2016-05-09T06:59:55-05:00 2015-06-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2014-07-01 350868130 MARION GENERAL HOSPITAL INC % MARION GENERAL HOSPITAL INC MARI 7656607000 441 N WABASH AVENUE MARION IN 469522690 PAUL L USHER PRESIDENT/CEO 7656607003 2016-05-16 true Joyce A Dulworth P00151125 2604604000 2014 2016-08-17 19:52:53Z PAUL L USHER 441 N WABASH AVENUE MARION IN 46952 276122515 false X WWW.MGH.NET X 1910 IN 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. 13 7 1358 126 65496 5142 118717 97173 165013694 172339279 10940911 6889185 -1404054 -1492046 174669268 177833591 140300 272224 0 0 64759455 65219098 0 0 0 96687510 96848578 161587265 162339900 13082003 15493691 321401188 333906652 86648462 98959261 234752726 234947391 X MARION GENERAL HOSPITAL EXISTS TO TRANSFORM THE HEALTH OF OUR COMMUNITY THROUGH PATIENT-CENTERED, HIGH QUALITY, AFFORDABLE CARE. BEST PRACTICES BY LEADING A COLLABORATIVE APPROACH INVOLVING PHYSICIANS, STAFF, BUSINESS LEADERS AND OUR COMMUNITY. false false 53133522 41796761 INPATIENT 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. 9399327 20781081 EMERGENCY 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. 11540215 22306734 RADIOLOGY 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. 76318795 272224 87440498 SEE SCHEDULE O DISCLOSURE FOR: PROGRAM SERVICE ACCOMPLISHMENTS, PART III, LINE 4D 76318795 272224 87440498 150391859 true true false true false false false false false true true false false false true true true false false false false false false false false false true true true false true true true false false false false true false true true false false false false false false true true true false false true 112 0 true 1358 true true true false false false false false false false false false X 13 7 false false false false false false false true true false false true true true true true true true true true true IN X MARION GENERAL HOSPITAL INC 7656607000 441 N WABASH AVENUE MARION IN 469522690 PAUL L USHER PRESIDENT/CEO 50.0 0.0 X X 467149 0 28466 KRISTINE A HESS MD CHIEF OF MEDICAL STAFF 40.0 0.0 X 9130 0 0 KAREN J JACOBS DO MEMBER 40.0 0.0 X 44402 0 0 M NABI SHARIF MD MEMBER 40.0 0.0 X 94792 0 0 KAVITA RAJ DO SECRETARY OF MEDICAL STAFF 40.0 0.0 X 472175 0 35137 SHANKARAN SRIKANTH MD BOARD MEMBER/PHYSICIAN 40.0 0.0 X 388807 0 36352 JAMES M ORRELL MD V.C. OF MEDICAL STAFF 40.0 0.0 X 338801 0 33192 JEFFREY W BRAGG DO BOARD MEMBER/PHYSICIAN 40.0 0.0 X 265925 0 31217 JEROME T HOLDEREAD BOARD CHAIR 2.0 0.0 X 0 0 0 JAMES M GARTLAND JR MEMBER 2.0 0.0 X 0 0 0 TIMOTHY J DAILEY BOARD SECRETARY 2.0 0.0 X 0 0 0 STEVEN E BERRY MEMBER 2.0 0.0 X 0 0 0 BARBARA IHRKE VICE CHAIR 2.0 0.0 X 0 0 0 MICHAEL J O'BRIEN BOARD TREASURER 2.0 0.0 X 0 0 0 STEPHEN H WICKES MEMBER 2.0 0.0 X 0 0 0 BERNADINE L WALLACE CNO 50.0 0.0 X 248967 0 27989 ROBYN L POWELL CFO 50.0 0.0 X 315480 0 17050 TAMY E PERNG PHYSICIAN 40.0 0.0 X 622218 0 16764 ARNDT E MUELLER PHYSICIAN 40.0 0.0 X 616082 0 15211 SHAWN T SWAN PHYSICIAN 40.0 0.0 X 615883 0 36137 JEREMY R WILSON PHYSICIAN 40.0 0.0 X 544416 0 35306 EDWARD L KEPPLER PHYSICIAN 40.0 0.0 X 522707 0 24787 5566934 0 337608 67 false true false BOWMAN CONSTRUCTION 1837 BRANSON STREET MARION IN 46952 GENERAL CONTRACTING 5432074 NAVIGANT CONSULTING INC 4511 PAYSPHERE CIRCLE CHICAGO IL 60674 CONSULTING 1105166 SOUTH BEND MEDICAL FOUNDATION 530 N LAFAYETTE BLVD SOUTH BEND IN 46601 OUTSIDE LAB SERVICE 1011306 MEDICAL INFORMATION TECHNOLOGY MEDITECH CIRCLE WESTWOOD MA 02090 COMPUTER CONSULTING 762420 REHABCARE 680 S FOURTH STREET LOUISVILLE KY 40202 OUTSIDE MGMT SERVICE 569028 36 85309 11864 97173 NET PATIENT REVENUE 900099 170063566 170063566 AUXILIARY 900099 43433 43433 AMBULANCE ASSISTS 900099 79036 79036 MEALS ON WHEELS 900099 38636 38636 VHA DIVIDEND 900099 111627 111627 2002981 2002981 172339279 8039394 8039394 0 0 1190926 2754322 -1563396 0 -1563396 -1563396 94382502 95518506 14205 -1136004 -14205 -1150209 -14205 -1136004 7745 1891 5854 5854 0 0 BILLING SERVICES 541900 65496 65496 65496 177833591 172325074 65496 5345848 272224 272224 0 0 0 1105101 387194 717907 46684 46684 48205536 42092361 6113175 2796862 2387533 409329 9019947 7699849 1320098 4044968 3452974 591994 0 482095 482095 153085 153085 0 0 0 6253587 6253587 339909 339909 6579335 6250368 328967 3050064 3050064 0 4362859 3926573 436286 263937 211150 52787 0 76415 61132 15283 1314701 1314701 0 9558006 8602205 955801 1005886 817638 188248 MEDICAL SUPPLIES/DRUGS 18256390 18256390 PROVISION FOR BAD DEBTS 13551593 13551593 PHYSICIAN SERVICES 17772413 17772413 PURCHASED SERVICES 11448550 11448550 2379753 2196767 182986 162339900 150391859 11948041 0 X 3870 3720 34667168 33965165 0 0 19003980 18629434 378284 278836 0 0 3670157 3560988 1696833 1716593 1431172 1969468 200666643 123052155 76923925 77614488 168122276 174343568 10008690 10526222 0 0 2399275 2136418 3095558 9161752 321401188 333906652 15172639 18118434 0 0 0 0 54933359 53328070 0 0 0 0 0 0 0 0 16542464 27512757 86648462 98959261 X 234742571 234937236 0 0 10155 10155 234752726 234947391 321401188 333906652 X 15493691 -6122864 -9176162 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 23247 23247 false false PART II-B, LINE 1g MARION GENERAL HOSPITAL OCCASIONALLY SENDS LETTERS TO OR DIRECTLY CONTACTS LEGISLATORS. PART II-B, LINE 1i MARION GENERAL HOSPITAL PAID MEMBERSHIP DUES TO SEVERAL ORGANIZATIONS FOR WHICH A VARYING PERCENTAGE WAS ATTRIBUTED TO LOBBYING EXPENSES. THESE ORGANIZATIONS INCLUDE THE INDIANA HOSPITAL ASSOC., AMERICAN HOSPITAL ASSOC., AMERICAN ACADEMY OF FAMILY PHYSICIANS, AMERICAN COLLEGE OF PHYSICIANS, AMERICAN COLLEGE OF SURGEONS, AMERICAN MEDICAL ASSOC., AMERICAN PSYCHIATRIC ASSOC., AOA, AONE, ONCOLOGY NURSING SOCIETY, AMONG VARIOUS OTHERS. 10155 10155 10155 10155 10155 10155 10155 10155 10155 10155 1.00000 false false 4422248 4422248 108209879 59679954 48529925 871326 704239 167087 78863888 61149447 17714441 8299302 1518515 6780787 77614488 0 MINIMUM PENSION LIABILITY 27512757 27512757 160910648 -6122864 2754322 -3368542 164279190 13554401 13554401 177833591 151539821 2754322 2754322 148785499 13554401 13554401 162339900 SCHEDULE D, PART V, LINE 4 THE HOSPITAL'S ENDOWMENT FUNDS ARE USED FOR CRITICAL CARE DEPARTMENT EDUCATION EXPENSES, AND OTHER PROGRAM SERVICE EXPENSES. PART XI AND XII LINE 2D RENTAL EXPENSE $2,754,322 LINE 4B BAD DEBT EXPENSE $13,554,401 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, 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. true true X true X true X true true false true true 6970 6299479 6299479 0.04230 28144681 24022773 4121908 0.02770 6970 34444160 24022773 10421387 0.07000 53625 914895 914895 0.00610 1486 1219822 1219822 0.00820 3200 3787 3787 10712 443011 443011 0.00300 69023 2581515 2581515 0.01730 75993 37025675 24022773 13002902 0.08730 198707 198707 0.00120 198707 198707 0.00120 false 5450225 287000 33171223 43437154 -10265931 X true true PROGRESSIVE CANCER C CANCER CARE CENTER 0.51150 0.09800 0.18580 1 1 MARION GENERAL HOSPITAL INC 441 N WABASH AVENUE MARION IN 46952 www.mgh.net 15-005011-1 X X X OFF-CAMPUS RADIOLOGY ONCOLOGY, SLEEP LAB PHYSICIAN MED, LAB MARION GENERAL HOSPITAL INC 1 false false true X X X X X X X X X 12 true false true true X WWW.MGH.NET X true 13 true WWW.MGH.NET false false true X 200. 300. X X true true X X true X WWW.MGH.NET X WWW.MGH.NET X X X X true false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 COMMUNITY 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 7D AVAILABLE 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 22D MGH 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. SCHEDULE H, PART I, LINE 7 BAD 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 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 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 INFORMATION MGH 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 HEALTH For 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 REPORT INDIANA true BRIDGES TO HEALTH INC 1251 W KEM ROAD MARION IN 46952 205405181 501(c)(3) 120000 DONATION GRANT COUNTY ECONOMIC GROWTH COUNCIL 301 S ADAMS SUITE 109 MARION IN 46952 351589550 501(c)(3) 5150 DONATION YMCA OF GRANT COUNTY INC 123 SUTTER WAY MARION IN 46952 350886981 501(c)(3) 5250 DONATION MARION GRANT COUNTY CHAMBER OF COMMERCE 217 S ADAMS MARION IN 46952 350350890 501(C)(3) 5650 DONATION COMMUNITY FOUNDATION OF GRANT COUNTY 505 WEST THIRD STREET MARION IN 46952 311117791 501(C)(3) 100000 DONATION UNITED WAY OF GRANT COUNTY PO BOX 61 MARION IN 46952 350995975 501(C)(3) 30974 DONATION FAMILY SERVICE SOCIETY INC 101 SOUTH WASHINGTON STREET STE 20 MARION IN 46952 350868083 501(C)(3) 5000 200 OTHER FURNITURE DONATION 7 SCHEDULE I THE MGH COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AS ONE OF THE LARGER EMPLOYERS IN GRANT COUNTY, MGH DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN, AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES. X X X X X false false false false false false false false false PAUL L USHER PRESIDENT/CEO 411810 0 46805 0 8534 0 7800 0 20666 0 495615 0 0 0 BERNADINE L WALLACE CNO 226723 0 22244 0 0 0 7608 0 20381 0 276956 0 0 0 ROBYN L POWELL CFO 252850 0 32393 0 30237 0 7800 0 9250 0 332530 0 0 0 KAVITA RAJ DO SECRETARY OF MEDICAL STAFF 242307 0 178574 0 51294 0 7800 0 27337 0 507312 0 0 0 SHANKARAN SRIKANTH MD BOARD MEMBER/PHYSICIAN 335602 0 15547 0 37658 0 7800 0 28552 0 425159 0 0 0 JAMES M ORRELL MD V.C. OF MEDICAL STAFF 180696 0 102398 0 55707 0 4355 0 28837 0 371993 0 0 0 JEFFREY W BRAGG DO BOARD MEMBER/PHYSICIAN 178921 0 50113 0 36891 0 6983 0 24234 0 297142 0 0 0 TAMY E PERNG PHYSICIAN 306584 0 250748 0 64886 0 7800 0 8964 0 638982 0 0 0 ARNDT E MUELLER PHYSICIAN 294346 0 271696 0 50040 0 7800 0 7411 0 631293 0 0 0 SHAWN T SWAN PHYSICIAN 284247 0 282819 0 48817 0 7800 0 28337 0 652020 0 0 0 JEREMY R WILSON PHYSICIAN 298649 0 235484 0 10283 0 7800 0 27506 0 579722 0 0 0 EDWARD L KEPPLER PHYSICIAN 424010 0 57131 0 41566 0 7800 0 16987 0 547494 0 0 0 A INDIANA FINANCE AUTHORITY 351602316 455057NP0 2008-06-10 24000000 EQUIPMENT PURCHASE & RENOVATIONS false false false B INDIANA FINANCE AUTHORITY 351602316 45471AHA3 2012-04-26 36248711 EQUIPMENT PURCHASE & RENOVATIONS false false false A 5665000 0 24223631 0 0 0 281623 136755 0 17019915 6785338 0 true false true true B 1190000 0 36250898 0 0 0 537366 0 0 4958930 27711345 3043257 2016 true false false true A false false true true false 0 true false false true B false false true true false 0 true false false true A false false false true true false 0 false 0 true true B false false false true false false 0 false 0 false true A true B true SCHEDULE K, PART IV, LINE 2C THE 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 3 TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2008 BONDS - $223,631 2012 BONDS - $1,639 PART III LINE 7 THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST. PART IV LINE 2C A) THE REBATE COMPUTATION WAS PERFORMED ON JUNE 19, 2013. B) THE REBATE COMPUTATION WAS PERFORMED ON SEPTEMBER 26, 2013. EDWARD L KEPPLER MD EMPLOYED RECRUITMENT X 140000 40000 false true true TAMY E PERNG DO EMPLOYED RECRUITMENT X 250000 95000 false true true SHANKARAN SRIKANTH MD EMPLOYED RECRUITMENT X 140000 33231 false true true JEREMY R WILSON DO EMPLOYED RECRUITMENT X 70000 16813 false true true SHAWN T SWAN MD EMPLOYED RECRUITMENT X 140000 32000 false true true KAVITA RAJ DO EMPLOYED RECRUITMENT X 177500 61792 false true true 278836 CHRISTINE MONAHAN DAUGHTER OF OFFICER 36366 PAID EMPLOYEE false ANN ORRELL SPOUSE OF BOARD MEMBER 10318 PAID EMPLOYEE false MARION MEDICAL REAL ESTATE LLC SEE COMMENT 370943 SEE COMMENT false PART IV DR. 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. GOVERNING BODY AND MANAGEMENT PART 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 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. 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. 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. 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. RECONCILIATION OF NET ASSETS PART XI, LINE 9 PENSION RELATED CHANGES -$9,176,162 PROGRAM SERVICES ACCOMPLISHMENTS Part 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. 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