REHABILITATION HOSPITAL OF INDIANA INC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: REHABILITATION HOSPITAL OF INDIANA INC (EIN 35-1786005)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-05
IRS object ID: 201513099349300101
Schema version: 2014v5.0
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 B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule K
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-05T01:00:23-06:00	ReturnTs
Tax Period End	2014-12-31	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	3815 River Crossing Parkway	AddressLine1Txt
Address Line2	Suite 300	AddressLine2Txt
City	Indianapolis	CityNm
State Abbreviation	IN	StateAbbreviationCd
ZIP	462400977	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	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	2015-11-04	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	3175698989	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-03-07 17:11:31Z	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	$37,152,792	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	473	TotalEmployeeCnt
Total Volunteers	68	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$26,779	PYContributionsGrantsAmt
CY Contributions Grants	$50,199	CYContributionsGrantsAmt
PY Program Service Revenue	$40,059,905	PYProgramServiceRevenueAmt
CY Program Service Revenue	$36,957,093	CYProgramServiceRevenueAmt
PY Investment Income	$7,555	PYInvestmentIncomeAmt
CY Investment Income	$10,057	CYInvestmentIncomeAmt
PY Other Revenue	$188,398	PYOtherRevenueAmt
CY Other Revenue	$135,443	CYOtherRevenueAmt
PY Total Revenue	$40,282,637	PYTotalRevenueAmt
CY Total Revenue	$37,152,792	CYTotalRevenueAmt
PY Grants And Similar Paid	$4,975	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$26,797,203	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$24,237,481	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$12,329,969	PYOtherExpensesAmt
CY Other Expenses	$11,824,878	CYOtherExpensesAmt
PY Total Expenses	$39,132,147	PYTotalExpensesAmt
CY Total Expenses	$36,062,359	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,150,490	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,090,433	CYRevenuesLessExpensesAmt
Total Assets BOY	$31,818,920	TotalAssetsBOYAmt
Total Assets EOY	$30,924,254	TotalAssetsEOYAmt
Total Liabilities BOY	$25,735,996	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$23,572,649	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$6,082,924	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$7,351,605	NetAssetsOrFundBalancesEOYAmt
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	$11,498,555	ExpenseAmt
Revenue	$15,022,916	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	$10,051,798	ExpenseAmt
Revenue	$13,754,064	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	$7,207,088	ExpenseAmt
Revenue	$7,545,347	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	$1,856,151	ExpenseAmt
Revenue	$764,487	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	$1,856,151	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$764,487	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$30,613,592	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
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	Yes (true)	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	80	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	473	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
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
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 (16 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL NIEMEIER
CHAIRMAN OF THE BOARD	1.00	Yes (X)	Yes (X)	$0	$0	$0
Ian Worden
CHAIRMAN OF THE BOARD (TERM ENDED 6/2014)	1.00	Yes (X)	Yes (X)	$0	$0	$0
DAWN DAVIDSON
VICE CHAIR (TERM STARTED 8/29/2014)	1.00	Yes (X)	Yes (X)	$0	$0	$0
JAMES TERWILLIGER
VICE CHAIR/SECRETARY (TERM ENDED MARCH 2014)	1.00	Yes (X)	Yes (X)	$0	$0	$0
Marvin White
Treasurer (TERM ENDED MARCH 2014)	1.00	Yes (X)	Yes (X)	$0	$0	$0
JONATHAN CURTRIGHT
BOARD MEMBER (TERM STARTED 7/1/2014)	1.00	Yes (X)		$0	$0	$0
MIKE MULLINS
BOARD MEMBER (TERM STARTED 8/28/2014)	1.00	Yes (X)		$0	$0	$0
JOHNATHAN NALLI
BOARD MEMBER (6/1/2014-6/30/2014)	1.00	Yes (X)		$0	$0	$0
DANIEL WOLOSZYN
CEO	40.00		Yes (X)	$348,763	$0	$31,043
Marjorie Basey
CFO	40.00		Yes (X)	$132,176	$0	$17,345
MONTE M SPENCE
COO	40.00			$192,712	$0	$28,825	Yes (X)
DEBRA CORDES
CHIEF NURSING OFFICER	40.00			$143,777	$0	$5,217		Yes (X)
LANCE E TREXLER
DIR OF NEUROREHAB PSYCHOLOGY	40.00			$145,685	$0	$30,268		Yes (X)
Gary Skinner
Director	40.00			$127,692	$0	$11,061		Yes (X)
Joni Brown
Exec Dir Human Resources	40.00			$120,763	$0	$18,576		Yes (X)
NEIL PATEL
PHARMACIST	40.00			$119,867	$0	$29,208		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,331,435	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$171,543	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	22	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	$1,110,680
CERNER CORPORATION
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64117	COMPUTER SERVICES	$896,088
UNIVERSITY OF PHYSIATRIC ASSOCIATES
541 N CLINICAL DRIVE CL 626	INDIANAPOLIS	IN	462025111	PHYSICIAN SERVICES	$627,903
INDIANA UNIVERSITY HEALTH INC
2201 RELIABLE PARKWAY	CHICAGO	IL	60685	LAB & BILLING SERVICES	$454,782
UNITED HOSPITAL SERVICES INC
DEPT 78756	DETROIT	MI	482780756	LAUNDRY AND LINEN SERVICES	$119,077	PO BOX 78000

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	6	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$30,199	RelatedOrganizationsAmt
Government Grants	$20,000	GovernmentGrantsAmt
Noncash Contributions	$30,199	NoncashContributionsAmt
Total Contributions	$50,199	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
Net Patient Service Revenue	621300	$35,720,301	$35,720,301
MANAGEMENT FEE	621110	$1,208,147	$1,208,147
Pharmacy Revenue	621300	$5,722		$5,722
RENT RELATED TO EXEMPT PURPOSE	531120	$22,923	$22,923

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	$36,957,093	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,525	TotalRevenueColumnAmt
Exclusion	$8,525	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	$1,532	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

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

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$1,532	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,532	TotalRevenueColumnAmt
Exclusion	$1,532	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA & VENDING	722210	$118,488	$118,488
REBATE REVENUE	900099	$7,109	$7,109
PHYSICIAN SERVICES	900099	$5,550	$5,550

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,296	TotalRevenueColumnAmt
Related Or Exempt Func Income	$4,296	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$135,443	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$37,152,792	TotalRevenueColumnAmt
Related Or Exempt Func Income	$37,086,814	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$15,779	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,164,016	TotalAmt
Management And General	$1,164,016	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$16,480,539	TotalAmt
Program Services	$14,657,564	ProgramServicesAmt
Management And General	$1,822,975	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$497,684	TotalAmt
Program Services	$390,911	ProgramServicesAmt
Management And General	$106,773	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$4,666,447	TotalAmt
Program Services	$3,686,493	ProgramServicesAmt
Management And General	$979,954	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,428,795	TotalAmt
Program Services	$1,208,111	ProgramServicesAmt
Management And General	$220,684	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$1,720	TotalAmt
Program Services	$1,540	ProgramServicesAmt
Management And General	$180	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$133,560	TotalAmt
Program Services	$108,184	ProgramServicesAmt
Management And General	$25,376	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,244,456	TotalAmt
Program Services	$3,066,874	ProgramServicesAmt
Management And General	$177,582	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$65,102	TotalAmt
Management And General	$65,102	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,138,632	TotalAmt
Program Services	$1,074,545	ProgramServicesAmt
Management And General	$64,087	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$1,019,128	TotalAmt
Program Services	$825,494	ProgramServicesAmt
Management And General	$193,634	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,088,633	TotalAmt
Program Services	$881,793	ProgramServicesAmt
Management And General	$206,840	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$128,203	TotalAmt
Program Services	$103,845	ProgramServicesAmt
Management And General	$24,358	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$27,083	TotalAmt
Program Services	$12,507	ProgramServicesAmt
Management And General	$14,576	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$470,879	TotalAmt
Program Services	$423,791	ProgramServicesAmt
Management And General	$47,088	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,405,181	TotalAmt
Program Services	$1,138,197	ProgramServicesAmt
Management And General	$266,984	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$295,060	TotalAmt
Program Services	$238,999	ProgramServicesAmt
Management And General	$56,061	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
NURSING SUPPLIES	$2,031,618	$2,031,618
BAD DEBT	$763,126	$763,126
MISC MEMBERSHIP DUES	$12,497		$12,497

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	$36,062,359	TotalAmt
Program Services	$30,613,592	ProgramServicesAmt
Management And General	$5,448,767	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	$7,321,403	BOYAmt
EOY	$7,558,144	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$5,910,575	BOYAmt
EOY	$6,129,559	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$201,614	BOYAmt
EOY	$267,660	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,971,300	BOYAmt
EOY	$991,132	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$31,520,666	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$19,766,289	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$12,494,502	BOYAmt
EOY	$11,754,377	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,002,916	BOYAmt
EOY	$3,004,270	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	$913,896	BOYAmt
EOY	$1,216,398	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$31,818,920	BOYAmt
EOY	$30,924,254	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,677,246	BOYAmt
EOY	$4,209,693	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$15,550,000	BOYAmt
EOY	$14,980,000	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

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	$1,508,750	BOYAmt
EOY	$1,382,956	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$25,735,996	BOYAmt
EOY	$23,572,649	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,082,924	BOYAmt
EOY	$7,351,605	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,082,924	BOYAmt
EOY	$7,351,605	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$31,818,920	BOYAmt
EOY	$30,924,254	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,090,433	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$590	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$177,658	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 B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

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
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$4,545	OtherActivitiesAmt
Total Lobbying Expenditures	$4,545	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 1a 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	$1,904,165	OtherCostOrOtherBasisAmt
Book Value	$2,506,639	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$14,954,248	OtherCostOrOtherBasisAmt
Depreciation	$10,633,883	DepreciationAmt
Book Value	$4,320,365	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$401,697	OtherCostOrOtherBasisAmt
Depreciation	$260,090	DepreciationAmt
Book Value	$141,607	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,551,887	OtherCostOrOtherBasisAmt
Depreciation	$8,872,316	DepreciationAmt
Book Value	$4,679,571	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$106,195	OtherCostOrOtherBasisAmt
Book Value	$106,195	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$11,754,377	TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
Estimated Third-party settlements	$406,964
Interest Rate Swap Liability	$921,976
Capital Lease Obligation	$54,016

Field	Value	IRS element (for citing)
Total Liability	$1,382,956	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$37,331,040	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$590	NetUnrealizedGainsInvstAmt
Other Revenue	$177,658	OtherRevenueAmt
Revenue Not Reported	$178,248	RevenueNotReportedAmt
Revenue Subtotal	$37,152,792	RevenueSubtotalAmt
Other Revenues Not Included	$0	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$37,152,792	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$36,062,359	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	$0	OtherExpensesIncludedAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$36,062,359	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$36,062,359	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 is no longer subject to examination by U.S. federal taxing authorities for years before 2008 and for all state income taxes through 2009. 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, 2014 and 2013.

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

CHANGE IN INTEREST RATE SWAP - 177658

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	$525,595	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$525,595	NetCommunityBenefitExpnsAmt
Total Expense	0.0149	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,110,391	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$633,252	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,477,139	NetCommunityBenefitExpnsAmt
Total Expense	0.0418	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	$2,635,986	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$633,252	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,002,734	NetCommunityBenefitExpnsAmt
Total Expense	0.0567	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$52,417	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$11,445	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,972	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$244,506	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$133,419	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$111,087	NetCommunityBenefitExpnsAmt
Total Expense	0.0031	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	$91,128	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$91,128	NetCommunityBenefitExpnsAmt
Total Expense	0.0026	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,400	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,400	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	$390,451	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$144,864	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$245,587	NetCommunityBenefitExpnsAmt
Total Expense	0.0070	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$3,026,437	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$778,116	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,248,321	NetCommunityBenefitExpnsAmt
Total Expense	0.0637	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	false	BadDebtExpenseReportedInd
Bad Debt Expense	$762,450	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$10,859,842	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$11,935,601	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$1,075,759	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

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 Rehabiliation	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	12	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/category/news/rhi-news-events/rhi-report-to-the-community/	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	13	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	http://rhin.com/wp-content/uploads/2014/01/2013-RHI-Benefit-to-the-Community-Implementation-Stategy-	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	2.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	4.0	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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 App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
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 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 (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Rehabilitation Hospital of Indiana, Inc.. 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
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Rehabilitation Hospital of Indiana, Inc.. The CHNA was conducted with Indiana University Health.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Rehabilitation Hospital Of Indiana. RHI is a specialty provider of rehabilitation services such as physical, occupational and speech therapy. RHI Completed its community health needs assessment in conjunction with its majority owner/member hospital (Indiana university Health). Five needs were identified from the assessment including obesity, access to care, mental health, prenatal care and tobacco use. RHI determined three of the identified areas to address including access to care, obesity and mental health needs. Two needs identified in the CHNA, Tobacco use and prenatal care, are being undertaken by other Indiana University Health providers. ACCESS TO CARE has been addressed through several programs RHI sponsored or participated in with other organizations. RHI participated in a "Health and Wellness Fair - Stroke Awareness Month". The Health and Wellness Fair spotlighted National Stroke Awareness Month. The fair assisted individuals to better understand the signs and symptoms of stroke, prevention, and tools to assist individuals on stroke prevention, treatment and recovery. Individual screenings took place for use in follow-up with individual's health care provider. RHI has served as a host site for SRT Prosthetics & Orthotics Amputee Walking School. The Amputee Walking School is 100% FREE to any amputee (and their families), with or without a prosthesis. As a community service program, amputees are not required to be a patient of SRT. This program, presented by Dennis Oehler and Todd Schaffhauser, both are Paralympic champions in track and field events, enables individuals with disabilities to run, move from side-to-side, bend down, jump, climb stairs, and walk with confidence, by learning the dynamics of how the artificial devices work and how to use their muscles properly to control them. This leads to improve energy use and function. Collaboration between the presenters, and the physical therapist profession, is integral in this program. Connecting physical therapists from the Rehabilitation Hospital of Indiana and other facilities, including students, with Dennis and Todd provides a unique perspective of the capabilities of the prosthetic user. It also gives the therapists treatment ideas that can immediately be implemented with their patients. The therapists work with the participants on exercises for lower limb amputees of all ages and various levels of amputations. Treatment approaches for improved function and return to an active lifestyle are also presented. This includes instruction on advanced exercises and running techniques for above knee and below-knee amputees, with some participants actually running with their prosthesis for the first time. Staff from SRT, many are amputees themselves, also work with the participants. They provide guidance as well as first-hand experience with prostheses. RHI partnered with IUH in "IN-Shape Indiana Black and Minority Health Fair". The Theme for this year's Health Fair was "Be Active, Healthy and Happy!" It offered 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 51 blood pressure screenings with education on normal values and the importance of maintaining a healthy lifestyle. Total community participants on 7/17/14 was 250 (and 1,300 for entire 4 day event). CONTINUED AT SCHEDULE H, PART VI.
Schedule H, Part V, Section B, Line 21 Facility , 1	Facility , 1 - REHABILITATION HOSPITAL OF INDIANA. 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 - REHABILITATION 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	CONTINUED FROM SCHEDULE H, PART V, SECTION B, LINE 11: RHI partnered with Indiana Public Schools (IPS) for IPS School Physicals to provide free school physicals to low income students at Arsenal Tech High School. The goal of this program was to put together a team of physicians, nurses and advanced providers to help IPS student's access the physicals needed to safely participate in sports and encourage health activity. As a result of this collaboration, 421 students are now allowed to practice and stay active on their respective sports teams. RHI participated in "Indy Do Day" to help with "Operation Winter Ready". Operation Winter Ready is designed to provide much needed supplies to over 1,000 of our community's homeless individuals to help keep them warm, safe and healthier during the winter months. Volunteers assembled Winter Ready kits, which will include a blanket, gloves, socks, hat and hand warmers, as well as inspirational notes from neighborhood schools. The Indianapolis Metropolitan Police Department's Homeless Unit will then distribute the kits directly to the homeless camp locations, eliminating the challenges our homeless individuals face in accessing such critically needed items for winter survival. Veggies and Vaccines Partnered with IUH to administer free flu vaccinations at Churchman Woods Apartments on the Southside 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. RHI is supporting programs and initiative specifically aimed to: serve an identified community need, particularly in the areas of RHI outreach priorities. To Reduce health disparities or improve the quality of life for individuals living in their communities. To reach largely underserved communities (minorities, low-income, homeless and at-risk populations). To improve access to healthcare RHI hosted flu shot clinics in October and November of 2014 at its main hospital in Marion County. To address the need of obesity, RHI partnered with IU Health on a Community Day of Service aimed at engaging RHI team members in activities that address identified community outreach priority. In response to the need for more physical activity assets to help combat obesity in the communities RHI serves, RHI staff volunteered at two community parks in Marion County to enhance park assets making recreation and exercise at the parks safer and more appealing for community recreation. "RHI Community Gym - RHI Sports Community Fitness Program occurs every Tuesday and Thursday at RHI. By making the therapy gym available at no cost to all members of the community that have a physical disability, RHI recognizes that an individual with a physical disability needs to continue a healthy lifestyle by exercising which may require the need of specialized equipment. Each session has a supervisor which consists of Sports program employees, sports program AmeriCorps members, or RHI therapists. To address preventing and reversing obesity, the hospital hosted nutrition education programs at its main campus for patients and their families. Diabetes education to educate at-risk or newly-diagnosed patients and their families on managing their diabetes. OBESITY PREVENTION Diabetes Prevention Program is supported by RHI by conducting research through the Indiana Spinal Cord and Brain Injury Research Fund. Rehabilitation Hospital of Indiana will examine the effects of a health and wellness program on the prevention of diabetes in community individuals with paraplegia. The implementation phase of this pilot study will be conducted over the course of 12 months. The content of this program will include interactive classes and information on nutrition and exercise. However, the critical piece of the program will be focused on health behavior change. RHI is purchasing (15) Fitbit Flexes that will facilitate the ability to track participants diet and exercise. Additionally, participation in this intensive group wellness intervention will allow individuals who have experienced a spinal cord injury control their weight and avoid developing diabetes. RHI Water Ski Clinic - 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 approximately 40 community individuals with physical disabilities. RHI assisted United Way, acting in capacity as a UW volunteer providing service and support as an agency evaluator of an existing UWCI agency. RHI assisted with the 2 year evaluation for Christamore House, a family and community center that provides early childhood education, after school programming, senior citizen services, preventative services and employment assistance to the residents of Haughville and the near Westside Indianapolis. To address mental health initiatives, RHI will partner with IU Health Academic Centers to provide Mental health Screenings to identified counties. Collaborate Behavioral Health on a community initiative, as well as partner with mental Health America of Greater Indianapolis for a mental health initiative for Marion County. Several of the previously listed programs support mental health. In addition, RHI provides free monthly support groups related to strokes and brain injury. 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 Brian 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. These meetings help decrease social loneness 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.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	762450
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 2014 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/RHI-FINANCIAL-ASSISTANCE-APP-012312.pdf;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- REHABILITATION HOSPITAL OF INDIANA: Line 16c URL: http://rhin.com/billing-center/;
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: 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.
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 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 will also mail 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 will provide 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. RHI is the largest freestanding acute rehabilitation hospital in Indiana coupled with being the only rehab hospital with CARF certification in spinal cord injury, general comprehensive rehab, brain injury and stroke rehabilitation. Rehabilitation Hospital of Indiana at IU Health Hospital is located in Marion County, a county in central Indiana. Based on the most recent Census Bureau (2010) statistics, Marion County's population is 903,393 persons with approximately 52% being female and 48% male. The county's population estimates by race are 59.6% White, 27.0% Black, 9.6% Hispanic or Latino, 2.1% Asian, 0.5%, American Indian or Alaska Native, and 2.5% persons reporting two or more races. Marion County has relatively moderate levels of educational attainment. A high school degree is the level of education 30% had achieved in 2010, and the percentage of those with a high school degree increased slightly from 2000 to 2010 (29.6% to 30.1%). An additional 20% of Marion County residents had some college, but no degree. As of 2010, 24% of the population has an associate's or bachelor's degree, and 9% hold a graduate or professional degree. Within the entire service area, the total population for the PSA is 903,393 and the total population for surrounding counties is 3,205,993. The Marion County population has increased 5% since 2000, when the population was estimated to be 860,440 persons. Comparatively, Marion County's population has increased more slowly than the average population across the total service area, which increased by approximately 8.46% from 2000 to 2010. Indiana's total 2010 population estimate of 6,483,802 was up by 6.6% from 2000, and population growth was up by 10% for the entire nation. The population for Marion County in 2011 and 2012 were 911,005 and 918,977 respectively. Between 2010 and 2011, the share of jobs was greatest in the entire state of Indiana in the areas of manufacturing, healthcare and social assistance, retail trade, and accommodation and food services. In Marion County, the share of jobs was greatest in the areas of healthcare and social assistance, manufacturing, retail trade, accommodation and food services, administrative support for waste management and remediation services, professional, scientific, and technical services, transportation and warehousing, and wholesale trade. Marion County has a diverse group of major employers reported by the Indiana Department of Workforce Development, including: Eli Lilly International Corporation/ Eli Lilly and Company, St. Vincent Hospital, Indiana University-Purdue, University Indianapolis, Indiana University Health System, Indiana University School of Medicine, St. Francis Hospital & Health Center and Allison Advanced Development Company (Liberty Works). Marion County reported a relatively similar unemployment rate to the state of Indiana, but had a slightly higher rate of unemployment than that for most surrounding counties and the entire US. State unemployment rates for 2012 and 2011, respectively were 8.4% and 9.0%. The unemployment rates for Marion County for the same periods were 8.7% and 9.4% respectively. Areas with higher poverty rates tend to have poorer access to healthcare, lower rates of preventive care, higher rates of preventable hospital admissions, and poorer health outcomes in general. According to the US Census, in 2009, the national poverty rate was at 14.3%, increasing from 13.2% in 2008. In Indiana, 14.4% of the state population lived in poverty, which was a 1.9% increase from the 2008 poverty rate (12.9%). For Marion County, a poverty rate of 19.7% was reported in 2009, rising from 16.5% in 2008 (3.2%). Comparatively for Indiana, Hendricks County has the lowest poverty rate at 5.1% and Monroe County has the highest poverty rate at 21.9%. Income level is an additional economic factor that has also been associated with the health status of a population. Based on US Census Bureau (2009) data, Marion County's per capita personal income was estimated to be $36,409, which is above the Indiana State average of $33,323; and a median household income around $41,201, which is below the Indiana state average of $45,427. However, Marion County's per capita personal income and median household income were both below the US national average of per capita income of $38,846 and median household income of $50,221. National statistics on health insurance indicate that 16% of the United States population is uninsured. Of the US Population that is insured, 49% are insured through an employer; 5% through individual providers, 16% through Medicaid, 12% through Medicare, and 1% through other public providers. In Indiana, it is estimated that 14% of the population are uninsured, 7% of which are children. Of the Indiana residents who are insured, 16% residents are insured through Medicaid, 14% through Medicare, 52% through their employer, 3% through individual providers, and 1% through other public providers. Based on inpatient discharge data from the Indiana Hospital Association (IHA), 31% of Marion County residents have commercial insurance, 22% are insured through Medicaid, 30% are insured through Medicare, 11% pay out-of-pocket (uninsured) and 6% have other government insurance or are unknown. At Rehabilitation Hospital of Indiana, it is estimated that 38% of discharged patients have commercial insurance, 10% are insured through Medicaid, 51% are insured through Medicare, 1% pay out-of-pocket (uninsured).
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). RHI is Collaborating with the Mayo Clinic Traumatic Brain Injury System, Indiana University School of Medicine, Indiana University Health, St. Vincent and Purdue University to study patients after brain and spinal injuries. 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	Describe the respective roles of the organization and its affiliates in promoting the health of the communities served by the 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 (3 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	$273,593	$0	$68,125	$0	$7,045	$0	$7,558	$0	$23,485	$0	$379,806	$0	$0	$0
MONTE M SPENCE
COO	$171,290	$0	$17,800	$0	$3,622	$0	$5,723	$0	$23,102	$0	$221,537	$0	$0	$0
LANCE E TREXLER
DIR OF NEUROREHAB PSYCHOLOGY	$144,575	$0	$0	$0	$1,110	$0	$4,575	$0	$25,693	$0	$175,953	$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	$570,000	RetiredAmt
Bond Defeased	$0	BondDefeasedAmt
Total Proceeds	$16,420,765	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	$3,348,026	CapitalExpendituresAmt
Other Spent Proceeds	$11,900,000	OtherSpentProceedsAmt
Unspent	$856,236	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
Term Of Hedge	0.0	TermOfHedgePct
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 (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part V Written Procedures	The organization adopted written procedures in 2014. The organizatoin has processes that dertmine how management will timely identify and correct violations of federal tax requirements using the voluntary closing agreement program provided by the IRS when self-remediation is not available to the organization. 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. In the event a violation is identified the organization's policy is to correct the violation as soon as possible, while working with the federal authorities as necessary to ensure that sufficient controls are present which will guard against future violations.
Schedule K, Part IV, Line 7 Written Procedures	The organization adopted written procedures in 2014. The organization has processes to monitor it's ability to remain in compliance with the arbitrage requirements under Section 148 of the Internal Revenue Code. 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 III, Line 3a Private Business Use	The organization has a management agreement for food & cafeteria services which does not violate the Safe Harbors of Rev Proc 97-13.
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: $765 TOTAL PROCEEDS: $16,420,765 $765 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 M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	TILT TABLE & COMPUTER	Desc
Contribution	2	ContributionCnt
Noncash Contributions Rpt F990	$30,198	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Cost	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Form8283 Received	0	Form8283ReceivedCnt
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule M, Part I Explanations of reporting method for number on contributions	Other: NUMBER OF ITEMS RECEIVED IS BEING REPORTED.
Schedule M, Part I Number of contributions or items contributed	NUMBER OF ITEMS RECEIVED IS BEING REPORTED.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 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.
CoreFormPartIII_PartIIILine4d Description of other program services	(Expenses $ 7,207,088 including grants of $)(Revenue $ 7,545,347) 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.
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 2014.
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. The survey was received in January, 2015, but the figures were for information effective October 1, 2014.
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	MISCELLANEOUS REVENUE - Total Revenue: 2077, Related or Exempt Function Revenue: 2077, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; EMPLOYEE ACTIVITIES - Total Revenue: 2219, Related or Exempt Function Revenue: 2219, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN INTEREST RATE SWAP AGREEMENTS - 177658;

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	$171,911	ALLOCATION
RHI FOUNDATION INC
N	$254,492	ALLOCATION