2017-08-14T17:20:58-05:00 2016-09-30 ERNST & YOUNG US LLP 370 17TH ST 3300 DENVER CO 80202 990 2015-10-01 510160156 Rehabilitation Hospital of the Pacific % Keriann Ernst REHA 8085313511 226 NORTH KUAKINI STREET HONOLULU HI 968172498 WENDY MANUEL VP/CFO 2017-08-14 KELLEY SIMON P00791436 7209314000 2015 2021-01-29 14:40:06Z Dr Timothy Roe 226 North Kuakini Street Honolulu HI 968172498 51409987 false X WWW.REHABHOSPITAL.ORG X 1975 HI SEE SCHEDULE O 16 16 527 58 -3521 -7521 1358707 981370 42041749 43505929 624532 337143 891361 917534 44916349 45741976 0 0 0 0 27379741 30132891 0 0 0 15043629 15700017 42423370 45832908 2492979 -90932 76707300 78592491 27718095 28957616 48989205 49634875 X SEE SCHEDULE O false false 28334556 0 38164784 SEE SCHEDULE O 4489678 0 4646361 SEE SCHEDULE O 821716 0 678302 SEE SCHEDULE O 0 0 16482 33645950 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 false false false false false false false true true true false false true 73 0 true 527 true true true false false false false false false false false false X 16 16 false false false 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 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 RAYMOND S ONO DIRECTOR/CHAIR 1.0 1.0 X X 0 0 0 DR BRUCE KATSURA DIRECTOR (PART YEAR) 1.0 0.0 X 0 0 0 E LYNNE MADDEN DIRECTOR/SECRETARY/TREASURER 1.0 1.0 X X 0 0 0 GLENN SEXTON DIRECTOR/VICE CHAIR 1.0 1.0 X X 0 0 0 JENNIFER ISOBE DIRECTOR 1.0 0.0 X 0 0 0 BRYAN KK LUKE DIRECTOR 1.0 1.0 X 0 0 0 JANICE LUKE LOO DIRECTOR 1.0 1.0 X 0 0 0 RONALD NS HO DIRECTOR 1.0 0.0 X 0 0 0 HOWARD H KARR DIRECTOR 1.0 0.0 X 0 0 0 JOHN KOMEIJI DIRECTOR/CHAIR (PART YEAR) 1.0 1.0 X X 0 0 0 BENJAMIN A KUDO DIRECTOR 1.0 0.0 X 0 0 0 MICHAEL W PERRY DIRECTOR 1.0 1.0 X 0 0 0 DR TIMOTHY ROE PRESIDENT & CEO 40.0 0.0 X 397055 0 89177 AUDREY TORRES SENIOR VP - PATIENT CARE SVCS 40.0 0.0 X 139570 0 22861 DR JASON CHANG CMO & VP - MEDICAL AFFAIRS 25.0 0.0 X 183717 0 26019 WENDY MANUEL VP & CHIEF FINANCIAL OFFICER 40.0 0.0 X 179758 0 47281 FAYE MIYAMOTO ASSISTANT VP HUMAN RESOURCES 40.0 0.0 X 104720 0 15276 SUSAN GABRIEL Assistant VP - Outpatient Svcs 40.0 0.0 X 127114 0 2637 STEPHEN C BOYER DIRECTOR OF FACILITIES 40.0 0.0 X 109227 0 22402 ELSIE M LABAYOG RN - CRRN 40.0 0.0 X 108815 0 20763 KATHLEEN TORRES RN 43.0 0.0 X 111831 0 27518 DON YAMAUCHI Clinic Manager - Hilo 40.0 0.0 X 108855 0 9692 TERESITA GANATA RN - CRRN 40.0 0.0 X 108761 0 14135 1679423 0 297761 36 false true false DATAHOUSE 1585 KAPIOLANI BOULEVARD SUITE 180 HONOLULU HI 96814 INFORMATION SYSTEMS 2688445 J KADOWAKI INC 518 AHUI STREET HONOLULU HI 96813 GENERAL CONTRACTOR 1184513 SODEXO INC AFFILIATES DEPT 43283 LOS ANGELES CA 90088 MANAGEMENT-DIETARY 1172064 THE QUEENS POB PHARMACY 1380 LUSITANA STREET HONOLULU HI 96813 MANAGEMENT-PHARMACY 577097 REHAB ASSOCIATES OF THE PACIFIC 500 ALA MOANA BOULEVARD SUITE 2-20 HONOLULU HI 96813 PHYSICIAN SERVICES 400512 11 0 571834 409536 723 981370 MEDICARE/MEDICAID PAYMENT 622310 29028067 29028067 PATIENT REVENUES 622310 14461382 14461382 STUDENT TRAINING AND TOUR 900099 10600 10600 CONTRACT REVENUES 900099 5880 5880 43505929 558961 -3521 562482 0 0 657412 657412 0 657412 657412 5446193 5668011 -221818 -221818 -221818 0 0 0 PARKING REVENUE 812930 109413 109413 PURCHASE DISCOUNTS 900099 30766 30766 GIFT SHOP REVENUE 453220 30133 30133 89810 89810 260122 45741976 43505929 -3521 1258198 X 0 0 0 0 0 0 0 0 1211942 498288 713654 0 0 0 0 0 22482888 19281962 3200926 0 1077151 899197 177954 0 3615167 3017912 597255 0 1745743 1457332 288411 0 0 0 0 0 65341 26482 38859 0 165101 0 165101 0 0 0 0 0 0 0 89414 0 89414 0 4813634 4330042 483592 221799 0 221799 0 346992 139329 207663 0 2835135 0 2835135 0 0 0 0 0 1252635 735092 517543 0 25260 12308 12952 0 0 0 0 0 73127 55298 17829 0 5777 5777 0 0 0 0 0 0 3346375 1767720 1578655 0 363138 0 363138 0 Patient Supplies 1191999 1191999 0 0 Repaires & Maintenance 402334 109725 292609 0 Dues 146900 15057 131843 0 Minor Equipment 87608 60328 27280 0 267448 42102 225346 45832908 33645950 12186958 0 0 2400 2500 5083030 2954083 0 0 6156453 6916582 0 0 0 0 0 0 145845 161269 220786 387075 58681176 24419884 32524469 34261292 19378379 21089884 157933 144952 0 0 0 0 13038005 12674854 76707300 78592491 17920193 18301371 0 0 0 0 0 0 0 0 0 0 9543534 10278089 0 0 254368 378156 27718095 28957616 X 44396223 45012731 1331545 1358418 3261437 3263726 48989205 49634875 76707300 78592491 X -90932 1470486 0 0 0 -733884 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000000 10000000 10000000 10000000 10000000 10000000 10000000 10000000 10000000 10000000 1.00000 false false 1244244 1244244 26095341 7571453 18523888 310666 215588 95078 24587927 14741586 9846341 6442998 1891257 4551741 34261292 AN EXEMPT AFFILIATE 3776128 DEPOSITS & OTHER RECEIVABLES 486348 ASSETS OF FOUNDATION 8276245 OTHER ASSETS 136133 12674854 0 DEFFERED COMPENSATION PAYABLE 144952 DUE TO THIRD PARTY PAYORS 87430 CAPITAL LEASE LIABILITY 145427 AN EXEMPT AFFILIATE 347 378156 X 46541283 1470486 292488 1762974 44778309 963667 963667 45741976 45832908 0 0 45832908 0 0 45832908 PART V, LINE 4 Endowment Funds Rehabilitation Hospital of the Pacific uses the endowment funds for the purposes intended by the Board. 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, 2016 and 2015, the Company had no unrecognized tax benefits. The Companys 2012 through 2015 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, 2016 and 2015. PART XI, LINE 2D NET ASSETS RELEASED FROM RESTRICTIONS $ 292,488 PART XI, LINE 4B TRANSFERS OF NET ASSETS FROM REHAB HOSPITAL OF THE PACIFIC FOUNDATION $ 571,834 TEMPORARILY RESTRICTED CONTRIBUTIONS $ 391,833 ----------- TOTAL $ 963,667 true true true X true X true true false false 3732 3732 0.00000 5487102 4243019 1244083 0.02710 5490834 4246751 1244083 0.02710 37742 26901 10841 0.00020 262844 262844 0.00570 32457 32457 0.00070 812 812 33842 33842 0.00070 367697 26901 340796 0.00730 5858531 4273652 1584879 0.03440 5771 0 5771 0.00010 4554 0 4554 0.00010 4718 0 4718 0.00010 15043 0 15043 0.00030 true 240705 14304462 11844446 2460016 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 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 Hawaii's 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. 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 Queen's Medical Center, The Queen's Medical Center - West Oahu, Wahiawa General Hospital and Wilcox Memorial Hospital. PART V, SECTION B, LINE 7A CHNA WEBSITE https://www.rehabhospital.org/images/pdf/REHAB_HAH_HI_State_Report_92916.p df PART V, SECTION B, LINE 11 REHAB SELECTED TO ADDRESS THE FOLLOWING PRIORITY AREAS IN ITS FISCAL YEAR 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1) HEART DISEASE AND STROKE AND 2) DISABILITIES. THROUGH FISCAL YEAR 2016, REHAB CONDUCTED THE FOLLOWING ACTIVITIES TO ADDRESS THE TWO PRIORITY NEEDS: PRIORITY AREA 1: HEART DISEASE AND STROKE CERTIFICATION OF CARDIAC HEALTH PROGRAM REHABS CARDIAC HEALTH PROGRAM RECEIVED CERTIFICATION FROM THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION (AACVPR), THE ONLY PEER-REVIEWED ACCREDITATION PROCESS DESIGNED TO REVIEW FACILITIES FOR ADHERENCE TO THE AACVPR STANDARDS AND GUIDELINES. REHABS CARDIAC HEALTH PROGRAM IS THE ONLY PROGRAM WITH THIS CERTIFICATION IN THE STATE OF HAWAII AND PACIFIC REGION. DURING FISCAL YEAR 2016, 235 PATIENTS RECEIVED SERVICES IN THE CARDIAC HEALTH PROGRAM. REHAB STRONG PROGRAM REHAB DEVELOPED ITS NEW REHAB STRONG LIFESTYLE AND WELLBEING PROGRAM TO OFFER ACTIVITIES WHICH ENCOURAGE A HEALTHY AND ACTIVE LIFESTYLE. THE REHAB STRONG PROGRAM INCLUDES GROUP SWIM, MASSAGE, TAI CHI CHAIR, CHAIR YOGA AND QIGONG CLASSES. COLLECTING RESEARCH DATA REHAB UTILIZED ITS ELECTRONIC MEDICAL RECORDS TO MONITOR THE PROGRESS AND IMPACT OF CARDIAC REHABILITATION ON ITS PATIENTS IN ORDER TO SHARE DATA WITH CLINICAL PROFESSIONALS, INSURERS, AND COMMUNITY MEMBERS ON THE RESULTS OF THE CARDIAC HEALTH PROGRAM. TRAINING COURSES REHAB OFFERED MULTIPLE CARDIOPULMONARY RESUSCITATION, AUTOMATED EXTERNAL DEFIBRILLATOR AND FIRST AID TRAINING EDUCATIONAL PROGRAMS TO VARIOUS HEALTHCARE GROUPS AS WELL AS COMMUNITY AND YOUTH GROUPS. DIET AND NUTRITION CURRICULUM SPONSORED THE CERTIFICATION OF AN EXERCISE PHYSIOLOGIST IN DIET AND NUTRITION IN ORDER TO DEVELOP A NUTRITION CLASS CURRICULUM TO EDUCATE THE COMMUNITY ON MANAGEMENT OF EXPANDED RISK FACTORS. INCREASED AWARENESS OF AVAILABILITY AND BENEFITS OF CARDIAC REHABILITATION REHAB VISITED PHYSICIANS IN THE COMMUNITY TO PROVIDE INFORMATION RELATED TO THE CARDIAC HEALTH PROGRAM AND THE BENEFITS TO PATIENTS. DURING FACE-TO-FACE MEETINGS WITH COMMUNITY PHYSICIANS, REHAB SHARED ACTUAL RESULTS FROM PATIENTS CARED FOR, ANSWERED ANY QUESTIONS REGARDING THE PROGRAM OR POLICIES AND OFFERED TOURS, AS REQUESTED, OF THE FACILITIES. REHAB ALSO COLLABORATED WITH HEALTHCARE INSURERS IN THE COMMUNITY TO FOSTER INCREASED AWARENESS OF THE BENEFITS AND AVAILABILITY OF CARDIAC REHABILITATION AND REHABS CARDIAC HEALTH PROGRAM. PRIORITY AREA 2: DISABILITIES OPERATION OF THE WHEELCHAIR SEATING AND MOBILITY CLINIC THE WHEELCHAIR SEATING AND MOBILITY CLINIC PROVIDES PATIENTS ACCESS TO A COMPREHENSIVE EVALUATION TO DETERMINE THE MOST APPROPRIATE MOBILITY DEVICE TO MAXIMIZE FUNCTIONAL INDEPENDENCE AND ACHIEVE MOBILITY GOALS. THROUGH THE CLINIC, PATIENTS RECEIVE A WHEELCHAIR EVALUATION, HOME VISIT, PRESSURE MAPPING AND ARE ABLE TO TRIAL EQUIPMENT BEFORE RECEIVING THEIR NEW EQUIPMENT. DURING FISCAL YEAR 2016, 75 PATIENTS WERE TREATED IN REHABS WHEELCHAIR SEATING AND MOBILITY CLINIC. IMPROVED AWARENESS OF SERVICES IN THE COMMUNITY IN COLLABORATION WITH MOUNTAIN PACIFIC HEALTH, REHAB PARTICIPATED IN THE WEST OAHU, WINDWARD AND HONOLULU COALITIONS TO CREATE POSTERS AND PATIENT EDUCATION MATERIALS TO INCREASE AWARENESS OF PROVIDER SERVICES IN THE COMMUNITY. THE MATERIALS WERE DISTRIBUTED TO NUMEROUS HEALTHCARE AND HEALTHCARE RELATED LOCATIONS. COMMUNITY EDUCATION ON INJURY/DISABILITY PREVENTION REHAB PARTICIPATED IN THE STATE OF HAWAII INJURY PREVENTION ADVISORY COUNCIL, TRAUMATIC BRAIN INJURY ADVISORY BOARD, AND STROKE COALITION WHICH ADDRESSED VARIOUS DISABILITIES ISSUES IN HAWAII. REHAB PERSONNEL PROVIDED INFORMATION AT VARIOUS EDUCATION BOOTHS AT THE AMERICAN HEART ASSOCIATION HEALTH WALK, AMERICAN HEALTH AND STROKE ASSOCIATION EVENTS, OAHU HEALTH AND STROKE WALK, AGING IN PLACE WORKSHOP, AND ESPN 1420 SPORTS FESTIVAL; AND HELMET FITTING AT THE KEIKI ULTIMATE FITNESS DAY. REHAB ALSO SUPPORTED MULTIPLE SUPPORT GROUPS (STROKE, AMPUTEE, AND BRAIN INJURY) MEETINGS TO HELP THE DISABLED POPULATION RETURN TO THE COMMUNITY AND PRODUCTIVELY FUNCTION WITH THEIR DISABILITIES. SUPPORTED EDUCATION AND TRAINING OF REHABILITATION PROFESSIONALS REHAB EMPLOYEES DELIVERED MULTIPLE SPINAL CORD INJURY, BRAIN INJURY, STROKE, AND ORTHOPEDIC PRESENTATIONS AND EDUCATIONAL SUPPORT TO STUDENTS AT UNIVERSITY OF HAWAII, KAPIOLANI COMMUNITY COLLEGE, JAPAN-AMERICAN INSTITUTE OF MANAGEMENT SCIENCE, AND JOB CORPS. REHAB EMPLOYEES ALSO DELIVERED PRESENTATIONS TO ATTENDEES AT MULTIPLE HEALTHCARE CONFERENCES TO FURTHER THE EDUCATION OF REHABILITATION PROFESSIONALS WITH REAL WORLD REHABILITATIVE MEDICINE EXPERIENCE. VARIOUS TOURS WERE HELD WITH HEALTHCARE PROFESSIONALS TO INCREASE AWARENESS OF REHABS SERVICES, FACILITIES AND EQUIPMENT. REHAB ALSO COLLABORATED WITH THE UNIVERSITY OF HAWAII SCHOOL OF ENGINEERING FOR RESEARCH IN REHABILITATIVE MEDICINE. 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 STRONG PROGRAM REHAB DEVELOPED ITS NEW REHAB STRONG LIFESTYLE AND WELLBEING PROGRAM TO OFFER ACTIVITIES WHICH ENCOURAGE A HEALTHY AND ACTIVE LIFESTYLE. THE REHAB STRONG PROGRAM INCLUDES GROUP SWIM, MASSAGE, TAI CHI CHAIR, CHAIR YOGA AND QIGONG CLASSES. COLLABORATE WITH COMMUNITY GROUPS TO COLLECT HEALTHCARE DATA REHAB COLLABORATES WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND HAWAII HEALTH INFORMATION COUNCIL TO COLLECT AND DISSEMINATE DATA ON ILLNESS AND INJURY FOR PATIENTS CARED FOR. NEEDS NOT BEING ADDRESSED THE FOLLOWING AREAS OF NEED IDENTIFIED IN REHAB'S FISCAL YEAR 2016 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. ACCESS TO HEALTH SERVICES CHILDRENS HEALTH DIABETES ENVIRONMENTAL & OCCUPATIONAL HEALTH EXERCISE, NUTRITION, & WEIGHT FAMILY PLANNING IMMUNIZATIONS & INFECTIOUS DISEASES MENTAL HEALTH & MENTAL DISORDERS OLDER ADULTS & AGING ORAL HEALTH OTHER CHRONIC DISEASES PREVENTION & SAFETY RESPIRATORY DISEASES SUBSTANCE ABUSE TEEN & ADOLESCENT HEALTH WELLNESS & LIFESTYLE PART V, SECTION B, LINES 16A, 16B & 16C Financial Assistance Policy https://www.rehabhospital.org/images/pdf/FAP_combined2.pdf Financial Assistance Policy Application https://www.rehabhospital.org/images/pdf/FAP_ExhibitB_App.pdf Plain Language Summary https://www.rehabhospital.org/images/pdf/FAP_Plain_Language_Summary.pdf 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 at Hilo 76 Puuhonu Place Hilo HI 96720 Clinic REHAB Physicians Clinic 226 North Kuakini Street Honolulu HI 96817 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 II, LINE 10 COMMUNITY BUILDING ACTIVITIES As the only acute-care medical rehabilitation organization serving Hawaii and the Pacific, REHAB is an important provider of care in the post-acute continuum of services. REHAB is a leader in medical rehabilitation, particularly in the areas of stroke, traumatic brain injury and spinal cord injury. Utilizing its knowledge and expertise REHAB participates in community task forces, advocates on behalf of community health initiatives and assists in the recruitment and development of Hawaii's medical professionals. 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 ELIGIBIILTY 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 PATIENT'S APPLICATION FOR MEDICAID/QUEST IS DENIED OR IT IS DETERMINED THAT THE PATIENT IS INELIGIBLE TO APPLY FOR MEDICAID/QUEST, THE PATIENT MAY APPLY FOR REHAB's FINANCIAL ASSISTANCE PROGRAM. THE PATIENT MAY APPLY IN PERSON OR MAIL THE APPLICATION FOR FINANCIAL ASSISTANCE TO THE PATIENT FINANCIAL SERVICES OFFICE. REHAB 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 10% OF REHAB's TOTAL PATIENT POPULATION IN 2016. 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 2016, 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 2016, 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 2016, REHAB TREATED 5,300 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 TIMOTHY ROE PRESIDENT & CEO 324855 0 65000 0 7200 0 70300 0 18877 0 486232 0 65000 0 AUDREY TORRES SENIOR VP - PATIENT CARE SVCS 129792 0 1000 0 8778 0 2718 0 20143 0 162431 0 0 0 DR JASON CHANG CMO & VP - MEDICAL AFFAIRS 182517 0 0 0 1200 0 3780 0 22239 0 209736 0 0 0 WENDY MANUEL VP & CHIEF FINANCIAL OFFICER 153558 0 25000 0 1200 0 25000 0 22281 0 227039 0 0 0 SCHEDULE J, PART I, LINE 1A Officer Dr. Timothy Roe received health or social club dues during CY2015. 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. 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 2016, REHAB SPENT $28,334,556 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 2016, REHAB DISCHARGED A TOTAL OF 1,863 PATIENTS IN THE FOLLOWING PROGRAMS: - STROKE REHABILITATION PROGRAM AND OTHER NEUROLOGICAL PROGRAMS: 544 INPATIENTS - BRAIN INJURY PROGRAM: 118 INPATIENTS - SPINAL CORD INJURY AND DYSFUNCTION PROGRAMS: 142 INPATIENTS - ORTHOPEDIC AND AMPUTEE PROGRAMS: 779 INPATIENTS - GENERAL REHABILITATION PROGRAMS: 280 INPATIENTS PROGRAM SERVICE #2 OUTPATIENT CLINIC THERAPY SERVICES IN FISCAL YEAR 2016, REHAB SPENT $4,489,678 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 2016, REHAB PROVIDED OUTPATIENT THERAPY UNITS TOTALING 159,345 IN THE FOLLOWING AREAS: - PHYSICAL AND AQUATICS THERAPY - 120,809 UNITS - OCCUPATIONAL THERAPY - 29,583 UNITS - SPEECH THERAPY - 8,953 UNITS PROGRAM SERVICE #3 PHYSICIANS CLINIC SERVICES IN FISCAL YEAR 2016, REHAB SPENT $821,716 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 2016, REHAB PROVIDED PHYSICIAN VISITS TOTALING 3,896 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 2016, MORE THAN 5,400 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 2016, REHAB PROVIDED VARIOUS FORMS OF FINANCIAL ASSISTANCE TO ITS PATIENTS. THE ESTIMATED UNCOMPENSATED COST OF PROVIDING CARE TO THESE PATIENTS WAS APPROXIMATELY $28,000. REHAB ALSO PROVIDED SERVICES TO APPROXIMATELY 1,000 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 $1,500,000. 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. The Executive Committee meets at places and at times as determined by the Committee. The Executive Committee shall possess and exercise all powers of the Board of Directors during the intervals between Board meetings with the exception of the following: - Authorize distributions; - Approve the dissolution, merger, or the sale, pledge or transfer of all or substantially all of the corporation's assets; - Elect, appoint or remove directors or fill vacancies on the Board or on any of its committees; - Adopt, amend or repeal the Charter of Incorporation or Bylaws. FORM 990, PART VI, LINE 11B Process used to review the Form 990 The organization has established the following procedures for the review of 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 Conflict of interest questionnaires are completed annually by Board members and management. If a Board member has a conflict of interest, such Board member will be excused from voting. 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 2016. 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 ($ 1,335,511) CHANGE IN BENEFICIAL INTEREST IN UNRESTRICTED NET ASSETS OF FOUNDATION $ 572,578 CHANGE IN BENEFICIAL INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF FOUNDATION $ 26,760 CHANGE IN BENEFICIAL INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF FOUNDATION $ 2,289 ----------- TOTAL: ($ 733,884) FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:954156 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:391508 FORM 990 PART IX LINE 11G DESCRIPTION:PHARMACY SERVICES TOTAL FEES:613373 FORM 990 PART IX LINE 11G DESCRIPTION:PATIENT NUTRITION SERVICES TOTAL FEES:1222441 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY LABOR SERVICES TOTAL FEES:557212 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:74593 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:202187 FORM 990 PART IX LINE 11G DESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:83795 FORM 990 PART IX LINE 11G DESCRIPTION:CLEANING/REFUSE SERVICES TOTAL FEES:82393 FORM 990 PART IX LINE 11G DESCRIPTION:MARKETING SERVICES TOTAL FEES:70472 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:561504 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 c 571834 FMV