2018-08-15T15:35:07-05:00 2017-09-30 ERNST & YOUNG US LLP 4365 EXECUTIVE DR STE 1600 SAN DIEGO CA 92121 990 2016-10-01 510160156 Rehabilitation Hospital of the Pacific % KERIANN ERNST REHA 8085313511 226 North Kuakini Street Honolulu HI 968172498 WENDY MANUEL VP/CFO 8085313511 2018-08-14 JOCELYNE MILLER P00634378 8585357200 2016 2022-09-23 18:48:47Z Dr Timothy Roe 226 North Kuakini Street Honolulu HI 968172498 50575923 false X www.rehabhospital.org X 1975 HI SEE SCHEDULE O 18 16 572 77 119296 106766 981370 880633 43505929 44348689 337143 535157 917534 943678 45741976 46708157 0 0 0 0 30132891 32106866 0 0 0 15700017 16670479 45832908 48777345 -90932 -2069188 78592491 82176523 28957616 30031655 49634875 52144868 X SEE SCHEDULE O false false 30488436 0 38906796 SEE SCHEDULE O 4312984 0 4324477 SEE SCHEDULE O 968547 0 1107041 SEE SCHEDULE O 0 0 10375 35769967 true true false false false false false false false true 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 true false false false false false false true true true false false true 77 0 true 572 true true true false false false false false false false false false X 18 16 false false true false false false false true true false false true true true true true true true true false X KERIANN ERNST 8085443308 226 NORTH KUAKINI STREET HONOLULU HI 96817 DR CHERYLEE CHANG DIRECTOR 1.0 0.0 X 0 0 0 SAI CHANTAVY 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 N S HO DIRECTOR 1.0 0.0 X 0 0 0 JENNIFER ISOBE DIRECTOR 1.0 0.0 X 0 0 0 HOWARD H KARR DIRECTOR (PART YEAR) 1.0 0.0 X 0 0 0 CORY KUBOTA DIRECTOR 1.0 0.0 X 0 0 0 BENJAMIN A KUDO DIRECTOR 1.0 0.0 X 0 0 0 JANICE LUKE LOO DIRECTOR 1.0 1.0 X 0 0 0 BRYAN K K LUKE DIRECTOR 1.0 1.0 X 0 0 0 E LYNNE MADDEN DIRECTOR/SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 RAYMOND S ONO DIRECTOR/CHAIR 1.0 1.0 X X 0 0 0 MICHAEL W PERRY DIRECTOR 1.0 1.0 X 0 0 0 GLENN SEXTON DIRECTOR/VICE CHAIR 1.0 1.0 X X 0 0 0 PATRICK SULLIVAN DIRECTOR 1.0 0.0 X 0 0 0 DR LAURIE TOM DIRECTOR 1.0 1.0 X 0 0 0 ALAN TOMONARI DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL J WO DIRECTOR 1.0 0.0 X 0 0 0 DR JASON CHANG CMO & VP - 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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, 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 2D NET ASSETS RELEASED FROM RESTRICTIONS $527,593 PART XI, LINE 4B TRANSFERS OF NET ASSETS FROM REHAB HOSPITAL OF THE PACIFIC FOUNDATION $ 735,534 TEMPORARILY RESTRICTED CONTRIBUTIONS $ 143,828 ----------- TOTAL $ 879,362 true true true X true X true true false false 63462 60558 2904 0.00010 6432248 4986881 1445367 0.02960 6495710 5047439 1448271 0.02970 33475 22997 10478 0.00020 241561 41512 200049 0.00410 65634 65634 0.00130 1638 1638 33995 33995 0.00070 376303 64509 311794 0.00630 6872013 5111948 1760065 0.03600 614 614 4999 4999 0.00010 8035 8035 0.00020 13648 13648 0.00030 true 43497 14711139 12535208 2175931 X true false 1 1 REHABILITATION HOSP OF THE PACIFIC 226 NORTH KUAKINI STREET HONOLULU HI 96817 WWW.REHABHOSPITAL.ORG 35-H X ACUTE CARE REHAB REHABILITATION HOSP OF THE PACIFIC 1 false false true X X X X X X X X X 15 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 16 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 PART V, SECTION B, LINE 5 IN 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 & 6B THE 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 7A CHNA WEBSITE https://www.rehabhospital.org/awards-accreditations PART V, SECTION B, LINE 11 REHAB 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 & 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 PART I, LINE 3C ALL 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 4 PLEASE SEE PAGES 10 & 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552.96. PART VI, LINE 2 NEEDS 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 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 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 4 COMMUNITY 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 5 PROMOTION 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 6 AFFILIATED HEALTH CARE SYSTEM N/A PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A X true true X X X X false false false false false false false true false DR JASON CHANG CMO & VP - MEDICAL AFFAIRS 250843 0 0 0 1200 0 4419 0 22078 0 278540 0 0 0 WENDY MANUEL VP & CHIEF FINANCIAL OFFICER 175312 0 25000 0 1200 0 26108 0 22119 0 249739 0 25000 0 DR TIMOTHY ROE PRESIDENT & CEO 328747 0 65000 0 7200 0 70300 0 19186 0 490433 0 65000 0 AUDREY TORRES SENIOR VP - PATIENT CARE SVCS 132408 0 0 0 5355 0 2770 0 19910 0 160443 0 0 0 SCHEDULE J, PART I, LINE 1A OFFICER 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 7 NON-FIXED PAYMENTS ARE MADE TO EMPLOYEES BASED ON PERFORMANCE THAT IS NOT BASED ON REVENUES OR NET EARNINGS. DENNIS CROWLEY SEE PART V 15182 SEE PART V false KELSEY SEXTON SEE PART V 16002 SEE PART V false SCHEDULE L, PART IV DENNIS 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. FORM 990, PART I & PART III, LINE 1 ORGANIZATION'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-4D PROGRAM 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 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 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 4 SIGNIFICANT 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 11B PROCESS 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 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. 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 & 15B THE 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 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 NET 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 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 false Rehab Hospital of the Pacific Foundation a(iv) 21216 COST Rehab Hospital of the Pacific Foundation c 735534 COST Rehab Hospital of the Pacific Foundation q 382571 COST