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      <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>
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        <PersonNm>STEPHEN H WICKES</PersonNm>
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        <PersonNm>STEPHANIE A HILTON-SIEBERT</PersonNm>
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        <PersonNm>ROBYN L POWELL</PersonNm>
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        <PersonNm>DON J TRICARICO JR</PersonNm>
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        <PersonNm>SHAWN T SWAN MD</PersonNm>
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        <PersonNm>JEREMY R WILSON DO</PersonNm>
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        <FPGFamilyIncmLmtFreeCarePct>200.</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>300.</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.MGH.NET</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.MGH.NET</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.MGH.NET</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <FAPNoticeDisplayedInd>X</FAPNoticeDisplayedInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <FAPNotifiedUponAdmissionInd>X</FAPNotifiedUponAdmissionInd>
        <FAPNotifiedBeforeDischargeInd>X</FAPNotifiedBeforeDischargeInd>
        <FAPNotifiedAllPatientsInd>X</FAPNotifiedAllPatientsInd>
        <DocumentedEligDeterminationInd>X</DocumentedEligDeterminationInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <MedicareRatesInd>X</MedicareRatesInd>
        <OtherMethodUsedInd>X</OtherMethodUsedInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>SCHEDULE H, PART V, SECTION B, LINE 5</FormAndLineReferenceDesc>
        <ExplanationTxt>COMMUNITY ADVISORY GROUPS &amp; 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>DIABETES:</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART III, SECTION C, LINE 9B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE H, PART VI, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>INDIANA</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <GrantRecordsMaintainedInd>true</GrantRecordsMaintainedInd>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>BRIDGES TO HEALTH INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1251 W KEM ROAD</AddressLine1Txt>
          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46952</ZIPCd>
        </USAddress>
        <RecipientEIN>205405181</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>120000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>GRANT COUNTY ECONOMIC GROWTH COUNCIL</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>301 S ADAMS SUITE 109</AddressLine1Txt>
          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46952</ZIPCd>
        </USAddress>
        <RecipientEIN>351589550</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>5150</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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        </RecipientBusinessName>
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          <AddressLine1Txt>PO BOX 61</AddressLine1Txt>
          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46952</ZIPCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
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          <BusinessNameLine1Txt>MARION GRANT COUNTY CHAMBER OF COMMERCE</BusinessNameLine1Txt>
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          <AddressLine1Txt>217 S ADAMS</AddressLine1Txt>
          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
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        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>MARION GENERAL HOSPITAL FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>441 N WASBASH AVE</AddressLine1Txt>
          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46952</ZIPCd>
        </USAddress>
        <RecipientEIN>811872365</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>19000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>INDIANA WESLEYAN UNIVERSITY</BusinessNameLine1Txt>
        </RecipientBusinessName>
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          <AddressLine1Txt>4201 S WASHINGTON STREET</AddressLine1Txt>
          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46953</ZIPCd>
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        <RecipientEIN>350885591</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11025</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>COMMUNITY FOUNDATION OF GRANT COUNTY</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>505 WEST THIRD STREET</AddressLine1Txt>
          <CityNm>FORT WAYNE</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46852</ZIPCd>
        </USAddress>
        <RecipientEIN>311117791</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>15000</CashGrantAmt>
        <PurposeOfGrantTxt>DONATION</PurposeOfGrantTxt>
      </RecipientTable>
      <Total501c3OrgCnt>6</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE I</FormAndLineReferenceDesc>
        <ExplanationTxt>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>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <WrittenPolicyRefTAndEExpnssInd>true</WrittenPolicyRefTAndEExpnssInd>
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      <CompensationCommitteeInd>X</CompensationCommitteeInd>
      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
      <SeverancePaymentInd>true</SeverancePaymentInd>
      <SupplementalNonqualRtrPlanInd>false</SupplementalNonqualRtrPlanInd>
      <EquityBasedCompArrngmInd>false</EquityBasedCompArrngmInd>
      <CompBasedOnRevenueOfFlngOrgInd>false</CompBasedOnRevenueOfFlngOrgInd>
      <CompBsdOnRevRelatedOrgsInd>false</CompBsdOnRevRelatedOrgsInd>
      <CompBsdNetEarnsFlngOrgInd>false</CompBsdNetEarnsFlngOrgInd>
      <CompBsdNetEarnsRltdOrgsInd>false</CompBsdNetEarnsRltdOrgsInd>
      <AnyNonFixedPaymentsInd>false</AnyNonFixedPaymentsInd>
      <InitialContractExceptionInd>false</InitialContractExceptionInd>
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        <PersonNm>JEFFREY W BRAGG DO</PersonNm>
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        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7950</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>27239</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>513657</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PAUL L USHER</PersonNm>
        <TitleTxt>PRESIDENT/CEO</TitleTxt>
        <BaseCompensationFilingOrgAmt>470183</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>221255</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>11621</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7950</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>20660</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>731669</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>STEPHANIE A HILTON-SIEBERT</PersonNm>
        <TitleTxt>PRESIDENT/CEO-ELECT (11/23/15)</TitleTxt>
        <BaseCompensationFilingOrgAmt>200897</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>406</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>48932</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>6139</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>18308</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>274682</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>BERNADINE L WALLACE</PersonNm>
        <TitleTxt>CNO (LEFT 6/22/15)</TitleTxt>
        <BaseCompensationFilingOrgAmt>122130</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>0</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>300613</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>4167</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>10458</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>437368</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ROBYN L POWELL</PersonNm>
        <TitleTxt>CFO (LEFT 11/27/15)</TitleTxt>
        <BaseCompensationFilingOrgAmt>253432</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>84143</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>31982</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7950</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>8091</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>385598</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>CYNTHIA D FUTRELL</PersonNm>
        <TitleTxt>CNO (BEGAN 10/20/15)</TitleTxt>
        <BaseCompensationFilingOrgAmt>136667</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>28301</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>6688</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>5042</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>15124</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>191822</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>SHAWN T SWAN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>403493</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>298747</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>138</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7950</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>28200</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>738528</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>EDMOND ANDRE BENDALY MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>524238</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>25277</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>40000</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7950</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>0</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>597465</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JEREMY R WILSON DO</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>306723</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
        <BonusFilingOrganizationAmount>231655</BonusFilingOrganizationAmount>
        <BonusRelatedOrganizationsAmt>0</BonusRelatedOrganizationsAmt>
        <OtherCompensationFilingOrgAmt>16834</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>7950</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>28415</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>591577</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>RATHI P MAHENDRAN MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>525786</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompensationFlngOrgAmt>7950</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>8587</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>542323</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>TAMY E PERNG MD</PersonNm>
        <TitleTxt>PHYSICIAN</TitleTxt>
        <BaseCompensationFilingOrgAmt>299077</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>143254</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>63577</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>7950</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>9690</NontaxableBenefitsFilingOrgAmt>
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        <TotalCompensationFilingOrgAmt>523548</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
      </RltdOrgOfficerTrstKeyEmplGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>STEPHANIE A. HILTON-SIEBERT RECEIVED A TAXABLE TEMPORARY HOUSING ALLOWANCE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>AN EMPLOYMENT CONTRACT WAS IN PLACE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE J, PART I, LINE 4A</FormAndLineReferenceDesc>
        <ExplanationTxt>BERNADINE L WALLACE RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $284,493 IN 2015. THE SEVERANCE AGREEMENT IS AVAILABLE FOR REVIEW UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleK documentId="IRS990ScheduleK">
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>A</BondReferenceCd>
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          <BusinessNameLine1Txt>INDIANA FINANCE AUTHORITY</BusinessNameLine1Txt>
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        <BondIssuerEIN>351602316</BondIssuerEIN>
        <CUSIPNum>455057NPO</CUSIPNum>
        <BondIssuedDt>2008-06-10</BondIssuedDt>
        <IssuePriceAmt>24000000</IssuePriceAmt>
        <PurposeDesc>EQUIPMENT PURCHASE &amp; RENOVATIONS</PurposeDesc>
        <DefeasedInd>false</DefeasedInd>
        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
        <PoolFinancingInd>false</PoolFinancingInd>
      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>INDIANA FINANCE AUTHORITY</BusinessNameLine1Txt>
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        <CUSIPNum>45471A4A3</CUSIPNum>
        <BondIssuedDt>2012-04-26</BondIssuedDt>
        <IssuePriceAmt>36248711</IssuePriceAmt>
        <PurposeDesc>EQUIPMENT PURCHASE &amp; RENOVATIONS</PurposeDesc>
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        <OnBehalfOfIssuerInd>false</OnBehalfOfIssuerInd>
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      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>INDIANA FINANCE AUTHORITY</BusinessNameLine1Txt>
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        <BondIssuerEIN>351602316</BondIssuerEIN>
        <BondIssuedDt>2015-07-07</BondIssuedDt>
        <IssuePriceAmt>33000000</IssuePriceAmt>
        <PurposeDesc>EQUIPMENT PURCHASE &amp; RENOVATIONS</PurposeDesc>
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      </TaxExemptBondsIssuesGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
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        <CurrentRefundingInd>true</CurrentRefundingInd>
        <AdvanceRefundingInd>false</AdvanceRefundingInd>
        <FinalAllocationMadeInd>true</FinalAllocationMadeInd>
        <AdequateBooksAndRecMaintInd>true</AdequateBooksAndRecMaintInd>
      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>B</BondReferenceCd>
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        <IssuanceCostsFromProceedsAmt>545890</IssuanceCostsFromProceedsAmt>
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        <WorkingCapitalExpendituresAmt>0</WorkingCapitalExpendituresAmt>
        <CapitalExpendituresAmt>5593064</CapitalExpendituresAmt>
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      </TaxExemptBondsProceedsGrp>
      <TaxExemptBondsProceedsGrp>
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      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsPrivateBusUseGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <OwningBondFinancedPropertyInd>false</OwningBondFinancedPropertyInd>
        <AnyLeaseArrangementsInd>false</AnyLeaseArrangementsInd>
        <MgmtContractBondFincdPropInd>true</MgmtContractBondFincdPropInd>
        <EngageBondCounselContractsInd>true</EngageBondCounselContractsInd>
        <AnyResearchAgreementsInd>false</AnyResearchAgreementsInd>
        <PrivateBusUseByOthersPct>0</PrivateBusUseByOthersPct>
        <BondIssMeetPrvtSecPymtTestInd>false</BondIssMeetPrvtSecPymtTestInd>
        <ChangeInUseBondFinancedPropInd>false</ChangeInUseBondFinancedPropInd>
        <RemedialActionTakenInd>false</RemedialActionTakenInd>
        <ProcsNonqualifiedBondRemdtdInd>true</ProcsNonqualifiedBondRemdtdInd>
      </TaxExemptBondsPrivateBusUseGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>true</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
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        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>false</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <TaxExemptBondsArbitrageGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <Form8038TFiledInd>false</Form8038TFiledInd>
        <RebateNotDueYetInd>false</RebateNotDueYetInd>
        <ExceptionToRebateInd>false</ExceptionToRebateInd>
        <NoRebateDueInd>true</NoRebateDueInd>
        <VariableRateIssueInd>true</VariableRateIssueInd>
        <HedgeIdentifiedInBksAndRecInd>false</HedgeIdentifiedInBksAndRecInd>
        <HedgeProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </HedgeProviderName>
        <SuperintegratedHedgeInd>false</SuperintegratedHedgeInd>
        <GrossProceedsInvestedInGICInd>false</GrossProceedsInvestedInGICInd>
        <GICProviderName>
          <BusinessNameLine1Txt>0</BusinessNameLine1Txt>
        </GICProviderName>
        <GrossProceedsInvestedInd>false</GrossProceedsInvestedInd>
        <WrittenProcToMonitorReqsInd>true</WrittenProcToMonitorReqsInd>
      </TaxExemptBondsArbitrageGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>true</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART IV, LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>TOTAL INVESTMENT EARNINGS FOR EACH ISSUE: 2008 BONDS - $223,631 2012 BONDS - $4,546 2015 BONDS - $37,938</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART III LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>THE BONDS ARE NOT PRIVATE ACTIVITY BONDS BECAUSE THEY DO NOT MEET THE PRIVATE BUSINESS USE TEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV LINE 2C</FormAndLineReferenceDesc>
        <ExplanationTxt>A) THE REBATE COMPUTATION WAS PERFORMED ON JUNE 19, 2013 AND JULY 7, 2015. B) THE REBATE COMPUTATION WAS PERFORMED ON SEPTEMBER 26, 2013.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JEFFREY W BRAGG DO</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>205000</OriginalPrincipalAmt>
        <BalanceDueAmt>20000</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>SHANKARAN SRIKANTH</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>160000</OriginalPrincipalAmt>
        <BalanceDueAmt>18000</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>JEREMY WILSON DO</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>90000</OriginalPrincipalAmt>
        <BalanceDueAmt>16923</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <LoansBtwnOrgInterestedPrsnGrp>
        <PersonNm>TAMY PERNG DO</PersonNm>
        <RelationshipWithOrgTxt>EMPLOYED</RelationshipWithOrgTxt>
        <LoanPurposeTxt>RECRUITMENT</LoanPurposeTxt>
        <LoanFromOrganizationInd>X</LoanFromOrganizationInd>
        <OriginalPrincipalAmt>260000</OriginalPrincipalAmt>
        <BalanceDueAmt>55000</BalanceDueAmt>
        <DefaultInd>false</DefaultInd>
        <BoardOrCommitteeApprovalInd>true</BoardOrCommitteeApprovalInd>
        <WrittenAgreementInd>true</WrittenAgreementInd>
      </LoansBtwnOrgInterestedPrsnGrp>
      <TotalBalanceDueAmt>109923</TotalBalanceDueAmt>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>CHRISTINE MONAHAN</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>DAUGHTER OF OFFICER</RelationshipDescriptionTxt>
        <TransactionAmt>10526</TransactionAmt>
        <TransactionDesc>PAID EMPLOYEE</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>IMG INSURANCE</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>SEE COMMENT</RelationshipDescriptionTxt>
        <TransactionAmt>356472</TransactionAmt>
        <TransactionDesc>SEE COMMENT</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART IV</FormAndLineReferenceDesc>
        <ExplanationTxt>Tim Dailey, MGH board member, and his son own &gt;35% of IMG Insurance, a company which conducts business with MGH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 1B</FormAndLineReferenceDesc>
        <ExplanationTxt>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</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15A</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, PART XI, LINE 9</FormAndLineReferenceDesc>
        <ExplanationTxt>PENSION RELATED CHANGES $427,268</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PROGRAM SERVICES ACCOMPLISHMENTS</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>MGH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>441 N WABASH AVE</AddressLine1Txt>
          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46952</ZIPCd>
        </USAddress>
        <EIN>811872365</EIN>
        <PrimaryActivitiesTxt>SUPPORT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>11A</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>MGH</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>PROGRESSIVE CENTER CARE LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>831 N THEATER DRIVE</AddressLine1Txt>
          <CityNm>MARION</CityNm>
          <StateAbbreviationCd>IN</StateAbbreviationCd>
          <ZIPCd>46952</ZIPCd>
        </USAddress>
        <EIN>320061469</EIN>
        <PrimaryActivitiesTxt>ONCOLOGY CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IN</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>RELATED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>184164</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>1572148</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>false</GeneralOrManagingPartnerInd>
        <OwnershipPct>0.51151</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>true</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>false</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>false</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PROGRESSIVE CANCER CARE LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>F</TransactionTypeTxt>
        <InvolvedAmt>366570</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PROGRESSIVE CANCER CARE LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>K</TransactionTypeTxt>
        <InvolvedAmt>216094</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PROGRESSIVE CANCER CARE LLC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>165486</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>