2012-08-06T21:12:49-05:00 2011-09-30 Deloitte Tax LLP 1132 BISHOP ST SUITE 1200 HONOLULU HI 96813 990 2010-10-01 510160156 Rehabilitation Hospital of the Pacific REHA 8085313511 226 North Kuakini Street Honolulu HI 96817 TIMOTHY J ROE MD 2012-07-31 true GREGG K FURUYA 8085430700 2010 2016-02-24 21:20:13Z 47216224 false X www.rehabhospital.org X 1975 HI SEE SCHEDULE O ATTACHMENT 1 21 21 451 102 -38310 0 1060041 1268652 32352073 32227929 888788 -211660 550088 453644 34850990 33738565 2105 0 0 0 21997851 23360249 0 0 0 10329724 10251369 32329680 33611618 2521310 126947 42825459 41209499 13738300 16337943 29087159 24871556 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 22089399 32227929 The 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 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 - 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 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 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. 22089399 true true 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 61 0 true 451 true false false false false false false false false false false X 21 21 false false false false false false false true true false false true true true true true true true true false X X GARY ARAKAKI 8085313511 226 N KUAKINI STREET HONOLULU HI 96817 JANICE LUKE LOO 1.0 X 0 0 0 FRANK HAMADA 1.0 X 0 0 0 RONALD NS HO 1.0 X 0 0 0 HOWARD H KARR 1.0 X 0 0 0 JOHN KOMEIJI 1.0 X X 0 0 0 BENJAMIN A KUDO 1.0 X 0 0 0 DR MYRON SHIRASU 1.0 X 0 0 0 DR CHERYLEE CHANG 1.0 X 0 0 0 SAI CHANTAVY 1.0 X 0 0 0 DR TIMOTHY ROE 1.0 X 0 0 0 MARK OSHIO 1.0 X 0 0 0 PATRICK SULLIVAN 1.0 X 0 0 0 DENNIS TERANISHI 1.0 X X 0 0 0 DR LAURIE TOM 1.0 X 0 0 0 ALAN TOMONARI 1.0 X 0 0 0 MICHAEL WO 1.0 X 0 0 0 RAY ONO 1.0 X 0 0 0 DR BRUCE KATSURA 1.0 X 0 0 0 E Lynne Madden 1.0 X X 0 0 0 GLENN SEXTON 1.0 X 0 0 0 SUE ANN MORIWAKI 40.0 X 132590 0 9812 FAYE MIYAMOTO 40.0 X 101113 0 13138 DR GARY OKAMOTO 40.0 X 290553 0 19411 CLAIR JONES 40.0 X 307413 0 21475 AUDREY TORRES 40.0 X 114054 0 17758 LYNETTE KO MIYATAKI 40.0 X 76185 76185 10014 RUBY S KUSHIMA 41.0 X 101840 0 13538 TERESITA G GANATA 42.0 X 114285 0 13938 ELSIE M LABAYOG 41.0 X 106163 0 13853 Carolyn Uehara 42.0 X 100931 0 13825 Estrella Guevarra 41.0 X 105360 0 9895 1550487 76185 156657 46 false true false AFFILIATED COMPUTER SERVICES PO BOX 200790 DALLAS TX 753200790 INFORMATION SYSTEMS 2148337 THE QUEENS POB PHARMACY 1380 LUSITANA STREET HONOLULU HI 96813 MANAGEMENT-PHARMACY 438849 ALTRES MEDICAL PO BOX 1410 HONOLULU HI 96807 TEMP AGENCY 177437 Arthur Mori Associates Inc 1314 South King Street Suite 955 HONOLULU HI 96814 Architectual 205746 SODEXO INC AFFILIATES DEPT 43283 LOS ANGELES CA 900883283 MGMT - FOOD SERVICE 729640 6 1020152 248500 1268652 PATIENT REVENUES 20084595 20084595 MEDICARE/MEDICAID PAYMENTS 12126229 12126229 GRANTS & CONTRACTS 9480 9480 STUDENT TRAINING AND TOURS 7625 7625 32227929 657503 -38310 695813 0 0 0 0 653432 471218 182214 182214 0 182214 12137278 11297848 1708593 839430 -1708593 -869163 0 -869163 0 0 0 0 0 0 MEDICAL TRANSCRIPT 20809 20809 PARKING REVENUE 142072 142072 PURCHASE DISCOUNTS 20141 20141 88408 88408 271430 33738565 32227929 -38310 280294 0 0 0 0 1189701 131812 1057889 0 0 16938494 14148825 2789669 1329792 1050536 279256 2542281 2008402 533879 1359981 1074385 285596 0 57278 57278 117024 117024 0 0 143069 143069 0 0 0 0 0 0 36285 10042 26243 0 75784 44472 31312 0 0 1229740 497033 732707 320588 17891 302697 PROFESSIONAL FEES 4111710 1189707 2922003 UTILITIES 1150815 62421 1088394 SUPPLIES 789609 688583 101026 CONTRACT SERVICES 638914 638914 PURCHASED SERVICE 741540 526376 215164 839013 839013 33611618 22089399 11522219 0 1700 1800 3540199 4103578 3360180 3539077 98410 99609 562587 376918 31396200 18101033 14150416 13295167 19533205 17931713 1464795 1455778 113967 405859 42825459 41209499 12141330 14780339 1596970 1557604 13738300 16337943 X 29087159 24623056 0 248500 29087159 24871556 42825459 41209499 X 126947 -4342550 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 10000000 10000000 10000000 10000000 10000000 10000000 1.00000 false false 1244244 1244244 12053023 6751151 5301872 202543 135522 67021 12454087 9632516 2821571 5442303 1581844 3860459 13295167 0 DEFERRED COMP PAYABLE 1455778 CAPITAL LEASE - CURRENT 34433 CAPITAL LEASE - NONCURRENT 64774 DUE TO REHABILITATION HOSPITAL 2619 1557604 33738565 33611618 126947 -1418331 -2924219 -4342550 -4215603 33560431 1090518 1090518 32469913 1268652 1268652 33738565 35791429 2179811 2179811 33611618 33611618 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 LOSS 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 2D RECLASS 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 4B GRANT 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 2D RECLASS LOSS ON DISPOSAL = $ (1,708,593) RECLASS OF RENTAL EXPENSES = $ (471,218) ----------- TOTAL TO PART XIII, LINE 2D = $ (2,179,811) true true true X true X true true true false false 229146 127310 101835 0.00300 3405816 2450529 955288 0.02840 3634962 2577839 1057123 0.03140 43269 43269 0.00130 44568 44568 0.00130 45383 45383 0.00150 133220 133220 0.00410 3768182 2577839 1190343 0.03550 true 31000 19078875 13207663 5871212 true false 1 1 REHABILITATION HOSPITAL OF THE PACIFIC

226 NORTH KUAKINI STREET HONOLULU HI 96817

X REHABILITATION HOSPITAL OF THE PACIFIC 1 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, A COST TO CHARGE RATIO FROM THE MEDICARE COST REPORT WAS USED. FOR OUTPATIENT, A COST ACCOUNTING SYSTEM 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 X X X false false false false false false false false false DR GARY OKAMOTO 290553 0 0 0 0 0 4900 0 14511 0 309964 0 0 0 CLAIR JONES 307413 0 0 0 0 0 4900 0 16575 0 328888 0 0 0 LYNETTE KO MIYATAKI 76185 76185 0 0 0 0 1526 1526 3481 3481 81192 81192 0 0 LYNETTE KO MIYATAKI FORM 990 PART VII 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 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. RAY ONO DIRECTOR OF HOSPITAL 0 SEE SCHEDULE O FOR DESCRIPTION false SCHEDULE L, PART IV 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 made available 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. 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 XI, LINE 5 UNREALIZED 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) REHAB HOSPITAL OF THE PACIFIC FOUNDATION FDN 226 NORTH KUAKINI ST HONOLULU HI 96817 990241634 SUPPORT SVCS HI 501(C)(3) BOX 7 REHAB HOSP false false true false false false false false false false false false false false false false false false REHAB HOSPITAL OF THE PACIFIC FOUNDATION C 1020152