2023-05-08T11:55:03-05:00 2022-06-30 FORVIS LLP 111 E Wayne St Suite 600 Fort Wayne IN 46802 990 2021-07-01 350868130 MARION GENERAL HOSPITAL INC % MARION GENERAL HOSPITAL INC MARI 7656607000 441 N WABASH AVENUE MARION IN 469522690 STEPHANIE HILTON-SIEBERT PRESIDENT/CEO 7656607000 2023-05-15 true STEPHANIE HILTON-SIEBERT 999009999 Lauren R Denton P01571860 2604604000 2 2021 2023-04-26 12:10:37Z MARION HEALTH STEPHANIE HILTON-SIEBERT 441 N WABASH AVENUE MARION IN 469522690 251030420 false X WWW.MARIONHEALTH.COM X 1910 IN PROVIDES COST-EFFECTIVE HOSPITAL & HEALTH SERVICES TO GRANT AND SURROUNDING COUNTIES. THE SERVICES PROVIDED BY THE HOSPITAL ARE AIMED TO IMPROVE THE WELL-BEING OF THE COMMUNITY. 12 5 1447 50 49175 5991 6708976 7985746 204441372 203811620 2445959 28249422 -2060141 -2124214 211536166 237922574 277879 205485 0 0 70993591 76109192 0 0 0 125255842 126707028 196527312 203021705 15008854 34900869 572876979 541803002 195871059 190267050 377005920 351535952 X MARION GENERAL HOSPITAL EXISTS TO TRANSFORM THE HEALTH OF OUR COMMUNITY THROUGH PATIENT-CENTERED, HIGH QUALITY, AFFORDABLE CARE. BEST PRACTICES BY LEADING A COLLABORATIVE APPROACH INVOLVING PHYSICIANS, STAFF, BUSINESS LEADERS AND OUR COMMUNITY. false false 57042282 40039199 INPATIENT SERVICES - MARION GENERAL HOSPITAL (MGH) OPERATES A 108-ACUTE CARE BED FACILITY, ALONG WITH AN 18-BED ACUTE REHABILITATION UNIT. INPATIENT SERVICES PROVIDED INCLUDE: MEDICAL/SURGICAL, TELEMETRY, CRITICAL, PEDIATRIC, OBSTETRIC, NEWBORN AND ACUTE REHABILITATION CARE. ADDITIONAL SERVICES PROVIDED TO INPATIENTS INCLUDE SURGERY, LABORATORY, RESPIRATORY THERAPY, PHYSICAL MEDICINE, CARDIOVASCULAR SERVICES AND RADIOLOGY. MARION GENERAL HOSPITAL DISCHARGED 4,057 INPATIENT ADULT AND PEDIATRIC PATIENTS, AND PROVIDED 16,947 INPATIENT ADULT AND PEDIATRIC PATIENT CARE DAYS DURING THE YEAR ENDED JUNE 30, 2022. DURING THE SAME TIME PERIOD, MGH ALSO DISCHARGED 313 AND PROVIDED 2,719 PATIENT CARE DAYS FOR PATIENTS IN THE ACUTE REHAB UNIT. THERE WERE 470 DELIVERIES PERFORMED. 17793225 27182279 EMERGENCY ROOM SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL OPERATES ONE OF THE BUSIEST 24-HOUR EMERGENCY ROOMS IN THE STATE. THERE WERE 33,096 OUTPATIENT VISITS DURING THE YEAR ENDED JUNE 30, 2022. THERE WERE ALSO AN ADDITIONAL 3,654 EMERGENCY ROOM PATIENTS THAT WERE ULTIMATELY ADMITTED AS AN INPATIENT TO THE HOSPITAL, FOR A TOTAL OF 36,750 VISITS. 11261829 24800854 RADIOLOGY SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL (MGH) HAS TWO STATE-OF-THE-ART FACILITIES THAT FEATURE THE LATEST IN TECHNOLOGY. THE RADIOLOGY DEPARTMENT FEATURES TWO 3D MAMMOGRAPHY UNITS AND ALSO OFFERS PATIENTS A 128 SLICE CT SCANNER WITH CARDIAC IMAGING CAPABILITIES. MGH HAS TWO MRI UNITS; AN 1.5 MAGNET OFFERING ONBOARD THEATER SYSTEM FOR THOSE PATIENTS WITH CLAUSTRPHOIC CONCERNS, A 3.0T MAGNET WITH THE HIGHEST RESOLUTION AVAILABLE COMMERCIALLY. MGH HAS A SPECT/CT AND A PET/CT SCANNER, FUSING NUCLEAR MEDICINE AND CT TECHNOLOGY. OTHER SERVICES OFFERED INCLUDE NUCLEAR MEDICINE, ULTRASOUND AND X-RAY. MARION GENERAL HOSPITAL PROVIDED 87,773 OUTPATIENT RADIOLOGY PROCEDURES DURING THE YEAR ENDED JUNE 30, 2022. 95402784 205485 111789288 SEE SCHEDULE O DISCLOSURE FOR: PROGRAM SERVICE ACCOMPLISHMANTS PART III, LINE 4D 95402784 205485 111789288 181500120 true true false true false false false false false false true true false false true true true false false false false false false false false false true true true false true true true false false false false true false true true false false false false false true true true true false false true 85 0 1447 true true true false false false false false false false false false true false X 12 5 false false false false false false false true true false false true true true true true true true true true true IN X MARION GENERAL HOSPITAL INC 7656607000 441 N WABASH AVENUE MARION IN 469522690 STEPHANIE A HILTON-SIEBERT PRESIDENT / CEO 50.0 0.0 X X 1180254 0 34767 EDMOND ANDRE BENDALY MD PHYSICIAN 40.0 0.0 X 782891 0 8700 STEVEN KELLER PHYSICIAN / BOARD MEMBER 40.0 0.0 X 705878 0 30746 ANTHONY COLLINS DO PHYSICIAN 40.0 0.0 X 661656 0 50144 KAVITA RAJ DO PHYSICIAN 40.0 0.0 X 595636 0 50893 VINODHA NAGESH MD PHYSICIAN 40.0 0.0 X 596975 0 48435 SHANKARAN SRIKANTH MD PHYSICIAN/VC OF MEDICAL STAFF 40.0 0.0 X 581444 0 50952 JAMES M ORRELL MD PHYSICIAN/CHIEF OF MED. STAFF 40.0 0.0 X 430308 0 50893 SIRAJABID KHATIB MD MED DIR HOSPITALISTS/BOARD MEM 40.0 0.0 X 401958 0 21844 ANTHONY W ROBERTS CFO 50.0 0.0 X 374008 0 39524 CYNTHIA D FUTRELL CNO 50.0 0.0 X 288665 0 38673 NABIN K AGRAWAL MD PHYSICIAN/BOARD MEMBER 40.0 0.0 X 273140 0 48614 M NABI SHARIF MD BOARD MEMBER 2.0 0.0 X 140307 0 0 STEVEN E BERRY VICE CHAIR 2.0 0.0 X X 0 0 0 KEVIN R CATES BOARD SECRETARY 2.0 0.0 X X 0 0 0 TIMOTHY J DAILEY CHAIR 2.0 0.0 X X 0 0 0 ELIZABETH E GUTIERREZ BOARD TREASURER 2.0 0.0 X X 0 0 0 MICHAEL T HOTZ BOARD MEMBER 2.0 0.0 X 0 0 0 LEZLIE WINTER BOARD MEMBER 2.0 0.0 X 0 0 0 7013120 0 474185 149 false true false CROTHALL HEALTHCARE 955 CHESTERBROOK BLVD WAYNE PA 19087 OUTSIDE MGMT SERVICE 5776763 ICELAND ANESTHESIA MGMT 1765 E NINE MILE RD STE 1-229 PENSACOLA FL 32514 PHYSICIAN COVERAGE 3396707 AYA HEALTHCARE INC 5930 CORNERSTONE CT WEST 300 SAN DIEGO CA 92121 NURSING COVERAGE 3211341 GEIGER PETERS INC 761 S SHERMAN DRIVE INDIANAPOLIS IN 46203 GENERAL CONTRACTING 2808085 ELIOR INC 300 S TRYON STREET CHARLOTTE NC 28202 OUTSIDE MGMT SERVICE 2508204 54 7966459 19287 7985746 PATIENT REVENUE 622110 201689887 201689887 MED DIRECTOR SERVICES 622110 413643 413643 GAIN ON EQUITY IN JOINT VENTURES 622110 709207 709207 VHA DIVIDEND 622110 217320 217320 MEDICAL RECORDS 622110 71409 71409 710154 710154 203811620 7597225 7597225 0 0 756510 2937833 -2181323 0 -2181323 -2181323 30822210 10164571 5442 20657639 -5442 20652197 20652197 7934 0 7934 7934 0 0 0 0 0 0 BILLING SERVICES 541900 49175 49175 49175 237922574 203811620 49175 26076033 205485 205485 0 0 0 1955888 391991 1563897 0 58924456 52109918 6814538 1430026 1224016 206010 8340030 7138565 1201465 5458792 4672398 786394 0 608804 608804 129100 129100 29920 29920 0 0 12432905 9946324 2486581 441130 352904 88226 7717814 6174251 1543563 3715825 2972660 743165 0 3726074 2980859 745215 231552 185242 46310 0 77380 61904 15476 1246403 1184083 62320 0 9485125 7588100 1897025 1750374 1402740 347634 MEDICAL SUPPLIES/DRUGS 28473154 28473154 PROVISION FOR BAD DEBTS 6631602 6631602 PHYSICIAN SERVICES 30648275 30648275 PURCHASED SERVICES 10139022 8111217 2027805 0 9222569 9044432 178137 203021705 181500120 21521585 0 4200 4200 115956392 97368838 0 0 26888719 26163201 71205 76107 0 0 2079896 1644365 2227460 2189250 2909609 3476154 276988643 165619004 88173155 111369639 259677746 192819978 61165290 95711697 0 0 2687897 2290238 11035410 8689335 572876979 541803002 18159514 26613945 0 0 0 0 139333033 136740737 0 0 0 0 0 0 0 0 38378512 26912368 195871059 190267050 X 377005920 351535952 0 0 377005920 351535952 572876979 541803002 X 34900869 -60916506 545669 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 29920 29920 false PART II-B, LINE 1g MARION GENERAL HOSPITAL OCCASIONALLY SENDS LETTERS TO OR DIRECTLY CONTACTS LEGISLATORS. PART II-B, LINE 1i MARION GENERAL HOSPITAL PAID MEMBERSHIP DUES TO SEVERAL ORGANIZATIONS FOR WHICH A VARYING PERCENTAGE WAS ATTRIBUTED TO LOBBYING EXPENSES. THESE ORGANIZATIONS INCLUDE THE INDIANA HOSPITAL ASSOC., AMERICAN HOSPITAL ASSOC., AMERICAN ACADEMY OF FAMILY PHYSICIANS, AMERICAN COLLEGE OF PHYSICIANS, AMERICAN MEDICAL ASSOC., AMERICAN OSTEOPATHIC ASSOCIATION, ONCOLOGY NURSING SOCIETY, AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS, INDIANA STATE MEDICAL ASSOCIATION, AMONG VARIOUS OTHERS. 12769643 12769643 154284671 99804541 54480130 1007506 614088 390418 77277862 62021431 15256431 31651961 3178944 28473017 111369639 PRIVATE EQUITY FUNDS 53578424 F INVESTMENT IN JOINT VENTURE 1586215 F FIXED INCOME SECURITIES 40547058 F 95711697 0 MINIMUM PENSION LIABILITY 13430666 OP LEASE LIABILITIES 4464646 CARES ACT ADVANCED MEDICARE PAYMENT 5098000 OTHER LIABILITIES 1296252 ESTIMATE THIRD PARTY SETTLEMENTS 2622804 26912368 173312299 -60916506 2937833 -57978673 231290972 6631602 6631602 237922574 199327936 2937833 2937833 196390103 6631602 6631602 203021705 ASC 740 FOOTNOTE THE HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AND HAS BEEN RECOGNIZED AS TAX-EXEMPT PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, THE HOSPITAL IS GENERALLY EXEMPT FROM INCOME TAXES. HOWEVER, THE HOSPITAL IS REQUIRED TO FILE FEDERAL FORM 990-RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, WHICH IS AN INFORMATIONAL RETURN ONLY. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF JUNE 30, 2022 AND 2021, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. THE HOSPITAL IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. THE HOSPITAL FILED ITS FEDERAL AND STATE INCOME TAX RETURNS FOR PERIODS THROUGH JUNE 30, 2021. THESE INCOME TAX RETURNS ARE GENERALLY OPEN TO EXAMINATION BY THE RELEVANT TAXING AUTHORITIES FOR A PERIOD OF THREE YEARS FROM THE LATER OF THE DATE THE RETURN WAS FILED OR ITS DUE DATE (INCLUDING APPROVED EXTENSIONS). RECONCILIATION SCHEDULE D, PART XI & XII, LINE 2D RENTAL EXPENSE $ 2,937,833 SCHEDULE D, PART XI, LINE 4B BAD DEBT EXPENSE $ 6,631,602 SCHEDULE D, PART XII, LINE 4B BAD DEBT EXPENSE $ 6,631,602 true true X true X 300. false true true false true true 5803 3971265 3971265 0.02020 55610043 38604542 17005501 0.08660 5803 59581308 38604542 20976766 0.10680 89902 576041 576041 0.00290 827 1870748 1870748 0.00950 1648 355151 355151 0.00180 140 3662 3662 3281 239586 239586 0.00120 95798 3045188 3045188 0.01540 101601 62626496 38604542 24021954 0.12220 5237 5237 1104958 1104958 0.00560 1110195 1110195 0.00560 false 2556483 255648 27696575 31444391 -3747816 X true true PROGRESSIVE CANCER ONCOLOGY CENTER 0.5213 0.0678 0.1173 1 1 MARION GENERAL HOSPITAL 441 N WABASH AVENUE MARION IN 46952 WWW.MARIONHEALTH.COM 17-005011-1 X X X OFF-CAMPUS RADIOLOGY ONCOLOGY, SLEEP LAB PHYSICAL MED, LAB MARION GENERAL HOSPITAL 1 false false true X X X X X X X X X 21 true false true true X WWW.MARIONHEALTH.COM X SEE DISCLOSURE true 19 false true false true X 300. 0. X X X true true X X X X true X WWW.MARIONHEALTH.COM X WWW.MARIONHEALTH.COM X WWW.MARIONHEALTH.COM X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 THE LINK FOR THE CHNA WAS PROVIDED TO SEVERAL EMAIL GROUPS INCLUDING: AREA K-12 SCHOOLS, GRANT BLACKFORD MENTAL HEALTH, FAMILY SERVICE SOCIETY, INC., BRIDGES TO HEALTH, COMMUNITY MEDICAL SERVICES, THE COMMUNITY OPIOID RESONSE ENDEAVOR CONSORTIUM (INCLUDING BEHAVIORAL HEALTH PROVIDERS, TRANSITIONAL HOUSES, AND SOCIAL AGENCIES), THE BREATHE EASY TOBACCO TASK FORCE MEMBERS, AND VARIOUS COMMUNITY ADVISORY GROUPS. THE INDIANA RURAL HEALTH ASSOCIATION UTILIZED INFORMATION ACROSS THE COMMUNITY TO COMPLETE THE EXECUTIVE SUMMARY AND FINAL REPORT. SCHEDULE H, PART V, SECTION B, LINE 6B INDIANA RURAL HEALTH ASSOCIATION SCHEDULE H, PART V, SECTION B, LINE 7B MH POSTS THE FINAL REPORTS ON A COMMUNITY BASED WEBSITE, AND PROVIDES A LINK TO THE CHNA REPORTS ON THE MH SITE. https://www.marionhealth.com/about/for-the-community/ OR DIRECTLY TO https://www.marionhealth.com/documents/Marion-Health-2021-Community-Health -Needs-Assessment.pdf MH HOSTS SEVERAL COMMUNITY MEETINGS AND ATTENDS AREA GATHERINGS TO PRESENT THE COMMUNITY HEALTH PROFILE FINDINGS. ALL OF THE COMMUNITY PARTNERS RECEIVE ACCESS TO THE FINAL REPORT. SCHEDULE H, PART V, SECTION B, LINE 11 IN 2022, MH RESPONDED TO THE IDENTIFIED HIGH PRIORITY NEEDS AND WORKED WITH PARTNERS TO LOOK FOR INTERVENTIONS FOR SUBSTANCE USE DISORDER, DIABETES, HEART FAILURE, AND MENTAL HEALTH. WHILE REVIEWING ADDITIONAL DATA AND INPUT FROM HEALTHCARE ORGANIZATIONS, EMPLOYERS, SCHOOLS, AND CHURCHES; IT WAS DETERMINED THAT WE WOULD CONTINUE EFFORTS TO UNITE THE COMMUNITY TO ADDRESS THE SUBSTANCE USE DISORDER ISSUES AND SOCIAL DETERMINANTS OF HEALTH. MH PARTNERS WITH RADIANT HEALTH TO PROVIDE PEER SUPPORT SPECIALISTS FOR RAPID RESPONSE TO THE EMERGENCY DEPARTMENT, FAMILY BIRTHING CENTER AND INPATIENT UNITS AND SUPPORT TO OUR AREA TRANSITIONAL HOUSING. MH HOSTS AND FACILITATES THE MATERNAL SUBSTANCE ABUSE TASK FORCE MONTHLY AND THE CORE CONSORTIUM MEETS MONTHLY TO SUPPORT SUBSTANCE USE DISORDER INTERVENTIONS AND WRAP-AROUND SERVICES WITH OVER 18 AGENCIES PARTICIPATING. A GROUP OF SIX ORGANIZATIONS PARTICIPATED IN A PROJECT TO INCREASE HEALTHY EATING WITH THE ADDITION OF A MOBILE KITCHEN, ANOTHER NEW COMMUNITY SERVICE IS IN THE PRELIMINARY STAGES OF DESIGN TO OFFER INCREASED MANAGEMENT AND EDUCATION FOR PEOPLE DIAGNOSED WITH HEART FAILURE AND DIABETES. DIABETES IS THE GREATEST FINANCIAL BURDEN DOCUMENTED BY THE EMOTIONAL, SOCIAL, AND PHYSICAL COSTS IMPACTING NUMEROUS COMMUNITY MEMBERS. HEART FAILURE CONTINUES TO BE HIGH READMISSION RATES AND IMPACT QUANTITY AND QUALITY OF LIFE. GRANT COUNTY IS LISTED BY THE STATE OF TOBACCO (IDOH) AS THE THIRD HIGHEST USE OF TOBACCO PRODUCTS AMONG ADULTS, WHICH IS CONSIDERED THE MOST PREVENTABLE HEALTH RISK FACTOR. MH STAFF WORKED WITH AREA SCHOOLS TO STANDARDIZE THE SMOKE FREE CAMPUS POLICIES. MH BREATHE EASY GRANT COUNTY PROVIDED AN "EVOKING CHANGE SERIES" TO EDUCATE YOUTH PROVIDERS TO HELP YOUNG PEOPLE TO REALIZE THE RISK, HARM, AND CONSEQUENCES FOR VAPING, TOBACCO USE, DRUG USE, AND MENTAL HEALTH. SEVERAL COMMUNITY WIDE CLEAN UP THE "BUTTS" DAYS WERE ORGANIZED FOR AREA PARKS AND PUBLIC SPACES. OUTDOOR SIGNS WERE PROVIDED WITH THE SMOKE FREE ORDINANCE AND REFERENCE TO ORGANIZATIONS, OUTDOOR PARKS, AND PARKING LOTS ACROSS THE COMMUNITY. 25 MGH SURGERY CENTER 330 N WABASH AVENUE STE 200 MARION IN 46952 OUTPATIENT SURGERY CENTER MGH PEDIATRIC CENTER 330 N WABASH AVENUE STE 320 MARION IN 46952 PHYSICIAN PRACTICE OFFICE UROLOGY CENTER OF MGH 330 N WABASH AVENUE STE 350 MARION IN 46952 PHYSICIAN PRACTICE OFFICE MARION SURGEONS 330 N WABASH AVENUE STE 370 MARION IN 46952 PHYSICIAN PRACTICE OFFICE SPECIALTY PHYSICIANS 330 N WABASH AVENUE STE 400 MARION IN 46952 PHYSICIAN PRACTICE OFFICE LUNG CENTER OF MGH 330 N WABASH AVENUE STE 450 MARION IN 46952 PHYSICIAN PRACTICE OFFICE FAMILY MEDICINE CENTER-MARION 330 N WABASH AVENUE STE 430 MARION IN 46952 PHYSICIAN PRACTICE OFFICE MGH SLEEP LAB 1387 N BALDWIN AVENUE MARION IN 46952 SLEEP LAB MGH DIAGNOSTICS-NORTHWOOD 1379 N BALDWIN AVENUE MARION IN 46952 LAB FAMILY MEDICINE CENTER-NORTHWOOD 1399 N BALDWIN AVENUE MARION IN 46952 PHYSICIAN PRACTICE OFFICE MGH PHYSICAL MEDICINE 1393 N BALDWIN AVENUE MARION IN 46952 PHYSICAL, OCCUPATIONAL AND speech therapy MARION FAMILY PRACTICE 1391 N BALDWIN AVENUE MARION IN 46952 PHYSICIAN PRACTICE OFFICE MGH DIAGNOSTICS-SOUTH 1408 W BELLA DRIVE MARION IN 46953 LAB, RADIOLOGY FAMILY MEDICINE CENTER-SOUTH 1406 W BELLA DRIVE MARION IN 46953 PHYSICIAN PRACTICE OFFICE OBSTETRICS AND GYNECOLOGY 1419 W BELLA DRIVE MARION IN 46953 PHYSICIAN PRACTICE OFFICE MGH DIAGNOSTICS-BELLA 1415 W BELLA DRIVE MARION IN 46953 LAB MGH MEDICAL ONCOLOGY 831 N THEATRE DRIVE MARION IN 46952 MEDICAL ONCOLOGY, PHYSICIAN office MGH WORK SOLUTIONS 119 S WASHINGTON STREET MARION IN 46952 OCCUPATIONAL MEDICINE FAMILY MEDICINE CENTER-CONVERSE 308 N JEFFERSON STREET CONVERSE IN 46919 PHYSICIAN PRACTICE OFFICE FAMILY MEDICINE CENTER-SWAYZEE 2651 S 800 W SWAYZEE IN 46986 PHYSICIAN PRACTICE OFFICE FAMILY MEDICINE CENTER-GAS CITY 4781 KAY BEE DRIVE GAS CITY IN 46933 PHYSICIAN PRACTICE OFFICE MGH DIAGNOSTICS-GAS CITY 4781 KAY BEE DRIVE GAS CITY IN 46933 LAB FAIRMOUNT MEDICAL ASSOCIATES 157 W 8TH STREET FAIRMOUNT IN 46928 PHYSICIAN PRACTICE OFFICE MGH DIAGNOSTICS-FAIRMOUNT 157 W 8TH STREET FAIRMOUNT IN 46928 LAB MGH EXPRESS 1130 N BALDWIN AVENUE MARION IN 46952 URGENT CARE SCHEDULE H, PART I, LINE 3C MARION HEALTH PROVIDED FREE CARE UP TO 300% OF FPL AND DOES NOT PROVIDE DISCOUNTED CARE. SCHEDULE H, PART I, LINE 7 COST OF CHARITY CARE IS ESTIMATED BY MULTIPLYING GROSS CHARGES FORGIVEN FOR CHARITY CARE FOR THE YEAR BY THE AVERAGE COST-TO-CHARGE RATIO AS DERIVED FROM DATA FROM THE FILED MEDICARE COST REPORT. SCHEDULE H, PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $6,631,602. SCHEDULE H, PART II MARION GENERAL HOSPITAL D/B/A MARION HEALTH (MH) IS COMMITTED TO RESPONDING TO THE FEDERAL DESIGNATIONS THAT GRANT COUNTY IS A MEDICAL PROFESSION SHORTAGE AREA (MPSA) AND MEDICALLY UNDERSERVED AREA (MUSA). ACTIVE RECRUITING AND LOAN FORGIVENESS (AS INCENTIVES) FOR PROVIDER HIRING IS CRITICAL TO SERVE OUR HEALTHCARE COMMUNITIES. A NEWLY ACQUIRED HRSA LOAN FORGIVENESS AND SCHOLARSHIP PROGRAM FOR PHYSICIANS AND NURSE PRACTITIONERS WILL BE A GREAT ASSET TO ENHANCE RECRUITING TO OUR RURAL COMMUNITY. MH IS THE ONLY NON-GOVERNMENTAL HOSPITAL IN OUR COUNTY. THE NEED FOR RECRUITING AND RETAINING PROVIDERS PRESENTS SIGNIFICANT CHALLENGES FOR A SMALL RURAL AREA. NEW EFFORTS ARE UNDERWAY TO PROVIDE TELEHEALTH WITH EXAM TECHNOLOGY FOR PATIENTS AND PROVIDERS TO ACCESS SPECIALTIES THAT ARE NOT LOCALLY AVAILABLE IN OUR COMMUNITY. MH ANTICIPATES OPENING A NEW STATE OF THE ART, INNOVATION CAMPUS TO EXPAND SERVICES TO AN AREA OF IDENTIFIED NEED AND SHORTAGE. REPRESENTATIVES FROM MH SERVE ON THE INDIANA WESLEYAN UNIVERSITY (IWU) SCHOOL OF NURSING COMMUNITY ADVISORY BOARD AND THE COMMUNITY ADVISORY BOARD FOR OCCUPATIONAL THERAPY. MH RESPRESENTATIVES HAVE BEEN INSTRUMENTAL IN WORKING WITH IWU TO CREATE GRADUATE EDUCATION PROGRAMS THAT MEET COMMUNITY PROVIDER NEEDS. MH FACILITIATES A LARGE COMMUNITY TASK FORCE FOR SERVICE PROVIDERS WHOSE CLIENTS ARE IMPACTED BY SUBSTANCE ABUSE DISORDER. MH ALSO FACILITATES A CORE (COMMUNITY OPIOID RESPONSE ENDEAVOR) CONSORTIUM TO PROVIDE SERVICES FOR PEOPLE IN ACTIVE ADDICTION, TREATMENT AND REHAB. THE CORE CONSORTIUM UNDER MH LEADERSHIP HAS FACILITATED FREE COMMUNITY BASED NARCAN BOXES TO ADDRESS THE HIGH NUMBER OF OVERDOSES. MH IS THE LARGEST SUPPORTER OF OUR COUNTY'S FREE HEALTH AND DENTAL CLINIC, BRIDGES TO HEALTH. MH HAS BEEN WORKING DILIGENTLY WITH A FQHC AND IU SCHOOL OF DENTISTRY TO BRING A LOW COST, SLIDING FEE DENTAL CLINIC TO OUR COUNTY. THE HOSPITAL HAS HISTORICALLY BEEN ONE OF THE LARGEST DONORS FOR IN-KIND AND MONETARY GIFTS TO LOCAL NOT-FOR-PROFIT ORGANIZATIONS THAT ASSIST IN THE MISSIONS TO IMPROVE THE HEALTH IN GRANT COUNTY. SCHEDULE H, PART III, SECTION A, LINE 2 BAD DEBT AT COST IS ESTIMATED BY MULTIPLYING TOTAL PROVISION FOR BAD DEBT FOR THE YEAR BY THE AVERAGE COST-TO-CHARGE RATIO AS DERIVED FROM THE FILED MEDICARE COST REPORT. SCHEDULE H, PART III, SECTION A, LINE 3 THE AMOUNT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER FINANCIAL ASSISTANCE POLICIES IS ESTIMATED BASED UPON PAST EXPERIENCE. SCHEDULE H, PART III, SECTION A, LINE 4 SEE PAGE 13 OF THE ATTACHED FINANCIAL STATEMENTS, UNDER THE HEADING NET PATIENT SERVICE REVENUE, RELATED RECEIVABLES AND ESTIMATED SETTLEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 MH 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, MH SHOWS THIS AMOUNT SEPARATELY ON ITS ANNUAL COMMUNITY BENEFIT REPORT. SERVICES ARE PROVIDED TO MEDICARE PATIENTS BY MH 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 MEDICARE COST REPORT. SCHEDULE H, PART III, SECTION C, LINE 9B MARION HEALTH'S COLLECTION POLICY DISTINGUISHES BETWEEN 'FINANCIAL ASSISTANCE' - PATIENTS UNABLE TO PAY, AND 'BAD DEBT' - PATIENTS UNWILLING TO PAY. MGH SENDS A STATEMENT ON DAY 1 WITH AN EXPECTED DUE DATE OF TWENTY-FIVE (25) DAYS FROM THE DATE OF THE STATEMENT. THIRTY (30) DAYS LATER A SECOND STATEMENT IS SENT FOLLOWED BY A LATE PAYMENT CALL. AT SIXTY (60) DAYS ANOTHER STATEMENT IS SENT FOLLOWED BY ANOTHER CALL. BY MONTH FOUR (4) IF NO RESPONSE AN ECA NOTIFICATION IS MAILED TO PATIENT NOTIFYING THEM THAT THE ACCOUNT MAY BE TURNED TO COLLECTION. 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 SERVICES REPRESENTATIVE OR FINANCIAL COUNSELOR PROVIDES INFORMATION TO THE PATIENT AND/OR OTHER RESPONSIBLE PARTY OF THE HOSPITAL'S FINANCIAL 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 ASSISTANCE. PATIENTS ELIGIBLE FOR FINANCIAL ASSISTANCE ARE NOT REPORTED TO A COLLECTION AGENCY AS LONG AS REQUESTED DOCUMENTATION IS PROVIDED TIMELY. SCHEDULE H, PART VI, LINE 2 MARION GENERAL HOSPITAL DBA MARION HEALTH (MH) FACILITATES A COUNTY -WIDE COMMUNITY HEALTH PROFILE (NEEDS ASSESSMENT) EVERY THREE YEARS. THE SURVEY PROCESS INVOLVES PRIMARY AND SECONDARY DATA. THE SURVEY TOOL USED FOR THE MOST RECENT SURVEY WAS DONE IN PARTNERSHIP WITH INDIANA RURAL HEALTH ASSOCIATION, AND THE QUESTIONS WERE DERIVED FROM FOCUS GROUPS DESIGNATED TO INCLUDE ALL SECTORS OF THE COMMUNITY. THE SURVEY WAS SHARED THROUGHOUT THE COUNTY IN ELECTRONIC FORMAT. FOCUS GROUPS AND COMMUNITY-BASED MEETINGS WERE HELD ON SPECIFIC, IDENTIFIED NEEDS WITHIN THE THREE-YEAR TIME FRAME ADDING ADDITIONAL INFORMATION TO INFORM OUR COUNTY ON EMERGING HEALTH NEEDS AND ISSUES. ADDITIONAL INFORMATION AND DATA FROM VARIOUS ORGANIZATIONS WERE REVIEWED INCLUDING THE GRANT COUNTY HEALTH DEPARTMENT, INDIANA DEPARTMENT OF HEALTH, CDC, COUNTY HEALTH RANKINGS AND ROADMAPS, INDIANA CANCER REGISTRY, INDIANA YOUTH INSTITUTE, AND AREA NEEDS ASSESSMENTS FROM LOCAL ORGANIZATIONS. DATA FROM THE COMMUNITY HEALTH PROFILE (CHNA) AND MARION HEALTH STAFF REGULARLY ASSIST AND INFORM THE NEEDS ASSESSMENTS AND GRANT APPLICATIONS FOR AREA AGENCIES. ONGOING FOCUSED ASSESSMENTS IMPACT PLANNING AND PROGRAM DEVELOPMENT. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AS A NOT-FOR-PROFIT HOSPITAL, MH HAS SIGNAGE AT ALL REGISTRATION POINTS INTO THE FACILITY AND THE HOSPITAL'S BUSINESS OFFICE ADVISING THEM OF THE AVAILABILITY OF THE FINANCIAL ASSISTANCE PROGRAM (FAP). WE HAVE A BROCHURE TITLE 'UNDERSTANDING HOSPITAL BILLS AND INSURANCE' THAT DIRECTS THEM TO CALL US IF THEY DO NOT HAVE INSURANCE OR HAVE THE ABILITY TO PAY THEIR BILL. ALL BEDDED PATIENTS RECEIVE THIS BROCHURE UPON ADMISSION. WE ALSO HAVE A PATIENT NOTICE OF FINANCIAL ASSISTANCE POLICY STATEMENT AVAILABLE AT ALL REGISTRATION LOCATIONS AND THE BUSINESS OFFICE. OUR BILLING STATEMENTS ADVISE OUR PATIENTS THAT WE OFFER FINANCIAL ASSISTANCE AND DIRECTS THEM TO CONTACT US IN THE BUSINESS OFFICE TO GET ADDITIONAL INFORMATION AND AN APPLICATION ON OUR WEBSITE. ONCE A PATIENT IS APPROVED FOR ASSISTANCE, THEY ARE QUALIFIED FOR A PERIOD OF ONE YEAR FROM APPROVAL OF THE APPLICATION. MH ALSO ASSISTS PATIENTS WITH THE COMPLETION OF THE FAP APPLICATION, AS WELL AS, EVALUATION OF THEIR ELIGIBILITY FOR STATE AND FEDERAL GOVERNMENT BENEFIT PROGRAMS. SCHEDULE H, PART VI, LINE 4 MARION HEALTH IS THE ONLY NON-GOVERNMENT ACUTE CARE HOSPITAL IN RURAL GRANT COUNTY, OUR PRIMARY GEOGRAPHIC LOCATION. GRANT COUNTY DEMOGRAPHICS ARE AS FOLLOWS: WHITE 88.1%, BLACK/AFRICAN AMERICAN 7.7%, MULTI-RACIAL 2.8%, ASIAN 0.9%, LATINO/HISPANIC 4.9%. MEDIAN INCOME IS $50,009, POPULATION 66,263, AND 8.3% ARE WITHOUT HEALTH INSURANCE AND 18.8% PERSONS IN POVERTY (WWW.CENSUS.GOV UPDATED DATA ON JULY 1, 2022). THE COMMUNITY HEALTH PROFILE (CHNA EVERY 3 YEARS) IS DESIGNED TO GATHER INFORMATION FROM ALL TOWNSHIPS AND PEOPLE GROUPS. GRANT COUNTY IS IN NORTH CENTRAL INDIANA. THE COUNTY IS DESIGNATED RURAL BY THE U.S. HEALTH RESOURCES AND SERVICES ADMINISTRATION AND IS THE THIRTIETH LARGEST COUNTY IN INDIANA AT APPROXIMATELY 414.07 SQUARE MILES IN AREA AND 0.82 SQUARE MILES IN WATER. INTERSTATE 69 RUNS ALONG THE ENTIRE EASTERN PORTION/AREA OF THE COUNTY, AND THE MISSISSINEWA RIVER RUNS FROM THE SOUTHEAST TO NORTHWEST THROUGH THE CENTER OF THE COUNTY. SCHEDULE H, PART VI, LINE 5 MARION HEALTH MAKES A CONCENTRATED EFFORT TO PROVIDE PRIMARY CARE LOCATIONS IN MOST AREAS OF THE COUNTY. THE PRACTITIONER REFERRAL LINE, MARION HEALTH ACCESS, ASSISTS PATIENTS TO SCHEDULE IMMEDIATE PRIMARY CARE APPOINTMENTS. MUCH TIME, EFFORT, AND MONEY ARE USED TO RECRUIT THE NEEDED PHYSICIANS AND TEAM MEMBERS FOR OUR RURAL AREA. STAFF MEMBERS AND LEADERS SERVE ON COUNTLESS BOARDS ACROSS THE COUNTY TO EXTEND THE MISSION, TRANSFORMING THE HEALTH OF OUR COMMUNITY. MARION HEALTH COMMUNITY OUTREACH STAFF OFFERS LUNCH AND LEARNS FOR AREA PROVIDER OFFICES, NOT-FOR-PROFIT ORGANIZATIONS, SCHOOL NURSES, AREA SOCIAL WORKERS, AND MULTIPLE UNIVERSITY STUDENT GROUPS. MARION HEALTH HAS HELPED FACILITATE THE EARLY STATE OF A PROGRAM TITLES HANDLE WITH CARE TO CONNECT LAW ENFORCEMENT AND FIRST RESPONDERS TO SCHOOLS TO PREVENT RE-TRAUMATIZATION OF STUDENTS WHOS FAMILY HAS BEEN INVOLVED IN AN EVENT. THE PARISH NURSE PROGRAM STAFF PROVIDES PREPARATION, EDUCATION, AND SUPPORT FOR THE FAITH COMMUNITY NURSES (120 NURSES) AND FACILITATES THE BASIC PARISH NURSE EDUCATION PROGRAM EACH YEAR. BRIDGES TO HEALTH, A FREE HEALTH CLINIC, IS PRIMARILY SUPPORTED BY DONATIONS FROM MARION HEALTH PROVIDING FEE DIAGNOSTIC CARE TO BRIDGES PATIENTS WHO ARE UNDER 250% OF FEDERAL POVERTY LEVEL GUIDELINES. APPROXIMATELY 17 COLLEGES AND UNIVERSITIES ARE HOSTED FOR A ROBUST PROGRAM FOR STUDENT ROTATIONS AND PRACTICUMS IN MULTIPLE AREAS OF HEALTH CARE, PROVIDING 46,000 STUDENT ROTATION HOURS. MARION HEALTH HAS PARTNERED WITH SEVERAL STATE AND LOCAL ORGANIZATIONS TO HOUSE AND PROVIDE A CHECK OUT SYSTEM FOR A MOBILE KITCHEN TO PROMOTE HEALTHY COOKING, FOOD PREP AND PLANNING HEALTHY MEALS. MARION HEALTH SERVES AS A RESOURCE FOR NEEDS ASSESSMENTS, EDUCATION, AND GRANT OPPORTUNITIES. SCHEDULE H, PART VI, LINE 7 INDIANA true BRIDGES TO HEALTH INC 119 S WASHINGTON STREET MARION IN 46952 205405181 501(C)(3) 130000 FMV DONATION CANCER SERVICES OF GRANT COUNTY 305 S NORTON AVENUE MARION IN 46952 351058216 501(C)(3) 10500 FMV DONATION UNITED WAY OF GRANT COUNTY PO BOX 61 MARION IN 46952 350995975 501(C)(3) 42588 FMV DONATION FAMILY SERVICE SOCIETY INC 101 S WASHINGTON SUITE 200 MARION IN 46952 350868083 501(C)(3) 15000 FMV DONATION MARION GRANT COUNTY CHAMBER OF COMMERCE 217 S ADAMS MARION IN 46952 350350890 501(C)(6) 7397 FMV DONATION 4 SCHEDULE I, PART I, LINE 2 THE MARION HEALTH COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AS ONE OF THE LARGER EMPLOYERS IN GRANT COUNTY, MARION HEALTH DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN, AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES. X X X X X false false false false false false false false false STEPHANIE A HILTON-SIEBERT PRESIDENT / CEO 669331 0 405804 0 105119 0 8700 0 26067 0 1215021 0 ANTHONY W ROBERTS CFO 261494 0 111638 0 876 0 8700 0 30824 0 413532 0 CYNTHIA D FUTRELL CNO 200574 0 86060 0 2031 0 8700 0 29973 0 327338 0 STEVEN KELLER PHYSICIAN / BOARD MEMBER 629352 0 28422 0 48104 0 8700 0 22046 0 736624 0 SHANKARAN SRIKANTH MD PHYSICIAN/VC OF MEDICAL STAFF 491236 0 64820 0 25388 0 8700 0 42252 0 632396 0 JAMES M ORRELL MD PHYSICIAN/CHIEF OF MED. STAFF 286134 0 101740 0 42434 0 8700 0 42193 0 481201 0 NABIN K AGRAWAL MD PHYSICIAN/BOARD MEMBER 195941 0 46479 0 30720 0 7553 0 41061 0 321754 0 SIRAJABID KHATIB MD MED DIR HOSPITALISTS/BOARD MEM 319751 0 51952 0 30255 0 8700 0 13144 0 423802 0 EDMOND ANDRE BENDALY MD PHYSICIAN 506820 0 256071 0 20000 0 8700 0 0 0 791591 0 DANIEL J EDWARDS MD PHYSICIAN 376593 0 173330 0 17933 0 8700 0 11131 0 587687 0 ANTHONY COLLINS DO PHYSICIAN 596793 0 49475 0 15388 0 8700 0 41444 0 711800 0 KAVITA RAJ DO PHYSICIAN 270657 0 284920 0 40059 0 8700 0 42193 0 646529 0 VINODHA NAGESH MD PHYSICIAN 317617 0 253415 0 25943 0 8700 0 39735 0 645410 0 A INDIANA FINANCE AUTHORITY 351602316 2015-07-07 33000000 NEW MONEY AND CURRENT REFUNDING false false false B INDIANA FINANCE AUTHORITY 351602316 45471ATE2 2020-11-13 74933215 NEW MONEY AND REFUNDING 2012A BOND false false false C INDIANA FINANCE AUTHORITY 351602316 45471ATW2 2021-04-29 31066642 CURRENT REFUNDING false false false A 8400000 0 33197594 0 0 0 333500 0 0 15549096 17315000 0 2019 true false true true B 0 0 75066019 0 0 0 801959 0 0 17462180 0 56801880 false false false true C 0 0 31066642 0 0 0 337913 0 0 0 30728729 0 2021 true false true true A false false true true false 0 false false false true B false false true true false 0 false false false true C false false true true false 0 false false false true A false false false true true false 0 false 0 true true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true A true B true C true PART II LINE 3 THE TOTAL PROCEEDS OF THE ISSUE EXCEEDS THE ISSUE PRICE AS A RESULT OF INVESTMENT EARNING AS SET FORTH BELOW. TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2021 BONDS - $0 2020 BONDS - $172,068 2015 BONDS - $197,594 PART III LINE 7 BECAUSE THE PRIVATE USE PERCENTAGE FOR EACH BOND ISSUE IS MONITORED TO ENSURE THAT THE PRIVATE USE LIMIT IS NOT EXCEEDED, THE AMOUNT OF PRIVATE PAYMENTS HAS NOT BEEN CALCULATED. PART IV LINE 2C THE 2021 BONDS WERE ISSUED TO CURRENTLY REFUND THE 2012A BONDS WHICH WERE ISSUED FOR PURPOSES OF (1) FINANCING THE ACQUISITION, CONSTRUCTION, EQUIPPING OR IMPROVEMENT OF CERTAIN CAPITAL ASSETS AND (II) REFUNDING THE ISSUER'S HOSPITAL REVENUE BONDS, SERIES 2002 (MARION GENERAL HOSPITAL PROJECT). THE 2015 BONDS WERE ISSUED FOR THE PURPOSES OF (I) FINANCING THE ACQUISITION, CONSTRUCTION, EQUIPPING OR IMPROVEMENT OF CERTAIN CAPITAL ASSETS AND (II) REFUNDING THE ISSUER'S VARIABLE RATE DEMAND REVENUE BONDS SERIES 2008A (MARION GENERAL HOSPITAL PROJECT). THE REBATE COMPUTATION FOR THE 2015 BONDS WERE PERFORMED ON 07/01/2019 THE 2020 BONDS WERE ISSUED TO FINANCE CERTAIN NEW MONEY PROJECTS OF MARION HEALTH. STEPHEN KELLER EMPLOYED RECRUITMENT X 125000 31250 false true true SIRAJABID KHATIB MD EMPLOYED RECRUITMENT X 60000 17357 false true true SHANKARAN SRIKANTH MD EMPLOYED RECRUITMENT X 25000 12500 false true true JAMES ORRELL MD EMPLOYED RECRUITMENT X 25000 15000 false true true 76107 IMG INSURANCE SEE COMMENT 558881 SEE COMMENT false PART IV The son of Tim Dailey, MGH board member, owns >35% of IMG Insurance, a company which conducts business with MGH. FORM 990, PART VI, LINE 1A THERE ARE NORMALLY 15 MEMBERS OF THE BOARD, 13 OF WHICH ARE VOTING. THERE WAS ONE VACANCY AS OF JUNE 30, 2022, SO THERE WERE 14 MEMBERS OF WHICH 12 WERE VOTING MEMBERS. FORM 990, PART VI, SECTION A, LINE 1B STEPHANIE HILTON-SIEBERT, DR. STEPHEN KELLER, DR. SIRAJABID KHATIB, DR. NABIN AGRAWAL, DR. JAMES ORRELL, AND DR. JEREMY WILSON ARE COMPENSATED AS EMPLOYEES OF THE ORGANIZATION. DR. M. NABI SHARIF IS COMPENSATED AS AN INDEPENDENT CONTRACTOR. AS A RESULT, ALL THE ABOVE INDIVIDUALS ARE CONSIDERED NON-INDEPENDENT BOARD MEMBERS. IN ADDITION, DR. KHATIB, DR SRIKANTH, TIM DAILEY, AND DR. STEPHEN KELLER ARE ALSO CONSIDERED NON-INDEPENDENT DUE TO THE TRANSACTIONS LISTED ON SCH. L. FORM 990, PART VI, SECTION B, LINE 11B 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 SCHEDULES. THE FORMS AND SCHEDULES ARE REVIEWED IN DETAIL BY THE FINANCE MANAGER, CHIEF FINANCIAL OFFICER AND PRESIDENT/CEO. THE ORGANIZATION ENGAGES FORVIS 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. FORM 990, PART VI, SECTION B, LINE 15A 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 CONFLICT 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. FORM 990, PART VI, SECTION B, LINE 15A 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. FORM 990, PART VI, SECTION B, LINE 15B THE LAST FORMAL REVIEW OF OTHER OFFICERS AND KEY ADMINISTRATIVE DIRECTORS WAS IN 2021, PREPARED BY MERCER. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE KEPT ON SITE, AND ARE AVAILABLE TO THE PUBLIC UPON REQUEST. THE FINANCIAL STATEMENTS ARE DISTRIBUTED QUARTERLY TO THE ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AS PART OF THE CONTINUING DISCLOSURES FOR THE MARION GENERAL HOSPITAL, INC. BONDS. FORM 990, PART XI, LINE 9 PENSION RELATED CHANGES $ 2,446,651 NET PERIODIC PENSION COST $-1,900,982 TOTAL $ 545,669 PROGRAM SERVICES ACCOMPLISHMENTS Part III, Line 4d Marion General Hospital is a not-for-profit, 108-bed, acute care, rural, sole community hospital located in Grant county, Indiana. MGH provides healthcare services throughout Grant County (includes Marion, Fairmount, Upland, 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 room services previously described, Marion General Hospital also provides ambulance, anticoagulation clinic, medical oncology, cardiovascular, cardiac cath lab, CHF clinic, cardiac REHAB, laboratory, observation, neurodiagnostic, surgery, physical, speech and occupational therapy, and wound clinic services. Marion General Hospital continues to provide hospitalist services 24/7, as well as interventional cardiology services performed by St. Vincent Medical Group providers right here at Marion General Hospital. 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