2025-08-12T15:23:10+00:00 2024-09-30 346565596 ERNST & YOUNG US LLP 101 E WASHINGTON ST PHOENIX AZ 85004 990 2023-10-01 510160156 Rehabilitation Hospital of the Pacific REHA 8085313511 226 NORTH KUAKINI STREET HONOLULU HI 968172498 STEPHANIE NADOLNY PRESIDENT & CEO 8085313511 2025-08-12 true true Steven T Rutti P00775456 6023223000 2025-08-08 2023 2025-03-06 01:10:19Z STEPHANIE NADOLNY 226 NORTH KUAKINI STREET HONOLULU HI 968172498 60436210 false X WWW.REHABHOSPITAL.ORG X 1975 HI 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. 19 19 517 72 0 0 2568808 1681117 46063128 48610471 2318491 1207819 1147803 1214081 52098230 52713488 0 0 0 0 31956733 32626912 0 0 18104739 21408936 50061472 54035848 2036758 -1322360 83575100 92349846 20878925 22045063 62696175 70304783 X 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. false false 29570355 0 44281046 INPATIENT ACUTE-CARE MEDICAL REHABILITATION SERVICES: IN FISCAL YEAR 2024, REHABILITATION HOSPITAL OF THE PACIFIC (REHAB HOSPITAL) SPENT $29,570,355 IN EXPENSES FOR INPATIENT ACUTE-CARE MEDICAL REHABILITATION SERVICES. REHAB HOSPITAL'S INPATIENT ACUTE-CARE PROGRAM OFFERS OPPORTUNITIES FOR PEOPLE WITH DEBILITATING INJURIES OR ILLNESSES TO REBUILD THEIR STRENGTH AND FUNCTION TO MAXIMIZE THEIR INDEPENDENCE. OUR PROGRAMS INCLUDE: STROKE REHABILITATION PROGRAM - INDIVIDUAL TREATMENT-PLANS DESIGNED TO HELP PATIENTS RECOVERING FROM A STROKE MAKE PHYSICAL AND PSYCHOLOGICAL ADJUSTMENTS IN COPING WITH PARALYSIS, SPEECH PROBLEMS, COGNITIVE DEFICITS, SWALLOWING DISORDERS AND VISUAL-PERCEPTION DIFFICULTIES. BRAIN INJURY PROGRAM - COMPREHENSIVE ASSESSMENTS TO HELP RESTORE FUNCTION TO THOSE EXPERIENCING DEFICITS DUE TO BRAIN-TRAUMA OR DISEASE AND TO COPE WITH DEFICITS AFFECTING THINKING, LANGUAGE, LEARNING, EMOTIONS, BEHAVIOR AND/OR SENSATION. SPINAL CORD INJURY PROGRAM - TEAM APPROACH DEDICATED TO RESTORING INDEPENDENCE THROUGH A CONTINUUM OF SERVICES INCLUDING PHYSICAL AND OCCUPATIONAL THERAPY, WHEELCHAIR SEATING AND MOBILITY, AND COMMUNITY INTEGRATION PROGRAMS. TREATMENT PLANS INCLUDE COPING WITH THE LOSS OF FUNCTION AND SENSATION, IN ADDITION TO CHANGES IN BOWEL/BLADDER FUNCTIONS AND REGULATING BLOOD PRESSURE AND BODY TEMPERATURE. ORTHOPEDIC PROGRAM - TREATMENT AND THERAPY FOR INDIVIDUALS WITH COMPLEX, MEDICAL NEEDS FOLLOWING ORTHOPEDIC SURGERY, MUSCULOSKELETAL DISORDERS AND INJURIES. AMPUTEE PROGRAM - TREATMENT AND THERAPY WHICH INCLUDES PROSTHESIS AND GAIT TRAINING FOR INDIVIDUALS WHO HAVE UNDERGONE LOWER OR UPPER LIMB AMPUTATION. GENERAL REHABILITATION PROGRAM - TREATMENT AND THERAPY FOR INDIVIDUALS WITH FUNCTIONAL DECLINE AND LIMITED MOBILITY DUE TO PROLONGED ILLNESSES, SURGERIES, OR DEGENERATIVE DISEASES TO AVOID OTHER COMPLICATIONS WHICH IMPACT FUNCTIONING IN EVERYDAY TASKS. IN FISCAL YEAR 2024, REHAB HOSPITAL ADMITTED A TOTAL OF 1,246 PATIENTS IN THE FOLLOWING PROGRAMS: -STROKE REHABILITATION PROGRAM AND OTHER NEUROLOGICAL PROGRAMS: 455 INPATIENTS -BRAIN INJURY PROGRAM: 122 INPATIENTS -SPINAL CORD INJURY AND DYSFUNCTION PROGRAMS: 192 INPATIENTS -ORTHOPEDIC AND AMPUTEE PROGRAMS: 404 INPATIENTS -GENERAL REHABILITATION PROGRAMS: 73 INPATIENTS 3361588 0 3394870 OUTPATIENT CLINIC THERAPY SERVICES: IN FISCAL YEAR 2024, REHAB HOSPITAL SPENT $3,361,588 IN DIRECT EXPENSES FOR OUTPATIENT CLINIC THERAPY SERVICES. REHAB HOSPITAL OFFERS OUTPATIENT CLINIC THERAPY SERVICES IN NUUANU AND AIEA ON THE ISLAND OF OAHU AND IN HILO ON THE ISLAND OF HAWAII. EACH CLINIC OFFERS COMPREHENSIVE REHABILITATION SERVICES FOR THOSE WHO NEED ADDITIONAL PHYSICAL, OCCUPATIONAL, OR SPEECH THERAPY IN ORDER TO REACH HIGHER LEVELS OF INDEPENDENCE. SPECIALTY SERVICES PROVIDED ON AN OUTPATIENT BASIS ALSO INCLUDE: -CARDIAC REHABILITATION -AQUATIC THERAPY -WOMEN'S HEALTH REHABILITATION -URINARY INCONTINENCE PROGRAM IN FISCAL YEAR 2024, REHAB HOSPITAL PROVIDED OUTPATIENT THERAPY SESSIONS TOTALING 27,865 IN THE FOLLOWING AREAS: -PHYSICAL AND AQUATICS THERAPY - 22,836 SESSIONS -OCCUPATIONAL THERAPY - 3,417 SESSIONS -SPEECH THERAPY - 1,611 SESSIONS 945765 0 1072400 PHYSICIANS CLINIC SERVICES: IN FISCAL YEAR 2024, REHAB HOSPITAL SPENT $945,765 IN DIRECT EXPENSES FOR PHYSICIANS CLINIC SERVICES. REHAB HOSPITAL OFFERS PHYSICIAN SERVICES IN A HOSPITAL BASED CLINIC LOCATED ON ITS NUUANU CAMPUS. THE CLINIC OFFERS COMPREHENSIVE PROGRAMS FOR STROKE, AMPUTEE, SPASTICITY, NEUROTRAUMA, AND OSTEOPOROSIS PATIENTS, AMONGST OTHERS. IN FISCAL YEAR 2024, REHAB HOSPITAL PROVIDED PHYSICIAN VISITS TOTALING 3,112 VISITS. 0 0 0 REHAB HOSPITAL IS THE ONLY ACUTE-CARE MEDICAL REHABILITATION ORGANIZATION SERVING HAWAII AND THE PACIFIC FOR OVER 70 YEARS. THE 82-BED, NOT-FOR-PROFIT HOSPITAL, THREE OUTPATIENT THERAPY CLINICS, AND HOSPITAL BASED PHYSICIANS CLINIC ON THE ISLANDS OF OAHU AND HAWAII HAVE BEEN DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL REHABILITATION SERVICES. COMMUNITY ROLE/ACTIVITY IN ADDITION TO PROVIDING THE SERVICES ABOVE, REHAB HOSPITAL HAS SUPPORTED THE COMMUNITY THROUGH THE FOLLOWING: - SUPPORTING OPPORTUNITIES FOR THE DISABLED COMMUNITY TO PARTICIPATE IN ADAPTIVE SPORTS. - OFFERING AN INFORMATION CENTER WHICH SHARES RESOURCES AND SERVICES PROVIDED BY REHAB HOSPITAL OR AVAILABLE IN OTHER ORGANIZATIONS TO SUPPORT PATIENTS, CAREGIVERS AND THE COMMUNITY TO IDENTIFY AVAILABLE REHABILITATIVE HEALTHCARE SERVICES. - PROVIDING EDUCATION AND CLINICAL ROTATIONS FOR THERAPY STUDENTS 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 TO PERFORM THOUSANDS OF HOURS OF VOLUNTEER WORK. IN FISCAL YEAR 2024, MORE THAN 10,800 VOLUNTEER HOURS WERE PERFORMED. THE SELECTION AND QUALITY OF PROGRAMS AND SERVICES PROVIDED BY REHAB HOSPITAL ARE OF GREAT VALUE TO THE COMMUNITY. THE FOLLOWING BENEFITS ARE A RESULT OF REHAB HOSPITAL'S PRESENCE IN THE COMMUNITY: - AVAILABILITY OF HIGHER QUALITY, COMPREHENSIVE, COST EFFICIENT, PHYSICAL AND COGNITIVE REHABILITATION WHICH PROVIDES FOR GREATER FUNCTIONAL INDEPENDENCE FOR THE PATIENTS. - EDUCATION AND TRAINING FOR THE GENERAL COMMUNITY ON REHABILITATION TECHNIQUES AND TRENDS AND PREVENTIVE MEASURES - RETURN OF INJURED PATIENTS TO THEIR COMMUNITY AND TO THE WORKFORCE WITH GREATER FUNCTIONAL INDEPENDENCE IN A TIMELY MANNER OTHER REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND VIABILITY OF ANY HOSPITAL. HOWEVER, IN FULFILLMENT OF OUR MISSION AS A NON-PROFIT, COMMUNITY-BASED HOSPITAL, REHAB HOSPITAL HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES COMPREHENSIVE MEDICAL REHABILITATION TO INDIVIDUALS FROM WHOM WE MAY RECEIVE LITTLE OR NO COMPENSATION. IN FISCAL YEAR 2024, REHAB HOSPITAL PROVIDED VARIOUS FORMS OF FINANCIAL ASSISTANCE TO ITS PATIENTS. THE ESTIMATED UNCOMPENSATED COST OF PROVIDING CARE TO THESE PATIENTS WAS APPROXIMATELY $44,000. REHAB HOSPITAL ALSO PROVIDED SERVICES TO APPROXIMATELY 953 INPATIENTS AND OUTPATIENTS WITH MEDICAID OR MEDICAID HMO COVERAGE. MEDICAID REIMBURSEMENT CONTINUES TO BE LOWER THAN THE COST TO PROVIDE SERVICES TO THESE PATIENTS. IT IS ESTIMATED THAT THE COST TO PROVIDE SERVICES TO THESE PATIENTS WITH MEDICAID OR MEDICAID HMO COVERAGE EXCEEDED REIMBURSEMENT, BY APPROXIMATELY $3,256,000. 33877708 true true false true 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 71 0 true 517 true false false false false false false false false false false false false X 19 19 false false false false false false false true true false false true true true true true true true true false X ANDREW DAVEY 8085443305 226 NORTH KUAKINI STREET HONOLULU HI 96817 E LYNNE MADDEN DIRECTOR/SECRETARY (TERMED 3/24) 1.0 1.0 X X 0 0 0 GLENN SEXTON DIRECTOR/CHAIR 1.0 1.0 X X 0 0 0 JENNIFER ISOBE DIRECTOR/TREASURER 1.0 0.0 X X 0 0 0 KEVIN CHANG DIRECTOR/VICE CHAIR 1.0 0.0 X X 0 0 0 WILLIAM CROWLEY DIRECTOR/SECRETARY 1.0 1.0 X X 0 0 0 BENJAMIN KUDO DIRECTOR 1.0 0.0 X 0 0 0 BRYAN LUKE DIRECTOR 1.0 1.0 X 0 0 0 CHERYLEE CHANG MD DIRECTOR 1.0 0.0 X 0 0 0 CORY KUBOTA DIRECTOR 1.0 0.0 X 0 0 0 HUIDY SHU MD PhD DIRECTOR 1.0 0.0 X 0 0 0 JANICE LUKE LOO DIRECTOR 1.0 1.0 X 0 0 0 KATHRYN RAETHEL DIRECTOR 1.0 0.0 X 0 0 0 KEITH GENDREAU DIRECTOR 1.0 1.0 X 0 0 0 KU'UHAKU PARK DIRECTOR (AS OF 4/24) 1.0 0.0 X 0 0 0 LAURIE TOM MD DIRECTOR 1.0 1.0 X 0 0 0 MICHAEL WO DIRECTOR 1.0 1.0 X 0 0 0 NEILL CHAR DIRECTOR 1.0 0.0 X 0 0 0 OWEN NISHIKAWA MD DIRECTOR 1.0 0.0 X 0 0 0 PATRICK SULLIVAN PhD DIRECTOR 1.0 0.0 X 0 0 0 STANFORD CARR DIRECTOR 1.0 1.0 X 0 0 0 CHERYL KOZAI VP, CLINICAL SERVICES, CNO (TERMED 04/24) 40.0 0.0 X 220325 0 57581 DR SHARI ANN OSHIRO VP, CHIEF MEDICAL OFFICER 40.0 0.0 X 268224 0 61720 GLENN REQUIERME CHIEF INFORMATION OFFICER (TERMED 07/24) 40.0 0.0 X 190753 0 22621 LORI SUAN CHIEF DEVELOPMENT OFFICER (TERMED 11/23) 1.0 39.0 X 119415 0 387 LORI YOSHIOKA VP, CHIEF HUMAN RESOURCE OFFICER (TERMED 12/23) 40.0 0.0 X 250403 0 8951 STEPHANIE NADOLNY PRESIDENT & CEO 40.0 0.0 X 382627 0 101669 WENDY MANUEL EVP/CFO/COO 40.0 0.0 X 297716 0 74177 COLEEN YEE CERTIFIED REHABILITATION RN 40.0 0.0 X 163364 0 15624 ELIVIRA OSHIRO REGISTERED NURSE 40.0 0.0 X 157758 0 23243 EVANGELINE BIHIS REGISTERED NURSE 40.0 0.0 X 157739 0 18044 IRISH LAGUNDI REGISTERED NURSE 40.0 0.0 X 172367 0 16156 JANET CATABAY REGISTERED NURSE 40.0 0.0 X 176279 0 387 2556970 0 400560 83 false true false Sodexo Inc & Affiliates Dept 43283 Los Angeles CA 90088 Management - Dietary 1498780 The Queens POB Pharmacy 1380 Lusitana St Honolulu HI 96813 Management - Pharmacy 720999 QuadraMed Affinity Corporation PO Box 74008556 Chicago IL 606748556 IT Services 498565 Rehab Associates of the Pacific 226 N Kuakini Street Honolulu HI 96817 Management - Physician Services 487402 JD Painting & Decorating Inc 2809 Mokumoa Street Honolulu HI 96818 Repairs and Maintenance 479171 32 1160754 520363 1681117 MEDICARE/MEDICAID PAYMENT 622310 30458136 30458136 PATIENT REVENUES 622310 18152335 18152335 0 0 0 0 48610471 1352440 1352440 1036057 0 1036057 0 1036057 1036057 7578101 7722722 -144621 0 -144621 -144621 PARKING REVENUE 812930 118904 118904 Physician Clinic Admin Fees 561110 21554 21554 Purchase Discounts 900099 15108 15108 22458 3833 0 18625 178024 52713488 48748316 0 2284055 X 0 0 1513249 455862 1057387 0 24938290 19551543 5386747 687437 519963 167474 3538683 2691930 846753 1949253 1474375 474878 183010 183010 140900 140900 1823 1823 96830 96830 7441197 6005300 1435897 0 153594 153594 227234 45491 181743 3698562 3698562 1569385 289412 1279973 43222 13811 29411 31975 8374 23601 746774 7763 739011 3106012 1494033 1611979 503117 503117 PATIENT SUPPLIES 1005234 1005234 SUSTAINABILITY PROVIDER TAX & MITIGATION PAYMENTS 262146 262146 REPAIRS AND MAINTENANCE 589934 34961 554973 DUES 126818 1794 125024 1481169 13893 1467276 0 54035848 33877708 20158140 0 2200 2200 4952347 3617816 0 0 7374941 11393388 0 0 0 0 0 0 153196 149672 1008513 1322490 76050796 52221465 24374129 23829331 36213620 43937673 54087 41106 0 0 0 9442067 8056170 83575100 92349846 6574176 6390994 0 0 0 0 0 0 0 0 0 0 13781140 15112008 0 0 523609 542061 20878925 22045063 X 55138703 62304040 7557472 8000743 0 0 0 0 0 0 62696175 70304783 83575100 92349846 X -1322360 6925418 2005550 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false false false false false true 1823 false 1823 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY This amount includes meals, lodging, and time expenses incurred to travel with American Medical Rehabilitation Providers Association for advocacy meeting with U.S. Senators. 2575099 143 31951 35599 2571594 2647644 4234 76779 2575099 2720737 73093 2647644 0 2751393 30656 2720737 0 0 0.0 0.8285 0.1715 false false 1244244 1244244 43013205 26999494 16013711 375730 371314 4416 26927263 22294408 4632855 4490354 2556249 1934105 23829331 AN EXEMPT AFFILIATE 8737 DEPOSITS & OTHER RECEIVABLES 1352035 ASSETS OF FOUNDATION 5658234 OTHER ASSETS 907414 Due from third party payors 129750 8056170 Obligations under capital leases, less current portion 125628 Due to third party payors Deferred compensation payable 41106 Current portion of obligations under capital leases 68948 Other Liabilities 306379 Due to affiliate 542061 X Schedule D, Part V, Line 4 Intended uses of endowment funds REHABILITATION HOSPITAL OF THE PACIFIC USES THE ENDOWMENT FUNDS FOR THE PURPOSES INTENDED BY THE BOARD. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote 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, 2024 and 2023, the Company had no unrecognized tax benefits. The Company's 2020 through 2023 federal and Hawaii tax returns remain open to examination by the Internal Revenue Service and State of Hawaii Department of Taxation. The Company's policy is to recognize interest expense and penalties related to income tax matters as a component of income tax expense. The Company has accrued $0 of interest and penalties and there were no uncertain tax positions as of September 30, 2024, and 2023. true true X true X true X true true true false false 19510 19510 0.0004 13030085 10914727 2115358 0.0391 0 0.0 0 0 13049595 10914727 2134868 0.0395 6358 6358 0.0001 5532 5532 0.0001 0 0.0 0 0.0 27129 27129 0.0005 0 0 39019 0 39019 0.0007 0 0 13088614 10914727 2173887 0.0402 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 3066 3066 0.0001 0 0.0 0 0 3066 0 3066 0.0001 true 298294 10717086 9907152 809934 X true false 1 1 REHABILITATION HOSPITAL OF THE PACIFIC 226 NORTH KUAKINI STREET HONOLULU HI 96817 WWW .REHABHOSPITAL.ORG X ACUTE CARE REHAB REHABILITATION HOSPITAL OF THE PACIFIC 1 false false true X X X X X X X X X 22 true true true true X HTTPS://WWW.REHABHOSPITAL.ORG/AWARDS-ACCREDITATIONS X true 22 false true false true X 200.0 300.0 X X X X true true X X X true X HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK X HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK X HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK X X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE SEPTEMBER 2022 CHNA. Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - REHAB HOSPITAL OF THE PACIFIC. IN ORDER TO DEVELOP A COMPLETE UNDERSTANDING OF HAWAII'S HEALTH-NEEDS, A CHNA STEERING COMMITTEE AND COMMUNITY ADVISORY COMMITTEE WERE FORMED. THE STEERING COMMITTEE INCLUDED MEMBERS OF THE 19 PARTICIPATING HOSPITALS (SEE BELOW) AND THE COMMUNITY ADVISORY COMMITTEE INCLUDED 17 COMMUNITY LEADERS SERVING VARIOUS TARGET COMMUNITIES. THE STEERING COMMITTEE WAS SUPPORTIVE IN IDENTIFYING COMMUNITY-BASED PARTNERS AND ORGANIZATIONS TO ENCOURAGE PARTICIPATION. THE COMMUNITY ADVISORY COMMITTEE WAS HELPFUL IN MAKING CRITICAL CONNECTIONS WHERE THERE WERE GAPS AND PROVIDED INPUT AS TO HOW PRIORITIES COULD BE HELPFUL BOTH WITHIN THE CLINICAL AND COMMUNITY-BASED CONTEXTS. UTILIZING HEALTH AND HEALTH-RELATED INDICATORS, THE COMMITTEES WERE 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, 80 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 THE NUMEROUS MEETINGS AND INTERVIEWS WAS AGGREGATED, ANALYZED AND BROUGHT BACK TO THE COMMITTEES WHICH DETERMINED HOW TO BEST ADDRESS THE HEALTH NEEDS OF THE STATE OF HAWAII. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - REHAB HOSPITAL OF THE PACIFIC. THE SEPTEMBER 2022 STATE OF HAWAII CHNA WAS A COLLABORATIVE EFFORT LED BY THE HEALTHCARE ASSOCIATION OF HAWAII, IN PARTNERSHIP WITH WARD RESEARCH. IT WAS COMPLETED JOINTLY WITH 19 HAWAII HOSPITALS. THE PARTICIPANTS INCLUDED: ADVENTIST HEALTH CASTLE, KAHUKU MEDICAL CENTER, KAISER PERMANENTE - MOANALUA MEDICAL CENTER, KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN, KUAKINI MEDICAL CENTER, KULA HOSPITAL, LANA'I COMMUNITY HOSPITAL, MAUI MEMORIAL MEDICAL CENTER, MOLOKAI GENERAL HOSPITAL, NORTH HAWAI'I COMMUNITY HOSPITAL, PALI MOMI MEDICAL CENTER, THE QUEEN'S MEDICAL CENTER - PUNCHBOWL, THE QUEEN'S MEDICAL CENTER - WEST O'AHU, REHABILITATION HOSPITAL OF THE PACIFIC, SHRINERS CHILDREN'S HAWAI'I, STRAUB MEDICAL CENTER, SUTTER HEALTH KAHI MOHALA, WAHIAWA GENERAL HOSPITAL AND WILCOX MEMORIAL MEDICAL CENTER. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - REHAB HOSPITAL OF THE PACIFIC. THE SEPTEMBER 2022 STATE OF HAWAII CHNA WAS A COLLABORATIVE EFFORT LED BY THE HEALTHCARE ASSOCIATION OF HAWAII, IN PARTNERSHIP WITH WARD RESEARCH. IT WAS COMPLETED JOINTLY WITH 19 HAWAII HOSPITALS. THE PARTICIPANTS INCLUDED: ADVENTIST HEALTH CASTLE, KAHUKU MEDICAL CENTER, KAISER PERMANENTE - MOANALUA MEDICAL CENTER, KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN, KUAKINI MEDICAL CENTER, KULA HOSPITAL, LANA'I COMMUNITY HOSPITAL, MAUI MEMORIAL MEDICAL CENTER, MOLOKAI GENERAL HOSPITAL, NORTH HAWAI'I COMMUNITY HOSPITAL, PALI MOMI MEDICAL CENTER, THE QUEEN'S MEDICAL CENTER - PUNCHBOWL, THE QUEEN'S MEDICAL CENTER - WEST O'AHU, REHABILITATION HOSPITAL OF THE PACIFIC, SHRINERS CHILDREN'S HAWAI'I, STRAUB MEDICAL CENTER, SUTTER HEALTH KAHI MOHALA, WAHIAWA GENERAL HOSPITAL AND WILCOX MEMORIAL MEDICAL CENTER. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - REHAB HOSPITAL OF THE PACIFIC. REHAB HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS APPROVED IN SEPTEMBER 2022. FOR FISCAL YEAR 2024, REHAB HOSPITAL ADDRESSED THE FOLLOWING STATEWIDE COMMUNITY HEALTH NEEDS: FINANCIAL SECURITY TRUST AND EQUITABLE ACCESS DURING FISCAL YEAR 2024, REHAB CONDUCTED THE FOLLOWING ACTIVITIES TO ADDRESS THE TWO PRIORITY NEEDS: PRIORITY AREA 1: FINANCIAL SECURITY PARTNER WITH UNIVERSITIES, COMMUNITY COLLEGES AND HIGH SCHOOLS TO DEVELOP AND TRAIN COMMUNITY HEALTH CARE WORKERS REHAB HOSPITAL CONTINUES TO BE INVOLVED WITH FELLOWSHIP PROGRAMS WITH THE JOHN A. BURNS SCHOOL OF MEDICINE, UNIVERSITY OF HAWAII AND SUPPORTS STUDENTS IN PHYSICAL MEDICINE AND REHABILITATION ROTATIONS AND FELLOWSHIPS. IN ADDITION, REHAB ALSO PROVIDES CLINICAL INSTRUCTION AND CLINICAL PRECEPTORSHIPS FOR NUMEROUS THERAPY, THERAPY ASSISTANT AND NURSING STUDENTS, THROUGH PARTNERSHIPS WITH LOCAL AND NATIONAL EDUCATIONAL INSTITUTIONS AND THROUGH OUR ICARE CANCER REHABILITATION PROGRAM. REHAB HOSPITAL ALSO HOLDS SEMINARS AT LOCAL UNIVERSITIES ON THE BENEFITS OF PHYSICAL THERAPY. REHAB HOSPITAL COLLABORATED WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND OTHER COMMUNITY PARTNERS, INCLUDING THE UNIVERSITY OF HAWAII AND THE CHAMBER OF COMMERCE UNDER THE HAWAII HEALTHCARE WORKFORCE INITIATIVE TO DEVELOP TRAINING PROGRAMS FOR HEALTHCARE SERVICE PROVIDERS AT THE HIGH SCHOOL, UNDERGRADUATE AND GRADUATE LEVELS. PARTNER WITH COMMUNITY HEALTHCARE ORGANIZATION TO PROVIDE OPTIONS TO SAFELY DISCHARGE PATIENTS TO THE COMMUNITY DESPITE A PATIENT'S FINANCIAL CHALLENGES REHAB HOSPITAL HAS ENCOUNTERED MORE PATIENTS WITH CHALLENGING DISCHARGE SITUATIONS, INCLUDING HOUSELESSNESS. REHAB CONTINUES TO PARTNER WITH LOCAL HEALTH SYSTEMS, THE QUEEN'S MEDICAL SYSTEM AND HAWAI'I PACIFIC HEALTH, TO ENSURE THAT PATIENTS WHO COME TO REHAB HOSPITAL FROM THOSE HEALTH SYSTEMS HAVE ACCESS TO SAFE AND SUPPORTIVE LIVING SITUATIONS FOLLOWING DISCHARGE FROM REHAB HOSPITAL, INCLUDING THE USE OF BEDS AT TUTU BERT'S, A SPECIALTY SHELTER THAT PROVIDES A MINIMAL LEVEL OF SUPPORTIVE CARE FOR THE RESIDENTS. PRIORITY AREA 2: TRUST AND EQUITABLE ACCESS SUPPORT THE DEVELOPMENT OF AN ADAPTIVE SPORTS PROGRAM IN THE COMMUNITY REHAB HOSPITAL, IN COLLABORATION WITH THE VA PACIFIC ISLANDS HEALTH CARE SYSTEM AND ADAPTIVE ADVENTURES, CONTINUED TO FACILITATE PERIODIC ADAPTIVE CYCLING EVENTS AVAILABLE TO THE LOCAL COMMUNITY AT NO CHARGE. THE GOAL OF THE EVENT IS TO GIVE THOSE WITH PHYSICAL DISABILITIES A CHANCE TO EXPERIENCE ADAPTIVE CYCLING WITH THE SUPPORT OF TRAINED PHYSICAL THERAPISTS AND OTHER VOLUNTEERS. REHAB HOSPITAL ALSO CONTINUED TO SPONSOR ACCESSURF SWIM CLINICS AND OTHER EVENTS WHICH PROVIDE LIFE-CHANGING ACCESSIBLE WATER PROGRAMS FOR PEOPLE WITH DISABILITIES. REHAB PROVIDED THE USE OF OUR POOL TO THE VA PACIFIC ISLANDS HEALTH CARE SYSTEM FOR THEIR ADAPTIVE SCUBA PROGRAM CERTIFICATIONS, FREE OF CHARGE. REHAB HOSPITAL ALSO SUPPORTED THE OHANA WA'A LAULIMA PADDLING EVENT IN HILO WHICH PROMOTED ADAPTIVE PADDLING OPPORTUNITIES TO THE HAWAII ISLAND COMMUNITY. DEVELOP AN INFORMATION CENTER IN ADDITION TO THE INFORMATION CENTER BEING ACCESSIBLE TO THE COMMUNITY, REHAB HOSPITAL ALSO PROVIDED EDUCATIONAL SESSIONS IN THE COMMUNITY AT THE LANAKILA SENIOR CENTER RELATED TO PELVIC FLOOR AND URINARY INCONTINENCE REHABILITATION. INCREASE MEDICAL INFORMATION ACCESS TO PATIENTS VIA A PATIENT PORTAL IN OCTOBER 2023, REHAB HOSPITAL IMPLEMENTED AN ENHANCED ELECTRONIC HEALTH RECORDS AND REVENUE CYCLE SYSTEM WHICH INCLUDES A PATIENT PORTAL TO ACCESS PATIENT MEDICAL INFORMATION. PARTNER WITH UNIVERSITIES, COMMUNITY COLLEGES AND HIGH SCHOOLS TO DEVELOP AND TRAIN COMMUNITY HEALTH CARE WORKERS REHAB HOSPITAL CONTINUES TO BE INVOLVED WITH FELLOWSHIP PROGRAMS WITH THE JOHN A. BURNS SCHOOL OF MEDICINE, UNIVERSITY OF HAWAII AND SUPPORTS STUDENTS IN PHYSICAL MEDICINE AND REHABILITATION ROTATIONS AND FELLOWSHIPS. IN ADDITION, REHAB ALSO PROVIDES CLINICAL INSTRUCTION AND CLINICAL PRECEPTORSHIPS FOR NUMEROUS THERAPY, THERAPY ASSISTANT AND NURSING STUDENTS, THROUGH PARTNERSHIPS WITH LOCAL AND NATIONAL EDUCATIONAL INSTITUTIONS AND THROUGH OUR ICARE CANCER REHABILITATION PROGRAM. REHAB HOSPITAL ALSO HOLDS SEMINARS AT LOCAL UNIVERSITIES ON THE BENEFITS OF PHYSICAL THERAPY. REHAB HOSPITAL COLLABORATED WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND OTHER COMMUNITY PARTNERS, INCLUDING THE UNIVERSITY OF HAWAII AND THE CHAMBER OF COMMERCE UNDER THE HAWAII HEALTHCARE WORKFORCE INITIATIVE TO DEVELOP TRAINING PROGRAMS FOR HEALTHCARE SERVICE PROVIDERS AT THE HIGH SCHOOL, UNDERGRADUATE AND GRADUATE LEVELS. COMMUNITY SUPPORT GROUPS AND PEER MENTOR PROGRAMS REHAB HOSPITAL CONTINUED TO OFFER ITS STROKE AND AMPUTEE SUPPORT GROUPS AS WELL AS THE SPINAL CORD INJURY MENTORSHIP PROGRAM. REHAB HOSPITAL ALSO INCREASED THE FREQUENCY OF THE AMPUTEE SUPPORT GROUP MEETINGS TO INCREASE SUPPORT OFFERED TO INDIVIDUALS LIVING WITH LIMB LOSS AND LIMB DIFFERENCES. NEEDS NOT BEING ADDRESSED THE FOLLOWING AREAS OF NEED IDENTIFIED IN REHAB'S 2022 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. FOOD SECURITY MENTAL & BEHAVIORAL HEALTH HOUSING 5 REHAB AT NUUANU 226 NORTH KUAKINI STREET HONOLULU HI 96817 CLINIC REHAB AT AIEA 98-1005 MOANALUA ROAD SUITE 425 AIEA HI 96701 CLINIC REHAB PHYSICIANS CLINIC 226 NORTH KUAKINI STREET HONOLULU HI 96817 CLINIC REHAB AT HILO 76 PUUHONU PLACE HILO HI 96720 CLINIC CARDIAC REHAB 226 NORTH KUAKINI STREET HONOLULU HI 96817 CLINIC Schedule H, Part I, Line 3c FINANCIAL ASSISTANCE ELIGIBILITY ALL OF THE FOLLOWING THREE CRITERIA MUST BE MET TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER REHAB HOSPITAL 'S FINANCIAL ASSISTANCE POLICY: 1) FAMILY LIQUID ASSETS ARE EQUAL TO OR LESS THAN $50,000; 2) FAMILY INCOME IS AT OR BELOW 300% OF THE CURRENT FEDERAL POVERTY GUIDELINE FOR HAWAII; AND 3) PATIENT IS A U.S. CITIZEN OR LEGAL ALIEN WHO IS PERMANENTLY RESIDING IN HAWAII. Schedule H, Part II, Line 10 COMMUNITY BUILDING ACTIVITIES AS THE ONLY ACUTE-CARE MEDICAL REHABILITATION ORGANIZATION SERVING HAWAII AND THE PACIFIC, REHAB HOSPITAL IS AN IMPORTANT PROVIDER OF CARE IN THE POST-ACUTE CONTINUUM OF SERVICES. REHAB HOSPITAL 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 HOSPITAL PARTICIPATES IN COMMUNITY TASK FORCES, ADVOCATES ON BEHALF OF COMMUNITY HEALTH INITIATIVES AND ASSISTS IN THE RECRUITMENT AND DEVELOPMENT OF HAWAII'S MEDICAL PROFESSIONALS. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance ALL OF THE FOLLOWING THREE CRITERIA MUST BE MET TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER REHAB HOSPITAL 'S FINANCIAL ASSISTANCE POLICY: 1) FAMILY LIQUID ASSETS ARE EQUAL TO OR LESS THAN $50,000; 2) FAMILY INCOME IS AT OR BELOW 300% OF THE CURRENT FEDERAL POVERTY GUIDELINE FOR HAWAII; AND 3) PATIENT IS A U.S. CITIZEN OR LEGAL ALIEN WHO IS PERMANENTLY RESIDING IN HAWAII. Schedule H, Part II Community Building Activities AS THE ONLY ACUTE-CARE MEDICAL REHABILITATION ORGANIZATION SERVING HAWAII AND THE PACIFIC, REHAB HOSPITAL IS AN IMPORTANT PROVIDER OF CARE IN THE POST-ACUTE CONTINUUM OF SERVICES. REHAB HOSPITAL 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 HOSPITAL PARTICIPATES IN COMMUNITY TASK FORCES, ADVOCATES ON BEHALF OF COMMUNITY HEALTH INITIATIVES AND ASSISTS IN THE RECRUITMENT AND DEVELOPMENT OF HAWAII'S MEDICAL PROFESSIONALS. SCHEDULE H, PART III, LINE 2 - METHODOLOGY USED TO ESTIMATE BAD DEBT PART III, LINES 2 AND 4 PLEASE SEE PAGES 11 TO 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. SCHEDULE H, PART III, LINE 4 - FOOTNOTE IN ORGANIZATION'S FINANCIAL STATEMENTS DESCRIBING BAD DEBT PLEASE SEE PAGES 11 TO 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount PLEASE SEE PAGES 11 TO 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote PLEASE SEE PAGES 11 TO 13 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552-96. Schedule H, Part V, Section B, Line 16a FAP website - REHABILITATION HOSPITAL OF THE PACIFIC: Line 16a URL: HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK; Schedule H, Part V, Section B, Line 16b FAP Application website - REHABILITATION HOSPITAL OF THE PACIFIC: Line 16b URL: HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - REHABILITATION HOSPITAL OF THE PACIFIC: Line 16c URL: HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK; Schedule H, Part VI, Line 2 Needs assessment NEEDS ASSESSMENT REHAB HOSPITAL PARTNERED WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND WARD RESEARCH TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FOR THE COMMUNITY SERVED BY REHAB HOSPITAL. THE CHNA WAS COMPLETED IN SEPTEMBER 2022. OUR APPROACH FOLLOWED THE PUBLIC HEALTH MODEL OF ASSESSING AND UNDERSTANDING COMMUNITY HEALTH HOLISTICALLY. A FRAMEWORK FOR ANALYSIS WAS CONSTRUCTED BASED ON DETERMINANTS OF HEALTH; THE FRAMEWORK INCLUDED A BROAD DEFINITION OF COMMUNITY HEALTH THAT CONSIDERS EXTENSIVE SECONDARY DATA ON THE SOCIAL, ECONOMIC, AND PHYSICAL ENVIRONMENTS, AS WELL AS HEALTH RISKS AND OUTCOMES. SPECIAL ATTENTION WAS GIVEN TO IDENTIFY HEALTH DISPARITIES, THE NEEDS OF VULNERABLE POPULATIONS, AND UNMET HEALTH NEEDS OR GAPS IN SERVICES. AN EXTENSIVE ARRAY OF SECONDARY AND PRIMARY DATA WAS COLLECTED AND SYNTHESIZED TO DETERMINE COMMUNITY NEEDS. THE CHNA FINDINGS ARE DRAWN FROM AN ANALYSIS OF AN EXTENSIVE SET OF QUANTITATIVE DATA AND IN-DEPTH QUALITATIVE DATA FROM KEY COMMUNITY HEALTH LEADERS AND EXPERTS FROM THE HAWAII DEPARTMENT OF PUBLIC HEALTH AND OTHER ORGANIZATIONS THAT SERVE AND REPRESENT VULNERABLE POPULATIONS AND/OR POPULATIONS WITH UNMET HEALTH NEEDS. ADDITIONAL ANALYSES INCLUDED PREVENTABLE CAUSES OF HOSPITALIZATION USING DATA PROVIDED BY HAWAII HEALTH INFORMATION CORPORATION, AND INFORMATION FROM RECENTLY PUBLISHED REPORTS ON ACCESS TO CARE, HEALTH DISPARITIES, PRIMARY CARE NEEDS, AND MENTAL HEALTH. KEY INFORMANTS INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS HAVING SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, HEALTH DISPARITIES, AND VULNERABLE POPULATIONS IN THE IDENTIFIED COMMUNITIES. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WHEN A PATIENT PRESENTS FOR SERVICES AND THE PATIENT DOES NOT HAVE INSURANCE COVERAGE FOR SERVICES TO BE PROVIDED, PRIOR TO ADMISSION, REHAB HOSPITAL STAFF EXPLAIN TO THE PATIENT THE UNINSURED PAYMENT TERMS ON SERVICES PROVIDED. IN MOST UNINSURED INPATIENT CASES, THE PATIENT WILL BE OFFERED A HAWAII STATE MEDICAL ASSISTANCE APPLICATION FOR THE HAWAII STATE MEDICAID/QUEST PROGRAM AS WELL AS AN APPLICATION FOR REHAB HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. REHAB HOSPITAL CONTRACTS WITH OUTSIDE SERVICE PROVIDERS WHO SPECIALIZE IN ASSISTING PATIENTS WITH THE MEDICAID/QUEST PROGRAM APPLICATION PROCESS. IF THE PATIENT'S APPLICATION FOR MEDICAID/QUEST IS DENIED OR IT IS DETERMINED THAT THE PATIENT IS INELIGIBLE TO APPLY FOR MEDICAID/QUEST, THE PATIENT MAY APPLY FOR REHAB'S FINANCIAL ASSISTANCE PROGRAM. THE PATIENT MAY APPLY IN PERSON OR MAIL THE APPLICATION FOR FINANCIAL ASSISTANCE TO THE PATIENT FINANCIAL SERVICES OFFICE. REHAB HOSPITAL STAFF ARE AVAILABLE IN PERSON OR VIA PHONE FOR EDUCATION ON THE FINANCIAL ASSISTANCE PROGRAM AND ASSISTANCE IN COMPLETING THE APPLICATION. IN SOME CASES, REHAB HOSPITAL DETERMINES THAT A PATIENT MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED, AND THE APPLICATION FOR FINANCIAL ASSISTANCE IS MAILED TO THE PATIENT. Schedule H, Part VI, Line 4 Community information COMMUNITY INFORMATION REHAB HOSPITAL IS THE ONLY PROVIDER OF ACUTE INPATIENT MEDICAL REHABILITATION SERVICES AMONGST ALL ISLANDS IN THE STATE OF HAWAII AND IN THE PACIFIC REGION. MEDICAID PATIENTS COMPRISED 13% OF REHAB HOSPITAL's TOTAL PATIENT POPULATION IN 2024. IN GENERAL, THE INTENSIVE, MEDICALLY SUPERVISED REHABILITATION THAT REHAB HOSPITAL PROVIDES THROUGH ITS 82-BED ACUTE INPATIENT HOSPITAL LOCATED ON THE ISLAND OF OAHU IS UTILIZED BY THOSE IN THE COMMUNITY WHO HAVE SUFFERED A SEVERE INJURY OR ILLNESS THAT HAS RESULTED IN SIGNIFICANT FUNCTIONAL IMPAIRMENT AND DISABILITY. DURING 2024, REHAB HOSPITAL ADMITTED 1,246 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 2024, REHAB HOSPITAL PROVIDED OUTPATIENT REHABILITATIVE SERVICES IN ITS THREE OUTPATIENT CLINICS LOCATED IN HONOLULU AND AIEA (ON THE ISLAND OF OAHU) AND HILO (ON THE ISLAND OF HAWAII). DURING 2024, REHAB HOSPITAL TREATED 2,895 PATIENTS IN AN OUTPATIENT SETTING. Schedule H, Part VI, Line 5 Promotion of community health PROMOTION OF COMMUNITY HEALTH REHAB HOSPITAL IS COMMITTED TO SUPPORTING THE COMMUNITY THROUGH THE FOLLOWING: -SUPPORTING OPPORTUNITIES FOR THE DISABLED COMMUNITY TO PARTICIPATE IN ADAPTIVE SPORTS. -OFFERING AN INFORMATION CENTER WHICH SHARES RESOURCES AND SERVICES PROVIDED BY REHAB HOSPITAL OR AVAILABLE IN OTHER ORGANIZATIONS TO SUPPORT PATIENTS, CAREGIVERS AND THE COMMUNITY TO IDENTIFY AVAILABLE REHABILITATIVE HEALTHCARE SERVICES. -HOSTING SUPPORT GROUPS FOR FORMER REHAB HOSPITAL PATIENTS AND THE COMMUNITY-AT-LARGE, INCLUDING THE STROKE CLUB, THE AMPUTEE SUPPORT GROUP AND THE SPINAL CORD INJURY MENTORSHIP PROGRAM. - PROVIDING EDUCATION AND CLINICAL ROTATIONS FOR THERAPY AND NURSING STUDENTS AND MEDICAL PROFESSIONALS. - PARTICIPATING IN HEALTH AND FITNESS FAIRS AND LEADING EDUCATIONAL SESSIONS TO FOSTER HEALTH AWARENESS IN THE COMMUNITY. - PROVIDING CONFERENCES AND PRESENTATIONS TO SPECIAL INTEREST GROUPS FOCUSED ON THE PREVENTION AND TREATMENT OF BRAIN INJURIES, SPINAL CORD INJURIES AND STROKES. REHAB HOSPITAL IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF COMMUNITY MEMBERS, PHYSICIANS AND BUSINESS LEADERS. THESE UNPAID, VOLUNTEER MEMBERS REPRESENT THE DIVERSITY OF THE COMMUNITY REHAB HOSPITAL SERVES AND ENSURE REHAB HOSPITAL REMAINS COMMITTED TO SERVING ITS MISSION. REHAB HOSPITAL REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE. Schedule H, Part VI, Line 7 State filing of community benefit report HI X X true true X X X X X false false false false false false false true false STEPHANIE NADOLNY PRESIDENT & CEO 370867 0 4560 0 7200 0 62940 0 38729 0 484296 0 0 0 WENDY MANUEL EVP/CFO/COO 291716 0 3600 0 2400 0 48000 0 26177 0 371893 0 0 0 DR SHARI ANN OSHIRO VP, CHIEF MEDICAL OFFICER 262550 0 3214 0 2460 0 37492 0 24228 0 329944 0 0 0 CHERYL KOZAI VP, CLINICAL SERVICES, CNO (TERMED 04/24) 215225 0 2700 0 2400 0 31500 0 26081 0 277906 0 0 0 LORI YOSHIOKA VP, CHIEF HUMAN RESOURCE OFFICER (TERMED 12/23) 245818 0 2385 0 2200 0 0 0 8951 0 259354 0 0 0 GLENN REQUIERME CHIEF INFORMATION OFFICER (TERMED 07/24) 189105 0 1048 0 600 0 14615 0 8006 0 213374 0 0 0 IRISH LAGUNDI REGISTERED NURSE 172367 0 0 0 0 0 0 0 16156 0 188523 0 0 0 ELIVIRA OSHIRO REGISTERED NURSE 157758 0 0 0 0 0 0 0 23243 0 181001 0 0 0 COLEEN YEE CERTIFIED REHABILITATION RN 163364 0 0 0 0 0 0 0 15624 0 178988 0 0 0 JANET CATABAY REGISTERED NURSE 175329 0 0 0 950 0 0 0 387 0 176666 0 0 0 EVANGELINE BIHIS REGISTERED NURSE 157739 0 0 0 0 0 0 0 18044 0 175783 0 0 0 Schedule J, Part I, Line 1a Tax indemnification and gross-up payments FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDES GROSS-UP PAYMENTS FOR A TAXABLE SERVICE AWARD: 1 OFFICER 1 HIGHEST COMPENSATED EMPLOYEE Schedule J, Part I, Line 1a Health or social club dues or initiation fees OFFICER STEPHANIE NADOLNY RECEIVED HEALTH OR SOCIAL CLUB DUES DURING CALENDAR YEAR 2024. THE BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION AS THE DUES WERE A WORKING CONDITION FRINGE AND WERE USED PRIMARILY FOR BUSINESS. ANY PERSONAL USE OF THE MEMBERSHIP WAS SO SMALL THAT IT WAS A DE MINIMIS FRINGE. Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE PROCESS TO REVIEW THE INCOMING CEO COMPENSATION WAS LAST COMPLETED IN JUNE 2021 RESULTING IN A THREE YEAR EMPLOYMENT AGREEMENT. THE EMPLOYMENT AGREEMENTS STIPULATE A BASE SALARY FOR THE FIRST YEAR AND THEN ADJUSTMENTS BASED ON THE U.S. BUREAU OF LABOR STATISTICS COST INDEX : WAGES AND SALARIES FOR PRIVATE INDUSTRY WORKS IN HOSPITALS FOR THE FOLLOWING YEARS. THE PROCESS TO REVIEW EXECUTIVE COMPENSATION WAS LAST COMPLETED IN AUGUST 2022. THE EXECUTIVE EMPLOYMENT AGREEMENTS ARE THREE YEAR TERMS. Schedule J, Part I, Line 7 Non-fixed payments NON-FIXED PAYMENTS ARE MADE TO EMPLOYEES BASED ON PERFORMANCE THAT IS NOT BASED ON REVENUES OR NET EARNINGS. Form 990, Part III, Line 4d Description of other program services (Expenses $ 0 including grants of $ 0)(Revenue $ 0) REHAB HOSPITAL IS THE ONLY ACUTE-CARE MEDICAL REHABILITATION ORGANIZATION SERVING HAWAII AND THE PACIFIC FOR OVER 70 YEARS. THE 82-BED, NOT-FOR-PROFIT HOSPITAL, THREE OUTPATIENT THERAPY CLINICS, AND HOSPITAL BASED PHYSICIANS CLINIC ON THE ISLANDS OF OAHU AND HAWAII HAVE BEEN DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL REHABILITATION SERVICES. COMMUNITY ROLE/ACTIVITY IN ADDITION TO PROVIDING THE SERVICES ABOVE, REHAB HOSPITAL HAS SUPPORTED THE COMMUNITY THROUGH THE FOLLOWING: - SUPPORTING OPPORTUNITIES FOR THE DISABLED COMMUNITY TO PARTICIPATE IN ADAPTIVE SPORTS. - OFFERING AN INFORMATION CENTER WHICH SHARES RESOURCES AND SERVICES PROVIDED BY REHAB HOSPITAL OR AVAILABLE IN OTHER ORGANIZATIONS TO SUPPORT PATIENTS, CAREGIVERS AND THE COMMUNITY TO IDENTIFY AVAILABLE REHABILITATIVE HEALTHCARE SERVICES. - PROVIDING EDUCATION AND CLINICAL ROTATIONS FOR THERAPY STUDENTS 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 TO PERFORM THOUSANDS OF HOURS OF VOLUNTEER WORK. IN FISCAL YEAR 2024, MORE THAN 10,800 VOLUNTEER HOURS WERE PERFORMED. THE SELECTION AND QUALITY OF PROGRAMS AND SERVICES PROVIDED BY REHAB HOSPITAL ARE OF GREAT VALUE TO THE COMMUNITY. THE FOLLOWING BENEFITS ARE A RESULT OF REHAB HOSPITAL'S PRESENCE IN THE COMMUNITY: - AVAILABILITY OF HIGHER QUALITY, COMPREHENSIVE, COST EFFICIENT, PHYSICAL AND COGNITIVE REHABILITATION WHICH PROVIDES FOR GREATER FUNCTIONAL INDEPENDENCE FOR THE PATIENTS. - EDUCATION AND TRAINING FOR THE GENERAL COMMUNITY ON REHABILITATION TECHNIQUES AND TRENDS AND PREVENTIVE MEASURES - RETURN OF INJURED PATIENTS TO THEIR COMMUNITY AND TO THE WORKFORCE WITH GREATER FUNCTIONAL INDEPENDENCE IN A TIMELY MANNER OTHER REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND VIABILITY OF ANY HOSPITAL. HOWEVER, IN FULFILLMENT OF OUR MISSION AS A NON-PROFIT, COMMUNITY-BASED HOSPITAL, REHAB HOSPITAL HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES COMPREHENSIVE MEDICAL REHABILITATION TO INDIVIDUALS FROM WHOM WE MAY RECEIVE LITTLE OR NO COMPENSATION. IN FISCAL YEAR 2024, REHAB HOSPITAL PROVIDED VARIOUS FORMS OF FINANCIAL ASSISTANCE TO ITS PATIENTS. THE ESTIMATED UNCOMPENSATED COST OF PROVIDING CARE TO THESE PATIENTS WAS APPROXIMATELY $44,000. REHAB HOSPITAL ALSO PROVIDED SERVICES TO APPROXIMATELY 953 INPATIENTS AND OUTPATIENTS WITH MEDICAID OR MEDICAID HMO COVERAGE. MEDICAID REIMBURSEMENT CONTINUES TO BE LOWER THAN THE COST TO PROVIDE SERVICES TO THESE PATIENTS. IT IS ESTIMATED THAT THE COST TO PROVIDE SERVICES TO THESE PATIENTS WITH MEDICAID OR MEDICAID HMO COVERAGE EXCEEDED REIMBURSEMENT, BY APPROXIMATELY $3,256,000. Form 990, Part VI, Line 1a Delegate broad authority to a committee THE EXECUTIVE COMMITTEE SHALL BE A STANDING COMMITTEE CONSISTING OF NOT LESS THAN SEVEN (7) NOR MORE THAN THIRTEEN (13) MEMBERS. MEMBERS INCLUDE THE CHAIR OF THE REHABILITATION HOSPITAL OF THE PACIFIC WHO ALSO ACTS AS THE CHAIR OF THE EXECUTIVE COMMITTEE; VICE CHAIR OF THE REHABILITATION HOSPITAL OF THE PACIFIC; CHAIRS OF THE COMPLIANCE/AUDIT COMMITTEE, FINANCE COMMITTEE, HUMAN RESOURCES/COMPENSATION COMMITTEE, INVESTMENT COMMITTEE, NOMINATING COMMITTEE, STRATEGIC PLANNING COMMITTEE, AND QUALITY IMPROVEMENT COMMITTEE; CHAIR OF THE REHABILITATION HOSPITAL OF THE PACIFIC FOUNDATION BOARD OF DIRECTORS AND ANY OTHER MEMBER APPOINTED BY THE BOARD OF DIRECTORS. THE COMMITTEE SHALL TRANSACT ALL REGULAR BUSINESS AND ACT ON BEHALF OF THE BOARD OF DIRECTORS DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD INCLUDING THE FOLLOWING: AUTHORIZE DISTRIBUTIONS; APPROVE THE DISSOLUTION, MERGER, OR THE SALE, PLEDGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATION'S ASSETS; ELECT, APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ON ANY OF ITS COMMITTEES; ADOPT, AMEND OR REPEAL THE CHARTER OF INCORPORATION OR BYLAWS. Form 990, Part VI, Line 11b Review of form 990 by governing body 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 policy IN ACCORDANCE WITH HOSPITAL POLICY, CONFLICT OF INTEREST QUESTIONNAIRES ARE COMPLETED ANNUALLY BY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, MEMBERS OF THE MEDICAL EXECUTIVE COMMITTEE, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS AND OTHER DESIGNATED REHAB EMPLOYEES. THE EXECUTIVE ADMINISTRATIVE ASSISTANT DISTRIBUTES THE QUESTIONNAIRES AND COMPILES A REPORT OF THE RESPONSES. THE REPORT IS REVIEWED BY THE COMPLIANCE OFFICER AND CEO AND DISTRIBUTED TO THE COMPLIANCE/AUDIT COMMITTEE FOR REVIEW. THE COMPLIANCE/AUDIT COMMITTEE REVIEWS THE REPORT TO DETERMINE WHETHER THE TERMS OF THE IDENTIFIED CONFLICT OF INTEREST ARE FAIR TO AND IN THE BEST INTEREST OF REHAB. ANY FURTHER ACTION REQUIRED FOR INVESTIGATION WOULD BE RESOLVED AT THE INSTRUCTION OF THE COMPLIANCE/AUDIT COMMITTEE.THE COMPLIANCE/AUDIT COMMITTEE'S REVIEW OF THE REPORT IS DOCUMENTED IN THE MINUTES. Form 990, Part VI, Line 15a Process to establish compensation of top management official THE PROCESS TO REVIEW THE CEO COMPENSATION WAS LAST COMPLETED IN NOVEMBER 2024 RESULTING IN A TWO YEAR EMPLOYMENT AGREEMENT, WITH THE OPTION TO EXTEND FOR AN ADDITIONAL ONE YEAR TERM. THE AMENDMENT TO THE EMPLOYMENT AGREEMENT STIPULATES A BASE SALARY FOR THE FIRST YEAR WITH PREDETERMINED SALARY INCREASES FOR YEAR TWO AND THE OPTIONAL YEAR, IF EXTENDED. THE EXECUTIVE TEAM EMPLOYMENT AGREEMENTS WERE REVIEWED IN 2021 AND INCLUDE THREE YEAR TERMS. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE PROCESS TO REVIEW THE CEO COMPENSATION WAS LAST COMPLETED IN NOVEMBER 2024 RESULTING IN A TWO YEAR EMPLOYMENT AGREEMENT, WITH THE OPTION TO EXTEND FOR AN ADDITIONAL ONE YEAR TERM. THE AMENDMENT TO THE EMPLOYMENT AGREEMENT STIPULATES A BASE SALARY FOR THE FIRST YEAR WITH PREDETERMINED SALARY INCREASES FOR YEAR TWO AND THE OPTIONAL YEAR, IF EXTENDED. THE EXECUTIVE TEAM EMPLOYMENT AGREEMENTS WERE REVIEWED IN 2021 AND INCLUDE THREE YEAR TERMS. Form 990, Part VI, Line 19 Required documents available to the public UPON REQUEST, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 22458, Related or Exempt Function Revenue: 3833, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 18625; Form 990, Part IX, Line 11g Other Fees Inpatient - Total Expense: 5263331, Program Service Expense: 5263331, Management and General Expenses: , Fundraising Expenses: ; Physicians Clinic - Total Expense: 497691, Program Service Expense: 497691, Management and General Expenses: , Fundraising Expenses: ; Health Information Management - Total Expense: 62966, Program Service Expense: 62966, Management and General Expenses: , Fundraising Expenses: ; Outpatient Clinic - Total Expense: 181312, Program Service Expense: 181312, Management and General Expenses: , Fundraising Expenses: ; Management and General - Total Expense: 1435897, Program Service Expense: , Management and General Expenses: 1435897, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Change in accrued pension liability - 810381; Change in beneficial interest in unrestricted net assets of Foundation - 79372; Change in beneficial interest in temporarily restricted net assets of Foundation - 1103848; Change in beneficial interest in permanently restricted net assets of Foundation - 11949; REHABILITATION HOSPITAL OF THE PACIFIC FOUNDATION 226 North Kuakini Street HONOLULU HI 96817 990241634 SUPPORT SERVICES HI 501(c)(3) 7 REHABILITATION HOSPITAL OF THE PACIFIC true false false true false false false false false false false false false false false false false true false true REHAB HOSPITAL OF THE PACIFIC FOUNDATION C 1160754 COST REHAB HOSPITAL OF THE PACIFIC FOUNDATION S 729486 COST