2011-05-11T13:09:19-05:00 2010-06-30 KPMG LLP 440 Monticello Ave Suite 1900 Norfolk VA 235103310 990 2009-07-01 521369749 National Rehabilitation Hospital NATI 2028771150 102 Irving Street NW Washington DC 20010 Marc R Berger 4107726719 2011-05-09 true 7576167000 2009 2016-02-24 21:20:13Z JOHN ROCKWOOD 102 IRVING STREET NW WASHINGTON DC 20010 89901288 false X www.nrhrehab.org X 1983 DC SERVE THE COMMUNITY AS A REGIONAL AND NATIONAL LEADER IN REHABILITATION SERVICES THROUGH QUALITY PATIENT CARE, REHABILITATION RESEARCH, EDUCATION AND TRAINING, ASSISTANCE TECHNOLOGY, AND ADVOCACY. 26 22 1346 140 0 0 2112656 1034426 83786417 86097398 -1645196 2543623 371860 97147 84625737 89772594 104256 0 0 0 54434764 56673599 28931 0 400870 30447102 30911615 85015053 87585214 -389316 2187380 73478409 76529872 10573900 12454168 62904509 64075704 As a proud member of MedStar Health, National Rehabilitation Hospital's mission is to serve the community as a regional and national leader in rehabilitation services through quality patient care, rehabilitation research, education and training, assistive technology and advocacy. Centers of Excellence include brain injury and disease, spinal cord injury and disease, stroke recovery, cardiac rehabilitation, orthopedics and pediatric rehabilitation. In Fiscal Year 2010, National Rehabilitation Hospital had 2,296 inpatient admissions, and an estimated 190,686 outpatient visits. false false 2807462 0 0 National Rehabilitation Hospital spent $2.8M on research activities in fiscal 2010. This generally included clinical and community health research activities. 2927896 0 342751 National Rehabilitation Hospital provided $2.9M health professions education in fiscal 2010. These services generally included physician and medical student training, as well as training for nurses and other healthcare professionals. 540530 0 0 National Rehabilitation Hospital provided $0.5M charity care services in fiscal 2010. Charity care is provided pursuant to MedStar Health's Charity Care Policy to members of the community whose income is below certain thresholds and for which the hospital is not compensated. 46915378 53191266 true true false false false false false false true true false true false false false false false false true false true false false true false false false false false false false false true false false false false true true false false true 111 0 true 1346 true false false false false false true true false false false false false false 26 22 true false false false true true true true true false false true true true true true true true true true true X NATIONAL REHAB HOSPITAL 2028771150 102 IRVING STREET WASHINGTON DC 20010 EDWARD HEALTON 40.0 X X 456054 0 30307 JOHN ROCKWOOD 40.0 X X 284280 0 37824 WALLACE F HOLLADAY JR 1.0 X X 0 0 0 KENNETH A SAMET 1.0 X 0 3637403 66085 JEREMY HARDY FITZGERALD 1.0 X 0 0 0 ELLIOTT S HALL 1.0 X 0 0 0 E CLAIBORNE IRBY MD 1.0 X 0 0 0 JOEL JANKOWSKY 1.0 X 0 0 0 JOHN KEMP 1.0 X 0 0 0 DANIEL L KORENGOLD 1.0 X 0 0 0 THENE MARTIN MERNICK 1.0 X 0 0 0 ROBERT B OURISMAN 1.0 X X 0 0 0 JAMES V REYES 1.0 X X 0 0 0 THOMAS J COLLAMORE 1.0 X 0 0 0 WEBB C HAYES IV 1.0 X 0 0 0 JOHN R CLARK III 1.0 X 0 0 0 DANIEL L COHEN 1.0 X 0 0 0 JAMES M UNDERHILL 1.0 X 0 0 0 RAFAEL J CONVIT MD 1.0 X 0 0 0 JAMES J CROMWELL 1.0 X 0 0 0 ELIZABETH ANN HORTON 1.0 X 0 0 0 NANCY L PIERCE 1.0 X 0 0 0 CANDACE C SOMERVILLE 1.0 X 0 0 0 CHARLES E WAGNER 1.0 X 0 0 0 JACQUELINE A WATSON MD 1.0 X 0 0 0 DENNIS J WERNER 40.0 X 435532 0 56926 JOHN BRICKLEY 40.0 X 222120 0 38025 ROSEMARY C WELCH 40.0 X 162254 0 29268 PAUL RAO 40.0 X 161098 0 32945 Robert Bunning 40.0 X 373357 0 136941 JOHN TOERGE 40.0 X 315261 0 160336 SANDEEP SIMLOTE 40.0 X 281303 0 151264 PAMELA BALLARD 40.0 X 249710 0 60864 alexander dromerick 40.0 X 266220 0 59190 EDWARD ECKENHOFF 40.0 X 528688 0 57321 3735877 3637403 917296 12 true true false MED3000 PO BOX 1236 BUTLER PA 160031236 OUTPATIENT BILLINGS 2730872 MORRISON 3761 COMMERCE DRIVE SUITE 401 BALTIMORE MD 21227 DIETARY SERVICES 1950806 SLEEP SERVICES OF AMERICA INC-MAS PO BOX 198320 ATLANTA GA 30384 MEDICAL SERVICES 1025071 PRECYSE SOLUTIONS PO BOX 11407 BIRMINGHAM AL 352461736 MEDICAL RECORDS 733481 CROTHALL 955 CHESTERBROOK BLVD WAYNE PA 190870420 MANAGEMENT SERVICES 390908 5 19481 1014945 50948 1034426 PATIENT SERVICES 621400 86097398 86097398 86097398 2384040 2384040 0 0 38400 38400 38400 38400 159583 159583 159583 159583 168850 19481 128694 40156 40156 0 0 VENDING MACHINE COMMISSION 900099 12842 12842 MISCELLANEOUS 900099 5749 5749 18591 89772594 86097398 2640770 0 0 0 0 2532642 2125082 394207 13353 0 44157822 38109854 5813820 234148 1973579 0 1973579 0 4204188 -172308 4358948 17548 3805368 3219795 567768 17805 0 37559 0 37559 0 0 0 0 0 166021 111681 53065 1275 157131 17630 139501 0 6929617 4850698 2021055 57864 148440 30941 117499 0 0 2388688 1093286 1295402 0 57302 52812 4380 110 0 253887 189888 62440 1559 2235405 0 2235405 0 0 4152163 793535 3316418 42210 840067 0 840067 0 PERSONNEL SERVICES PURCHASED 6473756 2768372 3690386 14998 SHARED & POOLED SERVICES 3296083 0 3296083 0 BAD DEBT EXPENSE 1922723 0 1922723 0 BILLING/COLLECTIONS 1681327 0 1681327 0 OTHER EXPENSES 171446 0 171446 0 87585214 53191266 33993078 400870 312973 1906167 931665 671693 15496986 16004707 839883 817884 287932 209130 75608141 54977114 20414029 20631027 24985686 23889879 10209255 12399385 73478409 76529872 6587399 7405440 297822 1890717 3688679 3158011 10573900 12454168 X 59434781 60886848 2086718 1968592 1383010 1220264 62904509 64075704 73478409 76529872 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1398174 -51689 1449863 1381979 10261 -5934 1398174 53436409 39006901 14429508 21877945 15970213 5907732 293787 293787 20631027 OTHER RECEIVABLES 8788082 INVESTMENT IN NRH-AMBULATORY 1828647 INVESTMENT IN SUBURBAN/NRH 1423473 OTHER ASSETS 359183 12399385 0 SELF INSURANCE CLAIMS 873658 NET PENSION 1454221 OTHER CURRENT LIABILITIES 830132 3158011 FIN 48 AUDIT REPORT ACCOUNTING FOR UNCERTAIN TAX POSITIONS THE CORPORATION ACCOUNTS FOR UNCERTAIN TAX POSITIONS IN ACCORDANCE WITH THE FINANCIAL ACCOUNTING STANDARDS BOARD (FASB) ISSUED INTERPRETATION NO. 48, ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES - AN INTERPRETATION OF FASB STATEMENT 109 (FIN 48). LAS VEGAS NIGHT 82710 12210 70500 21875 57175 GOLF 80920 2120 78800 7030 35243 1 24701 5151 19550 7371 188331 19481 168850 28905 99789 128694 40156 true true X true X true X true true true false true true 0 497946 0 497946 0.00570 0 9510855 11007796 -1496941 0.01710 0 0 0 0 0.00000 0 10008801 11007796 -998995 0.01140 11 0 270604 0 270604 0.00310 10 0 2927896 342751 2585145 0.02950 0 0 0 0 0.00000 2 0 2848845 0 2848845 0.03250 4 0 106313 0 106313 0.00120 27 0 6153658 342751 5810907 0.06630 27 0 16162459 11350547 4811912 0.05490 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 0 0 0 0 0.00000 1 0 44908 0 44908 0.00030 0 0 0 0 0.00000 0 0 0 0 0.00000 1 0 44908 0 44908 0.00030 true 1095953 0 19553043 19313086 239957 X true true NATIONAL REHABILITATION HOSPITAL

102 IRVING STREET NW WASHINGTON DC 20010

X X X X X NRH Regional Rehab at Mitchellville

12140 Central Ave Mitchellville MD 20721

X Outpatient Physical Therapy Union Memorial Sport Medicine at Bel Air

658 Boulton Street BEL AIR MD 21014

X Outpatient Physical Therapy NRH Regional Rehab at Dundalk

1576 Merritt Blvd Dundalk MD 21222

X Outpatient Physical Therapy Curtis National Hand Center at Luther

1400 Front Avenue Lutherville MD 21093

X Outpatient Physical THERAPY NRH Regional Rehab at Good Samaritan

5601 Lock Raven Blvd Walker Bldg Baltimore MD 21239

X Outpatient Physical Therapy Union Memorial Sport Medicine at Luther

1407 York Road Lutherville MD 21093

X Outpatient Physical Therapy NRH Regional Rehab at White Marsh - Perr

5009 Honeygo Center Drive Suite 20 Perry Hall MD 21128

X Outpatient Physical Therapy NRH Regional Rehab at Pasadena

8109 Ritchie Highway Pasadena MD 21122

X Outpatient Physical Therapy NRH Regional Rehab at Wilkens Avenue

3455 Wilkens Avenue Baltimore MD 21229

X Outpatient Physical Therapy NRH Regional Rehab at Dorsey Hall

9501 Old Annapolis Road Ellicott City MD 21042

X Outpatient Physical Therapy Union Memorial Sport Medicine at Stadium

900 East 33rd Street Baltimore MD 21218

X Outpatient Physical Therapy Harborview Sports Medicine & Physician T

2900 South Hanover Street Suite 10 Baltimore MD 21225

X Outpatient Physical Therapy NRH Regional Rehab at Oxon Hill

6196 Oxon Hill Road Oxon Hill MD 20745

X Outpatient Physical Therapy NRH Regional Rehab at Ballston

3833 N Fairfax Drive Arlington VA 22203

X Outpatient Physical Therapy NRH Regional Rehab at K Street

2021 K Street NW Washington DC 20006

X Outpatient Physical Therapy NRH Regional Rehab at 19th street

1145 19th Street NW Washington DC 20036

X Outpatient Physical Therapy NRH Regional Rehab at Bethesda

6410 Rockledge Drive Bethesda MD 20817

X Outpatient Physical Therapy NRH Regional Rehab at Friendship Heights

5530 Wisconsin Ave Chevy Chase MD 20815

X Outpatient Physical Therapy NRH Regional Rehab at Sub Wellness Cntr

20500 Seneca Meadows Parkway Germantown MD 20874

X Outpatient Physical Therapy NRH Regional Rehab at Germantown

13247 Executive Park Terrace Germantown MD 20874

X Outpatient Physical Therapy NRH Regional Rehab at Montrose

6001 Montrose Road Rockville MD 20852

X Outpatient Physical Therapy NRH Regional Rehab at Wheaton

2730 University Blvd West Wheaton MD 20902

X Outpatient Physical Therapy NRH Regional Rehab at Olney

18109 Prince Philip Drive Olney MD 20832

X Outpatient Physical Therapy NRH Regional Rehab at Waldorf

3 Post Office Road Waldorf MD 20602

X Outpatient Physical Therapy NRH Regional Rehab at St Mary's

24035 Three Notch Road Hollywood MD 20636

X Outpatient Physical Therapy NRH Regional Rehab at Peninsula

1655 Woodbrooke Drive Suite 102 Salisbury MD 21804

X Outpatient Physical Therapy NRH Regional Rehab at Dunkirk

10845 Town Center Blvd Suite 100 Dunkirk MD 20754

X Outpatient Physical Therapy NRH Regional Rehab at Pr Frederick N

120 Hospital Road Suite 100 Prince Frederick MD 20678

X Outpatient Physical Therapy NRH Regional Rehab at Pr Frederick S

220 Solomon Island Road South Prince Frederick MD 20678

X Outpatient Physical Therapy NRH Regional Rehab at Solomons

14090 Solomons Island Road South Prince Frederick MD 20678

X Outpatient Physical Therapy MedStar Health and its affiliated organizations report Bad Debt Expense in accordance with Generally Accepted Accounting Principles (GAAP) and HFMA 15. Amounts that are not expected to be collected, for patients qualifying under MedStar Health's financial assistance policy, are written off to Charity Care and reported as a reduction to revenue. Bad Debt Expense results from management's inability to collect revenues that meet the GAAP criteria for revenue recognition. Bad Debt represents an operating expense and is reflected as a separate line item on the organization's Statement of Operations. However, MedStar and its affiliated entities do not make a determination as to whether self pay amounts are collectible in determining revenue recognition. Reserve models, which have been developed based on historical collection results and which are adjusted periodically based on actual collections experience, are used to estimate uncollectible amounts across all payors including self pay. Bad debt determinations are made only after sufficient evidence is obtained to support that an amount is not collectible. National Rehabilitation Hospital's community benefit investments are aligned with our missions: Patient Care, Rehabilitation Research, Education and Training, Advocacy and Assistive Technology. The decision to extend resources to help a particular part of the community is held by our Senior Leadership team, in conjunction with committees within the organization, and as directed by our board or leadership from the parent company, MedStar Health. Published reports from local health departments are one of the components that drive the community benefit decision-making process. Patient needs and feedback from community partners also play a critical role. Major needs include community health improvement and education of health professionals in the area of rehabilitation and research. Plans are underway for NRH's community needs assessment. The assessment will be completed by June, 2013. NRH is committed to ensuring that uninsured and underinsured patients have access to physical rehabilitation services. Our team is committed to understanding each patient's financial status and as needed, the staff assists them with enrollment in local, state, and federal public insurance programs. Charity care and financial assistance are determined by a sliding fee scale; policies are displayed in each patient registration area. Due to its unique mission, NRH serves multiple counties and commonly treats patients outside of the region. The number of individuals who are uninsured or underinsured in the Hospital's core service area is estimated to be 17.9% and growing. However, its core service area for community relations activities includes zip codes 20001, 20002, 20009, 20010, 20011 and extending throughout the metropolitan area. This service area is described as an intercity urban environment with a diverse population consisting of African Americans (53.9%), Caucasians (22.8%), Hispanics (16.6%), Asians (3.6%), and other (3%). Statistics show that the median household incomes in these service areas are $59,373 for 20001, $52,880 for 20002, $47,854 for 20009, $44681 for 20010, and $39,172 for 20011. NRH invested approximately $45,000 in corporate advocacy expenses related to access, coverage, and other key public policies to strengthen the overall healthcare delivery system in the region. During FY2010, NRH engaged in a number of community based activities. They included conducting community outreach, awareness, education, support, and preventive care programs related to physical and medical rehabilitation. Some of the programs included participation in health fairs, presentations at local schools, lectures to various community, educational, and professional groups, and counseling and advocacy to support groups for the disabled community. NRH also made presentations to various community and academic groups, non-profit organizations and governmental agencies for education, and orientation on assistive technology, work-site accommodations, and vocational opportunities for persons with disabilities, and how to comply with provisions of the Americans with Disabilities Act. NRH also provided support for various sports and recreational events for participating athletes with disabilities. This included hosting and sponsoring workshops, conferences, and networking meetings for persons with disabilities and others interested in assisting such persons, including the National Head Injury Foundation, Washington Amputee Society, National Stroke Association, National Arthritis Foundation, and the Spinal Cord Injury Network. In addition, NRH provided speakers, lecturers, and consulting services to numerous public service television programs, professional and educational meetings regarding persons with disabilities, and providing free publications on the subject for the benefit of thousands of individuals in the community. As a proud member of MedStar Health, National Rehabilitation Hospital is able to expand its capacity to meet the needs of the community by partnering with other MedStar Hospitals and associated entities. For example, MedStar Health resources assist the hospital in strategic planning to meet the needs of the under/uninsured. Through its community health function, MedStar Health provides NRH with technical support to enhance community health programming. MedStar's corporate philanthropy division offers resources and technical support in securing philanthropic investors to ensure health services are available to all patients, regardless of ability to pay. true X X X X X X false true false false false false false false false EDWARD ECKENHOFF 351654 0 177034 0 0 0 47846 0 9475 0 586009 0 0 0 EDWARD HEALTON 403544 0 52510 0 0 0 24250 0 6057 0 486361 0 0 0 DENNIS J WERNER 195102 0 42559 0 197871 0 40910 0 16016 0 492458 0 0 0 JOHN ROCKWOOD 221479 0 62801 0 0 0 26376 0 11448 0 322104 0 0 0 JOHN BRICKLEY 201192 0 20928 0 0 0 26923 0 11102 0 260145 0 0 0 ROSEMARY C WELCH 162254 0 0 0 0 0 24026 0 5242 0 191522 0 0 0 PAUL RAO 161098 0 0 0 0 0 25159 0 7786 0 194043 0 0 0 KENNETH A SAMET 0 1163764 0 1175787 0 1297852 0 47263 0 18822 0 3703488 0 1743040 Robert Bunning 362538 0 10819 0 0 0 135093 0 1848 0 510298 0 0 0 JOHN TOERGE 305976 0 9285 0 0 0 150893 0 9443 0 475597 0 0 0 SANDEEP SIMLOTE 263088 0 18215 0 0 0 139853 0 11411 0 432567 0 0 0 PAMELA BALLARD 239013 0 10697 0 0 0 49609 0 11255 0 310574 0 0 0 alexander dromerick 251014 0 15206 0 0 0 47586 0 11604 0 325410 0 0 0 X 1 25573 FMV X AUCTION ITEMS 1 25375 FMV false true true Third Parties used to solicit and sell non-cash contributions Schedule M, Part I, Line 32a JULIE VAN ZETTA (VAN ZETTA ASSOCIATES) Mrs. Van Zetta was engaged to help organize Las Vegas Nights as well as to solicit, acquire, organize and account for in-kind donations including prizes and auction items related to the 2009 Las Vegas Night event. Process for Reviewing Form 990 Part VI, PART B, Line 11A The process for reviewing the Form 990 included education and transparency. Senior financial executives, working with independent outside experts, thoroughly reviewed the revised Form 990 and accompanying instructions and provided education sessions on the revised Form to the organization's governing body (MedStar Health, Inc.) and its senior officers. In addition, separate education sessions were provided, and relevant sections of the Form 990 were reviewed, with the following committees of the organization's governing body: Finance, Audit, Governance, Strategic Planning, and Executive Compensation. This education process and review took place over several months. Following these sessions, the governing body was provided a copy of the Form 990 in its final form and given an opportunity to provide any input or comments relating to the Form 990 prior to its filing. Conflict of Interest Policy Inforcement Part VI, SEction B, Question 12c Appointment of Boards of Directors MedStar Health (and its subsidiaries) require all nominated Directors, prior to their appointment or election, to disclose the existence of (or potential existence of) any transaction with MedStar that would result in a conflict of interest. Such disclosures (if any) are reviewed by the Governance Committee of the MedStar Health Board of Directors which determines how the matter should be resolved. Annual Disclosures - All Officers, Directors, and Senior Managers All Officers, Directors and Senior Managers are required, not less than annually, to complete a survey of questions concerning any transactions or relationships which would or could represent a conflict of interest. Such disclosures (if any) are reviewed by the Governance Committee of the MedStar Health Board of Directors which determines how the matter should be resolved. Description of Compensation Process Part VI, Section B, Question 15 The Executive Compensation Committee of the Board of Directors of MedStar Health, Inc. (the "Committee") has oversight over the executive compensation program (the "Program") of MedStar Health, Inc. and its affiliates. Total compensation for the top management officials, officers and key employees of MedStar Health, Inc. and its affiliates are reviewed and approved by the Committee with assistance and guidance from an independent third party advisor. The members of the Committee are independent from all of the participants in the Program. The main objective of the Program is to provide market competitive total compensation that is internally equitable and has a strong pay-for-performance linkage. Performance is evaluated at the system, operating unit, and individual levels. The overall total compensation philosophy is managed at the 75th percentile of the competitive market for comparable size (net revenue) and type ("tax-exempt healthcare organizations"). Where appropriate, additional industry data is considered (general business and/or taxable healthcare) for selected positions that can be recruited from or potentially lost to these industries (e.g., information technology, finance, etc.). The Committee has engaged Ernst & Young LLP ("E&Y") to serve as an advisor on the reasonableness and competitiveness of the Program. In determining reasonableness and competitiveness, E&Y reviews market practices and trends, and makes recommendations related to the Program. E&Y utilizes information from custom surveys, national compensation surveys, proprietary databases, and client experiences to determine its final recommendations. E&Y presents their findings and recommendations to the Committee. The Committee makes the final decisions on all of the compensation determinations of the Program. All decisions made by the Committee are contemporaneously documented. Financial Statement Availability Part VI, SEction B, Question 19 MedStar Health posts its annual financial audit and quarterly financial reports to the Electronic Municipal Market Access (EMMA) system. The organization also mails its annual and quarterly disclosures to holders of the Company's publicly traded debt. The Company's governance documents and conflicts of interest policies are available upon request through its corporate (or as applicable entity) public information offices. COMPENSATION FOOTNOTES PART VII, SECTION A Kenneth Samet Kenneth Samet's Other reportable compensation in Part II, Column (B) (iii) includes $1,278,236 representing Mr. Samet's accumulated entire accrued benefit in a supplemental retirement plan, which was earned during the past 21 years of service. This amount was not actually paid to Mr. Samet, but was reported as compensation under FICA tax-reporting rules, and this entire amount was also reported on Form 990 in prior years. Financial Statements and Reporting Part XI, Question 2c National Rehabilitation Hospital is part of the MedStar Health, Inc. audit and subject to oversight by the Audit Committee of the MedStar Board. FAMILY/BUSINESS RELATIONSHIP PART VI, LINE 2 Robert Ourisman and Daniel Korengold have a family relationship and are business partners in an unrelated corporation. The unrelated corporation does not transact any business with National Rehabilitation Hospital. 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