2012-05-02T09:36:35-05:00 2011-06-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2010-07-01 350868130 MARION GENERAL HOSPITAL INC MARI 7656607003 441 N WABASH AVENUE MARION IN 469522690 ROBYN L POWELL 2012-05-15 Joyce A Dulworth 2604604000 2010 2016-02-24 21:20:13Z ROBYN L POWELL 441 N WABASH AVENUE MARION IN 46952 212407275 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 WELLBEING OF THE COMMUNITY. 15 11 1151 267 27249 187934 122384 131008594 143970887 5334866 5893409 1083048 -392593 137614442 149594087 531953 376575 0 0 51139975 53594051 0 0 0 77184291 75730074 128856219 129700700 8758223 19893387 230681477 261829909 80550542 71997084 150130935 189832825 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 42955056 39617389 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 4,927 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. 6891431 14806416 Emergency 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. 9162855 11578147 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 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. 60564329 77108682 119573671 true true false true false false false false false true true true 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 1151 true true true false false false false false false false false false X 15 11 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 471418 0 79241 BRAGG DO JEFFREY W 2.0 X 96728 0 8172 CARL DOUGLAS E 2.0 X 0 0 0 DREIMAN DDS BERNARD B 2.0 X 0 0 0 FOX DO ESTHER B 3.0 X 222099 0 31016 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 RAJMAIRA MD SALIL 2.0 X 100100 0 0 SRIKANTH MD SHANKARAN 2.0 X 6650 0 0 THOMAS MICHAEL A 2.0 X 0 0 0 POWELL ROBYN L 50.0 X 243084 0 28759 WALLACE BERNADINE L 50.0 X 285623 0 100533 MAHENDRAN RATHI P 40.0 X 504810 0 7820 REX DOUGLAS A 40.0 X 410867 0 761 BENDALY EDMOND A 40.0 X 325300 0 2547 KEPPLER EDWARD 40.0 X 261568 0 19024 TEWARI ARUN 40.0 X 257041 0 25130 3185288 0 303003 47 false true false SOUTH BEND MEDICAL FOUNDATION 530 NORTH LAFAYETTE BLVD SOUTH BEND IN 466011098 OUTSIDE LAB SERVICES 1299748 SARCOM 8405 PULSAR PLACE COLUMBUS OH 43226 COMPUTER CONSULTING 736735 SIEMENS MEDICAL SOLUTIONS 51 VALLEY STREAM PARKWAY MALVERN PA 19355 COMPUTER CONSULTING 488243 NAVIGANT CONSULTING INC 4511 PAYSPHERE CIRCLE CHICAGO IL 60674 CONSULTING 277415 BLUE COMPANY ONE AMERICAN SQUARE SUITE 2200 INDIANAPOLIS IN 46282 CONSULTING 225510 12 96719 25665 122384 NET PATIENT REVENUE 900099 142332254 142332254 AUXILIARY 900099 60714 60714 AMBULANCE ASSISTS 900099 74782 74782 MEALS ON WHEELS 900099 45904 45904 VHA CO-OP DIV 900099 275449 275449 1181784 1149705 32079 143970887 5370125 5370125 0 0 1037260 1457102 -419842 -419842 -419842 61804167 75203 60452709 903377 1351458 -828174 523284 -828174 1351458 0 0 0 BILLING SERVICES 541900 27249 27249 27249 149594087 143110634 27249 6333820 376575 376575 0 0 0 1208658 473425 735233 0 41733261 36455135 5278126 0 7207706 6118913 1088793 3444426 2924113 520313 0 553122 553122 174028 174028 0 0 0 4529855 4529855 331273 331273 5204194 4943984 260210 2049410 2049410 0 3434329 3090896 343433 273029 218423 54606 0 79564 63651 15913 1987880 1987880 0 8343548 7509193 834355 606027 442157 163870 PROVISION FOR BAD DEBTS 12372377 12372377 PHYSICIAN SERVICES 11065989 11065989 PURCHASED SERVICES 7564361 7564361 MISCELLANEOUS 374488 269461 105027 MEDICAL SUPPLIES/DRUGS 16786600 16786600 129700700 119573671 10127029 0 3095 3295 25050547 36494322 19908145 21776033 51111 207932 3349402 3048653 154502 1498426 1058429 1383359 164986674 100204329 66824055 64782345 91169921 111176786 17747344 17464850 1589750 1474291 3775176 2519617 230681477 261829909 11812956 15701977 51456146 50224226 17281440 6070881 80550542 71997084 X 150120780 189822670 0 0 10155 10155 150130935 189832825 230681477 261829909 X 19893387 19808503 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X false false false false false false false false false true 32240 32240 false false PART II-B, LINE 1I DESCRIPTION OF OTHER ACTIVITIES 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, AMERICAN HOSPITAL ASSOCIATION, AND GEOGRAPHIC FAIRNESS COALITION, AMONG VARIOUS OTHERS. 10155 10155 11114 499 1458 10155 15418 684 4988 11114 1.00000 false false 3919897 3919897 93744218 50721208 43023010 846348 289141 557207 61917152 47948652 13968500 4559059 1245329 3313730 64782344 17464850 F 17464850 0 MINIMUM PENSION LIABILITY 6070881 6070881 149594087 129700700 19893387 11371130 8437373 19808503 39701890 171687866 11371130 10722649 22093779 149594087 149594087 131985976 2285276 2285276 129700700 129700700 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 8 CHANGE 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 2,285,276 FIN 48 FOOTNOTE THE 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. true true true X true X true true true false true true 5148 7544365 6117711 1426654 0.01220 19154132 14917852 4236280 0.03610 5148 26698497 21035563 5662934 0.04830 137023 970498 970498 0.00830 2314 576786 576786 0.00490 200 3023 3023 10145 502790 502790 0.00430 150336 2053097 2053097 0.01750 155484 28751594 21035563 7716031 0.06580 600 14658 0.00010 47 756431 0.00640 647 771089 0.00650 false 5320056 280000 31309363 41048732 -9739369 X true true SURGERY CENTER OF NO AMBULATORY SURGERY CENTER 0.58590 0.04370 0.21880 PROGRESSIVE CANCER C CANCER CARE CENTER 0.50800 0.07720 0.26430 1 1 MARION GENERAL HOSPITAL INC

441 N WABASH AVENUE MARION IN 46952

X X X OFF-CAMPUS RADIOLOGY LABORATORY, ONCOLOGY SLEEP LAB MARION GENERAL HOSPITAL INC 1 REQUIRED DESCRIPTIONS PART I, LINE 7 BAD 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 ASSESSMENT MARION 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 ASSISTANCE AS 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 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 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 REPORT 990 SCHEDULE H, PART VI INDIANA true BRIDGES TO HEALTH INC 901 S BRANSON STREET MARION IN 46953 205405181 501(c)(3) 120000 SUPPORT OF FREE CLINIC GRANT COUNTY ECONOMIC GROWTH COUNCIL 301 S ADAMS SUITE 109 MARION IN 46952 351589550 501(c)(3) 10300 COMMUNITY OUTREACH UNITED WAY OF GRANT COUNTY INC 505 W THIRD STREET MARION IN 46952 350995975 501(c)(3) 26004 COMMUNITY OUTREACH YMCA OF GRANT COUNTY INC 123 SUTTER WAY MARION IN 46952 350886981 501(C)(3) 200000 BOOK VALUE BUILDING BUILDING THE WESLEYAN CHURCHGLOBAL PARTNERS PO BOX 2000 MARION IN 46952 351148762 501(C)(3) 14347 FMV MED SUPPLIES MED SUPPLIES 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 317281 0 71144 0 82993 0 56011 0 23230 0 550659 0 0 0 POWELL ROBYN L 191600 0 31880 0 19604 0 2405 0 26354 0 271843 0 0 0 WALLACE BERNADINE L 211594 0 34132 0 39897 0 76978 0 23555 0 386156 0 0 0 MAHENDRAN RATHI P 503610 0 0 0 1200 0 7350 0 470 0 512630 0 0 0 REX DOUGLAS A 297185 0 89602 0 24080 0 0 0 761 0 411628 0 0 0 BENDALY EDMOND A 303609 0 0 0 21691 0 2077 0 470 0 327847 0 0 0 KEPPLER EDWARD 241687 0 16501 0 3380 0 7350 0 11674 0 280592 0 0 0 TEWARI ARUN 228674 0 10833 0 17534 0 6925 0 18205 0 282171 0 0 0 FOX DO ESTHER B 161977 0 58922 0 1200 0 1504 0 29512 0 253115 0 0 0 INDIANA FINANCE AUTHORITY 351602316 455057NPO 2008-06-10 24000000 SEE PART V false false false 1910000 24223597 281623 136755 11920121 6750000 5099759 2011 true false false true false false true false true 0.00000 0.00000 0.00000 true false true false false true false PART I, LINE A THE 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: $281,623 JEFFREY W BRAGG DO RECRUITMENT X 100000 84000 false true true DOUGLAS A REX MD RECRUITMENT X 64000 17778 false true true ARUN TEWARI MD RECRUITMENT X 100000 70154 false true true EDMOND A BENDALY MD RECRUITMENT X 54000 36000 false true true 207932 CHRISTINE MONAHAN DAUGHTER OF OFFICER 30459 PAID EMPLOYEE false MARION SLEEP SERVICES LLC JOINT VENTURE 40000 SEE PART V false MARION MEDICAL REAL ESTATE LLC SEE PART V 325539 SEE PART V false PART IV BUSINESS 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. Program Service Accomplishments Part III, Line 4d MARION 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 Management PART VI, LINE 1B Paul 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 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 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 Management PART VI, Section B, Line 11B The 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. Policies PART VI, SECTION B, Line 12C Every year each director, officer and member of a committee with board of directors delegated powers, are required to sign a statement which affirms that such person has received a copy of the 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. Policies PART VI, Section B, Line 15A & 15B TO 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. 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. 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 ASSETS PART XI, LINE 5 CHANGE 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 PROGRESSIVE CANCER CARE LLC 831 THEATRE DRIVE MARION IN 46952 320061469 ONCOLOGY CENTER IN NA RELATED 683298 2066089 false false 0.50804 SURGERY CENTER OF NORTHCENTRAL 330 N WABASH AVE SUITE 210 MARION IN 46952 352025234 OUTPATIENT SURG IN NA RELATED 186303 800574 false false 0.58594 false false false false false false false false true true true true false false true false false false SURGERY CENTER OF NORTHCENTRAL INDIANA I 480055 PROGRESSIVE CANCER CARE LLC J 200218 PROGRESSIVE CANCER CARE LLC O 166441