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MARION GENERAL HOSPITAL: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization
MARION GENERAL HOSPITAL (EIN 35-0868130)
Tax period
2014-07-01 to 2015-06-30
Filed
2016-05-09
IRS object ID
201631309349300403
Schema version
2014v6.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-05-09T06:59:55-05:00ReturnTs
Tax Period End2015-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 E Main St Suite 700AddressLine1Txt
CityFort WayneCityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2014-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN350868130EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARION GENERAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARION GENERAL HOSPITAL INCInCareOfNm
Business Name ControlMARIBusinessNameControlTxt
Phone7656607000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1Txt
CityMARIONCityNm
State AbbreviationINStateAbbreviationCd
ZIP469522690ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL L USHERPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone7656607003PhoneNum
Signature2016-05-16SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoyce A DulworthPreparerPersonNm
PTINP00151125PTIN
Phone2604604000PhoneNum
FieldValueIRS element (for citing)
Tax2014TaxYr
Build TS2016-08-17 19:52:53ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPAUL L USHERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1Txt
CityMARIONCityNm
State AbbreviationINStateAbbreviationCd
ZIP46952ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$276,122,515GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MGH.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1910FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPROVIDES 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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee1358TotalEmployeeCnt
Total Volunteers126TotalVolunteersCnt
Total Gross UBI$65,496TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$5,142NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$118,717PYContributionsGrantsAmt
CY Contributions Grants$97,173CYContributionsGrantsAmt
PY Program Service Revenue$165,013,694PYProgramServiceRevenueAmt
CY Program Service Revenue$172,339,279CYProgramServiceRevenueAmt
PY Investment Income$10,940,911PYInvestmentIncomeAmt
CY Investment Income$6,889,185CYInvestmentIncomeAmt
PY Other Revenue-$1,404,054PYOtherRevenueAmt
CY Other Revenue-$1,492,046CYOtherRevenueAmt
PY Total Revenue$174,669,268PYTotalRevenueAmt
CY Total Revenue$177,833,591CYTotalRevenueAmt
PY Grants And Similar Paid$140,300PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$272,224CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$64,759,455PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$65,219,098CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$96,687,510PYOtherExpensesAmt
CY Other Expenses$96,848,578CYOtherExpensesAmt
PY Total Expenses$161,587,265PYTotalExpensesAmt
CY Total Expenses$162,339,900CYTotalExpensesAmt
PY Revenues Less Expenses$13,082,003PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$15,493,691CYRevenuesLessExpensesAmt
Total Assets BOY$321,401,188TotalAssetsBOYAmt
Total Assets EOY$333,906,652TotalAssetsEOYAmt
Total Liabilities BOY$86,648,462TotalLiabilitiesBOYAmt
Total Liabilities EOY$98,959,261TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$234,752,726NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$234,947,391NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMARION 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$53,133,522ExpenseAmt
Revenue$41,796,761RevenueAmt
DescINPATIENT SERVICES - MARION GENERAL HOSPITAL (MGH) OPERATES A 97-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 4,998 INPATIENT ADULT AND PEDIATRIC PAITENTS, AND PROVIDED 18,294 INPATIENT ADULT AND PEDIATRIC PATIENT CARE DAYS DURING THE YEAR ENDED JUNE 30, 2015. DURING THE SAME TIME PERIOD, MGH ALSO DISCHARGED 290 AND PROVIDED 3,240 PATIENT CARE DAYS FOR PATIENTS IN THE ACUTE REHAB UNIT. THERE WERE 646 DELIVERIES PERFORMED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,399,327ExpenseAmt
Revenue$20,781,081RevenueAmt
DescEMERGENCY ROOM SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL OPERATES ONE OF THE BUSIEST 24-HOUR EMERGENCY ROOMS IN THE STATE. THERE WERE 39,445 OUTPATIENT VISITS DURING THE YEAR ENDED JUNE 30, 2015. THERE WERE ALSO AN ADDITIONAL 3,811 ER PATIENTS THAT WERE ULTIMATELY ADMITTED AS AN INPATIENT TO THE HOSPITAL, FOR A TOTAL OF 43,256 VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$11,540,215ExpenseAmt
Revenue$22,306,734RevenueAmt
DescRADIOLOGY SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL (MGH) HAS TWO STATE-OF-THE-ART FACILITIES THAT FEATURE THE LATEST IN TECHNOLOGY. THE RADIOLOGY DEPARTMENT FEATURES THE STATE'S ONLY LOW DOSE FULL-FIELD DIGITAL MAMMOGRAPHY, AND ALSO OFFERS PATIENTS A 64 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, AND 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 80,422 OUTPATIENT RADIOLOGY PROCEDURES DURING THE YEAR ENDED JUNE 30, 2015.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$76,318,795$272,224$87,440,498SEE SCHEDULE O DISCLOSURE FOR:
PROGRAM SERVICE ACCOMPLISHMENTS,
PART III, LINE 4D
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$76,318,795TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$272,224TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$87,440,498TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$150,391,859TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsYes (true)InvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document112IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1358EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARION GENERAL HOSPITAL INCPersonNm
Phone7656607000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1Txt
CityMARIONCityNm
State AbbreviationINStateAbbreviationCd
ZIP469522690ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
PAUL L USHER
PRESIDENT/CEO50.00.0Yes (X)Yes (X)$467,149$0$28,466
KRISTINE A HESS MD
CHIEF OF MEDICAL STAFF40.00.0Yes (X)$9,130$0$0
KAREN J JACOBS DO
MEMBER40.00.0Yes (X)$44,402$0$0
M NABI SHARIF MD
MEMBER40.00.0Yes (X)$94,792$0$0
KAVITA RAJ DO
SECRETARY OF MEDICAL STAFF40.00.0Yes (X)$472,175$0$35,137
SHANKARAN SRIKANTH MD
BOARD MEMBER/PHYSICIAN40.00.0Yes (X)$388,807$0$36,352
JAMES M ORRELL MD
V.C. OF MEDICAL STAFF40.00.0Yes (X)$338,801$0$33,192
JEFFREY W BRAGG DO
BOARD MEMBER/PHYSICIAN40.00.0Yes (X)$265,925$0$31,217
JEROME T HOLDEREAD
BOARD CHAIR2.00.0Yes (X)$0$0$0
JAMES M GARTLAND JR
MEMBER2.00.0Yes (X)$0$0$0
TIMOTHY J DAILEY
BOARD SECRETARY2.00.0Yes (X)$0$0$0
STEVEN E BERRY
MEMBER2.00.0Yes (X)$0$0$0
BARBARA IHRKE
VICE CHAIR2.00.0Yes (X)$0$0$0
MICHAEL J O'BRIEN
BOARD TREASURER2.00.0Yes (X)$0$0$0
STEPHEN H WICKES
MEMBER2.00.0Yes (X)$0$0$0
BERNADINE L WALLACE
CNO50.00.0Yes (X)$248,967$0$27,989
ROBYN L POWELL
CFO50.00.0Yes (X)$315,480$0$17,050
TAMY E PERNG
PHYSICIAN40.00.0$622,218$0$16,764Yes (X)
ARNDT E MUELLER
PHYSICIAN40.00.0$616,082$0$15,211Yes (X)
SHAWN T SWAN
PHYSICIAN40.00.0$615,883$0$36,137Yes (X)
JEREMY R WILSON
PHYSICIAN40.00.0$544,416$0$35,306Yes (X)
EDWARD L KEPPLER
PHYSICIAN40.00.0$522,707$0$24,787Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,566,934TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$337,608TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K67IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BOWMAN CONSTRUCTION
1837 BRANSON STREETMARIONIN46952GENERAL CONTRACTING$5,432,074
NAVIGANT CONSULTING INC
4511 PAYSPHERE CIRCLECHICAGOIL60674CONSULTING$1,105,166
SOUTH BEND MEDICAL FOUNDATION
530 N LAFAYETTE BLVDSOUTH BENDIN46601OUTSIDE LAB SERVICE$1,011,306
MEDICAL INFORMATION TECHNOLOGY
MEDITECH CIRCLEWESTWOODMA02090COMPUTER CONSULTING$762,420
REHABCARE
680 S FOURTH STREETLOUISVILLEKY40202OUTSIDE MGMT SERVICE$569,028
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K36CntrctRcvdGreaterThan100KCnt
Government Grants$85,309GovernmentGrantsAmt
All Other Contributions$11,864AllOtherContributionsAmt
Total Contributions$97,173TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE900099$170,063,566$170,063,566
AUXILIARY900099$43,433$43,433
AMBULANCE ASSISTS900099$79,036$79,036
MEALS ON WHEELS900099$38,636$38,636
VHA DIVIDEND900099$111,627$111,627

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,002,981TotalRevenueColumnAmt
Related Or Exempt Func Income$2,002,981RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$172,339,279TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,039,394TotalRevenueColumnAmt
Exclusion$8,039,394ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,190,926RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,754,322RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$1,563,396RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,563,396TotalRevenueColumnAmt
Exclusion-$1,563,396ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$94,382,502SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$95,518,506SecuritiesAmt
Other$14,205OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,136,004SecuritiesAmt
Other-$14,205OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,150,209TotalRevenueColumnAmt
Related Or Exempt Func Income-$14,205RelatedOrExemptFuncIncomeAmt
Exclusion-$1,136,004ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$7,745FundraisingGrossIncomeAmt
Fundraising Direct Expenses$1,891FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,854TotalRevenueColumnAmt
Exclusion$5,854ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescBILLING SERVICESDesc
Business541900BusinessCd
Total Revenue Column$65,496TotalRevenueColumnAmt
Unrelated Business Revenue$65,496UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$65,496OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$177,833,591TotalRevenueColumnAmt
Related Or Exempt Func Income$172,325,074RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$65,496UnrelatedBusinessRevenueAmt
Exclusion$5,345,848ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$272,224TotalAmt
Program Services$272,224ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,105,101TotalAmt
Program Services$387,194ProgramServicesAmt
Management And General$717,907ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$46,684TotalAmt
Program Services$46,684ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$48,205,536TotalAmt
Program Services$42,092,361ProgramServicesAmt
Management And General$6,113,175ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$2,796,862TotalAmt
Program Services$2,387,533ProgramServicesAmt
Management And General$409,329ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,019,947TotalAmt
Program Services$7,699,849ProgramServicesAmt
Management And General$1,320,098ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,044,968TotalAmt
Program Services$3,452,974ProgramServicesAmt
Management And General$591,994ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$482,095TotalAmt
Management And General$482,095ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$153,085TotalAmt
Management And General$153,085ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$6,253,587TotalAmt
Program Services$6,253,587ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$339,909TotalAmt
Program Services$339,909ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,579,335TotalAmt
Program Services$6,250,368ProgramServicesAmt
Management And General$328,967ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,050,064TotalAmt
Program Services$3,050,064ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,362,859TotalAmt
Program Services$3,926,573ProgramServicesAmt
Management And General$436,286ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$263,937TotalAmt
Program Services$211,150ProgramServicesAmt
Management And General$52,787ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$76,415TotalAmt
Program Services$61,132ProgramServicesAmt
Management And General$15,283ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,314,701TotalAmt
Program Services$1,314,701ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,558,006TotalAmt
Program Services$8,602,205ProgramServicesAmt
Management And General$955,801ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,005,886TotalAmt
Program Services$817,638ProgramServicesAmt
Management And General$188,248ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES/DRUGS$18,256,390$18,256,390
PROVISION FOR BAD DEBTS$13,551,593$13,551,593
PHYSICIAN SERVICES$17,772,413$17,772,413
PURCHASED SERVICES$11,448,550$11,448,550

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,379,753TotalAmt
Program Services$2,196,767ProgramServicesAmt
Management And General$182,986ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$162,339,900TotalAmt
Program Services$150,391,859ProgramServicesAmt
Management And General$11,948,041ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,870BOYAmt
EOY$3,720EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$34,667,168BOYAmt
EOY$33,965,165EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$19,003,980BOYAmt
EOY$18,629,434EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$378,284BOYAmt
EOY$278,836EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,670,157BOYAmt
EOY$3,560,988EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,696,833BOYAmt
EOY$1,716,593EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,431,172BOYAmt
EOY$1,969,468EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$200,666,643LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$123,052,155LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$76,923,925BOYAmt
EOY$77,614,488EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$168,122,276BOYAmt
EOY$174,343,568EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,008,690BOYAmt
EOY$10,526,222EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,399,275BOYAmt
EOY$2,136,418EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,095,558BOYAmt
EOY$9,161,752EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$321,401,188BOYAmt
EOY$333,906,652EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,172,639BOYAmt
EOY$18,118,434EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$54,933,359BOYAmt
EOY$53,328,070EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,542,464BOYAmt
EOY$27,512,757EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$86,648,462BOYAmt
EOY$98,959,261EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$234,742,571BOYAmt
EOY$234,937,236EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,155BOYAmt
EOY$10,155EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$234,752,726BOYAmt
EOY$234,947,391EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$321,401,188BOYAmt
EOY$333,906,652EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$15,493,691ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$6,122,864NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$9,176,162OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$23,247OtherActivitiesAmt
Total Lobbying Expenditures$23,247TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1gFormAndLineReferenceDesc
ExplanationMARION 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 COLLEGE OF SURGEONS, AMERICAN MEDICAL ASSOC., AMERICAN PSYCHIATRIC ASSOC., AOA, AONE, ONCOLOGY NURSING SOCIETY, AMONG VARIOUS OTHERS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,155BeginningYearBalanceAmt
End Year Balance$10,155EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,155BeginningYearBalanceAmt
End Year Balance$10,155EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,155BeginningYearBalanceAmt
End Year Balance$10,155EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,155BeginningYearBalanceAmt
End Year Balance$10,155EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,155BeginningYearBalanceAmt
End Year Balance$10,155EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,422,248OtherCostOrOtherBasisAmt
Book Value$4,422,248BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$108,209,879OtherCostOrOtherBasisAmt
Depreciation$59,679,954DepreciationAmt
Book Value$48,529,925BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$871,326OtherCostOrOtherBasisAmt
Depreciation$704,239DepreciationAmt
Book Value$167,087BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$78,863,888OtherCostOrOtherBasisAmt
Depreciation$61,149,447DepreciationAmt
Book Value$17,714,441BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,299,302OtherCostOrOtherBasisAmt
Depreciation$1,518,515DepreciationAmt
Book Value$6,780,787BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$77,614,488TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescMINIMUM PENSION LIABILITYDesc
Amt$27,512,757Amt
FieldValueIRS element (for citing)
Total Liability$27,512,757TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$160,910,648TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$6,122,864NetUnrealizedGainsInvstAmt
Other Revenue$2,754,322OtherRevenueAmt
Revenue Not Reported-$3,368,542RevenueNotReportedAmt
Revenue Subtotal$164,279,190RevenueSubtotalAmt
Other Revenues Not Included$13,554,401OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$13,554,401RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$177,833,591TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$151,539,821TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,754,322OtherExpensesIncludedAmt
Expenses Not Reported$2,754,322ExpensesNotReportedAmt
Expenses Subtotal$148,785,499ExpensesSubtotalAmt
Other Expenses Not Included$13,554,401OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$13,554,401ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$162,339,900TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE HOSPITAL'S ENDOWMENT FUNDS ARE USED FOR CRITICAL CARE DEPARTMENT EDUCATION EXPENSES, AND OTHER PROGRAM SERVICE EXPENSES.
PART XI AND XIILINE 2D RENTAL EXPENSE $2,754,322 LINE 4B BAD DEBT EXPENSE $13,554,401
ASC 740 FOOTNOTEACCOUNTING 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, 2015 AND JUNE 30, 2014 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served6970PersonsServedCnt
Total Community Benefit Expns$6,299,479TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$6,299,479NetCommunityBenefitExpnsAmt
Total Expense0.04230TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,144,681TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,022,773DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,121,908NetCommunityBenefitExpnsAmt
Total Expense0.02770TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served6970PersonsServedCnt
Total Community Benefit Expns$34,444,160TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,022,773DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,421,387NetCommunityBenefitExpnsAmt
Total Expense0.07000TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served53625PersonsServedCnt
Total Community Benefit Expns$914,895TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$914,895NetCommunityBenefitExpnsAmt
Total Expense0.00610TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1486PersonsServedCnt
Total Community Benefit Expns$1,219,822TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,219,822NetCommunityBenefitExpnsAmt
Total Expense0.00820TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Persons Served3200PersonsServedCnt
Total Community Benefit Expns$3,787TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,787NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served10712PersonsServedCnt
Total Community Benefit Expns$443,011TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$443,011NetCommunityBenefitExpnsAmt
Total Expense0.00300TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served69023PersonsServedCnt
Total Community Benefit Expns$2,581,515TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$2,581,515NetCommunityBenefitExpnsAmt
Total Expense0.01730TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served75993PersonsServedCnt
Total Community Benefit Expns$37,025,675TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$24,022,773DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,002,902NetCommunityBenefitExpnsAmt
Total Expense0.08730TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$198,707TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$198,707NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$198,707TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$198,707NetCommunityBenefitExpnsAmt
Total Expense0.00120TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$5,450,225BadDebtExpenseAmt
Bad Debt Expense Attributable$287,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$33,171,223ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$43,437,154CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$10,265,931MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1PROGRESSIVE CANCER CBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesCANCER CARE CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.51150OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.09800OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.18580PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARION GENERAL HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1Txt
CityMARIONCityNm
State AbbreviationINStateAbbreviationCd
ZIP46952ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.mgh.netWebsiteAddressTxt
State License15-005011-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherOFF-CAMPUS RADIOLOGY ONCOLOGY, SLEEP LAB PHYSICIAN MED, LABOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARION GENERAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted12CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MGH.NETOwnWebsiteURLTxt
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.MGH.NETStrategyWebsiteURLTxt
Strategy AttachedfalseStrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MGH.NETFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.MGH.NETFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5COMMUNITY ADVISORY GROUPS & CONSULTANTS FOR IMPLEMENTATION PLAN MGH WORKED DIRECTLY WITH THE FOLLOWING COMMUNITY MEMBERS IN PLANNING THE PROCESS AND DETERMINING THE NEEDS ASSOCIATED WITH THE EXECUTION AND OUTCOMES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY LEADERS AND PARTNERS MET FACE TO FACE AND ELECTRONICALLY TO PLAN THE COMMUNITY HEALTH NEEDS ASSESSMENT GOALS, PROCESSES AND COMPLETION DATES. MGH STAFF DEVELOPED AND TRAINED COMMUNITY MEMBERS AND UNIVERSITY STUDENTS TO COMPLETE THE ASSESSMENT. ONGOING COMMUNICATION WITH ALL MEMBERS THROUGHOUT THE THREE YEAR CYCLE ASSURED APPROPRIATE COMMUNITY OWNERSHIP AND INCLUSION OF THE PROJECT. IT WAS IMPORTANT IN OUR RURAL COMMUNITY WITH SCARCE RESOURCES THAT WE ENSURE THE RESULTS WOULD BENEFIT OTHER ORGANIZATIONS WITHIN OUR COMMUNITY. 1. CHP ADVISORY GROUP: MGH WORKED DIRECTLY WITH THE FOLLOWING COMMUNITY MEMBERS TO COMPLETE THE CHNA. -INDIANA WESLEYAN UNIVERSITY (IWU) -GRANT COUNTY HEALTH DEPARTMENT -CAREY SERVICES - SERVICES FOR INDIVIDUALS WITH EMOTIONAL AND PHYSICAL DISABILITIES, INCLUDING AUTISM, EARLY HEAD START, GROUP HOMES, JOB OPPORTUNITIES AND PARENT SUPPORT GROUPS. -FAMILY SERVICE SOCIETY, INC. - THE LARGEST SOCIAL SERVICE PROVIDER IN THE COUNTY. SERVICES INCLUDE: ADDICTION COUNSELING AND RECOVERY PROGRAMS, PSYCHO-SOCIAL COUNSELING, SCHOOL SUPPORT, HOMELESS SUPPORT, AND GRANDPARENTS RAISING CHILDREN SUPPORT. -MARION COMMUNITY SCHOOLS -LARGEST PUBLIC K-12 SCHOOL SYSTEM IN GRANT COUNTY -CANCER SERVICES OF GRANT COUNTY - PROVIDES SUPPORT SERVICES FOR CANCER PATIENTS AND FAMILIES, PROVIDES FREE MAMMOGRAMS FOR ANY GRANT COUNTY RESIDENT. -NEW HOPE HOSPICE -INDIANA HEALTH CENTER - FEDERALLY QUALIFIED HEALTH CLINIC -MARION GENERAL HOSPITAL, INC. -GRANT COUNTY SUPERINTENDENTS COUNCIL REPRESENTATIVES FROM SCHOOL ADMINISTRATION INCLUDING MARION COMMUNITY SCHOOLS, EASTBROOK COMMUNITY SCHOOLS, OAK HILL COMMUNITY SCHOOLS, MISSISSINEWA COMMUNITY SCHOOLS, LAKEVIEW CHRISTIAN SCHOOL, ST. PAUL PARISH SCHOOL, AND MADISION-GRANT SCHOOLS. -BRIDGES TO HEALTH - PROVIDES MEDICAL AND DENTAL CARE FOR UNINSURED INDIVIDUALS -COMMUNITY ROUND TABLE - APPROXIMATELY 40 ORGANIZATIONS WERE REPRESENTED AT A PUBLIC PRESENTATION OF THE FINAL REPORT AND PARTICIPATED IN A ROUND TABLE DISCUSSSION. 2. THIRD PARTY CONSULTANT ANDERSON UNIVERSITY, FALLS SCHOOL OF BUSINESS -KEVIN J. BROWN, PHD, ASSISTANT PROFESSOR OF FINANCE, PROVIDED THE STATISTICAL ANALYSIS AND SUMMARY OF THE NEEDS ASSESSMENT. AFTER CAREFUL ANALYSIS, DR. BROWN PROVIDED THREE LEVELS OF REPORTS FOR OUR COMMUNITY HEALTH NEEDS ASSESSMENT WITH AN EXECUTIVE SUMMARY THAT HAS BEEN REVIEWED AND WILL BE UTILIZED IN DEVELOPING OUR IMPLEMENTATION PLAN. SCHEDULE H, PART V, SECTION B, LINE 6B INDIANA WESLEYAN UNIVERSITY GRANT COUNTY HEALTH DEPARTMENT CAREY SERVICES FAMILY SERVICES SOCIETY, INC. MARION COMMUNITY SCHOOLS CANCER SERVICES OF GRANT COUNTY NEW HOPE HOSPICE INDIANA HEALTH CENTER GRANT COUNTY SUPERINTENDENTS COUNCIL BRIDGES TO HEALTH
SCHEDULE H, PART V, SECTION B, LINE 7DAVAILABLE UPON REQUEST FROM THE HOSPITAL FACILITY SCHEDULE H, PART V, SECTION B, LINE 11 EXECUTIVE SUMMARY THE PURPOSE OF THIS REPORT IS TO GIVE ATTENTION TO FOUR KEY AREAS IDENTIFIED IN GRANT COUNTYS 2013 COMMUNITY HEALTH PROFILE (CHP) UNDERTAKEN BY MARION GENERAL HOSPITAL, INDIANA WESLEYAN, AND SEVERAL OTHER PARTNERING ENTITIES. THE CONTENT BELOW AIMS TO SUMMARIZE EACH OF THESE AREAS BY HIGHLIGHTING DATA PATTERNS IDENTIFIED IN PREVIOUS ANALYSIS. THE FOUR KEY AREAS ARE AS FOLLOWS: 1) CHRONIC DISEASES 2) SOCIAL DETERMINANTS OF HEALTH 3) MENTAL HEALTH STATUS 4) HEALTH CARE ACCESS FURTHERMORE, SPECIFIC HEALTH-RELATED AREAS ARE GIVEN ATTENTION UNDER THE HEADING OF EACH OF THESE AREAS. BASED UPON THE ANALYSIS OF THE 2011 SURVEY RESULTS, MANY HEALTH-RELATED ISSUES IN THE COUNTY COULD BE RAISED AND ADDRESSED. HOWEVER, AN APPRAISAL OF THE FULL DATA-REPORT SUGGESTS THAT THESE PARTICULAR ISSUES SHOULD BE GIVEN PRIORITY CONSIDERATION. IN 2013, MGH CONVENED SEVERAL OPEN COMMUNITY MEETINGS TO DISCUSS THE COMMUNITY HEALTH PROFILE (CHNA) RESULTS AND TO DETERMINE A CONSENSUS FOR AN IMPLEMENTATION PLAN. THE AREA OF CHRONIC DISEASE SURFACED AS THE FIRST AREA TO ADDRESS. WITHIN THAT DISCUSSION AND REVIEW OF ADDITIONAL DATA, HEALTHCARE, EMPLOYERS, SCHOOLS AND CHURCHES DETERMINED THAT DIABETES WOULD BE THE PRIMARY AREA. DIABETES HAS SEVERAL CO-MORBIDITIES THAT CROSS OVER WITH SEVERAL OTHER CHRONIC DISEASES AND IT IS THE GREATEST FINANCIAL BURDEN, ALONG WITH DOCUMENTED EMOTIONAL, SOCIAL AND PHYSICAL COSTS THAT IMPACT ACROSS ALL AREAS OF THE COMMUNITY. THE FOLLOWING ARTICLE ENCAPSULATES THE FIRST PART OF OUR IMPLEMENTATION PLAN AS A HOSPITAL AND A COMMUNITY. MARION GENERAL HOSPITAL AND GRANT COUNTYS IMPLEMENTATION PLAN CEASE DIABETES: MGH IS TAKING ACTION! THE GRANT COUNTY COMMUNITY HEALTH PROFILE OF 2013 IDENTIFIED A NEED WHICH TELLS THE STORY OF DIABETES IN GRANT COUNTY, AND THE STRONG NEED TO TAKE ACTION TO HELP CEASE DIABETES. MGH ADMINISTRATION AND BOARD OF DIRECTORS RECOGNIZED THE NEED AND ARE ENGAGING TO LEAD A CAMPAIGN TO COMBAT DIABETES. THE STATE OF INDIANA PUBLISHED A REPORT ENTITLED "THE BURDEN OF DIABETES" WHICH POINTED OUT THAT THE COST OF DIABETES IS FAR BEYOND JUST MEDICAL COSTS. WHEN DIABETES IS CONTROLLED, PEOPLE HAVE LESS TIME OFF FROM WORK; THEY ARE MORE PRODUCTIVE, MORE AVAILABLE AS PARENTS AND GRANDPARENTS, BETTER STUDENTS, MORE ACTIVE IN THEIR CHURCH AND SOCIAL ORGANIZATIONS AND CONTRIBUTE TO MAKING GRANT COUNTY AND INDIANA A BETTER PLACE TO LIVE. INDIANA STATES THE COST OF DIABETES ANNUALLY IS FOUR BILLION DOLLARS! MGH CANNOT DO THIS ALONE! THEY NEED TO BRING TOGETHER AND EMPOWER THE ENTIRE COMMUNITY TO MAKE A SIGNIFICANT AND MEASURABLE IMPACT. A PLAN WAS DESIGNED AFTER INPUT FROM HEALTHCARE PROFESSIONALS, PARISH NURSES, SOCIAL AGENCIES, EMPLOYERS, AND PEOPLE WITH DIABETES. THE MEASURABLE AREAS OF IMPACT: -INCREASE THE NUMBER OF PEOPLE WITH DIABETES WHO CHECK THEIR FEET EVERY DAY -INCREASE THE NUMBER OF ANNUAL COMPREHENSIVE FOOT CHECKS BY MEDICAL PROFESSIONALS -INCREASE THE NUMBER OF PEOPLE WITH DIABETES WHO HAVE A DILATED EYE EXAM YEARLY -INCREASE THE NUMBER OF REFERRALS TO THE MGH ACCREDITED EDUCATION PROGRAM FOR SELF-MANAGEMENT (AMERICAN DIABETES ASSOCIATION). THE SURVEYS AND DATA STRONGLY TELL US THAT PEOPLE WITH DIABETES WHO HAVE HAD FORMAL DIABETIC AND NUTRITIONAL EDUCATION HAVE SIGNIFICANTLY MORE CONTROL OVER DIABETES AND IT COMPLICATIONS. PHASE I: DEVELOP AN INTERNAL PROGRAM TO EVALUATE AND CREATE ADDITIONAL OPPORTUNITIES TO ENSURE THAT ALL NEWLY DIAGNOSED AND CURRENT DIABETES PATIENTS ARE EMPOWERED TO MAXIMIZE ALL THE OPTIONS TO ADDRESS DIABETES FROM A HOLISTIC APPROACH. THIS INCLUDED OUTPATIENTS, IN-PATIENTS AND PRIMARY CARE PROVIDERS. PHASE II: DEVELOP AN EXTERNAL TEAM AND PARTNERS FROM THE COMMUNITY. AREA CLINICS, PRIMARY CARE PROVIDERS, SCHOOLS NURSES, SOCIAL SERVICE AGENCIES, HEATH DEPARTMENT, AND UNIVERSITIES ARE DOING EVALUATIONS AND CREATING PLANS TO IMPACT THEIR AGENCIES. PHASE III: WORK WITH AREA PODIATRISTS, EYE CARE SPECIALISTS, AND EMPLOYERS TO MAXIMIZE OPPORTUNITIES TO ASSIST AND TO PROVIDE THE TOOLS FOR PEOPLE WITH DIABETES TO TAKE CHARGE OF THEIR HEALTH. ULTIMATELY, WE KNOW THAT WE NEED TO WORK TOGETHER TO PREVENT THE ONSET OF DIABETES BUT THOSE WHO HAVE BEEN DIAGNOSED ARE A MAJOR CONCERN AS WELL. AS THIS CAMPAIGN SPREADS THROUGH THE COMMUNITY THE AWARENESS WILL PROVIDE IMPETUS FOR MANY TO LOOK FOR OPTIONS THAT MAY LEAD TO PREVENTION. ISSUES SURROUND DIABETES -LOWERS LIFE EXPECTANCY BY UP TO 15 YEARS -INCREASES THE RISK OF HEART DISEASE BY 2 -4 TIMES -IS THE LEADING CAUSE OF KIDNEY FAILURE, LOWER LIMB AMPUTATIONS AND ADULT-ONSET OF BLINDNESS AVERAGE ANNUAL HEALTH CARE COST FOR A PERSON WITH DIABETES IN INDIANA IS $11,744, COMPARED WITH $2,935 OF A NON-DIABETIC PERSON. (INDIANA STATE DEPARTMENT OF HEALTH AND AMERICAN DIABETIC ASSOCIATION) OTHER AREAS OF CONCERN FROM THE COMMUNITY HEALTH PROFILE (CHNA): SOCIAL DETERMINANTS OF HEALTH THE HOSPITAL AND COMMUNITY FORUMS FELT THAT THIS WAS AN OVERARCHING ISSUE CONTRIBUTING TO THE OTHER AREAS OF CONCERN. AND THAT SPECIFICALLY ADDRESSING THIS AREA WAS TOO LARGE AND NOT DIFFICULT TO MEASURE FOR A SMALL RURAL AREA. AREA SOCIAL SERVICE AGENCIES ARE UTILIZING THE DATA TO ENHANCE PROGRAMING AND FUNDING FOR THEIR AGENCIES. MENTAL HEALTH STATUS GRANT COUNTY HAS A SEVERE SHORTAGE OF MENTAL HEALTH RESOURCES, THERE ARE SEVERAL AGENCIES, THAT ARE SPECIFICALLY QUALIFIED IN THIS AREA THAT ARE SEEKING OPPORTUNITIES TO INCREASE SERVICES IN THIS AREA. THE HOSPITAL AND COMMUNITY FORUMS DID NOT WANT TO DUPLICATE EFFORTS. HEALTH CARE ACCESS GRANT COUNTY HAS MADE SIGNIFICANT STRIDES IN HEALTH CARE ACCESS SINCE THE COMMUNITY HEALTH PROFILE DATA WAS OBTAINED, ANALYZED AND REPORTED. TWO AREAS; INCREASED CAPACITY AT OUR FREE HEALTH AND DENTAL CLINIC BRIDGES TO HEALTH, AND THE CREATION OF MGH ACCESS LINE WHICH PROMOTES ACCESS TO A PROVIDER.
SCHEDULE H, PART V, SECTION B, LINE 22DMGH FOLLOWED THE FINANCIAL ASSISTANCE POLICY, EXTENDING FREE CARE FOR THOSE AT OR LESS THAN 200% OF FEDERAL POVERTY LEVEL, AND DISCOUNTED CARE (60% AND 80%) FOR THOSE WITH INCOME LEVELS AT MORE THAN 200% BUT LESS THAN OR EQUAL TO 300% OF FEDERAL POVERTY LEVEL.

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7BAD DEBT EXPENSE IN THE AMOUNT OF $13,551,593 IS EXCLUDED FROM TOTAL EXPENSES FOR THE PURPOSES OF CALCULATING PERCENTS IN COLUMN F. 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 AREAS OF PROVIDER SHORTAGE IS CRITICAL TO SERVE OUR HEALTHCARE COMMUNITIES. MGH IS THE ONLY NON-GOVERNMENT HOSPITAL IN OUR COUNTY AND AS A SMALL RURAL AREA, THE NEED FOR RECRUITING AND RETAINING PROVIDERS PRESENTS SIGNIFICANT CHALLENGES. 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. PART III SECTION A, LINE 4 SEE PAGE 8 OF THE ATTACHED FINANCIAL STATEMENTS, UNDER THE HEADING "ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS." 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 PLACES A COURTESY COLLECTION CALL ON PAST DUE PATIENT ACCOUNTS OVER SIXTY (60) DAYS ON ACCOUNTS $1,000 OR GREATER. 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 SERVICE REPRESENTATIVE OR FINANCIAL COUNSELOR PROVIDES INFORMATION TO THE PATIENT AND/OR AN 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 FINANCIAL ASSISTANCE. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT REPORTED TO A COLLECTION AGENCY AS LONG AS REQUESTED DOCUMENTATION IS PROVIDED TIMELY. NEEDS ASSESSMENT Marion General Hospital (MGH) facilitates and coordinates the community health needs assessment for Grant County, Indiana. Every three years, the hospital partners with Indiana Wesleyan University nursing and social work students and faculty to complete a comprehensive survey utilizing the CDC behavior risk factor surveillance system (BRFSS). Primary data is collected in all geographic segments of Grant County, the MGH primary service area. MGH is the only not-for-profit, non-government hospital in the county. Our community health needs assessment is titled Community Health Profile (CHP) and provides a health review and analysis of primary and secondary data for ongoing implementation and evaluation of our community and our community health programs. Results for the 2010 and 2013 needs assessment were reviewed by the community benefit alliance organizations involved, and include the county health department, primary care providers, area not-for-profit service agencies, business sector representatives, area universities, and healthcare providers. The survey data and summaries are located on www.mgh.net and http://healthygrantcounty.net (which is hosted by MGH). Results are also linked to other sources of secondary data from the community. Printer friendly documents and electronic links on both websites provide easy access for community members to review the data. County health rankings, chan.org, Indiana Department of Health and Grant County Department of Health Data is also evaluated. The next survey is schedule for fall of 2015 and results will be available in 2016. During the spring of 2013, a series of meetings and community forums were held to update the community on our results and identified needs. Individuals and organizations provided ideas for MGH to address the needs in inpatient and outpatient health initiatives. The physician practice groups and the MGH governing board provided direction in prioritizing the direction for the implementation plan. Those discussions led to the creation of a community-wide implementation plan. This plan includes a three-year coutny-wide focus on the challenge of diabetes: community services agencies, home care organizations, assisted living facilities, area clinics, primary care, and outpatient services. The first year also involved establishing baseline data to more accurately document the progress of goals for all areas. As baseline data has become available, adjustments were made to the plan to maximize interventions by the internal and external partners. Objectives and goals have been developed and will continue for the three year plan. In 2016, data from the newest community health profile or CHNA will be used by MGH and the commuity benefit alliance to evaluate and expand the previously defined implementation plan. MGH has spearheaded a community-wide initiative to promote diabetes awareness through a community initiative named: CEASE Diabetes. direction in prioritizing the direction for the diabetic implementation plan for the hospital. During the year 2013-2014, MGH has spearheaded a community-wide initiative to promote diabetes awareness through a community initiative named: CEASE Diabetes.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEAS 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 TITLED 'UNDERSTANDING HOSPITAL BILLS & 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.
COMMUNITY INFORMATIONMGH CONTINUES TO SERVE THE PRIMARY MARKET OF GRANT COUNTY, INDIANA WHERE 88% OF THE HOSPITAL'S PATIENTS RESIDE, WHILE THE OTHER 12% OF PATIENTS MGH SERVES RESIDE SECONDARILY FROM THE NEIGHBORING COUNTIES OF WABASH, MIAMI, BLACKFORD, AND HUNTINGTON (ALL IN INDIANA). GRANT COUNTY INCLUDES THE COMMUNITIES OF MARION, THE COUNTY SEAT, ALONG WITH GAS CITY, JONESBORO, FAIRMOUNT, MATTHEWS, UPLAND, VAN BUREN, SWEETSER, SWAYZEE, AND CONVERSE. MARION'S POPULATION CONTINUES TO SEE A DECLINE OVER THE YEARS, WITH 26,981 RESIDENTS. GRANT COUNTY'S POPULATION BY THE 2013 U.S. CENSUS WAS 69,126, AND THE HOUSEHOLD COUNT WAS 26,981. GRANT COUNTY CONTINUES TO BE ONE OF THE STATE'S MOST DIVERSE COMMUNITIES, EHTNICALLY, ECONOMICALLY AND EDUCATIONALLY. EVEN WITH ECONOMIC SUCCESS STORIES OVER THE YEARS, THE GRANT COUNTY MARKET TENDS TO FALL BELOW STATE AND NATIONAL AVERAGES FOR HOUSEHOLD INCOME, EDUCATION AND EMPLOYMENT RATES. IN GRANT COUNTY, 21.7% OF RESIDENTS FELL BELOW THE FEDERAL POVERTY GUIDELINES. AND IN 2013, GRANT COUNTY RANKED NUMBER 1 IN THE STATE FOR CHILD POVERTY AT 33.3%.
PROMOTION OF COMMUNITY HEALTHFor over 110 years, Marion General Hospital has actively engaged our community by providing support and leadership in identifying and addressing healthcare needs and concerns. MGH is dedicated to promoting wellness in our region through partnerships with more than 25 local organizations and offering more than 80 health-educational materials and programs throughout our community. The hospital's commitment is integrated and communicated in the mission and vision statement and in annual strategic initiatives. In 2015, MGH's community outreach education focused on the health needs of our community with an active community outreach program utilizing employees from every department. The MGH Parish Nurse program coordinated health education materials, health screenings, and health counseling in 77 churches through 144 unpaid parish nurses. MGH provided health education on a wide range of topics in schools, universities, daycares, area events, health speaking engagements, community boards and coalitions, and numerous media venues. Health education topics emphasized in FY2015 included: diabetes, healthy weight, stroke prevention, sexually transmitted diseases and infections, cardiac health, nutrition and exercise, tobacco cessation, depression, diabetic disease management (including foot care and eye care), car seat safety inspections, alcohol and drug abuse. Prevention programs on SIDS, STD's , STI's, cancer, and heart disease. Screening programs: community based: diabetes, hypertension, anemia, lipidemia, thyroid, sickle cell anemia and prostate. Hospital based screenings: Cardiovascular, Cardiac CAT Scan Calcium score, Prostate MRI. Our continued partnership with Bridges to Health, Grant County's free health clinic, provides much needed safety net for medical and dental services for uninsured residents. Other highlights from FY2015 include: 1) MGH continues to expand and add partners as phase two of the implementation plan (CEASE Diabetes - Community: Education, Awareness, Support, Empowerment) working with area K-12 schools, universities, community agencies, pharmaceutical companies, eye care providers and service providers to participate in the community diabetes disease management and detection. Area primary care providers are utilizing several evidence-based benchmarks to enhance care for diabetics while adding additional opportunities to reduce barriers and patient compliance issues. MGH provided CEASE Diabetes education and awareness to new partners. 2)The CEASE program increase its activities in the outlying areas of the county. 4) MGH continued to increase access to primary care with the MGH Access program. 3) Marion General Hospital renewed the building lease for Bridges to Health by donating over 5,000 sq. ft of clinic space for $1/year, and continues to be Bridges largest financial donor. 4) MGH has certified navigators available for the community to assist with enrollment in The Healthy Indiana Plan Plus and the Affordable Care Act product insurance options. 5) MGH is committed to recruitment and retention of providers for our medically underserved specialties. 6) MGH continued to expand health screening locations. And, 7) MGH is the American Heart Association Training Center for the community. MGH responded to the need Committing staff and equipment to support CPR classes and instructors when the VAMC decided to close their training center (over 3000 community CPR cards given). This is the only local support option available for CPR. MGH is committed to our mission statement of promoting wellness in our Healthcare Community. MGH is a strong corporate citizen of the community and second largest employer. Local residents and health groups look to MGH for leadership and guidance in many areas. MGH provided opportunities for employees to serve on community boards and programs including the Grant county Department of Health, Grant County Economic Growth Council, Marion-Grant Chamber of Commerce, Bridges to Health, Main Street Marion, Head Start, YMCA, Carey Services Downtown revitalization group, Indiana Wesleyan University Advisory teams, Boys and Girls Club, Marion Philharmonic, United Way Chairman, Circles (Out of Poverty program), and other community non-profit boards. Our employees served as innovative leaders creating opportunities to educate and serve our community about health issues, interventions, and outcomes. MGH is committed to building our community. We have been involved with economic growth, education initiatives, capital improvements, and participation in area chambers. Many organizations have recognized and applauded our commitment to building and sustaining our Healthcare Community. In addition, MGH has worked very closely with our area educational institutions (from preschool to university level) to execute our county-wide community health profile. MGH has raised the standard for community involvement through educational and outreach programs, fiscal support, and partnerships geared to improve the health of our community.
STATE FILING OF COMMUNITY BENEFIT REPORTINDIANA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
BRIDGES TO HEALTH INC
1251 W KEM ROADMARIONIN46952205405181501(c)(3)$120,000DONATION
GRANT COUNTY ECONOMIC GROWTH COUNCIL
301 S ADAMS SUITE 109MARIONIN46952351589550501(c)(3)$5,150DONATION
YMCA OF GRANT COUNTY INC
123 SUTTER WAYMARIONIN46952350886981501(c)(3)$5,250DONATION
MARION GRANT COUNTY CHAMBER OF COMMERCE
217 S ADAMSMARIONIN46952350350890501(C)(3)$5,650DONATION
COMMUNITY FOUNDATION OF GRANT COUNTY
505 WEST THIRD STREETMARIONIN46952311117791501(C)(3)$100,000DONATION
UNITED WAY OF GRANT COUNTY
PO BOX 61MARIONIN46952350995975501(C)(3)$30,974DONATION
FAMILY SERVICE SOCIETY INC
101 SOUTH WASHINGTON STREET STE 20MARIONIN46952350868083501(C)(3)$5,000DONATION$200OTHERFURNITURE
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE IFormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PAUL L USHER
PRESIDENT/CEO$411,810$0$46,805$0$8,534$0$7,800$0$20,666$0$495,615$0$0$0
BERNADINE L WALLACE
CNO$226,723$0$22,244$0$0$0$7,608$0$20,381$0$276,956$0$0$0
ROBYN L POWELL
CFO$252,850$0$32,393$0$30,237$0$7,800$0$9,250$0$332,530$0$0$0
KAVITA RAJ DO
SECRETARY OF MEDICAL STAFF$242,307$0$178,574$0$51,294$0$7,800$0$27,337$0$507,312$0$0$0
SHANKARAN SRIKANTH MD
BOARD MEMBER/PHYSICIAN$335,602$0$15,547$0$37,658$0$7,800$0$28,552$0$425,159$0$0$0
JAMES M ORRELL MD
V.C. OF MEDICAL STAFF$180,696$0$102,398$0$55,707$0$4,355$0$28,837$0$371,993$0$0$0
JEFFREY W BRAGG DO
BOARD MEMBER/PHYSICIAN$178,921$0$50,113$0$36,891$0$6,983$0$24,234$0$297,142$0$0$0
TAMY E PERNG
PHYSICIAN$306,584$0$250,748$0$64,886$0$7,800$0$8,964$0$638,982$0$0$0
ARNDT E MUELLER
PHYSICIAN$294,346$0$271,696$0$50,040$0$7,800$0$7,411$0$631,293$0$0$0
SHAWN T SWAN
PHYSICIAN$284,247$0$282,819$0$48,817$0$7,800$0$28,337$0$652,020$0$0$0
JEREMY R WILSON
PHYSICIAN$298,649$0$235,484$0$10,283$0$7,800$0$27,506$0$579,722$0$0$0
EDWARD L KEPPLER
PHYSICIAN$424,010$0$57,131$0$41,566$0$7,800$0$16,987$0$547,494$0$0$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY
A351602316455057NP02008-06-10$24,000,000EQUIPMENT PURCHASE & RENOVATIONSfalsefalsefalse
INDIANA FINANCE AUTHORITY
B35160231645471AHA32012-04-26$36,248,711EQUIPMENT PURCHASE & RENOVATIONSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndSubstantial CompletionSubstantialCompletionYr
A$5,665,000$0$24,223,631$0$0$0$281,623$136,755$0$17,019,915$6,785,338$0Yes (true)falseYes (true)Yes (true)
B$1,190,000$0$36,250,898$0$0$0$537,366$0$0$4,958,930$27,711,345$3,043,257Yes (true)falsefalseYes (true)2016

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0Yes (true)falsefalseYes (true)
BfalsefalseYes (true)Yes (true)false0Yes (true)falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)Yes (true)falsefalse0Yes (true)Yes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART IV, LINE 2CTHE 2008 BONDS WERE ISSUED FOR PURPOSES OF (I) FINANCING THE ACQUISITION, CONSTRUCTION, EQUIPPING OR IMPROVEMENT OF CERTAIN CAPITAL ASSETS AND (II) REFUNDING THE ISSUER'S HOSPITAL REVENUE BONDS, SERIES 2005 (MARION GENERAL HOSPITAL PROJECT). THE 2005 BONDS WERE ISSUED ON JULY 20, 2005. THE 2012 BONDS WERE ISSUED FOR PURPOSES OF (I) FINANCING THE ACQUISITION, CONSTRUCTION, EQUIPPING OR IMPROVEMENT OF CERTAIN CAPITAL ASSETS AND (II) REFUNDING THE ISSUER'S HOSPITAL REVENUE BONDS, SERIES 2002 (MARION GENERAL HOSPITAL PROJECT). THE 2002 BONDS WERE ISSUED ON MAY 30, 2002.
PART II LINE 3TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2008 BONDS - $223,631 2012 BONDS - $1,639
PART III LINE 7THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST.
PART IV LINE 2CA) THE REBATE COMPUTATION WAS PERFORMED ON JUNE 19, 2013. B) THE REBATE COMPUTATION WAS PERFORMED ON SEPTEMBER 26, 2013.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (6 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
EDWARD L KEPPLER MD
EMPLOYEDRECRUITMENTYes (X)$140,000$40,000falseYes (true)Yes (true)
TAMY E PERNG DO
EMPLOYEDRECRUITMENTYes (X)$250,000$95,000falseYes (true)Yes (true)
SHANKARAN SRIKANTH MD
EMPLOYEDRECRUITMENTYes (X)$140,000$33,231falseYes (true)Yes (true)
JEREMY R WILSON DO
EMPLOYEDRECRUITMENTYes (X)$70,000$16,813falseYes (true)Yes (true)
SHAWN T SWAN MD
EMPLOYEDRECRUITMENTYes (X)$140,000$32,000falseYes (true)Yes (true)
KAVITA RAJ DO
EMPLOYEDRECRUITMENTYes (X)$177,500$61,792falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$278,836TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CHRISTINE MONAHAN
DAUGHTER OF OFFICER$36,366PAID EMPLOYEEfalse
ANN ORRELL
SPOUSE OF BOARD MEMBER$10,318PAID EMPLOYEEfalse
MARION MEDICAL REAL ESTATE LLC
SEE COMMENT$370,943SEE COMMENTfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IVFormAndLineReferenceDesc
ExplanationDR. JEFFREY W. BRAGG, AN MGH BOARD MEMBER, HAS AN OWNERSHIP INTEREST IN MARION MEDICAL REAL ESTATE LLC. MGH IS NOT AN OWNER BUT DOES BUSINESS WITH THIS ENTITY. MARION MEDICAL REAL ESTATE LLC OWNS PROPERTY THAT MGH LEASES IN ORDER TO PROVIDE VARIOUS MEDICAL SERVICES TO ITS PATIENTS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GOVERNING BODY AND MANAGEMENTPART VI, SECTION A, LINE 1B Paul L. Usher is compensated as an employee of the organization. Dr. Karen Jacobs and Dr. M. Nabi Sharif are compensated as independent contractors for on-call services. Dr. Shankaran Srikanth, Dr. Jeffrey Bragg, and Kristine Hess are compensated as employees of the organization.
PART VI, SECTION B, LINE 11BTHE 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.
PART VI, SECTION B, LINE 12CEVERY 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.
PART VI, SECTION B, LINE 15ATO 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.
PART VI, SECTION C, LINE 19THE 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.
RECONCILIATION OF NET ASSETSPART XI, LINE 9 PENSION RELATED CHANGES -$9,176,162
PROGRAM SERVICES ACCOMPLISHMENTSPart III, Line 4d Marion General Hospital is a not-for-profit, 97-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 Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PROGRESSIVE CANCER CARE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1831 N THEATER DRAddressLine1Txt
CityMARIONCityNm
State AbbreviationINStateAbbreviationCd
ZIP46952ZIPCd
FieldValueIRS element (for citing)
EIN320061469EIN
Primary ActivitiesONCOLOGY CENTERPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$296,102ShareOfTotalIncomeAmt
Share Of EOY Assets$1,748,805ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.51151OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROGRESSIVE CANCER CARE LLC
F$301,449FMV
PROGRESSIVE CANCER CARE LLC
K$208,431FMV
PROGRESSIVE CANCER CARE LLC
P$136,629FMV