2012-07-12T15:16:09-05:00 2011-08-31 Deloitte Tax LLP 111 S Wacker Drive Chicago IL 60606 990 2010-09-01 362256036 Rehabilitation Institute of Chicago REHA 3122381000 345 E Superior St Chicago IL 606112654 EDWARD B CASE - CFO 3122381000 2012-07-11 Alicia Janisch 3124861000 2010 2016-02-24 21:20:13Z Edward B Case 345 E Superior Chicago IL 606112654 239993495 0 X www.ric.org X 1951 IL The Rehabilitation Institute of Chicago (RIC) is dedicated to providing the highest-quality patient care through integrated research, scientific discovery, and education for the purpose of maximizing the recovery of the individuals in our care. Our core values are hope, compassion, discovery, collaboration and commitment to excellence and are the foundation for how we advance the ability of the people we serve. Our vision is to advance human ability. RIC serves as the world's leading scientific hospital for the innovation and application of new and more promising treatments to restore patients' abilities that were lost due to injury, disease, and debilitating health conditions. 15 14 1728 408 620525 481040 46049555 21502471 160692144 171776470 12423940 8734874 714379 701473 219880018 202715288 64477 356060 0 0 98796420 107877157 33333 0 1850062 65549454 68168916 164443684 176402133 55436334 26313155 399701001 458883636 217273031 206572368 182427970 252311268 X The Rehabilitation Institute of Chicago (RIC) is dedicated to providing the highest-quality patient care through integrated research, scientific discovery, and education for the purpose of maximizing the recovery of the individuals in our care. Our core values are hope, compassion, discovery, collaboration and commitment to excellence and are the foundation for how we advance the ability of the people we serve. Our vision is to advance human ability. RIC serves as the world's leading scientific hospital for the innovation and application of new and more promising treatments to restore patients' abilities that were lost due to injury, disease, and debilitating health conditions. 1 0 141410723 22376 167608151 Clinical Care - Founded in 1954, RIC, an Illinois not-for-profit corporation, earned the distinction of being named the nation's #1-ranked provider of comprehensive physical medicine and rehabilitation care to patients from around the world for 21 years by U.S. News & World Report- a record for any U.S. specialty hospital. RIC also has grown into the nation's largest rehabilitation research enterprise, advancing the field globally through innovation of the most advanced treatments and technologies. RIC is ranked #1 by the National Institutes of Health for rehabilitation research and is the only hospital in the nation to hold a record seven federally designated research programs in the areas of stroke, brain injury, spinal cord injury, patient outcomes, rehabilitation engineering, bionic medicine, and pediatric orthopedics. RIC's vision is to advance human ability through science and research. In January 2012, RIC opened 24 beds on a renovated patient floor that featured the world's first Ability Lab, an innovative treatment space that combines research and clinical care, surrounding the patient within the hospital setting. RIC's Care Quality and Delivery Highlights:RIC currently operates a system of care consisting of a 165-bed hospital (182 beds beginning January 2012) and outpatient facility, located at 345 East Superior Street in Chicago, Illinois, as well as a number of other facilities and joint ventures. The Corporation offers a comprehensive range of inpatient, day rehabilitation and outpatient services throughout the System. Inpatient rehabilitation services are provided using a multidisciplinary approach. Day treatment rehabilitation consists of a multidisciplinary approach for individuals no longer requiring the 24-hour nursing services provided in an inpatient setting. Outpatient care is typically singular discipline (e.g., physical therapy) and offers various levels of therapeutic intensity, depending on the patient's needs and goals. In FY 2011, RIC treated more than 6,300 inpatients and delivered approximately 926,000 outpatient therapy units. RIC's facilities are staffed by approximately 1,600 medical professionals and support personnel, a dedicated team who treated patients from 49 states and 43 countries. Each patient at RIC is assigned a personalized care team consisting of the field's most well-trained rehabilitation doctors, nurses, therapists, care managers and clinical specialists. No other specialty hospital in the nation has a more experienced track record:-RIC delivers patient outcomes that exceed national and regional averages across all areas of specialty.-RIC is one of only 2% of the nation's nearly 6,000 hospitals to have achieved Magnet designations and their consecutive Magnet redesignation for nursing excellence from the American Nurses Credentialing Center (ANCC). 1783102 333684 1697656 Research - RIC supports its affiliate corporation, Rehabilitation Institute Research Corporation ("RIRC"), in its pursuit of clinical advancement through scientific discovery. On November 18, 2010, the parent company Rehabilitation Institute, Inc.'s Board of Directors approved the consolidation of RIRC into the Rehabilitation Institute of Chicago (RIC). During the year certain existing federal grants were assigned to RIC and certain new grants were granted to RIC resulting in new program-related revenues and expenses. Effective August 31, 2011, all the assets and liabilities of the RIRC were transferred to RIC. Additionally, all contracts, receivables, payables and obligations of the RIRC were assigned to RIC. 7105223 1676984 Medical Education - RIC Academy: The RIC Academy Continuing Education program has been offering courses to help health professionals stay at the forefront of their field for over 35 years. In FY 2011 more than 1,900 students attended academy courses which are taught by interdisciplinary teams of recognized specialists from RIC and visiting experts from across the country and around the world. The Academy also provided an online learning program that reached approximately 360 students. The cost to customers was only $25, which is about 50 percent below market for online courses of this type.Medical Residency Program: The Department of Physical Medicine and Rehabilitation at Northwestern University's Feinberg School of Medicine (Dept of PM&R) is housed within RIC, which has one of the largest and most highly respected residency programs in physical medicine and rehabilitation in the country. Resident physicians spend three to four years rotating through the Dept of PM&R, taught by RIC physicians who are experts in this specialty. In 2011, RIC trained 34 residents. The RIC medical education program also provides opportunities for first-year medical students to meet regularly with patients from RIC's spinal cord injury, general rehabilitation, or pediatric program to gain patients' insights on recovery and needs for independent living.Fellowships: RIC offers physician fellowships, funded primarily by donations, in pediatric rehabilitation, musculoskeletal sports and spine medicine, spinal cord injury, pain management, and traumatic brain injury. In 2011, seven physician fellows were named at RIC. RIC also supports fellowships for therapists, nurses and other non-physicians. Prosthetics and Orthotics (P&O) Residency: Each year, RIC's Prosthetics and Orthotics Clinical (POCC) selects two prosthetist and two orthotist residents for highly sought after positions. Over a 12-month cycle, P&O residents are tutored by RIC's certified, licensed professionals and get exposure to a variety of clinical presentations and pathologies, clinical evaluation, prescription recommendation, documentation, the actual fabrication of devices, and formal research. 3316213 1001923 Community Health and Education - RIC provides a variety of community health and education programs. LIFE Center: As an addition to its world renowned clinical services, RIC developed the LIFE (Learning, Innovation, Family, Empowerment) Center eight years ago to address the range of emotional, interpersonal, physical and financial requirements for living with a disability. In response to the need for trusted resources in key areas of life, RIC provides this state-of-the-art multimedia education center and web portal as an integrated component of RIC patient care to support seamless and successful transitions throughout life. In 2011, 22,840 persons were served, including 1,408 patients and families who attended individual and group sessions. Teaching activities reflected 3,996 person contacts; patient, family, and community education programs, classes and special events conducted throughout the year also provided service to 4,269 people. In addition, the Center provided dedicated resource assistance and referral to 1,823 people. The Center's public computer area remained in high demand servicing 9,625 people for Internet use and support. The Center's impact spreads globally through its website, which drew 3,937,043 page views in 2011, contributing to the 20,624,202 cumulative number of page views since the launch in 2002.Sports and Fitness Program: RIC's Virginia Wadsworth Wirtz Sports Program and Helen M. Galvin Health and Fitness Center provide wellness opportunities to people with physical disabilities through sports and recreation as well as a full-service accessible health club. All services offered in the sports program, which marked its 15th year in 2011, are free of charge. The fitness program, which celebrated its 30th anniversary, provides access to a health club that operates from 8 am to 7 pm five days per week for a nominal fee. The sports and fitness program is funded primarily by grants and generous community donations and is operated by ten and a quarter full time equivalent staff. Additionally, volunteers logged nearly 6,500 hours in 2011. RIC's well-established program is considered a national leader in health promotion for people with disabilities. In 2011, the sports program recorded 6,223 visits by its 180 registered participants, and the fitness program recorded 32,632 visits by its 500 registered participants. A separate program for children, the Caring for Kids program, recorded 2,134 visits by 200 Chicago children with disabilities. The only program of its kind in Cook County, it was designed specifically to incorporate physical fitness into the lives of disabled children.Vocational Rehabilitation Program: Beginning a career or returning to gainful employment is important to a patient's financial security and emotional well-being, and can contribute to the achievement of a productive, independent and fulfilling life. For 50 years, RIC has been providing comprehensive vocational rehabilitation services tailored to meet the needs of each client. Services include initial assessment, diagnostic evaluation, work trial assessments, job analysis, return-to-work evaluation, job placement, resume writing and interviewing workshops, an Internet job skills course and internship coordination. RIC covers the cost of initial assessments, which are not covered by most third-party payers. Patients receive vocational services at eight RIC facilities, ensuring that employment assistance is closely tied to community reintegration. During the past five years, the program has served an average of 800 clients annually. Since 2007, the program has worked with inpatient military personnel to evaluate their vocational goals. Assistive Technology Programs: Three areas - Rehabilitation Engineering, the Technology Center, and the Wheelchair Seating & Positioning Center - comprise RIC's Assistive Technology Programs and served more than 2,000 patients in 2011.Rehabilitation Engineering staff provide evaluation, design and technical expertise to modify commercial products and fabricate custom equipment, creating individualized solutions for people with disabilities. RIC provides free care for services or products, hosts engineering student internships, lectures at Northwestern University's engineering program and provides community-based workshops to disability groups about adaptive equipment, ergonomics and home safety.The RIC Technology Center targets computer access, augmentative communication and electronic aids to daily living for people with disabilities. Occupational therapists and speech language pathologists evaluate and recommend equipment for each individual's needs. Through a lending library, patients can try items before purchasing them or borrow them for short-term use due to changing needs. Staff members speak to universities, schools, organizations for people with disabilities, senior centers and the general public. The center provides free service and home visits to clients who are unable to come to RIC.The Wheelchair Seating & Positioning Center staff evaluate and make recommendations for manual wheelchairs, power wheelchairs, seat cushions to relieve pressure or maintain posture, seating systems, and other durable medical equipment that help clients maintain or increase their independence. Staff help patients at all RIC sites, as well as in schools and other clinical facilities in the Chicago area. 3316213 1001923 153615261 1 1 0 1 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 1 0 1 1 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 0 0 1 214 0 1 1728 1 1 1 0 0 0 0 1 1 0 0 0 0 X 15 14 0 1 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 IL X Edward B Case 3122381000 345 E Superior Street Chicago IL 606112654 Michael L Keiser 1.00 X 0 0 0 William S Wardrop Jr 1.00 X 0 0 0 Michael P Krasny 1.00 X 0 0 0 M Jude Reyes 1.00 X 0 0 0 Thomas A Reynolds 1.00 X 0 0 0 Wayne R Andersen 1.00 X 0 0 0 Susan Barclay 1.00 X 0 0 0 William J Cernugel 1.00 X 0 0 0 Wesley M Dixon Jr 1.00 X 0 0 0 Daniel D Dolan Jr 1.00 X 0 0 0 Polly B Kawalek 1.00 X 0 0 0 William E Lowry Jr 1.00 X 0 0 0 David D Olson 1.00 X 0 0 0 Linda Wolf 1.00 X 0 0 0 Mark Stephen 1.00 X 0 0 0 Joanne C Smith MD 40.00 X X 974085 0 234849 Edward B Case 40.00 X 691851 0 202962 Nancy E Paridy 36.00 X 349958 0 47682 Peggy M Kirk 40.00 X 399319 0 78121 Lois M Huggins 40.00 X 427053 0 82194 Steven P Stanos DO 40.00 X 465182 0 47189 James Sliwa DO 40.00 X 413921 0 126209 Brent Newell MD 40.00 X 369154 0 44909 Richard Harvey MD 40.00 X 349343 0 42487 Collins Fitzpatrick MD 40.00 X 443908 0 56477 4883774 0 963079 120 0 1 0 Northwestern University 320 East Superior Street Chicago IL 60611 Research Subcontractor 4062188 Northwestern Memorial Hospital PO Box 73690 Chicago IL 606737690 Medical Services 3391336 McGaw Medical Center 645 N Michigan Avenue Chicago IL 60611 Resident Staffing 2611433 Crothall 955 Chester Brook Blvd Wayne PA 19087 Housekeeping Services 2189870 Cerner Corporation PO Box 412702 Kansas City MO 64141 IT Services 1850539 95 2484617 1912397 17105457 280138 21502471 Net Patient Revenue 621990 148152594 148152594 Pships/Affiliation Inc 900099 9907606 9907606 Medicaid Provider Tax 621990 7224504 7224504 Medicare GME Payment 621990 876391 876391 Tuition 900099 739129 739129 4876246 4547585 328661 171776470 2419964 291864 2128100 86905 86905 86905 86905 42478195 36163285 6314910 6314910 6314910 547100 2484617 1114922 -567822 -567822 Cafeteria Sales 900099 732390 732390 Other Non-Operating 900099 450000 450000 1182390 202715288 171984714 620525 8607578 265896 265896 10630 10630 79534 79534 3682996 297477 3385519 83616043 77230832 5073875 1311336 6559502 5748434 699512 111556 8268403 8067688 186117 14598 5750213 5279488 380198 90527 2747559 1669722 1077837 327736 11010 316726 243623 243623 205418 205418 720261 681510 38751 11783412 11288490 444294 50628 479220 289571 184159 5490 12809322 12247169 489972 72181 2509136 2416960 69680 22496 5649183 5468171 180880 132 400245 326315 58256 15674 534574 499610 32367 2597 3658980 52613 3606367 10646643 9555903 1078431 12309 2236619 143473 2093146 Medicaid Provider Tax 6634608 6634608 Patient Transportation 1548092 1548092 Contract Labor 1452498 1386659 56160 9679 Membership Dues 374047 238405 114108 21534 3207740 2858511 278655 70574 176402133 153615261 20936810 1850062 80636 78571 30184739 33299804 33230192 44307724 20693000 23834000 1112287 1033115 4677041 3806251 246713065 155280885 92229444 91432180 69699172 88526389 129195376 149618198 12458883 11938992 2083399 2081107 4056832 8927305 399701001 458883636 9517998 25032456 2775399 3795997 90675000 90540000 20000000 20000000 94304634 67203915 217273031 206572368 X 90779451 118199233 51329136 83714663 40319383 50397372 182427970 252311268 399701001 458883636 X 26313155 43570143 X X 0 1 1 X 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 3918 0 1 201500 205418 0 Explanation of Other Lobbying Activities: Part II-B, Line 1i: Rehabilitation Institute of Chicago lobbies Federal and State governments on issues related to Medicare, Medicaid and other government health care programs related to the rehabilitation field. Most of the lobbying expenses are to third party legal and lobbying firms as well as the Illinois and American Hospital Associations. 57290243 16669084 6784986 2214340 47499 78482474 49985875 5568617 4143619 2407868 57290243 56604191 673884 -5217142 2075058 49985875 0.02000 0.63000 0.35000 0 0 33053685 33053685 113795368 88916415 24878953 7988899 7988899 79613947 61051391 18562556 12261166 5313079 6948087 91432180 Absolute Return 39018854 F Hedged Equity 18984128 F Large-Cap Equity 22568407 F International Hedged Equity 10013201 F International Equity 17949563 F Small Cap Equity 1226044 F Guaranteed Investment Contract 1375915 F Private Equity 15732032 F Real Assets 22750054 F 149618198 457 Plan Liabilities 8463008 Self-insurance reserves 4906319 Accrued Pension 40351652 Swap Liability 11375086 Other 744830 Deferred Lease Liability 1363020 67203915 Part IV, Line 1b: RIC maintains an escrow account to be used to pay for potential environmental remediation for real estate sold during the year ending August 31, 2010. Description of Intended Use of Endowment Funds: Part V, Line 4: The intended use for each of the RIC endowment funds is established by the donor. The majority of the endowment funds are used to support medical education, clinical care, free care, research, medical leadership, fellowships and the RIC Academy. Description of Uncertain Tax Positions Under FIN 48: Part X: The Corporations perform an annual review of all tax positions and measure the potential tax benefit on the financial statements in which there is uncertainty as to whether the tax position will ultimately be sustained as filed within a tax return. The potential impact of the uncertainty on the Corporations' consolidated financial statements is minimal. 1 Middle East and North Africa 0 3 Program services Travel related to clinical care, presentation of papers, and business development and bionic medical research. 65711 North America 0 Program Services Research 10718 Europe (including Iceland & Greenland) 0 Program services Research 68816 0 3 0 0 0 3 145245 0 145245 Europe (Including Iceland & Greenland) Bionic medical research 68816 Electronic Fund/Wire North America Bionic medical research 10718 Electronic Fund/Wire 1 1 0 0 0 0 1 0 Procedure for Monitoring Grants Outside the U.S.: Schedule F, Part I, Line 2: Each Research grant is assigned a Principal Investigator (PI) as well as a Research Assistant (RA). Grant expenditures charged to each grant are approved / reviewed by the respective PI and or RA to ensure allowability. In addition, compliance (A-133) audits are performed by an independent audit firm each year. X X X X X X X 1 Charles R Feldstein & Co 737 N Michigan Ave Chicago IL 60611 Advisory Services for Capital Campaign 0 0 75000 0 75000 IL SkyRise Chicago 1079183 969033 110150 4641 26612 5496 332671 Medicine Ball 873773 789373 84400 6675 94778 6 1078761 726211 352550 2100 13370 87539 153594 30930 356516 3031717 2484617 547100 6741 39982 87539 159090 37605 783965 1114922 -567822 Explanation of Fundraising Payments Schedule G, Part I, Line 2b, Column (v) RIC has an agreement for advisory services for advisory services for the capital campaign related to its new Research Hospital. The agreement does not provide for separate reimbursement for expenses. 1 1 X 1 X 250.000000000000 1 X 600.000000000000 1 1 1 0 1 1 1070522 1070522 0.00610 27363873 23183891 4179982 0.02370 177824 141881 35943 0.00020 28612219 23325772 5286447 0.03000 2371513 156066 2215447 0.01260 7105223 1676984 5428239 0.03080 944705 845857 98848 0.00060 2680705 2680705 0.01520 17964 17964 0.00010 13120110 2678907 10441203 0.05930 41732329 26004679 15727650 0.08930 1 885947 0 48493850 47811086 682764 X 1 1 15 1 Rehabilitation Institute of Chicago

345 E Superior Street Chicago IL 60611

X X X Physical Rehabilitation 2 RIC Day RehabCtr-Ravenswood

1945 W Wilson Avenue Suite 100 Chicago IL 60640

Day Rehabilitation 3 RIC Day Rehab Ctr-Wheeling

5150 Capitol Drive Wheeling IL 60090

Day Rehabilitation 4 RIC Day Rehab Ctr & OP Ctr-Homewood

1055 W 175th Street Suite 101 Homewood IL 60430

Day/Outpatient Rehab & Physician Practice 5 RIC Day Rehab Ctr & OP Ctr-Northshore

755 Skokie Boulevard Northbrook IL 60062

Day/Outpatient Rehab & Physician Practice 6 RIC Day Rehab Ctr & OP Ctr-Willowbrook

6705 Kingery Highway Willowbrook IL 60527

Day/Outpatient Rehab & Physician Practice 7 RIC Day Rehab Ctr-River North

307 W Grand Avenue Chicago IL 60610

Day Rehabilitation 8 RIC Ctr for Pain Management

980 N Michigan Avenue Suite 800 Chicago IL 60611

Outpatient Rehabilitation & Physican Practice 9 RIC OP Center-Northshore (annex)

900 Skokie Boulevard Northbrook IL 60062

Outpatient Rehabilitation & Physican Practice 10 RIC Spine and Sports Rehab Ctr

1030 N Clark Street Chicago IL 60610

Outpatient Rehabilitation & Physican Practice 11 RIC Spine & Sports Rehab Ctr-River Fores

420 Thatcher Avenue River Forest IL 60305

Outpatient Rehabilitation & Physican Practice 12 Alexian Rehab Hospital Day Rehab Service

935 Beisner Road Elk Grove Village IL 60007

Day Rehabilitation 13 RIC at Alexian Rehab Hospital

935 Beisner Road Elk Grove Village IL 60007

X 14 RIC at Advocate IL Masonic Med Ctr

836 W Wellington Avenue Chicago IL 60657

X 15 RIC & Herrin Hospital Acute Rehab Ctr

201 S 14th Street Herrin IL 62948

X NA 1 Part I, Line 7: The best available data was used to calculate the cost amounts reported in item 7. The Medicare cost report was the source used where a program category was separately identifiable. In other cases the internal cost allocation model was used as the source of the cost. The Medicare cost report cost to charge ratio was used to determine the cost of charity and bad debt. Part III, Line 4: Footnote 16 - Many of the Institute's patients are reluctant and do not provide the information necessary to qualify for charity care. Therefore, Management believes that a portion of the Institute's provision for bad debt represents patients that do not have the financial ability to pay.The best available data was used to calculate the cost amounts reported in item 7. The Medicare cost report was the source used where a program category was separately identifiable. In other cases the internal cost allocation model was used as the source of the cost. The overall cost to charge ratio from the Medicare cost report was used to determine the cost of charity and bad debt.Line 8: The cost to charge ratio from Worksheet C of the Medicare cost report times the Medicare gross charges from the cost report less GME payments was used to determine Medicare allowable cost. Part III, Line 9b: Collection Activities:The Executive Director-Revenue Cycle/designee will determine if the statutory conditions for pursuing collection have been met and provide written approval before a collection agency or law firm may initiate legal action against the patient for nonpayment of their bill. Part VI, Line 2: The needs of our community are assessed on an ongoing basis. We receive input from our community through our patient feedback programs, community support groups and through our clinicians and physicians who are interacting with them every day. The RIC LIFE Center provides education and support for the disabled community regardless if they receive services from RIC or not. The LIFE Center served nearly 23,000 people in the last year throughout the world. Through this connection we are able to collect and track the resource needs of our community. We also have a number of disabled members on our governing and auxiliary boards. These individuals help guide the mission, vision and services at RIC. During FY2012 RIC will assemble a team to develop a new formal assessment of the healthcare needs of the community. Part VI, Line 3: RIC assures that each registration/admission location contains signage (in English and other predominant languages of the RIC patient population) notifying patients that financial assistance is available to qualified individuals. This notice is also posted on RIC's website (www.ric.org), along with RIC's Financial Assistance Program process and application. Information regarding the Financial Assistance Program and the application is available in each RIC registration/admission location. The information regarding financial assistance also appears on every self pay statement sent to our patients. Part VI, Line 4: As a specialty hospital, RIC defines the patients it serves broadly as the disabled community throughout the state of Illinois, the United States and around the world. Due to RIC's unique services and its reputation as the leader in rehabilitation medicine, many patients will travel long distances for care. Approximately 85% of RIC inpatients come from the 7-county area surrounding Chicago. This represents a primary reach of 50 miles. In total, RIC cares for patients from 49 states and from 43 countries. RIC continues to increase its outreach and has impacted the lives of individuals in North, Central and South America; Europe; Africa; Asia (predominately the Middle East); and Australia.The largest users of rehabilitation medicine are those 45-64 years of age and those 65+. RIC continues to serve this group of people and conducts strategic planning around the needs of the "Baby Boomer" population, which is projected to have substantial growth in the Chicagoland area. Part VI, Line 6: RIC provides a number of non-revenue generating services solely for the purpose of improving the health and quality of life for our community. The LIFE Center, which provides educational resources to anyone through the Internet, addresses a range of emotional, interpersonal, physical and financial requirements for living with a disability and supports seamless and successful transitions throughout life. Vocational training and placement services help disabled patients in the community return to gainful employment, thereby improving their financial security and emotional well-being, and contributing to the achievement of a productive, independent and fulfilling life. Our fitness center and sports training program promote physical activity and case management for high risk patients discharged to the community. The Caring for Kids program is designed specifically to incorporate physical fitness into the lives of disabled children. Support groups for patients and families assist in psychological adjustment, and RIC's many research studies are improving patient outcomes. Any surplus funds are used to support these non-revenue patient centered activities as well as develop programs, sponsor research and improve facilities.In the past several years, The Rehabilitation Institute of Chicago (RIC) has implemented multiple sustainable guidelines and procedures to ensure that it is using the most innovative, "green" practices when updating, remodeling, and redecorating facilities and structures throughout its 30-plus sites of care. Reports Filed With States Part VI, Line 7 IL 1 Northwestern University 710 N Lakeshore Dr Chicago IL 60611 362167817 501(c)(3) 135783 Payments for disabilities reasearch services IHREF 24676 Network Place Chicago IL 606731246 237421930 501(c)(3) 7964 Improve access to care by helping IL hospitals address problems with IL Medicaid program Pathways c/o PJH Assoc Inc 205 W Wacker Dr 1400 Chicago IL 60606 363677342 501(c)(3) 10000 General support - 25th anniversary celebration Marquette University Office of the Comptroller Milwaukee WI 532011881 390806251 501(c)(3) 12687 Payments for disabilities reasearch services Vanderbilt University Grants Contracts PO Bx 1591 Nashville TN 37235 620476822 501(c)(3) 5882 Payments for disabilities reasearch services University of Illinois Grants Contracts PO Bx 20787 Springfield IL 627080787 376000511 501(c)(3) 24894 Payments for disabilities reasearch services Illinois Institute of Technology 3300 S Federal St Room 201 Chicago IL 606163793 362170136 501(c)(3) 56381 Payments for disabilities reasearch services Wake Forest University of Health Sciences Medical Center Blvd WinstonSalem NC 27157 223849199 501(c)(3) 7893 Payments for disabilities reasearch services 8 0 Consulting Fees - Research 1 6178 Procedure for Monitoring Grants in the U.S.: Part I, Line 2: Schedule I, Part I, Line 2: Grants are determined by executive leadership. Monitoring is done through continued relationships with grantee organizations, whether by membership or community liaison. For Research grants, each grant is assigned a Principal Investigator (PI) as well as a Research Assistant (RA). Grant expenditures charged to each grant are approved / reviewed by the respective PI and/or RA to ensure allowability. In addition, compliance (A-133) audits are performed by an independent audit firm each year. X 0 1 X X X X X 0 1 0 0 0 0 0 1 0 Joanne C Smith MD 610345 0 338106 0 25634 0 216712 0 18137 0 1208934 0 0 0 Edward B Case 481288 0 201554 0 9009 0 185372 0 17590 0 894813 0 0 0 Nancy E Paridy 246690 0 100132 0 3136 0 42420 0 5262 0 397640 0 0 0 Peggy M Kirk 284602 0 111140 0 3577 0 60984 0 17137 0 477440 0 0 0 Lois M Huggins 304039 0 119925 0 3089 0 69944 0 12250 0 509247 0 0 0 Steven P Stanos DO 423991 0 40000 0 1191 0 30052 0 17137 0 512371 0 0 0 James Sliwa DO 293344 0 114932 0 5645 0 109072 0 17137 0 540130 0 0 0 Brent Newell MD 331402 0 36548 0 1204 0 25772 0 19137 0 414063 0 0 0 Richard Harvey MD 314373 0 33201 0 1769 0 25350 0 17137 0 391830 0 0 0 Collins Fitzpatrick MD 394947 0 47292 0 1669 0 39296 0 17181 0 500385 0 0 0 Part I, Line 1a Gross-up payments: The organization provides additional disability insurance for the Chief Executive Officer. The CEO purchases the policy and then is reimbursed by the organization. The amount is grossed up to cover applicable taxes. Part I, Line 1b Reimbursements are made pursuant to an agreement. Part I, Line 4b For 2010, the following amounts for the 457(f) retirement plan are included in compensation as shown in Schedule J, Part II for each affected individual: Joanne C. Smith, MD - $183,712 Edward B. Case - $146,872 Nancy E. Paridy - $25,920 Lois Huggins - $36,944 Peggy M. Kirk - $44,484 James Sliwa, DO - $92,572 Collins Fitzpatrick - $6,296 Part I, Line 7 Executive leadership participate in a variable incentive compensation plan. Amounts are a percent of base salary. Certain financial and quality triggers need to be met, and then the percent awards are determined by institutional financial performance, patient satisfaction scores, and individual performance metrics. Illinois Finance Authority 861091967 45200FF87 2009-12-09 90675054 See Part V 0 0 0 90675054 1085730 94412 4794858 32000054 2009 1 0 1 1 0 0 1 0 1 0.00100 0.00100 1 0 1 0 0 0 1 Schedule K, Part I, Column (f): Refund of Bonds dated April 1, 1997, purchase of land, repayment of tax exempt pool fund, purchase of other building improvements and equipment. Schedule K, Part I, Column (c): CUSIP#: 45200FF87, 45200FF95, 45200FG29. Schedule K, Part III, Line 3c: We engage bond counsel as appropriate. Joanne Smith MD Corporate Director of Hill-Rom,Inc. which sells/leases hospital beds to RIC 286697 Asset Purchase and Rentals. 0 X 28 241332 Cost or selling price X Bearcat Ball Silent AuctionBearcat Ball Silent A 63 22205 Cost or selling price X Antiques Fair Raffle 6 16601 Cost or selling price 0 0 1 Third Party Use: Part I, Line 32b: Gifts of stock are processed by RIC's brokerage firm, which has an immediate sell order for all stock gifts received. New Program Services Form 990, Part III, line 2 On November 18, 2010, the parent company Rehabilitation Institute, Inc.'s Board of Directors approved the consolidation of the Rehabilitation Institute of Chicago Research Corporation (the "Research Corporation") in the Rehabilitation Institute of Chicago (RIC). During the year certain existing federal grants were assigned to RIC and certain new grants were granted to RIC resulting in new program-related revenues and expenses. Effective August 31, 2011, all the assets and liabilities of the Research Corporation were transferred to RIC. Additionally, all contracts, receivables, payables and obligations of the Research Corporation were assigned to RIC. In this return Medical Education and Community Health and Education are listed as separate programs. RIC has had these programs for many years, but in past returns they were included as part of a single program description. Form 990, Part VI, Section A, line 3 Crothall Services Group managed our facilities and housekeeping services. Morrison Management Specialists managed our food services. Form 990, Part VI, Section A, line 6 Rehabilitation Institute, Inc. (RII) is the sole corporate member of RIC. Form 990, Part VI, Section A, line 7a RII has the ability to elect members of the governing body. Form 990, Part VI, Section A, line 7b RII is the sole member with the sole voting rights to do the following: appoint RIC board members; approve amendments to the articles of incorporation and bylaws; approve corporation annual budget and long-range plan; approve those contracts and loans in excess of $250,000 not included in previously approved budget; approve any merger, consolidation, voluntary dissolution or creation of any subsidiary; and approve the sale, lease, exchange, mortgage, pledge or other disposition of all or substantially all of the corporation assets. Form 990, Part VI, Section B, line 11 Data for the Form 990 is prepared internally, and a third party tax preparer then prepares the Form 990. It is then reviewed internally and presented in draft form first to the Finance and Audit Committee of the Board and then distributed electronically to the full Board. Form 990, Part VI, Section B, line 12c All newly hired employees are required to complete a conflict of interest disclosure form at the time of new-employee orientation. In addition, all employees are required to complete such a form on an annual basis. Directors and Officers complete a Conflict of Interest Questionnaire on an annual basis. Form 990, Part VI, Section B, line 15 The Compensation and Leadership Development Committee of the Board has authority to approve all executive compensation; an independent consultant specializing in the field of executive compensation and benefits is hired by the Compensation and Leadership Development Committee of the Board to review and provide an opinion about the executive compensation that it is fair, reasonable and market appropriate. Form 990, Part VI, Section C, line 19 RIC does not routinely make documents available to the general public, but the conflict of interest policy and financial statements are made available to the public on an as needed basis after thorough consideration for the use. Changes in Net Assets or Fund Balances: Form 990, Part XI, line 5: Net unrealized gains/losses on investments 15,427,057. Pension Adjustment 7,846,946. Net transfer to/from RIRC 20,296,140. Total to Form 990, Part XI, Line 5: 43,570,143. Form 990, Part XII, Line 2a & b: Although the organization does not have stand alone audited financial statements, its financial statements, which are prepared in accordance with GAAP, are consolidated with its affiliates and audited annually by an independent auditor. Medical Services RIC 345 E Superior Street Chicago IL 60611 911999919 Physician Practice Billing and Collections IL 0 0 N/A Rehabilitation Institute Research Corporation 345 E Superior Street Chicago IL 60611 363728711 Research IL Section 501(c)(3) 4 Rehabilitation Institute Inc 1 Rehabilitation Institute Inc 345 E Superior Street Chicago IL 60611 363310838 Parent IL Section 501(c)(3) 11 N/A 0 Rehabilitation Institute of Chicago Enterprises 345 E Superior Street Chicago IL 60611 363428852 Medical Products/Medical Services IL Rehabilitation Institute Inc C 1.00000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 Rehabilitation Institute Research Corporation P 18195124 Book Value Rehabilitation Institute Research Corporation R 18409378 Book Value Rehabilitation Institute Research Corporation R 21212373 Book Value Rehabilitation Institute Research Corporation Q 1877382 Book Value