﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2009v1.7">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2011-05-13T07:32:00-05:00</Timestamp>
    <TaxPeriodEndDate>2010-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>BKD LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>200 E Main St Suite 700</AddressLine1>
        <City>Fort Wayne</City>
        <State>IN</State>
        <ZIPCode>46802</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2009-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>350868130</EIN>
      <Name>
        <BusinessNameLine1>MARION GENERAL HOSPITAL INC</BusinessNameLine1>
      </Name>
      <NameControl>MARI</NameControl>
      <Phone>7656624569</Phone>
      <USAddress>
        <AddressLine1>441 N WABASH AVENUE</AddressLine1>
        <City>MARION</City>
        <State>IN</State>
        <ZIPCode>469522690</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>ROBYN L POWELL</Name>
      <Title>CHIEF FINANCIAL OFFICER</Title>
      <Phone>7656624569</Phone>
      <DateSigned>2011-05-13</DateSigned>
      <AuthorizeThirdParty>true</AuthorizeThirdParty>
    </Officer>
    <Preparer>
      <Name>Joyce A Dulworth</Name>
      <Phone>2604604000</Phone>
    </Preparer>
    <TaxYear>2009</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="12">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <NameOfPrincipalOfficerPerson>ROBYN L POWELL</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>441 N WABASH AVENUE</AddressLine1>
        <City>MARION</City>
        <State>IN</State>
        <ZIPCode>46952</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>181433306</GrossReceipts>
      <GroupReturnForAffiliates>false</GroupReturnForAffiliates>
      <Organization501c typeOf501cOrganization="3">X</Organization501c>
      <WebSite>WWW.MGH.NET</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>1910</YearFormation>
      <StateLegalDomicile>IN</StateLegalDomicile>
      <ActivityOrMissionDescription>MARION GENERAL HOSPITAL PROVIDES COST-EFFECTIVE HEALTH AND HOSPITAL SERVICES TO GRANT AND THE SURROUNDING COUNTIES. THE SERVICES PROVIDED BY THE HOSPITAL ARE AIMED TO IMPROVE THE WELL BEING OF THE COMMUNITY.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>15</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>12</NbrIndependentVotingMembers>
      <TotalNbrEmployees>1134</TotalNbrEmployees>
      <TotalNbrVolunteers>230</TotalNbrVolunteers>
      <TotalGrossUBI>29121</TotalGrossUBI>
      <NetUnrelatedBusinessTxblIncome>-3650</NetUnrelatedBusinessTxblIncome>
      <ContributionsGrantsPriorYear>131636</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>187934</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>130305469</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>131008594</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>-1403153</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>5334866</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>1028825</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>1083048</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>130062777</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>137614442</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>231526</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>531953</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>53065443</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>51139975</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>73436547</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>77184291</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>126733516</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>128856219</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>3329261</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>8758223</RevenuesLessExpensesCY>
      <TotalAssetsBOY>222354285</TotalAssetsBOY>
      <TotalAssetsEOY>230681477</TotalAssetsEOY>
      <TotalLiabilitiesBOY>88721707</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>80550542</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>133632578</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>150130935</NetAssetsOrFundBalancesEOY>
      <MissionDescription>TO BE THE FIRST CHOICE FOR HEALTH CARE SERVICES AND PROMOTE WELLNESS IN OUR REGION. TO EXPAND OUR DELIVERY OF HEALTHCARE SERVICES USING BEST PRACTICES BY LEADING A COLLABORATIVE APPROACH INVOLVING PHYSICIANS, STAFF, BUSINESS LEADERS AND OUR COMMUNITY.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>47500764</Expense>
      <Revenue>37896425</Revenue>
      <Description>Inpatient Services - Marion General Hospital operates a 99-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 care, respiratory care, physical medicine, cardiovascular services and radiology. Marion General Hospital discharged 5,096 adult and pediatric patients and provided 17,360 adult and pediatric patient care days during the year ended June 30, 2010. During the same time period, MGH also discharged 220 patients and provided 2,466 patient care days for patients in the acute rehab unit. Additionally, there were 735 deliveries performed.</Description>
      <Activity2>
        <Expense>6873167</Expense>
        <Revenue>11693975</Revenue>
        <Description>Emergency Room Services (outpatient) - Marion General Hospital operates one of the busiest 24-hour emergency rooms in the state. There were 38,563 outpatient visits during the year ended June 30, 2010. There were also an additional 2,856 ER patients that were ultimately admitted as an inpatient to the hospital, for a total of 41,419 visits. The emergency room recently implemented a new computerized tracking system to improve patient care and reduce total time spent in the ER.</Description>
      </Activity2>
      <Activity3>
        <Expense>10396375</Expense>
        <Revenue>22787465</Revenue>
        <Description>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 PET/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 51,752 outpatient radiology procedures during the year ended June 30, 2010.</Description>
      </Activity3>
      <TotalOfOtherProgramServiceExp>54462956</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceGrnt>531953</TotalOfOtherProgramServiceGrnt>
      <TotalOfOtherProgramServiceRev>58630729</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>119233262</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="IRS990ScheduleC">false</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="IRS990ScheduleC">true</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">true</TermOrPermanentEndowments>
      <BalanceSheetAmountsReported referenceDocumentId="IRS990ScheduleD">true</BalanceSheetAmountsReported>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising>false</ProfessionalFundraising>
      <FundraisingActivities>false</FundraisingActivities>
      <Gaming>false</Gaming>
      <Hospital referenceDocumentId="IRS990ScheduleH">true</Hospital>
      <GrantsToOrganizations referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds referenceDocumentId="IRS990ScheduleK">true</TaxExemptBonds>
      <InvestTaxExemptBonds>false</InvestTaxExemptBonds>
      <EscrowAccount>false</EscrowAccount>
      <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      <ExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="IRS990ScheduleL">true</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="IRS990ScheduleL">false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="IRS990ScheduleL">false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="IRS990ScheduleL">true</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="IRS990ScheduleL">false</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions>false</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt>false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity referenceDocumentId="IRS990ScheduleR">false</RelatedOrgControlledEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>107</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>1134</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>true</UnrelatedBusinessIncome>
      <Form990-TFiled>true</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>true</QuidProQuoContributions>
      <QuidProQuoDisclosure>true</QuidProQuoDisclosure>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <NbrVotingGoverningBodyMembers>15</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>12</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>true</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>true</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>false</MembersOrStockholders>
      <ElectionOfBoardMembers>false</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>false</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>true</ConflictOfInterestPolicy>
      <AnnualDisclosureCoveredPersons>true</AnnualDisclosureCoveredPersons>
      <RegularMonitoringEnforcement>true</RegularMonitoringEnforcement>
      <WhistleblowerPolicy>true</WhistleblowerPolicy>
      <DocumentRetentionPolicy>true</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>true</InvestmentInJointVenture>
      <WrittenPolicyOrProcedure>true</WrittenPolicyOrProcedure>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>MARION GENERAL HOSPITAL INC</NamePerson>
        <TelephoneNumber>7656624569</TelephoneNumber>
        <AddressUS>
          <AddressLine1>441 N WABASH AVENUE</AddressLine1>
          <City>MARION</City>
          <State>IN</State>
          <ZIPCode>469522690</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>Carl Douglas E</NamePerson>
        <Title>TREASURER</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Dreiman DDS Bernard B</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Holderead Jerome T</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Jenks Sally</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Lester Bill</NamePerson>
        <Title>SECRETARY</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Martin Joe</NamePerson>
        <Title>VICE CHAIRMAN</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Middlesworth Brian</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Raabe David J</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rajmaira MD Salil</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>96200</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rea William H</NamePerson>
        <Title>CHAIRMAN</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Thomas Michael A</NamePerson>
        <Title>BOARD MEMBER</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Usher Paul L</NamePerson>
        <Title>PRESIDENT/CEO</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>536497</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>139059</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Swan MD Shawn T</NamePerson>
        <Title>President/Chief of Staff</Title>
        <AverageHoursPerWeek>3.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>17600</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Srikanth MD Shankaran</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Bragg DO Jeffrey W</NamePerson>
        <Title>Board Member</Title>
        <AverageHoursPerWeek>2.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Powell Robyn L</NamePerson>
        <Title>CFO</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>230130</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>32210</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Wallace Bernadine L</NamePerson>
        <Title>CNO/COO</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>306605</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>91146</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Mahendran Rathi P</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>504994</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7820</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Poe Steven D</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>248235</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>6020</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Wallace David L</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>219324</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>33175</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Rex Douglas</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>216286</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>247</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>Hasheesh Abdul</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>195158</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10835</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>2571029</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>0</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>320512</TotalOtherCompensation>
      <NumberIndividualsGT100K>49</NumberIndividualsGT100K>
      <FormersListed>false</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SUMMIT CONSTRUCTION</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1127 BURDSAL PARKWAY</AddressLine1>
            <City>INDIANAPOLIS</City>
            <State>IN</State>
            <ZIPCode>46208</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>GENERAL CONTRACTING</DescriptionOfServices>
        <Compensation>1616139</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SARCOM INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>L-2550</AddressLine1>
            <City>COLUMBUS</City>
            <State>OH</State>
            <ZIPCode>43260</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSULTING</DescriptionOfServices>
        <Compensation>609719</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SOUTH BEND MEDICAL FOUNDATION</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>5303 NORTH LAFAYETTE BLVD</AddressLine1>
            <City>SOUTH BEND</City>
            <State>IN</State>
            <ZIPCode>46601</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LABORATORY SERVICES</DescriptionOfServices>
        <Compensation>1093402</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>BOWMAN CONSTRUCTION</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 387</AddressLine1>
            <City>MARION</City>
            <State>IN</State>
            <ZIPCode>46952</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>GENERAL CONTRACTING</DescriptionOfServices>
        <Compensation>305345</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SIEMENS MEDICAL SOLUTIONS</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>51 VALLEY STREAM PARKWAY</AddressLine1>
            <City>MALVERN</City>
            <State>PA</State>
            <ZIPCode>19355</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>COMPUTER CONSULTING</DescriptionOfServices>
        <Compensation>1280906</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>10</NumberOfContractorsGT100K>
      <FundraisingEvents>9979</FundraisingEvents>
      <GovernmentGrants>152793</GovernmentGrants>
      <AllOtherContributions>25162</AllOtherContributions>
      <TotalContributions>187934</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT REVENUE</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>130827532</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>130827532</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>AUXILIARY</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>60442</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>60442</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>AMBULANCE ASSISTS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>66792</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>66792</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>MEALS ON WHEELS</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>53828</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>53828</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalProgramServiceRevenue>131008594</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>3630510</TotalRevenueColumn>
        <ExclusionAmount>3630510</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>1127329</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>1517634</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>-390305</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>-390305</TotalRevenueColumn>
        <ExclusionAmount>-390305</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>43852130</Securities>
        <Other>150970</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>41962141</Securities>
        <Other>336603</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>1889989</Securities>
        <Other>-185633</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>1704356</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-185633</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>1889989</ExclusionAmount>
      </NetGainOrLossInvestments>
      <CntrbtnsRprtdFundraisingEvents>9979</CntrbtnsRprtdFundraisingEvents>
      <FundraisingDirectExpenses>2486</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-2486</TotalRevenueColumn>
        <ExclusionAmount>-2486</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>BILLING SERVICES</Description>
        <BusinessCode>541900</BusinessCode>
        <TotalRevenueColumn>29121</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>29121</UnrelatedBusinessRevenue>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>VHA CO-OP DIV</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>317453</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>317453</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>RIVER VIEW SERVICES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>65031</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>65031</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>1064234</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1064234</RelatedOrExemptFunctionIncome>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>1475839</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>137614442</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>132269679</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>29121</UnrelatedBusinessRevenue>
        <ExclusionAmount>5127708</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>531953</Total>
        <ProgramServices>531953</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>1396147</Total>
        <ProgramServices>531080</ProgramServices>
        <ManagementAndGeneral>865067</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>0</Total>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>38892125</Total>
        <ProgramServices>34974791</ProgramServices>
        <ManagementAndGeneral>3917334</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>3172945</Total>
        <ProgramServices>2754524</ProgramServices>
        <ManagementAndGeneral>418421</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>4577892</Total>
        <ProgramServices>3981363</ProgramServices>
        <ManagementAndGeneral>596529</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>3100866</Total>
        <ProgramServices>2694438</ProgramServices>
        <ManagementAndGeneral>406428</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>369278</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>369278</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>161634</Total>
        <ProgramServices>0</ProgramServices>
        <ManagementAndGeneral>161634</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>0</Total>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>0</Total>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>5423668</Total>
        <ProgramServices>5423668</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </FeesForServicesOther>
      <Advertising>
        <Total>341194</Total>
        <ProgramServices>341194</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Advertising>
      <OfficeExpenses>
        <Total>25652353</Total>
        <ProgramServices>24369735</ProgramServices>
        <ManagementAndGeneral>1282618</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>0</Total>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>3299914</Total>
        <ProgramServices>2969923</ProgramServices>
        <ManagementAndGeneral>329991</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Occupancy>
      <Travel>
        <Total>246532</Total>
        <ProgramServices>197226</ProgramServices>
        <ManagementAndGeneral>49306</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>53479</Total>
        <ProgramServices>42783</ProgramServices>
        <ManagementAndGeneral>10696</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </ConferencesMeetings>
      <Interest>
        <Total>2142663</Total>
        <ProgramServices>2142663</ProgramServices>
        <ManagementAndGeneral>0</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>9896813</Total>
        <ProgramServices>8907132</ProgramServices>
        <ManagementAndGeneral>989681</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </DepreciationDepletion>
      <Insurance>
        <Total>599370</Total>
        <ProgramServices>482139</ProgramServices>
        <ManagementAndGeneral>117231</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </Insurance>
      <OtherExpenses>
        <Description>PROVISION FOR BAD DEBTS</Description>
        <Total>13360256</Total>
        <ProgramServices>13360256</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PHYSICIAN SERVICES</Description>
        <Total>8233547</Total>
        <ProgramServices>8233547</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>PURCHASED SERVICES</Description>
        <Total>7260724</Total>
        <ProgramServices>7260724</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>MISCELLANEOUS</Description>
        <Total>142866</Total>
        <ProgramServices>34123</ProgramServices>
        <ManagementAndGeneral>108743</ManagementAndGeneral>
      </OtherExpenses>
      <TotalFunctionalExpenses>
        <Total>128856219</Total>
        <ProgramServices>119233262</ProgramServices>
        <ManagementAndGeneral>9622957</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>3295</BOY>
        <EOY>3095</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>20362088</BOY>
        <EOY>25050547</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>23898418</BOY>
        <EOY>19908145</EOY>
      </AccountsReceivable>
      <ReceivablesFromOfficersEtc>
        <BOY>24000</BOY>
        <EOY>51111</EOY>
      </ReceivablesFromOfficersEtc>
      <OtherNotesLoansReceivableNet>
        <BOY>2868890</BOY>
        <EOY>3349402</EOY>
      </OtherNotesLoansReceivableNet>
      <InventoriesForSaleOrUse>
        <BOY>141851</BOY>
        <EOY>154502</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1278462</BOY>
        <EOY>1058429</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>160889731</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>94065676</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>70859306</BOY>
        <EOY>66824055</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>81749667</BOY>
        <EOY>91169921</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>14927700</BOY>
        <EOY>17747344</EOY>
      </InvestmentsOtherSecurities>
      <IntangibleAssets>
        <BOY>3396597</BOY>
        <EOY>1589750</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>2844011</BOY>
        <EOY>3775176</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>222354285</BOY>
        <EOY>230681477</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>12944507</BOY>
        <EOY>11812956</EOY>
      </AccountsPayableAccruedExpenses>
      <TaxExemptBondLiabilities>
        <BOY>58402677</BOY>
        <EOY>51456146</EOY>
      </TaxExemptBondLiabilities>
      <OtherLiabilities>
        <BOY>17374523</BOY>
        <EOY>17281440</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>88721707</BOY>
        <EOY>80550542</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>133621464</BOY>
        <EOY>150120780</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>959</BOY>
        <EOY>0</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>10155</BOY>
        <EOY>10155</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>133632578</BOY>
        <EOY>150130935</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>222354285</BOY>
        <EOY>230681477</EOY>
      </TotalLiabNetAssetsFundBalances>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementSeparate>X</FinancialStatementSeparate>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying />
      <TotalLobbyingExpenditures />
      <OtherExemptPurposeExpenditures />
      <TotalExemptPurposeExpenditures />
      <LobbyingNontaxableAmount />
      <GrassrootsNontaxableAmount />
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <Volunteers>false</Volunteers>
      <PaidStaffOrManagement>false</PaidStaffOrManagement>
      <MediaAdvertisements>false</MediaAdvertisements>
      <MailingsMembers>false</MailingsMembers>
      <PublicationsOrBroadcast>false</PublicationsOrBroadcast>
      <GrantsOtherOrganizations>false</GrantsOtherOrganizations>
      <DirectContactLegislators>false</DirectContactLegislators>
      <RalliesDemonstrations>false</RalliesDemonstrations>
      <OtherActivities>true</OtherActivities>
      <OtherActivitiesAmount>21549</OtherActivitiesAmount>
      <TotalLobbyingExpendituresIIB>21549</TotalLobbyingExpendituresIIB>
      <NotDescribedIn501c3>false</NotDescribedIn501c3>
      <Form4720Filed4912Tax>false</Form4720Filed4912Tax>
      <Form990ScheduleCPartIV>
        <Identifier>Schedule C</Identifier>
        <ReturnReference>Part II-B, Line 1i</ReturnReference>
        <Explanation>Marion General Hospital paid membership dues to several organizations for which a varying percentage was attributed to lobbying expenses. These organizations include the Indiana State Medical Association, American Society of Health-System Pharmacists, Oncology Nursing Society, American College of Clinical Pharmacy, American College of Physicians, Society for Human Resource Management, Rural Referral Center/Sole Community Hospital Coalition, and Geographic Fairness Coalition, among various others.</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>11114</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>499</InvestmentEarningsOrLosses>
        <OtherExpenditures>1458</OtherExpenditures>
        <EndOfYearBalance>10155</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>15418</BeginningOfYearBalance>
        <InvestmentEarningsOrLosses>684</InvestmentEarningsOrLosses>
        <OtherExpenditures>4988</OtherExpenditures>
        <EndOfYearBalance>11114</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <PermanentEndowmentEOYBalance>1.00000</PermanentEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>false</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>false</EndowmentsHeldByRelatedOrgs>
      <Land>
        <OtherCostOrOtherBasis>3283204</OtherCostOrOtherBasis>
        <BookValue>3283204</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>93312182</OtherCostOrOtherBasis>
        <Depreciation>46748550</Depreciation>
        <BookValue>46563632</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>616509</OtherCostOrOtherBasis>
        <Depreciation>170959</Depreciation>
        <BookValue>445550</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>59985688</OtherCostOrOtherBasis>
        <Depreciation>45995779</Depreciation>
        <BookValue>13989909</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>3692148</OtherCostOrOtherBasis>
        <Depreciation>1150388</Depreciation>
        <BookValue>2541760</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>66824055</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <OtherSecurities>
        <Description>CADOGAN ALTERNATIVE STRATEGIES</Description>
        <BookValue>6385133</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>COLLINS CAP DIVERSIFIED</Description>
        <BookValue>2752288</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>COLLINS CAP DIVERSIFIED</Description>
        <BookValue>0</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>SAVILE ROW HEDGED EQUITY</Description>
        <BookValue>5541538</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>SURGERY CENTER OF NORTH CENTRA</Description>
        <BookValue>854489</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>PROGRESSIVE CANCER CARE LLC</Description>
        <BookValue>2173896</BookValue>
      </OtherSecurities>
      <OtherSecurities>
        <Description>MARION SLEEP SERVICES</Description>
        <BookValue>40000</BookValue>
      </OtherSecurities>
      <TotalOfBookValueSecurities>17747344</TotalOfBookValueSecurities>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>POST RETIREMENT BENEFIT OBLIGA</Description>
        <Amount>0</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>MINIMUM PENSION LIABILITY</Description>
        <Amount>17281440</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>17281440</TotalOfAmounts>
      <TotalRevenue>137614442</TotalRevenue>
      <TotalExpenses>128856219</TotalExpenses>
      <ExcessOrDeficitForYear>8758223</ExcessOrDeficitForYear>
      <NetUnrealizedGLOnInvestments>7981257</NetUnrealizedGLOnInvestments>
      <OtherAmount>-241123</OtherAmount>
      <TotalAdjustments>7740134</TotalAdjustments>
      <ExcessOrDeficitPerFS>16498357</ExcessOrDeficitPerFS>
      <TotRevenueEtcAuditedFinclStmt>147301453</TotRevenueEtcAuditedFinclStmt>
      <NetUnrealizedGainsInvestments>7981257</NetUnrealizedGainsInvestments>
      <OtherRevenues>1705754</OtherRevenues>
      <RevenueNotRptdF990>9687011</RevenueNotRptdF990>
      <RevenueSubtotal>137614442</RevenueSubtotal>
      <TotalRevenuePerForm990>137614442</TotalRevenuePerForm990>
      <TotExpensesEtcAuditedFinclStmt>130803096</TotExpensesEtcAuditedFinclStmt>
      <OtherExpensesIncluded>1946877</OtherExpensesIncluded>
      <ExpensesNotRptdF990>1946877</ExpensesNotRptdF990>
      <ExpensesSubtotal>128856219</ExpensesSubtotal>
      <TotalExpensesPerForm990>128856219</TotalExpensesPerForm990>
      <Form990ScheduleDPartXIV>
        <Identifier>SCHEDULE D</Identifier>
        <ReturnReference>PART V, LINE 4</ReturnReference>
        <Explanation>THE HOSPITAL'S ENDOWMENT FUNDS ARE USED FOR CRITICAL CARE DEPARTMENT EDUCATION EXPENSES, AND OTHER PROGRAM SERVICE EXPENSES.</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION</Identifier>
        <ReturnReference>PART XI, LINE 4 &amp; 8</ReturnReference>
        <Explanation>Line 4: $7,982,216 - UNREALIZED GAIN ON INVESTMENTS Line 8: (241,123) - CHANGE IN PENSION AND POSTRETIREMENT COSTS NOT YET RECOGNIZED IN EXPENSE</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION</Identifier>
        <ReturnReference>PART XII, LINE 2D</ReturnReference>
        <Explanation>RENTAL EXPENSES 1,517,634 SPECIAL EVENTS EXPENSES + 2,486 RECLASSED LOSS + 185,634 TOTAL OF LINE 2D = 1,705,754</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>RECONCILIATION</Identifier>
        <ReturnReference>PART XIII, LINE 2D</ReturnReference>
        <Explanation>RENTAL EXPENSES 1,517,634 SPECIAL EVENTS EXPENSES + 2,486 RECLASSED LOSS + 185,634 CHANGE IN PENSION &amp; POSTRETIREMENT COSTS NOT RECOGNIZED IN EXPENSES + 241,123 TOTAL OF LINE 2D = 1,946,877</Explanation>
      </Form990ScheduleDPartXIV>
      <Form990ScheduleDPartXIV>
        <Identifier>FIN 48 FOOTNOTE</Identifier>
        <Explanation>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.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent250>X</Pcent250>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <TotalCommunityBenefitExpense>7054574</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>7054574</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.05470</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <TotalCommunityBenefitExpense>19317647</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6994890</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>12322757</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.09560</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <TotalCommunityBenefitExpense>26372221</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6994890</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>19377331</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.15030</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <TotalCommunityBenefitExpense>676625</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>676625</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00530</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <TotalCommunityBenefitExpense>337245</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>337245</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00260</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <TotalCommunityBenefitExpense>126494</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>126494</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00100</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>564762</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>564762</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00440</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <TotalCommunityBenefitExpense>1705126</TotalCommunityBenefitExpense>
        <NetCommunityBenefitExpense>1705126</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.01330</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <TotalCommunityBenefitExpense>28077347</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>6994890</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>21082457</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.16360</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>461880</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>461880</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00360</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Total>
        <TotalCommunityBuildingExpense>461880</TotalCommunityBuildingExpense>
        <NetCommunityBuildingExpense>461880</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00360</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>5704922</BadDebtExpenseAmount>
      <AmountAttributableTo>300000</AmountAttributableTo>
      <AmountReimbursedByMedicare>32708616</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>41194626</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-8486010</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <CostToChargeRatio>X</CostToChargeRatio>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>SURGERY CENTER OF NO</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>AMBULATORY SURGERY CENTER</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.58594</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.04000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.23000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartIV>
        <NameOfEntity>
          <BusinessNameLine1>PROGRESSIVE CANCER C</BusinessNameLine1>
        </NameOfEntity>
        <DescriptionEntPrimaryActivity>CANCER CARE CENTER</DescriptionEntPrimaryActivity>
        <OrganizationProfitOrOwnership>0.50891</OrganizationProfitOrOwnership>
        <OfficersEtcProfitOrOwnership>0.06000</OfficersEtcProfitOrOwnership>
        <PhysicansProfitOrOwnership>0.29000</PhysicansProfitOrOwnership>
      </Form990ScheduleHPartIV>
      <Form990ScheduleHPartV>
        <Name>
          <BusinessNameLine1>MARION GENERAL HOSPITAL INC</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>441 N WABASH AVENUE</AddressLine1>
          <City>MARION</City>
          <State>IN</State>
          <ZIPCode>46952</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartV>
      <Form990ScheduleHPartVI>
        <CostingMethodUsed>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.</CostingMethodUsed>
        <SubsidizedHealthServicesExpln>The amount of subsidized health services on this line relates to the CHF Clinic.</SubsidizedHealthServicesExpln>
        <PercentOfTotalExpenseExpln>$13,360,256 of bad debt expense is included on Form 990, Part IX, Line 25, Column (A), but excluded for purposes of calculating the percentage in this column.</PercentOfTotalExpenseExpln>
        <BadDebtFootnote>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. 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.</BadDebtFootnote>
        <ShortfallAsCommunityBenefit>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.</ShortfallAsCommunityBenefit>
        <DebtCollectionPolicy>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 all 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.</DebtCollectionPolicy>
        <NumberOfFacilityTypeExpln>MARION GENERAL HOSPITAL INC INCLUDES EIGHT DIAGNOSTIC CENTERS, SEVEN OUTPATIENT PHYSICIAN CLINICS, ONE SLEEP LAB, ONE PHYSICAL THERAPY CLINIC, ONE ONCOLOGY CENTER, IN ADDITION TO THE MAIN CAMPUS WHICH OFFERS GENERAL MEDICAL AND SURGICAL AS WELL AS A 24-HOUR EMERGENCY ROOM.</NumberOfFacilityTypeExpln>
        <NeedsAssessment>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, and 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 to work collaboratively in both celebrating successes and continuing to find creative avenues to become a healthier community. 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 will be published in 2011. However, initial research and health indications were published in 2010. It is anticipated MGH will again spearhead the alliance to complete our next assessment in 2012, following the every three year recommendation by VHA, CHA and The Indiana State Department of Health.</NeedsAssessment>
        <PatientEducationAssistance>As a not-for-profit community hospital, MGH has signage at all registration points into the facility, as well as the business office, that communicates the availability of the patient assistance program. We have a brochure 'Understanding Hospital Bills &amp; Insurance' that directs a patient to call us if they do not have insurance or an ability to pay their bill. All bedded patients receive this brochure upon discharge. On our billing statements, we advise the patients that we do offer patient assistance if they will contact us 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 assists Self-Pay patients with qualifying for various government benefit programs.</PatientEducationAssistance>
        <CommunityInformation>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 US Census, is 68,847 and household count is 28,319. 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% of Grant County's residents fall below federal poverty guidelines. This rate is higher than any of the surrounding counties. (US Census Bureau, 2009) 13% of Grant County residents are uninsured.</CommunityInformation>
        <CommunityBuildingActivities>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, 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. 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. 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.</CommunityBuildingActivities>
        <OtherInformation>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 organization 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 2010, 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 2010 included: stroke &amp; cardiac detection and prevention, nutrition &amp; 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 2010 include: 1)Marion General Hospital's donation of an adjacent building to the Grant County YMCA. The space allowed for the YMCA to accommodate further growth towards our shared vision of a more healthy and active Grant County. 2) Marion General Hospital proudly supported numerous medical staff who traveled to Haiti on medical missions after the devastating earthquake. MGH provided medical supplies and equipment in the health specialty missions of orthopaedics, pediatrics and obstetrics &amp; gynecology. Subsequently, MGH donated a Haitian patient's medical care when flown back to our facility for limb-saving orthopedic surgery. MGH has raised the standard for community involvement through educational and outreach programs, fiscal support and community partnership, 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.</OtherInformation>
        <ReportsFiledWithStates>IN</ReportsFiledWithStates>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>BRIDGES TO HEALTH INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>901 S BRANSON STREET</AddressLine1>
          <City>MARION</City>
          <State>IN</State>
          <ZIPCode>46953</ZIPCode>
        </AddressUS>
        <EINOfRecipient>205405181</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>106563</AmountOfCashGrant>
        <PurposeOfGrant>DONATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>IVY TECH FOUNDATION</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>4301 S COWAN ROAD</AddressLine1>
          <City>MUNCIE</City>
          <State>IN</State>
          <ZIPCode>47307</ZIPCode>
        </AddressUS>
        <EINOfRecipient>237073977</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>67800</AmountOfCashGrant>
        <PurposeOfGrant>DONATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>GRANT COUNTY ECONOMIC GROWTH COUNCIL</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>301 S ADAMS SUITE 109</AddressLine1>
          <City>MARION</City>
          <State>IN</State>
          <ZIPCode>46952</ZIPCode>
        </AddressUS>
        <EINOfRecipient>351589550</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>5150</AmountOfCashGrant>
        <PurposeOfGrant>DONATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>UNITED WAY OF GRANT COUNTY INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>505 W THIRD STREET</AddressLine1>
          <City>MARION</City>
          <State>IN</State>
          <ZIPCode>46952</ZIPCode>
        </AddressUS>
        <EINOfRecipient>350995975</EINOfRecipient>
        <IRCSection>501(c)(3)</IRCSection>
        <AmountOfCashGrant>22850</AmountOfCashGrant>
        <PurposeOfGrant>DONATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>COMMUNITY SCHOOL OF THE ARTS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>305 S ADAMS ST</AddressLine1>
          <City>MARION</City>
          <State>IN</State>
          <ZIPCode>46952</ZIPCode>
        </AddressUS>
        <EINOfRecipient>352155272</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfNonCashAssistance>7970</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>OFFICE ITEMS</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>DONATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>YMCA OF GRANT COUNTY INC</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>123 SUTTER WAY</AddressLine1>
          <City>MARION</City>
          <State>IN</State>
          <ZIPCode>46952</ZIPCode>
        </AddressUS>
        <EINOfRecipient>350886981</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfNonCashAssistance>309058</AmountOfNonCashAssistance>
        <MethodOfValuation>BOOK VALUE</MethodOfValuation>
        <DescriptionOfNonCashAssistance>BUILDING</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>DONATION</PurposeOfGrant>
      </RecipientTable>
      <RecipientTable>
        <RecipientNameBusiness>
          <BusinessNameLine1>THE WESLEYAN CHURCHGLOBAL PARTNERS</BusinessNameLine1>
        </RecipientNameBusiness>
        <AddressUS>
          <AddressLine1>PO BOX 2000</AddressLine1>
          <City>MARION</City>
          <State>IN</State>
          <ZIPCode>46952</ZIPCode>
        </AddressUS>
        <EINOfRecipient>351148762</EINOfRecipient>
        <IRCSection>501(C)(3)</IRCSection>
        <AmountOfNonCashAssistance>7562</AmountOfNonCashAssistance>
        <MethodOfValuation>FMV</MethodOfValuation>
        <DescriptionOfNonCashAssistance>MED SUPPLIES</DescriptionOfNonCashAssistance>
        <PurposeOfGrant>DONATION</PurposeOfGrant>
      </RecipientTable>
      <TotalNbrOf501C3AndGovtGrants>7</TotalNbrOf501C3AndGovtGrants>
      <Form990ScheduleIPartIV>
        <Identifier>SCHEDULE I</Identifier>
        <ReturnReference>PART I, LINE 2</ReturnReference>
        <Explanation>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.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <CompensationCommittee>X</CompensationCommittee>
      <IndependentConsultant>X</IndependentConsultant>
      <WrittenEmploymentContract>X</WrittenEmploymentContract>
      <CompensationSurvey>X</CompensationSurvey>
      <BoardOrCommitteeApproval>X</BoardOrCommitteeApproval>
      <SeverancePayment>true</SeverancePayment>
      <SupplementalNonqualRetirePlan>false</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <CompBasedNetEarningsRelateOrgs>false</CompBasedNetEarningsRelateOrgs>
      <AnyNonFixedPayments>false</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>Usher Paul L</NamePerson>
        <BaseCompensationFilingOrg>304861</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>135234</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>96402</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>113547</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>25512</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>675556</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Powell Robyn L</NamePerson>
        <BaseCompensationFilingOrg>164339</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>56448</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>9343</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>3134</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>29076</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>262340</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Wallace Bernadine L</NamePerson>
        <BaseCompensationFilingOrg>209664</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>72993</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>23948</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>60261</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>30885</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>397751</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Mahendran Rathi P</NamePerson>
        <BaseCompensationFilingOrg>500001</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>4993</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>7350</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>470</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>512814</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Poe Steven D</NamePerson>
        <BaseCompensationFilingOrg>102652</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>145583</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>2450</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>3570</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>254255</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Wallace David L</NamePerson>
        <BaseCompensationFilingOrg>212913</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>6411</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>33175</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>252499</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Rex Douglas</NamePerson>
        <BaseCompensationFilingOrg>192253</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>5866</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>18167</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>247</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>216533</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>Hasheesh Abdul</NamePerson>
        <BaseCompensationFilingOrg>179769</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>15389</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>812</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10023</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>205993</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>PART I QUESTIONS REGARDING COMPENSATION</Identifier>
        <ReturnReference>LINE 4A</ReturnReference>
        <Explanation>DR. STEVEN D. POE, D.O. RECEIVED A SEVERENCE PACKAGE IN THE AMOUNT OF $132,362.12. THIS WAS PAID ON APRIL 27, 2009 AND REPORTED ON HIS 2009 FORM W-2.</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <Form990ScheduleKPartI>
        <IssuerName>
          <BusinessNameLine1>INDIANA FINANCE AUTHORITY</BusinessNameLine1>
        </IssuerName>
        <IssuerEIN>351602316</IssuerEIN>
        <CUSIPNumber>455057NPO</CUSIPNumber>
        <DateIssued>2008-06-10</DateIssued>
        <IssuePrice>24000000</IssuePrice>
        <DescriptionOfPurpose>SEE SCHEDULE O</DescriptionOfPurpose>
        <Defeased>false</Defeased>
        <OnBehalfOfIssuer>false</OnBehalfOfIssuer>
      </Form990ScheduleKPartI>
      <Form990ScheduleKPartII>
        <TotalProceeds>24223558</TotalProceeds>
        <AmountUnspent>7034079</AmountUnspent>
        <IssuanceCostsFromProceeds>418378</IssuanceCostsFromProceeds>
        <CapitalExpenditures>17145177</CapitalExpenditures>
        <YearOfSubstCompletion>2013</YearOfSubstCompletion>
        <CurrentRefunding>true</CurrentRefunding>
        <AdvanceRefunding>false</AdvanceRefunding>
        <FinalAllocationMade>false</FinalAllocationMade>
        <AdequateBooksAndRecdsMaintaind>true</AdequateBooksAndRecdsMaintaind>
      </Form990ScheduleKPartII>
      <Form990ScheduleKPartIII>
        <OwningBondFinancedProperty>false</OwningBondFinancedProperty>
        <AnyLeaseArrangements>false</AnyLeaseArrangements>
        <MngmentCntrctBondFinancdPrprty>true</MngmentCntrctBondFinancdPrprty>
        <AnyResearchAgreements>false</AnyResearchAgreements>
        <BondCounselRoutinelyEngaged>true</BondCounselRoutinelyEngaged>
        <PrcntgePrvtBusinessUseByOthers>0.00000</PrcntgePrvtBusinessUseByOthers>
        <PercentageOfPrvtBusinessReUBI>0.00000</PercentageOfPrvtBusinessReUBI>
        <TotalPrivateBusinessUse>0.00000</TotalPrivateBusinessUse>
        <PostIssuanceComplianceProcdrs>true</PostIssuanceComplianceProcdrs>
      </Form990ScheduleKPartIII>
      <Form990ScheduleKPartIV>
        <Form8038TFiled>false</Form8038TFiled>
        <VariableRateIssue>true</VariableRateIssue>
        <HedgeIdentifiedInBooksAndRecds>false</HedgeIdentifiedInBooksAndRecds>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <ExceptionToRebate>false</ExceptionToRebate>
      </Form990ScheduleKPartIV>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoanTable>
        <NamePerson>DAVID L WALLACE MD</NamePerson>
        <PurposeOfLoan>RECRUITMENT</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>36000</OriginalPrincipalAmount>
        <BalanceDue>12000</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <LoanTable>
        <NamePerson>DOUGLAS A REX MD</NamePerson>
        <PurposeOfLoan>RECRUITMENT</PurposeOfLoan>
        <LoanFromOrganization>X</LoanFromOrganization>
        <OriginalPrincipalAmount>64000</OriginalPrincipalAmount>
        <BalanceDue>39111</BalanceDue>
        <Default>false</Default>
        <ApprovedByBoard>true</ApprovedByBoard>
        <WrittenAgreement>true</WrittenAgreement>
      </LoanTable>
      <TotalBalanceDue>51111</TotalBalanceDue>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>CHRISTINE MONAHAN</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DAUGHTER OF OFFICER</Relationship>
        <AmountOfTransaction>24246</AmountOfTransaction>
        <DescriptionOfTransaction>PAID EMPLOYEE</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>MARION SLEEP SERVICES LLC</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>JOINT VENTURE</Relationship>
        <AmountOfTransaction>40000</AmountOfTransaction>
        <DescriptionOfTransaction>SEE SCHEDULE O</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>Program Service Accomplishments</Identifier>
        <ReturnReference>Part III, Line 4d</ReturnReference>
        <Explanation>Marion General Hospital is a not-for-profit, 99-bed, acute care, rural, sole community hospital located in Grant county, 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 Marion General Hospital believe everyone should have access to healthcare and continue to address ongoing financial challenges to meet the healthcare needs of our community. Clients and families receive impartial access to treatment, available healthcare accommodations and medically indicated services regardless of race, creed, sex, national origin, or source of payment for care. In addition to the inpatient services, radiology services and emergency room services previously described, Marion General Hospital also provides ambulance, anticoagulation clinic, medical oncology, cardiovascular, cardiac cath lab, CHF clinic, cardiac REI-lab, 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 cardiologists from the care group Indianapolis performing procedures at Marion General Hospital. Community outreach efforts that Marion General Hospital engaged in during the fiscal year 2010 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing Body and Management</Identifier>
        <ReturnReference>PART VI, LINE 1B</ReturnReference>
        <Explanation>Paul L. Usher is compensated as an employee of the organization. Dr. Shawn T. Swan and Dr. Salil Rajmaira are both compensated as independent contractors for on-call services.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing Body and Management</Identifier>
        <ReturnReference>PART VI, Section A, Line 2</ReturnReference>
        <Explanation>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 2009 to include the following changes: 1. Elimination of the 2/3 vote requirement for directors, moving instead to a majority vote. 2. Change the appointment of persons to Joint Venture Boards, Management Agreement Boards and appointment of trustees for employee benefit plan to a Board responsibility based on recommendation of President/CEO for more appropriate Board fiduciary responsibility. 3. Remove ex-officio members from the Audit Committee.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Governing Body and Management</Identifier>
        <ReturnReference>PART VI, Section B, Line 11A</ReturnReference>
        <Explanation>The organization incorporates numerous parties into the production and review of the Form 990 and associated schedules. Finance department staff and management complete the Form 990 and schedules. The forms and schedules are reviewed in detail by the Administrative Director of Finance, Chief Financial Officer and President/CEO. The organization engages BKD LLP to review the completed Form 990 and associated schedules. Prior to filing the return, the Finance Committee of the Board of Directors reviews the 990, and the Board of Directors also receives a copy.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Policies</Identifier>
        <ReturnReference>PART VI, SECTION B, Line 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Policies</Identifier>
        <ReturnReference>PART VI, Section B, Line 15A &amp; 15B</ReturnReference>
        <Explanation>TO SUPPORT THE MISSION, VISION, AND VALUES OF MARION GENERAL HOSPITAL, INC. ("MGH") AND THE CHARITABLE PURPOSE FOR WHICH IT EXISTS, THE EXECUTIVE TOTAL COMPENSATION PROGRAM IS DESIGNED AND ADMINISTERED TO ENSURE THAT MGH CAN ATTRACT, RETAIN AND MOTIVATE HIGHLY-TALENTED EXECUTIVES. EXECUTIVES ARE PLACED WITH APPROPRIATE SALARY RANGES BASED ON THE EXECUTIVE'S KNOWLEDGE, COMPETENCIES AND EXPERIENCE, PERFORMANCE, IMPORTANCE OF RETAINING THE EXECUTIVE, INTERNAL EQUITY CONSIDERATIONS AND FINANCIAL RESOURCES AVAILABLE. THE ORGANIZATION USES THE COMPENSATION 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Disclosure</Identifier>
        <ReturnReference>Part VI, Section C, line 19</ReturnReference>
        <Explanation>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. SCHEDULE L PART IV BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS MARION SLEEP SERVICES LLC IS OWNED 11.594204% BY MARION GENERAL HOSPITAL. CURRENT BOARD MEMBERS ARE ALSO OWNERS OF MARION SLEEP SERVICES LLC WITH INDIVIDUAL OWNERSHIP GREATER THAN 5% IN SOME INSTANCES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>Schedule K</Identifier>
        <ReturnReference>PART I, LINE A</ReturnReference>
        <Explanation>THE JULY 20, 2005 BOND ISSUED BY THE INDIANA FINANCE AUTHORITY WAS USED FOR CONSTRUCTION, THE PURCHASE OF CAPITAL EQUIPMENT, TO REFUND SERIES 2005 BONDS AND PAY BOND ISSUANCE COSTS. CREDIT ENHANCEMENT FEES: $109,305 ISSUANCE COSTS: $309,073</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>PROGRESSIVE CANCER CARE LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>831 N THEATER DRIVE</AddressLine1>
          <City>MARION</City>
          <State>IN</State>
          <ZIPCode>46952</ZIPCode>
        </AddressUS>
        <PrimaryActivity>ONCOLOGY CENT</PrimaryActivity>
        <LegalDomicileState>IN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>393220</ShareOfTotalIncome>
        <ShareOfEOYAssets>2200520</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <Form990ScheduleRPartIII>
        <NameOfRelatedOrg>
          <BusinessNameLine1>SURGERY CENTER OF NORTHCENTRAL IN LLC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>330 NORTH WABASH AVENUE SUITE 200</AddressLine1>
          <City>MARION</City>
          <State>IN</State>
          <ZIPCode>46952</ZIPCode>
        </AddressUS>
        <PrimaryActivity>OUTPATIENT SU</PrimaryActivity>
        <LegalDomicileState>IN</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <PredominantIncomeType>RELATED</PredominantIncomeType>
        <ShareOfTotalIncome>354228</ShareOfTotalIncome>
        <ShareOfEOYAssets>1028062</ShareOfEOYAssets>
        <DisproportionateAllocations>false</DisproportionateAllocations>
        <GeneralOrManagingPartner>false</GeneralOrManagingPartner>
      </Form990ScheduleRPartIII>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>false</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>true</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>true</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>true</SharingOfFacilities>
      <SharingOfPaidEmployees>false</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>false</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>false</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>false</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>false</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SURGERY CENTER OF NORTHCENTRAL INDIANA</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>I</TransactionType>
        <AmountInvolved>558975</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PROGRESSIVE CANCER CARE LLC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>J</TransactionType>
        <AmountInvolved>273433</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>SURGERY CENTER OF NORTHCENTRAL INDIANA</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>K</TransactionType>
        <AmountInvolved>59392</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
  </ReturnData>
</Return>