2025-05-09T09:33:52+00:00 2024-06-30 440160260 Forvis Mazars LLP 111 E Wayne Street Suite 600 Fort Wayne IN 46802 990 2023-07-01 350868130 MARION GENERAL HOSPITAL INC MARI 7656607000 441 N WABASH AVENUE MARION IN 469522690 STEPHANIE HILTON-SIEBERT PRESIDENT/CEO 7656607000 2025-05-09 true true Lauren Denton P01571860 2604604000 2025-05-09 2023 2025-03-06 01:10:19Z MARION HEALTH STEPHANIE HILTON-SIEBERT 441 N WABASH AVENUE MARION IN 469522690 245834011 false X WWW.MARIONHEALTH.COM X 1910 IN 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. 12 4 1426 50 -308258 5795 870796 453719 193551066 207996572 26663178 25780645 -2032496 -2734684 219052544 231496252 170079 145247 0 0 75906491 79094544 0 0 0 139940764 146365394 216017334 225605185 3035210 5891067 521528683 533452233 168752104 171443127 352776579 362009106 X 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. false false 55130742 36590342 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. 18124594 29685726 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. 13777878 25426530 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. 117140807 145247 116293974 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. 117140807 145247 116293974 204174021 true true false true false false false false false true true false false true true true false false false false false false false false false true true true false true true true false false false false true false true true false false false false false false true true true false false true 89 0 true 1426 true true true false false false false false false false false false true false X 12 4 false false false false false false false true true false false true true true true true true true true true true IN X MARION GENERAL HOSPITAL INC 7656607000 441 N WABASH AVENUE MARION IN 469522690 Elizabeth Gutierrez Board Treasurer 2.0 X X 0 0 0 Kevin Cates Board Secretary 2.0 X X 0 0 0 Stephanie Hilton-Siebert President/CEO 50.0 X X 1361946 0 36768 Steven Berry Vice Chair 2.0 X X 0 0 0 Timothy Dailey Chair 2.0 X X 0 0 0 James Orrell MD Physician/Chief of Medical Staff 40.0 X 516976 0 53769 Lezlie Winter Board Member 2.0 X 0 0 0 M Nabi Sharif MD Physician/Board Member 40.0 X 133850 0 0 Michael Hotz Board Member 2.0 X 0 0 0 Shankaran Srikanth MD Physician/VC of Medical Staff 40.0 X 551862 0 41878 Sirajabid Khatib MD Physician/Board Member 40.0 X 350346 0 23228 Stephen Keller MD Physician/Board Member 40.0 X 641646 0 52690 Anthony Roberts CFO 50.0 X 325390 0 41715 Cynthia Futrell CNO 50.0 X 253241 0 39863 Charles Cossell DO Physician 40.0 X 784691 0 23127 Edmund Bendaly MD Physician 40.0 X 929570 0 9900 Karen Jacobs DO Physician 40.0 X 646124 0 34910 Kavita Raj DO Physician 40.0 X 639545 0 53483 Vinodha Nagesh MD Physician 40.0 X 619073 0 52483 7754260 0 463814 162 false true false CROTHALL HEALTHCARE 955 CHESTERBROOK BLVD WAYNE PA 19087 OUTSIDE MGMT SERVICE 6990464 AYA HEALTHCARE INC 5930 CORNERSTONE CT WEST SAN DIEGO CA 92121 CONTRACT STAFFING 4047430 ICELAND ANESTHESIA MGMT 1765 E NINE MILE RD PENSACOLO FL 32514 ANESTHESIA COVERAGE 3133184 ELIOR INC 300 S TRYON ST CHARLOTTE NC 28202 OUTSIDE MGMT SERVICE 2888430 HAGERMAN INC 510 W WASHINGTON BLVD FORT WAYNE IN 46802 GENERAL CONTRACTING 1569805 59 433743 19976 453719 PATIENT REVENUE 622110 206165063 206165063 MED DIRECTOR SERVICES 622110 417041 417041 VHA DIVIDEND 622110 272404 272404 MEDICAL RECORDS 622110 90644 90644 ALL OTHER 622110 1051420 1051420 0 0 0 0 207996572 7314109 -348098 7662207 667149 3446193 -2779044 0 -2779044 -2779044 29086267 271835 10888163 3403 18198104 268432 18466536 18466536 4520 4520 4520 BILLING SERVICES 541900 39840 39840 0 0 0 0 39840 231496252 207996572 -308258 23354219 145247 145247 0 0 2058923 381755 1677168 58770226 52863746 5906480 1710045 1486119 223926 11028412 9584273 1444139 5526938 4803201 723737 525295 525295 121775 121775 40783 40783 11043601 8834881 2208720 0 428326 342661 85665 9084237 7267390 1816847 4645936 3716749 929187 4051856 3241485 810371 345630 276504 69126 121849 97479 24370 2424484 2303260 121224 8599991 6879993 1719998 1384828 1033954 350874 PHYSICIAN SERVICES 32863526 32863526 MEDICAL SUPPLIES/DRUGS 29344059 29344059 PROVISION FOR BAD DEBTS 11629341 11629341 PURCHASED SERVICES 11151110 8920888 2230222 18558767 18157510 401257 0 225605185 204174021 21431164 0 4075 4075 38264295 30346767 22547624 26347382 118806 126139 0 1582713 1789661 2097130 2126143 3923142 3762002 343118142 181366805 156150047 161751337 185046500 188685386 99760251 108723219 1695171 1535142 1892578 1555298 8446351 6699682 521528683 533452233 19568556 21944640 133515136 130232337 0 15668412 19266150 168752104 171443127 X 352776579 362009106 352776579 362009106 521528683 533452233 X 5891067 4281949 -940489 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 0 false true 40783 40783 false 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. 12819425 12819425 157717821 110696944 47020877 1004506 814426 190080 78984501 66599936 12384565 92591889 3255499 89336390 161751337 PRIVATE EQUITY FUNDS 66018748 F FIXED INCOME SECURITIES 42704471 F 108723219 MINIMUM PENSION LIABILITY 10101579 OP LEASE LIABILITIES 2074343 OTHER LIABILITIES 1299070 ESTIMATE THIRD PARTY SETTLEMENTS 5791158 19266150 X 227435025 4281949 3446193 7728142 219706883 11789369 11789369 231496252 217422037 3446193 3446193 213975844 11629341 11629341 225605185 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 true true X true X 250 true X true true false true true 3744 2876323 2876323 0.0134 70391316 37613034 32778282 0.1532 0 0.0 0 3744 73267639 37613034 35654605 0.1666 12 35404 635780 635780 0.0030 5 956 1852085 1852085 0.0087 1 225314 225314 0.0011 1 18 339 339 0.0000 3 1380 203124 203124 0.0009 22 37758 2916642 0 2916642 0.0136 22 41502 76184281 37613034 38571247 0.1803 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 2 1062 991275 991275 0.0046 2 198515 198515 0.0009 4 1062 1189790 0 1189790 0.0056 false 4693599 469360 25693592 28748155 -3054563 X true true PROGRESSIVE CANCER CARE ONCOLOGY CENTER 0.5324 0.0692 0.079 1 1 MARION GENERAL HOSPITAL 441 N WABASH AVENUE MARION IN 46952 WWW.MARIONHEALTH.COM X X X OFF-CAMPUS RADIOLOGY, ONCOLOGY, SLEEP LAB, PHYSICAL MED, LAB MARION GENERAL HOSPITAL 1 false false true X X X X X X X X X 21 true false true true X WWW.MARIONHEALTH.COM X MH POSTS THE FINAL REPORTS HERE, HTTPS://WWW.MARIONHEALTH.COM/ABOUT/FOR-THE-COMMUNITY/ true 22 true HTTPS://WWW.MARIONHEALTH.COM/DOCUMENTS/MARION-HEALTH-IMPLEMENTION-PLAN-202 3-2026.PDF false true X 250.0 350.0 X X X X X true true X X X X true X WWW.MARIONHEALTH.COM X WWW.MARIONHEALTH.COM X WWW.MARIONHEALTH.COM X X X X X true X false X X X X true X false false 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. 24 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 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 true BRIDGES TO HEALTH INC 119 S WASHINGTON STREET MARION IN 46952 205405181 501(C)(3) 96500 DONATION UNITED WAY OF GRANT COUNTY PO BOX 61 MARION IN 46952 350995975 501(C)(3) 36197 DONATION MAIN STREET GAS CITY INDIANA INC 125 W MAIN STREET GAS CITY IN 46933 472374306 501(C)(3) 5050 DONATION GRANT-BLACKFORD MENTAL HEALTH INC 505 WABASH AVENUE MARION IN 46952 356202739 501(C)(3) 7500 DONATION 4 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. 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. X X X X X false false false false false false false false false Stephanie Hilton-Siebert President/CEO 1057845 0 76544 0 227557 0 9900 0 26868 0 1398714 0 0 0 Stephen Keller MD Physician/Board Member 602769 0 2619 0 36258 0 9900 0 42790 0 694336 0 0 0 Shankaran Srikanth MD Physician/VC of Medical Staff 514068 0 9106 0 28688 0 9900 0 31978 0 593740 0 0 0 James Orrell MD Physician/Chief of Medical Staff 292629 0 177952 0 46395 0 9900 0 43869 0 570745 0 0 0 Sirajabid Khatib MD Physician/Board Member 319345 0 5093 0 25908 0 9764 0 13464 0 373574 0 0 0 Anthony Roberts CFO 306292 0 19098 0 0 0 9900 0 31815 0 367105 0 0 0 Cynthia Futrell CNO 237489 0 14960 0 792 0 7860 0 32003 0 293104 0 0 0 Edmund Bendaly MD Physician 506263 0 403307 0 20000 0 9900 0 0 0 939470 0 0 0 Charles Cossell DO Physician 737212 0 0 0 47479 0 9900 0 13227 0 807818 0 0 0 Vinodha Nagesh MD Physician 315424 0 294044 0 9605 0 9900 0 42583 0 671556 0 0 0 Kavita Raj DO Physician 313084 0 291755 0 34706 0 9900 0 43583 0 693028 0 0 0 Karen Jacobs DO Physician 623530 0 0 0 22594 0 9900 0 25010 0 681034 0 0 0 A Indiana Finance Authority 351602316 2015-07-07 33000000 New Money and Current Refunding false false false B Indiana Finance Authority 351602316 45471ATE2 2020-11-13 74933215 New Money AND REFUNDING 2012A BOND false false false C Indiana Finance Authority 351602316 45471ATW2 2021-04-29 31066642 Current Refunding false false false A 11560000 0 33197594 0 0 0 333500 0 0 15549096 17315000 0 2019 true false true true B 0 0 76841089 0 0 0 801959 0 0 63834272 0 12204858 false false false true C 1100000 0 31066642 0 0 0 337913 0 0 0 30728729 0 2021 true false true true A false false true true false 0.0 0.0 0.0 false false true B false false true true false 0.0 0.0 0.0 false false true C false false true true false 0.0 0.0 0.0 false false true A false false false true true false false true true B false true false false false false false true true C false true false false false false false false true A true B true C true 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 JAMES M ORRELL MD EMPLOYED RECRUITMENT X 65000 55250 false true true KAREN J JACOBS DO EMPLOYED RECRUITMENT X 20000 5000 false true true SHANKARAN SRIKANTH MD EMPLOYED RECRUITMENT X 25000 12500 false true true CHARLES E COSSELL DO EMPLOYED RECRUITMENT X 125000 48389 false true true JAMES M ORRELL MD EMPLOYED RECRUITMENT X 25000 5000 false true true 126139 IMG INSURANCE SEE COMMENT 692556 SEE COMMENT false GCA TITLE SEE COMMENT 1954390 SEE COMMENT false 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. 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; MGH FOUNDATION INC 441 N WABASH AVENUE MARION IN 46952 811872365 SUPPORT IN 501(c)(3) Type I MGH true PROGRESSIVE CANCER CARE LLC 831 N THEATRE DRIVE MARION IN 46952 ONCOLOGY CENTER IN NA Related -122724 2445394 false false 0.5106 SHORT-TERM BOND LLC 111 WEST MONROE CHICAGO IL 60603 320594954 FIXED INCOME INV DE MGH Excluded 177362 10749000 false false 1 false false false false false false false false false false true false false false false true false false false PROGRESSIVE CANCER CARE K 227005 FMV PROGRESSIVE CANCER CARE P 161587 FMV