2022-05-12T12:12:16-05:00 2021-06-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2020-07-01 350868130 MARION GENERAL HOSPITAL INC % MARION GENERAL HOSPITAL INC MARI 7656607000 441 N WABASH AVENUE MARION IN 469522690 STEPHANIE HILTON-SIEBERT PRESIDENT/CEO 7656607000 2022-05-16 true STEPHANIE HILTON-SIEBERT 999009999 Lauren R Denton P01571860 2604604000 3 2020 2022-09-23 18:48:47Z MARION HEALTH STEPHANIE HILTON-SIEBERT 441 N WABASH AVENUE MARION IN 469522690 227182196 false X WWW.MGH.NET 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. 13 5 1457 70 46545 8352 5217506 6708976 198549900 204441372 6751181 2445959 -2034724 -2060141 208483863 211536166 709634 277879 0 0 67902362 70993591 0 0 0 131929305 125255842 200541301 196527312 7942562 15008854 421263413 572876979 121972074 195871059 299291339 377005920 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 49836006 38584583 INPATIENT SERVICES - MARION GENERAL HOSPITAL (MGH) OPERATES A 110-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 4,225 INPATIENT ADULT AND PEDIATRIC PATIENTS, AND PROVIDED 15,368 INPATIENT ADULT AND PEDIATRIC PATIENT CARE DAYS DURING THE YEAR ENDED JUNE 30, 2021. DURING THE SAME TIME PERIOD, MGH ALSO DISCHARGED 273 AND PROVIDED 2,858 PATIENT CARE DAYS FOR PATIENTS IN THE ACUTE REHAB UNIT. THERE WERE 504 DELIVERIES PERFORMED. 17011929 23679131 EMERGENCY ROOM SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL OPERATES ONE OF THE BUSIEST 24-HOUR EMERGENCY ROOMS IN THE STATE. THERE WERE 31,844 OUTPATIENT VISITS DURING THE YEAR ENDED JUNE 30, 2021. THERE WERE ALSO AN ADDITIONAL 3,644 EMERGENCY ROOM PATIENTS THAT WERE ULTIMATELY ADMITTED AS AN INPATIENT TO THE HOSPITAL, FOR A TOTAL OF 35,488 VISITS. 13123075 27341756 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 THE STATE'S ONLY LOW DOSE FULL-FIELD DIGITAL MAMMOGRAPHY, 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 83,537 OUTPATIENT RADIOLOGY PROCEDURES DURING THE YEAR ENDED JUNE 30, 2021. 96285439 277879 114835902 SEE SCHEDULE O DISCLOSURE FOR: PROGRAM SERVICE ACCOMPLISHMENTS PART III, LINE 4D 96285439 277879 114835902 176256449 true true false true false 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 true true true true false false true 87 0 1457 true true true false false false false false false false false false false false X 13 5 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 STEPHANIE A HILTON-SIEBERT PRESIDENT / CEO 50.0 0.0 X X 907484 0 32842 EDMOND ANDRE BENDALY MD PHYSICIAN 40.0 0.0 X 814186 0 8550 STEPHEN M KELLER MD PHYSICIAN/MED DIR E.D. 40.0 0.0 X 697588 0 29116 ANTHONY COLLINS DO PHYSICIAN 40.0 0.0 X 633803 0 47123 KAVITA RAJ DO PHYSICIAN 40.0 0.0 X 567989 0 45090 VINODHA NAGESH MD PHYSICIAN 40.0 0.0 X 521525 0 47069 SHANKARAN SRIKANTH MD PHYSICIAN/VC OF MEDICAL STAFF 40.0 0.0 X 497520 0 47931 KAREN J JACOBS DO PHYSICIAN/BOARD MEMBER 40.0 0.0 X 471376 0 31193 SIRAJABID KHATIB MD MED DIR HOSPITALISTS/BOARD MEM 40.0 0.0 X 424904 0 20734 JAMES M ORRELL MD PHYSICIAN/CHIEF OF MED. STAFF 40.0 0.0 X 388020 0 47123 ANTHONY W ROBERTS CFO 50.0 0.0 X 359894 0 39962 CYNTHIA D FUTRELL CNO 50.0 0.0 X 276542 0 36704 MARTIN W PRUSS MD PHYSICIAN/BOARD MEMBER 40.0 0.0 X 232158 0 0 M NABI SHARIF MD BOARD MEMBER 2.0 0.0 X 144990 0 0 STEVEN E BERRY VICE CHAIR 2.0 0.0 X X 0 0 0 KEVIN R CATES BOARD SECRETARY 2.0 0.0 X X 0 0 0 TIMOTHY J DAILEY CHAIR 2.0 0.0 X X 0 0 0 MICHAEL A ERNST BOARD TREASURER 2.0 0.0 X X 0 0 0 MICHAEL T HOTZ BOARD MEMBER 2.0 0.0 X 0 0 0 LEZLIE WINTER BOARD MEMBER 2.0 0.0 X 0 0 0 6937979 0 433437 121 false true false CROTHALL HEALTHCARE 955 CHESTERBROOK BLVD WAYNE PA 19087 VARIOUS PURCH SVCS 6240927 BSA LIFESTRUCTURES 9365 COUNSELORS ROW INDIANAPOLIS IN 46240 GENERAL CONTRACTING 3390273 ELIOR INC 300 S TRYON STREET CHARLOTTE NC 28202 DIETARY SVCS/MGMT 2558652 ASSOCIATED ANESTHESIOLOGISTS OF FOR 10315 DAWSONS CREEK SUITES A/B FORT WAYNE IN 46825 PHYSICIAN COVERAGE 1263084 AYA HEALTHCARE INC 5930 CORNERSTONE CT WEST 300 SAN DIEGO CA 92121 NURSING COVERAGE 1225356 53 6690207 18769 6708976 PATIENT REVENUE 900099 202174727 202174727 MED DIRECTOR SERVICES 900099 413715 413715 GAIN ON EQUITY IN JOINT VENTURES 900099 453232 453232 VHA DIVIDEND 900099 195492 195492 MEDICAL RECORDS 900099 49999 49999 1154207 1154207 204441372 6594884 6594884 0 0 550804 2664605 -2113801 0 -2113801 -2113801 8779196 53304 12968465 12960 -4189269 40344 -4148925 -4148925 7115 0 7115 7115 0 0 0 0 0 0 BILLING SERVICES 541900 46545 46545 46545 211536166 204441372 46545 339273 277879 277879 0 0 0 1653427 353290 1300137 0 53491863 47019447 6472416 1473827 1256654 217173 9413780 8026628 1387152 4960694 4229719 730975 0 885431 885431 144600 144600 27456 27456 0 0 7736878 6211467 1525411 351175 280940 70235 8180328 6544262 1636066 3445775 2756620 689155 0 3970274 3176219 794055 129027 103222 25805 0 60078 48062 12016 1815157 1724399 90758 0 9698639 7758911 1939728 1866943 1632363 234580 MEDICAL SUPPLIES/DRUGS 28389001 28389001 PROVISION FOR BAD DEBTS 6878462 6878462 PHYSICIAN SERVICES 27663582 27663582 PURCHASED SERVICES 9489715 7591772 1897943 14523321 14333550 189771 196527312 176256449 20270863 0 4500 4200 39725515 115956392 0 0 24794909 26888719 225836 71205 0 0 2619508 2079896 2264928 2227460 2400003 2909609 248164431 159991276 78011201 88173155 200120797 259677746 58294016 61165290 0 0 3085557 2687897 9716643 11035410 421263413 572876979 17343826 18159514 0 0 0 0 58732526 139333033 0 0 0 0 0 0 0 0 45895722 38378512 121972074 195871059 X 299291339 377005920 0 0 299291339 377005920 421263413 572876979 X 15008854 60674972 2030755 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 27456 27456 false PART II-B, LINE 1g MARION GENERAL HOSPITAL OCCASIONALLY SENDS LETTERS TO OR DIRECTLY CONTACTS LEGISLATORS. 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 ASSOC., AMERICAN HOSPITAL ASSOC., AMERICAN ACADEMY OF FAMILY PHYSICIANS, AMERICAN COLLEGE OF PHYSICIANS, AMERICAN MEDICAL ASSOC., AMERICAN OSTEOPATHIC ASSOCIATION, ONCOLOGY NURSING SOCIETY, AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS, INDIANA STATE MEDICAL ASSOCIATION, AMONG VARIOUS OTHERS. 9044643 9044643 150475907 92365508 58110399 2481340 1954923 526416 77364086 62585221 14778866 8798455 3085624 5712831 88173155 PRIVATE EQUITY FUNDS 16704058 F INVESTMENT IN JOINT VENTURE 1460046 F FIXED INCOME SECURITIES 43001186 F 61165290 0 MINIMUM PENSION LIABILITY 15990299 OP. LEASE LIABILITIES 4587879 CARES ACT ADVANCED MEDICARE PA 14692000 OTHER LIABILITIES 1274810 ESTIMATED THIRD PARTY SETTLEMENTS 1833524 38378512 267900435 60674972 2664605 63339577 204560858 6975308 6975308 211536166 192313455 2664605 2664605 189648850 6878462 6878462 196527312 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, 2021 and 2020, 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, 2020. 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 & XII, LINE 2D RENTAL EXPENSE $ 2,664,605 SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $ 6,878,462 LOSS ON EXTINGUISHMENT OF DEBT $ 96,846 TOTAL $ 6,975,308 SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $ 6,878,462 LOSS ON EXTINGUISHMENT OF DEBT $ 96,846 TOTAL $ 6,975,308 true true X true X 300. false true true false true true 6557 4602902 4602902 0.02430 56057277 30335610 25721667 0.13560 6557 60660179 30335610 30324569 0.15990 66014 538906 538906 0.00280 991 1846914 1846914 0.00970 628 288514 288514 0.00150 167 3298 3298 6627 419253 419253 0.00220 74427 3096885 3096885 0.01620 80984 63757064 30335610 33421454 0.17610 10000 190684 190684 0.00100 801 6870 6870 78 1160555 1160555 0.00610 10879 1358109 1358109 0.00710 false 2613816 261382 30402340 32749476 -2347136 X true true PROGRESSIVE CANCER ONCOLOGY CENTER 0.5213 0.0973 0.1077 1 1 MARION GENERAL HOSPITAL 441 N WABASH AVENUE MARION IN 46952 WWW.MGH.NET 17-005011-1 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 18 true false true true X WWW.MGH.NET X SEE DISCLOSURE true 19 true SEE DISCLOSURE false true X 300. 0. X X X true true X X X X true X WWW.MGH.NET X WWW.MGH.NET X WWW.MGH.NET X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 MGH STAFF ARE CONTINUOUSLY IN THE GRANT COUNTY COMMUNITY GATHERING DATA AND FEEDBACK FROM KEY INFORMANTS, INDIVIDUALS, AND FORMAL GROUPS TO BETTER INFORM OUR DECISIONS AND INITIATIVES. THE FOLLOWING DESCRIPTIONS PROVIDE INSIGHT INTO THE BREADTH OF MGH INVOLVEMENT. VARIOUS DEPARTMENT STAFF MEMBERS OF MGH ARE INVOLVED IN COMMUNITY EDUCATION, ASSESSMENT, AND INTERVENTIONS. MANY OF OUR STAFF PARTICIPATE ON BOARDS AND VOLUNTEER IN SERVICE AREAS. MGH HOSTS AN ANNUAL CLERGY CONNECT, COMMUNITY CONNECT SERIES, AND REGULAR COMMUNITY CONVERSATIONS RELATED TO HEALTH PROVIDING OPPORTUNITY FOR DIRECT FEEDBACK, RESPONSE, AND PROBLEM SOLVING. IN ADDITION, FOUR OR MORE TIMES EACH YEAR, MGH HAS OFFERED A COMMUNITY PLUNGE WHERE OVER 100 INDIVIDUALS HAVE PARTICIPATED IN A DAY TO EXPERIENCE WHAT IT IS LIKE TO DEAL WITH SUD AND/OR MENTAL HEALTH ISSUES. MGH CONVENES AND HOSTS A LARGE SUBSTANCE ABUSE TASK FORCE OF MORE THAN 40 ORGANIZATIONS. BI-MONTHLY OR MONTHLY IN-SERVICE/EDUCATION MEETINGS ARE HELD WITH THE PARISH NURSES FROM THE COMMUNITY, OFTEN BEING USED AS A MGH COMMUNITY ADVISORY BOARD. MGH REPRESENTATIVES PARTICIPATE IN SEVERAL COMMUNITY ADVISORY GROUPS, FOCUS GROUPS, AND CONSULTANTS FOR THE DEVELOPMENT, TIMING, AND DISSEMINATION OF RESULTS OF THE CHNA, THE REVIEW AND PRESENTATION OF ITS RESULTS. MGH PARTICIPATED IN GRANT COUNTY CONVERSATIONS ABOUT HEALTH, INVOLVING A PRESENTATION OF THE CHNA AND A PANEL DISCUSSION TO COMMEMORATE PUBLIC HEALTH DAY. MANY FROM THE COMMUNITY PROVIDED INPUT AND PRIORITIZATION OF NEEDS IN THE COMMUNITY DURING THIS EVENT. OTHER COMMUNITY GATHERINGS (INCLUDING FOCUS GROUPS) HAVE PROVIDED INPUT INTO THE HOSPITAL AND COMMUNITY IMPLEMENTATION PLANS. IT WAS IMPORTANT IN OUR RURAL COMMUNITY WITH SCARCE RESOURCES THAT MGH EMPHASIZED THAT THE CHNA AND ITS RESULTS ARE BENEFICIAL AND AVAILABLE FOR ALL ORGANIZATIONS WITHIN OUR COMMUNITY. WE FEEL WE HAD A VERY SUCCESSFUL 2019 CHNA WITH APPROXIMATELY 2500 PRIMARY RESPONSES FROM OUR QUESTIONNAIRE. WE ALSO INCLUDED DATA FROM COUNTY HEALTH RANKINGS, CDC, US CENSUS INFORMATION, AND INDIANA STATE DEPARTMENT OF HEALTH. EACH YEAR ON RURAL HEALTH WEEK, MGH STAFF VISIT MULTIPLE LOCATIONS TO OFFER HAND WASHING EDUCATION AND DEMONSTRATIONS, BLOOD PRESSURE MONITORING, AND VARIOUS OTHER HEALTH DEMONSTRATIONS. SCHEDULE H, PART V, SECTION B, LINE 6B FAMILY SERVICE SOCIETY, INC. INDIANA WESLEYAN UNIVERSITY TAYLOR UNIVERSITY GRANT COUNTY HEALTH DEPARTMENT CANCER SERVICES OF GRANT COUNTY BRIDGES TO HEALTH GRANT BLACKFORD MENTAL HEALTH CENTER SYSTEMS OF CARE HOPE HOUSE, MARION MARION COMMUNITY SCHOOLS PRESCHOOL AND HEAD START TORCH COALITION GRANT COUNTY SUBSTANCE ABUSE TASK FORCE GRANT COUNTY SOCIAL SERVICES AGENCIES COUNCIL GRANT COUNTY CHAMBER OF COMMERCE CAREY SERVICES COMMUNITY FOUNDATION PURDUE EXTENSION CONNECTIONS IN HEALTH SCHEDULE H, PART V, SECTION B, LINE 7B MGH POSTS THE FINAL REPORTS ON A COMMUNITY BASED WEBSITE, AND PROVIDES A LINK TO THE CHNA REPORTS ON THE MGH SITE. WWW.MGH.NET/FOR-THE-COMMUNITY OR DIRECTLY TO WWW.MGH.NET/DOCUMENTS/CHP-SUMMARY_2019-.PDF MGH HOSTS SEVERAL COMMUNITY MEETINGS AND ATTENDS AREA GATHERINGS TO PRESENT THE COMMUNITY HEALTH PROFILE FINDINGS. ALL OF THE COMMUNITY PARTNERS RECEIVE ACCESS TO THE FINAL REPORT. SCHEDULE H, PART V, SECTION B, LINE 10A WWW.MGH.NET/DOCUMENTS/REHAB/IMPLEMENTATION-PLAN-SUMMARY-FOR-990-FI NAL-2019-2022.PDF SCHEDULE H, PART V, SECTION B, LINE 11 IN 2019, MGH CONVENED SEVERAL OPEN COMMUNITY MEETINGS TO DISCUSS THE COMMUNITY HEALTH PROFILE (CHP IS OUR NAMED CHNA) RESULTS TO DETERMINE A CONSENSUS REGARDING THE TOP SIGNIFICANT COMMUNITY NEEDS AND BRAINSTORM IMPLEMENTATION PLAN OPTIONS. THE HEALTH AREAS OF CHRONIC DISEASES, LUNG DISEASE, UNHEALTHY WEIGHT, SUBSTANCE USE DISORDER, MENTAL HEALTH, AND LATE DIAGNOSES OF DISEASE STATES SURFACED AS PRESSING ISSUES. WHILE REVIEWING ADDITIONAL DATA AND INPUT FROM HEALTHCARE ORGANIZATIONS, EMPLOYERS, SCHOOLS, AND CHURCHES; IT WAS DETERMINED THAT WE WOULD CONTINUE OUR CEASE DIABETES, CEASE LUNG DISEASE, INCREASE HEALTHY EATING AND INCREASE HEALTH SCREENINGS FOR PRIMARY CHRONIC DISEASE FOCUS IN OUR COMMUNITY FROM 2017-2019. WE ADDED CEASE SUBSTANCE ABUSE AND INCREASE HEART HEALTH IN THE RECENTLY ADOPTED IMPLEMENTATION PLAN. A NEW PARTNERSHIP TO ADDRESS DENTAL NEEDS IS IN THE FORMATIVE STAGE. CEASE DIABETES: THE CONSENSUS OF THE COMMUNITY DISCUSSION GROUPS IDENTIFIED DIABETES WITH SEVERAL CO-MORBIDITIES WHICH IMPACT SEVERAL OTHER CHRONIC DISEASES AFFECTING OUR POPULATION. DIABETES LENDS THE GREATEST FINANCIAL BURDEN, ALONG WITH DOCUMENTED EMOTIONAL, SOCIAL, AND PHYSICAL COSTS IMPACTING NUMEROUS AREAS OF THE COMMUNITY. MGH AND THE CHP ADVISORY TEAM DEFINED MEASURABLES OF CEASE DIABETES IMPACT AS: 1) INCREASE THE NUMBER OF PEOPLE WITH AN A1C UNDER CONTROL, 2) INCREASE THE NUMBER OF PEOPLE WITH DIABETES WHO HAVE A DILATED EYE EXAM YEARLY, 3) INCREASE THE NUMBER OF REFERRALS AND DECREASE THE NUMBER OF NO SHOWS TO THE MGH ACCREDITED EDUCATION PROGRAM FOR SELF-MANAGEMENT (AMERICAN DIABETES ASSOCIATION). CEASE LUNG DISEASE: CEASE LUNG DISEASE WAS DESIGNED TO ADDRESS LUNG CANCER AND ASTHMA - BOTH HAVE BEEN IDENTIFIED AS SIGNIFICANT ISSUES BY THE COMMUNITY HEALTH PROFILE (CHNA) AND THE INDIANA STATE DEPARTMENT OF HEALTH. GRANT COUNTY STATISTICS RANK SECOND AND THIRD FOR ADULT SMOKERS AND EXPOSURE TO SECONDHAND SMOKE. GRANT COUNTY?S DIAGNOSIS OF LUNG CANCER IS NOW THE SECOND HIGHEST CANCER SITE. ASTHMA RELATED VISITS TO THE EMERGENCY DEPARTMENT ARE AMONG THE HIGHEST IN THE STATE, 59.1 % PER 10,000 RESIDENTS. TOBACCO/NICOTINE CESSATION: GOALS FOR TOBACCO/NICOTINE CESSATION INCLUDE: 1) REDUCE ADULT SMOKING RATES, 2) PROVIDE TRAINING FOR SMOKING CESSATION FACILITATORS, AND 3) BUILD A LOCAL COALITION TO ADDRESS TOBACCO ISSUES IN THE COUNTY. ASTHMA INTERVENTION: GOALS FOR THE ASTHMA INTERVENTION INCLUDE: 1) DEVELOP A RAPID RESPONSE EDUCATION/INTERVENTION FOR PATIENTS WITH ASTHMA RELATED ILLNESSES IN THE EMERGENCY DEPARTMENT AND INPATIENT UNITS AND 2) PROVIDE AREA SCHOOLS WITH SUPPLIES TO ASSESS AND ALLOW TREATMENT/EDUCATION UNDER THE SUPERVISION OF THE SCHOOL NURSES. INCREASE HEALTHY EATING: INCREASE HEALTHY EATING CONTRIBUTES TO THE SUCCESS OF THE CEASE DIABETES, CHRONIC DISEASE ISSUES OF CORONARY ARTERY DISEASE, AND MANY OTHER COMORBIDITIES. GOALS ARE IN THE PLANNING PROCESS WITH COMMUNITY GROUPS. INCREASE HEALTH SCREENINGS: INCREASE HEALTH SCREENINGS ADDS TO THE LONGEVITY AND QUALITY OF LIFE FOR GRANT COUNTY RESIDENTS. THE GOALS ARE TO INCREASE AWARENESS THROUGH EDUCATION ABOUT THE BENEFITS AND AVAILABILITY OF HEALTH SCREENINGS AND INCREASE EXPOSURE AND OPPORTUNITY FOR COMMUNITY RESIDENTS TO OBTAIN LOW COST AND FREE HEALTH SCREENINGS. NUMBER OF SCREENINGS COMPLETED WILL BE MONITORED TO INFORM FURTHER ACTION. CEASE SUBSTANCE ABUSE: CEASE SUBSTANCE ABUSE INITIATIVES FOCUS ON 1) MONITOR NEW RAPID RESPONSE PROGRAM FOR MGH WITH THE CORE TEAM (PEER SUPPORT SPECIALISTS AND COMMUNITY HEALTH WORKERS) 2) INCREASE THE NUMBER OF INDIVIDUALS IN TREATMENT, RECOVERY HOUSES, AND COMMUNITY RECOVERY EVENTS, AND 3) INCREASE NARCAN DISTRIBUTION AND AVAILABILITY, AND 4) INCREASE PRIMARY PREVENTION WITH LOCAL YOUTH. INCREASE HEART HEALTH: INCREASE HEART HEALTH AND A PRIMARY FOCUS FOR PATIENTS WITH HEART FAILURE. INITIATIVES INCLUDE 1) ADD REMOTE PATIENT MONITORING OPTIONS FOR HEART FAILURE PATIENTS AND 2) UTILIZE THE LEAN QUALITY IMPROVEMENT PROCESS TO IMPROVE EFFICIENCY AND EFFECTIVENESS OF MGH CARDIAC SERVICE LINE TO ULTIMATELY PROVIDE INCREASED LONGEVITY AND QUALITY OF LIFE. 25 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 SPECIALTY PHYSICIANS 330 N WABASH AVENUE STE 400 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, RADIOLOGY 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 DIAGNOSTICS-BELLA 1415 W BELLA DRIVE MARION IN 46953 LAB MGH MEDICAL ONCOLOGY 831 N THEATRE DRIVE MARION IN 46952 MEDICAL ONCOLOGY, PHYSICIAN office MGH WORK SOLUTIONS 119 S WASHINGTON STREET 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 W SWAYZEE IN 46986 PHYSICIAN PRACTICE OFFICE FAMILY MEDICINE CENTER-GAS CITY 4781 KAY BEE DRIVE GAS CITY IN 46933 PHYSICIAN PRACTICE OFFICE MGH DIAGNOSTICS-GAS CITY 4781 KAY BEE DRIVE GAS CITY IN 46933 LAB FAIRMOUNT MEDICAL ASSOCIATES 157 W 8TH STREET FAIRMOUNT IN 46928 PHYSICIAN PRACTICE OFFICE MGH DIAGNOSTICS-FAIRMOUNT 157 W 8TH STREET FAIRMOUNT IN 46928 LAB MGH EXPRESS 1130 N BALDWIN AVENUE MARION IN 46952 URGENT CARE SCHEDULE H, PART I, LINE 3C MGH PROVIDED FREE CARE UP TO 300% OF FPL AND DOES NOT PROVIDE DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 COST OF CHARITY CARE IS ESTIMATED BY MULTIPLYING GROSS CHARGES FORGIVEN FOR CHARITY CARE FOR THE YEAR BY THE AVERAGE COST-TO-CHARGE RATIO AS DERIVED FROM DATA FROM THE FILED MEDICARE COST REPORT. SCHEDULE H, PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,878,462. SCHEDULE H, PART II 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. NEW EFFORTS ARE UNDERWAY TO PROVIDE TELEHEALTH WITH EXAM TECHNOLOGY FOR PATIENTS AND PROVIDERS TO ACCESS SPECIALTIES THAT ARE NOT AVAILABLE IN OUR 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. 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 ARE WHOSE CLIENTS ARE IMPACTED BY SUBSTANCE ABUSE DISORDER. MH ALSO FACILITATES A CORE (COMMUNITY OPIOID RESPONSE ENDEAVOR) CONSORTIUM TO PROVIDE WRAP-AROUND SERVICES FOR PEOPLE IN ACTIVE ADDICTION, TREATMENT, AND REHAB. THE CORE CONSORTIUM UNDER MGH LEADERSHIP HAS FACILITATED FREE COMMUNITY BASED NARCAN BOXES TO ADDRESS THE HIGH NUMBERS OF OVERDOSES THAT HAVE OCCURRED DURING COVID ISOLATION. MH HAS A ROBUST UNDERGRADUATE AND GRADUATE STUDENT ROTATION AND PRACTICUM PROGRAM TO SUPPORT HEALTH EDUCATION, INCLUDING ROTATIONS FROM 17 UNIVERSITIES AND COLLEGES IN MULTIPLE DISCIPLINES. MGH IS THE LARGEST SUPPORT OF OUR COUNTY'S FREE HEALTH AND DENTAL CLINIC, BRIDGES TO HEALTH. THE HOSPITAL IS ONE THE LARGEST DONORS FOR IN-KIND AND MONETARY GIFTS TO LOCAL NOT-FOR-PROFIT ORGANIZATIONS THAT ASSIST IN THE MISSIONS TO IMPROVE THE HEALTH IN GRANT COUNTY. MH ALSO LED THE PROCESS TO ENHANCE OUR 911 EMERGENCY DISPATCH FOR GRANT COUNTY. FOR IN-KIND AND MONETARY GIFTS TO LOCAL NOT-FOR-PROFIT ORGANIZATIONS THAT ASSIST IN THE MISSIONS TO IMPROVE THE HEALTH IN GRANT COUNTY. MH ALSO LED THE PROCESS TO ENHANCE OUR 911 EMERGENCY DISPATCH FOR GRANT COUNTY. SCHEDULE H, PART III, SECTION A, LINE 2 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, SECTION A, LINE 3 THE AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICIES IS ESTIMATED BASED UPON PAST EXPERIENCE. SCHEDULE H, PART III, SECTION A, LINE 4 SEE PAGE 12 OF THE ATTACHED FINANCIAL STATEMENTS, UNDER THE HEADING NET PATIENT SERVICE REVENUE, RELATED RECEIVABLES AND ESTIMATED SETTLEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 MGH 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, MGH SHOWS THIS AMOUNT SEPARATELY ON ITS ANNUAL COMMUNITY BENEFIT REPORT. SERVICES ARE PROVIDED TO MEDICARE PATIENTS BY MGH WHILE, AT THE SAME TIME, WE FULLY EXPECT TO RECEIVE LESS IN REIMBURSEMENT THAN IT COSTS TO PROVIDE THESE SERVICES. WE ARE BENEFITING 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, SECTION C, LINE 9B MGH'S COLLECTION POLICY DISTINGUISHES BETWEEN 'FINANCIAL ASSISTANCE' - PATIENTS UNABLE TO PAY, AND 'BAD DEBT' - PATIENTS UNWILLING TO PAY. MGH SENDS A STATEMENT ON DAY 1 WITH AN EXPECTED DUE DATE OF TWENTY-FIVE (25) DAYS FROM THE DATE OF THE STATEMENT. THIRTY (30) DAYS LATER A SECOND STATEMENT IS SENT FOLLOWED BY A LATE PAYMENT CALL. AT SIXTY (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 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 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 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 VI, LINE 2 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 IS FROM THE CENTER FOR DISEASE CONTROL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). THE BRFSS COLLECTS PRIMARY DATA. FOCUS GROUPS AND COMMUNITY-BASED MEETINGS ARE HELD. ADDITIONAL INFORMATION AND DATA FROM VARIOUS ORGANIZATIONS ARE 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 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 AS A NOT-FOR-PROFIT HOSPITAL, MGH HAS SIGNAGE AT ALL REGISTRATION POINTS INTO THE FACILITY AND THE HOSPITAL'S BUSINESS OFFICE ADVISING THEM OF THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM (FAP). WE HAVE A BROCHURE TITLE '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 ONE YEAR FROM APPROVAL OF THE APPLICATION. MGH 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 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 88.4%, BLACK/AFRICAN AMERICAN 7.4%, MULTI-RACIAL 2.7%, ASIAN 1.0%, LATINO/HISPANIC 4.4%. MEDIAN INCOME IS $44,356, POPULATION 66,061, AND 9.8% ARE WITHOUT HEALTH INSURANCE AND 16.7% PERSONS IN POVERTY (WWW.CENSUS.GOV UPDATED DATA ON JULY 1, 2021). 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 PORTION/AREA 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 MARION HEALTH MAKES A CONCENTRATED EFFORT TO PROVIDE PRIMARY CARE LOCATIONS IN MOST AREAS 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 A LOAN FORGIVENESS/WORK PROGRAM FOR STUDENTS CHOOSING NURSING AND OTHER ALLIED HEALTH FIELDS TO ASSIST WITH RECRUITMENT AND RETENTION OF STAFF. THE PARISH NURSE PROGRAM STAFF PROVIDES PREPARATION, EDUCATION, AND SUPPORT FOR THE FAITH COMMUNITY NURSES (115 NURSES) AND FACILITATES THE BASIC PARISH NURSE EDUCATION PROGRAM EACH YEAR. BRIDGES TO HEALTH, A FREE HEALTH CLINIC, IS PRIMARILY SUPPORTED BY DONATIONS FROM MARION HEALTH. APPROXIMATELY 17 COLLEGES AND UNIVERSITIES ARE HOSTED FOR A ROBUST PROGRAM FOR STUDENT ROTATIONS AND PRACTICUMS IN MULTIPLE AREAS OF HEALTH CARE. MARION HEALTH SERVES AS A RESOURCE FOR NEEDS ASSESSMENTS, EDUCATION, AND GRANT OPPORTUNITIES. SCHEDULE H, PART VI, LINE 7 INDIANA true BRIDGES TO HEALTH INC 119 S WASHINGTON STREET MARION IN 46952 205405181 501(C)(3) 108000 DONATION CANCER SERVICES OF GRANT COUNTY 305 S NORTON AVENUE MARION IN 46952 351058216 501(C)(3) 10300 DONATION UNITED WAY OF GRANT COUNTY PO BOX 61 MARION IN 46952 350995975 501(C)(3) 40079 DONATION HABITAT FOR HUMANITY OF GRANT COUNTY INC 816 S BRANSON STREET MARION IN 46953 351864599 501(C)(3) 14500 DONATION GRANT COUNTY FAMILY YMCA 123 SUTTER WAY MARION IN 46952 350886981 501(C)(3) 105000 DONATION 5 SCHEDULE I, PART I, LINE 2 THE MGH COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AS ONE OF THE LARGER EMPLOYERS IN GRANT COUNTY, MGH 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 A HILTON-SIEBERT PRESIDENT / CEO 543945 0 267920 0 95619 0 8550 0 24292 0 940326 0 ANTHONY W ROBERTS CFO 253670 0 105632 0 592 0 8550 0 31412 0 399856 0 CYNTHIA D FUTRELL CNO 193122 0 81440 0 1980 0 8443 0 28261 0 313246 0 KAREN J JACOBS DO PHYSICIAN/BOARD MEMBER 379602 0 51034 0 40740 0 8550 0 22643 0 502569 0 SHANKARAN SRIKANTH MD PHYSICIAN/VC OF MEDICAL STAFF 387191 0 84716 0 25613 0 8550 0 39381 0 545451 0 JAMES M ORRELL MD PHYSICIAN/CHIEF OF MED. STAFF 276371 0 72840 0 38809 0 8550 0 38573 0 435143 0 MARTIN W PRUSS MD PHYSICIAN/BOARD MEMBER 211113 0 800 0 20245 0 0 0 0 0 232158 0 SIRAJABID KHATIB MD MED DIR HOSPITALISTS/BOARD MEM 320892 0 73376 0 30636 0 8550 0 12184 0 445638 0 EDMOND ANDRE BENDALY MD PHYSICIAN 507120 0 287066 0 20000 0 8550 0 0 0 822736 0 STEPHEN M KELLER MD PHYSICIAN/MED DIR E.D. 621567 0 26928 0 49093 0 8550 0 20566 0 726704 0 ANTHONY COLLINS DO PHYSICIAN 570565 0 47139 0 16099 0 8550 0 38573 0 680926 0 KAVITA RAJ DO PHYSICIAN 278190 0 248251 0 41548 0 8550 0 36540 0 613079 0 VINODHA NAGESH MD PHYSICIAN 308168 0 180447 0 32910 0 8550 0 38519 0 568594 0 A INDIANA FINANCE AUTHORITY 351602316 45471ATE2 2020-11-13 74933215 NEW MONEY AND REFUNDING 2012A BOND false false false B INDIANA FINANCE AUTHORITY 351602316 45471ATW2 2021-04-29 31066642 CURRENT REFUNDING false false false C INDIANA FINANCE AUTHORITY 351602316 2015-07-07 33000000 NEW MONEY AND CURRENT REFUNDING false false false A 0 0 74972479 0 0 0 801959 0 0 3658949 0 70511571 2023 false false false true B 0 0 31066642 0 0 0 337913 0 0 0 30728729 0 2021 true false true true C 6885000 0 33197594 0 0 0 333500 0 0 15549096 17315000 0 2019 true false true true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true C false false false true true false 0 false 0 true true A true B true C true PART II LINE 3 TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2020 BONDS - $ 39,264 2015 BONDS - $197,594 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. PART IV LINE 2C THE 2020 BONDS WERE ISSUED TO CURRENTLY REFUND THE 2012A BONDS WHICH WERE ISSUED ON APRIL 26, 2012. THE 2012 BONDS WERE ISSUED FOR PURPOSES OF (1) 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 2002 BONDS WERE ISSUED ON MAY 30, 2002. 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 2008 BONDS WERE ISSUED ON JUNE 10, 2008. PART IV LINE 2D THE REBATE COMPUTATION FOR THE 2015 BONDS WERE PERFORMED ON 07/01/2019. SIRAJABID KHATIB MD EMPLOYED RECRUITMENT X 60000 25357 false true true KAREN JACOBS DO EMPLOYED RECRUITMENT X 110000 9500 false true true MARTIN PRUSS MD EMPLOYED RECRUITMENT X 20000 3848 false true true SHANKARAN SRIKANTH MD EMPLOYED RECRUITMENT X 25000 12500 false true true JAMES ORRELL MD EMPLOYED RECRUIITMENT X 25000 20000 false true true 71205 IMG INSURANCE SEE COMMENT 414502 SEE COMMENT PART IV The son of Tim Dailey, MGH board member, owns >35% of IMG Insurance, a company which conducts business with MGH. FORM 990, PART VI, LINE 1A THERE ARE NORMALLY 15 MEMBERS OF THE BOARD, 13 OF WHICH ARE VOTING. THERE WERE TWO VACANCIES AS OF JUNE 30, 2021, SO THERE WERE 13 MEMBERS OF WHICH 11 WERE VOTING MEMBERS. FORM 990, PART VI, SECTION A, LINE 1B STEPHANIE HILTON-SIEBERT, DR. SHANKARAN SRIKANTH, DR. SIRAJABID KHATIB, DR. KAREN JACOBS, DR. JAMES ORRELL, AND MARTIN PRUSS 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. JACOBS, DR. PRUSS, DR. KHATIB, DR SRIKANTH & TIM DAILEY ARE ALSO CONSIDERED NON-INDEPENDENT DUE TO THE TRANSACTIONS LISTED ON SCH. L. FORM 990, PART VI, SECTION B, LINE 11B 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 FINANCE MANAGER, CHIEF FINANCIAL OFFICER AND PRESIDENT/CEO. THE ORGANIZATION ENGAGES BKD 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, SECTION B, LINE 12C 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 REMAINING 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, SECTION B, LINE 15A 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, SECTION B, LINE 15B THE LAST FORMAL REVIEW OF OTHER OFFICERS AND KEY ADMINISTRATIVE DIRECTORS WAS IN 2021, PREPARED BY MERCER. FORM 990, PART VI, SECTION C, LINE 19 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 PENSION CHANGES OTHER THAN NET PERIODIC PENSION COST $ 3,718,555 NET PERIODIC PENSION COST $(1,590,954) LOSS ON EXTINGUISHMENT OF DEBT $( 96,846) TOTAL $ 2,030,755 PROGRAM SERVICES ACCOMPLISHMENTS Part III, Line 4d Marion General Hospital is a not-for-profit, 113-bed, acute care, rural, sole community hospital located in Grant county, Indiana. MGH provides healthcare services throughout Grant County (includes Marion, Fairmount, 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. MGH FOUNDATION INC 441 N WABASH AVENUE MARION IN 46952 811872365 SUPPORT IN 501(C)(3) 12A MGH true PROGRESSIVE CANCER CARE LLC 831 N THEATRE DRIVE MARION IN 46952 320061469 ONCOLOGY CENTER IN NA RELATED 380779 1526860 false false 0.50967 SHORT-TERM BOND LLC 111 WEST MONROE CHICAGO IL 60603 320594954 FIXED INCOME INV DE MGH EXCLUDED 229527 10332957 false false 1.00000 false false false false false true false false false false true false false false false true false false false PROGRESSIVE CANCER CARE F 226905 FMV PROGRESSIVE CANCER CARE K 227005 FMV PROGRESSIVE CANCER CARE P 156272 FMV