MARION GENERAL HOSPITAL: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: MARION GENERAL HOSPITAL (EIN 35-0868130)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-04-29
IRS object ID: 202041209349300409
Schema version: 2018v3.1
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 M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-04-29T14:39:38-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 E Main St Suite 700	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	2018-07-01	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)
In Care Of	% MARION GENERAL HOSPITAL INC	InCareOfNm
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	2020-05-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Lauren R Denton	PreparerPersonNm
PTIN	P01571860	PTIN
Phone	2604604000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.126.162	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	35027420201205000000	FederalOriginalSubmissionId
Federal Original Submission Id	2020-04-29	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	C9F2138D12F7D343057C8214CDBDB0735A7DCED9	AtSubmissionCreationDeviceId
At Submission Filing Device Id	25E9B303A56A0274D6E2F2256A0CAB7F3BE98F83	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2020-09-23 17:36:50Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEPHANIE HILTON-SIEBERT	PrincipalOfficerNm

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	$273,012,227	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.MGH.NET	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 & SURROUNDING COUNTIES. THE SERVICES PROVIDED BY THE HOSPITAL ARE AIMED TO IMPROVE THE WELL-BEING OF THE COMMUNITY.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	6	VotingMembersIndependentCnt
Total Employee	1352	TotalEmployeeCnt
Total Volunteers	110	TotalVolunteersCnt
Total Gross UBI	$59,493	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$16,420	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$130,318	PYContributionsGrantsAmt
CY Contributions Grants	$1,404,587	CYContributionsGrantsAmt
PY Program Service Revenue	$184,956,601	PYProgramServiceRevenueAmt
CY Program Service Revenue	$195,277,056	CYProgramServiceRevenueAmt
PY Investment Income	$17,374,741	PYInvestmentIncomeAmt
CY Investment Income	$5,544,218	CYInvestmentIncomeAmt
PY Other Revenue	-$1,087,758	PYOtherRevenueAmt
CY Other Revenue	-$1,866,819	CYOtherRevenueAmt
PY Total Revenue	$201,373,902	PYTotalRevenueAmt
CY Total Revenue	$200,359,042	CYTotalRevenueAmt
PY Grants And Similar Paid	$184,160	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$194,534	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$61,376,657	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$65,645,696	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$119,662,008	PYOtherExpensesAmt
CY Other Expenses	$130,114,197	CYOtherExpensesAmt
PY Total Expenses	$181,222,825	PYTotalExpensesAmt
CY Total Expenses	$195,954,427	CYTotalExpensesAmt
PY Revenues Less Expenses	$20,151,077	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$4,404,615	CYRevenuesLessExpensesAmt
Total Assets BOY	$382,696,177	TotalAssetsBOYAmt
Total Assets EOY	$389,201,889	TotalAssetsEOYAmt
Total Liabilities BOY	$99,958,422	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$96,401,070	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$282,737,755	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$292,800,819	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	$50,782,763	ExpenseAmt
Revenue	$38,142,544	RevenueAmt
Desc	INPATIENT SERVICES - MARION GENERAL HOSPITAL (MGH) OPERATES A 106-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 4,850 INPATIENT ADULT AND PEDIATRIC PATIENTS, AND PROVIDED 17,469 INPATIENT ADULT AND PEDIATRIC PATIENT CARE DAYS DURING THE YEAR ENDED JUNE 30, 2019. DURING THE SAME TIME PERIOD, MGH ALSO DISCHARGED 276 AND PROVIDED 2,821 PATIENT CARE DAYS FOR PATIENTS IN THE ACUTE REHAB UNIT. THERE WERE 569 DELIVERIES PERFORMED.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$14,334,938	ExpenseAmt
Revenue	$22,692,709	RevenueAmt
Desc	EMERGENCY ROOM SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL OPERATES ONE OF THE BUSIEST 24-HOUR EMERGENCY ROOMS IN THE STATE. THERE WERE 36,896 OUTPATIENT VISITS DURING THE YEAR ENDED JUNE 30, 2019. THERE WERE ALSO AN ADDITIONAL 4,036 EMERGENCY ROOM PATIENTS THAT WERE ULTIMATELY ADMITTED AS AN INPATIENT TO THE HOSPITAL, FOR A TOTAL OF 40,932 VISITS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$12,257,636	ExpenseAmt
Revenue	$22,431,310	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 3D MAMMOGRAPHY 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 OPEN MRI OFFERING PATIENTS THREE TIMES MORE SPACE THAN A TYPICAL CLOSED UNIT, 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. MGH HAS ONE OF THE ONLY TWO LOW DOSE MBI (MOLECULAR BREAST IMAGING) UNITS IN THE STATE. OTHER SERVICES OFFERED INCLUDE NUCLEAR MEDICINE, ULTRASOUND AND X-RAY. MARION GENERAL HOSPITAL PROVIDED 86,325 OUTPATIENT RADIOLOGY PROCEDURES DURING THE YEAR ENDED JUNE 30, 2019.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$99,823,398	$194,534	$112,194,695	SEE SCHEDULE O DISCLOSURE FOR: PROGRAM SERVICE
			ACCOMPLISHMENTS
			PART III, LINE 4D

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$99,823,398	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$194,534	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$112,194,695	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$177,198,735	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
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 With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	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	93	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Employee	1352	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	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	6	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

Field	Value	IRS element (for citing)
Person	MARION GENERAL HOSPITAL INC	PersonNm
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 (22 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
STEPHANIE A HILTON-SIEBERT
PRESIDENT/CEO	50.0	0.0	Yes (X)	Yes (X)	$677,287	$0	$30,830
KAREN J JACOBS DO
PHYSICIAN/BOARD MEMBER	40.0	0.0	Yes (X)		$488,779	$0	$28,664
SHANKARAN SRIKANTH MD
PHYSICIAN/VC OF MEDICAL STAFF	40.0	0.0	Yes (X)		$474,821	$0	$43,003
JAMES M ORRELL MD
PHYSICIAN/CHIEF OF MED. STAFF	40.0	0.0	Yes (X)		$392,205	$0	$43,212
JEFFREY W BRAGG DO
PHYSICIAN/BOARD MEMBER	40.0	0.0	Yes (X)		$274,804	$0	$31,471
MARTIN W PRUSS MD
PHYSICIAN/BOARD MEMBER	40.0	0.0	Yes (X)		$227,795	$0	$0
M NABI SHARIF MD
BOARD MEMBER	2.0	0.0	Yes (X)		$145,247	$0	$0
STEVEN E BERRY
BOARD SECRETARY	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
KEVIN R CATES
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
TIMOTHY J DAILEY
VICE-CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL A ERNST
BOARD TREASURER	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
BARBARA IHRKE
BOARD CHAIR	2.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
STEPHEN H WICKES
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
LEZLIE WINTER
BOARD MEMBER	2.0	0.0	Yes (X)		$0	$0	$0
JEFFREY A WAKEFIELD
CFO	50.0	0.0		Yes (X)	$282,129	$0	$43,857
DON J TRICARICO JR
CAO (LEFT 1/2019)	50.0	0.0		Yes (X)	$243,485	$0	$8,966
CYNTHIA D FUTRELL
CNO	50.0	0.0		Yes (X)	$197,679	$0	$36,545
EDMOND ANDRE BENDALY MD
PHYSICIAN	40.0	0.0			$833,743	$0	$8,250	Yes (X)
EMILY T BARRIDO-KABIGTING MD
PHYSICIAN	40.0	0.0			$497,466	$0	$33,653	Yes (X)
KAVITA RAJ DO
PHYSICIAN	40.0	0.0			$633,994	$0	$41,299	Yes (X)
RATHI P MAHENDRAN MD
PHYSICIAN	40.0	0.0			$512,426	$0	$19,054	Yes (X)
VAHID-DAVID SEDAGHAT MD
PHYSICIAN	40.0	0.0			$534,052	$0	$43,003	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,415,912	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$411,807	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	106	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
THE CURARE GROUP
2990 E COVENANTER DRIVE	BLOOMINGTON	IN	47401	PHYSICIAN COVERAGE	$1,991,369
AYA HEALTHCARE INC
5930 CORNERSTONE ST WEST 300	SAN DIEGO	CA	92121	NURSING COVERAGE	$1,505,162
ASSOC ANESTHESIOLOGISTS OF FT WAYNE
10315 DAWSON CREEK SUITES A/B	FORT WAYNE	IN	46825	PHYSICIAN COVERAGE	$1,426,988
CENTRAL INDIANA ORTHOPEDICS PC
3600 W BETHEL AVENUE	MUNCIE	IN	47304	PHYSICIAN COVERAGE	$1,325,975
SOUTH BEND MEDICAL FOUNDATION
530 N LAFAYETTE BLVD	SOUTH BEND	IN	46601	OUTSIDE LAB SERVICE	$1,232,932

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	45	CntrctRcvdGreaterThan100KCnt
Government Grants	$290,559	GovernmentGrantsAmt
All Other Contributions	$1,114,028	AllOtherContributionsAmt
Noncash Contributions	$1,095,000	NoncashContributionsAmt
Total Contributions	$1,404,587	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT REVENUE	900099	$193,305,206	$193,305,206
MED DIRECTOR SERVICES	900099	$424,564	$424,564
GAIN ON EQUITY IN JOINT VENTURES	900099	$752,869	$752,869
VHA DIVIDEND	900099	$196,504	$196,504
MEDICAL RECORDS	900099	$41,109	$41,109

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$556,804	TotalRevenueColumnAmt
Related Or Exempt Func Income	$556,804	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$195,277,056	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,838,184	TotalRevenueColumnAmt
Exclusion	$7,838,184	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$313,519	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$2,246,951	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$1,933,432	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,933,432	TotalRevenueColumnAmt
Exclusion	-$1,933,432	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$68,106,742	SecuritiesAmt
Other	$3,492	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$70,390,779	SecuritiesAmt
Other	$13,421	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$2,284,037	SecuritiesAmt
Other	-$9,929	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$2,293,966	TotalRevenueColumnAmt
Exclusion	-$2,293,966	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$9,154	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$2,034	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,120	TotalRevenueColumnAmt
Exclusion	$7,120	ExclusionAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

Field	Value	IRS element (for citing)
Desc	BILLING SERVICES	Desc
Business	541900	BusinessCd
Total Revenue Column	$59,493	TotalRevenueColumnAmt
Unrelated Business Revenue	$59,493	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$59,493	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$200,359,042	TotalRevenueColumnAmt
Related Or Exempt Func Income	$195,277,056	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$59,493	UnrelatedBusinessRevenueAmt
Exclusion	$3,617,906	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$194,534	TotalAmt
Program Services	$194,534	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,520,781	TotalAmt
Program Services	$292,612	ProgramServicesAmt
Management And General	$1,228,169	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$44,915,320	TotalAmt
Program Services	$40,754,027	ProgramServicesAmt
Management And General	$4,161,293	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,283,429	TotalAmt
Program Services	$3,759,295	ProgramServicesAmt
Management And General	$524,134	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$10,655,035	TotalAmt
Program Services	$9,351,250	ProgramServicesAmt
Management And General	$1,303,785	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$4,271,131	TotalAmt
Program Services	$3,748,501	ProgramServicesAmt
Management And General	$522,630	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$523,399	TotalAmt
Management And General	$523,399	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$133,916	TotalAmt
Management And General	$133,916	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$8,476,675	TotalAmt
Program Services	$6,781,340	ProgramServicesAmt
Management And General	$1,695,335	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$403,899	TotalAmt
Program Services	$323,119	ProgramServicesAmt
Management And General	$80,780	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,520,183	TotalAmt
Program Services	$6,016,146	ProgramServicesAmt
Management And General	$1,504,037	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,247,956	TotalAmt
Program Services	$2,598,365	ProgramServicesAmt
Management And General	$649,591	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,374,328	TotalAmt
Program Services	$3,499,462	ProgramServicesAmt
Management And General	$874,866	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$293,577	TotalAmt
Program Services	$234,862	ProgramServicesAmt
Management And General	$58,715	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$99,905	TotalAmt
Program Services	$79,924	ProgramServicesAmt
Management And General	$19,981	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,081,619	TotalAmt
Program Services	$1,977,538	ProgramServicesAmt
Management And General	$104,081	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$10,197,537	TotalAmt
Program Services	$8,158,030	ProgramServicesAmt
Management And General	$2,039,507	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,574,871	TotalAmt
Program Services	$1,392,299	ProgramServicesAmt
Management And General	$182,572	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES/DRUGS	$22,317,440	$22,317,440
PROVISION FOR BAD DEBTS	$13,303,160	$13,303,160
PHYSICIAN SERVICES	$27,577,299	$27,577,299
PURCHASED SERVICES	$14,411,458	$11,529,166	$2,882,292

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$13,576,975	TotalAmt
Program Services	$13,310,366	ProgramServicesAmt
Management And General	$266,609	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$195,954,427	TotalAmt
Program Services	$177,198,735	ProgramServicesAmt
Management And General	$18,755,692	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$4,000	BOYAmt
EOY	$4,400	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$16,486,035	BOYAmt
EOY	$10,083,466	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$24,114,574	BOYAmt
EOY	$26,748,155	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$166,917	BOYAmt
EOY	$182,290	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$3,337,695	BOYAmt
EOY	$2,883,007	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$1,266,339	BOYAmt
EOY	$2,052,978	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$2,807,777	BOYAmt
EOY	$3,064,771	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$227,996,422	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$145,192,062	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$87,168,343	BOYAmt
EOY	$82,804,360	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$223,147,104	BOYAmt
EOY	$206,400,822	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$19,676,844	BOYAmt
EOY	$48,388,623	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,968,096	BOYAmt
EOY	$3,489,859	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$2,552,453	BOYAmt
EOY	$3,099,158	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$382,696,177	BOYAmt
EOY	$389,201,889	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,153,829	BOYAmt
EOY	$14,381,540	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$62,818,956	BOYAmt
EOY	$60,811,377	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$19,985,637	BOYAmt
EOY	$21,208,153	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$99,958,422	BOYAmt
EOY	$96,401,070	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$282,727,600	BOYAmt
EOY	$292,800,819	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$10,155	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$282,737,755	BOYAmt
EOY	$292,800,819	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$382,696,177	BOYAmt
EOY	$389,201,889	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$4,404,615	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$5,820,630	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$162,181	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	false	FederalGrantAuditRequiredInd

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)
Total Grassroots Lobbying		TotalGrassrootsLobbyingGrp
Total Direct Lobbying		TotalDirectLobbyingGrp
Total Lobbying Expend		TotalLobbyingExpendGrp
Other Exempt Purpose Expend		OtherExemptPurposeExpendGrp
Total Exempt Purpose Expend		TotalExemptPurposeExpendGrp
Lobbying Nontaxable Amount		LobbyingNontaxableAmountGrp
Grassroots Nontaxable		GrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non Tx		TotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non Tx		TotLbbyExpendMnsLbbyngNonTxGrp
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
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$24,630	OtherActivitiesAmt
Total Lobbying Expenditures	$24,630	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1g	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,155	BeginningYearBalanceAmt
End Year Balance	$10,155	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,155	BeginningYearBalanceAmt
End Year Balance	$10,155	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,155	BeginningYearBalanceAmt
End Year Balance	$10,155	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,155	BeginningYearBalanceAmt
End Year Balance	$10,155	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,191,829	OtherCostOrOtherBasisAmt
Book Value	$5,191,829	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$139,652,632	OtherCostOrOtherBasisAmt
Depreciation	$80,278,884	DepreciationAmt
Book Value	$59,373,748	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,551,213	OtherCostOrOtherBasisAmt
Depreciation	$2,554,853	DepreciationAmt
Book Value	$996,360	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$75,156,053	OtherCostOrOtherBasisAmt
Depreciation	$59,575,126	DepreciationAmt
Book Value	$15,880,927	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,144,695	OtherCostOrOtherBasisAmt
Depreciation	$2,783,199	DepreciationAmt
Book Value	$1,361,496	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$82,804,360	TotalBookValueLandBuildingsAmt
Financial Derivatives		FinancialDerivativesGrp
Closely Held Equity Interests		CloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
PRIVATE EQUITY FUNDS	$16,713,202	F
INVESTMENT IN JOINT VENTURE	$1,446,459	F
FIXED INCOME SECURITIES	$30,228,962	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$48,388,623	TotalBookValueSecuritiesAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	MINIMUM PENSION LIABILITY	Desc
Amt	$21,208,153	Amt

Field	Value	IRS element (for citing)
Total Liability	$21,208,153	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$195,123,463	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$5,820,630	NetUnrealizedGainsInvstAmt
Other Revenue	$2,246,951	OtherRevenueAmt
Revenue Not Reported	$8,067,581	RevenueNotReportedAmt
Revenue Subtotal	$187,055,882	RevenueSubtotalAmt
Other Revenues Not Included	$13,303,160	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$13,303,160	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$200,359,042	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$184,898,218	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$2,246,951	OtherExpensesIncludedAmt
Expenses Not Reported	$2,246,951	ExpensesNotReportedAmt
Expenses Subtotal	$182,651,267	ExpensesSubtotalAmt
Other Expenses Not Included	$13,303,160	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$13,303,160	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$195,954,427	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4	THE HOSPITAL'S ENDOWMENT FUNDS ARE USED FOR CRITICAL CARE DEPARTMENT EDUCATION EXPENSES, AND OTHER PROGRAM SERVICE EXPENSES.
SCHEDULE D, PART XI AND XII	LINE 2D RENTAL EXPENSE $2,246,951 LINE 4B BAD DEBT EXPENSE $13,303,160
ASC 740 FOOTNOTE	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, 2019 AND JUNE 30, 2018 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.

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	300.	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	false	FPGReferenceDiscountedCareInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
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	11395	PersonsServedCnt
Total Community Benefit Expns	$6,466,063	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,466,063	NetCommunityBenefitExpnsAmt
Total Expense	0.03540	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,551,332	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,426,199	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$24,125,133	NetCommunityBenefitExpnsAmt
Total Expense	0.13210	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	11395	PersonsServedCnt
Total Community Benefit Expns	$57,017,395	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,426,199	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,591,196	NetCommunityBenefitExpnsAmt
Total Expense	0.16750	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	99622	PersonsServedCnt
Total Community Benefit Expns	$835,485	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$234,808	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$600,677	NetCommunityBenefitExpnsAmt
Total Expense	0.00330	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Persons Served	6223	PersonsServedCnt
Total Community Benefit Expns	$1,705,139	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,705,139	NetCommunityBenefitExpnsAmt
Total Expense	0.00930	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Persons Served	315	PersonsServedCnt
Total Community Benefit Expns	$701	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$701	NetCommunityBenefitExpnsAmt

Research ResearchGrp

Field	Value	IRS element (for citing)
Persons Served	256	PersonsServedCnt
Total Community Benefit Expns	$5,890	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,890	NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Persons Served	15680	PersonsServedCnt
Total Community Benefit Expns	$271,446	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$271,446	NetCommunityBenefitExpnsAmt
Total Expense	0.00150	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	122096	PersonsServedCnt
Total Community Benefit Expns	$2,818,661	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$234,808	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,583,853	NetCommunityBenefitExpnsAmt
Total Expense	0.01410	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Persons Served	133491	PersonsServedCnt
Total Community Benefit Expns	$59,836,056	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$26,661,007	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,175,049	NetCommunityBenefitExpnsAmt
Total Expense	0.18160	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Persons Served	452	PersonsServedCnt
Total Community Benefit Expns	$115	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$115	NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Persons Served	12	PersonsServedCnt
Total Community Benefit Expns	$1,059,016	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,059,016	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Persons Served	464	PersonsServedCnt
Total Community Benefit Expns	$1,059,131	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,059,131	NetCommunityBenefitExpnsAmt
Total Expense	0.00580	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$5,320,068	BadDebtExpenseAmt
Bad Debt Expense Attributable	$532,007	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$35,096,329	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$38,176,019	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$3,079,690	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	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Primary Activities	ONCOLOGY CENTER	PrimaryActivitiesTxt
Org Profit Or Ownership	0.508	OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership	0.0957	OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership	0.1008	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.MGH.NET	WebsiteAddressTxt
State License	17-005011-1	StateLicenseNum
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	18	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.MGH.NET	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	SEE DISCLOSURE	OtherWebsiteURLTxt
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
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	300.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	0.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
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.MGH.NET	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.MGH.NET	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.MGH.NET	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	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 SUCCESS 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 7D MGH POSTS THE FINAL REPORTS ON A COMMUNITY BASED WEBSITE, AND PROVIDES A LINK TO THE CHNA REPORTS ON THE MGH SITE. HTTP://WWW.MGH.NET/FOR-THE-COMMUNITY OR DIRECTLY TO HTTP://WWW.MGH.NET/DOCUMENTS/CHP-SUMMARY_2019-.PDF THE LINK IS ALSO AVAILABLE AT: HTTPS://HEALTHYGRANTCOUNTY.NET/IMAGES/PDFS/CHP-SUMMARY.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 11	MGH CONVENED SEVERAL OPEN COMMUNITY MEETINGS TO DISCUSS THE 2019 COMMUNITY HEALTH PROFILE (CHP IS OUR NAMED CHNA) RESULTS TO DETERMINE A CONSENSUS REGARDING THE TOP SIGNIFICANT COMMUNITY NEEDS AND BRAINSTORM IMPLEMENTATION PLAN OPTIONS. A PRIVATE STATISTICIAN COMPLETED OUR COMPREHENSIVE ANALYSIS AND DEVELOPED AN EXECUTIVE SUMMARY, WHICH DROVE THE DISCUSSIONS IN THE COMMUNITY OF AREAS OF PRIORITY TO ADDRESS. THE HEALTH AREAS OF LUNG DISEASE, TOBACCO/NICOTINE USE, HEART DISEASE, DIABETES, UNHEALTHY WEIGHT, SUBSTANCE USE DISORDER, AND LATE DIAGNOSES OF DISEASE STATES SURFACED AS PRESSING ISSUES. WHILE REVIEWING ADDITIONAL DATA INCLUDING COUNTY HEALTH RANKINGS AND INPUT FROM HEALTHCARE ORGANIZATIONS, EMPLOYERS, SCHOOLS, AND CHURCHES; IT WAS DETERMINED THAT WE WOULD CONTINUE OUR CEASE DIABETES INITIATIVE, CEASE LUNG DISEASE AND CEASE SUBSTANCE ABUSE. WE ALSO CONTINUED OUR INCREASE HEALTHY EATING AND INCREASE HEALTH SCREENINGS FOR PRIMARY CHRONIC DISEASE FOCUS IN OUR COMMUNITY ADDING INCREASE HEART HEALTH. THE ONLY OTHER SIGNIFICANT NEED IDENTIFIED IN OUR CHNA IS THE LACK OF RESOURCES AND SERVICES FOR THOSE WITH MENTAL HEALTH CONCERNS. MGH HAS CONVENED A NEW CONSORTIUM TO FACILITATE ADDING SERVICES AND MAKING SERVICES MORE WIDELY AVAILABLE. MGH POSTS THE FINAL REPORTS ON A COMMUNITY BASED WEBSITE AND PROVIDES A LINK TO THE CHNA REPORTS ON THE MGH SITE. IN THE ABOUT US TAB ON THE HOME PAGE OF THE MGH WEBSITE IS THE LINK WWW.MGH.NET/DOCUMENTS/CHP-SUMMARY_2019-.PDF OR DIRECTLY TO WWW.HEALTHYGRANTCOUNTY.NET/HEALTH-ASSESSMENTS/COMMUNITY-HEALTH-PROFILE.HTM L MGH PRESEN TED AT 15+ COMMUNITY MEETINGS AND AREA GATHERINGS THE COMMUNITY HEALTH PROFILE FINDINGS. ALL THE COMMUNITY PARTNERS RECEIVE ACCESS TO THE FINAL REPORT. CEASE DIABETES: THE CONTINUING NEEDS FOR DIABETES MAN AGEMENT WERE ADDRESSED IN ALL DISCUSSION GROUPS INCLUDING CO-MORBIDITIES, WHICH IMPACT OTHER CHRONIC DISEASES AFFECTING OUR POPULATION. DIABETES LENDS THE GREATEST FINANCIAL BURDEN, ALONG WITH DOCUMENTED EMOTIONAL, SOCIAL AND PHYSICAL COSTS IMPACTING NUMEROUS INDIVIDUALS AND FAMILIES IN THE COMMUNITY. DIABETES HAS BEEN ON OUR IMPLEMENTATION PLAN FOR TWO PREVIOUS CHNA CYCLES, AND WE HAVE DOCUMENTATION OF IMPROVEMENT OF HGA1C, DILATED EYE EXAMS, PROVIDER FOOT EXAMS, AND PARTICIPATION IN FORMAL DIABETIC EDUCATION. THESE RESULTS OCCURRED BECAUSE MEMBERS OF OUR HEALTHCARE TEAM WITHIN THE HOSPITAL INPATIENT SETTING, PRIMARY CARE OFFICES, THE OUTPATIENT SETTING, AND COMMUNITY INITIATIVES WERE ADDRESSING THE ISSUES AND STANDARDS OF CARE FOR DIABETES. CEASE LUNG DISEASE: THIS INITIATIVE WAS DESIGNED TO ADDRESS INCREASING STATISTICS RELATED TO LUNG CANCER AND POORLY CONTROLLED 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 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. CEASE SUBSTANCE ABUSE: MGH, AS THE LEADER OF THE CORE (COMMUNITY OPIOID RESPONSE ENDEAVOR) CONSORTIUM, HAS LAUNCHED A PEER SUPPORT SPECIALIST AND COMMUNITY HEALTH WORKER PROGRAM TO SUPPORT INDIVIDUALS AND FAMILIES WHO ACCESS HOSPITAL SERVICES WITH A SUBSTANCE USE DISORDER (INCLUDES ALCOHOL). THE PEER SUPPORT SPECIALISTS ARE WORKING WITH ADDITIONAL PARTNERS IN THE PROBLEM-SOLVING COURTS AND GRANT BLACKFORD MENTAL HEALTH CENTER. OTHER AREAS ADDRESSED INCLUDE STIGMA REDUCTION, HARM REDUCTION, WRAP-AROUND SERVICES, AND PRO-SOCIAL FAMILY ACTIVITIES SPONSORED BY THE FAITH COMMUNITY. IN 2019, WE BEGAN PROVIDING A FULL DAY OF LEARNING AND EXPERIENCE TO BETTER PREPARE OUR COMMUNITY IN UNDERSTANDING THE DAY IN THE LIFE OF A PERSON WITH SUBSTANCE USE DISORDER AND/OR MENTAL HEALTH ISSUES. OVER 100 INDIVIDUALS HAVE PARTICIPATED IN ONE OF THESE EVENTS. INCREASE HEALTHY EATING: ADEQUATE NUTRITION CONTRIBUTES TO THE SUCCESS OF THE CEASE DIABETES INITIATIVES, CHRONIC DISEASE ISSUES WITH CORONARY ARTERY DISEASE (SUPPORTING OUR HEALTHY HEART INITIATIVE), AND MANY OTHER COMORBIDITIES AS WELL AS THE OVERALL HEALTH OF THE ENTIRE COMMUNITY. MGH ALONG WITH OTHER COMMUNITY PARTNERS ARE EXPLORING ADDITIONAL RESOURCES FOR FRESH VEGETABLES AND FRUITS AND THERAPEUTIC DIETS. INCREASE HEALTH SCREENINGS: EARLY DETECTION OF RISK FACTORS AND MANAGEMENT OF DISEASE ADDS TO THE LONGEVITY AND QUALITY OF LIFE FOR GRANT COUNTY RESIDENTS. THE GOAL IS TO INCREASE AWARENESS THROUGH EDUCATION ABOUT THE BENEFITS AND AVAILABILITY OF HEALTH SCREENINGS. OUR SCREENINGS INCLUDE FREE OR VERY LOW-COST OSTEOPOROSIS, LUNG, COLON, PROSTATE, BREAST, KIDNEY, LIVER, THYROID, DIABETES, RESPIRATORY, HEART, CARDIOVASCULAR, BLOOD, AND BLOOD PRESSURE. THESE ARE PROVIDED IN MULTIPLE COMMUNITY LOCATIONS INCLUDING EMPLOYERS, SCHOOLS, CHURCHES, AND FAIRS/EVENTS. INCREASE HEART HEALTH: CARDIOVASCULAR AND HEART FAILURE EFFECT MANY INDIVIDUALS IN GRANT COUNTY. THE HIGH INCIDENCE OF DIABETES, SMOKING RATES, FOOD INSECURITIES AND LOW LEVELS OF PHYSICAL ACTIVITY COMPOUND EFFORTS FOR INCREASE HEART HEALTH. MGH, IN PARTNERSHIP WITH PURDUE UNIVERSITY, IS DOING A QUALITY IMPROVEMENT INITIATIVE FOR THE CARDIAC SERVICE LINE, WHICH WILL INCLUDE INPATIENT, HEART FAILURE CLINIC, PRIMARY CARE, POST-ACUTE CARE AND LONG-TERM CARE. THIS PROGRAM HAS ADDED A COMMUNITY HEALTH WORKER TO PROVIDE HOME AND FACILITY VISITS WITH TELEMONITORING. COMMUNITY PARTNERS ARE WORKING TOGETHER TO INCREASE EXERCISE, AND ADD HEALTHY FOOD ACCESS.

Field	Value	IRS element (for citing)
Facility	27	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (27 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
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 DIAGNOSTICS-UPLAND
1809 S MAIN STREET	UPLAND	IN	46989	LAB, RADIOLOGY, PHYSICAL medicine
UPLAND HEALTH AND DIAGNOSTICS
1809 S MAIN STREET	UPLAND	IN	46989	PHYSICIAN PRACTICE OFFICE
MGH EXPRESS
1130 N BALDWIN AVENUE	MARION	IN	46952	URGENT CARE

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	MGH PROVIDED FREE CARE UP TO 300% OF FPL AND ELIMINATED 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 II MGH 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. MGH IS THE ONLY NON-GOVERNMENT HOSPITAL IN OUR COUNTY. THE NEED FOR RECRUITING AND RETAINING PROVIDERS PRESENTS SIGNIFICANT CHALLENGES FOR A SMALL RURAL AREA. REPRESENTATIVES FROM MGH SERVE ON THE INDIANA WESLEYAN UNIVERSITY (IWU) COMMUNITY ADVISORY BOARD AND HAVE BEEN INSTRUMENTAL IN WORKING WITH IWU TO CREATE GRADUATE EDUCATION PROGRAMS THAT MEET COMMUNITY PROVIDER NEEDS. MGH IS THE LARGEST SUPPORTER OF OUR COUNTY'S FREE HEALTH AND DENTAL CLINIC, BRIDGES TO HEALTH. THE HOSPITAL IS THE LARGEST DONOR FOR IN-KIND AND MONETARY GIFTS TO LOCAL NOT-FOR-PROFIT ORGANIZATIONS WHICH ASSISTS IN THEIR MISSIONS TO IMPROVE 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 14 OF THE ATTACHED FINANCIAL STATEMENTS, UNDER THE HEADING ASU 2014-09 AND TOPIC 606, AND PAGE 16 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	NEEDS ASSESSMENT MGH AND OUR COMMUNITY PARTNERS ARE CONTINUOUSLY MONITORING HEATH DATA IN ADDITION TO A COUNTY-WIDE COMMUNITY HEALTH PROFILE (CHNA) EVERY THREE YEARS. INFORMATION AND DATA FROM VARIOUS ORGANIZATIONS INCLUDING THE GRANT COUNTY HEALTH DEPARTMENT, THE INDIANA STATE DEPARTMENT OF HEALTH, THE CDC, AND COUNTY HEALTH RANKINGS ARE REVIEWED AND UTILIZED IN ORDER ADD A COMPREHENSIVE PICTURE OF THE HEALTH OF GRANT COUNTY. OUR PARTNERS, INDIANA WESLEYAN AND TAYLOR UNIVERSITIES, THRIVING FAMILIES OF GRANT COUNTY, AND THE COMMUNITY FOUNDATION CONDUCT FOCUS GROUPS AND COMMUNITY CONVERSATIONS PERIODICALLY TO ADD INFORMATION TO OUR ONGOING NEEDS ASSESSMENT PROCESSES. 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.
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	MGH IS THE ONLY NON-GOVERNMENT ACUTE CARE HOSPITAL IN RURAL GRANT COUNTY, OUR PRIMARY GEOGRAPHIC LOCATION. GRANT COUNTY DEMOGRAPHICS ARE AS FOLLOWS: WHITE 88.7%, BLACK/AFRICAN AMERICAN 7.3%, MULTI-RACIAL 2.6%, ASIAN 1.0%, HISPANIC/LATINO 4.4%. MEDIUM INCOME IS $42,593, INCOME POPULATION 65,936, AND 10.5% ARE WITHOUT HEALTH INSURANCE (CENSUS.GOV/QUICKFACTS2018). THE COMMUNITY HEALTH PROFILE (CHNA EVERY 3 YEARS) IS DESIGNED TO GATHER INFORMATION FROM ALL TOWNSHIPS AND PEOPLE GROUPS.
SCHEDULE H, PART VI, LINE 5	EMPHASIS ON COMMUNITY HEALTH AT MGH IS A GUIDING PRINCIPLE. STAFF AND ADMINISTRATION MAKE A CONCENTRATED EFFORT TO MEET INDIVIDUAL PATIENT AND FAMILY NEEDS THROUGHOUT THE COUNTY. WE HAVE RECENTLY ADDRESSED THE NEED TO ACCESS LOCATIONS IN MULTIPLE AREAS OF THE COUNTY WITH PRIMARY CARE PROVIDERS. MGH HAS DEVELOPED A PRACTITIONER REFERRAL LINE, CALLED MGH ACCESS, SO THAT PEOPLE CAN BE SEEN BY A PRIMARY CARE PROVIDER QUICKLY. A SUBSTANTIAL AMOUNT OF TIME, EFFORT AND RESOURCES ARE USED TO RECRUIT THE NEEDED PHYSICIANS AND SERVICE TO OUR RURAL AREA. MANY STAFF AND LEADERS AT MGH SERVE ON COUNTLESS BOARDS ACROSS THE COUNTY TO EXTEND MGH'S MISSION OF TRANSFORMING THE HEALTH OF OUR COMMUNITY. MGH COMMUNITY OUTREACH OFFERS LUNCH AND LEARNS FOR AREA PROVIDER OFFICES, NOT-FOR-PROFIT ORGANIZATIONS, SCHOOL NURSES, AND AREA SOCIAL WORKERS. MGH HAS A LOAN FORGIVENESS AND WORK PROGRAM FOR STUDENTS CHOOSING NURSING AND SEVERAL OTHER ALLIED HEALTH FIELDS THAT ASSISTS GREATLY WITH RECRUITMENT AND RETENTION OF STAFF. MGH ENGAGES WITH MANY AREA COLLEGES AND UNIVERSITIES WITH A ROBUST PROGRAM FOR STUDENT ROTATIONS AND PRACTICUMS IN MANY AREAS OF HEALTH CARE. MGH SERVES AS A RESOURCE FOR NEEDS ASSESSMENT, EDUCATION, AND GRANT OPPORTUNITIES. MGH HOSTS AN ANNUAL HEALTH EXPO WHICH HAS BEEN HIGHLY ATTENDED, OFFERING HEALTH EDUCATION, DEMONSTRATIONS, AND LOW-COST FREE SCREENINGS. SUBSTANCE ABUSE HAS BEEN IDENTIFIED THE PAST TWO CHNAS WITH INCREASED SERVICES AND RESOURCES NEEDED FOR MENTAL HEALTH, SUBSTANCE USE DISORDER AND PRESCRIPTION DRUG ABUSE, WHICH HAS ALSO BEEN CONFIRMED BY OUR LAW ENFORCEMENT DATA. MGH HAS CONTINUED TO CONVENE THE GRANT COUNTY SUBSTANCE ABUSE TASK FORCE, WITH OUR IMPLEMENTATION STRATEGY TO TACKLE OPIOID AND HEROIN ABUSE, CEASE SUBSTANCE ABUSE. MGH HAS PROVIDED THE RESOURCES AND STAFF TO CONTINUE TO DEVELOP AND CREATE ACTIONS PLANS FOR THE TASK FORCE, WHICH NOW HAS SIX SUB-COMMITTEES. MGH IS WORKING WITH THE GRANT BLACKFORD MENTAL HEALTH CENTER AND SUBSTANCE ABUSE PROVIDER, THE GRANT COUNTY PROBLEM SOLVING COURTS, AND THE SHERIFF'S DEPARTMENT ON A MEDICATION-ASSISTED TREATMENT PROGRAM AND ON A NEW NETWORK THROUGH HRSA IMPLEMENTATION GRANT TO FOLLOW THROUGH ON OUR STRATEGIC PLAN TO ADDRESS THE NEEDS OF SUBSTANCE ABUSE AND MENTAL HEALTH ISSUES SPECIFIC TO OUR RURAL COMMUNITY. THIS PLAN INCLUDES THE PEER SUPPORT SPECIALISTS AND THE COMMUNITY HEALTH WORKER PROGRAM OFFERING SUD AND BEHAVIORAL HEALTH INTERVENTIONS LAUNCHING IN EARLY FY 2020. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
BRIDGES TO HEALTH INC
1251 W KEM ROAD	MARION	IN	46952	205405181	501(C)(3)	$120,000	DONATION
YMCA OF GRANT COUNTY INC
456 SUTTER WAY	MARION	IN	46952	350886981	501(C)(3)	$15,450	DONATION
CANCER SERVICES OF GRANT COUNTY
305 S NORTON AVENUE	MARION	IN	46952	351058216	501(C)(3)	$14,800	DONATION
UNITED WAY OF GRANT COUNTY
PO BOX 61	MARION	IN	46952	350995975	501(C)(3)	$14,389	DONATION
COMMUNITY FOUNDATION OF GRANT COUNTY
505 WEST THIRD STREET	MARION	IN	46952	311117791	501(C)(3)	$9,675	DONATION
INDIANA WESLEYAN UNIVERSITY
4201 S WASHINGTON	MARION	IN	46953	350885591	501(C)(3)	$9,500	DONATION
FAMILY SERVICE SOCIETY INC
101 S WASHINGTON SUITE 200	MARION	IN	46952	350868083	501(C)(3)	$5,570	DONATION
MARION GRANT COUNTY CHAMBER OF COMMERCE
217 S ADAMS	MARION	IN	46952	350350890	501(C)(6)	$5,150	DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	7	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE I, PART I, LINE 2	FormAndLineReferenceDesc
Explanation	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.	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 (14 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
STEPHANIE A HILTON-SIEBERT
PRESIDENT/CEO	$456,632	$0	$145,114	$0	$75,541	$0	$8,250	$0	$22,580	$0	$708,117	$0
JEFFREY A WAKEFIELD
CFO	$221,592	$0	$59,985	$0	$552	$0	$8,250	$0	$35,607	$0	$325,986	$0
DON J TRICARICO JR
CAO (LEFT 1/2019)	$241,962	$0	$0	$0	$1,523	$0	$7,230	$0	$1,736	$0	$252,451	$0
CYNTHIA D FUTRELL
CNO	$158,732	$0	$32,665	$0	$6,282	$0	$5,990	$0	$30,555	$0	$234,224	$0
KAREN J JACOBS DO
PHYSICIAN/BOARD MEMBER	$383,148	$0	$64,116	$0	$41,515	$0	$8,250	$0	$20,414	$0	$517,443	$0
SHANKARAN SRIKANTH MD
PHYSICIAN/VC OF MEDICAL STAFF	$394,961	$0	$54,279	$0	$25,581	$0	$8,250	$0	$34,753	$0	$517,824	$0
JAMES M ORRELL MD
PHYSICIAN/CHIEF OF MED. STAFF	$261,250	$0	$94,279	$0	$36,676	$0	$8,250	$0	$34,962	$0	$435,417	$0
JEFFREY W BRAGG DO
PHYSICIAN/BOARD MEMBER	$222,741	$0	$25,404	$0	$26,659	$0	$7,570	$0	$23,901	$0	$306,275	$0
MARTIN W PRUSS MD
PHYSICIAN/BOARD MEMBER	$199,081	$0	$0	$0	$28,714	$0	$0	$0	$0	$0	$227,795	$0
EDMOND ANDRE BENDALY MD
PHYSICIAN	$507,059	$0	$303,684	$0	$23,000	$0	$8,250	$0	$0	$0	$841,993	$0
EMILY T BARRIDO-KABIGTING MD
PHYSICIAN	$326,680	$0	$148,368	$0	$22,418	$0	$8,250	$0	$25,403	$0	$531,119	$0
KAVITA RAJ DO
PHYSICIAN	$294,247	$0	$311,764	$0	$27,983	$0	$8,250	$0	$33,049	$0	$675,293	$0
RATHI P MAHENDRAN MD
PHYSICIAN	$512,426	$0	$0	$0	$0	$0	$8,250	$0	$10,804	$0	$531,480	$0
VAHID-DAVID SEDAGHAT MD
PHYSICIAN	$476,360	$0	$34,892	$0	$22,800	$0	$8,250	$0	$34,753	$0	$577,055	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY
A	351602316	45471A4A3	2012-04-26	$36,248,711	NEW MONEY AND CURRENT REFUNDING	false	false	false
INDIANA FINANCE AUTHORITY
B	351602316		2015-07-07	$33,000,000	NEW MONEY AND CURRENT REFUNDING	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 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	$3,740,000	$0	$36,255,573	$0	$0	$0	$545,890	$0	$0	$8,086,862	$27,622,821	$0	2016	Yes (true)	false	Yes (true)	Yes (true)
B	$3,995,000	$0	$33,197,596	$0	$0	$0	$333,500	$0	$0	$15,549,096	$17,315,000	$0	2019	Yes (true)	false	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	false	0	false	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 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	Business Name Line1GICProviderName/BusinessNameLine1Txt	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
A	false	false	false	Yes (true)	false	false	false	0	Yes (true)	Yes (true)
0
B	false	false	false	Yes (true)	Yes (true)	false	false	0	Yes (true)	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

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

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II LINE 3	TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2012 BONDS - $ 6,862 2015 BONDS - $197,596
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 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 2012 BONDS WERE PERFORMED ON 03/15/2017. THE REBATE COMPUTATION FOR THE 2015 BONDS WERE PERFORMED ON 07/01/2019.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (8 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
JEFFREY W BRAGG DO
EMPLOYED	RECRUITMENT	Yes (X)	$25,000	$5,000	false	Yes (true)	Yes (true)
KAREN J JACOBS DO
EMPLOYED	RECRUITMENT	Yes (X)	$110,000	$45,500	false	Yes (true)	Yes (true)
JAMES M ORRELL MD
EMPLOYED	RECRUITMENT	Yes (X)	$25,000	$5,000	false	Yes (true)	Yes (true)
MARTIN W PRUSS MD
EMPLOYED	RECRUITMENT	Yes (X)	$60,000	$2,250	false	Yes (true)	Yes (true)
DOUGLAS A REX DO
EMPLOYED	RECRUITMENT	Yes (X)	$120,000	$41,290	false	Yes (true)	Yes (true)
SHANKARAN SRIKANTH MD
EMPLOYED	RECRUITMENT	Yes (X)	$25,000	$12,500	false	Yes (true)	Yes (true)
KAVITA RAJ DO
EMPLOYED	RECRUITMENT	Yes (X)	$65,000	$48,750	false	Yes (true)	Yes (true)
V-DAVID SEDAGHAT MD
EMPLOYED	RECRUITMENT	Yes (X)	$40,000	$22,000	false	Yes (true)	Yes (true)

Field	Value	IRS element (for citing)
Total Balance Due	$182,290	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	IMG INSURANCE	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	SEE COMMENT	RelationshipDescriptionTxt
Transaction	$356,776	TransactionAmt
Transaction	SEE COMMENT	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART IV	FormAndLineReferenceDesc
Explanation	The son of Tim Dailey, MGH board member, owns >35% of IMG Insurance, a company which conducts business with MGH.	ExplanationTxt

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp

Real Estate Commercial RealEstateCommercialGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	1	ContributionCnt
Noncash Contributions Rpt F990	$1,095,000	NoncashContributionsRptF990Amt
Method Of Determining Revenues	APPRAISED VALUE	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp
Drugs And Medical Supplies		DrugsAndMedicalSuppliesGrp
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1B	STEPHANIE HILTON-SIEBERT, DR. SHANKARAN SRIKANTH, DR. KAREN JACOBS, DR. JAMES ORRELL AND DR. JEFFREY BRAGG ARE COMPENSATED AS EMPLOYEES OF THE ORGANIZATION. DR. M. NABI SHARIF AND MARTIN PRUSS ARE COMPENSATED AS AN INDEPENDENT CONTRACTORS. AS A RESULT, ALL THE ABOVE INDIVIDUALS ARE CONSIDERED NON-INDEPENDENT BOARD MEMBERS. IN ADDITION, DR. JACOBS, DR. ORRELL, DR. PRUSS, DR. BRAGG AND 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 ADMINISTRATIVE DIRECTOR OF FINANCE, 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 2019, 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 RELATED CHANGES $(162,181)
PROGRAM SERVICES ACCOMPLISHMENTS	Part III, Line 4d Marion General Hospital is a not-for-profit, 99-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 emergency 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.

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	12A	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

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	831 N THEATRE DRIVE	AddressLine1Txt
City	MARION	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46952	ZIPCd

Field	Value	IRS element (for citing)
EIN	320061469	EIN
Primary Activities	ONCOLOGY CENTER	PrimaryActivitiesTxt
Legal Domicile State	IN	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Predominant Income Type	RELATED	PredominantIncomeTypeTxt
Share Of Total Income	$177,100	ShareOfTotalIncomeAmt
Share Of EOY Assets	$1,603,184	ShareOfEOYAssetsAmt
Disproportionate Allocations	false	DisproportionateAllocationsInd
General Or Managing Partner	false	GeneralOrManagingPartnerInd
Ownership	0.50804	OwnershipPct

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	Yes (true)	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 (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
PROGRESSIVE CANCER CARE LLC
F	$254,892	FMV
PROGRESSIVE CANCER CARE LLC
K	$216,505	FMV
PROGRESSIVE CANCER CARE LLC
P	$133,038	FMV