REHABILITATION HOSPITAL OF THE PACIFIC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
REHABILITATION HOSPITAL OF THE PACIFIC (EIN 51-0160156)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-06
IRS object ID
201202199349301145
Schema version
2010v3.7
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)
Timestamp2012-08-06T21:12:49-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

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 Line11132 BISHOP ST SUITE 1200AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510160156EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Rehabilitation Hospital of the PacificBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlREHANameControl
Phone8085313511Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1226 North Kuakini StreetAddressLine1
CityHonoluluCity
StateHIState
ZIP Code96817ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTIMOTHY J ROE MDName
TitlePRESIDENT & CEOTitle
Date Signed2012-07-31DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameGREGG K FURUYAName
Phone8085430700Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts47216224GrossReceipts
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 Body21NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees451TotalNbrEmployees
Total Nbr Volunteers102TotalNbrVolunteers
Total Gross UBI-38310TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1060041ContributionsGrantsPriorYear
Contributions Grants Current Year1268652ContributionsGrantsCurrentYear
Program Service Revenue Prior Year32352073ProgramServiceRevenuePriorYear
Program Service Revenue CY32227929ProgramServiceRevenueCY
Investment Income Prior Year888788InvestmentIncomePriorYear
Investment Income Current Year-211660InvestmentIncomeCurrentYear
Other Revenue Prior Year550088OtherRevenuePriorYear
Other Revenue Current Year453644OtherRevenueCurrentYear
Total Revenue Prior Year34850990TotalRevenuePriorYear
Total Revenue Current Year33738565TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year2105GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year21997851SalariesEtcPriorYear
Salaries Etc Current Year23360249SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year10329724OtherExpensePriorYear
Other Expenses Current Year10251369OtherExpensesCurrentYear
Total Expenses Prior Year32329680TotalExpensesPriorYear
Total Expenses Current Year33611618TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2521310RevenuesLessExpensesPriorYear
Revenues Less Expenses CY126947RevenuesLessExpensesCY
Total Assets BOY42825459TotalAssetsBOY
Total Assets EOY41209499TotalAssetsEOY
Total Liabilities BOY13738300TotalLiabilitiesBOY
Total Liabilities EOY16337943TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY29087159NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24871556NetAssetsOrFundBalancesEOY
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
Expense22089399Expense
Revenue32227929Revenue
DescriptionThe Rehabilitation Hospital of the Pacific (REHAB) is the only acute-care medical rehabilitation organization serving Hawaii. For more than 56 years, the 100-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. Each year, Rehab TREATS PATIENTS RECOVERING FROM STROKES, BRAIN IJURIES, SPINAL CORD INJURIES, ORTHOPEDIC INJURIES, SPORTS INJURIES AND THOSE REQUIRING GENERAL REHABILIATION. THROUGH A PROCESS OF MANAGEMENT BY TRANS-DISCIPLINARY TEAM, PROGRAMS THAT INCLUDES PHYSICAL MEDICINE, REHABILIATION NURSING, PHYSICAL THERAPY, OCCUPATION THERAPY AND SPEECH THERAPY, THE DISABLED PATIENT AND THEIR FAMILY LEARN NEW SKILLS AND KNOWLEDGE IN PREPERATION FOR LIVING AND WORKING IN THE COMMUNITY. REHAB ALSO HAS A FULL RANGE OF OUTPATIENT REHABILITATION SERVICES UTILIZING STATE-OF-THE-ART EQUIPMENT AND A SPECIALIZED TEAM OF THERAPISTS. 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 2011, REHAB discharged a total of 1,403 inpatients in the following programs: - Orthopedic & Amputee Programs : 544 Inpatients - Stroke and Other Neurological Programs : 418 Inpatients - General Rehab Programs : 230 Inpatients - Brain Injury Programs : 103 Inpatients - Spinal Cord Dysfunction Programs : 108 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 - Driver's Education and Training - Wheelchair Evaluations REHAB had outpatient therapy units totaling 128,783 in fiscal year 2011 in the following areas: - Physical and Aquatics Therapy : 112,414 Units - Occupational Therapy : 29,054 Units - Speech Therapy : 5,774 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 2011, 12 patients received some form of financial assistance from REHAB, and the estimated uncompensated cost of providing care to these patients was approximately $283,000. REHAB also provided services to 624 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 $1,230,000. In addition, 19 patients had their entire stay or length of outpatient treatment written off to bad debt because they were either unwilling to pay or complete the financial aid application process. The estimated cost for providing services to those patients was $31,000. 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 2011, more than 13,280 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 Hospitals Cost Accounting system and include both direct and indirect costs.Description
FieldValueIRS element (for citing)
Total Program Service Expense22089399TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
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 AssetsfalseReportOtherAssets
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 With109661NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees451NumberOfEmployees
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 Members21NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
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 PersonGARY ARAKAKINamePerson
Telephone Number8085313511TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1226 N KUAKINI STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96817ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JANICE LUKE LOO
DIRECTOR1.0X000
FRANK HAMADA
DIRECTOR1.0X000
RONALD NS HO
DIRECTOR1.0X000
HOWARD H KARR
DIRECTOR1.0X000
JOHN KOMEIJI
DIRECTOR/CHAIR1.0X000X
BENJAMIN A KUDO
DIRECTOR1.0X000
DR MYRON SHIRASU
DIRECTOR1.0X000
DR CHERYLEE CHANG
DIRECTOR1.0X000
SAI CHANTAVY
DIRECTOR1.0X000
DR TIMOTHY ROE
DIRECTOR1.0X000
MARK OSHIO
DIRECTOR1.0X000
PATRICK SULLIVAN
DIRECTOR1.0X000
DENNIS TERANISHI
DIRECTOR/VICE CHAIR1.0X000X
DR LAURIE TOM
DIRECTOR1.0X000
ALAN TOMONARI
DIRECTOR1.0X000
MICHAEL WO
DIRECTOR1.0X000
RAY ONO
DIRECTOR1.0X000
DR BRUCE KATSURA
DIRECTOR1.0X000
E Lynne Madden
DIRECTOR/Secretary/TREASURER1.0X000X
GLENN SEXTON
director1.0X000
SUE ANN MORIWAKI
SR VP OF FINANCE & CFO40.013259009812X
FAYE MIYAMOTO
VP OF HR40.0101113013138X
DR GARY OKAMOTO
SR VP & CHIEF MEDICAL DIRECTOR40.0290553019411X
CLAIR JONES
PRESIDENT & CEO40.0307413021475X
AUDREY TORRES
Senior VP - Patient Care SVCS40.0114054017758X
LYNETTE KO MIYATAKI
SR VP HUMAN RESOURCES40.0761857618510014X
RUBY S KUSHIMA
RN41.0101840013538X
TERESITA G GANATA
RN - CRRN42.0114285013938X
ELSIE M LABAYOG
RN - CRRN41.0106163013853X
Carolyn Uehara
RN - CRRN42.0100931013825X
Estrella Guevarra
RN41.010536009895X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1550487TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs76185TotalReportableCompFrmRltdOrgs
Total Other Compensation156657TotalOtherCompensation
Number Individuals GT100 K46NumberIndividualsGT100K
Formers ListedfalseFormersListed
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 SYSTEMS2148337
THE QUEENS POB PHARMACY
1380 LUSITANA STREETHONOLULUHI96813MANAGEMENT-PHARMACY438849
ALTRES MEDICAL
PO BOX 1410HONOLULUHI96807TEMP AGENCY177437
Arthur Mori Associates Inc
1314 South King Street Suite 955HONOLULUHI96814Architectual205746
SODEXO INC AFFILIATES
DEPT 43283LOS ANGELESCA900883283MGMT - FOOD SERVICE729640
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Related Organizations1020152RelatedOrganizations
Government Grants248500GovernmentGrants
Total Contributions1268652TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PATIENT REVENUES2008459520084595
MEDICARE/MEDICAID PAYMENTS1212622912126229
GRANTS & CONTRACTS94809480
STUDENT TRAINING AND TOURS76257625
FieldValueIRS element (for citing)
Total Program Service Revenue32227929TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column657503TotalRevenueColumn
Unrelated Business Revenue-38310UnrelatedBusinessRevenue
Exclusion$695,813ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real653432Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real471218Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real182214Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column182214TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$182,214ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities12137278Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities11297848Securities
Other1708593Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities839430Securities
Other-1708593Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-869163TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$869,163ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MEDICAL TRANSCRIPT20809$20,809
PARKING REVENUE142072$142,072
PURCHASE DISCOUNTS20141$20,141

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column88408TotalRevenueColumn
Exclusion$88,408ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue271430TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column33738565TotalRevenueColumn
Related Or Exempt Function Income32227929RelatedOrExemptFunctionIncome
Unrelated Business Revenue-38310UnrelatedBusinessRevenue
Exclusion$280,294ExclusionAmount

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)
Total1189701Total
Program Services131812ProgramServices
Management And General1057889ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total16938494Total
Program Services14148825ProgramServices
Management And General2789669ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1329792Total
Program Services1050536ProgramServices
Management And General279256ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total2542281Total
Program Services2008402ProgramServices
Management And General533879ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1359981Total
Program Services1074385ProgramServices
Management And General285596ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total57278Total
Management And General57278ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total117024Total
Management And General117024ManagementAndGeneral

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)
Total143069Total
Management And General143069ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total36285Total
Program Services10042ProgramServices
Management And General26243ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total75784Total
Program Services44472ProgramServices
Management And General31312ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1229740Total
Program Services497033ProgramServices
Management And General732707ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total320588Total
Program Services17891ProgramServices
Management And General302697ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROFESSIONAL FEES411171011897072922003
UTILITIES1150815624211088394
SUPPLIES789609688583101026
CONTRACT SERVICES638914638914
PURCHASED SERVICE741540526376215164

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total839013Total
Management And General839013ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total33611618Total
Program Services22089399ProgramServices
Management And General11522219ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1700BOY
EOY1800EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3540199BOY
EOY4103578EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY3360180BOY
EOY3539077EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY98410BOY
EOY99609EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY562587BOY
EOY376918EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis31396200LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec18101033LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14150416BOY
EOY13295167EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY19533205BOY
EOY17931713EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY1464795BOY
EOY1455778EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY113967BOY
EOY405859EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42825459BOY
EOY41209499EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY12141330BOY
EOY14780339EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1596970BOY
EOY1557604EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY13738300BOY
EOY16337943EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY29087159BOY
EOY24623056EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY248500EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29087159BOY
EOY24871556EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42825459BOY
EOY41209499EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses126947ReconcilationRevenueExpenses
Reconcilation Other Changes-4342550ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
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 Basis12053023OtherCostOrOtherBasis
Depreciation6751151Depreciation
Book Value5301872BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis202543OtherCostOrOtherBasis
Depreciation135522Depreciation
Book Value67021BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis12454087OtherCostOrOtherBasis
Depreciation9632516Depreciation
Book Value2821571BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5442303OtherCostOrOtherBasis
Depreciation1581844Depreciation
Book Value3860459BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings13295167TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
DEFERRED COMP PAYABLE$1,455,778
CAPITAL LEASE - CURRENT$34,433
CAPITAL LEASE - NONCURRENT$64,774
DUE TO REHABILITATION HOSPITAL$2,619
FieldValueIRS element (for citing)
Total Of Amounts1557604TotalOfAmounts
Total Revenue33738565TotalRevenue
Total Expenses33611618TotalExpenses
Excess Or Deficit For Year126947ExcessOrDeficitForYear
Net Unrealized GL On Investments-1418331NetUnrealizedGLOnInvestments
Other-$2,924,219OtherAmount
Total Adjustments-4342550TotalAdjustments
Excess Or Deficit Per FS-4215603ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt33560431TotRevenueEtcAuditedFinclStmt
Other Revenues1090518OtherRevenues
Revenue Not Rptd F9901090518RevenueNotRptdF990
Revenue Subtotal32469913RevenueSubtotal
Other Revenues Not Included1268652OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1268652RevenueNotRptdOnFinStmt
Total Revenue Per Form99033738565TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt35791429TotExpensesEtcAuditedFinclStmt
Other Expenses Included2179811OtherExpensesIncluded
Expenses Not Rptd F9902179811ExpensesNotRptdF990
Expenses Subtotal33611618ExpensesSubtotal
Total Expenses Per Form99033611618TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 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 8LOSS FROM DISCONTINUED OPERATIONS = $ (21,452) CHANGE IN ACCRUED PENSION LIABILITY = $ (2,902,766) ------------- TOTAL TO PART XI, LINE 8 = $ (2,924,219)
PART XII, LINE 2DRECLASS LOSS ON DISPOSAL = $ (1,708,593) NET ASSETS RELEASED FROM RESTRICTION = $ (329,038) RECLASS OF RENTAL EXPENSES = $ (471,218) UNREALIZED LOSS = $ 1,418,331 ------------- TOTAL TO PART XII, LINE 2D = $ (1,090,518)
PART XII, LINE 4BGRANT FROM REHABILITATION HOSPITAL OF THE PACIFIC FOUNDATION = $ 1,020,152 TEMPORARILY RESTRICTED CONTRIBUTIONS = $ 248,500 ---------------- TOTAL TO PART XII, LINE 4B = $ 1,268,652
PART XIII, LINE 2DRECLASS LOSS ON DISPOSAL = $ (1,708,593) RECLASS OF RENTAL EXPENSES = $ (471,218) ----------- TOTAL TO PART XIII, LINE 2D = $ (2,179,811)

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 BudgettrueExpensesExceededBudget
Unable To Provide CarefalseUnableToProvideCare
Annual Community Benefit ReportfalseAnnualCommunityBenefitReport

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense229146TotalCommunityBenefitExpense
Direct Offsetting Revenue127310DirectOffsettingRevenue
Net Community Benefit Expense101835NetCommunityBenefitExpense
Percent Of Total Expense0.00300PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense3405816TotalCommunityBenefitExpense
Direct Offsetting Revenue2450529DirectOffsettingRevenue
Net Community Benefit Expense955288NetCommunityBenefitExpense
Percent Of Total Expense0.02840PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense3634962TotalCommunityBenefitExpense
Direct Offsetting Revenue2577839DirectOffsettingRevenue
Net Community Benefit Expense1057123NetCommunityBenefitExpense
Percent Of Total Expense0.03140PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense43269TotalCommunityBenefitExpense
Net Community Benefit Expense43269NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense44568TotalCommunityBenefitExpense
Net Community Benefit Expense44568NetCommunityBenefitExpense
Percent Of Total Expense0.00130PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense45383TotalCommunityBenefitExpense
Net Community Benefit Expense45383NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense133220TotalCommunityBenefitExpense
Net Community Benefit Expense133220NetCommunityBenefitExpense
Percent Of Total Expense0.00410PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3768182TotalCommunityBenefitExpense
Direct Offsetting Revenue2577839DirectOffsettingRevenue
Net Community Benefit Expense1190343NetCommunityBenefitExpense
Percent Of Total Expense0.03550PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$31,000BadDebtExpenseAmount
Amount Reimbursed By Medicare19078875AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare13207663CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall5871212MedicareSurplusOrShortfall
Costing Methodology UsedCostingMethodologyUsed
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 THE PACIFICBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1226 NORTH KUAKINI STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96817ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1REHABILITATION HOSPITAL OF THE PACIFICBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

Form990 Schedule H Part VI Form990ScheduleHPartVI (11 entries)

IdentifierIdentifierExplanationExplanation
Part I, Line 6A:N/A
Part I, Line 7GN/A
Part I, Line 7, Column FN/A
Part I, Line 7FOR INPATIENT, A COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT WAS USED. FOR OUTPATIENT, A COST ACCOUNTING SYSTEM WAS USED.
PART III, LINE 8N/A
PART VN/A
NEEDS ASSESSMENTN/A
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
OTHER INFORMATIONN/A
AFFILATED HEALTH CARE SYSTEM ROLESN/A

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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 (3 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DR GARY OKAMOTO
2905530000049000145110309964000
CLAIR JONES
3074130000049000165750328888000
LYNETTE KO MIYATAKI
761857618500001526152634813481811928119200

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierLYNETTE KO MIYATAKIIdentifier
Return ReferenceFORM 990 PART VIIReturnReference
ExplanationLYNETTE 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 SERVES AS THE PRESIDENT FOR THE REHABILIATION HOSPITAL OF THE PACIFIC FOUNDATION AND SENIOR VP OF HUMAN RESOURCES FOR REHABILIATION HOSPITAL OF THE PACIFIC (PARENT COMPANY). HER TOTAL COMPENSATION FOR ALL SERICES IS $162,384, WHICH IS COMPENSATED HALF BY THE FOUNDATION AND HALF BY THE HOSPITAL AS LISTED ON SCHEDULE J, PART II AND FORM 990 PART VII.Explanation

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
Amount Of Transaction0AmountOfTransaction
Description Of TransactionSEE SCHEDULE O FOR DESCRIPTIONDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierExplanationExplanation
SCHEDULE L, PART IVRay Ono is an officer of a financial institution with which the organization has a banking and investment relationship.
FORM 990, PART VI, LINE 11The 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 made available 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 XI, LINE 5UNREALIZED GAIN = $ (1,418,331) LOSS FROM DISCONTINUED OPERATIONS = $ (21,452) MINIMUM PENSION LIABILITY ADJUSTMENT = $ (2,902,766) ----------- TO OTHER CHANGES IN NET ASSETS OR FUND BALANCES = $ (4,342,550)

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 Line1FDN 226 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 StatusBOX 7PublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1REHAB HOSPBusinessNameLine1
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
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
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 OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1REHAB HOSPITAL OF THE PACIFIC FOUNDATIONBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeCTransactionType
Amount Involved1020152AmountInvolved

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