2019-11-14T15:35:38-06:00 2018-12-31 350921680 CROWE LLP 135 N Pennsylvania Street Suite 200 Indianapolis IN 46204 990 2018-01-01 351786005 Rehabilitation Hospital of Indiana Inc REHA 3173292000 4141 Shore Drive Indianapolis IN 462542607 Marjorie Basey CFO 2019-11-14 true Kim Scifres P00319397 3176321100 2018 2020-03-31 21:24:44Z Marjorie Basey 4141 SHORE DRIVE Indianapolis IN 462542607 44563589 false X WWW.RHIN.COM X 1989 IN The primary focus of the Rehabilitation Hospital of Indiana is to deliver acute inpatient and outpatient rehabilitation services to the residents of Central Indiana regardless of their ability to pay. 4 4 523 68 0 0 99985 4700 42019126 43739558 33893 263459 198104 551068 42351108 44558785 0 0 27533618 29242463 0 0 14019712 13460605 41553330 42703068 797778 1855717 30313023 32385247 18470058 18549392 11842965 13835855 X Rehabilitation Hospital of Indiana (RHI) is an acute care rehabilitation hospital for inpatient and outpatient rehabilitation. RHI specializes in brain injury, spinal cord injury, stroke, and comprehensive medical rehabilitation for injuries or illnesses resulting in loss of function. (CONTINUED ON SCHEDULE O) false false 17039766 16282095 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. 10194691 19047149 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. 6964676 8518971 OTHER PROGRAMS INCLUDE:ANCILLARY SERVICES WHICH CONSISTS OF LAB, EKG, RADIOLOGY, PHARMACY, CENTRAL SUPPLIES, 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. 4328152 441025 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. 4328152 441025 38527285 true false false true false false false false false true false false false true true false true false false false false false false false false true true false false true true false false false false false false false false false false false false false false false true true true false false true 46 0 true 523 true false false false false false false true false false false false false X 4 4 false false false 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 CHERYL HARMON CHAIR 1.0 0 X X 0 0 0 RYAN NAGY VICE CHAIR/TREASURER 1.0 0 X X 0 0 0 MARY MYERS BOARD MEMBER 1.0 0 X 0 0 0 HAROLD BERFIEND BOARD MEMBER 1.0 0 X 0 0 0 DANIEL WOLOSZYN CEO 40.0 1.0 X 408681 0 29793 MONTE M SPENCE COO 40.0 0 X 222212 0 33800 MARJORIE BASEY CFO 40.0 0 X 175827 0 16988 LANCE E TREXLER Executive Director of Rehabilitation Neuropsych 40.0 0 X 184019 0 31528 LARISSA SWAN EXECUTIVE DIRECTOR OF THERAPY OPERATIONS (UNTIL 9/2018) 40.0 0 X 169404 0 13527 MARY ESCALANTE PHARMACY & ANCILLARY DIRECTOR 40.0 0 X 159455 0 25406 GARY SKINNER DIRECTOR OF IT 40.0 0 X 159220 0 17521 PETER BISBECOS EXECUTIVE DIRECTOR OF NEUROPATH 40.0 0 X 145349 0 16438 1624167 0 185001 33 false true false INDIANA UNIVERSITY HEALTH INC 2201 RELIABLE PARKWAY CHICAGO IN 606860025 LAB/PHY SERVICES 788387 FAVORITE HEALTHCARE STAFFING INC PO BOX 26225 OVERLAND PARK KS 66225 CONTRACT NURSING 603449 MEDXCEL FACILITIES MANAGEMENT LLC 5451 LAKEVIEW PARKWAY S DRIVE INDIANAPOLIS IN 46268 FACILITIES SERVICES 558661 TREAT AMERICA FOOD SERVICES 8500 SHAWNEE MISSION PARKWAY MERRIAM KS 66202 DIETARY SERVICES 530684 SODEXO INC & AFFILIATES PO BOX 360170 PITTSBURGH PA 152516170 DIETARY SERVICES 462826 11 X 4700 4700 NET PATIENT SERVICE REVENUE 623000 42531703 42531703 MANAGEMENT FEE 900099 1131893 1131893 PHYSICIAN SERVICE REVENUE 621990 73078 73078 PHARMACY REVENUE 446110 2884 2884 0 0 0 0 43739558 263459 263459 3892 4804 -912 0 -912 -912 0 0 SERVICES STUDY 900099 390011 390011 CAFETERIA REVENUE 722514 143789 143789 REBATE REVENUE 900099 15882 15882 2298 0 0 2298 551980 44558785 44289240 0 264845 X 1073851 1073851 20956431 19925617 1030814 564855 474086 90769 4876083 4151852 724231 1771243 1630118 141125 54456 43565 10891 88676 88676 5163612 4824838 338774 0 248036 81477 166559 59428 25856 33572 1077507 895245 182262 921263 859447 61816 151258 111082 40176 113234 71393 41841 411403 370263 41140 1612070 1447372 164698 332641 299377 33264 MEDICAL SUPPLIES/EQUIPMENT 2831359 2831359 PROVISION FOR BAD DEBT 395662 395662 0 0 0 0 42703068 38527285 4175783 0 2714 3164 11836781 12483928 6163929 7768884 0 0 0 150492 139552 972016 964336 35693984 26002324 10337922 9691660 270 274 0 0 848899 1333449 30313023 32385247 3998613 5240251 12903899 12178034 0 0 1567546 1131107 18470058 18549392 X 11842965 13835855 11842965 13835855 30313023 32385247 1855717 137173 0 X false true X true false X false false false false false false false false true 51428 51428 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY RHI IS A MEMBER OF THE AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION (AMRPA). THROUGH THE MEMBERSHIP, LOBBYING ACTIVITIES ARE INCLUDED. RHI ALSO UTILIZES ICE MILLER TO ASSIST WITH RATE AND PAYMENT ISSUES WITH THE STATE OF INDIANA. 2275074 2275074 16052835 13383948 2668887 17021056 12618376 4402680 345019 345019 9691660 Estimated Third-party settlements 1017515 Interest Rate Swap Liability 113592 1131107 X 44700762 137173 0 137173 44563589 -4804 -4804 44558785 42707872 4804 4804 42703068 0 0 42703068 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Hospital is a not-for-profit corporation pursuant to Section 501(c)(3) of the Internal Revenue Code and is exempt from income taxes on related income pursuant to Section 501(a). Accordingly, no provision for income taxes is required for the Hospital in the consolidated financial statements. 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 2012 and for all state income taxes through 2013. 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, 2018 and 2017. Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements RENTAL EXPENSE - -4804 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 RENTAL EXPENSE - 4804 true true X true X true X true true true false true true 341054 0 341054 0.0080 4154141 1911259 2242882 0.0526 0 0 0 0.0 0 0 4495195 1911259 2583936 0.0606 62748 8865 53883 0.0013 287254 0 287254 0.0067 0 0 0 0.0 73140 0 73140 0.0017 13275 0 13275 0.0003 0 0 436417 8865 427552 0.0100 0 0 4931612 1920124 3011488 0.0706 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 false 395662 0 12542083 13211338 -669255 X true true 1 1 REHABILITATION HOSPITAL OF INDIANA 4141 Shore Drive Indianapolis IN 46254 www.rhin.com 16-005971-1 X X Acute Rehabilitation REHABILITATION HOSPITAL OF INDIANA 1 false false true X X X X X X X X X 18 true true false true X http://www.rhin.com/category/in-the-community/ X true 18 true http://www.rhin.com/category/in-the-community/ false true X 200.0 400.0 X X true true X X X true X https://www.rhin.com/financial-assistance/ X https://www.rhin.com/financial-assistance/ X https://www.rhin.com/financial-assistance/ X X X X X X true X false X X X X false X X X false false Schedule H, Part V, Section B, Line 3E Drug and Alcohol Abuse * Both drug and alcohol abuse contribute to accidents and injuries (Focus Group, Other Assessments). Alcohol use is a contributing factor to one out of every four spinal cord injuries (Other Assessments). * The opioid crisis, and other forms of drug and substance abuse, were identified by community members as particularly significant (Community Survey, Community Meetings, Interviews). * Drug and substance abuse also have been identified as top concerns in Marion County and across Indiana in other assessments, including Indiana's State Health Improvement Plan (Other Assessments). * Drug overdoses are known to be a factor in Traumatic Brain Injury (Focus Group, Other Assessments). Obesity and Diabetes * Obesity and diabetes are known risk factors for stroke and also contribute to risks associated with falls and other injuries (Other Assessments). * Individuals providing input identified obesity as a top concern (Community Meetings, Community Survey, Interviews). * Marion County and Indiana obesity rates are comparatively high (Exhibits 22, 34). * Marion County has a comparatively poor food environment index, indicating that access to healthy food is more challenging in the county than in the U.S. (Exhibit 22). * According to State of Obesity, 2017 (a Robert Wood Johnson Foundation Initiative) Indiana has the 12th highest adult obesity rate in the nation, and the ninth highest childhood obesity and overweight rate. About 12 percent of Indiana adults have diabetes, the 11th highest rate in the U.S. (Other Assessments). * Physical inactivity, a lack of access to exercise opportunities, and food insecurity are contributing factors (Exhibits 22, 23, Community Meetings, Interviews). Smoking * Smoking is a known risk factor for stroke (Focus Group, Other Assessments). * Smoking rates in Marion County and Indiana as a whole are comparatively high, including among pregnant women and lower-income residents (Exhibits 22, 25B). * Community survey respondents indicated that tobacco use is among the most significant community health needs in Marion County and across Indiana (Community Survey). * Other assessments, including Indiana's State Health Assessment, have identified tobacco use as a significant concern (Other Assessments). Social Determinants of Health * Marion County's poverty rate is above the Indiana average, and is particularly high for Black and Hispanic (or Latino) residents (Exhibits 15, 16). Poverty was identified as a significant community health problem by participants of all three Marion County community meetings (Community Meetings). Poverty also was described as a contributing factor to food insecurity (Interviews, Focus Group). * Smoking, obesity, diabetes, physical inactivity and other risk factors for stroke are more prevalent in lower-income groups (Exhibit 25). * Educational achievement (high school graduation rate) in Marion County is below the U.S. average (Exhibit 22). A lack of educational achievement complicates efforts to assure community members are aware of stroke and injury prevention strategies (Focus Group). Violence and Injuries * Violence and crime have been identified as causal factors for injuries (including Traumatic Brain Injury and Spinal Cord Injury) (Focus Group, Other Assessments). * Violent crime rates in Marion County are well above Indiana-wide averages (Exhibits 20, 22) and were identified as a top concern by community survey respondents (Community Survey) and during community meetings and interviews (Community Meetings, Interviews). * Marion County's rate of mortality from injuries is above average (Exhibits 22, 24). * Participants in one of three community meetings held in Marion County identified injury prevention as a top concern (Community Meetings). Other State-wide Concerns * The Indiana State Department of Health indicates that the state needs a better-integrated, statewide trauma system to help address increasing death rates from falls and problems posed by injury (e.g., motor vehicle accidents) particularly in rural areas (Other Assessments). * Primary care physicians and hospitalists could use additional training regarding how to diagnose Traumatic Brain Injury and assure patients are referred to needed services (Focus Group). * According to America's Health Rankings, Indiana ranks 44th (out of 50 states) for "high cholesterol" and 43rd for "cholesterol checks." These factors likely are contributing for Indiana's overall ranking for stroke, which is 41st in the nation (Exhibit 37). Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - REHABILITATION HOSPITAL OF INDIANA, INC.. 2018 CHNA. To identify community health needs, IU Health/RHI collected comments and surveyed residents of the community at large through a web-based site and utilizing paper copies accessible at clinics and other settings, with special emphasis to garner input from low income, uninsured, or minority groups. Between May 7 and 9, 2018, three meetings of community representatives were held in Indianapolis, the county seat of Marion County. The meetings were sponsored by IU Health and Community Health Network to obtain community input and help identify significant community health needs in Marion County. Results of the community meetings (and of key stakeholder interviews and the community survey) were shared with RHI. In total, the community meetings were attended by 42 individuals invited by IU Health in partnership with Community Health Network because they represent important community organizations and sectors such as: local health departments, police/fire departments, non-profit organizations, local businesses, health care providers, mayors/local policymakers, faith-based organizations, parks and recreation departments, and schools. Through these meetings, IU Health sought a breadth of perspectives on the community's health needs. The specific organizations represented at the meetings are listed below. Adult and Child Health All Senior Citizens Connect Central Indiana Council on Aging (CICOA) City of Indianapolis Coburn Place Community Health Network Gennesaret Free Clinics Gleaners Food Bank Health by Design IU Health Methodist Hospital RHI Indiana Youth Institute Indianapolis Fire Department Indianapolis Metropolitan Police Department Indy Hunger Network Indianapolis Parks and Recreation Irvington Development Organization Jump IN for Healthy Kids Lawrence Community Gardens Marion County Public Health Department New Beginnings Church Paramount Schools of Excellence Progress House Purdue Extension The Polis Center University of Indianapolis After discussing the needs identified through secondary data and adding others to the list, participants in each meeting were asked through a voting process to identify "three to five" they each consider to be most significant. From that process, each of the groups identified the needs shown in the following table as most significant for Marion County. IU Health/RHI representatives compiled the survey results, health indicator data and focus group priorities and, implementing the Hanlon Method, identified the top five needs. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - REHABILITATION HOSPITAL OF INDIANA, INC.. The 2018 Community Health Needs Assessment (CHNA) was conducted as a collaborative effort involving RHI, IU Health, Community Health Network, Franciscan Alliance and St. Vincent Health. Schedule H, Part V, Section B, Line 21 Facility , 1 Facility , 1 - REHABILITATION HOSPITAL OF INDIANA, INC.. RHI is not a general acute care hospital/facility nor is RHI equipped to provide care to patients with urgent care needs. RHI is a specialty provider of rehabilitation services such as Physical, Occupational and Speech Therapy. 2 RHI - CARMEL 12425 OLD MERIDIAN STREET SUITE B2 CARMEL IN 46032 OUTPATIENT FACILITY RHI NEUROREHABILITATION CENTER (NRC) 9531 VALPARAISO COURT INDIANAPOLIS IN 46268 OUTPATIENT REHABILITATION FACILITY Schedule H, Part V, Section B, Line 11 HOW THE HOSPITAL IS ADDRESSING THE SIGNIFICANT NEEDS IN CHNA REHABILITATION HOSPITAL OF INDIANA ACTIVITIES TO ADDRESS PRIORITIES Rehabilitation Hospital of Indiana provides various avenues to assist community residents in improving their health knowledge and care. In addition, Rehabilitation Hospital of Indiana partners with other community organizations in healthcare, wellness, outreach, and other services to address our communities' health needs. Among the many programs focused on priority areas identified, we list a few examples here that take Rehabilitation Hospital of Indiana beyond the clinic walls and into the community. Access to healthcare * On Tuesday, June 27th, RHI partnered with a number of local hospitals and health care organizations to co-sponsor the third annual "Strike Out Stroke" event at Victory Field. The focus of this event was to educate the community about the prevalence and symptoms of stroke and send the message that quick action in the event of a suspected stroke can save lives. Volunteer efforts included distributing promotional giveaways as well as providing stroke education information and blood pressure readings to attendees prior to the game. We also had a very strong showing of RHI employees and previous patients coming out in support of this fantastic event. * RHI offers free monthly support groups related to stroke, brain injury, and spinal cord injury providing education, training and coping skills to both survivors and their caregivers. Additionally, these programs help to decrease social isolation and increase support in the community. Nutrition and Healthy Weight * RHI Sports' Annual Water Ski Clinic is a two day program held at Morse Reservoir. This clinic provides individuals with physical disabilities the opportunity to participate in the thrilling sport of water skiing, helping to increase the participant's overall physical fitness and self-confidence while decreasing feelings of isolation and helplessness. The two day event serves community individuals with physical disabilities. * * On Thursday, June 1st, RHI team members volunteered at Arsenal Tech High School as we partnered with IU Health to provide free sports physicals for IPS students from local schools. Volunteer activities included screening for vision and measuring the height, weight and blood pressure of 135 students. Because of these collaborative efforts, we have helped a large number of Marion County high school students stay active by passing their physicals that will allow them to participate in sports activities. * RHI Sports Community Fitness Program occurs twice weekly at our main hospital location. In recognizing that an individual with a disability needs to continue leading a healthy lifestyle, RHI makes the therapy gym and specialized equipment available at no cost to all members of the community that have a physical disability. Behavioral Health and Substance Abuse * Targeting mental health issues, RHI partnered with Mental Health America of Greater Indianapolis to sponsor fifteen Mental Health First Aid scholarships for Marion County community members (teachers, social workers, youth group leaders, etc.) to be trained to recognize the potential risk factors and warning signs for a range of mental health problems and provide guidance for those undergoing crisis to receive necessary resources, support, and treatments to achieve recovery. Community Revitalization * On Saturday, April 22nd, Team RHI partnered with numerous community members for the 2017 Great Indy Cleanup. Sponsored by Keep Indiana Beautiful, this is an anti-litter program in partnership with the City of Indianapolis that is designed to assist individuals and community groups combat heavy litter and debris that has accumulated in public spaces. Our team's efforts concentrated on the school grounds of Jonathan Jennings Elementary School and the surrounding neighborhoods on the west-side of Indianapolis. * On September 26th and 27th, the RHI therapy team partnered with Junior Achievement of Central Indiana and numerous industry leaders to support the second annual JA JobSparks event at the Indiana State Fairgrounds. The focus of this two day event was to offer Marion County students insights on what industries interest them, what specific jobs are like, and what education is required to perform them successfully. Research has shown that when a student has a real idea of what they want to do after high school, they are much more likely to stay in school and graduate. Because of the efforts of team RHI, we have provided a "spark" in positively impacting more than 8,700 Indianapolis students by sharing with them our clinical expertise and providing insights into physical, occupational and speech therapy careers. * On Friday, October 6th, Team RHI members partnered with Greater Indy Habitat for Humanity to spend the day in helping build two homes on the East side of Indianapolis as part of the Eastern Star Church ROCK Initiative. Our volunteers did an absolutely incredible job of working together to successfully perform a number of key activities including measuring, cutting and installing siding. RHI continues to welcome the opportunity to serve our community. As a result of these collaborative efforts, two families are owning their first Habitat homes. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount The provision for bad debts is based upon management's assessment of historical and expected collections of accounts receivable considering business and economic conditions, trends in health care coverage, and other collection indicators. Accounts receivable are written off and charged to the provision for bad debts after collection efforts have been made in accordance with the Hospital's policies. Recoveries are treated as a reduction to the provision for bad debts. Accounts receivable are reduced by an allowance for doubtful accounts. Periodically, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by major payor category. Data about the major payor sources of revenue is analyzed to establish an appropriate allowance for uncollectible receivables and provision for bad debts. For receivables associated with services provided to patients who have third-party coverage, contractually due amounts are analyzed and compared to actual cash collected over time to enhance the quality of the estimate of the allowance for doubtful accounts and the provision for bad debts (for example, for expected uncollectible deductibles and co-payments on accounts for which the third-party payor has not yet paid, or for payers who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co payment balances due for which third-party coverage exists for part of the bill), a significant allowance for doubtful accounts is recorded on the basis of historical experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. An estimate of the difference between contracted rates and amounts actually collected, after all reasonable collection efforts have been exhausted, is charged to the provision for bad debts and credited to the allowance for doubtful accounts. Schedule H, Part III, Line 3 Bad Debt Expense Methodology The organization does not report any portion of bad debt as community benefit and chooses not to estimate for purposes of Part III, Section A, Line 3 the amount of bad debt attributable to patients that may be eligible under the organization's financial assistance policy. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote Footnote to the Audited Financial Statement. Allowances for Doubtful Accounts: The provision for bad debts is based upon management's assessment of historical and expected collections of accounts receivable considering business and economic conditions, trends in health care coverage, and other collection indicators. Accounts receivable are written off and charged to the provision for bad debts after collection efforts have been made in accordance with the Hospital's policies. Recoveries are treated as a reduction to the provision for bad debts. Accounts receivable are reduced by an allowance for doubtful accounts. Periodically, management assesses the adequacy of the allowance for uncollectible accounts based upon historical write-off experience by major payer category. Data about the major payer sources of revenue is analyzed to establish an appropriate allowance for uncollectible receivables and provision for bad debts. For receivables associated with services provided to patients who have third-party coverage, contractually due amounts are analyzed and compared to actual cash collected over time to enhance the quality of the estimate of the allowance for doubtful accounts provision for bad debts. For receivables associated with self-pay patients (which includes both patients without insurance and patients with deductible and co payment balances due for which third-party coverage exists for part of the bill), a significant allowance for doubtful accounts is recorded on the basis of historical experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. An estimate of the difference between contracted rates and amounts actually collected, after all reasonable collection efforts have been exhausted, is charged to the provision for bad debts and credited to the allowance for doubtful accounts. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs Any cost incurred for treatment of a patient in which the total amount of revenue was not collected, is reported as a shortfall. By continuing to treat patient eligible for Medicare, hospitals alleviate the federal government's burden for directly providing medical services. The shortfall is due to continued cuts in Medicare reimbursement while RHI continues to invest in state-of the-art equipment and facilities to meet the challenging healthcare needs of the community. Medicare allowable costs were determined based on the cost to charge ratio from the FY 2018 Medicare cost report. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance The Hospital's collection policy contains provisions on practices to be followed for patients who are known to qualify for financial assistance. The collection policy states that RHI will not engage in extraordinary collection actions before making reasonable efforts to determine whether a patient is eligible for assistance under RHI's Financial Assistance Policy. Schedule H, Part V, Section B, Line 16a FAP website - REHABILITATION HOSPITAL OF INDIANA: Line 16a URL: https://www.rhin.com/financial-assistance/; Schedule H, Part V, Section B, Line 16b FAP Application website - REHABILITATION HOSPITAL OF INDIANA: Line 16b URL: https://www.rhin.com/financial-assistance/; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - REHABILITATION HOSPITAL OF INDIANA: Line 16c URL: https://www.rhin.com/financial-assistance/; Schedule H, Part VI, Line 2 Needs assessment For the 2018 Community Health Needs Assessment, Indiana University Health conducted the community survey data collection in collaboration with Indiana University, University of Evansville and an Indiana Hospital Collaborative, including Community Health Network, Franciscan Alliance, St. Vincent Health and other hospital partners. Additional IU Health collaborators included: * Indiana University Health - Community Outreach and Engagement Department. Federal regulations allow hospital facilities to define the community they serve based on "all of the relevant facts and circumstances," including the "geographic location" served by the hospital facility, "target populations served" (e.g., children, women, or the aged), and/or the hospital facility's principal functions (e.g., focus on a particular specialty area or targeted disease). Accordingly, this CHNA focuses on community health issues relevant to rehabilitation services. In assessing community health needs relevant to RHI, the following statistics are important to understand: * Patients most often are admitted to RHI as a result of stroke, Traumatic Brain Injury (TBI), Spinal Cord Injury (SCI), major trauma, cardiac events, amputations, other orthopedic conditions, and other issues for which rehabilitation services are medically necessary. * About 94 percent of admissions to RHI are for patients transferred from an acute medical/surgical hospital. Many patients first are seen in hospital emergency rooms and trauma centers, then are admitted to acute medical/surgical hospitals, and then are transferred to RHI to receive intensive rehabilitation services. * RHI provides both inpatient and outpatient services. Outpatient care is provided at the main hospital site and at two other locations (Indianapolis and Carmel, Indiana). For RHI, surveys were received from 359 community households. According to the responses, these households included 644 adults. This CHNA relies on multiple data sources and community input gathered between February 2018 and August 2018. Several data limitations should be recognized when interpreting results. For example, some data (e.g., County Health Rankings, Community Health Status Indicators, mortality data, and others) exist only at a county-wide level of detail. Those data sources do not allow assessing health needs at a more granular level of detail, such as by ZIP code or census tract. Secondary data upon which this assessment relies measure community health in prior years and may not reflect current conditions. The impacts of recent public policy developments, changes in the economy, and other community developments are not yet reflected in those data sets. The findings of this CHNA may differ from those of others that assessed this community. Differences in data sources, geographic areas assessed (e.g., hospital service areas versus counties or cities), interview questions, and prioritization processes can contribute to differences in findings. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Patients are informed about financial assistance before admissions by the clinical liaison. This occurs when the patient is at the general acute care hospital before transferring to RHI. Patients are also informed of financial assistance with signage that is located throughout hospital. The patient is informed during registration by the admissions representative and a summary of the financial assistance policy is included in each admission packet. During the patient's stay, the Care Coordinator will work with the patient in completing the financial assistance application. The Care Coordinator will continue to work with the patients after discharge, if the situation requires. Patients receive a summary of the FAP with all statements. RHI also mails a summary of the policy along with a financial assistance application to any uninsured patient that has a balance on his/her account. RHI also publicizes its FAP on the hospital web site. RHI provides representatives to assist patients with the financial assistance process Monday through Friday from 8am to 5pm. Schedule H, Part VI, Line 4 Community information RHI provides a range of services for patients from central Indiana and across the State of Indiana. For purposes of this CHNA, RHI's "local community" is defined as Marion County, Indiana. Marion County accounted for approximately 47 percent of the hospital's inpatient cases in 2017. The total population of the county in 2015 was 938,058. RHI also serves the State of Indiana as a whole. Accordingly, this CHNA also considers relevant community health needs across the entire state. The total population of the state in 2015 was 6,612,768. As permitted by federal regulations, this CHNA also focuses on community health issues relevant to rehabilitation services. Schedule H, Part VI, Line 5 Promotion of community health A majority of the organization's governing body is comprised of persons who reside in the organization's primary service area who are neither employees nor independent contractors of the organization, nor family members thereof. RHI offers free monthly support groups related to stroke, brain injury, and spinal cord injury providing education, training and coping skills to both survivors and their caregivers. Additionally, these programs help to decrease social isolation and increase support in the community. RHI partnered with a number of local hospitals and health care organizations to co-sponsor the annual "Strike out Stroke" events at Victory Field. The focus of this event was to educate the community about the prevalence and symptoms of stroke and send the message that quick action in the event of a suspected stroke can save lives. Volunteer efforts included distributing promotional giveaways as well as providing stroke education information and blood pressure readings to attendees prior to the game. This is another example of RHI's ongoing commitment to increasing access to healthcare and educating members of our community on the importance of health awareness. In partnership with IU Health, RHI participated in the 2016 INShape Indiana Black and Minority Health Fair in July. Focused activities included health screenings, education and resources that help community participants attain, maintain and live a healthy lifestyle and reduce their risk of chronic diseases. RHI clinicians performed 50 blood pressure screenings with education on normal values and the importance of maintaining a healthy lifestyle. Nutrition and Healthy Weight RHI team members annually volunteered at Arsenal Tech High School as we partnered with IU Health to provide free sports physicals for IPS students from local schools. Volunteer activities included screening for vision and measuring the height, weight and blood pressure of 135 students. Because of these collaborative efforts, we have helped a large number of Marion County high school students stay active by passing their physicals that will allow them to participate in sports activities. Community Health Needs Assessment RHI Sports' Annual Water Ski Clinic is a two day program held annually at Morse Reservoir. This clinic provides individuals with physical disabilities the opportunity to participate in the thrilling sport of water skiing, helping to increase the participant's overall physical fitness and self-confidence while decreasing feelings of isolation and helplessness. The two day event serves community individuals with physical disabilities. RHI Sports Community Fitness Program occurs twice weekly at our main hospital location. In recognizing that an individual with a disability needs to continue leading a healthy lifestyle, RHI makes the therapy gym and specialized equipment available at no cost to all members of the community that have a physical disability. Community Revitalization Team RHI partnered with numerous community members every spring these past 3 years for the Great Indy Cleanup. Sponsored by Keep Indiana Beautiful, this is an anti-litter program in partnership with the City of Indianapolis that is designed to assist individuals and community groups combat heavy litter and debris that has accumulated in public spaces. Our team's efforts concentrated on the school grounds of Jonathan Jennings Elementary School and the surrounding neighborhoods on the west-side of Indianapolis. RHI has partnered with Junior Achievement of Central Indiana and numerous industry leaders to support the annual JA JobSparks events at the Indiana State Fairgrounds. The focus of the annual two day event was to offer Marion County students insights on what industries interest them, what specific jobs are like, and what education is required to perform them successfully. Research has shown that when a student has a real idea of what they want to do after high school, they are much more likely to stay in school and graduate. Because of the efforts of our employees, we have provided a "spark" in positively impacting more than 8,700 Indianapolis students each year by sharing with them our clinical expertise and providing insights into physical, occupational and speech therapy careers. RHI has partnered with Greater Indy Habitat for Humanity to financially support and volunteer in helping build homes on the East and West side of Indianapolis. We continue to welcome the opportunity to serve our community and, as a result of these collaborative efforts, assisting families on their journey to home ownership. Behavioral Health and Substance Abuse Targeting mental health issues, RHI has partnered with Mental Health of America Greater Indianapolis and Families First of Indiana in 2016-2018 to sponsor Mental Health First Aid scholarships for Marion County community members (teachers, social workers, youth group leaders, etc.) to be trained to recognize the potential risk factors and warning signs for a range of mental health problems and provide guidance for those undergoing crisis to receive necessary resources, support, and treatments to achieve recovery. Schedule H, Part VI, Line 6 Affiliated health care system RHI is owned by two major health systems; 1) IU Health, Inc. and 2) St. Vincent Health. IU Health, Inc. is the majority owner of RHI. RHI works primarily with the IU Health system on various activities to address the community needs. Schedule H, Part VI, Line 7 State filing of community benefit report IN X X X true false false false false false false false false DANIEL WOLOSZYN CEO 344929 0 49650 0 14102 0 10809 0 18984 0 438474 0 0 0 MONTE M SPENCE COO 192553 0 19570 0 10089 0 6993 0 26807 0 256012 0 0 0 MARJORIE BASEY CFO 156239 0 15739 0 3849 0 7265 0 9723 0 192815 0 0 0 LANCE E TREXLER Executive Director of Rehabilitation Neuropsych 165540 0 17000 0 1479 0 5787 0 25741 0 215547 0 0 0 LARISSA SWAN EXECUTIVE DIRECTOR OF THERAPY OPERATIONS (UNTIL 9/2018) 87536 0 12071 0 69797 0 0 0 13527 0 182931 0 0 0 MARY ESCALANTE PHARMACY & ANCILLARY DIRECTOR 147817 0 5000 0 6638 0 2936 0 22470 0 184861 0 0 0 GARY SKINNER DIRECTOR OF IT 146680 0 6000 0 6540 0 5910 0 11611 0 176741 0 0 0 PETER BISBECOS EXECUTIVE DIRECTOR OF NEUROPATH 144957 0 0 0 392 0 4715 0 11723 0 161787 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment Larissa Swan; $58,889 Severance pay is paid upon employees departure from the organization. Employee will get paid three weeks' worth of pay for every year employed with the organization. The employee will be presented and agree to the terms of the separation and general release agreement prior to receiving severance. A INDIANA FINANCE AUTHORITY 351602316 000000000 2016-10-31 14235000 SEE SCHEDULE K PART VI false false false A 1975000 0 14235000 0 0 0 0 0 14235000 0 true false true true A false true true true false 0.0066 0.0 0.0066 false false true A false true false false false false false false false true A true Schedule K, Part III, Line 3a Private Business Use NONE OF THE MANAGEMENT AGREEMENTS RESULT IN PRIVATE BUSINESS USE. Schedule K, Part III, Line 2 Private Business Use The organization leases space to contract physicians and this leased space is included in Part III, Line 4, Private Business Use. Schedule K, Part III, Line 9 Written Procedures The organization adopted written procedures in 2014. The organization ensures all nonqualified bonds (if any) of the issue are remediated in accordance with the associated regulations. The organization strives to stay abreast of federal regulations and considers the repercussions of all significant activities which could foreseeably have an impact on the organization's tax exempt bonds and the associated federal tax regulations. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE THE SERIES 2011 BONDS WERE REISSUED ON OCTOBER 31, 2016. THE SERIES 2011 BONDS WERE ORIGINALLY ISSUED ON NOVEMBER 10, 2011 IN ORDER TO PROVIDE FUNDING FOR THE CONSTRUCTION & RENOVATION OF BUILDINGS AND STRUCTURES AND THE PURCHASE OF NEW EQUIPMENT. ADDITIONALLY, THE SERIES 2011 BONDS WERE ISSUED IN ORDER TO REFUND THE SERIES 1990 BONDS. THE SERIES 1990 BONDS WERE ISSUED ON NOVEMBER 1, 1990. Form 990, Part III, Line 1 MISSION RHI's individualized approach to each patient is the results of a collective effort of trained and compassionate team members who value the quality of life. It is the right kind of treatment- inpatient, outpatient and follow up services- provided under the same roof. Form 990, Part III, Line 4d Description of other program services (Expenses $ 4,328,152 including grants of $)(Revenue $ 441,025) 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. Form 990, Part VI, Line 6 Classes of members or stockholders The Not-for-profit corporations St. Vincent Health, Inc. and Indiana University Health, Inc. 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 Indiana University Health, Inc. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body Each of the corporate members has the right to appoint 50% of the members of the RHI board of Directors. The class A member, St. Vincent Health, has the right to appoint all class A directors; the class B member, Indiana University Health, Inc. has the right to appoint all class B directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders The following matters require the joint approval of the two corporate members of the Hospital: 1. Approve, interpret and change any statement of mission, philosophy, role and purpose of RHI. 2. Approve and amend bylaws and articles of incorporation. 3. Fix the number of Directors of RHI. The appointment, election or removal of any class A director shall require the approval of the class A member and the appointment, election or removal of any class B director shall require the approval of the class B member. 4. Approve the merger, dissolution, consolidation or reorganization of RHI. 5. Approve the formation of other entities by RHI. 6. Approve the acquisition, sale, lease, transfer or other alienation of property of RHI, other than in the usual and regular course of RHI's business, when such acquisition, sale, lease, transfer or other alienation meets specified financial levels set in accordance with policies established from time to time by the class A and class B members. 7. Approve capital and operating budgets of RHI. 8. Approve debt incurred by RHI which is in excess of such limits as are established by the Class A and Class B Corporate Members. 9. Approve the disposition of the assets of RHI at the time of its dissolution. 10. Establish (i) policy concerning quality of care and services or (ii) policy and procedures concerning finance and resources for RHI, which are inconsistent with policies established by the Class A and Class B Corporate Members. 11. Approve the long-range financial and strategic plans for RHI. 12. Approve an internal auditing program for RHI, which is inconsistent with the internal auditing program established by the Class A and Class B Corporate Members. 13. Appoint or remove the Chief Executive Officer of RHI provided, however, that the Class A and Class B Corporate Members shall confer with the Board of Directors concerning the appointment or removal of the Chief Executive Officer. 14. Approve the policy pertaining to the evaluation of the Chief Executive Officer of RHI. 15. Appoint or remove the Medical Director. 16. Take any action which would be inconsistent with the governing documents or policies of the Class A or Class B Corporate Members. Form 990, Part VI, Line 11b Review of form 990 by governing body First, a detailed review of the 990 is performed by management and by the majority owner member organization. Then, the final Form 990 is sent to the entire board prior to filing the return with the IRS. Form 990, Part VI, Line 12c Conflict of interest policy Annually, all employees and board members are required to complete a conflict of interest form. The CEO and Chairman of the board review the conflict of interest forms completed by the board members and the Director of Human Resources reviews conflict of interest forms completed by employees. If, during a board meeting, there is an action item that presents a formal conflict, the interested person would be asked to recuse himself/herself from the vote. This recusal would be documented in the minutes. If a key employee discloses a potential conflict, that person is removed from the decision-making process for transactions related to that conflict. Form 990, Part VI, Line 15a Process to establish compensation of top management official The salary for the CEO is defined in the written hiring agreement which is approved by the Board of Directors. Annual performance goals are determined and set by the Chair and Vice Chair of the Board of Directors. Salary increases and performance bonuses are determined based upon performance and the attainment of these goals. The tool used to evaluate the CEO's annual performance and pay is based on the accomplishment of these approved goals and objectives. The evaluation of performance and goals is completed by the Chair and Vice Chair of the Board annually and is performed in the Executive Session of the annual board meeting. The Chair and Vice Chair represent both of the member owners of RHI. The evaluation is documented by the Chairman of the Board. In addition, RHI Human Resources obtains a Compensation survey/study annually which is used to evaluate the compensation of RHI staff including the CEO. Form 990, Part VI, Line 15b Process to establish compensation of other employees The administrative officers' compensation is evaluated annually based on the Hospital's standard performance review system and based on the performance of annual goals. Annual goals for each officer are recommended by the CEO and approved by the Board of Directors. Salary increases and performance bonuses are determined based upon performance and goals. The CEO reviews and evaluates the annual performance of each administrative officer and recommends a performance rating based on the Hospital's standard performance review system. This is documented in the HR/personnel files. The CEO also reviews and evaluates the performance of each officer as it relates to the assigned annual goals. The annual evaluation of performance goals is taken to the Chair and Vice Chair of the Board to review and approve in an executive session of the annual board meeting. This is documented by the Chairman of the Board. In addition, RHI Human Resources obtains a Compensation survey/study annually which is used to evaluate the compensation of RHI staff including the administrative officers. Form 990, Part VI, Line 19 Required documents available to the public Financial statements, governing documents, and conflict of interest policies are not required disclosures pursuant to Internal Revenue Code (IRC) Section 6104; these documents are not available to the public at this time. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue VENDING REVENUE - Total Revenue: 2298, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2298; Form 990, Part IX, Line 11g Other Fees CONTRACT LABOR - Total Expense: 1087501, Program Service Expense: 1087501, Management and General Expenses: , Fundraising Expenses: ; PHYSICIAN FEES - Total Expense: 671363, Program Service Expense: 671363, Management and General Expenses: , Fundraising Expenses: ; CONSULTING - Total Expense: 20375, Program Service Expense: 20375, Management and General Expenses: , Fundraising Expenses: ; SERVICE CONTRACTS - Total Expense: 2816136, Program Service Expense: 2477362, Management and General Expenses: 338774, Fundraising Expenses: ; COLLECTION/PT TRANSPORT - Total Expense: 215262, Program Service Expense: 215262, Management and General Expenses: , Fundraising Expenses: ; MEDICAL EQUIPMENT - Total Expense: 352975, Program Service Expense: 352975, Management and General Expenses: , Fundraising Expenses: ; RHI FOUNDATION INC 4141 SHORE DRIVE INDIANAPOLIS IN 46254 351932349 TO SUPPORT REHABILITATION HOSPITAL OF INDIANA IN 501(c)(3) Type I REHABILITATION HOSPITAL OF INDIANA INC true false false true false false false false false false false false false false true true false false false false RHI FOUNDATION INC N 181921 ALLOCATION RHI FOUNDATION INC O 99090 ALLOCATION