2011-11-14T10:00:13-06:00 2010-12-31 CROWE HORWATH LLP 3815 River Crossing Parkway Suite 300 Indianapolis IN 462400977 990 2010-01-01 351786005 REHABILITATION HOSPITAL OF INDIANA INC REHA 3173292000 4141 SHORE DRIVE Indianapolis IN 462542607 MARJORIE BASEY 2011-11-10 true 3175698989 2010 2016-03-07 17:11:31Z SID NORTON 4141 SHORE DRIVE Indianapolis IN 462542607 37264392 false X WWW.RHIN.COM X 1992 IN THE PRIMARY FOCUS OF THE REHABILITATION HOSPITAL OF INDIANA IS TO DELIVER ACUTE INPATIENT AND OUTPATIENT REHABILITATION SERVICES TO THE RESIDENTS OF CENTRAL INDIANA REGARDLESS OF THEIR ABILITY TO PAY. THE COST OF CHARITY CARE AND COMMUNITY BENEFIT PROVIDED IN 2010 = $2,979,730. 4 4 531 72 0 0 85632 2162 34718496 37114310 -5947 934 133100 123890 34931281 37241296 0 14770 0 0 22324569 22468557 0 0 0 12907851 14134211 35232420 36617538 -301139 623758 20503590 23614713 19066245 21758962 1437345 1855751 X 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) false 12200441 14572246 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. 9255583 16030950 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. 6553948 14770 6302574 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. 249349 208540 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. 249349 208540 28259321 true false false false false false false false false true false false false true true false true false false false false false false false false true false true false true false false false false false false false false false false false false false true true true false false true 67 0 true 531 true false false false false false false false false false false X 4 4 false false true false true true true true true false false true true true true true true true true false IN X Marjorie Basey 3173292195 4141 SHORE DRIVE Indianapolis IN 462542607 X NEIL PATEL 40 X 142649 0 14157 LANCE E TREXLER 40 X 144309 0 13076 JAMES MALEC 1 X 207217 0 17032 JIM GRAHAM 1 X 112037 0 12267 SIDNEY NORTON 40 X 141903 0 15999 DENNIS ARMINGTON 40 X 292733 0 10510 PETER ALEXANDER 1 X 0 0 0 MARVIN RECHT 1 X 0 0 0 JEFFREY HILBURN MD 1 X X 0 0 0 ISADORE IZZY RIVAS 1 X X 0 0 0 DEBRA UHL 1 X X 0 0 0 DAWN DAVIDSON 1 X 0 0 0 J CHAD KILLIAN ESQ 1 X 0 0 0 ALVIN T STOLEN III 1 X X 0 0 0 MARJORIE BASEY 40 X 84465 0 6942 JOHN MYRLAN 1 X 0 0 0 JAMES D CALLAHAN 1 X 0 0 0 SAMUEL L ODLE 1 X X 0 0 0 MARVIN WHITE 1 X 0 0 0 IAN WORDEN 1 X X 0 0 0 MARY C ESCALANTE 40 X 107421 0 11629 1232734 0 101612 11 false true false 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 16 2162 2162 2162 NET PATIENT SERVICE REVENUE 37022908 37022908 OTHER PATIENT REVENUE 91402 91402 0 0 0 0 37114310 5316 5316 0 0 20783 14782 6001 0 6001 6001 4382 0 -4382 -4382 -4382 0 0 3060 3932 -872 -872 CAFETERIA 96043 96043 VENDING 3392 3392 GIFT SHOP 5160 5160 14166 0 0 14166 118761 37241296 37114310 0 124824 14770 14770 0 0 0 552552 552552 0 15970602 12408079 3562523 422276 317752 104524 4261665 3135878 1125787 1261462 949218 312244 0 114484 86146 28338 641319 482577 158742 0 0 0 5125900 3838845 1287055 67254 67254 3260847 2925163 335684 391898 294894 97004 0 919762 655357 264405 220573 132838 87735 0 169384 7859 161525 717054 645349 71705 0 956870 861183 95687 398024 358571 39453 BAD DEBT 1144842 1144842 MEMBERSHIP DUES 6000 6000 0 0 0 0 36617538 28259321 8358217 0 0 2802571 5080109 6313590 7883510 222674 199144 105896 135902 25589629 15769608 10722097 9820021 0 0 336762 496027 20503590 23614713 3595582 4088410 13600000 12800000 3000000 1870663 1870552 19066245 21758962 X 1437345 1855751 1437345 1855751 20503590 23614713 X 623758 -205352 X false true true X false X 0 0 0 602474 1904164 2506638 13683977 8569580 5114397 69244 66762 2482 9005266 7017712 1987554 324504 115554 208950 9820021 0 INTEREST RATE SWAP 1182921 CAPITAL LEASE OBLIGATION 238569 THIRD-PARTY SETTLEMENTS 449062 1870552 37241296 36617538 623758 -205352 0 -205352 418406 37260010 18714 18714 37241296 0 0 37241296 36841604 224066 224066 36617538 0 0 36617538 FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 THE HOSPITAL ADOPTED GUIDANCE ISSUED BY THE FASB WITH RESPECT TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. A TAX POSITION IS RECOGNIZED AS A BENEFIT ONLY IF IT IS "MORE LIKELY THAN NOT" THAT THE TAX POSITION WOULD BE SUSTAINED IN A TAX EXAMINATION, WITH A TAX EXAMINATION BEING PRESUMED TO OCCUR. THE AMOUNT RECOGNIZED IS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED ON EXAMINATION. FOR TAX POSITIONS NOT MEETING THE "MORE LIKELY THAN NOT" TEST, NO TAX BENEFIT IS RECORDED. THE HOSPITAL IS NO LONGER SUBJECT TO EXAMINATION BY U.S. FEDERAL TAXING AUTHORITIES FOR YEARS BEFORE 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. true true X true X true X true true false true true 499022 499022 0.01410 4534162 2475207 2058955 0.05800 0 0 0 0.00000 0 0 5033184 2475207 2557977 0.07210 32339 10015 22324 0.00060 414459 80355 334104 0.00940 0 0 0 0.00000 50555 50555 0.00140 14770 0 14770 0.00040 0 0 512123 90370 421753 0.01180 0 0 5545307 2565577 2979730 0.08390 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 true 523307 0 14466557 14270977 X true true 1 1 REHABILITATION HOSPITAL OF INDIANA

4141 SHORE DRIVE INDIANAPOLIS IN 46254

X X ACUTE REHABILIATION REHABILITATION HOSPITAL OF INDIANA 1 2 NEURO REHAB CENTER

9531 VALPARAISO COURT INDIANAPOLIS IN 46268

OUTPATIENT NEURO REHAB THERAPY REHABILITATION HOSPITAL OF INDIANA - CARMEL

12425 OLD MERIDIAN STREET SUITE B2 CARMEL IN 46032

OUTPATIENT REHABILITATION THERAPY 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 true X Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 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. X X X X true false false false false false false false false 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 Severance or change-of-control payment Schedule J, Part I, Line 4a DENNIS R. ARMINGTON RECEIVED $61,881 IN SEVERANCE PAY IN 2010. 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; RHI FOUNDATION INC 4141 SHORE DRIVE INDIANAPOLIS IN 46254 351932349 SUPPORTING IN 501(C)(3) 11 - Type I NA false false true false false false false false false false false false true true false false false false RHI FOUNDATION INC M 584630 FMV RHI FOUNDATION INC N 543098 FMV