REHABILITATION HOSPITAL OF THE PACIFIC: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: REHABILITATION HOSPITAL OF THE PACIFIC (EIN 51-0160156)
Tax period: 2014-10-01 to 2015-09-30
Filed: 2016-08-11
IRS object ID: 201602249349300720
Schema version: 2014v6.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2016-08-11T11:56:59-05:00	ReturnTs
Tax Period End	2015-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	370 17TH ST 3300	AddressLine1Txt
City	DENVER	CityNm
State Abbreviation	CO	StateAbbreviationCd
ZIP	80202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	510160156	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	Wendy Manuel	PersonNm
Person Title	Vice President & CFO	PersonTitleTxt
Signature	2016-08-08	SignatureDt

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	KELLEY SIMON	PreparerPersonNm
PTIN	P00791436	PTIN
Phone	7209314000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-12-15 16:53:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Dr Timothy Roe	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	226 North Kuakini Street	AddressLine1Txt
City	Honolulu	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	968172498	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$49,377,856	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.REHABHOSPITAL.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1975	FormationYr
Legal Domicile State	HI	LegalDomicileStateCd
Activity Or Mission	SEE SCHEDULE O	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	18	VotingMembersIndependentCnt
Total Employee	453	TotalEmployeeCnt
Total Volunteers	68	TotalVolunteersCnt
Total Gross UBI	$162,230	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$10,223	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$9,654,964	PYContributionsGrantsAmt
CY Contributions Grants	$1,358,707	CYContributionsGrantsAmt
PY Program Service Revenue	$36,609,844	PYProgramServiceRevenueAmt
CY Program Service Revenue	$42,041,749	CYProgramServiceRevenueAmt
PY Investment Income	$1,360,171	PYInvestmentIncomeAmt
CY Investment Income	$624,532	CYInvestmentIncomeAmt
PY Other Revenue	$906,058	PYOtherRevenueAmt
CY Other Revenue	$891,361	CYOtherRevenueAmt
PY Total Revenue	$48,531,037	PYTotalRevenueAmt
CY Total Revenue	$44,916,349	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$26,328,862	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$27,379,741	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$13,592,437	PYOtherExpensesAmt
CY Other Expenses	$15,043,629	CYOtherExpensesAmt
PY Total Expenses	$39,921,299	PYTotalExpensesAmt
CY Total Expenses	$42,423,370	CYTotalExpensesAmt
PY Revenues Less Expenses	$8,609,738	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$2,492,979	CYRevenuesLessExpensesAmt
Total Assets BOY	$76,826,123	TotalAssetsBOYAmt
Total Assets EOY	$76,707,300	TotalAssetsEOYAmt
Total Liabilities BOY	$27,326,601	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$27,718,095	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$49,499,522	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$48,989,205	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	SEE SCHEDULE O	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$24,821,715	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$36,852,013	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$5,078,868	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$4,753,189	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$448,948	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$418,937	RevenueAmt
Desc	SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$17,610	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$30,349,531	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	76	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	453	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	18	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	false	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	KERIANN ERNST	PersonNm
Phone	8085443308	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	226 North Kuakini Street	AddressLine1Txt
City	HONOLULU	CityNm
State Abbreviation	HI	StateAbbreviationCd
ZIP	968172498	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN KOMEIJI
DIRECTOR/CHAIR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
BENJAMIN A KUDO
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL W PERRY
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
DR CHERYLEE CHANG
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
SAI CHANTAVY
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
PATRICK SULLIVAN
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DR LAURIE TOM
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
ALAN TOMONARI
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
MICHAEL J WO
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
RAYMOND S ONO
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DR BRUCE KATSURA
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
E LYNNE MADDEN
DIRECTOR/SECRETARY/TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
GLENN SEXTON
DIRECTOR/VICE CHAIR	1.0	1.0	Yes (X)	Yes (X)	$0	$0	$0
JENNIFER ISOBE
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
BRYAN KK LUKE
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
JANICE LUKE LOO
DIRECTOR	1.0	1.0	Yes (X)		$0	$0	$0
RONALD NS HO
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
HOWARD H KARR
DIRECTOR	1.0	0.0	Yes (X)		$0	$0	$0
DR TIMOTHY ROE
PRESIDENT & CEO	40.0	0.0		Yes (X)	$328,314	$0	$89,416
AUDREY TORRES
SENIOR VP - PATIENT CARE	40.0	0.0		Yes (X)	$132,236	$0	$22,588
DR JASON CHANG
CHIEF MEDICAL OFFICER	40.0	0.0		Yes (X)	$158,033	$0	$24,914
WENDY MANUEL
VP & CFO	40.0	0.0		Yes (X)	$169,545	$0	$46,906
FAYE MIYAMOTO
ASSISTANT VP HUMAN RESOURCES	40.0	0.0		Yes (X)	$102,416	$0	$15,349
ALICIA G BARANGAN
RN	41.86	0.0			$106,420	$0	$15,572	Yes (X)
STEPHEN C BOYER
DIRECTOR OF FACILITIES	40.0	0.0			$106,983	$0	$21,969	Yes (X)
ELSIE M LABAYOG
RN - CRRN	40.2	0.0			$106,541	$0	$15,165	Yes (X)
EVANGELINE VALLESTEROS BIHIS
RN	42.38	0.0			$110,123	$0	$22,190	Yes (X)
ELVIRA CEREZO SALINAS OSHIRO
RN	42.91	0.0			$107,925	$0	$19,924	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$1,428,536	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$293,993	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	21	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
J Kadowaki Inc
518 Ahui Street	Honolulu	HI	96813	General Contractor	$3,746,678
DataHouse
1585 Kapiolani Boulevard Suite 180	Honolulu	HI	96814	Information Systems	$1,617,313
Xerox Business Services LLC
PO Box 201322	Dallas	TX	753201322	Information Systems	$1,600,318
Sodexo Inc Affiliates
Dept 43283	Los Angeles	CA	900883283	Management-Dietary	$1,177,543
The Queens POB Pharmacy
1380 Lusitana Street	Honolulu	HI	96813	Management-Pharmacy	$548,199

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	12	CntrctRcvdGreaterThan100KCnt
Related Organizations	$897,285	RelatedOrganizationsAmt
All Other Contributions	$461,422	AllOtherContributionsAmt
Noncash Contributions	$1,185	NoncashContributionsAmt
Total Contributions	$1,358,707	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
MEDICARE/MEDICAID PAYMENTS	622310	$27,508,167	$27,508,167	$0	$0
PATIENT REVENUES	622310	$14,515,972	$14,515,972	$0	$0
Contract Revenues	900099	$9,500	$9,500	$0	$0
STUDENT TRAINING AND TOURS	900099	$8,110	$8,110	$0	$0

Field	Value	IRS element (for citing)
Total Program Service Revenue	$42,041,749	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$603,879	TotalRevenueColumnAmt
Unrelated Business Revenue	$162,230	UnrelatedBusinessRevenueAmt
Exclusion	$441,649	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$663,425	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$663,425	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$663,425	TotalRevenueColumnAmt
Exclusion	$663,425	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$4,482,160	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$4,461,507	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$20,653	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$20,653	TotalRevenueColumnAmt
Exclusion	$20,653	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PARKING REVENUE	812930	$120,308	$0	$0	$120,308
PURCHASE DISCOUNTS	900099	$27,820	$0	$0	$27,820
MEDICAL TRANSCRIPT	622310	$18,415	$0	$0	$18,415

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$61,393	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$61,393	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$227,936	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$44,916,349	TotalRevenueColumnAmt
Related Or Exempt Func Income	$42,041,749	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$162,230	UnrelatedBusinessRevenueAmt
Exclusion	$1,353,663	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,018,655	TotalAmt
Program Services	$331,082	ProgramServicesAmt
Management And General	$687,573	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$20,472,582	TotalAmt
Program Services	$17,476,057	ProgramServicesAmt
Management And General	$2,996,525	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$924,140	TotalAmt
Program Services	$765,721	ProgramServicesAmt
Management And General	$158,419	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,384,419	TotalAmt
Program Services	$2,804,251	ProgramServicesAmt
Management And General	$580,168	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,579,945	TotalAmt
Program Services	$1,309,106	ProgramServicesAmt
Management And General	$270,839	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

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

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$57,379	TotalAmt
Program Services	$17,976	ProgramServicesAmt
Management And General	$39,403	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$152,539	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$152,539	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$103,554	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$103,554	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,460,303	TotalAmt
Program Services	$3,941,670	ProgramServicesAmt
Management And General	$518,633	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$204,156	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$204,156	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$360,875	TotalAmt
Program Services	$143,308	ProgramServicesAmt
Management And General	$217,567	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$2,807,348	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$2,807,348	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,411,930	TotalAmt
Program Services	$776,282	ProgramServicesAmt
Management And General	$635,648	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$24,973	TotalAmt
Program Services	$9,317	ProgramServicesAmt
Management And General	$15,656	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$83,778	TotalAmt
Program Services	$75,314	ProgramServicesAmt
Management And General	$8,464	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

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

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$2,947,898	TotalAmt
Program Services	$1,445,425	ProgramServicesAmt
Management And General	$1,502,473	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$343,468	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$343,468	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PATIENT SUPPLIES	$1,048,738	$1,048,738	$0	$0
REPAIRS & MAINTENANCE	$335,977	$92,394	$243,583	$0
DUES	$123,925	$11,177	$112,748	$0
MINOR EQUIPMENT	$108,503	$55,872	$52,631	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$468,285	TotalAmt
Program Services	$45,841	ProgramServicesAmt
Management And General	$422,444	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$42,423,370	TotalAmt
Program Services	$30,349,531	ProgramServicesAmt
Management And General	$12,073,839	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

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

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,000	BOYAmt
EOY	$2,400	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$4,332,808	BOYAmt
EOY	$5,083,030	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$4,618,297	BOYAmt
EOY	$6,156,453	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$110,066	BOYAmt
EOY	$145,845	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$215,134	BOYAmt
EOY	$220,786	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$55,026,538	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$22,502,069	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$31,778,645	BOYAmt
EOY	$32,524,469	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$20,173,162	BOYAmt
EOY	$19,378,379	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$634,913	BOYAmt
EOY	$157,933	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$14,961,098	BOYAmt
EOY	$13,038,005	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$76,826,123	BOYAmt
EOY	$76,707,300	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$16,496,005	BOYAmt
EOY	$17,920,193	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$9,800,656	BOYAmt
EOY	$9,543,534	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,029,940	BOYAmt
EOY	$254,368	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$27,326,601	BOYAmt
EOY	$27,718,095	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$44,731,960	BOYAmt
EOY	$44,396,223	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,499,935	BOYAmt
EOY	$1,331,545	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,267,627	BOYAmt
EOY	$3,261,437	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$49,499,522	BOYAmt
EOY	$48,989,205	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$76,826,123	BOYAmt
EOY	$76,707,300	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$2,492,979	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,277,419	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,725,877	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,000,000	BeginningYearBalanceAmt
End Year Balance	$10,000,000	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,000,000	BeginningYearBalanceAmt
End Year Balance	$10,000,000	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,000,000	BeginningYearBalanceAmt
End Year Balance	$10,000,000	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,000,000	BeginningYearBalanceAmt
End Year Balance	$10,000,000	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$10,000,000	BeginningYearBalanceAmt
End Year Balance	$10,000,000	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	1.00000	BoardDesignatedBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	false	EndowmentsHeldRelatedOrgInd

Land LandGrp

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

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$26,748,791	OtherCostOrOtherBasisAmt
Depreciation	$6,894,547	DepreciationAmt
Book Value	$19,854,244	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$202,544	OtherCostOrOtherBasisAmt
Depreciation	$192,401	DepreciationAmt
Book Value	$10,143	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$23,739,197	OtherCostOrOtherBasisAmt
Depreciation	$13,624,800	DepreciationAmt
Book Value	$10,114,397	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,091,762	OtherCostOrOtherBasisAmt
Depreciation	$1,790,321	DepreciationAmt
Book Value	$1,301,441	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$32,524,469	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
AN EXEMPT AFFILIATE	$4,510,917
DEPOSITS & OTHER RECEIVABLES	$672,504
ASSETS OF FOUNDATION	$7,674,618
OTHER ASSETS	$179,966

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$13,038,005	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION PAYABLE	$157,933
DUE TO THIRD PARTY PAYORS	$95,878
AN EXEMPT AFFILIATE	$557

Field	Value	IRS element (for citing)
Total Liability	$254,368	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$42,631,264	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	-$1,277,419	NetUnrealizedGainsInvstAmt
Other Revenue	$349,834	OtherRevenueAmt
Revenue Not Reported	-$927,585	RevenueNotReportedAmt
Revenue Subtotal	$43,558,849	RevenueSubtotalAmt
Other Revenues Not Included	$1,357,500	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$1,357,500	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$44,916,349	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$42,423,370	TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal	$42,423,370	ExpensesSubtotalAmt
Total Expenses Per Form990	$42,423,370	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4	ENDOWMENT FUNDS REHABILITATION HOSPITAL OF THE PACIFIC USES THE ENDOWMENT FUNDS FOR THE PURPOSES INTENDED BY THE BOARD.
PART XI, LINE 2D	NET ASSETS RELEASED FROM RESTRICTIONS $ 349,834
PART XI, LINE 4B	TRANSFERS OF NET ASSETS FROM REHAB HOSPITAL OF THE PACIFIC FOUNDATION $ 897,285 TEMPORARILY RESTRICTED CONTRIBUTIONS $ 460,215 ----------- TOTAL $ 1,357,500

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$29,662	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,662	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$18,060	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$15,214	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,846	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,599,473	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,875,658	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$723,815	NetCommunityBenefitExpnsAmt
Total Expense	0.01710	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,647,195	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,920,534	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$726,661	NetCommunityBenefitExpnsAmt
Total Expense	0.01720	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,473	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,973	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$302,619	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$302,619	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$24,273	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$24,273	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,056	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$6,056	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$33,469	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,614	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,855	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$389,890	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$25,114	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$364,776	NetCommunityBenefitExpnsAmt
Total Expense	0.00850	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,037,085	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,945,648	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,091,437	NetCommunityBenefitExpnsAmt
Total Expense	0.02570	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,869	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$2,869	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,169	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$11,169	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,932	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,130	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,802	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,130	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,840	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$189,351	BadDebtExpenseAmt
Reimbursed By Medicare	$13,895,030	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$10,539,920	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,355,110	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	false	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Rehabilitation Hosp of the Pacific	BusinessNameLine1Txt

US Address USAddress

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

Field	Value	IRS element (for citing)
Website Address	WWW.REHABHOSPITAL.ORG	WebsiteAddressTxt
State License	35-H	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
Other	ACUTE CARE REHAB	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Information Gaps	Yes (X)	InformationGapsInd
CHNA Conducted	12	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	SEE SCHEDULE H, PART V, SECTION C	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	12	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Medicare Rates	Yes (X)	MedicareRatesInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, SECTION B, LINE 5	In order to develop a complete understanding of Hawaii's health-needs, a 40-member CHNA advisory committee was formed. The advisory committee included members of the 26 participating Hawaii hospitals (see below) as well as representatives from the insurance industry, leaders in the post-acute continuum of care, leaders of programs servicing low-income and minority groups, and the director of the State of Hawaii Department of Health. Utilizing Hawaii health-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, 75 community experts were nominated to be "key informants." Ultimately, 22 key informants were voted on and selected for interviews. These key informants, experts in various areas of public health, health policy, and service provision, were interviewed via phone or in-person. The information gathered from these interviews was aggregated, analyzed, and brought back to the advisory committee. From there, the 26 participating hospitals determined how to best address the health needs of the State of Hawaii.
PART V, SECTION B, LINE 6A & 6B	The 2012 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 26 out of Hawaii's 28 hospitals. The participants included: Castle Medical Center, Hale Ho'ola Hamakua, Hilo Medical Center, Kahi Mohala Behavioral Center, Kahuku Medical Center, Kaiser Permanente Medical Center, Kapiolani medical Center, Ka'u Hospital, Kauai Veterans Memorial Hospital, Kohala Hospita, Kona Community Hospital, Kuakini Medical Center, Kula Hospital, Lana'i Community Hospital, Leahi Hospital, Maui Memorial Hospital, Molokai General Hospital, North Hawaii Community Hospital, Pali Momi Medical Center, Rehabilitation Hospital of the Pacific, Samuel Mahelona Memorial Hospital, Shriners Hospital for Children, Straub Clinic and Hospital, the Queen's Medical Center, Wahiawa General Hospital and Wilcox Memorial Hospital. Other organizations sitting on the advisory committee included St. Francis Home Health Care, Home Health by Hale Makua, Hawaii Medical Service Association and Foundation, Hawaii Primary Care Association, Life Care Center of Hilo, Hawaii Island Beacon Community, Kokua Mau, Hospice Maui, Pearl City Nursing Home, Papa Ola Lokahi, North Hawaii Hospice, Hospice Hawaii, Kauai Hospice, Home Healthcare Services of Hilo Medical Center, Hawaii Health Information Corporation, and North Hawaii Outcomes Project.
PART V, SECTION B, LINE 7A	CHNA WEBSITE http://www.rehabhospital.org/images/pdf/community_health_needs_assessment2 013. pdf
PART V, SECTION B, LINE 11	REHAB SELECTED THE FOLLOWING PRIORITY AREAS IN ITS 2012 COMMUNITY HEALTH NEEDS ASSESSMENT: 1) HEART DISEASE AND STROKE AND 2) DISABILITIES. THROUGH FISCAL YEAR 2015, REHAB CONDUCTED THE FOLLOWING ACTIVITIES TO ADDRESS THE TWO PRIORITY NEEDS: PRIORITY AREA 1: HEART DISEASE AND STROKE CERTIFICATION OF CARDIAC HEALTH PROGRAM REHAB'S 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. REHAB'S CARDIAC HEALTH PROGRAM IS THE ONLY PROGRAM WITH THIS CERTIFICATION IN THE STATE OF HAWAII AND PACIFIC REGION. DURING FISCAL YEAR 2015, 249 PATIENTS RECEIVED SERVICES IN THE CARDIAC HEALTH PROGRAM. CONSTRUCTION OF OUTPATIENT EDUCATION CLASSROOM REHAB CONSTRUCTED A CLASSROOM TO IMPROVE COMMUNITY PREVENTION EFFORTS THROUGH EDUCATION. THE CLASSROOM IS USED BY VARIOUS SUPPORT, HEALTHCARE AND COMMUNITY GROUPS FOR EDUCATIONAL ACTIVITIES. EXPANSION OF EDUCATIONAL PROGRAMS 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. REVISION OF CARDIAC HEALTH PROGRAM MATERIALS REHAB REVISED ITS OUTPATIENT EDUCATIONAL MATERIALS, INCLUDING BROCHURES, FACT SHEETS AND EDUCATION BOOKLETS, TO HIGHLIGHT THE BENEFITS AND AVAILABILITY OF THE CARDIAC HEALTH PROGRAM. INCREASED AWARENESS OF AVAILABILITY AND BENEFITS OF CARDIAC REHABILITATION REHAB VISITED 25 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 REHAB'S CARDIAC HEALTH PROGRAM. PRIORITY AREA 2: DISABILITIES ESTABLISHED THE WHEELCHAIR SEATING AND MOBILITY CLINIC THE WHEELCHAIR SEATING AND MOBILITY CLINIC WAS CREATED TO ALLOW 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 2015, 44 PATIENTS WERE TREATED IN REHAB'S WHEELCHAIR SEATING AND MOBILITY CLINIC. CREATED A MOBILITY COURTYARD WITH THE INPUT OF LICENSED THERAPISTS, THE MOBILITY COURTYARD WAS DEVELOPED AND BUILT TO ASSIST WITH THERAPY PROVIDED TO PATIENTS. USING THE COURTYARD, PATIENTS RECEIVE REHABILITATIVE THERAPY MANEUVERING VARIOUS TERRAIN TYPES, PERFORM WALKING AND STANDING BALANCE ACTIVITIES AS WELL AS DEVELOP WHEELCHAIR MOBILITY SKILLS. PATIENTS CAN ALSO FAMILIARIZE THEMSELVES WITH MOBILITY USING WALKERS, CANES, CRUTCHES, OR WHEELCHAIRS. IMPROVED AWARENESS OF SERVICES IN THE COMMUNITY IN COLLABORATION WITH MOUNTAIN PACIFIC HEALTH, REHAB PARTICIPATED IN THE WEST OAHU AND WINDWARD COALITIONS TO CREATE POSTERS AND PATIENT EDUCATION MATERIALS SUMMARIZING PROVIDER CAPABILITIES. THE MATERIALS WERE DISTRIBUTED TO NUMEROUS HEALTHCARE AND HEALTHCARE RELATED LOCATIONS TO IMPROVE COMMUNITY AWARENESS OF THE SCOPE OF SERVICES PROVIDED BY PARTICIPATING FACILITIES. REHAB ALSO 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. SUPPORTED EDUCATION 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 REHAB'S 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. PROMOTE COMMUNITY EDUCATION REHAB PERSONNEL PROVIDE INFORMATION AT VARIOUS EDUCATION BOOTHS AT THE AMERICAN HEART ASSOCIATION HEART WALK, AMERICAN HEALTH AND STROKE ASSOCIATION EVENT, 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 SUPPORTS MULTIPLE SUPPORT GROUPS (STROKE, AMPUTEE, AND BRAIN INJURY) MEETINGS TO HELP THE DISABLED POPULATION RETURN TO THE COMMUNITY AND PRODUCTIVELY FUNCTION WITH THEIR DISABILITIES. COLLABORATE WITH COMMUNITY GROUPS TO COLLECT HEALTHCARE DATA REHAB COLLABORATES WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND HAWAII HEALTH INFORMATION COUNCIL TO COLLECT AND DESSIMINATE DATA ON ILLNESS AND INJURY FOR PATIENTS CARED FOR. NEEDS NOT BEING ADDRESSED THE FOLLOWING AREAS OF NEED IDENTIFIED IN REHAB'S 2012 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 CANCER DIABETES ECONOMY EDUCATION ENVIRONMENT EXERCISE, NUTRITION, & WEIGHT FAMILY PLANNING IMMUNIZATIONS & INFECTIOUS DISEASES INJURY PREVENTION & SAFETY MATERNAL, FETAL & INFANT HEALTH MENTAL HEALTH & MENTAL DISORDERS OLDER ADULTS & AGING ORAL HEALTH RESPIRATORY DISEASES SOCIAL ENVIRONMENT SUBSTANCE ABUSE & LIFESTYLE TRANSPORTATION
PART V, SECTION B, LINE 16I	PLEASE SEE PART VI, LINE 3 "PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE."

Field	Value	IRS element (for citing)
Facility	5	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)

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

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7	FOR INPATIENT AND OUTPATIENT, THE COST TO CHARGE RATIO WAS USED.
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, LINE 2	THE HOSPITAL APPLIED THE COST TO CHARGE RATIO TO THE PROVISION FOR BAD DEBT.
PART III, LINE 4	PLEASE SEE PAGE 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 2013. 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. OVER 140 INDICATORS FROM OVER 20 SOURCES FROM A PUBLIC DATA PLATFORM MAINTAINED BY THE HAWAII DEPARTMENT OF HEALTH WERE ANALYZED USING A HIGHLY SYSTEMATIC AND QUANTITATIVE APPROACH THAT INCORPORATED MULTIPLE BENCHMARKS AND COMPARISONS. 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 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 FINANCIAL ASSISTANCE APPLICATION 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 FINANCIAL ASSISTANCE APPLICATION IS MAILED TO THE PATIENT.
PART VI, LINE 4	COMMUNITY INFORMATION IN 2013, HAWAII'S POPULATION WAS 1.4 MILLION RESIDENTS. FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS COMPRISE THE ENTIRETY OF EVERY ISLAND IN THE STATE OF HAWAII BESIDES OAHU AND OAHU INCLUDES SOME MEDICALLY UNDERSERVED AREAS. 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 9% OF REHAB'S TOTAL PATIENT POPULATION IN 2015. 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 2015, REHAB ADMITTED 1,700 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 2015, 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 2015, REHAB TREATED 5,200 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

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (true)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (4 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR TIMOTHY ROE
PRESIDENT & CEO	$321,114	$0	$0	$0	$7,200	$0	$70,200	$0	$19,216	$0	$417,730	$0	$0	$0
AUDREY TORRES
SENIOR VP - PATIENT CARE	$127,685	$0	$0	$0	$4,551	$0	$2,664	$0	$19,924	$0	$154,824	$0	$0	$0
DR JASON CHANG
CHIEF MEDICAL OFFICER	$156,833	$0	$0	$0	$1,200	$0	$3,050	$0	$21,864	$0	$182,947	$0	$0	$0
WENDY MANUEL
VP & CFO	$168,345	$0	$0	$0	$1,200	$0	$25,000	$0	$21,906	$0	$216,451	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE J, PART I, LINE 1A	FormAndLineReferenceDesc
Explanation	Officer Dr. Timothy Roe received health or social club dues during CY2014. 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.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
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, LINE 4	PROGRAM SERVICE ACCOMPLISHMENTS PROGRAM SERVICE #1 INPATIENT ACUTE-CARE MEDICAL REHABILITATION SERVICES IN FISCAL YEAR 2015, REHAB SPENT $24,821,715 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 2015, REHAB DISCHARGED A TOTAL OF 1,690 PATIENTS IN THE FOLLOWING PROGRAMS: - STROKE REHABILITATION PROGRAM AND OTHER NEUROLOGICAL PROGRAMS: 452 INPATIENTS - BRAIN INJURY PROGRAM: 107 INPATIENTS - SPINAL CORD INJURY AND DYSFUNCTION PROGRAMS: 101 INPATIENTS - ORTHOPEDIC AND AMPUTEE PROGRAMS: 787 INPATIENTS - GENERAL REHABILITATION PROGRAMS: 243 INPATIENTS PROGRAM SERVICE #2 OUTPATIENT CLINIC THERAPY SERVICES IN FISCAL YEAR 2015, REHAB SPENT $5,078,868 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 2015, REHAB PROVIDED OUTPATIENT THERAPY UNITS TOTALING 173,120 IN THE FOLLOWING AREAS: - PHYSICAL AND AQUATICS THERAPY - 136,356 UNITS - OCCUPATIONAL THERAPY - 29,516 UNITS - SPEECH THERAPY - 7,248 UNITS PROGRAM SERVICE #3 PHYSICIANS CLINIC SERVICES IN FISCAL YEAR 2015, REHAB SPENT $448,948 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 2015, REHAB PROVIDED PHYSICIAN VISITS TOTALING 2,592 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 2015, 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 2015, PATIENTS RECEIVED SOME FORM OF FINANCIAL ASSISTANCE FROM REHAB, AND THE ESTIMATED UNCOMPENSATED COST OF PROVIDING CARE TO THESE PATIENTS WAS APPROXIMATELY $40,000. REHAB ALSO PROVIDED SERVICES TO APPROXIMATELY 800 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 $1,200,000.
FORM 990, PART VI, LINE 1A	THE EXECUTIVE COMMITTEE SHALL BE A STANDING COMMITTEE CONSISTING OF NOT LESS THAN SEVEN (7) NOR MORE THAN THIRTEEN (13) MEMBERS. THE EXECUTIVE COMMITTEE MEETS AT PLACES AND AT TIMES AS DETERMINED BY THE COMMITTEE. THE EXECUTIVE COMMITTEE SHALL POSSESS AND EXERCISE ALL POWERS OF THE BOARD OF DIRECTORS DURING THE INTERVALS BETWEEN BOARD MEETINGS WITH THE EXCEPTION OF THE FOLLOWING: - AUTHORIZE DISTRIBUTIONS; - APPROVE THE DISSOLUTION, MERGER, OR THE SALE, PLEDGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; - ELECT, APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ON ANY OF ITS COMMITTEES; - ADOPT, AMEND OR REPEAL THE CHARTER OF INCORPORATION OR BYLAWS.
FORM 990, PART VI, LINE 11B	THE ORGANIZATION HAS ESTABLISHED THE FOLLOWING PROCEDURES FOR THE REVIEW OF THE FORM 990: THE COMPLIANCE/AUDIT COMMITTEE OF THE BOARD IS GIVEN THE AUTHORITY BY THE FULL BOARD OF DIRECTORS TO REVIEW AND APPROVE THE FORM 990 PRIOR TO FILING. A COMPLETE COPY OF THE APPROVED FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD PRIOR TO FILING.
FORM 990, PART VI, LINE 12C	CONFLICT OF INTEREST QUESTIONNAIRES ARE COMPLETED ANNUALLY BY BOARD MEMBERS AND MANAGEMENT. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST, SUCH BOARD MEMBER WILL BE EXCUSED FROM VOTING.
FORM 990, PART VI, LINES 15A & 15B	THE PROCESS TO REVIEW CEO COMPENSATION WAS LAST COMPLETED IN JULY 2013 RESULTING IN A THREE YEAR EMPLOYMENT AGREEMENT. THE EMPLOYMENT AGREEMENT STIPULATES A BASE SALARY FOR THE FIRST YEAR AND THEN SALARY ADJUSTMENTS BASED ON CPI FOR THE FOLLOWING YEARS. THE PROCESS TO REVIEW COMPENSATION FOR OTHER EXECUTIVES WAS LAST COMPLETED IN MAY 2016 AND JULY 2016.
FORM 990, PART VI, LINE 19	UPON REQUEST, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9	CHANGE IN ACCRUED PENSION LIABILITY ($ 1,370,964) CHANGE IN BENEFICIAL INTEREST IN UNRESTRICTED NET ASSETS OF FOUNDATION ($ 178,958) CHANGE IN BENEFICIAL INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF FOUNDATION ($ 169,765) CHANGE IN BENEFICIAL INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF FOUNDATION ($ 6,190) ------------- TOTAL: ($ 1,725,877)
FORM 990 PART IX LINE 11G	DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:852169
FORM 990 PART IX LINE 11G	DESCRIPTION:MEDICAL SERVICES TOTAL FEES:416847
FORM 990 PART IX LINE 11G	DESCRIPTION:PHARMACY SERVICES TOTAL FEES:572966
FORM 990 PART IX LINE 11G	DESCRIPTION:PATIENT NUTRITION SERVICES TOTAL FEES:1187318
FORM 990 PART IX LINE 11G	DESCRIPTION:TEMPORARY LABOR SERVICES TOTAL FEES:382679
FORM 990 PART IX LINE 11G	DESCRIPTION:CONSULTING SERVICES TOTAL FEES:35238
FORM 990 PART IX LINE 11G	DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:188639
FORM 990 PART IX LINE 11G	DESCRIPTION:TRANSCRIPTION SERVICES TOTAL FEES:71755
FORM 990 PART IX LINE 11G	DESCRIPTION:CLEANING/REFUSE SERVICES TOTAL FEES:87121
FORM 990 PART IX LINE 11G	DESCRIPTION:MARKETING SERVICES TOTAL FEES:100158
FORM 990 PART IX LINE 11G	DESCRIPTION:OTHER SERVICES TOTAL FEES:565413

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Rehab Hospital of the Pacific Foundation	BusinessNameLine1Txt

US Address USAddress

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

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

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Rehab Hosp	BusinessNameLine1Txt

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

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	false	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	false	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	false	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	false	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	false	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	false	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	false	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	false	TransferToOtherOrgInd
Transfer From Other Org	false	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Rehab Hospital of the Pacific Foundation	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	c	TransactionTypeTxt
Involved	$897,285	InvolvedAmt
Method Of Amount Determination	FMV	MethodOfAmountDeterminationTxt