REHABILITATION HOSPITAL OF THE PACIFIC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- REHABILITATION HOSPITAL OF THE PACIFIC (EIN 51-0160156)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-02
- IRS object ID
- 201332149349300833
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule H
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-02T12:39:18-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Deloitte Tax LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 BISHOP ST SUITE 2700 | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510160156 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Rehabilitation Hospital of the Pacific | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % GARY ARAKAKI | InCareOfName |
| Name Control | REHA | NameControl |
| Phone | 8085313511 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 226 North Kuakini Street | AddressLine1 |
| City | Honolulu | City |
| State | HI | State |
| ZIP Code | 968172498 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | TIMOTHY J ROE MD | Name |
| Title | PRESIDENT & CEO | Title |
| Date Signed | 2013-07-31 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GREGG K FURUYA | Name |
| Phone | 8085430700 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DR TIMOTHY ROE | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 226 NORTH KUAKINI STREET | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 968172498 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 43919865 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.rehabhospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | HI | StateLegalDomicile |
| Activity Or Mission Description | SEE SCHEDULE O ATTACHMENT 1 | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 449 | TotalNbrEmployees |
| Total Nbr Volunteers | 115 | TotalNbrVolunteers |
| Total Gross UBI | -84442 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -84442 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1268652 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2122978 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 32227929 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 30840250 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -211660 | InvestmentIncomePriorYear |
| Investment Income Current Year | 637036 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 453644 | OtherRevenuePriorYear |
| Other Revenue Current Year | 762769 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 33738565 | TotalRevenuePriorYear |
| Total Revenue Current Year | 34363033 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 23360249 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 22758077 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 10251369 | OtherExpensePriorYear |
| Other Expenses Current Year | 13467995 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 33611618 | TotalExpensesPriorYear |
| Total Expenses Current Year | 36226072 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 126947 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -1863039 | RevenuesLessExpensesCY |
| Total Assets BOY | 41209499 | TotalAssetsBOY |
| Total Assets EOY | 44481623 | TotalAssetsEOY |
| Total Liabilities BOY | 16337943 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 23596904 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 24871556 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 20884719 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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 UTILIZING A CONTINUUM OF REHABILITATION SERVICES THAT ARE ADVANCED THROUGH EDUCATION, TECHNOLOGY AND RESEARCH. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 24974578 | Expense |
| Revenue | 30840250 | Revenue |
| Description | The Rehabilitation Hospital of the Pacific (REHAB) is the only acute-care medical rehabilitation organization serving Hawaii. For more than 59 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 2012, REHAB discharged a total of 1,338 inpatients in the following programs: - Orthopedic & Amputee Programs: 495 Inpatients - Stroke and Other Neurological Programs: 430 Inpatients - General Rehab Programs: 207 Inpatients - Brain Injury Programs: 103 Inpatients - Spinal Cord Dysfunction Programs: 103 Inpatients | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | In 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 160,526 in fiscal year 2012 in the following areas: - Physical and Aquatics Therapy - 120,752 Units - Occupational Therapy - 31,520 Units - Speech Therapy - 8,254 Units | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Reimbursement for services rendered is critical to the operation and viability of any hospital. However, in fulfillment of our mission as a non-profit, community-based hospital, REHAB has a financial assistance program that provides comprehensive medical rehabilitation to individuals from whom we may receive little or no compensation. In fiscal year 2012, 53 patients received some form of financial assistance from REHAB, and the estimated uncompensated cost* of providing care to these patients was approximately $134,000. REHAB also provided services to 853 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 coverage exceeded Medicaid reimbursement, by nearly $1,331,500. 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 2012, more than 15,300 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 high 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 24974578 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 60 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 449 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 18 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | false | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GARY ARAKAKI | NamePerson |
| Telephone Number | 8085443308 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 226 NORTH KUAKINI STREET | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 968172498 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| JANICE LUKE LOO | |||||||
| DIRECTOR | 1.0 | X | |||||
| RONALD NS HO | |||||||
| DIRECTOR | 1.0 | X | |||||
| HOWARD H KARR | |||||||
| DIRECTOR | 1.0 | X | |||||
| JOHN KOMEIJI | |||||||
| DIRECTOR/CHAIR | 1.0 | X | X | ||||
| BENJAMIN A KUDO | |||||||
| DIRECTOR | 1.0 | X | |||||
| MICHAEL PERRY | |||||||
| DIRECTOR | 1.0 | X | |||||
| DR MYRON SHIRASU | |||||||
| DIRECTOR | 1.0 | X | |||||
| DR CHERYLEE CHANG | |||||||
| DIRECTOR | 1.0 | X | |||||
| SAI CHANTAVY | |||||||
| DIRECTOR | 1.0 | X | |||||
| DR TIMOTHY ROE | |||||||
| DIRECTOR/PRESIDENT & CEO | 40.0 | X | X | ||||
| PATRICK SULLIVAN | |||||||
| DIRECTOR | 1.0 | X | |||||
| DENNIS TERANISHI | |||||||
| DIRECTOR/VICE CHAIR | 1.0 | X | X | ||||
| DR LAURIE TOM | |||||||
| DIRECTOR | 1.0 | X | |||||
| ALAN TOMONARI | |||||||
| DIRECTOR | 1.0 | X | |||||
| MICHAEL WO | |||||||
| DIRECTOR | 1.0 | X | |||||
| RAY ONO | |||||||
| DIRECTOR | 1.0 | X | |||||
| DR BRUCE KATSURA | |||||||
| DIRECTOR | 1.0 | X | |||||
| E Lynne Madden | |||||||
| DIRECTOR/Secretary/TREASURER | 1.0 | X | X | ||||
| GLENN SEXTON | |||||||
| director/VICE CHAIR | 1.0 | X | X | ||||
| JENNIFER ISOBE | |||||||
| DIRECTOR | 1.0 | X | |||||
| SUE ANN MORIWAKI | |||||||
| SR VP OF FINANCE & CFO | 40.0 | X | 142979 | 0 | 8687 | ||
| FAYE MIYAMOTO | |||||||
| VP OF HR | 40.0 | X | 106548 | 12434 | |||
| DR GARY OKAMOTO | |||||||
| SR VP & CHIEF MEDICAL OFFICER | 40.0 | X | 327169 | 0 | 16349 | ||
| CLAIR JONES | |||||||
| PRESIDENT & CEO | 40.0 | X | 318561 | 0 | 25523 | ||
| AUDREY TORRES | |||||||
| Senior VP - Patient Care SVCS | 40.0 | X | 129858 | 18048 | |||
| LYNETTE KO MIYATAKI | |||||||
| SR VP HUMAN RESOURCES | 20.0 | X | 79776 | 79776 | 13324 | ||
| TY TOMIMOTO | |||||||
| ACTING VP - FINANCIAL SERVICES | 40.0 | X | |||||
| TERESITA G GANATA | |||||||
| RN - CRRN | 40.41 | 110696 | 17244 | X | |||
| ELSIE M LABAYOG | |||||||
| RN - CRRN | 40.32 | 105243 | 14418 | X | |||
| Carolyn Uehara | |||||||
| RN - CRRN | 41.46 | 101831 | 18533 | X | |||
| TERESA WONG | |||||||
| DIRECTOR | 40.0 | 138659 | 0 | 12686 | X | ||
| DON YAMAUCHI | |||||||
| MANAGER | 40.0 | 111654 | 7559 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1672974 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 79776 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 164805 | TotalOtherCompensation |
| Number Individuals GT100 K | 25 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| AFFILIATED COMPUTER SERVICES | |||||
| PO BOX 200790 | DALLAS | TX | 753200790 | INFORMATION SYSTEMS | 1302844 |
| THE QUEENS POB PHARMACY | |||||
| 1380 LUSITANA STREET | HONOLULU | HI | 96813 | MANAGEMENT-PHARMACY | 470082 |
| SODEXO INC AFFILIATES | |||||
| DEPT 43283 | LOS ANGELES | CA | 900883283 | MANAGEMENT - DIETARY | 1255031 |
| XEROX BUSINESS SERVICES LLC | |||||
| PO BOX 201322 | DALLAS | TX | 753201322 | INFORMATION SYSTEMS | 924230 |
| J KADOWAKI INC | |||||
| 518 AHUI STREET | HONOLULU | HI | 96813 | GENERAL CONTRACTOR | 5301260 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 13 | NumberOfContractorsGT100K |
| Related Organizations | 2122978 | RelatedOrganizations |
| Total Contributions | 2122978 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|
| PATIENT REVENUES | 19648328 | 19648328 |
| MEDICARE/MEDICAID PAYMENTS | 11067001 | 11067001 |
| GRANTS & CONTRACTS | 111721 | 111721 |
| STUDENT TRAINING AND TOURS | 13200 | 13200 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 30840250 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 646881 | TotalRevenueColumn |
| Unrelated Business Revenue | -84442 | UnrelatedBusinessRevenue |
| Exclusion | $731,323 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 652252 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 162340 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 489912 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 489912 | TotalRevenueColumn |
| Exclusion | $489,912 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9384647 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 9394492 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -9845 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -9845 | TotalRevenueColumn |
| Exclusion | -$9,845 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|
| MEDICAL TRANSCRIPT | 26979 | $26,979 |
| PARKING REVENUE | 137192 | $137,192 |
| PURCHASE DISCOUNTS | 32982 | $32,982 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 75704 | TotalRevenueColumn |
| Exclusion | $75,704 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 272857 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 34363033 | TotalRevenueColumn |
| Related Or Exempt Function Income | 30840250 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | -84442 | UnrelatedBusinessRevenue |
| Exclusion | $1,484,247 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1518183 | Total |
| Program Services | 155405 | ProgramServices |
| Management And General | 1362778 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16411420 | Total |
| Program Services | 14406174 | ProgramServices |
| Management And General | 2005246 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 725014 | Total |
| Program Services | 587261 | ProgramServices |
| Management And General | 137753 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2780814 | Total |
| Program Services | 2252459 | ProgramServices |
| Management And General | 528355 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1322646 | Total |
| Program Services | 1071343 | ProgramServices |
| Management And General | 251303 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44181 | Total |
| Management And General | 44181 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158101 | Total |
| Management And General | 158101 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 120508 | Total |
| Management And General | 120508 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30975 | Total |
| Program Services | 10079 | ProgramServices |
| Management And General | 20896 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75507 | Total |
| Program Services | 61363 | ProgramServices |
| Management And General | 14144 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1468265 | Total |
| Program Services | 797399 | ProgramServices |
| Management And General | 670866 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 320756 | Total |
| Program Services | 10236 | ProgramServices |
| Management And General | 310520 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| OTHER PROFESSIONAL FEES | 4683383 | 1200895 | 3482488 |
| UTILITIES | 1270659 | 35238 | 1235421 |
| SUPPLIES | 1174637 | 1040292 | 134345 |
| ACCELERATED DEPRECIATION | 1642296 | 1642296 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2478727 | Total |
| Program Services | 1704138 | ProgramServices |
| Management And General | 774589 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36226072 | Total |
| Program Services | 24974578 | ProgramServices |
| Management And General | 11251494 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1800 | BOY |
| EOY | 2000 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4103578 | BOY |
| EOY | 2683696 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3539077 | BOY |
| EOY | 3443046 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 99609 | BOY |
| EOY | 114425 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 376918 | BOY |
| EOY | 607215 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 37147337 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 17558180 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13295167 | BOY |
| EOY | 19589157 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17931713 | BOY |
| EOY | 16425687 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1455778 | BOY |
| EOY | 1029145 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 405859 | BOY |
| EOY | 587252 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41209499 | BOY |
| EOY | 44481623 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 14780339 | BOY |
| EOY | 19658302 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1557604 | BOY |
| EOY | 3938602 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16337943 | BOY |
| EOY | 23596904 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24623056 | BOY |
| EOY | 20884719 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 248500 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24871556 | BOY |
| EOY | 20884719 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41209499 | BOY |
| EOY | 44481623 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -1863039 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -2123798 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10000000 | BeginningOfYearBalance |
| End Of Year Balance | 10000000 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10000000 | BeginningOfYearBalance |
| End Of Year Balance | 10000000 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10000000 | BeginningOfYearBalance |
| End Of Year Balance | 10000000 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 10000000 | BeginningOfYearBalance |
| End Of Year Balance | 10000000 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1.00000 | BoardDesignatedEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | false | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1244244 | OtherCostOrOtherBasis |
| Book Value | 1244244 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13162968 | OtherCostOrOtherBasis |
| Depreciation | 5780320 | Depreciation |
| Book Value | 7382648 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 202543 | OtherCostOrOtherBasis |
| Depreciation | 151015 | Depreciation |
| Book Value | 51528 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 13363936 | OtherCostOrOtherBasis |
| Depreciation | 10002026 | Depreciation |
| Book Value | 3361910 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9173646 | OtherCostOrOtherBasis |
| Depreciation | 1624819 | Depreciation |
| Book Value | 7548827 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 19589157 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (6 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED COMPENSATION PAYABLE | $1,029,145 |
| CAPITAL LEASE - CURRENT | $36,285 |
| CAPITAL LEASE - NONCURRENT | $28,489 |
| LINE OF CREDIT | $2,000,000 |
| DUE TO THIRD PARTY PAYORS | $842,991 |
| DUE TO REHABILITATION HOSPITAL | $1,692 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 3938602 | TotalOfAmounts |
| Total Revenue | 34363033 | TotalRevenue |
| Total Expenses | 36226072 | TotalExpenses |
| Excess Or Deficit For Year | -1863039 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1936289 | NetUnrealizedGLOnInvestments |
| Other | -$4,060,087 | OtherAmount |
| Total Adjustments | -2123798 | TotalAdjustments |
| Excess Or Deficit Per FS | -3986837 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 34760726 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 1936289 | NetUnrealizedGainsInvestments |
| Other Revenues | 584382 | OtherRevenues |
| Revenue Not Rptd F990 | 2520671 | RevenueNotRptdF990 |
| Revenue Subtotal | 32240055 | RevenueSubtotal |
| Other Revenues Not Included | 2122978 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 2122978 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 34363033 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 36388412 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 162340 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 162340 | ExpensesNotRptdF990 |
| Expenses Subtotal | 36226072 | ExpensesSubtotal |
| Total Expenses Per Form990 | 36226072 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ENDOWMENT FUNDS | PART V, LINE 4 | Rehabilitation Hospital of the Pacific uses the endowment funds for the purposes intended by the board. |
| PART XI, LINE 8 | CHANGE IN ACCRUED PENSION LIABILITY = $ (4,060,087) | |
| PART XII, LINE 2D | NET ASSETS RELEASED FROM RESTRICTION = $ (422,042) RECLASS OF RENTAL EXPENSES = $ (162,340) ------------- TOTAL TO PART XII, LINE 2D = $ (584,382) | |
| PART XII, LINE 4B | GRANT FROM REHABILITATION HOSPITAL OF THE PACIFIC FOUNDATION = $ 2,122,978 | |
| PART XIII, LINE 2D | RECLASS OF RENTAL EXPENSES = $ (162,340) |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 156659 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 156659 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00430 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 260732 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 161536 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 99196 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00270 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4420214 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2727220 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1692994 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04670 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4837605 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2888756 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1948849 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05370 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 7680 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 7680 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 63930 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 63930 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00180 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 71653 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 71653 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00200 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 143263 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 143263 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4980868 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 2888756 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2092112 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05770 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | true | BadDebtExpenseReported |
| Bad Debt Expense | $215,000 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 10107932 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 9403863 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 704069 | MedicareSurplusOrShortfall |
| Costing Methodology Used | CostingMethodologyUsed | |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | false | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHABILITATION HOSPITAL OF THE PACIFIC | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 226 NORTH KUAKINI STREET | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96817 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHABILITATION HOSPITAL OF THE PACIFIC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 300. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Collection Activities | true | CollectionActivities |
| Report To Credit Agency | X | ReportToCreditAgency |
| Lawsuit | X | Lawsuit |
| Notify Upon Admission | X | NotifyUponAdmission |
| Notify Before Discharge | X | NotifyBeforeDischarge |
| Notified All Patients | X | NotifiedAllPatients |
| Documented Determination | X | DocumentedDetermination |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)
| IdentifierIdentifier | ExplanationExplanation |
|---|---|
| Part I, Line 6A: | N/A |
| Part I, Line 7G | N/A |
| Part I, Line 7, Column F | N/A |
| Part I, Line 7 | FOR INPATIENT AND OUTPATIENT, A COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT WAS USED. |
| PART III, LINE 8 | N/A |
| PART V | N/A |
| NEEDS ASSESSMENT | N/A |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | PRIOR 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 INFORMATION | REHAB HOSPITAL SERVES THE ENTIRE STATE OF HAWAII |
| OTHER INFORMATION | N/A |
| AFFILATED HEALTH CARE SYSTEM ROLES | N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|
| SUE ANN MORIWAKI | |||||||||||
| 141779 | 0 | 0 | 0 | 1200 | 0 | 2780 | 0 | 5907 | 0 | 151666 | 0 |
| DR GARY OKAMOTO | |||||||||||
| 322679 | 0 | 0 | 0 | 4490 | 0 | 4900 | 0 | 11449 | 0 | 343518 | 0 |
| CLAIR JONES | |||||||||||
| 311985 | 0 | 0 | 0 | 6576 | 0 | 4900 | 0 | 20623 | 0 | 344084 | 0 |
| LYNETTE KO MIYATAKI | |||||||||||
| 79176 | 79176 | 0 | 0 | 600 | 600 | 1598 | 1598 | 3126 | 7002 | 84500 | 88376 |
| TERESA WONG | |||||||||||
| 122659 | 0 | 16000 | 0 | 0 | 0 | 2281 | 0 | 10405 | 0 | 151345 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| SCHEDULE J, PART I, LINE 1A | OFFICERS CLAIR JONES AND DR. GARY OKAMOTO RECEIVED HEALTH OR SOCIAL CLUB DUES DURING FYE 9/2012. 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. 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 II | LYNETTE KO MIYATAKI AVERAGE HOURS PER WEEK: 20 HRS PER WEEK - REHABILIATION HOSPITAL OF THE PACIFIC 20 HRS PER WEEK - REHABILIATION HOSPITAL OF THE PACIFIC FOUNDATION LYNETTE KO MIYATAKI SERVED AS THE PRESIDENT FOR THE REHABILIATION HOSPITAL OF THE PACIFIC FOUNDATION UNTIL FEBRUARY 2013 AND SENIOR VP OF HUMAN RESOURCES FOR REHABILIATION HOSPITAL OF THE PACIFIC (PARENT COMPANY) UNTIL APRIL 2012. HER TOTAL COMPENSATION FOR ALL SERVICES IS $172,876, WHICH IS COMPENSATED BY THE FOUNDATION AND BY THE HOSPITAL AS LISTED ON FORM 990 PART VII AND SCHEDULE J, PART II. | LYNETTE KO MIYATAKI |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RAY ONO | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | DIRECTOR OF HOSPITAL | Relationship |
| Description Of Transaction | SEE PART V | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, LINE 1, COLUMN D | Identifier |
| Explanation | RAY 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 (7 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, LINE 11 | The 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 12C | Conflict of interest questionnaires are completed annually by board members and management. If a board member has a conflict of interest, such board member will be excused from voting. The questionnaires are reviewed by the compliance officer and compliance and audit committee. | |
| FORM 990, PART VI, LINE 15 | The 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 19 | Upon request, the governing documents, conflict of interest policy, and financial statements are made available to the public. | |
| FORM 990, PART VII | DR. TIMOTHY ROE SERVED AS DIRECTOR FROM OCTOBER 2011 THROUGH JANUARY 2012. WHILE A DIRECTOR, DR. ROE'S AVERAGE HOURS WERE ONE HOUR PER WEEK AND DR. ROE DID NOT RECEIVE ANY COMPENSATION. CLAIR JONES RESIGNED FROM HIS POSITION OF PRESIDENT AND CHIEF EXECUTIVE OFFICER ("CEO") DURING JANUARY 2012 AND DR. ROE BECAME PRESIDENT AND CEO, REPLACING MR. JONES. WHEN DR. ROE BECAME PRESIDENT AND CEO, DR. ROE'S AVERAGE HOURS WERE FORTY HOURS PER WEEK AND DR. ROE RECEIVED COMPENSATION. SUE ANN MORIWAKI RESIGNED FROM HER POSITION OF SENIOR VICE PRESIDENT OF FINANCE AND CHIEF FINANCIAL OFFICER IN MARCH 2012. TY TOMIMOTO BECAME THE ACTING VICE PRESIDENT OF FINANCIAL AFFAIRS IN APRIL 2012. MR. TOMIMOTO'S AVERAGE HOURS WERE FORTY HOURS PER WEEK AND MR. TOMIMOTO RECEIVED COMPENSATION. IN FEBRUARY 2012, GLENN SEXTON REPLACED DENNIS TERANISHI AS VICE CHAIR. DIRECTORS MARK OSHIO AND FRANK HAMADA RETIRED AT THE END OF FYE 9/2011. | |
| FORM 990, PART XI, LINE 5 | UNREALIZED GAIN = $ 1,936,289 MINIMUM PENSION LIABILITY ADJUSTMENT = $ (4,060,087) ----------- TO OTHER CHANGES IN NET ASSETS OR FUND BALANCES = $ (2,123,798) | |
| HOURS DEVOTED FOR RELATED ORGANIZATION | NAME:LYNETTE KO MIYATAKI TITLE:SR VP HUMAN RESOURCES HOURS:20 | FORM 990 PART VII |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHAB HOSPITAL OF THE PACIFIC FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | FDN 226 NORTH KUAKINI ST | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96817 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990241634 | EIN |
| Primary Activities | SUPPORT SVCS | PrimaryActivities |
| Legal Domicile State | HI | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | LINE 7 | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHAB HOSP | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | true | ControlledOrg |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| REHAB HOSPITAL OF THE PACIFIC FOUNDATION | ||
| A | 10212 | FMV |
| REHAB HOSPITAL OF THE PACIFIC FOUNDATION | ||
| C | 2122978 | FMV |
| REHAB HOSPITAL OF THE PACIFIC FOUNDATION | ||
| P | 409931 | FMV |
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