2013-11-14T18:00:20-06:00 2012-12-31 CROWE HORWATH LLP 3815 River Crossing Parkway Suite 300 Indianapolis IN 462400977 990 2012-01-01 351786005 REHABILITATION HOSPITAL OF INDIANA INC REHA 3173292000 4141 SHORE DRIVE Indianapolis IN 462542607 MARJORIE BASEY 2013-11-15 true Rachel Spurlock P00520729 3175698989 2012 2016-02-25 16:41:14Z DANIEL WOLOSZYN 4141 SHORE DRIVE Indianapolis IN 462542607 38190318 false X WWW.RHIN.COM X 1989 IN THE PRIMARY FOCUS OF THE REHABILITATION HOSPITAL OF INDIANA IS TO DELIVER ACUTE INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO THE RESIDENTS OF CENTRAL INDIANA REGARDLESS OF THEIR ABILITY TO PAY. THE COST OF FINANCIAL ASSISTANCE AND COMMUNITY BENEFIT PROVIDED IN 2012 = $2.78 MILLION. 4 4 514 72 0 0 112452 1035615 37886890 36932758 6679 18668 158557 132740 38164578 38119781 6775 5200 0 0 23754772 24189609 0 0 0 13034091 12300516 36795638 36495325 1368940 1624456 27724049 28639907 24958991 24210467 2765058 4429440 X REHABILITATION HOSPITAL OF INDIANA'S (RHI) MISSION IS TO PROVIDE PERSONALIZED, COMPASSIONATE CARE THAT ENABLES INDIVIDUALS TO REGAIN HOPE AND INDEPENDENCE AFTER LIFE-CHANGING INJURY OR ILLNESS. RHI'S VISION IS TO LEAD THE PRACTICE OF REHABILITATIVE MEDICINE THROUGH INTERNATIONALLY-RECOGNIZED TRANSLATIONAL RESEARCH, INNOVATIVE AND PATIENT-CENTERED CARE, AND HOLISTIC TRAINING. false false 11564086 14170732 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. 8736861 14019819 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. 5936580 5200 8393292 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. 860597 348915 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. 860597 348915 27098124 true true false true false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false false false false false false false true true true false false true 94 0 true 514 true false false false false false false false false false false X 4 4 false false true false true true true true true false false true true true true true true true true false IN X Marjorie Basey 3173292195 4141 SHORE DRIVE Indianapolis IN 462542607 IAN WORDEN 1.00 X X 0 0 0 JAMES TERWILLIGER 1.00 X X 0 0 0 MARVIN WHITE 1.00 X X 0 0 0 ISADORE IZZY RIVAS 1.00 X 0 0 0 RYAN KITCHELL 1.00 X 0 0 0 SAMUEL L ODLE 1.00 X 0 0 0 DANIEL WOLOSZYN 40.00 X 306202 0 24421 MARJORIE BASEY 40.00 X 127398 0 16719 SIDNEY NORTON 40.00 X 84441 0 10472 JOAN M TAYLOR 40.00 X 111628 0 19411 LANCE E TREXLER 40.00 X 142092 0 38959 MARY C ESCALANTE 40.00 X 111492 0 28030 MONTE M SPENCE 40.00 X 160950 0 35855 NEIL PATEL 40.00 X 134544 0 26066 1178747 0 199933 14 false true false 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 10 35615 1000000 1035615 NET PATIENT SERVICE REVENUE 621300 36382620 36382620 MANAGEMENT FEE 621300 528744 528744 OTHER PATIENT REVENUE 621300 21394 21394 0 0 0 0 0 0 36932758 11429 11429 24 24 0 75921 66287 9634 0 9634 9634 7215 0 7215 7215 7215 0 0 4542 4250 292 292 CAFETERIA & VENDING 722210 117487 117487 GIFT SHOP 453220 5327 5327 0 0 0 0 0 122814 38119781 36932758 0 151408 5200 5200 0 0 0 569653 569653 0 17248118 12764704 4483414 462219 332798 129421 4546559 3273522 1273037 1363060 976500 386560 0 27291 19552 7739 425191 304608 120583 0 0 0 4845837 3812798 1033039 0 175296 175296 1875211 1519210 356001 552958 396141 156817 0 925631 733788 191843 223907 135603 88304 0 253134 13692 239442 486766 438089 48677 0 945528 850975 94553 428424 386171 42253 MEDICAL SUPPLIES/DIRECT CARE 1161782 1161782 BAD DEBT RECOVERIES -27009 -27009 MEMBERSHIPS 569 569 0 0 0 0 36495325 27098124 9397201 0 0 2614 2714 7635393 7734801 6791709 4824458 0 0 234388 247388 284941 1894782 27804195 17404301 9289466 10399894 2857284 2873812 0 0 0 0 628254 662058 27724049 28639907 3431531 3373143 16420000 16070000 0 3000000 3000000 2107460 1767324 24958991 24210467 X 2765058 4429440 2765058 4429440 27724049 28639907 1624456 39926 0 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 345 345 false Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 THE ORGANIZATION PAID DUES TO INDIANA HOSPITAL ASSOCIATION IN THE AMOUNT OF $6,349. OF THIS AMOUNT, $345 WAS ATTRIBUTABLE TO LOBBYING ACTIVITIES. 602474 1904164 2506638 14667752 10117821 4549931 95016 68959 26057 9529947 7217521 2312426 1004842 1004842 10399894 0 INTEREST RATE SWAP LIABILITY 1602628 CAPITAL LEASE OBLIGATION 115050 ESTIMATED THIRD-PARTY SETTLEMENTS 49646 1767324 X 38230244 39926 70537 110463 38119781 0 0 38119781 36565862 70537 70537 36495325 0 0 36495325 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; true true X true X true X true true true false true true 702982 0 702982 0.01930 3639366 1800897 1838469 0.05040 0 0 0 0.00000 0 0 4342348 1800897 2541451 0.06970 33996 9305 24691 0.00070 221246 107605 113641 0.00310 0 0 0 0.00000 93524 0 93524 0.00260 5700 0 5700 0.00020 0 0 354466 116910 237556 0.00660 0 0 4696814 1917807 2779007 0.07630 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 true 0 0 14924991 15360169 -435178 X true true 1 1 REHABILITATION HOSPITAL OF INDIANA

4141 SHORE DRIVE INDIANAPOLIS IN 46254

WWW.RHIN.COM X X ACUTE REHABILIATION REHABILITATION HOSPITAL OF INDIANA 1 true true 200 true 400 true X X X X X X X true true X X X X true false false X X X false false 2 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 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 true Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 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. X X X X false false false false false false false false false NEIL PATEL 131424 0 0 0 3120 0 5835 0 20231 0 160610 0 0 0 LANCE E TREXLER 138431 0 0 0 3661 0 6094 0 32865 0 181051 0 0 0 MONTE M SPENCE 136964 0 23624 0 362 0 3354 0 32501 0 196805 0 0 0 DANIEL WOLOSZYN 258746 0 45000 0 2456 0 0 0 24421 0 330623 0 0 0 A INDIANA FINANCE AUTHORITY 351602316 45471AEQ1 2011-11-10 16420000 CONSTRUCTION, EQUPMENT PURCHASES, REFUNDING OF SERIES 1990 BONDS. false false false A 350000 0 16420517 0 0 3497 316503 0 0 1734514 11900000 2466003 true false false true A false true true true false false 0.0066 0.0000 0.0066 true false 0.000000 false false A false true false false true false 0 false false false 0 false false false A false 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. 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: ; RHI FOUNDATION INC 4141 SHORE DRIVE INDIANAPOLIS IN 46254 TO SUPPORT REHABILITATION HOSPITAL OF INDIANA IN 501(C)(3) 11 - Type I REHABILITATION HOSPITAL OF INDIANA INC true false false true false false false false false false false false false false true true false false false false RHI FOUNDATION INC O 279287 ALLOCATION RHI FOUNDATION INC N 311287 ALLOCATION