MARION GENERAL HOSPITAL: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: MARION GENERAL HOSPITAL (EIN 35-0868130)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-04-30
IRS object ID: 201441209349300959
Schema version: 2012v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-04-30T13:44:25-05:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	BKD LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	200 E Main St Suite 700	AddressLine1
City	Fort Wayne	City
State	IN	State
ZIP Code	46802	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	350868130	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MARION GENERAL HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
In Care Of Name	% MARION GENERAL HOSPITAL INC	InCareOfName
Name Control	MARI	NameControl
Phone	7656607003	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	441 N WABASH AVENUE	AddressLine1
Address Line2	Suite	AddressLine2
City	MARION	City
State	IN	State
ZIP Code	469522690	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Robyn L Powell	Name
Title	Chief Financial Officer	Title
Phone	7656607003	Phone
Date Signed	2014-05-15	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Joyce A Dulworth	Name
Phone	2604604000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	ROBYN L POWELL	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	441 N WABASH AVENUE	AddressLine1
City	MARION	City
State	IN	State
ZIP Code	46952	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	260153884	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.MGH.NET	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1910	YearFormation
State Legal Domicile	IN	StateLegalDomicile
Activity Or Mission Description	MARION GENERAL HOSPITAL PROVIDES COST-EFFECTIVE HEALTH AND HOSPITAL SERVICES TO GRANT AND THE SURROUNDING COUNTIES. THE SERVICES PROVIDED BY THE HOSPITAL ARE AIMED TO IMPROVE THE WELL BEING OF THE COMMUNITY.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	15	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	1290	TotalNbrEmployees
Total Nbr Volunteers	128	TotalNbrVolunteers
Total Gross UBI	20934	TotalGrossUBI
Contributions Grants Prior Year	115509	ContributionsGrantsPriorYear
Contributions Grants Current Year	107320	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	156618481	ProgramServiceRevenuePriorYear
Program Service Revenue CY	170604216	ProgramServiceRevenueCY
Investment Income Prior Year	5669271	InvestmentIncomePriorYear
Investment Income Current Year	9227242	InvestmentIncomeCurrentYear
Other Revenue Prior Year	93678	OtherRevenuePriorYear
Other Revenue Current Year	-1015490	OtherRevenueCurrentYear
Total Revenue Prior Year	162496939	TotalRevenuePriorYear
Total Revenue Current Year	178923288	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	176527	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1259932	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	54965625	SalariesEtcPriorYear
Salaries Etc Current Year	64241086	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	88095829	OtherExpensePriorYear
Other Expenses Current Year	95995353	OtherExpensesCurrentYear
Total Expenses Prior Year	143237981	TotalExpensesPriorYear
Total Expenses Current Year	161496371	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	19258958	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	17426917	RevenuesLessExpensesCY
Total Assets BOY	283707293	TotalAssetsBOY
Total Assets EOY	307130989	TotalAssetsEOY
Total Liabilities BOY	95683470	TotalLiabilitiesBOY
Total Liabilities EOY	95706772	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	188023823	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	211424217	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	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.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	47535621	Expense
Revenue	43348975	Revenue
Description	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 5,376 ADULT AND PEDIATRIC PATIENTS AND PROVIDED 19,276 ADULT AND PEDIATRIC PATIENT CARE DAYS DURING THE YEAR ENDED JUNE 30, 2013. DURING THE SAME TIME PERIOD, MGH ALSO DISCHARGED 232 AND PROVIDED 2,771 PATIENT CARE DAYS FOR PATIENTS IN THE ACUTE REHAB UNIT. THERE WERE 749 DELIVERIES PERFORMED.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	7404603	Expense
Revenue	18426417	Revenue
Description	EMERGENCY ROOM SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL OPERATES ONE OF THE BUSIEST 24-HOUR EMERGENCY ROOMS IN THE STATE. THERE WERE 40,474 OUTPATIENT VISITS DURING THE YEAR ENDED JUNE 30, 2013. THERE WERE ALSO AN ADDITIONAL 3,680 ER PATIENTS THAT WERE ULTIMATELY ADMITTED AS AN INPATIENT TO THE HOSPITAL, FOR A TOTAL OF 44,154 VISITS.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	9346662	Expense
Revenue	17402336	Revenue
Description	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 STATES ONLY LOW DOSE FULL-FIELD DIGITAL MAMMOGRAPHY, AND ALSO OFFERS PATIENTS A 64 SLICE CT SCANNER WITH CARDIAC IMAGING CAPABILITES. 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. IN JUNE 2013, MGH INSTALLED A SPECT/CT AND PET/CT SCANNERS FUSING NUCLEAR MEDICINE AND CT TECHNOLOGY. ALSO IN JUNE, MGH INSTALLED ONE OF THE FIRST LOW DOSE MBI OR MOLECULAR BREAST IMAGING UNITS IN THE COUNTRY. OTHER SERVICES OFFERED INCLUDE NUCLEAR MEDICINE, ULTRASOUND AND X-RAY. MARION GENERAL HOSPITAL PROVIDED 75,721 OUTPATIENT RADIOLOGY PROCEDURES DURING THE YEAR ENDED JUNE 30, 2013.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	86292393	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	90968374	TotalOfOtherProgramServiceRev
Total Program Service Expense	150579279	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	true	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	true	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	true	Hospital
Financial Stmt Attached	true	FinancialStmtAttached
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	true	TaxExemptBonds
Invest Tax Exempt Bonds	true	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	true	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	true	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	true	RelatedEntity
Related Org Controlled Entity	true	RelatedOrgControlledEntity
Transaction Related Entity	true	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	137	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	1290	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	true	UnrelatedBusinessIncome
Form990-T Filed	true	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	15	NbrVotingGoverningBodyMembers
Number Independent Voting Members	9	NumberIndependentVotingMembers
Family Or Business Relationship	true	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	true	InvestmentInJointVenture
Written Policy Or Procedure	true	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IN	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	MARION GENERAL HOSPITAL INC	NamePerson
Telephone Number	7656607000	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	441 N WABASH AVENUE	AddressLine1
City	MARION	City
State	IN	State
ZIP Code	469522690	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Highest Compensated EmployeeHighestCompensatedEmployee
USHER PAUL L
PRESIDENT/CEO	50.0	X	X	479055	0	29488
Rajmaira MD Salil
BOARD MEMBER/PHYSICIAN	20.0	X		158679	0	0
SRIKANTH MD SHANKARAN
BOARD MEMBER/PHYSICIAN	40.0	X		372679	0	33875
FOX SCHOER DO ESTHER
CHIEF OF STAFF/PHYSICIAN	40.0	X		228330	0	40311
BRAGG DO JEFFREY
BOARD MEMBER/PHYSICIAN	40.0	X		233805	0	29589
IHRKE BARBARA
BOARD MEMBER	2.0	X		727	0	0
DREIMAN DDS BERNARD B
BOARD MEMBER	2.0	X		21000	0	0
GARTLAND JR JAMES M
BOARD MEMBER	2.0	X		0	0	0
HOLDEREAD JEROME T
VICE-CHAIR	2.0	X		0	0	0
JENKS SALLY
SECRETARY	2.0	X		0	0	0
MARTIN JOE
CHAIR	2.0	X		0	0	0
MIDDLESWORTH BRIAN
BOARD MEMBER	2.0	X		0	0	0
O'BRIEN MICHAEL J
BOARD MEMBER	2.0	X		0	0	0
RAABE DAVID J
Board Member	2.0	X		0	0	0
THOMAS MICHAEL A
TREASURER	2.0	X		0	0	0
POWELL ROBYN L
CFO	50.0		X	294779	0	16652
WALLACE BERNADINE L
CNO/COO	50.0		X	294043	0	29303
MAHENDRAN RATHI P
EMPLOYED PHYSICIAN	40.0			503133	0	7557	X
KEPPLER EDWARD L
EMPLOYED PHYSICIAN	40.0			464607	0	24603	X
WILSON JEREMY R
EMPLOYED PHYSICIAN	40.0			450045	0	33388	X
GUNTER MICHAEL A
EMPLOYED PHYSICIAN	40.0			364269	0	17619	X
BENDALY EDMOND A
EMPLOYED PHYSICIAN	40.0			390530	0	7557	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	4255681	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	269942	TotalOtherCompensation
Number Individuals GT100 K	71	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
SIEMENS MEDICAL SOLUTIONS USA
51 VALLEY STREAM PKWAY	MALVERN	PA	19355	EQUIPMENT/CONSULTING	7444002
BOWMAN CONSTRUCTION
1837 BRANSON STREET	MARION	IN	46953	GENERAL CONTRACTING	7256509
CURRENT MECHANICAL
2120 WASHINGTON STREET STE A	FORT WAYNE	IN	46803	GENERAL CONTRACTING	1464623
SOUTH BEND MEDICAL FOUNDATION
530 N LAFAYETTE BLVD	SOUTH BEND	IN	46601	OUTSIDE LAB SERVICE	1397830
AUTOMATED LOGIC
614 STREETER AVE	MUNCIE	IN	47303	GENERAL CONTRACTING	670560

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	29	NumberOfContractorsGT100K
Government Grants	96105	GovernmentGrants
All Other Contributions	11215	AllOtherContributions
Total Contributions	107320	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE	900099	168810673	168810673
AUXILIARY	900099	58882	58882
AMBULANCE ASSISTS	900099	86835	86835
MEALS ON WHEELS	900099	48996	48996
VHA DIVIDEND	900099	126331	126331

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1472499	TotalRevenueColumn
Related Or Exempt Function Income	1472499	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	170604216	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	4698251	TotalRevenueColumn
Exclusion	$4,698,251	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

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

Royalties Revenue RoyaltiesRevenue

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

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	963791	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	2007995	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-1044204	Real
Personal	0	Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-1044204	TotalRevenueColumn
Exclusion	-$1,044,204	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	83613273	Securities
Other	137029	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	78627458	Securities
Other	593853	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	4985815	Securities
Other	-456824	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	4528991	TotalRevenueColumn
Related Or Exempt Function Income	-456824	RelatedOrExemptFunctionIncome
Exclusion	$4,985,815	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Income Fundraising Events	9070	GrossIncomeFundraisingEvents
Fundraising Direct Expenses	1290	FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	7780	TotalRevenueColumn
Exclusion	$7,780	ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

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

Net Income Or Loss NetIncomeOrLoss

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

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	BILLING SERVICES	Description
Business Code	541900	BusinessCode
Total Revenue Column	20934	TotalRevenueColumn
Unrelated Business Revenue	20934	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Other Revenue	20934	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	178923288	TotalRevenueColumn
Related Or Exempt Function Income	170147392	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	20934	UnrelatedBusinessRevenue
Exclusion	$8,647,642	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1259932	Total
Program Services	1259932	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1153915	Total
Program Services	427341	ProgramServices
Management And General	726574	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	47217211	Total
Program Services	41790394	ProgramServices
Management And General	5426817	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3171042	Total
Program Services	2739633	ProgramServices
Management And General	431409	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	8713184	Total
Program Services	7527784	ProgramServices
Management And General	1185400	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	3985734	Total
Program Services	3443488	ProgramServices
Management And General	542246	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	432311	Total
Management And General	432311	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	161483	Total
Management And General	161483	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	4592201	Total
Program Services	4592201	ProgramServices

Advertising Advertising

Field	Value	IRS element (for citing)
Total	358319	Total
Program Services	358319	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	6105746	Total
Program Services	5800459	ProgramServices
Management And General	305287	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2698330	Total
Program Services	2698330	ProgramServices

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	4237681	Total
Program Services	3813913	ProgramServices
Management And General	423768	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	309852	Total
Program Services	247882	ProgramServices
Management And General	61970	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	119628	Total
Program Services	95702	ProgramServices
Management And General	23926	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1312636	Total
Program Services	1312636	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	8930257	Total
Program Services	8037231	ProgramServices
Management And General	893026	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	823246	Total
Program Services	668931	ProgramServices
Management And General	154315	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices
MEDICAL SUPPLIES/DRUGS	19623545	19623545
PROVISION FOR BAD DEBTS	14664079	14664079
PHYSICIAN SERVICES	15776408	15776408
PURCHASED SERVICES	8154022	8154022

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	7695609	Total
Program Services	7547049	ProgramServices
Management And General	148560	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	161496371	Total
Program Services	150579279	ProgramServices
Management And General	10917092	ManagementAndGeneral
Fundraising	0	Fundraising

Field	Value	IRS element (for citing)
Info In Schedule O Part X	X	InfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3620	BOY
EOY	3870	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	48762190	BOY
EOY	44845705	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	26117454	BOY
EOY	21322833	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
BOY	221102	BOY
EOY	188333	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	3081794	BOY
EOY	3312965	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1565903	BOY
EOY	1734695	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1268746	BOY
EOY	1247880	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	194214793	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	115962144	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	61907473	BOY
EOY	78252649	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	124365759	BOY
EOY	138388425	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	11647513	BOY
EOY	12416245	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1474291	BOY
EOY	2891882	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	3291448	BOY
EOY	2525507	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	283707293	BOY
EOY	307130989	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	18269052	BOY
EOY	21256357	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	57444984	BOY
EOY	56498999	EOY

Escrow Account Liability EscrowAccountLiability

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Loans From Officers Directors LoansFromOfficersDirectors

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	19969434	BOY
EOY	17951416	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	95683470	BOY
EOY	95706772	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	188013668	BOY
EOY	211414062	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	0	BOY
EOY	0	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10155	BOY
EOY	10155	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	188023823	BOY
EOY	211424217	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	283707293	BOY
EOY	307130989	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	17426917	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	1785986	ReconciliationUnrealizedInvest
Reconcilation Other Changes	4187491	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Total Grassroots Lobbying		TotalGrassrootsLobbying
Total Direct Lobbying		TotalDirectLobbying
Total Lobbying Expenditures		TotalLobbyingExpenditures
Other Exempt Purpose Expenditures		OtherExemptPurposeExpenditures
Total Exempt Purpose Expenditures		TotalExemptPurposeExpenditures
Lobbying Nontaxable		LobbyingNontaxableAmount
Grassroots Nontaxable		GrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non Tx		TotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying Nontx		TotLobbyExpendMnsLobbyingNontx
Volunteers	false	Volunteers
Paid Staff Or Management	false	PaidStaffOrManagement
Media Advertisements	false	MediaAdvertisements
Mailings Members	false	MailingsMembers
Publications Or Broadcast	false	PublicationsOrBroadcast
Grants Other Organizations	false	GrantsOtherOrganizations
Direct Contact Legislators	true	DirectContactLegislators
Direct Contact Legislators	$0	DirectContactLegislatorsAmount
Rallies Demonstrations	false	RalliesDemonstrations
Other Activities	true	OtherActivities
Other Activities	$25,615	OtherActivitiesAmount
Total Lobbying Expenditures IIB	25615	TotalLobbyingExpendituresIIB
Not Described In501c3	false	NotDescribedIn501c3
Form4720 Filed4912 Tax	false	Form4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Schedule C	Identifier
Return Reference	Part II-B, Line 1g	ReturnReference
Explanation	MARION GENERAL HOSPITAL OCCASIONALLY SENDS LETTERS 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 STATE MEDICAL ASSOCIATION, AMERICAN SOCIETY OF HEALTH-SYSTEM PHARMACISTS, ONCOLOGY NURSING SOCIETY, AMERICAN COLLEGE OF PHYSICIANS, RURAL REFERRAL CENTER/SOLE COMMUNITY HOSPITAL COALITION, AMERICAN HOSPITAL ASSOCIATION, AMONG VARIOUS OTHERS. COALITION, AMERICAN HOSPITAL ASSOCIATION, AMONG VARIOUS OTHERS.	Explanation

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10155	BeginningOfYearBalance
End Of Year Balance	10155	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10155	BeginningOfYearBalance
End Of Year Balance	10155	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	10155	BeginningOfYearBalance
End Of Year Balance	10155	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	11114	BeginningOfYearBalance
Investment Earnings Or Losses	499	InvestmentEarningsOrLosses
Other Expenditures	1458	OtherExpenditures
End Of Year Balance	10155	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	15418	BeginningOfYearBalance
Investment Earnings Or Losses	684	InvestmentEarningsOrLosses
Other Expenditures	4988	OtherExpenditures
End Of Year Balance	11114	EndOfYearBalance

Field	Value	IRS element (for citing)
Permanent Endowment EOY Balance	1.00000	PermanentEndowmentEOYBalance
Endowments Held By Unrelated Orgs	false	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	false	EndowmentsHeldByRelatedOrgs

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	4422248	OtherCostOrOtherBasis
Book Value	4422248	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	106649620	OtherCostOrOtherBasis
Depreciation	58286350	Depreciation
Book Value	48363270	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	859249	OtherCostOrOtherBasis
Depreciation	563152	Depreciation
Book Value	296097	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	75912570	OtherCostOrOtherBasis
Depreciation	55617728	Depreciation
Book Value	20294842	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6371107	OtherCostOrOtherBasis
Depreciation	1494915	Depreciation
Book Value	4876192	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	78252649	TotalOfBookValueLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	MINIMUM PENSION LIABILITY	Description
Amount	$17,951,416	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	17951416	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	168088776	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	1785986	NetUnrealizedGainsInvestments
Other Revenues	2007995	OtherRevenues
Revenue Not Rptd F990	3793981	RevenueNotRptdF990
Revenue Subtotal	164294795	RevenueSubtotal
Other Revenues Not Included	14628493	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	14628493	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	178923288	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	148875873	TotExpensesEtcAuditedFinclStmt
Other Expenses Included	2007995	OtherExpensesIncluded
Expenses Not Rptd F990	2007995	ExpensesNotRptdF990
Expenses Subtotal	146867878	ExpensesSubtotal
Other Expenses Not Included	14628493	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	14628493	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	161496371	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE D	PART V, LINE 4	THE HOSPITAL'S ENDOWMENT FUNDS ARE USED FOR CRITICAL CARE DEPARTMENT EDUCATION EXPENSES, AND OTHER PROGRAM SERVICE EXPENSES.
RECONCILIATION	PART XI, LINE 2D	RENTAL EXPENSES $2,007,995 PART XI, LINE 4B BAD DEBT EXPENSE $14,628,493
RECONCILIATION	PART XII, LINE 2D	RENTAL EXPENSES $2,007,995 PART XII, LINE 4B BAD DEBT EXPENSE $14,628,493
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 30,2013 THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	true	CharityCarePolicy
Written Policy	true	WrittenPolicy
FPG Reference Free Care	true	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	true	FPGReferenceDiscountedCare
Pcent300	X	Pcent300
Free Disc Care Medically Indigent	true	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	true	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	true	ExpensesExceededBudget
Unable To Provide Care	false	UnableToProvideCare
Annual Community Benefit Report	true	AnnualCommunityBenefitReport
Report Publically Available	true	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Persons Served	6078	PersonsServed
Total Community Benefit Expense	9085868	TotalCommunityBenefitExpense
Net Community Benefit Expense	9085868	NetCommunityBenefitExpense
Percent Of Total Expense	0.06190	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30603557	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22106494	DirectOffsettingRevenue
Net Community Benefit Expense	8497063	NetCommunityBenefitExpense
Percent Of Total Expense	0.05790	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Persons Served	6078	PersonsServed
Total Community Benefit Expense	39689425	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22106494	DirectOffsettingRevenue
Net Community Benefit Expense	17582931	NetCommunityBenefitExpense
Percent Of Total Expense	0.11980	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Persons Served	131401	PersonsServed
Total Community Benefit Expense	1484930	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28248	DirectOffsettingRevenue
Net Community Benefit Expense	1456682	NetCommunityBenefitExpense
Percent Of Total Expense	0.00990	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Persons Served	2048	PersonsServed
Total Community Benefit Expense	583245	TotalCommunityBenefitExpense
Net Community Benefit Expense	583245	NetCommunityBenefitExpense
Percent Of Total Expense	0.00400	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Persons Served	58	PersonsServed
Total Community Benefit Expense	797	TotalCommunityBenefitExpense
Net Community Benefit Expense	797	NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Persons Served	2535	PersonsServed
Total Community Benefit Expense	1467556	TotalCommunityBenefitExpense
Net Community Benefit Expense	1467556	NetCommunityBenefitExpense
Percent Of Total Expense	0.01000	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Persons Served	136042	PersonsServed
Total Community Benefit Expense	3536528	TotalCommunityBenefitExpense
Direct Offsetting Revenue	28248	DirectOffsettingRevenue
Net Community Benefit Expense	3508280	NetCommunityBenefitExpense
Percent Of Total Expense	0.02390	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Persons Served	142120	PersonsServed
Total Community Benefit Expense	43225953	TotalCommunityBenefitExpense
Direct Offsetting Revenue	22134742	DirectOffsettingRevenue
Net Community Benefit Expense	21091211	NetCommunityBenefitExpense
Percent Of Total Expense	0.14370	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	11229	TotalCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	7222	TotalCommunityBuildingExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	1562810	TotalCommunityBuildingExpense
Percent Of Total Expense	0.01060	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	1581261	TotalCommunityBuildingExpense
Percent Of Total Expense	0.01070	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReported
Bad Debt Expense	$5,965,499	BadDebtExpenseAmount
Amount Attributable To	314000	AmountAttributableTo
Amount Reimbursed By Medicare	32809204	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	39226520	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-6417316	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Cost To Charge Ratio	X	CostToChargeRatio

Field	Value	IRS element (for citing)
Written Debt Collection Policy	true	WrittenDebtCollectionPolicy
Provision For Charity Care	true	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	PROGRESSIVE CANCER C	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	CANCER CARE CENTER	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.50980	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.05180	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.30250	PhysicansProfitOrOwnership

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	1	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

Field	Value	IRS element (for citing)
Facility Number	1	FacilityNumber

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	MARION GENERAL HOSPITAL INC	BusinessNameLine1

Address Address

Field	Value	IRS element (for citing)
Address Line1	441 N WABASH AVENUE	AddressLine1
City	MARION	City
State	IN	State
ZIP Code	46952	ZIPCode

Field	Value	IRS element (for citing)
Website Address	WWW.MGH.NET	WebsiteAddress
Licensed Hospital	X	LicensedHospital
General Medical And Surgical	X	GeneralMedicalAndSurgical
Er24 Hours	X	Er24Hours
Other	OFF-CAMPUS RADIOLOGY ONCOLOGY, SLEEP LAB PHYSICAL MED, LAB	Other

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	MARION GENERAL HOSPITAL INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber
CHNA Conducted	true	CHNAConducted
Community Definition	X	CommunityDefinition
Community Demographics	X	CommunityDemographics
Existing Resources	X	ExistingResources
How Data Obtained	X	HowDataObtained
Community Health Needs	X	CommunityHealthNeeds
Other Health Issues	X	OtherHealthIssues
Identifying Process	X	IdentifyingProcess
Consulting Process	X	ConsultingProcess
Information Gaps	X	InformationGaps
Needs Assessment Conducted	12	NeedsAssessmentConducted
Take Into Account	true	TakeIntoAccount
Other Facilities	false	OtherFacilities
CHNA Widely Available	true	CHNAWidelyAvailable
Own Website	X	OwnWebsite
On Request	X	OnRequest
Adopt Implement Strategy	X	AdoptImplementStrategy
Execute Implement Strategy	X	ExecuteImplementStrategy
Develop Community Plan	X	DevelopCommunityPlan
Participate Community Plan	X	ParticipateCommunityPlan
Include Operational Plans	X	IncludeOperationalPlans
Prioritize Health Needs	X	PrioritizeHealthNeeds
All Needs Addressed	false	AllNeedsAddressed
Organization Incur Excise Tax	false	OrganizationIncurExciseTax
Eligibility Criteria Explained	true	EligibilityCriteriaExplained
Uses FPG Free	true	UsesFPGFree
FPG Free Percent	200.	FPGFreePercent
Uses FPG Discounted	true	UsesFPGDiscounted
FPG Discount Percent	300.	FPGDiscountPercent
Explains Basis	true	ExplainsBasis
Income Level	X	IncomeLevel
Asset Level	X	AssetLevel
Medical Indigency	X	MedicalIndigency
Explains Application Method	true	ExplainsApplicationMethod
Includes Publicity Measures	true	IncludesPublicityMeasures
Posted On Website	X	PostedOnWebsite
Posted In Emergency Room	X	PostedInEmergencyRoom
Posted In Admission Office	X	PostedInAdmissionOffice
Provided On Admission	X	ProvidedOnAdmission
Available On Request	X	AvailableOnRequest
Other Publicity	X	OtherPublicity
Actions On Nonpayment	true	ActionsOnNonpayment
Collection Activities	false	CollectionActivities
Nondiscrim Emergency Care Policy	true	NondiscrimEmergencyCarePolicy
Used Other Method	X	UsedOtherMethod
Amounts Generally Billed	false	AmountsGenerallyBilled
Gross Charges	false	GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
REQUIRED DESCRIPTIONS	PART I, LINE 7	BAD DEBT EXPENSE IN THE AMOUNT OF $14,664,079 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 8A		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.
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 hospitals 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 Mayors 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 years. 4) Health Care Access Results from the survey suggested that Grant County residents mimic the national epidemic in the struggle to tackle health insurance and access to primary care providers, all which affect their abilities to be proactive in maintaining healthy lifestyles. MGH will continue to assist our county in providing access to quality care. MGH has numerous avenues already in place to increase patient access to providers and financial assistance, and referral partnerships for health insurance and support options.
PART V, SECTION B, 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 20D		MGH FOLLOWED THE FINANCIAL ASSISTANCE POLICY, EXTENDING FREE CARE FOR THOSE AT OR LESS THAN 200% OF FEDERAL POVERY 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.
NEEDS ASSESSMENT		Marion General Hospital facilitates and hosts the community needs assessment process and data for Grant County. Every three years MGH partners with the local university, Indiana Wesleyan University and their nursing and social work departments complete a comprehensive survey utilizing the Center for Disease Control (CDC) Behavior Risk Assessment. Primary data is collected in all geographic segments of Grant County which is our (MGH) primary service area. MGH facilities and hosts The Community Health Profile (CHP) which is an overarching community initiative to utilize primary and secondary data for the ongoing process of implementing and evaluating community needs assessments. Results for the 2010 and 2013 primary needs assessment survey along with secondary data were reviewed by the Community Benefit Alliance group including the county health department, area not-for-profit service agencies, business sector, area universities and area healthcare providers. The primary survey data and summaries are located on www.mgh.net and http://healthygrantcounty.net (which is hosted by MGH) as well as links to many sources of secondary data from the community. Printed and electronic access to both websites provides easy access to community-wide data for people from diverse backgrounds. In the spring of 2013, a series of meetings and community forums were held. There was input from MGH inpatients, outpatient services and primary care practices, with approval from the MGH governing board which led to the creation of a community-wide implementation plan. The implementation plan will be for a three-year focus involving a community-wide initiative including: community service agencies, area clinics, primary care and outpatient objectives and goals. The first year will also involve obtaining and setting baseline data in order to document progress of goals and measurement for all areas.
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. 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. ON OUR BILLING STATEMENTS, WE ADVISE PATIENTS THAT WE OFFER FINANCIAL ASSISTANCE. HOWEVER, THEY NEED TO APPLY AND THEY CAN CONTACT US, AND WE WILL HELP THEM COMPLETE THE APPLICATION. WE ALSO POST THE POLICY ON OUR WEBSITE ALONG WITH OUR TELEPHONE NUMBER TO CONTACT US IF THEY BELIEVE THEY MIGHT QUALIFY. 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 APPLICATION PROCESS FOR STATE AND FEDERAL GOVERNMENT BENEFIT PROGRAMS.
COMMUNITY INFORMATION		MGH continues to serve the primary market of Grant County, Indiana. MGH also provides healthcare services to residents in the neighboring counties of Wabash, Miami, Blackford, and Huntington (all in Indiana). Marion, the Grant County seat, is joined with the communities of Gas City, Jonesboro, Fairmount, Matthews, Upland, Van Buren, Sweetser, Swayzee, and Converse. All of these surrounding communities have populations of less than 6,000. Grant County's population, as projected by the 2010 U.S. census, is 70,061 and the household count is 30,443. Grant County continues to be a very diverse community. Even with recent economic successes, our market tends to fall below state and national averages for statistics such as household income, education and employment rates. 19.8% of Grant County's residents fall below federal poverty guidelines. This rate is higher than any of the surrounding counties. (U.S. census bureau, 2010)
PROMOTION OF COMMUNITY HEALTH		For almost 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 75 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 2013, MGHS 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 70 churches through 130 unpaid parish nurses. MGH provided health education on a wide range of topics at schools, universities, daycares, area events, health speaking engagements, community boards and coalitions, and numerous media venues. Health education topics emphasized in 2013 included: healthy weight, stroke prevention, sexually transmitted diseases and infections, cardiac health, nutrition and exercise, tobacco cessation, diabetic screening, diabetic disease management, 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 2013 include: 1) Marion General Hospital renewed the building lease for Bridges to Health by donating 5,000 sq. ft of clinic space for $1/year, and continues to be Bridges largest financial donor 2) MGH was successful in adding physicians in needed medical specialties including primary care, Radiology (Telemedicine), Occupational Medicine, Otolaryngology, Nephrology, cosmetic surgery, nurse practioners, and physician assistants. 3) MGH continued to increase access to primary care and outpatient services with South Marion Medical Park. 4) MGH expanded health screening locations. 5) Launched a community-wide implementation plan for diabetes disease management. 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 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, Synergy 2013, and numerous community non-profit boards. Our employees served as innovative leaders creating opportunities to educate the public 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	990 SCHEDULE H, PART VI	IN,

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
BRIDGES TO HEALTH INC
1251 W KEM ROAD	MARION	IN	46952	205405181	501(c)(3)	111572	DONATION
GRANT COUNTY ECONOMIC GROWTH COUNCIL
301 S ADAMS SUITE 109	MARION	IN	46952	351589550	501(c)(3)	5150	DONATION
GRANT COUNTY FAMILY YMCA
123 SUTTER WAY	MARION	IN	46952	350886981	501(c)(3)	10600	DONATION
UNITED WAY OF GRANT COUNTY INC
205 S WASHINGTON STREET	MARION	IN	46952	350995975	501(c)(3)	27042	DONATION
COMMUNITY SCHOOL OF THE ARTS
305 S ADAMS ST	MARION	IN	46952	352155272	501(C)(3)	12500	DONATION
MARION GRANT COUNTY CHAMbER
217 S ADAMS	MARION	IN	46952	350350890	501(C)(3)	5775	DONATION
CITY OF MARION
301 S BRANSON STREET	MARION	IN	46953			1087293	DONATION

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	7	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	SCHEDULE I	Identifier
Return Reference	PART I, LINE 2	ReturnReference
Explanation	THE MGH COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AS ONE OF THE LARGER EMPLOYERS IN GRANT COUNTY. MGH DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN, AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	false	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
USHER PAUL L
PRESIDENT/CEO	353929	0	117111	0	8015	0	7500	0	21988	0	508543	0	0	0
POWELL ROBYN L
CFO	220221	0	50156	0	24402	0	7500	0	9152	0	311431	0	0	0
WALLACE BERNADINE L
CNO/COO	214514	0	55405	0	24124	0	7500	0	21803	0	323346	0	0	0
MAHENDRAN RATHI P
EMPLOYED PHYSICIAN	503133	0	0	0	0	0	7500	0	57	0	510690	0	0	0
KEPPLER EDWARD L
EMPLOYED PHYSICIAN	394273	0	52975	0	17359	0	7500	0	17103	0	489210	0	0	0
WILSON JEREMY R
EMPLOYED PHYSICIAN	306101	0	133010	0	10934	0	7500	0	25888	0	483433	0	0	0
GUNTER MICHAEL A
EMPLOYED PHYSICIAN	258694	0	90231	0	15344	0	0	0	17619	0	381888	0	0	0
BENDALY EDMOND A
EMPLOYED PHYSICIAN	372363	0	0	0	18167	0	7500	0	57	0	398087	0	0	0
Rajmaira MD Salil
BOARD MEMBER/PHYSICIAN	158679	0	0	0	0	0	0	0	0	0	158679	0	0	0
SRIKANTH MD SHANKARAN
BOARD MEMBER/PHYSICIAN	322017	0	33020	0	17642	0	7500	0	26375	0	406554	0	0	0
FOX SCHOER DO ESTHER
CHIEF OF STAFF/PHYSICIAN	169818	0	58512	0	0	0	7192	0	33119	0	268641	0	0	0
BRAGG DO JEFFREY
BOARD MEMBER/PHYSICIAN	180126	0	15745	0	37934	0	5955	0	23634	0	263394	0	0	0

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCd	Issuer EINIssuerEIN	CUSIP NumberCUSIPNumber	Date IssuedDateIssued	Issue PriceIssuePrice	Description Of PurposeDescriptionOfPurpose	DefeasedDefeased	On Behalf Of IssuerOnBehalfOfIssuer	Pool FinancingPoolFinancing
INDIANA FINANCE AUTHORITY
A	351602316	455057npo	2008-06-10	24000000	CONSTRUCT & EQUIP FACILITY, REFUND	false	false	false
INDIANA FINANCE AUTHORITY
B	351602316	45471AHA3	2012-04-26	36248711	CONSTRUCT & EQUIP FACILITY, REFUND	false	false	false

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCd	Amount RetiredAmountRetired	Amount Bond DefeasedAmountBondDefeased	Total ProceedsTotalProceeds	Amount In Reserve FundAmountInReserveFund	Capitalized InterestCapitalizedInterest	Refunding EscrowRefundingEscrow	Issuance Costs From ProceedsIssuanceCostsFromProceeds	Credit EnhancementCreditEnhancement	Working Capital ExpendituresWorkingCapitalExpenditures	Capital ExpendituresCapitalExpenditures	Other Spent ProceedsOtherSpentProceeds	Amount UnspentAmountUnspent	Year Of Subst CompletionYearOfSubstCompletion	Current RefundingCurrentRefunding	Advance RefundingAdvanceRefunding	Final Allocation MadeFinalAllocationMade	Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A	3725000	0	24223630	0	0	0	281623	136755	0	13714004	6785338	3305910	2014	true	false	false	true
B	0	0	36249557	0	0	0	537366	0	0	63461	27711344	7937385	2016	true	false	false	true

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedProperty	Any Lease ArrangementsAnyLeaseArrangements	Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty	Engage Bond Counsel ContractsEngageBondCounselContracts	Any Research AgreementsAnyResearchAgreements	Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers	Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest	Change In Use Bond Financed PropChangeInUseBondFinancedProp	Remedial Action TakenRemedialActionTaken	Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A	false	false	true	true	false	0	true	false	false	true
B	false	false	true	true	false	0	true	false	false	true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiled	Rebate Not Due YetRebateNotDueYet	Exception To RebateExceptionToRebate	No Rebate DueNoRebateDue	Variable Rate IssueVariableRateIssue	Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds	Gross Proceeds Invested In GICGrossProceedsInvestedInGIC	Business Name Line1NameOfGICProvider/BusinessNameLine1	Gross Proceeds InvestedGrossProceedsInvested	Written Proc To Monitor ReqsWrittenProcToMonitorReqs
0
A	false	false	false	true	true	false	false	0	true	true
0
B	false	false	false	true	false	false	false	0	false	true

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCd	Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction
A	true
B	true

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
SCHEDULE K	0	THE JULY 20, 2005 BOND ISSUED BY THE INDIANA FINANCE AUTHORITY WAS USED FOR CONSTRUCTION, THE PURCHASE OF CAPITAL EQUIPMENT, TO REFUND SERIES 2005 BONDS AND PAY BOND ISSUANCE COSTS. CREDIT ENHANCEMENT FEES: $109,305 ISSUANCE COSTS: $309,073.
SCHEDULE K	PART II LINE 3	TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2008 BONDS - $223,630 2012 BONDS - $846
SCHEDULE K	PART III LINE 7	THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST.

Schedule L IRS990ScheduleL

Loan Table LoanTable (4 entries)

Relationship With OrganizationRelationshipWithOrganization	Purpose Of LoanPurposeOfLoan	Loan From OrganizationLoanFromOrganization	Original PrincipalOriginalPrincipalAmount	Balance DueBalanceDue	DefaultDefault	Approved By BoardApprovedByBoard	Written AgreementWrittenAgreement
JEFFREY W BRAGG DO
EMPLOYED	RECRUITMENT	X	$120,000	32000	false	true	true
SHANKARAN SRIKANTH MD
EMPLOYED	RECRUITMENT	X	$100,000	66000	false	true	true
EDWARD KEPPLER MD
EMPLOYED	RECRUITMENT	X	$100,000	72000	false	true	true
JEREMY WILSON DO
EMPLOYED	RECRUITMENT	X	$50,000	18333	false	true	true

Field	Value	IRS element (for citing)
Total Balance Due	188333	TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
CHRISTINE MONAHAN
DAUGHTER OF OFFICER	19629	PAID EMPLOYEE	false
MARION MEDICAL REAL ESTATE LLC
SEE PART V	372702	SEE PART V	false
MARION SLEEP SERVICES LLC
JOINT VENTURE	0	SEE PART V	false

Form990 Schedule L Part V Form990ScheduleLPartV

Field	Value	IRS element (for citing)
Identifier	PART VI	Identifier
Explanation	CURRENT MGH BOARD MEMBERS HAVE 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. AS OF 6/30/2012, MARION GENERAL HOSPITAL OWNED 11.59% OF MARION SLEEP SERVICES LLC. CURRENT MGH BOARD MEMBERS DR. JEFFREY BRAGG AND DR. SHANKARAN SRIKANTH ALSO OWNED SHARES OF MARION SLEEP SERVICES LLC WITH INDIVIDUAL OWNERSHIP GREATER THAN 5%. MGH PURCHASED 100% OF THE SHARES IN APRIL 2013 AND DISSOLVED THE PARTNERSHIP IN JUNE 2013.	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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. Salil Rajmaira and Dr. Bernard Dreiman 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.
Governing Body and Management	PART VI, Section A, Line 2	Jeffrey Bragg and Salil Rajmaira - Business Relationship Joe Martin and Bernadine Wallace - Business Relationship
Governing Body and Management	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 and Chief Financial Officer. 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.
Policies	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 conflict 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 may be required to leave the meeting during the discussion of, and the vote of, the transaction or arrangement that results in the conflict of interest.
Policies	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/GOVERNANCE 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.
Disclosure	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 $4,187,491

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	Code VCodeVAmount	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
PROGRESSIVE CANCER CARE LLC
831 N THEATER DRIVE	MARION	IN	46952	ONCOLOGY CENT	IN	NA	RELATED	545255	1851904	false	$0	false	0.50977
SURGERY CENTER OF NORTHCENTRAL IN LLC
330 NORTH WABASH AVENUE SUITE 200	MARION	IN	46952	OUTPATIENT SU	IN	NA	RELATED	51013	-47859	false	$0	false	0.58594

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	false	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	false	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	false	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	false	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	true	DividendsRelatedOrganization
Sale Of Assets To Other Org	false	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	false	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	false	ExchangeOfAssets
Rental Of Facilities To Other Orgs	false	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	true	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	false	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	false	PerformOfServicesByOtherOrgs
Sharing Of Facilities	false	SharingOfFacilities
Sharing Of Paid Employees	false	SharingOfPaidEmployees
Reimbursement Paid To Other Org	true	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	false	OtherTransferToOtherOrg
Other Transfer From Other Org	false	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
PROGRESSIVE CANCER CARE LLC
f	628572	FMV
PROGRESSIVE CANCER CARE LLC
k	204919	FMV
PROGRESSIVE CANCER CARE LLC
p	133712	FMV