2018-11-15T15:00:53-06:00 2017-12-31 350921680 CROWE LLP 135 N Pennsylvania Street Suite 200 Indianapolis IN 46204 990 2017-01-01 351786005 Rehabilitation Hospital of Indiana Inc REHA 3173292000 4141 SHORE DRIVE Indianapolis IN 462542607 Marjorie Basey CFO 2018-11-15 true Kim Scifres P00319397 3176321100 2017 2019-02-21 02:37:17Z Marjorie Basey 4141 SHORE DRIVE Indianapolis IN 462542607 42351108 false X WWW.RHIN.COM X 1989 IN The primary focus of the Rehabilitation Hospital of Indiana is to deliver acute inpatient and outpatient rehabilitation services to the residents of Central Indiana regardless of their ability to pay. The cost of financial assistance and community benefit provided in 2017 = $2.1million. 4 4 535 72 0 0 300 99985 41131358 42019126 32573 33893 196096 198104 41360327 42351108 0 0 26895142 27533618 0 0 13218229 14019712 40113371 41553330 1246956 797778 31922218 30313023 21065105 18470058 10857113 11842965 X Rehabilitation Hospital of Indiana's (RHI) mission is to provide personalized, compassionate care that enables individuals to regain hope and independence after life-changing injury or illness. RHI's vision is to lead the practice of rehabilitative medicine through internationally-recognized translational research, innovative and patient-centered care, and holistic training. false false 14894219 14356929 REHABILITATION NURSING: REHABILITATION NURSES WORK TO REINFORCE HEALING TECHNIQUES BY ENCOURAGING PATIENTS TO PRACTICE WHAT THEY LEARN IN THERAPY. THE NURSES AT REHABILITATION HOSPITAL, INC. HAVE A STRONG BACKGROUND IN MEDICAL-SURGICAL NURSING AND MANY HAVE HAD EXTENSIVE EXPERIENCE IN THE CRITICAL CARE AND ACUTE REHAB SETTING. 13434868 16078205 THERAPY SERVICES: THERAPY IS A KEY COMPONENT OF A PATIENT'S RECOVERY AND INCLUDES PHYSICAL, OCCUPATIONAL, SPEECH, AND RECREATIONAL THERAPY. THE THERAPY PROGRAM'S PURPOSE IS TO DEVELOP A COMPREHENSIVE PLAN TO HELP PATIENTS BECOME INDEPENDENTLY CAPABLE IN THEIR EVERYDAY LIVES. ADDITIONALLY, THE OVERALL GOAL IS TO HELP BUILD STRENGTH AND ENDURANCE BY USING VARIOUS TECHNIQUES AND SPECIALIZED EQUIPMENT. 7072295 5772753 OTHER PROGRAMS INCLUDE:ANCILLARY SERVICES WHICH CONSISTS OF LAB, EKG, RADIOLOGY, PHARMACY, CENTRAL SUPPLIES, NUTRITION, RESPIRATORY THERAPY, MEDICAL SERVICES (CLINICS), AND DIETARY SERVICES. OUR INTERNS & MEDICAL RESIDENTS PROGRAM REPRESENTS AN EDUCATIONAL PROGRAM TO TRAIN MEDICAL RESIDENTS IN THE ACUTE REHAB SETTING. 2164408 6008376 NEUROPSYCHOLOGY: THE PSYCHOLOGICAL ASPECT OF A PATIENT'S REHABILITATION IS ALSO A VERY IMPORTANT PART OF A PATIENT'S RECOVERY. THE NEUROPSYCHOLOGIST WORKS IN COLLABORATION WITH THE REHABILITATION TEAM TO DESIGN THE APPROPRIATE PROGRAM FOR EACH INDIVIDUAL PATIENT. MOREOVER, THE REHABILITATION NEUROPSYCHOLOGIST HELPS THE PATIENT AND FAMILY COPE WITH THEIR ILLNESS AND DISABILITY THROUGH COUNSELING, THERAPY AND EDUCATION. 2164408 6008376 37565790 true true false true false false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false true false false false false true true true false false true 49 0 true 535 true false false false false false false true false false false X 4 4 false false false false true true true true true false false true true true true true true true true false IN X Marjorie Basey 3173292195 4141 SHORE DRIVE Indianapolis IN 462542607 CHERYL HARMON CHAIR 1.0 0 X X 0 0 0 RYAN NAGY VICE CHAIR/TREASURER 1.0 0 X X 0 0 0 MIKE MULLINS BOARD MEMBER (UNTIL 6/23/2017) 1.0 0 X 0 0 0 MARY MYERS BOARD MEMBER (AS OF 6/23/2017) 1.0 0 X 0 0 0 HAROLD BERFIEND BOARD MEMBER 1.0 0 X 0 0 0 DANIEL WOLOSZYN CEO 40.0 1.0 X 400850 0 35949 MONTE M SPENCE COO 40.0 0 X 220462 0 34066 MARJORIE BASEY CFO 40.0 0 X 181250 0 15658 LANCE E TREXLER DIR OF NEUROREHAB PSYCHOLOGY 40.0 0 X 171871 0 30655 GARY SKINNER Director 40.0 0 X 160377 0 12739 MARY ESCALANTE Pharmacist 40.0 0 X 148167 0 30961 JONI BROWN Exec Dir Human Resources 40.0 0 X 138355 0 21092 BRIAN OBERT MANAGER OF PHARMACY OPERATIONS 40.0 0 X 134160 0 25029 1555492 0 206149 31 false true false TREAT AMERICA FOOD SERVICES 8500 SHAWNEE MISSION PARKWAY MERRIAM KS 66202 DIETARY SERVICES 1062254 INDIANA UNIVERSITY HEALTH INC 2201 RELIABLE PARKWAY CHICAGO IL 60685 LAB, PHYSICIAN SERVICES 924132 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 COMPUTER SERVICES 713498 UNIVERSITY OF PHYSIATRIC ASSOCIATES 541 N CLINICAL DRIVE CL 626 INDIANAPOLIS IN 462025111 PHYSICIAN SERVICES 321046 WILLIAM RANDALL 21 VIRGINIA AVE SUITE 400 INDIANAPOLIS IN 46204 MARKET RESEARCH 170936 10 X 99985 99985 99985 NET PATIENT SERVICE REVENUE 622000 40433492 40433492 MANAGEMENT FEE 621111 1534584 1534584 PHYSICIAN SERVICE REVENUE 621111 42672 42672 RENT RELATED TO EXEMPTION 531120 5920 5920 PHARMACY REVENUE 446110 2458 2458 0 0 0 0 42019126 33893 33893 0 0 0 0 CAFETERIA & VENDING 722210 132360 132360 REBATE REVENUE 900099 24684 24684 VENDING 900099 967 967 40093 40093 0 0 198104 42351108 42216263 0 34860 X 888235 888235 21228693 20020677 1208016 546805 442949 103856 3272740 2847284 425456 1597145 1389516 207629 11554 11554 90569 90569 4495801 4439389 56412 0 150903 17211 133692 386232 386232 10259 10259 991486 872508 118978 198148 174370 23778 38225 33638 4587 511485 473237 38248 1658237 1459249 198988 172792 132746 40046 MEDICAL SUPPLIES/EQUIPMENT 3300353 3300353 PROVISION FOR BAD DEBT 1954666 1954666 MISCELLANEOUS EXPENSE 49002 7997 41005 0 0 0 0 41553330 37565790 3987540 0 2714 2714 9898392 11836781 6362321 6163929 0 0 0 254855 150492 911857 972016 34746189 24408267 10742393 10337922 3009179 270 0 0 740507 848899 31922218 30313023 3689456 3998613 13584008 12903899 0 3000000 0 791641 1567546 21065105 18470058 X 10857113 11842965 10857113 11842965 31922218 30313023 797778 188074 0 X false true X true false X false false false false false false false false true 46040 46040 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY RHI IS A MEMBER OF THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION (AMRPA). THROUGH THE MEMBERSHIP, LOBBYING ACTIVITIES ARE INCLUDED. RHI ALSO UTILIZES ICE MILLER TO ASSIST WITH RATE AND PAYMENT ISSUES WITH THE STATE OF INDIANA. Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY RHI IS A MEMBER OF THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION (AMRPA). THROUGH THE MEMBERSHIP, LOBBYING ACTIVITIES ARE INCLUDED. RHI ALSO UTILIZES ICE MILLER TO ASSIST WITH RATE AND PAYMENT ISSUES WITH THE STATE OF INDIANA. 2506638 2506638 15454316 12390818 3063498 187578 113185 74393 16160350 11662440 4497910 437307 241824 195483 10337922 Estimated Third-party settlements 1316781 Interest Rate Swap Liability 250765 Capital Lease Obligation 0 1567546 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Hospital is a not-for-profit corporation pursuant to Section 501(c)(3) of the Internal Revenue Code and is exempt from income taxes on related income pursuant to Section 501(a). Accordingly, no provision for income taxes is required for the Hospital in the consolidated financial statements. A tax position is recognized as a benefit only if it is "more likely than not" that the tax position would be sustained in a tax examination, with a tax examination being presumed to occur. The amount recognized is the largest amount of tax benefit that is greater than 50% likely of being realized on examination. For tax positions not meeting the "more likely than not" test, no tax benefit is recorded. The Hospital is no longer subject to examination by U.S. federal taxing authorities for years before 2011 and for all state income taxes through 2012. The Hospital does not expect the total amount of unrecognized tax positions to significantly change in the next 12 months. The Hospital would recognize interest and/or penalties related to income tax matters in income tax expense. The Hospital has no amounts accrued for interest or penalties as of December 31, 2017 and 2016. true true X true X true X true true true false true true 248453 0 248453 0.0063 3134057 1764506 1369551 0.0346 0 0 0 0.0 0 0 3382510 1764506 1618004 0.0409 56466 14320 42146 0.0011 298706 0 298706 0.0075 0 0 0 0.0 86623 0 86623 0.0022 7997 0 7997 0.0002 0 0 449792 14320 435472 0.0110 0 0 3832302 1778826 2053476 0.0519 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 1954666 0 11567452 11952619 -385167 X true true 1 1 REHABILITATION HOSPITAL OF INDIANA 4141 Shore Drive Indianapolis IN 46254 www.rhin.com 16-005971-1 X X Acute Rehabilitation REHABILITATION HOSPITAL OF INDIANA 1 false false true X X X X X X X X X 15 true true false true X http://rhin.com/wp-content/files_mf/2015communityhealthneedsassessment.pdf X true 15 true http://rhin.com/wp-content/files_mf/20162018rhiimplementationstrategies.pdf false true X 200.0 400.0 true true X X X true X https://www.rhin.com/wp-content/uploads/2015/12/Financial-Assistance-Policy.pdf X https://www.rhin.com/wp-content/uploads/2015/12/Financial-Assistance-Application.pdf X https://www.rhin.com/financial-assistance/ X X X X X X true false X X X X false X X X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - REHABILITATION HOSPITAL OF INDIANA, INC.. 2015 CHNA. To identify community health needs, IU Health/RHI collected comments and surveyed residents of the community at large through a web-based site and utilizing paper copies accessible at clinics and other settings, with special emphasis to garner input from low income, uninsured, or minority groups. Additionally, a two-hour focus group consisting of public health officials and representatives of medically underserved groups was conducted on May 15th, 2015 at Saint Paul Episcopal Church. Focus group facilitators sent email invites, mailed letters and made follow up telephone calls, paying special attention to including organizations that represent the interest of low-income, minority and uninsured individuals. Attendees who participated in the focus group include key stakeholders representing: * All Senior Citizens Connect * Anthem * Clinical Translational Sciences Institute * Coburn Place * Community Alliance of the Far Eastside * Community Health Network * Domestic Violence Network * Families First * Father and Families * Immigrant Welcome Center * Indianapolis Housing * Julian Center * Life's TouchHome Health * Mapleton-Fall Creek Development Corporation * Marion County Public Health Department * Marion County Prosecutor's Office * Martindale Brightwood Community Development Corporation * Phalen Leadership Academies * Repucare Incorporated * St. Francis Hospital * St. Vincent Hospital * Survivors of Violence IU Health/RHI representatives compiled the survey results, health indicator data and focus group priorities and, implementing the Hanlon Method, identified the top five needs. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - REHABILITATION HOSPITAL OF INDIANA, INC.. The 2015 Community Health Needs Assessment (CHNA) was conducted as a collaborative effort involving RHI, IU Health, Community Health Network, Franciscan Alliance and St. Vincent Health. Schedule H, Part V, Section B, Line 21 Facility , 1 Facility , 1 - REHABILITATION HOSPITAL OF INDIANA, INC.. RHI is not a general acute care hospital/facility nor is RHI equipped to provide care to patients with urgent care needs. RHI is a specialty provider of rehabilitation services such as Physical, Occupational and Speech Therapy. 0 Schedule H, Part V, Section B, Line 11 HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IN CHNA REHABILITATION HOSPITAL OF INDIANA ACTIVITIES TO ADDRESS PRIORITIES Rehabilitation Hospital of Indiana provides various avenues to assist community residents in improving their health knowledge and care. In addition, Rehabilitation Hospital of Indiana partners with other community organizations in healthcare, wellness, outreach, and other services to address our communities' health needs. Among the many programs focused on priority areas identified, we list a few examples here that take Rehabilitation Hospital of Indiana beyond the clinic walls and into the community. Access to healthcare * On Tuesday, June 27th, RHI partnered with a number of local hospitals and health care organizations to co-sponsor the third annual "Strike Out Stroke" event at Victory Field. The focus of this event was to educate the community about the prevalence and symptoms of stroke and send the message that quick action in the event of a suspected stroke can save lives. Volunteer efforts included distributing promotional giveaways as well as providing stroke education information and blood pressure readings to attendees prior to the game. We also had a very strong showing of RHI employees and previous patients coming out in support of this fantastic event. * RHI offers free monthly support groups related to stroke, brain injury, and spinal cord injury providing education, training and coping skills to both survivors and their caregivers. Additionally, these programs help to decrease social isolation and increase support in the community. Nutrition and Healthy Weight * RHI Sports' Annual Water Ski Clinic is a two day program held at Morse Reservoir. This clinic provides individuals with physical disabilities the opportunity to participate in the thrilling sport of water skiing, helping to increase the participant's overall physical fitness and self-confidence while decreasing feelings of isolation and helplessness. The two day event serves community individuals with physical disabilities. * * On Thursday, June 1st, RHI team members volunteered at Arsenal Tech High School as we partnered with IU Health to provide free sports physicals for IPS students from local schools. Volunteer activities included screening for vision and measuring the height, weight and blood pressure of 135 students. Because of these collaborative efforts, we have helped a large number of Marion County high school students stay active by passing their physicals that will allow them to participate in sports activities. * RHI Sports Community Fitness Program occurs twice weekly at our main hospital location. In recognizing that an individual with a disability needs to continue leading a healthy lifestyle, RHI makes the therapy gym and specialized equipment available at no cost to all members of the community that have a physical disability. Behavioral Health and Substance Abuse * Targeting mental health issues, RHI partnered with Mental Health America of Greater Indianapolis to sponsor fifteen Mental Health First Aid scholarships for Marion County community members (teachers, social workers, youth group leaders, etc.) to be trained to recognize the potential risk factors and warning signs for a range of mental health problems and provide guidance for those undergoing crisis to receive necessary resources, support, and treatments to achieve recovery. Community Revitalization * On Saturday, April 22nd, Team RHI partnered with numerous community members for the 2017 Great Indy Cleanup. Sponsored by Keep Indiana Beautiful, this is an anti-litter program in partnership with the City of Indianapolis that is designed to assist individuals and community groups combat heavy litter and debris that has accumulated in public spaces. Our team's efforts concentrated on the school grounds of Jonathan Jennings Elementary School and the surrounding neighborhoods on the west-side of Indianapolis. * On September 26th and 27th, the RHI therapy team partnered with Junior Achievement of Central Indiana and numerous industry leaders to support the second annual JA JobSparks event at the Indiana State Fairgrounds. The focus of this two day event was to offer Marion County students insights on what industries interest them, what specific jobs are like, and what education is required to perform them successfully. Research has shown that when a student has a real idea of what they want to do after high school, they are much more likely to stay in school and graduate. Because of the efforts of team RHI, we have provided a "spark" in positively impacting more than 8,700 Indianapolis students by sharing with them our clinical expertise and providing insights into physical, occupational and speech therapy careers. * On Friday, October 6th, Team RHI members partnered with Greater Indy Habitat for Humanity to spend the day in helping build two homes on the East side of Indianapolis as part of the Eastern Star Church ROCK Initiative. Our volunteers did an absolutely incredible job of working together to successfully perform a number of key activities including measuring, cutting and installing siding. RHI continues to welcome the opportunity to serve our community. As a result of these collaborative efforts, two families are owning their first Habitat homes. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The provision for bad debts is based upon management's assessment of historical and expected collections of accounts receivable considering business and economic conditions, trends in health care coverage, and other collection indicators. Accounts receivable are written off and charged to the provision for bad debts after collection efforts have been made in accordance with the Hospital's policies. Recoveries are treated as a reduction to the provision for bad debts. Accounts receivable are reduced by an allowance for doubtful accounts. Periodically, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by major payor category. Data about the major payor sources of revenue is analyzed to establish an appropriate allowance for uncollectible receivables and provision for bad debts. For receivables associated with services provided to patients who have third-party coverage, contractually due amounts are analyzed and compared to actual cash collected over time to enhance the quality of the estimate of the allowance for doubtful accounts and the provision for bad debts (for example, for expected uncollectible deductibles and co-payments on accounts for which the third-party payor has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co payment balances due for which third-party coverage exists for part of the bill), a significant allowance for doubtful accounts is recorded on the basis of historical experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. An estimate of the difference between contracted rates and amounts actually collected, after all reasonable collection efforts have been exhausted, is charged to the provision for bad debts and credited to the allowance for doubtful accounts. Schedule H, Part III, Line 3 Bad Debt Expense Methodology The organization does not report any portion of bad debt as community benefit and chooses not to estimate for purposes of Part III, Section A, Line 3 the amount of bad debt attributable to patients that may be eligible under the organization's financial assistance policy. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Footnote to the Audited Financial Statement. Allowances for Doubtful Accounts: The provision for bad debts is based upon management's assessment of historical and expected collections of accounts receivable considering business and economic conditions, trends in health care coverage, and other collection indicators. Accounts receivable are written off and charged to the provision for bad debts after collection efforts have been made in accordance with the Hospital's policies. Recoveries are treated as a reduction to the provision for bad debts. Accounts receivable are reduced by an allowance for doubtful accounts. Periodically, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by major payer category. Data about the major payer sources of revenue is analyzed to establish an appropriate allowance for uncollectible receivables and provision for bad debts. For receivables associated with services provided to patients who have third-party coverage, contractually due amounts are analyzed and compared to actual cash collected over time to enhance the quality of the estimate of the allowance for doubtful accounts provision for bad debts. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co payment balances due for which third-party coverage exists for part of the bill), a significant allowance for doubtful accounts is recorded on the basis of historical experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. An estimate of the difference between contracted rates and amounts actually collected, after all reasonable collection efforts have been exhausted, is charged to the provision for bad debts and credited to the allowance for doubtful accounts. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Any cost incurred for treatment of a patient in which the total amount of revenue was not collected, is reported as a shortfall. By continuing to treat patient eligible for Medicare, hospitals alleviate the federal government's burden for directly providing medical services. The shortfall is due to continued cuts in Medicare reimbursement while RHI continues to invest in state-of the-art equipment and facilities to meet the challenging healthcare needs of the community. Medicare allowable costs were determined based on the cost to charge ratio from the FY 2017 Medicare cost report. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The Hospital's collection policy contains provisions on practices to be followed for patients who are known to qualify for financial assistance. The collection policy states that RHI will not engage in extraordinary collection actions before making reasonable efforts to determine whether a patient is eligible for assistance under RHI's Financial Assistance Policy. Schedule H, Part V, Section B, Line 16a FAP website - REHABILITATION HOSPITAL OF INDIANA: Line 16a URL: https://www.rhin.com/wp-content/uploads/2015/12/Financial-Assistance-Policy.pdf; Schedule H, Part V, Section B, Line 16b FAP Application website - REHABILITATION HOSPITAL OF INDIANA: Line 16b URL: https://www.rhin.com/wp-content/uploads/2015/12/Financial-Assistance-Application.pdf; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - REHABILITATION HOSPITAL OF INDIANA: Line 16c URL: https://www.rhin.com/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B: 2015 CHNA: The 2015 Community Health Needs Assessment (CHNA) was conducted as a collaborative effort involving RHI, MH Healthcare, Community Health Network, Franciscan Alliance and St. Vincent Health. In order to identify the community's leading health needs, both quantitative and qualitative data was utilized. Quantitative analyses assessed the health needs of the population through data abstraction. This data was supplemented with qualitative information to provide a full picture of the community's health and health needs. For this CHNA, qualitative data were gathered from responses collected online and through the distribution of hard copy surveys to members of the public, and a focus group with health leaders and public health experts. The Hanlon Method was utilized to set priorities and RHI utilized the rankings along with the Hospital's ability to impact change to select the below community health needs as priority areas: 1. Access to Healthcare 2. Nutrition and Healthy Weight 3. Behavioral Health and Substance Abuse 4. Community Revitalization These four community health needs are identified in RHI's Implementation Strategy and the hospital is committed to addressing these identified needs during the course of 2016-2018. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy: Patients are informed about financial assistance before admissions by the clinical liaison. This occurs when the patient is at the general acute care hospital before transferring to RHI. Patients are also informed of financial assistance with signage that is located throughout hospital. The patient is informed during registration by the admissions representative and a summary of the financial assistance policy is included in each admission packet. During the patient's stay, the Care Coordinator will work with the patient in completing the financial assistance application. The Care Coordinator will continue to work with the patients after discharge, if the situation requires. Patients receive a summary of the FAP with all statements. RHI also mails a summary of the policy along with a financial assistance application to any uninsured patient that has a balance on his/her account. RHI also publicizes its FAP on the hospital web site. RHI provides representatives to assist patients with the financial assistance process Monday through Friday from 8am to 5pm. Schedule H, Part VI, Line 4 Community information Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves: RHI serves adolescents through adults with physical and cognitive disabilities primarily from 100-mile radius of RHI but catchment area normally includes all 92 Indiana counties and surrounding states. RHI offers services for inpatient for 91 beds and 3 outpatient locations. One location is located within the hospital and two offices conveniently located at separate locations. RHI's core services are structured through specialized units. By doing so, a rehabilitative environment is created that fosters progressive leadership, innovation and quality that will lead to preeminent patient care and outcomes. RHI's main services include but not limited to Stroke Rehabilitation, Brain and Spinal Cord injury, Multiple Trauma Rehabilitation and Orthopedic Rehabilitation. This section identifies the community assessed by MH Healthcare/RHI. The community where Rehabilitation Hospital of Indiana is located. The secondary service area (SSA) is comprised of eight counties contiguous to Marion County and consisting of 1% or more of RHI's inpatient population. 57 remaining counties throughout Indiana make up the reminder of the community's total service area. In 2013, Rehabilitation Hospital of Indiana PSA included 567 discharges and its SSA, 354 discharges. The community was defined based on the geographic origins of Rehabilitation Hospital of Indiana. Of the hospital's inpatient discharges, approximately 47% originated from the PSA and 30% from the SSA (source RHI). Rehabilitation Hospital of Indiana is located in Marion County, in central Indiana. Marion County includes ZIP codes within the towns of Beech Grove, Indianapolis, Lawrence, Southport, and Speedway plus portions of Plainfield, which extends into Hendricks County. Based on the Census Bureau data for 2012, Marion County's population is 911,296 and 54% are female. The county's population estimates by race are 59.5% White non-Hispanic, 26.4% Black non-Hispanic, 9.3% Hispanic or Latino, 2.0% Asian, 0.5% American Indian or Alaska Native, and 2.2% persons reporting two or more races. Marion County has relatively moderate levels of educational attainment. Among adults age 25 and up, 81.6% in the county have a high school diploma or equivalent. A small share, 5.6%, has an associate's degree and 21% have some college but no degree. Just over one-quarter of adults over 25 (25.4%) have a bachelor's degree or higher. Within the entire service area, the total population for the PSA is 911,296 and the total population for surrounding counties 945,491, for a combined total of 1,856,797. Schedule H, Part VI, Line 5 Promotion of community health Provide any other information important to describing how the organization's hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.): RHI continues to forge positive relationships with all referral sources to identify access challenges and improvement. RHI also provides monthly support groups for patients and families including a Stroke Support Group held on the main campus; a Brain Injury Support Group on the main campus and at NRC; and a Stroke Care Givers Support Group on the main campus. RHI provides the support groups with a meeting room, one staff member's time and refreshments at no cost to the patients and families attending. There are two Stroke Support Groups offered at RHI. One group is to teach individuals recovering from a stroke coping skills. The second Stroke Support Group is to provide training to families and loved ones of the recovering stroke patient. The groups meet monthly on the main hospital campus. The Brain Injury Support Group teaches survivors of brain injury and their family and caregivers through pertinent situations, goal setting and providing information about return to work. Apart from the monthly meetings, social gatherings meet to decrease social loneliness and increase support in the community. RHI believes support groups provide its attendees with coping skills while promoting the health of the community it serves. The support groups encourage the communication among victims and/or family members with those who have sustained a similar injury and have returned to the community. RHI also provided an aquatics wellness program for individuals within the community. This program benefits members of the community such as individuals with arthritis and women during pregnancy. The water allows them to exercise under conditions that they normally would not be able to exercise. This program collects a small fee to offset a small portion of the cost of the program. Every Tuesday and Thursday evenings, RHI offers a Community Fitness Program by making the therapy gym available to all members of the community that have a physical disability. RHI recognizes that an individual with physical disability needs to continue a healthy life style by exercising which may require the need of specialized equipment. One or two RHI volunteers who are licensed therapists supervise the Community Fitness Program. RHI staff volunteers their time to provide supervision for the program, which is at no cost to the attendees. RHI recognizes that medical rehabilitation is a complex, interdisciplinary system of inpatient and outpatient therapies that is part of more complex system that includes emergent and acute care following catastrophic illness or injury as well as networks that provide long-term services and support. This system and its components provide opportunities for a broad diversity of applied research studies. The targets of current research at RHI range from interventions to reduce disability to a way to better measure rehabilitation effectiveness to leading edge methods to evaluate patients and maximize their outcomes. An Overview of the Research RHI conducts includes Identifying medications that enhance recovery following brain injury; Identifying commonly prescribed medications following brain injury that may have adverse effects on recovery; Evaluating the effectiveness of group therapy for patients and families to improve coping skills ; Improving return to work rates by developing networks of community services; Studying outcomes (community reintegration, well-being, and life satisfaction). As we continue to grow as a rehabilitation hospital and leader in medicine and research development, RHI invites physicians to contact us about patients that could be eligible for rehabilitation and participation in our studies and medical advancement. The partnership between RHI and physicians is important in the continual effort to support and provide the best care for the patient. RHI has made various donations throughout the year to groups supporting the needs of the community. Schedule H, Part VI, Line 6 Affiliated health care system RHI is owned by two major health systems, MH Healthcare (MH) and St. Vincent Health. MH is the majority owner of RHI. RHI works primarily with the MH system on various activities to address the community needs. (MH HEALTHCARE WAS DISSOLVED EFFECTIVE 12/31/2017. IMMEDIATELY PRIOR TO ITS DISSOLUTION, MH HEALTHCARE, INC. TRANSFERRED ITS MEMBER INTEREST IN RHI TO INDIANA UNIVERSITY HEALTH, INC.) Schedule H, Part VI, Line 7 State filing of community benefit report IN X X X false false false false false false false false false DANIEL WOLOSZYN CEO 330366 0 56700 0 13784 0 10629 0 25320 0 436799 0 0 0 MONTE M SPENCE COO 184559 0 25936 0 9967 0 6567 0 27499 0 254528 0 0 0 MARJORIE BASEY CFO 155345 0 22174 0 3731 0 7436 0 8222 0 196908 0 0 0 LANCE E TREXLER DIR OF NEUROREHAB PSYCHOLOGY 160960 0 10000 0 911 0 5335 0 25320 0 202526 0 0 0 GARY SKINNER Director 146723 0 5000 0 8654 0 5649 0 7090 0 173116 0 0 0 MARY ESCALANTE Pharmacist 144633 0 0 0 3534 0 3041 0 27920 0 179128 0 0 0 JONI BROWN Exec Dir Human Resources 123191 0 11561 0 3603 0 5071 0 16021 0 159447 0 0 0 BRIAN OBERT MANAGER OF PHARMACY OPERATIONS 131042 0 0 0 3118 0 9742 0 15287 0 159189 0 0 0 A INDIANA FINANCE AUTHORITY 351602316 000000000 2016-10-31 14235000 SEE SCHEDULE K PART VI false false false A 1235000 0 14235000 0 0 0 0 0 14235000 0 true false true true A false true true false false 0.0066 0.0066 false false true A false true false false false false false false false true A true Schedule K, Part III, Line 3a Private Business Use ANY MANAGEMENT AGREEMENTS DO NOT RESULT IN PRIVATE BUSINESS USE. Schedule K, Part III, Line 2 Private Business Use The organization leases space to contract physicians and this leased space is included in Part III, Line 4, Private Business Use. Schedule K, Part III, Line 9 Written Procedures The organization adopted written procedures in 2014. The organizaiton ensures all nonqualified bonds (if any) of the issue are remediated in accordance with the associated regulations. The organization strives to stay abreast of federal regulations and considers the repercussions of all significant activities which could foreseeably have an impact on the organization's tax exempt bonds and the associated federal tax regulations. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE THE SERIES 2011 BONDS WERE REISSUED ON OCTOBER 31, 2016. THE SERIES 2011 BONDS WERE ORIGINALLY ISSUED ON NOVEMBER 10, 2011 IN ORDER TO PROVIDE FUNDING FOR THE CONSTRUCTION & RENOVATION OF BUILDINGS AND STRUCTURES AND THE PURCHASE OF NEW EQUIPMENT. ADDITIONALLY, THE SERIES 2011 BONDS WERE ISSUED IN ORDER TO REFUND THE SERIES 1990 BONDS. THE SERIES 1990 BONDS WERE ISSUED ON NOVEMBER 1, 1990. X REWALK MACHINE, WASHERS, DRYERS 5 99985 Cost 0 false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - REWALK MACHINE, WASHERS, DRYERS THERE WERE 5 ITEMS CONTRIBUTED. Form 990, Part III, Line 1 ORGANIZATION'S MISSION (CONTINUED FROM PART III, LINE 1) RHI WILL ACHIEVE THIS VISION THROUGH THE FOLLOWING: ACHIEVING IN SUPERIOR PATIENT OUTCOMES; EMBRACING INNOVATIVE TREATMENT METHODS; RECRUITING OUTSTANDING CLINICAL EXPERTISE; TRAINING THE NEXT GENERATION OF REHABILITATION PROFESSIONALS; SEEKING PARTNERSHIPS WITH OTHER COMMUNITY MEMBERS WHO SERVE OUR PATIENT POPULATION; AND PROVIDING A LIFETIME CONTINUUM OF SERVICES FOR OUR PATIENTS. RHI'S VALUES INCLUDE: INTEGRITY: TREATING EACH INDIVIDUAL WITH DIGNITY AND RESPECT; INNOVATION: PIONEERING IN RESEARCH LEADING TO BETTER OUTCOMES; COMPASSION: PROVIDING AN EMPATHETIC AND HEALING ENVIRONMENT; TEAMWORK: EMPOWERING EMPLOYEES; AND SERVICE: PROVIDING COMMUNITY OUTREACH AND ADVOCACY FOR INDIVIDUALS WITH DISABILITIES THROUGH OUR STAFF, PHYSICIANS, AND THE RHI FOUNDATION. RHI OPERATES A 91 BED, FREESTANDING SPECIALTY MEDICAL REHABILITATION HOSPITAL LOCATED IN INDIANAPOLIS, INDIANA. THE HOSPITAL PROVIDES SHORT-TERM, COMPREHENSIVE REHABILITATION SERVICES TO PATIENTS, AND ITS PROGRAMS ARE DESIGNED TO RESTORE PHYSICAL, COGNITIVE AND PSYCHOSOCIAL FUNCTIONS FOLLOWING AN INCIDENT OF ACUTE ILLNESS OR TRAUMA. INPATIENT AND OUTPATIENT THERAPY AND SUPPORT SERVICES PROVIDED BY RHI INCLUDE PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, RECREATIONAL THERAPY, ACTIVITIES OF DAILY LIVING, REHABILITATION NURSING, PSYCHOLOGY, SOCIAL SERVICES AND COGNITIVE RETRAINING, AND SUB ACUTE SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. THE HOSPITAL PROVIDES FREE AND/OR DISCOUNTED CARE TO THOSE WHO QUALIFY ACCORDING TO RHI'S POLICY. RHI VERIFIES AND COLLECTS FINANCIAL RESOURCE INFORMATION ON EACH PATIENT IN A MANNER THAT PROTECTS EACH PATIENT'S DIGNITY AND QUALITY OF LIFE. NO PATIENT'S ADMISSION IS DENIED DUE TO A PATIENT'S INABILITY TO SETTLE THEIR ACCOUNT. ANY PATIENT WHO WISHES TO BE CONSIDERED FOR CHARITY CARE FURNISHES THE HOSPITAL WITH THE REQUIRED FINANCIAL DOCUMENTATION WHICH THE HOSPITAL USES TO DETERMINE WHETHER HE/SHE QUALIFIED. PATIENTS WHO APPLY FOR AND ARE ELIGIBLE FOR CHARITY CARE GENERALLY ARE APPROVED DURING THE ADMISSION PROCESS, HOWEVER, A PATIENT CAN APPLY FOR CHARITY AT ANY TIME. MEDICAID ELIGIBILITY IS ALSO EVALUATED PRIOR TO THE ADMISSION PROCESS. IF A PATIENT APPEARS TO BE ELIGIBLE FOR ASSISTANCE UNDER A GOVERNMENTAL PROGRAM SUCH AS MEDICAID, RHI ASSISTS THE PATIENT WITH THIS PROCESS. THE HOSPITAL PROVIDES MANY SUPPORT GROUPS THAT BENEFIT AND PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. SOME OF THESE GROUPS INCLUDE THE STROKE SURVIVOR SUPPORT GROUP, THE STROKE CAREGIVER SUPPORT GROUP AND THE BRAIN INJURY SUPPORT GROUP, WHICH ALL ENCOURAGE COMMUNICATION BETWEEN PATIENTS AND/OR FAMILY MEMBERS WITH THOSE WHO HAVE SUSTAINED A SIMILAR INJURY AND HAVE RETURNED TO THE COMMUNITY. RHI ALSO OFFERS VOCATIONAL REHABILITATION SUPPORT WHICH PROVIDES SEVERAL SERVICES, AMONG THEM PRE-VOCATIONAL COUNSELING AND CONNECTIONS TO OTHER AGENCIES THAT PROVIDE ASSISTANCE IN RETURNING TO WORK OR SCHOOL. RHI PROVIDES TRANSPORTATION SERVICES TO THOSE RHI OUTPATIENTS THAT NEEDED ASSISTANCE IN GETTING TO AND FROM THEIR THERAPY APPOINTMENTS. RHI ALSO PROVIDES AN AQUATICS WELLNESS PROGRAM FOR INDIVIDUALS WITHIN THE COMMUNITY. RHI ENCOURAGES AND PROMOTES EDUCATION BY OFFERING INTERNS AND MEDICAL RESIDENTS THE OPPORTUNITY TO LEARN THEIR SPECIALIZED INTEREST OF STUDY. MEDICAL RESIDENTS ARE PLACED IN POSITIONS WHERE THEY CAN LEARN AND GROW AS THEY WORK TOWARD COMPLETING THEIR RESIDENCY PROGRAM. Form 990, Part III, Line 4d Description of other program services (Expenses $ 2,164,408 including grants of $)(Revenue $ 6,008,376) NEUROPSYCHOLOGY: THE PSYCHOLOGICAL ASPECT OF A PATIENT'S REHABILITATION IS ALSO A VERY IMPORTANT PART OF A PATIENT'S RECOVERY. THE NEUROPSYCHOLOGIST WORKS IN COLLABORATION WITH THE REHABILITATION TEAM TO DESIGN THE APPROPRIATE PROGRAM FOR EACH INDIVIDUAL PATIENT. MOREOVER, THE REHABILITATION NEUROPSYCHOLOGIST HELPS THE PATIENT AND FAMILY COPE WITH THEIR ILLNESS AND DISABILITY THROUGH COUNSELING, THERAPY AND EDUCATION. Form 990, Part VI, Line 6 Classes of members or stockholders The Not-for-profit corporations St. Vincent Health, Inc. and Indiana University Health, Inc. are the corporate members of RHI. There are 2 classes of membership: Class A and Class B. The class A member is St. Vincent Health and the class B member is Indiana University Health, Inc. (The previous class B member was MH Healthcare, Inc. MH Healthcare, Inc. was dissolved on 12/31/2017. Immediately prior to its dissolution, MH Healthcare, Inc. transferred its member interest in RHI to Indiana University Health, Inc.) Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Each of the corporate members has the right to appoint 50% of the members of the RHI board of Directors. The class A member, St. Vincent Health, has the right to appoint all class A directors; the class B member, Indiana University Health, Inc. has the right to appoint all class B directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The following matters require the joint approval of the two corporate members of the Hospital: 1. Approve, interpret and change any statement of mission, philosophy, role and purpose of RHI. 2. Approve and amend bylaws and articles of incorporation. 3. Fix the number of Directors of RHI. The appointment, election or removal of any class A director shall require the approval of the class A member and the appointment, election or removal of any class B director shall require the approval of the class B member. 4. Approve the merger, dissolution, consolidation or reorganization of RHI. 5. Approve the formation of other entities by RHI. 6. Approve the acquisition, sale, lease, transfer or other alienation of property of RHI, other than in the usual and regular course of RHI's business, when such acquisition, sale, lease, transfer or other alienation meets specified financial levels set in accordance with policies established from time to time by the class A and class B members. 7. Approve capital and operating budgets of RHI. 8. Approve debt incurred by RHI which is in excess of such limits as are established by the Class A and Class B Corporate Members. 9. Approve the disposition of the assets of RHI at the time of its dissolution. 10. Establish (i) policy concerning quality of care and services or (ii) policy and procedures concerning finance and resources for RHI, which are inconsistent with policies established by the Class A and Class B Corporate Members. 11. Approve the long-range financial and strategic plans for RHI. 12. Approve an internal auditing program for RHI, which is inconsistent with the internal auditing program established by the Class A and Class B Corporate Members. 13. Appoint or remove the Chief Executive Officer of RHI provided, however, that the Class A and Class B Corporate Members shall confer with the Board of Directors concerning the appointment or removal of the Chief Executive Officer. 14. Approve the policy pertaining to the evaluation of the Chief Executive Officer of RHI. 15. Appoint or remove the Medical Director. 16. Take any action which would be inconsistent with the governing documents or policies of the Class A or Class B Corporate Members. Form 990, Part VI, Line 11b Review of form 990 by governing body First, a detailed review of the 990 is performed by management and by the majority owner member organization. Then, the final Form 990 is sent to the entire board prior to filing the return with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy Annually, all employees and board members are required to complete a conflict of interest form. The CEO and Chairman of the board review the conflict of interest forms completed by the board members and the Director of Human Resources reviews conflict of interest forms completed by employees. If, during a board meeting, there is an action item that presents a formal conflict, the interested person would be asked to recuse himself/herself from the vote. This recusal would be documented in the minutes. If a key employee discloses a potential conflict, that person is removed from the decision-making process for transactions related to that conflict. Form 990, Part VI, Line 15a Process to establish compensation of top management official The salary for the CEO is defined in the written hiring agreement which is approved by the Board of Directors. Annual performance goals are determined and set by the Chair and Vice Chair of the Board of Directors. Salary increases and performance bonuses are determined based upon performance and the attainment of these goals. The tool used to evaluate the CEO's annual performance and pay is based on the accomplishment of these approved goals and objectives. The evaluation of performance and goals is completed by the Chair and Vice Chair of the Board annually and is performed in the Executive Session of the annual board meeting. The Chair and Vice Chair represent both of the member owners of RHI. The evaluation is documented by the Chairman of the Board. In addition, RHI Human Resources obtains a Compensation survey/study annually which is used to evaluate the compensation of RHI staff including the CEO. Form 990, Part VI, Line 15b Process to establish compensation of other employees The administrative officers' compensation is evaluated annually based on the Hospital's standard performance review system and based on the performance of annual goals. Annual goals for each officer are recommended by the CEO and approved by the Board of Directors. Salary increases and performance bonuses are determined based upon performance and goals. The CEO reviews and evaluates the annual performance of each administrative officer and recommends a performance rating based on the Hospital's standard performance review system. This is documented in the HR/personnel files. The CEO also reviews and evaluates the performance of each officer as it relates to the assigned annual goals. The annual evaluation of performance goals is taken to the Chair and Vice Chair of the Board to review and approve in an executive session of the annual board meeting. This is documented by the Chairman of the Board. In addition, RHI Human Resources obtains a Compensation survey/study annually which is used to evaluate the compensation of RHI staff including the administrative officers. Form 990, Part VI, Line 19 Required documents available to the public Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104; these documents are not available to the public at this time. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue MISCELLANEOUS REVENUE - Total Revenue: 40093, Related or Exempt Function Revenue: 40093, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees CONTRACT LABOR - Total Expense: 713524, Program Service Expense: 713524, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 805529, Program Service Expense: 805529, Management and General Expenses: , Fundraising Expenses: ; CONSULTING - Total Expense: 13004, Program Service Expense: , Management and General Expenses: 13004, Fundraising Expenses: ; OTHER - Total Expense: 43408, Program Service Expense: , Management and General Expenses: 43408, Fundraising Expenses: ; PURCHASED SERVICE CONTRACTS - Total Expense: 2920336, Program Service Expense: 2920336, Management and General Expenses: , Fundraising Expenses: ; RHI FOUNDATION INC 4141 SHORE DRIVE INDIANAPOLIS IN 46254 351932349 TO SUPPORT REHABILITATION HOSPITAL OF INDIANA IN 501(c)(3) Type I REHABILITATION HOSPITAL OF INDIANA INC true false false true false false false false false false false false false false true true false false false false RHI FOUNDATION INC C 99985 FMV RHI FOUNDATION INC N 208448 ALLOCATION RHI FOUNDATION INC O 99090 ALLOCATION