2013-08-02T12:39:18-05:00 2012-09-30 Deloitte Tax LLP 999 BISHOP ST SUITE 2700 HONOLULU HI 96813 990 2011-10-01 510160156 Rehabilitation Hospital of the Pacific % GARY ARAKAKI REHA 8085313511 226 North Kuakini Street Honolulu HI 968172498 TIMOTHY J ROE MD 2013-07-31 true GREGG K FURUYA 8085430700 2011 2016-02-24 21:20:13Z DR TIMOTHY ROE 226 NORTH KUAKINI STREET HONOLULU HI 968172498 43919865 false X www.rehabhospital.org X 1975 HI SEE SCHEDULE O ATTACHMENT 1 18 17 449 115 -84442 -84442 1268652 2122978 32227929 30840250 -211660 637036 453644 762769 33738565 34363033 0 0 0 0 23360249 22758077 0 0 0 10251369 13467995 33611618 36226072 126947 -1863039 41209499 44481623 16337943 23596904 24871556 20884719 X REHABILITATION HOSPITAL OF THE PACIFIC REBUILDS LIVES TOGETHER WITH INDIVIDUALS, FAMILIES AND COMMUNITIES BY PROVIDING EXEMPLARY PATIENT CARE SERVICES FOR THOSE WITH PHYSICAL AND COGNITIVE DISABILITIES IN HAWAII AND THE PACIFIC UTILIZING A CONTINUUM OF REHABILITATION SERVICES THAT ARE ADVANCED THROUGH EDUCATION, TECHNOLOGY AND RESEARCH. false false 24974578 30840250 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 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 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. 24974578 true true false false false false false false false true true false false false true false false true false false false false false false false false true true false false true false false false false false false false true false false false false false true true true false false true 60 0 true 449 true false false false false false false false false false false X 18 17 false false false false false false false true true false false true true true true true true true true false X X GARY ARAKAKI 8085443308 226 NORTH KUAKINI STREET HONOLULU HI 968172498 X JANICE LUKE LOO 1.0 X RONALD NS HO 1.0 X HOWARD H KARR 1.0 X JOHN KOMEIJI 1.0 X X BENJAMIN A KUDO 1.0 X MICHAEL PERRY 1.0 X DR MYRON SHIRASU 1.0 X DR CHERYLEE CHANG 1.0 X SAI CHANTAVY 1.0 X DR TIMOTHY ROE 40.0 X X PATRICK SULLIVAN 1.0 X DENNIS TERANISHI 1.0 X X DR LAURIE TOM 1.0 X ALAN TOMONARI 1.0 X MICHAEL WO 1.0 X RAY ONO 1.0 X DR BRUCE KATSURA 1.0 X E Lynne Madden 1.0 X X GLENN SEXTON 1.0 X X JENNIFER ISOBE 1.0 X SUE ANN MORIWAKI 40.0 X 142979 0 8687 FAYE MIYAMOTO 40.0 X 106548 12434 DR GARY OKAMOTO 40.0 X 327169 0 16349 CLAIR JONES 40.0 X 318561 0 25523 AUDREY TORRES 40.0 X 129858 18048 LYNETTE KO MIYATAKI 20.0 X 79776 79776 13324 TY TOMIMOTO 40.0 X TERESITA G GANATA 40.41 X 110696 17244 ELSIE M LABAYOG 40.32 X 105243 14418 Carolyn Uehara 41.46 X 101831 18533 TERESA WONG 40.0 X 138659 0 12686 DON YAMAUCHI 40.0 X 111654 7559 1672974 79776 164805 25 false true false 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 13 2122978 2122978 PATIENT REVENUES 19648328 19648328 MEDICARE/MEDICAID PAYMENTS 11067001 11067001 GRANTS & CONTRACTS 111721 111721 STUDENT TRAINING AND TOURS 13200 13200 30840250 646881 -84442 731323 0 0 652252 162340 489912 489912 489912 9384647 9394492 -9845 -9845 -9845 0 0 0 MEDICAL TRANSCRIPT 26979 26979 PARKING REVENUE 137192 137192 PURCHASE DISCOUNTS 32982 32982 75704 75704 272857 34363033 30840250 -84442 1484247 0 0 0 0 1518183 155405 1362778 0 16411420 14406174 2005246 725014 587261 137753 2780814 2252459 528355 1322646 1071343 251303 0 44181 44181 158101 158101 0 0 120508 120508 0 0 0 0 0 0 30975 10079 20896 0 75507 61363 14144 0 0 1468265 797399 670866 320756 10236 310520 OTHER PROFESSIONAL FEES 4683383 1200895 3482488 UTILITIES 1270659 35238 1235421 SUPPLIES 1174637 1040292 134345 ACCELERATED DEPRECIATION 1642296 1642296 2478727 1704138 774589 36226072 24974578 11251494 0 1800 2000 4103578 2683696 0 0 3539077 3443046 0 0 0 0 0 0 99609 114425 376918 607215 37147337 17558180 13295167 19589157 17931713 16425687 1455778 1029145 0 0 0 0 405859 587252 41209499 44481623 14780339 19658302 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1557604 3938602 16337943 23596904 X 24623056 20884719 248500 0 0 0 24871556 20884719 41209499 44481623 X -1863039 -2123798 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000000 10000000 10000000 10000000 10000000 10000000 10000000 10000000 1.00000 false false 1244244 1244244 13162968 5780320 7382648 202543 151015 51528 13363936 10002026 3361910 9173646 1624819 7548827 19589157 0 DEFERRED COMPENSATION PAYABLE 1029145 CAPITAL LEASE - CURRENT 36285 CAPITAL LEASE - NONCURRENT 28489 LINE OF CREDIT 2000000 DUE TO THIRD PARTY PAYORS 842991 DUE TO REHABILITATION HOSPITAL 1692 3938602 34363033 36226072 -1863039 1936289 -4060087 -2123798 -3986837 34760726 1936289 584382 2520671 32240055 2122978 2122978 34363033 36388412 162340 162340 36226072 36226072 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) true true true X true X true true true false false 156659 156659 0.00430 260732 161536 99196 0.00270 4420214 2727220 1692994 0.04670 4837605 2888756 1948849 0.05370 7680 7680 0.00020 63930 63930 0.00180 71653 71653 0.00200 143263 143263 0.00400 4980868 2888756 2092112 0.05770 true 215000 10107932 9403863 704069 true false 1 1 REHABILITATION HOSPITAL OF THE PACIFIC

226 NORTH KUAKINI STREET HONOLULU HI 96817

X REHABILITATION HOSPITAL OF THE PACIFIC 1 true true 200. true 300. true X X X X X X X true true X X X X X X true X X true X X X X X X true X false false 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 X true true X X X X false false false false false false false false false 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 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 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. RAY ONO DIRECTOR OF HOSPITAL SEE PART V false PART IV, LINE 1, COLUMN D RAY ONO IS AN OFFICER OF A FINANCIAL INSTITUTION WITH WHICH THE ORGANIZATION HAS A BANKING AND INVESTMENT RELATIONSHIP. 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 FORM 990 PART VII NAME:LYNETTE KO MIYATAKI TITLE:SR VP HUMAN RESOURCES HOURS:20 REHAB HOSPITAL OF THE PACIFIC FOUNDATION FDN 226 NORTH KUAKINI ST HONOLULU HI 96817 990241634 SUPPORT SVCS HI 501(c)(3) LINE 7 REHAB HOSP true true false true false false false false false false false false false false false false true false false 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