2014-04-30T13:44:25-05:00 2013-06-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2012-07-01 350868130 MARION GENERAL HOSPITAL INC % MARION GENERAL HOSPITAL INC MARI 7656607003 441 N WABASH AVENUE Suite MARION IN 469522690 Robyn L Powell 7656607003 2014-05-15 true Joyce A Dulworth 2604604000 2012 2015-11-30 17:44:51Z ROBYN L POWELL 441 N WABASH AVENUE MARION IN 46952 260153884 false X WWW.MGH.NET X 1910 IN 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. 15 9 1290 128 20934 115509 107320 156618481 170604216 5669271 9227242 93678 -1015490 162496939 178923288 176527 1259932 0 0 54965625 64241086 0 0 0 88095829 95995353 143237981 161496371 19258958 17426917 283707293 307130989 95683470 95706772 188023823 211424217 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 47535621 43348975 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. 7404603 18426417 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. 9346662 17402336 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. 86292393 90968374 150579279 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 1290 true true true false false false false false false false false false X 15 9 true false false false false false false true true false false true true true true true true true true true true IN X MARION GENERAL HOSPITAL INC 7656607000 441 N WABASH AVENUE MARION IN 469522690 USHER PAUL L 50.0 X X 479055 0 29488 Rajmaira MD Salil 20.0 X 158679 0 0 SRIKANTH MD SHANKARAN 40.0 X 372679 0 33875 FOX SCHOER DO ESTHER 40.0 X 228330 0 40311 BRAGG DO JEFFREY 40.0 X 233805 0 29589 IHRKE BARBARA 2.0 X 727 0 0 DREIMAN DDS BERNARD B 2.0 X 21000 0 0 GARTLAND JR JAMES M 2.0 X 0 0 0 HOLDEREAD JEROME T 2.0 X 0 0 0 JENKS SALLY 2.0 X 0 0 0 MARTIN JOE 2.0 X 0 0 0 MIDDLESWORTH BRIAN 2.0 X 0 0 0 O'BRIEN MICHAEL J 2.0 X 0 0 0 RAABE DAVID J 2.0 X 0 0 0 THOMAS MICHAEL A 2.0 X 0 0 0 POWELL ROBYN L 50.0 X 294779 0 16652 WALLACE BERNADINE L 50.0 X 294043 0 29303 MAHENDRAN RATHI P 40.0 X 503133 0 7557 KEPPLER EDWARD L 40.0 X 464607 0 24603 WILSON JEREMY R 40.0 X 450045 0 33388 GUNTER MICHAEL A 40.0 X 364269 0 17619 BENDALY EDMOND A 40.0 X 390530 0 7557 4255681 0 269942 71 false true false 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 29 96105 11215 107320 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 1472499 1472499 170604216 4698251 4698251 0 0 963791 2007995 -1044204 0 -1044204 -1044204 83613273 137029 78627458 593853 4985815 -456824 4528991 -456824 4985815 9070 1290 7780 7780 0 0 BILLING SERVICES 541900 20934 20934 20934 178923288 170147392 20934 8647642 1259932 1259932 0 0 0 1153915 427341 726574 0 47217211 41790394 5426817 3171042 2739633 431409 8713184 7527784 1185400 3985734 3443488 542246 0 432311 432311 161483 161483 0 0 0 4592201 4592201 358319 358319 6105746 5800459 305287 2698330 2698330 0 4237681 3813913 423768 309852 247882 61970 0 119628 95702 23926 1312636 1312636 0 8930257 8037231 893026 823246 668931 154315 MEDICAL SUPPLIES/DRUGS 19623545 19623545 PROVISION FOR BAD DEBTS 14664079 14664079 PHYSICIAN SERVICES 15776408 15776408 PURCHASED SERVICES 8154022 8154022 7695609 7547049 148560 161496371 150579279 10917092 0 X 3620 3870 48762190 44845705 0 0 26117454 21322833 221102 188333 0 0 3081794 3312965 1565903 1734695 1268746 1247880 194214793 115962144 61907473 78252649 124365759 138388425 11647513 12416245 0 0 1474291 2891882 3291448 2525507 283707293 307130989 18269052 21256357 0 0 0 0 57444984 56498999 0 0 0 0 0 0 0 0 19969434 17951416 95683470 95706772 X 188013668 211414062 0 0 10155 10155 188023823 211424217 283707293 307130989 X 17426917 1785986 4187491 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true 0 false true 25615 25615 false false Schedule C Part II-B, Line 1g 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. 10155 10155 10155 10155 10155 10155 11114 499 1458 10155 15418 684 4988 11114 1.00000 false false 4422248 4422248 106649620 58286350 48363270 859249 563152 296097 75912570 55617728 20294842 6371107 1494915 4876192 78252649 0 MINIMUM PENSION LIABILITY 17951416 17951416 168088776 1785986 2007995 3793981 164294795 14628493 14628493 178923288 148875873 2007995 2007995 146867878 14628493 14628493 161496371 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. true true true X true X true true true false true true 6078 9085868 9085868 0.06190 30603557 22106494 8497063 0.05790 6078 39689425 22106494 17582931 0.11980 131401 1484930 28248 1456682 0.00990 2048 583245 583245 0.00400 58 797 797 2535 1467556 1467556 0.01000 136042 3536528 28248 3508280 0.02390 142120 43225953 22134742 21091211 0.14370 11229 0.00010 7222 1562810 0.01060 1581261 0.01070 false 5965499 314000 32809204 39226520 -6417316 X true true PROGRESSIVE CANCER C CANCER CARE CENTER 0.50980 0.05180 0.30250 1 1 MARION GENERAL HOSPITAL INC

441 N WABASH AVENUE MARION IN 46952

WWW.MGH.NET X X X OFF-CAMPUS RADIOLOGY ONCOLOGY, SLEEP LAB PHYSICAL MED, LAB MARION GENERAL HOSPITAL INC 1 true X X X X X X X X X 12 true false true X 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 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, true 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 7 SCHEDULE I 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 USHER PAUL L 353929 0 117111 0 8015 0 7500 0 21988 0 508543 0 0 0 POWELL ROBYN L 220221 0 50156 0 24402 0 7500 0 9152 0 311431 0 0 0 WALLACE BERNADINE L 214514 0 55405 0 24124 0 7500 0 21803 0 323346 0 0 0 MAHENDRAN RATHI P 503133 0 0 0 0 0 7500 0 57 0 510690 0 0 0 KEPPLER EDWARD L 394273 0 52975 0 17359 0 7500 0 17103 0 489210 0 0 0 WILSON JEREMY R 306101 0 133010 0 10934 0 7500 0 25888 0 483433 0 0 0 GUNTER MICHAEL A 258694 0 90231 0 15344 0 0 0 17619 0 381888 0 0 0 BENDALY EDMOND A 372363 0 0 0 18167 0 7500 0 57 0 398087 0 0 0 Rajmaira MD Salil 158679 0 0 0 0 0 0 0 0 0 158679 0 0 0 SRIKANTH MD SHANKARAN 322017 0 33020 0 17642 0 7500 0 26375 0 406554 0 0 0 FOX SCHOER DO ESTHER 169818 0 58512 0 0 0 7192 0 33119 0 268641 0 0 0 BRAGG DO JEFFREY 180126 0 15745 0 37934 0 5955 0 23634 0 263394 0 0 0 A INDIANA FINANCE AUTHORITY 351602316 455057npo 2008-06-10 24000000 CONSTRUCT & EQUIP FACILITY, REFUND false false false B INDIANA FINANCE AUTHORITY 351602316 45471AHA3 2012-04-26 36248711 CONSTRUCT & EQUIP FACILITY, REFUND false false false 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 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 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. JEFFREY W BRAGG DO EMPLOYED RECRUITMENT X 120000 32000 false true true SHANKARAN SRIKANTH MD EMPLOYED RECRUITMENT X 100000 66000 false true true EDWARD KEPPLER MD EMPLOYED RECRUITMENT X 100000 72000 false true true JEREMY WILSON DO EMPLOYED RECRUITMENT X 50000 18333 false true true 188333 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 PART VI 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. 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 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 false false false false false true false false false false true false false false false true false false false PROGRESSIVE CANCER CARE LLC f 628572 FMV PROGRESSIVE CANCER CARE LLC k 204919 FMV PROGRESSIVE CANCER CARE LLC p 133712 FMV