2015-07-07T12:54:03-05:00 2014-08-31 861065772 Deloitte Tax LLP 111 S Wacker Drive Chicago IL 60606 990 2013-09-01 362256036 Rehabilitation Institute of Chicago REHA 3122381000 345 E Superior Street Chicago IL 606112654 Edward B Case Executive VP/CFO 3122381000 2015-07-07 1 Samantha Bokori P01057347 3124861000 2013 2016-02-25 16:41:14Z Edward B Case 345 E Superior Street Chicago IL 606112654 316144391 0 X www.ric.org X 1951 IL The Rehabilitation Institute of Chicago is dedicated to provide the highest-quality patient care. 16 15 2015 455 3989028 1602540 74898929 42887165 193667970 204622271 24299072 7208434 1617226 1378345 294483197 256096215 5743023 5065014 0 0 138181760 139475402 0 132213 3285972 75724388 80708018 219649171 225380647 74834026 30715568 608753863 703482953 222495421 280613692 386258442 422869261 X The Rehabilitation Institute of Chicago (RIC) is dedicated to providing the highest-quality patient care through integrated research, scientific discovery, and education for the purpose of maximizing the recovery of the individuals in our care. 0 0 152950066 31356 196598673 Clinical Care - Founded in 1951, RIC, an Illinois not-for-profit corporation, earned the distinction of being named the nation's #1-ranked provider of comprehensive physical medicine and rehabilitation care to patients from around the world for 24 years by U.S. News & World Report - a record for any U.S. hospital. RIC also is the nation's largest rehabilitation research enterprise, advancing the field globally through innovation of the most advanced treatments and technologies. RIC is ranked #1 by the National Institutes of Health for rehabilitation research and is the only rehabilitation hospital in the nation to hold a record seven federally designated research programs in the areas of spinal cord injury, patient outcomes, rehabilitation engineering, pediatric orthopedics, bionic medicine, mobility technologies and computers and robots in therapy. RIC's vision is to advance human ability through science and research. In January 2012, RIC opened 24 beds on a renovated patient floor that featured the world's first Ability Lab, an innovative treatment space that combines research and clinical care, surrounding the patient within the hospital setting. RIC's Care Quality and Delivery Highlights:RIC currently operates a system of care consisting of a 182 bed hospital and outpatient facility, located at 345 East Superior Street in Chicago, Illinois, as well as a number of other facilities and joint ventures. On February 5, 2013, the Illinois Health Facilities and Services Review Board granted RIC a licensure for 242 beds for its new research hospital and outpatient facility currently under construction at 355 East Erie, Chicago, IL. The Corporation offers a comprehensive range of inpatient, day rehabilitation and outpatient services throughout the System. Inpatient rehabilitation services are provided using a multidisciplinary approach. Day treatment rehabilitation consists of a multidisciplinary approach for individuals no longer requiring the 24-hour nursing services provided in an inpatient setting. Outpatient care is typically a singular discipline (e.g., physical therapy) and offers various levels of therapeutic intensity, depending on the patient's needs and goals. In FY 2014 RIC treated more than 6,500 inpatients and delivered over a million outpatient therapy units in our entire system of care. RIC's facilities are staffed by approximately 1,700 medical professionals and support personnel, a dedicated team who in FY 2014 treated patients from 47 states and handled referrals from 70 countries. Each patient at RIC is assigned a personalized care team consisting of the field's most well-trained rehabilitation doctors, nurses, therapists, care managers and clinical specialists. No other specialty hospital in the nation has a more experienced track record:- RIC delivers patient outcomes that exceed national and regional averages across all areas of specialty.- RIC is one of only 4% of the nation's nearly 6,000 hospitals to have twice achieved Magnet designation for nursing excellence from the American Nurses Credentialing Center (ANCC). 21464339 5033658 2063402 Research Program - RIC's Research Program is the world's largest physical rehabilitation research enterprise in pursuit of clinical advancement through scientific discovery and is ranked #1 by the National Institutes of Health for rehabilitation research. The Research Program has at any given time approximately 300 research projects underway, funded by more than $100 million in donations from both private and public sources. Its experts regularly publish research in the world's foremost medical journals, including the Journal of the American Medical Association (JAMA) and its European equivalent, The Lancet, and it is home to a record seven federal research designations to develop cutting-edge solutions for patients.Computers and Robots in Therapy: An internationally acclaimed NIDRR-funded center especially for patients with hemispheric stroke - the most debilitating kind. Seven studies address two elemental questions: When is the optimal time to use robotic and computer-based systems during therapy, and how do therapists best interact with robotic devices during therapy, often with minimal hands-on treatment coming from the clinician? Training of undergraduate rehabilitation engineers is included.Manipulation and Mobility Technologies: A NIDRR-funded Rehabilitation Engineering Research Center award to fund six new projects researching innovations that are directly useful for patients, especially those who have experienced limb-loss or stroke. Projects include body-powered hand prostheses, use of powered exoskeleton for after-stroke patients, and a new wheelchair to allow both sitting and standing. Research will include both technology development and clinical testing.Neurologic Rehabilitation Research: RIC hosts one of six programs in the country within the National Center for Medical Rehabilitation Research awarded by the National Institutes of Health. Within this network of experts, RIC is the only one focused on the groundbreaking application of neural engineering and robotic techniques to understand diagnose and treat such neurologic disorders as brain injury, multiple sclerosis and Parkinson's disease. Spinal Cord Injury Research: RIC operates the Midwest Regional Spinal Cord Injury Care System as designated by NIDRR. One of only 14 SCI Model Systems nationwide, RIC advances spinal cord care through clinical research that identifies new standards of care for the industry. It leads multiple independent and collaborative research projects exploring walking therapy technologies that deliver the most effective treatment to advance ability.Engineering Research: Machines assist therapists in providing longer, more consistent and intensive therapies that track progress and improve functional performance. RIC is designated one of 20 NIDRR Rehabilitation Engineering Research Centers dedicated to stroke research and the only one focused on robotics.Outcomes Research: RIC operates the only NIDRR Outcomes Rehabilitation Research & Training Center in the nation leading the way for establishing global, standardized measures and evaluating clinical outcomes to ensure patients receive the best care and best outcomes. Orthopedic Robotics for Kids: Awarded in January 2010, a grant from NIDRR supports the research and development of innovative technologies to improve rehabilitative treatment for children with orthopedic disabilities, including cerebral palsy, clubfoot, brittle bone disease, spina bifida and spinal cord injury. 6485410 1548116 Medical Education - Medical Residency Program: The Department of Physical Medicine and Rehabilitation at Northwestern University's Feinberg School of Medicine (Dept of PM&R) is housed within RIC, which has one of the largest and most highly respected residency programs in physical medicine and rehabilitation in the country. Resident physicians spend three to four years rotating through the Dept of PM&R, taught by RIC physicians who are experts in this specialty. In FY 2014, RIC trained 39 residents. The RIC medical education program also provides opportunities for first-year medical students to meet regularly with patients from RIC's spinal cord injury, general rehabilitation, or pediatric program to gain patients' insights on recovery and needs for independent living.RIC Academy: The RIC Academy Continuing Education program has been offering courses to help healthcare professionals stay at the forefront of their field for over 36 years. In FY 2014 more than 1,500 students participated in academy courses which are taught by interdisciplinary teams of recognized specialists from RIC and visiting experts from across the country and around the world. These courses were offered in a variety of formats including webinars and outreach programs.Fellowships: RIC offers physician fellowships, funded primarily by donations, in pediatric rehabilitation, musculoskeletal sports and spine medicine, spinal cord injury, pain management, and traumatic brain injury. In 2014, six physician fellows were named at RIC. RIC also supports fellowships for therapists, nurses and other non-physicians. Prosthetics and Orthotics (P&O) Residency: Each year, RIC's Prosthetics and Orthotics Clinical (POCC) selects two prosthetist and two orthotist residents for these highly sought after positions. Over a 12-month cycle, P&O residents are mentored by RIC's certified, licensed professionals and get exposure to a variety of clinical presentations and pathologies, clinical evaluation, prescription recommendation, documentation, the actual fabrication of devices, and formal research. 4491942 1164416 Community Health and Education - RIC provides a variety of community health and education programs. LIFE Center: As an addition to its world renowned clinical services, RIC developed the LIFE (Learning, Innovation, Family, Empowerment) Center ten years ago to address the range of emotional, interpersonal, physical and financial requirements for living with a disability. In response to the need for trusted resources in key areas of life, RIC provides this state-of-the-art multimedia education center and web portal as an integrated component of RIC patient care to support seamless and successful transitions throughout life. In FY 2014, total outreach and service efforts represented 19,382 person contacts. These included individualized patient, family, and community education programs, classes, special events, tours and a peer visit program. The Center's public computer area remained in high demand with 7,079 visits for Internet use and support. The Center's impact spreads globally through its website, which drew 340,661 page views per month, reflecting 22,952 unique users per month, with 4,087,933 page views annually in FY 2014. Cumulative page views since its launch in 2003 have surpassed 30 million from 183 countries. Sports and Fitness Program: The RIC Adaptive Sports and Fitness Program provides wellness opportunities to people with physical disabilities through sports and recreation as well as a full-service accessible health club. All services offered in the adaptive sports program, which marked its 33rd year in FY 2014, are free of charge. The fitness program, which celebrated its 18th anniversary, provides access to a health club that operates from 6:15 am to 7 pm five days per week for a nominal annual fee. The sports and fitness program is funded primarily by grants and generous community donations and is operated by ten and three quarter full time equivalent staff. Additionally, volunteers logged nearly 7,500 hours in FY 2014. RIC's well-established program is considered a national leader in health promotion for people with disabilities. In FY 2014, the sports program recorded 8,732 visits by its 254 registered participants, and the fitness program recorded 29,593 visits by its 943 registered participants. A separate program for youth, the Caring for Kids program, recorded 1,484 visits by 221 Chicago children with disabilities. The only program of its kind in Cook County, it was designed specifically to incorporate physical fitness into the lives of children with physical disabilities.Vocational Rehabilitation Program: Beginning a career or returning to gainful employment is important to a patient's financial security and emotional well-being, and can contribute to the achievement of a productive, independent and fulfilling life. For 50 years, RIC has been providing comprehensive vocational rehabilitation services tailored to meet the needs of each client. Services include initial assessment, diagnostic evaluation, work trial assessments, job analysis, return-to-work evaluation, job placement, resume writing and interviewing workshops, an Internet job skills course and internship coordination. RIC covers the cost of initial assessments, which are not covered by most third-party payers. Patients receive vocational services at eight RIC facilities, ensuring that employment assistance is closely tied to community reintegration. During the past five years, the program has served an average of 900 clients annually. Assistive Technology Programs: Three areas - Rehabilitation Engineering, the Technology Center, and the Wheelchair Seating & Positioning Center - comprise RIC's Assistive Technology Programs. In FY 2014, Assistive Technology Programs served more than 2,000 unique patients.Rehabilitation Engineering staff provide evaluation, design and technical expertise to modify commercial products and fabricate custom equipment, creating individualized solutions for people with disabilities. RIC provides free care for services or products, hosts engineering student internships, lectures at Northwestern University's engineering program and provides community-based workshops to disability groups about adaptive equipment, ergonomics and home safety.The RIC Technology Center targets computer access, augmentative communication and electronic aids to daily living for people with disabilities. Occupational therapists and speech language pathologists evaluate and recommend equipment for each individual's needs. Through a lending library, patients can try items before purchasing them or borrow them for short-term use due to changing needs. Staff members speak to universities, schools, organizations for people with disabilities, senior centers and the general public. The center provides free service and home visits to clients who are unable to come to RIC.The Wheelchair Seating & Positioning Center staff evaluate and make recommendations for manual wheelchairs, power wheelchairs, seat cushions to relieve pressure or maintain posture, seating systems, and other durable medical equipment that help clients maintain or increase their independence. Staff help patients at all RIC sites, as well as in schools and other clinical facilities in the Chicago area. 4491942 1164416 185391757 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 1 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 0 0 0 1 X 230 0 1 2015 1 1 1 1 CA CJ EI LU NL 0 0 0 1 1 0 0 0 0 X 16 15 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL IN X Edward B Case 3122381000 345 E Superior Street Chicago IL 606112654 M Jude Reyes Chairman 1.00 1.00 X 0 0 0 Thomas A Reynolds III Vice Chairman 1.00 1.00 X 0 0 0 Wayne R Andersen Director 1.00 1.00 X 0 0 0 William J Cernugel Director 1.00 1.00 X 0 0 0 Wesley M Dixon Jr Director 1.00 1.00 X 0 0 0 Daniel D Dolan Jr Director 1.00 1.00 X 0 0 0 Michael L Keiser Director 1.00 1.00 X 0 0 0 Michael P Krasny Director 1.00 1.00 X 0 0 0 James H Litinsky Director 1.00 1.00 X 0 0 0 William E Lowry Jr Director 1.00 1.00 X 0 0 0 David D Olson Director 1.00 1.00 X 0 0 0 Sheli Rosenberg Director 1.00 1.00 X 0 0 0 Mark Stephen Director 1.00 1.00 X 0 0 0 William S Wardrop Jr Director 1.00 1.00 X 0 0 0 Linda Wolf Director 1.00 1.00 X 0 0 0 Joanne C Smith MD President, CEO 40.00 1.00 X X 1795316 0 248508 Edward B Case Executive VP, CFO 40.00 1.00 X 1241938 0 233602 Nancy E Paridy Sr. VP, General Counsel 36.00 1.00 X 548921 0 38619 Peggy M Kirk Sr. VP, Clinical Operations 40.00 0.00 X 606847 0 114719 Lois M Huggins Sr. VP, Chief HR Officer 40.00 0.00 X 786900 0 67598 Collins Fitzpatrick MD Medical Director 40.00 0.00 X 929143 0 58089 Michael S Marinko MD Medical Director 40.00 0.00 X 569199 0 64143 Steven P Stanos DO Medical Director 40.00 0.00 X 577213 0 77186 James Sliwa DO Chief Medical Officer 40.00 0.00 X 503552 0 103900 Revathy Ameeruddin MD Medical Director 40.00 0.00 X 450522 0 34057 William Rymer MD PhD Former Key Employee 40.00 0.00 X 386189 0 24955 8395740 0 1065376 164 1 1 0 Power Construction Company LLC 2360 Palmer Drive Schaumburg IL 60173 Construction Services 63833995 Cerner Corporation PO Box 412702 Kansas City MO 64141 IT Services 3876130 Northwestern Memorial Hospital PO Box 73690 Chicago IL 606737690 Medical Services 3352140 Northwestern University 320 East Superior Street Chicago IL 60611 Research Subcontractor 3295781 Crothall 1500 Liberty Ridge Drive Wayne PA 19087 Facility Care Services 2842254 73 X 1517001 17551527 23818637 2273873 42887165 Net Patient Revenue 621990 181887896 181887896 Affiliation Income 900099 12037719 8357376 3680343 Sponsored Research Rev 541700 1896169 1896169 Medicare GME Payment 621990 919838 919838 Tuition 900099 576664 576664 7303985 7297985 6000 204622271 3619486 302685 3316801 2706 2706 78184 78184 24967 0 24967 24967 24967 63147645 59561403 3586242 3586242 3586242 524183 1517001 486773 37410 37410 Cafeteria Sales 900099 824072 824072 EHR Payments 621990 407792 407792 Other Non-Operating 900099 5920 5920 1237784 256096215 201374607 3989028 7845415 4703206 4703206 337416 337416 24392 24392 6515352 745769 5769583 106818490 94705077 9998024 2115389 7266698 6212107 916315 138276 11520374 10339829 944550 235995 7354488 6361667 856278 136543 3130967 363513 2712209 55245 320263 13902 306361 289012 289012 342670 342670 132213 132213 823440 823440 13770128 13027774 702050 40304 898084 69158 793580 35346 4597916 3742376 729261 126279 4238857 2584772 1635106 18979 6291476 5219063 869176 203237 1219911 1101013 90756 28142 654535 604729 43576 6230 4268270 37062 4231208 12089943 9526785 2551789 11369 1675334 210419 1464915 Medical Supplies 10367980 10340148 27774 58 Medicaid Provider Tax 7445494 7445494 Patient Transportation 1609597 1609597 UBI Tax 729186 729186 5944955 5337303 605285 2367 225380647 185391757 36702918 3285972 65030 83848 32199452 42740932 70938475 66803727 26765982 26136282 1343547 1452780 2738584 2572033 345590428 130190136 124169848 215400292 91536540 89335767 231295627 234013501 12539690 12762257 3971132 3721509 11189956 8460025 608753863 703482953 32146711 47601018 2531871 1619726 127679950 143901100 60136889 87491848 222495421 280613692 X 218418314 249734151 116097456 121223270 51742672 51911840 386258442 422869261 608753863 703482953 X 30715568 20588707 -14693456 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 2824 0 1 339846 342670 0 Part II-B, Line 1(i), Other Lobbying Activites: Rehabilitation Institute of Chicago lobbies Federal and State government on issues related to Medicare, Medicaid and other government health care programs related to the rehabilitation field. Most of the lobbying expenses are to third party lobbying firms as well as the Illinois Hospital Association and the American Medical Rehabilitation Providers Association. RIC does not participate in or intervene in (including the publishing or distributing of statements) any political campaign on behalf of (or in opposition to) any candidate for public office. 88246330 169168 11444840 3779191 96081147 82646831 158587 8939449 3498537 88246330 78482474 1187000 5923887 2946530 82646831 57290243 16669084 6784986 2214340 47499 78482474 49985875 5568617 4143619 2407868 57290243 0.01000 0.54000 0.45000 0 0 33117116 33117116 111519202 92358909 19160293 7736686 7736686 49875730 37831227 12044503 143341694 143341694 215400292 Cash and cash equivalents 23288224 F Absolute Return 50635650 F Hedged Equity 30932003 F International Equity 20804571 F International Hedged Equity 6247785 F Pvt Equity, Real Assets & Contracts 35198420 F Gov. Fixed Income & Corporate Bonds 66906848 F 234013501 662700 Self-Insurance Reserves 7334404 Accrued Pension 47686781 Swap Liability 11583637 Deferred Lease Liability 1514382 457 Plan Liabilities 13724508 Cerner Software Contract Liability 955927 Lease Incentive/Other 854474 Estimated Third Party Settlements Payable 2948486 Ikon Capital Lease Obligation 226549 87491848 X Part V, Line 4: The intended use for each of the RIC endowment funds is established by the donor. The majority of the endowment funds are used to support medical education, clinical care, free care, research, medical leadership, fellowships and the RIC Academy. Part X, Line 2: RII and the Institute are not-for-profit corporations as described in Section 501(c)(3) of the Internal Revenue Code (the "Code") and are exempt from federal income taxes on related income pursuant to Section 501(a) of the Code. Despite the general exemption from income taxes, RII and the Institute are subject to federal and state income taxes at corporate rates on unrelated business income. Included in the consolidated statements of operations and changes in net assets is the provision for current taxes of $425,000 and $44,000 for the years ended August 31, 2014 and 2013, respectively. The corporations do not have any material tax positions as of August 31, 2014 and 2013. Part VI, Line 1c: Depreciation for leasehold improvements is included in the same general ledger account as building depreciation. There is related depreciation for leasehold improvements, but it cannot be bifurcated for Form 990 purposes. 1 North America 0 0 Program services Research 23442 Europe (including Iceland & Greenland) 0 0 Program services Research 950 Middle East and North Africa 0 0 Program services Travel related to clinical care, presentation of papers, and business development. 430801 0 0 0 0 0 0 455193 0 455193 North America Medical Research 22267 Electronic Fund/Wire North America 1 0 1 0 0 1 1 1 Part I, Line 2: Each research grant is assigned a Principal Investigator (PI) as well as a Research Administrator (RA). Grant expenditures charged to each grant are approved/reviewed by the respective PI and or RA to ensure allowability. In addition, compliance (A-133) audits are performed by an independent audit firm each year. X X X X X X X 1 Donald A Campbell & Company 1 E Wacker Drive Suite 3350 Chicago IL 60601 Advisory Services for campaign planning 0 0 124265 0 Wild Associates Inc 2703 Asbury Avenue Evanston IL 60201 Advisory Services for Planned Giving 0 0 7948 0 132213 IL SkyRise Chicago 1239928 1205866 34062 43361 1173 3715 148711 Gala 478207 37000 441207 83000 4500 94212 1800 20480 3 323049 274135 48914 7153 40996 37672 2041184 1517001 524183 126361 12826 135208 5515 206863 486773 37410 Schedule G, Part I, Line 2b, Column (v) RIC has an agreement for advisory services for the capital campaign related to its new Research Hospital as well as for planned giving. The agreements do not provide for separate reimbursement for expenses. 1 1 1 X 250.000000000000 1 X 600.000000000000 1 1 1 0 1 1 948206 948206 0.00420 28906817 23483733 5423084 0.02410 335707 204985 130722 0.00060 30190730 23688718 6502012 0.02890 3297653 342609 2955044 0.01310 6485410 1548116 4937294 0.02190 1194289 821807 372482 0.00170 27279300 21829800 5449500 0.02420 38256652 24542332 13714320 0.06090 68447382 48231050 20216332 0.08980 1 482859 33984 48326925 51226120 -2899195 X 1 1 1 1 Rehabilitation Institute of Chicago 345 E Superior Street Chicago IL 60611 www.ric.org 0001958 X X X Physical Rehabilitation Rehabilitation Institute of Chicago 1 1 X X X X X X X X X 12 1 0 1 X http://www.ric.org/services/chna X X X X X X X 1 0 1 1 250.000000000000 1 600.000000000000 1 X X X X X X 1 1 X X X X X X 1 0 X X X X 0 X X 0 0 Rehabilitation Institute of Chicago Part V, Section B, Line 3: The hospital facility took into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge or expertise in public health. These persons include representatives from the City of Chicago's Mayor's Office for People with Disabilities, the Illinois Department of Human Services, and non-government organizations Access Living, Brain Injury Association of Illinois, Chicagoland Chamber of Commerce, Extended Home Living Services, Great Lakes ADA Center, MobilityWorks, Gridiron Alliance NFP, Northwestern Law School, National Parkinson Foundation, World Chicago, and Zion Lutheran Church.The hospital facility consulted with these persons through telephone interviews and a focus group to which the organizations listed above were invited. Additionally, the hospital facility consulted with other organizations and other groups in conducting its most recent CHNA. These consultations included providing a standard assessment survey to a randomly selected sample of day rehabilitation, outpatient, and inpatient patients across multiple sites of care. In its assessment, the hospital facility identified the continued need for rehabilitation research into new and more promising treatments to improve and eliminate the effects of injury, disease, and debilitating health conditions in the community it serves. RIC is in the midst of building a new Research Hospital that will integrate human subject research and rehabilitation medicine. Rehabilitation Institute of Chicago Part V, Section B, Line 14g: The admission consent forms at all facilities explain that financial assistance is available and includes a contact and phone number for obtaining financial assistance and alternative payment options. Rehabilitation Institute of Chicago Part V, Section B, Line 20d: The amounts billed to individuals who did not have insurance were determined by the Medicare cost to charge ratio. This is provided annually to the Illinois Attorney General's office. 12 RIC DayRehab Ctr & OP Ctr-Willowbrook 6705 Kingery Highway Willowbrook IL 60527 Day/Outpatient Rehab & Physician Practice RIC DayRehab Ctr & OP Ctr - Homewood 1055 W 175th Street Suite 101 Homewood IL 60430 Day/Outpatient Rehab & Physician Practice RIC DayRehab Ctr & OP Ctr-Northshore 755 Skokie Boulevard Northbrook IL 60062 Day Rehabilitation & Outpatient Practice RIC Spine and Sports Rehab Ctr 1030 N Clark Street Chicago IL 60610 Outpatient Rehabilitation & Physician Practice RIC Ctr for Pain Management 980 N Michigan Avenue Suite 800 Chicago IL 60611 Outpatient Rehabilitation & Physician Practice RIC DayRehab Ctr - River North 307 W Grand Avenue Chicago IL 60610 Day Rehabilitation RIC DayRehab Ctr - Wheeling 5150 Capitol Drive Wheeling IL 60090 Day Rehabilitation RIC DayRehab Ctr - Ravenswood 1945 W Wilson Avenue Suite 100 Chicago IL 60640 Day Rehabilitation RIC OP Center - Northshore (annex) 900 Skokie Boulevard Northbrook IL 60062 Outpatient Rehabilitation & Physician Practice RIC Spine & Sports Rehab Ctr - River 420 Thatcher Avenue River Forest IL 60305 Outpatient Rehabilitation & Physician Practice Alexian Rehab Hosp Physician Practice 935 Beisner Road Elk Grove Village IL 60007 Physician Practice RIC Pelvic Health Center 676 North St Clair Room 908 Chicago IL 60611 Outpatient Rehabilitation Part I, Line 7: The best available data was used to calculate the cost amounts reported in item 7. The Medicare cost report was the source used where a program category was separately identifiable. In other cases the internal cost allocation model was used as the source of the cost. The Medicare cost report cost to charge ratio was used to determine the cost of charity and bad debt. Part III, Line 2: The bad debt expense was estimated by multiplying the cost to charge ratio from Worksheet C of the Medicare cost report times the provision for bad debt for the year. Part III, Line 3: Amounts have been reported on Schedule H, Part III, Line 3 for RIC joint ventures to estimate the amount of bad debt expense attributable to patients eligible under these organizations' financial assistance policies. Southern Illinois Hospital (SIH) provided the RIC share amounts for bad debt at cost and bad debt at cost attributable to patients eligible under the SIH financial assistance policy. The percentages of bad debt at cost attributable to patients eligible under the ABMC and IMMC financial assistance policies were taken from the filed Schedule H for Alexian Brothers Medical Center (ABMC) and Illinois Masonic Medical Center (IMMC) and were used to estimate the portion of RIC's share of bad debt for these two organizations that would be attributable to patients eligible for financial assistance under their respective policies.On Schedule H, Part III, Line 3 no amount was included for RIC for bad debt expense attributable to patients eligible under the RIC financial assistance policy. RIC's Presumptive Eligibility Policy sets forth the presumptive eligibility criteria by which a patient's financial need is determined and used by RIC to deem a patient eligible for hospital financial assistance without further scrutiny by RIC. Charity care may be provided to patients who are either uninsured or underinsured who do not have the financial resources to pay their RIC bill and who meet income and other guidelines specified by RIC. As soon as the need for financial assistance is identified, RIC provides the patient or Guarantor with a Program application. Patient Financial Services will review all patient accounts with self pay balances and determine presumptive eligibility after review of the patient's Charity Application and prior to sending the patient a bill requesting payment. Patient Financial Services may use third-party reporting to determine presumptive eligibility of a patient if the patient has not timely returned a completed Charity Application. If a patient is presumed eligible, their balances will not be written off to bad debt. Part III, Line 4: The organization is part of the Rehabilitation Institute, Inc. and Affiliates consolidated audit in which the footnote that discusses the bad debt expense is located on pages 6 and 7. Part III, Line 8: The portion of our Medicare shortfall reported on Part III, Line 7 which relates to patients that are dual eligible for both Medicare and Medicaid should be treated as community benefit consistent with our State of Illinois Annual Non Profit Hospital Community Benefits Plan Report. The amount on Line 7 related to these dual eligible patients is $1,046,852.The cost to charge ratio from Worksheet C of the Medicare cost report times the Medicare gross charges from the cost report less GME payments was used to determine Medicare allowable cost. Part III, Line 9b: The Executive Director-Revenue Cycle/designee will determine if the statutory conditions for pursuing collection have been met and provide written approval before a collection agency or law firm may initiate legal action against the patient for nonpayment of their bill. Part VI, Line 2: The needs of our community are assessed on an ongoing basis. We receive input from our community through our patient feedback programs, community support groups and through our clinicians and physicians who are interacting with patients every day. The RIC LIFE Center provides education and support for the disabled community regardless if they receive services from RIC or not. In FY 2014 LIFE Center web traffic averaged 340,661 page views per month with 4,087,933 page views annually. Steady increases occurred in unique users, reflecting 22,952 people each month. Total outreach and service efforts represented 19,382 person contacts. This included individualized teaching sessions with patients, families, staff, and visitors, as well as a wide variety of education programs, support groups, special events, and tours with prospective patients and families. Through this connection we are able to collect and track the resource needs of our community. We also have a number of disabled members on our governing and auxiliary boards. These individuals help guide the mission, vision and services at RIC. Also, we underwent a specific process which included meetings and written surveys in order to assess and develop a Community Benefit Needs Assessment. Since that time, RIC has focused on that Assessment and continues to evolve and (as appropriate) develop programs to meet those needs of the community. Part VI, Line 3: RIC assures that each registration/admission location contains signage (in English and other predominant languages of the RIC patient population) notifying patients that financial assistance is available to qualified individuals. This notice is also posted on RIC's website (www.ric.org), along with RIC's Financial Assistance Program process and application. Information regarding the Financial Assistance Program and the application is available in each RIC registration/admission location. The information regarding financial assistance also appears on every self pay statement sent to our patients. In addition, when RIC care managers are involved in the patient's care, the care manager informs and assists the patients in enrolling in appropriate entitlement programs. Part VI, Line 4: As a specialty hospital, RIC defines the patients it serves broadly as the disabled community throughout the state of Illinois, the United States and around the world. Due to RIC's unique services and its reputation as the leader in rehabilitation medicine, many patients will travel long distances for care. Approximately 81% of RIC inpatients come from Chicago and its 7 surrounding counties. This represents a primary reach of 50 miles. In addition to those Chicago area patients, RIC staff also cared for patients from 47 states and handled referrals from 70 countries. RIC continues to increase its outreach and has impacted the lives of individuals in North, Central and South America; Europe; Africa; Asia (predominately the Middle East); and Australia.The largest users of rehabilitation medicine are those 45-64 years of age and those 65+. RIC continues to serve this group of people and conducts strategic planning around the needs of the "Baby Boomer" population, which is projected to have substantial growth in the Chicagoland area. Part VI, Line 5: RIC provides a number of services that generally do not generate revenue, solely for the purposes of improving the health and quality of life for our community. These services include: research to improve patient outcomes; educational resources on living with a disability available to anyone through the Internet; vocational training and placement services; support groups to assist in psychological adjustment; fitness and sports training program to promote physical activity and case management for high risk patients discharged to the community. Any surplus funds are used to support these non-revenue patient centered activities as well as develop programs, sponsor research and improve facilities. In the past several years, The Rehabilitation Institute of Chicago (RIC) has implemented multiple sustainable guidelines and procedures to ensure that it is using the most innovative, "green" practices when updating, remodeling, and redecorating facilities and structures. Part VI, Line 7, Reports Filed With States IL 1 Arizona Board of Regents - Arizona State University PO Box 876011 Tempe AZ 852876011 861096696 501(c)(3) 9599 Payments for research related activities Biomedical Research Foundation of South Texas Inc 7400 Merton Minter Blvd San Antonio TX 78229 742522436 501(c)(3) 35466 Payments for research related activities Case Western Reserve University PO Box 1591 Nashville TN 37235 341018992 501(c)(3) 74456 Payments for research related activities Emory University 1599 Clifton Road NE - 4th FL MS1599/001/1BH Atlanta GA 303224250 580566256 501(c)(3) 29409 Payments for research related activities Illinois Institute of Technology 3300 S Federal St Room 201 Chicago IL 606163793 362170136 501(c)(3) 26252 Payments for research related activities Marquette University Office of the Comptroller Milwaukee WI 532011881 390806251 501(c)(3) 11827 Payments for research related activities Massachusetts Institute of Technology McGovern Institute for Brain Science BLDG46-6189 Cambridge MA 02140 042103594 501(c)(3) 448539 Payments for research related activities New York Institute of Technology Nothern Blvd Old Westbury NY 11568 111788788 501(c)(3) 48684 Payments for research related activities Northwestern University 710 N Lakeshore Drive Chicago IL 60611 362167817 501(c)(3) 2024054 Payments for research related activities Regents Of The University Of California 9500 Gilman Dr Mail Code 0523 La Jolla CA 920930523 956006144 501(c)(3) 48680 Payments for research related activities Regents of the University of California - Irvine 111 Academy Way Suite 210 Irvine CA 926971050 952226406 501(c)(3) 9752 Payments for research related activities Regents of the University of Colorado 1800 Grant St 400 Denver CO 80203 846000555 501(c)(3) 56830 Payments for research related activities Regents of the University of Michigan 3003 S State St 2050 Wolverine Tower Ann Arbor MI 48109 386006309 501(c)(3) 188135 Payments for research related activities Regents Of The University of Minnesota 2221 University Ave SE Suite 111 Minneapolis MN 55414 416007513 501(c)(3) 39127 Payments for research related activities Spaulding Rehabilitation Hospital Corporation 125 Nashua Street Boston MA 02114 042551124 501(c)(3) 69358 Payments for research related activities University of Alabama - Birmingham 701 20st South 990 Admin Bldg Birmingham AL 35294 636005396 501(c)(3) 123873 Payments for research related activities University of Arizona PO Box 3520 Tucson AZ 85722 742652689 501(c)(3) 15957 Payments for research related activities University of California - Irvine 111 Academy Way Suite 210 Irvine CA 926971050 952540117 501(c)(3) 95999 Payments for research related activities University of Colorado - Boulder 3100 Main Street Boulder CO 803090572 846049811 501(c)(3) 308453 Payments for research related activities University of Illinois 1305 W Green Street Urbana IL 61801 376006007 501(c)(3) 457813 Payments for research related activities University of Notre Dame 731 Grace Hall Notre Dame IN 46556 350868188 501(c)(3) 57551 Payments for research related activities University of Texas Health Science Center at Houston PO Box 203382 Houston TX 772163382 741761309 501(c)(3) 63644 Payments for research related activities University of Wisconsin - Lacrosse 1725 State Street Lacrosse WI 54601 390743975 501(c)(3) 9220 Payments for research related activities University of Wisconsin - Madison 1300 University Ave Madison WI 53706 396006492 501(c)(3) 111633 Payments for research related activities University of Wisconsin - Milwaukee PO Box 413 Milwaukee WI 532010413 391805963 501(c)(3) 17743 Payments for research related activities Vanderbilt University PO Box 351591 Station B Nashville TN 37235 620476822 501(c)(3) 129379 Payments for research related activities Washington University One Brookings Dr Box 1054 Saint Louis MO 63130 430653611 501(c)(3) 140685 Payments for research related activities Pathways c/o PJH Assoc Inc 205 W Wacker Dr 1400 Chicago IL 60606 363677342 501(c)(3) 8460 General support 28 0 Stipends/Honorariums 27 28202 Research - Professional Services 13 110978 Subject Reimbursements 2127 198236 Part I, Line 2: Oversight is provided by executive leadership, supported by the research administration department where active interaction with principal investigators is maintained. Monitoring is done through continued relationships with grantee organizations, whether by membership or community liaison. For research grants, each grant is assigned a Principal Investigator (PI) as well as a Research Assistant (RA). Grant expenditures charged to each grant are approved/reviewed by the respective PI and/or RA to ensure allowability. In addition, compliance (A-133) as well as Financial audits are performed by an independent audit firm each year. X 0 1 X X X X X 0 1 0 0 0 0 0 1 0 Joanne C Smith MD President, CEO 750046 0 1014300 0 30970 0 225546 0 22962 0 2043824 0 0 0 Edward B Case Executive VP, CFO 574195 0 663200 0 4543 0 212063 0 21539 0 1475540 0 0 0 Nancy E Paridy Sr. VP, General Counsel 375587 0 170100 0 3234 0 31756 0 6863 0 587540 0 0 0 Peggy M Kirk Sr. VP, Clinical Operations 390619 0 213300 0 2928 0 93076 0 21643 0 721566 0 0 0 Lois M Huggins Sr. VP, Chief HR Officer 360006 0 174720 0 252174 0 53140 0 14458 0 854498 0 249198 0 Collins Fitzpatrick MD Medical Director 836746 0 89971 0 2426 0 37500 0 20589 0 987232 0 0 0 Michael S Marinko MD Medical Director 565059 0 0 0 4140 0 42500 0 21643 0 633342 0 0 0 Steven P Stanos DO Medical Director 478479 0 97100 0 1634 0 55724 0 21462 0 654399 0 0 0 James Sliwa DO Chief Medical Officer 328825 0 171600 0 3127 0 82438 0 21462 0 607452 0 0 0 Revathy Ameeruddin MD Medical Director 408158 0 40706 0 1658 0 12414 0 21643 0 484579 0 0 0 William Rymer MD PhD Former Key Employee 323025 0 60656 0 2508 0 17500 0 7455 0 411144 0 0 0 Part I, Line 1a Gross-up payments: The organization provides additional disability insurance for the Chief Executive Officer. The CEO purchases the policy and then is reimbursed by the organization. The amount is grossed up to cover applicable taxes. Part I, Line 1b The organization does not have a written policy. Reimbursements are made pursuant to an agreement. Part I, Line 4b Eligible executives participate in various non-qualified deferred compensation plans organized under code section 457(f). The exact purpose of each plan varies, but they include: compensation limitation make-up plans, voluntary deferral plans, deferral of a portion of incentive bonus type plans, etc. Any amount ultimately paid under the program to the executive is reported as compensation on Form 990, Schedule J, Part II, Column B in the year paid. The following individual received a current year distribution: Lois Huggins - $249,198 Part I, Line 7: Executive leadership participate in a variable incentive compensation plan. Amounts are a percent of base salary. Certain financial and quality triggers need to be met, and then the percent awards are determined by institutional financial performance, patient satisfaction scores, and individual performance metrics. A Illinois Finance Authority 861091967 45203HTC6 2013-07-11 398898603 Refund bonds issued 11/22/2005 and 12/10/2009; build new research hospital 0 0 0 A 398898829 7194973 2577151 71619082 48006174 269501449 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 1 0 0 1 0 0 0 0 A 0 Part I, Column (c): The CUSIP shown here, 45203HTC6, is for the latest maturity of the Series A bonds. The issue as a whole also consists of Series B through E bonds (which mature later than Series A), none of which bear CUSIP numbers. Part II, Line 12: Other unspent proceeds consist of $14,631,196 of trustee held funds and $254,870,253 of undrawn funds (The issue consists of draw-down bonds.). Part III: All of the tax-exempt bonds which had been previously reported on this schedule have been retired. This section is completed with respect to the bonds outstanding during fiscal year 2014. The proceeds of these bonds were used to (i) refund debt issued 11/22/2005 which financed certain assets with respect to which there is no private use, (ii) refund the portion of certain debt issued 12/10/2009 to finance a portion of the cost of acquiring the land for RIC's new hospital building project and (iii) provide new money for the new hospital building project. Because the prior bonds have been retired, RIC has no private use of any space or equipment financed with outstanding tax-exempt bonds. Since the new hospital building project has not been completed, the measurement of private use in the new space has not yet begun. Part III, Line 9: The organization does not have a written procedure. However, we are aware of self remediation requirements and if we realized there is a violation of Federal tax requirements, we will seek professional assistance. Part IV, Line 7: The organization has not established written procedures to monitor the requirement of Section 148 but is aware of the rebate and arbitrage requirements and will seek professional assistance at the appropriate time. Part V: The organization does not have a written procedure. However, we are aware of self remediation requirements and if we realized there is a violation of Federal tax requirements, we will seek professional assistance. Part VI: Differences between the issue price (Part I) and total proceeds (Part II, Line 3) are due to investment earnings. Joanne Smith MD See Part V 155131 See Part V 0 Schedule L, Part IV: Business Transactions Involving Interested Persons:(a) Name of Person: Joanne Smith, M.D. (b) Relationship Between Interested Person and Organization: Corporate Director of Hill-Rom, Inc. which sells/leases hospital beds to RIC.(d) Description of Transaction: Asset purchases and rentals. Schedule L, Part IV: Business Transactions Involving Interested Persons:All transactions between RIC and the organization were done at arms-length and for fair market value. X 35 2164332 Cost or selling price X Travel/Ent. 12 85111 Cost X Jewelry 2 22500 Cost X Miscellaneous 4 1930 Cost 0 0 0 1 Part I, Column (b): The number in Column(b) refers to the number of contributors. Part I, Line 32b: Gifts of stock are processed by a third party, which has an immediate sell order for all stock gifts received. Form 990, Part VI, Section A, line 3 Crothall Services Group managed our facilities and housekeeping services; Morrison Management Specialists managed our food services, and Pharmacy Systems, Inc. managed our pharmacy. No officers, directors, trustees, or key employees (current or former) received compensation from any of these companies. Form 990, Part VI, Section A, line 6 Rehabilitation Institute, Inc. (RII) is the sole corporate member of RIC. Form 990, Part VI, Section A, line 7a RII has the ability to elect members of the governing body. Form 990, Part VI, Section A, line 7b RII is the sole member with the sole voting rights to do the following: appoint RIC board members; approve amendments to the articles of incorporation and bylaws; approve corporation annual budget and long-range plan; approve those contracts and loans in excess of $250,000 not included in previously approved budget; approve any merger, consolidation, voluntary dissolution or creation of any subsidiary; and approve the sale, lease, exchange, mortgage, pledge or other disposition of all or substantially all of the corporation assets. Form 990, Part VI, Section B, line 11 Data for the Form 990 is prepared internally, and a third party tax preparer then prepares the Form 990. It is then reviewed internally and presented in draft form electronically first to the Finance and Audit Committee of the Board and then distributed electronically to the full Board. Form 990, Part VI, Section B, line 12c All newly hired employees are required to complete a conflict of interest disclosure form at the time of new-employee orientation. In addition, all employees are required to complete such a form on an annual basis. Directors and Officers complete a Conflict of Interest Questionnaire on an annual basis. Form 990, Part VI, Section B, line 15 The Compensation and Leadership Development Committee of the Board has authority to approve all executive compensation; an independent consultant specializing in the field of executive compensation and benefits is hired by the Compensation and Leadership Development Committee of the Board to review and provide an opinion about the executive compensation that it is fair, reasonable and market appropriate. During the review and approval of the compensation, documentation of the decision was recorded in the minutes. The individual was not present when her compensation was decided. RIC performed all of the above procedures to obtain the rebuttable presumption respecting compensation arrangements (per IRC Section 4958). Form 990, Part VI, Section C, line 19 RIC does not routinely make documents available to the general public, but the conflict of interest policy and financial statements are made available to the public on an as needed basis after thorough consideration for the use. Part VIII, Line 1f: On February 5, 2013, the Illinois Health Facilities and Services Review Board granted RIC a licensure for 242 beds for its new research hospital and outpatient facility currently under construction at 355 East Erie, Chicago, IL. Contribution revenue includes $17,815,038 from RIC's fundraising campaign for this new facility. Of this amount $15,037,579 was pledges. The new facility is expected to open in early 2017. Form 990, Part XI, line 9: Pension adjustment -14,693,456. Medical Services RIC 345 E Superior Street Chicago IL 60611 911999919 Physician Practice Billing and Collections IL 0 0 N/A Rehabilitation Institute Inc 345 E Superior Street Chicago IL 60611 363310838 Parent IL 501(c)(3) 11c, III-FI N/A 0 Rehabilitation Institute of Chicago Enterprises 345 E Superior Street Chicago IL 60611 363428852 Medical Products/Medical Services IL Rehabilitation Institute Inc C 1.00000 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0