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MARION GENERAL HOSPITAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
MARION GENERAL HOSPITAL (EIN 35-0868130)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-06
IRS object ID
201331269349300118
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-06T08:53:08-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1200 E Main St Suite 700AddressLine1
CityFort WayneCity
StateINState
ZIP Code46802ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN350868130EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARION GENERAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% MARION GENERAL HOSPITAL INCInCareOfName
Name ControlMARINameControl
Phone7656607003Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1
CityMARIONCity
StateINState
ZIP Code469522690ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameROBYN L POWELLName
TitleCHIEF FINANCIAL OFFICERTitle
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJoyce A DulworthName
Phone2604604000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonROBYN L POWELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1
CityMARIONCity
StateINState
ZIP Code46952ZIPCode
FieldValueIRS element (for citing)
Gross Receipts200226480GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.MGH.NETWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1910YearFormation
State Legal DomicileINStateLegalDomicile
Activity Or Mission DescriptionMARION 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 Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees1149TotalNbrEmployees
Total Nbr Volunteers250TotalNbrVolunteers
Total Gross UBI30557TotalGrossUBI
Contributions Grants Prior Year122384ContributionsGrantsPriorYear
Contributions Grants Current Year115509ContributionsGrantsCurrentYear
Program Service Revenue Prior Year143970887ProgramServiceRevenuePriorYear
Program Service Revenue CY156618481ProgramServiceRevenueCY
Investment Income Prior Year5893409InvestmentIncomePriorYear
Investment Income Current Year5669271InvestmentIncomeCurrentYear
Other Revenue Prior Year-392593OtherRevenuePriorYear
Other Revenue Current Year93678OtherRevenueCurrentYear
Total Revenue Prior Year149594087TotalRevenuePriorYear
Total Revenue Current Year162496939TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year376575GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY176527GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year53594051SalariesEtcPriorYear
Salaries Etc Current Year54965625SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year75730074OtherExpensePriorYear
Other Expenses Current Year88095829OtherExpensesCurrentYear
Total Expenses Prior Year129700700TotalExpensesPriorYear
Total Expenses Current Year143237981TotalExpensesCurrentYear
Revenues Less Expenses Prior Year19893387RevenuesLessExpensesPriorYear
Revenues Less Expenses CY19258958RevenuesLessExpensesCY
Total Assets BOY258292083TotalAssetsBOY
Total Assets EOY283707293TotalAssetsEOY
Total Liabilities BOY71997084TotalLiabilitiesBOY
Total Liabilities EOY95683470TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY186294999NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY188023823NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO BE THE FIRST CHOICE FOR HEALTH CARE SERVICES AND PROMOTE WELLNESS IN OUR HEALTHCARE COMMUNITY. 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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense42282012Expense
Revenue43435197Revenue
DescriptionINPATIENT SERVICES - MARION GENERAL HOSPITAL OPERATES A 97-ACUTE CARE BED FACILITY, ALONG WITH AN 18-BED ACUTE REHABILITATION UNIT. INPATIENT SERVICES PROVIDED INCLUDE: MEDICAL/SURGICAL, TELEMETRY, CRITICAL, PEDIATRIC, OBSTETRIC, NEWBORN AND ACUTE REHABILITATION CARE. ADDITIONAL SERVICES PROVIDED TO INPATIENTS INCLUDE SURGERY, LABORATORY, RESPIRATORY THERAPY, PHYSICAL MEDICINE, CARDIOVASCULAR SERVICES AND RADIOLOGY. MARION GENERAL HOSPITAL DISCHARGED 4,815 ADULT AND PEDIATRIC PATIENTS AND PROVIDED 17,313 ADULT AND PEDIATRIC PATIENT CARE DAYS DURING THE YEAR ENDED JUNE 30, 2012. DURING THE SAME TIME PERIOD, MGH ALSO DISCHARGED 252 PATIENTS AND PROVIDED 2,991 PATIENT CARE DAYS FOR PATIENTS IN THE ACUTE REHAB UNIT. ADDITIONALLY, THERE WERE 688 DELIVERIES PERFORMED.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6708370Expense
Revenue17681550Revenue
DescriptionEMERGENCY ROOM SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL OPERATES ONE OF THE BUSIEST 24-HOUR EMERGENCY ROOMS IN THE STATE. THERE WERE 39,784 OUTPATIENT VISITS DURING THE YEAR ENDED JUNE 30, 2012. THERE WERE ALSO AN ADDITIONAL 3,283 ER PATIENTS THAT WERE ULTIMATELY ADMITTED AS AN INPATIENT TO THE HOSPITAL, FOR A TOTAL OF 43,067 VISITS. THE EMERGENCY ROOM RECENTLY IMPLEMENTED A NEW COMPUTERIZED TRACKING SYSTEM TO IMPROVE PATIENT CARE AND REDUCE TOTAL TIME SPENT IN THE ER.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense9047105Expense
Revenue22571064Revenue
DescriptionRADIOLOGY SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL HAS TWO STATE-OF-THE-ART FACILITIES THAT FEATURE THE LATEST IN TECHNOLOGY. THE RADIOLOGY DEPARTMENT FEATURES FULL-FIELD DIGITAL MAMMOGRAPHY, AND ALSO OFFERS PATIENTS ULTRAFAST CT SCANNING AND HIGH-QUALITY IMAGES. IN AUGUST 2008, MGH INSTALLED THE NEW, STATE-OF-THE-ART 64-SLICE CT SCANNER, ONE OF THE MOST ADVANCED IN THE HEALTHCARE INDUSTRY. IN DECEMBER 2008, A NEW OPEN MRI UNIT WAS INSTALLED, OFFERING PATIENTS THREE TIMES MORE SPACE THAN A TYPICAL CLOSED UNIT. MARION GENERAL HOSPITAL PROVIDES DIGITAL RADIOGRAPHY THROUGH 90% DIGITAL ACQUISITION AND 10% COMPUTED RADIOGRAPHY. OTHER SERVICES OFFERED INCLUDE NUCLEAR MEDICINE, ULTRASOUND AND PET/CT SCANNING. MARION GENERAL HOSPITAL PROVIDED 74,864 OUTPATIENT RADIOLOGY PROCEDURES DURING THE YEAR ENDED JUNE 30, 2012.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp74994168TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev72816149TotalOfOtherProgramServiceRev
Total Program Service Expense133031655TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondstrueInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPtrueLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096115NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1149NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocstrueChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledINStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonMARION GENERAL HOSPITAL INCNamePerson
Telephone Number7656607003TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1
CityMARIONCity
StateINState
ZIP Code469522690ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
USHER PAUL L
PRESIDENT/CEO50.0XX504900032042
Rajmaira MD Salil
BOARD MEMBER/PHYSICIAN ON CALL2.0X12740000
SRIKANTH MD SHANKARAN
BOARD MEMBER/PHYSICIAN ON CALL2.0X2010000
FOX SCHOER DO ESTHER
CHIEF OF STAFF/PHYSICIAN3.0X224237038339
BRAGG DO JEFFREY
BOARD MEMBER/PHYSICIAN2.0X232087022968
IHRKE BARBARA
BOARD MEMBER2.0X143900
DREIMAN DDS BERNARD B
BOARD MEMBER2.0X000
GARTLAND JR JAMES M
BOARD MEMBER2.0X000
HOLDEREAD JEROME T
VICE-CHAIR2.0X000
JENKS SALLY
SECRETARY2.0X000
MARTIN JOE
CHAIR2.0X000
MIDDLESWORTH BRIAN
BOARD MEMBER2.0X000
O'BRIEN MICHAEL J
BOARD MEMBER2.0X000
RAABE DAVID J
Board Member2.0X000
THOMAS MICHAEL A
TREASURER2.0X000
POWELL ROBYN L
CFO50.0X30465208951
WALLACE BERNADINE L
CNO50.0X320890035585
MAHENDRAN RATHI P
PHYSICIAN40.050495807408X
REX DOUGLAS A
PHYSICIAN40.04061860349X
WILSON JEREMY R
PHYSICIAN40.0365833032144X
TEWARI ARUN K
PHYSICIAN40.0359487031695X
BENDALY EDMOND A
PHYSICIAN40.032404007408X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3696209TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation216889TotalOtherCompensation
Number Individuals GT100 K59NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
SOUTH BEND MEDICAL FOUNDATION
530 N LAFAYETTE BLVDSOUTH BENDIN46601OUTSIDE LAB SERVICE1263766
SIEMENS MEDICAL SOLUTIONS USA
51 VALLEY STREAM PKWAYMALVERNPA19355COMPUTER CONSULTING1156852
BOWMAN CONSTRUCTION
1837 BRANSON STREETMARIONIN46953GENERAL CONTRACTING994102
MEDICAL INFORMATION TECHNOLOGY
MEDITECH CIRCLEWESTOODMA02090COMPUTER CONSULTING644990
REHABCARE
680 S FOURTH STREETLOUISVILLEKY40202MANAGEMENT SERVICES570785
FieldValueIRS element (for citing)
Number Of Contractors GT100 K20NumberOfContractorsGT100K
Government Grants100669GovernmentGrants
All Other Contributions14840AllOtherContributions
Total Contributions115509TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE900099154777358154777358
AUXILIARY9000995898158981
AMBULANCE ASSISTS9000998952489524
MEALS ON WHEELS9000995075650756
VHA CO-OP DIV900099220581220581

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1421281TotalRevenueColumn
Related Or Exempt Function Income1421281RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue156618481TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column4097395TotalRevenueColumn
Exclusion$4,097,395ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1512612Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1457883Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real54729Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column54729TotalRevenueColumn
Exclusion$54,729ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities37821740Securities
Other20650Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities36126718Securities
Other143796Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1695022Securities
Other-123146Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1571876TotalRevenueColumn
Related Or Exempt Function Income-123146RelatedOrExemptFunctionIncome
Exclusion$1,695,022ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events9536GrossIncomeFundraisingEvents
Fundraising Direct Expenses1144FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column8392TotalRevenueColumn
Exclusion$8,392ExclusionAmount

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionBILLING SERVICESDescription
Business Code541900BusinessCode
Total Revenue Column30557TotalRevenueColumn
Unrelated Business Revenue30557UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue30557TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column162496939TotalRevenueColumn
Related Or Exempt Function Income156495335RelatedOrExemptFunctionIncome
Unrelated Business Revenue30557UnrelatedBusinessRevenue
Exclusion$5,855,538ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total176527Total
Program Services176527ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1207020Total
Program Services455289ProgramServices
Management And General751731ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total42688598Total
Program Services37489745ProgramServices
Management And General5198853ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2299926Total
Program Services1964288ProgramServices
Management And General335638ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5240447Total
Program Services4475687ProgramServices
Management And General764760ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3529634Total
Program Services3014540ProgramServices
Management And General515094ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total707037Total
Management And General707037ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total173124Total
Management And General173124ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3911582Total
Program Services3911582ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total348417Total
Program Services348417ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5973224Total
Program Services5674563ProgramServices
Management And General298661ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2484299Total
Program Services2484299ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3643019Total
Program Services3278717ProgramServices
Management And General364302ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total288006Total
Program Services230405ProgramServices
Management And General57601ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total115858Total
Program Services92686ProgramServices
Management And General23172ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1681519Total
Program Services1681519ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8069896Total
Program Services7262906ProgramServices
Management And General806990ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total682804Total
Program Services601788ProgramServices
Management And General81016ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
MEDICAL SUPPLIES/DRUGS1889435418894354
PROVISION FOR BAD DEBTS1496292014962920
PHYSICIAN SERVICES1240333612403336
PURCHASED SERVICES76338607633860

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total6122574Total
Program Services5994227ProgramServices
Management And General128347ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total143237981Total
Program Services133031655ProgramServices
Management And General10206326ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3295BOY
EOY3620EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY36494322BOY
EOY48762190EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY18238207BOY
EOY26117454EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY207932BOY
EOY221102EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3048653BOY
EOY3081794EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY1498426BOY
EOY1565903EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1383359BOY
EOY1268746EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis169677423LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec107769950LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY64782345BOY
EOY61907473EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY111176786BOY
EOY124365759EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY17464850BOY
EOY11647513EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1474291BOY
EOY1474291EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY2519617BOY
EOY3291448EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY258292083BOY
EOY283707293EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY15701977BOY
EOY18269052EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY50224226BOY
EOY57444984EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY6070881BOY
EOY19969434EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY71997084BOY
EOY95683470EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY186284844BOY
EOY188013668EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY10155BOY
EOY10155EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY186294999BOY
EOY188023823EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY258292083BOY
EOY283707293EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses19258958ReconcilationRevenueExpenses
Reconcilation Other Changes-17530134ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$13,912OtherActivitiesAmount
Total Lobbying Expenditures IIB13912TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchedule CIdentifier
Return ReferencePart II-B, Line 1iReturnReference
ExplanationMarion 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 Clinical Pharmacy, American College of Physicians, Society for Human Resource Management, Rural Referral Center/Sole Community Hospital Coalition, and Geographic Fairness Coalition, among various others.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10155BeginningOfYearBalance
End Of Year Balance10155EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10155BeginningOfYearBalance
End Of Year Balance10155EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance11114BeginningOfYearBalance
Investment Earnings Or Losses499InvestmentEarningsOrLosses
Other Expenditures1458OtherExpenditures
End Of Year Balance10155EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance15418BeginningOfYearBalance
Investment Earnings Or Losses684InvestmentEarningsOrLosses
Other Expenditures4988OtherExpenditures
End Of Year Balance11114EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance0.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4003477OtherCostOrOtherBasis
Book Value4003477BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis95804236OtherCostOrOtherBasis
Depreciation54797520Depreciation
Book Value41006716BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis846347OtherCostOrOtherBasis
Depreciation425878Depreciation
Book Value420469BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis64218037OtherCostOrOtherBasis
Depreciation51248933Depreciation
Book Value12969105BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4805324OtherCostOrOtherBasis
Depreciation1297618Depreciation
Book Value3507706BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings61907473TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionMINIMUM PENSION LIABILITYDescription
Amount$19,969,434Amount
FieldValueIRS element (for citing)
Total Of Amounts19969434TotalOfAmounts
Total Revenue162496939TotalRevenue
Total Expenses143237981TotalExpenses
Excess Or Deficit For Year19258958ExcessOrDeficitForYear
Net Unrealized GL On Investments-3744476NetUnrealizedGLOnInvestments
Other-$13,785,658OtherAmount
Total Adjustments-17530134TotalAdjustments
Excess Or Deficit Per FS1728824ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt160211490TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments-3744476NetUnrealizedGainsInvestments
Other Revenues1459027OtherRevenues
Revenue Not Rptd F990-2285449RevenueNotRptdF990
Revenue Subtotal162496939RevenueSubtotal
Total Revenue Per Form990162496939TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt144697008TotExpensesEtcAuditedFinclStmt
Other Expenses Included1459027OtherExpensesIncluded
Expenses Not Rptd F9901459027ExpensesNotRptdF990
Expenses Subtotal143237981ExpensesSubtotal
Total Expenses Per Form990143237981TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SCHEDULE DPART V, LINE 4THE HOSPITAL'S ENDOWMENT FUNDS ARE USED FOR CRITICAL CARE DEPARTMENT EDUCATION EXPENSES, AND OTHER PROGRAM SERVICE EXPENSES.
RECONCILIATIONPART XI, LINE 4 & 8Line 4: UNREALIZED LOSS ON INVESTMENTS ($3,744,476) Line 8: CHANGE IN PENSION AND POSTRETIREMENT COSTS NOT YET RECOGNIZED IN EXPENSE ($12,418,600) LOSS ON EXTINGUISHMENT OF DEBT (1,367,058) TOTAL: ($13,785,658)
RECONCILIATIONPART XII, LINE 2DRENTAL EXPENSES $1,457,883 SPECIAL EVENTS EXPENSES 1,144 TOTAL OF LINE 2D $1,459,027
RECONCILIATIONPART XIII, LINE 2DRENTAL EXPENSES $1,457,883 SPECIAL EVENTS EXPENSES 1,144 TOTAL OF LINE 2D $1,459,027
ASC 740 FOOTNOTEACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF JUNE 30,2012 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

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage0DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served5802PersonsServed
Total Community Benefit Expense9813641TotalCommunityBenefitExpense
Net Community Benefit Expense9813641NetCommunityBenefitExpense
Percent Of Total Expense0.07650PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense23169611TotalCommunityBenefitExpense
Direct Offsetting Revenue14722915DirectOffsettingRevenue
Net Community Benefit Expense8446696NetCommunityBenefitExpense
Percent Of Total Expense0.06580PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served5802PersonsServed
Total Community Benefit Expense32983252TotalCommunityBenefitExpense
Direct Offsetting Revenue14722915DirectOffsettingRevenue
Net Community Benefit Expense18260337NetCommunityBenefitExpense
Percent Of Total Expense0.14230PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served156084PersonsServed
Total Community Benefit Expense946086TotalCommunityBenefitExpense
Net Community Benefit Expense946086NetCommunityBenefitExpense
Percent Of Total Expense0.00740PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served1551PersonsServed
Total Community Benefit Expense452436TotalCommunityBenefitExpense
Net Community Benefit Expense452436NetCommunityBenefitExpense
Percent Of Total Expense0.00350PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Persons Served235PersonsServed
Total Community Benefit Expense43933TotalCommunityBenefitExpense
Net Community Benefit Expense43933NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served187PersonsServed
Total Community Benefit Expense2409TotalCommunityBenefitExpense
Net Community Benefit Expense2409NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served7150PersonsServed
Total Community Benefit Expense312737TotalCommunityBenefitExpense
Direct Offsetting Revenue5473DirectOffsettingRevenue
Net Community Benefit Expense307264NetCommunityBenefitExpense
Percent Of Total Expense0.00240PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served165207PersonsServed
Total Community Benefit Expense1757601TotalCommunityBenefitExpense
Direct Offsetting Revenue5473DirectOffsettingRevenue
Net Community Benefit Expense1752128NetCommunityBenefitExpense
Percent Of Total Expense0.01360PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served171009PersonsServed
Total Community Benefit Expense34740853TotalCommunityBenefitExpense
Direct Offsetting Revenue14728388DirectOffsettingRevenue
Net Community Benefit Expense20012465NetCommunityBenefitExpense
Percent Of Total Expense0.15590PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Persons Served850PersonsServed
Total Community Building Expense9474TotalCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Persons Served25PersonsServed
Total Community Building Expense1151109TotalCommunityBuildingExpense
Percent Of Total Expense0.00900PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served875PersonsServed
Total Community Building Expense1160583TotalCommunityBuildingExpense
Percent Of Total Expense0.00910PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$6,370,046BadDebtExpenseAmount
Amount Attributable To335000AmountAttributableTo
Amount Reimbursed By Medicare29853869AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare36565924CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6712055MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
SURGERY CENTER OF NO
AMBULATORY SURGERY CENTER0.585900.012500.23750
PROGRESSIVE CANCER C
CANCER CARE CENTER0.515000.052400.29700
FieldValueIRS element (for citing)
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARION GENERAL HOSPITAL INCBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1
CityMARIONCity
StateINState
ZIP Code46952ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
OtherOFF-CAMPUS RADIOLOGY ONCOLOGY, SLEEP LAB PHYSICAL MED, LABOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARION GENERAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedfalseUsesFPGDiscounted
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasuresfalseIncludesPublicityMeasures
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REQUIRED DESCRIPTIONSPART I, LINE 7BAD DEBT EXPENSE IN THE AMOUNT OF $14,962,920 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 4A MARION GENERAL HOSPITAL (MGH) DOES NOT HAVE A BAD DEBT FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS. BAD DEBT EXPENSE IS RECORDED BASED ON THREE COMPONENTS. THE FIRST COMPONENT INCLUDES ACCOUNTS THAT HAVE BEEN TRANSFERRED TO COLLECTION AGENCIES. THE SECOND COMPONENT RECORDS CHANGE IN OUR ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED ON THE HISTORICAL TRENDS IN ACCOUNTS RECEIVABLE AGING BUCKETS. FINALLY, ACCOUNTS PREVIOUSLY RECORDED AS BAD DEBT RECOVERIES RECEIVED FROM COLLECTION AGENCIES REDUCE THE BAD DEBT EXPENSE. THESE THREE COMPONENTS RESULT IN NET BAD DEBT EXPENSE AMOUNTS PRESENTED IN THE AUDITED FINANCIAL STATEMENTS. PART III, SECTION A, LINE 4B BAD DEBT AT COST IS ESTIMATED BY MULTIPLYING TOTAL BAD DEBT EXPENSE FOR THE YEAR BY THE AVERAGE COST-TO-CHARGE RATIO PER THE MEDICARE COST REPORT. THE AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER PATIENT ASSISTANCE POLICIES IS ESTIMATED BASED UPON PAST EXPERIENCE. 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 COST REPORT. PART III, SECTION C, LINE 9B MGH'S COLLECTION POLICY DISTINGUISHES BETWEEN 'PATIENT 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 $500 OR GREATER. CALLS ARE DOCUMENTED IN THE A/R 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 PATIENT 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 5C A hard copy was distributed to area organizations and leaders. MGH sponsors a community health profile website that hosts the needs assessments and also has the capacity to host other data such as health department stats, Healthy People 2020, other organizations' needs assessments, and reports. PART V, SECTION B, LINE 19D MGH followed the Financial Assistance policy, extending free care for those at less than 200% Federal Poverty level, and discounted care (25%, 50% or 75%) for those with income levels at more than 200% but that still show a financial need.
NEEDS ASSESSMENTMARION GENERAL HOSPITAL (MGH) CONTINUES TO FACILITATE THE COMMUNITY HEALTH PROFILE CHP (NEEDS ASSESSMENT) FOR THE ENTIRE COUNTY. THE GOALS OF THE CHP ALLIANCE ARE 1. TO IDENTIFY ANTECEDENT (UNDERLYING) CONDITIONS THAT IMPACT THE COMMUNITY, 2. TO ASSESS THE LEVEL OF COMMUNITY RESPONSE TO PARTICULAR CONDITIONS, AND 3. TO CREATE A DATABASE OF INFORMATION ABOUT THE COMMUNITY THAT IS ACCESSIBLE TO COMMUNITY ORGANIZATIONS FOR GRANT-FUNDING OPPORTUNITIES. MGH HOSTS THE INFORMATION ON A WEBSITE FOR THE public http://www.chpgrantcounty.org/. THIS SITE WILL PERIODICALLY HOST DATA FROM OTHER NEEDS ASSESSMENTS AND REPORTS TO HIGHLIGHT THE PROGRESS AND COMMUNITY ACTIVITY FOR IMPACTING THE IDENTIFIED NEEDS. THE CHP ALLIANCE INCLUDES MGH, INDIANA WESLEYAN UNIVERSITY, GRANT COUNTY HEALTH DEPARTMENT, INDIANA STATE DEPARTMENT OF HEALTH, AND REPRESENTATIVES FROM AREA SOCIAL SERVICES, SCHOOLS UNIVERSITIES, AND NUMEROUS BUSINESSES. INFORMATION OBTAINED FROM THE FIRST CHP PROJECT IN 2010 YIELDED SEVERAL NEW INITIATIVES THAT ARE ALREADY SHOWING POSITIVE AND MEASUREABLE OUTCOMES. THE CHP ALLIANCE PROVIDES AND PROMOTES THE DATA TO ALL COMMUNITY AGENCIES AND INDIVIDUALS THROUGH PRINTED AND ELECTRONIC FORMAT. MANY COMMUNITY ORGANIZATIONS UTILIZE THE DATA TO DESIGN, EVALUATE, AND JUSTIFY NEW AND CURRENT INITIATIVES AND PROGRAMS. COLLABORATION IS THE PRIMARY GOAL AND OUTCOME FOR THE SUCCESSES THAT HAVE STARTED US MOVING FORWARD TO FACE THE HEALTH CHALLENGES AND BURDENS FOR OUR COUNTY. THE SECOND COMMUNITY HEALTH PROFILE (CHP) RESULTS ARE SCHEDULED TO BE RELEASED IN JANUARY 2013. MGH WAS THE DRIVING PARTNER TO FACILITATE AND SUPPORT THE NEEDS ASSESSMENT PROCESS. THE NEXT COUNTY-WIDE CHP SURVEY WILL BE THE FALL OF 2014 WHICH IS IN COMPLIANCE WITH BOTH THE INDIANA DEPARTMENT OF HEALTH REGULATIONS AND AFFORDABLE CARE ACT. VHA AND CHA GUIDELINES WERE ALSO ADDRESSED AS PART OF THE CHP PROCESS. SMALLER SURVEYS IN FOCUS AREAS IDENTIFIED IN THE LARGER SURVEY MAY BE UTILIZED IN THE INTERIM YEARS.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEAS 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 PATIENT 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 PATIENT ASSISTANCE. HOWEVER, THEY NEED TO APPLY AND THEY CAN CONTACT US, AND WE WILL HELP THEM COMPLETE THE APPLICATION. WE ALSO POST THE GUIDELINES ON OUR WEB-SITE ALONG WITH OUR TELEPHONE NUMBER TO CONTACT US IF THEY FEEL LIKE 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 INFORMATIONMGH 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. (US CENSUS BUREAU, 2010)
PROMOTION OF COMMUNITY HEALTHFOR MORE THAN 105 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 HEALTHCARE COMMUNITY. THE HOSPITAL'S COMMITMENT IS INTEGRATED AND COMMUNICATED IN THE MISSION AND VISION STATEMENT AND IN ANNUAL STRATEGIC INITIATIVES. IN 2012, MGH'S COMMUNITY OUTREACH EDUCATION FOCUSED ON THE HEALTH NEEDS OF OUR COMMUNITY WITH AN ACTIVE COMMUNITY OUTREACH PROGRAM UTILIZING EMPLOYEES FROM EVERY DEPARTMENT. THE MGH PARISH NURSING PROGRAM COORDINATED HEALTH EDUCATION MATERIALS, HEALTH SCREENINGS, AND HEALTH COUNSELING IN 66 CHURCHES THROUGH 130 UNPAID PARISH NURSES. MGH PROVIDED HEALTH EDUCATION ON A WIDE RANGE OF TOPICS AT SCHOOLS, UNIVERSITIES, AREA EVENTS, HEALTH SPEAKING ENGAGEMENTS, COMMUNITY BOARDS AND COALITIONS, AND NUMEROUS MEDIA VENUES. HEALTH EDUCATION TOPICS EMPHASIZED IN 2012 INCLUDED: STROKE PREVENTION, CARDIAC HEALTH, NUTRITION AND EXERCISE, TOBACCO CESSATION, DIABETIC SCREENING, AND SIDS PREVENTION. OUR CONTINUED PARTNERSHIP WITH BRIDGES TO HEALTH, GRANT COUNTY'S FREE HEALTH CLINIC, PROVIDES MUCH NEEDED MEDICAL AND DENTAL SERVICES FOR THE UNINSURED RESIDENTS OF GRANT COUNTY. OTHER HIGHLIGHTS FROM 2012 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, WHICH MADE POSSIBLE THE ADDITION OF SPECIALTY CLINICS, 2) MGH WAS SUCCESSFUL IN ADDING PHYSICIANS IN NEEDED MEDICAL SPECIALTIES INCLUDING PSYCHIATRY, SURGICAL, PEDIATRICS, HOSPITALISTS, AND NURSE PRACTIONERS, 3) MGH ALSO INCREASED ACCESS TO PRIMARY CARE ALONG WITH SEVERAL PRIMARY CARE PHYSICIAN PRACTICES, 4) MGH EXPANDED HEALTH SCREENING LOCATIONS DUE TO THE RESULTS FROM THE COMMUNITY HEALTH PROFILE (COMMUNITY HEALTH NEEDS ASSESSMENT). BECAUSE MGH TAKES HEALTH SERIOUSLY AND IS A 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 EMPLOYEE LEADERS 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 DOWNTOWN REVITALIZATION GROUP, INDIANA WESLEYAN UNIVERSITY ADVISORY TEAMS, BOYS AND GIRLS CLUB, MARION PHILHARMONIC, UNITED WAY CHAIRMAN, SYNERGY 2012, 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BRIDGES TO HEALTH INC
1251 W KEM ROADMARIONIN46952205405181501(c)(3)120000HEALTHCARE
GRANT COUNTY ECONOMIC GROWTH COUNCIL
301 S ADAMS SUITE 109MARIONIN46952351589550501(c)(3)5150COMMUNITY
UNITED WAY OF GRANT COUNTY INC
205 S WASHINGTON STREETMARIONIN46952350995975501(c)(3)27397COMMUNITY
FAMILY SERVICE SOCIETY
101 S WASHINGTON STREETMARIONIN46952350868083501(C)(3)12500COMMUNITY
THE HAHN FOUNDATION OF IHA
1 AMERICAN SQUARE STE 1900INDIANAPOLISIN46282356020062501(C)(3)10000HEALTHCARE
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants5TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
USHER PAUL L
3325470138601033752073500246920536942000
POWELL ROBYN L
21252906687402524907350016070313609000
WALLACE BERNADINE L
213095068177039618073500282350356475000
MAHENDRAN RATHI P
5035580001400073500580512366000
REX DOUGLAS A
2914070915440232350003490406535000
WILSON JEREMY R
286710066468012655073500247940397977000
TEWARI ARUN K
257755064584037148073500243450391182000
BENDALY EDMOND A
30355700020483073500580331448000
FOX SCHOER DO ESTHER
16514505769201400069930313460262576000
BRAGG DO JEFFREY
179849022484029754062490167190255055000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
INDIANA FINANCE AUTHORITY
351602316455057NPO2008-06-1024000000CONSTRUCT & EQUIP FACILITY, REFUNDfalsefalsefalse
INDIANA FINANCE AUTHORITY
35160231645471AHA32012-04-2636248711CONSTRUCT & EQUIP FACILITY, REFUNDfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
2800000024223603000281623136755013714004678533833058832012truefalsefalsetrue
003624876300053736700634612771134479365912013truefalsefalsetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsefalsetruetruefalse0true
falsefalsetruetruefalse0true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsetruefalsefalse0truefalse
0
falsefalsefalsefalse0falsetrue
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Loan Table LoanTable (4 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
JEFFREY W BRAGG DO
RECRUITMENTX$120,00068000falsetruetrue
SHANKARAN SRIKANTH
MD RECRUITMENTX$80,00072000falsetruetrue
ARUN TEWARI MD
RECRUITMENTX$120,00052769falsetruetrue
JEREMY WILSON DO
RECRUITMENTX$50,00028333falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due221102TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CHRISTINE MONAHAN
DAUGHTER OF OFFICER27372PAID EMPLOYEEfalse
MARION SLEEP SERVICES LLC
JOINT VENTURE40000SEE PART Vfalse
MARION MEDICAL REAL ESTATE LLC
SEE PART V348695SEE PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPART VIIdentifier
ExplanationMARION GENERAL HOSPITAL OWNS 11.59% OF MARION SLEEP SERVICES LLC. CURRENT MGH BOARD MEMBERS DR. JEFFREY BRAGG AND DR. SHANKARAN SRIKANTH ARE ALSO OWNERS OF MARION SLEEP SERVICES LLC WITH INDIVIDUAL OWNERSHIP GREATER THAN 5%. THE $40,000 LISTED IN PART IV REFLECTS THE INITIAL $40,000 PAYMENT MADE TO PURCHASE 8 SHARES OF STOCK IN DECEMBER 2008. 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.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Program Service AccomplishmentsPart III, Line 4dMARION GENERAL HOSPITAL IS A NOT-FOR-PROFIT, 97-BED, ACUTE CARE, RURAL REFERRAL CENTER, SOLE COMMUNITY HOSPITAL LOCATED IN GRANT COUNTY, INDIANA. MGH PROVIDES HEALTHCARE SERVICES THROUGHOUT GRANT COUNTY (INCLUDING MARION, FAIRMOUNT, 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. RECENTLY ENHANCED OR ADDED SERVICES INCLUDE HOSPITALIST SERVICE 24/7 COVERAGE, AS WELL AS INTERVENTIONAL CARDIOLOGISTS FROM THE CARE GROUP INDIANAPOLIS PERFORMING PROCEDURES AT MARION GENERAL HOSPITAL.
Governing Body and ManagementPART VI, LINE 1BPaul L. Usher is compensated as an employee of the organization. Dr. Salil Rajmaira is compensated as an independent contractor for on-call services. Dr. Shankaran Srikanth, Dr. Jeffrey Bragg, and Dr. Esther Fox are compensated as employees of the organization.
Governing Body and ManagementPART VI, Section A, Line 2Jeffrey Bragg and Salil Rajmaira - Business Relationship Joe Martin and Bernadine Wallace - Business Relationship PART VI, Section A, Line 4 The bylaws were revised October 2012 to include the following changes: 1. Clarifying that a majority of the voting directors must be independent. Since physician directors are not considered independent, permitting physician directors to hold officer positions would compromise the compensation committee; therefore, at this point this would not be permitted. 2. Clarifying that a non-physician director may not be a hospital employee due to independence requirement. 3. Added "Code of Conduct" violation as an additional reason to remove a director. 4. Updated information regarding conflicts of interest. 5. Added a governance function to the compensation committee and renamed the committee "Compensation/Governance."
Governing Body and ManagementPART VI, Section B, Line 11AThe organization incorporates numerous parties into the production and review of the Form 990 and associated schedules. Finance department staff and management complete the Form 990 and schedules. The forms and schedules are reviewed in detail by the Administrative Director of Finance, Chief Financial Officer and President/CEO. The organization engages BKD LLP to review the completed Form 990 and associated schedules. Prior to filing the return, the Finance Committee of the Board of Directors reviews the 990, and the Board of Directors also receives a copy.
PoliciesPART VI, SECTION B, Line 12CEvery year each director and officer with board of directors delegated powers are required to sign a statement which affirms that such person has received a copy of the conflicts of interest policy, has read and understands the policy, agrees to comply with the policy, and understands that the corporation is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In connection with any actual or possible conflicts of interest, a determination is made by the remaining board of directors or committee members in attendance and who are eligible to vote. If a conflict does indeed exist, the person may be asked to leave the meeting during the discussion of, and the vote of, the transaction or arrangement that results in the conflict of interest.
PoliciesPART VI, Section B, Line 15A & 15BTO SUPPORT THE MISSION, VISION, AND VALUES OF MARION GENERAL HOSPITAL, INC. ("MGH") AND THE CHARITABLE PURPOSE FOR WHICH IT EXISTS, THE EXECUTIVE COMPENSATION PROGRAM IS DESIGNED AND ADMINISTERED TO ENSURE THAT MGH CAN ATTRACT, RETAIN AND MOTIVATE HIGHLY-TALENTED EXECUTIVES. EXECUTIVES ARE PLACED WITHin APPROPRIATE SALARY RANGES BASED ON THE EXECUTIVE'S KNOWLEDGE, COMPETENCIES AND EXPERIENCE, PERFORMANCE, IMPORTANCE OF RETAINING THE EXECUTIVE, INTERNAL EQUITY CONSIDERATIONS AND FINANCIAL RESOURCES AVAILABLE. THE ORGANIZATION USES THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS TO REVIEW COMPENSATION PACKAGES, AND ALSO ENGAGES INDEPENDENT COMPENSATION CONSULTANTS TO PREPARE SURVEYS OR STUDIES TO ENSURE THAT THE EXECUTIVE COMPENSATION IS REASONABLE AND COMPETITIVE. THIS PROCESS IS UNDERTAKEN ON AN ANNUAL BASIS.
DisclosurePart VI, Section C, line 19THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICY ARE KEPT ON SITE AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE DISTRIBUTED QUARTERLY TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AS PART OF THE CONTINUING DISCLOSURES FOR THE MARION GENERAL HOSPITAL, INC. BONDS. RECONCILIATION OF NET ASSETS PART XI, LINE 5 UNREALIZED LOSS ON INVESTMENTS ($3,744,476) LOSS ON EXTINGUISHMENT OF DEBT (1,367,058) PENSION RELATED CHANGES (12,418,600) TOTAL: ($17,530,134)

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
PROGRESSIVE CANCER CARE LLC
831 N THEATER DRIVEMARIONIN46952ONCOLOGY CENTINNARELATED6034922406790falsefalse0.51082
SURGERY CENTER OF NORTHCENTRAL IN LLC
330 NORTH WABASH AVENUE SUITE 200MARIONIN46952OUTPATIENT SUINNARELATED74839892824falsefalse0.58594
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
SURGERY CENTER OF NORTHCENTRAL INDIANA
I584436FMV
PROGRESSIVE CANCER CARE LLC
J204919FMV
PROGRESSIVE CANCER CARE LLC
O118377FMV