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MARION GENERAL HOSPITAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
MARION GENERAL HOSPITAL (EIN 35-0868130)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-02
IRS object ID
201211239349300421
Schema version
2010v3.7
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)
Timestamp2012-05-02T09:36:35-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

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 Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN350868130EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1MARION GENERAL HOSPITAL INCBusinessNameLine1
FieldValueIRS element (for citing)
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 Signed2012-05-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameJoyce A DulworthName
Phone2604604000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts212407275GrossReceipts
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 WELLBEING OF THE COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees1151TotalNbrEmployees
Total Nbr Volunteers267TotalNbrVolunteers
Total Gross UBI27249TotalGrossUBI
Contributions Grants Prior Year187934ContributionsGrantsPriorYear
Contributions Grants Current Year122384ContributionsGrantsCurrentYear
Program Service Revenue Prior Year131008594ProgramServiceRevenuePriorYear
Program Service Revenue CY143970887ProgramServiceRevenueCY
Investment Income Prior Year5334866InvestmentIncomePriorYear
Investment Income Current Year5893409InvestmentIncomeCurrentYear
Other Revenue Prior Year1083048OtherRevenuePriorYear
Other Revenue Current Year-392593OtherRevenueCurrentYear
Total Revenue Prior Year137614442TotalRevenuePriorYear
Total Revenue Current Year149594087TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year531953GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY376575GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year51139975SalariesEtcPriorYear
Salaries Etc Current Year53594051SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year77184291OtherExpensePriorYear
Other Expenses Current Year75730074OtherExpensesCurrentYear
Total Expenses Prior Year128856219TotalExpensesPriorYear
Total Expenses Current Year129700700TotalExpensesCurrentYear
Revenues Less Expenses Prior Year8758223RevenuesLessExpensesPriorYear
Revenues Less Expenses CY19893387RevenuesLessExpensesCY
Total Assets BOY230681477TotalAssetsBOY
Total Assets EOY261829909TotalAssetsEOY
Total Liabilities BOY80550542TotalLiabilitiesBOY
Total Liabilities EOY71997084TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY150130935NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY189832825NetAssetsOrFundBalancesEOY
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
Expense42955056Expense
Revenue39617389Revenue
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 4,927 adult and pediatric patients and provided 17,648 adult and pediatric patient care days during the year ended June 30, 2011. During the same time period, MGH also discharged 235 patients and provided 2,708 patient care days for patients in the acute rehab unit. Additionally, there were 691 deliveries performed.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense6891431Expense
Revenue14806416Revenue
DescriptionEmergency Room Services (outpatient) - Marion General Hospital operates one of the busiest 24-hour emergency rooms in the state. There were 40,788 outpatient visits during the year ended June 30, 2011. There were also an additional 2,881 ER patients that were ultimately admitted as an inpatient to the hospital, for a total of 43,669 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)
Expense9162855Expense
Revenue11578147Revenue
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 the highly-developed CT scan which provides faster scan times 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. Other services offered include nuclear medicine, ultrasound and x-ray. Marion General Hospital provided 51,482 outpatient radiology procedures during the year ended June 30, 2011.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp60564329TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev77108682TotalOfOtherProgramServiceRev
Total Program Service Expense119573671TotalProgramServiceExpense
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 SecuritiestrueReportInvestOthSecurities
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 Employees1151NumberOfEmployees
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 Members11NumberIndependentVotingMembers
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 / CEO50.0XX471418079241
BRAGG DO JEFFREY W
BOARD MEMBER/PHYSICIAN2.0X9672808172
CARL DOUGLAS E
TREASURER2.0X000
DREIMAN DDS BERNARD B
BOARD MEMBER2.0X000
FOX DO ESTHER B
PRES./CHIEF OF STAFF/PHYSICIAN3.0X222099031016
GARTLAND JR JAMES M
BOARD MEMBER2.0X000
HOLDEREAD JEROME T
VICE-CHAIR2.0X000
JENKS SALLY
BOARD MEMBER2.0X000
MARTIN JOE
BOARD CHAIR2.0X000
MIDDLESWORTH BRIAN
BOARD MEMBER2.0X000
O'BRIEN MICHAEL J
BOARD MEMBER2.0X000
RAABE DAVID J
BOARD MEMBER2.0X000
RAJMAIRA MD SALIL
BOARD MEMBER/PHYSICIAN ON-CALL2.0X10010000
SRIKANTH MD SHANKARAN
BOARD MEMBER/PHYSICIAN ON-CALL2.0X665000
THOMAS MICHAEL A
SECRETARY2.0X000
POWELL ROBYN L
CFO50.0X243084028759
WALLACE BERNADINE L
CNO / COO50.0X2856230100533
MAHENDRAN RATHI P
PHYSICIAN40.050481007820X
REX DOUGLAS A
PHYSICIAN40.04108670761X
BENDALY EDMOND A
PHYSICIAN40.032530002547X
KEPPLER EDWARD
PHYSICIAN40.0261568019024X
TEWARI ARUN
PHYSICIAN40.0257041025130X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3185288TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation303003TotalOtherCompensation
Number Individuals GT100 K47NumberIndividualsGT100K
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 NORTH LAFAYETTE BLVDSOUTH BENDIN466011098OUTSIDE LAB SERVICES1299748
SARCOM
8405 PULSAR PLACECOLUMBUSOH43226COMPUTER CONSULTING736735
SIEMENS MEDICAL SOLUTIONS
51 VALLEY STREAM PARKWAYMALVERNPA19355COMPUTER CONSULTING488243
NAVIGANT CONSULTING INC
4511 PAYSPHERE CIRCLECHICAGOIL60674CONSULTING277415
BLUE COMPANY
ONE AMERICAN SQUARE SUITE 2200INDIANAPOLISIN46282CONSULTING225510
FieldValueIRS element (for citing)
Number Of Contractors GT100 K12NumberOfContractorsGT100K
Government Grants96719GovernmentGrants
All Other Contributions25665AllOtherContributions
Total Contributions122384TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE900099142332254142332254
AUXILIARY9000996071460714
AMBULANCE ASSISTS9000997478274782
MEALS ON WHEELS9000994590445904
VHA CO-OP DIV900099275449275449

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column1181784TotalRevenueColumn
Related Or Exempt Function Income1149705RelatedOrExemptFunctionIncome
Exclusion$32,079ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue143970887TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5370125TotalRevenueColumn
Exclusion$5,370,125ExclusionAmount

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)
Real1037260Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1457102Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-419842Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-419842TotalRevenueColumn
Exclusion-$419,842ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities61804167Securities
Other75203Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities60452709Securities
Other903377Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1351458Securities
Other-828174Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column523284TotalRevenueColumn
Related Or Exempt Function Income-828174RelatedOrExemptFunctionIncome
Exclusion$1,351,458ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

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 Column27249TotalRevenueColumn
Unrelated Business Revenue27249UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue27249TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column149594087TotalRevenueColumn
Related Or Exempt Function Income143110634RelatedOrExemptFunctionIncome
Unrelated Business Revenue27249UnrelatedBusinessRevenue
Exclusion$6,333,820ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total376575Total
Program Services376575ProgramServices

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)
Total1208658Total
Program Services473425ProgramServices
Management And General735233ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total41733261Total
Program Services36455135ProgramServices
Management And General5278126ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7207706Total
Program Services6118913ProgramServices
Management And General1088793ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3444426Total
Program Services2924113ProgramServices
Management And General520313ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total553122Total
Management And General553122ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total174028Total
Management And General174028ManagementAndGeneral

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)
Total4529855Total
Program Services4529855ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total331273Total
Program Services331273ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total5204194Total
Program Services4943984ProgramServices
Management And General260210ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total2049410Total
Program Services2049410ProgramServices

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3434329Total
Program Services3090896ProgramServices
Management And General343433ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total273029Total
Program Services218423ProgramServices
Management And General54606ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total79564Total
Program Services63651ProgramServices
Management And General15913ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1987880Total
Program Services1987880ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total8343548Total
Program Services7509193ProgramServices
Management And General834355ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total606027Total
Program Services442157ProgramServices
Management And General163870ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROVISION FOR BAD DEBTS1237237712372377
PHYSICIAN SERVICES1106598911065989
PURCHASED SERVICES75643617564361
MISCELLANEOUS374488269461105027
MEDICAL SUPPLIES/DRUGS1678660016786600

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total129700700Total
Program Services119573671ProgramServices
Management And General10127029ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3095BOY
EOY3295EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY25050547BOY
EOY36494322EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY19908145BOY
EOY21776033EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY51111BOY
EOY207932EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3349402BOY
EOY3048653EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY154502BOY
EOY1498426EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1058429BOY
EOY1383359EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis164986674LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec100204329LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY66824055BOY
EOY64782345EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY91169921BOY
EOY111176786EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY17747344BOY
EOY17464850EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1589750BOY
EOY1474291EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3775176BOY
EOY2519617EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY230681477BOY
EOY261829909EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY11812956BOY
EOY15701977EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY51456146BOY
EOY50224226EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY17281440BOY
EOY6070881EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY80550542BOY
EOY71997084EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY150120780BOY
EOY189822670EOY

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)
BOY150130935BOY
EOY189832825EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY230681477BOY
EOY261829909EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses19893387ReconcilationRevenueExpenses
Reconcilation Other Changes19808503ReconcilationOtherChanges
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)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup
Limited Control Provisions ApplyXLimitedControlProvisionsApply
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
Form4720 FiledfalseForm4720Filed
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$32,240OtherActivitiesAmount
Total Lobbying Expenditures IIB32240TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART II-B, LINE 1IIdentifier
Return ReferenceDESCRIPTION OF OTHER ACTIVITIESReturnReference
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, AMERICAN HOSPITAL ASSOCIATION, 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 Balance11114BeginningOfYearBalance
Investment Earnings Or Losses499InvestmentEarningsOrLosses
Other Expenditures1458OtherExpenditures
End Of Year Balance10155EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis3919897OtherCostOrOtherBasis
Book Value3919897BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis93744218OtherCostOrOtherBasis
Depreciation50721208Depreciation
Book Value43023010BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis846348OtherCostOrOtherBasis
Depreciation289141Depreciation
Book Value557207BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis61917152OtherCostOrOtherBasis
Depreciation47948652Depreciation
Book Value13968500BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis4559059OtherCostOrOtherBasis
Depreciation1245329Depreciation
Book Value3313730BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings64782344TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value17464850BookValue
Method Of ValuationFMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities17464850TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionMINIMUM PENSION LIABILITYDescription
Amount$6,070,881Amount
FieldValueIRS element (for citing)
Total Of Amounts6070881TotalOfAmounts
Total Revenue149594087TotalRevenue
Total Expenses129700700TotalExpenses
Excess Or Deficit For Year19893387ExcessOrDeficitForYear
Net Unrealized GL On Investments11371130NetUnrealizedGLOnInvestments
Other$8,437,373OtherAmount
Total Adjustments19808503TotalAdjustments
Excess Or Deficit Per FS39701890ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt171687866TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments11371130NetUnrealizedGainsInvestments
Other Revenues10722649OtherRevenues
Revenue Not Rptd F99022093779RevenueNotRptdF990
Revenue Subtotal149594087RevenueSubtotal
Total Revenue Per Form990149594087TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt131985976TotExpensesEtcAuditedFinclStmt
Other Expenses Included2285276OtherExpensesIncluded
Expenses Not Rptd F9902285276ExpensesNotRptdF990
Expenses Subtotal129700700ExpensesSubtotal
Total Expenses Per Form990129700700TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
PART V, LINE 4THE HOSPITAL'S ENDOWMENT FUNDS ARE USED FOR CRITICAL CARE DEPARTMENT EDUCATION EXPENSES, AND OTHER PROGRAM SERVICE EXPENSES.
RECONCILIATIONCHANGE IN PERIODIC PENSION AND POSTRETIREMENT COSTS NOT YET RECOGNIZED IN EXPENSE 8,437,373 PART XII, LINE 2D CHANGE IN PERIODIC PENSION AND POSTRETIREMENT COSTS NOT YET RECOGNIZED IN EXPENSE 8,437,373 RECLASS LOSS ON FIXED ASSETS 828,174 RENT EXPENSE 1,457,102 TOTAL 10,722,649 PART XIII, LINE 2D RECLASS LOSS ON FIXED ASSETS 828,174 RENT EXPENSE 1,457,102 TOTAL 2,285,276PART XI, LINE 8
FIN 48 FOOTNOTETHE AUDITED CONSOLIDATED FINANCIAL STATEMENTS ADDRESS UNCERTAIN TAX POSITIONS IN THE FOOTNOTES TO THE STATEMENTS: THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND IS EXEMPT FROM FEDERAL TAXES ON RELATED BUSINESS INCOME PURSUANT TO SECTION 501(A) OF THE CODE. THE HOSPITAL DOES NOT HAVE A RESERVE FOR ANY UNCERTAIN TAX POSITIONS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent250XPcent250
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 Served5148PersonsServed
Total Community Benefit Expense7544365TotalCommunityBenefitExpense
Direct Offsetting Revenue6117711DirectOffsettingRevenue
Net Community Benefit Expense1426654NetCommunityBenefitExpense
Percent Of Total Expense0.01220PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense19154132TotalCommunityBenefitExpense
Direct Offsetting Revenue14917852DirectOffsettingRevenue
Net Community Benefit Expense4236280NetCommunityBenefitExpense
Percent Of Total Expense0.03610PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served5148PersonsServed
Total Community Benefit Expense26698497TotalCommunityBenefitExpense
Direct Offsetting Revenue21035563DirectOffsettingRevenue
Net Community Benefit Expense5662934NetCommunityBenefitExpense
Percent Of Total Expense0.04830PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Persons Served137023PersonsServed
Total Community Benefit Expense970498TotalCommunityBenefitExpense
Net Community Benefit Expense970498NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Persons Served2314PersonsServed
Total Community Benefit Expense576786TotalCommunityBenefitExpense
Net Community Benefit Expense576786NetCommunityBenefitExpense
Percent Of Total Expense0.00490PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Persons Served200PersonsServed
Total Community Benefit Expense3023TotalCommunityBenefitExpense
Net Community Benefit Expense3023NetCommunityBenefitExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Persons Served10145PersonsServed
Total Community Benefit Expense502790TotalCommunityBenefitExpense
Net Community Benefit Expense502790NetCommunityBenefitExpense
Percent Of Total Expense0.00430PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Persons Served150336PersonsServed
Total Community Benefit Expense2053097TotalCommunityBenefitExpense
Net Community Benefit Expense2053097NetCommunityBenefitExpense
Percent Of Total Expense0.01750PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Persons Served155484PersonsServed
Total Community Benefit Expense28751594TotalCommunityBenefitExpense
Direct Offsetting Revenue21035563DirectOffsettingRevenue
Net Community Benefit Expense7716031NetCommunityBenefitExpense
Percent Of Total Expense0.06580PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Persons Served600PersonsServed
Total Community Building Expense14658TotalCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Persons Served47PersonsServed
Total Community Building Expense756431TotalCommunityBuildingExpense
Percent Of Total Expense0.00640PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Persons Served647PersonsServed
Total Community Building Expense771089TotalCommunityBuildingExpense
Percent Of Total Expense0.00650PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$5,320,056BadDebtExpenseAmount
Amount Attributable To280000AmountAttributableTo
Amount Reimbursed By Medicare31309363AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare41048732CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-9739369MedicareSurplusOrShortfall

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 CENTER0.585900.043700.21880
PROGRESSIVE CANCER C
CANCER CARE CENTER0.508000.077200.26430
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 LABORATORY, ONCOLOGY SLEEP 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

Form990 Schedule H Part VI Form990ScheduleHPartVI (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
REQUIRED DESCRIPTIONSPART I, LINE 7BAD DEBT EXPENSE IN THE AMOUNT OF $12,372,377 IS EXCLUDED FROM TOTAL EXPENSES FOR PURPOSES OF CALCULATING PERCENTS IN COLUMN F. COST OF CHARITY CARE IS ESTIMATED BY MULTIPLYING GROSS CHARGES FORGIVEN FOR CHARITY 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 AR SYSTEM FOR FURTHER FOLLOW-UP ACTION. PAYMENT IN FULL IS ALWAYS THE PREFERRED METHOD OF RESOLUTION FOR A SELF-PAY BALANCE. IF THIS IS NOT POSSIBLE, THE PATIENT SERVICE REPRESENTATIVE OR FINANCIAL COUNSELOR PROVIDES INFORMATION TO THE PATIENT AND/OR AN OTHER RESPONSIBLE PARTY OF THE HOSPITAL'S 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.
NEEDS ASSESSMENTMARION GENERAL HOSPITAL (MGH) SPEARHEADED THE FORMATION OF THE GRANT COUNTY COMMUNITY HEALTH PROFILE (CHP) ALLIANCE WHOSE MISSION AND GOAL IS TO PROVIDE STRUCTURE AND SUSTAINABILITY FOR ONGOING NEEDS ASSESSMENT WHICH WOULD BE VIABLE AND RELEVANT TO ALL OUR COMMUNITY PARTNERS. THE CHP ALLIANCE INCLUDES MGH, INDIANA WESLEYAN UNIVERSITY, TAYLOR UNIVERSITY, INDIANA STATE DEPARTMENT OF HEALTH, AND REPRESENTATIVES FROM AREA SOCIAL SERVICES, SCHOOLS AND NUMEROUS BUSINESSES. THE GRANT COUNTY CHP ALLIANCE PROVIDES SYSTEMATIC COLLECTION, ASSEMBLY, ANALYSIS, AND DISTRIBUTION OF INFORMATION ON THE HEALTH STATUS OF OUR COMMUNITY. TYPES OF INFORMATION COLLECTED INCLUDE: HEALTH STATISTICS, COMMUNITY HEALTH NEEDS, GAPS IN CARE, AS WELL AS IDENTIFYING PROGRESS AND COMMUNITY ASSETS. THE CHP ALLIANCE PUBLISHES AND PROMOTES THE DATA TO ALL COMMUNITY AGENCIES WHICH ENABLES STRATEGIC PLANNING OF NEW HEALTH INITIATIVES, REFINEMENT OF EXISTING PROGRAMS AND MAINTENANCE OF CURRENT PROGRAMS. THE INFORMATION GAINED IS USED TO ENCOURAGE COMMUNITY MEMBERS AND AREA AGENCIES TO WORK COLLABORATIVELY IN BOTH CELEBRATING SUCCESSES AND CONTINUING TO FIND CREATIVE AVENUES TO BECOME A HEALTHIER COMMUNITY. MARION GENERAL HOSPITAL HOSTED PUBLIC FORUMS, FUNDED THE CHP WEBSITE AND ELECTRONIC AVAILABILITY OF THE REPORT TO THE COMMUNITY IN ORDER TO BE SURE ALL RESIDENTS AND LOCAL AGENCIES HAVE ACCESS TO THE RESULTS. THE GRANT COUNTY COMMUNITY HEALTH PROFILE ALLIANCE WAS ESTABLISHED IN 2009. WORKING WITH INDIANA WESLEYAN UNIVERSITY AND TAYLOR UNIVERSITY TO EXECUTE THE ASSESSMENT WITHIN STUDENT SEMESTERS, THE FIRST CHP RESULTS WERE PUBLISHED IN 2011, RECEIVING OVER 4,000 SURVEYS. MGH WILL AGAIN SPEARHEAD THE CHP ALLIANCE TO COMPLETE OUR COUNTIES NEXT HEALTH ASSESSMENT IN 2012, FOLLOWING THE EVERY THREE YEAR RECOMMENDATION BY VHA, CHA AND THE INDIANA STATE DEPARTMENT OF HEALTH ALONG WITH SMALLER FOCUSED ASSESSMENTS IN THE INTERVAL 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 HOSPITALS 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 DISCHARGE. 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 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 REGION. THE HOSPITAL'S COMMITMENT IS INTEGRATED AND COMMUNICATED IN THE MISSION AND VISION STATEMENT AND IN ANNUAL STRATEGIC INITIATIVES. IN 2011, MGH'S COMMUNITY OUTREACH EDUCATION HAS BEEN FOCUSED ON THE HEALTH NEEDS OF OUR COMMUNITY. MGH EDUCATES OUR COMMUNITY THROUGH AN EXTREMELY ACTIVE COMMUNITY OUTREACH PROGRAM WHICH ENTAILS EMPLOYEES FROM EVERY DEPARTMENT, AS WELL AS THROUGH THE MGH PARISH NURSING PROGRAM. MGH ROUTINELY PROVIDES EDUCATION ON A WIDE RANGE OF HEALTH TOPICS AT SCHOOLS, UNIVERSITIES, COMMUNITY EVENTS, HEALTH SPEAKING ENGAGEMENTS, COMMUNITY BOARDS, HEALTH COALITIONS, AND NUMEROUS MEDIA VENUES. TOPICS OF EMPHASIS IN 2011 INCLUDED: STROKE & CARDIAC DETECTION AND PREVENTION, NUTRITION & EXERCISE, TOBACCO CESSATION, AND SIDS PREVENTION AS WELL AS OUR CONTINUED PARTNERSHIP WITH BRIDGES TO HEALTH, GRANT COUNTY'S FREE HEALTH CLINIC. OTHER HIGHLIGHTS FROM 2011 INCLUDE: 1) MARION GENERAL HOSPITAL SUPPORTED THE EXPANSION OF BRIDGES TO HEALTH, THE COUNTYS FREE HEALTH CARE CLINIC, BY DONATING 5,000 SQ. FT OF CLINIC SPACE FOR $1/YEAR, ENABLING THEM TO ENHANCE THEIR OUTREACH OF PROVIDING NEEDED HEALTHCARE TO OUR COMMUNITY. 2) MGH WAS SUCCESSFUL IN ADDING PHYSICIANS IN NEEDED MEDICAL SPECIALITIES SUCH AS ANESTHESIOLOGY, CARDIOLOGY, PEDIATRICS, INTERNAL MEDICINE, HOSPITALISTS, PSYCHIATRY AND NURSE PRACTIONERS. 3) MGH ALSO INCREASED ACCESS TO PRIMARY CARE BY IMPLEMENTING A TIMELY ACCESS TO PHYSICIAN PRACTICES THROUGHOUT THE COUNTY. 4) MGH EXPANDED THEIR HEALTH SCREENINGS OFFERINGS IN ACCORDANCE WITH THE RESULTS FROM THE PREVIOUS COMMUNITY HEALTH PROFILE WHICH INDICATED A NEED FOR GREATER PREVENTATIVE AND DETECTION EFFORTS, THIS INCLUDED THE EXPANSION AND ADDITION OF OSTEOPOROSIS, DIABETIC, SICKLE-CELL ANEMIA AND HEMOGLOBIN SCREENINGS. AS A CORPORATE CITIZEN OF THE COMMUNITY, AND ONE OF THE LARGEST EMPLOYERS IN THE COUNTY, MANY LOOK TO MGH FOR LEADERSHIP AND GUIDANCE WELL BEYOND HEALTHCARE. MGH PLACES NUMEROUS EMPLOYEE LEADERS OUT IN THE COMMUNITY TO SERVE ON COMMUNITY BOARDS AND PROGRAMS WHICH INCLUDE, BUT ARE NOT LIMITED TO: 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, UNITED WAY CHAIRMAN, AND NUMEROUS COMMUNITY NON-PROFIT BOARDS. OUR EMPLOYEES SERVE AS THOUGHT-LEADERS AMONG THESE GROUPS WHILE CONTINUING TO EDUCATE THE GROUP AND PUBLIC OF THE HEALTH IMPLICATIONS OF OUTCOMES. EACH YEAR, AN EXAMPLE OF OUR COMMITMENT TO BUILDING OUR COMMUNITY IS HIGHLIGHTED IN THE FACT THAT MGH HAS BEEN RECOGNIZED AT THE ECONOMIC GROWTH COUNCIL'S APPRECIATION LUNCHEON NUMEROUS YEARS FOR OUR CONTINUED CAPITAL IMPROVEMENT COMMITMENT TO OUR FACILITIES AND THE ENTIRE 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 COMMUNITY PARTNERSHIP WHICH ARE ALL GEARED TO IMPROVE THE HEALTH OF OUR POPULATION. AS A CORPORATE CITIZEN OF THE COMMUNITY AND THE 2ND LARGEST EMPLOYER IN THE COUNTY, RESIDENTS LOOK TO MARION GENERAL HOSPITAL FOR LEADERSHIP AND GUIDANCE IN AREAS WELL BEYOND HEALTHCARE.
STATE FILING OF COMMUNITY BENEFIT REPORT990 SCHEDULE H, PART VIINDIANA

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 GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
BRIDGES TO HEALTH INC
901 S BRANSON STREETMARIONIN46953205405181501(c)(3)120000SUPPORT OF FREE CLINIC
GRANT COUNTY ECONOMIC GROWTH COUNCIL
301 S ADAMS SUITE 109MARIONIN46952351589550501(c)(3)10300COMMUNITY OUTREACH
UNITED WAY OF GRANT COUNTY INC
505 W THIRD STREETMARIONIN46952350995975501(c)(3)26004COMMUNITY OUTREACH
YMCA OF GRANT COUNTY INC
123 SUTTER WAYMARIONIN46952350886981501(C)(3)BUILDING200000BOOK VALUEBUILDING
THE WESLEYAN CHURCHGLOBAL PARTNERS
PO BOX 2000MARIONIN46952351148762501(C)(3)MED SUPPLIES14347FMVMED SUPPLIES
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 (9 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
3172810711440829930560110232300550659000
POWELL ROBYN L
191600031880019604024050263540271843000
WALLACE BERNADINE L
2115940341320398970769780235550386156000
MAHENDRAN RATHI P
50361000012000735004700512630000
REX DOUGLAS A
2971850896020240800007610411628000
BENDALY EDMOND A
303609000216910207704700327847000
KEPPLER EDWARD
24168701650103380073500116740280592000
TEWARI ARUN
228674010833017534069250182050282171000
FOX DO ESTHER B
16197705892201200015040295120253115000

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1INDIANA FINANCE AUTHORITYBusinessNameLine1
FieldValueIRS element (for citing)
Issuer EIN351602316IssuerEIN
CUSIP Number455057NPOCUSIPNumber
Date Issued2008-06-10DateIssued
Issue Price24000000IssuePrice
Description Of PurposeSEE PART VDescriptionOfPurpose
DefeasedfalseDefeased
On Behalf Of IssuerfalseOnBehalfOfIssuer
Pool FinancingfalsePoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

FieldValueIRS element (for citing)
Amount Retired1910000AmountRetired
Total Proceeds24223597TotalProceeds
Issuance Costs From Proceeds281623IssuanceCostsFromProceeds
Credit Enhancement136755CreditEnhancement
Capital Expenditures11920121CapitalExpenditures
Other Spent Proceeds6750000OtherSpentProceeds
Amount Unspent5099759AmountUnspent
Year Of Subst Completion2011YearOfSubstCompletion
Current RefundingtrueCurrentRefunding
Advance RefundingfalseAdvanceRefunding
Final Allocation MadefalseFinalAllocationMade
Adequate Books And Recds MaintaindtrueAdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Any Research AgreementsfalseAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00000PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00000PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00000TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

FieldValueIRS element (for citing)
Form8038 T FiledfalseForm8038TFiled
Variable Rate IssuetrueVariableRateIssue
Hedge Identified In Books And RecdsfalseHedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GICfalseGrossProceedsInvestedInGIC
Gross Proceeds InvestedtrueGrossProceedsInvested
Exception To RebatefalseExceptionToRebate

Form990 Schedule K Part V Form990ScheduleKPartV

FieldValueIRS element (for citing)
IdentifierPART I, LINE AIdentifier
ExplanationTHE JUNE 10, 2008 BOND ISSUED BY THE INDIANA FINANCE AUTHORITY WAS USED FOR CONSTRUCTION, THE PURCHASE OF CAPITAL EQUIPMENT, TO REFUND SERIES 2005 BONDS AND PAY BOND ISSUANCE COSTS. CREDIT ENHANCEMENT FEES: $136,755 ISSUANCE COSTS: $281,623Explanation

Schedule L IRS990ScheduleL

Loan Table LoanTable (4 entries)

Purpose Of LoanPurposeOfLoanLoan From OrganizationLoanFromOrganizationOriginal PrincipalOriginalPrincipalAmountBalance DueBalanceDueDefaultDefaultApproved By BoardApprovedByBoardWritten AgreementWrittenAgreement
JEFFREY W BRAGG DO
RECRUITMENTX$100,00084000falsetruetrue
DOUGLAS A REX MD
RECRUITMENTX$64,00017778falsetruetrue
ARUN TEWARI MD
RECRUITMENTX$100,00070154falsetruetrue
EDMOND A BENDALY MD
RECRUITMENTX$54,00036000falsetruetrue
FieldValueIRS element (for citing)
Total Balance Due207932TotalBalanceDue

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
CHRISTINE MONAHAN
DAUGHTER OF OFFICER30459PAID EMPLOYEEfalse
MARION SLEEP SERVICES LLC
JOINT VENTURE40000SEE PART Vfalse
MARION MEDICAL REAL ESTATE LLC
SEE PART V325539SEE PART Vfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPART IVIdentifier
ExplanationBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS MARION GENERAL HOSPITAL OWNS 11.59% OF MARION SLEEP SERVICES LLC. CURRENT MGH BOARD MEMBERS ARE ALSO OWNERS OF MARION SLEEP SERVICES LLC WITH INDIVIDUAL OWNERSHIP GREATER THAN 5% IN SOME INSTANCES. 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 (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Program Service AccomplishmentsPart III, Line 4dMARION GENERAL HOSPITAL (MGH)IS A NOT-FOR-PROFIT, 97-BED, ACUTE CARE, RURAL, SOLE COMMUNITY HOSPITAL LOCATED IN MARION, INDIANA. MGH PROVIDES HEALTHCARE SERVICES THROUGHOUT GRANT COUNTY (INCLUDES MARION, FAIRMOUNT, GAS CITY AND SWAYZEE) AND IN MIAMI COUNTY (CONVERSE), INDIANA. ADMINISTRATORS AND STAFF OF MGH 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, MGH ALSO PROVIDES AMBULANCE, ANTICOAGULATION CLINIC, MEDICAL ONCOLOGY, CARDIOVASCULAR, CARDIAC CATH LAB, CHF CLINIC, CARDIAC REHAB, LABORATORY, OBSERVATION, NEURODIAGNOSTIC, SURGERY, PHYSICAL THERAPY, AND WOUND CLINIC SERVICES. RECENTLY ENHANCED OR ADDED SERVICES INCLUDE HOSPITALIST SERVICE 24/7 COVERAGE, AS WELL AS INTERVENTIONAL CARDIOLOGY BY THE CARE GROUP INDIANAPOLIS PERFORMING PROCEDURES AT MGH. COMMUNITY OUTREACH EFFORTS THAT MGH ENGAGED IN DURING THE FISCAL YEAR 2011 INCLUDED THE H1N1 VACCINE PROGRAM, HAND WASHING EDUCATION AND FLU PREVENTION, PARISH NURSING HEALTH EDUCATION TO THE FAITH COMMUNITY, AND A COMMUNITY NEEDS ASSESSMENT FOR IDENTIFYING COMMUNITY HEALTH ISSUES.
Governing Body and ManagementPART VI, LINE 1BPaul L. Usher, Dr. Jeffrey W. Bragg, and Dr. Esther B. Fox are compensated as employees of the organization. Dr. Salil Rajmaira is compensated as an independent contractor for on-call services.
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 2011 TO INCLUDE THE FOLLOWING CHANGES: 1. SIZE OF BOARD REDUCED TO FIFTEEN (15) DIRECTORS (13 VOTING AND 2 NON-VOTING) TO IMPROVE ENGAGEMENT AND PARTICIPATION OF DIRECTORS AND REDUCE SIZE OF BOARD IN ACCORDANCE WITH THE TREND FOR NOT-FOR-PROFIT HOSPITALS. 2. MODIFY ELIGIBILITY TO BECOME A DIRECTOR. 3. REDUCE BOARD QUORUM IN CONJUNCTION WITH REDUCING SIZE OF BOARD. 4. CLARIFY THAT CHIEF OF STAFF AND PRESIDENT/CEO MAY NOT BE CONSIDERED FOR OFFICERS OF THE BOARD. 5. ADD A "QUALITY CARE AND PATIENT SAFETY COMMITTEE" TO STANDING COMMITTEES. 6. MODIFY THE COMPOSITION OF THE COMPENSATION COMMITTEE IN THE EVENT THAT A PHYSICIAN IS A BOARD OFFICER. 7. MODIFIED THE PROCESS FOR AMENDMENT OF THE CORPORATE BYLAWS TO EXPEDITE THE PROCESS.
Governing Body and ManagementPART VI, Section B, Line 11BThe organization incorporates numerous parties into the production and review of the Form 990 and associated schedules. The form 990 and its schedules are prepared and reviewed in detail by BKD LLP. The completed 990 is then reviewed in detail by the Administrative Director of Finance, Chief Financial Officer and President/CEO. 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, officer and member of a committee with board of directors delegated powers, are required to sign a statement which affirms that such person has received a copy of the conflicts of interest policy, has read and understands the policy, agrees to comply with the policy, and understands that the corporation is a charitable organization and that in order to maintain its federal tax exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. In connection with any actual or possible conflicts of interest, a determination is made by the remaining board of directors or committee members in attendance and who are eligible to vote. If a conflict does indeed exist, the person is required to leave the meeting during the discussion of, and the vote of, the transaction or arrangement that results in the conflict of interest.
PoliciesPART VI, Section B, Line 15A & 15BTO SUPPORT THE MISSION, VISION, AND VALUES OF MGH AND THE CHARITABLE PURPOSE FOR WHICH IT EXISTS, THE EXECUTIVE TOTAL COMPENSATION PROGRAM IS DESIGNED AND ADMINISTERED TO ENSURE THAT MGH CAN ATTRACT, RETAIN AND MOTIVATE HIGHLY-TALENTED EXECUTIVES. EXECUTIVES ARE PLACED WITH APPROPRIATE SALARY RANGES BASED ON THE EXECUTIVE'S KNOWLEDGE, COMPETENCIES AND EXPERIENCE, PERFORMANCE, IMPORTANCE OF RETAINING THE EXECUTIVE, INTERNAL EQUITY CONSIDERATIONS AND FINANCIAL RESOURCES AVAILABLE. THE ORGANIZATION USES THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS TO REVIEW COMPENSATION PACKAGES, AND ALSO ENGAGES INDEPENDENT COMPENSATION CONSULTANTS TO PREPARE SURVEYS OR STUDIES TO ENSURE THAT THE EXECUTIVE TOTAL COMPENSATION IS REASONABLE AND COMPETITIVE. THIS PROCESS IS UNDERTAKEN ON AN ANNUAL BASIS.
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. PART IX, LINE 9 PENSION PLAN EXPENSE WAS ADJUSTED DUE TO THE ACTUARIAL REPORT FOR FISCAL YEAR 2011. PER THIS ADJUSTMENT THERE WAS NO PENSION EXPENSE BOOKED FOR THE YEAR.
RECONCILIATION OF NET ASSETSPART XI, LINE 5CHANGE IN PERIODIC PENSION AND POSTRETIREMENT COSTS NOT YET RECOGNIZED IN EXPENSE 8,437,373 UNREALIZED GAIN FROM SALE OF SECURITIES 11,371,130 TOTAL 19,808,503

Schedule R IRS990ScheduleR

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
PROGRESSIVE CANCER CARE LLC
831 THEATRE DRIVEMARIONIN46952320061469ONCOLOGY CENTERINNARELATED6832982066089falsefalse0.50804
SURGERY CENTER OF NORTHCENTRAL
330 N WABASH AVE SUITE 210MARIONIN46952352025234OUTPATIENT SURGINNARELATED186303800574falsefalse0.58594
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 OrgstruePerformOfServicesByOtherOrgs
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 InvolvedAmountInvolved
SURGERY CENTER OF NORTHCENTRAL INDIANA
I480055
PROGRESSIVE CANCER CARE LLC
J200218
PROGRESSIVE CANCER CARE LLC
O166441