MARION GENERAL HOSPITAL: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- MARION GENERAL HOSPITAL (EIN 35-0868130)
- Tax period
- 2017-07-01 to 2018-06-30
- Filed
- 2019-05-14
- IRS object ID
- 201941349349301904
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-05-14T08:34:24-05:00 | ReturnTs |
| Tax Period End | 2018-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E Main St Suite 700 | AddressLine1Txt |
| City | Fort Wayne | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350868130 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARION GENERAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARION GENERAL HOSPITAL INC | InCareOfNm |
| Business Name Control | MARI | BusinessNameControlTxt |
| Phone | 7656607000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 N WABASH AVENUE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 469522690 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY A WAKEFIELD | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7656607000 | PhoneNum |
| Signature | 2019-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Lauren R Denton | PreparerPersonNm |
| PTIN | P01571860 | PTIN |
| Phone | 2604604000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 35027420191345000002 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-05-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 00366C703701EE9F8F204612D166C0A2DE02EC71 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CA4D4D82627664C21956C83B295B0094B3C05049 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHANIE HILTON-SIEBERT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 N WABASH AVENUE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 469522690 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $433,879,310 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MGH.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1910 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | 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. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 1307 | TotalEmployeeCnt |
| Total Volunteers | 115 | TotalVolunteersCnt |
| Total Gross UBI | $92,883 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $26,718 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $108,233 | PYContributionsGrantsAmt |
| CY Contributions Grants | $130,318 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $190,324,947 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $184,956,601 | CYProgramServiceRevenueAmt |
| PY Investment Income | $5,539,874 | PYInvestmentIncomeAmt |
| CY Investment Income | $17,374,741 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,097,771 | PYOtherRevenueAmt |
| CY Other Revenue | -$1,087,758 | CYOtherRevenueAmt |
| PY Total Revenue | $194,875,283 | PYTotalRevenueAmt |
| CY Total Revenue | $201,373,902 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $231,573 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $184,160 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $65,895,398 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $61,376,657 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $116,583,698 | PYOtherExpensesAmt |
| CY Other Expenses | $119,662,008 | CYOtherExpensesAmt |
| PY Total Expenses | $182,710,669 | PYTotalExpensesAmt |
| CY Total Expenses | $181,222,825 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,164,614 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,151,077 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $374,065,458 | TotalAssetsBOYAmt |
| Total Assets EOY | $382,696,177 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $108,057,766 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $99,958,422 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $266,007,692 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $282,737,755 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $50,971,009 | ExpenseAmt |
| Revenue | $40,440,095 | RevenueAmt |
| Desc | INPATIENT SERVICES - MARION GENERAL HOSPITAL (MGH) 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, RESPIRATORY THERAPY, PHYSICAL MEDICINE, CARDIOVASCULAR SERVICES AND RADIOLOGY. MARION GENERAL HOSPITAL DISCHARGED 4,918 INPATIENT ADULT AND PEDIATRIC PATIENTS, AND PROVIDED 17,795 INPATIENT ADULT AND PEDIATRIC PATIENT CARE DAYS DURING THE YEAR ENDED JUNE 30, 2018. DURING THE SAME TIME PERIOD, MGH ALSO DISCHARGED 263 AND PROVIDED 2,687 PATIENT CARE DAYS FOR PATIENTS IN THE ACUTE REHAB UNIT. THERE WERE 620 DELIVERIES PERFORMED. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,410,087 | ExpenseAmt |
| Revenue | $21,496,867 | RevenueAmt |
| Desc | EMERGENCY ROOM SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL OPERATES ONE OF THE BUSIEST 24-HOUR EMERGENCY ROOMS IN THE STATE. THERE WERE 39,241 OUTPATIENT VISITS DURING THE YEAR ENDED JUNE 30, 2018. THERE WERE ALSO AN ADDITIONAL 4,608 EMERGENCY ROOM PATIENTS THAT WERE ULTIMATELY ADMITTED AS AN INPATIENT TO THE HOSPITAL, FOR A TOTAL OF 43,849 VISITS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $12,486,173 | ExpenseAmt |
| Revenue | $22,541,654 | RevenueAmt |
| Desc | 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 83,098 OUTPATIENT RADIOLOGY PROCEDURES DURING THE YEAR ENDED JUNE 30, 2018. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $96,969,118 | $184,160 | $100,477,985 | SEE SCHEDULE O DISCLOSURE FOR: PROGRAM SERVICE |
| ACCOMPLISHMENTS | |||
| PART III, LINE 4D |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $96,969,118 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $184,160 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $100,477,985 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $169,836,387 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | Yes (true) | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 91 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 1307 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARION GENERAL HOSPITAL INC | PersonNm |
| Phone | 7656607000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 N WABASH AVENUE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 469522690 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (22 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| STEPHANIE A HILTON-SIEBERT | |||||||||
| PRESIDENT/CEO | 50.0 | 0.0 | Yes (X) | Yes (X) | $682,788 | $0 | $29,307 | ||
| M NABI SHARIF MD | |||||||||
| MEMBER | 2.0 | 0.0 | Yes (X) | $103,145 | $0 | $0 | |||
| KAREN J JACOBS DO | |||||||||
| MEMBER | 40.0 | 0.0 | Yes (X) | $488,506 | $0 | $28,322 | |||
| JAMES M ORRELL MD | |||||||||
| CHIEF OF MEDICAL STAFF | 40.0 | 0.0 | Yes (X) | $393,555 | $0 | $41,492 | |||
| JEFFREY W BRAGG DO | |||||||||
| MEMBER | 40.0 | 0.0 | Yes (X) | $274,273 | $0 | $29,923 | |||
| MARTIN W PRUSS MD | |||||||||
| MEMBER | 40.0 | 0.0 | Yes (X) | $222,019 | $0 | $0 | |||
| STEVEN E BERRY | |||||||||
| MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KEVIN R CATES | |||||||||
| MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY J DAILEY | |||||||||
| VICE-CHAIR | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JAMES GARTLAND JR | |||||||||
| MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| BARBARA IHRKE | |||||||||
| BOARD CHAIR | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL J O'BRIEN | |||||||||
| BOARD TREASURER | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| STEPHEN H WICKES | |||||||||
| BOARD SECRETARY | 2.0 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JEFFREY A WAKEFIELD | |||||||||
| CFO | 50.0 | 0.0 | Yes (X) | $286,723 | $0 | $41,450 | |||
| DON J TRICARICO JR | |||||||||
| CAO | 50.0 | 0.0 | Yes (X) | $307,332 | $0 | $12,139 | |||
| CYNTHIA D FUTRELL | |||||||||
| CNO | 50.0 | 0.0 | Yes (X) | $212,503 | $0 | $39,199 | |||
| EDMOND ANDRE BENDALY MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $770,081 | $0 | $8,100 | Yes (X) | |||
| EMILY T BARRIDO-KABIGTING MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $534,236 | $0 | $31,926 | Yes (X) | |||
| JEREMY R WILSON DO | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $523,221 | $0 | $40,489 | Yes (X) | |||
| RATHI P MAHENDRAN MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $512,513 | $0 | $18,173 | Yes (X) | |||
| JITENDRA I PATEL MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $510,476 | $0 | $31,302 | Yes (X) | |||
| SHANKARAN SRIKANTH MD | |||||||||
| VICE-CHAIR OF MEDICAL STAFF | 40.0 | 0.0 | $471,431 | $0 | $40,672 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,292,802 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $392,494 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 98 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| JJ ELECTRIC OF INDIANA INC | |||||
| 3180 W STATE ROAD 18 | KOKOMO | IN | 46903 | GENERAL CONTRACTING | $2,379,022 |
| BOWMAN CONSTRUCTION CO INC | |||||
| 1837 BRANSON STREET | MARION | IN | 46953 | GENERAL CONTRACTING | $1,215,192 |
| CENTRAL INDIANA ORTHOPEDICS PC | |||||
| 3600 W BETHEL AVENUE | MUNCIE | IN | 47304 | PHYSICIAN COVERAGE | $1,202,451 |
| SOUTH BEND MEDICAL FOUNDATION | |||||
| 530 N LAFAYETTE BLVD | SOUTH BEND | IN | 46601 | OUTSIDE LAB SERVICES | $1,098,891 |
| ASSOC ANESTHESIOLOGISTS OF FT WAYNE | |||||
| 5734 COVENTRY LANE | FT WAYNE | IN | 46804 | PHYSICIAN COVERAGE | $1,068,777 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 43 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $94,143 | GovernmentGrantsAmt |
| All Other Contributions | $36,175 | AllOtherContributionsAmt |
| Total Contributions | $130,318 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $183,059,821 | $183,059,821 |
| MED DIRECTOR SERVICES | 900099 | $446,090 | $446,090 |
| GAIN ON EQUITY IN JOINT VENTURES | 900099 | $593,714 | $593,714 |
| VHA DIVIDEND | 900099 | $174,914 | $174,914 |
| MEDICAL RECORDS | 900099 | $56,456 | $56,456 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $625,606 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $625,606 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $184,956,601 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,882,081 | TotalRevenueColumnAmt |
| Exclusion | $5,882,081 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $309,219 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,495,160 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$1,185,941 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,185,941 | TotalRevenueColumnAmt |
| Exclusion | -$1,185,941 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $242,500,308 | SecuritiesAmt |
| Other | $2,500 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $230,902,923 | SecuritiesAmt |
| Other | $107,225 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $11,597,385 | SecuritiesAmt |
| Other | -$104,725 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,492,660 | TotalRevenueColumnAmt |
| Exclusion | $11,492,660 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $5,400 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $100 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,300 | TotalRevenueColumnAmt |
| Exclusion | $5,300 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BILLING SERVICES | Desc |
| Business | 541900 | BusinessCd |
| Total Revenue Column | $92,883 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $92,883 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $92,883 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $201,373,902 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $184,956,601 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $92,883 | UnrelatedBusinessRevenueAmt |
| Exclusion | $16,194,100 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $184,160 | TotalAmt |
| Program Services | $184,160 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,611,440 | TotalAmt |
| Program Services | $473,309 | ProgramServicesAmt |
| Management And General | $1,138,131 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,728,259 | TotalAmt |
| Program Services | $38,891,595 | ProgramServicesAmt |
| Management And General | $4,836,664 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,893,424 | TotalAmt |
| Program Services | $3,339,710 | ProgramServicesAmt |
| Management And General | $553,714 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,153,479 | TotalAmt |
| Program Services | $6,993,911 | ProgramServicesAmt |
| Management And General | $1,159,568 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,990,055 | TotalAmt |
| Program Services | $3,422,599 | ProgramServicesAmt |
| Management And General | $567,456 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $377,717 | TotalAmt |
| Management And General | $377,717 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $114,027 | TotalAmt |
| Management And General | $114,027 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,009,744 | TotalAmt |
| Program Services | $8,009,744 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,654 | TotalAmt |
| Program Services | $358,654 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,143,165 | TotalAmt |
| Program Services | $6,786,007 | ProgramServicesAmt |
| Management And General | $357,158 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,756,208 | TotalAmt |
| Program Services | $2,756,208 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,211,552 | TotalAmt |
| Program Services | $3,790,397 | ProgramServicesAmt |
| Management And General | $421,155 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $299,610 | TotalAmt |
| Program Services | $239,688 | ProgramServicesAmt |
| Management And General | $59,922 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,479 | TotalAmt |
| Program Services | $80,383 | ProgramServicesAmt |
| Management And General | $20,096 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,884,623 | TotalAmt |
| Program Services | $1,884,623 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,548,524 | TotalAmt |
| Program Services | $9,493,672 | ProgramServicesAmt |
| Management And General | $1,054,852 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,393,983 | TotalAmt |
| Program Services | $874,573 | ProgramServicesAmt |
| Management And General | $519,410 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES/DRUGS | $22,022,026 | $22,022,026 |
| PROVISION FOR BAD DEBTS | $7,575,257 | $7,575,257 |
| PHYSICIAN SERVICES | $22,916,840 | $22,916,840 |
| PURCHASED SERVICES | $14,677,848 | $14,677,848 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,271,751 | TotalAmt |
| Program Services | $15,065,183 | ProgramServicesAmt |
| Management And General | $206,568 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $181,222,825 | TotalAmt |
| Program Services | $169,836,387 | ProgramServicesAmt |
| Management And General | $11,386,438 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,600 | BOYAmt |
| EOY | $4,000 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,348,475 | BOYAmt |
| EOY | $16,486,035 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $24,787,098 | BOYAmt |
| EOY | $24,114,574 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $60,000 | BOYAmt |
| EOY | $166,917 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,589,565 | BOYAmt |
| EOY | $3,337,695 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,412,517 | BOYAmt |
| EOY | $1,266,339 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,848,967 | BOYAmt |
| EOY | $2,807,777 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $223,350,341 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $136,181,998 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,061,544 | BOYAmt |
| EOY | $87,168,343 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $207,426,063 | BOYAmt |
| EOY | $223,147,104 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,527,474 | BOYAmt |
| EOY | $19,676,844 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,018,953 | BOYAmt |
| EOY | $1,968,096 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,981,202 | BOYAmt |
| EOY | $2,552,453 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,065,458 | BOYAmt |
| EOY | $382,696,177 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,511,175 | BOYAmt |
| EOY | $17,153,829 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,760,307 | BOYAmt |
| EOY | $62,818,956 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,786,284 | BOYAmt |
| EOY | $19,985,637 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $108,057,766 | BOYAmt |
| EOY | $99,958,422 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,997,537 | BOYAmt |
| EOY | $282,727,600 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,155 | BOYAmt |
| EOY | $10,155 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $266,007,692 | BOYAmt |
| EOY | $282,737,755 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $374,065,458 | BOYAmt |
| EOY | $382,696,177 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $20,151,077 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$5,912,065 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $2,491,051 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $22,956 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $22,956 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1g | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,155 | BeginningYearBalanceAmt |
| End Year Balance | $10,155 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,155 | BeginningYearBalanceAmt |
| End Year Balance | $10,155 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,155 | BeginningYearBalanceAmt |
| End Year Balance | $10,155 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,155 | BeginningYearBalanceAmt |
| End Year Balance | $10,155 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,155 | BeginningYearBalanceAmt |
| End Year Balance | $10,155 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,646,548 | OtherCostOrOtherBasisAmt |
| Book Value | $4,646,548 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $132,355,721 | OtherCostOrOtherBasisAmt |
| Depreciation | $75,447,423 | DepreciationAmt |
| Book Value | $56,908,298 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,287,382 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,966,907 | DepreciationAmt |
| Book Value | $1,320,475 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $74,854,957 | OtherCostOrOtherBasisAmt |
| Depreciation | $57,064,040 | DepreciationAmt |
| Book Value | $17,790,917 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,205,733 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,703,528 | DepreciationAmt |
| Book Value | $6,502,105 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $87,168,343 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| PRIVATE EQUITY FUNDS | $18,196,464 | F |
| INVESTMENT IN JOINT VENTURE | $1,480,380 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $19,676,844 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MINIMUM PENSION LIABILITY | Desc |
| Amt | $19,985,637 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $19,985,637 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $185,419,241 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$5,912,065 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $1,495,160 | OtherRevenueAmt |
| Revenue Not Reported | -$4,416,905 | RevenueNotReportedAmt |
| Revenue Subtotal | $189,836,146 | RevenueSubtotalAmt |
| Other Revenues Not Included | $11,537,756 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $11,537,756 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $201,373,902 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $171,180,229 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $1,495,160 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $1,495,160 | ExpensesNotReportedAmt |
| Expenses Subtotal | $169,685,069 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $11,537,756 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $11,537,756 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $181,222,825 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $1,495,160 LINE 4B BAD DEBT EXPENSE $11,537,756 |
| 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, 2018 AND JUNE 30, 2017 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. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | false | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7754 | PersonsServedCnt |
| Total Community Benefit Expns | $4,966,613 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,966,613 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02800 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $46,253,728 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,874,060 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,379,668 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13460 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7754 | PersonsServedCnt |
| Total Community Benefit Expns | $51,220,341 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,874,060 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $28,346,281 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.16260 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 104926 | PersonsServedCnt |
| Total Community Benefit Expns | $1,090,258 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $98,258 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $992,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00570 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2556 | PersonsServedCnt |
| Total Community Benefit Expns | $1,270,369 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,270,369 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00730 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 171 | PersonsServedCnt |
| Total Community Benefit Expns | $642 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $642 | NetCommunityBenefitExpnsAmt |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 368 | PersonsServedCnt |
| Total Community Benefit Expns | $3,080 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,080 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10325 | PersonsServedCnt |
| Total Community Benefit Expns | $465,951 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $465,951 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 118346 | PersonsServedCnt |
| Total Community Benefit Expns | $2,830,300 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $98,258 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,732,042 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01570 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 126100 | PersonsServedCnt |
| Total Community Benefit Expns | $54,050,641 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $22,972,318 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $31,078,323 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.17830 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 770 | PersonsServedCnt |
| Total Community Benefit Expns | $19,455 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $19,455 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11512 | PersonsServedCnt |
| Total Community Benefit Expns | $1,283 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,283 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11 | PersonsServedCnt |
| Total Community Benefit Expns | $1,081,975 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,081,975 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00620 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 12293 | PersonsServedCnt |
| Total Community Benefit Expns | $1,102,713 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,102,713 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00640 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,625,041 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $462,504 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $34,524,117 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $40,515,638 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$5,991,521 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROGRESSIVE CANCER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | ONCOLOGY CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.59771 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.0943 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.1181 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARION GENERAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 N WABASH AVENUE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46952 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.MGH.NET | WebsiteAddressTxt |
| State License | 17-005011-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | OFF-CAMPUS RADIOLOGY ONCOLOGY, SLEEP LAB PHYSICAL MED, LAB | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARION GENERAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MGH.NET | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE DISCLOSURE | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | false | StrategyPostedWebsiteInd |
| Strategy Attached | Yes (true) | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 0. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.MGH.NET | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.MGH.NET | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.MGH.NET | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | MGH HOSTS AN ANNUAL CLERGY CONNECT AND COMMUNITY CONNECT SERIES PROVIDING OPPORTUNITY FOR DIRECT FEEDBACK, RESPONSE, AND PROBLEM SOLVING. MGH CONVENES AND HOSTS A LARGE SUBSTANCE ABUSE TASK FORCE OF MORE THAN 40 ORGANIZATIONS AND MONTHLY IN-SERVICE/EDUCATION MEETINGS HELD WITH THE PARISH NURSES FROM THE COMMUNITY, AND CREATED 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. PLANS ARE UNDERWAY FOR THE 2019 CHNA. SCHEDULE H, PART V, SECTION B, LINE 6B FAMILY SERVICES SOCIETY, INC. INDIANA WESLEYAN UNIVERSITY TAYLOR UNIVERSITY GRANT COUNTY HEALTH DEPARTMENT CANCER SERVICES OF GRANT COUNTY BRIDGES TO HEALTH GRANT BLACKFORD MENTAL HEALTH CENTER MINORITY HEALTH COALITION |
| SCHEDULE H, PART V, SECTION B, LINE 7B | 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 https://www.healthygrantcounty.net/HEALTH-ASSESSMENTS/COMMUNITY-HEALTH-PRO FILE 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 | IN 2017-18, MGH CONVENED SEVERAL OPEN COMMUNITY MEETINGS TO DISCUSS THE COMMUNITY HEALTH PROFILE (CHP IS OUR NAMED CHNA) RESULTS TO DETERMINE A CONSENSUS REGARDING THE TOP SIGNIFICANT COMMUNITY NEEDS AND BRAINSTORM IMPLEMENTATION PLAN OPTIONS. THE HEALTH AREAS OF LUNG DISEASE, DIABETES, UNHEALTHY WEIGHT, AND LATE DIAGNOSES OF DISEASE STATES SURFACED AS PRESSING ISSUES. WHILE REVIEWING ADDITIONAL DATA AND INPUT FROM HEALTHCARE ORGANIZATIONS, EMPLOYERS, SCHOOLS, AND CHURCHES, IT WAS DETERMINED THAT WE WOULD CONTINUE OUR CEASE DIABETES INITIATIVE AND ADD CEASE LUNG DISEASE. WE ALSO BEGAN INCREASE HEALTHY EATING AND INCREASE HEALTH SCREENINGS FOR PRIMARY CHRONIC DISEASE FOCUS IN OUR COMMUNITY FROM 2017-2019. DIABETES: THE CONSENSUS OF THE COMMUNITY DISCUSSION GROUPS IDENTIFIED DIABETES WITH SEVERAL CO-MORBIDITIES WHICH IMPACT SEVERAL OTHER CHRONIC DISEASES AFFECTING OUR POPULATION. DIABETES LENDS THE GREATEST FINANCIAL BURDEN, ALONG WITH DOCUMENTED EMOTIONAL, SOCIAL AND PHYSICAL COSTS IMPACTING NUMEROUS AREAS OF THE COMMUNITY. MGH AND THE CHP ADVISORY TEAM DEFINED MEASURABLES OF DIABETIC IMPACT AS: 1) INCREASE THE NUMBER OF PEOPLE WITH AN A1C UNDER CONTROL, 2) INCREASE THE NUMBER OF PEOPLE WITH DIABETES WHO HAVE A DILATED EYE EXAM YEARLY, 3) INCREASE THE NUMBER OF REFERRALS AND DECREASE THE NUMBER OF NO SHOWS TO THE MGH ACCREDITED EDUCATION PROGRAM FOR SELF-MANAGEMENT (AMERICAN DIABETES ASSOCIATION). 4) A NEW PARTNERSHIP IS UNDER DEVELOPMENT WITH TAYLOR UNIVERSITY PRE-MED, EXERCISE SCIENCE AND NUTRITION MAJORS TO OFFER A PRE-DIABETES RISK REDUCTION PROGRAM CALLED INVITATION. INCREASE HEATHY EATING INCREASE HEALTHY EATING CONTRIBUTES TO THE SUCCESS OF THE CEASE DIABETES, CHRONIC DISEASE ISSUES OF CORONARY ARTERY DISEASE, AND MANY OTHER CO-MORBIDITIES. PARTNERSHIPS WITH PURDUE EXTENSION (4-H, BOYS AND GIRLS CLUB AND AN AT RISK KIDS WEEKEND CAMP ARE IN PROCESS TO DETERMINE GOALS FOR EDUCATION AND INTERVENTIONS. CEASE LUNG DISEASE CEASE LUNG DISEASE WAS DESIGNED TO ADDRESS LUNG CANCER AND 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 COMPARED TO COUNTIES IN INDIANA. GRANT COUNTY'S DIAGNOSIS OF LUNG CANCER IS NOW 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. GOALS FOR TOBACCO CESSATION INCLUDE: 1) REDUCE ADULT SMOKING 2) PROVIDE TRAINING FOR SMOKING CESSATION FACILITATORS, AND 3) PROVIDE EDUCATION ABOUT ELECTRONIC NICOTINE DELIVERY DEVICES TO AREA SCHOOLS, CHURCHES AND YOUTH ORGANIZATIONS 4) LOOK SYSTEM WIDE FOR INCREASING OPPORTUNITY AND UTILIZING MOTIVATIONAL INTERVIEW TECHNIQUES TO INCREASE THE WILL FOR SMOKING CESSATION A TOBACCO TREATMENT SPECIALIST HAS BEEN ADDED TO OUR STAFF 5) CONTINUE TO BUILD A LOCAL COALITION TO ADDRESS TOBACCO ISSUES IN THE COUNTY. GOALS FOR THE ASTHMA INTERVENTION INCLUDE: 1) DEVELOP A RAPID RESPONSE EDUCATION/INTERVENTION FOR PATIENTS WITH ASTHMA RELATED ILLNESSES IN THE EMERGENCY DEPARTMENT AND INPATIENT UNITS AND 2) PROVIDE AREA SCHOOLS WITH SUPPLIES TO ASSESS AND ALLOW TREATMENT/EDUCATION UNDER THE SUPERVISION OF THE SCHOOL NURSES. 3) A NEW LUNG SCREENING DAY PROVIDED THE PLATFORM FOR OVER 40 LOW DOSE CT SCANS TO PROVIDE EARLY DETECTION FOR LUNG DISEASE. 4) THE MGH HEALTH EXPO PROVIDED OPPORTUNITY FOR OVER 40 SKIN CANCER CHECKS. 5) BREATHING TESTS (NO CHARGE) WERE ADDED TO THE COMMUNITY SCREENING PROGRAM. HEALTH SCREENINGS INCREASE HEALTH SCREENINGS 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. COMMUNITY AND IN-HOSPITAL SCREENINGS AT A VERY REDUCED OR FREE HAVE BEEN WIDELY COMMUNICATED AND UTILIZED. MGH SPONSORED A LARGE HEALTH EXPO, WHICH INCLUDED OPPORTUNITIES FOR MANY SCREENINGS, EDUCATION AND AWARENESS OF SCREENING OPPORTUNITIES. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 26 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 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 | 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 STE 200 | UPLAND | IN | 46989 | LAB, RADIOLOGY, PHYSICAL medicine |
| UPLAND HEALTH AND DIAGNOSTICS | ||||
| 1809 S MAIN STREET | UPLAND | IN | 46989 | PHYSICIAN PRACTICE OFFICE |
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 8 OF THE ATTACHED FINANCIAL STATEMENTS, UNDER THE HEADING ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. |
| 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 FACILITATES A LARGE COMMUNITY HEALTH PROFILE (NEEDS ASSESSMENT) EVERY THREE YEARS. 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. ADDITIONAL INFORMATION AND DATA FROM VARIOUS ORGANIZATIONS INCLUDING THE GRANT COUNTY HEALTH DEPARTMENT, THE INDIANA STATE DEPARTMENT OF HEALTH, THE CDC, COUNTY HEALTH RANKINGS, AND CHNA.ORG ARE REVIEWED AND UTILIZED IN ORDER ADD A COMPREHENSIVE PICTURE OF THE HEALTH OF GRANT COUNTY. |
| 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 & 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, COMPRISING OF 88% OF ALL THE PATIENTS WE SERVE. GRANT COUNTY DEMOGRAPHICS ARE AS FOLLOWS: WHITE 88.7% BLACK/AFRICAN AMERICAN 7.4% MULTI-RACIAL 2.6% ASIAN 0.9% HISPANIC 4.4%. MEDIAN INCOME IS $42,046, POPULATION IS 70,061, PERSONS IN POVERTY 18.4%, AND 9.8% ARE WITHOUT HEALTH INSURANCE, (WWW.CENSUS.GOV/QUICKFACTS). |
| SCHEDULE H, PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH MGH MAKES A CONCENTRATED EFFORT TO HAVE PATIENT ACCESS LOCATIONS IN MOST AREAS OF THE COUNTY. 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 FPR 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 THE 2013 AND 2016 COMMUNITY HEALTH PROFILE IDENTIFIED MENTAL HEALTH, SUBSTANCE ABUSE AND PRESCRIPTION DRUG ABUSE AS A CONCERN ALONG WITH LAW ENFORCEMENT DATA. MGH HAS CONTINUED TO CONVENE THE GRANT COUNTY TASK FORCE, WHICH HAS RISEN TO THE HIGHEST ACCOLADES IN THE STATE OF INDIANA WITH OUR IMPLEMENTATION STRATEGY TO TACKLE OPIOID AND HEROIN ABUSE. MGH CONTINUES TO RECEIVE AWARDS AND RECOGNITION FOR THE SUCCESSFUL IMPLEMENTATION STRATEGY TO THE INDIANA STATE MEDICAL ASSOCIATION, INDIANA HOSPITAL ASSOCIATION, INDIANA RURAL HEALTH ASSOCIATION, THE ATTORNEY GENERAL'S BITTER PILL INITIATIVE, AND THE INDIANA DRUG TASK FORCE. MGH HAS PROVIDED THE RESOURCES AND STAFF TO CONTINUE TO DEVELOP AND CREATE ACTIONS PLANS FOR THE GRANT COUNTY SUBSTANCE TASK FORCE, WHICH NOW HAS SIX SUB-COMMITTEES. MGH IS WORKING WITH THE GRANT BLACKFORD MENTAL HEALTH AND SUBSTANCE ABUSE PROVIDER, THE GRANT COUNTY DRUG COURT AND THE SHERIFF'S DEPARTMENT ON A MEDICATION-ASSISTED TREATMENT PROGRAM AND ON A NEW NETWORK THROUGH HRSA PLANNING GRANTS TO CREATE A STRATEGIC PLAN TO ADDRESS THE NEEDS OF SUBSTANCE ABUSE AND MENTAL HEALTH ISSUES SPECIFIC TO OUR RURAL COMMUNITY. THIS PLAN WILL INCLUDE RECRUITING AND RETAINING WORKFORCE THAT SPECIALIZED IN BEHAVIORAL HEALTH. |
| SCHEDULE H, PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT INDIANA. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BRIDGES TO HEALTH INC | |||||||
| 1251 W KEM ROAD | MARION | IN | 46952 | 205405181 | 501(c)(3) | $120,000 | DONATION |
| GRANT COUNTY ECONOMIC GROWTH COUNCIL | |||||||
| 301 S ADAMS SUITE 109 | MARION | IN | 46952 | 351589550 | 501(c)(3) | $5,150 | DONATION |
| UNITED WAY OF GRANT COUNTY | |||||||
| PO BOX 61 | MARION | IN | 46952 | 350995975 | 501(c)(3) | $19,060 | DONATION |
| MARION GRANT COUNTY CHAMBER OF COMMERCE | |||||||
| 217 S ADAMS | MARION | IN | 46952 | 350350890 | 501(C)(6) | $10,300 | DONATION |
| YMCA OF GRANT COUNTY INC | |||||||
| 456 SUTTER WAY | MARION | IN | 46952 | 350886981 | 501(C)(3) | $15,450 | DONATION |
| FAMILY SERVICE SOCIETY INC | |||||||
| 101 S WASHINGTON SUITE 200 | MARION | IN | 46952 | 350868083 | 501(C)(3) | $8,500 | DONATION |
| INDIANA WESLEYAN UNIVERSITY | |||||||
| 4201 S WASHINGTON | MARION | IN | 46953 | 350885591 | 501(C)(3) | $5,700 | DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I | FormAndLineReferenceDesc |
| 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEPHANIE A HILTON-SIEBERT | |||||||||||||
| PRESIDENT/CEO | $429,669 | $0 | $186,490 | $0 | $66,629 | $0 | $8,100 | $0 | $21,207 | $0 | $712,095 | $0 | $0 |
| JEFFREY A WAKEFIELD | |||||||||||||
| CFO | $221,586 | $0 | $64,585 | $0 | $552 | $0 | $8,100 | $0 | $33,350 | $0 | $328,173 | $0 | $0 |
| DON J TRICARICO JR | |||||||||||||
| CAO | $239,659 | $0 | $67,673 | $0 | $0 | $0 | $8,100 | $0 | $4,039 | $0 | $319,471 | $0 | $0 |
| CYNTHIA D FUTRELL | |||||||||||||
| CNO | $159,256 | $0 | $46,894 | $0 | $6,353 | $0 | $6,417 | $0 | $32,782 | $0 | $251,702 | $0 | $0 |
| KAREN J JACOBS DO | |||||||||||||
| MEMBER | $397,408 | $0 | $64,644 | $0 | $26,454 | $0 | $8,100 | $0 | $20,222 | $0 | $516,828 | $0 | $0 |
| SHANKARAN SRIKANTH MD | |||||||||||||
| VICE-CHAIR OF MEDICAL STAFF | $380,577 | $0 | $65,463 | $0 | $25,391 | $0 | $8,100 | $0 | $32,572 | $0 | $512,103 | $0 | $0 |
| JAMES M ORRELL MD | |||||||||||||
| CHIEF OF MEDICAL STAFF | $258,750 | $0 | $98,083 | $0 | $36,722 | $0 | $8,100 | $0 | $33,392 | $0 | $435,047 | $0 | $0 |
| JEFFREY W BRAGG DO | |||||||||||||
| MEMBER | $218,232 | $0 | $30,187 | $0 | $25,854 | $0 | $7,575 | $0 | $22,348 | $0 | $304,196 | $0 | $0 |
| MARTIN W PRUSS MD | |||||||||||||
| MEMBER | $193,343 | $0 | $0 | $0 | $28,676 | $0 | $0 | $0 | $0 | $0 | $222,019 | $0 | $0 |
| EDMOND ANDRE BENDALY MD | |||||||||||||
| PHYSICIAN | $507,059 | $0 | $243,022 | $0 | $20,000 | $0 | $8,100 | $0 | $0 | $0 | $778,181 | $0 | $0 |
| EMILY T BARRIDO-KABIGTING MD | |||||||||||||
| PHYSICIAN | $330,208 | $0 | $181,684 | $0 | $22,344 | $0 | $8,100 | $0 | $23,826 | $0 | $566,162 | $0 | $0 |
| JEREMY R WILSON DO | |||||||||||||
| PHYSICIAN | $305,293 | $0 | $197,633 | $0 | $20,295 | $0 | $8,100 | $0 | $32,389 | $0 | $563,710 | $0 | $0 |
| RATHI P MAHENDRAN MD | |||||||||||||
| PHYSICIAN | $512,513 | $0 | $0 | $0 | $0 | $0 | $8,100 | $0 | $10,073 | $0 | $530,686 | $0 | $0 |
| JITENDRA I PATEL MD | |||||||||||||
| PHYSICIAN | $421,723 | $0 | $50,688 | $0 | $38,065 | $0 | $8,100 | $0 | $23,202 | $0 | $541,778 | $0 | $0 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDIANA FINANCE AUTHORITY | ||||||||
| A | 351602316 | 45471A4A3 | 2012-04-26 | $36,248,711 | NEW MONEY AND CURRENT REFUNDING | false | false | false |
| INDIANA FINANCE AUTHORITY | ||||||||
| B | 351602316 | 2015-07-07 | $33,000,000 | NEW MONEY AND CURRENT REFUNDING | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $3,070,000 | $0 | $36,255,573 | $0 | $0 | $0 | $545,890 | $0 | $0 | $8,086,862 | $27,622,821 | $0 | 2016 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $2,625,000 | $0 | $33,160,776 | $0 | $0 | $0 | $333,500 | $0 | $0 | $13,040,801 | $17,315,000 | $2,471,475 | Yes (true) | false | false | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | false | false | Yes (true) | false | false | false | 0 | Yes (true) | Yes (true) |
| 0 | ||||||||||
| B | false | Yes (true) | false | false | Yes (true) | false | false | 0 | Yes (true) | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II LINE 3 | TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2012 BONDS - $ 6,862 2015 BONDS - $160,776 |
| 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 WAS PERFORMED ON 3/15/2017. |
Schedule L IRS990ScheduleL
Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (7 entries)
| Relationship With OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| JEFFREY W BRAGG DO | |||||||
| EMPLOYED | RECRUITMENT | Yes (X) | $25,000 | $10,000 | false | Yes (true) | Yes (true) |
| KAREN J JACOBS DO | |||||||
| EMPLOYED | RECRUITMENT | Yes (X) | $110,000 | $63,500 | false | Yes (true) | Yes (true) |
| JAMES M ORRELL MD | |||||||
| EMPLOYED | RECRUITMENT | Yes (X) | $25,000 | $10,000 | false | Yes (true) | Yes (true) |
| MARTIN W PRUSS MD | |||||||
| EMPLOYED | RECRUITMENT | Yes (X) | $60,000 | $10,250 | false | Yes (true) | Yes (true) |
| SHANKARAN SRIKANTH MD | |||||||
| EMPLOYED | RECRUITMENT | Yes (X) | $25,000 | $12,500 | false | Yes (true) | Yes (true) |
| JITENDRA I PATEL MD | |||||||
| EMPLOYED | RECRUITMENT | Yes (X) | $100,000 | $44,000 | false | Yes (true) | Yes (true) |
| JEREMY R WILSON DO | |||||||
| EMPLOYED | RECRUITMENT | Yes (X) | $20,000 | $16,667 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $166,917 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | IMG INSURANCE | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE COMMENT | RelationshipDescriptionTxt |
| Transaction | $362,595 | TransactionAmt |
| Transaction | SEE COMMENT | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV | FormAndLineReferenceDesc |
| Explanation | The son of Tim Dailey, MGH board member, owns >35% of IMG Insurance, a company which conducts business with MGH. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1B | STEPHANIE HILTON-SIEBERT, 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 2013, PREPARED BY MERCER. MERCER WILL COMPLETE A REVIEW IN THE FALL OF 2018. |
| 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 $2,491,051 |
| 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. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MGH FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 N WABASH AVENUE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46952 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 811872365 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 12A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MGH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROGRESSIVE CANCER CARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 831 N THEATER DRIVE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46952 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320061469 | EIN |
| Primary Activities | ONCOLOGY CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $204,131 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,657,100 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.50977 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (true) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PROGRESSIVE CANCER CARE LLC | ||
| F | $333,696 | FMV |
| PROGRESSIVE CANCER CARE LLC | ||
| K | $216,094 | FMV |
| PROGRESSIVE CANCER CARE LLC | ||
| P | $143,812 | FMV |
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