REHABILITATION HOSPITAL OF THE PACIFIC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
REHABILITATION HOSPITAL OF THE PACIFIC (EIN 51-0160156)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-15
IRS object ID
201402279349305210
Schema version
2012v2.3
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-15T19:54:16-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1999 Bishop St Suite 2700AddressLine1
CityHonoluluCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510160156EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Rehabilitation Hospital of the PacificBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% KERIANN M KAUInCareOfName
Name ControlREHANameControl
Phone8085313511Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 North Kuakini StreetAddressLine1
Address Line2SuiteAddressLine2
CityHonoluluCity
StateHIState
ZIP Code968172498ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY J ROE MDName
TitlePRESIDENT & CEOTitle
Phone8085663471Phone
Date Signed2014-08-13DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREGG K FURUYAName
Phone8085430700Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonDR TIMOTHY ROENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1226 NORTH KUAKINI STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code968172498ZIPCode
FieldValueIRS element (for citing)
Gross Receipts53514637GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.rehabhospital.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1975YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE O ATTACHMENT 1ActivityOrMissionDescription
Nbr Voting Members Governing Body18NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees432TotalNbrEmployees
Total Nbr Volunteers98TotalNbrVolunteers
Total Gross UBI-55924TotalGrossUBI
Net Unrelated Business Txbl Income-55924NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year2122978ContributionsGrantsPriorYear
Contributions Grants Current Year7206506ContributionsGrantsCurrentYear
Program Service Revenue Prior Year30840250ProgramServiceRevenuePriorYear
Program Service Revenue CY35141394ProgramServiceRevenueCY
Investment Income Prior Year637036InvestmentIncomePriorYear
Investment Income Current Year1678228InvestmentIncomeCurrentYear
Other Revenue Prior Year762769OtherRevenuePriorYear
Other Revenue Current Year899022OtherRevenueCurrentYear
Total Revenue Prior Year34363033TotalRevenuePriorYear
Total Revenue Current Year44925150TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year22758077SalariesEtcPriorYear
Salaries Etc Current Year23734435SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year13467995OtherExpensePriorYear
Other Expenses Current Year13461430OtherExpensesCurrentYear
Total Expenses Prior Year36226072TotalExpensesPriorYear
Total Expenses Current Year37195865TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1863039RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7729285RevenuesLessExpensesCY
Total Assets BOY44481623TotalAssetsBOY
Total Assets EOY71573079TotalAssetsEOY
Total Liabilities BOY23596904TotalLiabilitiesBOY
Total Liabilities EOY20160881TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY20884719NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY51412198NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionREHABILITATION 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 UTILIZING A CONTINUUM OF REHABILITATION SERVICES THAT ARE ADVANCED THROUGH EDUCATION, TECHNOLOGY AND RESEARCH.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense26013796Expense
Revenue35141394Revenue
DescriptionThe Rehabilitation Hospital of the Pacific (REHAB) is the only acute-care medical rehabilitation organization serving Hawaii. For more than 60 years, the 90-bed, not-for-profit hospital and three outpatient clinics on the islands of Oahu and Hawaii have been dedicated to providing comprehensive medical rehabilitation services. The special programs at REHAB offer opportunities for people with debilitating injuries or illnesses to rebuild their strength and function to maximize their independence. These programs are: Stroke Program - Helps a person recovering from a stroke make physical and psychological adjustments to cope with paralysis, speech problems, cognitive deficits, swallowing disorders and visual perception difficulties. Brain Injury Program - Increases a brain-injured person's prospects of returning home by starting therapy as soon as possible after an injury. Orthopedic Program - Provides treatment and therapy for individuals with complicated musculoskeletal problems, arthritis and orthopedic surgery complicated by the presence of other medical conditions. Spinal Cord Injury Program - Helps a spinal cord injured person relearn and master daily living skills to increase their prospect of returning home. Amputee Clinic - Meets the needs of lower or upper extremity amputee patients that are candidates for prosthesis and gait training. General Rehabilitation Program - Provides medical rehabilitation for patients who have become debilitated due to inactivity caused by prolonged illnesses, surgeries or degenerative diseases. In fiscal year 2013, REHAB discharged a total of 1,512 inpatients in the following programs: - Orthopedic & Amputee Programs: 602 inpatients - Stroke and Other Neurological Programs: 456 inpatients - General REHAB Programs: 252 inpatients - Brain Injury Programs: 103 inpatients - Spinal Cord Dysfunction Programs: 99 inpatientsDescription

Activity2 Activity2

FieldValueIRS element (for citing)
DescriptionIn addition to these inpatient programs, REHAB offers the following outpatient services: Comprehensive Outpatient Rehabilitation - Provides comprehensive rehabilitation services for persons living at home that need additional physical, occupational or speech therapy in order to reach the highest level of independence possible. Work Health Programs - Offers specialized clinical services to injured workers, which includes hand rehabilitation. Specialty services to include: - Aquatic Therapy - Cardiac Rehabilitation - Driver's Education and Training - Wheelchair Evaluations - Women's Health Therapy REHAB had outpatient therapy units totaling 149,566 in fiscal year 2013 in the following areas: - Physical and Aquatics Therapy - 114,526 units - Occupational Therapy - 27,452 units - Speech Therapy - 7,588 unitsDescription

Activity3 Activity3

FieldValueIRS element (for citing)
DescriptionReimbursement 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 2013, 74 patients received some form of financial assistance from REHAB, and the estimated uncompensated cost* of providing care to these patients was approximately $72,000. REHAB also provided services to 735 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 nearly $1,296,000. REHAB also provided uncompensated services and programs throughout the year that REHAB believes serves a genuine community health need. Some community events that REHAB has extended itself to include are the following: - Host the "Stroke Club" for former REHAB patients and other patients in the community, who have suffered a stroke, providing patients and their families with the opportunity to share their common experiences and to obtain the latest information on the prevention of and treatments for stroke. Similar support groups have been supported by REHAB for former brain-injured and spinal cord-injured patients as well. - Provide curriculum and clinical rotation in therapy, rehabilitative nursing, and neuropsychology for healthcare residents from institutions of higher learning. - Participate in health and fitness fairs to help foster health education in the community. - Sponsor conferences and presentations to special interest groups focused on the prevention and treatment of brain injuries, spinal cord injuries and strokes. - Organize hundreds of volunteers from the community, many of whom are also physically challenged, to perform thousands of hours of volunteer work for REHAB. In fiscal year 2013, more than 11,300 volunteer hours were performed. Although the charity care benefits mentioned above are of great impact and significance, the selection and quality of programs and services provided by the hospital are of greater 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. - Provide education and training to staff and the community on rehabilitation techniques and trends. - Return of injured workers to the work force in a cost efficient and timely manner. *Estimated costs are obtained from hospital's cost accounting system and include both direct and indirect costs.Description
FieldValueIRS element (for citing)
Total Program Service Expense26013796TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109660NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees432NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members18NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonKERIANN M KAUNamePerson
Telephone Number8085443308TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1226 NORTH KUAKINI STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code968172498ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
JANICE LUKE LOO
DIRECTOR1.01.0X
RONALD NS HO
DIRECTOR1.00.0X
HOWARD H KARR
DIRECTOR1.00.0X
JOHN KOMEIJI
DIRECTOR/CHAIR1.01.0XX
BENJAMIN A KUDO
DIRECTOR1.00.0X
MICHAEL PERRY
DIRECTOR1.01.0X
DR MYRON SHIRASU
DIRECTOR1.00.0X
DR CHERYLEE CHANG
DIRECTOR1.00.0X00
SAI CHANTAVY
DIRECTOR1.00.0X
PATRICK SULLIVAN
DIRECTOR1.00.0X
DR LAURIE TOM
DIRECTOR1.01.0X
ALAN TOMONARI
DIRECTOR1.00.0X
MICHAEL WO
DIRECTOR1.00.0X
RAY ONO
DIRECTOR1.00.0X
DR BRUCE KATSURA
DIRECTOR1.00.0X
E Lynne Madden
DIRECTOR/Secretary/TREASURER1.01.0XX
GLENN SEXTON
director/VICE CHAIR1.01.0XX
JENNIFER ISOBE
DIRECTOR1.00.0X
BRYAN LUKE
DIRECTOR0.01.0X
FAYE MIYAMOTO
VP OF HUMAN RESOURCES40.00.0X10011913340
DR TIMOTHY ROE
PRESIDENT & CEO40.00.0X32531015554
AUDREY TORRES
Senior VP - Patient Care SVCS40.00.0X12614119407
TY TOMIMOTO
ACTING VP - FINANCIAL SERVICES40.00.0X8786414219
DR JASON CHANG
CHIEF MEDICAL OFFICER40.00.0X348444797
WENDY MANUEL
CHIEF FINANCIAL OFFICER40.00.0X0
RUBY S KUSHIMA
RN - CRRN40.310.010129818658X
TERESITA G GANATA
RN - CRRN40.880.010895716991X
ELSIE M LABAYOG
RN - CRRN40.830.010919214134X
TERESA WONG
DIRECTOR40.00.012855813612X
ANDRES A MARIANO JR
RN - CRRN41.910.010800520975X
DR GARY OKAMOTO
FORMER SR VP/CHIEF MED OFFICER0.00.024502314959X
CLAIR JONES
FORMER PRESIDENT & CEO0.00.01912111100X
LYNETTE KO MIYATAKI
SR VP HUMAN RESOURCES0.020.0290148257912091X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1695536TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs82579TotalReportableCompFrmRltdOrgs
Total Other Compensation179837TotalOtherCompensation
Number Individuals GT100 K26NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AFFILIATED COMPUTER SERVICES
PO BOX 200790DALLASTX753200790INFORMATION SYSTEMS744660
THE QUEENS POB PHARMACY
1380 LUSITANA STREETHONOLULUHI96813MANAGEMENT-PHARMACY480274
SODEXO INC AFFILIATES
DEPT 43283LOS ANGELESCA900883283MANAGEMENT - DIETARY1248067
XEROX BUSINESS SERVICES LLC
PO BOX 201322DALLASTX753201322INFORMATION SYSTEMS1304449
J KADOWAKI INC
518 AHUI STREETHONOLULUHI96813GENERAL CONTRACTOR5279966
FieldValueIRS element (for citing)
Number Of Contractors GT100 K15NumberOfContractorsGT100K
Info In Schedule O Part VIIIXInfoInScheduleOPartVIII
Related Organizations7206506RelatedOrganizations
Total Contributions7206506TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUES1204762912047629
MEDICARE/MEDICAID PAYMENTS2306764223067642
GRANTS & CONTRACTS1424814248
STUDENT TRAINING AND TOURS1187511875
FieldValueIRS element (for citing)
Total Program Service Revenue35141394TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column538901TotalRevenueColumn
Unrelated Business Revenue-55924UnrelatedBusinessRevenue
Exclusion$594,825ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real669867Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real669867Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column669867TotalRevenueColumn
Exclusion$669,867ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities9728814Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities8580018Securities
Other9469Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1148796Securities
Other-9469Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1139327TotalRevenueColumn
Exclusion$1,139,327ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MEDICAL TRANSCRIPT23245$23,245
PARKING REVENUE128239$128,239
PURCHASE DISCOUNTS29275$29,275

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column48396TotalRevenueColumn
Exclusion$48,396ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue229155TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column44925150TotalRevenueColumn
Related Or Exempt Function Income35141394RelatedOrExemptFunctionIncome
Unrelated Business Revenue-55924UnrelatedBusinessRevenue
Exclusion$2,633,174ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total849534Total
Program Services272500ProgramServices
Management And General577034ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total17475323Total
Program Services15154231ProgramServices
Management And General2321092ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total839688Total
Program Services706889ProgramServices
Management And General132799ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3210722Total
Program Services2702938ProgramServices
Management And General507784ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1359168Total
Program Services1144212ProgramServices
Management And General214956ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total41239Total
Management And General41239ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total230841Total
Management And General230841ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total115583Total
Management And General115583ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total92714Total
Management And General92714ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total254313Total
Program Services233564ProgramServices
Management And General20749ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total26534Total
Program Services7878ProgramServices
Management And General18656ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total8971Total
Program Services2055ProgramServices
Management And General6916ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1742042Total
Program Services816841ProgramServices
Management And General925201ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total326222Total
Management And General326222ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER PROFESSIONAL FEES468195723088372373120
UTILITIES1312001652611246740
SUPPLIES1171425994120177305
ACCELERATED DEPRECIATION13147591314759

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total2142829Total
Program Services1604470ProgramServices
Management And General538359ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total37195865Total
Program Services26013796ProgramServices
Management And General11182069ManagementAndGeneral
Fundraising0Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2000BOY
EOY1900EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2683696BOY
EOY2456294EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3443046BOY
EOY4064744EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY114425BOY
EOY116595EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY607215BOY
EOY443739EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis46350073LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17488656LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY19589157BOY
EOY28861417EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY16425687BOY
EOY18327576EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1029145BOY
EOY1132244EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY587252BOY
EOY16168570EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY44481623BOY
EOY71573079EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19658302BOY
EOY12820209EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3938602BOY
EOY7340672EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23596904BOY
EOY20160881EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY20884719BOY
EOY38724012EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY9421401EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY3266785EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20884719BOY
EOY51412198EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY44481623BOY
EOY71573079EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses7729285ReconcilationRevenueExpenses
Reconciliation Unrealized Invest184642ReconciliationUnrealizedInvest
Reconcilation Prior Adjustment17895434ReconcilationPriorAdjustment
Reconcilation Other Changes4718118ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance10000000BeginningOfYearBalance
End Of Year Balance10000000EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance10000000BeginningOfYearBalance
End Of Year Balance10000000EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10000000BeginningOfYearBalance
End Of Year Balance10000000EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10000000BeginningOfYearBalance
End Of Year Balance10000000EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance10000000BeginningOfYearBalance
End Of Year Balance10000000EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1244244OtherCostOrOtherBasis
Book Value1244244BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis16479705OtherCostOrOtherBasis
Depreciation4873687Depreciation
Book Value11606018BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis202543OtherCostOrOtherBasis
Depreciation166508Depreciation
Book Value36035BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis20915654OtherCostOrOtherBasis
Depreciation10785502Depreciation
Book Value10130152BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis7507927OtherCostOrOtherBasis
Depreciation1662959Depreciation
Book Value5844968BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings28861417TotalOfBookValueLandBuildings

Other Assets OtherAssets (5 entries)

DescriptionDescriptionBook ValueBookValue
DEPOSITS & OTHER RECEIVABLES407209
DUE FROM REHAB HOSPITAL OF76215
CURRENT2961341
NON-CURRENT12697182
OTHER ASSETS26623
FieldValueIRS element (for citing)
Total Book Value Other Assets16168570TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMPENSATION PAYABLE$1,132,244
CAPITAL LEASE - CURRENT$28,489
CAPITAL LEASE - NONCURRENT$0
LINE OF CREDIT$6,000,000
DUE TO THIRD PARTY PAYORS$179,127
DUE TO REHABILITATION HOSPITAL$812
FieldValueIRS element (for citing)
Total Of Amounts7340672TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt38382850TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments184642NetUnrealizedGainsInvestments
Other Revenues470095OtherRevenues
Revenue Not Rptd F990654737RevenueNotRptdF990
Revenue Subtotal37728113RevenueSubtotal
Other Revenues Not Included7197037OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt7197037RevenueNotRptdOnFinStmt
Total Revenue Per Form99044925150TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt37205334TotExpensesEtcAuditedFinclStmt
Other Expenses Included9469OtherExpensesIncluded
Expenses Not Rptd F9909469ExpensesNotRptdF990
Expenses Subtotal37195865ExpensesSubtotal
Total Expenses Per Form99037195865TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ENDOWMENT FUNDSPART V, LINE 4Rehabilitation Hospital of the Pacific uses the endowment funds for the purposes intended by the board.
PART XI, LINE 2DNET ASSETS RELEASED FROM RESTRICTIONS $ 470,095
PART XI, LINE 4BGRANT FROM REHABILITATION HOSPITAL OF THE PACIFIC FOUNDATION $ 7,206,506 EQUIPMENT DISPOSAL $ (9,469) ------------ TOTAL TO PART XI, LINE 4B $ 7,197,037
PART XII, LINE 2DEQUIPMENT DISPOSAL $ 9,469

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense61366TotalCommunityBenefitExpense
Net Community Benefit Expense61366NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense18157TotalCommunityBenefitExpense
Direct Offsetting Revenue8517DirectOffsettingRevenue
Net Community Benefit Expense9640NetCommunityBenefitExpense
Percent Of Total Expense0.00030PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense4320846TotalCommunityBenefitExpense
Direct Offsetting Revenue3579880DirectOffsettingRevenue
Net Community Benefit Expense740966NetCommunityBenefitExpense
Percent Of Total Expense0.01990PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense4400369TotalCommunityBenefitExpense
Direct Offsetting Revenue3588397DirectOffsettingRevenue
Net Community Benefit Expense811972NetCommunityBenefitExpense
Percent Of Total Expense0.02180PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense14802TotalCommunityBenefitExpense
Net Community Benefit Expense14802NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense330443TotalCommunityBenefitExpense
Net Community Benefit Expense330443NetCommunityBenefitExpense
Percent Of Total Expense0.00890PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense56338TotalCommunityBenefitExpense
Net Community Benefit Expense56338NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense401583TotalCommunityBenefitExpense
Net Community Benefit Expense401583NetCommunityBenefitExpense
Percent Of Total Expense0.01080PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense4801952TotalCommunityBenefitExpense
Direct Offsetting Revenue3588397DirectOffsettingRevenue
Net Community Benefit Expense1213555NetCommunityBenefitExpense
Percent Of Total Expense0.03260PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$226,297BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare11675084AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare9602330CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall2072754MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CarefalseProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1REHABILITATION HOSPITAL OF THEBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1PACIFIC 226 NORTH KUAKINI STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96817ZIPCode
FieldValueIRS element (for citing)
Website AddressWWW.REHABHOSPITAL.ORGWebsiteAddress
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1REHABILITATION HOSPITAL OF THE PACIFIBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Include Operational PlansXIncludeOperationalPlans
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent300.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted In Emergency RoomXPostedInEmergencyRoom
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Permit Report To Credit AgencyXPermitReportToCreditAgency
Permit LawsuitXPermitLawsuit
Collection ActivitiestrueCollectionActivities
Report To Credit AgencyXReportToCreditAgency
LawsuitXLawsuit
Notify Upon AdmissionXNotifyUponAdmission
Notify Before DischargeXNotifyBeforeDischarge
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Medicare RateXMedicareRate
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (10 entries)

IdentifierIdentifierExplanationExplanation
PART I, LINE 7FOR INPATIENT AND OUTPATIENT, THE COST TO CHARGE RATIO WAS USED.
PART III, LINE 2THE HOSPITAL APPLIED THE COST TO CHARGE RATIO TO THE PROVISION FOR BAD DEBT.
PART III, LINE 4PLEASE SEE PAGE 11 OF THE ATTACHED FINANCIAL STATEMENTS.
PART V, SECTION B, LINE 3PLEASE SEE ATTACHED CHNA.
PART V, SECTION B, LINE 4PLEASE SEE ATTACHED CHNA.
PART V, SECTION B, LINE 7THE HOSPITAL COMPLETED ITS CHNA AT THE END OF ITS FISCAL YEAR AND HAS ADDRESSED MANY, BUT NOT ALL, OF THE NEEDS IDENTIFIED IN THE CHNA BY THE END OF THE YEAR. THE HOSPITAL DETAILED ITS PLAN TO ADDRESS ALL NEEDS IN ITS IMPLEMENTATION STRATEGY. PLEASE SEE THE ATTACHED IMPLEMENTATION STRATEGY.
PART V, SECTION B, LINE 14GPLEASE SEE "PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE"
NEEDS ASSESSMENTPLEASE SEE ATTACHED CHNA.
PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEPRIOR TO ADMISSION PATIENTS ARE GIVEN INFORMATION ON THE FINANCIAL ASSISTANCE PROGRAM. DURING THE TIME OF ADMISSION PATIENT WILL BE ASKED IF THEY WILL NEED FINANCIAL ASSISTANCE. IF FINANCIAL ASSISTANCE IS NEEDED THE ADMISSIONS OFFICE WILL ASSIST WITH THE COMPLETION OF THE FINANCIAL ASSISTANCE APPLICATION. SIGNAGE IS POSTED IN THE ADMISSIONS OFFICE, BILLING OFFICE AND OUTPATIENT CLINICS DESCRIBING THE FINANCIAL ASSISTANCE PROGRAM.
COMMUNITY INFORMATIONREHAB HOSPITAL SERVES THE ENTIRE STATE OF HAWAII.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlanfalseSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
DR TIMOTHY ROE
PRESIDENT & CEO31871006600015554340864
DR GARY OKAMOTO
FORMER SR VP/CHIEF MED OFFICER24109303930459010369259982
CLAIR JONES
FORMER PRESIDENT & CEO281630163048486614192311
LYNETTE KO MIYATAKI
SR VP HUMAN RESOURCES28303071149026543215880554020251394755391526

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
SCHEDULE J, PART I, LINE 1AOfficers Clair Jones, Dr. Timothy Roe and Dr. Gary Okamoto received health or social club dues during CY2012. Dr. Gary Okamoto's personal portion of the dues was treated as taxable compensation. The benefit was not treated as taxable compensation for Clair Jones and Dr. Timothy Roe. The dues were a working condition fringe and were used primarily for business as soMe of the clubs did not allow corporate membership. Any personal use of the membership was so small that it was a de minimis fringe.
SCHEDULE J, PART I, LINE 4AFORMER OFFICER CLAIR JONES RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $162,500 DURING CALENDAR YEAR 2012.
SCHEDULE J, PART IILYNETTE KO MIYATAKI RESIGNED FROM HER POSITION OF SENIOR VICE PRESIDENT OF HUMAN RESOURCES IN APRIL 2012. MS. MIYATAKI CONTINUED TO WORK PART-TIME FOR THE FOUNDATION UNTIL HER RETIREMENT IN FEBRUARY 2013. MS. MIYATAKI'S TOTAL COMPENSATION FOR ALL SERVICES IN 2012 WAS $123,684, WHICH IS PAID 26% BY THE HOSPITAL AND 74% BY THE FOUNDATION.LYNETTE KO MIYATAKI

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonRAY ONONamePerson
FieldValueIRS element (for citing)
RelationshipDIRECTOR OF HOSPITALRelationship
Description Of TransactionSEE PART VDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierPART IV, LINE 1, COLUMN DIdentifier
ExplanationRAY ONO IS AN OFFICER OF A FINANCIAL INSTITUTION WITH WHICH THE ORGANIZATION HAS A BANKING AND INVESTMENT RELATIONSHIP.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
FORM 990, PART VI, LINE 11BThe organization has established the following procedures for the review of the Form 990: The 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 copy of the final 990 will be provided to each member of the Board.
FORM 990, PART VI, LINE 12CConflict 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, LINE 15The Executive Committee reviews and approves CEO compensation and the HR Compensation Committee reviews and approves compensation for other executives. Both committees are made up of independent Board members. In determining compensation, the committee reviews appropriate comparability data, and contemporaneously documents its deliberation and decisions.
FORM 990, PART VI, LINE 19Upon request, the governing documents, conflict of interest policy, and financial statements are made available to the public.
FORM 990, PART VIIWENDY MANUEL BECAME THE CHIEF FINANCIAL OFFICER IN AUGUST 2013. WHEN MS. MANUEL STARTED IN AUGUST 2013, TY TOMIMOTO LEFT HIS POSITION OF ACTING VICE PRESIDENT OF FINANCIAL AFFAIRS AND RETURNED TO HIS FORMER POSISITON IN THE ORGANIZATION. DR. GARY OKAMOTO RESIGNED FROM HIS POSITION OF SENIOR VICE PRESIDENT AND CHIEF MEDICAL OFFICER IN SEPTEMBER 2012. WHEN DR. OKAMOTO LEFT, DR. JASON CHANG BECAME THE CHIEF MEDICAL DIRECTOR IN SEPTEMBER 2012. DIRECTOR DR. MYRON SHIRASU RETIRED FROM THE BOARD DURING FYE 9/30/13, AND DIRECTOR BRYAN LUKE JOINED THE BOARD DURING FYE 9/30/13.
FORM 990, PART XI, LINE 9PENSION LIABILITY ADJUSTMENT $ 6,955,029 BENEFICIAL INTEREST IN FOUNDATION NET ASSETS: UNRESTRICTED $(1,783,137) TEMPORARILY RESTRICTED $ (463,341) PERMANENTLY RESTRICTED $ 9,567 ----------- TO OTHER CHANGES IN NET ASSETS OR FUND BALANCES $ 4,718,118

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1REHAB HOSPITAL OF THE PACIFIC FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1226 NORTH KUAKINI STAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96817ZIPCode
FieldValueIRS element (for citing)
EIN990241634EIN
Primary ActivitiesSUPPORT SVCSPrimaryActivities
Legal Domicile StateHILegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1REHAB HOSPBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrgtrueControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
REHAB HOSPITAL OF THE PACIFIC FOUNDATION
A13400FMV
REHAB HOSPITAL OF THE PACIFIC FOUNDATION
C7206506FMV
REHAB HOSPITAL OF THE PACIFIC FOUNDATION
Q350771FMV

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