REHABILITATION HOSPITAL OF INDIANA INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- REHABILITATION HOSPITAL OF INDIANA INC (EIN 35-1786005)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201343189349307374
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T18:00:20-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3815 River Crossing Parkway | AddressLine1 |
| Address Line2 | Suite 300 | AddressLine2 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 462400977 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351786005 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHABILITATION HOSPITAL OF INDIANA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REHA | NameControl |
| Phone | 3173292000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4141 SHORE DRIVE | AddressLine1 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 462542607 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARJORIE BASEY | Name |
| Title | CFO | Title |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Rachel Spurlock | Name |
| PTIN | P00520729 | PTIN |
| Phone | 3175698989 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DANIEL WOLOSZYN | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4141 SHORE DRIVE | AddressLine1 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 462542607 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 38190318 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RHIN.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1989 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | THE PRIMARY FOCUS OF THE REHABILITATION HOSPITAL OF INDIANA IS TO DELIVER ACUTE INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO THE RESIDENTS OF CENTRAL INDIANA REGARDLESS OF THEIR ABILITY TO PAY. THE COST OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT PROVIDED IN 2012 = $2.78 MILLION. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 514 | TotalNbrEmployees |
| Total Nbr Volunteers | 72 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 112452 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1035615 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 37886890 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 36932758 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 6679 | InvestmentIncomePriorYear |
| Investment Income Current Year | 18668 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 158557 | OtherRevenuePriorYear |
| Other Revenue Current Year | 132740 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 38164578 | TotalRevenuePriorYear |
| Total Revenue Current Year | 38119781 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 6775 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 5200 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23754772 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 24189609 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 13034091 | OtherExpensePriorYear |
| Other Expenses Current Year | 12300516 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 36795638 | TotalExpensesPriorYear |
| Total Expenses Current Year | 36495325 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1368940 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1624456 | RevenuesLessExpensesCY |
| Total Assets BOY | 27724049 | TotalAssetsBOY |
| Total Assets EOY | 28639907 | TotalAssetsEOY |
| Total Liabilities BOY | 24958991 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 24210467 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2765058 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4429440 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | REHABILITATION HOSPITAL OF INDIANA'S (RHI) MISSION IS TO PROVIDE PERSONALIZED, COMPASSIONATE CARE THAT ENABLES INDIVIDUALS TO REGAIN HOPE AND INDEPENDENCE AFTER LIFE-CHANGING INJURY OR ILLNESS. RHI'S VISION IS TO LEAD THE PRACTICE OF REHABILITATIVE MEDICINE THROUGH INTERNATIONALLY-RECOGNIZED TRANSLATIONAL RESEARCH, INNOVATIVE AND PATIENT-CENTERED CARE, AND HOLISTIC TRAINING. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 11564086 | Expense |
| Revenue | 14170732 | Revenue |
| Description | REHABILITATION NURSING: REHABILITATION NURSES WORK TO REINFORCE HEALING TECHNIQUES BY ENCOURAGING PATIENTS TO PRACTICE WHAT THEY LEARN IN THERAPY. THE NURSES AT REHABILITATION HOSPITAL, INC. HAVE A STRONG BACKGROUND IN MEDICAL-SURGICAL NURSING AND MANY HAVE HAD EXTENSIVE EXPERIENCE IN THE CRITICAL CARE AND ACUTE REHAB SETTING. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8736861 | Expense |
| Revenue | 14019819 | Revenue |
| Description | THERAPY SERVICES: THERAPY IS A KEY COMPONENT OF A PATIENT'S RECOVERY AND INCLUDES PHYSICAL, OCCUPATIONAL, SPEECH, AND RECREATIONAL THERAPY. THE THERAPY PROGRAM'S PURPOSE IS TO DEVELOP A COMPREHENSIVE PLAN TO HELP PATIENTS BECOME INDEPENDENTLY CAPABLE IN THEIR EVERYDAY LIVES. ADDITIONALLY, THE OVERALL GOAL IS TO HELP BUILD STRENGTH AND ENDURANCE BY USING VARIOUS TECHNIQUES AND SPECIALIZED EQUIPMENT. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5936580 | Expense |
| Grants | 5200 | Grants |
| Revenue | 8393292 | Revenue |
| Description | OTHER PROGRAMS INCLUDE:ANCILLARY SERVICES WHICH CONSISTS OF LAB, EKG, RADIOLOGY, PHARMACY, CENTRAL SUPPLIES, SLEEP, NUTRITION, RESPIRATORY THERAPY, MEDICAL SERVICES (CLINICS), AND DIETARY SERVICES. OUR INTERNS & MEDICAL RESIDENTS PROGRAM REPRESENTS AN EDUCATIONAL PROGRAM TO TRAIN MEDICAL RESIDENTS IN THE ACUTE REHAB SETTING. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 860597 | Expense |
| Revenue | 348915 | Revenue |
| Description | NEUROPSYCHOLOGY: THE PSYCHOLOGICAL ASPECT OF A PATIENT'S REHABILITATION IS ALSO A VERY IMPORTANT PART OF A PATIENT'S RECOVERY. THE NEUROPSYCHOLOGIST WORKS IN COLLABORATION WITH THE REHABILITATION TEAM TO DESIGN THE APPROPRIATE PROGRAM FOR EACH INDIVIDUAL PATIENT. MOREOVER, THE REHABILITATION NEUROPSYCHOLOGIST HELPS THE PATIENT AND FAMILY COPE WITH THEIR ILLNESS AND DISABILITY THROUGH COUNSELING, THERAPY AND EDUCATION. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 860597 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 348915 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 27098124 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 94 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 514 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Marjorie Basey | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3173292195 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4141 SHORE DRIVE | AddressLine1 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 462542607 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| IAN WORDEN | |||||||
| CHAIRMAN OF THE BOARD | 1.00 | X | X | 0 | 0 | 0 | |
| JAMES TERWILLIGER | |||||||
| VICE CHAIR/SECRETARY | 1.00 | X | X | 0 | 0 | 0 | |
| MARVIN WHITE | |||||||
| TREASURER | 1.00 | X | X | 0 | 0 | 0 | |
| ISADORE IZZY RIVAS | |||||||
| BOARD MEMBER (PARTIAL YEAR) | 1.00 | X | 0 | 0 | 0 | ||
| RYAN KITCHELL | |||||||
| BOARD MEMBER | 1.00 | X | 0 | 0 | 0 | ||
| SAMUEL L ODLE | |||||||
| BOARD MEMBER (PARTIAL YEAR) | 1.00 | X | 0 | 0 | 0 | ||
| DANIEL WOLOSZYN | |||||||
| CEO | 40.00 | X | 306202 | 0 | 24421 | ||
| MARJORIE BASEY | |||||||
| CFO | 40.00 | X | 127398 | 0 | 16719 | ||
| SIDNEY NORTON | |||||||
| INTERIM CEO (PARTIAL YEAR) | 40.00 | X | 84441 | 0 | 10472 | ||
| JOAN M TAYLOR | |||||||
| CNO | 40.00 | 111628 | 0 | 19411 | X | ||
| LANCE E TREXLER | |||||||
| DIR OF NEUROREHAB PSYCHOLOGY | 40.00 | 142092 | 0 | 38959 | X | ||
| MARY C ESCALANTE | |||||||
| PHARMACISTS | 40.00 | 111492 | 0 | 28030 | X | ||
| MONTE M SPENCE | |||||||
| COO | 40.00 | 160950 | 0 | 35855 | X | ||
| NEIL PATEL | |||||||
| PHARMACY MANAGER | 40.00 | 134544 | 0 | 26066 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1178747 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 199933 | TotalOtherCompensation |
| Number Individuals GT100 K | 14 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TREAT AMERICA FOOD SERVICES | |||||
| 8500 SHAWNEE MISSION PARKWAY | MERRIAM | KS | 66202 | DIETARY SERVICES | 1156390 |
| IU HEALTHCLARIAN HEALTH | |||||
| PO BOX 66835 | INDIANAPOLIS | IN | 462776835 | LAB & BILLING SERVICES | 708530 |
| UNIVERSITY OF PHYSIATRIC ASSOCIATES | |||||
| 541 N CLINICAL DRIVE CL 626 | INDIANAPOLIS | IN | 462025111 | PHYSICIAN SERVICES | 608028 |
| MEDISERVE INFORMATION SYSTEMS INC | |||||
| 585 N JUNIPER DRIVE SUITE 100 | CHANDLER | AZ | 85226 | SOFTWARE MAINTENANCE FEES | 444014 |
| ADVANCE MICROELECTORNICS INC | |||||
| 6001 EAST OLD HWY 50 | VINCENNES | IN | 47591 | INFORMATION TECHNOLOGY SERVICES | 378104 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 10 | NumberOfContractorsGT100K |
| Related Organizations | 35615 | RelatedOrganizations |
| All Other Contributions | 1000000 | AllOtherContributions |
| Total Contributions | 1035615 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621300 | 36382620 | 36382620 |
| MANAGEMENT FEE | 621300 | 528744 | 528744 |
| OTHER PATIENT REVENUE | 621300 | 21394 | 21394 |
| 0 | |||
| 0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 36932758 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 11429 | TotalRevenueColumn |
| Exclusion | $11,429 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 24 | TotalRevenueColumn |
| Exclusion | $24 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 75921 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 66287 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 9634 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 9634 | TotalRevenueColumn |
| Exclusion | $9,634 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 7215 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 7215 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 7215 | TotalRevenueColumn |
| Exclusion | $7,215 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 4542 | GrossSalesOfInventory |
| Cost Of Goods Sold | 4250 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 292 | TotalRevenueColumn |
| Exclusion | $292 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| CAFETERIA & VENDING | 722210 | 117487 | $117,487 |
| GIFT SHOP | 453220 | 5327 | $5,327 |
| 0 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 122814 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 38119781 | TotalRevenueColumn |
| Related Or Exempt Function Income | 36932758 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $151,408 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5200 | Total |
| Program Services | 5200 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 569653 | Total |
| Management And General | 569653 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17248118 | Total |
| Program Services | 12764704 | ProgramServices |
| Management And General | 4483414 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 462219 | Total |
| Program Services | 332798 | ProgramServices |
| Management And General | 129421 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4546559 | Total |
| Program Services | 3273522 | ProgramServices |
| Management And General | 1273037 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1363060 | Total |
| Program Services | 976500 | ProgramServices |
| Management And General | 386560 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27291 | Total |
| Program Services | 19552 | ProgramServices |
| Management And General | 7739 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 425191 | Total |
| Program Services | 304608 | ProgramServices |
| Management And General | 120583 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4845837 | Total |
| Program Services | 3812798 | ProgramServices |
| Management And General | 1033039 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 175296 | Total |
| Management And General | 175296 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1875211 | Total |
| Program Services | 1519210 | ProgramServices |
| Management And General | 356001 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 552958 | Total |
| Program Services | 396141 | ProgramServices |
| Management And General | 156817 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 925631 | Total |
| Program Services | 733788 | ProgramServices |
| Management And General | 191843 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 223907 | Total |
| Program Services | 135603 | ProgramServices |
| Management And General | 88304 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 253134 | Total |
| Program Services | 13692 | ProgramServices |
| Management And General | 239442 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 486766 | Total |
| Program Services | 438089 | ProgramServices |
| Management And General | 48677 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 945528 | Total |
| Program Services | 850975 | ProgramServices |
| Management And General | 94553 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 428424 | Total |
| Program Services | 386171 | ProgramServices |
| Management And General | 42253 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES/DIRECT CARE | 1161782 | 1161782 | |
| BAD DEBT RECOVERIES | -27009 | -27009 | |
| MEMBERSHIPS | 569 | 569 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36495325 | Total |
| Program Services | 27098124 | ProgramServices |
| Management And General | 9397201 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2614 | BOY |
| EOY | 2714 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7635393 | BOY |
| EOY | 7734801 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6791709 | BOY |
| EOY | 4824458 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 234388 | BOY |
| EOY | 247388 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 284941 | BOY |
| EOY | 1894782 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 27804195 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 17404301 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9289466 | BOY |
| EOY | 10399894 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2857284 | BOY |
| EOY | 2873812 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 628254 | BOY |
| EOY | 662058 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27724049 | BOY |
| EOY | 28639907 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3431531 | BOY |
| EOY | 3373143 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16420000 | BOY |
| EOY | 16070000 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3000000 | BOY |
| EOY | 3000000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2107460 | BOY |
| EOY | 1767324 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24958991 | BOY |
| EOY | 24210467 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2765058 | BOY |
| EOY | 4429440 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2765058 | BOY |
| EOY | 4429440 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27724049 | BOY |
| EOY | 28639907 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 1624456 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 39926 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $345 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 345 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | THE ORGANIZATION PAID DUES TO INDIANA HOSPITAL ASSOCIATION IN THE AMOUNT OF $6,349. OF THIS AMOUNT, $345 WAS ATTRIBUTABLE TO LOBBYING ACTIVITIES. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 602474 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1904164 | OtherCostOrOtherBasis |
| Book Value | 2506638 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 14667752 | OtherCostOrOtherBasis |
| Depreciation | 10117821 | Depreciation |
| Book Value | 4549931 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 95016 | OtherCostOrOtherBasis |
| Depreciation | 68959 | Depreciation |
| Book Value | 26057 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9529947 | OtherCostOrOtherBasis |
| Depreciation | 7217521 | Depreciation |
| Book Value | 2312426 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1004842 | OtherCostOrOtherBasis |
| Book Value | 1004842 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 10399894 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTEREST RATE SWAP LIABILITY | $1,602,628 |
| CAPITAL LEASE OBLIGATION | $115,050 |
| ESTIMATED THIRD-PARTY SETTLEMENTS | $49,646 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1767324 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 38230244 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 39926 | NetUnrealizedGainsInvestments |
| Other Revenues | 70537 | OtherRevenues |
| Revenue Not Rptd F990 | 110463 | RevenueNotRptdF990 |
| Revenue Subtotal | 38119781 | RevenueSubtotal |
| Other Revenues Not Included | 0 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 38119781 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 36565862 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 70537 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 70537 | ExpensesNotRptdF990 |
| Expenses Subtotal | 36495325 | ExpensesSubtotal |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 36495325 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FIN 48 (ASC 740) footnote | Schedule D, Part X, Line 2 | THE HOSPITAL ADOPTED GUIDANCE ISSUED BY THE FASB WITH RESPECT TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE HOSPITAL IS NO LONGER SUBJECT TO EXAMINATION BY U.S. FEDERAL TAXING AUTHORITIES FOR YEARS BEFORE 2007. THE HOSPITAL DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX POSITIONS TO SIGNIFICANTLY CHANGE IN THE NEXT 12 MONTHS. THE HOSPITAL WOULD RECOGNIZE INTEREST AND/OR PENALTIES RELATED TO INCOME TAX MATTERS IN INCOME TAX EXPENSE. THE HOSPITAL HAS NO AMOUNTS ACCRUED FOR INTEREST OR PENALTIES AS OF DECEMBER 31, 2012 AND 2011. |
| Other revenues in audited financial statements not in form 990 | Schedule D, Part XI, Line 2d | COST OF GOODS SOLD - 4250; RENTAL EXPENSE - 66287; |
| Other expenses in audited financial statements not in form 990 | Schedule D, Part XII, Line 2d | COST OF GOODS SOLD - 4250; RENTAL EXPENSE - 66287; |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 702982 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 702982 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01930 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3639366 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1800897 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1838469 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05040 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 4342348 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1800897 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2541451 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06970 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 33996 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 9305 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 24691 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00070 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 221246 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 107605 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 113641 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00310 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 93524 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 93524 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5700 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5700 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 354466 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 116910 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 237556 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00660 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 4696814 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1917807 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2779007 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07630 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $0 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 14924991 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 15360169 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -435178 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHABILITATION HOSPITAL OF INDIANA | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4141 SHORE DRIVE | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46254 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.RHIN.COM | WebsiteAddress |
| Licensed Hospital | X | LicensedHospital |
| Teaching Hospital | X | TeachingHospital |
| Other | ACUTE REHABILIATION | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHABILITATION HOSPITAL OF INDIANA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | false | NondiscrimEmergencyCarePolicy |
| No Emergency Care | X | NoEmergencyCare |
| Other Reason | X | OtherReason |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| NEURO REHAB CENTER | ||||
| 9531 VALPARAISO COURT | INDIANAPOLIS | IN | 46268 | OUTPATIENT NEURO REHAB THERAPY |
| REHABILITATION HOSPITAL OF INDIANA - CARMEL | ||||
| 12425 OLD MERIDIAN STREET SUITE B2 | CARMEL | IN | 46032 | OUTPATIENT REHABILITATION THERAPY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Costing Methodology used to calculate financial assistance | Schedule H, Part I, Line 7 | THE COST TO CHARGE RATIO BASED ON WORKSHEET 2 WAS USED TO CALCULATE THE AMOUNTS REPORTED ON LINES A-D. LINES E-J ARE REPORTED BASED ON ACTUAL COSTS INCURRED. |
| Bad Debt Expense excluded from financial assistance calculation | Schedule H, Part I, Line 7, column(f) | 0 |
| Bad debt expense - methodology used to estimate amount | Schedule H, Part III, Line 2 | ALLOWANCES FOR DOUBTFUL ACCOUNTS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED TO THE PROVISION FOR BAD DEBTS AFTER COLLECTION EFFORTS HAVE BEEN MADE IN ACCORDANCE WITH THE HOSPITAL'S POLICIES. RECOVERIES ARE TREATED AS A REDUCTION TO THE PROVISION FOR BAD DEBTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY MAJOR PAYER CATEGORY. DATA ABOUT THE MAJOR PAYER SOURCES OF REVENUE IS ANALYZED TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CONTRACTUALLY DUE AMOUNTS ARE ANALYZED AND COMPARED TO ACTUAL CASH COLLECTED OVER TIME TO ENHANCE THE QUALITY OF THE ESTIMATE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), A SIGNIFICANT ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED ON THE BASIS OF HISTORICAL EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. AN ESTIMATE OF THE DIFFERENCE BETWEEN CONTRACTED RATES AND AMOUNTS ACTUALLY COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED TO THE PROVISION FOR BAD DEBTS AND CREDITED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| Bad debt expense - methodology used to estimate amount as community benefit | Schedule H, Part III, Line 3 | N/A |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | FOOTNOTE TO THE AUDITED FINANCIAL STATEMENT. ALLOWANCES FOR DOUBTFUL ACCOUNTS: THE PROVISION FOR BAD DEBTS IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED COLLECTIONS OF ACCOUNTS RECEIVABLE CONSIDERING BUSINESS AND ECONOMIC CONDITIONS, TRENDS IN HEALTHCARE COVERAGE, AND OTHER COLLECTION INDICATORS. ACCOUNTS RECEIVABLE ARE WRITTEN OFF AND CHARGED TO THE PROVISION FOR BAD DEBTS AFTER COLLECTION EFFORTS HAVE BEEN MADE IN ACCORDANCE WITH THE HOSPITAL'S POLICIES. RECOVERIES ARE TREATED AS A REDUCTION TO THE PROVISION FOR BAD DEBTS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. PERIODICALLY, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS BASED UPON HISTORICAL WRITE-OFF EXPERIENCE BY MAJOR PAYER CATEGORY. DATA ABOUT THE MAJOR PAYER SOURCES OF REVENUE IS ANALYZED TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE RECEIVABLES AND PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, CONTRACTUALLY DUE AMOUNTS ARE ANALYZED AND COMPARED TO ACTUAL CASH COLLECTED OVER TIME TO ENHANCE THE QUALITY OF THE ESTIMATE OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS PROVISION FOR BAD DEBTS. FOR RECEIVABLES ASSOCIATED WITH SELF-PAY PATIENTS (WHICH INCLUDES BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL), A SIGNIFICANT ALLOWANCE FOR DOUBTFUL ACCOUNTS IS RECORDED ON THE BASIS OF HISTORICAL EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. AN ESTIMATE OF THE DIFFERENCE BETWEEN CONTRACTED RATES AND AMOUNTS ACTUALLY COLLECTED, AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED, IS CHARGED TO THE PROVISION FOR BAD DEBTS AND CREDITED TO THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| Community benefit & methodology for determining medicare costs | Schedule H, Part III, Line 8 | ANY COST INCURRED FOR TREATMENT OF A PATIENT IN WHICH THE TOTAL AMOUNT OF REVENUE WAS NOT COLLECTED, IS REPORTED AS A SHORTFALL. THE SHORTFALL IS DUE TO CONTINUED CUTS IN MEDICARE REIMBURSEMENT WHILE RHI CONTINUES TO INVEST IN STATE-OFTHE-ART EQUIPMENT AND FACILITIES TO MEET THE CHALLENGING HEALTHCARE NEEDS OF THE COMMUNITY. MEDICARE ALLOWABLE COSTS WERE DETERMINED BASED ON THE COST TO CHARGE RATIO FROM THE FY 2012 MEDICARE COST REPORT. |
| Collection practices for patients eligible for financial assistance | Schedule H, Part III, Line 9b | THE HOSPITAL'S COLLECTION POLICY CONTAINS PROVISIONS ON PRACTICES TO BE FOLLOWED FOR PATIENTS WHO ARE KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE. THE COLLECTION POLICY STATES THAT RHI WILL NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS BEFORE MAKING REASONABLE EFFORTS TO DETERMINE WHETHER A PATIENT IS ELIGIBLE FOR ASSISTANCE UNDER RHI'S FINANCIAL ASSISTANCE POLICY. |
| Other ways hospital publicized Financial Assistance Policy | Schedule H, Part V Section B, Line 14g | (1) REHABILITATION HOSPITAL OF INDIANA - INSTEAD OF THE DETAILED POLICY, THE HOSPITAL FACILITY PROVIDED A SUMMARY OF THE POLICY WITH EACH PATIENT'S STATEMENT IN A MANNER LISTED IN LINES 14 A-F.; |
| Nondiscriminatory Policy | Schedule H, Part V Section B, Line 19d | (1) REHABILITATION HOSPITAL OF INDIANA - RHI IS NOT A GENERAL ACUTE CARE HOSPITAL/FACILITY NOR IS RHI EQUIPPED TO PROVIDE CARE TO PATIENTS WITH URGENT CARE NEEDS. RHI IS A SPECIALTY PROVIDER OF REHABILITATION SERVICES SUCH AS PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY.; |
| Means used to determine amounts billed | Schedule H, Part V Section B, Line 20d | (1) REHABILITATION HOSPITAL OF INDIANA - THE HOSPITAL LIMITS THE AMOUNT CHARGED TO FAP ELIGIBLE INDIVIDUALS. FAP ELIGIBLE INDIVIDUALS WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO THOSE INDIVIDUALS WHO DO HAVE INSURANCE. THE AGB IS CALCULATED BASED ON THE LOOK-BACK METHOD FOR PAYERS INCLUDING MEDICARE FEE FOR SERVICES ALONG WITH ALL PRIVATE HEALTH INSURERS. ; |
| Needs assessment. | Schedule H, Part VI, Line 2 | RHI COMPLETED THE COMMUNITY HEALTH NEEDS ASSESSMENT IN CONJUNCTION WITH OUR MAJORITY OWNER/MEMBER HOSPITAL (INDIANA UNIVERSITY HEALTH). RHI'S PRIMARY SERVICE AREA (PSA) IS MARION COUNTY. THE AREAS OF NEED THAT WERE IDENTIFIED FROM THIS PSA BY THE NEEDS ASSESSMENT WERE : OBESITY, ACCESS TO CARE, MENTAL HEALTH, PRENATAL CARE AND TOBACCO USE. RHI DETERMINED THAT WE COULD IMPACT 3 OF THESE AREAS OF NEED. THE THREE AREAS CHOSEN BY RHI WERE: OBESITY, ACCESS TO CARE AND MENTAL HEALTH NEEDS. AN IMPLEMENTATION STRATEGY IS BEING DEVELOPED WHICH ADDRESSES HOW RHI WILL CONTRIBUTE TO EACH OF THESE THREE COMMUNITY HEALTH NEEDS. RHI ALSO EVALUATES THE HOSPITAL'S ACCESSIBILITY ON AN ANNUAL BASIS VIA AN ANNUAL ACCESSIBILITY STUDY. THIS PLAN INCLUDES ACTIONS TO FURTHER THE INTENT OF CREATING ACCESSIBLE FACILITIES, PROGRAMS AND COMMUNITIES FOR PERSONS WITH DISABILITIES. IN ADDITION, RHI ATTEMPTS TO ADDRESS THE NEEDS OF PEOPLE WITH DISABILITIES THROUGH TREATMENT PROGRAMS AND SERVICES, COMMUNITY PROGRAMMING AND COMMUNITY AWARENESS. THE PLAN WAS DEVELOPED WITH INPUT FROM PERSONS SERVED, SUPPORT GROUP INPUT, CLINICAL OUTCOMES DATA, SATISFACTION SURVEYS, RHI PERSONNEL USING SUGGESTIONS AND INPUT FROM COMMUNITY INVOLVEMENT AND OTHER STAKEHOLDERS. |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | PATIENTS ARE INFORMED ABOUT FINANCIAL ASSISTANCE BEFORE ADMISSIONS BY THE CLINICAL LIAISON. THIS OCCURS WITH THE PATIENT IS AT THE GENERAL ACUTE CARE HOSPITAL BEFORE TRANSFERRING TO RHI. PATIENTS ARE ALSO INFORMED OF FINANCIAL ASSISTANCE DURING REGISTRATION BY THE ADMISSIONS REPRESENTATIVE AND A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY IS INCLUDED IN EACH ADMISSION PACKET. DURING THE PATIENT'S STAY, THE DISCHARGE PLANNER WILL WORK WITH THE PATIENT IN COMPLETING THE FINANCIAL ASSISTANCE APPLICATION. PATIENTS ARE INFORMED AGAIN OF FINANCIAL ASSISTANCE DURING THE DISCHARGE PROCESS BY THE DISCHARGE PLANNERS. THE DISCHARGE PLANNERS WILL CONTINUE TO WORK WITH THE PATIENTS AFTER DISCHARGE, IF THE SITUATION REQUIRES. PATIENTS RECEIVE A SUMMARY OF THE FAP WITH ALL STATEMENTS. RHI WILL ALSO MAIL A SUMMARY OF THE POLICY ALONG WITH A FINANCIAL ASSISTANCE APPLICATION TO ANY UNINSURED PATIENT THAT HAS A BALANCE ON HIS/HER ACCOUNT. RHI ALSO PUBLICIZES ITS FAP ON THE HOSPITAL WEBSITE. RHI WILL PROVIDE REPRESENTATIVES TO ASSIST PATIENTS WITH THE FINANCIAL ASSISTANCE PROCESS MONDAY THROUGH FRIDAY FROM 8AM TO 5PM. |
| Community information. | Schedule H, Part VI, Line 4 | RHI SERVES ADOLESCENTS THROUGH ADULTS WITH PHYSICAL AND COGNITIVE DISABILITIES PRIMARILY FROM 100-MILE RADIUS OF RHI BUT CATCHMENT AREA NORMALLY INCLUDES ALL 92 INDIANA COUNTIES AND SURROUNDING STATES. RHI OFFERS SERVICES FOR INPATIENT FOR 91 BEDS AND 3 OUTPATIENT LOCATIONS. ONE LOCATION IS LOCATED WITHIN THE HOSPITAL AND TWO OFFICES CONVENIENTLY LOCATED AT SEPARATE LOCATIONS. RHI'S CORE SERVICES ARE STRUCTURED THROUGH SPECIALIZED UNITS. BY DOING SO, A REHABILITATIVE ENVIRONMENT IS CREATED THAT FOSTERS PROGRESSIVE LEADERSHIP, INNOVATION AND QUALITY THAT WILL LEAD TO PREEMINENT PATIENT CARE AND OUTCOMES. RHI'S MAIN SERVICES INCLUDE BUT NOT LIMITED TO STROKE REHABILITATION, BRAIN AND SPINAL CORD INJURY, MULTIPLE TRAUMA REHABILITATION AND ORTHOPEDIC REHABILITATION. RHI IS THE LARGEST FREESTANDING ACUTE REHABILITATION HOSPITAL IN INDIANA COUPLED WITH BEING THE ONLY REHAB HOSPITAL WITH CARF CERTIFICATION IN SPINAL CORD INJURY, GENERAL COMPREHENSIVE REHAB, BRAIN INJURY AND STROKE REHABILITATION. FOR 2012, NINETY FIVE PERCENT OF PATIENTS TREATED WERE NATIVES OF INDIANA. SIXTY PERCENT OF THE PATIENTS WERE FROM MARION COUNTY (INDIANAPOLIS), WHEREAS TWENTY-FIVE PERCENT WERE RESIDENTS OF COUNTIES SURROUNDING MARION COUNTY. RHI'S PRIMARY SERVICE AREA (PSA) IS IDENTIFIED AS MARION COUNTY. BASED ON THE MOST RECENT CENSUS BUREAU STATISTICS (2010), MARION COUNTY HAS A POPULATION OF 903,393 PERSONS WITH APPROXIMATELY 52% BEING FEMALE AND 48% BEING MALE. THE COUNTY'S POPULATION ESTIMATES BY RACE ARE 59.6% WHITE, 27.0% BLACK, 9.6% HISPANIC OR LATINO, 2.1% ASIAN, 0.5% AMERICAN INDIAN OR ALASKA NATIVE, AND 2.5% PERSON REPORTING TWO OR MORE RACES. A POVERTY RATE OF 19.7% WAS REPORTED IN 2009 FOR MARION COUNTY, RISING FROM 16.5% IN 2008. BASED ON US CENSUS BUREAU DATA (2009), MARION COUNTY'S PER CAPITAL PERSONAL INCOME WAS ESTIMATED TO BE $36,409, WHICH IS ABOVE THE STATE'S AVERAGE OF $33,323; AND A MEDIAN HOUSEHOLD INCOME OF $41,201, WHICH IS BELOW THE STATE'S AVERAGE OF $45,427. BASED ON INPATIENT DISCHARGE DATA FROM INDIANA HOSPITAL ASSOCIATION (IHA), 31% OF MARION COUNTY RESIDENTS HAVE COMMERCIAL INSURANCE, 22% ARE INSURED THROUGH MEDICAID, 30% ARE INSURED THROUGH MEDICARE, 11% ARE UNINSURED AND 6% HAVE OTHER GOVERNMENT INSURANCE OR ARE UNKNOWN. AT RHI, IT IS ESTIMATED THAT 54% OF PATIENTS HAVE MEDICARE, 11% HAVE MEDICAID, 2% ARE UNINSURED, AND 33% HAVE COMMERCIAL OR UNKNOWN INSURANCE. |
| Promotion of community health | Schedule H, Part VI, Line 5 | RHI CONTINUES TO FORGE POSITIVE RELATIONSHIPS WITH ALL REFERRAL SOURCES TO IDENTIFY ACCESS CHALLENGES AND IMPROVEMENT. THIS IS PRIMARILY FOCUSED ON PARENT HEALTH SYSTEMS, REFERRAL SOURCES AND DISCHARGE SOURCES. RHI ALSO PROVIDES SUPPORT GROUPS FOR PATIENTS AND FAMILIES INCLUDING: * STROKE SUPPORT GROUP - MONTHLY ON MAIN CAMPUS * BRAIN INJURY SUPPORT GROUP - MONTHLY ON MAIN CAMPUS AND AT NRC * STROKE CARE GIVERS SUPPORT GROUP - MONTHLY ON MAIN CAMPUS RHI PROVIDES THE SUPPORT GROUPS WITH A MEETING ROOM, ONE STAFF MEMBER'S TIME AND REFRESHMENTS AT NO COST TO THE PATIENTS AND FAMILIES ATTENDING. SUMMARY OF GROUPS AND THEIR PURPOSES: STROKE SUPPORT GROUP THERE ARE TWO STOKE SUPPORT GROUPS OFFERED AT RHI. ONE GROUP IS TO TEACH INDIVIDUALS RECOVERING FROM A STROKE COPING SKILLS. THE SECOND STROKE SUPPORT GROUP IS TO PROVIDE TRAINING TO FAMILIES AND LOVED ONES OF THE RECOVERING STROKE PATIENT. THE GROUPS MEET MONTHLY ON THE MAIN HOSPITAL CAMPUS. BRAIN INJURY SUPPORT GROUP THE BRAIN INJURY SUPPORT GROUP TEACHES SURVIVORS OF BRAIN INJURY AND THEIR FAMILY AND CAREGIVERS THROUGH PERTINENT SITUATIONS, GOAL SETTING AND PROVIDING INFORMATION ABOUT RETURN TO WORK. APART FROM THE MONTHLY MEETINGS, SOCIAL GATHERINGS MEET TO DECREASE SOCIAL LONELINESS AND INCREASE SUPPORT IN THE COMMUNITY. RHI BELIEVES SUPPORT GROUPS PROVIDE ITS ATTENDEES WITH COPING SKILLS WHILE PROMOTING THE HEALTH OF THE COMMUNITY IT SERVES. THE SUPPORT GROUPS ENCOURAGE THE COMMUNICATION AMONG VICTIMS AND/OR FAMILY MEMBERS WITH THOSE WHO HAVE SUSTAINED A SIMILAR INJURY AND HAVE RETURNED TO THE COMMUNITY. RHI ALSO PROVIDED AN AQUATICS WELLNESS PROGRAM FOR INDIVIDUALS WITHIN THE COMMUNITY. THIS PROGRAM BENEFITS MEMBERS OF THE COMMUNITY SUCH AS INDIVIDUALS WITH ARTHRITIS AND WOMEN DURING PREGNANCY. THE WATER ALLOWS THEM TO EXERCISE UNDER CONDITIONS THAT THEY NORMALLY WOULD NOT BE ABLE TO EXERCISE. THIS PROGRAM COLLECTS A SMALL FEE TO OFFSET A SMALL PORTION OF THE COST OF THE PROGRAM. EVERY TUESDAY AND THURSDAY EVENINGS, RHI OFFERS A COMMUNITY FITNESS PROGRAM BY MAKING THE THERAPY GYM AVAILABLE TO ALL MEMBERS OF THE COMMUNITY THAT HAVE A PHYSICAL DISABILITY. RHI RECOGNIZES THAT AN INDIVIDUAL WITH PHYSICAL DISABILITY NEEDS TO CONTINUE A HEALTHY LIFE STYLE BY EXERCISING WHICH MAY REQUIRE THE NEED OF SPECIALIZED EQUIPMENT. ONE OR TWO RHI VOLUNTEERS WHO ARE LICENSED THERAPISTS SUPERVISE THE COMMUNITY FITNESS PROGRAM. RHI STAFF VOLUNTEERS THEIR TIME TO PROVIDE SUPERVISION FOR THE PROGRAM, WHICH IS AT NO COST TO THE ATTENDEES. RHI RECOGNIZES THAT MEDICAL REHABILITATION IS A COMPLEX, INTERDISCIPLINARY SYSTEM OF INPATIENT AND OUTPATIENT THERAPIES THAT IS PART OF MORE COMPLEX SYSTEM THAT INCLUDES EMERGENT AND ACUTE CARE FOLLOWING CATASTROPHIC ILLNESS OR INJURY AS WELL AS NETWORKS THAT PROVIDE LONG-TERM SERVICES AND SUPPORT. THIS SYSTEM AND ITS COMPONENTS PROVIDE OPPORTUNITIES FOR A BROAD DIVERSITY OF APPLIED RESEARCH STUDIES. THE TARGETS OF CURRENT RESEARCH AT RHI RANGE FROM INTERVENTIONS TO REDUCE DISABILITY TO A WAY TO BETTER MEASURE REHABILITATION EFFECTIVENESS TO LEADING EDGE METHODS TO EVALUATE PATIENTS AND MAXIMIZE THEIR OUTCOMES. OVERVIEW OF THE RESEARCH RHI CONDUCTS: * IDENTIFYING MEDICATIONS THAT ENHANCE RECOVERY FOLLOWING BRAIN INJURY, * IDENTIFYING COMMONLY PRESCRIBED MEDICATIONS FOLLOWING BRAIN INJURY THAT MAY HAVE ADVERSE EFFECTS ON RECOVERY * EVALUATING THE EFFECTIVENESS OF GROUP THERAPY FOR PATIENTS AND FAMILIES TO IMPROVE COPING SKILLS * IMPROVE RETURN TO WORK RATES BY DEVELOPING NETWORKS OF COMMUNITY SERVICES * STUDYING OUTCOMES (COMMUNITY REINTEGRATION, WELL-BEING, AND LIFE SATISFACTION) AFTER BRAIN AND SPINAL INJURIES. * COLLABORATING WITH THE MAYO CLINIC TRAUMATIC BRAIN INJURY SYSTEM, INDIANA UNIVERSITY SCHOOL OF MEDICINE, INDIANA UNIVERSITY HEALTH, ST. VINCENT AND PURDUE UNIVERSITY. AS WE CONTINUE TO GROW AS A REHABILITATION HOSPITAL AND LEADER IN MEDICINE AND RESEARCH DEVELOPMENT, RHI INVITES PHYSICIANS TO CONTACT US ABOUT PATIENTS THAT COULD BE ELIGIBLE FOR REHABILITATION AND PARTICIPATION IN OUR STUDIES AND MEDICAL ADVANCEMENT. THE PARTNERSHIP BETWEEN RHI AND PHYSICIANS IS IMPORTANT IN THE CONTINUAL EFFORT TO SUPPORT AND PROVIDE THE BEST CARE FOR THE PATIENT. |
| Affiliated health care system | Schedule H, Part VI, Line 6 | RHI IS OWNED BY TWO MAJOR HEALTH SYSTEMS, INDIANA UNIVERSITY HEALTH (IUH) AND ST. VINCENT HEALTH. IUH IS THE MAJORITY OWNER OF RHI. RHI WORKS PRIMARILY WITH THE IUH SYSTEM ON VARIOUS ACTIVITIES TO ADDRESS THE COMMUNITY NEEDS. |
| State filing of community benefit report | Schedule H, Part VI, Line 7 | IN |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | RHI CONTRIBUTES MONEY TO ORGANIZATIONS WITH RELATED INTERESTS. THE MONEY IS CONTRIBUTED TO THE PROGRAM OPERATING FUNDS OF THESE ORGANIZATIONS IN ORDER TO SUPPORT THEIR MISSIONS IN SERVING LIKE PATIENTS. THEREFORE, THE ORGANIZATION RELIES ON THE BOARD OF DIRECTORS OF THE RESPECTIVE DONEE ORGANIZATIONS TO DETERMINE THE USE OF THE FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEIL PATEL | ||||||||||||||
| PHARMACY MANAGER | 131424 | 0 | 0 | 0 | 3120 | 0 | 5835 | 0 | 20231 | 0 | 160610 | 0 | 0 | 0 |
| LANCE E TREXLER | ||||||||||||||
| DIR OF NEUROREHAB PSYCHOLOGY | 138431 | 0 | 0 | 0 | 3661 | 0 | 6094 | 0 | 32865 | 0 | 181051 | 0 | 0 | 0 |
| MONTE M SPENCE | ||||||||||||||
| COO | 136964 | 0 | 23624 | 0 | 362 | 0 | 3354 | 0 | 32501 | 0 | 196805 | 0 | 0 | 0 |
| DANIEL WOLOSZYN | ||||||||||||||
| CEO | 258746 | 0 | 45000 | 0 | 2456 | 0 | 0 | 0 | 24421 | 0 | 330623 | 0 | 0 | 0 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | INDIANA FINANCE AUTHORITY | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Issuer EIN | 351602316 | IssuerEIN |
| CUSIP Number | 45471AEQ1 | CUSIPNumber |
| Date Issued | 2011-11-10 | DateIssued |
| Issue Price | 16420000 | IssuePrice |
| Description Of Purpose | CONSTRUCTION, EQUPMENT PURCHASES, REFUNDING OF SERIES 1990 BONDS. | DescriptionOfPurpose |
| Defeased | false | Defeased |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Pool Financing | false | PoolFinancing |
Form990 Schedule K Part II Form990ScheduleKPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Amount Retired | 350000 | AmountRetired |
| Amount Bond Defeased | 0 | AmountBondDefeased |
| Total Proceeds | 16420517 | TotalProceeds |
| Amount In Reserve Fund | 0 | AmountInReserveFund |
| Capitalized Interest | 0 | CapitalizedInterest |
| Refunding Escrow | 3497 | RefundingEscrow |
| Issuance Costs From Proceeds | 316503 | IssuanceCostsFromProceeds |
| Credit Enhancement | 0 | CreditEnhancement |
| Working Capital Expenditures | 0 | WorkingCapitalExpenditures |
| Capital Expenditures | 1734514 | CapitalExpenditures |
| Other Spent Proceeds | 11900000 | OtherSpentProceeds |
| Amount Unspent | 2466003 | AmountUnspent |
| Current Refunding | true | CurrentRefunding |
| Advance Refunding | false | AdvanceRefunding |
| Final Allocation Made | false | FinalAllocationMade |
| Adequate Books And Recds Maintaind | true | AdequateBooksAndRecdsMaintaind |
Form990 Schedule K Part III Form990ScheduleKPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | false | OwningBondFinancedProperty |
| Any Lease Arrangements | true | AnyLeaseArrangements |
| Mngment Cntrct Bond Financd Prprty | true | MngmentCntrctBondFinancdPrprty |
| Engage Bond Counsel Contracts | true | EngageBondCounselContracts |
| Any Research Agreements | false | AnyResearchAgreements |
| Engage Bond Counsel Research | false | EngageBondCounselResearch |
| Prcntge Prvt Business Use By Others | 0.0066 | PrcntgePrvtBusinessUseByOthers |
| Percentage Of Prvt Business Re UBI | 0.0000 | PercentageOfPrvtBusinessReUBI |
| Total Private Business Use | 0.0066 | TotalPrivateBusinessUse |
| Bond Iss Meet Prvt Security Pay Test | true | BondIssMeetPrvtSecurityPayTest |
| Change In Use Bond Financed Prop | false | ChangeInUseBondFinancedProp |
| Prcntge Bond Financed Prop | 0.000000 | PrcntgeBondFinancedProp |
| Remedial Action Taken | false | RemedialActionTaken |
| Non Qualified Bond Remed Procdrs | false | NonQualifiedBondRemedProcdrs |
Form990 Schedule K Part IV Form990ScheduleKPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | false | Form8038TFiled |
| Rebate Not Due Yet | true | RebateNotDueYet |
| Exception To Rebate | false | ExceptionToRebate |
| No Rebate Due | false | NoRebateDue |
| Variable Rate Issue | true | VariableRateIssue |
| Hedge Identified In Books And Recds | false | HedgeIdentifiedInBooksAndRecds |
| Term Of Hedge | 0 | TermOfHedge |
| Superintegrated Hedge | false | SuperintegratedHedge |
| Hedge Terminated | false | HedgeTerminated |
| Gross Proceeds Invested In GIC | false | GrossProceedsInvestedInGIC |
| Term Of GIC | 0 | TermOfGIC |
| Regulatory Safe Harbor Satisfied | false | RegulatorySafeHarborSatisfied |
| Gross Proceeds Invested | false | GrossProceedsInvested |
| Written Proc To Monitor Reqs | false | WrittenProcToMonitorReqs |
Form990 Schedule K Part V Form990ScheduleKPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Proc To Undertk Corrective Action | false | ProcToUndertkCorrectiveAction |
Form990 Schedule K Part VI Form990ScheduleKPartVI (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| TOTAL PROCEEDS OF ISSUE | SCHEDULE K, PART II, LINE 3 | ISSUE PRICE: $16,420,000 EARNINGS: $517 TOTAL PROCEEDS: $16,420,517 |
| WRITTEN PROCEDURES | SCHEDULE K, PART III, LINE 9 | THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES TO ENSURE ALL NONQUALIFIED BONDS (IF ANY) OF THE ISSUE ARE REMEDIATED IN ACCORDANCE WITH THE ASSOCIATED REGULATIONS. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. |
| WRITTEN PROCEDURES | SCHEDULE K, PART IV, LINE 7 | THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES TO MONITOR THE ORGANIZATION'S ABILITY TO REMAIN IN COMPLIANCE WITH THE ARBITRAGE REQUIREMENTS UNDER SECTION 148 OF THE INTERNAL REVENUE CODE. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. |
| WRITTEN PROCEDURES | SCHEDULE K, PART V | THE ORGANIZATION IS IN THE PROCESS OF ADOPTING WRITTEN PROCEDURES WHICH DICTATE HOW MANAGEMENT TIMELY IDENTIFIES AND CORRECTS VIOLATIONS OF FEDERAL TAX REQUIREMENTS USING THE VOLUNTARY CLOSING AGREEMENT PROGRAM PROVIDED BY THE IRS WHEN SELF-REMEDIATION IS NOT AVAILABLE TO THE ORGANIZATION. THE ORGANIZATION STRIVES TO STAY ABREAST OF FEDERAL REGULATIONS AND CONSIDERS THE REPERCUSSIONS OF ALL SIGNIFICANT ACTIVITIES WHICH COULD FORESEEABLY HAVE AN IMPACT ON THE ORGANIZATION'S TAX EXEMPT BONDS AND THE ASSOCIATED FEDERAL TAX REGULATIONS. IN THE EVENT A VIOLATION IS IDENTIFIED THE ORGANIZATION'S POLICY IS TO CORRECT THE VIOLATION AS SOON AS POSSIBLE, WHILE WORKING WITH THE FEDERAL AUTHORITIES AS NECESSARY TO ENSURE THAT SUFFICIENT CONTROLS ARE PRESENT WHICH WILL GUARD AGAINST FUTURE VIOLATIONS. |
| PRIVATE BUSINESS USE | SCHEDULE K, PART III, LINE 2 | RHI OWNS PHYSICIAN LEASING SPACE, WHICH DOES NOT VIOLATE THE SAFE HARBOR OF SECTION 9713. |
| PRIVATE BUSINESS USE | SCHEDULE K, PART III, LINE 3A | RHA HAS AGREEMENTS WITH PHYSICIANS WHICH DO NOT VIOLATE SAFE HARBOR OF SECTION 9713. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ORGANIZATION'S MISSION (CONTINUED FROM PART III, LINE 1) | FORM 990, PART III, LINE 1 | RHI WILL ACHIEVE THIS VISION THROUGH THE FOLLOWING: ACHIEVING IN SUPERIOR PATIENT OUTCOMES; EMBRACING INNOVATIVE TREATMENT METHODS; RECRUITING OUTSTANDING CLINICAL EXPERTISE; TRAINING THE NEXT GENERATION OF REHABILITATION PROFESSIONALS; SEEKING PARTNERSHIPS WITH OTHER COMMUNITY MEMBERS WHO SERVE OUR PATIENT POPULATION; AND PROVIDING A LIFETIME CONTINUUM OF SERVICES FOR OUR PATIENTS. RHI'S VALUES INCLUDE: INTEGRITY: TREATING EACH INDIVIDUAL WITH DIGNITY AND RESPECT; INNOVATION: PIONEERING IN RESEARCH LEADING TO BETTER OUTCOMES; COMPASSION: PROVIDING AN EMPATHETIC AND HEALING ENVIRONMENT; TEAMWORK: EMPOWERING EMPLOYEES; AND SERVICE: PROVIDING COMMUNITY OUTREACH AND ADVOCACY FOR INDIVIDUALS WITH DISABILITIES THROUGH OUR STAFF, PHYSICIANS, AND THE RHI FOUNDATION. RHI OPERATES A 91 BED, FREESTANDING SPECIALTY MEDICAL REHABILITATION HOSPITAL LOCATED IN INDIANAPOLIS, INDIANA. THE HOSPITAL PROVIDES SHORT-TERM, COMPREHENSIVE REHABILITATION SERVICES TO PATIENTS, AND ITS PROGRAMS ARE DESIGNED TO RESTORE PHYSICAL, COGNITIVE AND PSYCHOSOCIAL FUNCTIONS FOLLOWING AN INCIDENT OF ACUTE ILLNESS OR TRAUMA. INPATIENT AND OUTPATIENT THERAPY AND SUPPORT SERVICES PROVIDED BY RHI INCLUDE PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, RECREATIONAL THERAPY, ACTIVITIES OF DAILY LIVING, REHABILITATION NURSING, PSYCHOLOGY, SOCIAL SERVICES AND COGNITIVE RETRAINING, AND SUB ACUTE SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. THE HOSPITAL PROVIDES FREE AND/OR DISCOUNTED CARE TO THOSE WHO QUALIFY ACCORDING TO RHI'S POLICY. RHI VERIFIES AND COLLECTS FINANCIAL RESOURCE INFORMATION ON EACH PATIENT IN A MANNER THAT PROTECTS EACH PATIENT'S DIGNITY AND QUALITY OF LIFE. NO PATIENT'S ADMISSION IS DENIED DUE TO A PATIENT'S INABILITY TO SETTLE THEIR ACCOUNT. ANY PATIENT WHO WISHES TO BE CONSIDERED FOR CHARITY CARE FURNISHES THE HOSPITAL WITH THE REQUIRED FINANCIAL DOCUMENTATION WHICH THE HOSPITAL USES TO DETERMINE WHETHER HE/SHE QUALIFIED. PATIENTS WHO APPLY FOR AND ARE ELIGIBLE FOR CHARITY CARE GENERALLY ARE APPROVED DURING THE ADMISSION PROCESS, HOWEVER, A PATIENT CAN APPLY FOR CHARITY AT ANY TIME. MEDICAID ELIGIBILITY IS ALSO EVALUATED PRIOR TO THE ADMISSION PROCESS. IF A PATIENT APPEARS TO BE ELIGIBLE FOR ASSISTANCE UNDER A GOVERNMENTAL PROGRAM SUCH AS MEDICAID, RHI ASSISTS THE PATIENT WITH THIS PROCESS. THE HOSPITAL PROVIDES MANY SUPPORT GROUPS THAT BENEFIT AND PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. SOME OF THESE GROUPS INCLUDE THE STROKE SURVIVOR SUPPORT GROUP, THE STROKE CAREGIVER SUPPORT GROUP AND THE BRAIN INJURY SUPPORT GROUP, WHICH ALL ENCOURAGE COMMUNICATION BETWEEN PATIENTS AND/OR FAMILY MEMBERS WITH THOSE WHO HAVE SUSTAINED A SIMILAR INJURY AND HAVE RETURNED TO THE COMMUNITY. RHI ALSO OFFERS VOCATIONAL REHABILITATION SUPPORT WHICH PROVIDES SEVERAL SERVICES, AMONG THEM PRE-VOCATIONAL COUNSELING AND CONNECTIONS TO OTHER AGENCIES THAT PROVIDE ASSISTANCE IN RETURNING TO WORK OR SCHOOL. RHI PROVIDES TRANSPORTATION SERVICES TO THOSE RHI OUTPATIENTS THAT NEEDED ASSISTANCE IN GETTING TO AND FROM THEIR THERAPY APPOINTMENTS. RHI ALSO PROVIDES AN AQUATICS WELLNESS PROGRAM FOR INDIVIDUALS WITHIN THE COMMUNITY. RHI ENCOURAGES AND PROMOTES EDUCATION BY OFFERING INTERNS AND MEDICAL RESIDENTS THE OPPORTUNITY TO LEARN THEIR SPECIALIZED INTEREST OF STUDY. MEDICAL RESIDENTS ARE PLACED IN POSITIONS WHERE THEY CAN LEARN AND GROW AS THEY WORK TOWARD COMPLETING THEIR RESIDENCY PROGRAM. |
| Delegate broad authority to a committee | Form 990, Part VI, Section A, Line 1a | THE EXECUTIVE COMMITTEE, IF ANY, SHALL BE COMPRISED OF THE OFFICERS OF THE BOARD OF DIRECTORS, AND THE CHIEF EXECUTIVE OFFICER, EX-OFFICIO. THE CHAIRMAN OF THE EXECUTIVE COMMITTEE SHALL BE THE CHAIRMAN OF THE BOARD OF DIRECTORS. THE EXECUTIVE COMMITTEE, IF ANY, SHALL MEET AT THE TIMES AND PLACES AS SHALL BE DETERMINED BY THE CHAIRMAN. WHEN ACTION IS TAKEN BY THE EXECUTIVE COMMITTEE, THE ACTION WILL BE REPORTED TO THE BOARD OF DIRECTORS AT ITS NEXT MEETING. THE EXECUTIVE COMMITTEE, IF ANY, SHALL HAVE THE POWER TO TRANSACT ALL REGULAR BUSINESS OF THE CORPORATION DURING THE PERIOD BETWEEN MEETINGS SO THE BOARD OF DIRECTORS, SUBJECT TO ANY PRIOR LIMITATION IMPOSED BY THE BOARD OF DIRECTORS, EXCEPT THAT, IN ACCORDANCE WITH INDIANA LAW, THE EXECUTIVE COMMITTEE, IF ANY, MAY NOT AUTHORIZE DISTRIBUTIONS OR FILL VACANCIES ON THE BOARD OF DIRECTORS OR ON ANY COMMITTEE OF THE BOARD OF DIRECTORS. |
| Significant changes to organizational documents | Form 990, Part VI, Section A, Line 4 | THE ORGANIZATION AMENDED ITS BYLAWS TO INCORPORATE THE FOLLOWING CHANGES: ON MARCH 23, 2012 - DECREASED THE CLASS A MEMBER FROM 50 TO 49 VOTES. - INCREASED THE CLASS B MEMBER FROM 50 TO 51 VOTES. FOR THE FOLLOWING MATTERS: 1) APPROVE CAPITAL AND OPERATING BUDGETS OF RHI 2) APPROVE THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS OF RHI 3) APPROVE ALL MANAGED CARE CONTRACTS OF RHI |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE NOT-FOR-PROFIT CORPORATIONS ST. VINCENT HEALTH, INC. AND MH HEALTHCARE ARE THE CORPORATE MEMBERS OF RHI. THERE ARE 2 CLASSES OF MEMBERSHIP: CLASS A AND CLASS B. THE CLASS A MEMBER IS ST. VINCENT HEALTH AND THE CLASS B MEMBER IS MH HEALTHCARE. IN MARCH 2012, THE CORPORATE MEMBERS AGREED TO CHANGE THE VOTING RIGHTS OF THE MEMBERSHIP. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | EACH OF THE CORPORATE MEMBERS HAS THE RIGHT TO APPOINT 50% OF THE MEMBERS OF THE RHI BOARD OF DIRECTORS. THE CLASS A MEMBER, ST. VINCENT HEALTH, HAS THE RIGHT TO APPOINT ALL CLASS A DIRECTORS; THE CLASS B MEMBER, MH HEALTHCARE, HAS THE RIGHT TO APPOINT ALL CLASS B DIRECTORS. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | THE FOLLOWING MATTERS REQUIRE THE JOINT APPROVAL OF THE TWO CORPORATE MEMBERS OF THE HOSPITAL: 1. APPROVE, INTERPRET AND CHANGE ANY STATEMENT OF MISSION, PHILOSOPHY, ROLE AND PURPOSE OF RHI. 2. APPROVE AND AMEND BYLAWS AND ARTICLES OF INCORPORATION. 3. FIX THE NUMBER OF DIRECTORS OF RHI. THE APPOINTMENT, ELECTION OR REMOVAL OF ANY CLASS A DIRECTOR SHALL REQUIRE THE APPROVAL OF THE CLASS A MEMBER AND THE APPOINTMENT, ELECTION OR REMOVAL OF ANY CLASS B DIRECTOR SHALL REQUIRE THE APPROVAL OF THE CLASS B MEMBER. 4. APPROVE THE MERGER, DISSOLUTION, CONSOLIDATION OR REORGANIZATION OF RHI. 5. APPROVE THE FORMATION OF OTHER ENTITIES BY RHI. 6. APPROVE THE ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION OF PROPERTY OF RHI, OTHER THAN IN THE USUAL AND REGULAR COURSE OF RHI'S BUSINESS, WHEN SUCH ACQUISITION, SALE, LEASE, TRANSFER OR OTHER ALIENATION MEETS SPECIFIED FINANCIAL LEVELS SET IN ACCORDANCE WITH POLICIES ESTABLISHED FROM TIME TO TIME BY THE CLASS A AND CLASS B MEMBERS. 7. APPROVE CAPITAL AND OPERATING BUDGETS OF RHI. 8. APPROVE DEBT INCURRED BY RHI WHICH IS IN EXCESS OF SUCH LIMITS AS ARE ESTABLISHED BY THE CLASS A AND CLASS B CORPORATE MEMBERS. 9. APPROVE THE DISPOSITION OF THE ASSETS OF RHI AT THE TIME OF ITS DISSOLUTION. 10. ESTABLISH (I) POLICY CONCERNING QUALITY OF CARE AND SERVICES OR (II) POLICY AND PROCEDURES CONCERNING FINANCE AND RESOURCES FOR RHI, WHICH ARE INCONSISTENT WITH POLICIES ESTABLISHED BY THE CLASS A AND CLASS B CORPORATE MEMBERS. 11. APPROVE THE LONG-RANGE FINANCIAL AND STRATEGIC PLANS FOR RHI. 12. APPROVE AN INTERNAL AUDITING PROGRAM FOR RHI, WHICH IS INCONSISTENT WITH THE INTERNAL AUDITING PROGRAM ESTABLISHED BY THE CLASS A AND CLASS B CORPORATE MEMBERS. 13. APPOINT OR REMOVE THE CHIEF EXECUTIVE OFFICER OF RHI PROVIDED, HOWEVER, THAT THE CLASS A AND CLASS B CORPORATE MEMBERS SHALL CONFER WITH THE BOARD OF DIRECTORS CONCERNING THE APPOINTMENT OR REMOVAL OF THE CHIEF EXECUTIVE OFFICER. 14. APPROVE THE POLICY PERTAINING TO THE EVALUATION OF THE CHIEF EXECUTIVE OFFICER OF RHI. 15. APPOINT OR REMOVE THE MEDICAL DIRECTOR. 16. TAKE ANY ACTION WHICH WOULD BE INCONSISTENT WITH THE GOVERNING DOCUMENTS OR POLICIES OF THE CLASS A OR CLASS B CORPORATE MEMBERS. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | A DETAILED REVIEW IS PERFORMED BY MANAGEMENT AND BY MAJORITY OWNER MEMBER ORIGANIZATION PRIOR TO FILING THE RETURN WITH THE IRS. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | ANNUALLY, ALL EMPLOYEES AND BOARD MEMBERS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST FORM. THE CEO AND CHAIRMAN OF THE BOARD REVIEW THE CONFLICT OF INTEREST FORMS COMPLETED BY THE BOARD MEMBERS AND THE DIRECTOR OF HUMAN RESOURCES REVIEWS CONFLICT OF INTEREST FORMS COMPLETED BY EMPLOYEES. IF, DURING A BOARD MEETING, THERE IS AN ACTION ITEM THAT PRESENTS A FORMAL CONFLICT, THE INTERESTED PERSON WOULD BE ASKED TO RECUSE HIMSELF/HERSELF FROM THE VOTE. THIS RECUSAL WOULD BE DOCUMENTED IN THE MINUTES. IF A KEY EMPLOYEE DISCLOSES A POTENTIAL CONFLICT, THAT PERSON IS REMOVED FROM THE DECISION-MAKING PROCESS FOR TRANSACTIONS RELATED TO THAT CONFLICT. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | THE SALARY FOR THE CEO IS DEFINED IN THE WRITTEN HIRING AGREEMENT WHICH IS APPROVED BY THE BOARD OF DIRECTORS. ANNUAL PERFORMANCE GOALS ARE DETERMINED AND SET BY THE CHAIR AND VICE CHAIR OF THE BOARD OF DIRECTORS. SALARY INCREASES AND PERFORMANCE BONUSES ARE DETERMINED BASED UPON PERFORMANCE AND THE ATTAINMENT OF THESE GOALS. THE TOOL USED TO EVALUATE THE CEO'S ANNUAL PERFORMANCE AND PAY IS BASED ON THE ACCOMPLISHMENT OF THESE APPROVED GOALS AND OBJECTIVES. THE EVALUATION OF PERFORMANCE AND GOALS IS COMPLETED BY THE CHAIR AND VICE CHAIR OF THE BOARD ANNUALLY AND IS PERFORMED IN THE EXECUTIVE SESSION OF THE ANNUAL BOARD MEETING. THE CHAIR AND VICE CHAIR REPRESENT BOTH OF THE MEMBER OWNERS OF RHI. THE EVALUATION IS DOCUMENTED BY THE CHAIRMAN OF THE BOARD. IN ADDITION, RHI HUMAN RESOURCES OBTAINS A COMPENSATION SURVEY/STUDY ANNUALLY WHICH IS USED TO EVALUATE THE COMPENSATION OF RHI STAFF INCLUDING THE CEO. THIS PROCESS WAS UNDERTAKEN IN 2012 WITH THE HIRING OF THE CEO WAS IN 2012. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | THE ADMINISTRATIVE OFFICERS' COMPENSATION IS EVALUATED ANNUALLY BASED ON THE HOSPITAL'S STANDARD PERFORMANCE REVIEW SYSTEM AND BASED ON THE PERFORMANCE OF ANNUAL GOALS. ANNUAL GOALS FOR EACH OFFICER ARE RECOMMENDED BY THE CEO AND APPROVED BY THE BOARD OF DIRECTORS. SALARY INCREASES AND PERFORMANCE BONUSES ARE DETERMINED BASED UPON PERFORMANCE AND GOALS. THE CEO REVIEWS AND EVALUATES THE ANNUAL PERFORMANCE OF EACH ADMINISTRATIVE OFFICER AND RECOMMENDS A PERFORMANCE RATING BASED ON THE HOSPITAL'S STANDARD PERFORMANCE REVIEW SYSTEM. THIS IS DOCUMENTED IN THE HR/PERSONNEL FILES. THE CEO ALSO REVIEWS AND EVALUATES THE PERFORMANCE OF EACH OFFICER AS IT RELATES TO THE ASSIGNED ANNUAL GOALS. THE ANNUAL EVALUATION OF PERFORMANCE GOALS IS TAKEN TO THE CHAIR AND VICE CHAIR OF THE BOARD TO REVIEW AND APPROVE IN AN EXECUTIVE SESSION OF THE ANNUAL BOARD MEETING. THIS IS DOCUMENTED BY THE CHAIRMAN OF THE BOARD. IN ADDITION, RHI HUMAN RESOURCES OBTAINS A COMPENSATION SURVEY/STUDY ANNUALLY WHICH IS USED TO EVALUATE THE COMPENSATION OF RHI STAFF INCLUDING THE ADMINISTRATIVE OFFICERS. THIS PROCESS WAS UNDERTAKEN DURING 2012. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | FINANCIAL STATEMENTS, GOVERNING DOCUMENTS, AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED DISCLOSURES PURSUANT TO INTERNAL REVENUE CODE (IRC) SECTION 6104; THESE DOCUMENTS ARE NOT AVAILABLE TO THE PUBLIC AT THIS TIME. |
| Other Expenses | Form 990, Part IX, Line 11g | PURCHASED CONTRACTS - TOTAL EXPENSE: 3053797, PROGRAM SERVICE EXPENSE: 2198734, MANAGEMENT AND GENERAL EXPENSES: 855063, FUNDRAISING EXPENSES: ; PHYSICIANS - TOTAL EXPENSE: 883422, PROGRAM SERVICE EXPENSE: 883422, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; OTHER GENERAL & ADMIN - TOTAL EXPENSE: 446257, PROGRAM SERVICE EXPENSE: 367175, MANAGEMENT AND GENERAL EXPENSES: 79082, FUNDRAISING EXPENSES: ; CONSULTING - TOTAL EXPENSE: 353194, PROGRAM SERVICE EXPENSE: 254300, MANAGEMENT AND GENERAL EXPENSES: 98894, FUNDRAISING EXPENSES: ; COLLECTION AGENCY - TOTAL EXPENSE: 109167, PROGRAM SERVICE EXPENSE: 109167, MANAGEMENT AND GENERAL EXPENSES: , FUNDRAISING EXPENSES: ; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHI FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4141 SHORE DRIVE | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46254 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Primary Activities | TO SUPPORT REHABILITATION HOSPITAL OF INDIANA | PrimaryActivities |
| Legal Domicile State | IN | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 11 - Type I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHABILITATION HOSPITAL OF INDIANA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | true | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| RHI FOUNDATION INC | ||
| O | 279287 | ALLOCATION |
| RHI FOUNDATION INC | ||
| N | 311287 | ALLOCATION |
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