2015-05-13T14:28:13-05:00 2014-06-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2013-07-01 350868130 MARION GENERAL HOSPITAL INC % MARION GENERAL HOSPITAL INC MARI 7656607003 441 N WABASH AVENUE Suite MARION IN 469522690 Robyn L Powell Chief Financial Officer 7656607003 2015-05-15 true Joyce A Dulworth P00151125 7656607003 2013 2016-02-25 16:41:14Z ROBYN L POWELL 441 N WABASH AVENUE MARION IN 46952 231678668 false X WWW.MGH.NET X 1910 IN PROVIDES COST-EFFECTIVE HEALTH & HOSPITAL SERVICES TO GRANT AND THE SURROUNDING COUNTIES. THE SERVICES PROVIDED BY THE HOSPITAL ARE AIMED TO IMPROVE THE WELL BEING OF THE COMMUNITY. 13 7 1350 114 51907 35015 107320 118717 170604216 165013694 9227242 10940911 -1015490 -1404054 178923288 174669268 1259932 140300 0 0 64241086 64759455 0 0 0 95995353 96687510 161496371 161587265 17426917 13082003 307130989 321401188 95706772 86648462 211424217 234752726 X TO BE THE FIRST CHOICE FOR HEALTH CARE SERVICES AND PROMOTE WELLNESS IN OUR REGION. TO EXPAND OUR DELIVERY OF HEALTHCARE SERVICES USING BEST PRACTICES BY LEADING A COLLABORATIVE APPROACH INVOLVING PHYSICIANS, STAFF, BUSINESS LEADERS AND OUR COMMUNITY. false false 47719356 41037529 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 4,887 INPATIENT ADULT AND PEDIATRIC PAITENTS, AND PROVIDED 18,837 INPATIENT ADULT AND PEDIATRIC PATIENT CARE DAYS DURING THE YEAR ENDED JUNE 30, 2014. DURING THE SAME TIME PERIOD, MGH ALSO DISCHARGED 253 AND PROVIDED 2,854 PATIENT CARE DAYS FOR PATIENTS IN THE ACUTE REHAB UNIT. THERE WERE 680 DELIVERIES PERFORMED. 7711464 17925182 EMERGENCY ROOM SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL OPERATES ONE OF THE BUSIEST 24-HOUR EMERGENCY ROOMS IN THE STATE. THERE WERE 38,820 OUTPATIENT VISITS DURING THE YEAR ENDED JUNE 30, 2014. THERE WERE ALSO AN ADDITIONAL 3,520 ER PATIENTS THAT WERE ULTIMATELY ADMITTED AS AN INPATIENT TO THE HOSPITAL, FOR A TOTAL OF 42,340 VISITS. 9629000 18835174 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 THREE MRI UNITS; AN OPEN MRI OFFERING PATIENTS THREE TIMES MORE SPACE THAN A TYPICAL CLOSED UNIT, A 1.5T MAGNET 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 77,701 OUTPATIENT RADIOLOGY PROCEDURES DURING THE YEAR ENDED JUNE 30, 2014. 86304932 87479901 151364752 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 137 0 true 1350 true true true false false false false false false false false false X 13 7 false false false true false false false true true false false true true true true true true true true true true IN X MARION GENERAL HOSPITAL INC 7656607003 441 N WABASH AVENUE MARION IN 469522690 PAUL L USHER PRESIDENT/CEO 50.0 0.0 X X 499763 0 27032 JEFFREY W BRAGG DO BOARD MEMBER/PHYSICIAN 40.0 0.0 X 272887 0 29500 ESTHER FOX DO CHIEF OF STAFF/PHYSICIAN 40.0 X 239509 0 33271 JAMES M GARTLAND JR BOARD MEMBER 2.0 0.0 X 0 0 0 JEROME T HOLDEREAD BOARD CHAIR 2.0 0.0 X 0 0 0 BARBARA IHRKE BOARD SECRETARY 2.0 0.0 X 0 0 0 KAREN J JACOBS DO BOARD MEMBER/PHYSICIAN 40.0 0.0 X 43592 0 0 BRIAN MIDDLESWORTH BOARD MEMBER 2.0 0.0 X 0 0 0 MICHAEL J O'BRIEN BOARD TREASURER 2.0 0.0 X 0 0 0 DAVID J RAABE BOARD MEMBER 2.0 0.0 X 0 0 0 M NABI SHARIF MD BOARD MEMBER 40.0 0.0 X 96293 0 0 SHANKARAN SRIKANTH MD BOARD MEMBER/PHYSICIAN 40.0 0.0 X 426277 0 32667 MICHAEL A THOMAS VICE-CHAIR 2.0 0.0 X 0 0 0 ROBYN L POWELL CFO 50.0 0.0 X 334427 0 16371 BERNADINE L WALLACE CNO/COO 50.0 0.0 X 281036 0 26747 ARNDT E MUELLER MD PHYSICIAN 40.0 0.0 X 618520 0 14532 TAMY E PERNG DO PHYSICIAN 40.0 0.0 X 555006 0 16003 SHAWN T SWAN MD PHYSICIAN 40.0 0.0 X 521980 0 33152 JEREMY R WILSON DO PHYSICIAN 40.0 0.0 X 513301 0 34321 RATHI P MAHENDRAN MD PHYSICIAN 40.0 0.0 X 503133 0 7707 4905724 0 271303 78 false true false SOUTH BEND MEDICAL FOUNDATION 530 N LAFAYETTE BLVD SOUTH BEND IN 46601 OUTSIDE LAB SERVICE 1337422 SIEMENS MEDICAL SOLUTIONS USA 51 VALLEY STREAM PKWAY MALVERN PA 19355 COMPUTER CONSULTING 604622 BOWMAN CONSTRUCTION 1837 BRANSON STREET MARION IN 46953 GENERAL CONTRACTING 3308030 FE GATES DIVISION BLAKELY CORP 8060 E 88TH STREET INDIANAPOLIS IN 46256 GENERAL CONTRACTING 897050 REHABCARE 680 S FOURTH STREET LOUISVILLE KY 40202 MANAGEMENT SERVICES 607062 25 106522 12195 118717 NET PATIENT REVENUE 900099 162531911 162531911 AUXILIARY 900099 45930 45930 AMBULANCE ASSISTS 900099 82565 82565 MEALS ON WHEELS 900099 44296 44296 VHA DIVIDEND 900099 224621 224621 2084371 2084371 165013694 4300692 4300692 0 0 1201608 2664164 -1462556 0 -1462556 -1462556 60618636 365733 54242509 101641 6376127 264092 6640219 264092 6376127 7681 1086 6595 6595 0 0 BILLING SERVICES 541900 51907 51907 51907 174669268 165277786 51907 9220858 140300 140300 0 0 0 1185376 421745 763631 35073 35073 47603356 42718808 4884548 3702880 3242527 460353 8203006 7183183 1019823 4029764 3528771 500993 0 360080 360080 185804 185804 0 0 0 4743359 4743359 366284 366284 5347075 5079721 267354 2820838 2820838 0 3890710 3501639 389071 302297 241838 60459 0 139429 111543 27886 1309344 1309344 0 9929313 8936382 992931 932762 792359 140403 MEDICAL SUPPLIES/DRUGS 19445569 19445569 PROVISION FOR BAD DEBTS 13469549 13469549 PHYSICIAN SERVICES 16469506 16469506 PURCHASED SERVICES 8227080 8227080 8748511 8579334 169177 161587265 151364752 10222513 0 X 3870 3870 44845705 34667168 0 0 21322833 19003980 188333 378284 0 0 3312965 3670157 1734695 1696833 1247880 1431172 199661645 122737720 78252649 76923925 138388425 168122276 12416245 10008690 0 0 2891882 2399275 2525507 3095558 307130989 321401188 21256357 15172639 0 0 0 0 56498999 54933359 0 0 0 0 0 0 0 0 17951416 16542464 95706772 86648462 X 211414062 234742571 0 0 10155 10155 211424217 234752726 307130989 321401188 X 13082003 8111864 2134642 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 24066 24066 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 11114 499 1458 10155 1.00000 false false 4422248 4422248 108317369 62998552 45318817 859249 655716 203533 76019455 57363734 18655721 10043324 1719718 8323606 76923925 0 MINIMUM PENSION LIABILITY 16542464 16542464 171849904 8111864 2664164 10776028 161073876 13595392 13595392 174669268 150656037 2664164 2664164 147991873 13595392 13595392 161587265 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 EXPENSES $2,664,164 LINE 4B BAD DEBT EXPENSE $13,595,392 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, 2014 AND JUNE 30, 2013 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 true false true true 7332 7651507 7651507 0.05170 33413065 20285458 13127607 0.08860 7332 41064572 20285458 20779114 0.14030 141110 988649 988649 0.00670 1673 752910 752910 0.00510 157 16805 16805 0.00010 59 4466 4466 15534 221535 221535 0.00150 158533 1984365 1984365 0.01340 165865 43048937 20285458 22763479 0.15370 10754 10754 0.00010 920624 920624 0.00620 931378 931378 0.00630 false 5665200 298000 30504096 38587024 -8082928 X true true PROGRESSIVE CANCER C CANCER CARE CENTER 0.51150 0.08010 0.27540 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 true X X X X X X X X X 12 true false true X www.mgh.net X X X X X X X false false true true 200. true 300. true X X X true true X X X X X X true false true X false false PART V, SECTION B, LINE 3 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) - BARBARA IHRKE, RN, MSN, PHD: DEAN OF THE SCHOOL OF NURSING. SHE HAS BEEN DEAN FOR 15 YEARS, NURSING FACULTY, AND DEPARTMENT CHAIR PRIOR TO BECOMING DEAN, TEACHING COMMUNITY HEALTH. MS. IRKHE ALSO SERVES ON THE BOARD OF DIRECTORS OF MGH - PAM HARRISON, RN, MSN, PHD: PRE-LICENSURE FACULTY AT IWU FOR SENIOR LEVEL CLASSES IN LEADERSHIP & MANAGEMENT, AND COMMUNITY HEALTH. TEACHING NURSING FOR OVER 30 YEARS - PAM LESLIE, RN, MSN: PRE-LICENSURE FACULTY AT IWU FOR SENIOR LEVEL CLASSES IN LEADERSHIP & MANAGEMENT, AND COMMUNITY HEALTH, HOME CARE AND HOSPICE. TEACHING FOR FOURTEEN YEARS. - ROB DAWSON, RN, NP, PHD: CHAIR OF THE PRE-LICENSURE PROGRAM AT IWU, HE HAS BEEN IN THAT POSITION FOR FOUR YEARS, PRIOR TO THAT HE TAUGHT CLINICAL ASSESSMENT FOR TEN YEARS. - GRANT COUNTY HEALTH DEPARTMENT - AMY COLGAN, LPN, PUBLIC HEALTH, NURSE FOR THE HEALTH DEPARTMENT FOR PAST SIX YEARS. SPEARHEADS NUMEROUS COMMUNITY HEALTH EDUCATION, DISSEMINATION AND COLLECTION OF HEALTH MATTERS AFFECTING GRANT COUNTY. - AMBER TURNER, RN, PUBLIC HEALTH, NURSE EDUCATOR FOR THE HEALTH DEPARTMENT OFFERING HEALTH EDUCATION. - CAREY SERVICES - SERVICES FOR INDIVIDUALS WITH EMOTIONAL AND PHYSICAL DISABILITIES, INCLUDING AUTISM, EARLY HEAD START, GROUP HOMES, JOB OPPORTUNITIES AND PARENT SUPPORT GROUPS - MARK DRAVES, CEO & PRESIDENT: MARK HAS BEEN SERVING CAREY SERVICES AND GRANT COUNTY FOR 33 YEARS. - FAMILY SERVICES 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 - CONNIE ROSE, EXECUTIVE DIRECTOR - CONNIE HAS SERVED IN THIS FIELD FOR 31 YEARS AND IS THE LEAD FOR NUMEROUS COMMUNITY NEEDS AND IMPROVEMENT ACTIVITIES. - BARB NEHRING, BSW - BARB WORKS WITH THE SCHOOL SOCIAL WORKERS AND NURSES, AS WELL AS THE JUVENILE DETENTION CENTER INMATES. - MARION COMMUNITY SCHOOLS - LARGEST PUBLIC K-12 SCHOOL SYSTEM IN GRANT COUNTY - SUE NICHOLSON, RN, BSN - SUPERVISES ALL OF THE SCHOOL SYSTEM NURSES EMPLOYED IN THE EMERGENCY DEPARTMENT OF MGH. - CANCER SERVICES OF GRANT COUNTY - PROVIDES SUPPORT SERVICES FOR CANCER PATIENTS AND FAMILIES, PROVIDES FREE MAMMOGRAMS FOR ANY GRANT COUNTY RESIDENT - JENNIFER LANE-REIFLER, BA, CHE, EXECUTIVE DIRECTOR - JENNIFER IS A HEALTH EDUCATION SPECIALIST AND HAS SERVED AS THE EXECUTIVE DIRECTOR FOR 13 YEARS. - NEW HOPE HOSPICE - TAMMY WEAVER, RN, ASN, DIRECTOR OF NEW HOPE HOSPICE - SHE HAS BEEN WORKING IN HOSPICE FOR SIXTEEN YEARS - INDIANA HEALTH CENTER - FEDERALLY QUALIFIED HEALTH CLINIC - ROB DAWSON, RN, NP, PHD. PRIMARY CARE PROVIDER AT INDIANA HEALTH CENTER FOR TEN YEARS. - MARION GENERAL HOSPITAL - KELLEY HOCHSTETLER, MA, CLS, MT - MANAGES THE HOSPITAL'S COMMUNITY BENEFIT PLAN, A TEAM MEMBER OF MGH COMMUNITY OUTREACH, THE PARISH NURSE PROGRAM, AND BRIDGES TO HEALTH FREE CLINIC. - PAM LESLIE, RN, MSN - PARISH NURSE COORDINATOR FOR MGH, WHICH PARTNERS WITH 88 CONGREGATIONS AND OVER 140 PARISH NURSES, SHE HAS BEEN IN THAT POSITION FOR 14 YEARS. PAM IS ALSO PART OF THE COMMUNITY OUTREACH TEAM AT MGH TO PROVIDE WELLNESS IN THE COMMUNITY - ANN VERMILION, MBA, FACHE - ADMINISTRATIVE DIRECTOR OF MEDICAL STAFF AND COMMUNITY OUTREACH FOR SEVEN YEARS, THE CHAIRMAN FOR UNITED WAY CAMPAIGN FOR THREE YEARS AND BOARD MEMBER OF THE BOYS AND GIRLS CLUB FOR THREE YEARS - LISA PADILLA, RN, BSN - MGH STAFF NURSE WHO IS PART OF THE HISPANIC COMMUNITY ROUNDTABLE AND HELPS WITH ACCESS TO THE HISPANIC COMMUNITY WITHIN THE COUNTY - GRANT COUNTY SUPERINTENDENTS COUNCIL REPRESENTATIVES FROM SCHOOL ADMINISTRATIONS INCLUDING MARION COMMUNITY SCHOOLS, EASTBROOK COMMUNITY SCHOOLS, OAK HILL COMMUNITY SCHOOLS, MISSISSINEWA COMMUNITY SCHOOLS, LAKEVIEW CHRISTIAN SCHOOL, ST. PAUL PARISH SCHOOL, AND MADISON-GRANT SCHOOLS - BRIDGES TO HEALTH - PROVIDES MEDICAL AND DENTAL CARE FOR UNINSURED INDIVIDUALS - CHARLOTTE PEEL, RN, BSN - CLINIC NURSE MANAGER THOUGHT OVERSEES PATIENT CARE, MEDICATION ASSISTANCE AND VOLUNTEER PROVIDERS. SHE HAS WORKED AT BRIDGES TO HEALTH FOR TEN YEARS. - COMMUNITY ROUND TABLE - APPROXIMATELY 40 ORGANIZATIONS WERE REPRESENTED AT A PUBLIC PRESENTATION OF THE PREVIOUS COMMUNITY HEALTH PROFILE NEEDS ASSESSMENT PRESENTATION OF THE FINAL REPORT AND PARTICIPATED IN A ROUND TABLE DISCUSSION. 2. THIRD PARTY CONSULTANT - 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. PART V, SECTION B, LINE 7 IDENTIFIED HEALTH NEEDS BASED UPON THE ANALYSIS OF THE SURVEY RESULTS, MANY HEALTH AND HUMAN RELATED ISSUES IN GRANT COUNTY COULD BE HIGHLIGHTED AND ADDRESSED. DATA WILL BE PROVIDED TO THE COMMUNITY AGENCIES, AREA ORGANIZATIONS, PARTNERS AND HEALTHCARE SERVICES TO SUPPORT OR PROVIDE DATA FOR CHANGE AND OR NEW PROGRAMS. AN APPRAISAL OF THE FULL DATA-REPORT SUGGESTS THAT THESE PARTICULAR ISSUES SHOULD BE GIVEN PRIORITY CONSIDERATION. THE FOUR KEY AREAS IDENTIFIED ARE AS FOLLOWS: 1) MENTAL HEALTH STATUS FOUR AREAS WERE IDENTIFIED UNDER THE MENTAL HEALTH STATUS HEADING WHICH WOULD SUGGEST ADDITIONAL COMMUNITY ATTENTION MIGHT BE NEEDED. THESE INCLUDE DEPRESSION (OR DEPRESSIVE DISORDER), SOCIAL AND EMOTIONAL SUPPORT, SUICIDE, AND FINANCIAL STRESS. MGH CHOSE NOT TO PURSUE THESE RESULTS, AS OTHERS IN THE COMMUNITY WITH THIS EXPERTISE ARE EVALUATING THE RESULTS AND POSSIBLE STRATEGIES IN ADDRESSING THEM. ORGANIZATIONS INCLUDE GRANT BLACKFORD MENTAL HEALTH, FAMILY SERVICES SOCIETY, AREA SCHOOL CORPORATIONS, AND THE MAYOR'S SYNERGY INITIATIVE CONCERNING POVERTY. 2) SOCIAL DETERMINANTS OF HEALTH AREAS WHICH WERE IDENTIFIED AS TARGETED AREAS FOR IMPROVEMENT INCLUDE: ALCOHOL USE, CIGARETTE USE, DIET & EXERCISE, SLEEP, TEEN VIOLENCE & BULLYING, TEEN ALCOHOL USE, AND PHYSICAL ACTIVITY. MGH CHOSE NOT TO PURSUE THESE RESULTS, AS OTHER ORGANIZATIONS IN THE COMMUNITY WITH THIS FOCUSED EXPERTISE HAVE ALREADY BEGUN PROGRAMMING AND TACTICS TO ADDRESS THESE ISSUES OR ARE WORKING ON STRATEGIES. ORGANIZATIONS INCLUDING YMCA, AREA SCHOOL CORPORATIONS, GRANT COUNTY TOBACCO COALITION, CORNERSTONE ADDICTION CENTER, AND HANDS OF HOPE. 3) CHRONIC DISEASES ACCORDING TO THE CDC, CHRONIC DISEASES SUCH AS HEART DISEASE, CANCER, OR DIABETES, ACCOUNT FOR 70% OF ALL DEATHS IN THE UNITED STATES. AFTER REVIEWING THE DATA FROM OUR SURVEY, THREE KEY AREAS OF CHRONIC DISEASE WERE IDENTIFIED AS DEMANDING GREATER ATTENTION: DIABETES, BLOOD PRESSURE & ARTHRITIS. ** IT IS THE AREA OF DIABETES IN WHICH MGH WILL BE FOCUSING A COMPREHENSIVE IMPLEMENTATION STRATEGY. MGH FEELS DIABETES IS AN AREA WHERE INCREASED EDUCATION AND ACCESS TO DIABETIC CARE AND PRACTITIONER TRACKING MECHANISMS CAN BE IMPLEMENTED TO IMPROVE THE OUTCOMES OF THIS CHRONIC DISEASE IN GRANT COUNTY. THE MGH ACCREDITED DIABETIC EDUCATION PROGRAM IS EXCEPTIONAL AND UNDERUTILIZED IN TERMS OF REFERRALS RECEIVED AMONG AREA PHYSICIANS AND CLINICS. AFTER CONSULTATION WITH PRIMARY CARE PROVIDERS THROUGHOUT THE COUNTY AND SEVERAL MEMBERS OF THE ADVISORY GROUP, THE IMPLEMENTATION TEAM CHOOSE TO FOCUS ON DIABETES, PRE-DIABETES AND RISK REDUCTION. THESE STATISTICS HIGHLIGHT OUR PRIORITY CHOICE OF DIABETES AND LOWERS LIFE EXPECTANCY BY UP TO 15 YEARS, INCREASES THE RISK OF HEART DISEASE BY 2 TO 4 TIMES, IS THE LEADING CAUSE OF KIDNEY FAILURE, LOWER LIMB AMPUTATIONS, AND ADULT-ONSET BLINDNESS. THE ESTIMATED TOTAL FINANCIAL BURDEN OF DIABETES IN INDIANA WAS ESTIMATED TO COST 5.6 BILLION DOLLARS IN 2007. THE AVERAGE ANNUAL HEALTH CARE COST FOR A PERSON WITH DIABETES IN INDIANA IS $11,744, COMPARED WITH $2,935 FOR A PERSON WITHOUT DIABETES (HEALTHY PEOPLE 2020, INDIANA DEPARTMENT OF HEALTH, COUNTY HEALTH RANKINGS, 2012 CHP RESULTS, AND CHNA.ORG). MGH FEELS DIABETES IS A CHRONIC DISEASE AREA WHERE MEASURABLE RESULTS CAN BE SEEN IN SUBSEQUENT YEA PART V, SECTION B, LINE 14 LINE 14 THE POLICY IS NOT "ATTACHED" TO THE BILLING INVOICES, BUT A STATEMENT IS MADE THAT THERE IS A FINANCIAL ASSISTANCE POLICY. PART V, SECTION B, LINE 20 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. PART I LINE 7 BAD DEBT EXPENSE IN THE AMOUNT OF $13,469,549 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. PART III SECTION A, LINE 2A 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. PART III SECTION A, LINE 3A 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. 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 leadership, faculty and students 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. 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. MGH and its community partners conducted the Community Health Profile in 2010 and 2013 and this needs assessment is reviewed, analyzed and distributed to the community through the Community Benefit Alliance, a larger group of community health leaders in Grant County. Organizations involved in the Community Benefit Alliance include the county health department, primary care providers, area not-for-profit service agencies, business sector representatives, area universities, and area 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. Print-friendly documents and electronic links on both websites provide easy access to community members to review the data. During 2014, Marion General Hospital's community benefit team reviewed the results of the CHP and identified Diabetes as the primary health diagnosis of concern. MGH teams along with community health partners provided discussion, ideas and implementation possibilities to address the diabetic needs of the community. Those discussions led to the creation of a community-wide diabetic implementation plan. This plan includes a three-year county-wide focus on the challenge of diabetes: community service agencies, home care organizations, assisted living facilities, area clinics, primary care, and outpatient services. The MGH governing board provided final 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 COMMUNITY 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 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 OR 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, EVALUATE 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, ethnically, 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 23 local organizations and offering more than 78 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 2014, MGH focused on the health needs of our community with an active community outreach program utilizing employees from every department. This MGH Community Outreach team along with the MGH Parish Nurse program (made up of 74 churches through 138 volunteer parish nurses) coordinated health education, health screenings, and health counseling on a wide range of topics in churches, schools, universities, daycares, area events, health speaking engagements, community boards and coalitions, and numerous media venues. Health education topics emphasized in 2014 were Diabetes, Cardiovascular Disease and healthy weight management. These were the top concerns from our 2013 Community Health Profile. However, MGH community outreach teams also educated the public on stroke prevention, cancer prevention and education, sexually transmitted diseases and infections, nutrition and exercise, tobacco cessation, car seat safety inspections, and SIDS prevention. Our continued partnership with Bridges to Health, Grant County's free health clinic, provides much needed medical and dental services for uninsured residents. Other highlights from 2014 include: 1) MGH was successful in adding physicians in needed medical specialties including primary care, radiology (telemedicine), occupational medicine, otolaryngology, nephrology, cosmetic surgery, nurse practitioners, and physician assistants. 2) Marion General Hospital renewed the building lease for Bridges to Health and increased the square footage for additional clinic space for $1/year, and continues to be Bridges to Health's largest financial donor. 3) MGH expanded to Phase Two of the diabetes implementation plan (CEASE - Community: Education, Awareness, Support, Empowerment) by inviting numerous community agencies, pharmaceutical companies and service providers to participate in the community diabetes plan. MGH provided CEASE Diabetes education models and education materials to all healthcare providers within the County to allow for increased understanding and educational diabetic conversations in the outpatient patient visit. 4) Within MGH, the primary care practices began to measure evidence-based diabetes care plans to evaluate high-risk diabetes patients in the outpatient setting to include foot checks, eye exam referrals and referrals to the MGH accredited MGH Diabetes education program. 4) MGH celebrated the completion and implementation of the hospital's $1 million donation to the City of Marion for a new fire truck and 20 police vehicles. MGH is committed to our mission statement of promoting wellness in our Healthcare Community. MGH is a strong corporate citizen of the community and the 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 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), Steller Community application team 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. During this year, MGH was awarded the United Way Cornerstone Award for the community and the United Way Company of the Year Award for the state of Indiana. MGH is committed to building our community. The Hospital continues to be 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. 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) 10000 DONATION MARION GRANT COUNTY CHAMBER OF COMMERCE 217 S ADAMS MARION IN 46952 350350890 501(C)(3) 5150 DONATION 4 PART I, LINE 2 THE MGH COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AS ONE OF THE LARGER EMPLOYERS IN GRANT COUNTY, MGH DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN, AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES. X X X X X false false false false false false false false false PAUL L USHER PRESIDENT/CEO 382995 0 110135 0 6633 0 7650 0 19382 0 526795 0 0 0 ROBYN L POWELL CFO 235970 0 72716 0 25741 0 7650 0 8721 0 350798 0 0 0 BERNADINE L WALLACE CNO/COO 218851 0 45100 0 17085 0 7650 0 19097 0 307783 0 0 0 ARNDT E MUELLER MD PHYSICIAN 272631 0 307930 0 37959 0 7650 0 6882 0 633052 0 0 0 TAMY E PERNG DO PHYSICIAN 313602 0 190423 0 50981 0 7650 0 8353 0 571009 0 0 0 SHAWN T SWAN MD PHYSICIAN 266881 0 218649 0 36450 0 7650 0 25502 0 555132 0 0 0 JEREMY R WILSON DO PHYSICIAN 297500 0 205184 0 10617 0 7650 0 26671 0 547622 0 0 0 RATHI P MAHENDRAN MD PHYSICIAN 503133 0 0 0 0 0 7650 0 57 0 510840 0 0 0 JEFFREY W BRAGG DO BOARD MEMBER/PHYSICIAN 183271 0 52206 0 37410 0 7153 0 22347 0 302387 0 0 0 ESTHER FOX DO CHIEF OF STAFF/PHYSICIAN 177331 0 62144 0 34 0 7367 0 25904 0 272780 0 0 0 SHANKARAN SRIKANTH MD BOARD MEMBER/PHYSICIAN 329923 0 58178 0 38176 0 7650 0 25017 0 458944 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 4680000 0 24223631 0 0 0 281623 136755 0 16403829 6785338 616086 2014 true false false true B 590000 0 36250350 0 0 0 537366 0 0 1597039 27711345 6404600 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 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. JEFFREY W BRAGG DO EMPLOYED RECRUITMENT X 160000 36000 false true true SHANKARAN SRIKANTH EMPLOYED RECRUITMENT X 120000 50616 false true true ARNDT MUELLER MD EMPLOYED RECRUITMENT X 140000 74167 false true true JEREMY WILSON DO EMPLOYED RECRUITMENT X 50000 8334 false true true TAMY PERNG DO EMPLOYED RECRUITMENT X 220000 135000 false true true SHAWN SWAN MD EMPLOYED RECRUITMENT X 140000 74167 false true true 378284 CHRISTINE MONAHAN DAUGHTER OF OFFICER 35073 PAID EMPLOYEE false MARION MEDICAL REAL ESTATE LLC SEE PART V 353755 SEE PART V 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. Program Service 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. Governing Body and Management PART VI, 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 Dr. Esther Fox are compensated as employees of the organization. PART VI, LINE 5 In March 2012, a contracted manager devised a scheme to defraud the corporation. The individual used his or her limited authority to authorize payment of certain expenses to divert funds from the corporation under false pretenses to other organizations or individuals. The corporation became aware of the diversions pursuant to a regular review of business records. Upon investigation of the matter, the relationship with the individual was terminated. The corporation has also pursued the matter with the management company, and reported the matter to authorities. The estimated amount of losses stemming from the diversion was between $250,000 and $300,000. The corporation has subsequently instituted more stringent procedures regarding the approval of vendors and authorization of payments to prevent similar occurrences. PART VI, Section B, Line 11A 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 and 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 conflicts 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 & 15B 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 $2,134,642 PROGRESSIVE CANCER CARE LLC 831 N THEATER DRIVE MARION IN 46952 ONCOLOGY CENT IN NA RELATED 300526 1729082 false false 0.51151 SURGERY CENTER OF NORTHCENTRAL IN LLC 330 NORTH WABASH AVENUE SUITE 200 MARION IN 46952 OUTPATIENT SU IN NA RELATED -8810 false false 0.58594 false false false false false true false false false false true false false false false true false false false PROGRESSIVE CANCER CARE LLC F 326667 FMV PROGRESSIVE CANCER CARE LLC K 206734 FMV PROGRESSIVE CANCER CARE LLC P 119390 FMV