Department of the Treasury Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section
4947(a)(1) nonexempt charitable trust.
Attach to Form 990 or Form 990-EZ. See separate instructions.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
THE REHABILITATION INSTITUTE OF KANSAS CITY
Employer identification number
44-0552045
Part I
Reason for Public Charity Status
(All organizations must complete this part.) See instructions
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
e
By checking this box, I certify that the organization is not controlled directly or indirectly by one or more disqualified persons other than foundation managers and other than one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2).
f
If the organization received a written determination from the IRS that it is a Type I, Type II or Type III supporting organization, check this box
..................................................
g
Since August 17, 2006, has the organization accepted any gift or contribution from any of the following persons?
(i) a person who directly or indirectly controls, either alone or together with persons described in (ii)
Yes
No
and (iii) below, the governing body of the the supported organization?
................
11g(i)
(ii)
a family member of a person described in (i) above?
......................
11g(ii)
(iii)
a 35% controlled entity of a person described in (i) or (ii) above?
................
11g(iii)
h
Provide the following information about the supported organization(s).
(i) Name of supported organization
(ii) EIN
(iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions))
(iv) Is the organization in col. (i) listed in your governing document?
(v) Did you notify the organization in col. (i) of your support?
(vi) Is the organization in col. (i) organized in the U.S.?
(vii) Amount of support?
Yes
No
Yes
No
Yes
No
Total
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 2
Part II
Support Schedule for Organizations Described in IRC 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi) (Complete only if you checked the box on line 5, 7, or 8 of Part I or if the
organization failed to qualify under Part III. If the organization fails to
qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....
2
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3
The value of services or facilities furnished by a governmental unit to the organization without charge..
4
Total. Add lines 1 through 3..
5
The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included
on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6
Public Support. Subtract line 5 from line 4.
Section B. Total Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
7
Amounts from line 4..
8
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
9
Net income from unrelated business activities, whether or not the business is regularly carried on..
10
Other income. (Explain in Part IV.) Do not include gain or loss from the sale of capital assets..
11
Total support (Add lines 7 through 10).
12
Gross receipts from related activities, etc. (See instructions.)
..................
12
13
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here..........................................
Section C. Computation of Public Support Percentage
14
Public Support Percentage for 2010 (line 6 column (f) divided by line 11 column (f))
.........
14
15
Public Support Percentage for 2009 Schedule A, Part II, line 14
...............
15
16a
33 1/3% support test—2011.
If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization
......................
b
33 1/3% support test—2010.
If the organization did not check the box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization
.....................
17a
10%-facts-and-circumstances test—2011.
If the organization did not check a box on line 13, 16a, or 16b and line 14
is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here. Explain
in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported
organization
..................................................
b
10%-facts-and-circumstances test—2010.
If the organization did not check a box on line 13, 16a, 16b, or 17a and line
15 is 10% or more, and if the organization meets the "facts and circumstances" test, check this box and stop here.
Explain in Part IV how the organization meets the "facts and circumstances" test. The organization qualifies as a publicly supported organization
..............................................
18
Private Foundation
If the organization did not check a box on line 13, 16a, 16b, 17a or 17b, check this box and see
instructions
...................................................
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 3
Part III
Support Schedule for Organizations Described in IRC 509(a)(2) (Complete only if you checked the box on line 9 of Part I or if the organization
failed to qualify under Part II. If the organization fails to qualify under
the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year(or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
1
Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
1,002,019
898,336
581,489
676,840
747,619
3,906,303
2
Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
5,524,249
5,013,512
5,400,276
5,425,726
5,768,186
27,131,949
3
Gross receipts from activities that are not an unrelated trade or business under section 513..
10,500
51,442
23,359
40,226
37,752
163,279
4
Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5
The value of services or facilities furnished by a governmental unit to the organization without charge..
6
Total. Add lines 1 through 5.
6,536,768
5,963,290
6,005,124
6,142,792
6,553,557
31,201,531
7a
Amounts included on lines 1, 2, and 3 received from disqualified persons...
10,000
20,000
10,000
5,000
37,000
82,000
b
Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
14,087
50,288
70,842
45,058
76,469
256,744
c
Add lines 7a and 7b..
24,087
70,288
80,842
50,058
113,469
338,744
8
Public Support (Subtract line 7c from line 6.)
30,862,787
Section B. Total Support
Calendar year (or fiscal year beginning in)
(a) 2007
(b) 2008
(c) 2009
(d) 2010
(e) 2011
(f) Total
9
Amounts from line 6...
6,536,768
5,963,290
6,005,124
6,142,792
6,553,557
31,201,531
10a
Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
13,960
2,962
523
290
1,119
18,854
b
Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c
Add lines 10a and 10b.
13,960
2,962
523
290
1,119
18,854
11
Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12
Other income. Do not include gain or loss from the sale of capital assets (Explain in Part IV.)
216,111
175,075
200,992
129,287
126,304
847,769
13
Total support (Add lines 9, 10c, 11 and 12.).
6,766,839
6,141,327
6,206,639
6,272,369
6,680,980
32,068,154
14
First Five Years
If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a 501(c)(3) organization,
check this box and stop here.............................................
Section C. Computation of Public Support Percentage
15
Public Support Percentage for 2011 (line 8 column (f) divided by line 13 column (f))
.........
15
96.241 %
16
Public support percentage from 2010 Schedule A, Part III, line 15
...............
16
96.018 %
Section D. Computation of Investment Income Percentage
17
Investment income percentage for 2011 (line 10c column (f) divided by line 13 column (f))
......
17
0.059 %
18
Investment income percentage from 2010 Schedule A, Part III, line 17
.............
18
0.126 %
19a
33 1/3% support tests—2011.
If the organization did not check the box on line 14, and line 15 is more than 33 1/3% and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
..........
b
33 1/3% support tests—2010.
If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization
....
20
Private Foundation
If the organization did not check a box on line 14, 19a or 19b, check this box and see instructions
.....
Schedule A (Form 990 or 990-EZ) 2011
Schedule A (Form 990 or 990-EZ) 2011
Page 4
Part IV
Supplemental Information.
Supplemental Information. Complete this part to provide the explanation required by Part II, line 10; Part II, line 17a or 17b; or Part III, line 12. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
Explanation
Schedule A (Form 990 or 990-EZ) 2011
Additional Data
Software ID:
Software Version:
-
TIN:
SCHEDULE O (Form 990 or 990-EZ)
Department of the Treasury Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ
Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2011
Open to Public Inspection
Name of the organization
THE REHABILITATION INSTITUTE OF KANSAS CITY
Employer identification number
44-0552045
Identifier
Return Reference
Explanation
ORGANIZATION'S MISSION
FORM 990, PART III, LINE 1
OUR MISSION IS TO BUILD BRIGHTER FUTURES FOR CHILDREN AND ADULTS WITH DISABILITIES. WE ACCOMPLISH THIS BY PROVIDING COMPREHENSIVE MEDICAL REHABILITATION AND EMPLOYMENT PLACEMENT SERVICES FOR CHILDREN AND ADULTS WITH DISABILITIES RESULTING FROM TRAUMATIC BRAIN INJURY, SPINAL CORD INJURY, STROKE OR NEUROLOGICAL DISEASE OR DISORDERS. IN 2011, WE HELPED 2,028 DISABLED CHILDREN AND ADULTS ACHIEVE GREATER INDEPENDENCE IN THEIR HOMES, WORK OR SCHOOLS, AND IN THE COMMUNITY.
PROGRAM SERVICE ACCOMPLISHMENTS
FORM 990, PART III, LINE 4A
MEDICAL REHABILITATION PROGRAMS: Our nationally accredited Medical Rehabilitation Program helps children and adults, who have experienced a serious illness or injury resulting in a significant loss of physical and/or cognitive function, regain lost abilities or learn new skills needed to be self-sufficient and engage in family, school or work and community life. This program is not for individuals who have experienced back, knee and shoulder injuries, which can be addressed by other rehabilitation providers. Rather, our program helps those who have had a catastrophic illness or injury resulting in a life-altering disability such as a stroke, brain injury or spinal cord injury. The program is a cost-effective alternative to extended inpatient hospitalization and potentially, long-term extended care. Acting as part of the continuum of care for area trauma hospitals, our program allows patients to make the transition from inpatient care to outpatient services without compromising their rehabilitation care or opportunities to make the physical and cognitive gains needed to resume healthy, productive lives. EMPLOYMENT PLACEMENT PROGRAMS: This nationally accredited program helps disabled adults enter the workforce for the first-time or return to work following a debilitating injury or illness. The program helps individuals with disabilities identify their job skills, address barriers to employment, gain job seeking skills and secure and maintain employment. The goal of our program is to help working-aged adults with disabilities secure and maintain employment that offers a competitive wage and benefits. Being employed and earning a wage provides disabled individuals with options and opportunities, including becoming more integrated into their community. Our services help ensure that individuals served will not only get a job, but keep their job, thus enabling them to provide for themselves and their family, establish a network of support and become contributing members of the community.
FORM 990 REVIEW PROCESS
FORM 990, PART VI, SECTION B, LINE 11B
AN INDEPENDENT ACCOUNTING FIRM PREPARES AND REVIEWS THE 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S OFFICERS, ACCOUNTING PERSONNEL AND A SUBSET OF THE FINANCE COMMITTEE. ANY QUESTIONS AND CONCERNS THE ORGANIZATION'S OFFICERS AND ACCOUNTING PERSONNEL HAVE ARE ADDRESSED AND ANY CORRECTIONS OR CLARIFICATIONS ARE MADE. THE FINAL FORM 990 IS THEN PROVIDED TO ALL THE VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990.
CONFLICT OF INTEREST POLICY
FORM 990, PART VI, SECTION B, LINE 12C
ANNUALLY, THE BOARD MEMBERS, KEY EMPLOYEES AND OFFICERS RECEIVE COMPLIANCE TRAINING, WHICH INCLUDES DISCUSSIONS ON CONFLICT OF INTEREST. AFTER THE ANNUAL TRAINING, ALL BOARD MEMBERS, KEY EMPLOYEES AND OFFICERS SIGN A STATEMENT STATING THAT THE MATERIALS HAVE BEEN REVIEWED, THEY HAVE BEEN ALLOWED TO ASK QUESTIONS AND RECEIVED APPROPRIATE ANSWERS, AND THAT THEY UNDERSTAND THE MATERIAL. COMPLIANCE CONCERNS ARE FORWARDED TO THE COMPLIANCE OFFICER, THE DEPARTMENT SUPERVISOR, WHO THEN REPORTS TO THE COMPLIANCE OFFICER, OR THROUGH ANONYMOUS SUBMITTAL VIA A COMPLIANCE ISSUES DROP BOX. THE COMPLIANCE OFFICER INVESTIGATES ALL COMPLIANCE ISSUES AND DETERMINES THE CORRECT COURSE OF ACTION. EITHER IT IS NOT A COMPLIANCE ISSUE OR, IF IT IS A COMPLIANCE ISSUE, THE COMPLIANCE OFFICER LOGS ALL REPORTED ISSUES, THE FINDINGS FROM HER INVESTIGATION, AND ANY ACTIONS TAKEN TO CORRECT THE ISSUE. IN ADDITION, HER REPORT IS SUBMITTED TO THE CEO AND THE BOARD OF DIRECTORS FOR REVIEW. IF THE COMPLIANCE ISSUE IS ASSOCIATED WITH ANY OF THE DIRECTORS, THE DIRECTOR IS REQUIRED TO LEAVE THE BOARD ROOM DURING THE DISCUSSION AND VOTING.
COMPENSATION REVIEW
FORM 990, PART VI, SECTION B, LINES 15A & 15B
THE CEO'S COMPENSATION INCLUDES A REVIEW OF COMPARABILITY DATA PREPARED BY THE HR MANAGER, DISCUSSIONS/REVIEW AT THE EXECUTIVE COMMITTEE AND THEN THE RECOMMENDATION OF THE EXECUTIVE COMMITTEE IS MADE AND VOTED ON BY THE BOARD. THERE ARE MINUTES FOR THE EXECUTIVE COMMITTE AND THE BOARD TO SUBSTANTIATE THIS PROCESS. THE COMPENSATION FOR ALL OFFICERS, OTHER THAN THE CEO, IS BASED ON A SET PAY SCALE FOR THE POSITION. THE CEO DETERMINES ANY INCREASE GIVEN, UP TO THE TOP OF THE SCALE FOR THE POSITION.
AVAILABILITY OF DOCUMENTS
FORM 990, PART VI, SECTION C, LINE 19
THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
RECONCILIATION OF NET ASSETS
FORM 990, PART XI, LINE 5
NET ASSETS RELEASED FROM RESTRICTIONS $ 42,646 CHANGE IN TEMPORARY RESTRICTED NET ASSETS 73,343 ---------- $ 115,989