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REHABILITATION HOSPITAL OF THE PACIFIC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
REHABILITATION HOSPITAL OF THE PACIFIC (EIN 51-0160156)
Tax period
2016-10-01 to 2017-09-30
Filed
2018-08-15
IRS object ID
201802279349302820
Schema version
2016v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2018-08-15T15:35:07-05:00ReturnTs
Tax Period End2017-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14365 EXECUTIVE DR STE 1600AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN510160156EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Rehabilitation Hospital of the PacificBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KERIANN ERNSTInCareOfNm
Business Name ControlREHABusinessNameControlTxt
Phone8085313511PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 North Kuakini StreetAddressLine1Txt
CityHonoluluCityNm
State AbbreviationHIStateAbbreviationCd
ZIP968172498ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonWENDY MANUELPersonNm
Person TitleVP/CFOPersonTitleTxt
Phone8085313511PhoneNum
Signature2018-08-14SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOCELYNE MILLERPreparerPersonNm
PTINP00634378PTIN
Phone8585357200PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDr Timothy RoePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 North Kuakini StreetAddressLine1Txt
CityHonoluluCityNm
State AbbreviationHIStateAbbreviationCd
ZIP968172498ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$50,575,923GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.rehabhospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateHILegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent16VotingMembersIndependentCnt
Total Employee572TotalEmployeeCnt
Total Volunteers77TotalVolunteersCnt
Total Gross UBI$119,296TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$106,766NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$981,370PYContributionsGrantsAmt
CY Contributions Grants$880,633CYContributionsGrantsAmt
PY Program Service Revenue$43,505,929PYProgramServiceRevenueAmt
CY Program Service Revenue$44,348,689CYProgramServiceRevenueAmt
PY Investment Income$337,143PYInvestmentIncomeAmt
CY Investment Income$535,157CYInvestmentIncomeAmt
PY Other Revenue$917,534PYOtherRevenueAmt
CY Other Revenue$943,678CYOtherRevenueAmt
PY Total Revenue$45,741,976PYTotalRevenueAmt
CY Total Revenue$46,708,157CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$30,132,891PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$32,106,866CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$15,700,017PYOtherExpensesAmt
CY Other Expenses$16,670,479CYOtherExpensesAmt
PY Total Expenses$45,832,908PYTotalExpensesAmt
CY Total Expenses$48,777,345CYTotalExpensesAmt
PY Revenues Less Expenses-$90,932PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,069,188CYRevenuesLessExpensesAmt
Total Assets BOY$78,592,491TotalAssetsBOYAmt
Total Assets EOY$82,176,523TotalAssetsEOYAmt
Total Liabilities BOY$28,957,616TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,031,655TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$49,634,875NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$52,144,868NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$30,488,436ExpenseAmt
Grant$0GrantAmt
Revenue$38,906,796RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,312,984ExpenseAmt
Grant$0GrantAmt
Revenue$4,324,477RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$968,547ExpenseAmt
Grant$0GrantAmt
Revenue$1,107,041RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$10,375TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$35,769,967TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document77IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee572EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member16IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsYes (true)ChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKERIANN ERNSTPersonNm
Phone8085443308PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 NORTH KUAKINI STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96817ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DR CHERYLEE CHANG
DIRECTOR1.00.0Yes (X)$0$0$0
SAI CHANTAVY
DIRECTOR1.00.0Yes (X)$0$0$0
WILLIAM CROWLEY
DIRECTOR1.01.0Yes (X)$0$0$0
KEITH GENDREAU
DIRECTOR1.01.0Yes (X)$0$0$0
RONALD N S HO
DIRECTOR1.00.0Yes (X)$0$0$0
JENNIFER ISOBE
DIRECTOR1.00.0Yes (X)$0$0$0
HOWARD H KARR
DIRECTOR (PART YEAR)1.00.0Yes (X)$0$0$0
CORY KUBOTA
DIRECTOR1.00.0Yes (X)$0$0$0
BENJAMIN A KUDO
DIRECTOR1.00.0Yes (X)$0$0$0
JANICE LUKE LOO
DIRECTOR1.01.0Yes (X)$0$0$0
BRYAN K K LUKE
DIRECTOR1.01.0Yes (X)$0$0$0
E LYNNE MADDEN
DIRECTOR/SECRETARY/TREASURER1.01.0Yes (X)$0$0$0Yes (X)
RAYMOND S ONO
DIRECTOR/CHAIR1.01.0Yes (X)$0$0$0Yes (X)
MICHAEL W PERRY
DIRECTOR1.01.0Yes (X)$0$0$0
GLENN SEXTON
DIRECTOR/VICE CHAIR1.01.0Yes (X)$0$0$0Yes (X)
PATRICK SULLIVAN
DIRECTOR1.00.0Yes (X)$0$0$0
DR LAURIE TOM
DIRECTOR1.01.0Yes (X)$0$0$0
ALAN TOMONARI
DIRECTOR1.00.0Yes (X)$0$0$0
MICHAEL J WO
DIRECTOR1.00.0Yes (X)$0$0$0
DR JASON CHANG
CMO & VP - MEDICAL AFFAIRS25.00.0$252,043$0$26,497Yes (X)
SUSAN GABRIEL
ASSISTANT VP - OUTPATIENT SVCS40.00.0$135,906$0$2,815Yes (X)
WENDY MANUEL
VP & CHIEF FINANCIAL OFFICER40.00.0$201,512$0$48,227Yes (X)
FAYE MIYAMOTO
ASSISTANT VP - HUMAN RESOURCES40.00.0$106,271$0$15,167Yes (X)
DR TIMOTHY ROE
PRESIDENT & CEO40.00.0$400,947$0$89,486Yes (X)
AUDREY TORRES
SENIOR VP - PATIENT CARE SVCS40.00.0$137,763$0$22,680Yes (X)
TERESITA GANATA
RN - CRRN40.00.0$110,819$0$14,546Yes (X)
ELSIE M LABAYOG
RN - CRRN40.00.0$110,466$0$20,785Yes (X)
ELUNED MUN
NURSE PRACTITIONER40.00.0$121,238$0$2,933Yes (X)
KATHLEEN TORRES
RN43.00.0$112,547$0$27,899Yes (X)
JEANNE VAVE
PAI COORDINATOR - NURSING40.00.0$110,391$0$9,001Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,799,903TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$280,036TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K41IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
S M SAKAMOTO INC
1928 HAU STREETHONOLULUHI96819GENERAL CONTRACTOR$2,303,851
DATAHOUSE
1585 KAPIOLANI BOULEVARD SUITE 180HONOLULUHI96814INFORMATION SYSTEMS$2,185,375
SODEXO INC AFFILIATES
DEPT 43283LOS ANGELESCA90088MANAGEMENT-DIETARY$1,206,904
THE QUEENS POB PHARMACY
1380 LUSITANA STREETHONOLULUHI96813MANAGEMENT-PHARMACY$612,760
J KADOWAKI INC
518 AHUI STREETHONOLULUHI96813GENERAL CONTRACTOR$527,755
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K14CntrctRcvdGreaterThan100KCnt
Related Organizations$735,534RelatedOrganizationsAmt
Government Grants$97,637GovernmentGrantsAmt
All Other Contributions$47,462AllOtherContributionsAmt
Total Contributions$880,633TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Medicare/Medicaid Payment622310$29,461,329$29,461,329$0$0
Patient Revenues622310$14,869,508$14,869,508$0$0
Student Training and Tour900099$10,375$10,375$0$0
Contract Revenues900099$7,477$7,477$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$44,348,689TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$551,132TotalRevenueColumnAmt
Unrelated Business Revenue$119,296UnrelatedBusinessRevenueAmt
Exclusion$431,836ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$673,174RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$673,174RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$673,174TotalRevenueColumnAmt
Exclusion$673,174ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$3,851,791SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$3,867,766SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$15,975SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$15,975TotalRevenueColumnAmt
Exclusion-$15,975ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Parking Revenue812930$109,498$0$0$109,498
Gift Shop Revenue453220$31,602$0$0$31,602
Purchase Discounts900099$25,982$0$0$25,982

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$103,422TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$103,422ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$270,504OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,708,157TotalRevenueColumnAmt
Related Or Exempt Func Income$44,348,689RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$119,296UnrelatedBusinessRevenueAmt
Exclusion$1,359,539ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,467,648TotalAmt
Program Services$610,990ProgramServicesAmt
Management And General$856,658ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$39,095TotalAmt
Program Services$39,095ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$24,212,437TotalAmt
Program Services$20,466,533ProgramServicesAmt
Management And General$3,745,904ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$963,358TotalAmt
Program Services$799,628ProgramServicesAmt
Management And General$163,730ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,528,235TotalAmt
Program Services$2,913,326ProgramServicesAmt
Management And General$614,909ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,896,093TotalAmt
Program Services$1,558,187ProgramServicesAmt
Management And General$337,906ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$158,821TotalAmt
Program Services$19,574ProgramServicesAmt
Management And General$139,247ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$150,656TotalAmt
Program Services$0ProgramServicesAmt
Management And General$150,656ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$93,957TotalAmt
Program Services$0ProgramServicesAmt
Management And General$93,957ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,689,096TotalAmt
Program Services$4,108,217ProgramServicesAmt
Management And General$580,879ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$9,913TotalAmt
Program Services$0ProgramServicesAmt
Management And General$9,913ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$322,401TotalAmt
Program Services$139,015ProgramServicesAmt
Management And General$183,386ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,998,968TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,998,968ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,290,559TotalAmt
Program Services$765,089ProgramServicesAmt
Management And General$525,470ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$31,197TotalAmt
Program Services$15,329ProgramServicesAmt
Management And General$15,868ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$66,813TotalAmt
Program Services$60,389ProgramServicesAmt
Management And General$6,424ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$9,627TotalAmt
Program Services$5,790ProgramServicesAmt
Management And General$3,837ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$3,564,826TotalAmt
Program Services$1,873,169ProgramServicesAmt
Management And General$1,691,657ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$484,914TotalAmt
Program Services$0ProgramServicesAmt
Management And General$484,914ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Patient Supplies$1,245,976$1,245,976$0$0
HI PROVIDER TAX&RELATED PMTS$942,090$942,090$0$0
Repairs & Maintenance$307,262$128,755$178,507$0
Dues$126,523$15,199$111,324$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$176,880TotalAmt
Program Services$63,616ProgramServicesAmt
Management And General$113,264ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$48,777,345TotalAmt
Program Services$35,769,967ProgramServicesAmt
Management And General$13,007,378ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,500BOYAmt
EOY$2,700EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,954,083BOYAmt
EOY$2,222,933EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,916,582BOYAmt
EOY$7,959,910EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$161,269BOYAmt
EOY$161,435EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$387,075BOYAmt
EOY$370,058EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$62,505,206LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$27,550,650LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,261,292BOYAmt
EOY$34,954,556EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$21,089,884BOYAmt
EOY$23,550,306EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$144,952BOYAmt
EOY$131,971EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$12,674,854BOYAmt
EOY$12,822,654EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$78,592,491BOYAmt
EOY$82,176,523EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$18,301,371BOYAmt
EOY$13,982,774EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$10,278,089BOYAmt
EOY$15,325,263EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$378,156BOYAmt
EOY$723,618EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,957,616BOYAmt
EOY$30,031,655EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,012,731BOYAmt
EOY$47,746,886EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,358,418BOYAmt
EOY$1,130,623EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$3,263,726BOYAmt
EOY$3,267,359EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$49,634,875BOYAmt
EOY$52,144,868EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$78,592,491BOYAmt
EOY$82,176,523EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,069,188ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,012,652NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$2,566,529OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,000,000BeginningYearBalanceAmt
End Year Balance$10,000,000EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,000,000BeginningYearBalanceAmt
End Year Balance$10,000,000EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,000,000BeginningYearBalanceAmt
End Year Balance$10,000,000EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,000,000BeginningYearBalanceAmt
End Year Balance$10,000,000EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$10,000,000BeginningYearBalanceAmt
End Year Balance$10,000,000EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,863,407OtherCostOrOtherBasisAmt
Depreciation$8,938,753DepreciationAmt
Book Value$20,924,654BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$367,700OtherCostOrOtherBasisAmt
Depreciation$264,322DepreciationAmt
Book Value$103,378BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$27,346,718OtherCostOrOtherBasisAmt
Depreciation$16,356,448DepreciationAmt
Book Value$10,990,270BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,683,137OtherCostOrOtherBasisAmt
Depreciation$1,991,127DepreciationAmt
Book Value$1,692,010BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$34,954,556TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
AN EXEMPT AFFILIATE$3,534,058
DEPOSITS & OTHER RECEIVABLES$563,838
BENEFICIAL INTEREST IN NET$0
ASSETS OF FOUNDATION$8,684,528
OTHER ASSETS$40,230
FieldValueIRS element (for citing)
Total Book Value Other Assets$12,822,654TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DEFFERED COMPENSATION PAYABLE$131,971
DUE TO THIRD PARTY PAYORS$130,517
CAPITAL LEASE LIABILITY$460,784
OF THE PACIFIC FOUNDATION,$0
AN EXEMPT AFFILIATE$346
FieldValueIRS element (for citing)
Total Liability$723,618TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$48,369,040TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,012,652NetUnrealizedGainsInvstAmt
Other Revenue$527,593OtherRevenueAmt
Revenue Not Reported$2,540,245RevenueNotReportedAmt
Revenue Subtotal$45,828,795RevenueSubtotalAmt
Other Revenues Not Included$879,362OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$879,362RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$46,708,157TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$48,777,345TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$0OtherExpensesIncludedAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$48,777,345ExpensesSubtotalAmt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$48,777,345TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, LINE 4ENDOWMENT FUNDS REHABILITATION HOSPITAL OF THE PACIFIC USES THE ENDOWMENT FUNDS FOR THE PURPOSES INTENDED BY THE BOARD.
PART X, LINE 2BOTH 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, 2017 AND 2016, THE COMPANY HAD NO UNRECOGNIZED TAX BENEFITS. THE COMPANYS 2013 THROUGH 2016 FEDERAL AND HAWAII TAX RETURNS REMAIN OPEN TO EXAMINATION BY THE INTERNAL REVENUE SERVICE AND STATE OF HAWAII DEPARTMENT OF TAXATION. THE COMPANYS 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, 2017 AND 2016.
PART XI, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS $527,593
PART XI, LINE 4BTRANSFERS OF NET ASSETS FROM REHAB HOSPITAL OF THE PACIFIC FOUNDATION $ 735,534 TEMPORARILY RESTRICTED CONTRIBUTIONS $ 143,828 ----------- TOTAL $ 879,362

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportfalseAnnualCommunityBnftReportInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$63,462TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,558DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,904NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,432,248TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,986,881DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,445,367NetCommunityBenefitExpnsAmt
Total Expense0.02960TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,495,710TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,047,439DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,448,271NetCommunityBenefitExpnsAmt
Total Expense0.02970TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,475TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,997DirectOffsettingRevenueAmt
Net Community Benefit Expns$10,478NetCommunityBenefitExpnsAmt
Total Expense0.00020TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$241,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,512DirectOffsettingRevenueAmt
Net Community Benefit Expns$200,049NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$65,634TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$65,634NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,638TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,638NetCommunityBenefitExpnsAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$33,995TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$33,995NetCommunityBenefitExpnsAmt
Total Expense0.00070TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$376,303TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,509DirectOffsettingRevenueAmt
Net Community Benefit Expns$311,794NetCommunityBenefitExpnsAmt
Total Expense0.00630TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,872,013TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$5,111,948DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,760,065NetCommunityBenefitExpnsAmt
Total Expense0.03600TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$614TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$614DirectOffsettingRevenueAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,999TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$4,999DirectOffsettingRevenueAmt
Total Expense0.00010TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,035TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,035DirectOffsettingRevenueAmt
Total Expense0.00020TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$13,648TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,648DirectOffsettingRevenueAmt
Total Expense0.00030TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$43,497BadDebtExpenseAmt
Reimbursed By Medicare$14,711,139ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$12,535,208CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall$2,175,931MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnfalseFinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1REHABILITATION HOSP OF THE PACIFICBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 NORTH KUAKINI STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96817ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.REHABHOSPITAL.ORGWebsiteAddressTxt
State License35-HStateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
OtherACUTE CARE REHABOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1REHABILITATION HOSP OF THE PACIFICBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsitefalseStrategyPostedWebsiteInd
Strategy AttachedYes (true)StrategyAttachedInd
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care300.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Prospective Medicare MedicaidYes (X)ProspectiveMedicareMedicaidInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION B, LINE 5IN ORDER TO DEVELOP A COMPLETE UNDERSTANDING OF HAWAIIS HEALTH-NEEDS, A CHNA ADVISORY COMMITTEE WAS FORMED. THE ADVISORY COMMITTEE INCLUDED MEMBERS OF THE 15 PARTICIPATING HOSPITALS (SEE BELOW) AS WELL AS LEADERS IN THE POST-ACUTE CONTINUUM 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, 15 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 15 PARTICIPATING HOSPITALS DETERMINED HOW TO BEST ADDRESS THE HEALTH NEEDS OF THE STATE OF HAWAII. KEY INFORMANT INTERVIEWS WERE COMPLETED BETWEEN OCTOBER 2014 AND FEBRUARY 2015.
PART V, SECTION B, LINE 6A & 6BTHE 2015 STATE OF HAWAII CHNA WAS A COLLABORATIVE EFFORT LED BY THE HEALTHCARE ASSOCIATION OF HAWAII, IN PARTNERSHIP WITH HEALTHY COMMUNITIES INSTITUTE AND STORYLINE CONSULTING. IT WAS COMPLETED JOINTLY WITH 15 HAWAII HOSPITALS. THE PARTICIPANTS INCLUDED: CASTLE MEDICAL CENTER, SUTTER HEALTH KAHI MOHALA BEHAVIORAL HEALTH, KAISER PERMANENTE MEDICAL CENTER, KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN, KUAKINI MEDICAL CENTER, MOLOKAI GENERAL HOSPITAL, NORTH HAWAII COMMUNITY HOSPITAL, PALI MOMI MEDICAL CENTER, REHABILITATION HOSPITAL OF THE PACIFIC, SHRINERS HOSPITALS FOR CHILDREN - HONOLULU, STRAUB CLINIC & HOSPITAL, THE QUEENS MEDICAL CENTER, THE QUEENS MEDICAL CENTER = WEST OAHU, WAHIAWA GENERAL HOSPITAL AND WILCOX MEMORIAL HOSPITAL.
PART V, SECTION B, LINE 7ACHNA WEBSITE https://www.rehabhospital.org/awards-accreditations
PART V, SECTION B, LINE 11REHAB SELECTED THE FOLLOWING PRIORITY AREAS IN ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1) HEART DISEASE AND STROKE AND 2) DISABILITIES. THROUGH FISCAL YEAR 2017, REHAB CONDUCTED THE FOLLOWING ACTIVITIES TO ADDRESS THE TWO PRIORITY NEEDS: PRIORITY AREA 1: DISABILITIES PHYSICAL RENOVATION AND EXPANSION OF PHYSICIANS CLINIC THE PHYSICIANS CLINIC ON REHABS NUUANU CAMPUS WAS RENOVATED AND EXPANDED TO ADD AN ADDITIONAL PROCEDURE ROOM AND ADDITIONAL FLUOROSCOPY EQUIPMENT ALLOWING FOR THE ACCOMMODATION OF AND ABILITY TO SERVICE MORE PATIENTS. FORMALIZATION AND EXPANSION OF THE REINTEGRATION PROGRAM REHAB STARTED CONSTRUCTION OF A LIFE SKILLS LAB TO FACILITATE A PHYSICAL SPACE TO HELP FACILITATE THE PATIENTS TRANSITION FROM THE HOSPITAL TO HOME. IN THE LIFE SKILLS LAB, THERAPISTS CAN EDUCATE PATIENTS AND CAREGIVERS REGARDING REAL LIFE TASKS TO IMPROVE THE PATIENTS INDEPENDENCE AND SAFETY. IMPLEMENTATION OF A COMPREHENSIVE PAIN MANAGEMENT CLINIC A COMPREHENSIVE PAIN MANAGEMENT PROGRAM WAS ESTABLISHED AT REHABS PHYSICIANS CLINIC TO SUPPLEMENT PATIENTS CONTINUUM OF REHABILITATIVE CARE. THE PROGRAM PROVIDES COMPREHENSIVE CARE TO INDIVIDUALS DEALING WITH CHRONIC PAIN. PATIENTS IN THE PROGRAM WORK CLOSELY WITH A MULTIDISCIPLINARY TEAM OF SPECIALISTS WHO TAILOR THE BEST AND SAFEST PLAN FOR MANAGING THEIR PAIN AND HELP THEM REGAIN MAXIMUM FUNCTION BEYOND PILLS AND PROCEDURES. EXECUTION OF THE iCARE CANCER GRANT REHAB EXECUTED THE iCARE CANCER GRANT AND FORMALLY ESTABLISHED ITS CANCER REHABILITATION PROGRAM. THE PROGRAM IS THE FIRST TO OFFER COMPREHENSIVE ASSESSMENTS AND INDIVIDUALIZED REHABILITATION TREATMENT PLANS TO THE ONCOLOGY POPULATION IN THE STATE OF HAWAII. IMPROVE AWARENESS OF SERVICES IN THE COMMUNITY REHAB EXPANDED ITS SOCIAL MEDIA FOOTPRINT IN ORDER TO COMMUNICATE INFORMATION TO THE BROADER COMMUNITY BY DEVELOPING PROFILES ON INSTAGRAM, FACEBOOK, LINKEDIN, TWITTER AND YOUTUBE. REHAB ALSO STANDARDIZED ALL OF ITS COLLATERAL AND EXPANDED ITS AVAILABLE INFORMATION ON REHAB SERVICES SUCH AS FOR ITS PAIN MANAGEMENT AND CANCER REHABILITATION PROGRAMS. ADDITIONALLY, REHAB PARTICIPATED IN A VARIETY OF COMMUNITY WORKSHOPS/HEALTH EVENTS TO PROVIDE EDUCATION ON HEALTH CONDITIONS AND REHAB SERVICES. ENHANCE HEALTHCARE PROVIDER EDUCATION REHAB IS INVOLVED WITH FELLOWSHIP PROGRAMS WITH THE JOHN A. BURNS SCHOOL OF MEDICINE, UNIVERSITY OF HAWAII AND WESTERN UNIVERSITY AND SUPPORTS STUDENTS IN PHYSICAL MEDICINE AND REHABILITATION ROTATIONS AND GERIATRIC FELLOWSHIPS. IN ADDITION, REHAB SUPPORTS PRECEPTORSHIPS FOR NURSING STUDENTS AND THERAPY STUDENT SHADOWING. REHAB ALSO HOLDS SEMINARS AT LOCAL UNIVERSITIES ON THE BENEFITS OF PHYSICAL THERAPY. REHAB ALSO COLLABORATED WITH THE UNIVERSITY OF HAWAII SCHOOL OF ENGINEERING FOR RESEARCH IN REHABILITATIVE MEDICINE. PRIORITY AREA 2: HEART DISEASE AND STROKE EXPAND CONTINUUM OF CARE FOR CARDIOVASCULAR AND STROKE CONDITIONS REHABS PHYSICIAN-LED NEUROLOGICAL SERVICE LINE TEAM MEETS REGULARLY TO DEVELOP PROCESSES AND INTEGRATE OTHER REHABILITATIVE SERVICES TO IMPROVE PATIENT OUTCOMES. THE TEAM ENHANCED PATIENT EDUCATION MATERIALS AS WELL AS FACILITATED COORDINATION OF OTHER REHABILITATION SERVICES AFTER PATIENT DISCHARGE TO IMPROVE THE CONTINUUM OF REHABILITATIVE CARE. REHABS CARDIAC REHABILITATION PROGRAMS ARE THE ONLY AACVPR-CERTIFIED PROGRAMS IN HAWAII. BOTH PROGRAMS COMBINE EDUCATION AND EXERCISE TO HELP PATIENTS RETURN TO A HEALTHIER AND ACTIVE LIFESTYLE. REHAB EXPANDED ITS COMMUNICATIONS TO EDUCATE THE COMMUNITY THAT THE FOLLOWING CONDITIONS QUALIFY FOR PARTICIPATION IN REHABS CARDIAC REHABILITATION PROGRAMS: A RECENT HEART ATTACK, CORONARY ARTERY BYPASS GRAFTING SURGERY (CABG), VALVE SURGERY, BALLOON ANGIOPLASTY/CORONARY STENTING; A HEART TRANSPLANT, HEART FAILURE AND ANGINA OR CHEST PAIN. REHAB DEVELOPED EDUCATIONAL MATERIALS FOR ITS VARIOUS SERVICES AND PROGRAMS TO PROVIDE TO ITS PATIENTS AND THE COMMUNITY AT COMMUNITY WORKSHOPS/HEALTH EVENTS. REHAB SUPPORTS A SUPPORT GROUP FOR STROKE SURVIVORS BY HOSTING QUARTERLY SUPPORT MEETINGS AND DISTRIBUTING EDUCATIONAL NEWSLETTERS AT THE MEETINGS AND VIA EMAIL. IMPROVE AWARENESS OF SERVICES IN THE COMMUNITY REHAB EXPANDED ITS SOCIAL MEDIA FOOTPRINT IN ORDER TO COMMUNICATE INFORMATION TO THE BROADER COMMUNITY BY DEVELOPING PROFILES ON INSTAGRAM, FACEBOOK, LINKEDIN, TWITTER AND YOUTUBE. REHAB ALSO STANDARDIZED ALL OF ITS COLLATERAL AND EXPANDED ITS AVAILABLE INFORMATION ON REHAB SERVICES FOR ITS CARDIOPULMONARY AND STROKE REHABILITATION PROGRAMS. ADDITIONALLY, REHAB PARTICIPATED IN A VARIETY OF COMMUNITY WORKSHOPS/HEALTH EVENTS TO PROVIDE EDUCATION ON HEALTH CONDITIONS AND REHAB SERVICES. NEEDS NOT BEING ADDRESSED THE FOLLOWING AREAS OF NEED IDENTIFIED IN REHAB'S 2017 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. ORAL HEALTH CHILDREN'S HEALTH OLDER ADULTS & AGING EXERCISE, NUTRITION, & WEIGHT PREVENTION & SAFETY ACCESS TO HEALTH SERVICES MENTAL HEALTH & MENTAL DISORDERS SUBSTANCE ABUSE DIABETES OTHER CHRONIC DISEASES IMMUNIZATIONS & INFECTIOUS DISEASES ENVIRONMENTAL & OCCUPATIONAL HEALTH WELLNESS & LIFESTYLE RESPIRATORY DISEASES TEEN & ADOLESCENT HEALTH FAMILY PLANNING
PART V, SECTION B, LINES 16A, 16B & 16CFINANCIAL 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
FieldValueIRS element (for citing)
Facility5FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
REHAB AT NUUANU
226 NORTH KUAKINI STREETHONOLULUHI96817CLINIC
REHAB AT AIEA
98-1005 MOANALUA ROAD SUITE 425AIEAHI96701CLINIC
REHAB PHYSICIANS CLINIC
226 NORTH KUAKINI STREETHONOLULUHI96817CLINIC
REHAB AT HILO
76 PUUHONU PLACEHILOHI96720CLINIC
CARDIAC REHAB
226 NORTH KUAKINI STREETHONOLULUHI96817CLINIC

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 3CALL OF THE FOLLOWING THREE CRITERIA MUST BE MET TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER REHAB'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 POVERTY GUIDELINE FOR HAWAII; AND 3) PATIENT IS A U.S. CITIZEN OR LEGAL ALIEN WHO IS PERMANENTLY RESIDING IN HAWAII.
PART III, LINES 2 AND 4PLEASE SEE PAGES 10 & 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552.96.
PART VI, LINE 2NEEDS ASSESSMENT REHAB PARTNERED WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND THE HEALTHY COMMUNITIES INSTITUTE TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT(CHNA) FOR THE COMMUNITY SERVED BY REHAB. THE CHNA WAS COMPLETED IN SEPTEMBER 2016. 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 (OVER 400 SECONDARY DATA INDICATORS) 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.
PART VI, LINE 3PATIENT 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 STAFF EXPLAINS 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's FINANCIAL ASSISTANCE PROGRAM. REHAB CONTRACTS WITH OUTSIDE SERVICE PROVIDERS WHO SPECIALIZE IN ASSISTING PATIENTS WITH THE MEDICAID/QUEST PROGRAM APPLICATION PROCESS. IF THE PATIENTS 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 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 DETERMINES THAT A PATIENT MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED, AND THE APPLICATION FOR FINANCIAL ASSISTANCE IS MAILED TO THE PATIENT.
PART VI, LINE 4COMMUNITY INFORMATION REHAB 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 11% OF REHAB's TOTAL PATIENT POPULATION IN 2017. IN GENERAL, THE INTENSIVE, MEDICALLY SUPERVISED REHABILITATION THAT REHAB PROVIDES THROUGH ITS 70-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 2017, REHAB ADMITTED 1,900 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 2017, REHAB 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), AND ITS CARDIAC REHABILITATION CLINIC. DURING 2017, REHAB TREATED 5,000 PATIENTS IN AN OUTPATIENT SETTING.
PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH REHAB IS COMMITTED TO SUPPORTING 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 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 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 SERVES AND ENSURE REHAB REMAINS COMMITTED TO SERVING ITS MISSION. REHAB REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE.
PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM N/A
PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT N/A

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR JASON CHANG
CMO & VP - MEDICAL AFFAIRS$250,843$0$0$0$1,200$0$4,419$0$22,078$0$278,540$0$0$0
WENDY MANUEL
VP & CHIEF FINANCIAL OFFICER$175,312$0$25,000$0$1,200$0$26,108$0$22,119$0$249,739$0$25,000$0
DR TIMOTHY ROE
PRESIDENT & CEO$328,747$0$65,000$0$7,200$0$70,300$0$19,186$0$490,433$0$65,000$0
AUDREY TORRES
SENIOR VP - PATIENT CARE SVCS$132,408$0$0$0$5,355$0$2,770$0$19,910$0$160,443$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1AOFFICER DR. TIMOTHY ROE RECEIVED HEALTH OR SOCIAL CLUB DUES DURING CY2016. 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, PAR I, LINE 7NON-FIXED PAYMENTS ARE MADE TO EMPLOYEES BASED ON PERFORMANCE THAT IS NOT BASED ON REVENUES OR NET EARNINGS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DENNIS CROWLEY
SEE PART V$15,182SEE PART Vfalse
KELSEY SEXTON
SEE PART V$16,002SEE PART Vfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationDENNIS CROWLEY, A FAMILY MEMBER OF BOARD MEMBER WILLIAM CROWLEY, WAS COMPENSATED FOR PHYSICIAN SERVICES BY REHABILITATION HOSPITAL OF THE PACIFIC. KELSEY SEXTON, A FAMILY MEMBER OF BOARD MEMBER GLENN SEXTON, IS EMPLOYED BY REHABILITATION HOSPITAL OF THE PACIFIC.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I & PART III, LINE 1ORGANIZATION'S MISSION 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, LINES 4A-4DPROGRAM SERVICE ACCOMPLISHMENTS PROGRAM SERVICE #1 INPATIENT ACUTE-CARE MEDICAL REHABILITATION SERVICES IN FISCAL YEAR 2017, REHAB SPENT $30,488,436 IN DIRECT EXPENSES FOR INPATIENT ACUTE-CARE MEDICAL REHABILITATION SERVICES. THE REHABILITATION HOSPITAL OF THE PACIFIC'S (REHAB) 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 2017, REHAB DISCHARGED A TOTAL OF 1,936 PATIENTS IN THE FOLLOWING PROGRAMS: - STROKE REHABILITATION PROGRAM AND OTHER NEUROLOGICAL PROGRAMS: 602 INPATIENTS - BRAIN INJURY PROGRAM: 149 INPATIENTS - SPINAL CORD INJURY AND DYSFUNCTION PROGRAMS: 158 INPATIENTS - ORTHOPEDIC AND AMPUTEE PROGRAMS: 819 INPATIENTS - GENERAL REHABILITATION PROGRAMS: 208 INPATIENTS PROGRAM SERVICE #2 OUTPATIENT CLINIC THERAPY SERVICES IN FISCAL YEAR 2017, REHAB SPENT $4,312,984 IN DIRECT EXPENSES FOR OUTPATIENT CLINIC THERAPY SERVICES. REHAB 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 - DRIVER'S EDUCATION AND TRAINING - WHEELCHAIR SEATING AND MOBILITY CLINIC - WOMEN'S HEALTH REHABILITATION - URINARY INCONTINENCE PROGRAM - WORK HEALTH PROGRAMS IN FISCAL YEAR 2017, REHAB PROVIDED OUTPATIENT THERAPY SESSIONS TOTALING 44,420 IN THE FOLLOWING AREAS: - PHYSICAL AND AQUATICS THERAPY 33,451 SESSIONS - OCCUPATIONAL THERAPY 8,520 SESSIONS - SPEECH THERAPY 2,449 SESSIONS PROGRAM SERVICE #3 PHYSICIANS CLINIC SERVICES IN FISCAL YEAR 2017, REHAB SPENT $968,547 IN DIRECT EXPENSES FOR PHYSICIANS CLINIC SERVICES. REHAB 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 2017, REHAB PROVIDED PHYSICIAN VISITS TOTALING 4,657 VISITS. PROGRAM SERVICE #4 REHAB IS THE ONLY ACUTE-CARE MEDICAL REHABILITATION ORGANIZATION SERVING HAWAII AND THE PACIFIC FOR MORE THAN 60 YEARS. THE 70-BED, NOT-FOR-PROFIT HOSPITAL, THREE OUTPATIENT THERAPY CLINICS, CARDIAC REHABILITATION CLINIC 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 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 2017, MORE THAN 6,500 VOLUNTEER HOURS WERE PERFORMED. THE SELECTION AND QUALITY OF PROGRAMS AND SERVICES PROVIDED BY REHAB ARE OF GREAT VALUE TO THE COMMUNITY. THE FOLLOWING BENEFITS ARE A RESULT OF REHAB'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 HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES COMPREHENSIVE MEDICAL REHABILITATION TO INDIVIDUALS FROM WHOM WE MAY RECEIVE LITTLE OR NO COMPENSATION. IN FISCAL YEAR 2017, REHAB PROVIDED VARIOUS FORMS OF FINANCIAL ASSISTANCE TO ITS PATIENTS. THE ESTIMATED UNCOMPENSATED COST OF PROVIDING CARE TO THESE PATIENTS WAS APPROXIMATELY $64,000. REHAB ALSO PROVIDED SERVICES TO APPROXIMATELY 1,200 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 $1,700,000.
FORM 990, PART VI, LINE 1ATHE 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 CORPORATIONS 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 4SIGNIFICANT CHANGES TO THE AMENDED AND RESTATED BYLAWS AND ARTICLES OF INCORPORATION INCLUDE THE FOLLOWING: - THE NUMBER OF VOTING BOARD MEMBERS WAS CHANGED TO BE NOT LESS THAN 11 AND NOT MORE THAN 20 VOTING MEMBERS. - THE FOUNDATION PRESIDENT AND PRESIDENT OF THE MEDICAL EXECUTIVE COMMITTEE ARE NOW VOTING MEMBERS. - AMENDMENT OF THE BYLAWS REQUIRES AN AFFIRMATIVE VOTE OF NOT LESS THAN A MAJORITY OF THE DIRECTORS IN OFFICE. - ONE-HALF OF THE DIRECTORS IN OFFICE CONSTITUTES A QUORUM. - THE CONFLICT OF INTEREST AND RECORDS RETENTION AND DESTRUCTION POLICIES WERE REVISED.
FORM 990, PART VI, LINE 11BPROCESS USED TO REVIEW THE FORM 990 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 12CIN 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. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST, SUCH BOARD MEMBER WILL BE EXCUSED FROM VOTING ON THE RELATED MATTER.
FORM 990, PART VI, LINES 15A & 15BTHE PROCESS TO REVIEW CEO COMPENSATION WAS LAST COMPLETED IN AUGUST 2016 RESULTING IN A THREE YEAR EMPLOYMENT AGREEMENT. THE EMPLOYMENT AGREEMENT STIPULATES 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 JULY 2016 AND OCTOBER 2017.
FORM 990, PART VI, LINE 19UPON REQUEST, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9NET CHANGE IN ACCRUED PENSION LIABILITY $ 2,158,246 CHANGE IN BENEFICIAL INTEREST IN UNRESTRICTED NET ASSETS OF FOUNDATION $ 659,859 CHANGE IN BENEFICIAL INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF FOUNDATION ($ 255,209) CHANGE IN BENEFICIAL INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF FOUNDATION $ 3,633 ------------- TOTAL $ 2,566,529

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Rehab Hospital of the Pacific FoundationBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 North Kuakini StreetAddressLine1Txt
CityHonoluluCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96817ZIPCd
FieldValueIRS element (for citing)
EIN990241634EIN
Primary ActivitiesSupport SvcsPrimaryActivitiesTxt
Legal Domicile StateHILegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status7PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1REHAB HOSPBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Rehab Hospital of the Pacific Foundation
a(iv)$21,216COST
Rehab Hospital of the Pacific Foundation
c$735,534COST
Rehab Hospital of the Pacific Foundation
q$382,571COST