCHEDULE J. SUCH AMOUNTS ARE PROPERLY REPORTED AS COMPENSATION FOR FORM 990 PURPOSES WHEN INCLUDED IN THE PARTICIPANTS' FORM W-2 WAGES. X 1 400 FMV X 16148 FMV X EMPLOYEE FOOD & PRIZES 15 246406 FMV X ITEMS FOR FUNDRAISING EVENTS 93 24520 FMV 0 0 1 0 FORM 990, PART VI, SECTION A, LINE 6 MIAMI VALLEY HOSPITAL FOUNDATION (MVHF) HAS ONE CORPORATE MEMBER: PREMIER HEALTH (PREMIER), AN OHIO NON-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A PREMIER HEALTH (PREMIER) HAS THE SOLE AUTHORITY TO ELECT THE BOARD OF TRUSTEES FOR MVHF. PREMIER APPROVES ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND CODE OF REGULATIONS. FORM 990, PART VI, SECTION A, LINE 7B SEE 7A FORM 990, PART VI, SECTION B, LINE 11B THIS 990 FILING AND ATTACHED SCHEDULES (THE RETURN) ARE PREPARED BY A STAFF MEMBER IN THE TAX DEPARTMENT OF PREMIER, WITH WHICH MVHF IS AN AFFILIATE. THE RETURN IS REVIEWED BY THE MANAGER AND DIRECTOR OF TAX COMPLIANCE OF PREMIER. AFTER ALL CHANGES FROM THE ABOVE PERSONS ARE MADE, THE RETURN IS REVIEWED BY THE VICE-PRESIDENT/CONTROLLER OF PREMIER. A FINAL VERSION OF THE RETURN IS THEN PROVIDED TO THE BOARD OF TRUSTEES FOR REVIEW. AT A BOARD OF TRUSTEES MEETING, THE VICE PRESIDENT/CONTROLLER OF PREMIER (OR DESIGNEE) SHARES DETAILED INFORMATION ON COMPENSATION AND OTHER KEY AREAS, AS WELL AS ADDRESSES ANY QUESTIONS FROM THE BOARD OF TRUSTEES, PENDING THEIR REVIEW. THE 990 FILING IS ALSO SHARED WITH THE AUDIT COMMITTEE OF PREMIER. FORM 990, PART VI, SECTION B, LINE 12C PREMIER HEALTH (PREMIER), WITH WHICH MVHF IS AN AFFILIATE, REQUIRES ALL BOARD MEMBERS, BOARD COMMITTEE MEMBERS, MEDICAL DIRECTORS, SUPPLY CHAIN DIVISION MEMBERS, AUTHORIZED SIGNERS, DIRECTORS, EXECUTIVES, MEDICAL EXECUTIVE COMMITTEE MEMBERS, MEDICAL DEPARTMENT AND SECTION CHAIRS, PHYSICIAN PARTNERSHIP COMMITTEE MEMBERS, PHYSICIAN GUIDANCE GROUP MEMBERS, AND ALL EMPLOYED PHYSICIANS TO ANNUALLY REVIEW THE PREMIER COMPREHENSIVE CONFLICT OF INTEREST STATEMENT, AN EXPLANATORY MEMORANDUM, THE ANTITRUST COMPLIANCE POLICY, AND COMPLETE AN INDIVIDUAL QUESTIONNAIRE DISCLOSING ANY POTENTIAL CONFLICTS AS DEFINED IN THE CONFLICT OF INTEREST POLICY. THIS IS ACCOMPLISHED EITHER BY WAY OF AN ELECTRONIC COMMUNICATION SENT OUT DIRECTLY BY THE CORPORATE COMPLIANCE DEPARTMENT OR BY WAY OF A MEMO SENT OUT FROM THE CHAIRMAN OF THE BOARD AND CHIEF EXECUTIVE OFFICER OF PREMIER. IT ALSO INCLUDES AN EXPLANATORY MEMORANDUM OF SPECIFIC ACTIVITIES THAT MIGHT GIVE CAUSE TO A CONFLICT AND AN INDIVIDUAL QUESTIONNAIRE TO DISCLOSE ALL SUCH ACTIVITIES. THIS QUESTIONNAIRE MUST BE COMPLETED AND SIGNED BY THE INDIVIDUAL. THIS CORRESPONDENCE INCLUDES A COPY OF THE ANTITRUST COMPLIANCE POLICY THAT MUST BE SIGNED BY THE INDIVIDUAL. ALL OF THESE DOCUMENTS ARE SENT TO THE CORPORATE COMPLIANCE DEPARTMENT. THE CORPORATE COMPLIANCE DEPARTMENT ENSURES ALL FORMS ARE RETURNED AND RETAINS THE DOCUMENTS FOR FIVE YEARS. IN ADDITION, AT EACH MEETING OF THE BOARD OR ANY BOARD COMMITTEE, FOLLOWING APPROVAL OF THE PREVIOUS MEETING'S MINUTES, THE BOARD OR COMMITTEE CHAIR SHALL REQUEST ANY BOARD MEMBER WHO PERCEIVES A POTENTIAL CONFLICT OF INTEREST ON ANY OF THE MEETING'S AGENDA ITEMS TO DISCLOSE THE POTENTIAL CONFLICT. ADDITIONALLY, AT ANY BOARD OR BOARD COMMITTEE MEETING WHERE THE SUBJECT OF CONFLICT OF INTEREST IS DISCUSSED, THE MINUTES SHALL CONTAIN THE NAME OF THE PARTY DISCUSSING A POTENTIAL CONFLICT OF INTEREST, THE NATURE OF THE POTENTIAL CONFLICT OF INTEREST AND WHETHER A CONFLICT OF INTEREST WAS FOUND TO EXIST. IF A CONFLICT OF INTEREST IS DETERMINED BY THE BOARD TO EXIST, THE MEMBER WILL BE EXCUSED FROM PARTICIPATING IN ANY DISCUSSION OR VOTING ON THE PARTICULAR AGENDA ITEM. THE CHIEF COMPLIANCE AND ENTERPRISE RISK OFFICER REPORTS THE RESULTS OF THE PREMIER CONFLICT OF INTEREST QUESTIONNAIRES NO LESS THAN ANNUALLY TO THE BOARD OF TRUSTEES BY WAY OF THE COMPLIANCE AND AUDIT COMMITTEE. THIS REVIEW IS DOCUMENTED IN THE MINUTES OF THE MEETING. PERIODICALLY, THE INTERNAL AUDIT DEPARTMENT WILL REVIEW A SAMPLE OF COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES AND REPORT THE RESULTS TO THE COMPLIANCE AND AUDIT COMMITTEE. THE ANNUAL CONFLICT OF INTEREST QUESTIONNAIRES ARE INDIVIDUALLY SUMMARIZED IN A DOCUMENT AND SENT ELECTRONICALLY TO THE FINANCE DEPARTMENT FOR ANY NECESSARY DISCLOSURES REQUIRED ON THE 990 FILING. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION FOR MVHF'S CEO IS REVIEWED AND APPROVED BY PREMIER, WITH WHICH MVHF IS AN AFFILIATE, ON AN ANNUAL BASIS. THE REVIEW PROCESS PERFORMED BY PREMIER FOLLOWS A MARKET BASED COMPENSATION PHILOSOPHY DESIGNED TO ATTRACT AND RETAIN THE EXECUTIVE TALENT REQUIRED TO MEET THE HIGH-PERFORMANCE STANDARDS OF OUR BOARD AND OUR COMMUNITY. PREMIER ANNUALLY REVIEWS EXECUTIVE COMPENSATION SURVEY DATA FOR A REGIONAL AND NATIONAL PEER GROUP OF SYSTEMS AND HOSPITALS THAT ARE SIMILAR IN SIZE AND COMPLEXITY TO PREMIER AND ITS AFFILIATES. THE DATA FOR THE SURVEY IS PROVIDED BY A THIRD-PARTY CONSULTANT GROUP THAT IS INDEPENDENT OF PREMIER. THIS REPORT INCLUDES COMPARABILITY DATA FOR KEY EXECUTIVES, VICE PRESIDENTS, AND DIRECTOR LEVEL POSITIONS. THE INDEPENDENT COMPARABILITY DATA IS REVIEWED BY THE EXECUTIVE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THIS COMMITTEE CONTAINS THREE MEMBERS, ALL OF WHOM ARE INDEPENDENT. THIS COMMITTEE REVIEWS IN DETAIL THE COMPENSATION FOR THE PREMIER CEO, COO, CFO, CCO AND OTHER TOP EXECUTIVES. OTHER POSITIONS ARE REVIEWED AT A HIGH LEVEL FOR REASONABLENESS. ALL THE MEETING MINUTES ARE DOCUMENTED AND KEPT ON FILE ALONG WITH ANY COMPARABILITY DATA AND THE CONSULTANT REPORT. AFTER THE COMPENSATION COMMITTEE REVIEWS AND APPROVES THE COMPENSATION ACTIONS, THE PROCESS IS AUDITED BY THE INTERNAL AUDIT DEPARTMENT. THE EXECUTIVE COMPENSATION COMMITTEE PRESENTS THE COMPENSATION ACTIONS TO THE PREMIER BOARD ANNUALLY. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC WHEN REQUIRED BY LAW OR FOR ACCREDITATION PURPOSES. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9: TRANSFER TO AFFILIATE 67,192. PLEDGE RESERVE 31,318. EQUITY TRANSFER -20,868. 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