SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public Inspection
Name of the organization
Rehabilitation Hospital of the Pacific
 
Employer identification number

51-0160156
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: . . . . . . . .
3b
Yes
 
%
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
 
No
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
 
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) . . . 		    33,788 30,875 2,913 0.010 %
b Medicaid (from Worksheet 3, column a) . . . . .     8,345,306 6,615,731 1,729,576 3.290 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .     0 0 0 0 %
d Total Financial Assistance and Means-Tested Government Programs . . . . .     8,379,094 6,646,606 1,732,489 3.300 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     51,480 31,776 19,704 0.040 %
f Health professions education (from Worksheet 5) . . .     280,462 40,000 240,462 0.460 %
g Subsidized health services (from Worksheet 6) . . . .     45,906 0 45,906 0.090 %
h Research (from Worksheet 7) .     3,129 0 3,129 0 %
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     31,184 0 31,184 0.060 %
j Total. Other Benefits . .     412,161 71,776 340,385 0.650 %
k Total. Add lines 7d and 7j .     8,791,255 6,718,382 2,072,874 3.950 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support     549   549 0 %
4 Environmental improvements            
5 Leadership development and
training for community members		            
6 Coalition building     6,167   6,167 0.010 %
7 Community health improvement advocacy     501   501 0 %
8 Workforce development     2,353   2,353 0.010 %
9 Other     754   754 0 %
10 Total     10,324   10,324 0.020 %
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
Yes
 
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
-36,265
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
 
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
17,558,108
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
13,808,649
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
3,749,459
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

9b

 

No
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)How many hospital facilities did the organization operate during the tax year?1Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 REHABILITATION HOSP OF THE PACIFIC
226 NORTH KUAKINI STREET
HONOLULU,HI96817
WWW.REHABHOSPITAL.ORG
35-H 		X               ACUTE CARE REHAB  
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
REHABILITATION HOSP OF THE PACIFIC
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................ 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C............... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 18
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6 a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C.................................. 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. .............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10   No
a If "Yes" (list url):  
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b Yes  
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?............................... 12a   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
REHABILITATION HOSP OF THE PACIFIC
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
SEE PART V, SECTION C
b
SEE PART V, SECTION C
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Billing and Collections
REHABILITATION HOSP OF THE PACIFIC
Name of hospital facility or letter of facility reporting group  
Yes No
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
f
19 Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
REHABILITATION HOSP OF THE PACIFIC
Name of hospital facility or letter of facility reporting group  
Yes No
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ............................... 23   No
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
Page 8
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16j, 18e, 19e, 20e, 21c, 21d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SECTION B, LINE 3E THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE SEPTEMBER 2019 CHNA. PART V, SECTION B, LINE 5 IN ORDER TO DEVELOP A COMPLETE UNDERSTANDING OF HAWAIIS HEALTH-NEEDS, A CHNA ADVISORY COMMITTEE WAS FORMED. THE ADVISORY COMMITTEE INCLUDED MEMBERS OF THE 19 PARTICIPATING HOSPITALS (SEE BELOW) AS WELL AS LEADERS IN THE POST-ACUTE CONTINUUM OF CARE, LEADERS OF PROGRAMS SERVICING LOW-INCOME AND MINORITY GROUPS, AND THE STATE OF HAWAII DEPARTMENT OF HEALTH AND HUMAN SERVICES. UTILIZING HEALTH AND HEALTH-RELATED INDICATORS, THE COMMITTEE WAS ABLE TO DETERMINE THE GREATEST HEALTH-RISKS TO ADDRESS. IN ORDER TO GAIN INSIGHT INTO THE MOST PROBLEMATIC AREAS, AND ANY AREAS WHERE GAPS OF UNDERSTANDING WERE PRESENT, 200 KEY INFORMANTS WERE SELECTED TO BE INTERVIEWED. THESE KEY INFORMANTS ARE EXPERTS IN VARIOUS AREAS OF PUBLIC HEALTH, HEALTH POLICY AND SERVICE PROVISION. THE INFORMATION GATHERED FROM THESE INTERVIEWS WAS AGGREGATED, ANALYZED AND BROUGHT BACK TO THE ADVISORY COMMITTEE. FROM THERE, THE 19 PARTICIPATING HOSPITALS DETERMINED HOW TO BEST ADDRESS THE HEALTH NEEDS OF THE STATE OF HAWAII. KEY INFORMANT INTERVIEWS WERE COMPLETED BETWEEN JULY 2018 AND NOVEMBER 2018.
PART V, SECTION B, LINE 6A & 6B THE SEPTEMBER 2019 STATE OF HAWAII CHNA WAS A COLLABORATIVE EFFORT LED BY THE HEALTHCARE ASSOCIATION OF HAWAII, IN PARTNERSHIP WITH THE ISLANDER INSTITUTE. IT WAS COMPLETED JOINTLY WITH 19 HAWAII HOSPITALS. THE PARTICIPANTS INCLUDED: ADVENTIST HEALTH CASTLE, KAHI MOHALA, KAHUKU MEDICAL CENTER, KAISER FOUNDATION HOSPITAL - HONOLULU, KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN, KUAKINI MEDICAL CENTER, KULA HOSPITAL, LANAI COMMUNITY HOSPITAL, MAUI MEMORIAL MEDICAL CENTER, MOLOKAI GENERAL HOSPITAL, NORTH HAWAII COMMUNITY HOSPITAL, PALI MOMI MEDICAL CENTER, THE QUEENS MEDICAL CENTER, THE QUEENS MEDICAL CENTER - WEST OAHU, REHABILITATION HOSPITAL OF THE PACIFIC, SHRINERS HOSPITALS FOR CHILDREN HONOLULU, STRAUB MEDICAL CENTER, WAHIAWA GENERAL HOSPITAL, WILCOX MEDICAL CENTER.
PART V, SECTION B, LINE 7A CHNA WEBSITE HTTPS://WWW.REHABHOSPITAL.ORG/AWARDS-ACCREDITATIONS
PART V, SECTION B, LINE 11 REHAB HOSPITAL CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT THAT WAS APPROVED IN SEPTEMBER 2019. FOR FY19, REHAB HOSPITAL CONTINUED TO ADDRESS THE PRIORITY NEEDS IDENTIFIED IN THE 2016 COMMUNITY HEALTH NEEDS ASSESSMENT: 1) HEART DISEASE AND STROKE 2) DISABILITIES DURING FISCAL YEAR 2019, REHAB CONDUCTED THE FOLLOWING ACTIVITIES TO ADDRESS THE TWO PRIORITY NEEDS: PRIORITY AREA 1: DISABILITIES FORMALIZATION AND EXPANSION OF THE REINTEGRATION PROGRAM REHAB HOSPITAL IMPLEMENTED THE USE OF THE LIFE SKILLS LAB TO PROVIDE A PHYSICAL SPACE FOR ITS PATIENTS TO HELP FACILITATE THEIR TRANSITION FROM THE HOSPITAL TO HOME. THE LIFE SKILLS LAB INCLUDES A GROCERY STORE SETTING, A BEDROOM SETTING AND AN AIRLINE SEATING COMPONENT WHERE PATIENTS CAN EXPERIENCE AND PRACTICE MORE REAL WORLD SCENARIOS TO BETTER PREPARE FOR LIFE ONCE THEY RETURN HOME. IMPLEMENTATION OF A COMPREHENSIVE CONSULT SERVICE PROGRAM REHAB HOSPITAL CONTINUED ITS COMPREHENSIVE CONSULT SERVICE PROGRAM TO PROVIDE ADDITIONAL AWARENESS AND AVAILABILITY TO HAWAII ACUTE CARE HOSPITALS REGARDING REHAB HOSPITALS REHABILITATIVE SERVICES AVAILABLE TO PATIENTS UPON DISCHARGE FROM THE ACUTE CARE HOSPITAL SETTING. THE CONSULT SERVICE PROGRAM FACILITATES THE TRANSITION OF APPROPRIATE PATIENTS FROM THE ACUTE CARE FACILITY TO AN INPATIENT REHABILITATION FACILITY TO MAXIMIZE THE PATIENTS OVERALL REHABILITATION OUTCOME. IMPLEMENTATION OF A COMPREHENSIVE PAIN MANAGEMENT CLINIC REHAB HOSPITAL CONTINUED ITS COMPREHENSIVE PAIN MANAGEMENT PROGRAM TO ITS AIEA CLINIC. CONSISTENT WITH THE PROGRAM ESTABLISHED AT REHABS PHYSICIANS CLINIC IN 2017, THE PROGRAM WAS ESTABLISHED TO SUPPLEMENT THE CONTINUUM OF REHABILITATIVE CARE AND WAS EXPANDED TO FACILITATE OFFERING PAIN MANAGEMENT SERVICES TO PATIENTS LIVING ON THE WEST SIDE OF OAHU. CREATION OF A PAIN MANAGEMENT WELLNESS PROGRAM REHAB HOSPITAL CONTINUED ITS ACUPUNCTURE AND MASSAGE THERAPY WELLNESS SERVICES AT ITS NUUANU SPECIALTY CLINIC. AVAILABILITY OF THESE WELLNESS SERVICES SUPPORTS THE PATIENTS COMPREHENSIVE REHABILITATION PLAN COVERING THE ENTIRE CONTINUUM OF REHABILITATIVE CARE. EXPAND SOCIAL MEDIA AND PRINT MARKETING CHANNELS REHAB HOSPITAL CONTINUED TO EXPAND ITS SOCIAL MEDIA FOOTPRINT THROUGH CAMPAIGNS AND THE USAGE OF ANALYTICS TO MEASURE THE IMPACT AND VALUE OF ITS SOCIAL MEDIA POSTS. INCREASE OPPORTUNITIES TO HOST VENDOR FAIRS AND INCREASE PARTICIPATION IN COMMUNITY EDUCATION/HEALTH EVENTS REHAB HOSPITAL HOSTED A VENDOR FAIR TO PROVIDE EDUCATION ON HEALTHCARE SERVICES AVAILABLE TO PATIENTS, PATIENTS FAMILIES AND CAREGIVERS AND THE OVERALL COMMUNITY. VISITORS WERE ABLE TO PARTICIPATE IN FREE HEALTH SCREENINGS AND TALK WITH CLINICAL STAFF REGARDING THEIR REHABILITATION QUESTIONS. ADDITIONALLY, REHAB HOSPITAL PARTICIPATED IN A VARIETY OF COMMUNITY WORKSHOPS/HEALTH EVENTS SUCH AS THE RACE FOR THE CURE, HAWAII PARKINSON'S WALK AND THE YOUNG AT HEART EVENT TO PROVIDE EDUCATION ON HEALTH CONDITIONS AND REHAB HOSPITAL SERVICES. USE THE REINTEGRATION PROGRAM TO EXPAND KNOWLEDGE AND SKILL SETS THE REINTEGRATION PROGRAM WAS USED TO BETTER PREPARE PATIENTS AND THEIR CAREGIVERS PRIOR TO DISCHARGE. VARIOUS "REAL LIFE" ENVIRONMENTS ARE USED WHILE PROVIDING THERAPY SERVICES, INCLUDING THE LIFE SKILLS LAB, THERAPY MOBILITY COURSE, GIFT SHOP, CAFETERIA AND ART PROGRAM TO ASSIST IN REHABILITATING THE PATIENT IN "REAL LIFE" SCENARIOS. ENHANCE HEALTHCARE PROVIDER EDUCATION REHAB HOSPITAL CONTINUES TO BE INVOLVED WITH FELLOWSHIP PROGRAMS WITH THE JOHN A. BURNS SCHOOL OF MEDICINE, UNIVERSITY OF HAWAII AND SUPPORTS STUDENTS IN PHYSICAL MEDICINE AND REHABILITATION ROTATIONS AND GERIATRIC FELLOWSHIPS. IN ADDITION, REHAB SUPPORTS PRECEPTORSHIPS FOR NURSING STUDENTS AND THERAPY STUDENT SHADOWING. REHAB HOSPITAL ALSO HOLDS SEMINARS AT LOCAL UNIVERSITIES ON THE BENEFITS OF PHYSICAL THERAPY. REHAB HOSPITAL COLLABORATED WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND OTHER COMMUNITY PARTNERS, INCLUDING THE UNIVERSITY OF HAWAII, HAWAII STATE DEPARTMENT OF EDUCATION, KAPIOLANI COMMUNITY COLLEGE AND THE CHAMBER OF COMMERCE UNDER THE HAWAII HEALTHCARE WORKFORCE INITIATIVE TO DEVELOP TRAINING PROGRAMS FOR HEALTHCARE SERVICE PROVIDERS AT THE HIGH SCHOOL, UNDERGRADUATE AND GRADUATE LEVELS. REHAB ALSO PROVIDES CLINICAL INSTRUCTION FOR NUMEROUS NURSING AND THERAPY STUDENTS, THROUGH PARTNERSHIPS WITH EDUCATIONAL INSTITUTIONS AND THROUGH OUR ICARE CANCER REHABILITATION PROGRAM. REHAB HOSPITAL ALSO COLLABORATED WITH THE UNIVERSITY OF HAWAII SCHOOL OF ENGINEERING FOR RESEARCH IN REHABILITATIVE MEDICINE AND CONTINUES TO PARTNER WITH THE UNIVERSITY OF HAWAII KINESIOLOGY AND REHABILITATION SCIENCE DEPARTMENT IN CONNECTION WITH REHAB HOSPITALS CANCER REHABILITATION PROGRAM. EDUCATE CLINICAL STAFF ON PREVENTION OF ASSAULTS AND VIOLENT INCIDENTS EMPLOYEES ATTENDED PROACT ASSAULT CRISIS TRAINING AND PROACT RESTRAINT CERTIFICATIONS TO LEARN APPROPRIATE CRISIS MANAGEMENT APPROACHES AND TECHNIQUES TO MAXIMIZE SAFETY OF PATIENTS, FAMILIES AND STAFF WHILE MINIMIZING RISK OF INJURY TO PATIENTS, FAMILIES AND STAFF. STAFF ARE TRAINED ON MANAGING DANGEROUS AND INAPPROPRIATE PATIENT BEHAVIORS WHICH MAY BE EXHIBITED BY PATIENTS WHO HAVE SUSTAINED BRAIN INJURIES OR SUFFERED A STROKE. PRIORITY AREA 2: HEART DISEASE AND STROKE EXPAND CONTINUUM OF CARE FOR CARDIOVASCULAR AND STROKE CONDITIONS REHAB HOSPITALS PHYSICIAN-LED NEUROLOGICAL SERVICE LINE TEAM CONTINUES TO MEET REGULARLY TO DEVELOP PROCESSES AND INTEGRATE OTHER REHABILITATIVE SERVICES TO IMPROVE PATIENT OUTCOMES. THE TEAM CONTINUES TO ENHANCE PATIENT EDUCATION MATERIALS AS WELL AS FACILITATED COORDINATION OF OTHER REHABILITATION SERVICES AFTER PATIENT DISCHARGE TO IMPROVE THE CONTINUUM OF REHABILITATIVE CARE. REHAB HOSTS A SUPPORT GROUP FOR STROKE SURVIVORS DURING QUARTERLY SUPPORT MEETINGS WITH APPROPRIATE EDUCATIONAL TOPICS DISCUSSED BY CLINICAL STAFF AND GUEST SPEAKERS. REHAB HOSPITAL ALSO DISTRIBUTES EDUCATIONAL NEWSLETTERS AT THE MEETINGS AND VIA EMAIL. IMPLEMENT EVIDENCE-BASED STANDARDIZED MEASUREMENT TO DIAGNOSE AND TREAT PATIENTS REHAB IMPLEMENTED THE CONTINUITY ASSESSMENT RECORD AND EVALUATION (CARE) TOOL AS PART OF A NATION-WIDE INITIATIVE. THIS TOOL ALLOWS FOR A STANDARDIZED, COMPREHENSIVE ASSESSMENT OF OUR PATIENT'S FUNCTIONAL ABILITIES AND IS A KEY COMPONENT IN REHAB'S CARE PLANNING. IT ALSO ALLOWS FOR CONSISTENT REPORTING THAT CAN BE UTILIZED IN PEER TO PEER OUTCOME COMPARISONS. REHAB HAS ALSO PARTNERED WITH CASA COLINA HOSPITAL IN THE CASA COLINA FALL SCREEN VALIDATION STUDY TO DETERMINE IF A BETTER TOOL CAN BE DEVELOPED TO PREDICT THE RISK FOR FALLING IN PATIENTS WITH SERIOUS FUNCTIONAL IMPAIRMENTS SUCH AS STROKE PATIENTS. EXPAND SOCIAL MEDIA AND PRINT MARKETING CHANNELS REHAB HOSPITAL CONTINUED THE DEVELOPMENT OF ITS SOCIAL MEDIA FOOTPRINT THROUGH CAMPAIGNS AND THE USAGE OF ANALYTICS TO MEASURE THE IMPACT AND VALUE OF ITS SOCIAL MEDIA POSTS. INCREASE OPPORTUNITIES TO HOST HEART HEALTH AND STROKE VENDOR FAIRS AND INCREASE PARTICIPATION IN COMMUNITY EDUCATION/HEALTH EVENTS REHAB HOSPITAL HOSTED A VENDOR FAIR TO PROVIDE EDUCATION ON HEALTHCARE SERVICES AVAILABLE TO PATIENTS, PATIENTS FAMILIES AND CAREGIVERS AND THE OVERALL COMMUNITY. VISITORS WERE ABLE TO PARTICIPATE IN FREE HEALTH SCREENINGS AND TALK WITH CLINICAL STAFF REGARDING THEIR REHABILITATION QUESTIONS. ADDITIONALLY, REHAB HOSPITAL PARTICIPATED IN A VARIETY OF COMMUNITY WORKSHOPS/HEALTH EVENTS SUCH AS THE RACE FOR THE CURE, HAWAII PARKINSON'S WALK AND THE YOUNG AT HEART EVENT TO PROVIDE EDUCATION ON HEALTH CONDITIONS AND REHAB HOSPITAL SERVICES. USE THE REINTEGRATION PROGRAM TO BETTER PREPARE FAMILIES FOR DISCHARGE THE REINTEGRATION PROGRAM WAS USED TO BETTER PREPARE PATIENTS AND THEIR CAREGIVERS PRIOR TO DISCHARGE. VARIOUS "REAL LIFE" ENVIRONMENTS ARE USED WHILE PROVIDING THERAPY SERVICES, INCLUDING THE LIFE SKILLS LAB, THERAPY MOBILITY COURSE, GIFT SHOP, CAFETERIA AND ART PROGRAM TO ASSIST IN REHABILITATING THE PATIENT IN "REAL LIFE" SCENARIOS. REHAB'S ICARE CANCER REHABILITATION PROGRAM PROVIDES ONE ON ONE SUPERVISED EXERCISE REHABILITATION THAT IS INTENDED TO IMPROVE THE CARDIOPULMONARY CONDITIONING OF OUR PATIENTS TO OVERCOME THE CARDIOPULMONARY IMPAIRMENTS THAT ARE RECOGNIZED TO OCCUR DUE TO CANCER AND THE TREATMENT OF CANCER. NEEDS NOT BEING ADDRESSED THE FOLLOWING AREAS OF NEED IDENTIFIED IN REHAB'S 2016 CHNA ARE NOT BEING ADDRESSED IN ITS CURRENT IMPLEMENTATION STRATEGY BECAUSE THEY WERE NOT SELECTED AS THE HIGHEST PRIORITY FOR REHAB AS THEY ARE BEYOND REHAB'S CURRENT RESOURCES AND/OR EXPERTISE. ORAL HEALTH CHILDRENS HEALTH OLDER ADULTS & AGING EXERCISE, NUTRITION, & WEIGHT PREVENTION & SAFETY ACCESS TO HEALTH SERVICES MENTAL HEALTH & MENTAL DISORDERS SUBSTANCE ABUSE DIABETES OTHER CHRONIC DISEASES IMMUNIZATIONS & INFECTIOUS DISEASES ENVIRONMENTAL & OCCUPATIONAL HEALTH WELLNESS & LIFESTYLE RESPIRATORY DISEASES TEEN & ADOLESCENT HEALTH FAMILY PLANNING
PART V, SECTION B, LINES 16A, 16B & 16C FINANCIAL ASSISTANCE POLICY HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK FINANCIAL ASSISTANCE POLICY APPLICATION HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK PLAIN LANGUAGE SUMMARY HTTPS://WWW.REHABHOSPITAL.ORG/HOW-DOES-BILLING-WORK
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?4
Name and address Type of Facility (describe)
1 REHAB AT NUUANU
226 NORTH KUAKINI STREET
HONOLULU,HI96817 		CLINIC
2 REHAB AT AIEA
98-1005 MOANALUA ROAD SUITE 425
AIEA,HI96701 		CLINIC
3 REHAB PHYSICIANS CLINIC
226 NORTH KUAKINI STREET
HONOLULU,HI96817 		CLINIC
4 REHAB AT HILO
76 PUUHONU PLACE
HILO,HI96720 		CLINIC
5
6
7
8
9
10
Schedule H (Form 990) 2018
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Schedule H (Form 990) 2018
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Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
PART I, LINE 3C ALL OF THE FOLLOWING THREE CRITERIA MUST BE MET TO BE ELIGIBLE FOR FINANCIAL ASSISTANCE UNDER REHAB'S FINANCIAL ASSISTANCE POLICY: 1) FAMILY LIQUID ASSETS ARE EQUAL TO OR LESS THAN $50,000; 2) FAMILY INCOME IS AT OR BELOW 300% OF THE CURRENT FEDERAL POVERTY GUIDELINE FOR HAWAII; AND 3) PATIENT IS A U.S. CITIZEN OR LEGAL ALIEN WHO IS PERMANENTLY RESIDING IN HAWAII.
PART II AS THE ONLY ACUTE-CARE MEDICAL REHABILITATION ORGANIZATION SERVING HAWAII AND THE PACIFIC, REHAB IS AN IMPORTANT PROVIDER OF CARE IN THE POST-ACUTE CONTINUUM OF SERVICES. REHAB IS A LEADER IN MEDICAL REHABILITATION, PARTICULARLY IN THE AREAS OF STROKE, TRAUMATIC BRAIN INJURY AND SPINAL CORD INJURY. UTILIZING ITS KNOWLEDGE AND EXPERTISE REHAB PARTICIPATES IN COMMUNITY TASK FORCES, ADVOCATES ON BEHALF OF COMMUNITY HEALTH INITIATIVES AND ASSISTS IN THE RECRUITMENT AND DEVELOPMENT OF HAWAII'S MEDICAL PROFESSIONALS.
PART III, LINES 2 AND 4 PLEASE SEE PAGES 10 & 11 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. PART III, LINE 8 TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552.96.
PART VI, LINE 2 NEEDS ASSESSMENT REHAB PARTNERED WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND THE HEALTHY COMMUNITIES INSTITUTE TO CONDUCT A COMMUNITY HEALTH NEEDS ASSESSMENT(CHNA) FOR THE COMMUNITY SERVED BY REHAB. THE CHNA WAS COMPLETED IN SEPTEMBER 2019. OUR APPROACH FOLLOWED THE PUBLIC HEALTH MODEL OF ASSESSING AND UNDERSTANDING COMMUNITY HEALTH HOLISTICALLY. A FRAMEWORK FOR ANALYSIS WAS CONSTRUCTED BASED ON DETERMINANTS OF HEALTH; THE FRAMEWORK INCLUDED A BROAD DEFINITION OF COMMUNITY HEALTH THAT CONSIDERS EXTENSIVE SECONDARY DATA ON THE SOCIAL, ECONOMIC, AND PHYSICAL ENVIRONMENTS, AS WELL AS HEALTH RISKS AND OUTCOMES. SPECIAL ATTENTION WAS GIVEN TO IDENTIFY HEALTH DISPARITIES, THE NEEDS OF VULNERABLE POPULATIONS, AND UNMET HEALTH NEEDS OR GAPS IN SERVICES. AN EXTENSIVE ARRAY OF SECONDARY AND PRIMARY DATA WAS COLLECTED AND SYNTHESIZED TO DETERMINE COMMUNITY NEEDS. THE CHNA FINDINGS ARE DRAWN FROM AN ANALYSIS OF AN EXTENSIVE SET OF QUANTITATIVE DATA (OVER 400 SECONDARY DATA INDICATORS) AND IN-DEPTH QUALITATIVE DATA FROM KEY COMMUNITY HEALTH LEADERS AND EXPERTS FROM THE HAWAII DEPARTMENT OF PUBLIC HEALTH AND OTHER ORGANIZATIONS THAT SERVE AND REPRESENT VULNERABLE POPULATIONS AND/OR POPULATIONS WITH UNMET HEALTH NEEDS. ADDITIONAL ANALYSES INCLUDED PREVENTABLE CAUSES OF HOSPITALIZATION USING DATA PROVIDED BY HAWAII HEALTH INFORMATION CORPORATION, AND INFORMATION FROM RECENTLY PUBLISHED REPORTS ON ACCESS TO CARE, HEALTH DISPARITIES, PRIMARY CARE NEEDS, AND MENTAL HEALTH. KEY INFORMANTS INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS HAVING SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, HEALTH DISPARITIES, AND VULNERABLE POPULATIONS IN THE IDENTIFIED COMMUNITIES.
PART VI, LINE 3 PATIENT EDUCATION OF ELIGIBIILTY FOR ASSISTANCE WHEN A PATIENT PRESENTS FOR SERVICES AND THE PATIENT DOES NOT HAVE INSURANCE COVERAGE FOR SERVICES TO BE PROVIDED, PRIOR TO ADMISSION, REHAB STAFF EXPLAINS TO THE PATIENT THE UNINSURED PAYMENT TERMS ON SERVICES PROVIDED. IN MOST UNINSURED INPATIENT CASES, THE PATIENT WILL BE OFFERED A HAWAII STATE MEDICAL ASSISTANCE APPLICATION FOR THE HAWAII STATE MEDICAID/QUEST PROGRAM AS WELL AS AN APPLICATION FOR REHAB's FINANCIAL ASSISTANCE PROGRAM. REHAB CONTRACTS WITH OUTSIDE SERVICE PROVIDERS WHO SPECIALIZE IN ASSISTING PATIENTS WITH THE MEDICAID/QUEST PROGRAM APPLICATION PROCESS. IF THE PATIENTS APPLICATION FOR MEDICAID/QUEST IS DENIED OR IT IS DETERMINED THAT THE PATIENT IS INELIGIBLE TO APPLY FOR MEDICAID/QUEST, THE PATIENT MAY APPLY FOR REHAB's FINANCIAL ASSISTANCE PROGRAM. THE PATIENT MAY APPLY IN PERSON OR MAIL THE APPLICATION FOR FINANCIAL ASSISTANCE TO THE PATIENT FINANCIAL SERVICES OFFICE. REHAB STAFF ARE AVAILABLE IN PERSON OR VIA PHONE FOR EDUCATION ON THE FINANCIAL ASSISTANCE PROGRAM AND ASSISTANCE IN COMPLETING THE APPLICATION. IN SOME CASES, REHAB DETERMINES THAT A PATIENT MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED, AND THE APPLICATION FOR FINANCIAL ASSISTANCE IS MAILED TO THE PATIENT.
PART VI, LINE 4 COMMUNITY INFORMATION REHAB IS THE ONLY PROVIDER OF ACUTE INPATIENT MEDICAL REHABILITATION SERVICES AMONGST ALL ISLANDS IN THE STATE OF HAWAII AND IN THE PACIFIC REGION. MEDICAID PATIENTS COMPRISED 13% OF REHAB's TOTAL PATIENT POPULATION IN 2019. IN GENERAL, THE INTENSIVE, MEDICALLY SUPERVISED REHABILITATION THAT REHAB PROVIDES THROUGH ITS 82-BED ACUTE INPATIENT HOSPITAL LOCATED ON THE ISLAND OF OAHU IS UTILIZED BY THOSE IN THE COMMUNITY WHO HAVE SUFFERED A SEVERE INJURY OR ILLNESS THAT HAS RESULTED IN SIGNIFICANT FUNCTIONAL IMPAIRMENT AND DISABILITY. DURING 2019, REHAB ADMITTED 2,000 PATIENTS AND PROVIDED COMPREHENSIVE CARE FOR PATIENTS SUFFERING FROM STROKES, BRAIN AND SPINAL CORD INJURIES, ORTHOPEDIC AND NEUROLOGICAL DISORDERS AND DEBILITATIVE DISEASES. IN ADDITION TO THE ACUTE INPATIENT SERVICES, DURING 2019, REHAB PROVIDED OUTPATIENT REHABILITATIVE SERVICES IN ITS THREE OUTPATIENT CLINICS LOCATED IN HONOLULU AND AIEA (ON THE ISLAND OF OAHU) AND HILO (ON THE ISLAND OF HAWAII). DURING 2018, REHAB TREATED 4,300 PATIENTS IN AN OUTPATIENT SETTING.
PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH REHAB IS COMMITTED TO SUPPORTING THE COMMUNITY THROUGH THE FOLLOWING: - HOSTING SUPPORT GROUPS FOR FORMER REHAB PATIENTS AND THE COMMUNITY-AT-LARGE, INCLUDING THE STROKE CLUB OF HONOLULU, THE TRAUMATIC BRAIN INJURY CLUB, THE SPINAL CORD INJURY SUPPORT GROUP AND THE POST-AMPUTATION SUPPORT GROUP. - PROVIDING EDUCATION AND CLINICAL ROTATIONS FOR THERAPY STUDENTS, REHABILITATIVE NURSING, AND MEDICAL PROFESSIONALS. - PARTICIPATING IN HEALTH AND FITNESS FAIRS TO FOSTER HEALTH EDUCATION IN THE COMMUNITY. - PROVIDING CONFERENCES AND PRESENTATIONS TO SPECIAL INTEREST GROUPS FOCUSED ON THE PREVENTION AND TREATMENT OF BRAIN INJURIES, SPINAL CORD INJURIES AND STROKES. REHAB IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF COMMUNITY MEMBERS, PHYSICIANS AND BUSINESS LEADERS. THESE UNPAID, VOLUNTEER MEMBERS REPRESENT THE DIVERSITY OF THE COMMUNITY REHAB SERVES AND ENSURE REHAB REMAINS COMMITTED TO SERVING ITS MISSION. REHAB REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE.
PART VI, LINE 6 AFFILIATED HEALTH CARE SYSTEM N/A PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A
Schedule H (Form 990) 2018
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