2013-05-06T08:53:08-05:00 2012-06-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2011-07-01 350868130 MARION GENERAL HOSPITAL INC % MARION GENERAL HOSPITAL INC MARI 7656607003 441 N WABASH AVENUE MARION IN 469522690 ROBYN L POWELL 2013-05-15 true Joyce A Dulworth 2604604000 2011 2016-02-25 16:41:14Z ROBYN L POWELL 441 N WABASH AVENUE MARION IN 46952 200226480 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 10 1149 250 30557 122384 115509 143970887 156618481 5893409 5669271 -392593 93678 149594087 162496939 376575 176527 0 0 53594051 54965625 0 0 0 75730074 88095829 129700700 143237981 19893387 19258958 258292083 283707293 71997084 95683470 186294999 188023823 X TO 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. false false 42282012 43435197 INPATIENT 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. 6708370 17681550 EMERGENCY 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. 9047105 22571064 RADIOLOGY 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. 74994168 72816149 133031655 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 115 0 true 1149 true true true false false false false false false false false false X 15 10 true false true false false false false true true false false true true true true true true true true true true IN X MARION GENERAL HOSPITAL INC 7656607003 441 N WABASH AVENUE MARION IN 469522690 USHER PAUL L 50.0 X X 504900 0 32042 Rajmaira MD Salil 2.0 X 127400 0 0 SRIKANTH MD SHANKARAN 2.0 X 20100 0 0 FOX SCHOER DO ESTHER 3.0 X 224237 0 38339 BRAGG DO JEFFREY 2.0 X 232087 0 22968 IHRKE BARBARA 2.0 X 1439 0 0 DREIMAN DDS BERNARD B 2.0 X 0 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 304652 0 8951 WALLACE BERNADINE L 50.0 X 320890 0 35585 MAHENDRAN RATHI P 40.0 X 504958 0 7408 REX DOUGLAS A 40.0 X 406186 0 349 WILSON JEREMY R 40.0 X 365833 0 32144 TEWARI ARUN K 40.0 X 359487 0 31695 BENDALY EDMOND A 40.0 X 324040 0 7408 3696209 0 216889 59 false true false SOUTH BEND MEDICAL FOUNDATION 530 N LAFAYETTE BLVD SOUTH BEND IN 46601 OUTSIDE LAB SERVICE 1263766 SIEMENS MEDICAL SOLUTIONS USA 51 VALLEY STREAM PKWAY MALVERN PA 19355 COMPUTER CONSULTING 1156852 BOWMAN CONSTRUCTION 1837 BRANSON STREET MARION IN 46953 GENERAL CONTRACTING 994102 MEDICAL INFORMATION TECHNOLOGY MEDITECH CIRCLE WESTOOD MA 02090 COMPUTER CONSULTING 644990 REHABCARE 680 S FOURTH STREET LOUISVILLE KY 40202 MANAGEMENT SERVICES 570785 20 100669 14840 115509 NET PATIENT REVENUE 900099 154777358 154777358 AUXILIARY 900099 58981 58981 AMBULANCE ASSISTS 900099 89524 89524 MEALS ON WHEELS 900099 50756 50756 VHA CO-OP DIV 900099 220581 220581 1421281 1421281 156618481 4097395 4097395 0 0 1512612 1457883 54729 54729 54729 37821740 20650 36126718 143796 1695022 -123146 1571876 -123146 1695022 9536 1144 8392 8392 0 0 BILLING SERVICES 541900 30557 30557 30557 162496939 156495335 30557 5855538 176527 176527 0 0 0 1207020 455289 751731 0 42688598 37489745 5198853 2299926 1964288 335638 5240447 4475687 764760 3529634 3014540 515094 0 707037 707037 173124 173124 0 0 0 3911582 3911582 348417 348417 5973224 5674563 298661 2484299 2484299 0 3643019 3278717 364302 288006 230405 57601 0 115858 92686 23172 1681519 1681519 0 8069896 7262906 806990 682804 601788 81016 MEDICAL SUPPLIES/DRUGS 18894354 18894354 PROVISION FOR BAD DEBTS 14962920 14962920 PHYSICIAN SERVICES 12403336 12403336 PURCHASED SERVICES 7633860 7633860 6122574 5994227 128347 143237981 133031655 10206326 0 3295 3620 36494322 48762190 0 0 18238207 26117454 207932 221102 0 0 3048653 3081794 1498426 1565903 1383359 1268746 169677423 107769950 64782345 61907473 111176786 124365759 17464850 11647513 0 0 1474291 1474291 2519617 3291448 258292083 283707293 15701977 18269052 0 0 0 0 50224226 57444984 0 0 0 0 0 0 0 0 6070881 19969434 71997084 95683470 X 186284844 188013668 0 0 10155 10155 186294999 188023823 258292083 283707293 X 19258958 -17530134 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 13912 13912 false false Schedule C 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 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. 10155 10155 10155 10155 11114 499 1458 10155 15418 684 4988 11114 0.00000 1.00000 0.00000 false false 4003477 4003477 95804236 54797520 41006716 846347 425878 420469 64218037 51248933 12969105 4805324 1297618 3507706 61907473 0 MINIMUM PENSION LIABILITY 19969434 19969434 162496939 143237981 19258958 -3744476 -13785658 -17530134 1728824 160211490 -3744476 1459027 -2285449 162496939 162496939 144697008 1459027 1459027 143237981 143237981 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 4 & 8 Line 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) RECONCILIATION PART XII, LINE 2D RENTAL EXPENSES $1,457,883 SPECIAL EVENTS EXPENSES 1,144 TOTAL OF LINE 2D $1,459,027 RECONCILIATION PART XIII, LINE 2D RENTAL EXPENSES $1,457,883 SPECIAL EVENTS EXPENSES 1,144 TOTAL OF LINE 2D $1,459,027 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 30,2012 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. true true true X true X 0 true true true false true true 5802 9813641 9813641 0.07650 23169611 14722915 8446696 0.06580 5802 32983252 14722915 18260337 0.14230 156084 946086 946086 0.00740 1551 452436 452436 0.00350 235 43933 43933 0.00030 187 2409 2409 7150 312737 5473 307264 0.00240 165207 1757601 5473 1752128 0.01360 171009 34740853 14728388 20012465 0.15590 850 9474 0.00010 25 1151109 0.00900 875 1160583 0.00910 false 6370046 335000 29853869 36565924 -6712055 X true true SURGERY CENTER OF NO AMBULATORY SURGERY CENTER 0.58590 0.01250 0.23750 PROGRESSIVE CANCER C CANCER CARE CENTER 0.51500 0.05240 0.29700 1 1 MARION GENERAL HOSPITAL INC

441 N WABASH AVENUE MARION IN 46952

X X X OFF-CAMPUS RADIOLOGY ONCOLOGY, SLEEP LAB PHYSICAL MED, LAB MARION GENERAL HOSPITAL INC 1 true true 200. false true X X X true false true false X X X X true X false false REQUIRED DESCRIPTIONS PART I, LINE 7 BAD 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 ASSESSMENT MARION 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 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 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 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. (US CENSUS BUREAU, 2010) PROMOTION OF COMMUNITY HEALTH FOR 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. true BRIDGES TO HEALTH INC 1251 W KEM ROAD MARION IN 46952 205405181 501(c)(3) 120000 HEALTHCARE GRANT COUNTY ECONOMIC GROWTH COUNCIL 301 S ADAMS SUITE 109 MARION IN 46952 351589550 501(c)(3) 5150 COMMUNITY UNITED WAY OF GRANT COUNTY INC 205 S WASHINGTON STREET MARION IN 46952 350995975 501(c)(3) 27397 COMMUNITY FAMILY SERVICE SOCIETY 101 S WASHINGTON STREET MARION IN 46952 350868083 501(C)(3) 12500 COMMUNITY THE HAHN FOUNDATION OF IHA 1 AMERICAN SQUARE STE 1900 INDIANAPOLIS IN 46282 356020062 501(C)(3) 10000 HEALTHCARE 5 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 332547 0 138601 0 33752 0 7350 0 24692 0 536942 0 0 0 POWELL ROBYN L 212529 0 66874 0 25249 0 7350 0 1607 0 313609 0 0 0 WALLACE BERNADINE L 213095 0 68177 0 39618 0 7350 0 28235 0 356475 0 0 0 MAHENDRAN RATHI P 503558 0 0 0 1400 0 7350 0 58 0 512366 0 0 0 REX DOUGLAS A 291407 0 91544 0 23235 0 0 0 349 0 406535 0 0 0 WILSON JEREMY R 286710 0 66468 0 12655 0 7350 0 24794 0 397977 0 0 0 TEWARI ARUN K 257755 0 64584 0 37148 0 7350 0 24345 0 391182 0 0 0 BENDALY EDMOND A 303557 0 0 0 20483 0 7350 0 58 0 331448 0 0 0 FOX SCHOER DO ESTHER 165145 0 57692 0 1400 0 6993 0 31346 0 262576 0 0 0 BRAGG DO JEFFREY 179849 0 22484 0 29754 0 6249 0 16719 0 255055 0 0 0 INDIANA FINANCE AUTHORITY 351602316 455057NPO 2008-06-10 24000000 CONSTRUCT & EQUIP FACILITY, REFUND false false false INDIANA FINANCE AUTHORITY 351602316 45471AHA3 2012-04-26 36248711 CONSTRUCT & EQUIP FACILITY, REFUND false false false 2800000 0 24223603 0 0 0 281623 136755 0 13714004 6785338 3305883 2012 true false false true 0 0 36248763 0 0 0 537367 0 0 63461 27711344 7936591 2013 true false false true false false true true false 0 true false false true true false 0 true false true false 0 false 0 true false false false false 0 false 0 false true X JEFFREY W BRAGG DO RECRUITMENT X 120000 68000 false true true SHANKARAN SRIKANTH MD RECRUITMENT X 80000 72000 false true true ARUN TEWARI MD RECRUITMENT X 120000 52769 false true true JEREMY WILSON DO RECRUITMENT X 50000 28333 false true true 221102 CHRISTINE MONAHAN DAUGHTER OF OFFICER 27372 PAID EMPLOYEE false MARION SLEEP SERVICES LLC JOINT VENTURE 40000 SEE PART V false MARION MEDICAL REAL ESTATE LLC SEE PART V 348695 SEE PART V false PART VI MARION 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. Program Service Accomplishments Part III, Line 4d MARION 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 Management PART VI, LINE 1B Paul 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 Management PART VI, Section A, Line 2 Jeffrey 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 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, 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. Policies PART VI, SECTION B, Line 12C Every 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. 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 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. 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 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) PROGRESSIVE CANCER CARE LLC 831 N THEATER DRIVE MARION IN 46952 ONCOLOGY CENT IN NA RELATED 603492 2406790 false false 0.51082 SURGERY CENTER OF NORTHCENTRAL IN LLC 330 NORTH WABASH AVENUE SUITE 200 MARION IN 46952 OUTPATIENT SU IN NA RELATED 74839 892824 false false 0.58594 false false false false false false false false true true true false false false true false false false SURGERY CENTER OF NORTHCENTRAL INDIANA I 584436 FMV PROGRESSIVE CANCER CARE LLC J 204919 FMV PROGRESSIVE CANCER CARE LLC O 118377 FMV