2019-05-14T08:34:24-05:00 2018-06-30 BKD LLP 200 E Main St Suite 700 Fort Wayne IN 46802 990 2017-07-01 350868130 MARION GENERAL HOSPITAL INC % MARION GENERAL HOSPITAL INC MARI 7656607000 441 N WABASH AVENUE MARION IN 469522690 JEFFREY A WAKEFIELD CFO 7656607000 2019-05-15 true Lauren R Denton P01571860 2604604000 167.68.126.162 35027420191345000002 2019-05-14 P 00366C703701EE9F8F204612D166C0A2DE02EC71 CA4D4D82627664C21956C83B295B0094B3C05049 2017 2019-02-21 02:37:17Z STEPHANIE HILTON-SIEBERT 441 N WABASH AVENUE MARION IN 469522690 433879310 false X WWW.MGH.NET X 1910 IN PROVIDES COST-EFFECTIVE HOSPITAL & HEALTH SERVICES TO GRANT & SURROUNDING COUNTIES. THE SERVICES PROVIDED BY THE HOSPITAL ARE AIMED TO IMPROVE THE WELL-BEING OF THE COMMUNITY. 13 6 1307 115 92883 26718 108233 130318 190324947 184956601 5539874 17374741 -1097771 -1087758 194875283 201373902 231573 184160 0 0 65895398 61376657 0 0 0 116583698 119662008 182710669 181222825 12164614 20151077 374065458 382696177 108057766 99958422 266007692 282737755 X MARION GENERAL HOSPITAL EXISTS TO TRANSFORM THE HEALTH OF OUR COMMUNITY THROUGH PATIENT-CENTERED, HIGH QUALITY, AFFORDABLE CARE. BEST PRACTICES BY LEADING A COLLABORATIVE APPROACH INVOLVING PHYSICIANS, STAFF, BUSINESS LEADERS AND OUR COMMUNITY. false false 50971009 40440095 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. 9410087 21496867 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. 12486173 22541654 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. 96969118 184160 100477985 SEE SCHEDULE O DISCLOSURE FOR: PROGRAM SERVICE ACCOMPLISHMENTS PART III, LINE 4D 96969118 184160 100477985 169836387 true true false true false false false false false true true true false false true true true false false false false false false false false false true true true false true true true false false false false true false true true false false false false false false true true true false false true 91 0 1307 true true true false false false false false false false false false X 13 6 false false false false false false false true true false false true true true true true true true true true true IN X MARION GENERAL HOSPITAL INC 7656607000 441 N WABASH AVENUE MARION IN 469522690 STEPHANIE A HILTON-SIEBERT PRESIDENT/CEO 50.0 0.0 X X 682788 0 29307 M NABI SHARIF MD MEMBER 2.0 0.0 X 103145 0 0 KAREN J JACOBS DO MEMBER 40.0 0.0 X 488506 0 28322 JAMES M ORRELL MD CHIEF OF MEDICAL STAFF 40.0 0.0 X 393555 0 41492 JEFFREY W BRAGG DO MEMBER 40.0 0.0 X 274273 0 29923 MARTIN W PRUSS MD MEMBER 40.0 0.0 X 222019 0 0 STEVEN E BERRY MEMBER 2.0 0.0 X 0 0 0 KEVIN R CATES MEMBER 2.0 0.0 X 0 0 0 TIMOTHY J DAILEY VICE-CHAIR 2.0 0.0 X X 0 0 0 JAMES GARTLAND JR MEMBER 2.0 0.0 X 0 0 0 BARBARA IHRKE BOARD CHAIR 2.0 0.0 X X 0 0 0 MICHAEL J O'BRIEN BOARD TREASURER 2.0 0.0 X X 0 0 0 STEPHEN H WICKES BOARD SECRETARY 2.0 0.0 X X 0 0 0 JEFFREY A WAKEFIELD CFO 50.0 0.0 X 286723 0 41450 DON J TRICARICO JR CAO 50.0 0.0 X 307332 0 12139 CYNTHIA D FUTRELL CNO 50.0 0.0 X 212503 0 39199 EDMOND ANDRE BENDALY MD PHYSICIAN 40.0 0.0 X 770081 0 8100 EMILY T BARRIDO-KABIGTING MD PHYSICIAN 40.0 0.0 X 534236 0 31926 JEREMY R WILSON DO PHYSICIAN 40.0 0.0 X 523221 0 40489 RATHI P MAHENDRAN MD PHYSICIAN 40.0 0.0 X 512513 0 18173 JITENDRA I PATEL MD PHYSICIAN 40.0 0.0 X 510476 0 31302 SHANKARAN SRIKANTH MD VICE-CHAIR OF MEDICAL STAFF 40.0 0.0 X 471431 0 40672 6292802 0 392494 98 true true false JJ ELECTRIC OF INDIANA INC 3180 W STATE ROAD 18 KOKOMO IN 46903 GENERAL CONTRACTING 2379022 BOWMAN CONSTRUCTION CO INC 1837 BRANSON STREET MARION IN 46953 GENERAL CONTRACTING 1215192 CENTRAL INDIANA ORTHOPEDICS PC 3600 W BETHEL AVENUE MUNCIE IN 47304 PHYSICIAN COVERAGE 1202451 SOUTH BEND MEDICAL FOUNDATION 530 N LAFAYETTE BLVD SOUTH BEND IN 46601 OUTSIDE LAB SERVICES 1098891 ASSOC ANESTHESIOLOGISTS OF FT WAYNE 5734 COVENTRY LANE FT WAYNE IN 46804 PHYSICIAN COVERAGE 1068777 43 94143 36175 130318 NET PATIENT REVENUE 900099 183059821 183059821 MED DIRECTOR SERVICES 900099 446090 446090 GAIN ON EQUITY IN JOINT VENTURES 900099 593714 593714 VHA DIVIDEND 900099 174914 174914 MEDICAL RECORDS 900099 56456 56456 625606 625606 184956601 5882081 5882081 0 0 309219 1495160 -1185941 0 -1185941 -1185941 242500308 2500 230902923 107225 11597385 -104725 11492660 11492660 5400 100 5300 5300 0 0 0 0 0 0 BILLING SERVICES 541900 92883 92883 92883 201373902 184956601 92883 16194100 184160 184160 0 0 0 1611440 473309 1138131 0 43728259 38891595 4836664 3893424 3339710 553714 8153479 6993911 1159568 3990055 3422599 567456 0 377717 377717 114027 114027 0 0 0 8009744 8009744 358654 358654 7143165 6786007 357158 2756208 2756208 0 4211552 3790397 421155 299610 239688 59922 0 100479 80383 20096 1884623 1884623 0 10548524 9493672 1054852 1393983 874573 519410 MEDICAL SUPPLIES/DRUGS 22022026 22022026 PROVISION FOR BAD DEBTS 7575257 7575257 PHYSICIAN SERVICES 22916840 22916840 PURCHASED SERVICES 14677848 14677848 15271751 15065183 206568 181222825 169836387 11386438 0 3600 4000 37348475 16486035 0 0 24787098 24114574 60000 166917 0 0 3589565 3337695 1412517 1266339 2848967 2807777 223350341 136181998 86061544 87168343 207426063 223147104 6527474 19676844 0 0 2018953 1968096 1981202 2552453 374065458 382696177 21511175 17153829 0 0 0 0 64760307 62818956 0 0 0 0 0 0 0 0 21786284 19985637 108057766 99958422 X 265997537 282727600 0 0 10155 10155 266007692 282737755 374065458 382696177 X 20151077 -5912065 2491051 X false true X true false X false false false false false false true false true 22956 22956 false false PART II-B, LINE 1g MARION GENERAL HOSPITAL OCCASIONALLY SENDS LETTERS TO OR DIRECTLY CONTACTS LEGISLATORS. PART II-B, LINE 1i MARION GENERAL HOSPITAL PAID MEMBERSHIP DUES TO SEVERAL ORGANIZATIONS FOR WHICH A VARYING PERCENTAGE WAS ATTRIBUTED TO LOBBYING EXPENSES. THESE ORGANIZATIONS INCLUDE THE INDIANA HOSPITAL ASSOC., AMERICAN HOSPITAL ASSOC., AMERICAN ACADEMY OF FAMILY PHYSICIANS, AMERICAN COLLEGE OF PHYSICIANS, AMERICAN MEDICAL ASSOC., AMERICAN OSTEOPATHIC ASSOCIATION, ONCOLOGY NURSING SOCIETY, AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS, INDIANA STATE MEDICAL ASSOCIATION, AMONG VARIOUS OTHERS. 10155 10155 10155 10155 10155 10155 10155 10155 10155 10155 1.00000 false false 4646548 4646548 132355721 75447423 56908298 3287382 1966907 1320475 74854957 57064040 17790917 8205733 1703528 6502105 87168343 PRIVATE EQUITY FUNDS 18196464 F INVESTMENT IN JOINT VENTURE 1480380 F 19676844 0 MINIMUM PENSION LIABILITY 19985637 19985637 185419241 -5912065 1495160 -4416905 189836146 11537756 11537756 201373902 171180229 1495160 1495160 169685069 11537756 11537756 181222825 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. true true X true X 300. false true true false true true 7754 4966613 4966613 0.02800 46253728 22874060 23379668 0.13460 7754 51220341 22874060 28346281 0.16260 104926 1090258 98258 992000 0.00570 2556 1270369 1270369 0.00730 171 642 642 368 3080 3080 10325 465951 465951 0.00270 118346 2830300 98258 2732042 0.01570 126100 54050641 22972318 31078323 0.17830 770 19455 19455 0.00010 11512 1283 1283 0.00010 11 1081975 1081975 0.00620 12293 1102713 1102713 0.00640 false 4625041 462504 34524117 40515638 -5991521 X true true PROGRESSIVE CANCER ONCOLOGY CENTER 0.59771 0.0943 0.1181 1 1 MARION GENERAL HOSPITAL INC 441 N WABASH AVENUE MARION IN 46952 WWW.MGH.NET 17-005011-1 X X X OFF-CAMPUS RADIOLOGY ONCOLOGY, SLEEP LAB PHYSICAL MED, LAB MARION GENERAL HOSPITAL INC 1 false false true X X X X X X X X X 15 true false true true X WWW.MGH.NET X SEE DISCLOSURE true 16 false true false true X 300. 0. X X X true true X X X X true X WWW.MGH.NET X WWW.MGH.NET X WWW.MGH.NET X X X X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 MGH 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. 26 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 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. true BRIDGES TO HEALTH INC 1251 W KEM ROAD MARION IN 46952 205405181 501(c)(3) 120000 DONATION GRANT COUNTY ECONOMIC GROWTH COUNCIL 301 S ADAMS SUITE 109 MARION IN 46952 351589550 501(c)(3) 5150 DONATION UNITED WAY OF GRANT COUNTY PO BOX 61 MARION IN 46952 350995975 501(c)(3) 19060 DONATION MARION GRANT COUNTY CHAMBER OF COMMERCE 217 S ADAMS MARION IN 46952 350350890 501(C)(6) 10300 DONATION YMCA OF GRANT COUNTY INC 456 SUTTER WAY MARION IN 46952 350886981 501(C)(3) 15450 DONATION FAMILY SERVICE SOCIETY INC 101 S WASHINGTON SUITE 200 MARION IN 46952 350868083 501(C)(3) 8500 DONATION INDIANA WESLEYAN UNIVERSITY 4201 S WASHINGTON MARION IN 46953 350885591 501(C)(3) 5700 DONATION 6 1 SCHEDULE I THE MGH COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AS ONE OF THE LARGER EMPLOYERS IN GRANT COUNTY, MGH DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN, AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES. X X X X X false false false false false false false false false STEPHANIE A HILTON-SIEBERT PRESIDENT/CEO 429669 0 186490 0 66629 0 8100 0 21207 0 712095 0 0 JEFFREY A WAKEFIELD CFO 221586 0 64585 0 552 0 8100 0 33350 0 328173 0 0 DON J TRICARICO JR CAO 239659 0 67673 0 0 0 8100 0 4039 0 319471 0 0 CYNTHIA D FUTRELL CNO 159256 0 46894 0 6353 0 6417 0 32782 0 251702 0 0 KAREN J JACOBS DO MEMBER 397408 0 64644 0 26454 0 8100 0 20222 0 516828 0 0 SHANKARAN SRIKANTH MD VICE-CHAIR OF MEDICAL STAFF 380577 0 65463 0 25391 0 8100 0 32572 0 512103 0 0 JAMES M ORRELL MD CHIEF OF MEDICAL STAFF 258750 0 98083 0 36722 0 8100 0 33392 0 435047 0 0 JEFFREY W BRAGG DO MEMBER 218232 0 30187 0 25854 0 7575 0 22348 0 304196 0 0 MARTIN W PRUSS MD MEMBER 193343 0 0 0 28676 0 0 0 0 0 222019 0 0 EDMOND ANDRE BENDALY MD PHYSICIAN 507059 0 243022 0 20000 0 8100 0 0 0 778181 0 0 EMILY T BARRIDO-KABIGTING MD PHYSICIAN 330208 0 181684 0 22344 0 8100 0 23826 0 566162 0 0 JEREMY R WILSON DO PHYSICIAN 305293 0 197633 0 20295 0 8100 0 32389 0 563710 0 0 RATHI P MAHENDRAN MD PHYSICIAN 512513 0 0 0 0 0 8100 0 10073 0 530686 0 0 JITENDRA I PATEL MD PHYSICIAN 421723 0 50688 0 38065 0 8100 0 23202 0 541778 0 0 A INDIANA FINANCE AUTHORITY 351602316 45471A4A3 2012-04-26 36248711 NEW MONEY AND CURRENT REFUNDING false false false B INDIANA FINANCE AUTHORITY 351602316 2015-07-07 33000000 NEW MONEY AND CURRENT REFUNDING false false false A 3070000 0 36255573 0 0 0 545890 0 0 8086862 27622821 0 2016 true false true true B 2625000 0 33160776 0 0 0 333500 0 0 13040801 17315000 2471475 true false false true A false false true true false 0 false false false true B false false true true false 0 false false false true A false false false true false false 0 false 0 true true B false true false false true false 0 false 0 true true A true B true PART II LINE 3 TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2012 BONDS - $ 6,862 2015 BONDS - $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. JEFFREY W BRAGG DO EMPLOYED RECRUITMENT X 25000 10000 false true true KAREN J JACOBS DO EMPLOYED RECRUITMENT X 110000 63500 false true true JAMES M ORRELL MD EMPLOYED RECRUITMENT X 25000 10000 false true true MARTIN W PRUSS MD EMPLOYED RECRUITMENT X 60000 10250 false true true SHANKARAN SRIKANTH MD EMPLOYED RECRUITMENT X 25000 12500 false true true JITENDRA I PATEL MD EMPLOYED RECRUITMENT X 100000 44000 false true true JEREMY R WILSON DO EMPLOYED RECRUITMENT X 20000 16667 false true true 166917 IMG INSURANCE SEE COMMENT 362595 SEE COMMENT false PART IV The son of Tim Dailey, MGH board member, owns >35% of IMG Insurance, a company which conducts business with MGH. FORM 990, PART VI, 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. 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