REHABILITATION HOSPITAL OF INDIANA INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- REHABILITATION HOSPITAL OF INDIANA INC (EIN 35-1786005)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-14
- IRS object ID
- 201143189349301649
- Schema version
- 2010v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-14T10:00:13-06:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3815 River Crossing Parkway | AddressLine1 |
| Address Line2 | Suite 300 | AddressLine2 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 462400977 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351786005 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHABILITATION HOSPITAL OF INDIANA INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | REHA | NameControl |
| Phone | 3173292000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4141 SHORE DRIVE | AddressLine1 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 462542607 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MARJORIE BASEY | Name |
| Title | INTERIM CFO | Title |
| Date Signed | 2011-11-10 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3175698989 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SID NORTON | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4141 SHORE DRIVE | AddressLine1 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 462542607 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 37264392 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RHIN.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1992 | YearFormation |
| State Legal Domicile | IN | StateLegalDomicile |
| Activity Or Mission Description | THE PRIMARY FOCUS OF THE REHABILITATION HOSPITAL OF INDIANA IS TO DELIVER ACUTE INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO THE RESIDENTS OF CENTRAL INDIANA REGARDLESS OF THEIR ABILITY TO PAY. THE COST OF CHARITY CARE AND COMMUNITY BENEFIT PROVIDED IN 2010 = $2,979,730. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 531 | TotalNbrEmployees |
| Total Nbr Volunteers | 72 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 85632 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2162 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 34718496 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 37114310 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -5947 | InvestmentIncomePriorYear |
| Investment Income Current Year | 934 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 133100 | OtherRevenuePriorYear |
| Other Revenue Current Year | 123890 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 34931281 | TotalRevenuePriorYear |
| Total Revenue Current Year | 37241296 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 14770 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 22324569 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 22468557 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 12907851 | OtherExpensePriorYear |
| Other Expenses Current Year | 14134211 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 35232420 | TotalExpensesPriorYear |
| Total Expenses Current Year | 36617538 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -301139 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 623758 | RevenuesLessExpensesCY |
| Total Assets BOY | 20503590 | TotalAssetsBOY |
| Total Assets EOY | 23614713 | TotalAssetsEOY |
| Total Liabilities BOY | 19066245 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 21758962 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1437345 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1855751 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | REHABILITATION HOSPITAL OF INDIANA, INC. (RHI) OPERATES A 90 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. (CONTINUED ON SCHEDULE O) | MissionDescription |
| Significant Change | false | SignificantChange |
| Expense | 12200441 | Expense |
| Revenue | 14572246 | Revenue |
| Description | REHABILITATION NURSING: REHABILITATION NURSES WORK TO REINFORCE HEALING TECHNIQUES BY ENCOURAGING PATIENTS TO PRACTICE WHAT THEY LEARN IN THERAPY. THE NURSES AT REHABILITATION HOSPITAL, INC. HAVE A STRONG BACKGROUND IN MEDICAL-SURGICAL NURSING AND MANY HAVE HAD EXTENSIVE EXPERIENCE IN THE CRITICAL CARE AND ACUTE REHAB SETTING. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9255583 | Expense |
| Revenue | 16030950 | Revenue |
| Description | THERAPY SERVICES: THERAPY IS A KEY COMPONENT OF A PATIENT'S RECOVERY AND INCLUDES PHYSICAL, OCCUPATIONAL, SPEECH, AND RECREATIONAL THERAPY. THE THERAPY PROGRAM'S PURPOSE IS TO DEVELOP A COMPREHENSIVE PLAN TO HELP PATIENTS BECOME INDEPENDENTLY CAPABLE IN THEIR EVERYDAY LIVES. ADDITIONALLY, THE OVERALL GOAL IS TO HELP BUILD STRENGTH AND ENDURANCE BY USING VARIOUS TECHNIQUES AND SPECIALIZED EQUIPMENT. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6553948 | Expense |
| Grants | 14770 | Grants |
| Revenue | 6302574 | Revenue |
| Description | OTHER PROGRAMS INCLUDE:ANCILLARY SERVICES WHICH CONSISTS OF LAB, EKG, RADIOLOGY, PHARMACY, CENTRAL SUPPLIES, SLEEP, NUTRITION, RESPIRATORY THERAPY, MEDICAL SERVICES (CLINICS), AND DIETARY SERVICES. OUR INTERNS & MEDICAL RESIDENTS PROGRAM REPRESENTS AN EDUCATIONAL PROGRAM TO TRAIN MEDICAL RESIDENTS IN THE ACUTE REHAB SETTING. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 249349 | Expense |
| Revenue | 208540 | Revenue |
| Description | NEUROPSYCHOLOGY: THE PSYCHOLOGICAL ASPECT OF A PATIENT'S REHABILITATION IS ALSO A VERY IMPORTANT PART OF A PATIENT'S RECOVERY. THE NEUROPSYCHOLOGIST WORKS IN COLLABORATION WITH THE REHABILITATION TEAM TO DESIGN THE APPROPRIATE PROGRAM FOR EACH INDIVIDUAL PATIENT. MOREOVER, THE REHABILITATION NEUROPSYCHOLOGIST HELPS THE PATIENT AND FAMILY COPE WITH THEIR ILLNESS AND DISABILITY THROUGH COUNSELING, THERAPY AND EDUCATION. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 249349 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 208540 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 28259321 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | false | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 67 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 531 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IN | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Marjorie Basey | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3173292195 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4141 SHORE DRIVE | AddressLine1 |
| City | Indianapolis | City |
| State | IN | State |
| ZIP Code | 462542607 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (21 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Highest Compensated EmployeeHighestCompensatedEmployee | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Individual Trustee Or DirectorIndividualTrusteeOrDirector |
|---|---|---|---|---|---|---|---|
| NEIL PATEL | |||||||
| PHARMACY MANAGER | 40 | X | 142649 | 0 | 14157 | ||
| LANCE E TREXLER | |||||||
| DIR OF NEUROREHAB PSYCHOLOGY | 40 | X | 144309 | 0 | 13076 | ||
| JAMES MALEC | |||||||
| RESEARCH DIRECTOR | 1 | X | 207217 | 0 | 17032 | ||
| JIM GRAHAM | |||||||
| FOUNDATION DIRECTOR | 1 | X | 112037 | 0 | 12267 | ||
| SIDNEY NORTON | |||||||
| CFO-PARTIAL YEAR/INTERIM CEO-PARTIAL YEAR | 40 | 141903 | 0 | 15999 | X | ||
| DENNIS ARMINGTON | |||||||
| CEO-PARTIAL YEAR | 40 | 292733 | 0 | 10510 | X | ||
| PETER ALEXANDER | |||||||
| BOARD MEMBER-PARTIAL YEAR | 1 | 0 | 0 | 0 | X | ||
| MARVIN RECHT | |||||||
| BOARD MEMBER-PARTIAL YEAR | 1 | 0 | 0 | 0 | X | ||
| JEFFREY HILBURN MD | |||||||
| SECRETARY-PARTIAL YEAR | 1 | 0 | 0 | 0 | X | X | |
| ISADORE IZZY RIVAS | |||||||
| TREASURER | 1 | 0 | 0 | 0 | X | X | |
| DEBRA UHL | |||||||
| VICE CHAIRMAN-PARTIAL YEAR | 1 | 0 | 0 | 0 | X | X | |
| DAWN DAVIDSON | |||||||
| BOARD MEMBER-PARTIAL YEAR | 1 | 0 | 0 | 0 | X | ||
| J CHAD KILLIAN ESQ | |||||||
| BOARD MEMBER-PARTIAL YEAR | 1 | 0 | 0 | 0 | X | ||
| ALVIN T STOLEN III | |||||||
| CHAIRMAN-PARTIAL YEAR | 1 | 0 | 0 | 0 | X | X | |
| MARJORIE BASEY | |||||||
| INTERIM CFO-PARTIAL YEAR | 40 | 84465 | 0 | 6942 | X | ||
| JOHN MYRLAN | |||||||
| BOARD MEMBER-PARTIAL YEAR | 1 | 0 | 0 | 0 | X | ||
| JAMES D CALLAHAN | |||||||
| BOARD MEMBER-PARTIAL YEAR | 1 | 0 | 0 | 0 | X | ||
| SAMUEL L ODLE | |||||||
| CHAIRMAN OF BOARD | 1 | 0 | 0 | 0 | X | X | |
| MARVIN WHITE | |||||||
| BOARD MEMBER | 1 | 0 | 0 | 0 | X | ||
| IAN WORDEN | |||||||
| VICE CHAIRMAN | 1 | 0 | 0 | 0 | X | X | |
| MARY C ESCALANTE | |||||||
| PHARMACIST | 40 | X | 107421 | 0 | 11629 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1232734 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 101612 | TotalOtherCompensation |
| Number Individuals GT100 K | 11 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| TREAT AMERICA FOOD SERVICES | |||||
| 8500 SHAWNEE MISSION PARKWAY | MERRIAM | KS | 66202 | DIETARY SERVICES | 955000 |
| CLARIAN HEALTH PARTNERS | |||||
| PO BOX 66835 | INDIANAPOLIS | IN | 462776835 | LAB & BILLING SERVICES | 640420 |
| MEDISERVE INFORMATION | |||||
| 585 N JUNIPER DRIVE SUITE 100 | CHANDLER | AZ | 85226 | ELECTRONIC MEDICAL RECORD FEES | 387144 |
| STAFF AMERICA INC | |||||
| 5420 W SOUTHERN AVENUE SUITE 303 | INDIANAPOLIS | IN | 46241 | CONTRACT NURSING | 326818 |
| PNCEF LLC PNC EQUIPMENT FINANCE | |||||
| 995 DALTON AVENUE | CINCINNATI | OH | 45203 | EQUIP. RENTAL & IT SERVICES | 293037 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 16 | NumberOfContractorsGT100K |
| Related Organizations | 2162 | RelatedOrganizations |
| Noncash Contributions | 2162 | NoncashContributions |
| Total Contributions | 2162 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| NET PATIENT SERVICE REVENUE | 37022908 | 37022908 |
| OTHER PATIENT REVENUE | 91402 | 91402 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 37114310 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5316 | TotalRevenueColumn |
| Exclusion | $5,316 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 20783 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 14782 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 6001 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6001 | TotalRevenueColumn |
| Exclusion | $6,001 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 4382 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | -4382 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -4382 | TotalRevenueColumn |
| Exclusion | -$4,382 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 3060 | GrossSalesOfInventory |
| Cost Of Goods Sold | 3932 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -872 | TotalRevenueColumn |
| Exclusion | -$872 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| CAFETERIA | 96043 | $96,043 |
| VENDING | 3392 | $3,392 |
| GIFT SHOP | 5160 | $5,160 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 14166 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $14,166 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 118761 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 37241296 | TotalRevenueColumn |
| Related Or Exempt Function Income | 37114310 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $124,824 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14770 | Total |
| Program Services | 14770 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 552552 | Total |
| Management And General | 552552 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15970602 | Total |
| Program Services | 12408079 | ProgramServices |
| Management And General | 3562523 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 422276 | Total |
| Program Services | 317752 | ProgramServices |
| Management And General | 104524 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4261665 | Total |
| Program Services | 3135878 | ProgramServices |
| Management And General | 1125787 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1261462 | Total |
| Program Services | 949218 | ProgramServices |
| Management And General | 312244 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114484 | Total |
| Program Services | 86146 | ProgramServices |
| Management And General | 28338 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 641319 | Total |
| Program Services | 482577 | ProgramServices |
| Management And General | 158742 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5125900 | Total |
| Program Services | 3838845 | ProgramServices |
| Management And General | 1287055 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 67254 | Total |
| Management And General | 67254 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3260847 | Total |
| Program Services | 2925163 | ProgramServices |
| Management And General | 335684 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 391898 | Total |
| Program Services | 294894 | ProgramServices |
| Management And General | 97004 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 919762 | Total |
| Program Services | 655357 | ProgramServices |
| Management And General | 264405 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 220573 | Total |
| Program Services | 132838 | ProgramServices |
| Management And General | 87735 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169384 | Total |
| Program Services | 7859 | ProgramServices |
| Management And General | 161525 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 717054 | Total |
| Program Services | 645349 | ProgramServices |
| Management And General | 71705 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 956870 | Total |
| Program Services | 861183 | ProgramServices |
| Management And General | 95687 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 398024 | Total |
| Program Services | 358571 | ProgramServices |
| Management And General | 39453 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT | 1144842 | 1144842 | |
| MEMBERSHIP DUES | 6000 | 6000 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 0 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36617538 | Total |
| Program Services | 28259321 | ProgramServices |
| Management And General | 8358217 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2802571 | BOY |
| EOY | 5080109 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6313590 | BOY |
| EOY | 7883510 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 222674 | BOY |
| EOY | 199144 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 105896 | BOY |
| EOY | 135902 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 25589629 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 15769608 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10722097 | BOY |
| EOY | 9820021 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 336762 | BOY |
| EOY | 496027 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20503590 | BOY |
| EOY | 23614713 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3595582 | BOY |
| EOY | 4088410 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13600000 | BOY |
| EOY | 12800000 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 3000000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1870663 | BOY |
| EOY | 1870552 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19066245 | BOY |
| EOY | 21758962 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1437345 | BOY |
| EOY | 1855751 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1437345 | BOY |
| EOY | 1855751 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20503590 | BOY |
| EOY | 23614713 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 623758 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -205352 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Exmpt Function Expenditures | 0 | TotalExmptFunctionExpenditures |
| Total Lobbying Expenditures IIB | 0 | TotalLobbyingExpendituresIIB |
| Non Ded Lobby Political Total | 0 | NonDedLobbyPoliticalTotal |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 602474 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1904164 | OtherCostOrOtherBasis |
| Book Value | 2506638 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13683977 | OtherCostOrOtherBasis |
| Depreciation | 8569580 | Depreciation |
| Book Value | 5114397 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 69244 | OtherCostOrOtherBasis |
| Depreciation | 66762 | Depreciation |
| Book Value | 2482 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9005266 | OtherCostOrOtherBasis |
| Depreciation | 7017712 | Depreciation |
| Book Value | 1987554 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 324504 | OtherCostOrOtherBasis |
| Depreciation | 115554 | Depreciation |
| Book Value | 208950 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9820021 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTEREST RATE SWAP | $1,182,921 |
| CAPITAL LEASE OBLIGATION | $238,569 |
| THIRD-PARTY SETTLEMENTS | $449,062 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1870552 | TotalOfAmounts |
| Total Revenue | 37241296 | TotalRevenue |
| Total Expenses | 36617538 | TotalExpenses |
| Excess Or Deficit For Year | 623758 | ExcessOrDeficitForYear |
| Donated Services And Facilities | -205352 | DonatedServicesAndFacilities |
| Other | $0 | OtherAmount |
| Total Adjustments | -205352 | TotalAdjustments |
| Excess Or Deficit Per FS | 418406 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 37260010 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 18714 | OtherRevenues |
| Revenue Not Rptd F990 | 18714 | RevenueNotRptdF990 |
| Revenue Subtotal | 37241296 | RevenueSubtotal |
| Other Revenues Not Included | 0 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 37241296 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 36841604 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 224066 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 224066 | ExpensesNotRptdF990 |
| Expenses Subtotal | 36617538 | ExpensesSubtotal |
| Other Expenses Not Included | 0 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 36617538 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) footnote | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | 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 2006 AND FOR ALL STATE INCOME TAXES THROUGH 2006. 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, 2010 AND 2009. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent250 | X | Pcent250 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 499022 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 499022 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01410 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4534162 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2475207 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2058955 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05800 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 5033184 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2475207 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2557977 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07210 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 32339 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 10015 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 22324 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 414459 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 80355 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 334104 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00940 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 50555 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 50555 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00140 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14770 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 14770 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 512123 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 90370 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 421753 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01180 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 5545307 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2565577 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2979730 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.08390 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $523,307 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 14466557 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 14270977 | CostOfCareReimbursedByMedicare |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHABILITATION HOSPITAL OF INDIANA | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4141 SHORE DRIVE | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46254 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Teaching Hospital | X | TeachingHospital |
| Other | ACUTE REHABILIATION | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHABILITATION HOSPITAL OF INDIANA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 2 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (2 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| NEURO REHAB CENTER | ||||
| 9531 VALPARAISO COURT | INDIANAPOLIS | IN | 46268 | OUTPATIENT NEURO REHAB THERAPY |
| REHABILITATION HOSPITAL OF INDIANA - CARMEL | ||||
| 12425 OLD MERIDIAN STREET SUITE B2 | CARMEL | IN | 46032 | OUTPATIENT REHABILITATION THERAPY |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Bad Debt Expense excluded from financial assistance calculation | Schedule H, Part I, Line 7, column(f) | 1,144,842 |
| Costing Methodology used to calculate financial assistance | Schedule H, Part I, Line 7 | COST TO CHARGE RATIO BASED ON WORKSHEET 2. |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | THE COST TO CHARGE RATIO FROM WORKSHEET 2 WAS USED TO DETERMINE THE COST OF BAD DEBT. 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, 2010. |
| 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 10 MEDICARE COST REPORT. |
| 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. |
| Needs assessment. | Schedule H, Part VI, Line 2 | THE HOSPITAL EVALUATES ITS ACCESSIBILITY ON AN ANNUAL BASIS. THIS PLAN INCLUDES ACTIONS TO FURTHER THE INTENT OF CREATING ACCESSIBLE FACILITIES, PROGRAMS AND COMMUNITIES FOR PERSONS WITH DISABILITIES. THE PLAN 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 | THE HOSPITAL PROVIDED FREE AND/OR DISCOUNTED CARE TO THOSE WHO QUALIFIED ACCORDING TO REHABILITATION HOSPITAL OF INDIANA (RHI) POLICY. RHI VERIFIED AND COLLECTED FINANCIAL RESOURCE INFORMATION ON EACH PATIENT IN A MANNER THAT PROTECTED EACH PATIENT'S DIGNITY AND QUALITY OF LIFE. NO PATIENT'S ADMISSION WAS DENIED DUE TO A PATIENT'S INABILITY TO SETTLE THEIR ACCOUNT. ANY PATIENT WHO WISHED TO BE CONSIDERED FOR CHARITY FURNISHED THE HOSPITAL WITH THE REQUIRED FINANCIAL DOCUMENTATION WHICH THE HOSPITAL USED TO DETERMINE WHETHER HE/SHE QUALIFIED. PATIENTS WHO APPLIED FOR AND WERE ELIGIBLE FOR FINANCIAL ASSISTANCE GENERALLY WERE APPROVED DURING THE ADMISSION PROCESS, HOWEVER, A PATIENT COULD HAVE APPLIED FOR ASSISTANCE AT ANY TIME. BEFORE A PATIENT IS ADMITTED TO RHI, THE STAFF DISCUSS FINANCIAL ARRANGEMENTS WITH THE PATIENT. IF THE PATIENT HAS NO INSURANCE, FINANCIAL ASSISTANCE IS OFFERED TO THE PATIENT. MEDICAID ELIGIBILITY WAS ALSO EVALUATED PRIOR TO THE ADMISSION PROCESS. IF A PATIENT APPEARED TO BE ELIGIBLE FOR ASSISTANCE UNDER A GOVERNMENTAL PROGRAM SUCH AS MEDICAID, RHI ASSISTED THE PATIENT WITH THIS PROCESS. |
| 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 EACH SURROUNDING STATE. RHI OFFERS SERVICES FOR INPATIENT FOR 90 BEDS, 4 BED SLEEP CENTER AND 3 OUTPATIENT LOCATIONS. ONE LOCATION IS LOCATED WITHIN THE HOSPITAL AND TWO OFFICES CONVENIENTLY LOCATED AT SEPARATE LOCATIONS. RHI IS THE LARGEST ACUTE REHAB HOSPITAL IN THE ENTIRE STATE AND ALSO FREESTANDING. RHI IS THE ONLY REHAB HOSPITAL WITH CARF CERTIFICATION IN SPINAL CORD INJURY, GENERAL COMPREHENSIVE REHAB, BRAIN INJURY AND STROKE REHABILITATION. FOURTEEN PERCENT OF OUR PATIENT POPULATION CONSISTS OF MEDICAID RECIPIENTS. |
| Promotion of community health | Schedule H, Part VI, Line 5 | THE HOSPITAL HAS 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 THE COMMUNICATION AMONG VICTIMS 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 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 PREGANCY. THE WATER ALLOWS THEM TO EXERCISE UNDER CONDITIONS THAT THEY NORMALLY WOULD NOT BE ABLE TO EXERCISE. EVERY TUESDAY AND THURSDAY EVENINGS, RHI OPENS THE THERAPY GYM MEMBERS OF THE COMMUNITY THAT ARE DISABLED. THESE INDIVIDUALS MAY USE THE THERAPY EQUIPMENT TO GET EXERCISE THAT THEY OTHERWISE WOULD NOT GET. IN PARTNERSHIP WITH THE SAM SCHMIDT PARALYSIS FOUNDATION, RHI PROVIDES ON-SITE BALLOON RIDES DURING INDY 500 WEEK TO ANYONE IN THE COMMUNITY WITH A DISABILITY. RHI ALSO ENCOURAGES AND PROMOTES EDUCATION WITHIN THE ORGANIZATION BY OFFERING MEDICAL RESIDENTS THE OPPORTUNITY TO LEARN THEIR SPECIALIZED INTEREST OF STUDY. RESIDENTS ARE PLACED IN POSITIONS WHERE THEY CAN LEARN AND GROW AS THEY WORK TOWARD COMPLETING THEIR RESIDENCY. IN CONJUNCTION WITH THE RHI FOUNDATION, RHI PERFORMS RESEARCH AND PRESENTS AT CONFERENCES REGARDING THE MEASUREMENT OF OUTCOMES IN TRAUMATIC BRAIN INJURY CASES ALONG WITH VOCATIONAL REHABILITATION IN INDIVIDUALS AFTER BRAIN INJURIES. OUR RESEARCH DIRECTOR SERVES ON THE EDITORIAL BOARD OF THE FOLLOWING JOURNALS: ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION; REHABILITATION PSYCHOLOGY; ENCYCLOPEDIA OF CLINICAL NEUROPSYCHOLOGY; AND NEUROPSYCHOLOGICAL REHABILITATION. RHI ALSO PROVIDES NUMEROUS CLINICAL EDUCATION EXPERIENCES THROUGH AGREEMENTS WITH THE PHARMACY, THERAPY AND NURSING EDUCATION PROGRAM AT IVY TECH COLLEGE, MARIAN UNIVERSITY, UNIVERSITY OF INDIANAPOLIS, INDIANA UNIVERSITY AND PURDUE UNIVERSITY. |
| Affiliated health care system | Schedule H, Part VI, Line 6 | RHI IS JOINTLY OWNED BY 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 |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
| No Grant More Than5000 | X | NoGrantMoreThan5000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | RHI CONTRIBUTED MONEY TO ORGANIZATION'S WITH RELATED INTERESTS. THE MONEY CONTRIBUTED WENT TO THE PROGRAM OPERATING FUNDS OF THESE ORGANIZATIONS IN ORDER TO SUPPORT THEIR MISSION IN SEVING LIKE PATIENTS. THEREFORE, THE ORGANIZATION RELIES ON THE BOARD OF DIRECTORS OF THE RESPECTIVE DONEE ORGANIZATIONS TO DETERMINE THE USE OF THE FUNDS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NEIL PATEL | |||||||||||||
| 140673 | 0 | 575 | 0 | 1401 | 0 | 6215 | 0 | 7942 | 0 | 156806 | 0 | 0 | 0 |
| LANCE E TREXLER | |||||||||||||
| 139078 | 0 | 1474 | 0 | 3757 | 0 | 6134 | 0 | 6942 | 0 | 157385 | 0 | 0 | 0 |
| JAMES MALEC | |||||||||||||
| 202694 | 0 | 0 | 0 | 4523 | 0 | 7384 | 0 | 9648 | 0 | 224249 | 0 | 0 | 0 |
| SIDNEY NORTON | |||||||||||||
| 125446 | 0 | 15000 | 0 | 1457 | 0 | 6058 | 0 | 9941 | 0 | 157902 | 0 | 0 | 0 |
| DENNIS ARMINGTON | |||||||||||||
| 221246 | 0 | 0 | 0 | 71487 | 0 | 2268 | 0 | 8242 | 0 | 303243 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Severance or change-of-control payment | Identifier |
| Return Reference | Schedule J, Part I, Line 4a | ReturnReference |
| Explanation | DENNIS R. ARMINGTON RECEIVED $61,881 IN SEVERANCE PAY IN 2010. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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. |
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 | (CONTINUED FROM PART III, LINE 1) INPATIENT AND OUTPATIENT THERAPY AND SUPPORT SERVICES PROVIDED BY THE HOSPITAL 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 THEIR 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. |
| Significant changes to organizational documents | Form 990, Part VI, Section A, Line 4 | THE REVISIONS REFLECT THE SEPARATION OF THE FINANCE/AUDIT COMMITTEE AND THE ROLE OF THE AUDIT COMMITTEE AS WELL AS THE APPOINTMENT OF THE CLINICAL PERFORMANCE IMPROVEMENT COMMITTEE. |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | 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 HAVE 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 AND THE CLASS B MEMBER, MH HEALTHCARE, HAS THE RIGHT TO APPOINT ALL CLASS B MEMBERS. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | THE FOLLOWING MATTERS REQUIRE THE JOINT APPROVAL OF THE 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 ESTABLISHED BY THE MEMBERS. 9. APPROVE THE DISPOSITION OF ASSETS OF RHI AT THE TIME OF ITS DISSOLUTION. 10. ESTABLISH POLICY CONCERNING QUALITY OF CARE AND SERVICES OR POLICY AND PROCEDURES CONCERNING FINANCE AND RESOURCES FOR RHI, WHICH ARE INCONSISTENT WITH POLICIES ESTABLISHED BY THE MEMBERS. 11. APPROVE LONG-RANGE FINANCIAL AND STRATEGIC PLANS OF RHI. 12. APPROVE INTERNAL AUDITING PROGRAM FOR RHI, WHICH IS INCONSISTENT WITH THE INTERNAL AUDITING PROGRAM ESTABLISHED BY THE MEMBERS. 13. APPOINT OR REMOVE THE CEO OF RHI PROVIDED, HOWEVER, THAT THE MEMBERS SHALL CONFER WITH THE BOARD OF DIRECTORS CONCERNING THE APPOINTMENT OF THE CEO. 14. APPROVE THE POLICY PERTAINING TO THE EVALUATION OF THE CEO 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 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 SENT TO THE BOARD OF DIRECTORS. |
| 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 CHIEF HUMAN RESOURCES OFFICER 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. 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. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | FOR ALL ADMINISTRATIVE OFFICERS, THE CEO REVIEWS EACH OF THEIR 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. THIS RATING IS CONVERTED TO A PAY INCREASE PERCENTAGE USING THE SAME MODEL THAT IS USED FOR ALL EMPLOYEES OF THE HOSPITAL. 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. |
| Public Disclosure | Form 990, Part VI, Section C, Line 19 | FINANCIAL STATEMENTS ARE SUBMITTED TO THE INDIANA STATE DEPARTMENT OF HEALTH ANNUALLY. THE GOVERNING DOCUMENTS ARE AVAILABLE THROUGH THE INDIANA SECRETARY OF STATE'S WEBSITE. THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST THROUGH THE ADMINISTRATION OFFICES. |
| Average hours worked per week for related organization | Form 990, Part VII, Section A, Column B | JAMES MALEC - 39HOURS PER WEEK FOR RHI FOUNDATION, INC., A RELATED ORGANIZATION. JIM GRAHAM - 39HOURS PER WEEK FOR RHI FOUNDATION, INC., A RELATED ORGANIZATION. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | CHANGE IN INTEREST RATE SWAP AGREEMENT - -205352; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHI FOUNDATION INC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4141 SHORE DRIVE | AddressLine1 |
| City | INDIANAPOLIS | City |
| State | IN | State |
| ZIP Code | 46254 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 351932349 | EIN |
| Primary Activities | SUPPORTING | PrimaryActivities |
| Legal Domicile State | IN | LegalDomicileState |
| Exempt Code Section | 501(C)(3) | ExemptCodeSection |
| Public Charity Status | 11 - Type I | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| RHI FOUNDATION INC | ||
| M | 584630 | FMV |
| RHI FOUNDATION INC | ||
| N | 543098 | FMV |
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