2019-08-15T11:45:06-05:00 2018-09-30 ERNST & YOUNG US LLP 4365 EXECUTIVE DR STE 1600 SAN DIEGO CA 92121 990 2017-10-01 510160156 Rehabilitation Hospital of the Pacific % Keriann Ernst REHA 8085313511 226 NORTH KUAKINI STREET HONOLULU HI 968172498 WENDY MANUEL VICE PRESIDENT & CEO 8085313511 2019-08-14 JOCELYNE MILLER P00634378 8585357200 164.57.159.253 84050520192275000000 2019-08-15 P 20B2FF3612F1861CF6545DD964288C15F24AB64B B8BDB5AE0F66B381787CBFFA17B30E7DD964212C 2017 2019-02-21 02:37:17Z DR TIMOTHY ROE 226 NORTH KUAKINI STREET HONOLULU HI 968172498 57218363 false X WWW.REHABHOSPITAL.ORG X 1975 HI SEE SCHEDULE O 18 16 590 93 0 52704 880633 1606824 44348689 46854333 535157 3982696 943678 904643 46708157 53348496 0 0 0 0 32106866 31868210 0 0 0 16670479 17451098 48777345 49319308 -2069188 4029188 82176523 83004497 30031655 27181393 52144868 55823104 X SEE SCHEDULE O false false 29706217 0 41509891 SEE SCHEDULE O 4170921 0 4189208 SEE SCHEDULE O 1156760 0 1148649 SEE SCHEDULE O 410 0 6585 35034308 true true false false false false false false false true true false false true true true false true false false false false false false false false true true false false true false false false false false false true false false false false false false true true true false false true 61 0 true 590 true true true false false false false false false false false false X 18 16 false false false false false false false true true false false true true true true true true true true false X Keriann Ernst 8085443308 226 North Kuakini Street Honolulu HI 96817 Dr Cherylee Chang Director 1.0 0.0 X 0 0 0 Sai Chantavy Director 1.0 0.0 X 0 0 0 William Crowley Director 1.0 1.0 X 0 0 0 Keith Gendreau Director 1.0 1.0 X 0 0 0 Ronald N S Ho Director 1.0 0.0 X 0 0 0 Jennifer Isobe Director/Treasurer 1.0 0.0 X X 0 0 0 Cory Kubota Director 1.0 0.0 X 0 0 0 Benjamin A Kudo Director 1.0 0.0 X 0 0 0 Janice Luke Loo Director 1.0 1.0 X 0 0 0 Bryan K K Luke Director 1.0 1.0 X 0 0 0 E Lynne Madden Director/Secretary 1.0 1.0 X X 0 0 0 Raymond S Ono Director/Chair 1.0 1.0 X X 0 0 0 Michael W Perry Director 1.0 1.0 X 0 0 0 Glenn Sexton Director/Vice Chair 1.0 1.0 X X 0 0 0 Patrick Sullivan Director 1.0 0.0 X 0 0 0 Dr Laurie Tom Director 1.0 1.0 X 0 0 0 Alan Tomonari Director (Part Year) 1.0 0.0 X 0 0 0 Michael J Wo Director 1.0 0.0 X 0 0 0 Dr Stephen Oishi Director 1.0 0.0 X 0 0 0 Dr Jason Chang CMO & VP-Medical Affairs 25.0 0.0 X 350273 0 37718 Susan Gabriel VP, Clinical Services 40.0 0.0 X 167092 0 30395 Wendy Manuel VP & Chief Financial Officer 40.0 0.0 X 214913 0 56401 Dr Timothy Roe President & CEO 40.0 0.0 X 454401 0 114649 Colbert Seto Chief Information Officer 40.0 0.0 X 203847 0 32614 Teresita Ganata RN - CRRN 40.0 0.0 X 112885 0 15602 Elsie M Labayog RN - CRRN 40.0 0.0 X 112410 0 21057 Eluned Mun Nurse Practioner 40.0 0.0 X 123229 0 3178 Brenda Hiromoto Director of Nursing 40.0 0.0 X 126383 0 23914 Ty Tomimoto Director of Finance & Contract 40.0 0.0 X 113483 0 17366 Audrey Torres Former Officer 0.0 0.0 X 138562 0 15120 Faye Miyamoto Former Officer 0.0 0.0 X 109267 0 8208 2226745 0 376222 44 true true false Datahouse 1585 Kapiolani Boulevard Suite 180 Honolulu HI 96814 Information Systems 2354700 Sodexo Inc Affiliates Dept 43283 Los Angeles CA 90088 Management-Dietary 1004497 Schindler Elevator Corp PO Box 93050 Chicago IL 60673 Elevator Renovation 841772 The Queens POB Pharmacy 1380 Lusitana Street Honolulu HI 93813 Management-Pharmacy 568017 Rehab Associates of the Pacific LLC 226 North Kuakini Street Honolulu HI 96817 Physician Services 374425 13 1481304 125000 520 0 1606824 MEDICARE/MEDICAID PAYMENT 622310 31103171 31103171 0 0 PATIENT REVENUES 622310 15741197 15741197 0 0 STUDENT TRAINING AND TOUR 900099 6585 6585 0 0 CONTRACT REVENUES 900099 3380 3380 0 0 46854333 623683 0 623683 0 0 662166 662166 0 662166 662166 7228880 3869867 3359013 3359013 3359013 0 0 0 0 0 0 0 0 0 PARKING REVENUE 812930 114207 0 0 114207 GIFT SHOP REVENUE 453220 27558 0 0 27558 PHYSICIANS CLINIC ADMIN FEES 561110 26691 0 0 26691 74021 0 0 74021 242477 53348496 46854333 0 4887339 0 0 0 0 0 0 0 0 1610470 610993 999477 0 36598 36598 0 0 23707668 19552404 4155264 0 877089 698606 178483 0 3782692 3028583 754109 0 1853693 1476476 377217 0 0 0 0 0 104730 7354 97376 0 169008 0 169008 0 0 0 0 0 0 0 67382 0 67382 0 4689599 4148564 541035 0 98343 0 98343 0 304621 122554 182067 0 3117393 0 3117393 0 0 0 0 0 1328829 814562 514267 0 23619 9645 13974 0 0 0 0 0 54342 46928 7414 0 449151 8795 440356 0 0 0 0 0 3717696 1953496 1764200 0 371435 0 371435 0 Patient Supplies 1313516 1313516 0 0 HI Provider Tax&Rltd Pmts 1083006 1083006 0 0 Repairs & Maintenance 253466 68914 184552 0 Dues 130535 12995 117540 0 174427 40319 134108 49319308 35034308 14285000 0 0 2700 7400 2222933 2086954 0 0 7959910 7280736 0 0 0 0 0 0 161435 151752 370058 683045 65738232 31195704 34954556 34542528 23550306 25499607 131971 118990 0 0 0 0 12822654 12633485 82176523 83004497 13982774 11403079 0 0 0 0 0 0 0 0 0 0 15325263 15323813 0 0 723618 454501 30031655 27181393 X 47746886 48741066 1130623 3572782 3267359 3509256 52144868 55823104 82176523 83004497 X 4029188 -1934549 0 0 0 1583597 X false true X true false X 10000000 10000000 10000000 10000000 10000000 10000000 10000000 10000000 10000000 10000000 1.00000 false false 1244244 1244244 30591549 10376697 20214852 367700 307100 60600 30675500 18427727 12247773 2859239 2084180 775059 34542528 EXEMPT AFFILIATE 2921705 Deposits & Other Receivables 920130 Due from third party payors 79289 ASSETS OF FOUNDATION 8701716 Other Assets 10645 12633485 0 Deferred compensation payable 118990 Capital lease liability 335511 454501 X PART V, LINE 4 ENDOWMENT FUNDS REHABILITATION HOSPITAL OF THE PACIFIC USES THE ENDOWMENT FUNDS FOR THE PURPOSES INTENDED BY THE BOARD. PART X, LINE 2 BOTH THE HOSPITAL AND THE FOUNDATION ARE NOT-FOR-PROFIT CORPORATIONS THAT HAVE BEEN RECOGNIZED AS TAX-EXEMPT ORGANIZATIONS PURSUANT TO SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE HOSPITAL AND THE FOUNDATION ARE SUBJECT TO FEDERAL AND STATE INCOME TAXES ON INCOME UNRELATED TO THEIR RESPECTIVE TAX-EXEMPT PURPOSES. AT SEPTEMBER 30, 2018 AND 2017, THE COMPANY HAD NO UNRECOGNIZED TAX BENEFITS. THE COMPANY'S 2014 THROUGH 2017 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, 2018 AND 2017. true true true X true X true true false false 10197 9805 392 0.00000 7446594 5229747 2216847 0.04490 0 0 0 0.00000 7456791 5239552 2217239 0.04490 45631 24290 21341 0.00040 128779 0 128779 0.00260 99472 0 99472 0.00200 1572 0 1572 0.00000 27385 0 27385 0.00060 302839 24290 278549 0.00560 7759630 5263842 2495788 0.05050 2033 0 2033 6326 0 6326 0.00010 4785 0 4785 0.00010 10602 0 10602 0.00020 276 0 276 0.00000 24022 0 24022 0.00040 true 165367 0 16861127 13340829 3520298 X true false 1 1 REHABILITATION HOSP OF THE PACIFIC 226 NORTH KUAKINI STREET HONOLULU HI 96817 WWW.REHABHOSPITAL.ORG 35-H X ACUTE CARE REHAB REHABILITATION HOSP OF THE PACIFIC 1 false false true X X X X X X X X X 15 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 16 false true false true X 200. 300. X X X X true true X X X true X SEE PART V, SECTION C X SEE PART V, SECTION C X SEE PART V, SECTION C X X X X X X true X false X X X X true X false false PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE SEPTEMBER 2016 CHNA. PART V, SECTION B, LINE 5 IN ORDER TO DEVELOP A COMPLETE UNDERSTANDING OF HAWAIIS HEALTH-NEEDS, A CHNA ADVISORY COMMITTEE WAS FORMED. THE ADVISORY COMMITTEE INCLUDED MEMBERS OF THE 15 PARTICIPATING HOSPITALS (SEE BELOW) AS WELL AS LEADERS IN THE POST-ACUTE CONTINUUM OF CARE, LEADERS OF PROGRAMS SERVICING LOW-INCOME AND MINORITY GROUPS, AND THE STATE OF HAWAII DEPARTMENT OF HEALTH AND HUMAN SERVICES. UTILIZING HEALTH AND HEALTH-RELATED INDICATORS, THE COMMITTEE WAS ABLE TO DETERMINE THE GREATEST HEALTH-RISKS TO ADDRESS. IN ORDER TO GAIN INSIGHT INTO THE MOST PROBLEMATIC AREAS, AND ANY AREAS WHERE GAPS OF UNDERSTANDING WERE PRESENT, 15 KEY INFORMANTS WERE SELECTED TO BE INTERVIEWED. THESE KEY INFORMANTS ARE EXPERTS IN VARIOUS AREAS OF PUBLIC HEALTH, HEALTH POLICY AND SERVICE PROVISION. THE INFORMATION GATHERED FROM THESE INTERVIEWS WAS AGGREGATED, ANALYZED AND BROUGHT BACK TO THE ADVISORY COMMITTEE. FROM THERE, THE 15 PARTICIPATING HOSPITALS DETERMINED HOW TO BEST ADDRESS THE HEALTH NEEDS OF THE STATE OF HAWAII. KEY INFORMANT INTERVIEWS WERE COMPLETED BETWEEN OCTOBER 2014 AND FEBRUARY 2015. PART V, SECTION B, LINE 6A & 6B THE 2015 STATE OF HAWAII CHNA WAS A COLLABORATIVE EFFORT LED BY THE HEALTHCARE ASSOCIATION OF HAWAII, IN PARTNERSHIP WITH HEALTHY COMMUNITIES INSTITUTE AND STORYLINE CONSULTING. IT WAS COMPLETED JOINTLY WITH 15 HAWAII HOSPITALS. THE PARTICIPANTS INCLUDED: CASTLE MEDICAL CENTER, SUTTER HEALTH KAHI MOHALA BEHAVIORAL HEALTH, KAISER PERMANENTE MEDICAL CENTER, KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN, KUAKINI MEDICAL CENTER, MOLOKAI GENERAL HOSPITAL, NORTH HAWAII COMMUNITY HOSPITAL, PALI MOMI MEDICAL CENTER, REHABILITATION HOSPITAL OF THE PACIFIC, SHRINERS HOSPITALS FOR CHILDREN - HONOLULU, STRAUB CLINIC & HOSPITAL, THE QUEENS MEDICAL CENTER, THE QUEENS MEDICAL CENTER - WEST OAHU, WAHIAWA GENERAL HOSPITAL AND WILCOX MEMORIAL HOSPITAL. PART V, SECTION B, LINE 7A CHNA WEBSITE https://www.rehabhospital.org/awards-accreditations PART V, SECTION B, LINE 11 REHAB HOSPITAL SELECTED THE FOLLOWING PRIORITY AREAS IN ITS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1) DISABILITIES 2) HEART DISEASE AND STROKE DURING FISCAL YEAR 2018, REHAB CONDUCTED THE FOLLOWING ACTIVITIES TO ADDRESS THE TWO PRIORITY NEEDS: PRIORITY AREA 1: DISABILITIES FORMALIZATION AND EXPANSION OF THE REINTEGRATION PROGRAM REHAB HOSPITAL COMPLETED CONSTRUCTION OF A LIFE SKILLS LAB TO PROVIDE A PHYSICAL SPACE FOR ITS PATIENTS TO HELP FACILITATE THEIR TRANSITION FROM THE HOSPITAL TO HOME. THE LIFE SKILLS LAB INCLUDES A GROCERY STORE SETTING, A BEDROOM SETTING AND AN AIRLINE SEATING COMPONENT WHERE PATIENTS CAN EXPERIENCE AND PRACTICE MORE REAL WORLD SCENARIOS TO BETTER PREPARE FOR LIFE ONCE THEY RETURN HOME. IMPLEMENTATION OF A COMPREHENSIVE CONSULT SERVICE PROGRAM REHAB HOSPITAL IMPLEMENTED A COMPREHENSIVE CONSULT SERVICE PROGRAM TO PROVIDE ADDITIONAL AWARENESS AND AVAILABILITY TO HAWAII ACUTE CARE HOSPITALS REGARDING REHAB HOSPITALS REHABILITATIVE SERVICES AVAILABLE TO PATIENTS UPON DISCHARGE FROM THE ACUTE CARE HOSPITAL SETTING. REHABS CONSULT SERVICE TEAM FACILITATE THE TRANSITION OF APPROPRIATE PATIENTS FROM THE ACUTE CARE FACILITY TO REHABS INPATIENT REHABILITATION FACILITY TO MAXIMIZE THE PATIENTS OVERALL RECOVERY. IMPLEMENTATION OF A COMPREHENSIVE PAIN MANAGEMENT CLINIC REHAB HOSPITAL EXPANDED ITS COMPREHENSIVE PAIN MANAGEMENT PROGRAM TO ITS AIEA CLINIC. CONSISTENT WITH THE PROGRAM ESTABLISHED AT REHABS PHYSICIANS CLINIC IN 2017, THE PROGRAM WAS ESTABLISHED TO SUPPLEMENT THE CONTINUUM OF REHABILITATIVE CARE AND WAS EXPANDED TO FACILITATE OFFERING PAIN MANAGEMENT SERVICES TO PATIENTS LIVING ON THE WEST SIDE OF OAHU. CREATION OF A PAIN MANAGEMENT WELLNESS PROGRAM REHAB HOSPITAL FORMALIZED ITS ACUPUNCTURE AND MASSAGE THERAPY WELLNESS SERVICES AT ITS NUUANU SPECIALTY CLINIC. AVAILABILITY OF THESE WELLNESS SERVICES SUPPORTS THE PATIENTS COMPREHENSIVE REHABILITATION PLAN COVERING THE ENTIRE CONTINUUM OF REHABILITATIVE CARE. REVAMP REHAB WEBSITE REHAB HOSPITAL REVAMPED ITS WEBSITE TO MORE READILY IDENTIFY REHABILITATIVE SERVICES AND INFORMATION AVAILABLE TO THE COMMUNITY. THE REVAMPED WEBSITE INCLUDES ADDITIONAL INFORMATION RELATED TO SERVICES PROVIDED BY REHAB HOSPITAL IN THE ENTIRE CONTINUUM OF REHABILITATIVE CARE. AN IMPROVED SEARCH FUNCTION WAS ALSO INCORPORATED DURING THE WEBSITE REVAMP. THE NEW WEBSITE IS ADA COMPLIANT WHICH ALLOWS FOR THE USE OF VOICE RECOGNITION SOFTWARE AND ASSISTIVE TECHNOLOGY FOR PEOPLE WITH DISABILITIES/IMPAIRMENTS. EXPAND SOCIAL MEDIA AND PRINT MARKETING CHANNELS REHAB HOSPITAL CONTINUED THE DEVELOPMENT OF ITS SOCIAL MEDIA FOOTPRINT THROUGH CAMPAIGNS AND THE USAGE OF ANALYTICS TO MEASURE THE IMPACT AND VALUE OF ITS SOCIAL MEDIA POSTS. INCREASE OPPORTUNITIES TO HOST VENDOR FAIRS AND INCREASE PARTICIPATION IN COMMUNITY EDUCATION/HEALTH EVENTS REHAB HOSPITAL HOSTED A COMMUNITY EVENT AND VENDOR FAIR TO PROVIDE EDUCATION ON HEALTHCARE SERVICES AVAILABLE TO PATIENTS, PATIENTS FAMILIES AND CAREGIVERS AND THE OVERALL COMMUNITY. VISITORS WERE ABLE TO PARTICIPATE IN FREE HEALTH SCREENINGS AND TALK WITH CLINICAL STAFF REGARDING THEIR REHABILITATION QUESTIONS. REHAB HOSPITAL PARTNERED WITH THE DEPARTMENT OF HUMAN SERVICES, STATE OF HAWAII TO UNDERTAKE THE 'UNMASKING BRAIN INJURY' PROJECT AIMED AT PROMOTING AWARENESS OF THE PREVALENCE OF TRAUMATIC BRAIN INJURY (TBI). THE PROJECT FACILITATED ACTIVITIES FOR TBI SURVIVORS AND INCLUDED EDUCATIONAL DISPLAYS IN THE COMMUNITY. ADDITIONALLY, REHAB HOSPITAL PARTICIPATED IN A VARIETY OF COMMUNITY WORKSHOPS/HEALTH EVENTS SUCH AS THE HEART WALK, THE ALS WALK AND THE BREAST CANCER AWARENESS WALK TO PROVIDE EDUCATION ON HEALTH CONDITIONS AND REHAB HOSPITAL SERVICES. ENHANCE HEALTHCARE PROVIDER EDUCATION REHAB HOSPITAL CONTINUES TO BE INVOLVED WITH FELLOWSHIP PROGRAMS WITH THE JOHN A. BURNS SCHOOL OF MEDICINE, UNIVERSITY OF HAWAII AND WESTERN UNIVERSITY AND SUPPORTS STUDENTS IN PHYSICAL MEDICINE AND REHABILITATION ROTATIONS AND GERIATRIC FELLOWSHIPS. IN ADDITION, REHAB SUPPORTS PRECEPTORSHIPS FOR NURSING STUDENTS AND THERAPY STUDENT SHADOWING. REHAB HOSPITAL ALSO HOLDS SEMINARS AT LOCAL UNIVERSITIES ON THE BENEFITS OF PHYSICAL THERAPY. REHAB HOSPITAL ALSO COLLABORATED WITH THE UNIVERSITY OF HAWAII SCHOOL OF ENGINEERING FOR RESEARCH IN REHABILITATIVE MEDICINE AND CONTINUES TO PARTNER WITH THE UNIVERSITY OF HAWAII KINESIOLOGY AND REHABILITATION SCIENCE DEPARTMENT IN CONNECTION WITH REHAB HOSPITALS CANCER REHABILITATION PROGRAM. PARTNER WITH LOCAL NONPROFIT GRANTING ORGANIZATIONS TO SUPPORT A PATIENT TRANSFER TRAINING COURSE REHAB HOSPITAL ENTERED INTO AN AGREEMENT WITH THE DEPARTMENT OF HEALTH, STATE OF HAWAII TO DEVELOP AND FACILITATE A TRANSFER TRAINING COURSE FOR COMMUNITY PARTICIPANTS. REHAB HOSPITAL BEGAN DISCUSSIONS WITH DEPARTMENT OF HEALTH PERSONNEL RELATED TO PROVIDING SERVICES UNDER THE AGREEMENT. PRIORITY AREA 2: HEART DISEASE AND STROKE EXPAND CONTINUUM OF CARE FOR CARDIOVASCULAR AND STROKE CONDITIONS REHAB HOSPITALS PHYSICIAN-LED NEUROLOGICAL SERVICE LINE TEAM CONTINUES TO MEET REGULARLY TO DEVELOP PROCESSES AND INTEGRATE OTHER REHABILITATIVE SERVICES TO IMPROVE PATIENT OUTCOMES. THE TEAM CONTINUES TO ENHANCE PATIENT EDUCATION MATERIALS AS WELL AS FACILITATED COORDINATION OF OTHER REHABILITATION SERVICES AFTER PATIENT DISCHARGE TO IMPROVE THE CONTINUUM OF REHABILITATIVE CARE. REHAB HOSTS A SUPPORT GROUP FOR STROKE SURVIVORS DURING QUARTERLY SUPPORT MEETINGS WITH APPROPRIATE EDUCATIONAL TOPICS DISCUSSED BY CLINICAL STAFF AND GUEST SPEAKERS. REHAB HOSPITAL ALSO DISTRIBUTES EDUCATIONAL NEWSLETTERS AT THE MEETINGS AND VIA EMAIL. REVAMP REHAB WEBSITE REHAB HOSPITAL REVAMPED ITS WEBSITE TO MORE READILY IDENTIFY REHABILITATIVE SERVICES AND INFORMATION AVAILABLE TO THE COMMUNITY. THE REVAMPED WEBSITE INCLUDES ADDITIONAL INFORMATION RELATED TO SERVICES PROVIDED BY REHAB HOSPITAL IN THE ENTIRE CONTINUUM OF REHABILITATIVE CARE. AN IMPROVED SEARCH FUNCTION WAS ALSO INCORPORATED DURING THE WEBSITE REVAMP. THE NEW WEBSITE IS ADA COMPLIANT WHICH ALLOWS FOR THE USE OF VOICE RECOGNITION SOFTWARE AND ASSISTIVE TECHNOLOGY FOR PEOPLE WITH DISABILITIES/IMPAIRMENTS. EXPAND SOCIAL MEDIA AND PRINT MARKETING CHANNELS REHAB HOSPITAL CONTINUED THE DEVELOPMENT OF ITS SOCIAL MEDIA FOOTPRINT THROUGH CAMPAIGNS AND THE USAGE OF ANALYTICS TO MEASURE THE IMPACT AND VALUE OF ITS SOCIAL MEDIA POSTS. INCREASE OPPORTUNITIES TO HOST HEART HEALTH AND STROKE VENDOR FAIRS AND INCREASE PARTICIPATION IN COMMUNITY EDUCATION/HEALTH EVENTS REHAB HOSPITAL HOSTED A COMMUNITY EVENT AND VENDOR FAIR TO PROVIDE EDUCATION ON HEALTHCARE SERVICES AVAILABLE TO PATIENTS, PATIENTS FAMILIES AND CAREGIVERS AND THE OVERALL COMMUNITY. VISITORS WERE ABLE TO PARTICIPATE IN FREE HEALTH SCREENINGS AND TALK WITH CLINICAL STAFF REGARDING THEIR REHABILITATION QUESTIONS. ADDITIONALLY, REHAB HOSPITAL PARTICIPATED IN A VARIETY OF COMMUNITY WORKSHOPS/HEALTH EVENTS SUCH AS THE HEART WALK TO PROVIDE EDUCATION ON HEALTH CONDITIONS AND REHAB HOSPITAL SERVICES. NEEDS NOT BEING ADDRESSED THE FOLLOWING AREAS OF NEED IDENTIFIED IN REHAB'S 2016 CHNA ARE NOT BEING ADDRESSED IN ITS CURRENT IMPLEMENTATION STRATEGY BECAUSE THEY WERE NOT SELECTED AS THE HIGHEST PRIORITY FOR REHAB AS THEY ARE BEYOND REHAB'S CURRENT RESOURCES AND/OR EXPERTISE. ORAL HEALTH CHILDRENS HEALTH OLDER ADULTS & AGING EXERCISE, NUTRITION, & WEIGHT PREVENTION & SAFETY ACCESS TO HEALTH SERVICES MENTAL HEALTH & MENTAL DISORDERS SUBSTANCE ABUSE DIABETES OTHER CHRONIC DISEASES IMMUNIZATIONS & INFECTIOUS DISEASES ENVIRONMENTAL & OCCUPATIONAL HEALTH WELLNESS & LIFESTYLE RESPIRATORY DISEASES TEEN & ADOLESCENT HEALTH FAMILY PLANNING PART V, SECTION B, LINES 16A, 16B & 16C FINANCIAL ASSISTANCE POLICY: https://www.rehabhospital.org/how-does-billing-work FINANCIAL ASSISTANCE POLICY APPLICATION: https://www.rehabhospital.org/how-does-billing-work PLAIN LANGUAGE SUMMARY: https://www.rehabhospital.org/how-does-billing-work 5 REHAB AT NUUANU 226 NORTH KUAKINI STREET HONOLULU HI 96817 CLINIC REHAB AT AIEA 98-1005 MOANALUA ROAD SUITE 425 AIEA HI 96701 CLINIC REHAB PHYSICIANS CLINIC 226 NORTH KUAKINI STREET HONOLULU HI 96817 CLINIC REHAB AT HILO 76 PUUHONU PLACE HILO HI 96720 CLINIC CARDIAC REHAB 226 NORTH KUAKINI STREET HONOLULU HI 96817 CLINIC PART I, LINE 3C ALL OF THE FOLLOWING THREE CRITERIA MUST BE MET TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER REHAB'S FINANCIAL ASSISTANCE POLICY: 1) FAMILY LIQUID ASSETS ARE EQUAL TO OR LESS THAN $50,000; 2) FAMILY INCOME IS AT OR BELOW 300% OF THE CURRENT FEDERAL POVERTY GUIDELINE FOR HAWAII; AND 3) PATIENT IS A U.S. CITIZEN OR LEGAL ALIEN WHO IS PERMANENTLY RESIDING IN HAWAII. PART II AS THE ONLY ACUTE-CARE MEDICAL REHABILITATION ORGANIZATION SERVING HAWAII AND THE PACIFIC, REHAB IS AN IMPORTANT PROVIDER OF CARE IN THE POST-ACUTE CONTINUUM OF SERVICES. REHAB IS A LEADER IN MEDICAL REHABILITATION, PARTICULARLY IN THE AREAS OF STROKE, TRAUMATIC BRAIN INJURY AND SPINAL CORD INJURY. UTILIZING ITS KNOWLEDGE AND EXPERTISE REHAB PARTICIPATES IN COMMUNITY TASK FORCES, ADVOCATES ON BEHALF OF COMMUNITY HEALTH INITIATIVES AND ASSISTS IN THE RECRUITMENT AND DEVELOPMENT OF HAWAII'S MEDICAL PROFESSIONALS. PART III, LINES 2 AND 4 PLEASE SEE PAGES 10 & 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552.96. PART VI, LINE 2 NEEDS ASSESSMENT REHAB PARTNERED WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND THE HEALTHY COMMUNITIES INSTITUTE TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT(CHNA) FOR THE COMMUNITY SERVED BY REHAB. THE CHNA WAS COMPLETED IN SEPTEMBER 2016. OUR APPROACH FOLLOWED THE PUBLIC HEALTH MODEL OF ASSESSING AND UNDERSTANDING COMMUNITY HEALTH HOLISTICALLY. A FRAMEWORK FOR ANALYSIS WAS CONSTRUCTED BASED ON DETERMINANTS OF HEALTH; THE FRAMEWORK INCLUDED A BROAD DEFINITION OF COMMUNITY HEALTH THAT CONSIDERS EXTENSIVE SECONDARY DATA ON THE SOCIAL, ECONOMIC, AND PHYSICAL ENVIRONMENTS, AS WELL AS HEALTH RISKS AND OUTCOMES. SPECIAL ATTENTION WAS GIVEN TO IDENTIFY HEALTH DISPARITIES, THE NEEDS OF VULNERABLE POPULATIONS, AND UNMET HEALTH NEEDS OR GAPS IN SERVICES. AN EXTENSIVE ARRAY OF SECONDARY AND PRIMARY DATA WAS COLLECTED AND SYNTHESIZED TO DETERMINE COMMUNITY NEEDS. THE CHNA FINDINGS ARE DRAWN FROM AN ANALYSIS OF AN EXTENSIVE SET OF QUANTITATIVE DATA (OVER 400 SECONDARY DATA INDICATORS) AND IN-DEPTH QUALITATIVE DATA FROM KEY COMMUNITY HEALTH LEADERS AND EXPERTS FROM THE HAWAII DEPARTMENT OF PUBLIC HEALTH AND OTHER ORGANIZATIONS THAT SERVE AND REPRESENT VULNERABLE POPULATIONS AND/OR POPULATIONS WITH UNMET HEALTH NEEDS. ADDITIONAL ANALYSES INCLUDED PREVENTABLE CAUSES OF HOSPITALIZATION USING DATA PROVIDED BY HAWAII HEALTH INFORMATION CORPORATION, AND INFORMATION FROM RECENTLY PUBLISHED REPORTS ON ACCESS TO CARE, HEALTH DISPARITIES, PRIMARY CARE NEEDS, AND MENTAL HEALTH. KEY INFORMANTS INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS HAVING SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, HEALTH DISPARITIES, AND VULNERABLE POPULATIONS IN THE IDENTIFIED COMMUNITIES. PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBIILTY FOR ASSISTANCE WHEN A PATIENT PRESENTS FOR SERVICES AND THE PATIENT DOES NOT HAVE INSURANCE COVERAGE FOR SERVICES TO BE PROVIDED, PRIOR TO ADMISSION, REHAB STAFF EXPLAINS TO THE PATIENT THE UNINSURED PAYMENT TERMS ON SERVICES PROVIDED. IN MOST UNINSURED INPATIENT CASES, THE PATIENT WILL BE OFFERED A HAWAII STATE MEDICAL ASSISTANCE APPLICATION FOR THE HAWAII STATE MEDICAID/QUEST PROGRAM AS WELL AS AN APPLICATION FOR REHAB'S FINANCIAL ASSISTANCE PROGRAM. REHAB CONTRACTS WITH OUTSIDE SERVICE PROVIDERS WHO SPECIALIZE IN ASSISTING PATIENTS WITH THE MEDICAID/QUEST PROGRAM APPLICATION PROCESS. IF THE PATIENTS APPLICATION FOR MEDICAID/QUEST IS DENIED OR IT IS DETERMINED THAT THE PATIENT IS INELIGIBLE TO APPLY FOR MEDICAID/QUEST, THE PATIENT MAY APPLY FOR REHAB's FINANCIAL ASSISTANCE PROGRAM. THE PATIENT MAY APPLY IN PERSON OR MAIL THE APPLICATION FOR FINANCIAL ASSISTANCE TO THE PATIENT FINANCIAL SERVICES OFFICE. REHAB STAFF ARE AVAILABLE IN PERSON OR VIA PHONE FOR EDUCATION ON THE FINANCIAL ASSISTANCE PROGRAM AND ASSISTANCE IN COMPLETING THE APPLICATION. IN SOME CASES, REHAB DETERMINES THAT A PATIENT MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED, AND THE APPLICATION FOR FINANCIAL ASSISTANCE IS MAILED TO THE PATIENT. PART VI, LINE 4 COMMUNITY INFORMATION REHAB IS THE ONLY PROVIDER OF ACUTE INPATIENT MEDICAL REHABILITATION SERVICES AMONGST ALL ISLANDS IN THE STATE OF HAWAII AND IN THE PACIFIC REGION. MEDICAID PATIENTS COMPRISED 11% OF REHAB's TOTAL PATIENT POPULATION IN 2018. 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 2018, REHAB ADMITTED 2,100 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 2018, 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). DURING 2018, REHAB TREATED 4,600 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, Brain Injury Association of Hawaii and the Breast Cancer Support Group. - PROVIDING EDUCATION AND CLINICAL ROTATIONS FOR THERAPY STUDENTS, REHABILITATIVE NURSING, AND MEDICAL PROFESSIONALS. - PARTICIPATING IN HEALTH AND FITNESS FAIRS TO FOSTER HEALTH EDUCATION IN THE COMMUNITY. - PROVIDING CONFERENCES AND PRESENTATIONS TO SPECIAL INTEREST GROUPS FOCUSED ON THE PREVENTION AND TREATMENT OF BRAIN INJURIES, SPINAL CORD INJURIES AND STROKES. REHAB IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF COMMUNITY MEMBERS, PHYSICIANS AND BUSINESS LEADERS. THESE UNPAID, VOLUNTEER MEMBERS REPRESENT THE DIVERSITY OF THE COMMUNITY REHAB SERVES AND ENSURE REHAB REMAINS COMMITTED TO SERVING ITS MISSION. REHAB REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE. PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM N/A PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A X true true X X X X false false false false false false false true false Dr Jason Chang CMO & VP-Medical Affairs 293757 0 50 0 56466 0 15140 0 22578 0 387991 0 0 0 Susan Gabriel VP, Clinical Services 139785 0 15050 0 12257 0 30084 0 311 0 197487 0 0 0 Wendy Manuel VP & Chief Financial Officer 180847 0 25000 0 9066 0 33787 0 22614 0 271314 0 25000 0 Dr Timothy Roe President & CEO 338743 0 100050 0 15608 0 95400 0 19249 0 569050 0 65000 0 Colbert Seto Chief Information Officer 190347 0 13500 0 0 0 10000 0 22614 0 236461 0 0 0 Audrey Torres Former Officer 103987 0 0 0 34575 0 2165 0 12955 0 153682 0 0 0 Faye Miyamoto Former Officer 83707 0 0 0 25560 0 1732 0 6476 0 117475 0 0 0 Brenda Hiromoto Director of Nursing 123183 0 3200 0 0 0 1300 0 22614 0 150297 0 0 0 SCHEDULE J, PART I, LINE 1A Officer Dr. Timothy Roe received health or social club dues during CY2017. 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 7 Non-fixed payments are made to employees based on performance that is not based on revenues or net earnings. Dennis Crowley See Part V 14892 See Part V false Kelsey Sexton See Part V 12909 See Part V false SCHEDULE L, PART IV Dennis Crowley, a family member of Board member William Crowley, was compensated for physicians services by Rehabilitation Hospital of the Pacific. Kelsey Sexton, a family member of Board member Glenn Sexton, is employed by Rehabilitation Hospital of the Pacific. FORM 990, PART I & PART III, LINE 1 ORGANIZATION'S MISSION REHABILITATION HOSPITAL OF THE PACIFIC REBUILDS LIVES TOGETHER WITH INDIVIDUALS, FAMILIES AND COMMUNITIES BY PROVIDING EXEMPLARY PATIENT CARE SERVICES FOR THOSE WITH PHYSICAL AND COGNITIVE DISABILITIES IN HAWAII AND THE PACIFIC. WE UTILIZE A CONTINUUM OF REHABILITATION SERVICES THAT ARE ADVANCED THROUGH EDUCATION, TECHNOLOGY AND RESEARCH. FORM 990, PART III, LINES 4A-4D PROGRAM SERVICE ACCOMPLISHMENTS PROGRAM SERVICE #1 INPATIENT ACUTE-CARE MEDICAL REHABILITATION SERVICES IN FISCAL YEAR 2018, REHABILITATION HOSPITAL OF THE PACIFIC (REHAB HOSPITAL) SPENT $29,706,217 IN DIRECT 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 2018, REHAB HOSPITAL DISCHARGED A TOTAL OF 2,095 PATIENTS IN THE FOLLOWING PROGRAMS: - STROKE REHABILITATION PROGRAM AND OTHER NEUROLOGICAL PROGRAMS: 628 INPATIENTS - BRAIN INJURY PROGRAM: 146 INPATIENTS - SPINAL CORD INJURY AND DYSFUNCTION PROGRAMS: 146 INPATIENTS - ORTHOPEDIC AND AMPUTEE PROGRAMS: 973 INPATIENTS - GENERAL REHABILITATION PROGRAMS: 202 INPATIENTS PROGRAM SERVICE #2 OUTPATIENT CLINIC THERAPY SERVICES IN FISCAL YEAR 2018, REHAB HOSPITAL SPENT $4,170,921 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 - DRIVER'S EDUCATION AND TRAINING - WHEELCHAIR SEATING AND MOBILITY CLINIC - WOMEN'S HEALTH REHABILITATION - URINARY INCONTINENCE PROGRAM - WORK HEALTH PROGRAMS IN FISCAL YEAR 2018, REHAB HOSPITAL PROVIDED OUTPATIENT THERAPY SESSIONS TOTALING 40,967 IN THE FOLLOWING AREAS: - PHYSICAL AND AQUATICS THERAPY 31,179 SESSIONS - OCCUPATIONAL THERAPY 7,378 SESSIONS - SPEECH THERAPY 2,410 SESSIONS PROGRAM SERVICE #3 PHYSICIANS CLINIC SERVICES IN FISCAL YEAR 2018, REHAB HOSPITAL SPENT $1,156,760 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 2018, REHAB HOSPITAL PROVIDED PHYSICIAN VISITS TOTALING 5,247 VISITS. PROGRAM SERVICE #4 REHAB HOSPITAL 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 HOSPITAL HAS SUPPORTED THE COMMUNITY THROUGH THE FOLLOWING: - Hosting support groups for former REHAB patients and the community-at-large, including the Stroke Club, Brain Injury Association of Hawaii and the Breast Cancer 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 2018, MORE THAN 8,000 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 2018, REHAB HOSPITAL PROVIDED VARIOUS FORMS OF FINANCIAL ASSISTANCE TO ITS PATIENTS. THE ESTIMATED UNCOMPENSATED COST OF PROVIDING CARE TO THESE PATIENTS WAS APPROXIMATELY $42,000. REHAB HOSPITAL ALSO PROVIDED SERVICES TO APPROXIMATELY 2,000 INPATIENTS AND OUTPATIENTS WITH MEDICAID OR MEDICAID HMO COVERAGE. MEDICAID REIMBURSEMENT CONTINUES TO BE LOWER THAN THE COST TO PROVIDE SERVICES TO THESE PATIENTS. IT IS ESTIMATED THAT THE COST TO PROVIDE SERVICES TO THESE PATIENTS WITH MEDICAID OR MEDICAID HMO COVERAGE EXCEEDED REIMBURSEMENT, BY APPROXIMATELY $1,600,000. FORM 990, PART VI, LINE 1A THE EXECUTIVE COMMITTEE SHALL BE A STANDING COMMITTEE CONSISTING OF NOT LESS THAN SEVEN (7) NOR MORE THAN THIRTEEN (13) MEMBERS. MEMBERS INCLUDE THE CHAIR OF THE REHABILITATION HOSPITAL OF THE PACIFIC WHO ALSO ACTS AS THE CHAIR OF THE EXECUTIVE COMMITTEE; VICE CHAIR OF THE REHABILITATION HOSPITAL OF THE PACIFIC; CHAIRS OF THE COMPLIANCE/AUDIT COMMITTEE, FINANCE COMMITTEE, HUMAN RESOURCES/COMPENSATION COMMITTEE, INVESTMENT COMMITTEE, NOMINATING COMMITTEE AND QUALITY IMPROVEMENT COMMITTEE; CHAIR OF THE REHABILITATION HOSPITAL OF THE PACIFIC FOUNDATION AND ANY OTHER MEMBER APPOINTED BY THE BOARD OF DIRECTORS. THE COMMITTEE SHALL TRANSACT ALL REGULAR BUSINESS AND ACT ON BEHALF OF THE BOARD OF DIRECTORS DURING THE PERIOD BETWEEN MEETINGS OF THE BOARD WITH THE UNDERSTANDING THAT ALL MATTERS OF MAJOR IMPORTANCE WILL BE REFERRED TO THE BOARD INCLUDING THE FOLLOWING: - AUTHORIZE DISTRIBUTIONS; - APPROVE THE DISSOLUTION, MERGER, OR THE SALE, PLEDGE OR TRANSFER OF ALL OR SUBSTANTIALLY ALL OF THE CORPORATIONS ASSETS; - ELECT, APPOINT OR REMOVE DIRECTORS OR FILL VACANCIES ON THE BOARD OR ON ANY OF ITS COMMITTEES; - ADOPT, AMEND OR REPEAL THE CHARTER OF INCORPORATION OR BYLAWS FORM 990, PART VI, LINE 11B PROCESS USED TO REVIEW THE FORM 990 THE COMPLIANCE/AUDIT COMMITTEE OF THE BOARD IS GIVEN THE AUTHORITY BY THE FULL BOARD OF DIRECTORS TO REVIEW AND APPROVE THE FORM 990 PRIOR TO FILING. A COMPLETE COPY OF THE APPROVED FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD PRIOR TO FILING. FORM 990, PART VI, LINE 12C IN ACCORDANCE WITH HOSPITAL POLICY, CONFLICT OF INTEREST QUESTIONNAIRES ARE COMPLETED ANNUALLY BY ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, MEMBERS OF THE MEDICAL EXECUTIVE COMMITTEE, MEMBERS OF COMMITTEES WITH BOARD DELEGATED POWERS AND OTHER DESIGNATED REHAB EMPLOYEES. THE EXECUTIVE SECRETARY DISTRIBUTES THE QUESTIONNAIRES AND COMPILES A REPORT OF THE RESPONSES. THE REPORT IS REVIEWED BY THE COMPLIANCE OFFICER AND CEO AND DISTRIBUTED TO THE COMPLIANCE/AUDIT COMMITTEE FOR REVIEW. THE COMPLIANCE/AUDIT COMMITTEE REVIEWS THE REPORT TO DETERMINE WHETHER THE TERMS OF THE IDENTIFIED CONFLICT OF INTEREST ARE FAIR TO AND IN THE BEST INTEREST OF REHAB. THE COMPLIANCE/AUDIT COMMITTEE APPROVES THE REPORT AS APPROPRIATE AND SUCH APPROVAL IS DOCUMENTED IN THE MINUTES. ANY FURTHER ACTION REQUIRED FOR UNAPPROVED CONFLICT WOULD BE RESOLVED AT THE INSTRUCTION OF THE COMPLIANCE/AUDIT COMMITTEE. IF A BOARD MEMBER HAS A CONFLICT OF INTEREST, SUCH BOARD MEMBER WILL BE EXCUSED FROM VOTING ON THE RELATED MATTER. FORM 990, PART VI, LINES 15A & 15B THE PROCESS TO REVIEW CEO COMPENSATION WAS LAST COMPLETED IN AUGUST 2016 RESULTING IN A THREE YEAR EMPLOYMENT AGREEMENT. THE EMPLOYMENT AGREEMENT STIPULATES A BASE SALARY FOR THE FIRST YEAR AND THEN ADJUSTMENTS BASED ON THE U.S. BUREAU OF LABOR STATISTICS COST INDEX: WAGES AND SALARIES FOR PRIVATE INDUSTRY WORKS IN HOSPITALS FOR THE FOLLOWING YEARS. THE PROCESS TO REVIEW COMPENSATION FOR OTHER EXECUTIVES WAS LAST COMPLETED IN JULY 2016 AND OCTOBER 2017. FORM 990, PART VI, LINE 19 UPON REQUEST, THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 NET CHANGE IN ACCRUED PENSION LIABILITY $ 1,566,409 CHANGE IN BENEFICIAL INTEREST IN UNRESTRICTED NET ASSETS OF FOUNDATION ($ 593,539) CHANGE IN BENEFICIAL INTEREST IN TEMPORARILY RESTRICTED NET ASSETS OF FOUNDATION $ 488,830 CHANGE IN BENEFICIAL INTEREST IN PERMANENTLY RESTRICTED NET ASSETS OF FOUNDATION $ 121,897 ------------- TOTAL $ 1,583,597 REHAB Hospital of the Pacific Foundation 226 North Kuakini Street Honolulu HI 96817 990241634 Support Svcs HI 501(c)(3) 7 REHAB HOSP true false false true false false false false false false false false false false false false false true false false REHAB Hospital of the Pacific Foundation c 1481304 Cost REHAB Hospital of the Pacific Foundation q 364918 Cost