REHABILITATION HOSPITAL OF INDIANA INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: REHABILITATION HOSPITAL OF INDIANA INC (EIN 35-1786005)
Tax period: 2015-01-01 to 2015-12-31
Filed: 2016-11-13
IRS object ID: 201643189349300719
Schema version: 2015v2.1
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 J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-11-13T16:00:07-06:00	ReturnTs
Tax Period End	2015-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	350921680	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	CROWE HORWATH LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	10 West Market Street	AddressLine1Txt
Address Line2	Suite 2000	AddressLine2Txt
City	Indianapolis	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462042975	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	351786005	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Rehabilitation Hospital of Indiana Inc	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	REHA	BusinessNameControlTxt
Phone	3173292000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4141 SHORE DRIVE	AddressLine1Txt
City	Indianapolis	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462542607	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Marjorie Basey	PersonNm
Person Title	CFO	PersonTitleTxt
Signature	2016-11-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Rachel Spurlock	PreparerPersonNm
PTIN	P00520729	PTIN
Phone	3176321100	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2017-02-10 21:41:12Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Marjorie Basey	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4141 SHORE DRIVE	AddressLine1Txt
City	Indianapolis	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462542607	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$39,378,180	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.RHIN.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1989	FormationYr
Legal Domicile State	IN	LegalDomicileStateCd
Activity Or Mission	The primary focus of the Rehabilitation Hospital of Indiana is to deliver acute inpatient and outpatient rehabilitation services to the residents of Central Indiana regardless of their ability to pay. The cost of financial assistance and community benefit provided in 2014 = $2.2 million.	ActivityOrMissionDesc
Voting Members Governing Body	4	VotingMembersGoverningBodyCnt
Voting Members Independent	4	VotingMembersIndependentCnt
Total Employee	504	TotalEmployeeCnt
Total Volunteers	68	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$50,199	PYContributionsGrantsAmt
CY Contributions Grants	$750	CYContributionsGrantsAmt
PY Program Service Revenue	$36,957,093	PYProgramServiceRevenueAmt
CY Program Service Revenue	$39,225,411	CYProgramServiceRevenueAmt
PY Investment Income	$10,057	PYInvestmentIncomeAmt
CY Investment Income	$17,863	CYInvestmentIncomeAmt
PY Other Revenue	$135,443	PYOtherRevenueAmt
CY Other Revenue	$134,085	CYOtherRevenueAmt
PY Total Revenue	$37,152,792	PYTotalRevenueAmt
CY Total Revenue	$39,378,109	CYTotalRevenueAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$24,237,481	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$24,463,604	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$11,824,878	PYOtherExpensesAmt
CY Other Expenses	$13,139,089	CYOtherExpensesAmt
PY Total Expenses	$36,062,359	PYTotalExpensesAmt
CY Total Expenses	$37,602,693	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,090,433	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,775,416	CYRevenuesLessExpensesAmt
Total Assets BOY	$30,924,254	TotalAssetsBOYAmt
Total Assets EOY	$31,109,338	TotalAssetsEOYAmt
Total Liabilities BOY	$23,572,649	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$21,785,086	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$7,351,605	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$9,324,252	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	Rehabilitation Hospital of Indiana's (RHI) mission is to provide personalized, compassionate care that enables individuals to regain hope and independence after life-changing injury or illness. RHI's vision is to lead the practice of rehabilitative medicine through internationally-recognized translational research, innovative and patient-centered care, and holistic training.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$11,107,872	ExpenseAmt
Revenue	$16,117,927	RevenueAmt
Desc	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.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$10,811,491	ExpenseAmt
Revenue	$16,136,678	RevenueAmt
Desc	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.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$6,785,062	ExpenseAmt
Revenue	$6,069,498	RevenueAmt
Desc	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.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$2,207,241	ExpenseAmt
Revenue	$1,035,393	RevenueAmt
Desc	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.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$2,207,241	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$1,035,393	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$30,911,666	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	false	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	44	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	504	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	false	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	4	GoverningBodyVotingMembersCnt
Independent Voting Member	4	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IN	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Marjorie Basey	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3173292195	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4141 SHORE DRIVE	AddressLine1Txt
City	Indianapolis	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462542607	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RAYAN NAGY
CHAIRMAN	1.0	Yes (X)	Yes (X)	$0	$0	$0
CHERYL HARMON
VICE CHAIR (PREVIOUSLY TREASURER)	1.0	Yes (X)	Yes (X)	$0	$0	$0
DAWN DAVIDSON
VICE CHAIR (TERM ENDED APRIL 2015)	1.0	Yes (X)	Yes (X)	$0	$0	$0
MICHAEL NIEMEIER
BOARD MEMBER (TERM ENDED IN JUNE 2015)	1.0	Yes (X)		$0	$0	$0
JONATHAN CURTRIGHT
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
MIKE MULLINS
BOARD MEMBER	1.0	Yes (X)		$0	$0	$0
DANIEL WOLOSZYN
CEO	40.0		Yes (X)	$359,055	$0	$35,210
MONTE M SPENCE
COO	40.0		Yes (X)	$207,814	$0	$30,895
Marjorie Basey
CFO	40.0		Yes (X)	$156,516	$0	$12,836
DEBRA CORDES
CHIEF NURSING OFFICER	40.0			$156,920	$0	$6,063	Yes (X)
LANCE E TREXLER
DIR OF NEUROREHAB PSYCHOLOGY	40.0			$156,015	$0	$29,981	Yes (X)
GARY SKINNER
Director	40.0			$148,342	$0	$11,379	Yes (X)
MARY ESCALANTE
Pharmacist	40.0			$137,868	$0	$23,987	Yes (X)
JONI BROWN
Exec Dir Human Resources	40.0			$125,967	$0	$14,516	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,448,497	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$164,867	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	18	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	Yes (true)	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
TREAT AMERICA FOOD SERVICES
8500 SHAWNEE MISSION PARKWAY	MERRIAM	KS	66202	DIETARY SERVICES	$1,033,770
CERNER CORPORATION
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64117	COMPUTER SERVICES	$769,017
INDIANA UNIVERSITY HEALTH INC
2201 RELIABLE PARKWAY	CHICAGO	IL	60685	LAB, PHYSICIAN SERVICES	$746,049
UNIVERSITY OF PHYSIATRIC ASSOCIATES
541 N CLINICAL DRIVE CL 626	INDIANAPOLIS	IN	462025111	PHYSICIAN SERVICES	$431,007
INDIANA UNIVERSITY PURDUE UNIVERSITY
DEPT 78920	DETROIT	MI	482780920	PHYSICIAN SERVICES	$236,521	PO BOX 78000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	5	CntrctRcvdGreaterThan100KCnt
Related Organizations	$750	RelatedOrganizationsAmt
Total Contributions	$750	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE REVENUE	621300	$37,912,450	$37,912,450
MANAGEMENT FEE	621110	$1,299,594	$1,299,594
PHARMACY REVENUE	621300	$3,186	$3,186
RENT RELATED TO EXEMPTION	531120	$10,181	$10,181

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$39,225,411	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$17,934	TotalRevenueColumnAmt
Exclusion	$17,934	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$71	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$71	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$71	TotalRevenueColumnAmt
Exclusion	-$71	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA & VENDING	722210	$126,714	$126,714
REBATE REVENUE	900099	$1,043	$1,043
PHYSICIAN SERVICES	900099	$6,328	$6,328

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$134,085	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$39,378,109	TotalRevenueColumnAmt
Related Or Exempt Func Income	$39,359,496	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$17,863	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,216,728	TotalAmt
Management And General	$1,216,728	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$17,331,339	TotalAmt
Program Services	$16,276,392	ProgramServicesAmt
Management And General	$1,054,947	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$497,224	TotalAmt
Program Services	$402,694	ProgramServicesAmt
Management And General	$94,530	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,956,161	TotalAmt
Program Services	$3,323,175	ProgramServicesAmt
Management And General	$632,986	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,462,152	TotalAmt
Program Services	$1,242,829	ProgramServicesAmt
Management And General	$219,323	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$31,703	TotalAmt
Program Services	$5,260	ProgramServicesAmt
Management And General	$26,443	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$3,046	TotalAmt
Program Services	$2,498	ProgramServicesAmt
Management And General	$548	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,949,434	TotalAmt
Program Services	$560,392	ProgramServicesAmt
Management And General	$2,389,042	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$121,779	TotalAmt
Program Services	$22,528	ProgramServicesAmt
Management And General	$99,251	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$899,316	TotalAmt
Program Services	$728,446	ProgramServicesAmt
Management And General	$170,870	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,068,727	TotalAmt
Program Services	$865,669	ProgramServicesAmt
Management And General	$203,058	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,447,435	TotalAmt
Program Services	$2,307,931	ProgramServicesAmt
Management And General	$139,504	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$184,607	TotalAmt
Program Services	$157,836	ProgramServicesAmt
Management And General	$26,771	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$34,823	TotalAmt
Program Services	$28,244	ProgramServicesAmt
Management And General	$6,579	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$347,440	TotalAmt
Program Services	$281,426	ProgramServicesAmt
Management And General	$66,014	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,475,543	TotalAmt
Program Services	$1,195,190	ProgramServicesAmt
Management And General	$280,353	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$268,031	TotalAmt
Program Services	$229,351	ProgramServicesAmt
Management And General	$38,680	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
NURSING SUPPLIES	$2,119,648	$2,119,648
BAD DEBT	$1,065,506	$1,065,506
MEMBERSHIP DUES	$122,051	$96,651	$25,400

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$37,602,693	TotalAmt
Program Services	$30,911,666	ProgramServicesAmt
Management And General	$6,691,027	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,714	BOYAmt
EOY	$2,714	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$7,558,144	BOYAmt
EOY	$8,097,827	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$6,129,559	BOYAmt
EOY	$6,470,861	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$267,660	BOYAmt
EOY	$228,165	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$991,132	BOYAmt
EOY	$747,149	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$32,713,038	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$21,215,738	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$11,754,377	BOYAmt
EOY	$11,497,300	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,004,270	BOYAmt
EOY	$3,000,601	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,216,398	BOYAmt
EOY	$1,064,721	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,924,254	BOYAmt
EOY	$31,109,338	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$4,209,693	BOYAmt
EOY	$3,638,676	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,980,000	BOYAmt
EOY	$14,365,000	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$3,000,000	BOYAmt
EOY	$3,000,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,382,956	BOYAmt
EOY	$781,410	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$23,572,649	BOYAmt
EOY	$21,785,086	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,351,605	BOYAmt
EOY	$9,324,252	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$7,351,605	BOYAmt
EOY	$9,324,252	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$30,924,254	BOYAmt
EOY	$31,109,338	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,775,416	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	$197,231	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	false	DirectContactLegislatorsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$3,635	OtherActivitiesAmt
Total Lobbying Expenditures	$3,635	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1i Description of the Activities reported on lines 1A through 1I	FormAndLineReferenceDesc
Explanation	Line 1I Represents the portion of membership association dues allocated to lobbying activities by the respective association.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	$602,474	InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis	$2,210,845	OtherCostOrOtherBasisAmt
Book Value	$2,813,319	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,095,871	OtherCostOrOtherBasisAmt
Depreciation	$11,488,938	DepreciationAmt
Book Value	$3,606,933	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,380,260	OtherCostOrOtherBasisAmt
Depreciation	$9,726,800	DepreciationAmt
Book Value	$4,653,460	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$423,588	OtherCostOrOtherBasisAmt
Book Value	$423,588	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$11,497,300	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Estimated Third-party settlements	$25,188
Interest Rate Swap Liability	$724,745
Capital Lease Obligation	$31,477

Field	Value	IRS element (for citing)
Total Liability	$781,410	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$39,575,340	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$197,231	OtherRevenueAmt
Revenue Not Reported	$197,231	RevenueNotReportedAmt
Revenue Subtotal	$39,378,109	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$39,378,109	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$37,602,693	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$37,602,693	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$37,602,693	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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 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, 2015 and 2014.

Schedule D, Part XI, Line 2(d) Other revenues in audited financial statements not in form 990

CHANGE IN INTEREST RATE SWAP - 197231

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent400	Yes (X)	Percent400Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$204,838	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$204,838	NetCommunityBenefitExpnsAmt
Total Expense	0.0056	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,726,708	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,455,811	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,270,897	NetCommunityBenefitExpnsAmt
Total Expense	0.0895	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$4,931,546	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,455,811	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,475,735	NetCommunityBenefitExpnsAmt
Total Expense	0.0951	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$62,044	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$50,599	NetCommunityBenefitExpnsAmt
Total Expense	0.0014	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$243,699	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$111,321	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$132,378	NetCommunityBenefitExpnsAmt
Total Expense	0.0036	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$113,342	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$113,342	NetCommunityBenefitExpnsAmt
Total Expense	0.0031	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,900	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,900	NetCommunityBenefitExpnsAmt
Total Expense	0.0001	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$422,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$122,766	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$300,219	NetCommunityBenefitExpnsAmt
Total Expense	0.0082	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$5,354,531	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,578,577	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,775,954	NetCommunityBenefitExpnsAmt
Total Expense	0.1033	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$1,065,506	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$12,496,245	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$13,188,637	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$692,392	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	REHABILITATION HOSPITAL OF INDIANA	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4141 Shore Drive	AddressLine1Txt
City	Indianapolis	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46254	ZIPCd

Field	Value	IRS element (for citing)
Website Address	www.rhin.com	WebsiteAddressTxt
State License	13-005971-1	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
Other	Acute Rehabilitation	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	REHABILITATION HOSPITAL OF INDIANA	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	false	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	http://rhin.com/wp-content/files_mf/2015communityhealthneedsassessment.pdf	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	http://rhin.com/wp-content/files_mf/20162018rhiimplementationstrategies.pdf	StrategyWebsiteURLTxt
Strategy Attached	false	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	400.0	FPGFamilyIncmLmtDscntCarePct
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	http://rhin.com/wp-content/uploads/2012/12/PFS-Financail-Assistance-Poliy-3-06.pdf	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	http://rhin.com/wp-content/uploads/2012/12/PFS-Financail-Assistance-Poliy-3-06.pdf	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	http://rhin.com/wp-content/uploads/2012/12/PFS-Financail-Assistance-Poliy-3-06.pdf	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	false	NondisEmergencyCarePolicyInd
No Emergency Care	Yes (X)	NoEmergencyCareInd
Other Reason	Yes (X)	OtherReasonInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - REHABILITATION HOSPITAL OF INDIANA, INC.. 2012 CHNA. The approach to gathering qualitative data for the CHNA consisted of a multicomponent approach to identify and verify community health needs. This included hosting multiple one and a half hour to two hour community conversation focus groups with public health officials and community leaders to discuss the healthcare needs of the service area as well as surveying the community at large. Local leaders with a stake in the Marion County community's health were invited to attend focus group sessions held at IU Health affiliate hospitals to discuss the needs. Attendees who participated in the focus groups are listed below: Cynthia Stone, Associate Professor IU School of Public Health Orion Bell, President & CEO CICOA Aging and In-Home Solutions Paul Pfaff, Director IU Health Enrollment Center Molly Chavers, Executive Director, Indy Hub Chuck Brandenburg, Director of Special Projects and Grants, United Way Stacey Chappell, Health Promotions Coordinator, HealthNet Dr. Larry Reed, Director, IU Health Riley Hospital Trauma Katie Jones Director, Violence Prevention Program, Indiana State Department of Health Morgan McGill, Director, Office of Women's Health Dr. Jay Gladden, Dean, IUPUI School of Physical Education and Tourism Management Mary McKee, Director, Public Health Practice, Marion County Public Health Department Joanne Pope, Manager, After School and Summer Programs, Indy Parks Jenny Boyts, Community Coordinator, Challenge Foundation Academy Charlie Schlegal, Principal, Challenge Foundation Academy 2015 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. Additionally, a two-hour focus group consisting of public health officials and representatives of medically underserved groups was conducted on May 15th, 2015 at Saint Paul Episcopal Church. Focus group facilitators sent email invites, mailed letters and made follow up telephone calls, paying special attention to including organizations that represent the interest of low-income, minority and uninsured individuals. Attendees who participated in the focus group include key stakeholders representing: * All Senior Citizens Connect * Anthem * Clinical Translational Sciences Institute * Coburn Place * Community Alliance of the Far Eastside * Community Health Network * Domestic Violence Network * Families First * Father and Families * Immigrant Welcome Center * Indianapolis Housing * Julian Center * Life's TouchHome Health * Mapleton-Fall Creek Development Corporation * Marion County Public Health Department * Marion County Prosecutor's Office * Martindale Brightwood Community Development Corporation * Phalen Leadership Academies * Repucare Incorporated * St. Francis Hospital * St. Vincent Hospital * Survivors of Violence 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 2012 CHNA WAS CONDUCTED WITH INDIANA UNIVERSITY HEALTH. The 2015 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.
Schedule H, Part V, Section B, Line 22 Facility , 1	Facility , 1 - REHABILITATON HOSPITAL OF INDIANA, INC.. THE HOSPITAL LIMITS THE AMOUNTS CHARGED TO FAP ELIGIBLE INDIVIDUALS. FAP ELIGIBLE INDIVIDUALS WILL NOT BE CHARGED MORE THAN THE AMOUNTS GENERALLY BILLED (AGB) TO THOSE INDIVIDUALS WHO DO HAVE INSURANCE. THE AGB IS CALCULATED BASED ON THE LOOK-BACK METHOD FOR PAYERS INCLUDING MEDICARE FEE FOR SERVICES ALONG WITH ALL PRIVATE HEALTH INSURERS.

Field	Value	IRS element (for citing)
Facility	0	FacilityNum

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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 As part of our ongoing focus on providing patients, caregivers and the community with educational tools and resources for better health and wellness, RHI hosts an annual "Health and Wellness Fair". This event is held in May to spotlight National Stroke Awareness Month, increasing awareness and assisting individuals to better understand the signs and symptoms of stroke. Individual screenings including glucose testing, cholesterol, BMI, blood pressure and balance/flexibility screenings are performed with results provided for use in follow-up with the individual's health care provider. RHI partners with IU Health to participate in the INShape Indiana Black and Minority Health Fair. As part of our involvement, we provide health screenings, education and resources that help community participants attain, maintain and live a healthy lifestyle and reduce their risk of chronic diseases. RHI partners with a number of local hospital and health care providers to co-sponsor the "Strike Out Stroke" events. RHI participated in IU Health's "Veggies and Vaccines" by administering free flu vaccinations to community residents at Churchman Woods Apartments on the south side of Indianapolis. Through this partnership, RHI is able to deliver on its goal of improving access to healthcare services to vulnerable populations in underserved areas within Marion County. Obesity prevention RHI collaborates with IU Health, IPS school officials, and several local organizations on the IUH Day of Service. The focus of this day is on building better health by improving public assets that encourage healthy living and obesity prevention. Volunteers spend the day working at Jonathan Jennings Elementary School #109 to improve grounds and install new fitness areas. IN 2015 RHI revitalized a quarter mile fitness track and enhanced the school grounds, positively impacting the needs of our community by increasing access of places to get physically fit. Prior year RHI volunteer activities include enhancing Marion County community park assets, thereby making recreation more appealing and exercise at these parks safer. RHI Sports Program's 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 participants' overall physical fitness and self-confidence while decreasing feelings of isolation and helplessness. RHI partnered with IU Health and IPS to provide free sports physicals to low income students at Arsenal Tech High School, allowing them to be physically active and able to participate in organized sports. Behavioral health In collaboration with Mental Health of America Greater Indianapolis, RHI sponsored Mental Health First Aid scholarships for Marion County government employees and non-for-profit case managers and staff. Scholarship recipients received training to recognize the potential risk factors and warning signs for a range of mental health problems, and how to provide guidance for those undergoing crisis to receive the necessary resources, support and treatments to achieve recovery.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	1065506
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	THE COST TO CHARGE RATIO BASED ON WORKSHEET 2 WAS USED TO CALCULATE THE AMOUNTS REPORTED ON LINES A-D. LINES E-J ARE REPORTED BASED ON ACTUAL COSTS INCURRED.
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 2015 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: http://rhin.com/wp-content/uploads/2012/12/PFS-Financail-Assistance-Poliy-3-06.pdf;
Schedule H, Part V, Section B, Line 16b FAP Application website	- REHABILITATION HOSPITAL OF INDIANA: Line 16b URL: http://rhin.com/wp-content/uploads/2012/12/PFS-Financail-Assistance-Poliy-3-06.pdf;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- REHABILITATION HOSPITAL OF INDIANA: Line 16c URL: http://rhin.com/wp-content/uploads/2012/12/PFS-Financail-Assistance-Poliy-3-06.pdf;
Schedule H, Part VI, Line 2 Needs assessment	Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B: 2012 CHNA: RHI completed the Community Health Needs Assessment in conjunction with our majority owner/member hospital (Indiana University Health). RHI's Primary Service Area (PSA) is Marion County. The areas of need that were identified from this PSA by the Needs Assessment were : Obesity, Access to Care, Mental Health, Prenatal Care and Tobacco Use. RHI determined that we could impact 3 of these areas of need. The three areas chosen by RHI were: Obesity, Access to Care and Mental Health Needs. The implementation strategy is a plan which addresses how RHI will contribute to each of these three community health needs. RHI also evaluates the hospital's accessibility on an annual basis via an Annual Accessibility Study. This plan includes actions to further the intent of creating accessible facilities, programs and communities for persons with disabilities. In addition, RHI attempts to address the needs of people with disabilities through treatment programs and services, community programming and community awareness. The plan was developed with input from persons served, support group input, clinical outcomes data, satisfaction surveys, RHI personnel using suggestions and input from community involvement and other stakeholders. 2015 CHNA: The 2015 Community Health Needs Assessment (CHNA) was conducted as a collaborative effort involving RHI, IU Health, Community Health Network, Franciscan Alliance and St. Vincent Health. In order to identify the community's leading health needs, both quantitative and qualitative data was utilized. Quantitative analyses assessed the health needs of the population through data abstraction. This data was supplemented with qualitative information to provide a full picture of the community's health and health needs. For this CHNA, qualitative data were gathered from responses collected online and through the distribution of hard copy surveys to members of the public, and a focus group with health leaders and public health experts. The Hanlon Method was utilized to set priorities and RHI utilized the rankings along with the Hospital's ability to impact change to select the below community health needs as priority areas: 1. Access to Healthcare 2. Nutrition and Healthy Weight 3. Behavioral Health and Substance Abuse 4. Community Revitalization These four community health needs are identified in RHI's Implementation Strategy and the hospital is committed to addressing these identified needs during the course of 2016-2018.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization's financial assistance policy: 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 discharge planner will work with the patient in completing the financial assistance application. Patients are informed again of financial assistance during the discharge process by the discharge planners. The discharge planners 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	Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves: RHI serves adolescents through adults with physical and cognitive disabilities primarily from 100-mile radius of RHI but catchment area normally includes all 92 Indiana counties and surrounding states. RHI offers services for inpatient for 91 beds and 3 outpatient locations. One location is located within the hospital and two offices conveniently located at separate locations. RHI's core services are structured through specialized units. By doing so, a rehabilitative environment is created that fosters progressive leadership, innovation and quality that will lead to preeminent patient care and outcomes. RHI's main services include but not limited to Stroke Rehabilitation, Brain and Spinal Cord injury, Multiple Trauma Rehabilitation and Orthopedic Rehabilitation. This section identifies the community assessed by IU Health/RHI. The community where Rehabilitation Hospital of Indiana is located. The secondary service area (SSA) is comprised of eight counties contiguous to Marion County and consisting of 1% or more of RHI's inpatient population. 57 remaining counties throughout Indiana make up the reminder of the community's total service area. In 2013, Rehabilitation Hospital of Indiana PSA included 567 discharges and its SSA, 354 discharges. The community was defined based on the geographic origins of Rehabilitation Hospital of Indiana. Of the hospital's inpatient discharges, approximately 47% originated from the PSA and 30% from the SSA (source RHI). Rehabilitation Hospital of Indiana is located in Marion County, in central Indiana. Marion County includes ZIP codes within the towns of Beech Grove, Indianapolis, Lawrence, Southport, and Speedway plus portions of Plainfield, which extends into Hendricks County. Based on the Census Bureau data for 2012, Marion County's population is 911,296 and 54% are female. The county's population estimates by race are 59.5% White non-Hispanic, 26.4% Black non-Hispanic, 9.3% Hispanic or Latino, 2.0% Asian, 0.5% American Indian or Alaska Native, and 2.2% persons reporting two or more races. Marion County has relatively moderate levels of educational attainment. Among adults age 25 and up, 81.6% in the county have a high school diploma or equivalent. A small share, 5.6%, has an associate's degree and 21% have some college but no degree. Just over one-quarter of adults over 25 (25.4%) have a bachelor's degree or higher. Within the entire service area, the total population for the PSA is 911,296 and the total population for surrounding counties 945,491, for a combined total of 1,856,797.
Schedule H, Part VI, Line 5 Promotion of community health	Provide any other information important to describing how the organization's hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.): RHI continues to forge positive relationships with all referral sources to identify access challenges and improvement. RHI also provides monthly support groups for patients and families including a Stroke Support Group held on the main campus; a Brain Injury Support Group on the main campus and at NRC; and a Stroke Care Givers Support Group on the main campus. RHI provides the support groups with a meeting room, one staff member's time and refreshments at no cost to the patients and families attending. There are two Stroke Support Groups offered at RHI. One group is to teach individuals recovering from a stroke coping skills. The second Stroke Support Group is to provide training to families and loved ones of the recovering stroke patient. The groups meet monthly on the main hospital campus. The Brain Injury Support Group teaches survivors of brain injury and their family and caregivers through pertinent situations, goal setting and providing information about return to work. Apart from the monthly meetings, social gatherings meet to decrease social loneliness and increase support in the community. RHI believes support groups provide its attendees with coping skills while promoting the health of the community it serves. The support groups encourage the communication among victims and/or family members with those who have sustained a similar injury and have returned to the community. RHI also provided an aquatics wellness program for individuals within the community. This program benefits members of the community such as individuals with arthritis and women during pregnancy. The water allows them to exercise under conditions that they normally would not be able to exercise. This program collects a small fee to offset a small portion of the cost of the program. Every Tuesday and Thursday evenings, RHI offers a Community Fitness Program by making the therapy gym available to all members of the community that have a physical disability. RHI recognizes that an individual with physical disability needs to continue a healthy life style by exercising which may require the need of specialized equipment. One or two RHI volunteers who are licensed therapists supervise the Community Fitness Program. RHI staff volunteers their time to provide supervision for the program, which is at no cost to the attendees. RHI recognizes that medical rehabilitation is a complex, interdisciplinary system of inpatient and outpatient therapies that is part of more complex system that includes emergent and acute care following catastrophic illness or injury as well as networks that provide long-term services and support. This system and its components provide opportunities for a broad diversity of applied research studies. The targets of current research at RHI range from interventions to reduce disability to a way to better measure rehabilitation effectiveness to leading edge methods to evaluate patients and maximize their outcomes. An Overview of the Research RHI conducts includes Identifying medications that enhance recovery following brain injury; Identifying commonly prescribed medications following brain injury that may have adverse effects on recovery; Evaluating the effectiveness of group therapy for patients and families to improve coping skills ; Improving return to work rates by developing networks of community services; Studying outcomes (community reintegration, well-being, and life satisfaction). As we continue to grow as a rehabilitation hospital and leader in medicine and research development, RHI invites physicians to contact us about patients that could be eligible for rehabilitation and participation in our studies and medical advancement. The partnership between RHI and physicians is important in the continual effort to support and provide the best care for the patient. RHI has made various donations throughout the year to groups supporting the needs of the community.
Schedule H, Part VI, Line 6 Affiliated health care system	RHI is owned by two major health systems, Indiana University Health (IUH) and St. Vincent Health. IUH is the majority owner of RHI. RHI works primarily with the IUH system on various activities to address the community needs.
Schedule H, Part VI, Line 7 State filing of community benefit report	IN

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DANIEL WOLOSZYN
CEO	$301,831	$0	$44,715	$0	$12,509	$0	$10,623	$0	$24,587	$0	$394,265	$0	$0	$0
MONTE M SPENCE
COO	$180,731	$0	$17,180	$0	$9,903	$0	$6,691	$0	$24,204	$0	$238,709	$0	$0	$0
Marjorie Basey
CFO	$142,448	$0	$11,200	$0	$2,868	$0	$4,830	$0	$8,006	$0	$169,352	$0	$0	$0
DEBRA CORDES
CHIEF NURSING OFFICER	$143,579	$0	$12,652	$0	$689	$0	$6,063	$0	$0	$0	$162,983	$0	$0	$0
LANCE E TREXLER
DIR OF NEUROREHAB PSYCHOLOGY	$155,184	$0	$0	$0	$831	$0	$5,394	$0	$24,587	$0	$185,996	$0	$0	$0
GARY SKINNER
Director	$145,540	$0	$0	$0	$2,802	$0	$5,568	$0	$5,811	$0	$159,721	$0	$0	$0
MARY ESCALANTE
Pharmacist	$135,166	$0	$0	$0	$2,702	$0	$5,814	$0	$18,173	$0	$161,855	$0	$0	$0

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	INDIANA FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	351602316	BondIssuerEIN
CUSIP	45471AEQ1	CUSIPNum
Bond Issued	2011-11-10	BondIssuedDt
Issue Price	$16,420,000	IssuePriceAmt
Purpose	SEE SCHEDULE K PART VI	PurposeDesc
Defeased	false	DefeasedInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Pool Financing	false	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$615,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$16,420,842	TotalProceedsAmt
In Reserve Fund	$0	InReserveFundAmt
Capitalized Interest	$0	CapitalizedInterestAmt
Refunding Escrow	$0	RefundingEscrowAmt
Issuance Costs From Proceeds	$316,503	IssuanceCostsFromProceedsAmt
Credit Enhancement	$0	CreditEnhancementAmt
Working Capital Expenditures	$0	WorkingCapitalExpendituresAmt
Capital Expenditures	$3,917,537	CapitalExpendituresAmt
Other Spent Proceeds	$11,900,000	OtherSpentProceedsAmt
Unspent	$286,802	UnspentAmt
Current Refunding	Yes (true)	CurrentRefundingInd
Advance Refunding	false	AdvanceRefundingInd
Final Allocation Made	false	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (true)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	false	OwningBondFinancedPropertyInd
Any Lease Arrangements	Yes (true)	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (true)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	false	EngageBondCounselContractsInd
Any Research Agreements	false	AnyResearchAgreementsInd
Private Bus Use By Others	0.0066	PrivateBusUseByOthersPct
Total Private Business Use	0.0066	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	Yes (true)	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	false	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	Yes (true)	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	false	Form8038TFiledInd
Rebate Not Due Yet	Yes (true)	RebateNotDueYetInd
Variable Rate Issue	Yes (true)	VariableRateIssueInd
Hedge Identified In Bks And Rec	false	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	false	GrossProceedsInvestedInGICInd
Regulatory Safe Harbor Stsfd	false	RegulatorySafeHarborStsfdInd
Gross Proceeds Invested	false	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	Yes (true)	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (true)	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part III, Line 3a Private Business Use	ANY MANAGEMENT AGREEMENTS DO NOT 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 II, Line 3 Total proceeds of issue	ISSUE PRICE: $16,420,000 EARNINGS: $842 TOTAL PROCEEDS: $16,420,842 $842 represents interest income
Schedule K, Part III, Line 9 Written Procedures	The organization adopted written procedures in 2014. The organizaiton 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 ISSUED 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.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSION (CONTINUED FROM PART III, LINE 1)	RHI WILL ACHIEVE THIS VISION THROUGH THE FOLLOWING: ACHIEVING IN SUPERIOR PATIENT OUTCOMES; EMBRACING INNOVATIVE TREATMENT METHODS; RECRUITING OUTSTANDING CLINICAL EXPERTISE; TRAINING THE NEXT GENERATION OF REHABILITATION PROFESSIONALS; SEEKING PARTNERSHIPS WITH OTHER COMMUNITY MEMBERS WHO SERVE OUR PATIENT POPULATION; AND PROVIDING A LIFETIME CONTINUUM OF SERVICES FOR OUR PATIENTS. RHI'S VALUES INCLUDE: INTEGRITY: TREATING EACH INDIVIDUAL WITH DIGNITY AND RESPECT; INNOVATION: PIONEERING IN RESEARCH LEADING TO BETTER OUTCOMES; COMPASSION: PROVIDING AN EMPATHETIC AND HEALING ENVIRONMENT; TEAMWORK: EMPOWERING EMPLOYEES; AND SERVICE: PROVIDING COMMUNITY OUTREACH AND ADVOCACY FOR INDIVIDUALS WITH DISABILITIES THROUGH OUR STAFF, PHYSICIANS, AND THE RHI FOUNDATION. RHI OPERATES A 91 BED, FREESTANDING SPECIALTY MEDICAL REHABILITATION HOSPITAL LOCATED IN INDIANAPOLIS, INDIANA. THE HOSPITAL PROVIDES SHORT-TERM, COMPREHENSIVE REHABILITATION SERVICES TO PATIENTS, AND ITS PROGRAMS ARE DESIGNED TO RESTORE PHYSICAL, COGNITIVE AND PSYCHOSOCIAL FUNCTIONS FOLLOWING AN INCIDENT OF ACUTE ILLNESS OR TRAUMA. INPATIENT AND OUTPATIENT THERAPY AND SUPPORT SERVICES PROVIDED BY RHI INCLUDE PHYSICAL AND OCCUPATIONAL THERAPY, SPEECH THERAPY, RECREATIONAL THERAPY, ACTIVITIES OF DAILY LIVING, REHABILITATION NURSING, PSYCHOLOGY, SOCIAL SERVICES AND COGNITIVE RETRAINING, AND SUB ACUTE SERVICES REGARDLESS OF AN INDIVIDUAL'S ABILITY TO PAY. THE HOSPITAL PROVIDES FREE AND/OR DISCOUNTED CARE TO THOSE WHO QUALIFY ACCORDING TO RHI'S POLICY. RHI VERIFIES AND COLLECTS FINANCIAL RESOURCE INFORMATION ON EACH PATIENT IN A MANNER THAT PROTECTS EACH PATIENT'S DIGNITY AND QUALITY OF LIFE. NO PATIENT'S ADMISSION IS DENIED DUE TO A PATIENT'S INABILITY TO SETTLE THEIR ACCOUNT. ANY PATIENT WHO WISHES TO BE CONSIDERED FOR CHARITY CARE FURNISHES THE HOSPITAL WITH THE REQUIRED FINANCIAL DOCUMENTATION WHICH THE HOSPITAL USES TO DETERMINE WHETHER HE/SHE QUALIFIED. PATIENTS WHO APPLY FOR AND ARE ELIGIBLE FOR CHARITY CARE GENERALLY ARE APPROVED DURING THE ADMISSION PROCESS, HOWEVER, A PATIENT CAN APPLY FOR CHARITY AT ANY TIME. MEDICAID ELIGIBILITY IS ALSO EVALUATED PRIOR TO THE ADMISSION PROCESS. IF A PATIENT APPEARS TO BE ELIGIBLE FOR ASSISTANCE UNDER A GOVERNMENTAL PROGRAM SUCH AS MEDICAID, RHI ASSISTS THE PATIENT WITH THIS PROCESS. THE HOSPITAL PROVIDES MANY SUPPORT GROUPS THAT BENEFIT AND PROMOTE THE HEALTH OF THE COMMUNITY IT SERVES. SOME OF THESE GROUPS INCLUDE THE STROKE SURVIVOR SUPPORT GROUP, THE STROKE CAREGIVER SUPPORT GROUP AND THE BRAIN INJURY SUPPORT GROUP, WHICH ALL ENCOURAGE COMMUNICATION BETWEEN PATIENTS AND/OR FAMILY MEMBERS WITH THOSE WHO HAVE SUSTAINED A SIMILAR INJURY AND HAVE RETURNED TO THE COMMUNITY. RHI ALSO OFFERS VOCATIONAL REHABILITATION SUPPORT WHICH PROVIDES SEVERAL SERVICES, AMONG THEM PRE-VOCATIONAL COUNSELING AND CONNECTIONS TO OTHER AGENCIES THAT PROVIDE ASSISTANCE IN RETURNING TO WORK OR SCHOOL. RHI PROVIDES TRANSPORTATION SERVICES TO THOSE RHI OUTPATIENTS THAT NEEDED ASSISTANCE IN GETTING TO AND FROM THEIR THERAPY APPOINTMENTS. RHI ALSO PROVIDES AN AQUATICS WELLNESS PROGRAM FOR INDIVIDUALS WITHIN THE COMMUNITY. RHI ENCOURAGES AND PROMOTES EDUCATION BY OFFERING INTERNS AND MEDICAL RESIDENTS THE OPPORTUNITY TO LEARN THEIR SPECIALIZED INTEREST OF STUDY. MEDICAL RESIDENTS ARE PLACED IN POSITIONS WHERE THEY CAN LEARN AND GROW AS THEY WORK TOWARD COMPLETING THEIR RESIDENCY PROGRAM.
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 2,207,241 including grants of $)(Revenue $ 1,035,393) 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 1a Delegate broad authority to a committee	The Executive Committee, if any, shall be comprised of the Officers of the Board of Directors, and the Chief Executive Officer, Ex-Officio. The Chairman of the Executive Committee shall be the Chairman of the Board of Directors. The Executive Committee, if any, shall meet at the times and places as shall be determined by the Chairman. When action is taken by the Executive Committee, the action will be reported to the Board of Directors at its next meeting. The Executive Committee, if any, shall have the power to transact all regular business of the Corporation during the period between meetings so the Board of Directors, subject to any prior limitation imposed by the Board of Directors, except that, in accordance with Indiana law, the Executive Committee, if any, may not authorize distributions or fill vacancies on the Board of Directors or on any committee of the Board of Directors.
Form 990, Part VI, Line 6 Classes of members or stockholders	The Not-for-profit corporations St. Vincent Health, Inc. and MH Healthcare are the corporate members of RHI. There are 2 classes of membership: Class A and Class B. The class A member is St. Vincent Health and the class B member is MH Healthcare.
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, MH Healthcare, 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. This process was undertaken in 2012 with the hiring of the CEO was carried forward into 2015.
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 XI, Line 9 Other changes in net assets or fund balances	CHANGE IN SWAP FAIR VALUE - 197231;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	RHI FOUNDATION INC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	4141 SHORE DRIVE	AddressLine1Txt
City	INDIANAPOLIS	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	46254	ZIPCd

Field	Value	IRS element (for citing)
EIN	351932349	EIN
Primary Activities	TO SUPPORT REHABILITATION HOSPITAL OF INDIANA	PrimaryActivitiesTxt
Legal Domicile State	IN	LegalDomicileStateCd
Exempt Code Section	501(c)(3	ExemptCodeSectionTxt
Public Charity Status	Type I	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	REHABILITATION HOSPITAL OF INDIANA INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Controlled Organization	Yes (true)	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	false	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (true)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (true)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	false	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
RHI FOUNDATION INC
O	$168,968	ALLOCATON
RHI FOUNDATION INC
N	$355,183	ALLOCATION