2022-08-12T17:44:04-05:00 2021-09-30 ERNST & YOUNG US LLP 4365 EXECUTIVE DR STE 1600 SAN DIEGO CA 92121 990 2020-10-01 510160156 REHABILITATION HOSPITAL OF THE PACIFIC % KERIC CHANG REHA 8085313511 226 NORTH KUAKINI STREET HONOLULU HI 968172498 WENDY MANUEL VP/CFO/COO 8085313511 2022-08-12 true Wendy Manuel 999009999 JOCELYNE MILLER P00634378 8585357200 2 2020 2022-09-23 18:48:47Z STEPHANIE NADOLNY 226 NORTH KUAKINI STREET HONOLULU HI 968172498 52867689 false X WWW.REHABHOSPITAL.ORG X 1975 HI SEE SCHEDULE O 20 20 563 53 0 0 2215513 6263086 43713363 42869813 1003399 770589 1126834 1110578 48059109 51014066 0 0 0 0 31013654 31259639 0 0 0 17000646 18449390 48014300 49709029 44809 1305037 86769518 92438994 35602335 29525982 51167183 62913012 X SEE SCHEDULE O false false 28626873 0 39014549 See Schedule O 2945033 0 3025216 See Schedule O 795149 0 838048 See Schedule O 32367055 true true false false false false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false true false false false false true true true false false true 67 0 true 563 true true true false false false false false false false false false false false X 20 20 false false false false false false false true true false false true true true true true true true true false X KERIC CHANG 8085443308 226 NORTH KUAKINI STREET HONOLULU HI 96817 TIMOTHY ROE MD MBA PRESIDENT & CEO 40.0 0.0 X 506057 0 95248 WENDY MANUEL VP/CFO/COO 40.0 0.0 X 259613 0 68887 SUSAN GABRIEL VP, CLINICAL SERVICES 40.0 0.0 X 218501 0 44282 GLENN REQUIERME CHIEF INFORMATION OFFICER 40.0 0.0 X 197397 0 7308 GEORGIA MCCULLOUGH COMPLIANCE AND PRIVACY OFFICER 40.0 0.0 X 147347 0 7388 ELVIRA SALINAS OSHIRO REGISTERED NURSE 40.0 0.0 X 130159 0 24359 KERIANN ERNST CONTROLLER 40.0 0.0 X 139472 0 9892 DEBBIE VAN LERBERGHE RN-CRRN 40.0 0.0 X 122653 0 23276 CAROLYN C UEHARA RN-CRRN 40.0 0.0 X 126543 0 16067 LORI YOSHIOKA VP, CHIEF HUMAN RESOURCE OFFIC 40.0 0.0 X 118575 0 8321 DR SHARI ANN OSHIRO VP, CHIEF MEDICAL OFFICER 40.0 0.0 X 49666 0 2422 GLENN SEXTON DIRECTOR/CHAIR 1.0 1.0 X X 0 0 0 KEVIN CHANG DIRECTOR/VICE CHAIR 1.0 0.0 X X 0 0 0 JENNIFER ISOBE DIRECTOR/TREASURER 1.0 0.0 X X 0 0 0 LYNNE KIMOTO MADDEN DIRECTOR/SECRETARY 1.0 1.0 X X 0 0 0 CHERYLEE CHANG MD DIRECTOR 1.0 0.0 X 0 0 0 SAI CHANTAVY DIRECTOR 1.0 0.0 X 0 0 0 NEILL CHAR DIRECTOR 1.0 0.0 X 0 0 0 WILLIAM CROWLEY DIRECTOR 1.0 1.0 X 0 0 0 KEITH GENDREAU DIRECTOR 1.0 1.0 X 0 0 0 RONALD NS HO DIRECTOR 1.0 0.0 X 0 0 0 CORY KUBOTA DIRECTOR 1.0 0.0 X 0 0 0 BENJAMIN KUDO DIRECTOR 1.0 0.0 X 0 0 0 JANICE LUKE LOO DIRECTOR 1.0 1.0 X 0 0 0 BRYAN LUKE DIRECTOR 1.0 1.0 X 0 0 0 OWEN NISHIKAWA MD DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL W PERRY DIRECTOR 1.0 1.0 X 0 0 0 HUIDY SHU MD PhD DIRECTOR 1.0 0.0 X 0 0 0 PATRICK SULLIVAN PhD DIRECTOR 1.0 0.0 X 0 0 0 LAURIE TOM MD DIRECTOR 1.0 1.0 X 0 0 0 MICHAEL WO DIRECTOR 1.0 0.0 X 0 0 0 RAYMOND ONO DIRECTOR/CHAIR 1.0 1.0 X X 0 0 0 STEPHANIE NADOLNY PRESIDENT & CEO 40.0 0.0 X 0 0 0 2015983 0 307450 64 false true false SODEXO INC AFFILIATES Dept 43283 LOS ANGELES CA 90088 MANAGEMENT - DIETARY 1288186 WORKDAY INC PO Box 886106 LOS ANGELES CA 90088 IT SERVICES 908269 THE QUEENS POB PHARMACY 1380 LUSITANA STREET HONOLULU HI 96813 MANAGEMENT - PHARMAC 635164 REHAB ASSOCIATES OF THE PACIFIC 226 N KUAKINI STREET HONOLULU HI 96817 MEDICAL DIRECTORSHIP 618329 AREKAT PACIFIC SECURITY INC 1314 SOUTH KING STREET SUITE 504 HONOLULU HI 96814 AGENCY STAFFING 338907 36 0 139866 5599577 523643 497037 6263086 MEDICARE/MEDICAID PAYMENT 622310 28528360 28528360 0 0 PATIENT REVENUES 622310 14341453 14341453 0 0 42869813 725049 725049 0 0 931597 931597 0 931597 931597 1899163 1853623 45540 45540 45540 0 0 0 0 0 0 0 0 0 PARKING REVENUE 812930 135197 0 0 135197 GIFT SHOP REVENUE 453220 6842 0 0 6842 PC ADMIN FEES 561110 929 0 0 929 36013 0 0 36013 178981 51014066 42869813 0 1881167 0 0 0 0 0 0 0 0 1771217 542767 1228450 0 0 0 0 0 23161860 17771260 5390600 0 561633 412535 149098 0 3969624 2933952 1035672 0 1795305 1318701 476604 0 0 0 0 0 528824 47497 481327 0 196498 0 196498 0 0 0 0 0 0 0 76623 0 76623 0 4959746 4002739 957007 0 148726 0 148726 0 211738 30296 181442 0 2961690 0 2961690 0 0 0 0 0 1257617 698043 559574 0 20220 4162 16058 0 0 0 0 0 12972 7533 5439 0 332973 767 332206 0 0 0 0 0 3700812 1818246 1882566 0 623848 0 623848 0 PATIENT SUPPLIES 1259436 1259436 0 0 SUSTAIN. 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TAX /MIT. 948645 948645 0 0 EMPLOYEE PPE 497037 497037 0 0 REPAIRS AND MAINTENANCE 293773 61460 232313 0 418212 11979 406233 49709029 32367055 17341974 0 0 2600 2200 10114858 12134701 0 26006 4797283 5775522 0 0 0 0 0 0 161298 161755 890194 1161501 69264694 42681013 29073053 26583681 26489327 37992228 93029 80048 0 0 0 0 15147876 8521352 86769518 92438994 17572313 14500536 0 0 0 0 0 0 0 0 0 0 13484154 12377980 0 0 4545868 2647466 35602335 29525982 X 44086847 55130082 7080336 7782930 51167183 62913012 86769518 92438994 X 1305037 4846421 0 0 0 5594371 X X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1244244 1244244 30626694 14690551 15936143 375730 368905 6825 32930925 25254473 7676452 4087101 2367084 1720017 26583681 AN EXEMPT AFFILIATE 1496841 DEPOSITS & OTHER RECEIVABLES 1464277 ASSETS OF FOUNDATION 4626486 OTHER ASSETS 933748 8521352 0 AN EXEMPT AFFILATE 2015819 DEFFERED COMPENSATION PAYABLE 80048 CAPITAL LEASE LIABILITY 27721 OTHER LIABILITIES 523878 2647466 X 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. true true true X true X true true true false false 4321 4321 0.00010 10444200 10029548 414652 0.00830 10448521 10029548 418973 0.00840 3016 0 3016 0.00010 198004 70358 127646 0.00260 7441 7441 0.00010 208461 70358 138103 0.00280 10656982 10099906 557076 0.01120 233 233 233 233 0.00000 true -31170 11585415 10622750 962665 X true false 1 1 REHABILITATION HOSP OF THE PACIFIC 226 NORTH KUAKINI STREET HONOLULU HI 96817 WWW.REHABHOSPITAL.ORG X ACUTE CARE REHAB REHABILITATION HOSP OF THE PACIFIC 1 false false true X X X X X X X X X 19 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 19 false true false true X 200. 300. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false 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 5 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 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 X true true X X X X X false false false false false false false true false SUSAN GABRIEL VP, CLINICAL SERVICES 197301 0 20000 0 1200 0 43960 0 322 0 262783 0 0 0 GLENN REQUIERME CHIEF INFORMATION OFFICER 197397 0 0 0 0 0 0 0 7308 0 204705 0 0 0 GEORGIA MCCULLOUGH COMPLIANCE AND PRIVACY OFFICER 147347 0 0 0 0 0 0 0 7388 0 154735 0 0 0 ELVIRA SALINAS OSHIRO REGISTERED NURSE 130159 0 0 0 0 0 2804 0 21555 0 154518 0 0 0 TIMOTHY ROE MD MBA PRESIDENT & CEO 398857 0 100000 0 7200 0 75700 0 19548 0 601305 0 0 0 WENDY MANUEL VP/CFO/COO 218413 0 40000 0 1200 0 44531 0 24356 0 328500 0 0 0 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. X 86917 497037 FMV false false false SCHEDULE M, PART I COLUMN B THE NUMBER LISTED IN COLUMN B REPRESENTS THE NUMBER OF ITEMS RECEIVED. 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 REHAB HOSPITAL OF THE PACIFIC FOUNDATION 226 North Kuakini Street Honolulu HI 96817 990241634 SUPPORT SVCS HI 501(c)(3) 7 REHAB HOSP true true false true false false false false false false false false false false false false false true false true REHAB HOSPITAL OF THE PACIFIC FOUNDATION c 139866 COST REHAB HOSPITAL OF THE PACIFIC FOUNDATION q 74416 COST REHAB HOSPITAL OF THE PACIFIC FOUNDATION s 8146787 COST