2020-04-29T14:39:38-05:00 2019-06-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2018-07-01 350868130 MARION GENERAL HOSPITAL INC % MARION GENERAL HOSPITAL INC MARI 7656607000 441 N WABASH AVENUE MARION IN 469522690 STEPHANIE HILTON-SIEBERT PRESIDENT/CEO 7656607000 2020-05-15 true Lauren R Denton P01571860 2604604000 167.68.126.162 35027420201205000000 2020-04-29 P C9F2138D12F7D343057C8214CDBDB0735A7DCED9 25E9B303A56A0274D6E2F2256A0CAB7F3BE98F83 2018 2020-09-23 17:36:50Z STEPHANIE HILTON-SIEBERT 441 N WABASH AVENUE MARION IN 469522690 273012227 false X WWW.MGH.NET X 1910 IN PROVIDES COST-EFFECTIVE HOSPITAL & HEALTH SERVICES TO GRANT & SURROUNDING COUNTIES. THE SERVICES PROVIDED BY THE HOSPITAL ARE AIMED TO IMPROVE THE WELL-BEING OF THE COMMUNITY. 14 6 1352 110 59493 16420 130318 1404587 184956601 195277056 17374741 5544218 -1087758 -1866819 201373902 200359042 184160 194534 0 0 61376657 65645696 0 0 0 119662008 130114197 181222825 195954427 20151077 4404615 382696177 389201889 99958422 96401070 282737755 292800819 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 50782763 38142544 INPATIENT SERVICES - MARION GENERAL HOSPITAL (MGH) OPERATES A 106-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 4,850 INPATIENT ADULT AND PEDIATRIC PATIENTS, AND PROVIDED 17,469 INPATIENT ADULT AND PEDIATRIC PATIENT CARE DAYS DURING THE YEAR ENDED JUNE 30, 2019. DURING THE SAME TIME PERIOD, MGH ALSO DISCHARGED 276 AND PROVIDED 2,821 PATIENT CARE DAYS FOR PATIENTS IN THE ACUTE REHAB UNIT. THERE WERE 569 DELIVERIES PERFORMED. 14334938 22692709 EMERGENCY ROOM SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL OPERATES ONE OF THE BUSIEST 24-HOUR EMERGENCY ROOMS IN THE STATE. THERE WERE 36,896 OUTPATIENT VISITS DURING THE YEAR ENDED JUNE 30, 2019. THERE WERE ALSO AN ADDITIONAL 4,036 EMERGENCY ROOM PATIENTS THAT WERE ULTIMATELY ADMITTED AS AN INPATIENT TO THE HOSPITAL, FOR A TOTAL OF 40,932 VISITS. 12257636 22431310 RADIOLOGY SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL (MGH) HAS TWO STATE-OF-THE-ART FACILITIES THAT FEATURE THE LATEST IN TECHNOLOGY. THE RADIOLOGY DEPARTMENT FEATURES 3D MAMMOGRAPHY AND THE STATE'S ONLY LOW DOSE FULL-FIELD DIGITAL MAMMOGRAPHY, AND ALSO OFFERS PATIENTS A 128 SLICE CT SCANNER WITH CARDIAC IMAGING CAPABILITIES. MGH HAS TWO MRI UNITS; AN OPEN MRI OFFERING PATIENTS THREE TIMES MORE SPACE THAN A TYPICAL CLOSED UNIT, 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. MGH HAS ONE OF THE ONLY TWO LOW DOSE MBI (MOLECULAR BREAST IMAGING) UNITS IN THE STATE. OTHER SERVICES OFFERED INCLUDE NUCLEAR MEDICINE, ULTRASOUND AND X-RAY. MARION GENERAL HOSPITAL PROVIDED 86,325 OUTPATIENT RADIOLOGY PROCEDURES DURING THE YEAR ENDED JUNE 30, 2019. 99823398 194534 112194695 SEE SCHEDULE O DISCLOSURE FOR: PROGRAM SERVICE ACCOMPLISHMENTS PART III, LINE 4D 99823398 194534 112194695 177198735 true true false true false false false false false true true true false false true true true false false false false false false false false false true true true false true true true false false false false true false true true false true false false false false true true true false false true 93 0 1352 true true true false false false false false false false false false false false X 14 6 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 677287 0 30830 KAREN J JACOBS DO PHYSICIAN/BOARD MEMBER 40.0 0.0 X 488779 0 28664 SHANKARAN SRIKANTH MD PHYSICIAN/VC OF MEDICAL STAFF 40.0 0.0 X 474821 0 43003 JAMES M ORRELL MD PHYSICIAN/CHIEF OF MED. STAFF 40.0 0.0 X 392205 0 43212 JEFFREY W BRAGG DO PHYSICIAN/BOARD MEMBER 40.0 0.0 X 274804 0 31471 MARTIN W PRUSS MD PHYSICIAN/BOARD MEMBER 40.0 0.0 X 227795 0 0 M NABI SHARIF MD BOARD MEMBER 2.0 0.0 X 145247 0 0 STEVEN E BERRY BOARD SECRETARY 2.0 0.0 X X 0 0 0 KEVIN R CATES BOARD MEMBER 2.0 0.0 X 0 0 0 TIMOTHY J DAILEY VICE-CHAIR 2.0 0.0 X X 0 0 0 MICHAEL A ERNST BOARD TREASURER 2.0 0.0 X X 0 0 0 BARBARA IHRKE BOARD CHAIR 2.0 0.0 X X 0 0 0 STEPHEN H WICKES BOARD MEMBER 2.0 0.0 X 0 0 0 LEZLIE WINTER BOARD MEMBER 2.0 0.0 X 0 0 0 JEFFREY A WAKEFIELD CFO 50.0 0.0 X 282129 0 43857 DON J TRICARICO JR CAO (LEFT 1/2019) 50.0 0.0 X 243485 0 8966 CYNTHIA D FUTRELL CNO 50.0 0.0 X 197679 0 36545 EDMOND ANDRE BENDALY MD PHYSICIAN 40.0 0.0 X 833743 0 8250 EMILY T BARRIDO-KABIGTING MD PHYSICIAN 40.0 0.0 X 497466 0 33653 KAVITA RAJ DO PHYSICIAN 40.0 0.0 X 633994 0 41299 RATHI P MAHENDRAN MD PHYSICIAN 40.0 0.0 X 512426 0 19054 VAHID-DAVID SEDAGHAT MD PHYSICIAN 40.0 0.0 X 534052 0 43003 6415912 0 411807 106 false true false THE CURARE GROUP 2990 E COVENANTER DRIVE BLOOMINGTON IN 47401 PHYSICIAN COVERAGE 1991369 AYA HEALTHCARE INC 5930 CORNERSTONE ST WEST 300 SAN DIEGO CA 92121 NURSING COVERAGE 1505162 ASSOC ANESTHESIOLOGISTS OF FT WAYNE 10315 DAWSON CREEK SUITES A/B FORT WAYNE IN 46825 PHYSICIAN COVERAGE 1426988 CENTRAL INDIANA ORTHOPEDICS PC 3600 W BETHEL AVENUE MUNCIE IN 47304 PHYSICIAN COVERAGE 1325975 SOUTH BEND MEDICAL FOUNDATION 530 N LAFAYETTE BLVD SOUTH BEND IN 46601 OUTSIDE LAB SERVICE 1232932 45 290559 1114028 1095000 1404587 PATIENT REVENUE 900099 193305206 193305206 MED DIRECTOR SERVICES 900099 424564 424564 GAIN ON EQUITY IN JOINT VENTURES 900099 752869 752869 VHA DIVIDEND 900099 196504 196504 MEDICAL RECORDS 900099 41109 41109 556804 556804 195277056 7838184 7838184 0 0 313519 2246951 -1933432 0 -1933432 -1933432 68106742 3492 70390779 13421 -2284037 -9929 -2293966 -2293966 9154 2034 7120 7120 0 0 0 0 0 0 BILLING SERVICES 541900 59493 59493 59493 200359042 195277056 59493 3617906 194534 194534 0 0 0 1520781 292612 1228169 0 44915320 40754027 4161293 4283429 3759295 524134 10655035 9351250 1303785 4271131 3748501 522630 0 523399 523399 133916 133916 0 0 0 8476675 6781340 1695335 403899 323119 80780 7520183 6016146 1504037 3247956 2598365 649591 0 4374328 3499462 874866 293577 234862 58715 0 99905 79924 19981 2081619 1977538 104081 0 10197537 8158030 2039507 1574871 1392299 182572 MEDICAL SUPPLIES/DRUGS 22317440 22317440 PROVISION FOR BAD DEBTS 13303160 13303160 PHYSICIAN SERVICES 27577299 27577299 PURCHASED SERVICES 14411458 11529166 2882292 13576975 13310366 266609 195954427 177198735 18755692 0 4000 4400 16486035 10083466 0 0 24114574 26748155 166917 182290 0 0 3337695 2883007 1266339 2052978 2807777 3064771 227996422 145192062 87168343 82804360 223147104 206400822 19676844 48388623 0 0 1968096 3489859 2552453 3099158 382696177 389201889 17153829 14381540 0 0 0 0 62818956 60811377 0 0 0 0 0 0 0 0 19985637 21208153 99958422 96401070 X 282727600 292800819 0 0 10155 0 282737755 292800819 382696177 389201889 X 4404615 5820630 -162181 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false true false true 24630 24630 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. 10155 10155 10155 10155 10155 10155 10155 10155 false false 5191829 5191829 139652632 80278884 59373748 3551213 2554853 996360 75156053 59575126 15880927 4144695 2783199 1361496 82804360 PRIVATE EQUITY FUNDS 16713202 F INVESTMENT IN JOINT VENTURE 1446459 F FIXED INCOME SECURITIES 30228962 F 48388623 0 MINIMUM PENSION LIABILITY 21208153 21208153 195123463 5820630 2246951 8067581 187055882 13303160 13303160 200359042 184898218 2246951 2246951 182651267 13303160 13303160 195954427 SCHEDULE D, PART V, LINE 4 THE HOSPITAL'S ENDOWMENT FUNDS ARE USED FOR CRITICAL CARE DEPARTMENT EDUCATION EXPENSES, AND OTHER PROGRAM SERVICE EXPENSES. SCHEDULE D, PART XI AND XII LINE 2D RENTAL EXPENSE $2,246,951 LINE 4B BAD DEBT EXPENSE $13,303,160 ASC 740 FOOTNOTE ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE HOSPITAL AND RECOGNIZE A TAX LIABILITY IF THE HOSPITAL HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY VARIOUS FEDERAL AND STATE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE HOSPITAL, AND HAS CONCLUDED THAT AS OF JUNE 30, 2019 AND JUNE 30, 2018 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. true true X true X 300. false true true true false true true 11395 6466063 6466063 0.03540 50551332 26426199 24125133 0.13210 11395 57017395 26426199 30591196 0.16750 99622 835485 234808 600677 0.00330 6223 1705139 1705139 0.00930 315 701 701 256 5890 5890 15680 271446 271446 0.00150 122096 2818661 234808 2583853 0.01410 133491 59836056 26661007 33175049 0.18160 452 115 115 12 1059016 1059016 0.00580 464 1059131 1059131 0.00580 false 5320068 532007 35096329 38176019 -3079690 X true true PROGRESSIVE CANCER ONCOLOGY CENTER 0.508 0.0957 0.1008 1 1 MARION GENERAL HOSPITAL 441 N WABASH AVENUE MARION IN 46952 WWW.MGH.NET 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 18 true false true true X WWW.MGH.NET X SEE DISCLOSURE true 19 false true false true X 300. 0. X X X true true X X X X true X WWW.MGH.NET X WWW.MGH.NET X WWW.MGH.NET X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 MGH STAFF ARE CONTINUOUSLY IN THE GRANT COUNTY COMMUNITY GATHERING DATA AND FEEDBACK FROM KEY INFORMANTS, INDIVIDUALS, AND FORMAL GROUPS TO BETTER INFORM OUR DECISIONS AND INITIATIVES. THE FOLLOWING DESCRIPTIONS PROVIDE INSIGHT INTO THE BREADTH OF MGH INVOLVEMENT. VARIOUS DEPARTMENT STAFF MEMBERS OF MGH ARE INVOLVED IN COMMUNITY EDUCATION, ASSESSMENT, AND INTERVENTIONS. MANY OF OUR STAFF PARTICIPATE ON BOARDS AND VOLUNTEER IN SERVICE AREAS. MGH HOSTS AN ANNUAL CLERGY CONNECT, COMMUNITY CONNECT SERIES, AND REGULAR COMMUNITY CONVERSATIONS RELATED TO HEALTH PROVIDING OPPORTUNITY FOR DIRECT FEEDBACK, RESPONSE, AND PROBLEM SOLVING. IN ADDITION, FOUR OR MORE TIMES EACH YEAR, MGH HAS OFFERED A COMMUNITY PLUNGE WHERE OVER 100 INDIVIDUALS HAVE PARTICIPATED IN A DAY TO EXPERIENCE WHAT IT IS LIKE TO DEAL WITH SUD AND/OR MENTAL HEALTH ISSUES. MGH CONVENES AND HOSTS A LARGE SUBSTANCE ABUSE TASK FORCE OF MORE THAN 40 ORGANIZATIONS. BI-MONTHLY OR MONTHLY IN-SERVICE/EDUCATION MEETINGS ARE HELD WITH THE PARISH NURSES FROM THE COMMUNITY, OFTEN BEING USED AS A MGH COMMUNITY ADVISORY BOARD. MGH REPRESENTATIVES PARTICIPATE IN SEVERAL COMMUNITY ADVISORY GROUPS, FOCUS GROUPS, AND CONSULTANTS FOR THE DEVELOPMENT, TIMING, AND DISSEMINATION OF RESULTS OF THE CHNA, THE REVIEW AND PRESENTATION OF ITS RESULTS. MGH PARTICIPATED IN GRANT COUNTY CONVERSATIONS ABOUT HEALTH, INVOLVING A PRESENTATION OF THE CHNA AND A PANEL DISCUSSION TO COMMEMORATE PUBLIC HEALTH DAY. MANY FROM THE COMMUNITY PROVIDED INPUT AND PRIORITIZATION OF NEEDS IN THE COMMUNITY DURING THIS EVENT. OTHER COMMUNITY GATHERINGS (INCLUDING FOCUS GROUPS) HAVE PROVIDED INPUT INTO THE HOSPITAL AND COMMUNITY IMPLEMENTATION PLANS. IT WAS IMPORTANT IN OUR RURAL COMMUNITY WITH SCARCE RESOURCES THAT MGH EMPHASIZED THAT THE CHNA AND ITS RESULTS ARE BENEFICIAL AND AVAILABLE FOR ALL ORGANIZATIONS WITHIN OUR COMMUNITY. WE FEEL WE HAD A VERY SUCCESS 2019 CHNA WITH APPROXIMATELY 2500 PRIMARY RESPONSES FROM OUR QUESTIONNAIRE. WE ALSO INCLUDED DATA FROM COUNTY HEALTH RANKINGS, CDC, US CENSUS INFORMATION, AND INDIANA STATE DEPARTMENT OF HEALTH. EACH YEAR ON RURAL HEALTH WEEK, MGH STAFF VISIT MULTIPLE LOCATIONS TO OFFER HAND WASHING EDUCATION AND DEMONSTRATIONS, BLOOD PRESSURE MONITORING, AND VARIOUS OTHER HEALTH DEMONSTRATIONS. SCHEDULE H, PART V, SECTION B, LINE 6B FAMILY SERVICE SOCIETY, INC. INDIANA WESLEYAN UNIVERSITY TAYLOR UNIVERSITY GRANT COUNTY HEALTH DEPARTMENT CANCER SERVICES OF GRANT COUNTY BRIDGES TO HEALTH GRANT BLACKFORD MENTAL HEALTH CENTER SYSTEMS OF CARE HOPE HOUSE, MARION MARION COMMUNITY SCHOOLS PRESCHOOL AND HEAD START TORCH COALITION GRANT COUNTY SUBSTANCE ABUSE TASK FORCE GRANT COUNTY SOCIAL SERVICES AGENCIES COUNCIL GRANT COUNTY CHAMBER OF COMMERCE CAREY SERVICES COMMUNITY FOUNDATION PURDUE EXTENSION CONNECTIONS IN HEALTH SCHEDULE H, PART V, SECTION B, LINE 7D MGH POSTS THE FINAL REPORTS ON A COMMUNITY BASED WEBSITE, AND PROVIDES A LINK TO THE CHNA REPORTS ON THE MGH SITE. HTTP://WWW.MGH.NET/FOR-THE-COMMUNITY OR DIRECTLY TO HTTP://WWW.MGH.NET/DOCUMENTS/CHP-SUMMARY_2019-.PDF THE LINK IS ALSO AVAILABLE AT: HTTPS://HEALTHYGRANTCOUNTY.NET/IMAGES/PDFS/CHP-SUMMARY.PDF MGH 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 MGH CONVENED SEVERAL OPEN COMMUNITY MEETINGS TO DISCUSS THE 2019 COMMUNITY HEALTH PROFILE (CHP IS OUR NAMED CHNA) RESULTS TO DETERMINE A CONSENSUS REGARDING THE TOP SIGNIFICANT COMMUNITY NEEDS AND BRAINSTORM IMPLEMENTATION PLAN OPTIONS. A PRIVATE STATISTICIAN COMPLETED OUR COMPREHENSIVE ANALYSIS AND DEVELOPED AN EXECUTIVE SUMMARY, WHICH DROVE THE DISCUSSIONS IN THE COMMUNITY OF AREAS OF PRIORITY TO ADDRESS. THE HEALTH AREAS OF LUNG DISEASE, TOBACCO/NICOTINE USE, HEART DISEASE, DIABETES, UNHEALTHY WEIGHT, SUBSTANCE USE DISORDER, AND LATE DIAGNOSES OF DISEASE STATES SURFACED AS PRESSING ISSUES. WHILE REVIEWING ADDITIONAL DATA INCLUDING COUNTY HEALTH RANKINGS AND INPUT FROM HEALTHCARE ORGANIZATIONS, EMPLOYERS, SCHOOLS, AND CHURCHES; IT WAS DETERMINED THAT WE WOULD CONTINUE OUR CEASE DIABETES INITIATIVE, CEASE LUNG DISEASE AND CEASE SUBSTANCE ABUSE. WE ALSO CONTINUED OUR INCREASE HEALTHY EATING AND INCREASE HEALTH SCREENINGS FOR PRIMARY CHRONIC DISEASE FOCUS IN OUR COMMUNITY ADDING INCREASE HEART HEALTH. THE ONLY OTHER SIGNIFICANT NEED IDENTIFIED IN OUR CHNA IS THE LACK OF RESOURCES AND SERVICES FOR THOSE WITH MENTAL HEALTH CONCERNS. MGH HAS CONVENED A NEW CONSORTIUM TO FACILITATE ADDING SERVICES AND MAKING SERVICES MORE WIDELY AVAILABLE. MGH POSTS THE FINAL REPORTS ON A COMMUNITY BASED WEBSITE AND PROVIDES A LINK TO THE CHNA REPORTS ON THE MGH SITE. IN THE ABOUT US TAB ON THE HOME PAGE OF THE MGH WEBSITE IS THE LINK WWW.MGH.NET/DOCUMENTS/CHP-SUMMARY_2019-.PDF OR DIRECTLY TO WWW.HEALTHYGRANTCOUNTY.NET/HEALTH-ASSESSMENTS/COMMUNITY-HEALTH-PROFILE.HTM L MGH PRESEN TED AT 15+ COMMUNITY MEETINGS AND AREA GATHERINGS THE COMMUNITY HEALTH PROFILE FINDINGS. ALL THE COMMUNITY PARTNERS RECEIVE ACCESS TO THE FINAL REPORT. CEASE DIABETES: THE CONTINUING NEEDS FOR DIABETES MAN AGEMENT WERE ADDRESSED IN ALL DISCUSSION GROUPS INCLUDING CO-MORBIDITIES, WHICH IMPACT OTHER CHRONIC DISEASES AFFECTING OUR POPULATION. DIABETES LENDS THE GREATEST FINANCIAL BURDEN, ALONG WITH DOCUMENTED EMOTIONAL, SOCIAL AND PHYSICAL COSTS IMPACTING NUMEROUS INDIVIDUALS AND FAMILIES IN THE COMMUNITY. DIABETES HAS BEEN ON OUR IMPLEMENTATION PLAN FOR TWO PREVIOUS CHNA CYCLES, AND WE HAVE DOCUMENTATION OF IMPROVEMENT OF HGA1C, DILATED EYE EXAMS, PROVIDER FOOT EXAMS, AND PARTICIPATION IN FORMAL DIABETIC EDUCATION. THESE RESULTS OCCURRED BECAUSE MEMBERS OF OUR HEALTHCARE TEAM WITHIN THE HOSPITAL INPATIENT SETTING, PRIMARY CARE OFFICES, THE OUTPATIENT SETTING, AND COMMUNITY INITIATIVES WERE ADDRESSING THE ISSUES AND STANDARDS OF CARE FOR DIABETES. CEASE LUNG DISEASE: THIS INITIATIVE WAS DESIGNED TO ADDRESS INCREASING STATISTICS RELATED TO LUNG CANCER AND POORLY CONTROLLED ASTHMA - BOTH HAVE BEEN IDENTIFIED AS SIGNIFICANT ISSUES BY THE COMMUNITY HEALTH PROFILE (CHNA) AND THE INDIANA STATE DEPARTMENT OF HEALTH. GRANT COUNTY STATISTICS RANK SECOND AND THIRD FOR ADULT SMOKERS AND EXPOSURE TO SECONDHAND SMOKE. GRANT COUNTY'S DIAGNOSIS OF LUNG CANCER IS THE SECOND HIGHEST CANCER SITE. ASTHMA RELATED VISITS TO THE EMERGENCY DEPARTMENT ARE AMONG THE HIGHEST IN THE STATE, 59.1% PER 10,000 RESIDENTS. CEASE SUBSTANCE ABUSE: MGH, AS THE LEADER OF THE CORE (COMMUNITY OPIOID RESPONSE ENDEAVOR) CONSORTIUM, HAS LAUNCHED A PEER SUPPORT SPECIALIST AND COMMUNITY HEALTH WORKER PROGRAM TO SUPPORT INDIVIDUALS AND FAMILIES WHO ACCESS HOSPITAL SERVICES WITH A SUBSTANCE USE DISORDER (INCLUDES ALCOHOL). THE PEER SUPPORT SPECIALISTS ARE WORKING WITH ADDITIONAL PARTNERS IN THE PROBLEM-SOLVING COURTS AND GRANT BLACKFORD MENTAL HEALTH CENTER. OTHER AREAS ADDRESSED INCLUDE STIGMA REDUCTION, HARM REDUCTION, WRAP-AROUND SERVICES, AND PRO-SOCIAL FAMILY ACTIVITIES SPONSORED BY THE FAITH COMMUNITY. IN 2019, WE BEGAN PROVIDING A FULL DAY OF LEARNING AND EXPERIENCE TO BETTER PREPARE OUR COMMUNITY IN UNDERSTANDING THE DAY IN THE LIFE OF A PERSON WITH SUBSTANCE USE DISORDER AND/OR MENTAL HEALTH ISSUES. OVER 100 INDIVIDUALS HAVE PARTICIPATED IN ONE OF THESE EVENTS. INCREASE HEALTHY EATING: ADEQUATE NUTRITION CONTRIBUTES TO THE SUCCESS OF THE CEASE DIABETES INITIATIVES, CHRONIC DISEASE ISSUES WITH CORONARY ARTERY DISEASE (SUPPORTING OUR HEALTHY HEART INITIATIVE), AND MANY OTHER COMORBIDITIES AS WELL AS THE OVERALL HEALTH OF THE ENTIRE COMMUNITY. MGH ALONG WITH OTHER COMMUNITY PARTNERS ARE EXPLORING ADDITIONAL RESOURCES FOR FRESH VEGETABLES AND FRUITS AND THERAPEUTIC DIETS. INCREASE HEALTH SCREENINGS: EARLY DETECTION OF RISK FACTORS AND MANAGEMENT OF DISEASE ADDS TO THE LONGEVITY AND QUALITY OF LIFE FOR GRANT COUNTY RESIDENTS. THE GOAL IS TO INCREASE AWARENESS THROUGH EDUCATION ABOUT THE BENEFITS AND AVAILABILITY OF HEALTH SCREENINGS. OUR SCREENINGS INCLUDE FREE OR VERY LOW-COST OSTEOPOROSIS, LUNG, COLON, PROSTATE, BREAST, KIDNEY, LIVER, THYROID, DIABETES, RESPIRATORY, HEART, CARDIOVASCULAR, BLOOD, AND BLOOD PRESSURE. THESE ARE PROVIDED IN MULTIPLE COMMUNITY LOCATIONS INCLUDING EMPLOYERS, SCHOOLS, CHURCHES, AND FAIRS/EVENTS. INCREASE HEART HEALTH: CARDIOVASCULAR AND HEART FAILURE EFFECT MANY INDIVIDUALS IN GRANT COUNTY. THE HIGH INCIDENCE OF DIABETES, SMOKING RATES, FOOD INSECURITIES AND LOW LEVELS OF PHYSICAL ACTIVITY COMPOUND EFFORTS FOR INCREASE HEART HEALTH. MGH, IN PARTNERSHIP WITH PURDUE UNIVERSITY, IS DOING A QUALITY IMPROVEMENT INITIATIVE FOR THE CARDIAC SERVICE LINE, WHICH WILL INCLUDE INPATIENT, HEART FAILURE CLINIC, PRIMARY CARE, POST-ACUTE CARE AND LONG-TERM CARE. THIS PROGRAM HAS ADDED A COMMUNITY HEALTH WORKER TO PROVIDE HOME AND FACILITY VISITS WITH TELEMONITORING. COMMUNITY PARTNERS ARE WORKING TOGETHER TO INCREASE EXERCISE, AND ADD HEALTHY FOOD ACCESS. 27 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 DIAGNOSTICS-UPLAND 1809 S MAIN STREET UPLAND IN 46989 LAB, RADIOLOGY, PHYSICAL medicine UPLAND HEALTH AND DIAGNOSTICS 1809 S MAIN STREET UPLAND IN 46989 PHYSICIAN PRACTICE OFFICE MGH EXPRESS 1130 N BALDWIN AVENUE MARION IN 46952 URGENT CARE SCHEDULE H, PART I, LINE 3C MGH PROVIDED FREE CARE UP TO 300% OF FPL AND ELIMINATED 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 II MGH 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. MGH IS THE ONLY NON-GOVERNMENT HOSPITAL IN OUR COUNTY. THE NEED FOR RECRUITING AND RETAINING PROVIDERS PRESENTS SIGNIFICANT CHALLENGES FOR A SMALL RURAL AREA. REPRESENTATIVES FROM MGH SERVE ON THE INDIANA WESLEYAN UNIVERSITY (IWU) COMMUNITY ADVISORY BOARD AND HAVE BEEN INSTRUMENTAL IN WORKING WITH IWU TO CREATE GRADUATE EDUCATION PROGRAMS THAT MEET COMMUNITY PROVIDER NEEDS. MGH IS THE LARGEST SUPPORTER OF OUR COUNTY'S FREE HEALTH AND DENTAL CLINIC, BRIDGES TO HEALTH. THE HOSPITAL IS THE LARGEST DONOR FOR IN-KIND AND MONETARY GIFTS TO LOCAL NOT-FOR-PROFIT ORGANIZATIONS WHICH ASSISTS IN THEIR MISSIONS TO IMPROVE 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 14 OF THE ATTACHED FINANCIAL STATEMENTS, UNDER THE HEADING ASU 2014-09 AND TOPIC 606, AND PAGE 16 UNDER THE HEADING NET PATIENT SERVICE REVENUE, RELATED RECEIVABLES AND ESTIMATED SETTLEMENTS. SCHEDULE H, PART III, SECTION B, LINE 8 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 MEDICARE COST REPORT. SCHEDULE H, PART III, SECTION C, LINE 9B MGH'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 NEEDS ASSESSMENT MGH AND OUR COMMUNITY PARTNERS ARE CONTINUOUSLY MONITORING HEATH DATA IN ADDITION TO A COUNTY-WIDE COMMUNITY HEALTH PROFILE (CHNA) EVERY THREE YEARS. INFORMATION AND DATA FROM VARIOUS ORGANIZATIONS INCLUDING THE GRANT COUNTY HEALTH DEPARTMENT, THE INDIANA STATE DEPARTMENT OF HEALTH, THE CDC, AND COUNTY HEALTH RANKINGS ARE REVIEWED AND UTILIZED IN ORDER ADD A COMPREHENSIVE PICTURE OF THE HEALTH OF GRANT COUNTY. OUR PARTNERS, INDIANA WESLEYAN AND TAYLOR UNIVERSITIES, THRIVING FAMILIES OF GRANT COUNTY, AND THE COMMUNITY FOUNDATION CONDUCT FOCUS GROUPS AND COMMUNITY CONVERSATIONS PERIODICALLY TO ADD INFORMATION TO OUR ONGOING NEEDS ASSESSMENT PROCESSES. THE SURVEY PROCESS INVOLVES PRIMARY AND SECONDARY DATA. THE SURVEY TOOL USED IS FROM THE CENTER FOR DISEASE CONTROL BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). THE BRFSS COLLECTS PRIMARY DATA. FOCUS GROUPS AND COMMUNITY-BASED MEETINGS ARE HELD. SCHEDULE H, PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AS A NOT-FOR-PROFIT HOSPITAL, MGH 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. MGH 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 MGH IS THE ONLY NON-GOVERNMENT ACUTE CARE HOSPITAL IN RURAL GRANT COUNTY, OUR PRIMARY GEOGRAPHIC LOCATION. GRANT COUNTY DEMOGRAPHICS ARE AS FOLLOWS: WHITE 88.7%, BLACK/AFRICAN AMERICAN 7.3%, MULTI-RACIAL 2.6%, ASIAN 1.0%, HISPANIC/LATINO 4.4%. MEDIUM INCOME IS $42,593, INCOME POPULATION 65,936, AND 10.5% ARE WITHOUT HEALTH INSURANCE (CENSUS.GOV/QUICKFACTS2018). THE COMMUNITY HEALTH PROFILE (CHNA EVERY 3 YEARS) IS DESIGNED TO GATHER INFORMATION FROM ALL TOWNSHIPS AND PEOPLE GROUPS. SCHEDULE H, PART VI, LINE 5 EMPHASIS ON COMMUNITY HEALTH AT MGH IS A GUIDING PRINCIPLE. STAFF AND ADMINISTRATION MAKE A CONCENTRATED EFFORT TO MEET INDIVIDUAL PATIENT AND FAMILY NEEDS THROUGHOUT THE COUNTY. WE HAVE RECENTLY ADDRESSED THE NEED TO ACCESS LOCATIONS IN MULTIPLE AREAS OF THE COUNTY WITH PRIMARY CARE PROVIDERS. MGH HAS DEVELOPED A PRACTITIONER REFERRAL LINE, CALLED MGH ACCESS, SO THAT PEOPLE CAN BE SEEN BY A PRIMARY CARE PROVIDER QUICKLY. A SUBSTANTIAL AMOUNT OF TIME, EFFORT AND RESOURCES ARE USED TO RECRUIT THE NEEDED PHYSICIANS AND SERVICE TO OUR RURAL AREA. MANY STAFF AND LEADERS AT MGH SERVE ON COUNTLESS BOARDS ACROSS THE COUNTY TO EXTEND MGH'S MISSION OF TRANSFORMING THE HEALTH OF OUR COMMUNITY. MGH COMMUNITY OUTREACH OFFERS LUNCH AND LEARNS FOR AREA PROVIDER OFFICES, NOT-FOR-PROFIT ORGANIZATIONS, SCHOOL NURSES, AND AREA SOCIAL WORKERS. MGH HAS A LOAN FORGIVENESS AND WORK PROGRAM FOR STUDENTS CHOOSING NURSING AND SEVERAL OTHER ALLIED HEALTH FIELDS THAT ASSISTS GREATLY WITH RECRUITMENT AND RETENTION OF STAFF. MGH ENGAGES WITH MANY AREA COLLEGES AND UNIVERSITIES WITH A ROBUST PROGRAM FOR STUDENT ROTATIONS AND PRACTICUMS IN MANY AREAS OF HEALTH CARE. MGH SERVES AS A RESOURCE FOR NEEDS ASSESSMENT, EDUCATION, AND GRANT OPPORTUNITIES. MGH HOSTS AN ANNUAL HEALTH EXPO WHICH HAS BEEN HIGHLY ATTENDED, OFFERING HEALTH EDUCATION, DEMONSTRATIONS, AND LOW-COST FREE SCREENINGS. SUBSTANCE ABUSE HAS BEEN IDENTIFIED THE PAST TWO CHNAS WITH INCREASED SERVICES AND RESOURCES NEEDED FOR MENTAL HEALTH, SUBSTANCE USE DISORDER AND PRESCRIPTION DRUG ABUSE, WHICH HAS ALSO BEEN CONFIRMED BY OUR LAW ENFORCEMENT DATA. MGH HAS CONTINUED TO CONVENE THE GRANT COUNTY SUBSTANCE ABUSE TASK FORCE, WITH OUR IMPLEMENTATION STRATEGY TO TACKLE OPIOID AND HEROIN ABUSE, CEASE SUBSTANCE ABUSE. MGH HAS PROVIDED THE RESOURCES AND STAFF TO CONTINUE TO DEVELOP AND CREATE ACTIONS PLANS FOR THE TASK FORCE, WHICH NOW HAS SIX SUB-COMMITTEES. MGH IS WORKING WITH THE GRANT BLACKFORD MENTAL HEALTH CENTER AND SUBSTANCE ABUSE PROVIDER, THE GRANT COUNTY PROBLEM SOLVING COURTS, AND THE SHERIFF'S DEPARTMENT ON A MEDICATION-ASSISTED TREATMENT PROGRAM AND ON A NEW NETWORK THROUGH HRSA IMPLEMENTATION GRANT TO FOLLOW THROUGH ON OUR STRATEGIC PLAN TO ADDRESS THE NEEDS OF SUBSTANCE ABUSE AND MENTAL HEALTH ISSUES SPECIFIC TO OUR RURAL COMMUNITY. THIS PLAN INCLUDES THE PEER SUPPORT SPECIALISTS AND THE COMMUNITY HEALTH WORKER PROGRAM OFFERING SUD AND BEHAVIORAL HEALTH INTERVENTIONS LAUNCHING IN EARLY FY 2020. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA. true BRIDGES TO HEALTH INC 1251 W KEM ROAD MARION IN 46952 205405181 501(C)(3) 120000 DONATION YMCA OF GRANT COUNTY INC 456 SUTTER WAY MARION IN 46952 350886981 501(C)(3) 15450 DONATION CANCER SERVICES OF GRANT COUNTY 305 S NORTON AVENUE MARION IN 46952 351058216 501(C)(3) 14800 DONATION UNITED WAY OF GRANT COUNTY PO BOX 61 MARION IN 46952 350995975 501(C)(3) 14389 DONATION COMMUNITY FOUNDATION OF GRANT COUNTY 505 WEST THIRD STREET MARION IN 46952 311117791 501(C)(3) 9675 DONATION INDIANA WESLEYAN UNIVERSITY 4201 S WASHINGTON MARION IN 46953 350885591 501(C)(3) 9500 DONATION FAMILY SERVICE SOCIETY INC 101 S WASHINGTON SUITE 200 MARION IN 46952 350868083 501(C)(3) 5570 DONATION MARION GRANT COUNTY CHAMBER OF COMMERCE 217 S ADAMS MARION IN 46952 350350890 501(C)(6) 5150 DONATION 7 1 SCHEDULE I, PART I, LINE 2 THE MGH COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AS ONE OF THE LARGER EMPLOYERS IN GRANT COUNTY, MGH DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN, AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES. X X X X X false false false false false false false false false STEPHANIE A HILTON-SIEBERT PRESIDENT/CEO 456632 0 145114 0 75541 0 8250 0 22580 0 708117 0 JEFFREY A WAKEFIELD CFO 221592 0 59985 0 552 0 8250 0 35607 0 325986 0 DON J TRICARICO JR CAO (LEFT 1/2019) 241962 0 0 0 1523 0 7230 0 1736 0 252451 0 CYNTHIA D FUTRELL CNO 158732 0 32665 0 6282 0 5990 0 30555 0 234224 0 KAREN J JACOBS DO PHYSICIAN/BOARD MEMBER 383148 0 64116 0 41515 0 8250 0 20414 0 517443 0 SHANKARAN SRIKANTH MD PHYSICIAN/VC OF MEDICAL STAFF 394961 0 54279 0 25581 0 8250 0 34753 0 517824 0 JAMES M ORRELL MD PHYSICIAN/CHIEF OF MED. STAFF 261250 0 94279 0 36676 0 8250 0 34962 0 435417 0 JEFFREY W BRAGG DO PHYSICIAN/BOARD MEMBER 222741 0 25404 0 26659 0 7570 0 23901 0 306275 0 MARTIN W PRUSS MD PHYSICIAN/BOARD MEMBER 199081 0 0 0 28714 0 0 0 0 0 227795 0 EDMOND ANDRE BENDALY MD PHYSICIAN 507059 0 303684 0 23000 0 8250 0 0 0 841993 0 EMILY T BARRIDO-KABIGTING MD PHYSICIAN 326680 0 148368 0 22418 0 8250 0 25403 0 531119 0 KAVITA RAJ DO PHYSICIAN 294247 0 311764 0 27983 0 8250 0 33049 0 675293 0 RATHI P MAHENDRAN MD PHYSICIAN 512426 0 0 0 0 0 8250 0 10804 0 531480 0 VAHID-DAVID SEDAGHAT MD PHYSICIAN 476360 0 34892 0 22800 0 8250 0 34753 0 577055 0 A INDIANA FINANCE AUTHORITY 351602316 45471A4A3 2012-04-26 36248711 NEW MONEY AND CURRENT REFUNDING false false false B INDIANA FINANCE AUTHORITY 351602316 2015-07-07 33000000 NEW MONEY AND CURRENT REFUNDING false false false A 3740000 0 36255573 0 0 0 545890 0 0 8086862 27622821 0 2016 true false true true B 3995000 0 33197596 0 0 0 333500 0 0 15549096 17315000 0 2019 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 A false false false true false false 0 false 0 true true B false false false true true false 0 false 0 true true A true B true PART II LINE 3 TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2012 BONDS - $ 6,862 2015 BONDS - $197,596 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 2012 BONDS 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 2002 BONDS WERE ISSUED ON MAY 30, 2002. 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 2008 BONDS WERE ISSUED ON JUNE 10, 2008. PART IV LINE 2D THE REBATE COMPUTATION FOR THE 2012 BONDS WERE PERFORMED ON 03/15/2017. THE REBATE COMPUTATION FOR THE 2015 BONDS WERE PERFORMED ON 07/01/2019. JEFFREY W BRAGG DO EMPLOYED RECRUITMENT X 25000 5000 false true true KAREN J JACOBS DO EMPLOYED RECRUITMENT X 110000 45500 false true true JAMES M ORRELL MD EMPLOYED RECRUITMENT X 25000 5000 false true true MARTIN W PRUSS MD EMPLOYED RECRUITMENT X 60000 2250 false true true DOUGLAS A REX DO EMPLOYED RECRUITMENT X 120000 41290 false true true SHANKARAN SRIKANTH MD EMPLOYED RECRUITMENT X 25000 12500 false true true KAVITA RAJ DO EMPLOYED RECRUITMENT X 65000 48750 false true true V-DAVID SEDAGHAT MD EMPLOYED RECRUITMENT X 40000 22000 false true true 182290 IMG INSURANCE SEE COMMENT 356776 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. X 1 1095000 APPRAISED VALUE false false false FORM 990, PART VI, SECTION A, LINE 1B STEPHANIE HILTON-SIEBERT, DR. SHANKARAN SRIKANTH, DR. KAREN JACOBS, DR. JAMES ORRELL AND DR. JEFFREY BRAGG ARE COMPENSATED AS EMPLOYEES OF THE ORGANIZATION. DR. M. NABI SHARIF AND MARTIN PRUSS ARE COMPENSATED AS AN INDEPENDENT CONTRACTORS. AS A RESULT, ALL THE ABOVE INDIVIDUALS ARE CONSIDERED NON-INDEPENDENT BOARD MEMBERS. IN ADDITION, DR. JACOBS, DR. ORRELL, DR. PRUSS, DR. BRAGG AND TIM DAILEY 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 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. FORM 990, PART VI, SECTION B, LINE 12C EVERY YEAR EACH DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD OF DIRECTORS DELEGATED POWERS ARE REQUIRED TO SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON HAS RECEIVED A COPY OF THE CONFLICTS OF INTEREST POLICY, HAS READ AND UNDERSTANDS THE POLICY, AGREES TO COMPLY WITH THE POLICY, AND UNDERSTANDS THAT THE CORPORATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION IT MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. IN CONNECTION WITH ANY ACTUAL OR POSSIBLE 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 2019, 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 $(162,181) PROGRAM SERVICES ACCOMPLISHMENTS Part III, Line 4d 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, 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 emergency room services previously described, Marion General Hospital also provides ambulance, anticoagulation clinic, medical oncology, cardiovascular, cardiac cath lab, CHF clinic, cardiac REHAB, laboratory, observation, neurodiagnostic, surgery, physical, speech and occupational therapy, and wound clinic services. 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. MGH FOUNDATION INC 441 N WABASH AVENUE MARION IN 46952 811872365 SUPPORT IN 501(C)(3) 12A MGH true PROGRESSIVE CANCER CARE LLC 831 N THEATRE DRIVE MARION IN 46952 320061469 ONCOLOGY CENTER IN NA RELATED 177100 1603184 false false 0.50804 false false false false false true false false false false true false false false false true false false false PROGRESSIVE CANCER CARE LLC F 254892 FMV PROGRESSIVE CANCER CARE LLC K 216505 FMV PROGRESSIVE CANCER CARE LLC P 133038 FMV