REHABILITATION HOSPITAL OF THE PACIFIC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: REHABILITATION HOSPITAL OF THE PACIFIC (EIN 51-0160156)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-12
IRS object ID: 202242249349302079
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-12T17:44:04-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	4365 EXECUTIVE DR STE 1600	AddressLine1Txt
City	SAN DIEGO	CityNm
State Abbreviation	CA	StateAbbreviationCd
ZIP	92121	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	510160156	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% KERIC CHANG	InCareOfNm
Business Name Control	REHA	BusinessNameControlTxt
Phone	8085313511	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	226 NORTH KUAKINI STREET	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	968172498	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	WENDY MANUEL	PersonNm
Person Title	VP/CFO/COO	PersonTitleTxt
Phone	8085313511	PhoneNum
Signature	2022-08-12	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Wendy	PersonFirstNm
Person Last	Manuel	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOCELYNE MILLER	PreparerPersonNm
PTIN	P00634378	PTIN
Phone	8585357200	PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	STEPHANIE NADOLNY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	226 NORTH KUAKINI STREET	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	968172498	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$52,867,689	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.REHABHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1975	FormationYr
Legal Domicile State	HI	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	20	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	563	TotalEmployeeCnt
Total Volunteers	53	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,215,513	PYContributionsGrantsAmt
CY Contributions Grants	$6,263,086	CYContributionsGrantsAmt
PY Program Service Revenue	$43,713,363	PYProgramServiceRevenueAmt
CY Program Service Revenue	$42,869,813	CYProgramServiceRevenueAmt
PY Investment Income	$1,003,399	PYInvestmentIncomeAmt
CY Investment Income	$770,589	CYInvestmentIncomeAmt
PY Other Revenue	$1,126,834	PYOtherRevenueAmt
CY Other Revenue	$1,110,578	CYOtherRevenueAmt
PY Total Revenue	$48,059,109	PYTotalRevenueAmt
CY Total Revenue	$51,014,066	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$31,013,654	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$31,259,639	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$17,000,646	PYOtherExpensesAmt
CY Other Expenses	$18,449,390	CYOtherExpensesAmt
PY Total Expenses	$48,014,300	PYTotalExpensesAmt
CY Total Expenses	$49,709,029	CYTotalExpensesAmt
PY Revenues Less Expenses	$44,809	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,305,037	CYRevenuesLessExpensesAmt
Total Assets BOY	$86,769,518	TotalAssetsBOYAmt
Total Assets EOY	$92,438,994	TotalAssetsEOYAmt
Total Liabilities BOY	$35,602,335	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$29,525,982	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$51,167,183	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$62,913,012	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$28,626,873	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$39,014,549	RevenueAmt
Desc	See Schedule O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$2,945,033	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$3,025,216	RevenueAmt
Desc	See Schedule O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$795,149	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$838,048	RevenueAmt
Desc	See Schedule O	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$32,367,055	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	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	false	TaxExemptBondsInd
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 With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
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	67	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	563	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
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
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	20	GoverningBodyVotingMembersCnt
Independent Voting Member	20	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	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	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
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KERIC CHANG	PersonNm
Phone	8085443308	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	226 NORTH KUAKINI STREET	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	96817	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (33 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd
TIMOTHY ROE MD MBA
PRESIDENT & CEO	40.0	0.0	Yes (X)	$506,057	$0	$95,248
WENDY MANUEL
VP/CFO/COO	40.0	0.0	Yes (X)	$259,613	$0	$68,887
SUSAN GABRIEL
VP, CLINICAL SERVICES	40.0	0.0	Yes (X)	$218,501	$0	$44,282
GLENN REQUIERME
CHIEF INFORMATION OFFICER	40.0	0.0	Yes (X)	$197,397	$0	$7,308
GEORGIA MCCULLOUGH
COMPLIANCE AND PRIVACY OFFICER	40.0	0.0		$147,347	$0	$7,388	Yes (X)
ELVIRA SALINAS OSHIRO
REGISTERED NURSE	40.0	0.0		$130,159	$0	$24,359	Yes (X)
KERIANN ERNST
CONTROLLER	40.0	0.0		$139,472	$0	$9,892	Yes (X)
DEBBIE VAN LERBERGHE
RN-CRRN	40.0	0.0		$122,653	$0	$23,276	Yes (X)
CAROLYN C UEHARA
RN-CRRN	40.0	0.0		$126,543	$0	$16,067	Yes (X)
LORI YOSHIOKA
VP, CHIEF HUMAN RESOURCE OFFIC	40.0	0.0	Yes (X)	$118,575	$0	$8,321
DR SHARI ANN OSHIRO
VP, CHIEF MEDICAL OFFICER	40.0	0.0	Yes (X)	$49,666	$0	$2,422
GLENN SEXTON
DIRECTOR/CHAIR	1.0	1.0	Yes (X)	$0	$0	$0		Yes (X)
KEVIN CHANG
DIRECTOR/VICE CHAIR	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
JENNIFER ISOBE
DIRECTOR/TREASURER	1.0	0.0	Yes (X)	$0	$0	$0		Yes (X)
LYNNE KIMOTO MADDEN
DIRECTOR/SECRETARY	1.0	1.0	Yes (X)	$0	$0	$0		Yes (X)
CHERYLEE CHANG MD
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
SAI CHANTAVY
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
NEILL CHAR
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
WILLIAM CROWLEY
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
KEITH GENDREAU
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
RONALD NS HO
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
CORY KUBOTA
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
BENJAMIN KUDO
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
JANICE LUKE LOO
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
BRYAN LUKE
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
OWEN NISHIKAWA MD
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
MICHAEL W PERRY
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
HUIDY SHU MD PhD
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
PATRICK SULLIVAN PhD
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
LAURIE TOM MD
DIRECTOR	1.0	1.0		$0	$0	$0		Yes (X)
MICHAEL WO
DIRECTOR	1.0	0.0		$0	$0	$0		Yes (X)
RAYMOND ONO
DIRECTOR/CHAIR	1.0	1.0	Yes (X)	$0	$0	$0		Yes (X)
STEPHANIE NADOLNY
PRESIDENT & CEO	40.0	0.0	Yes (X)	$0	$0	$0

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,015,983	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$307,450	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	64	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC AFFILIATES
Dept 43283	LOS ANGELES	CA	90088	MANAGEMENT - DIETARY	$1,288,186
WORKDAY INC
PO Box 886106	LOS ANGELES	CA	90088	IT SERVICES	$908,269
THE QUEENS POB PHARMACY
1380 LUSITANA STREET	HONOLULU	HI	96813	MANAGEMENT - PHARMAC	$635,164
REHAB ASSOCIATES OF THE PACIFIC
226 N KUAKINI STREET	HONOLULU	HI	96817	MEDICAL DIRECTORSHIP	$618,329
AREKAT PACIFIC SECURITY INC
1314 SOUTH KING STREET SUITE 504	HONOLULU	HI	96814	AGENCY STAFFING	$338,907

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	36	CntrctRcvdGreaterThan100KCnt
Fundraising	$0	FundraisingAmt
Related Organizations	$139,866	RelatedOrganizationsAmt
Government Grants	$5,599,577	GovernmentGrantsAmt
All Other Contributions	$523,643	AllOtherContributionsAmt
Noncash Contributions	$497,037	NoncashContributionsAmt
Total Contributions	$6,263,086	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MEDICARE/MEDICAID PAYMENT	622310	$28,528,360	$28,528,360	$0	$0
PATIENT REVENUES	622310	$14,341,453	$14,341,453	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$42,869,813	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$725,049	TotalRevenueColumnAmt
Exclusion	$725,049	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$931,597	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$931,597	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$931,597	TotalRevenueColumnAmt
Exclusion	$931,597	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$1,899,163	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$1,853,623	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$45,540	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$45,540	TotalRevenueColumnAmt
Exclusion	$45,540	ExclusionAmt

Field	Value	IRS element (for citing)
Fundraising Gross Income	$0	FundraisingGrossIncomeAmt
Fundraising Direct Expenses	$0	FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gaming Gross Income	$0	GamingGrossIncomeAmt
Gaming Direct Expenses	$0	GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PARKING REVENUE	812930	$135,197	$0	$0	$135,197
GIFT SHOP REVENUE	453220	$6,842	$0	$0	$6,842
PC ADMIN FEES	561110	$929	$0	$0	$929

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$36,013	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$36,013	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$178,981	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$51,014,066	TotalRevenueColumnAmt
Related Or Exempt Func Income	$42,869,813	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,881,167	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,771,217	TotalAmt
Program Services	$542,767	ProgramServicesAmt
Management And General	$1,228,450	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$23,161,860	TotalAmt
Program Services	$17,771,260	ProgramServicesAmt
Management And General	$5,390,600	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$561,633	TotalAmt
Program Services	$412,535	ProgramServicesAmt
Management And General	$149,098	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,969,624	TotalAmt
Program Services	$2,933,952	ProgramServicesAmt
Management And General	$1,035,672	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,795,305	TotalAmt
Program Services	$1,318,701	ProgramServicesAmt
Management And General	$476,604	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$528,824	TotalAmt
Program Services	$47,497	ProgramServicesAmt
Management And General	$481,327	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$196,498	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$196,498	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$76,623	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$76,623	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,959,746	TotalAmt
Program Services	$4,002,739	ProgramServicesAmt
Management And General	$957,007	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$148,726	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$148,726	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$211,738	TotalAmt
Program Services	$30,296	ProgramServicesAmt
Management And General	$181,442	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,961,690	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,961,690	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,257,617	TotalAmt
Program Services	$698,043	ProgramServicesAmt
Management And General	$559,574	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$20,220	TotalAmt
Program Services	$4,162	ProgramServicesAmt
Management And General	$16,058	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$12,972	TotalAmt
Program Services	$7,533	ProgramServicesAmt
Management And General	$5,439	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$332,973	TotalAmt
Program Services	$767	ProgramServicesAmt
Management And General	$332,206	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,700,812	TotalAmt
Program Services	$1,818,246	ProgramServicesAmt
Management And General	$1,882,566	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$623,848	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$623,848	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PATIENT SUPPLIES	$1,259,436	$1,259,436	$0	$0
SUSTAIN. PROV. TAX /MIT.	$948,645	$948,645	$0	$0
EMPLOYEE PPE	$497,037	$497,037	$0	$0
REPAIRS AND MAINTENANCE	$293,773	$61,460	$232,313	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$418,212	TotalAmt
Program Services	$11,979	ProgramServicesAmt
Management And General	$406,233	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$49,709,029	TotalAmt
Program Services	$32,367,055	ProgramServicesAmt
Management And General	$17,341,974	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,600	BOYAmt
EOY	$2,200	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,114,858	BOYAmt
EOY	$12,134,701	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$26,006	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,797,283	BOYAmt
EOY	$5,775,522	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$161,298	BOYAmt
EOY	$161,755	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$890,194	BOYAmt
EOY	$1,161,501	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$69,264,694	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$42,681,013	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$29,073,053	BOYAmt
EOY	$26,583,681	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$26,489,327	BOYAmt
EOY	$37,992,228	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$93,029	BOYAmt
EOY	$80,048	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,147,876	BOYAmt
EOY	$8,521,352	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$86,769,518	BOYAmt
EOY	$92,438,994	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$17,572,313	BOYAmt
EOY	$14,500,536	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$13,484,154	BOYAmt
EOY	$12,377,980	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,545,868	BOYAmt
EOY	$2,647,466	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$35,602,335	BOYAmt
EOY	$29,525,982	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,086,847	BOYAmt
EOY	$55,130,082	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$7,080,336	BOYAmt
EOY	$7,782,930	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$51,167,183	BOYAmt
EOY	$62,913,012	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$86,769,518	BOYAmt
EOY	$92,438,994	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$1,305,037	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,846,421	NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts	$0	DonatedServicesAndUseFcltsAmt
Investment Expense	$0	InvestmentExpenseAmt
Prior Period Adjustments	$0	PriorPeriodAdjustmentsAmt
Other Changes In Net Assets	$5,594,371	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
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	Yes (true)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (true)	FederalGrantAuditPerformedInd

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 D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,244,244	OtherCostOrOtherBasisAmt
Book Value	$1,244,244	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,626,694	OtherCostOrOtherBasisAmt
Depreciation	$14,690,551	DepreciationAmt
Book Value	$15,936,143	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$375,730	OtherCostOrOtherBasisAmt
Depreciation	$368,905	DepreciationAmt
Book Value	$6,825	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,930,925	OtherCostOrOtherBasisAmt
Depreciation	$25,254,473	DepreciationAmt
Book Value	$7,676,452	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,087,101	OtherCostOrOtherBasisAmt
Depreciation	$2,367,084	DepreciationAmt
Book Value	$1,720,017	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$26,583,681	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
AN EXEMPT AFFILIATE	$1,496,841
DEPOSITS & OTHER RECEIVABLES	$1,464,277
ASSETS OF FOUNDATION	$4,626,486
OTHER ASSETS	$933,748

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$8,521,352	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
AN EXEMPT AFFILATE	$2,015,819
DEFFERED COMPENSATION PAYABLE	$80,048
CAPITAL LEASE LIABILITY	$27,721
OTHER LIABILITIES	$523,878

Field	Value	IRS element (for citing)
Total Liability	$2,647,466	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

SCHEDULE D, PART V, LINE 4

ENDOWMENT FUNDS REHABILITATION HOSPITAL OF THE PACIFIC USES THE ENDOWMENT FUNDS FOR THE PURPOSES INTENDED BY THE BOARD.

SCHEDULE D, PART X, LINE 2

Both the Hospital and the Foundation are not-for-profit corporations that have been recognized as tax-exempt organizations pursuant to Section 501(c)(3) of the Internal Revenue Code. The Hospital and the Foundation are subject to federal and state income taxes on income unrelated to their respective tax-exempt purposes. At September 30, 2021 and 2020, the Company had no unrecognized tax benefits. The Company's 2017 through 2020 federal and Hawaii tax returns remain open to examination by the Internal Revenue Service and State of Hawaii Department of Taxation. The Company's policy is to recognize interest expense and penalties related to income tax matters as a component of income tax expense. The Company has accrued $0 of interest and penalties and there were no uncertain tax positions as of September 30, 2021 and 2020.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	false	AnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,321	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,321	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,444,200	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,029,548	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$414,652	NetCommunityBenefitExpnsAmt
Total Expense	0.00830	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,448,521	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,029,548	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$418,973	NetCommunityBenefitExpnsAmt
Total Expense	0.00840	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,016	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,016	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$198,004	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,358	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$127,646	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$7,441	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$7,441	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$208,461	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,358	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$138,103	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,656,982	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$10,099,906	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$557,076	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$233	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$233	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$233	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$233	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	-$31,170	BadDebtExpenseAmt
Reimbursed By Medicare	$11,585,415	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$10,622,750	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$962,665	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	false	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 HOSP OF THE PACIFIC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	226 NORTH KUAKINI STREET	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	96817	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.REHABHOSPITAL.ORG	WebsiteAddressTxt
Licensed Hospital	Yes (X)	LicensedHospitalInd
Other	ACUTE CARE REHAB	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	REHABILITATION HOSP OF THE PACIFIC	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
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, SECTION C	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, SECTION C	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, SECTION C	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Prospective Medicare Medicaid	Yes (X)	ProspectiveMedicareMedicaidInd
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 3E	THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE SEPTEMBER 2019 CHNA. PART V, SECTION B, LINE 5 IN ORDER TO DEVELOP A COMPLETE UNDERSTANDING OF HAWAII'S HEALTH-NEEDS, A CHNA ADVISORY COMMITTEE WAS FORMED. THE ADVISORY COMMITTEE INCLUDED MEMBERS OF THE 19 PARTICIPATING HOSPITALS (SEE BELOW) AS WELL AS LEADERS IN THE POST-ACUTECONTINUUM OF CARE, LEADERS OF PROGRAMS SERVICING LOW-INCOME AND MINORITY GROUPS, AND THE STATE OF HAWAII DEPARTMENT OF HEALTH AND HUMAN SERVICES. UTILIZING HEALTH AND HEALTH-RELATED INDICATORS, THE COMMITTEE WAS ABLE TO DETERMINE THE GREATEST HEALTH-RISKS TO ADDRESS. IN ORDER TO GAIN INSIGHT INTO THE MOST PROBLEMATIC AREAS, AND ANY AREAS WHERE GAPS OF UNDERSTANDING WERE PRESENT, 200 KEY INFORMANTS WERE SELECTED TO BE INTERVIEWED. THESE KEY INFORMANTS ARE EXPERTS IN VARIOUS AREAS OF PUBLIC HEALTH, HEALTH POLICY AND SERVICE PROVISION. THE INFORMATION GATHERED FROM THESE INTERVIEWS WAS AGGREGATED, ANALYZED AND BROUGHT BACK TO THE ADVISORY COMMITTEE. FROM THERE, THE 19 PARTICIPATING HOSPITALS DETERMINED HOW TO BEST ADDRESS THE HEALTH NEEDS OF THE STATE OF HAWAII. KEY INFORMANT INTERVIEWS WERE COMPLETED BETWEEN JULY 2018 AND NOVEMBER 2018. THE 19 PARTICIPATING HOSPITALS DETERMINED HOW TO BEST ADDRESS THE HEALTH NEEDS OF THE STATE OF HAWAII. KEY INFORMANT INTERVIEWS WERE COMPLETED BETWEEN JULY 2018 AND NOVEMBER 2018.
SCHEDULE H, PART V, SECTION B, LINE 6A & 6B	THE SEPTEMBER 2019 STATE OF HAWAII CHNA WAS A COLLABORATIVE EFFORT LED BY THE HEALTHCARE ASSOCIATION OF HAWAII, IN PARTNERSHIP WITH THE ISLANDER INSTITUTE. IT WAS COMPLETED JOINTLY WITH 19 HAWAII HOSPITALS. THE PARTICIPANTS INCLUDED: ADVENTIST HEALTH CASTLE, KAHI MOHALA, KAHUKU MEDICAL CENTER, KAISER FOUNDATION HOSPITAL - HONOLULU, KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN, KUAKINI MEDICAL CENTER, KULA HOSPITAL, LANA'I COMMUNITY HOSPITAL, MAUI MEMORIAL MEDICAL CENTER, MOLOKAI GENERAL HOSPITAL, NORTH HAWAI'I COMMUNITY HOSPITAL, PALI MOMI MEDICAL CENTER, THE QUEEN'S MEDICAL CENTER, THE QUEEN'S MEDICAL CENTER - WEST O'AHU, REHABILITATION HOSPITAL OF THE PACIFIC, SHRINERS HOSPITALS FOR CHILDREN - HONOLULU, STRAUB MEDICAL CENTER, WAHIAWA GENERAL HOSPITAL AND WILCOX MEDICAL CENTER.
SCHEDULE H, PART V, SECTION B, LINE 7A	CHNA WEBSITE HTTPS://WWW.REHABHOSPITAL.ORG/AWARDS-ACCREDITATIONS
SCHEDULE H, PART V, SECTION B, LINE 11	REHAB HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS APPROVED IN SEPTEMBER 2019. FOR FISCAL YEAR 2020, REHAB HOSPITAL ADDRESSED THE FOLLOWING PRIORITY NEEDS IDENTIFIED IN THE SEPTEMBER 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: 1) FOUNDATIONS - STRENGTHEN FAMILIES 2) COMMUNITY - NURTURE COMMUNITY IDENTITY AND COHESIVENESS 3) HEALTHCARE - PROVIDE ACCESSIBLE, PROACTIVE SUPPORT FOR THOSE WITH HIGH NEEDS DURING FISCAL YEAR 2021, REHAB CONDUCTED THE FOLLOWING ACTIVITIES TO ADDRESS THE THREE PRIORITY NEEDS: PRIORITY AREA 1: FOUNDATION - STRENGTHEN FAMILIES EXPAND CANCER REHABILITATION PROGRAM OFFERINGS REHAB'S ICARE CANCER REHABILITATION PROGRAM PROVIDES ONE ON ONE SUPERVISED EXERCISE REHABILITATION THAT IS INTENDED TO IMPROVE THE CARDIOPULMONARY CONDITIONING OF OUR PATIENTS TO OVERCOME THE CARDIOPULMONARY IMPAIRMENTS THAT ARE RECOGNIZED TO OCCUR DUE TO CANCER AND THE TREATMENT OF CANCER. THESE HEALTHCARE SERVICES ARE PROVIDED FREE OF CHARGE TO THE PATIENTS. THE PROGRAM ALSO INCORPORATES TRAINING OF STUDENT INTERNS IN PARTNERSHIP WITH THE UNIVERSITY OF HAWAII KINESIOLOGY AND REHABILITATION SCIENCE DEPARTMENT. DURING FISCAL YEAR 2021, REHAB HOSPITAL RECEIVED GRANT FUNDING TO SUPPORT ITS CANCER REHABILITATION PROGRAM AND CONTINUED TO EXPAND THE NUMBER OF PATIENTS SERVED AND STUDENT INTERNS TRAINED, DESPITE CHALLENGES DURING THE PANDEMIC. PRIORITY AREA 2: COMMUNITY - NURTURE COMMUNITY IDENTITY AND COHESIVENESS INCREASE OPPORTUNITIES FOR COMMUNITY EDUCATION AND AWARENESS REHAB HOSPITAL PARTICIPATED IN A VARIETY OF COMMUNITY HEALTH EVENTS SUCH AS THE HAWAII PARKINSON ASSOCIATION SYMPOSIUM, AND HEALTH RELATED PRESENTATIONS TO LOCAL SCHOOLS AND SUPPORT GROUPS TO PROVIDE EDUCATION ON HEALTH CONDITIONS AND REHAB HOSPITAL SERVICES. REHAB HOSPITAL ALSO PROVIDED ANIMAL ASSISTED THERAPY SERVICES WITH VETERANS AT PEARL HARBOR. REHAB ALSO PARTICIPATED IN VARIOUS HEALTHCARE COMMUNITY LEADERSHIP CALLS WITH STATE GOVERNMENT OFFICIALS IN ADDRESSING STATEWIDE COVID-19 PANDEMIC RESPONSE. ENGAGE IN RESEARCH OPPORTUNITIES REHAB HOSPITAL'S ICARE CANCER REHABILITATION PROGRAM IS A COLLABORATIVE STUDY BETWEEN REHAB HOSPITAL AND THE UNIVERSITY OF HAWAII KINESIOLOGY AND REHABILITATION SCIENCE DEPARTMENT TO BETTER UNDERSTAND HOW EXERCISE IMPROVES THE HEALTH, FITNESS AND QUALITY OF LIFE FOR CANCER PATIENTS. DURING FISCAL YEAR 2021, REHAB HOSPITAL CONTINUED TO PROVIDE SERVICES UNDER THE PROGRAM, ANALYZE DATA AND SHARE FINDINGS THROUGH EDUCATIONAL PRESENTATIONS. REHAB HOSPITAL ALSO BEGAN PLANNING FOR PUBLISHED ARTICLES REGARDING THE RESULTS OF ITS RESEARCH. PRIORITY AREA 3: HEALTHCARE - PROVIDE ACCESSIBLE, PROACTIVE SUPPORT FOR THOSE WITH HIGH NEEDS INCREASE EDUCATIONAL OPPORTUNITIES FOR STUDENTS REHAB HOSPITAL CONTINUES TO BE INVOLVED WITH FELLOWSHIP PROGRAMS WITH THE JOHN A. BURNS SCHOOL OF MEDICINE, UNIVERSITY OF HAWAII AND SUPPORTS STUDENTS IN PHYSICAL MEDICINE AND REHABILITATION ROTATIONS AND GERIATRIC FELLOWSHIPS. IN ADDITION, REHAB SUPPORTS THERAPY STUDENT SHADOWING. REHAB HOSPITAL ALSO HOLDS SEMINARS AT LOCAL UNIVERSITIES ON THE BENEFITS OF PHYSICAL THERAPY. REHAB HOSPITAL COLLABORATED WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND OTHER COMMUNITY PARTNERS, INCLUDING THE UNIVERSITY OF HAWAII, HAWAII STATE DEPARTMENT OF EDUCATION, KAPIOLANI COMMUNITY COLLEGE AND THE CHAMBER OF COMMERCE UNDER THE HAWAII HEALTHCARE WORKFORCE INITIATIVE TO DEVELOP TRAINING PROGRAMS FOR HEALTHCARE SERVICE PROVIDERS AT THE HIGH SCHOOL, UNDERGRADUATE AND GRADUATE LEVELS. REHAB ALSO PROVIDES CLINICAL INSTRUCTION FOR NUMEROUS THERAPY STUDENTS, THROUGH PARTNERSHIPS WITH EDUCATIONAL INSTITUTIONS AND THROUGH OUR ICARE CANCER REHABILITATION PROGRAM. REHAB HOSPITAL ALSO CONTINUES TO PARTNER WITH THE UNIVERSITY OF HAWAII KINESIOLOGY AND REHABILITATION SCIENCE DEPARTMENT IN CONNECTION WITH REHAB HOSPITAL'S CANCER REHABILITATION PROGRAM. NEEDS NOT BEING ADDRESSED THE FOLLOWING AREAS OF NEED IDENTIFIED IN REHAB'S 2019 CHNA ARE NOT BEING ADDRESSED IN ITS CURRENT IMPLEMENTATION STRATEGY BECAUSE THEY WERE NOT SELECTED AS THE HIGHEST PRIORITY FOR REHAB AS THEY ARE BEYOND REHAB'S CURRENT RESOURCES AND/OR EXPERTISE. FOUNDATIONS - ADDRESS FINANCIAL INSECURITY FOUNDATIONS - WORK TOGETHER FOR EQUALITY AND JUSTICE FOUNDATIONS - PREPARE FOR EMERGENCIES FOUNDATIONS - BUILD GOOD FOOD SYSTEMS COMMUNITY - RESTORE ENVIRONMENT AND SENSE OF PLACE COMMUNITY - INVEST IN TEENAGERS AND HEALTHY STARTS COMMUNITY - SHIFT KUPUNA CARE AWAY FROM "SICK CARE" HEALTHCARE - STRENGTHEN TRUST IN HEALTHCARE
SCHEDULE H, PART V, SECTION B, LINES 16A, 16B & 16C	FINANCIAL ASSISTANCE POLICY HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK FINANCIAL ASSISTANCE POLICY APPLICATION HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK PLAIN LANGUAGE SUMMARY HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
REHAB AT NUUANU
226 NORTH KUAKINI STREET	HONOLULU	HI	96817	CLINIC
REHAB AT AIEA
98-1005 MOANALUA ROAD SUITE 425	AIEA	HI	96701	CLINIC
REHAB PHYSICIANS CLINIC
226 NORTH KUAKINI STREET	HONOLULU	HI	96817	CLINIC
REHAB AT HILO
76 PUUHONU PLACE	HILO	HI	96720	CLINIC
CARDIAC REHAB
226 NORTH KUAKINI STREET	HONOLULU	HI	96817	CLINIC

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3C	ALL OF THE FOLLOWING THREE CRITERIA MUST BE MET TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER REHAB HOSPITAL 'S FINANCIAL ASSISTANCE POLICY: 1) FAMILY LIQUID ASSETS ARE EQUAL TO OR LESS THAN $50,000; 2) FAMILY INCOME IS AT OR BELOW 300% OF THE CURRENT FEDERAL POVERTYGUIDELINE FOR HAWAII; AND 3) PATIENT IS A U.S. CITIZEN OR LEGAL ALIEN WHO IS PERMANENTLY RESIDING IN HAWAII.
SCHEDULE H, PART II, LINE 10	As the only acute-care medical rehabilitation organization serving Hawaii and the Pacific, REHAB is an important provider of care in the post-acute continuum of services. REHAB is a leader in medical rehabilitation, particularly in the areas of stroke, traumatic brain injury and spinal cord injury. Utilizing its knowledge and expertise REHAB participates in community task forces, advocates on behalf of community health initiatives and assists in the recruitment and development of Hawaii's medical professionals.
SCHEDULE H, PART III, LINES 2 AND 4	PLEASE SEE PAGES 10 & 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
SCHEDULE H, PART III, LINE 8	TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552.96.
SCHEDULE H, PART VI, LINE 2	NEEDS ASSESSMENT REHAB HOSPITAL PARTNERED WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND THE ISLANDER INSTITUTE TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITY SERVED BY REHAB HOSPITAL. THE CHNA WAS COMPLETED IN SEPTEMBER 2019. OUR APPROACH FOLLOWED THE PUBLIC HEALTH MODEL OF ASSESSING AND UNDERSTANDING COMMUNITY HEALTH HOLISTICALLY. A FRAMEWORK FOR ANALYSIS WAS CONSTRUCTED BASED ON DETERMINANTS OF HEALTH; THE FRAMEWORK INCLUDED A BROAD DEFINITION OF COMMUNITY HEALTH THAT CONSIDERS EXTENSIVE SECONDARY DATA ON THE SOCIAL, ECONOMIC, AND PHYSICAL ENVIRONMENTS, AS WELL AS HEALTH RISKS AND OUTCOMES. SPECIAL ATTENTION WAS GIVEN TO IDENTIFY HEALTH DISPARITIES, THE NEEDS OF VULNERABLE POPULATIONS, AND UNMET HEALTH NEEDS OR GAPS IN SERVICES. AN EXTENSIVE ARRAY OF SECONDARY AND PRIMARY DATA WAS COLLECTED AND SYNTHESIZED TO DETERMINE COMMUNITY NEEDS. THE CHNA FINDINGS ARE DRAWN FROM AN ANALYSIS OF AN EXTENSIVE SET OF QUANTITATIVE DATA AND IN-DEPTH QUALITATIVE DATA FROM KEY COMMUNITY HEALTH LEADERS AND EXPERTS FROM THE HAWAII DEPARTMENT OF PUBLIC HEALTH AND OTHER ORGANIZATIONS THAT SERVE AND REPRESENT VULNERABLE POPULATIONS AND/OR POPULATIONS WITH UNMET HEALTH NEEDS. ADDITIONAL ANALYSES INCLUDED PREVENTABLE CAUSES OF HOSPITALIZATION USING DATA PROVIDED BY HAWAII HEALTH INFORMATION CORPORATION, AND INFORMATION FROM RECENTLY PUBLISHED REPORTS ON ACCESS TO CARE, HEALTH DISPARITIES, PRIMARY CARE NEEDS, AND MENTAL HEALTH. KEY INFORMANTS INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS HAVING SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, HEALTH DISPARITIES, AND VULNERABLE POPULATIONS IN THE IDENTIFIED COMMUNITIES.
SCHEDULE H, PART VI, LINE 3	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WHEN A PATIENT PRESENTS FOR SERVICES AND THE PATIENT DOES NOT HAVE INSURANCE COVERAGE FOR SERVICES TO BE PROVIDED, PRIOR TO ADMISSION, REHAB HOSPITAL STAFF EXPLAIN TO THE PATIENT THE UNINSURED PAYMENT TERMS ON SERVICES PROVIDED. IN MOST UNINSURED INPATIENT CASES, THE PATIENT WILL BE OFFERED A HAWAII STATE MEDICAL ASSISTANCE APPLICATION FOR THE HAWAII STATE MEDICAID/QUEST PROGRAM AS WELL AS AN APPLICATION FOR REHAB HOSPITAL's FINANCIAL ASSISTANCE PROGRAM. REHAB HOSPITAL CONTRACTS WITH OUTSIDE SERVICE PROVIDERS WHO SPECIALIZE IN ASSISTING PATIENTS WITH THE MEDICAID/QUEST PROGRAM APPLICATION PROCESS. IF THE PATIENT'S APPLICATION FOR MEDICAID/QUEST IS DENIED OR IT IS DETERMINED THAT THE PATIENT IS INELIGIBLE TO APPLY FOR MEDICAID/QUEST, THE PATIENT MAY APPLY FOR REHAB's FINANCIAL ASSISTANCE PROGRAM. THE PATIENT MAY APPLY IN PERSON OR MAIL THE APPLICATION FOR FINANCIAL ASSISTANCE TO THE PATIENT FINANCIAL SERVICES OFFICE. REHAB HOSPITAL STAFF ARE AVAILABLE IN PERSON OR VIA PHONE FOR EDUCATION ON THE FINANCIAL ASSISTANCE PROGRAM AND ASSISTANCE IN COMPLETING THE APPLICATION. IN SOME CASES, REHAB HOSPITAL DETERMINES THAT A PATIENT MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED, AND THE APPLICATION FOR FINANCIAL ASSISTANCE IS MAILED TO THE PATIENT.
SCHEDULE H, PART VI, LINE 4	COMMUNITY INFORMATION REHAB HOSPITAL IS THE ONLY PROVIDER OF ACUTE INPATIENT MEDICAL REHABILITATION SERVICES AMONGST ALL ISLANDS IN THE STATE OF HAWAII AND IN THE PACIFIC REGION. MEDICAID PATIENTS COMPRISED 14% OF REHAB HOSPITAL's TOTAL PATIENT POPULATION IN 2021. IN GENERAL, THE INTENSIVE, MEDICALLY SUPERVISED REHABILITATION THAT REHAB HOSPITAL PROVIDES THROUGH ITS 82-BED ACUTE INPATIENT HOSPITAL LOCATED ON THE ISLAND OF OAHU IS UTILIZED BY THOSE IN THE COMMUNITY WHO HAVE SUFFERED A SEVERE INJURY OR ILLNESS THAT HAS RESULTED IN SIGNIFICANT FUNCTIONAL IMPAIRMENT AND DISABILITY. DURING 2021, REHAB HOSPITAL ADMITTED 1,551 PATIENTS AND PROVIDED COMPREHENSIVE CARE FOR PATIENTS SUFFERING FROM STROKES, BRAIN AND SPINAL CORD INJURIES, ORTHOPEDIC AND NEUROLOGICAL DISORDERS AND DEBILITATIVE DISEASES. IN ADDITION TO THE ACUTE INPATIENT SERVICES, DURING 2021, REHAB HOSPITAL PROVIDED OUTPATIENT REHABILITATIVE SERVICES IN ITS THREE OUTPATIENT CLINICS LOCATED IN HONOLULU AND AIEA (ON THE ISLAND OF OAHU) AND HILO (ON THE ISLAND OF HAWAII). DURING 2021, REHAB HOSPITAL TREATED 3,040 PATIENTS IN AN OUTPATIENT SETTING.
SCHEDULE H, PART VI, LINE 5	PROMOTION OF COMMUNITY HEALTH REHAB HOSPITAL IS COMMITTED TO SUPPORTING THE COMMUNITY THROUGH THE FOLLOWING: - HOSTING SUPPORT GROUPS FOR FORMER REHAB HOSPITAL PATIENTS AND THE COMMUNITY-AT-LARGE, INCLUDING THE STROKE CLUB OF HONOLULU, THE TRAUMATIC BRAIN INJURY CLUB, THE SPINAL CORD INJURY SUPPORT GROUP AND THE POST-AMPUTATION SUPPORT GROUP. - PROVIDING EDUCATION AND CLINICAL ROTATIONS FOR THERAPY STUDENTS, REHABILITATIVE NURSING, AND MEDICAL PROFESSIONALS. - PARTICIPATING IN HEALTH AND FITNESS FAIRS TO FOSTER HEALTH EDUCATION IN THE COMMUNITY. - PROVIDING CONFERENCES AND PRESENTATIONS TO SPECIAL INTEREST GROUPS FOCUSED ON THE PREVENTION AND TREATMENT OF BRAIN INJURIES, SPINAL CORD INJURIES AND STROKES. REHAB HOSPITAL IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF COMMUNITY MEMBERS, PHYSICIANS AND BUSINESS LEADERS. THESE UNPAID, VOLUNTEER MEMBERS REPRESENT THE DIVERSITY OF THE COMMUNITY REHAB HOSPITAL SERVES AND ENSURE REHAB HOSPITAL REMAINS COMMITTED TO SERVING ITS MISSION. REHAB HOSPITAL REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE.
SCHEDULE H, PART VI, LINE 6	AFFILIATED HEALTH CARE SYSTEM N/A
SCHEDULE H, PART VI, LINE 7	STATE FILING OF COMMUNITY BENEFIT REPORT N/A

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
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	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 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
SUSAN GABRIEL
VP, CLINICAL SERVICES	$197,301	$0	$20,000	$0	$1,200	$0	$43,960	$0	$322	$0	$262,783	$0	$0	$0
GLENN REQUIERME
CHIEF INFORMATION OFFICER	$197,397	$0	$0	$0	$0	$0	$0	$0	$7,308	$0	$204,705	$0	$0	$0
GEORGIA MCCULLOUGH
COMPLIANCE AND PRIVACY OFFICER	$147,347	$0	$0	$0	$0	$0	$0	$0	$7,388	$0	$154,735	$0	$0	$0
ELVIRA SALINAS OSHIRO
REGISTERED NURSE	$130,159	$0	$0	$0	$0	$0	$2,804	$0	$21,555	$0	$154,518	$0	$0	$0
TIMOTHY ROE MD MBA
PRESIDENT & CEO	$398,857	$0	$100,000	$0	$7,200	$0	$75,700	$0	$19,548	$0	$601,305	$0	$0	$0
WENDY MANUEL
VP/CFO/COO	$218,413	$0	$40,000	$0	$1,200	$0	$44,531	$0	$24,356	$0	$328,500	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1A	OFFICER DR. TIMOTHY ROE RECEIVED HEALTH OR SOCIAL CLUB DUES DURING CY2020. THE BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION AS THE DUES WERE A WORKING CONDITION FRINGE AND WERE USED PRIMARILY FOR BUSINESS. ANY PERSONAL USE OF THE MEMBERSHIP WAS SO SMALL THAT IT WAS A DE MINIMIS FRINGE.
SCHEDULE J, PART I, LINE 3	THE PROCESS TO REVIEW THE INCOMING CEO COMPENSATION WAS LAST COMPLETED IN JUNE 2021 RESULTING IN A THREE YEAR EMPLOYMENT AGREEMENT. THE EMPLOYMENT AGREEMENTS STIPULATE A BASE SALARY FOR THE FIRST YEAR AND THEN ADJUSTMENTS BASED ON THE U.S. BUREAU OF LABOR STATISTICS COST INDEX: WAGES AND SALARIES FOR PRIVATE INDUSTRY WORKS IN HOSPITALS FOR THE FOLLOWING YEARS. THE PROCESS TO REVIEW COMPENSATION FOR OTHER EXECUTIVES WAS LAST COMPLETED IN SEPTEMBER 2020 AND FEBRUARY 2021.
SCHEDULE J, PART I, LINE 7	NON-FIXED PAYMENTS ARE MADE TO EMPLOYEES BASED ON PERFORMANCE THAT IS NOT BASED ON REVENUES OR NET EARNINGS.

Schedule M IRS990ScheduleM

Field	Value	IRS element (for citing)
Works Of Art		WorksOfArtGrp
Art Historical Treasures		ArtHistoricalTreasuresGrp
Art Fractional Interest		ArtFractionalInterestGrp
Books And Publications		BooksAndPublicationsGrp
Clothing And Household Goods		ClothingAndHouseholdGoodsGrp
Cars And Other Vehicles		CarsAndOtherVehiclesGrp
Boats And Planes		BoatsAndPlanesGrp
Intellectual Property		IntellectualPropertyGrp
Securities Publicly Traded		SecuritiesPubliclyTradedGrp
Securities Closely Held Stock		SecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust Intrsts		SecurPrtnrshpTrustIntrstsGrp
Securities Miscellaneous		SecuritiesMiscellaneousGrp
Qualified Contrib Hist Struct		QualifiedContribHistStructGrp
Qualified Contrib Other		QualifiedContribOtherGrp
Real Estate Residential		RealEstateResidentialGrp
Real Estate Commercial		RealEstateCommercialGrp
Real Estate Other		RealEstateOtherGrp
Collectibles		CollectiblesGrp
Food Inventory		FoodInventoryGrp

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Contribution	86917	ContributionCnt
Noncash Contributions Rpt F990	$497,037	NoncashContributionsRptF990Amt
Method Of Determining Revenues	FMV	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Taxidermy		TaxidermyGrp
Historical Artifacts		HistoricalArtifactsGrp
Scientific Specimens		ScientificSpecimensGrp
Archaeological Artifacts		ArchaeologicalArtifactsGrp
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	false	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE M, PART I COLUMN B	FormAndLineReferenceDesc
Explanation	THE NUMBER LISTED IN COLUMN B REPRESENTS THE NUMBER OF ITEMS RECEIVED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part I, Line 1 and Part III, Line 1	REHABILITATION HOSPITAL OF THE PACIFIC REBUILDS LIVES TOGETHER WITH INDIVIDUALS, FAMILIES AND COMMUNITIES BY PROVIDING EXEMPLARY PATIENT CARE SERVICES FOR THOSE WITH PHYSICAL AND COGNITIVE DISABILITIES IN HAWAII AND THE PACIFIC. WE UTILIZE A CONTINUUM OF REHABILITATION SERVICES THAT ARE ADVANCED THROUGH EDUCATION, TECHNOLOGY AND RESEARCH. Form 990, Part III, Line 4A PROGRAM SERVICE #1 INPATIENT ACUTE-CARE MEDICAL REHABILITATION SERVICES IN FISCAL YEAR 2021, REHABILITATION HOSPITAL OF THE PACIFIC (REHAB HOSPITAL) SPENT $28,626,873 IN EXPENSES FOR INPATIENT ACUTE-CARE MEDICAL REHABILITATION SERVICES. REHAB HOSPITAL'S INPATIENT ACUTE-CARE PROGRAM OFFERS OPPORTUNITIES FOR PEOPLE WITH DEBILITATING INJURIES OR ILLNESSES TO REBUILD THEIR STRENGTH AND FUNCTION TO MAXIMIZE THEIR INDEPENDENCE. OUR PROGRAMS INCLUDE: - STROKE REHABILITATION PROGRAM - INDIVIDUAL TREATMENT-PLANS DESIGNED TO HELP PATIENTS RECOVERING FROM A STROKE MAKE PHYSICAL AND PSYCHOLOGICAL ADJUSTMENTS IN COPING WITH PARALYSIS, SPEECH PROBLEMS, COGNITIVE DEFICITS, SWALLOWING DISORDERS AND VISUAL-PERCEPTION DIFFICULTIES. - BRAIN INJURY PROGRAM - COMPREHENSIVE ASSESSMENTS TO HELP RESTORE FUNCTION TO THOSE EXPERIENCING DEFICITS DUE TO BRAIN-TRAUMA OR DISEASE AND TO COPE WITH DEFICITS AFFECTING THINKING, LANGUAGE, LEARNING, EMOTIONS, BEHAVIOR AND/OR SENSATION. - SPINAL CORD INJURY PROGRAM - TEAM APPROACH DEDICATED TO RESTORING INDEPENDENCE THROUGH A CONTINUUM OF SERVICES INCLUDING PHYSICAL AND OCCUPATIONAL THERAPY, WHEELCHAIR SEATING AND MOBILITY, AND COMMUNITY INTEGRATION PROGRAMS. TREATMENT PLANS INCLUDE COPING WITH THE LOSS OF FUNCTION AND SENSATION, IN ADDITION TO CHANGES IN BOWEL/BLADDER FUNCTIONS AND REGULATING BLOOD PRESSURE AND BODY TEMPERATURE. - ORTHOPEDIC PROGRAM - TREATMENT AND THERAPY FOR INDIVIDUALS WITH COMPLEX, MEDICAL NEEDS FOLLOWING ORTHOPEDIC SURGERY, MUSCULOSKELETAL DISORDERS AND INJURIES. - AMPUTEE PROGRAM - TREATMENT AND THERAPY WHICH INCLUDES PROSTHESIS AND GAIT TRAINING FOR INDIVIDUALS WHO HAVE UNDERGONE LOWER OR UPPER LIMB AMPUTATION. - GENERAL REHABILITATION PROGRAM - TREATMENT AND THERAPY FOR INDIVIDUALS WITH FUNCTIONAL DECLINE AND LIMITED MOBILITY DUE TO PROLONGED ILLNESSES, SURGERIES, OR DEGENERATIVE DISEASES TO AVOID OTHER COMPLICATIONS WHICH IMPACT FUNCTIONING IN EVERYDAY TASKS. IN FISCAL YEAR 2021, REHAB HOSPITAL ADMITTED A TOTAL OF 1,551 PATIENTS IN THE FOLLOWING PROGRAMS: - STROKE REHABILITATION PROGRAM AND OTHER NEUROLOGICAL PROGRAMS: 476 INPATIENTS - BRAIN INJURY PROGRAM: 111 INPATIENTS - SPINAL CORD INJURY AND DYSFUNCTION PROGRAMS: 196 INPATIENTS - ORTHOPEDIC AND AMPUTEE PROGRAMS: 626 INPATIENTS - GENERAL REHABILITATION PROGRAMS: 142 INPATIENTS
Form 990, Part III, Line 4B	PROGRAM SERVICE #2 OUTPATIENT CLINIC THERAPY SERVICES IN FISCAL YEAR 2021, REHAB HOSPITAL SPENT $2,945,033 IN DIRECT EXPENSES FOR OUTPATIENT CLINIC THERAPY SERVICES. REHAB HOSPITAL OFFERS OUTPATIENT CLINIC THERAPY SERVICES IN NUUANU AND AIEA ON THE ISLAND OF OAHU AND IN HILO ON THE ISLAND OF HAWAII. EACH CLINIC OFFERS COMPREHENSIVE REHABILITATION SERVICES FOR THOSE WHO NEED ADDITIONAL PHYSICAL, OCCUPATIONAL, OR SPEECH THERAPY IN ORDER TO REACH HIGHER LEVELS OF INDEPENDENCE. SPECIALTY SERVICES PROVIDED ON AN OUTPATIENT BASIS ALSO INCLUDE: - CARDIAC REHABILITATION - AQUATIC THERAPY - WOMEN'S HEALTH REHABILITATION - URINARY INCONTINENCE PROGRAM IN FISCAL YEAR 2021, REHAB HOSPITAL PROVIDED OUTPATIENT THERAPY SESSIONS TOTALING 24,531 IN THE FOLLOWING AREAS: - PHYSICAL AND AQUATICS THERAPY - 18,656 SESSIONS - OCCUPATIONAL THERAPY - 4,273 SESSIONS - SPEECH THERAPY - 1,602 SESSIONS Form 990, Part III, Line 4C PROGRAM SERVICE #3 PHYSICIANS CLINIC SERVICES IN FISCAL YEAR 2021, REHAB HOSPITAL SPENT $795,149 IN DIRECT EXPENSES FOR PHYSICIANS CLINIC SERVICES. REHAB HOSPITAL OFFERS PHYSICIAN SERVICES IN A HOSPITAL BASED CLINIC LOCATED ON ITS NUUANU CAMPUS. THE CLINIC OFFERS COMPREHENSIVE PROGRAMS FOR STROKE, AMPUTEE, SPASTICITY, NEUROTRAUMA, AND OSTEOPOROSIS PATIENTS, AMONGST OTHERS. IN FISCAL YEAR 2021, REHAB HOSPITAL PROVIDED PHYSICIAN VISITS TOTALING 2,991 VISITS.
Form 990, Part III, Line 4D	PROGRAM SERVICE #4 REHAB HOSPITAL IS THE ONLY ACUTE-CARE MEDICAL REHABILITATION ORGANIZATION SERVING HAWAII AND THE PACIFIC FOR MORE THAN 65 YEARS. THE 82-BED, NOT-FOR-PROFIT HOSPITAL, THREE OUTPATIENT THERAPY CLINICS, AND HOSPITAL BASED PHYSICIANS CLINIC ON THE ISLANDS OF OAHU AND HAWAII HAVE BEEN DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL REHABILITATION SERVICES. COMMUNITY ROLE/ACTIVITY IN ADDITION TO PROVIDING THE SERVICES ABOVE, REHAB HOSPITAL HAS SUPPORTED THE COMMUNITY THROUGH THE FOLLOWING: - HOSTING SUPPORT GROUPS FOR FORMER REHAB PATIENTS, AND THE COMMUNITY-AT-LARGE, INCLUDING THE STROKE CLUB OF HONOLULU, THE TRAUMATIC BRAIN INJURY CLUB, THE SPINAL CORD INJURY SUPPORT GROUP, AND THE POST-AMPUTATION SUPPORT GROUP. - PROVIDING EDUCATION AND CLINICAL ROTATIONS FOR THERAPY STUDENTS, REHABILITATIVE NURSING, AND MEDICAL PROFESSIONALS. - PARTICIPATING IN HEALTH AND FITNESS FAIRS TO HELP FOSTER HEALTH EDUCATION IN THE COMMUNITY. - PROVIDING CONFERENCES AND PRESENTATIONS TO SPECIAL INTEREST GROUPS FOCUSED ON THE PREVENTION AND TREATMENT OF BRAIN INJURIES, SPINAL CORD INJURIES AND STROKES. - ORGANIZING VOLUNTEERS FROM THE COMMUNITY, MANY OF WHOM ARE ALSO PHYSICALLY CHALLENGED, TO PERFORM THOUSANDS OF HOURS OF VOLUNTEER WORK. IN FISCAL YEAR 2021, MORE THAN 7,100 VOLUNTEER HOURS WERE PERFORMED. THE SELECTION AND QUALITY OF PROGRAMS AND SERVICES PROVIDED BY REHAB HOSPITAL ARE OF GREAT VALUE TO THE COMMUNITY. THE FOLLOWING BENEFITS ARE A RESULT OF REHAB HOSPITAL'S PRESENCE IN THE COMMUNITY: - AVAILABILITY OF HIGHER QUALITY, COMPREHENSIVE, COST EFFICIENT, PHYSICAL AND COGNITIVE REHABILITATION WHICH PROVIDES FOR GREATER FUNCTIONAL INDEPENDENCE FOR THE PATIENTS. - EDUCATION AND TRAINING FOR THE GENERAL COMMUNITY ON REHABILITATION TECHNIQUES AND TRENDS AND PREVENTIVE MEASURES. - RETURN OF INJURED PATIENTS TO THEIR COMMUNITY AND TO THE WORKFORCE WITH GREATER FUNCTIONAL INDEPENDENCE IN A TIMELY MANNER. OTHER REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND VIABILITY OF ANY HOSPITAL. HOWEVER IN FULFILLMENT OF OUR MISSION AS A NON-PROFIT, COMMUNITY-BASED HOSPITAL, REHAB HOSPITAL HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES COMPREHENSIVE MEDICAL REHABILITATION TO INDIVIDUALS FROM WHOM WE MAY RECEIVE LITTLE OR NO COMPENSATION. IN FISCAL YEAR 2021, REHAB HOSPITAL PROVIDED VARIOUS FORMS OF FINANCIAL ASSISTANCE TO ITS PATIENTS. THE ESTIMATED UNCOMPENSATED COST OF PROVIDING CARE TO THESE PATIENTS WAS APPROXIMATELY $23,000. REHAB HOSPITAL ALSO PROVIDED SERVICES TO APPROXIMATELY 1,053 INPATIENTS AND OUTPATIENTS WITH MEDICAID OR MEDICAID HMO COVERAGE. MEDICAID REIMBURSEMENT CONTINUES TO BE LOWER THAN THE COST TO PROVIDE SERVICES TO THESE PATIENTS. IT IS ESTIMATED THAT THE COST TO PROVIDE SERVICES TO THESE PATIENTS WITH MEDICAID OR MEDICAID HMO COVERAGE EXCEEDED REIMBURSEMENT, BY APPROXIMATELY $3,404,922.
Form 990, Part VI, Line 1A	THE EXECUTIVE COMMITTEE SHALL BE A STANDING COMMITTEE CONSISTING OF NOT LESS THAN SEVEN (7) NOR MORE THAN THIRTEEN (13) MEMBERS. MEMBERS INCLUDE THE CHAIR OF THE REHABILITATION HOSPITAL OF THE PACIFIC WHO ALSO ACTS AS THE CHAIR OF THE EXECUTIVE COMMITTEE; VICE CHAIR OF THE REHABILITATION HOSPITAL OF THE PACIFIC; CHAIRS OF THE COMPLIANCE/AUDIT COMMITTEE, FINANCE COMMITTEE, HUMAN RESOURCES/COMPENSATION COMMITTEE, INVESTMENT COMMITTEE, NOMINATING COMMITTEE AND QUALITY IMPROVEMENT COMMITTEE; CHAIR OF THE REHABILITATION HOSPITAL OF THE PACIFIC FOUNDATION AND ANY OTHER MEMBER APPOINTED BY THE BOARD OF DIRECTORS. THE COMMITTEE SHALL TRANSACT ALL REGULAR BUSINESS AND ACT ON BEHALF OF THE BOARD OF DIRECTORS DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD INCLUDING THE FOLLOWING: - AUTHORIZE DISTRIBUTIONS; - APPROVE THE DISSOLUTION, MERGER, OR THE SALE, PLEDGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; - ELECT, APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ON ANY OF ITS COMMITTEES; - ADOPT, AMEND OR REPEAL THE CHARTER OF INCORPORATION OR BYLAWS.
Form 990, Part VI, Line 11B	THE COMPLIANCE/AUDIT COMMITTEE OF THE BOARD IS GIVEN THE AUTHORITY BY THE FULL BOARD OF DIRECTORS TO REVIEW AND APPROVE THE FORM 990 PRIOR TO FILING. A COMPLETE COPY OF THE APPROVED FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD PRIOR TO FILING.
Form 990, Part VI, Line 12C	IN ACCORDANCE WITH HOSPITAL POLICY, CONFLICT OF INTEREST QUESTIONNAIRES ARE COMPLETED ANNUALLY BY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, MEMBERS OF THE MEDICAL EXECUTIVE COMMITTEE, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS AND OTHER DESIGNATED REHAB EMPLOYEES. THE EXECUTIVE SECRETARY DISTRIBUTES THE QUESTIONNAIRES AND COMPILES A REPORT OF THE RESPONSES. THE REPORT IS REVIEWED BY THE COMPLIANCE OFFICER AND CEO AND DISTRIBUTED TO THE COMPLIANCE/AUDIT COMMITTEE FOR REVIEW. THE COMPLIANCE/AUDIT COMMITTEE REVIEWS THE REPORT TO DETERMINE WHETHER THE TERMS OF THE IDENTIFIED CONFLICT OF INTEREST ARE FAIR TO AND IN THE BEST INTEREST OF REHAB. THE COMPLIANCE/AUDIT COMMITTEE APPROVES THE REPORT AS APPROPRIATE AND SUCH APPROVAL IS DOCUMENTED IN THE MINUTES. ANY FURTHER ACTION REQUIRED FOR UNAPPROVED CONFLICT WOULD BE RESOLVED AT THE INSTRUCTION OF THE COMPLIANCE/AUDIT COMMITTEE.
Form 990, Part VI, Lines 15A & 15B	THE PROCESS TO REVIEW THE OUTGOING CEO COMPENSATION WAS LAST COMPLETED IN AUGUST 2021 RESULTING IN A THREE YEAR EMPLOYMENT AGREEMENT. THE PROCESS TO REVIEW THE INCOMING CEO COMPENSATION WAS LAST COMPLETED IN JUNE 2021 RESULTING IN A THREE YEAR EMPLOYMENT AGREEMENT. THE EMPLOYMENT AGREEMENTS STIPULATE A BASE SALARY FOR THE FIRST YEAR AND THEN ADJUSTMENTS BASED ON THE U.S. BUREAU OF LABOR STATISTICS COST INDEX: WAGES AND SALARIES FOR PRIVATE INDUSTRY WORKS IN HOSPITALS FOR THE FOLLOWING YEARS. THE PROCESS TO REVIEW COMPENSATION FOR OTHER EXECUTIVES WAS LAST COMPLETED IN SEPTEMBER 2020 AND FEBRUARY 2021.
Form 990, Part VI, Line 19	UPON REQUEST, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC.
Form 990, Part XI, Line 9	Other changes in net assets or fund balances Change in accrued pension liability $ 3,145,840 Change in beneficial interest in unrestricted net assets of Foundation ($ 2,921,169) Change in beneficial interest in temporarily restricted net assets of Foundation ($ 2,607,935) Change in beneficial interest in permanently restricted net assets of Foundation ($ 169,152) Transfer of Equity $ 8,146,787 --------------- TOTAL $ 5,594,371

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	REHAB HOSPITAL OF THE PACIFIC FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	226 North Kuakini Street	AddressLine1Txt
City	Honolulu	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	96817	ZIPCd

Field	Value	IRS element (for citing)
EIN	990241634	EIN
Primary Activities	SUPPORT SVCS	PrimaryActivitiesTxt
Legal Domicile State	HI	LegalDomicileStateCd
Exempt Code Section	501(c)(3)	ExemptCodeSectionTxt
Public Charity Status	7	PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	REHAB HOSP	BusinessNameLine1Txt

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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	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	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
REHAB HOSPITAL OF THE PACIFIC FOUNDATION
c	$139,866	COST
REHAB HOSPITAL OF THE PACIFIC FOUNDATION
q	$74,416	COST
REHAB HOSPITAL OF THE PACIFIC FOUNDATION
s	$8,146,787	COST