2012-11-13T20:00:29-06:00 2011-12-31 CROWE HORWATH LLP 3815 River Crossing Parkway Suite 300 Indianapolis IN 462400977 990 2011-01-01 351786005 REHABILITATION HOSPITAL OF INDIANA INC REHA 3173292000 4141 SHORE DRIVE Indianapolis IN 462542607 MARJORIE BASEY 2012-11-13 true Rachel Spurlock P00520729 3175698989 2011 2016-03-07 17:11:31Z DANIEL WOLOSZYN 4141 SHORE DRIVE Indianapolis IN 462542607 38188496 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 2011 = $1.96 MILLION. 4 4 538 73 0 0 2162 112452 37114310 37886890 934 6679 123890 158557 37241296 38164578 14770 6775 0 0 22468557 23754772 0 0 0 14134211 13034091 36617538 36795638 623758 1368940 23614713 27724049 21758962 24958991 1855751 2765058 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. (CONTINUED ON SCHEDULE O) false false 11846889 15013279 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. 8551812 13661930 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. 5792732 6775 8667279 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. 753753 544402 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. 753753 544402 26945186 true true false false 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 true false false false false true true true false false true X 84 0 true 538 true false false false false false false false false false true false X 4 4 true 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 SAMUEL L ODLE 1.00 X X 0 0 0 ISADORE IZZY RIVAS 1.00 X 0 0 0 MARVIN WHITE 1.00 X 0 0 0 MARJORIE BASEY 40.00 X 94946 0 10080 SIDNEY NORTON 40.00 X 184388 0 18950 LANCE E TREXLER 40.00 X 142836 0 19603 MARSHA A HOCKERSMITH 40.00 X 114936 0 4937 MARY C ESCALANTE 40.00 X 110825 0 15146 MONTE M SPENCE 40.00 X 120031 0 7303 NEIL PATEL 40.00 X 128425 0 14491 DENNIS ARMINGTON 0.00 X 205083 0 0 1101470 0 90510 13 true true false TREAT AMERICA FOOD SERVICES 8500 SHAWNEE MISSION PARKWAY MERRIAM KS 66202 DIETARY SERVICES 1268134 IU HEALTHCLARIAN HEALTH PO BOX 66835 INDIANAPOLIS IN 462776835 LAB & BILLING SERVICES 974124 THERASTAFF 5151 MURPHY CANYON ROAD SAN DIEGO CA 92123 CONTRACT NURSING 547822 MEDISERVE INFORMATION SYSTEMS INC 585 N JUNIPER DRIVE SUITE 100 CHANDLER AZ 85226 SOFTWARE MAINTENANCE FEES 360917 ADVANCE MICROELECTORNICS INC 6001 EAST OLD HWY 50 VINCENNES IN 47591 INFORMATION TECHNOLOGY SERVICES 354248 12 112452 112452 112452 NET PATIENT SERVICE REVENUE 621300 37762506 37762506 OTHER PATIENT REVENUE 900099 124384 124384 0 0 0 0 37886890 8484 8484 0 0 9204 15333 -6129 0 -6129 -6129 1350 3155 0 -1805 -1805 -1805 0 0 3817 5430 -1613 -1613 CAFETERIA & VENDING 900099 134938 134938 PURCHASE DISCOUNT/REBATES 900099 6506 6506 GIFT SHOP 900099 9832 9832 15023 0 0 15023 166299 38164578 37886890 0 165236 6775 6775 0 0 0 308364 308364 0 17454562 12628828 4825734 443987 326337 117650 4200570 3024969 1175601 1347289 966105 381184 0 46009 46009 434241 434241 0 0 0 4693639 3414063 1279576 127149 127149 2336660 1936052 400608 389313 277215 112098 0 918481 686209 232272 206242 138789 67453 0 140852 9825 131027 705035 634532 70503 0 958801 901468 57333 410695 369876 40819 MEDICAL SUPPLIES/DIRECT CARE 1087906 1087906 BAD DEBT 536237 536237 LOSS ON RETIREMENT OF DEBT ISSUE COSTS 42831 42831 0 0 0 0 36795638 26945186 9850452 0 0 2614 5080109 7635393 7883510 6791709 199144 234388 135902 284941 25939853 16650387 9820021 9289466 2857284 0 0 0 0 496027 628254 23614713 27724049 4088410 3431531 12800000 16420000 3000000 3000000 1870552 2107460 21758962 24958991 X 1855751 2765058 1855751 2765058 23614713 27724049 X 1368940 -459633 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 602474 1904164 2506638 13973584 9145593 4827991 69244 68402 842 9270872 7436392 1834480 119515 119515 9289466 0 INTEREST RATE SWAP LIABILITY 1642554 CAPITAL LEASE OBLIGATION 50403 ESTIMATED THIRD-PARTY SETTLEMENTS 414503 2107460 38164578 36795638 1368940 -459633 -459633 909307 38142510 20763 20763 38121747 42831 42831 38164578 37233203 480396 480396 36752807 42831 42831 36795638 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, 2011 AND 2010. true true X true X true X true true true false true true 1362144 0 1362144 0.03760 4836644 4422160 414484 0.01140 0 0 0 0.00000 0 0 6198788 4422160 1776628 0.04900 36440 12240 24200 0.00070 188250 88158 100092 0.00280 0 0 0 0.00000 51335 0 51335 0.00140 44334 0 44334 0.00120 0 0 320359 100398 219961 0.00610 0 0 6519147 4522558 1996589 0.05510 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 536237 0 14575980 14152486 423494 X true true 1 1 REHABILITATION HOSPITAL OF INDIANA

4141 SHORE DRIVE INDIANAPOLIS IN 46254

X X ACUTE REHABILIATION 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) 536,237 Bad debt expense - financial statement footnote Schedule H, Part III, Line 4 PATIENT ACCOUNTS RECEIVABLE AND NET PATIENT SERVICE REVENUE ARE REPORTED AT THE ESTIMATED NET REALIZABLE AMOUNTS FROM PATIENTS, THIRD-PARTY PAYORS AND OTHERS FOR SERVICES RENDERED. THE ALLOWANCE FOR DOUBTFUL ACCOUNTS REPRESENTS THE EXPECTED LOSSES TO BE REALIZED UPON ULTIMATE COLLECTION OF PATIENT ACCOUNTS RECEIVABLE, WHICH ARE NOT SUBJECT TO THIRD-PARTY PAYOR AGREEMENTS. ALLOWANCE ESTIMATES ARE BASED ON HISTORICAL EXPERIENCE AND OTHER RELEVANT FACTORS. ACCOUNTS DETERMINED TO BE UNCOLLECTIBLE ARE CHARGED TO OPERATIONS IN THE YEAR IN WHICH THEY ARE DETERMINED TO BE UNCOLLECTIBLE. THE HOSPITAL CAN CHARGE INTEREST ON PAST DUE ACCOUNTS MEETING CERTAIN CRITERIA. THERE WAS NO INTEREST CHARGED FOR THE YEAR ENDED DECEMBER 31, 2011. BAD DEBT REPORTED IN PART III, LINE 2 IS REPORTED AT THE ESTIMATED NET REALIZABLE VALUE, THE SAME METHODOLOGY USED TO REPORT BAD DEBT IN THE HOSPITAL'S AUDITED FINANCIAL STATEMENTS. THE HOSPITAL DOES NOT ATTRIBUTE ANY PORTION OF THE BAD DEBT REPORTED IN PART III, LINE 2 AS COMMUNITY BENEFIT, AS THE ORGANIZATION TAKES A PROACTIVE APPROACH IN IDENTIFYING PATIENTS THAT ARE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PRIOR TO ACCOUNTS BEING CATEGORIZED AS BAD DEBT. 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. MEDICARE ALLOWABLE COSTS WERE DETERMINED BASED ON THE COST TO CHARGE RATIO FROM THE FY 2011 MEDICARE COST REPORT. BECAUSE THE HOSPITAL MINIMIZED ITS CONTRACT LABOR COSTS DURING THE YEAR, THE ALLOWABLE COSTS TO PROVIDE SERVICES WERE LESS THAN THE REVENUE RECEIVED FROM MEDICARE, RESULTING IN AN OVERALL SURPLUS. Collection practices for patients eligible for financial assistance Schedule H, Part III, Line 9b THE HOSPITAL'S PRACTICE IS NOT TO COLLECT AMOUNTS THAT HAVE BEEN APPROVED AS CHARITY OR FINANCIAL ASSISTANCE. HOWEVER, THE HOSPITAL WILL COLLECT THE AMOUNT THAT IS NOT DETERMINED TO BE CHARITY OR FINANCIAL ASSISTANCE. RHI'S COLLECTION PRACTICE IS TO SEND THE PATIENT FOUR STATEMENTS AND ONE FINAL BILL NOTICE PRIOR TO GOING TO AGENCY. THE ACCOUNT WILL BE ALLOWED AT LEAST 120 DAYS AFTER DISCHARGE PRIOR TO GOING TO AGENCY. IF THE PATIENT RESPONDS TO THE STATMENTS, THE ACCOUNT WILL NOT BE SENT TO THE COLLECTION AGENCY. IN THE EVENT THE PATIENT DOES NOT MAKE PAYMENT OR COMMUNICATES WITH RHI, THE ACCOUNT IS SENT TO THE COLLECTION AGENCY. THE COLLECTION AGENCY WILL ATTEMPT TO MAKE CONNECTION WITH THE PATIENT VIA PHONE OR MAIL. AFTER AN ADDITIONAL 120 DAYS OF TRYING TO CONTACT THE PATIENT, THE AGENCY WILL SEND THE PATIENT THE DISCLOSURE NOTICE. THE PATIENT WILL HAVE TWO WEEKS TO RESPOND TO THE DISCLOSURE NOTICE. IF THE PATIENT DOES NOT RESPOND, THE COLLECTION AGENCY WILL PLACE A CLAIM AGAINST THE PATIENT WITH THE CREDIT AGENCIES. FINANCIAL ASSISTANCE POLICY: BASIS FOR CALCULATING AMOUNTS CHARGED TO PATIENTS SCHEDULE H, PART V, SECTION B, LINE 11 THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY OUTLINES THAT INDIVIDUALS WHO QUALIFY UNDER FINANCIALLY INDIGENT OR LIMITED MEANS WILL RECEIVE ADJUSTMENTS FROM CHARGES BILLED BASED ON INCOME LEVEL AND NUMBER IN HOUSEHOLD. THESE ADJUSTMENTS RANGE FROM 25% TO 100% OF CHARGES AND ARE BASED ON THE FEDERAL POVERTY GUIDELINES. THE HOSPITAL'S COLLECTION POLICY OUTLINES THAT UNINSURED PATIENTS WILL RECEIVE ADJUSTMENTS FROM CHARGES BILLED BASED UPON COMPARABLE ADJUSTMENTS PROVIDED TO PATIENTS WITH INSURANCE. THE HOSPITAL IS CURRENTLY IN THE PROCESS OF REVIEWING/REVISING THE POLICY BASED ON THE GUIDANCE PROVIDED IN THE PROPOSED 501(R) REGULATIONS ISSUED IN JUNE OF 2012. THE RESPONSES TO PART V REFLECT CURRENT PROCEDURES AND PRACTICES IN PLACE. FINANCIAL ASSISTANCE POLICY: MEASURES TO PUBLICIZE THE POLICY WITHIN THE COMMUNITY SERVED SCHEDULE H, PART V, SECTION B, LINE 13 ALTHOUGH NOT SPECIFICALLY OUTLINED IN THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY, THE HOSPITAL USES THE FOLLOWING METHODS TO PUBLICIZE ITS FINANCIAL ASSISTANCE POLICY WITHIN THE COMMUNITY SERVED: - THE POLICY WAS POSTED ON THE HOSPITAL FACILITY'S WEBSITE. - THE POLICY WAS AVAILABLE UPON REQUEST. THE HOSPITAL CURRENTLY IN THE PROCESS OF REVIEWING/REVISING THE POLICY BASED ON THE GUIDANCE PROVIDE IN THE PROPOSED 501(R) REGULATIONS ISSUED IN JUNE OF 2012. THE RESPONSES TO PART V REFLECT THE CURRENT PRACTICES AND PROCEDURES IN PLACE. Nondiscriminatory Policy Schedule H, Part V Section B, Line 18d (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 19d (1) REHABILITATION HOSPITAL OF INDIANA - IF THE PATIENT IS UNINSURED, RHI GIVES THE PATIENT THE DISCOUNTED RATE BASED UPON OUR COMMERCIAL PAYER RATE.; Needs assessment. Schedule H, Part VI, Line 2 RHI IS IN THE PROCESS OF CONDUCTING A COMMUNITY HEALTH NEEDS ASSESSMENT IN CONJUNCTION WITH ONE OF ITS MEMBER HOSPITALS (INDIANA UNIVERSITY HEALTH). 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 AT RHI, NO PATIENT'S ADMISSION WAS OR WILL BE DENIED DUE TO A PATIENT'S INABILITY TO SETTLE HIS OR HER ACCOUNT. RHI PROVIDES FREE AND/OR DISCOUNTED CARE TO THOSE WHO QUALIFIED ACCORDING TO REHABILITATION HOSPITAL OF INDIANA (RHI) POLICY. AT THE TIME OF ADMISSION, RHI COMPLETES A PRE-ADMISSION EVALUATION, WHICH INCLUDES ELIGIBILITY FOR ASSISTANCE FOR PATIENTS. THE PATIENT OPTION TO REQUEST ASSISTANCE DURING AND AFTER THEIR STAY AT RHI AS A PATIENT MAY APPLY FOR FINANCIAL ASSISTANCE AT ANY TIME. RHI COLLECTS AND VALIDATES THE FINANCIAL RESOURCE INFORMATION ON EACH PATIENT IN A MANNER THAT PROTECTS EACH PATIENT'S DIGNITY AND QUALITY OF LIFE. ANY PATIENT WHO WISHES TO BE CONSIDERED FOR CHARITY OR FINANCIAL ASSISTANCE WILL DISCUSS THE REQUEST WITH THE CASE MANAGER ASSIGNED TO MEET AND WORK WITH THE PATIENT. THE CASE MANAGER WILL INFORM AND PROVIDE THE PATIENT WITH THE APPLICATION AND A LIST OF DOCUMENTS NEEDED TO ACCOMPANY THE APPLICATION. IF NEEDED, THE CASE MANAGER WILL HELP THE PATIENT COMPLETE THE APPLICATION. THE PATIENT WILL FURNISH THE HOSPITAL WITH THE REQUIRED APPLICATION AND FINANCIAL DOCUMENTATION, WHICH THE HOSPITAL USES TO DETERMINE WHETHER HE/SHE IS QUALIFIED. IF THE PATIENT HAS NO INSURANCE, FINANCIAL ASSISTANCE IS OFFERED TO THE PATIENT. MEDICAID ELIGIBILITY IS ALSO EVALUATED. IF A PATIENT APPEARS TO BE ELIGIBLE FOR ASSISTANCE UNDER A GOVERNMENTAL PROGRAM SUCH AS MEDICAID, RHI ASSISTS THE PATIENT WITH THIS PROCESS. IN ADDITION TO THE AFOREMENTIONED FINANCIAL COMMITMENT TO THE COMMUNITY, RHI OFFERS DISCOUNTS TO UNINSURED PATIENTS. OTHER FINANCIAL ASSISTANCE IS PROVIDED TO PATIENTS SUCH AS PAYING THE HEALTH INSURANCE PREMIUMS, INCLUDING COBRA PREMIUMS, TO ASSIST THE PATIENT IN MAINTAINING HEALTH INSURANCE COVERAGE. 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 2011, EIGHTY EIGHT PERCENT OF PATIENTS TREATED WERE NATIVES OF INDIANA. FORTY FIVE PERCENT OF THE PATIENTS WERE FROM MARION COUNTY (INDIANAPOLIS), WHEREAS TWENTY-FIVE PERCENT WERE RESIDENTS OF COUNTIES SURROUNDING MARION COUNTY. OF THE PATIENTS TREATED, FIFTEEN PERCENT WERE AT OR BELOW THE 200TH PERCENTILE OF THE FEDERAL POVERTY GUIDELINES. 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 AFFILIATED WITH TWO HOSPITAL SYSTEMS AND PROVIDES A CONTINUUM OF CARE FOR PATIENTS WITH ACUTE REHAB NEEDS. State filing of community benefit report Schedule H, Part VI, Line 7 IN true X 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 true false false false false false false false false LANCE E TREXLER 142836 0 0 0 0 0 6128 0 13475 0 162439 0 0 0 SIDNEY NORTON 184388 0 0 0 0 0 7970 0 10980 0 203338 0 0 0 DENNIS ARMINGTON 0 0 0 0 205083 0 0 0 0 0 205083 0 0 0 Severance or change-of-control payment Schedule J, Part I, Line 4a DENNIS R. ARMINGTON, FORMER CEO, WAS EMPLOYED BY THE HOSPITAL THROUGH THE END OF SEPTEMBER 2010. HE WAS TO RECEIVE HIS SALARY FOR 1 YEAR OR UNTIL HE FOUND COMPARABLE EMPLOYMENT, WHICHEVER CAME FIRST. DURING 2011, MR. ARMINGTON RECEIVED $205,083 IN SEVERANCE PAY. INDIANA FINANCE AUTHORITY 351602316 45471AEQ1 2011-11-10 16420000 TO REFINANCE SERIES 1990 BOND ISSUE AND TO CONSTRUCT, RENOVATE AND EQUIP VARIOUS HOSPITAL FACILITIES true false false 0 0 16420035 0 0 0 320011 0 0 0 11900000 4200024 true false false true false false false false 0.0000 0.0000 0.0000 true false true false false false true X TOTAL PROCEEDS OF ISSUE PART II, LINE 3 GROSS PROCEEDS - $16,420,000 INVESTMENT EARNINGS - $35 Procedures to take corrective action Schedule K, Part V RHI SHALL COMPLY WITH THE FOLLOWING COVENANTS WITHOUT TAKING INTO ACCOUNT ANY ANY AMENDMENT THERETO OR WAIVER THEROF OR CONSENT TO THE DEPARTURE THEREFROM UNLESS SUCH AMENDMENT, CONSENT OR WAIVER IS CONSENTED TO IN WRITING BY THE BANK. SIMULTANEOUSLY WITH THE DELIVERY THEREOF, RHI SHALL PROVIDE TO THE BANK ANY NOTICE, REPORT OR FINANCIAL OR OPERATING INFORMATION REQUIRED UNDER ANY RELATED DOCUMENT. RHI SHALL KEEP IN FULL FORCE AND EFFECT THEIR RESPECTIVE COPRORATE EXISTENCES, RIGHTS, AND FRANCHISES AND TO OBTAIN AND PRESERVE ALL PERMITS AND LICESES REQUIRED TO CONDUCT BUSINESSES, ACCREDITATION BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS OR ANY EQUIVALENT BODY OF ITS PROPERTIES ELIGIBLE FOR SUCH QUALIFICAITON. RHI SHALL MAINTAIN ITS AND EACH OF ITS FACILITIES' AS A PROVIDER OF ACUTE CARE SERVICES ELIGIBLE FOR REIMBURSEMENT UNDER MEDICARE AND MEDICAID AND EQIVALENT INSURANCE PROGRAMS. RHI SHALL MAINTAIN AN AGGREGATE AMOUNT OF CASH AND INVESTMENTS AS EACH EVALUATION DATE AT LEASET EQUAL TO 35 DAY CASH ON HAND. RHI SHALL MAINTAIN A DEBT SERVICE COVARAGE RATION FOR ANY PERIOD OF 12 CONSECUTIVE CALENDAR MONTHS, OF THE 18 CALENDAR MONTHS IMMEDIATELY PRECEDING THE DATE OF THE PRPOSED ISSUANCE OF SUCH LONG-TERM INDEBTEDNESS IS AT LEAST 1.10 PROVIDED, THAT IF THE DEBT SERVICE COVERAGE RATION IS LESS THAN 1.50, THE CERTIFICATIONS REQUIRED THEREUNDER MUST BE CONFIRMED BY AN INDEPENDENT CONSULTANT. IF A DEFAULT OCCURRED, RHI WILL FILE WITH THE TRUSTEE INFORMATION CONCERNING THE OPERATIONS AND FINANCIAL AFFAIRS WITHIN 10 DAYS OF THE SAID EVENT. AN INDEPENDENT CONSULTANT WILL ASSESS THE OPERATIONS AND FILE THE REPORT WITH THE ISSUER AND THE TRUSTEE WITHIN 10 DAYS OF THE EVENT NOTIFICATION. X 1 71072 COST X THERAPY EQUIPMENT 11 41380 OPINIONS OF EXPERTS 0 false false false Explanations of reporting method for number of contributions Schedule M, Part I OTHER: RHI IS REPORTING THE NUMBER OF ITEMS RECEIVED. CARS AND OTHER VEHICLES: RHI IS REPORTING THE NUMBER OF ITEMS RECIEVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line other=THERAPY EQUIPMENT RHI IS REPORTING THE NUMBER OF ITEMS RECEIVED. Number of contributions or items contributed. Schedule M, part I, column (b), Line 6 RHI IS REPORTING THE NUMBER OF ITEMS RECIEVED. 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. Description of other program services Form 990, Part III, Line 4d 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. CONTRIBUTION OF CARS, BOATS, AIRPLANES, OR OTHER VEHICLES FORM 990, PART V, LINE 7H THE ORGANIZATION RECEIVED A VEHICLE DONATION FROM RHI FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION, AND A FORM 1098-C WAS THEREFORE NOT REQUIRED TO BE FILED. Delegate broad authority to a committee Form 990, Part VI, Section A, Line 1a THE EXECUTIVE COMMITTEE SHALL BE COMPRISED OF TWO 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 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 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 MAY NOT AUTHORIZE DISTRIBUTIONS OR FILL VACANCIES ON THE BOARD OF DIRECTORS OR ON ANY COMMITTEE OF THE BOARD OF DIRECTORS. Family/business relationships amongst interested persons Form 990, Part VI, Section A, Line 2 SAMUEL L. ODLE & ISADORE "IZZY" RIVAS - BUSINESS RELATIONSHIP Significant changes to organizational documents Form 990, Part VI, Section A, Line 4 THE ORGANIZATION AMENDED ITS BYLAWS TO INCORPORATE THE FOLLOWING CHANGES: - DECREASE THE NUMBER OF DIRECTORS FROM TEN (10) TO FOUR (4); - REMOVE THE CHIEF EXECUTIVE OFFICER AS AN EX-OFFICIO MEMBER OF THE BOARD; - REMOVE THE REQUIREMENT THAT AT LEAST ONE OF EACH MEMBER-APPOINTED DIRECTORS IS A PHYSICIAN ON THE RHI MEDICAL STAFF; - REMOVE THE TERM LIMIT OF TWO (2) YEARS FOR DIRECTORS. 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. EACH CORPORATE MEMBER HAS THE RIGHT TO APPOINT 50% OF THE MEMBERS OF THE BOARD OF DIRECTORS. IN ADDITION, CERTAIN DECISIONS MADE BY THE RHI GOVERNING BODY ARE SUBJECT TO THE APPROVAL OF THE MEMBERS. 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 A REPRESENTATIVE FROM EACH MEMBER ORGANIZATION PRIOR TO THE FINAL DRAFT BEING PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW 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 TOOLS USED TO EVALUATE THE CEO'S ANNUAL PERFORMANCE AND PAY INCREASE ARE THE SAME AS IT IS FOR ALL RHI EMPLOYEES. A SELECTED GROUP OF BOARD MEMBERS REVIEWS THE CEO'S ANNUAL PERFORMANCE AND RECOMMENDS A PERFORMANCE RATING BASED ON THE HOSPITAL'S STANDARD PERFORMANCE REVIEW SYSTEM. THEIR RATING RECOMMENDATION GOES TO THE BOARD OF DIRECTORS FOR APPROVAL IN AN EXECUTIVE SESSION OF THE BOARD MEETING. THIS IS DOCUMENTED IN THE EXECUTIVE MINUTES. IF APPROVED, THIS RATING IS CONVERTED TO A PAY INCREASE PERCENTAGE USING THE SAME MODEL THAT IS USED FOR ALL EMPLOYEES OF THE HOSPITAL. THIS REVIEW/APPROVAL PROCESS WAS LAST UNDERTAKEN DURING SPRING 2011. IN ADDITION, EVERY 3 YEARS, AN OUTSIDE COMPANY IS RETAINED TO EVALUATE THE COMPENSATION OF THE CEO. COMPARABILITY DATA IS USED BY THIS COMPANY IN DETERMINING THEIR RECOMMENDATION OF ANY SALARY ADJUSTMENT. THIS INFORMATION IS PRESENTED IN AN EXECUTIVE SESSION TO THE BOARD OF DIRECTORS WHO THEN APPROVES OR DENIES ANY ADJUSTMENT. THIS APPROVAL OR DENIAL IS DOCUMENTED IN THE EXECUTIVE MINUTES KEPT BY THE CHAIRMAN OF THE BOARD. THIS EVALUATION WAS LAST PERFORMED IN MARCH 2010 AND WILL BE PERFORMED AGAIN IN MARCH 2013. Process used to establish compensation of other officers/key employees Form 990, Part VI, Section B, Line 15b THE CEO REVIEWS EACH OF THE ADMINISTRATIVE OFFICERS' ANNUAL PERFORMANCE AND RECOMMENDS A PERFORMANCE RATING BASED ON THE HOSPITAL'S STANDARD PERFORMANCE REVIEW SYSTEM. THIS IS DOCUMENTED IN THE PERSONNEL FILES IN HUMAN RESOURCES. THE RATING RECOMMENDATION GOES TO THE BOARD OF DIRECTORS FOR APPROVAL IN AN EXECUTIVE SESSION OF THE BOARD MEETING. THIS IS DOCUMENTED IN THE EXECUTIVE MINUTES. IF APPROVED, THIS RATING IS CONVERTED TO A PAY INCREASE PERCENTAGE USING THE SAME MODEL THAT IS USED FOR ALL EMPLOYEES OF THE HOSPITAL. THIS REVIEW/APPROVAL PROCESS WAS LAST UNDERTAKEN DURING SPRING 2011. IN ADDITION, EVERY 3 YEARS, AN OUTSIDE COMPANY IS RETAINED TO EVALUATE THE COMPENSATION OF THE OTHER OFFICERS. COMPARABILITY DATA IS USED BY THIS COMPANY IN DETERMINING THEIR RECOMMENDATION OF ANY SALARY ADJUSTMENT. THIS INFORMATION IS PRESENTED IN AN EXECUTIVE SESSION TO THE BOARD OF DIRECTORS WHO THEN APPROVES OR DENIES ANY ADJUSTMENT. THIS APPROVAL OR DENIAL IS DOCUMENTED IN THE EXECUTIVE MINUTES KEPT BY THE CHAIRMAN OF THE BOARD. THIS EVALUATION WAS LAST PERFORMED IN MARCH 2010 AND WILL BE PERFORMED AGAIN IN MARCH 2013. 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 changes in net assets or fund balances Form 990, Part XI, Line 5 NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -459633; RHI FOUNDATION INC 4141 SHORE DRIVE INDIANAPOLIS IN 46254 351932349 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 true true false false false false RHI FOUNDATION INC N 382254 FMV RHI FOUNDATION INC M 535013 FMV RHI FOUNDATION INC C 112452 FMV