2020-07-13T22:44:03-05:00 2019-12-31 BKD LLP 600 N Hurstbourne Parkway 350 Louisville KY 40222 990 2019-01-01 351903507 AMELIA BROWN FRAZIER REHAB CTR INC BOARD DIR DBA SOUTHERN INDIANA REHABILITATION HOSPITAL % BILL LEACHMAN AMEL 8129416106 1220 MISSOURI AVE JEFFERSONVILLE IN 47130 MARTIN PADGETT DIRECTOR 8129416106 2020-07-15 true JESSICA FREEMAN P01261457 5025810435 2020-07-15 167.68.126.162 61531320201955000109 2020-07-13 P BC41F490CDBA535057464092C91A13C1993D0616 960E2682245B9F8FA4870C9892C8D144138B2C2B 2019 2021-01-29 14:40:06Z X MARTIN PADGETT 1220 MISSOURI AVE JEFFERSONVILLE IN 47130 106828 false X www.sirh.org X 1993 IN ASSIST PHYSICALLY IMPAIRED INDIVIDUALS THROUGHOUT THE REGION. HOSPITAL OPERATIONS CEASED IN 2018. X 3 3 0 0 0 33081 0 8918438 0 17569943 73938 359493 32890 26880955 106828 0 0 0 0 6068352 -74948 0 0 0 3640124 193936 9708476 118988 17172479 -12160 9511388 3276298 3222930 0 6288458 3276298 SOUTHERN INDIANA REHAB HOSPITAL'S PRIMARY MISSION WAS TO ASSIST PHYSICALLY IMPAIRED INDIVIDUALS THROUGHOUT THE REGION IN REALIZING THEIR OPTIMUM LEVEL OF FUNCTIONAL INDEPENDENCE, PRODUCTIVITY, SOCIAL ADJUSTMENT, AND SELF-ESTEEM. false false SOUTHERN INDIANA REHABILITATION HOSPITAL (SIRH) PROVIDED A FULL RANGE OF INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO THOSE IN NEED WITHOUT REGARD TO RACE, CREED, NATIONAL ORIGIN, AGE, SEX, HANDICAP, OR ABILITY TO PAY. ON JUNE 28, 2018, SIRH WAS PURCHASED BY VIBRA HEALTHCARE, LLC, AND SIRH CEASED OPERATIONS AS A HOSPITAL FACILITY. IN CONNECTION WITH THE SALE OF THE HOSPITAL THERE IS AN ESCROW AGREEMENT FOR A PORTION OF THE SALES PROCEEDS FOR ANY CONTINGENCIES THAT WILL TERMINATE ON JUNE 28, 2021. 0 true false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false true 0 0 0 false false false false false false false false false false false false X 3 3 false false false false false false false true true false false false true true true true true false false false IN X BILL LEACHMAN 5025810435 600 NORTH HURSTBOURNE PKWY STE 350 LOUISVILLE KY 40222 MARTIN PADGETT DIRECTOR - MANAGEMENT/FINANCE 0.25 0.0 X X 0 0 0 STEVEN FRANTZ DIRECTOR 0.25 0.0 X 0 0 0 MARK TRUMAN DIRECTOR 0.25 0.0 X 0 0 0 0 0 0 0 false false false CERNER CORPORATION 2800 ROCK CREEK PKWY KANSAS CITY MO 64117 SOFTWARE SERVICES 112750 1 0 0 73938 73938 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS 900099 32890 32890 32890 106828 106828 0 0 0 0 0 0 0 -75531 -75531 583 583 0 0 7652 7652 60160 60160 0 0 0 113633 113633 0 10867 10867 0 0 0 0 0 0 0 0 0 0 OTHER 1624 1624 118988 0 118988 0 7548630 0 0 3276298 0 0 1962758 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 9511388 3276298 26308 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3196622 0 3222930 0 X 6288458 3276298 0 0 6288458 3276298 9511388 3276298 X -12160 -3000000 X false false false X SCH A, PART I, LINE 3 ----------------------------------------- FOLLOWING THE SALE OF THE HOSPITAL TO VIBRA HEALTHCARE ON JUNE 28, 2018, THE ENTITY IS NO LONGER OPERATING AS A LICENSED HOSPITAL FACILITY, THEREFORE NO SCHEDULE H HAS BEEN PREPARED AND AUDITED FINANCIAL STATEMENTS ARE NOT REQUIRED TO BE ATTACHED TO THE FORM 990. THE ENTITY WILL DISSOLVE UPON RESOLUTION OF THE ESCROW AGREEMENT THAT TERMINATES ON JUNE 28, 2021. CASH - TRANSACTION EXPENSES 2019-09-30 3000000 FIXED FEE 050602943 VIBRA REHABILITATION HOSP OF SO IND 4600 LENA DR MECHANICSBURG PA 17055 LLC false false false false FORM 990, PART VI, SECTION B, LINE 11 REVIEW OF FORM 990 ----------------------------------- FORM 990 IS PREPARED BY AN OUTSIDE ACCOUNTING FIRM AND REVIEWED BY THE BOARD PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C MONITORING THE CONFLICT OF INTEREST POLICY -------------------------------------------------------------------------- ANNUAL STATEMENTS ---------------------------------- EACH TRUSTEE, DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS OF SOUTHERN INDIANA REHABILITATION HOSPITAL (SIRH) SHALL ANNUALLY SIGN A STATEMENT, WHICH AFFIRMS THAT SUCH PERSON: - HAS RECEIVED A COPY OF SIRH'S CONFLICTS OF INTEREST POLICY - HAS READ AND UNDERSTANDS THIS POLICY - HAS AGREED TO COMPLY WITH THIS POLICY, AND - UNDERSTANDS THAT SIRH IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, SIRH MUST ENGAGE PRIMARILY IN ACTIVITIES THAT ACCOMPLISH ONE OR MORE OF THEIR TAX-EXEMPT PURPOSES. ANNUAL QUESTIONNAIRE -------------------------------------- EACH TRUSTEE, DIRECTOR, OFFICER AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS OF SIRH AND KEY EMPLOYEE OF SIRH, SHALL ANNUALLY COMPLETE A CONFLICTS OF INTEREST QUESTIONNAIRE. PERIODIC REVIEWS ------------------------------ TO ENSURE THAT SIRH OPERATES IN A MANNER CONSISTENT WITH ITS CHARITABLE PURPOSES AND THAT IT DOES NOT ENGAGE IN ACTIVITIES THAT COULD JEOPARDIZE ITS STATUS AS AN ORGANIZATION EXEMPT FROM FEDERAL INCOME TAX, PERIODIC REVIEWS SHALL BE CONDUCTED. THE PERIODIC REVIEWS SHALL, AT A MINIMUM, INCLUDE THE FOLLOWING SUBJECTS: - WHETHER COMPENSATION ARRANGEMENTS AND BENEFITS ARE REASONABLE AND ARE THE RESULT OF ARM'S LENGTH BARGAINING. - WHETHER PARTNERSHIP AND JOINT VENTURE ARRANGEMENTS WITH MANAGEMENT SERVICE ORGANIZATION AND PHYSICIAN HOSPITAL ORGANIZATIONS CONFORM TO WRITTEN POLICIES, ARE PROPERLY RECORDED, REFLECT REASONABLE PAYMENTS FOR GOODS AND SERVICES, FURTHER SIRH'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. - WHETHER AGREEMENTS TO PROVIDE HEALTH CARE AND AGREEMENTS WITH OTHER HEALTH CARE PROVIDERS, EMPLOYEES, AND THIRD PARTY PAYORS FURTHER SIRH'S CHARITABLE PURPOSES AND DO NOT RESULT IN INUREMENT OR IMPERMISSIBLE PRIVATE BENEFIT. IN CONDUCTING SUCH PERIODIC REVIEWS, SIRH MAY, BUT NEED NOT, USE OUTSIDE ADVISORS. IF OUTSDE EXPERTS ARE USED, THEIR USE SHALL NOT RELIEVE THE GOVERNING BOARD OF ITS RESPONSIBILITY FOR ENSURING THAT PERIODIC REVIEWS ARE CONDUCTED. FORM 990, PART VI, SECTION B, LINES 15A & 15B PROCESS FOR DETERMINING COMPENSATION ------------------------------------ NO COMPENSATION WAS PAID BY THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 19 MAKING DOCUMENTS AVAILABLE TO THE PUBLIC -------------------------------------- THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY OR FINANCIAL STATEMENTS AVAILABLE TO THE GENERAL PUBLIC. FORM 990, PART XI, LINE 9 RECONCILIATION OF NET ASSETS ---------------------------- Other Changes in Net Assets: TRANSFER TO AFFILIATES ($3,000,000) FORM 990 PART IX LINE 11G DESCRIPTION:OTHER PROF FEES TOTAL FEES:113633