MARION GENERAL HOSPITAL: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: MARION GENERAL HOSPITAL (EIN 35-0868130)
Tax period: 2023-07-01 to 2024-06-30
Filed: 2025-05-09
IRS object ID: 202531299349301623
Schema version: 2023v6.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-05-09T09:33:52+00:00	ReturnTs
Tax Period End	2024-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	Forvis Mazars LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	111 E Wayne Street Suite 600	AddressLine1Txt
City	Fort Wayne	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46802	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	350868130	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARION GENERAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	MARI	BusinessNameControlTxt
Phone	7656607000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	441 N WABASH AVENUE	AddressLine1Txt
City	MARION	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	469522690	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	STEPHANIE HILTON-SIEBERT	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	7656607000	PhoneNum
Signature	2025-05-09	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (true)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Lauren Denton	PreparerPersonNm
PTIN	P01571860	PTIN
Phone	2604604000	PhoneNum
Preparation	2025-05-09	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	MARION HEALTH	BusinessNameLine1Txt

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	STEPHANIE HILTON-SIEBERT	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	441 N WABASH AVENUE	AddressLine1Txt
City	MARION	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	469522690	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$245,834,011	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MARIONHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1910	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	PROVIDES COST-EFFECTIVE HOSPITAL & HEALTH SERVICES TO GRANT AND SURROUNDING COUNTIES. THE SERVICES PROVIDED BY THE HOSPITAL ARE AIMED TO IMPROVE THE WELL-BEING OF THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	12	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	1426	TotalEmployeeCnt
Total Volunteers	50	TotalVolunteersCnt
Total Gross UBI	-$308,258	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$5,795	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$870,796	PYContributionsGrantsAmt
CY Contributions Grants	$453,719	CYContributionsGrantsAmt
PY Program Service Revenue	$193,551,066	PYProgramServiceRevenueAmt
CY Program Service Revenue	$207,996,572	CYProgramServiceRevenueAmt
PY Investment Income	$26,663,178	PYInvestmentIncomeAmt
CY Investment Income	$25,780,645	CYInvestmentIncomeAmt
PY Other Revenue	-$2,032,496	PYOtherRevenueAmt
CY Other Revenue	-$2,734,684	CYOtherRevenueAmt
PY Total Revenue	$219,052,544	PYTotalRevenueAmt
CY Total Revenue	$231,496,252	CYTotalRevenueAmt
PY Grants And Similar Paid	$170,079	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$145,247	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$75,906,491	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$79,094,544	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$139,940,764	PYOtherExpensesAmt
CY Other Expenses	$146,365,394	CYOtherExpensesAmt
PY Total Expenses	$216,017,334	PYTotalExpensesAmt
CY Total Expenses	$225,605,185	CYTotalExpensesAmt
PY Revenues Less Expenses	$3,035,210	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,891,067	CYRevenuesLessExpensesAmt
Total Assets BOY	$521,528,683	TotalAssetsBOYAmt
Total Assets EOY	$533,452,233	TotalAssetsEOYAmt
Total Liabilities BOY	$168,752,104	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$171,443,127	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$352,776,579	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$362,009,106	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	MARION GENERAL HOSPITAL EXISTS TO TRANSFORM THE HEALTH OF OUR COMMUNITY THROUGH PATIENT-CENTERED, HIGH QUALITY, AFFORDABLE CARE. BEST PRACTICES BY LEADING A COLLABORATIVE APPROACH INVOLVING PHYSICIANS, STAFF, BUSINESS LEADERS AND OUR COMMUNITY.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$55,130,742	ExpenseAmt
Revenue	$36,590,342	RevenueAmt
Desc	INPATIENT SERVICES - MARION GENERAL HOSPITAL (MGH) OPERATES A 95-ACUTE CARE BED FACILITY, ALONG WITH AN 18-BED ACUTE REHABILITATION UNIT. INPATIENT SERVICES PROVIDED INCLUDE: MEDICAL/SURGICAL/TELEMETRY, CRITICAL, PEDIATRIC, OBSTETRIC, NEWBORN AND ACUTE REHABILITATION CARE. ADDITIONAL SERVICES PROVIDED TO INPATIENTS INCLUDE SURGERY, LABORATORY, RESPIRATORY THERAPY, PHYSICAL MEDICINE, CARDIOVASCULAR SERVICES AND RADIOLOGY. MARION GENERAL HOSPITAL DISCHARGED 3,980 INPATIENT ADULT AND PEDIATRIC PATIENTS AND PROVIDED 13,859 INPATIENT ADULT AND PEDIATRIC PATIENT CARE DAYS DURING THE YEAR ENDED JUNE 30, 2024. DURING THE SAME TIME PERIOD, MGH ALSO DISCHARGED 213 AND PROVIDED 2,237 PATIENT CARE DAYS FOR PATIENTS IN THE ACUTE REHAB UNIT. THERE WERE 395 DELIVERIES PERFORMED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$18,124,594	ExpenseAmt
Revenue	$29,685,726	RevenueAmt
Desc	EMERGENCY ROOM SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL OPERATES ONE OF THE BUSIEST 24-HOUR EMERGENCY ROOMS IN THE STATE. THERE WERE 34,561 OUTPATIENT VISITS DURING THE YEAR ENDED JUNE 30, 2024. THERE WERE ALSO AN ADDITIONAL 3,550 EMERGENCY ROOM PATIENTS THAT WERE ULTIMATELY ADMITTED AS AN INPATIENT TO THE HOSPITAL, FOR A TOTAL OF 38,111 VISITS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$13,777,878	ExpenseAmt
Revenue	$25,426,530	RevenueAmt
Desc	RADIOLOGY SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL (MGH) HAS TWO STATE-OF-THE-ART FACILITIES THAT FEATURE THE LATEST IN TECHNOLOGY. THE RADIOLOGY DEPARTMENT FEATURES TWO 3D MAMMOGRAPHY UNITS AND ALSO OFFERS PATIENTS A 128 SLICE CT SCANNER WITH CARDIAC IMAGING CAPABILITIES. MGH HAS TWO MRI UNITS; AN 1.5 MAGNET OFFERING ONBOARD THEATER SYSTEM FOR THOSE PATIENTS WITH CLAUSTRPHOIC CONCERNS, A 3.0T MAGNET WITH THE HIGHEST RESOLUTION AVAILABLE COMMERCIALLY. MGH HAS A SPECT/CT AND A PET/CT SCANNER, FUSING NUCLEAR MEDICINE AND CT TECHNOLOGY. OTHER SERVICES OFFERED INCLUDE NUCLEAR MEDICINE, ULTRASOUND AND X-RAY. MARION GENERAL HOSPITAL PROVIDED 89,004 OUTPATIENT RADIOLOGY PROCEDURES DURING THE YEAR ENDED JUNE 30, 2024.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$117,140,807	ExpenseAmt
Grant	$145,247	GrantAmt
Revenue	$116,293,974	RevenueAmt
Desc	MARION GENERAL HOSPITAL IS A NOT-FOR-PROFIT, 95-BED, ACUTE CARE, RURAL, SOLE COMMUNITY HOSPITAL LOCATED IN GRANT COUNTY, INDIANA. MGH PROVIDES HEALTHCARE SERVICES THROUGHOUT GRANT COUNTY (INCLUDES MARION, FAIRMOUNT, UPLAND, GAS CITY AND SWAYZEE) AND IN MIAMI COUNTY (CONVERSE), INDIANA. ADMINISTRATORS AND STAFF OF MARION GENERAL HOSPITAL BELIEVE EVERYONE SHOULD HAVE ACCESS TO HEALTHCARE AND CONTINUE TO ADDRESS ONGOING FINANCIAL CHALLENGES TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY. CLIENTS AND FAMILIES RECEIVE IMPARTIAL ACCESS TO TREATMENT, AVAILABLE HEALTHCARE ACCOMMODATIONS AND MEDICALLY INDICATED SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR SOURCE OF PAYMENT FOR CARE. IN ADDITION TO THE INPATIENT SERVICES, RADIOLOGY SERVICES AND ROOM SERVICES PREVIOUSLY DESCRIBED, MARION GENERAL HOSPITAL ALSO PROVIDES AMBULANCE, ANTICOAGULATION CLINIC, MEDICAL ONCOLOGY, CARDIOVASCULAR, CARDIAC CATH LAB, CHF CLINIC, CARDIAC REHAB, LABORATORY, OBSERVATION, NEURODIAGNOSTIC, SURGERY, PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY, AND WOUND CLINIC SERVICES. MARION GENERAL HOSPITAL CONTINUES TO PROVIDE HOSPITALIST SERVICES 24/7, AS WELL AS INTERVENTIONAL CARDIOLOGY SERVICES PERFORMED BY ST. VINCENT MEDICAL GROUP PROVIDERS RIGHT HERE AT MARION GENERAL HOSPITAL.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$117,140,807	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$145,247	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$116,293,974	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$204,174,021	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	Yes (true)	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	Yes (true)	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (true)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	89	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	1426	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	12	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARION GENERAL HOSPITAL INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7656607000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	441 N WABASH AVENUE	AddressLine1Txt
City	MARION	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	469522690	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
Elizabeth Gutierrez
Board Treasurer	2.0	Yes (X)	Yes (X)	$0	$0	$0
Kevin Cates
Board Secretary	2.0	Yes (X)	Yes (X)	$0	$0	$0
Stephanie Hilton-Siebert
President/CEO	50.0	Yes (X)	Yes (X)	$1,361,946	$0	$36,768
Steven Berry
Vice Chair	2.0	Yes (X)	Yes (X)	$0	$0	$0
Timothy Dailey
Chair	2.0	Yes (X)	Yes (X)	$0	$0	$0
James Orrell MD
Physician/Chief of Medical Staff	40.0	Yes (X)		$516,976	$0	$53,769
Lezlie Winter
Board Member	2.0	Yes (X)		$0	$0	$0
M Nabi Sharif MD
Physician/Board Member	40.0	Yes (X)		$133,850	$0	$0
Michael Hotz
Board Member	2.0	Yes (X)		$0	$0	$0
Shankaran Srikanth MD
Physician/VC of Medical Staff	40.0	Yes (X)		$551,862	$0	$41,878
Sirajabid Khatib MD
Physician/Board Member	40.0	Yes (X)		$350,346	$0	$23,228
Stephen Keller MD
Physician/Board Member	40.0	Yes (X)		$641,646	$0	$52,690
Anthony Roberts
CFO	50.0		Yes (X)	$325,390	$0	$41,715
Cynthia Futrell
CNO	50.0		Yes (X)	$253,241	$0	$39,863
Charles Cossell DO
Physician	40.0			$784,691	$0	$23,127	Yes (X)
Edmund Bendaly MD
Physician	40.0			$929,570	$0	$9,900	Yes (X)
Karen Jacobs DO
Physician	40.0			$646,124	$0	$34,910	Yes (X)
Kavita Raj DO
Physician	40.0			$639,545	$0	$53,483	Yes (X)
Vinodha Nagesh MD
Physician	40.0			$619,073	$0	$52,483	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,754,260	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$463,814	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	162	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CROTHALL HEALTHCARE
955 CHESTERBROOK BLVD	WAYNE	PA	19087	OUTSIDE MGMT SERVICE	$6,990,464
AYA HEALTHCARE INC
5930 CORNERSTONE CT WEST	SAN DIEGO	CA	92121	CONTRACT STAFFING	$4,047,430
ICELAND ANESTHESIA MGMT
1765 E NINE MILE RD	PENSACOLO	FL	32514	ANESTHESIA COVERAGE	$3,133,184
ELIOR INC
300 S TRYON ST	CHARLOTTE	NC	28202	OUTSIDE MGMT SERVICE	$2,888,430
HAGERMAN INC
510 W WASHINGTON BLVD	FORT WAYNE	IN	46802	GENERAL CONTRACTING	$1,569,805

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	59	CntrctRcvdGreaterThan100KCnt
Government Grants	$433,743	GovernmentGrantsAmt
All Other Contributions	$19,976	AllOtherContributionsAmt
Total Contributions	$453,719	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	622110	$206,165,063	$206,165,063
MED DIRECTOR SERVICES	622110	$417,041	$417,041
VHA DIVIDEND	622110	$272,404	$272,404
MEDICAL RECORDS	622110	$90,644	$90,644
ALL OTHER	622110	$1,051,420	$1,051,420

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$207,996,572	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,314,109	TotalRevenueColumnAmt
Unrelated Business Revenue	-$348,098	UnrelatedBusinessRevenueAmt
Exclusion	$7,662,207	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$667,149	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$3,446,193	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$2,779,044	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,779,044	TotalRevenueColumnAmt
Exclusion	-$2,779,044	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$29,086,267	SecuritiesAmt
Other	$271,835	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$10,888,163	SecuritiesAmt
Other	$3,403	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$18,198,104	SecuritiesAmt
Other	$268,432	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$18,466,536	TotalRevenueColumnAmt
Exclusion	$18,466,536	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$4,520	FundraisingGrossIncomeAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,520	TotalRevenueColumnAmt
Exclusion	$4,520	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	BILLING SERVICES	Desc
Business	541900	BusinessCd
Total Revenue Column	$39,840	TotalRevenueColumnAmt
Unrelated Business Revenue	$39,840	UnrelatedBusinessRevenueAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$39,840	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$231,496,252	TotalRevenueColumnAmt
Related Or Exempt Func Income	$207,996,572	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	-$308,258	UnrelatedBusinessRevenueAmt
Exclusion	$23,354,219	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$145,247	TotalAmt
Program Services	$145,247	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,058,923	TotalAmt
Program Services	$381,755	ProgramServicesAmt
Management And General	$1,677,168	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$58,770,226	TotalAmt
Program Services	$52,863,746	ProgramServicesAmt
Management And General	$5,906,480	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,710,045	TotalAmt
Program Services	$1,486,119	ProgramServicesAmt
Management And General	$223,926	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$11,028,412	TotalAmt
Program Services	$9,584,273	ProgramServicesAmt
Management And General	$1,444,139	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$5,526,938	TotalAmt
Program Services	$4,803,201	ProgramServicesAmt
Management And General	$723,737	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$525,295	TotalAmt
Management And General	$525,295	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$121,775	TotalAmt
Management And General	$121,775	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$40,783	TotalAmt
Management And General	$40,783	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$11,043,601	TotalAmt
Program Services	$8,834,881	ProgramServicesAmt
Management And General	$2,208,720	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$428,326	TotalAmt
Program Services	$342,661	ProgramServicesAmt
Management And General	$85,665	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,084,237	TotalAmt
Program Services	$7,267,390	ProgramServicesAmt
Management And General	$1,816,847	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,645,936	TotalAmt
Program Services	$3,716,749	ProgramServicesAmt
Management And General	$929,187	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,051,856	TotalAmt
Program Services	$3,241,485	ProgramServicesAmt
Management And General	$810,371	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$345,630	TotalAmt
Program Services	$276,504	ProgramServicesAmt
Management And General	$69,126	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$121,849	TotalAmt
Program Services	$97,479	ProgramServicesAmt
Management And General	$24,370	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,424,484	TotalAmt
Program Services	$2,303,260	ProgramServicesAmt
Management And General	$121,224	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$8,599,991	TotalAmt
Program Services	$6,879,993	ProgramServicesAmt
Management And General	$1,719,998	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,384,828	TotalAmt
Program Services	$1,033,954	ProgramServicesAmt
Management And General	$350,874	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
PHYSICIAN SERVICES	$32,863,526	$32,863,526
MEDICAL SUPPLIES/DRUGS	$29,344,059	$29,344,059
PROVISION FOR BAD DEBTS	$11,629,341	$11,629,341
PURCHASED SERVICES	$11,151,110	$8,920,888	$2,230,222

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$18,558,767	TotalAmt
Program Services	$18,157,510	ProgramServicesAmt
Management And General	$401,257	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$225,605,185	TotalAmt
Program Services	$204,174,021	ProgramServicesAmt
Management And General	$21,431,164	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,075	BOYAmt
EOY	$4,075	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$38,264,295	BOYAmt
EOY	$30,346,767	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$22,547,624	BOYAmt
EOY	$26,347,382	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$118,806	BOYAmt
EOY	$126,139	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,582,713	BOYAmt
EOY	$1,789,661	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,097,130	BOYAmt
EOY	$2,126,143	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$3,923,142	BOYAmt
EOY	$3,762,002	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$343,118,142	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$181,366,805	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$156,150,047	BOYAmt
EOY	$161,751,337	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$185,046,500	BOYAmt
EOY	$188,685,386	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$99,760,251	BOYAmt
EOY	$108,723,219	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$1,695,171	BOYAmt
EOY	$1,535,142	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,892,578	BOYAmt
EOY	$1,555,298	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$8,446,351	BOYAmt
EOY	$6,699,682	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$521,528,683	BOYAmt
EOY	$533,452,233	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$19,568,556	BOYAmt
EOY	$21,944,640	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$133,515,136	BOYAmt
EOY	$130,232,337	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,668,412	BOYAmt
EOY	$19,266,150	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$168,752,104	BOYAmt
EOY	$171,443,127	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$352,776,579	BOYAmt
EOY	$362,009,106	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$352,776,579	BOYAmt
EOY	$362,009,106	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$521,528,683	BOYAmt
EOY	$533,452,233	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,891,067	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,281,949	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$940,489	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$0	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$40,783	OtherActivitiesAmt
Total Lobbying Expenditures	$40,783	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule C, Part II-B, Line 1i

MARION GENERAL HOSPITAL PAID MEMBERSHIP DUES TO SEVERAL ORGANIZATIONS FOR WHICH A VARYING PERCENTAGE WAS ATTRIBUTED TO LOBBYING EXPENSES. THESE ORGANIZATIONS INCLUDE THE INDIANA HOSPITAL ASSOCIATION, AMERICAN HOSPITAL ASSOCIATION, AMERICAN ACADEMY OF FAMILY PHYSICIANS, AMERICAN COLLEGE OF PHYSICIANS, AMERICAN MEDICAL ASSOCIATION, ONCOLOGY NURSING SOCIETY, AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS, INDIANA STATE MEDICAL ASSOCIATION, AMONG VARIOUS OTHERS.

Schedule C, Part II-B, Line 1g

MARION GENERAL HOSPITAL OCCASIONALLY SENDS LETTERS TO OR DIRECTLY CONTACTS LEGISLATORS.

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,819,425	OtherCostOrOtherBasisAmt
Book Value	$12,819,425	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$157,717,821	OtherCostOrOtherBasisAmt
Depreciation	$110,696,944	DepreciationAmt
Book Value	$47,020,877	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,004,506	OtherCostOrOtherBasisAmt
Depreciation	$814,426	DepreciationAmt
Book Value	$190,080	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$78,984,501	OtherCostOrOtherBasisAmt
Depreciation	$66,599,936	DepreciationAmt
Book Value	$12,384,565	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$92,591,889	OtherCostOrOtherBasisAmt
Depreciation	$3,255,499	DepreciationAmt
Book Value	$89,336,390	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$161,751,337	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
PRIVATE EQUITY FUNDS	$66,018,748	F
FIXED INCOME SECURITIES	$42,704,471	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$108,723,219	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
MINIMUM PENSION LIABILITY	$10,101,579
OP LEASE LIABILITIES	$2,074,343
OTHER LIABILITIES	$1,299,070
ESTIMATE THIRD PARTY SETTLEMENTS	$5,791,158

Field	Value	IRS element (for citing)
Total Liability	$19,266,150	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$227,435,025	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$4,281,949	NetUnrealizedGainsInvstAmt
Other Revenue	$3,446,193	OtherRevenueAmt
Revenue Not Reported	$7,728,142	RevenueNotReportedAmt
Revenue Subtotal	$219,706,883	RevenueSubtotalAmt
Other Revenues Not Included	$11,789,369	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$11,789,369	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$231,496,252	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$217,422,037	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$3,446,193	OtherExpensesIncludedAmt
Expenses Not Reported	$3,446,193	ExpensesNotReportedAmt
Expenses Subtotal	$213,975,844	ExpensesSubtotalAmt
Other Expenses Not Included	$11,629,341	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$11,629,341	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$225,605,185	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, THE HOSPITAL IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THE HOSPITAL IS REQUIRED TO FILE FEDERAL FORM 990-RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATIONAL RETURN ONLY. 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 JUNE 30, 2024 AND 2023, 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. THE HOSPITAL FILED ITS FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH JUNE 30, 2023. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS).
Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990	RENTAL EXPENSE - 3446193
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	BAD DEBT EXPENSE - 11629341 LOSS ON JV - 160028
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	RENTAL EXPENSE - 3446193
Schedule D, Part XII, Line 4(b) Other expenses in form 990 not in audited financial statements	BAD DEBT EXPENSE - 11629341

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent350	Yes (X)	Percent350Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	3744	PersonsServedCnt
Total Community Benefit Expns	$2,876,323	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,876,323	NetCommunityBenefitExpnsAmt
Total Expense	0.0134	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$70,391,316	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,613,034	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$32,778,282	NetCommunityBenefitExpnsAmt
Total Expense	0.1532	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	3744	PersonsServedCnt
Total Community Benefit Expns	$73,267,639	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,613,034	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$35,654,605	NetCommunityBenefitExpnsAmt
Total Expense	0.1666	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	35404	PersonsServedCnt
Total Community Benefit Expns	$635,780	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$635,780	NetCommunityBenefitExpnsAmt
Total Expense	0.0030	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	5	ActivitiesOrProgramsCnt
Persons Served	956	PersonsServedCnt
Total Community Benefit Expns	$1,852,085	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,852,085	NetCommunityBenefitExpnsAmt
Total Expense	0.0087	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$225,314	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$225,314	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	18	PersonsServedCnt
Total Community Benefit Expns	$339	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$339	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	1380	PersonsServedCnt
Total Community Benefit Expns	$203,124	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$203,124	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Persons Served	37758	PersonsServedCnt
Total Community Benefit Expns	$2,916,642	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,916,642	NetCommunityBenefitExpnsAmt
Total Expense	0.0136	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	22	ActivitiesOrProgramsCnt
Persons Served	41502	PersonsServedCnt
Total Community Benefit Expns	$76,184,281	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$37,613,034	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$38,571,247	NetCommunityBenefitExpnsAmt
Total Expense	0.1803	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	1062	PersonsServedCnt
Total Community Benefit Expns	$991,275	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$991,275	NetCommunityBenefitExpnsAmt
Total Expense	0.0046	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Total Community Benefit Expns	$198,515	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$198,515	NetCommunityBenefitExpnsAmt
Total Expense	0.0009	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	1062	PersonsServedCnt
Total Community Benefit Expns	$1,189,790	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,189,790	NetCommunityBenefitExpnsAmt
Total Expense	0.0056	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$4,693,599	BadDebtExpenseAmt
Bad Debt Expense Attributable	$469,360	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$25,693,592	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$28,748,155	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,054,563	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

Field	Value	IRS element (for citing)
Business Name Line1	PROGRESSIVE CANCER CARE	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ONCOLOGY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.5324	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0692	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.079	PhysiciansProfitOrOwnershipPct

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARION GENERAL HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	441 N WABASH AVENUE	AddressLine1Txt
City	MARION	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46952	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.MARIONHEALTH.COM	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	OFF-CAMPUS RADIOLOGY, ONCOLOGY, SLEEP LAB, PHYSICAL MED, LAB	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MARION GENERAL HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	21	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	false	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.MARIONHEALTH.COM	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	MH POSTS THE FINAL REPORTS HERE, HTTPS://WWW.MARIONHEALTH.COM/ABOUT/FOR-THE-COMMUNITY/	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.MARIONHEALTH.COM/DOCUMENTS/MARION-HEALTH-IMPLEMENTION-PLAN-202 3-2026.PDF	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	350.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.MARIONHEALTH.COM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MARIONHEALTH.COM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MARIONHEALTH.COM	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr Prvt	Yes (X)	LookBackMedicaidMedcrPrvtInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - MARION GENERAL HOSPITAL. THE LINK FOR THE CHNA WAS PROVIDED TO SEVERAL EMAIL GROUPS INCLUDING: AREA K-12 SCHOOLS, GRANT BLACKFORD MENTAL HEALTH, FAMILY SERVICE SOCIETY, INC., BRIDGES TO HEALTH, COMMUNITY MEDICAL SERVICES, THE COMMUNITY OPIOID RESONSE ENDEAVOR CONSORTIUM (INCLUDING BEHAVIORAL HEALTH PROVIDERS, TRANSITIONAL HOUSES, AND SOCIAL AGENCIES), THE BREATHE EASY TOBACCO TASK FORCE MEMBERS, AND VARIOUS COMMUNITY ADVISORY GROUPS. THE INDIANA RURAL HEALTH ASSOCIATION UTILIZED INFORMATION ACROSS THE COMMUNITY TO COMPLETE THE EXECUTIVE SUMMARY AND FINAL REPORT.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - MARION GENERAL HOSPITAL. INDIANA RURAL HEALTH ASSOCIATION
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - MARION GENERAL HOSPITAL. THE MOST RECENT CHNA INDICATED AN OVERWHELMING NEED FOR MENTAL HEALTH AND SUBSTANCE USE/MISUSE DISORDER SERVICES AND PROGRAMS. MARION HEALTH OBTAINED FUNDS FROM THE OPIOID SETTLEMENT TO BUILD STRONGER MENTAL HEALTH CARE FOR OUR PRIMARY CARE OFFICES AND THE INPATIENT UNITS. GRANT AWARD MONIES WILL BE USED TO HIRE A SECOND LICENSED CLINICAL PSYCHOLOGIST AND TWO LICENSED THERAPISTS. THIS WILL PROVIDE THE OPPORTUNITY TO DO MENTAL HEALTH SCREENINGS, DEVELOP A DIAGNOSTIC PLAN, AND PROVIDE A WARM HAND-OFF PRIOR TO THE INDIVIDUAL OBTAINING SERVICES THROUGH THE LOCAL MENTAL HEALTH PROVIDERS FOR ON-GOING SUPPORT, THERAPY, AND INTERVENTIONS. POVERTY CONCERNS, SOCIAL DETERMINANTS OF HEALTH, AND THE UNINSURED AND UNDERINSURED SURFACED AS SIGNIFICANT NEEDS IN CHNA. MARION HEALTH HAS A ROBUST PATIENT ASSISTANCE PROGRAM AS WELL AS A MAJOR PARTNER WITH THE FREE CLINIC. CHRONIC ILLNESS CONTINUES TO BE AN AREA OF CONCERN FOR ALL THE COUNTY'S HEALTH PROVIDERS. MARION HEALTH DEVELOPED A CHRONIC DISEASE W-UP WITH PATIENTS UPON DISCHARGE FROM THE HOSPITAL TO ENSURE CONTINUUM OF CARE AND ASSURE DISCHARGE PLANS APPROPRIATE AND TIMELY FOR REGAINING HEALTH. TWO COMMUNITY HEALTH WORKERS HAVE BEEN ADDED TO THE CARDIOVASCULAR TEAM TO INCREASE SUPPORT, EDUCATION, AND MANAGEMENT FOR PATIENTS WITH HEART FAILURE OR OTHER CARDIOVASCULAR ILLNESSES. REMOTE PATIENT MONITORING IS ALSO AVAILABLE FOR APPROPRIATE PATIENTS INCLUDING HIGH RISK MATERNITY PATIENTS. TOBACCO/NICOTINE USE REMAINS A MAJOR RISK FACTOR FOR OUR YOUTH AND ADULT POPULATIONS. A FULL-TIME TOBACCO COORDINATOR IS WORKING WITH PRIMARY PREVENTION IN OUR HIGH SCHOOLS AS WELL AS MULTIPLE COMMUNITY EVENTS TO INCREASE AWARENESS OF THE NEGATIVE IMPACT OF VAPING AND COMBUSTIBLE PRODUCT USE.

Field	Value	IRS element (for citing)
Facility	24	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (24 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
MGH SURGERY CENTER
330 N WABASH AVENUE STE 200	MARION	IN	46952	OUTPATIENT SURGERY CENTER
MGH PEDIATRIC CENTER
330 N WABASH AVENUE STE 320	MARION	IN	46952	PHYSICIAN PRACTICE OFFICE
UROLOGY CENTER OF MGH
330 N WABASH AVENUE STE 350	MARION	IN	46952	PHYSICIAN PRACTICE OFFICE
MARION SURGEONS
330 N WABASH AVENUE STE 370	MARION	IN	46952	PHYSICIAN PRACTICE OFFICE
LUNG CENTER OF MGH
330 N WABASH AVENUE STE 450	MARION	IN	46952	PHYSICIAN PRACTICE OFFICE
FAMILY MEDICINE CENTER-MARION
330 N WABASH AVENUE STE 430	MARION	IN	46952	PHYSICIAN PRACTICE OFFICE
MGH SLEEP LAB
1387 N BALDWIN AVENUE	MARION	IN	46952	SLEEP LAB
MGH DIAGNOSTICS-NORTHWOOD
1379 N BALDWIN AVENUE	MARION	IN	46952	LAB
FAMILY MEDICINE CENTER-NORTHWOOD
1399 N BALDWIN AVENUE	MARION	IN	46952	PHYSICIAN PRACTICE OFFICE
MGH PHYSICAL MEDICINE
1393 N BALDWIN AVENUE	MARION	IN	46952	PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY
MARION FAMILY PRACTICE
1391 N BALDWIN AVENUE	MARION	IN	46952	PHYSICIAN PRACTICE OFFICE
MGH DIAGNOSTICS-SOUTH
1408 W BELLA DRIVE	MARION	IN	46953	LAB
FAMILY MEDICINE CENTER-SOUTH
1406 W BELLA DRIVE	MARION	IN	46953	PHYSICIAN PRACTICE OFFICE
OBSTETRICS AND GYNECOLOGY
1419 W BELLA DRIVE	MARION	IN	46953	PHYSICIAN PRACTICE OFFICE
MGH MEDICAL ONCOLOGY
831 N THEATRE DRIVE	MARION	IN	46952	MEDICAL ONCOLOGY, PHYSICIAN OFFICE
MGH WORK SOLUTIONS
1136 N BALDWIN AVENUE	MARION	IN	46952	OCCUPATIONAL MEDICINE
FAMILY MEDICINE CENTER-CONVERSE
308 N JEFFERSON STREET	CONVERSE	IN	46919	PHYSICIAN PRACTICE OFFICE
FAMILY MEDICINE CENTER-SWAYZEE
2651 S 800 S	SWAYZEE	IN	46986	PHYSICIAN PRACTICE OFFICE
FAMILY MEDICINE CENTER-GAS CITY
4751 KAY BEE DRIVE	GAS CITY	IN	46933	PHYSICIAN PRACTICE OFFICE
MGH DIAGNOSTICS-GAS CITY
4751 KAY BEE DRIVE	GAS CITY	IN	46933	LAB
FAIRMOUNT MEDICAL ASSOCIATES
157 W 8TH STREET	FAIRMOUNT	IN	46928	PHYSICIAN PRACTICE OFFICE
MGH EXPRESS
1130 N BALDWIN AVENUE	MARION	IN	46952	URGENT CARE
MGH RESIDENCY CLINIC-FAMILY MEDICINE
1389 N BALDWIN AVENUE	MARION	IN	46952	PHYSICIAN PRACTICE OFFICE
MGH ORTHOPEDICS
1406 W BELLA DRIVE	MARION	IN	46953	PHYSICIAN PRACTICE OFFICE

Supplemental Information Detail SupplementalInformationDetail (16 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 7 COLUMN (F)	$11,629,341 of bad debt expense is included in Form 990, Part IX, Line 25 total expenses, but it is subtracted for purposes of calculating the amount entered on Schedule H, Part I, Line 7, Column (f).
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	11629341
Schedule H, Part II Community Building Activities	Marion General Hospital DBA Marion Health (MH) is committed to responding to the federal designations that Grant County is a medical profession shortage area (MPSA) and medically underserved area (MUSA). Active recruiting and loan forgiveness (as incentives) for provider hiring is critical to serve our healthcare communities. A newly acquired HRSA loan forgiveness and scholarship program for physicians and nurse practitioners will be a great asset to enhance recruiting to our rural community. MH is the only non-governmental hospital in our county. The need for recruiting and retaining providers presents significant challenges for a small rural area. In June, 2024, Marion Health launched a new Family Medicine Residency Program with six physicians completing their first year of the three-year residency program. MH will add six new providers in the summer of 2025. New efforts are underway to provide telehealth with exam technology for patients and providers to access specialties that are not locally available in our community, primarily at our new location located in the eastern portion of the county. opened this year. Marion General Hospital (DBA) Marion Health opened a new state of the art, Innovation Campus including a second hospital location to expand services to an area of identified need and shortage. This new location (located near the interstate) has already provided lifesaving intervention due to the proximity. Representatives from MH serve on the Indiana Wesleyan University (IWU) School of Nursing Community Advisory Board and the Community Advisory Board for Occupational Therapy. MH representatives have been instrumental in working with IWU to create graduate education programs that meet community provider needs. MH facilitates a large community task force for service providers whose clients are impacted by substance abuse disorder. MH also facilitates a CORE + (Community Opioid Response Endeavor) consortium to provide services for people in active addiction, treatment, and rehab. The CORE + Consortium under MH leadership has facilitated free community based Narcan boxes to address the high numbers of overdoses. MH is the largest support of our county's free health and dental clinic, Bridges to Health. State opioid funds assisted with the launch for a Mental/behavioral health emphasis for primary care providers, adding an additional psychologist and licensed social worker to support patients in primary care that are limited in obtaining mental/behavior health due to significant wait times for other community mental /behavior health services. This program has added to early diagnosis and intervention for patients. Because chronic illness remains in high numbers, MH has piloted a program to use telehealth at home, community health workers to provide greater intervention resources for people with multiple diagnoses at no charge to the patient. Community staff have assisted significantly with a FQHC bringing a low cost, sliding-fee-scale dental clinic to our county. The hospital donates for in-kind and monetary gifts to local not-for-profit organizations that assist in the missions to improve the health in Grant County.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	BAD DEBT AT COST IS ESTIMATED BY MULTIPLYING TOTAL PROVISION FOR BAD DEBT FOR THE YEAR BY THE AVERAGE COST-TO-CHARGE RATIO AS DERIVED FROM THE FILED MEDICARE COST REPORT.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	THE AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICIES IS ESTIMATED BASED UPON PAST EXPERIENCE.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	SEE PAGE 13 OF THE ATTACHED FINANCIAL STATEMENTS, UNDER THE HEADING NET PATIENT SERVICE REVENUE, RELATED RECEIVABLES AND ESTIMATED SETTLEMENTS.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	MH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED WHEN ATTEMPTING TO REFLECT THE FINANCIAL BENEFIT THAT THE ORGANIZATION PROVIDES TO ITS COMMUNITY. TO THAT END, MH SHOWS THIS AMOUNT SEPARATELY ON ITS ANNUAL COMMUNITY BENEFIT REPORT. SERVICES ARE PROVIDED TO MEDICARE PATIENTS BY MH WHILE, AT THE SAME TIME, WE FULLY EXPECT TO RECEIVE LESS IN REIMBURSEMENT THAN IT COSTS TO PROVIDE THESE SERVICES. WE ARE BENEFITTING THE COMMUNITY BY BEING A CONVENIENT AND REPUTABLE SOURCE WITHIN THE COMMUNITY TO RECEIVE SUCH SERVICES. THE MEDICARE ALLOWABLE COSTS OF CARE IS TAKEN DIRECTLY FROM THE FILED MEDICARE COST REPORT.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	MARION HEALTH'S COLLECTION POLICY DISTINGUISHES BETWEEN 'FINANCIAL ASSISTANCE' - PATIENTS UNABLE TO PAY, AND 'BAD DEBT' - PATIENTS UNWILLING TO PAY. MH SENDS A STATEMENT ON DAY 1 WITH AN EXPECTED DUE DATE OF THIRTY (30) DAYS FROM THE DATE OF THE STATEMENT. THIRTY (30) DAYS LATER A SECOND STATEMENT IS SENT FOLLOWED BY A LATE PAYMENT CALL. AT DIXTY (60) DAYS ANOTHER STATEMENT IS SENT FOLLOWED BY ANOTHER CALL. BY MONTH FOUR (4) IF NO RESPONSE, AN ECA NOTIFICATION IS MAILED TO PATIENT NOTIFYING THEM THAT THE ACCOUNT MAY BE TURNED OVER TO COLLECTION. CALLS ARE DOCUMENTED IN THE AR SYSTEM FOR FURTHER FOLLOW-UP ACTION. PAYMENT IN FULL IS ALWAYS THE PREFERRED METHOD OF RESOLUTION FOR A SELF-PAY BALANCE. IF THIS IS NOT POSSIBLE, THE PATIENT FINANCIAL SERVICES REPRESENTATIVE OR FINANCIAL COUNSELOR PROVIDES INFORMATION TO THE PATIENT AND/OR OTHER RESPONSIBLE PARTY OF THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM IN A WAY THAT IS EASY TO UNDERSTAND. THE PATIENT FINANCIAL SERVICE REPRESENTATIVE OR FINANCIAL COUNSELOR RESPONDS PROMPTLY TO QUESTIONS ABOUT THE PATIENT'S BILLS AND REQUESTS FOR ASSISTANCE. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT REPORTED TO A COLLECTION AGENCY AS LONG AS REQUESTED DOCUMENTATION IS PROVIDED TIMELY.
Schedule H, Part V, Section B, Line 16a FAP website	- MARION GENERAL HOSPITAL: Line 16a URL: WWW.MARIONHEALTH.COM;
Schedule H, Part V, Section B, Line 16b FAP Application website	- MARION GENERAL HOSPITAL: Line 16b URL: WWW.MARIONHEALTH.COM;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- MARION GENERAL HOSPITAL: Line 16c URL: WWW.MARIONHEALTH.COM;
Schedule H, Part VI, Line 2 Needs assessment	Marion General Hospital DBA Marion Health (MH) facilitates a county-wide community health profile (needs assessment) every three years. The survey process involves primary and secondary data. The survey tool used for the most recent survey was done in partnership with Indiana Rural Health Association, the questions were derived from focus groups designed to include all sectors of the community. The survey was shared throughout the county in electronic format. Focus groups and community-based meetings were held on specific, identified needs within the three-year time frame adding additional information to inform our county on emerging health needs and issues. Additional information and data from various organizations were reviewed including the Grant County Health Department, Indiana Department of Health, CDC, County Health Rankings and Roadmaps, Indiana Cancer Registry, Indiana Youth Institute, and area needs assessments from local organizations. Data from the Community Health Profile (CHNA) and Marion Health staff regularly assist and inform the needs assessments and grant applications for area agencies. Ongoing focused assessments impact planning and program development.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AS A NOT-FOR-PROFIT HOSPITAL, MH HAS SIGNAGE AT ALL REGISTRATION POINTS WITHIN THE FACILITY AND THE HOSPITAL'S BUSINESS OFFICE ADVISING THEM OF THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM (FAP). WE HAVE A BROCHURE TITLED 'UNDERSTANDING HOSPITAL BILLS AND INSURANCE' THAT DIRECTS THEM TO CALL US IF THEY DO NOT HAVE INSURANCE OR HAVE THE ABILITY TO PAY THEIR BILL. ALL BEDDED PATIENTS RECEIVE THIS BROCHURE UPON ADMISSION. WE ALSO HAVE A PATIENT NOTICE OF FINANCIAL ASSISTANCE POLICY STATEMENT AVAILABLE AT ALL REGISTRATION LOCATIONS AND THE BUSINESS OFFICE. OUR BILLING STATEMENTS ADVISE OUR PATIENTS THAT WE OFFER FINANCIAL ASSISTANCE AND DIRECTS THEM TO CONTACT US IN THE BUSINESS OFFICE TO GET ADDITIONAL INFORMATION AND AN APPLICATION ON OUR WEBSITE. ONCE A PATIENT IS APPROVED FOR ASSISTANCE, THEY ARE QUALIFIED FOR A PERIOD OF SIX MONTHS FROM APPROVAL OF THE APPLICATION. MH ALSO ASSISTS PATIENTS WITH THE COMPLETION OF THE FAP APPLICATION, AS WELL AS EVALUATION OF THEIR ELIGIBILITY FOR STATE AND FEDERAL GOVERNMENT BENEFIT PROGRAMS.
Schedule H, Part VI, Line 4 Community information	Marion Health is the only non-government acute care hospital in rural Grant County, our primary geographic location. Grant County demographics are as follows: white 87.5%, black/African American 8.0%, multi-racial 3.0%, Asian 1.0%. Latino/Hispanic 5.7%. Median income is $54,007, population is 66,200, 7.2% are without health insurance and 20.8% of persons live in poverty (www.census.gov updated on July 1, 2024). The Community Health Profile (CHNA every 3 years) is designed to gather information from all townships and people groups. Grant County is in north central Indiana. The county is designated rural by the U.S. Health Resources & Services Administration and is the thirtieth largest county in Indiana at approximately 414.07 square miles in area and 0.82 square miles in water. Interstate 69 runs along the entire eastern boundary of the county, and the Mississinewa River runs from the southeast to northwest through the center of the county.
Schedule H, Part VI, Line 5 Promotion of community health	Marion Health makes a concentrated effort to provide primary care locations in most towns of the county. The practitioner referral line, Marion Health ACCESS, assists patients to schedule immediate primary care appointments. Much time, effort, and money are used to recruit the needed physicians and team members for our rural area. Staff members and leaders serve on countless boards across the county to extend the mission, "transforming the health of our community". Marion Health Community Outreach staff offers lunch and learns for area provider offices, not-for-profit organizations, school nurses, area social workers, and multiple university student groups. Marion Health has helped facilitate the early start of a program "Handle with Care" to connect law enforcement/first responders to schools to prevent re-traumatization of students whose family has been involved in an event. Marion Health will assist students to apply for loan forgiveness though HRSA programs. The Parish Nurse Program staff provides preparation, education, and support for 124 faith community nurses and facilitate the Basic Parish Nurse Education Program (21 in person contact hours) each year. Bridges to Health, a free health clinic, is primarily supported by donations from Marion Health to support staff, and providing free/low-cost diagnostic care to Bridges patients who are under 300% of federal poverty level guidelines. Twenty-two colleges and universities are hosted with a robust program for student rotations and practicums in multiple areas of health care, providing 55,011 student rotation hours. Marion Health partners with several state and local organizations to house and provide a check out system for a mobile kitchen to promote healthy cooking, food prep and planning healthy meals. Our health system supports Second Harvest Food Bank to provide health information and health screenings at the distribution events held at county schools. Marion Health serves as a resource for needs assessments, education, and grant opportunities.
Schedule H, Part VI, Line 7 State filing of community benefit report	IN

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
BRIDGES TO HEALTH INC
119 S WASHINGTON STREET	MARION	IN	46952	205405181	501(C)(3)	$96,500	DONATION
UNITED WAY OF GRANT COUNTY
PO BOX 61	MARION	IN	46952	350995975	501(C)(3)	$36,197	DONATION
MAIN STREET GAS CITY INDIANA INC
125 W MAIN STREET	GAS CITY	IN	46933	472374306	501(C)(3)	$5,050	DONATION
GRANT-BLACKFORD MENTAL HEALTH INC
505 WABASH AVENUE	MARION	IN	46952	356202739	501(C)(3)	$7,500	DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	4	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE MARION HEALTH COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AS ONE OF THE LARGER EMPLOYERS IN GRANT COUNTY, MARION HEALTH DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN, AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Stephanie Hilton-Siebert
President/CEO	$1,057,845	$0	$76,544	$0	$227,557	$0	$9,900	$0	$26,868	$0	$1,398,714	$0	$0	$0
Stephen Keller MD
Physician/Board Member	$602,769	$0	$2,619	$0	$36,258	$0	$9,900	$0	$42,790	$0	$694,336	$0	$0	$0
Shankaran Srikanth MD
Physician/VC of Medical Staff	$514,068	$0	$9,106	$0	$28,688	$0	$9,900	$0	$31,978	$0	$593,740	$0	$0	$0
James Orrell MD
Physician/Chief of Medical Staff	$292,629	$0	$177,952	$0	$46,395	$0	$9,900	$0	$43,869	$0	$570,745	$0	$0	$0
Sirajabid Khatib MD
Physician/Board Member	$319,345	$0	$5,093	$0	$25,908	$0	$9,764	$0	$13,464	$0	$373,574	$0	$0	$0
Anthony Roberts
CFO	$306,292	$0	$19,098	$0	$0	$0	$9,900	$0	$31,815	$0	$367,105	$0	$0	$0
Cynthia Futrell
CNO	$237,489	$0	$14,960	$0	$792	$0	$7,860	$0	$32,003	$0	$293,104	$0	$0	$0
Edmund Bendaly MD
Physician	$506,263	$0	$403,307	$0	$20,000	$0	$9,900	$0	$0	$0	$939,470	$0	$0	$0
Charles Cossell DO
Physician	$737,212	$0	$0	$0	$47,479	$0	$9,900	$0	$13,227	$0	$807,818	$0	$0	$0
Vinodha Nagesh MD
Physician	$315,424	$0	$294,044	$0	$9,605	$0	$9,900	$0	$42,583	$0	$671,556	$0	$0	$0
Kavita Raj DO
Physician	$313,084	$0	$291,755	$0	$34,706	$0	$9,900	$0	$43,583	$0	$693,028	$0	$0	$0
Karen Jacobs DO
Physician	$623,530	$0	$0	$0	$22,594	$0	$9,900	$0	$25,010	$0	$681,034	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
Indiana Finance Authority
A	351602316	2015-07-07	$33,000,000	New Money and Current Refunding	false	false	false
Indiana Finance Authority
B	351602316	2020-11-13	$74,933,215	New Money AND REFUNDING 2012A BOND	false	false	false	45471ATE2
Indiana Finance Authority
C	351602316	2021-04-29	$31,066,642	Current Refunding	false	false	false	45471ATW2

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Credit EnhancementCreditEnhancementAmt	Working Capital ExpendituresWorkingCapitalExpendituresAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	UnspentUnspentAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$11,560,000	$0	$33,197,594	$0	$0	$0	$333,500	$0	$0	$15,549,096	$17,315,000	$0	2019	Yes (true)	false	Yes (true)	Yes (true)
B	$0	$0	$76,841,089	$0	$0	$0	$801,959	$0	$0	$63,834,272	$0	$12,204,858		false	false	false	Yes (true)
C	$1,100,000	$0	$31,066,642	$0	$0	$0	$337,913	$0	$0	$0	$30,728,729	$0	2021	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	false	Yes (true)	Yes (true)	false	false	Yes (true)	Yes (true)
B	false	Yes (true)	false	false	false	false	false	Yes (true)	Yes (true)
C	false	Yes (true)	false	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part III, Line 7	BECAUSE THE PRIVATE USE PERCENTAGE FOR EACH BOND ISSUE IS MONITORED TO ENSURE THAT THE PRIVATE USE LIMIT IS NOT EXCEEDED, THE AMOUNT OF PRIVATE PAYMENTS HAS NOT BEEN CALCULATED.
Schedule K, Part IV, Line 2c	THE 2021 BONDS WERE ISSUED TO CURRENTLY REFUND THE 2012A BONDS WHICH WERE ISSUED FOR PURPOSES OF (I) FINANCING THE ACQUISITION, CONSTRUCTION, EQUIPPING OR IMPROVEMENT OF CERTAIN CAPITAL ASSETS AND (II) REFUNDING THE ISSUER'S HOSPITAL REVENUE BONDS, SERIES 2002 (MARION GENERAL HOSPITAL PROJECT). THE 2015 BONDS WERE ISSUED FOR THE PURPOSES OF (I) FINANCING THE ACQUISITION, CONSTRUCTION, EQUIPPING OR IMPROVEMENT OF CERTAIN CAPITAL ASSETS AND (II) REFUNDING THE ISSUER'S VARIABLE RATE DEMAND REVENUE BONDS SERIES 2008A (MARION GENERAL HOSPITAL PROJECT). THE REBATE COMPUTATION FOR THE 2015 BONDS WERE PERFORMED ON 07/01/2019. THE 2020 BONDS WERE ISSUED TO FINANCE NEW MONEY PROJECTS OF MARION HEALTH.
Schedule K, Part II, Line 3	07/01/2019 INVESTMENT EARNING AS SET FORTH BELOW. TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2021 BONDS - $0 2020 BONDS - $1,907,874 2015 BONDS - $197,594
Schedule K, Part IV, Line 2c COLUMN A	Issuer name: Indiana Finance Authority The calculation for computing no rebate due was performed on 07/01/2019

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (5 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
JAMES M ORRELL MD
EMPLOYED	RECRUITMENT	Yes (X)	$65,000	$55,250	false	Yes (true)	Yes (true)
KAREN J JACOBS DO
EMPLOYED	RECRUITMENT	Yes (X)	$20,000	$5,000	false	Yes (true)	Yes (true)
SHANKARAN SRIKANTH MD
EMPLOYED	RECRUITMENT	Yes (X)	$25,000	$12,500	false	Yes (true)	Yes (true)
CHARLES E COSSELL DO
EMPLOYED	RECRUITMENT	Yes (X)	$125,000	$48,389	false	Yes (true)	Yes (true)
JAMES M ORRELL MD
EMPLOYED	RECRUITMENT	Yes (X)	$25,000	$5,000	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$126,139	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
IMG INSURANCE
SEE COMMENT	$692,556	SEE COMMENT	false
GCA TITLE
SEE COMMENT	$1,954,390	SEE COMMENT	false

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule L, Part IV, Column (b)	THE SON OF TIM DAILEY, MGH BOARD MEMBER, OWNS >35% OF INSURANCE MANAGEMENT GROUP, A COMPANY WHICH CONDUCTS BUSINESS WITH MGH.
Schedule L, Part IV, Column (b)	MICHAEL HOTZ, MGH BOARD MEMBER, OWNS >35% OF GCA TITLE, A COMPANY WHICH CONDUCTS BUSINESS WITH MGH.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 117,140,807 including grants of $ 145,247)(Revenue $ 116,293,974) MARION GENERAL HOSPITAL IS A NOT-FOR-PROFIT, 95-BED, ACUTE CARE, RURAL, SOLE COMMUNITY HOSPITAL LOCATED IN GRANT COUNTY, INDIANA. MGH PROVIDES HEALTHCARE SERVICES THROUGHOUT GRANT COUNTY (INCLUDES MARION, FAIRMOUNT, UPLAND, GAS CITY AND SWAYZEE) AND IN MIAMI COUNTY (CONVERSE), INDIANA. ADMINISTRATORS AND STAFF OF MARION GENERAL HOSPITAL BELIEVE EVERYONE SHOULD HAVE ACCESS TO HEALTHCARE AND CONTINUE TO ADDRESS ONGOING FINANCIAL CHALLENGES TO MEET THE HEALTHCARE NEEDS OF OUR COMMUNITY. CLIENTS AND FAMILIES RECEIVE IMPARTIAL ACCESS TO TREATMENT, AVAILABLE HEALTHCARE ACCOMMODATIONS AND MEDICALLY INDICATED SERVICES REGARDLESS OF RACE, CREED, SEX, NATIONAL ORIGIN, OR SOURCE OF PAYMENT FOR CARE. IN ADDITION TO THE INPATIENT SERVICES, RADIOLOGY SERVICES AND ROOM SERVICES PREVIOUSLY DESCRIBED, MARION GENERAL HOSPITAL ALSO PROVIDES AMBULANCE, ANTICOAGULATION CLINIC, MEDICAL ONCOLOGY, CARDIOVASCULAR, CARDIAC CATH LAB, CHF CLINIC, CARDIAC REHAB, LABORATORY, OBSERVATION, NEURODIAGNOSTIC, SURGERY, PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY, AND WOUND CLINIC SERVICES. MARION GENERAL HOSPITAL CONTINUES TO PROVIDE HOSPITALIST SERVICES 24/7, AS WELL AS INTERVENTIONAL CARDIOLOGY SERVICES PERFORMED BY ST. VINCENT MEDICAL GROUP PROVIDERS RIGHT HERE AT MARION GENERAL HOSPITAL.
Form 990, Part VI, Line 1a	THERE ARE NORMALLY 15 MEMBERS OF THE BOARD, 13 OF WHICH ARE VOTING. THERE WAS ONE VACANCY AS OF JUNE 30, 2024, SO THERE WERE 14 MEMBERS OF WHICH 12 WERE VOTING MEMBERS.
Form 990, Part VI, Line 1b	STEPHANIE HILTON-SIEBERT, DR. STEPHEN KELLER, DR. SHANKARAN SRIKANTH, DR. SIRAJABID KHATIB, AND DR. JAMES ORRELL ARE COMPENSATED AS EMPLOYEES OF THE ORGANIZATION. DR. M. NABI SHARIF IS COMPENSATED AS AN INDEPENDENT CONTRACTOR. AS A RESULT, ALL THE ABOVE INDIVIDUALS ARE CONSIDERED NON-INDEPENDENT BOARD MEMBERS. IN ADDITION, DR. SRIKANTH, DR. ORRELL, TIM DAILEY, AND MICHAEL HOTZ ARE ALSO CONSIDERED NON-INDEPENDENT DUE TO THE TRANSACTIONS LISTED ON SCH. L.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE ORGANIZATION INCORPORATES NUMEROUS PARTIES INTO THE PRODUCTION AND REVIEW OF THE FORM 990 AND ASSOCIATED SCHEDULES. FINANCE DEPARTMENT STAFF AND MANAGEMENT COMPLETE THE FORM 990 SCHEDULES. THE FORMS AND SCHEDULES ARE REVIEWED IN DETAIL BY THE ADMINISTRATIVE DIRECTOR OF FINANCE, CHIEF FINANCIAL OFFICER AND PRESIDENT/CEO. THE ORGANIZATION ENGAGES FORVIS LLP TO REVIEW THE COMPLETED FORM 990 AND ASSOCIATED SCHEDULES. PRIOR TO FILING THE RETURN, THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS THE 990, AND THE BOARD OF DIRECTORS ALSO RECEIVES A COPY.
Form 990, Part VI, Line 12c Conflict of interest policy	EVERY YEAR EACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD OF DIRECTORS DELEGATED POWERS ARE REQUIRED TO SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, AGREES TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, A DETERMINATION IS MADE BY THE REMIANING BOARD OF DIRECTORS OR COMMITTEE MEMBERS IN ATTENDANCE AND WHO ARE ELIGIBLE TO VOTE. IF A CONFLICT DOES INDEED EXIST, THE PERSON IS REQUIRED TO LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE OF, THE TRANSACTION OR ARRANGEMENT THAT RESULTS IN THE CONFLICT OF INTEREST.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	TO SUPPORT THE MISSION, VISION, AND VALUES OF MARION GENERAL HOSPITAL, INC. (MGH) AND THE CHARITABLE PURPOSE FOR WHICH IT EXISTS, THE EXECUTIVE TOTAL COMPENSATION PROGRAM IS DESIGNED AND ADMINISTERED TO ENSURE THAT MGH CAN ATTRACT, RETAIN AND MOTIVATE HIGHLY TALENTED EXECUTIVES. EXECUTIVES ARE PLACED WITH APPROPRIATE SALARY RANGES BASED ON THE EXECUTIVE'S KNOWLEDGE, COMPETENCIES AND EXPERIENCE, PERFORMANCE, IMPORTANCE OF RETAINING THE EXECUTIVE, INTERNAL EQUITY CONSIDERATIONS AND FINANCIAL RESOURCES AVAILABLE. THE ORGANIZATION USES THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS TO REVIEW COMPENSATION PACKAGES, AND ALSO ENGAGES INDEPENDENT COMPENSATION CONSULTANTS TO PREPARE SURVEYS OR STUDIES TO ENSURE THAT THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. THIS PROCESS IS UNDERTAKEN ON AN ANNUAL BASIS.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	HR EVALUATES OTHER OFFICER AND SENIOR LEADERSHIP POSITION SALARIES WITH COMPARABLE DATA AVAILABLE FROM THE INDIANA HOSPITAL ASSOCIATION.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE KEPT ON SITE AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE DISTRIBUTED QUARTERLY TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AS PART OF THE CONTINUING DISCLOSURES FOR THE MARION GENERAL HOSPITAL, INC. BONDS.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	PENSION RELATED CHANGES - 994197; NET PERIODIC PENSION COST - -1774658; GAIN(LOSS) ON JV - -160028;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MGH FOUNDATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	441 N WABASH AVENUE	AddressLine1Txt
City	MARION	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46952	ZIPCd

Field	Value	IRS element (for citing)
EIN	811872365	EIN
Primary Activities	SUPPORT	PrimaryActivitiesTxt
Legal Domicile State	IN	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	Type I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	MGH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct	EINEIN
PROGRESSIVE CANCER CARE LLC
831 N THEATRE DRIVE	MARION	IN	46952	ONCOLOGY CENTER	IN	NA	Related	-$122,724	$2,445,394	false	false	0.5106
SHORT-TERM BOND LLC
111 WEST MONROE	CHICAGO	IL	60603	FIXED INCOME INV	DE	MGH	Excluded	$177,362	$10,749,000	false	false	1	320594954

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	false	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROGRESSIVE CANCER CARE
K	$227,005	FMV
PROGRESSIVE CANCER CARE
P	$161,587	FMV