Civic Intelligence

Madonna Rehabilitation Systems

990 • Fiscal year 2015 • EIN 46-4473701

Mar 01, 2014 to Feb 28, 2015 • Filed on Jul 09, 2015

5401 South StreetLincoln, NE 68506-2134

(402) 413-3000

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

87th percentile

0.80x

Higher debt load relative to assets than 87% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Liabilities / Revenue

87th percentile

1.35x

Higher debt load relative to revenue than 87% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Net Margin

1st percentile

-353%

Higher net margin than 1% of similar nonprofits.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Top Officer Pay

99th percentile

$777,339

Higher top officer pay than 99% of similar nonprofits.

Top officer pay equals 50.1% of source-year revenue.

2015 filings • 501(c)3 • $1M-$5M nonprofits • Source year 2015

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2015

Assets

$2,612,509

No earlier filing loaded for comparison.

Net Assets

$517,208

No earlier filing loaded for comparison.

Liabilities

$2,095,301

No earlier filing loaded for comparison.

Revenue

$1,552,648

No earlier filing loaded for comparison.

Expenses

$7,035,440

No earlier filing loaded for comparison.

Net Income

-$5,482,792

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$10M$5.0M$0-$5.0M-$10MAssets 2015: $2,612,509Liabilities 2015: $2,095,301Net Assets 2015: $517,2082015Assets 2016: $5,597,643Liabilities 2016: $6,628,534Net Assets 2016: -$1,030,8912016Assets 2017: $5,229,225Liabilities 2017: $8,758,539Net Assets 2017: -$3,529,3142017Assets 2018: $3,939,406Liabilities 2018: $9,852,153Net Assets 2018: -$5,912,7472018

Highlighted filing

2015

Assets$2,612,509
Liabilities$2,095,301
Net Assets$517,208

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$30M$20M$10M$0-$10MRevenue 2015: $1,552,648Expenses 2015: $7,035,440Net Income 2015: -$5,482,7922015Revenue 2016: $12,580,079Expenses 2016: $14,128,178Net Income 2016: -$1,548,0992016Revenue 2017: $18,483,194Expenses 2017: $20,981,617Net Income 2017: -$2,498,4232017Revenue 2018: $21,591,862Expenses 2018: $23,975,295Net Income 2018: -$2,383,4332018

Highlighted filing

2015

Revenue$1,552,648
Expenses$7,035,440
Net Income-$5,482,792
Jump To
Filing Snapshot
Filing Period
Mar 1, 2014 to Feb 28, 2015
Signed
Jul 9, 2015
Return Version
2014v5.0
Gross Receipts
$1,552,648
Mission and Program Overview

Mission

Madonna rehabilitation systems was formed by madonna rehabilitation hospital "mrh" to serve as mrh's new long-term care hospital "ltch" component of its madonna omaha project in omaha, nebraska. It is a catholic hospital that provides physical medicine and rehabilitation services to adults throughout the nation. We rehabilitate those who have sustained injuries or disabling conditions so they can fully participate in life; lead research to improve outcomes; and prevent physical disabilities and promote wellness through community programs.

Balance Sheet Detail
LineBeginningEndChange
Assets
Land, Buildings, and Equipment, Net$0$1,420,067▲ $1,420,067
Accounts Receivable$0$465,270▲ $465,270
Cash and Non-Interest-Bearing Accounts$0$382,507▲ $382,507
Prepaid Expenses and Deferred Charges$0$175,054▲ $175,054
Inventories for Sale or Use$0$169,611▲ $169,611
Total Assets$0$2,612,509▲ $2,612,509
Liabilities
Accounts Payable and Accrued Expenses$0$2,095,301▲ $2,095,301
Total Liabilities$0$2,095,301▲ $2,095,301
Net Assets / Fund Balance
Unrestricted Net Assets$0$517,208▲ $517,208
Total Net Assets Fund Balance$0$517,208▲ $517,208
Total Liabilities and Net Assets / Fund Balance$0$2,612,509▲ $2,612,509

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$1,420,067$263,925$1,683,992
Compensation and Service Providers

Employees

NameTitleOtherTotal
Marsha LommelPresident and Chief Executive Officer$777,339$777,339

Board Members and Trustees

NameTitle
Lynn RoperChairperson
Marsha LommelPresident and Chief Executive Office
Tom SmithVice Chairperson
Paul a DongilliExecutive Vice President and COO
Fr John SullivanVice President
Dan Tomes MdSecretary
Rich HerinkTreasurer

Highest Paid Contractors

ContractorServicesLocationCompensation
Bellevue Medical Center LLCVarious Services988145 NEBRASKA MEDICAL CNTR, Omaha, NE 68198-8145$1,587,217
Kiewit Building Group INCConstruction Buildout302 S 36TH ST STE 500, Omaha, NE 68131$152,264
Revenue and Support

Revenue Composition

Contributions and Grants
$0
Program Service Revenue
$1,552,648
Investment Income
$0
Other Revenue
$0
Change in Net Assets
$-5,482,792
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$4,072,187
Salaries, Compensation, and Employee Benefits$2,963,253
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$2,287,045$97,266-$2,384,311
Occupancy$1,121,308$1,707-$1,123,015
Fees for Services Other$953,490--$953,490
Fees for Services Management$58,640$858,895-$917,535
Office Expenses$509,132$54,434-$563,566
Other Employee Benefits$352,946$31,577-$384,523
Depreciation Depletion$148,894$115,031-$263,925
Payroll Taxes$170,778$6,935-$177,713
Information Technology$28,609$96,178-$124,787
Travel$42,658$24,460-$67,118
Fees for Services Accounting-$44,350-$44,350
Pension Plan Contributions$16,706--$16,706
Other Expenses$3,932$5,553$0$9,485
Conferences and Meetings$1,448$1,980-$3,428
Advertising-$1,238-$1,238
Fees for Services Legal-$250-$250
Total Functional Expenses$5,695,586$1,339,854$0$7,035,440
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Backup withholding compliance
Yes
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
Yes
Other officer compensation reviewed
Yes
Conflict-of-interest policy
Yes
Audited financial statements prepared
Yes
Key decisions subject to board approval
Yes
Management duties delegated
Yes

Governance Explanations

Form 990, Part VI, Section A, Line 3

Various services such as pharmacy, environmental services, food services and other services are contracted through the bellevue medical center; an outside medical corporation. No current or former officers, directors, trustees, key employees, or highest compensated employees were compensated by bellevue medical center during the tax year.

Form 990, Part VI, Section A, Line 6

Madonna rehabilitation hospital, a nebraska nonprofit corporation, is the sole member of madonna rehabilitation systems.

Form 990, Part VI, Section A, Line 7A

The diocesan health ministries may designate one member of the organization's board of directors, as provided in the organization's articles of incorporation.

Form 990, Part VI, Section A, Line 7B

The following reserve powers are vested in the sole member, madonna rehabilitation hospital: the board of directors shall approve and forward to the member, for final approval: (i) changes in philosophy and mission; (ii) matters involving sale, lease, transfer, exchange, disposition, pledge or alienation of real property in excess of five hundred thousand dollars ($500,000.00); (iii) matters involving purchase and/or encumbrance with debt, in any way, of real property in excess of five hundred thousand dollars ($500,000.00); (iv) lay members nominated to serve on the board of directors; (v) amendments, alterations or changes in the articles of incorporation or bylaws; (vi) the annual capital budget; (i) president and ceo selection; and (ii) merger, consolidation, dissolution. The board of directors approves and forwards to the member, for its review: the annual report; and the operating budget.

Form 990, Part VI, Section B, Line 11

Prior to filing the organization's form 990, the chief financial officer presents the completed form 990 and an executive overview of the form 990 to the board of directors at a regularly scheduled meeting. Upon board resolution to accept the form 990 the form 990 is filed with the internal revenue service.

Form 990, Part VI, Section B, Line 12C

The organization annually distributes its conflict of interest policy and disclosure form to directors, officers and key employees. The responses are reviewed by the board of directors and its counsel, and any appropriate action is taken, based upon those responses and the subsequent review.

Form 990, Part VI, Section B, Line 15

The ceo is compensated by the related entity, madonna rehabilitation hospital. The following is the executive compensation plan for madonna rehabilitation hospital. The executive compensation committee will make recommendations for the annual compensation of the chief executive officer (ceo), chief operations officer (coo), and chief financial officer (cfo). The madonna executive compensation plan requires national salary benchmarks be used for the ceo, coo and cfo positions. -base salary: the executive compensation committee annually determines the ceo's base salary by reviewing 990 data from nonprofit rehabilitation hospitals at a national level. The data from nonprofit rehabilitation hospitals should be for hospitals within approximately plus or minus 50% of madonna's gross revenues recognizing a need for a minimum of at least eight comparable sized institutions. The analysis includes calculating the salaries for benchmark firms provided by the director human resources. Comparative salaries for the coo and cfo will be provided to the executive compensation committee of the board. The philosophy is to match the compensation of other non-profit rehabilitation hospitals, using the same guidelines as outlined in paragraph 1. Above.

Form 990, Part VI, Section C, Line 19

Summarized financial information is made available to the public on an annual basis through the publication of the hospital's public annual report. In addition, the public annual report is available on the hospital's website. The hospital's governing documents and conflict of interest policy are not available to the public.

Filing and Contact Details

Filer

Filer Name
Madonna Rehabilitation Systems
EIN
46-4473701
Phone
4024133000
Address
5401 SOUTH STREET, LINCOLN, NE 68506-2134
Doing Business As
Madonna Rehabilitation Specialty Hospital

Signing Officer

Name
Victor Witkowicz
Title
Senior VP and CFO
Phone
4024133000
Signed
2015-07-09

Organization Details

Principal Officer
Victor Witkowicz
Formed
2014
Legal Domicile
Ne
Voting Board Members
6
Independent Board Members
5
Employees
81
Volunteers
0
Supplemental Narrative

Additional Explanations

FORM 990, PART IV, LINE 20B:

Madonna rehabilitation systems is part of a consolidated group of related organizations and was included in the consolidated audited financial statements at june 30, 2014. No independent audit was performed for madonna rehabilitation systems individually for its initial year.

Form 990, Part IX, Line 11G

Medical services & pharmacy: program service expenses 369,479. Management and general expenses 0. Fundraising expenses 0. Total expenses 369,479. Other professional fees: program service expenses 584,011. Management and general expenses 0. Fundraising expenses 0. Total expenses 584,011.

FORM 990, PART XI, LINE 9:

Capital infusion 6,000,000.

FORM 990, PART XII, LINE 2B:

Madonna rehabilitation systems is part of a consolidated group of related organizations and was included in the consolidated audited financial statements at june 30, 2014. No independent audit was performed for madonna rehabilitation systems individually for its initial year.

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IRS990/Desc0MADONNA REHABILITATION SYSTEMS FULFILLS THIS MISSION BY DELIVERING EXPERT AND COMPREHENSIVE REHABILITATION, TREATING EACH PERSON AS A UNIQUE INDIVIDUAL. MADONNA'S REHABILITATION PROGRAMS INTEGRATE THE PHYSICAL, PSYCHOLOGICAL, SOCIAL, SPIRITUAL AND VOCATIONAL ASPECTS OF EACH PATIENT'S LIFE. THE HOSPITAL'S PROGRAMS SUPPORT THE UNMET NEEDS OF OUR COMMUNITY AND REGION AND ARE DEVOTED TO RETURNING PEOPLE TO THEIR HOMES, COMMUNITIES AND JOBS OR SCHOOL.MADONNA REHABILITATION SPECIALTY HOSPITAL LEASED SPACE IN THE NEBRASKA MEDICINE -BELLEVUE LOCATION FOR A 32-BED HOSPITAL WITHIN ITS FACILITY. THE MADONNA REHABILITATION SPECIALTY HOSPITAL, LOCATED ON THE FOURTH FLOOR, OPENED IN APRIL 2014 SERVING 16 PATIENTS THE FIRST MONTH.ACCORDING TO PAUL DONGILLI, JR., PHD, FACHE, EXECUTIVE VICE PRESIDENT AND CHIEF OPERATIONS OFFICER OF MADONNA REHABILITATION HOSPITAL, MADONNA IS ADDRESSING THE URGENT NEED TO PROVIDE INPATIENT REHABILITATION SERVICES FOR INDIVIDUALS WITH COMPLEX MEDICAL CONDITIONS, INCLUDING PULMONARY CONDITIONS, IN THE OMAHA AREA WHILE MADONNA'S OMAHA CAMPUS IS UNDER CONSTRUCTION. WITH A POPULATION OF MORE THAN 800,000, OMAHA IS CURRENTLY UNDERSERVED IN POST-ACUTE HEALTH CARE SERVICES. ACCORDING TO AN HDR INDEPENDENT STUDY, 1,300 INDIVIDUALS EACH YEAR WOULD QUALIFY FOR REHABILITATION IN THE METRO AREA BUT ARE REFERRED TO NURSING HOMES BECAUSE THERE ARE NOT ENOUGH POST ACUTE HOSPITAL BEDS IN OMAHA.THE PLAN IS TO RELOCATE THE 32-BEDS TO MADONNA'S OMAHA CAMPUS WHEN IT OPENS IN FALL OF 2016.THE CURRENT HOSPITAL PROVIDES INPATIENT SERVICES FOR REHABILITATIVE CARE FOR:VENTILATOR MANAGEMENTCOMPLEX WOUND MANAGEMENT MEDICALLY COMPLEX PATIENTSMADONNA IS ACCREDITED BY JOINT COMMISSION ON ACCREDITATION OF HOSPITALS.FROM APRIL 1, 2014 TO APRIL 30, 2015, MADONNA REHABILITATION SPECIALTY HOSPITAL SERVED 144 TOTAL PATIENTS FROM PRIMARILY THE OMAHA AREA. IT RECEIVED REFERRALS FROM 16 HOSPITALS AND 111 PHYSICIANS.
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IRS990/MissionDesc0MADONNA REHABILITATION SYSTEMS WAS FORMED BY MADONNA REHABILITATION HOSPITAL "MRH" TO SERVE AS MRH'S NEW LONG-TERM CARE HOSPITAL "LTCH" COMPONENT OF ITS MADONNA OMAHA PROJECT IN OMAHA, NEBRASKA. IT IS A CATHOLIC HOSPITAL THAT PROVIDES PHYSICAL MEDICINE AND REHABILITATION SERVICES TO ADULTS THROUGHOUT THE NATION. WE REHABILITATE THOSE WHO HAVE SUSTAINED INJURIES OR DISABLING CONDITIONS SO THEY CAN FULLY PARTICIPATE IN LIFE; LEAD RESEARCH TO IMPROVE OUTCOMES; AND PREVENT PHYSICAL DISABILITIES AND PROMOTE WELLNESS THROUGH COMMUNITY PROGRAMS.
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IRS990ScheduleH/HospitalFacilitiesGrp/USAddress/AddressLine1Txt02500 BELLEVUE MEDICAL CNTR DR 4TH
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IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/NondisEmergencyCarePolicyInd00
IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/OrganizationIncurExciseTaxInd00
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IRS990ScheduleH/HospitalFcltyPoliciesPrctcGrp/TaxExemptHospitalCYOrPYInd01
IRS990ScheduleH/MedicareSurplusOrShortfallAmt0-4613634
IRS990ScheduleH/ReimbursedByMedicareAmt0744362
IRS990ScheduleH/ReportPublicallyAvailableInd01
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt0THE COMMUNITY BENEFIT INFORMATION FOR THIS HOSPITAL WAS INCLUDED IN THE COMMUNITY BENEFIT REPORT FOR THE RELATED ORGANIZATION MADONNA REHABILITATION HOSPITAL.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt1AS A START-UP HOSPITAL, MADONNA REHABILITATION SYSTEMS IS REQUIRED TO PROVIDE FREE CARE FOR A MINIMUM OF 20 PATIENTS TO MEET HOSPITAL CERTIFICATION AND STATE LICENSING REQUIREMENTS. THERE WERE EIGHT PATIENTS SERVED DURING THIS TIME THAT HAD PRIVATE INSURANCE. MADONNA REHABILITATION SYSTEMS RECEIVED NO PAYMENT ON $474,891 IN CHARGES RELATED TO THESE PATIENTS. THE REMAINING PATIENTS WERE MEDICARE PATIENTS AND ARE INCLUDED IN PART III, SECTION B, LINES FIVE THROUGH SEVEN.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt2ACCORDING TO AN ASSOCIATE PROFESSOR OF ECONOMICS AND DIRECTOR OF THE BUREAU OF BUSINESS RESEARCH AT THE UNIVERSITY OF NEBRASKA-LINCOLN, THE $93.6 MILLION OMAHA CAMPUS PROJECT WILL CREATE AN ECONOMIC IMPACT OF:$122 MILLION DURING THE TWO-YEAR CONSTRUCTION PHASE.450 INITIAL JOBS - 250 OF WHICH ARE IN CONSTRUCTION.$66 MILLION OF ANNUAL REVENUE, CREATING AN ECONOMIC IMPACT OF $126 MILLION.1,170 JOBS (OMAHA CAMPUS POSITIONS AND AFFILIATED PRODUCT/SERVICES JOBS) WILL BE CREATED ONCE THE FACILITY IS OPERATIONAL.THE EXPENSES ASSOCIATED WITH THE IMPACT ARE INCLUDED IN THE OPERATING LOSSES IN PARTS I AND III.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt3THE HOSPITAL REPORTS PATIENT ACCOUNTS RECEIVABLE FOR SERVICES RENDERED AT NET REALIZABLE AMOUNTS FROM THIRD-PARTY PAYERS, PATIENTS AND OTHERS. ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF ACCOUNTS RECEIVABLE, THE HOSPITAL EVALUATES INDIVIDUAL ACCOUNTS AND IDENTIFIES TRENDS FOR EACH OF ITS MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR DOUBTFUL ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD-PARTY COVERAGE, THE HOSPITAL ANALYZES CONTRACTUALLY DUE AMOUNTS AND ASSESSES THOSE ACCOUNTS THAT WILL TRANSITION TO SELF-PAY PATIENTS. THOSE TRANSITION ACCOUNTS ARE CONSIDERED IN CONJUNCTION WITH SELF-PAY PATIENTS (WHICH INCLUDE BOTH PATIENTS WITHOUT INSURANCE AND PATIENTS WITH DEDUCTIBLE AND COPAYMENT BALANCES DUE FOR WHICH THIRD-PARTY COVERAGE EXISTS FOR PART OF THE BILL). THE HOSPITAL RECORDS A PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE WHICH INDICATES THAT CERTAIN PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. IN MANY CASES, THE HOSPITAL IS ABLE TO NEGOTIATE PAYMENT SUBSEQUENT TO THE INITIAL DETERMINATION OF THE COLLECTABILITY OF THE ACCOUNT. IN THESE CASES, THE HOSPITAL RECORDS ADDITIONAL CONTRACTUAL ALLOWANCES AND DISCOUNTS. UPON CONSIDERATION OF THE FACT CERTAIN PATIENT ACCOUNTS THAT WERE PREVIOUSLY ALLOWED FOR ARE COLLECTED THROUGH NEGOTIATION AND ADJUSTED AT THE TIME OF PAYMENT, THE HOSPITAL HAS DETERMINED THE PROVISION FOR BAD DEBTS IS NOT SIGNIFICANT TO THE FINANCIAL STATEMENTS AND HAS COMBINED WITH CONTRACTUAL ALLOWANCES AND DISCOUNTS.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt4THE AMOUNT WAS DETERMINED USING INTERNAL PROGRAM FINANCIAL STATEMENTS WHICH USE DEPARTMENTALIZED COST TO CHARGE RATIOS AND OTHER ALLOCATION METHODS TO DETERMINE THE COST BASIS.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt5THE PATIENT MUST PROVIDE DOCUMENTATION (OUTLINED IN THE APPLICATION) WHICH WILL DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE (FA). IF IT IS DETERMINED THAT THE PATIENT QUALIFIES FOR 100% FA, NO FURTHER COLLECTION EFFORTS ARE MADE.
IRS990ScheduleH/SupplementalInformationDetail/ExplanationTxt6NE
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc0PART I, LINE 6A:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc1PART I, LINE 7E:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc2PART II, LINE 2:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc3PART III, LINE 4:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc4PART III, LINE 8:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc5PART III, LINE 9B:
IRS990ScheduleH/SupplementalInformationDetail/FormAndLineReferenceDesc6PART VI, LINE 7, REPORTS FILED WITH STATES
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt0PART V, SECTION B, LINE 2: THE HOSPITAL WAS A FIRST-YEAR ENTITY THAT ADMITTED ITS FIRST PATIENTS ON APRIL 1, 2014.MADONNA REHABILITATION SYSTEMS:PART V, SECTION B, LINE 3: IN ACCORDANCE WITH THE INTERNAL REVENUE SERVICE FINAL RULE PUBLISHED IN THE FEDERAL REGISTER ON DECEMBER 31, 2014, NEW HOSPITAL FACILITIES ARE NOT REQUIRED TO MEET CHNA REQUIREMENTS BEFORE THE LAST DAY OF THE SECOND TAXABLE YEAR THAT BEGINS AFTER THE HOSPITAL FACILITY WAS PLACED INTO SERVICE. THEREFORE, MADONNA REHABILITATION SYSTEMS IS NOT REQUIRED TO COMPLETE THE CHNA BEFORE FEBRUARY 28, 2017.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt1PART V, SECTION B, LINE 13H: FPG IS USED TO DETERMINE ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF FINANCIAL ASSISTANCE IS GRANTED, IT IS FOR FREE CARE ONLY.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt2PART V, SECTION B, LINE 22D: THE AMOUNT OF FINANCIAL ASSISTANCE IS CONSIDERED TO BE 100% OF CHARGES.
IRS990ScheduleH/SupplementalInformationGrp/ExplanationTxt3PART V, SECTION B, LINE 24: ALL PATIENTS ARE CHARGED THE SAME AMOUNT REGARDLESS OF PAYER SOURCE OR ABILITY TO PAY. MADONNA FINANCIAL ASSISTANCE AND THE OPPORTUNITY TO SATISFY THE ACCOUNT FOR A REDUCED AMOUNT ARE AVAILABLE TO ALL PATIENTS.
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc0MADONNA REHABILITATION SYSTEMS
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IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc2MADONNA REHABILITATION SYSTEMS
IRS990ScheduleH/SupplementalInformationGrp/FormAndLineReferenceDesc3MADONNA REHABILITATION SYSTEMS
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