MARION GENERAL HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
MARION GENERAL HOSPITAL (EIN 35-0868130)
Tax period
2015-07-01 to 2016-06-30
Filed
2017-05-08
IRS object ID
201711289349301056
Schema version
2015v3.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2017-05-08T10:00:24-05:00ReturnTs
Tax Period End2016-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 E Main St Suite 700AddressLine1Txt
CityFort WayneCityNm
State AbbreviationINStateAbbreviationCd
ZIP46802ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN350868130EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARION GENERAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MARION GENERAL HOSPITAL INCInCareOfNm
Business Name ControlMARIBusinessNameControlTxt
Phone7656607000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1Txt
CityMARIONCityNm
State AbbreviationINStateAbbreviationCd
ZIP469522690ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonSTEPHANIE HILTON-SIEBERTPersonNm
Person TitlePRESIDENT/CEOPersonTitleTxt
Phone7656607000PhoneNum
Signature2017-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJoyce A DulworthPreparerPersonNm
PTINP00151125PTIN
Phone2604604000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSTEPHANIE HILTON-SIEBERTPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1Txt
CityMARIONCityNm
State AbbreviationINStateAbbreviationCd
ZIP469522690ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$263,792,157GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MGH.NETWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1910FormationYr
Legal Domicile StateINLegalDomicileStateCd
Activity Or MissionPROVIDES 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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee1358TotalEmployeeCnt
Total Volunteers115TotalVolunteersCnt
Total Gross UBI$84,122TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$23,446NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$97,173PYContributionsGrantsAmt
CY Contributions Grants$87,844CYContributionsGrantsAmt
PY Program Service Revenue$172,339,279PYProgramServiceRevenueAmt
CY Program Service Revenue$180,557,306CYProgramServiceRevenueAmt
PY Investment Income$6,889,185PYInvestmentIncomeAmt
CY Investment Income$4,914,719CYInvestmentIncomeAmt
PY Other Revenue-$1,492,046PYOtherRevenueAmt
CY Other Revenue-$1,148,328CYOtherRevenueAmt
PY Total Revenue$177,833,591PYTotalRevenueAmt
CY Total Revenue$184,411,541CYTotalRevenueAmt
PY Grants And Similar Paid$272,224PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$217,382CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$65,219,098PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$63,917,599CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$96,848,578PYOtherExpensesAmt
CY Other Expenses$111,480,674CYOtherExpensesAmt
PY Total Expenses$162,339,900PYTotalExpensesAmt
CY Total Expenses$175,615,655CYTotalExpensesAmt
PY Revenues Less Expenses$15,493,691PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,795,886CYRevenuesLessExpensesAmt
Total Assets BOY$333,906,652TotalAssetsBOYAmt
Total Assets EOY$352,498,455TotalAssetsEOYAmt
Total Liabilities BOY$98,959,261TotalLiabilitiesBOYAmt
Total Liabilities EOY$112,299,727TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$234,947,391NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$240,198,728NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMARION 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 SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$52,790,140ExpenseAmt
Revenue$43,269,952RevenueAmt
DescINPATIENT SERVICES - MARION GENERAL HOSPITAL (MGH) OPERATES A 97-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 5,198 INPATIENT ADULT AND PEDIATRIC PAITENTS, AND PROVIDED 18,189 INPATIENT ADULT AND PEDIATRIC PATIENT CARE DAYS DURING THE YEAR ENDED JUNE 30, 2016. DURING THE SAME TIME PERIOD, MGH ALSO DISCHARGED 275 AND PROVIDED 3,086 PATIENT CARE DAYS FOR PATIENTS IN THE ACUTE REHAB UNIT. THERE WERE 628 DELIVERIES PERFORMED.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,489,653ExpenseAmt
Revenue$22,086,312RevenueAmt
DescEMERGENCY ROOM SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL OPERATES ONE OF THE BUSIEST 24-HOUR EMERGENCY ROOMS IN THE STATE. THERE WERE 39,384 OUTPATIENT VISITS DURING THE YEAR ENDED JUNE 30, 2016. THERE WERE ALSO AN ADDITIONAL 4,092 ER PATIENTS THAT WERE ULTIMATELY ADMITTED AS AN INPATIENT TO THE HOSPITAL, FOR A TOTAL OF 43,476 VISITS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$13,125,165ExpenseAmt
Revenue$20,981,475RevenueAmt
DescRADIOLOGY SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL (MGH) HAS TWO STATE-OF-THE-ART FACILITIES THAT FEATURE THE LATEST IN TECHNOLOGY. THE RADIOLOGY DEPARTMENT FEATURES THE STATE'S ONLY LOW DOSE FULL-FIELD DIGITAL MAMMOGRAPHY, AND ALSO OFFERS PATIENTS A 64 SLICE CT SCANNER WITH CARDIAC IMAGING CAPABILITIES. MGH HAS THREE 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 80,934 OUTPATIENT RADIOLOGY PROCEDURES DURING THE YEAR ENDED JUNE 30, 2016.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (3 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$87,500,588$217,382$93,856,429SEE SCHEDULE O DISCLOSURE FOR:
PROGRAM SERVICE ACCOMPLISHMENTS,
PART III, LINE 4D
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$87,500,588TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$217,382TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$93,856,429TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$162,905,546TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsYes (true)InvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingYes (true)LoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document125IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1358EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressYes (true)OfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldINStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonMARION GENERAL HOSPITAL INCPersonNm
Phone7656607000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1Txt
CityMARIONCityNm
State AbbreviationINStateAbbreviationCd
ZIP469522690ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEVEN E BERRY
MEMBER2.00.0Yes (X)$0$0$0
JEFFREY W BRAGG DO
PHYSICIAN/BOARD MEMBER40.00.0Yes (X)$279,869$0$26,405
KEVIN R CATES
MEMBER2.00.0Yes (X)$0$0$0
TIMOTHY J DAILEY
VICE-CHAIR2.00.0Yes (X)$0$0$0Yes (X)
JAMES M GARTLAND JR
MEMBER2.00.0Yes (X)$0$0$0
KRISTINE HESS MD
CHIEF OF MEDICAL STAFF2.00.0Yes (X)$9,937$0$0
BARBARA IHRKE
BOARD CHAIR2.00.0Yes (X)$0$0$0Yes (X)
KAREN JACOBS DO
MEMBER2.00.0Yes (X)$39,850$0$0
MICHAEL J O'BRIEN
BOARD TREASURER2.00.0Yes (X)$0$0$0Yes (X)
M NABI SHARIF MD
MEMBER2.00.0Yes (X)$98,296$0$0
SHANKARAN SRIKANTH MD
PHYSICIAN/BOARD MEMBER40.00.0Yes (X)$478,468$0$35,189
PAUL L USHER
PRESIDENT/CEO50.00.0Yes (X)$703,059$0$28,610Yes (X)
STEPHEN H WICKES
BOARD SECRETARY2.00.0Yes (X)$0$0$0Yes (X)
STEPHANIE A HILTON-SIEBERT
PRESIDENT/CEO-ELECT (11/23/15)50.00.0Yes (X)$250,235$0$24,447Yes (X)
ROBYN L POWELL
CFO (LEFT 11/27/15)50.00.0$369,557$0$16,041Yes (X)
CYNTHIA D FUTRELL
CNO (BEGAN 10/20/15)50.00.0$171,656$0$20,166Yes (X)
JEFFREY A WAKEFIELD
CFO (BEGAN 6/6/16)50.00.0$0$0$0Yes (X)
DON J TRICARICO JR
CAO (BEGAN 3/7/16)50.00.0$0$0$0Yes (X)
SHAWN T SWAN MD
PHYSICIAN40.00.0$702,378$0$36,150Yes (X)
EDMOND ANDRE BENDALY MD
PHYSICIAN40.00.0$589,515$0$7,950Yes (X)
JEREMY R WILSON DO
PHYSICIAN40.00.0$555,212$0$36,365Yes (X)
RATHI P MAHENDRAN MD
PHYSICIAN40.00.0$525,786$0$16,537Yes (X)
TAMY E PERNG MD
PHYSICIAN40.00.0$505,908$0$17,640Yes (X)
BERNADINE L WALLACE
CNO (LEFT 6/22/15)50.00.0$422,743$0$14,625Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,702,469TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$280,125TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K93IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
BOWMAN CONSTRUCTION COMPANY
1837 BRANSON STREETMARIONIN46952GENERAL CONTRACTING$4,743,537
NAVIGANT CONSULTING INC
4511 PAYSPHERE CIRCLECHICAGOIL60674CONSULTING$1,913,178
BSA LIFESTRUCTURES
9365 COUNSELORS ROW STE 300INDIANAPOLISIN46240FACILITY DESIGN$1,480,745
CENTRAL INDIANA ORTHOPEDICS PC
3600 W BETHEL AVENUEMUNCIEIN47304MEDICAL SERVICES$1,265,475
SOUTH BEND MEDICAL FOUNDATION
530 N LAFAYETTE BLVDSOUTH BENDIN46601OUTSIDE LAB SERVICE$1,041,917
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K39CntrctRcvdGreaterThan100KCnt
Government Grants$74,858GovernmentGrantsAmt
All Other Contributions$12,986AllOtherContributionsAmt
Total Contributions$87,844TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT REVENUE900099$178,322,191$178,322,191
GAIN ON EQUITY IN JOINT VENTURES900099$464,968$464,968
MED DIRECTOR SERVICES900099$401,858$401,858
VHA DIVIDEND900099$153,922$153,922
MEDICAL RECORDS900099$75,130$75,130

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,139,237TotalRevenueColumnAmt
Related Or Exempt Func Income$1,139,237RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$180,557,306TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,490,623TotalRevenueColumnAmt
Exclusion$5,490,623ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,272,250RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$2,510,379RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real-$1,238,129RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,238,129TotalRevenueColumnAmt
Exclusion-$1,238,129ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$76,291,987SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$76,504,753SecuritiesAmt
Other$363,138OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$212,766SecuritiesAmt
Other-$363,138OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$575,904TotalRevenueColumnAmt
Related Or Exempt Func Income-$363,138RelatedOrExemptFuncIncomeAmt
Exclusion-$212,766ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$8,025FundraisingGrossIncomeAmt
Fundraising Direct Expenses$2,346FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,679TotalRevenueColumnAmt
Exclusion$5,679ExclusionAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescBILLING SERVICESDesc
Business541900BusinessCd
Total Revenue Column$84,122TotalRevenueColumnAmt
Unrelated Business Revenue$84,122UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$84,122OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$184,411,541TotalRevenueColumnAmt
Related Or Exempt Func Income$180,194,168RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$84,122UnrelatedBusinessRevenueAmt
Exclusion$4,045,407ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$217,382TotalAmt
Program Services$217,382ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,021,138TotalAmt
Program Services$781,742ProgramServicesAmt
Management And General$1,239,396ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$10,526TotalAmt
Program Services$10,526ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$43,879,173TotalAmt
Program Services$38,345,979ProgramServicesAmt
Management And General$5,533,194ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,010,531TotalAmt
Program Services$4,185,891ProgramServicesAmt
Management And General$824,640ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,118,982TotalAmt
Program Services$7,618,168ProgramServicesAmt
Management And General$1,500,814ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$3,877,249TotalAmt
Program Services$3,239,126ProgramServicesAmt
Management And General$638,123ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$384,262TotalAmt
Management And General$384,262ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$147,061TotalAmt
Management And General$147,061ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$7,358,704TotalAmt
Program Services$7,358,704ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$400,867TotalAmt
Program Services$400,867ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,508,623TotalAmt
Program Services$6,183,192ProgramServicesAmt
Management And General$325,431ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,054,442TotalAmt
Program Services$3,054,442ProgramServicesAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,166,383TotalAmt
Program Services$3,749,745ProgramServicesAmt
Management And General$416,638ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$262,935TotalAmt
Program Services$210,348ProgramServicesAmt
Management And General$52,587ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$91,084TotalAmt
Program Services$72,867ProgramServicesAmt
Management And General$18,217ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,350,808TotalAmt
Program Services$1,350,808ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,961,896TotalAmt
Program Services$8,965,706ProgramServicesAmt
Management And General$996,190ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,248,620TotalAmt
Program Services$803,695ProgramServicesAmt
Management And General$444,925ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES/DRUGS$19,680,134$19,680,134
PROVISION FOR BAD DEBTS$15,161,750$15,161,750
PHYSICIAN SERVICES$19,580,264$19,580,264
PURCHASED SERVICES$15,657,911$15,657,911

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$6,464,930TotalAmt
Program Services$6,276,299ProgramServicesAmt
Management And General$188,631ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$175,615,655TotalAmt
Program Services$162,905,546ProgramServicesAmt
Management And General$12,710,109ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,720BOYAmt
EOY$3,710EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$33,965,165BOYAmt
EOY$45,832,726EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$18,629,434BOYAmt
EOY$20,578,789EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$278,836BOYAmt
EOY$109,923EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,560,988BOYAmt
EOY$3,636,090EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,716,593BOYAmt
EOY$1,505,584EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,969,468BOYAmt
EOY$2,194,280EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$212,745,294LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$131,047,841LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$77,614,488BOYAmt
EOY$81,697,453EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$174,343,568BOYAmt
EOY$182,120,282EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,526,222BOYAmt
EOY$10,178,945EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$2,136,418BOYAmt
EOY$2,069,810EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$9,161,752BOYAmt
EOY$2,570,863EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$333,906,652BOYAmt
EOY$352,498,455EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,118,434BOYAmt
EOY$17,658,349EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$53,328,070BOYAmt
EOY$67,363,137EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$27,512,757BOYAmt
EOY$27,278,241EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,959,261BOYAmt
EOY$112,299,727EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$234,937,236BOYAmt
EOY$240,188,573EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,155BOYAmt
EOY$10,155EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$234,947,391BOYAmt
EOY$240,198,728EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$333,906,652BOYAmt
EOY$352,498,455EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,795,886ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$3,971,817NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$427,268OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$27,424OtherActivitiesAmt
Total Lobbying Expenditures$27,424TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1gFormAndLineReferenceDesc
ExplanationMARION 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., AOA, ONCOLOGY NURSING SOCIETY, AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS, INDIANA STATE MEDICAL ASSOCIATION, AMONG VARIOUS OTHERS.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,155BeginningYearBalanceAmt
End Year Balance$10,155EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,155BeginningYearBalanceAmt
End Year Balance$10,155EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,155BeginningYearBalanceAmt
End Year Balance$10,155EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,155BeginningYearBalanceAmt
End Year Balance$10,155EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,155BeginningYearBalanceAmt
End Year Balance$10,155EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,646,548OtherCostOrOtherBasisAmt
Book Value$4,646,548BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$113,907,381OtherCostOrOtherBasisAmt
Depreciation$64,263,711DepreciationAmt
Book Value$49,643,670BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,473,673OtherCostOrOtherBasisAmt
Depreciation$916,091DepreciationAmt
Book Value$1,557,582BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$79,699,158OtherCostOrOtherBasisAmt
Depreciation$63,695,177DepreciationAmt
Book Value$16,003,981BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$12,018,534OtherCostOrOtherBasisAmt
Depreciation$2,172,862DepreciationAmt
Book Value$9,845,672BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$81,697,453TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescMINIMUM PENSION LIABILITYDesc
Amt$27,278,241Amt
FieldValueIRS element (for citing)
Total Liability$27,278,241TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$168,101,734TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$3,971,817NetUnrealizedGainsInvstAmt
Other Revenue$2,510,379OtherRevenueAmt
Revenue Not Reported-$1,461,438RevenueNotReportedAmt
Revenue Subtotal$169,563,172RevenueSubtotalAmt
Other Revenues Not Included$14,848,369OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$14,848,369RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$184,411,541TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$163,277,665TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$2,510,379OtherExpensesIncludedAmt
Expenses Not Reported$2,510,379ExpensesNotReportedAmt
Expenses Subtotal$160,767,286ExpensesSubtotalAmt
Other Expenses Not Included$14,848,369OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$14,848,369ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$175,615,655TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART V, LINE 4THE HOSPITAL'S ENDOWMENT FUNDS ARE USED FOR CRITICAL CARE DEPARTMENT EDUCATION EXPENSES, AND OTHER PROGRAM SERVICE EXPENSES.
SCHEDULE D, PART XI AND XIILINE 2D RENTAL EXPENSE $2,510,379 LINE 4B BAD DEBT EXPENSE $14,848,369
ASC 740 FOOTNOTEACCOUNTING 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, 2016 AND JUNE 30, 2015 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served7203PersonsServedCnt
Total Community Benefit Expns$3,502,861TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,502,861NetCommunityBenefitExpnsAmt
Total Expense0.02180TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$42,028,517TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,813,792DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,214,724NetCommunityBenefitExpnsAmt
Total Expense0.11350TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served7203PersonsServedCnt
Total Community Benefit Expns$45,531,378TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,813,792DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,717,585NetCommunityBenefitExpnsAmt
Total Expense0.13530TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Persons Served161989PersonsServedCnt
Total Community Benefit Expns$791,583TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$791,583NetCommunityBenefitExpnsAmt
Total Expense0.00490TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Persons Served1411PersonsServedCnt
Total Community Benefit Expns$658,089TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$658,089NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Persons Served187PersonsServedCnt
Total Community Benefit Expns$4,034TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,034NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Persons Served2330PersonsServedCnt
Total Community Benefit Expns$278,135TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$278,135NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Persons Served165917PersonsServedCnt
Total Community Benefit Expns$1,731,841TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,731,841NetCommunityBenefitExpnsAmt
Total Expense0.01070TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Persons Served173120PersonsServedCnt
Total Community Benefit Expns$47,263,219TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,813,792DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,449,426NetCommunityBenefitExpnsAmt
Total Expense0.14600TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$12,000NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$296,596TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$296,596NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served1672PersonsServedCnt
Total Community Benefit Expns$1,336,652TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,336,652NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served1672PersonsServedCnt
Total Community Benefit Expns$1,645,248TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,645,248NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$6,275,581BadDebtExpenseAmt
Bad Debt Expense Attributable$550,000BadDebtExpenseAttributableAmt
Reimbursed By Medicare$34,956,331ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$43,581,541CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$8,625,210MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp

Entity Name EntityName

FieldValueIRS element (for citing)
Business Name Line1PROGRESSIVE CANCER CBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesCANCER CARE CENTERPrimaryActivitiesTxt
Org Profit Or Ownership0.5115OrgProfitOrOwnershipPct
Ofcr Etc Profit Or Ownership0.0912OfcrEtcProfitOrOwnershipPct
Physicians Profit Or Ownership0.2012PhysiciansProfitOrOwnershipPct
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARION GENERAL HOSPITAL INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVENUEAddressLine1Txt
CityMARIONCityNm
State AbbreviationINStateAbbreviationCd
ZIP46952ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.mgh.netWebsiteAddressTxt
State License15-005011-1StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherOFF-CAMPUS RADIOLOGY ONCOLOGY, SLEEP LAB PHYSICIAN MED, LABOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1MARION GENERAL HOSPITAL INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.MGH.NETOwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE DISCLOSUREOtherWebsiteURLTxt
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt13ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.MGH.NETStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.MGH.NETFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.MGH.NETFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.MGH.NETFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Medicare RatesYes (X)MedicareRatesInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5COMMUNITY ADVISORY GROUPS & CONSULTANTS FOR IMPLEMENTATION PLAN MGH WORKED DIRECTLY WITH THE FOLLOWING COMMUNITY MEMBERS IN PLANNING THE PROCESS AND DETERMINING THE NEEDS ASSOCIATED WITH THE EXECUTION AND OUTCOMES OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. COMMUNITY LEADERS AND PARTNERS MET FACE TO FACE AND ELECTRONICALLY TO PLAN THE COMMUNITY HEALTH NEEDS ASSESSMENT GOALS, PROCESSES AND COMPLETION DATES. MGH STAFF DEVELOPED AND TRAINED COMMUNITY MEMBERS AND UNIVERSITY STUDENTS TO COMPLETE THE ASSESSMENT. ONGOING COMMUNICATION WITH ALL MEMBERS THROUGHOUT THE THREE YEAR CYCLE ASSURED APPROPRIATE COMMUNITY OWNERSHIP AND INCLUSION OF THE PROJECT. IT WAS IMPORTANT IN OUR RURAL COMMUNITY WITH SCARCE RESOURCES THAT WE ENSURE THE RESULTS WOULD BENEFIT OTHER ORGANIZATIONS WITHIN OUR COMMUNITY. 1. CHP ADVISORY GROUP: MGH WORKED DIRECTLY WITH THE FOLLOWING COMMUNITY MEMBERS TO COMPLETE THE CHNA. -INDIANA WESLEYAN UNIVERSITY (IWU) -GRANT COUNTY HEALTH DEPARTMENT -CAREY SERVICES - SERVICES FOR INDIVIDUALS WITH EMOTIONAL AND PHYSICAL DISABILITIES, INCLUDING AUTISM, EARLY HEAD START, GROUP HOMES, JOB OPPORTUNITIES AND PARENT SUPPORT GROUPS. -FAMILY SERVICE SOCIETY, INC. - THE LARGEST SOCIAL SERVICE PROVIDER IN THE COUNTY. SERVICES INCLUDE: ADDICTION COUNSELING AND RECOVERY PROGRAMS, PSYCHO-SOCIAL COUNSELING, SCHOOL SUPPORT, HOMELESS SUPPORT, AND GRANDPARENTS RAISING CHILDREN SUPPORT. -MARION COMMUNITY SCHOOLS -LARGEST PUBLIC K-12 SCHOOL SYSTEM IN GRANT COUNTY -CANCER SERVICES OF GRANT COUNTY - PROVIDES SUPPORT SERVICES FOR CANCER PATIENTS AND FAMILIES, PROVIDES FREE MAMMOGRAMS FOR ANY GRANT COUNTY RESIDENT. -NEW HOPE HOSPICE -INDIANA HEALTH CENTER - FEDERALLY QUALIFIED HEALTH CLINIC -MARION GENERAL HOSPITAL, INC. -GRANT COUNTY SUPERINTENDENTS COUNCIL REPRESENTATIVES FROM SCHOOL ADMINISTRATION INCLUDING MARION COMMUNITY SCHOOLS, EASTBROOK COMMUNITY SCHOOLS, OAK HILL COMMUNITY SCHOOLS, MISSISSINEWA COMMUNITY SCHOOLS, LAKEVIEW CHRISTIAN SCHOOL, ST. PAUL PARISH SCHOOL, AND MADISION-GRANT SCHOOLS. -BRIDGES TO HEALTH - PROVIDES MEDICAL AND DENTAL CARE FOR UNINSURED INDIVIDUALS -COMMUNITY ROUND TABLE - APPROXIMATELY 40 ORGANIZATIONS WERE REPRESENTED AT A PUBLIC PRESENTATION OF THE FINAL REPORT AND PARTICIPATED IN A ROUND TABLE DISCUSSSION. 2. THIRD PARTY CONSULTANT ANDERSON UNIVERSITY, FALLS SCHOOL OF BUSINESS -KEVIN J. BROWN, PHD, ASSISTANT PROFESSOR OF FINANCE, PROVIDED THE STATISTICAL ANALYSIS AND SUMMARY OF THE NEEDS ASSESSMENT. AFTER CAREFUL ANALYSIS, DR. BROWN PROVIDED THREE LEVELS OF REPORTS FOR OUR COMMUNITY HEALTH NEEDS ASSESSMENT WITH AN EXECUTIVE SUMMARY THAT HAS BEEN REVIEWED AND WILL BE UTILIZED IN DEVELOPING OUR IMPLEMENTATION PLAN. SCHEDULE H, PART V, SECTION B, LINE 6B INDIANA WESLEYAN UNIVERSITY GRANT COUNTY HEALTH DEPARTMENT CAREY SERVICES FAMILY SERVICES SOCIETY, INC. MARION COMMUNITY SCHOOLS CANCER SERVICES OF GRANT COUNTY NEW HOPE HOSPICE INDIANA HEALTH CENTER GRANT COUNTY SUPERINTENDENTS COUNCIL BRIDGES TO HEALTH SCHEDULE H, PART V, SECTION B, LINE 7b http://www.healthygrantcounty.net/HEALTH-ASSESSMENTS/COMMUNITY-HEALTH-PROF ILE.HTML SCHEDULE H, PART V, SECTION B, LINE 11 IN 2013 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 PRESSING ISSUES TO ADDRESS. WHILE REVIEWING ADDITIONAL DATA AND INPUT FROM HEALTHCARE ORGANIZATIONS, EMPLOYERS, SCHOOLS AND CHURCHES, IT WAS DETERMINED THAT DIABETES WOULD BE THE PRIMARY CHRONIC DISEASE FOCUS FOR OUR COMMUNITY.
DIABETES:SYNOPSIS OF THE COMMUNITY DISCUSSION CONCLUDED: DIABETES HAS SEVERAL CO-MORBIDITIES WHICH CROSS-OVER AMONG SEVERAL OTHER CHRONIC DISEASES AFFECTING OUR POPULATION. DIABETES LENDS THE GREATEST FINANCIAL BURDEN, ALONG WITH DOCUMENTED EMOTIONAL, SOCIAL AND PHYSICAL COSTS WHICH IMPACT NUMEROUS AREAS OF THE COMMUNITY. MARION GENERAL HOSPITAL AND THE GRANT COUNTY PARTNERS IMPLEMENTATION PLAN LED TO THE CREATION OF CEASE DIABETES, A COMMUNITY-WIDE INITIATIVE TO TACKLE DIABETES. THE GRANT COUNTY COMMUNITY HEALTH PROFILE OF 2013 IDENTIFIED THE NEED TO TAKE STRONG AND POIGNANT ACTIONS TO CEASE DIABETES. A LOCAL ARTICLE EXPLAINED THE CEASE DIABETES JOURNEY TO OUR COMMUNITY: MGH ADMINISTRATION AND BOARD OF DIRECTORS RECOGNIZED THE NEED FOR DIABETIC EDUCATION AND ENGAGED OTHERS TO JOIN THEIR LEAD TOWARDS A COUNTY CAMPAIGN TO COMBAT FAILING DIABETES STATISTICS. THE STATE OF INDIANA PUBLISHED A REPORT ENTITLED 'THE BURDEN OF DIABETES', WHICH POINTED OUT THAT THE COST OF DIABETES IS FAR BEYOND JUST MEDICAL COSTS. WHEN DIABETES IS CONTROLLED, PEOPLE HAVE LESS TIME OFF FROM WORK; THEY ARE MORE PRODUCTIVE, MORE AVAILABLE AS PARENTS AND GRANDPARENTS, BETTER STUDENTS, MORE ACTIVE IN THEIR CHURCH AND SOCIAL ORGANIZATIONS AND CONTRIBUTE TO MAKING THEIR COMMUNITIES A BETTER PLACE TO LIVE. INDIANA STATED THAT THE COST OF DIABETES TO COMMUNITIES IN AN ANNUAL TOTAL IS $4 BILLION DOLLARS. MGH DID NOT TACKLE THE DIABETES IMPLEMENTATION PLAN ALONE. THE HOSPITAL BROUGHT TOGETHER NUMEROUS ORGANIZATIONS TO EMPOWER THE ENTIRE COMMUNITY TO MAKE A SIGNIFICANT AND MEASURABLE IMPACT. A PLAN WAS DESIGNED AFTER INPUT FROM HEALTHCARE PROFESSIONALS, PARISH NURSES, SOCIAL AGENCIES, EMPLOYERS, AND PEOPLE WITH DIABETES. MGH AND THE CHP ADVISORY TEAM, DEFINED MEASURABLE AREAS OF DIABETIC IMPACT AND IMPROVEMENT AS: 1)INCREASE THE NUMBER OF PEOPLE WITH DIABETES WHO CHECK THEIR FEET EVERY DAY. 2) INCREASE THE NUMBER OF ANNUAL COMPREHENSIVE FOOT CHECKS BY MEDICAL PROFESSIONALS. 3) INCREASE THE NUMBER OF PEOPLE WITH DIABETES WHO HAVE A DILATED EYE EXAM YEARLY. 4) INCREASE THE NUMBER OF REFERRALS TO THE MGH ACCREDITED EDUCATION PROGRAM FOR SELF-MANAGEMENT (AMERICAN DIABETES ASSOCIATION). THE IMPLEMENTATION PLAN WAS ROLLED-OUT IN TWO PHASES; PHASE I: TO DEVELOP AN INTERNAL PROGRAM TO EVALUATE AND CREATE ADDITIONAL OPPORTUNITIES TO ENSURE ALL NEWLY DIAGNOSED AND CURRENT MGH DIABETES PATIENTS ARE EMPOWERED TO MAXIMIZE ALL THE OPTIONS TO ADDRESS DIABETES FROM A HOLISTIC APPROACH. THIS INCLUDED OUTPATIENTS, IN-PATIENTS AND PRIMARY CARE PROVIDERS. PHASE II: TO DEVELOP AN EXTERNAL TEAM OF PARTNERS FROM THE COMMUNITY, AREA CLINICS, PRIMARY CARE PROVIDERS, SCHOOLS NURSES, SOCIAL SERVICE AGENCIES, HEATH DEPARTMENT, AND UNIVERSITIES WHO ARE ALL DOING DIABETIC EVALUATIONS AND CREATING PLANS TO IMPACT THEIR AGENCIES. INVESTIGATING WELLNESS PROGRAMS (COMMUNITY AND EMPLOYER-BASED) LOOKING AT HEALTHCARE INCENTIVES AND SUPPORT FOR THOSE DIAGNOSED WITH DIABETES AND THOSE LIVING HEALTHY LIFESTYLES. SCHEDULE H, PART V, SECTION B, LINE 22D MGH FOLLOWED THE FINANCIAL ASSISTANCE POLICY, EXTENDING FREE CARE FOR THOSE AT OR LESS THAN 200% OF FEDERAL POVERTY LEVEL, AND DISCOUNTED CARE (60% AND 80%) FOR THOSE WITH INCOME LEVELS AT MORE THAN 200% BUT LESS THAN OR EQUAL TO 300% OF FEDERAL POVERTY LEVEL. EFFECTIVE APRIL 1, 2016, THE THRESHOLD FOR FREE CARE WAS RAISED TO 300% OF FEDERAL POVERTY LEVEL, AND DISCOUNTED CARE WAS ELIMINATED.

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 7COST 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 AREAS OF PROVIDER SHORTAGE IS CRITICAL TO SERVE OUR HEALTHCARE COMMUNITIES. MGH IS THE ONLY NON-GOVERNMENT HOSPITAL IN OUR COUNTY AND AS A SMALL RURAL AREA, THE NEED FOR RECRUITING AND RETAINING PROVIDERS PRESENTS SIGNIFICANT CHALLENGES. 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. 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 9BMGH'S COLLECTION POLICY DISTINGUISHES BETWEEN 'FINANCIAL ASSISTANCE' - PATIENTS UNABLE TO PAY, AND 'BAD DEBT' - PATIENTS UNWILLING TO PAY. MGH PLACES A COURTESY COLLECTION CALL ON PAST DUE PATIENT ACCOUNTS OVER SIXTY (60) DAYS ON ACCOUNTS $1,000 OR GREATER. CALLS ARE DOCUMENTED IN THE AR SYSTEM FOR FURTHER FOLLOW-UP ACTION. PAYMENT IN FULL IS ALWAYS THE PREFERRED METHOD OF RESOLUTION FOR A SELF-PAY BALANCE. IF THIS IS NOT POSSIBLE, THE PATIENT 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. NEEDS ASSESSMENT MGH FACILITIES A LARGE COMMUNITY HEALTH PROFILE (NEEDS ASSESSMENT) EVERY THREE YEARS. 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 ANNUALLY. ADDITIONAL INFORMATION AND DATA FROM VARIOUS ORGANIZATIONS SUCH AS GRANT COUNTY AND INDIANA HEALTH DEPARTMENT, CDC, COUNTY HEALTH RANKINGS, AND CHNA.ORG ARE ALSO REVIEWED AND UTILIZED TO HAVE A COMPREHENSIVE PICTURE OF THE HEALTH OF GRANT COUNTY.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEAS 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 TITLED '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. COMMUNITY INFORMATION MGH IS THE ONLY NON-GOVERNMENT ACUTE CAREHOSPITAL IN GRANT COUNTY. OUR PRIMARY GEOGRAPHIC LOCATION IS GRANT COUNTY. GRANT COUNTY DEMOGRAPHICS ARE AS FOLLOWS: WHITE 89% BLACK/AFRICAN AMERICAN 7% MULTI-RACIAL 2% ASIAN 1% MEDIUM INCOME IS $40,294, POPULATION IS 67,979. PROMOTION OF COMMUNITY HEALTH MGH HAS MADE A CONCENTRATED EFFORT TO HAVE PATIENT ACCESS LOCATIONS IN MOST AREAS OF GRANT COUNTY. MGH HAS DEVELOPED AN ACCESS LINE FOR PEOPLE TO BE ABLE TO GET INTO A PRIMARY CARE PROVIDER QUICKLY. A LOT OF TIME, EFFORT AND MONEY HAS BEEN INVESTED TO RECRUIT THE NEEDED PHYSICIANS AND SERVICES TO OUR RURAL AREA. MANY STAFF AND LEADERS AT MGH SERVE ON NUMEROUS BOARDS ACROSS THE COUNTY TO EXTEND MGH'S MISSION OF TRANSFORMING THE HEALTH OF OUR COMMUNITY. MGH HAS A LOAN/WORK PROGRAM FOR STUDENTS CHOOSING NURSING AND SEVERAL OTHER ALLIED HEALTH FIELDS THAT ASSISTS GREATLY WITH THE RECRUITMENT AND RETENTION OF STAFF. MGH PARTICIPATES WITH MANY AREA COLLEGES AND UNIVERSITIES WITH A ROBUST PROGRAM FOR STUDENT ROTATIONS AND PRACTICUMS IN MANY AREAS OF HEALTH CARE.
SCHEDULE H, PART VI, LINE 7INDIANA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
BRIDGES TO HEALTH INC
1251 W KEM ROADMARIONIN46952205405181501(c)(3)$120,000DONATION
GRANT COUNTY ECONOMIC GROWTH COUNCIL
301 S ADAMS SUITE 109MARIONIN46952351589550501(c)(3)$5,150DONATION
UNITED WAY OF GRANT COUNTY
PO BOX 61MARIONIN46952350995975501(c)(3)$42,057DONATION
MARION GRANT COUNTY CHAMBER OF COMMERCE
217 S ADAMSMARIONIN46952350350890501(C)(6)$5,150DONATION
MARION GENERAL HOSPITAL FOUNDATION
441 N WASBASH AVEMARIONIN46952811872365501(C)(3)$19,000DONATION
INDIANA WESLEYAN UNIVERSITY
4201 S WASHINGTON STREETMARIONIN46953350885591501(C)(3)$11,025DONATION
COMMUNITY FOUNDATION OF GRANT COUNTY
505 WEST THIRD STREETFORT WAYNEIN46852311117791501(C)(3)$15,000DONATION
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE IFormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmt
JEFFREY W BRAGG DO
PHYSICIAN/BOARD MEMBER$196,675$0$51,079$0$32,115$0$7,567$0$18,838$0$306,274$0
SHANKARAN SRIKANTH MD
PHYSICIAN/BOARD MEMBER$352,081$0$88,610$0$37,777$0$7,950$0$27,239$0$513,657$0
PAUL L USHER
PRESIDENT/CEO$470,183$0$221,255$0$11,621$0$7,950$0$20,660$0$731,669$0
STEPHANIE A HILTON-SIEBERT
PRESIDENT/CEO-ELECT (11/23/15)$200,897$0$406$0$48,932$0$6,139$0$18,308$0$274,682$0
BERNADINE L WALLACE
CNO (LEFT 6/22/15)$122,130$0$0$0$300,613$0$4,167$0$10,458$0$437,368$0
ROBYN L POWELL
CFO (LEFT 11/27/15)$253,432$0$84,143$0$31,982$0$7,950$0$8,091$0$385,598$0
CYNTHIA D FUTRELL
CNO (BEGAN 10/20/15)$136,667$0$28,301$0$6,688$0$5,042$0$15,124$0$191,822$0
SHAWN T SWAN MD
PHYSICIAN$403,493$0$298,747$0$138$0$7,950$0$28,200$0$738,528$0
EDMOND ANDRE BENDALY MD
PHYSICIAN$524,238$0$25,277$0$40,000$0$7,950$0$0$0$597,465$0
JEREMY R WILSON DO
PHYSICIAN$306,723$0$231,655$0$16,834$0$7,950$0$28,415$0$591,577$0
RATHI P MAHENDRAN MD
PHYSICIAN$525,786$0$0$0$0$0$7,950$0$8,587$0$542,323$0
TAMY E PERNG MD
PHYSICIAN$299,077$0$143,254$0$63,577$0$7,950$0$9,690$0$523,548$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ASTEPHANIE A. HILTON-SIEBERT RECEIVED A TAXABLE TEMPORARY HOUSING ALLOWANCE.
SCHEDULE J, PART I, LINE 1BAN EMPLOYMENT CONTRACT WAS IN PLACE.
SCHEDULE J, PART I, LINE 4ABERNADINE L WALLACE RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $284,493 IN 2015. THE SEVERANCE AGREEMENT IS AVAILABLE FOR REVIEW UPON REQUEST.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
INDIANA FINANCE AUTHORITY
A351602316455057NPO2008-06-10$24,000,000EQUIPMENT PURCHASE & RENOVATIONSfalsefalsefalse
INDIANA FINANCE AUTHORITY
B35160231645471A4A32012-04-26$36,248,711EQUIPMENT PURCHASE & RENOVATIONSfalsefalsefalse
INDIANA FINANCE AUTHORITY
C3516023162015-07-07$33,000,000EQUIPMENT PURCHASE & RENOVATIONSfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndSubstantial CompletionSubstantialCompletionYr
A$24,000,000$0$24,223,631$0$0$0$281,623$136,755$0$17,019,915$6,785,338$0Yes (true)falseYes (true)Yes (true)
B$1,800,000$0$36,253,257$0$0$0$545,890$0$0$5,593,064$27,711,345$2,402,958Yes (true)falsefalseYes (true)2016
C$0$0$33,037,938$0$0$0$333,500$0$0$0$17,315,000$15,389,438Yes (true)falsefalseYes (true)2018

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)
BfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)
CfalsefalseYes (true)Yes (true)false0falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndSuperintegrated HedgeSuperintegratedHedgeIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)Yes (true)falsefalsefalse0Yes (true)Yes (true)
0
BfalsefalsefalseYes (true)falsefalsefalsefalse0falseYes (true)
0
CfalsefalsefalseYes (true)Yes (true)falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART IV, LINE 2CTHE 2008 BONDS WERE ISSUED FOR PURPOSES OF (I) FINANCING THE ACQUISITION, CONSTRUCTION, EQUIPPING OR IMPROVEMENT OF CERTAIN CAPITAL ASSETS AND (II) REFUNDING THE ISSUER'S HOSPITAL REVENUE BONDS, SERIES 2005 (MARION GENERAL HOSPITAL PROJECT). THE 2005 BONDS WERE ISSUED ON JULY 20, 2005. THE 2012 BONDS WERE ISSUED FOR PURPOSES OF (I) 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 Issuers Variable Rate Demand Revenue Bonds Series 2008A (Marion General Hospital Project). The 2008 Bonds were issued on June 10, 2008.
PART II LINE 3TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2008 BONDS - $223,631 2012 BONDS - $4,546 2015 BONDS - $37,938
PART III LINE 7THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST.
PART IV LINE 2CA) THE REBATE COMPUTATION WAS PERFORMED ON JUNE 19, 2013 AND JULY 7, 2015. B) THE REBATE COMPUTATION WAS PERFORMED ON SEPTEMBER 26, 2013.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (4 entries)

Relationship With OrgRelationshipWithOrgTxtLoan PurposeLoanPurposeTxtLoan From OrganizationLoanFromOrganizationIndOriginal PrincipalOriginalPrincipalAmtBalance DueBalanceDueAmtDefaultDefaultIndBoard Or Committee ApprovalBoardOrCommitteeApprovalIndWritten AgreementWrittenAgreementInd
JEFFREY W BRAGG DO
EMPLOYEDRECRUITMENTYes (X)$205,000$20,000falseYes (true)Yes (true)
SHANKARAN SRIKANTH
EMPLOYEDRECRUITMENTYes (X)$160,000$18,000falseYes (true)Yes (true)
JEREMY WILSON DO
EMPLOYEDRECRUITMENTYes (X)$90,000$16,923falseYes (true)Yes (true)
TAMY PERNG DO
EMPLOYEDRECRUITMENTYes (X)$260,000$55,000falseYes (true)Yes (true)
FieldValueIRS element (for citing)
Total Balance Due$109,923TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
CHRISTINE MONAHAN
DAUGHTER OF OFFICER$10,526PAID EMPLOYEEfalse
IMG INSURANCE
SEE COMMENT$356,472SEE COMMENTfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IVFormAndLineReferenceDesc
ExplanationTim Dailey, MGH board member, and his son own >35% of IMG Insurance, a company which conducts business with MGH.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1BPaul L. Usher and Stephanie Hilton-Siebert are compensated as employees of the organization. Dr. Karen Jacobs and Dr. M. Nabi Sharif are compensatED as independent contractors for on-call services. Dr. Shankaran Srikanth and Dr. Jeffrey Bragg are compensated as employees of the organization. As a result, all the above individuals are considered non-independent board members. In addition, Dr. Bragg, Dr. Srikanth, and Tim Dailey are also considered non-independent due to the transactions listed on Sch. L FORM 990, PART VI, SECTION A, LINE 9 PAUL L. USHER PO BOX 97 637 LAURA LANE SWEETSER, IN 46987
FORM 990, PART VI, SECTION B, LINE 11BTHE 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 12CEVERY 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 15ATO 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 C, LINE 19THE 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 9PENSION RELATED CHANGES $427,268
PROGRAM SERVICES ACCOMPLISHMENTSPart III, Line 4d Marion General Hospital is a not-for-profit, 97-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

FieldValueIRS element (for citing)
Business Name Line1MGH FOUNDATION INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1441 N WABASH AVEAddressLine1Txt
CityMARIONCityNm
State AbbreviationINStateAbbreviationCd
ZIP46952ZIPCd
FieldValueIRS element (for citing)
EIN811872365EIN
Primary ActivitiesSUPPORTPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status11APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1MGHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PROGRESSIVE CENTER CARE LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1831 N THEATER DRIVEAddressLine1Txt
CityMARIONCityNm
State AbbreviationINStateAbbreviationCd
ZIP46952ZIPCd
FieldValueIRS element (for citing)
EIN320061469EIN
Primary ActivitiesONCOLOGY CENTERPrimaryActivitiesTxt
Legal Domicile StateINLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Share Of Total Income$184,164ShareOfTotalIncomeAmt
Share Of EOY Assets$1,572,148ShareOfEOYAssetsAmt
Disproportionate AllocationsfalseDisproportionateAllocationsInd
General Or Managing PartnerfalseGeneralOrManagingPartnerInd
Ownership0.51151OwnershipPct
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
PROGRESSIVE CANCER CARE LLC
F$366,570FMV
PROGRESSIVE CANCER CARE LLC
K$216,094FMV
PROGRESSIVE CANCER CARE LLC
P$165,486FMV

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