2013-07-15T09:32:53-05:00 2012-08-31 Deloitte Tax LLP 111 S Wacker Drive Chicago IL 60606 990 2011-09-01 362256036 Rehabilitation Institute of Chicago REHA 3122381000 345 E Superior Street Chicago IL 606112654 EDWARD B CASE - CFO 3122381000 2013-07-15 1 Alicia Janisch P00741382 3124861000 2013-07-01 2011 2016-02-24 21:20:13Z Edward B Case 345 E Superior Street Chicago IL 606112654 292855030 0 X www.ric.org X 1951 IL The Rehabilitation Institute of Chicago is dedicated to provide the highest-quality patient care. 15 14 1796 442 360074 309536 21502471 37653917 171776470 181994709 8734874 10211329 701473 595300 202715288 230455255 356060 5493339 0 0 107877157 124826114 0 0 2045809 68168916 75388974 176402133 205708427 26313155 24746828 458883636 488316238 206572368 231441336 252311268 256874902 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 148547085 31000 179521962 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 22 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 hospital in the nation to hold a record seven federally designated research programs in the areas of stroke, brain injury, spinal cord injury, patient outcomes, rehabilitation engineering, bionic medicine, and pediatric orthopedics. 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. 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 singular discipline (e.g., physical therapy) and offers various levels of therapeutic intensity, depending on the patient's needs and goals. In FY 2012, RIC treated more than 6,700 inpatients and delivered over a million outpatient therapy units. RIC's facilities are staffed by approximately 1,600 medical professionals and support personnel, a dedicated team who treated patients from 50 states and 68 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 2% of the nation's nearly 6,000 hospitals to have achieved Magnet designations and their consecutive Magnet redesignation for nursing excellence from the American Nurses Credentialing Center (ANCC). 16124888 5462339 123879 Research - 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 $20 million 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.Stroke Research: RIC operates the only Stroke Rehabilitation Research & Training Center as designated by the National Institute on Disability and Rehabilitation Research (NIDRR), in the nation. With stroke as the leading cause of disability in America, RIC is developing exciting new robotic hand orthosis systems and exploring virtual-reality technologies to help patients return to work, to play and to their passions.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. Traumatic Brain Injury Research: RIC also operates the Midwest Regional Traumatic Brain Injury Care System as designated by NIDRR. One of only 16 TBI Model Systems nationwide, RIC's model system establishes a coordinated system of expert care for people with TBI, including pre-hospital, emergency, acute, long-term acute and community care, and intensive rehabilitation. RIC's experts are pioneering immersive virtual environments with teleoperated robotic devices that challenge traditional treatment and help patients with brain injury recover.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. Pediatric Orthopedic Research: 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.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 $20 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. 6887703 1545716 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 2012, 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 health professionals stay at the forefront of their field for over 35 years. In FY 2012 more than 1,487 students attended academy courses which are taught by interdisciplinary teams of recognized specialists from RIC and visiting experts from across the country and around the world. The Academy also provided an online learning program that reached for approximately 452 students. The cost to customers was only $10 to $50, which is about 50 percent below market for online courses of this type.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 2012, five 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 highly sought after positions. Over a 12-month cycle, P&O residents are tutored 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. 3451440 830211 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 eight 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 2012, 21,035 persons were served. Teaching activities reflected 3,214 person contacts; patient, family, and community education programs, classes and special events conducted throughout the year also provided service to 4,269 people. In addition, the Center provided dedicated resource assistance and referral to 1,816 people. The Center's public computer area remained in high demand servicing 8,233 people for Internet use and support. The Center's impact spreads globally through its website, which drew 240,326 page views per month in 2011. Cumulative page views since its launch in 2003 have surpassed 23 million.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 sports program, which marked its 31st year in 2012, are free of charge. The fitness program, which celebrated its 16th anniversary, provides access to a health club that operates from 7 am to 7 pm five days per week for a nominal 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 2012. RIC's well-established program is considered a national leader in health promotion for people with disabilities. In 2012, the sports program recorded 6,534 visits by its 197 registered participants, and the fitness program recorded 31,632 visits by its 511 registered participants. A separate program for youth, the Caring for Kids program, recorded 3,050 visits by 250 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 800 clients annually. Since 2007, the program has worked with inpatient military personnel to evaluate their vocational goals. Assistive Technology Programs: Three areas - Rehabilitation Engineering, the Technology Center, and the Wheelchair Seating & Positioning Center - comprise RIC's Assistive Technology Programs. In 2012, Assistive Technology Programs served more than 2,024 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. 3451440 830211 175011116 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 1 215 0 1 1796 1 1 1 0 0 0 0 1 1 0 0 0 0 X 15 14 0 1 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X Edward B Case 3122381000 345 E Superior Street Chicago IL 606112654 M Jude Reyes 1.00 X 0 0 0 Thomas A Reynolds 1.00 X 0 0 0 Wayne R Andersen 1.00 X 0 0 0 Susan Barclay 1.00 X 0 0 0 William J Cernugel 1.00 X 0 0 0 Wesley M Dixon Jr 1.00 X 0 0 0 Daniel D Dolan Jr 1.00 X 0 0 0 Michael L Keiser 1.00 X 0 0 0 Michael P Krasny 1.00 X 0 0 0 William E Lowry Jr 1.00 X 0 0 0 David D Olson 1.00 X 0 0 0 Mark Stephen 1.00 X 0 0 0 William S Wardrop Jr 1.00 X 0 0 0 Linda Wolf 1.00 X 0 0 0 Joanne C Smith MD 40.00 X X 1756004 0 220537 Edward B Case 40.00 X 1328720 0 226105 Nancy E Paridy 36.00 X 489027 0 38333 Peggy M Kirk 40.00 X 613185 0 75942 Lois M Huggins 40.00 X 464578 0 87125 William Rymer MD PhD 40.00 X 364579 0 43529 James Sliwa DO 40.00 X 773202 0 102513 Collins Fitzpatrick MD 40.00 X 596621 0 70986 Michael S Marinko MD 40.00 X 535232 0 90686 Steven P Stanos DO 40.00 X 498831 0 52541 Brent Newell MD 40.00 X 415108 0 69661 7835087 0 1077958 122 0 1 0 HDR Architecture Inc 8404 Indian Hills Drive Omaha NE 68114 Architectural Services 3845987 Cerner Corporation PO Box 412702 Kansas City MO 64141 IT Services 3628224 Northwestern Memorial Hospital PO Box 73690 Chicago IL 606737690 Medical Services 3501279 Northwestern University 320 East Superior Street Chicago IL 60611 Research Subcontractor 3216038 Crothall 955 Chester Brook Blvd Wayne PA 19087 Janitorial Services 2701370 66 1935986 17241105 18476826 534941 37653917 Net Patient Revenue 621990 156352357 156352357 Pships/Affiliation Inc 900099 10470533 10445192 25341 Medicaid Provider Tax 621990 7182376 7182376 Medicare GME Payment 621990 983825 983825 Tuition 900099 747079 747079 6258539 6258539 181994709 2757292 334733 2422559 52400 0 52400 52400 52400 69236471 61782434 7454037 7454037 7454037 455350 1935986 617341 -161991 -161991 Cafeteria Sales 900099 704891 704891 704891 230455255 182021768 360074 10419496 4857614 4857614 427467 427467 208258 208258 4740915 833856 3907059 97422725 87658626 8469471 1294628 6305749 5546979 677016 81754 9690886 8947219 610769 132898 6665839 5957750 616136 91953 3526842 1218133 2304579 4130 367305 40154 327151 259816 259816 276382 276382 741915 690247 51668 11924418 11611305 274832 38281 370447 280482 83215 6750 4774748 4233806 479993 60949 3152321 3008071 122329 21921 6259368 5303327 802232 153809 989210 903031 70254 15925 664103 608181 54398 1524 3616358 68649 3547709 12483659 11028608 1442890 12161 2552825 173951 2378874 Medical Supplies 9614707 9590823 23884 Medicaid Provider Tax 6634608 6634608 Patient Transportation 1558448 1558448 Contract Labor 1351700 1054635 294716 2349 4269794 3257135 937550 75109 205708427 175011116 28651502 2045809 78571 52314 33299804 34655904 44307724 42504348 23834000 26756446 1033115 1141465 3806251 2798920 216353996 110928135 91432180 105425861 88526389 74779323 149618198 175559552 11938992 11821097 2081107 1994407 8927305 10826601 458883636 488316238 25032456 26703054 3795997 2861830 90540000 90405000 20000000 20000000 67203915 91471452 206572368 231441336 X 118199233 121974215 83714663 83316602 50397372 51584085 252311268 256874902 458883636 488316238 X 24746828 -20183194 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 1770 0 1 274612 276382 0 Part IV, Supplemental Information: 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. 1 2000000 2000000 0 78482474 1187000 5923887 2946530 82646831 57290243 16669084 6784986 2214340 47499 78482474 49985875 5568617 4143619 2407868 57290243 56604191 673884 -5217142 2075058 49985875 0.02000 0.63000 0.35000 0 0 33115383 33115383 112514322 82599683 29914639 7260618 7260618 45715547 28328452 17387095 17748126 17748126 105425861 Cash and cash equivalents 7726233 F Absolute Return 41769813 F Hedged Equity 24441066 F International Equity 31859522 F Small Cap Equity 8789636 F International Hedged Equity 8813551 F Large-Cap Equity 8549420 F Pvt Eqty, Real Assets & Contracts 43610311 F 175559552 332675 Self-Insurance Reserves 5559135 Accrued Pension 52965097 Swap Liability 16418105 Deferred Lease Liability 1466152 457 Plan Liabilities 10353216 Deferred Revenue Non-current 1667000 Lease Intentive/Other 766330 Estimated Third Party Settlements Payable 1438000 Ikon Capital Lease Obligation 505742 91471452 Part IV, Line 1b: RIC maintains an escrow account to be used to pay for potential environmental remediation for real estate sold during the year ending August 31, 2010. Description of Intended Use of Endowment Funds: 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. Description of Uncertain Tax Positions Under FIN 48: Part X: A provision for income taxes of $333,000 and $278,000 is reported for the years ended August 31, 2012 and 2011, respectively, for estimated unrelated business income and is included in Accounts Payable and Accrued Expenses. Additionally, the Corporations perform an annual review of all tax positions and measure the potential tax benefit on the financial statements in which there is uncertainty as to whether the tax position will ultimately be sustained as filed within a tax return. The potential impact of the uncertainty on the Corporations' consolidated financial statements is minimal. 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 130892 Europe (including Iceland & Greenland) 0 0 Program services Research 77366 Middle East and North Africa 0 0 Program services Travel related to clinical care, presentation of papers, and business development. 174010 0 0 0 0 0 0 382268 0 382268 X North America Bionic Medical Research 130892 Check Europe (including Iceland & Greenland) Medical Research 17105 Check Europe (including Iceland & Greenland) Bionic Medical Research 60261 Check 2 1 0 0 0 0 1 0 Procedure for Monitoring Grants Outside the U.S.: Schedule F, 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 Charles R Feldstein & Company Inc 737 N Michigan Avenue Suite 1230 Chicago IL 60611 Advisory Services for Campaign Planning 0 0 18750 0 Donald A Campbell & Company 1 E Wacker Drive Suite 3350 Chicago IL 60601 Advisory Services for Campaign Planning 0 0 19300 0 38050 IL SkyRise Chicago 1026809 931014 95795 3294 36448 0 3199 0 190549 Medicine Ball 879585 689955 189630 0 0 0 113021 5600 70546 4 484942 315017 169925 2100 3700 56046 80275 9950 42613 2391336 1935986 455350 5394 40148 56046 196495 15550 303708 617341 -161991 Explanation of Fundraising Payments 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. The agreement does not provide for separate reimbursement for expenses. 1 1 1 X 250.000000000000 1 X 600.000000000000 1 1 0 1 1 1011440 1011440 0.00460 27490052 23077589 4412463 0.01990 314453 243692 70761 0.00030 28815945 23321281 5494664 0.02480 2625259 173215 2452044 0.01110 6887703 1545716 5341987 0.02410 826181 656996 169185 0.00080 5275200 5275200 0.02380 36390 36390 0.00020 15650733 2375927 13274806 0.06000 44466678 25697208 18769470 0.08480 1 491884 62620 48904223 49818463 -914240 X 1 1 1 1 Rehabilitation Institute of Chicago

345 E Superior Street Chicago IL 60611

X X X Physical Rehabilitation Rehabilitation Institute of Chicago 1 1 1 250.000000000000 1 600.000000000000 1 X X X X X 1 1 X X X X X X 1 0 0 X X 0 0 12 RIC DayRehab Ctr & OP Ctr-Northshore

755 Skokie Boulevard Northbrook IL 60062

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-Willowbrook

6705 Kingery Highway Willowbrook IL 60527

Day/Outpatient Rehab & Physician Practice RIC DayRehab Ctr - River North

307 W Grand Avenue Chicago IL 60610

Day Rehabilitation RIC Ctr for Pain Management

980 N Michigan Avenue Suite 800 Chicago IL 60611

Outpatient Rehabilitation & Physician Practice RIC DayRehab Ctr - Wheeling

5150 Capitol Drive Wheeling IL 60090

Day Rehabilitation RIC Spine and Sports Rehab Ctr

1030 N Clark Street Chicago IL 60610

Outpatient Rehabilitation & Physician Practice RIC DayRehab Ctr - Ravenswood

1945 W Wilson Avenue Suite 100 Chicago IL 60640

Day Rehabilitation RIC Spine & Sports Rehab Ctr - River For

420 Thatcher Avenue River Forest IL 60305

Outpatient Rehabilitation & Physician Practice Alexian Rehab Hosp OPDayRehab Svc

935 Beisner Road Elk Grove Village IL 60007

Day/Outpatient Rehab & Physician Practice RIC Pelvic Health Center

676 North St Clair Room 908 Chicago IL 60611

Outpatient Rehabilitation RIC OP Center - Northshore (annex)

900 Skokie Boulevard Northbrook IL 60062

Outpatient Rehabilitation & Physician Practice 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 4: Footnote 16 - Many of the Institute's patients are reluctant and do not provide the information necessary to qualify for charity care. Therefore, Management believes that a portion of the Institute's provision for bad debt represents patients that do not have the financial ability to pay. 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 overall cost to charge ratio from the Medicare cost report was used to determine the cost of charity and bad debt.Line 8: 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. Rehabilitation Institute of Chicago Part V, Section B, Line 13g: 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 19d: 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. Part VI, Line 2: RIC is in the process of surveying and compiling a community needs assessment which will be utilized to further focus on the healthcare needs of the community. 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 them every day. The RIC LIFE Center provides education and support for the disabled community regardless if they receive services from RIC or not. The LIFE Center served over 21,000 people in the last year throughout the world. 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. 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. 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 85% of RIC inpatients come from the 7-county area surrounding Chicago. This represents a primary reach of 50 miles. In addition to those Chicagoland area patients, RIC also cares for patients from 50 states and from 68 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 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. Reports Filed With States Part VI, Line 7 IL 1 Archeworks 625 N Kingsbury Chicago IL 606546997 363912263 Section 501(c)(3) 50000 Payments for research related activities Brain Injury Assn of Illinois 1127 S Manheim Road 213 Westchester IL 60154 363962297 Section 501(c)(3) 7500 Payments for research related activities Case Western Reserve University PO Box 1591 Nashville TN 37235 341018992 Section 501(c)(3) 145778 Payments for research related activities Haskins Laboratories Inc 300 George St 900 New Haven CT 06511 131628174 Section 501(c)(3) 21067 Payments for research related activities Illinois Institute of Technology 3300 S Federal St Room 201 Chicago IL 606163793 362170136 Section 501(c)(3) 59308 Payments for research related activities Indiana University 400 E 7th Street Bloomington IN 47405 356001673 Section 501(c)(3) 92175 Payments for research related activities Kinea Design LLC 1711 Darrow Avenue 1 Evanston IL 60201 743099129 N/A 5506 Payments for research related activities Marquette University Office of the Comptroller Milwaukee WI 532011881 390806251 Section 501(c)(3) 73779 Payments for research related activities Massachusetts Institute of Technology McGovern Institute for Brain Science BLDG46-6189 Cambridge MA 02140 042103594 Section 501(c)(3) 146735 Payments for research related activities Medical College of Wisconsin 8701 Watertown Plank Rd PO Box 26509 Milwaukee WI 532260509 390806261 Section 501(c)(3) 12581 Payments for research related activities National Aphasia Association 350 7th Avenue Suite 902 New York NY 10001 133411063 Section 501(c)(3) 15000 Payments for research related activities National Stroke Association 9707 E Easter Lane Centennial CO 80112 742317104 Section 501(c)(3) 15000 Payments for research related activities North Shore University Health System 1301 Central St Research Institute Evanston IL 60201 362167060 Section 501(c)(3) 8750 Payments for research related activities Northwestern University 710 N Lakeshore Drive Chicago IL 60611 362167817 Section 501(c)(3) 2227709 Payments for research related activities Regents of the University of California-Irvine 111 Academy Way Ste 210 Irvine CA 926971050 952226406 Section 501(c)(3) 28535 Payments for research related activities Regents of the University of Colorado 1800 Grant St 400 Denver CO 80203 846000555 Section 501(c)(3) 253426 Payments for research related activities Regents of the University of Michigan 3003 S State St 2050 Wolverine Tower Ann Arbor MI 48109 386006309 Section 501(c)(3) 194333 Payments for research related activities Regents of the University of Minnesota PO Box 1450 NW 5957 Minneapolis MN 554855957 416007513 Section 501(c)(3) 27042 Payments for research related activities Schwab Rehabilitation Hospital 1401 S California Blvd Chicago IL 60608 362179802 Section 501(c)(3) 16670 Payments for research related activities Spaulding Rehabilitation Hospital Corporation 125 Nashua Street Boston MA 02114 042551124 Section 501(c)(3) 129638 Payments for research related activities University of California - Irvine 111 Aademy Way Suite 210 Irvine CA 926971050 952540117 Section 501(c)(3) 21156 Payments for research related activities University of Colorado-Boulder 3100 Main Street Boulder CO 803090572 846049811 Section 501(c)(3) 32415 Payments for research related activities University of Illinois 1305 W Green Street Urbana IL 61801 376006007 Section 501(c)(3) 585794 Payments for research related activities University of Miami PO Box 025405 Miami FL 331025405 590624458 Section 501(c)(3) 34249 Payments for research related activities University of Rhode Island 70 Lower College Road 1 Kingston RI 028810811 056014351 Section 501(c)(3) 22314 Payments for research related activities University of Southern California University Gardens Los Angeles CA 900898003 951642394 Section 501(c)(3) 8826 Payments for research related activities University of Texas Health Science Center at Houston PO Box 203382 Houston TX 772163382 741761309 Section 501(c)(3) 8133 Payments for research related activities University of Utah 201 S Presidents Circle Suite 406 Salt Lake City UT 941129020 876000525 Section 501(c)(3) 70594 Payments for research related activities University of Wisconsin - Lacrosse 1725 State Street Lacrosse WI 54601 390743975 Section 501(c)(3) 67370 Payments for research related activities Washington University 700 Rosedale Ave - CB 1034 St Louis MO 63112 430653611 Section 501(c)(3) 90716 Payments for research related activities Ann & Robert H Lurie Children's Hospital of Chicago 225 E Chicago Avenue Chicago IL 60611 362170833 Section 501(c)(3) 23500 General Support Pathways 205 W Wacker Drive 1400 Chicago IL 60606 363677342 Section 501(c)(3) 7500 General support - 28th anniversary celebration Vanderbilt University PO Box 351591 Station B Nashville TN 37235 620476822 Section 501(c)(3) 346493 Payments for research related activities 32 1 Stipends/Honorariums 49 159979 Subject Reimbursement 5962 261398 Research Subcontracts Grants 1 5000 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Grants are determined by executive leadership. 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) audits are performed by an independent audit firm each year. X 0 1 X X X X 0 1 0 0 0 0 0 1 0 Joanne C Smith MD 661662 0 560264 0 534078 0 197872 0 22665 0 1976541 0 513109 0 Edward B Case 510470 0 274407 0 543843 0 209404 0 16701 0 1554825 0 536560 0 Nancy E Paridy 256054 0 133722 0 99251 0 32052 0 6281 0 527360 0 96148 0 Peggy M Kirk 302710 0 161095 0 149380 0 55096 0 20846 0 689127 0 146486 0 Lois M Huggins 304427 0 157209 0 2942 0 73924 0 13201 0 551703 0 0 0 William Rymer MD PhD 303945 0 50612 0 10022 0 29500 0 14029 0 408108 0 7823 0 James Sliwa DO 306382 0 162246 0 304574 0 81848 0 20665 0 875715 0 301511 0 Collins Fitzpatrick MD 526473 0 60547 0 9601 0 51052 0 19934 0 667607 0 7190 0 Michael S Marinko MD 531632 0 0 0 3600 0 69840 0 20846 0 625918 0 0 0 Steven P Stanos DO 437212 0 60000 0 1619 0 31876 0 20665 0 551372 0 0 0 Brent Newell MD 375967 0 37406 0 1735 0 47496 0 22165 0 484769 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. Supplemental Information Part III Part I, Line 4b: For 2011, the following amounts for the 457(f) retirement plan were distributed as compensation as shown in Schedule J, Part II for each affected individual: - Joanne C. Smith, M.D. - $513,109 - Edward B. Case - $536,560 - Nancy E. Paridy - $96,148 - Peggy M. Kirk - $146,486 - Dr. Zev Rymer - $7,823 - James Sliwa, D.O. - $301,511 - Collins Fitzpatrick - $7,190 These amounts were disclosed in previous 990 returns. The following amounts for the 457(f) retirement plan are included in the 2011 return as compensation as shown in Schedule J, Part II for each affected individual: - Joanne C. Smith, M.D. - $159,372 - Edward B. Case - $170,904 - Nancy E. Paridy - $15,552 - Lois Huggins - $35,424 - Peggy M. Kirk - $38,596 - James Sliwa, D.O. - $65,348 - Collins Fitzpatrick - $18,052 - Machael S. Marinko - $53,340 - Brent Newell - $14,496. Supplemental Information Part III 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. Illinois Finance Authority 861091967 45200FF87 2009-12-09 90675054 Refund of Bond 0 0 0 90675054 1180142 4794858 32000054 2009 1 0 1 1 0 0 1 0 1 0 0.00000 0.00110 0.00110 1 0 1 0 0 0 1 Schedule K, Part I, Column (c): CUSIP#: 45200FF87, 45200FF95, 45200FG29. Schedule K, Part I, Column (f): Refund of Bonds dated April 1, 1997, purchase of land, repayment of tax exempt pool fund, purchase of other building improvements and equipment. Schedule K, Part III, Line 3c: We engage bond counsel as appropriate. Joanne Smith MD Corporate Director of Hill-Rom,Inc. which sells/leases hospital beds to RIC 406393 Asset purchases and rentals 0 Schedule L, Part IV: Business Transactions Involving Interested Persons: All transactions with between RIC and the organization were done at arms-length and for fair market value. X 1 85845 Cost or selling price X 30 282496 Cost or selling price X Medicine Ball 24 141790 Cost or selling price X Bearcat Ball 30 12660 Cost or selling price X Antiques Fair 6 12150 Cost or selling price 0 0 0 1 Third Party Use: Part I, Line 32b: Gifts of stock are processed by RIC's brokerage firm, 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. 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. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains on investments: 279,529. Pension Adjustment -20,376,973. Other Non-Operating Income -85,750. Total to Form 990, Part XI, Line 5: -20,183,194. Form 990, Part XII, Line 2a & 2b: Although the organization does not have stand alone audited financial statements, its financial statements, which are prepared in accordance with GAAP, are consolidated with its affiliates and audited annually by an independent auditor. Medical Services RIC 345 E Superior Street Chicago IL 60611 911999919 Physician Practice Billing and Collections IL 0 0 N/A Rehabilitation Institute Research Corporation 345 E Superior Street Chicago IL 60611 363728711 Research IL Section 501(c)(3) Schedule A, Line 4 Rehabilitation Institute Inc 1 Rehabilitation Institute Inc 345 E Superior Street Chicago IL 60611 363310838 Parent IL Section 501(c)(3) Schedule A, Line 11c 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0