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Nonprofiteer
← REHABILITATION HOSPITAL OF THE PACIFIC

Form 990 for tax year 2024

Filed by REHABILITATION HOSPITAL OF THE PACIFIC.

Totals

Total revenue
$58,121,395
Total expenses
$54,497,856
Contributions and grants received
$1,400,036
Grants paid
$0
Program service revenue
$53,677,385
Investment income
$1,855,332
Other revenue
$1,188,642
Total assets, end of year
$99,256,061
Total liabilities, end of year
$20,127,236
Net assets or fund balances, end of year
$79,128,825
Program services expenses (Part IX)
$35,568,889
Management and general expenses
$18,928,967
Fundraising expenses
$0
Program service expenses (Part III)
$35,568,889

Program services were 65.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $1,313,169

  • 1e · Government grants (contributions)

    $80,844

  • 1f · All other contributions, gifts and grants

    $6,023

  • 2a · Program service revenue: MEDICARE/MEDICAID PAYMENT

    total $33,103,314 · related or exempt $33,103,314

  • 2b · Program service revenue: PATIENT REVENUES

    total $20,574,071 · related or exempt $20,574,071

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $1,358,187 · excluded $1,358,187

  • 6a · Gross rents

    real property $1,024,950

  • 6c · Rental income or loss

    real property $1,024,950 · personal property $0

  • 6d · Net rental income or loss

    total $1,024,950 · excluded $1,024,950

  • 7a · Gross sales of assets other than inventory

    securities $7,442,957

  • 7b · Less cost or other basis and sales expenses

    securities $6,945,815

  • 7c · Gain or loss

    securities $497,142 · other assets $0

  • 7d · Net gain or loss

    total $497,145 · excluded $497,145

  • 11a · Other revenue: PARKING REVENUE

    total $113,687 · related or exempt $113,687

  • 11b · Other revenue: OTHER REVENUE

    total $28,958 · related or exempt $3,432 · excluded $25,526

  • 11c · Other revenue: PURCHASE DISCOUNTS

    total $16,959 · related or exempt $16,959

  • 11d · All other revenue

    total $4,088 · related or exempt $0 · unrelated business $0 · excluded $4,088

  • 11e · Other revenue, total

    $163,692

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $2,076,646 · program services $850,731 · management and general $1,225,915 · fundraising $0

  • 7 · Other salaries and wages

    total $25,526,239 · program services $20,498,334 · management and general $5,027,905

  • 8 · Pension plan contributions

    total $280,182 · program services $216,703 · management and general $63,479

  • 9 · Other employee benefits

    total $4,315,597 · program services $3,355,320 · management and general $960,277

  • 10 · Payroll taxes

    total $2,023,195 · program services $1,564,812 · management and general $458,383

  • 11b · Fees: legal

    total $275,877 · management and general $275,877

  • 11c · Fees: accounting

    total $146,140 · management and general $146,140

  • 11d · Fees: lobbying

    total $2,584 · program services $2,584

  • 11f · Fees: investment management

    total $108,201 · management and general $108,201

  • 11g · Fees: other

    total $7,060,995 · program services $5,296,494 · management and general $1,764,501 · fundraising $0

  • 12 · Advertising and promotion

    total $171,986 · management and general $171,986

  • 13 · Office expenses

    total $267,245 · program services $47,271 · management and general $219,974

  • 14 · Information technology

    total $3,529,808 · management and general $3,529,808

  • 16 · Occupancy

    total $1,518,220 · program services $745,441 · management and general $772,779

  • 17 · Travel

    total $44,191 · program services $12,932 · management and general $31,259

  • 19 · Conferences, conventions and meetings

    total $54,876 · program services $10,405 · management and general $44,471

  • 20 · Interest

    total $729,540 · program services $2,880 · management and general $726,660

  • 22 · Depreciation, depletion and amortization

    total $3,180,512 · program services $1,293,868 · management and general $1,886,644

  • 23 · Insurance

    total $543,885 · management and general $543,885

  • 24a · Other expenses: PATIENT SUPPLIES

    total $1,180,098 · program services $1,180,098

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $712,209 · program services $21,613 · management and general $690,596

  • 24c · Other expenses: SUSTAINABILITY PROVIDER TAX & MITIGATION PAYMENTS

    total $445,881 · program services $445,881

  • 24d · Other expenses: DUES

    total $129,256 · program services $2,637 · management and general $126,619

  • 24e · All other expenses

    total $174,493 · program services $20,885 · management and general $153,608 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $2,200 · end of year $2,150

  • 2 · Savings and temporary cash investments

    beginning of year $3,617,816 · end of year $7,283,086

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $11,393,388 · end of year $9,060,301

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $149,672 · end of year $148,960

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,322,490 · end of year $1,326,292

  • 10a · Land, buildings and equipment: cost or other basis

    $77,202,644

  • 10b · Land, buildings and equipment: accumulated depreciation

    $55,204,503

  • 10c · Land, buildings and equipment, net

    beginning of year $23,829,331 · end of year $21,998,141

  • 11 · Investments: publicly traded securities

    beginning of year $43,937,673 · end of year $46,210,291

  • 12 · Investments: other securities

    beginning of year $41,106 · end of year $28,125

  • 13 · Investments: program-related

    beginning of year $0

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $8,056,170 · end of year $13,198,715

  • 17 · Accounts payable and accrued expenses

    beginning of year $6,390,994 · end of year $5,619,807

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $15,112,008 · end of year $14,234,205

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $542,061 · end of year $273,224

  • 27 · Net assets without donor restrictions

    beginning of year $62,304,040 · end of year $70,577,706

  • 28 · Net assets with donor restrictions

    beginning of year $8,000,743 · end of year $8,551,119

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $0 · end of year $0

Mission and programs · 2024

Mission

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. WE UTILIZE A CONTINUUM OF REHABILITATION SERVICES THAT ARE ADVANCED THROUGH EDUCATION, TECHNOLOGY AND RESEARCH.

  • INPATIENT ACUTE-CARE MEDICAL REHABILITATION SERVICES IN FISCAL YEAR 2025, REHABILITATION HOSPITAL OF THE PACIFIC (REHAB HOSPITAL) SPENT $30,690,630 IN EXPENSES FOR INPATIENT ACUTE-CARE MEDICAL REHABILITATION SERVICES. REHAB HOSPITAL'S INPATIENT ACUTE-CARE PROGRAM OFFERS OPPORTUNITIES FOR PEOPLE WITH DEBILITATING INJURIES OR ILLNESSES TO REBUILD THEIR STRENGTH AND FUNCTION TO MAXIMIZE THEIR INDEPENDENCE. OUR PROGRAMS INCLUDE: STROKE REHABILITATION PROGRAM - INDIVIDUAL TREATMENT-PLANS DESIGNED TO HELP PATIENTS RECOVERING FROM A STROKE MAKE PHYSICAL AND PSYCHOLOGICAL ADJUSTMENTS IN COPING WITH PARALYSIS, SPEECH PROBLEMS, COGNITIVE DEFICITS, SWALLOWING DISORDERS AND VISUAL-PERCEPTION DIFFICULTIES. BRAIN INJURY PROGRAM - COMPREHENSIVE ASSESSMENTS TO HELP RESTORE FUNCTION TO THOSE EXPERIENCING DEFICITS DUE TO BRAIN-TRAUMA OR DISEASE AND TO COPE WITH DEFICITS AFFECTING THINKING, LANGUAGE, LEARNING, EMOTIONS, BEHAVIOR AND/OR SENSATION. SPINAL CORD INJURY PROGRAM - TEAM APPROACH DEDICATED TO RESTORING INDEPENDENCE THROUGH A CONTINUUM OF SERVICES INCLUDING PHYSICAL AND OCCUPATIONAL THERAPY, WHEELCHAIR SEATING AND MOBILITY, AND COMMUNITY INTEGRATION PROGRAMS. TREATMENT PLANS INCLUDE COPING WITH THE LOSS OF FUNCTION AND SENSATION, IN ADDITION TO CHANGES IN BOWEL/BLADDER FUNCTIONS AND REGULATING BLOOD PRESSURE AND BODY TEMPERATURE. ORTHOPEDIC PROGRAM - TREATMENT AND THERAPY FOR INDIVIDUALS WITH COMPLEX, MEDICAL NEEDS FOLLOWING ORTHOPEDIC SURGERY, MUSCULOSKELETAL DISORDERS AND INJURIES. AMPUTEE PROGRAM - TREATMENT AND THERAPY WHICH INCLUDES PROSTHESIS AND GAIT TRAINING FOR INDIVIDUALS WHO HAVE UNDERGONE LOWER OR UPPER LIMB AMPUTATION. GENERAL REHABILITATION PROGRAM - TREATMENT AND THERAPY FOR INDIVIDUALS WITH FUNCTIONAL DECLINE AND LIMITED MOBILITY DUE TO PROLONGED ILLNESSES, SURGERIES, OR DEGENERATIVE DISEASES TO AVOID OTHER COMPLICATIONS WHICH IMPACT FUNCTIONING IN EVERYDAY TASKS. IN FISCAL YEAR 2025, REHAB HOSPITAL ADMITTED A TOTAL OF 1,332 PATIENTS IN THE FOLLOWING PROGRAMS: -STROKE REHABILITATION PROGRAM AND OTHER NEUROLOGICAL PROGRAMS: 461 INPATIENTS -BRAIN INJURY PROGRAM: 130 INPATIENTS -SPINAL CORD INJURY AND DYSFUNCTION PROGRAMS: 176 INPATIENTS -ORTHOPEDIC AND AMPUTEE PROGRAMS: 481 INPATIENTS -GENERAL REHABILITATION PROGRAMS: 84 INPATIENTS

    Expenses $30,690,629 · Revenue $48,262,212

  • OUTPATIENT CLINIC THERAPY SERVICES IN FISCAL YEAR 2024, REHAB HOSPITAL SPENT $4,232,655 IN DIRECT EXPENSES FOR OUTPATIENT CLINIC THERAPY SERVICES. REHAB HOSPITAL OFFERS OUTPATIENT CLINIC THERAPY SERVICES IN NUUANU AND AIEA ON THE ISLAND OF OAHU AND IN HILO ON THE ISLAND OF HAWAII. EACH CLINIC OFFERS COMPREHENSIVE REHABILITATION SERVICES FOR THOSE WHO NEED ADDITIONAL PHYSICAL, OCCUPATIONAL, OR SPEECH THERAPY IN ORDER TO REACH HIGHER LEVELS OF INDEPENDENCE. SPECIALTY SERVICES PROVIDED ON AN OUTPATIENT BASIS ALSO INCLUDE: -CARDIAC REHABILITATION -AQUATIC THERAPY -WOMEN'S HEALTH REHABILITATION -URINARY INCONTINENCE PROGRAM IN FISCAL YEAR 2025, REHAB HOSPITAL PROVIDED OUTPATIENT THERAPY SESSIONS TOTALING 34,954 IN THE FOLLOWING AREAS: -PHYSICAL AND AQUATICS THERAPY - 29,605 SESSIONS -OCCUPATIONAL THERAPY - 3,609 SESSIONS -SPEECH THERAPY - 1,740 SESSIONS

    Expenses $4,232,655 · Revenue $4,588,358

  • PHYSICIANS CLINIC SERVICES IN FISCAL YEAR 2025, REHAB HOSPITAL SPENT $645,605 IN DIRECT EXPENSES FOR PHYSICIANS CLINIC SERVICES. REHAB HOSPITAL OFFERS PHYSICIAN SERVICES IN A HOSPITAL BASED CLINIC LOCATED ON ITS NUUANU CAMPUS. THE CLINIC OFFERS COMPREHENSIVE PROGRAMS FOR STROKE, AMPUTEE, SPASTICITY, NEUROTRAUMA, AND OSTEOPOROSIS PATIENTS, AMONGST OTHERS. IN FISCAL YEAR 2025, REHAB HOSPITAL PROVIDED PHYSICIAN VISITS TOTALING 3,886 VISITS.

    Expenses $645,605 · Revenue $960,893

  • REHAB HOSPITAL IS THE ONLY ACUTE-CARE MEDICAL REHABILITATION ORGANIZATION SERVING HAWAII AND THE PACIFIC FOR OVER 70 YEARS. THE 82-BED, NOT-FOR-PROFIT HOSPITAL, THREE OUTPATIENT THERAPY CLINICS, AND HOSPITAL BASED PHYSICIANS CLINIC ON THE ISLANDS OF OAHU AND HAWAII HAVE BEEN DEDICATED TO PROVIDING COMPREHENSIVE MEDICAL REHABILITATION SERVICES. COMMUNITY ROLE/ACTIVITY IN ADDITION TO PROVIDING THE SERVICES ABOVE, REHAB HOSPITAL HAS SUPPORTED THE COMMUNITY THROUGH THE FOLLOWING: SUPPORTING OPPORTUNITIES FOR THE DISABLED COMMUNITY TO PARTICIPATE IN ADAPTIVE SPORTS. OFFERING AN INFORMATION CENTER WHICH SHARES RESOURCES AND SERVICES PROVIDED BY REHAB HOSPITAL OR AVAILABLE IN OTHER ORGANIZATIONS TO SUPPORT PATIENTS, CAREGIVERS AND THE COMMUNITY TO IDENTIFY AVAILABLE REHABILITATIVE HEALTHCARE SERVICES. PROVIDING EDUCATION AND CLINICAL ROTATIONS FOR THERAPY STUDENTS AND MEDICAL PROFESSIONALS. PARTICIPATING IN HEALTH AND FITNESS FAIRS TO HELP 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. ORGANIZING VOLUNTEERS FROM THE COMMUNITY TO PERFORM THOUSANDS OF HOURS OF VOLUNTEER WORK. IN FISCAL YEAR 2025, MORE THAN 13,000 VOLUNTEER HOURS WERE PERFORMED. THE SELECTION AND QUALITY OF PROGRAMS AND SERVICES PROVIDED BY REHAB HOSPITAL ARE OF GREAT VALUE TO THE COMMUNITY. THE FOLLOWING BENEFITS ARE A RESULT OF REHAB HOSPITAL'S PRESENCE IN THE COMMUNITY: AVAILABILITY OF HIGHER QUALITY, COMPREHENSIVE, COST EFFICIENT, PHYSICAL AND COGNITIVE REHABILITATION WHICH PROVIDES FOR GREATER FUNCTIONAL INDEPENDENCE FOR THE PATIENTS. EDUCATION AND TRAINING FOR THE GENERAL COMMUNITY ON REHABILITATION TECHNIQUES AND TRENDS AND PREVENTIVE MEASURES. RETURN OF INJURED PATIENTS TO THEIR COMMUNITY AND TO THE WORKFORCE WITH GREATER FUNCTIONAL INDEPENDENCE IN A TIMELY MANNER. OTHER 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 HOSPITAL HAS A FINANCIAL ASSISTANCE PROGRAM THAT PROVIDES COMPREHENSIVE MEDICAL REHABILITATION TO INDIVIDUALS FROM WHOM WE MAY RECEIVE LITTLE OR NO COMPENSATION. IN FISCAL YEAR 2024, REHAB HOSPITAL PROVIDED VARIOUS FORMS OF FINANCIAL ASSISTANCE TO ITS PATIENTS. THE ESTIMATED UNCOMPENSATED COST OF PROVIDING CARE TO THESE PATIENTS WAS APPROXIMATELY $29,000. REHAB HOSPITAL ALSO PROVIDED SERVICES TO APPROXIMATELY 1,025 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 OR MEDICAID HMO COVERAGE EXCEEDED REIMBURSEMENT, BY APPROXIMATELY $3,174,000.

As filed on the 2024 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Glenn Sexton

    DIRECTOR/CHAIR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Jennifer Isobe

    DIRECTOR/TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Kevin Chang

    DIRECTOR/VICE CHAIR

    Total calculated
    $0
    Hours/week
    1

  • William Crowley

    DIRECTOR/SECRETARY

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Benjamin Kudo

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Bryan Luke

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Cherylee Chang MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Cory Kubota

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Huidy Shu MD PhD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Janice Luke Loo

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Kathryn Raethel

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Keith Gendreau

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Ku'Uhaku Park

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Laurie Tom MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Michael Wo

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Neill Char

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Owen Nishikawa MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Patrick Sullivan PhD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Stanford Carr

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Tyler Tokioka

    DIRECTOR (AS OF 2/25)

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • Brian Ingold

    CHIEF INFORMATION OFFICER (AS OF 10/2024)

    Total calculated
    $47,688
    From this org
    $45,067
    From related orgs
    $0
    Other
    $2,621
    Hours/week
    40

  • Dr Shari Ann Oshiro

    VP, CHIEF MEDICAL OFFICER

    Total calculated
    $336,240
    From this org
    $307,753
    From related orgs
    $0
    Other
    $28,487
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $267,861
    Bonus
    $37,492
    Other
    $2,400
    Deferred
    $0
    Nontaxable benefits
    $28,487
    Filer's total
    $336,240

  • Mario Rodriguez

    VP, CLINICAL SERVICES (AS OF 10/2024)

    Total calculated
    $58,457
    From this org
    $55,856
    From related orgs
    $0
    Other
    $2,601
    Hours/week
    40

  • Stephanie Nadolny

    PRESIDENT & CEO

    Total calculated
    $494,265
    From this org
    $473,791
    From related orgs
    $0
    Other
    $20,474
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $403,651
    Bonus
    $62,940
    Other
    $7,200
    Deferred
    $0
    Nontaxable benefits
    $20,474
    Filer's total
    $494,265

  • Wendy Manuel

    EVP/CFO/COO

    Total calculated
    $411,837
    From this org
    $383,350
    From related orgs
    $0
    Other
    $28,487
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $332,950
    Bonus
    $48,000
    Other
    $2,400
    Deferred
    $0
    Nontaxable benefits
    $28,487
    Filer's total
    $411,837

  • Brandon Wong

    INTERIM CHIEF NURSING OFFICER

    Total calculated
    $178,461
    From this org
    $169,651
    From related orgs
    $0
    Other
    $8,810
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $169,051
    Bonus
    $0
    Other
    $600
    Deferred
    $0
    Nontaxable benefits
    $8,810
    Filer's total
    $178,461

  • Coleen Yee

    CERTIFIED REHABILITATION RN

    Total calculated
    $160,310
    From this org
    $143,198
    From related orgs
    $0
    Other
    $17,112
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $143,198
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $17,112
    Filer's total
    $160,310

  • Elivira Oshiro

    REGISTERED NURSE

    Total calculated
    $167,998
    From this org
    $142,618
    From related orgs
    $0
    Other
    $25,380
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $142,618
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $25,380
    Filer's total
    $167,998

  • Evangeline Bihis

    REGISTERED NURSE

    Total calculated
    $189,455
    From this org
    $172,349
    From related orgs
    $0
    Other
    $17,106
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $172,349
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $17,106
    Filer's total
    $189,455

  • Irish Lagundi

    REGISTERED NURSE

    Total calculated
    $188,019
    From this org
    $168,856
    From related orgs
    $0
    Other
    $19,163
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $168,856
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $19,163
    Filer's total
    $188,019

  • Ruby Kushima

    REGISTERED NURSE

    Total calculated
    $171,044
    From this org
    $153,938
    From related orgs
    $0
    Other
    $17,106
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $153,938
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $17,106
    Filer's total
    $171,044

  • Cheryl Kozai

    VP, CLINICAL SERVICES, CNO (TERMED 04/24)

    Total calculated
    $116,746
    From this org
    $105,697
    From related orgs
    $0
    Other
    $11,049
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $63,148
    Bonus
    $31,500
    Other
    $11,049
    Deferred
    $0
    Nontaxable benefits
    $11,049
    Filer's total
    $116,746

  • Glenn P Requierme

    CHIEF INFORMATION OFFICER (TERMED 07/24)

    Total calculated
    $159,225
    From this org
    $155,247
    From related orgs
    $0
    Other
    $3,978
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $101,802
    Bonus
    $14,615
    Other
    $38,830
    Deferred
    $0
    Nontaxable benefits
    $3,978
    Filer's total
    $159,225

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Tax indemnification and gross-up payments
  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Form 990 of other organizations
  • 3 · Written employment contract
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 7 · Other non-fixed payments

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

SCHEDULE J, PART I, LINE 1A TAX INDEMNIFICATION AND GROSS-UP PAYMENTS
FOR THE FOLLOWING, BENEFITS REPORTED IN PART VII INCLUDES GROSS-UP PAYMENTS FOR A TAXABLE SERVICE AWARD: 1 OFFICER 1 HIGHEST COMPENSATED EMPLOYEE
SCHEDULE J, PART I, LINE 1A HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES
OFFICER STEPHANIE NADOLNY RECEIVED HEALTH OR SOCIAL CLUB DUES DURING CALENDAR YEAR 2025. THE BENEFIT WAS NOT TREATED AS TAXABLE COMPENSATION AS THE DUES WERE A WORKING CONDITION FRINGE AND WERE USED PRIMARILY FOR BUSINESS. ANY PERSONAL USE OF THE MEMBERSHIP WAS SO SMALL THAT IT WAS A DE MINIMIS FRINGE.
SCHEDULE J, PART I, LINE 3 ARRANGEMENT USED TO ESTABLISH THE TOP MANAGEMENT OFFICIAL'S COMPENSATION
THE PROCESS TO REVIEW THE CEO COMPENSATION WAS LAST COMPLETED IN NOVEMBER 2024 RESULTING IN A TWO YEAR EMPLOYMENT AGREEMENT, WITH THE OPTION TO EXTEND FOR AN ADDITIONAL ONE YEAR TERM. THE AMENDMENT TO THE EMPLOYMENT AGREEMENT STIPULATES A BASE SALARY FOR THE FIRST YEAR WITH PREDETERMINED SALARY INCREASES FOR YEAR TWO AND THE OPTIONAL YEAR, IF EXTENDED. THE EXECUTIVE TEAM EMPLOYMENT AGREEMENTS WERE REVIEWED IN 2021 AND INCLUDE THREE YEAR TERMS.
SCHEDULE J, PART I, LINE 4A SEVERANCE OR CHANGE-OF-CONTROL PAYMENT
GLENN P REQUIERME RECEIVED SEVERANCE PAYMENTS OF $38,530 DURING 2024.
SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS
NON-FIXED PAYMENTS ARE MADE TO EMPLOYEES BASED ON PERFORMANCE THAT IS NOT BASED ON REVENUES OR NET EARNINGS.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2024
Filed
10 August 2026
IRS schema version
2024v5.1
Source object
202632229349301443

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

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