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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-05-08T10:00:24-05:00 | ReturnTs |
| Tax Period End | 2016-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 E Main St Suite 700 | AddressLine1Txt |
| City | Fort Wayne | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46802 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 350868130 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARION GENERAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MARION GENERAL HOSPITAL INC | InCareOfNm |
| Business Name Control | MARI | BusinessNameControlTxt |
| Phone | 7656607000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 N WABASH AVENUE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 469522690 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | STEPHANIE HILTON-SIEBERT | PersonNm |
| Person Title | PRESIDENT/CEO | PersonTitleTxt |
| Phone | 7656607000 | PhoneNum |
| Signature | 2017-05-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Joyce A Dulworth | PreparerPersonNm |
| PTIN | P00151125 | PTIN |
| Phone | 2604604000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHANIE HILTON-SIEBERT | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 N WABASH AVENUE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 469522690 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $263,792,157 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.MGH.NET | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1910 | FormationYr |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Activity Or Mission | PROVIDES COST-EFFECTIVE HOSPITAL & HEALTH SERVICES TO GRANT & SURROUNDING COUNTIES. THE SERVICES PROVIDED BY THE HOSPITAL ARE AIMED TO IMPROVE THE WELL-BEING OF THE COMMUNITY. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 6 | VotingMembersIndependentCnt |
| Total Employee | 1358 | TotalEmployeeCnt |
| Total Volunteers | 115 | TotalVolunteersCnt |
| Total Gross UBI | $84,122 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $23,446 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $97,173 | PYContributionsGrantsAmt |
| CY Contributions Grants | $87,844 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $172,339,279 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $180,557,306 | CYProgramServiceRevenueAmt |
| PY Investment Income | $6,889,185 | PYInvestmentIncomeAmt |
| CY Investment Income | $4,914,719 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$1,492,046 | PYOtherRevenueAmt |
| CY Other Revenue | -$1,148,328 | CYOtherRevenueAmt |
| PY Total Revenue | $177,833,591 | PYTotalRevenueAmt |
| CY Total Revenue | $184,411,541 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $272,224 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $217,382 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $65,219,098 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $63,917,599 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $96,848,578 | PYOtherExpensesAmt |
| CY Other Expenses | $111,480,674 | CYOtherExpensesAmt |
| PY Total Expenses | $162,339,900 | PYTotalExpensesAmt |
| CY Total Expenses | $175,615,655 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $15,493,691 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,795,886 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $333,906,652 | TotalAssetsBOYAmt |
| Total Assets EOY | $352,498,455 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $98,959,261 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $112,299,727 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $234,947,391 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $240,198,728 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | MARION GENERAL HOSPITAL EXISTS TO TRANSFORM THE HEALTH OF OUR COMMUNITY THROUGH PATIENT-CENTERED, HIGH QUALITY, AFFORDABLE CARE. BEST PRACTICES BY LEADING A COLLABORATIVE APPROACH INVOLVING PHYSICIANS, STAFF, BUSINESS LEADERS AND OUR COMMUNITY. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $52,790,140 | ExpenseAmt |
| Revenue | $43,269,952 | RevenueAmt |
| Desc | INPATIENT 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,489,653 | ExpenseAmt |
| Revenue | $22,086,312 | RevenueAmt |
| Desc | EMERGENCY 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $13,125,165 | ExpenseAmt |
| Revenue | $20,981,475 | RevenueAmt |
| Desc | RADIOLOGY SERVICES (OUTPATIENT) - MARION GENERAL HOSPITAL (MGH) HAS TWO STATE-OF-THE-ART FACILITIES THAT FEATURE THE LATEST IN TECHNOLOGY. THE RADIOLOGY DEPARTMENT FEATURES 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)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $87,500,588 | $217,382 | $93,856,429 | SEE SCHEDULE O DISCLOSURE FOR: |
| PROGRAM SERVICE ACCOMPLISHMENTS, | |||
| PART III, LINE 4D |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $87,500,588 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $217,382 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $93,856,429 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $162,905,546 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | Yes (true) | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 125 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 1358 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 6 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | Yes (true) | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IN | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARION GENERAL HOSPITAL INC | PersonNm |
| Phone | 7656607000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 N WABASH AVENUE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 469522690 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| STEVEN E BERRY | |||||||||
| MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JEFFREY W BRAGG DO | |||||||||
| PHYSICIAN/BOARD MEMBER | 40.0 | 0.0 | Yes (X) | $279,869 | $0 | $26,405 | |||
| KEVIN R CATES | |||||||||
| MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TIMOTHY J DAILEY | |||||||||
| VICE-CHAIR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JAMES M GARTLAND JR | |||||||||
| MEMBER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KRISTINE HESS MD | |||||||||
| CHIEF OF MEDICAL STAFF | 2.0 | 0.0 | Yes (X) | $9,937 | $0 | $0 | |||
| BARBARA IHRKE | |||||||||
| BOARD CHAIR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| KAREN JACOBS DO | |||||||||
| MEMBER | 2.0 | 0.0 | Yes (X) | $39,850 | $0 | $0 | |||
| MICHAEL J O'BRIEN | |||||||||
| BOARD TREASURER | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| M NABI SHARIF MD | |||||||||
| MEMBER | 2.0 | 0.0 | Yes (X) | $98,296 | $0 | $0 | |||
| SHANKARAN SRIKANTH MD | |||||||||
| PHYSICIAN/BOARD MEMBER | 40.0 | 0.0 | Yes (X) | $478,468 | $0 | $35,189 | |||
| PAUL L USHER | |||||||||
| PRESIDENT/CEO | 50.0 | 0.0 | Yes (X) | $703,059 | $0 | $28,610 | Yes (X) | ||
| STEPHEN H WICKES | |||||||||
| BOARD SECRETARY | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| STEPHANIE A HILTON-SIEBERT | |||||||||
| PRESIDENT/CEO-ELECT (11/23/15) | 50.0 | 0.0 | Yes (X) | $250,235 | $0 | $24,447 | Yes (X) | ||
| ROBYN L POWELL | |||||||||
| CFO (LEFT 11/27/15) | 50.0 | 0.0 | $369,557 | $0 | $16,041 | Yes (X) | |||
| CYNTHIA D FUTRELL | |||||||||
| CNO (BEGAN 10/20/15) | 50.0 | 0.0 | $171,656 | $0 | $20,166 | Yes (X) | |||
| JEFFREY A WAKEFIELD | |||||||||
| CFO (BEGAN 6/6/16) | 50.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| DON J TRICARICO JR | |||||||||
| CAO (BEGAN 3/7/16) | 50.0 | 0.0 | $0 | $0 | $0 | Yes (X) | |||
| SHAWN T SWAN MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $702,378 | $0 | $36,150 | Yes (X) | |||
| EDMOND ANDRE BENDALY MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $589,515 | $0 | $7,950 | Yes (X) | |||
| JEREMY R WILSON DO | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $555,212 | $0 | $36,365 | Yes (X) | |||
| RATHI P MAHENDRAN MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $525,786 | $0 | $16,537 | Yes (X) | |||
| TAMY E PERNG MD | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $505,908 | $0 | $17,640 | Yes (X) | |||
| BERNADINE L WALLACE | |||||||||
| CNO (LEFT 6/22/15) | 50.0 | 0.0 | $422,743 | $0 | $14,625 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,702,469 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $280,125 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 93 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| BOWMAN CONSTRUCTION COMPANY | |||||
| 1837 BRANSON STREET | MARION | IN | 46952 | GENERAL CONTRACTING | $4,743,537 |
| NAVIGANT CONSULTING INC | |||||
| 4511 PAYSPHERE CIRCLE | CHICAGO | IL | 60674 | CONSULTING | $1,913,178 |
| BSA LIFESTRUCTURES | |||||
| 9365 COUNSELORS ROW STE 300 | INDIANAPOLIS | IN | 46240 | FACILITY DESIGN | $1,480,745 |
| CENTRAL INDIANA ORTHOPEDICS PC | |||||
| 3600 W BETHEL AVENUE | MUNCIE | IN | 47304 | MEDICAL SERVICES | $1,265,475 |
| SOUTH BEND MEDICAL FOUNDATION | |||||
| 530 N LAFAYETTE BLVD | SOUTH BEND | IN | 46601 | OUTSIDE LAB SERVICE | $1,041,917 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 39 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $74,858 | GovernmentGrantsAmt |
| All Other Contributions | $12,986 | AllOtherContributionsAmt |
| Total Contributions | $87,844 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT REVENUE | 900099 | $178,322,191 | $178,322,191 |
| GAIN ON EQUITY IN JOINT VENTURES | 900099 | $464,968 | $464,968 |
| MED DIRECTOR SERVICES | 900099 | $401,858 | $401,858 |
| VHA DIVIDEND | 900099 | $153,922 | $153,922 |
| MEDICAL RECORDS | 900099 | $75,130 | $75,130 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,139,237 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,139,237 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $180,557,306 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,490,623 | TotalRevenueColumnAmt |
| Exclusion | $5,490,623 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,272,250 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,510,379 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -$1,238,129 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$1,238,129 | TotalRevenueColumnAmt |
| Exclusion | -$1,238,129 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $76,291,987 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $76,504,753 | SecuritiesAmt |
| Other | $363,138 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$212,766 | SecuritiesAmt |
| Other | -$363,138 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$575,904 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$363,138 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | -$212,766 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $8,025 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $2,346 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,679 | TotalRevenueColumnAmt |
| Exclusion | $5,679 | ExclusionAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BILLING SERVICES | Desc |
| Business | 541900 | BusinessCd |
| Total Revenue Column | $84,122 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $84,122 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $84,122 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $184,411,541 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $180,194,168 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $84,122 | UnrelatedBusinessRevenueAmt |
| Exclusion | $4,045,407 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,382 | TotalAmt |
| Program Services | $217,382 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,021,138 | TotalAmt |
| Program Services | $781,742 | ProgramServicesAmt |
| Management And General | $1,239,396 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,526 | TotalAmt |
| Program Services | $10,526 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $43,879,173 | TotalAmt |
| Program Services | $38,345,979 | ProgramServicesAmt |
| Management And General | $5,533,194 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,010,531 | TotalAmt |
| Program Services | $4,185,891 | ProgramServicesAmt |
| Management And General | $824,640 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,118,982 | TotalAmt |
| Program Services | $7,618,168 | ProgramServicesAmt |
| Management And General | $1,500,814 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,877,249 | TotalAmt |
| Program Services | $3,239,126 | ProgramServicesAmt |
| Management And General | $638,123 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,262 | TotalAmt |
| Management And General | $384,262 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $147,061 | TotalAmt |
| Management And General | $147,061 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,358,704 | TotalAmt |
| Program Services | $7,358,704 | ProgramServicesAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $400,867 | TotalAmt |
| Program Services | $400,867 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,508,623 | TotalAmt |
| Program Services | $6,183,192 | ProgramServicesAmt |
| Management And General | $325,431 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,054,442 | TotalAmt |
| Program Services | $3,054,442 | ProgramServicesAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,166,383 | TotalAmt |
| Program Services | $3,749,745 | ProgramServicesAmt |
| Management And General | $416,638 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $262,935 | TotalAmt |
| Program Services | $210,348 | ProgramServicesAmt |
| Management And General | $52,587 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,084 | TotalAmt |
| Program Services | $72,867 | ProgramServicesAmt |
| Management And General | $18,217 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,350,808 | TotalAmt |
| Program Services | $1,350,808 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,961,896 | TotalAmt |
| Program Services | $8,965,706 | ProgramServicesAmt |
| Management And General | $996,190 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,248,620 | TotalAmt |
| Program Services | $803,695 | ProgramServicesAmt |
| Management And General | $444,925 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,464,930 | TotalAmt |
| Program Services | $6,276,299 | ProgramServicesAmt |
| Management And General | $188,631 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $175,615,655 | TotalAmt |
| Program Services | $162,905,546 | ProgramServicesAmt |
| Management And General | $12,710,109 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | Yes (X) | InfoInScheduleOPartXInd |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,720 | BOYAmt |
| EOY | $3,710 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $33,965,165 | BOYAmt |
| EOY | $45,832,726 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,629,434 | BOYAmt |
| EOY | $20,578,789 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $278,836 | BOYAmt |
| EOY | $109,923 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,560,988 | BOYAmt |
| EOY | $3,636,090 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,716,593 | BOYAmt |
| EOY | $1,505,584 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,969,468 | BOYAmt |
| EOY | $2,194,280 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $212,745,294 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $131,047,841 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $77,614,488 | BOYAmt |
| EOY | $81,697,453 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $174,343,568 | BOYAmt |
| EOY | $182,120,282 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,526,222 | BOYAmt |
| EOY | $10,178,945 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,136,418 | BOYAmt |
| EOY | $2,069,810 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,161,752 | BOYAmt |
| EOY | $2,570,863 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,906,652 | BOYAmt |
| EOY | $352,498,455 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,118,434 | BOYAmt |
| EOY | $17,658,349 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,328,070 | BOYAmt |
| EOY | $67,363,137 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,512,757 | BOYAmt |
| EOY | $27,278,241 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $98,959,261 | BOYAmt |
| EOY | $112,299,727 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,937,236 | BOYAmt |
| EOY | $240,188,573 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,155 | BOYAmt |
| EOY | $10,155 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $234,947,391 | BOYAmt |
| EOY | $240,198,728 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $333,906,652 | BOYAmt |
| EOY | $352,498,455 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $8,795,886 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$3,971,817 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $427,268 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $27,424 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $27,424 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
| Form4720 Filed4912 Tax | false | Form4720Filed4912TaxInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1g | FormAndLineReferenceDesc |
| Explanation | MARION GENERAL HOSPITAL OCCASIONALLY SENDS LETTERS TO OR DIRECTLY CONTACTS LEGISLATORS. PART II-B, LINE 1i MARION GENERAL HOSPITAL PAID MEMBERSHIP DUES TO SEVERAL ORGANIZATIONS FOR WHICH A VARYING PERCENTAGE WAS ATTRIBUTED TO LOBBYING EXPENSES. THESE ORGANIZATIONS INCLUDE THE INDIANA HOSPITAL ASSOC., AMERICAN HOSPITAL ASSOC., AMERICAN ACADEMY OF FAMILY PHYSICIANS, AMERICAN COLLEGE OF PHYSICIANS, AMERICAN MEDICAL ASSOC., AOA, ONCOLOGY NURSING SOCIETY, AMERICAN SOCIETY OF HEALTH SYSTEM PHARMACISTS, INDIANA STATE MEDICAL ASSOCIATION, AMONG VARIOUS OTHERS. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,155 | BeginningYearBalanceAmt |
| End Year Balance | $10,155 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,155 | BeginningYearBalanceAmt |
| End Year Balance | $10,155 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,155 | BeginningYearBalanceAmt |
| End Year Balance | $10,155 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,155 | BeginningYearBalanceAmt |
| End Year Balance | $10,155 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $10,155 | BeginningYearBalanceAmt |
| End Year Balance | $10,155 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | false | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,646,548 | OtherCostOrOtherBasisAmt |
| Book Value | $4,646,548 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $113,907,381 | OtherCostOrOtherBasisAmt |
| Depreciation | $64,263,711 | DepreciationAmt |
| Book Value | $49,643,670 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,473,673 | OtherCostOrOtherBasisAmt |
| Depreciation | $916,091 | DepreciationAmt |
| Book Value | $1,557,582 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $79,699,158 | OtherCostOrOtherBasisAmt |
| Depreciation | $63,695,177 | DepreciationAmt |
| Book Value | $16,003,981 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,018,534 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,172,862 | DepreciationAmt |
| Book Value | $9,845,672 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $81,697,453 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MINIMUM PENSION LIABILITY | Desc |
| Amt | $27,278,241 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $27,278,241 | TotalLiabilityAmt |
| Total Rev Etc Audited Fincl Stmt | $168,101,734 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$3,971,817 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $2,510,379 | OtherRevenueAmt |
| Revenue Not Reported | -$1,461,438 | RevenueNotReportedAmt |
| Revenue Subtotal | $169,563,172 | RevenueSubtotalAmt |
| Other Revenues Not Included | $14,848,369 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $14,848,369 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $184,411,541 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $163,277,665 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $2,510,379 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $2,510,379 | ExpensesNotReportedAmt |
| Expenses Subtotal | $160,767,286 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $14,848,369 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $14,848,369 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $175,615,655 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART V, LINE 4 | THE HOSPITAL'S ENDOWMENT FUNDS ARE USED FOR CRITICAL CARE DEPARTMENT EDUCATION EXPENSES, AND OTHER PROGRAM SERVICE EXPENSES. |
| SCHEDULE D, PART XI AND XII | LINE 2D RENTAL EXPENSE $2,510,379 LINE 4B BAD DEBT EXPENSE $14,848,369 |
| 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, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7203 | PersonsServedCnt |
| Total Community Benefit Expns | $3,502,861 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,502,861 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02180 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $42,028,517 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,813,792 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,214,724 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.11350 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 7203 | PersonsServedCnt |
| Total Community Benefit Expns | $45,531,378 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,813,792 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,717,585 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13530 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 161989 | PersonsServedCnt |
| Total Community Benefit Expns | $791,583 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $791,583 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00490 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1411 | PersonsServedCnt |
| Total Community Benefit Expns | $658,089 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $658,089 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 187 | PersonsServedCnt |
| Total Community Benefit Expns | $4,034 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,034 | NetCommunityBenefitExpnsAmt |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 2330 | PersonsServedCnt |
| Total Community Benefit Expns | $278,135 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $278,135 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00170 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 165917 | PersonsServedCnt |
| Total Community Benefit Expns | $1,731,841 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,731,841 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01070 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 173120 | PersonsServedCnt |
| Total Community Benefit Expns | $47,263,219 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,813,792 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,449,426 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14600 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,000 | NetCommunityBenefitExpnsAmt |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $296,596 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $296,596 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1672 | PersonsServedCnt |
| Total Community Benefit Expns | $1,336,652 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,336,652 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 1672 | PersonsServedCnt |
| Total Community Benefit Expns | $1,645,248 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,645,248 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $6,275,581 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $550,000 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $34,956,331 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $43,581,541 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$8,625,210 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp
Entity Name EntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROGRESSIVE CANCER C | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | CANCER CARE CENTER | PrimaryActivitiesTxt |
| Org Profit Or Ownership | 0.5115 | OrgProfitOrOwnershipPct |
| Ofcr Etc Profit Or Ownership | 0.0912 | OfcrEtcProfitOrOwnershipPct |
| Physicians Profit Or Ownership | 0.2012 | PhysiciansProfitOrOwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARION GENERAL HOSPITAL INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 N WABASH AVENUE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46952 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mgh.net | WebsiteAddressTxt |
| State License | 15-005011-1 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | OFF-CAMPUS RADIOLOGY ONCOLOGY, SLEEP LAB PHYSICIAN MED, LAB | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARION GENERAL HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.MGH.NET | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE DISCLOSURE | OtherWebsiteURLTxt |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 13 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.MGH.NET | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.MGH.NET | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.MGH.NET | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.MGH.NET | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Medicare Rates | Yes (X) | MedicareRatesInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 5 | COMMUNITY 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 9B | MGH'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 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 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 7 | INDIANA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| BRIDGES TO HEALTH INC | |||||||
| 1251 W KEM ROAD | MARION | IN | 46952 | 205405181 | 501(c)(3) | $120,000 | DONATION |
| GRANT COUNTY ECONOMIC GROWTH COUNCIL | |||||||
| 301 S ADAMS SUITE 109 | MARION | IN | 46952 | 351589550 | 501(c)(3) | $5,150 | DONATION |
| UNITED WAY OF GRANT COUNTY | |||||||
| PO BOX 61 | MARION | IN | 46952 | 350995975 | 501(c)(3) | $42,057 | DONATION |
| MARION GRANT COUNTY CHAMBER OF COMMERCE | |||||||
| 217 S ADAMS | MARION | IN | 46952 | 350350890 | 501(C)(6) | $5,150 | DONATION |
| MARION GENERAL HOSPITAL FOUNDATION | |||||||
| 441 N WASBASH AVE | MARION | IN | 46952 | 811872365 | 501(C)(3) | $19,000 | DONATION |
| INDIANA WESLEYAN UNIVERSITY | |||||||
| 4201 S WASHINGTON STREET | MARION | IN | 46953 | 350885591 | 501(C)(3) | $11,025 | DONATION |
| COMMUNITY FOUNDATION OF GRANT COUNTY | |||||||
| 505 WEST THIRD STREET | FORT WAYNE | IN | 46852 | 311117791 | 501(C)(3) | $15,000 | DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 6 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I | FormAndLineReferenceDesc |
| Explanation | THE MGH COMMUNITY SUPPORT POLICY/PROCEDURE PROVIDES GUIDANCE IN RESPONSE TO COMMUNITY ORGANIZATION REQUESTS FOR SUPPORT. AS ONE OF THE LARGER EMPLOYERS IN GRANT COUNTY, MGH DEEMS IT BENEFICIAL AND NECESSARY TO BE A GOOD CORPORATE CITIZEN, AND WILL CONSIDER SUPPORT OF COMMUNITY ENDEAVORS AND PROJECTS THAT WILL IMPROVE THE LIVES AND LIVELIHOOD OF THE COMMUNITY IT SERVES. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | Yes (X) | HousingAllowanceOrResidenceInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | STEPHANIE A. HILTON-SIEBERT RECEIVED A TAXABLE TEMPORARY HOUSING ALLOWANCE. |
| SCHEDULE J, PART I, LINE 1B | AN EMPLOYMENT CONTRACT WAS IN PLACE. |
| SCHEDULE J, PART I, LINE 4A | BERNADINE 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 ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| INDIANA FINANCE AUTHORITY | ||||||||
| A | 351602316 | 455057NPO | 2008-06-10 | $24,000,000 | EQUIPMENT PURCHASE & RENOVATIONS | false | false | false |
| INDIANA FINANCE AUTHORITY | ||||||||
| B | 351602316 | 45471A4A3 | 2012-04-26 | $36,248,711 | EQUIPMENT PURCHASE & RENOVATIONS | false | false | false |
| INDIANA FINANCE AUTHORITY | ||||||||
| C | 351602316 | 2015-07-07 | $33,000,000 | EQUIPMENT PURCHASE & RENOVATIONS | false | false | false | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $24,000,000 | $0 | $24,223,631 | $0 | $0 | $0 | $281,623 | $136,755 | $0 | $17,019,915 | $6,785,338 | $0 | Yes (true) | false | Yes (true) | Yes (true) | |
| B | $1,800,000 | $0 | $36,253,257 | $0 | $0 | $0 | $545,890 | $0 | $0 | $5,593,064 | $27,711,345 | $2,402,958 | Yes (true) | false | false | Yes (true) | 2016 |
| C | $0 | $0 | $33,037,938 | $0 | $0 | $0 | $333,500 | $0 | $0 | $0 | $17,315,000 | $15,389,438 | Yes (true) | false | false | Yes (true) | 2018 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
| C | false | false | Yes (true) | Yes (true) | false | 0 | false | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Superintegrated HedgeSuperintegratedHedgeInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | |||||||||||
| A | false | false | false | Yes (true) | Yes (true) | false | false | false | 0 | Yes (true) | Yes (true) |
| 0 | |||||||||||
| B | false | false | false | Yes (true) | false | false | false | false | 0 | false | Yes (true) |
| 0 | |||||||||||
| C | false | false | false | Yes (true) | Yes (true) | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE K, PART IV, LINE 2C | THE 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 3 | TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2008 BONDS - $223,631 2012 BONDS - $4,546 2015 BONDS - $37,938 |
| PART III LINE 7 | THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST. |
| PART IV LINE 2C | A) 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 OrgRelationshipWithOrgTxt | Loan PurposeLoanPurposeTxt | Loan From OrganizationLoanFromOrganizationInd | Original PrincipalOriginalPrincipalAmt | Balance DueBalanceDueAmt | DefaultDefaultInd | Board Or Committee ApprovalBoardOrCommitteeApprovalInd | Written AgreementWrittenAgreementInd |
|---|---|---|---|---|---|---|---|
| JEFFREY W BRAGG DO | |||||||
| EMPLOYED | RECRUITMENT | Yes (X) | $205,000 | $20,000 | false | Yes (true) | Yes (true) |
| SHANKARAN SRIKANTH | |||||||
| EMPLOYED | RECRUITMENT | Yes (X) | $160,000 | $18,000 | false | Yes (true) | Yes (true) |
| JEREMY WILSON DO | |||||||
| EMPLOYED | RECRUITMENT | Yes (X) | $90,000 | $16,923 | false | Yes (true) | Yes (true) |
| TAMY PERNG DO | |||||||
| EMPLOYED | RECRUITMENT | Yes (X) | $260,000 | $55,000 | false | Yes (true) | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | $109,923 | TotalBalanceDueAmt |
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| CHRISTINE MONAHAN | |||
| DAUGHTER OF OFFICER | $10,526 | PAID EMPLOYEE | false |
| IMG INSURANCE | |||
| SEE COMMENT | $356,472 | SEE COMMENT | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV | FormAndLineReferenceDesc |
| Explanation | Tim 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 1B | Paul 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 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 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 $427,268 |
| PROGRAM SERVICES ACCOMPLISHMENTS | Part 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MGH FOUNDATION INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 441 N WABASH AVE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46952 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 811872365 | EIN |
| Primary Activities | SUPPORT | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | 11A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MGH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PROGRESSIVE CENTER CARE LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 831 N THEATER DRIVE | AddressLine1Txt |
| City | MARION | CityNm |
| State Abbreviation | IN | StateAbbreviationCd |
| ZIP | 46952 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 320061469 | EIN |
| Primary Activities | ONCOLOGY CENTER | PrimaryActivitiesTxt |
| Legal Domicile State | IN | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Share Of Total Income | $184,164 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $1,572,148 | ShareOfEOYAssetsAmt |
| Disproportionate Allocations | false | DisproportionateAllocationsInd |
| General Or Managing Partner | false | GeneralOrManagingPartnerInd |
| Ownership | 0.51151 | OwnershipPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | Yes (true) | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PROGRESSIVE CANCER CARE LLC | ||
| F | $366,570 | FMV |
| PROGRESSIVE CANCER CARE LLC | ||
| K | $216,094 | FMV |
| PROGRESSIVE CANCER CARE LLC | ||
| P | $165,486 | FMV |
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