2023-05-16T00:00:44+00:00 2022-06-30 346565596 ERNST & YOUNG US LLP 4365 EXECUTIVE DRIVE SUITE 1600 SAN DIEGO CA 92121 990 2021-07-01 990246363 Hawai'i Pacific Health HAWA 8085357401 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 RAYMOND P VARA JR VP & CONTROLLER 2023-05-16 true CARRIE ANN TSUTSUI 999009999 JOCELYNE C MILLER P00634378 8585357200 2023-05-12 2021 2023-04-26 12:10:37Z RAYMOND P VARA JR 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 328281027 false X HAWAIIPACIFICHEALTH.ORG X 1986 HI HAWAI'I PACIFIC HEALTH IS A NOT-FOR PROFIT HEALTH CARE SYSTEM, AND ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS AND PRIVATE EMPLOYERS. HAWAI'I PACIFIC HEALTH'S MISSION IS TO CREATE A HEALTHIER HAWAI'I. 17 13 1416 14 17725 736773 11104658 12661917 183848861 198373641 3175780 13131001 0 198129299 224166559 640995 804531 0 122742159 132212569 0 1861335 70244262 78302504 193627416 211319604 4501883 12846955 966967056 938715671 507367993 497833670 459599063 440882001 HAWAI'I PACIFIC HEALTH IS A NOT-FOR PROFIT HEALTH CARE SYSTEM, AND ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS AND PRIVATE EMPLOYERS. 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part year 0.4 0.1 X 0 0 0 Michael Yamane Board of Director 0.4 0.2 X 0 0 0 Monica Price MD Board of Director 0.4 40.2 X 0 312124 37180 Stephen Lin MD Board of Director 0.4 0.3 X 1777 0 0 Steven Ai Board of Director 0.4 0 X 0 0 0 Trinette Kaui Board of Director 0.4 0.2 X 0 0 0 Alan Ito Information Security Officer (part year) 36.8 3.2 X 201298 0 32431 Amy Thomas RN System CNE 40.0 0 X 211265 0 47567 Arthur Gladstone EVP & CSO 35.0 20.0 X 906835 0 317125 Brandon Wong VP 40.0 7.0 X 185663 0 55129 Carrie Ann Tsutsui VP, System Controller 18.3 29.7 X 278287 0 78811 Charles R Ching EVP, General Counsel & Secretary 26.1 13.9 X 959131 0 268655 David Okabe EVP, CFO & Treasurer 35.0 15.0 X 953161 0 392126 David Stumbaugh VP 5.0 35.0 X 271257 0 85843 David Underriner EVP 10.0 30.0 X 317137 0 6410 Dawn Dunbar SVP 9.5 35.5 X 403265 0 118270 Dean Tateyama VP 32.5 7.5 X 201171 0 40804 Douglas Kwock MD VP 2.0 38.0 X 507996 0 119013 Gerard Livaudais MD EVP (part year) 49.8 0.2 X 570789 0 181478 James Lin MD VP 45.1 2.5 X 335132 0 97482 Jennie Chahanovich EVP 1.5 55.0 X 681179 0 231860 Jessica Lewis Assistant Corporate Secretary 17.0 23.0 X 168040 0 40849 John McNamara SVP & CMO 11.0 29.0 X 47283 0 1584 Katie Shigemitsu Compliance Officer 15.5 24.5 X 223318 0 32225 Leslie Chun MD EVP 6.0 54.0 X 785845 0 225311 Lorrie-Ann Luke VP 32.5 9.0 X 270752 0 88451 Louise Fukumoto VP 8.0 32.0 X 199148 0 35921 Mavis Nikaido System CNE (part year) 1.0 55.0 X 469672 0 70178 Melinda Ashton MD EVP & CQO 43.0 6.3 X 788781 0 260505 Michael Robinson VP 49.1 0.9 X 337891 0 85823 Peter Lewis VP & Chief Information Security Officer 36.8 3.2 X 135377 0 330 Reina (France) Graves PRIVACY OFFICER 21.6 18.4 X 250059 0 34768 Shilpa Patel MD Associate CQO 23.5 16.5 X 209616 107179 45382 Steven Robertson EVP & CIO 40.0 13.0 X 787444 0 299769 Sunshine Topping SVP 37.5 12.5 X 379753 0 113698 Susan Masumoto-Nonaka VP (part year) 7.9 32.1 X 522308 0 82373 Troy Branstetter VP 10.0 48.0 X 230736 0 37114 Warren Chaiko SVP 4.0 36.0 X 767486 0 120610 William Burke VP 22.0 32.0 X 302321 0 88324 Andy Lee MD Medical Director - HHP 41.0 8.0 X 357370 0 46675 Barbara Craft COO - PMMC 3.7 50.3 X 347977 0 106655 Brigitte McKale VP/CNE - PMMC 0.0 55.0 X 330206 0 90387 Gidget Ruscetta RN COO - KMCWC 10.0 46.0 X 424645 0 100141 Travis Clegg COO - SCH 0.0 50.0 X 430591 0 121582 Brandt Farias Former Officer 40.9 22.1 X 204094 0 80106 Gail Lerch Former Officer 38.5 12.5 X 486260 0 98582 Kenneth B Robbins MD Former Officer 20.5 34.5 X 236663 0 100651 Martha Smith Former Officer 5.0 55.0 X 421044 0 263816 19390057 731937 7295046 295 true true false EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 532880314 MEDICAL RECORD SYST. 4802531 PACXA PO BOX 3347 HONOLULU HI 96801 HW/SW MAINTENANCE 3929407 MICROSOFT SERVICES ONE MICROSOFT WAY REDMOND WA 980526399 COMPUTER SERVICES 3019159 HEALTH CATALYST INC 3165 MILLROCK DR STE 400 SALT LAKE CITY UT 84121 PROFESSIONAL SERVICES 2028918 ANTHOLOGY MARKETING GRP 1003 BISHOP ST 9TH FLOOR HONOLULU HI 96813 MARKETING SERVICES 1842103 70 37460 12124719 499738 12661917 Admin/Mgmt Services 561000 193085969 192216321 869648 HAWAI'I HEALTH PARTNERS 561000 3663454 3473614 189840 GRANT AND CLINICAL TRIALS 900099 768257 768257 NET PATIENT REVENUE 624190 413929 413929 CLINICAL TRIALS 624190 442032 442032 0 0 0 0 198373641 3851259 -1041763 4893022 0 0 113394210 104114468 9279742 0 9279742 9279742 0 0 0 0 0 224166559 197314153 17725 14172764 804531 804531 15428013 10799609 4628404 823076 823076 90916442 36487276 53089209 1339957 7966369 4550741 3358958 56670 10103536 5610299 4262370 230867 6975133 3670207 3196598 108328 2428710 2428710 75867 75867 58075 58075 1215297 1215297 13659764 4812750 8845292 1722 3374403 3374403 167474 113917 52973 584 21250410 13221875 8028535 3994986 2250136 1744850 294630 125602 167450 1578 105345 59957 45388 1588327 1581184 7143 9304448 9184233 120215 510417 510417 PROGRAM SERVICE EXPENDITURES 11289162 11289162 OTHER PURCHASES 3297806 1331661 1966145 TAXES & LICENSES 1385172 190897 1194275 DUES PAID 1103407 511372 592035 3198804 670727 2526663 1414 211319604 107266136 102192133 1861335 248491961 228404010 2019523 2248775 152649 -1885 0 0 0 0 0 0 4377473 4773924 146708489 98263717 47888645 48444772 174045174 147581615 307444193 299500064 0 182547438 207764396 966967056 938715671 41677674 42026460 427585625 418100623 0 0 38104694 37706587 507367993 497833670 X 443397646 423643663 16201417 17238338 459599063 440882001 966967056 938715671 X 12846955 -49974243 0 0 0 18410226 X false true X true true true X X 5 KAUA'I MEDICAL CLINIC 990326099 3 true 0 0 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN 990177350 3 true 0 0 WILCOX MEMORIAL HOSPITAL 990074365 3 true 0 0 PALI MOMI MEDICAL CENTER 990274038 3 true 0 0 STRAUB CLINIC & HOSPITAL 912151670 3 true 0 0 5 0 0 true false false false false true false false false false false false false false false true true true X true true Schedule A, Part I, Line 12g(vi) SUPPORTED ORGANIZATIONS HAWAI'I PACIFIC HEALTH ('HPH') IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND HAS THE RIGHT TO PARTICIPATE IN THE SUPPORTED ORGANIZATIONS' GOVERANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE SUPPORTED ORGANIZATIONS' GOVERNING BOARD. Schedule A, Part IV, Section A, Line 6 Support to other supported orgs HAWAI'I PACIFIC HEALTH'S DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)(3) ORGANIZATIONS ON BEHALF OF ITS SUPPORTED ORGANIZATIONS. Schedule A, Part IV, Section D, Line 3 Supp. Org. Have Significant Voice In Investment Policies FIVE BOARD MEMBERS OF HAWAI'I PACIFIC HEALTH ('HPH') ALSO SERVE AS DIRECTORS FOR THE SUPPORTED ORGANIZATIONS. THEREFORE, HPH'S SUPPORTED ORGANIZATIONS HAD A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME OR ASSETS AT ALL TIMES DURING THE YEAR. Schedule A, Part IV, Section E, Line 3a Power To Appoint/Elect Majority of Officer/Director/Trustee HAWAI'I PACIFIC HEALTH ('HPH') IS THE SOLE MEMBER WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD FOR EACH OF ITS SUPPORTED ORGANIZATIONS. Schedule A, Part IV, Section E, Line 3b Substantial Direction Over Policies/Programs/Activities HAWAI'I PACIFIC HEALTH ('HPH') IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND HAS THE RIGHT TO PARTICIPATE IN THE SUPPORTED ORGANIZATIONS' GOVERNANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE SUPPORTED ORGANIZATIONS' GOVERNING BOARD. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 58075 58075 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY A REGISTERED LOBBYIST (CYNTHIA NAKAMURA) PROVIDES GENERAL ADVICE ON LEGISLATIVE ACTIVITIES INCLUDING INFORMATION AND INSIGHT ON LEGISLATIVE ACTIONS THAT MAY BE OF INTEREST TO HAWAI'I PACIFIC HEALTH ('HPH'). THE INDIVIDUAL ALSO PROVIDES GUIDANCE AND INSIGHT ON HOW TO NEGOTIATE THROUGH THE LEGISLATIVE PROCESS WHEN TRYING TO PASS LEGISLATION AS WELL AS INFORMATION AND INSIGHT ON THE GENERAL ACTIVITIES OF WHAT'S HAPPENING AT THE LEGISLATURE. THE INDIVIDUAL DOES SPEAK TO LEGISLATORS, SOMETIMES ON BEHALF OF LEGISLATION OR ISSUES IN WHICH HPH HAS AN INTEREST. THE INDIVIDUAL ALSO HAS AN INPUT ON HPH'S OVERALL LEGISLATIVE/COMMUNITY COMMUNICATION PLAN BUT DOES NOT SEND MAILINGS OUT TO LEGISLATORS OR THE PUBLIC ON HPH'S BEHALF. PUBLIC POLICY HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO OFFER THOUGHTFUL AND INNOVATIVE INPUT TO LAWMAKERS REGARDING HEALTH CARE POLICY AND LEGISLATION. HAWAI'I PACIFIC HEALTH LEADERS ADVOCATE FOR LEGISLATIVE REFORM AND REGULATORY ENHANCEMENTS FOR VARIOUS HEALTH CARE INDUSTRY ISSUES RANGING FROM RETAINING PHYSICIANS IN THE STATE TO PROVIDING STABILITY FOR HEALTH CARE PROVIDERS. 24569 X false 12376820 903165 11473655 12631036 254216 12376820 12942804 311768 12631036 13215382 272578 12942804 13167545 -47837 13215382 1.0 0.0 0.0 false false 14981997 14981997 3067147 1745448 1321699 9819665 8715305 1104360 111150689 87802964 23347725 7688991 0 7688991 48444772 61425410 F LIMITED PARTNERSHIP 229339619 F HPH BOARD DESIGNATED 6735035 F INVESTMENT IN TRUVETA 2000000 F 299500064 BENEFICIAL INTEREST - FDN ASSET 79299406 NOTE RECEIVABLE HPHPI 26938000 DUE FROM HPHMG 20173632 PREPAID PENSION 45142421 OTHER RECEIVABLES 1520841 RIGHT OF USE ASSETS OPERATING 8426297 DEFERRED CHARGES - TK57 7734812 DEFERRED CHARGES - RETIREMENT 3962667 PROVIDER'S INSURANCE CORP. 7747751 INVESTMENT LIFE INSURANCE CSV 1628330 RIGHT OF USE ASSETS FINANCE 954684 COST OF BOND ISSUANCE 1348090 DUE FROM KAUA'I MEDICAL CENTER 590956 DUE FROM KAPI'OLANI HLTH. FDN. 331658 DUE FROM HPHPI 216764 DUE FROM STRAUB FOUNDATION 150343 DUE FROM WILCOX FOUNDATION 123319 DUE FROM HONOLULU SURGERY CTR. 115292 DUE FROM PALI MOMI FDN. 102997 DEFERRED CHARGES - LEASE/DEP 39458 ARTWORK 24569 DUE FROM KEAHONUIOKALANI 12040 DUE FROM HICORD, INC. 6085 DUE FROM KAPI'OLANI MEDICAL CENTER 361934 DUE FROM PALI MOMI MEDICAL CENTER 221268 DUE FROM STRAUB MEDICAL CENTER 459476 DUE FROM WILCOX MEMORIAL HOSPITAL 92246 DUE FROM HONOLULU IMAGING CENTER LLC 39060 ROUNDING 207764396 LT LEASE LIABILITY - OPERATING 8468906 OTHER LONG TERM LIABILITIES 10559886 DUE TO KAPI'OLANI MED. SPECIALISTS 13343978 CURRENT PORTION OF CAPITAL LEASE 1889900 DUE TO HPHMG 869773 LT LEASE LIABILITY - FINANCE 695777 UH JABSOM SCHOLARSHIP PLEDGE 546543 ST LEASE LIABILITY - FINANCE 403651 LT FEDERAL EXCISE TAX 411250 STALE DATED AP CHECKS 283133 DEFERRED RENT LIABILITY 226109 DUE TO KAUA'I MEDICAL CLINIC 7681 xxx 37706587 X Schedule D, Part III, Line 4 Collections of art - description of collections HAWAI'I PACIFIC HEALTH'S ('HPH') COLLECTION OF ARTWORK INCLUDES PAINTINGS AND SIMILAR WORKS THAT ARE DISPLAYED IN PUBLIC WAITING AREAS TO FURTHER ITS MISSION OF CREATING A HEALTHIER HAWAI'I. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE COMPANY HAS NOT RECORDED ANY EXPENSE OR ACCRUED FOR ANY RELATED EXPENSE FOR ANY UNCERTAIN TAX POSITIONS. THE COMPANY'S 2017 THROUGH 2020 TAX YEARS REMAIN SUBJECT TO EXAMINATION FOR FEDERAL INCOME TAX PURPOSES, WHEREAS THE 2016 THROUGH 2020 TAX YEARS REMAIN SUBJECT TO EXAMINATION FOR STATE TAXING JURISDICTIONS IN WHICH THE COMPANY OPERATES. Central America and the Caribbean 0 0 Investments 121406227 Europe (Including Iceland and Greenland) 0 0 Investments 44800724 0 0 0 0 0 0 166206951 0 166206951 true false false false true false Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEA; EUROPE (INCLUDING ICELAND AND GREENLAND true GREAT ALOHA RUN 418 KUWILI ST STE 102 HONOLULU HI 96817 990314751 501 (C) (3) 180000 GENERAL SUPPORT BIKESHARE HAWAI'I 914 ALA MOANA BLVD HONOLULU HI 96814 464561541 501 (C) (3) 90000 GENERAL SUPPORT University of Hawaii 1334 Lower Campus Road HONOLULU HI 96822 996000354 Government 66565 GENERAL SUPPORT AMERICAN HEART ASSN 677 ALA NOANA BLVD HONOLULU HI 96813 135613797 501 (C) (3) 55000 GENERAL SUPPORT HAWAI'I EXECUTIVE COLLABORATIVE 827 FORT ST MALL 2ND FL HONOLULU HI 96813 844041099 501 (C) (3) 50000 GENERAL SUPPORT HEALTHCARE ASSOCIATION OF HAWAI'I 707 RICHARDS ST PH2 HONOLULU HI 96813 990105817 501 (C) (3) 35000 GENERAL SUPPORT UH FOUNDATION 2444 DOLE ST 105 HONOLULU HI 96822 990085260 501 (C) (3) 31667 GENERAL SUPPORT HAWAI'I COMMUNITY FOUNDATION 827 FORT STREET MALL HONOLULU HI 96813 990261283 501 (C) (3) 30000 GENERAL SUPPORT DIAMOND HEAD THEATRE 520 MAKAPUU AVE HONOLULU HI 96813 990073495 501 (C) (3) 19000 GENERAL SUPPORT HAWAI'I PUBLIC HEALTH INSTITUTE 850 RICHARDS ST 201 HONOLULU HI 96813 680637054 501 (C) (3) 18000 GENERAL SUPPORT AMERICAN RED CROSS 4155 DIMOND HEAD ROAD HONOLULU HI 96816 530196605 501 (C) (3) 17500 GENERAL SUPPORT SHIDLER COLLEGE OF BUSINESS 2404 MAILE WAY STE A303F HONOLULU HI 96822 990339302 501 (C) (3) 15000 GENERAL SUPPORT HAWAIIAN HUMANE SOCIETY 2700 WAIALAE AVE HONOLULU HI 96826 990073490 501 (C) (3) 15000 GENERAL SUPPORT AFTER SCHOOL ALL START 4747 KILAUEA AVE HONOLULU HI 96816 274604870 501 (C) (3) 15000 GENERAL SUPPORT ARTHRITIS FOUNDATION 1355 PEACHTREE ST NE STE 600 ATLANTA GA 30309 581341679 501 (C) (3) 15000 GENERAL SUPPORT HONOLULU MUSEUM OF ART 900 SOUTH BERETANIA ST HONOLULU HI 96814 990079713 501 (C) (3) 15000 GENERAL SUPPORT MAKE A WISH HAWAI'I 223 SKING ST STE 100 HONOLULU HI 96813 990220777 501 (C) (3) 15000 GENERAL SUPPORT MARCH OF DIMES 1580 MAKLOA ST 1200 HONOLULU HI 96814 131846366 501 (C) (3) 14500 GENERAL SUPPORT HOUSING HAWAII'S FUTURE 1008 LUNAAI PL KAILUA HI 96734 873388003 501 (C) (3) 12500 GENERAL SUPPORT GIFT FOUNDATION OF HAWAI'I 1288 ALA MOANA BLVD 201 HONOLULU HI 96814 300266316 501 (C) (3) 10000 GENERAL SUPPORT GIRL SCOUTS OF HAWAI'I 410 ATKINSON DR STE 2E1 BOX 3 HONOLULU HI 96814 990073488 501 (C) (3) 10000 GENERAL SUPPORT BOYS AND GIRLS CLUB OF HAWAI'I 1000 BISHOP ST STE 505 HONOLULU HI 96813 996005407 501 (C) (3) 6000 GENERAL SUPPORT WAIKIKI COMMUNITY CENTER 310 PAOAKALANI AVE HONOLULU HI 96815 990179392 501 (C) (3) 5500 GENERAL SUPPORT 23 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE HAWAI'I PACIFIC HEALTH ('HPH') DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)(3) ORGANIZATIONS ON AN ANNUAL BASIS. NO FURTHER MONITORING IS NECESSARY FOR DONATIONS MADE TO 501(C)(3) ORGANIZATIONS. X X true true X X X X false true false false false false false false false Raymond P Vara Jr Board of Director, President & CEO 1088746 0 579773 0 621515 0 2470732 0 27410 0 4788176 0 615303 0 Beau Nakamoto MD Board of Director 0 175980 0 2456 0 116462 0 11408 0 0 0 306306 0 0 Monica Price MD Board of Director 0 238335 0 8670 0 65119 0 11600 0 25580 0 349304 0 0 Brandt Farias Former Officer 121482 0 61243 0 21369 0 74371 0 5735 0 284200 0 49137 0 Gail Lerch Former Officer 433599 0 0 0 52661 0 91102 0 7480 0 584842 0 176018 0 Kenneth B Robbins MD Former Officer 236663 0 0 0 0 0 86322 0 14329 0 337314 0 78909 0 Martha Smith Former Officer 146322 0 124419 0 150303 0 258378 0 5438 0 684860 0 207350 0 Melinda Ashton MD EVP & CQO 455308 0 194229 0 139244 0 244499 0 16006 0 1049286 0 168964 0 Troy Branstetter VP 188888 0 13431 0 28417 0 29634 0 7480 0 267850 0 0 0 William Burke VP 231178 0 44764 0 26379 0 71139 0 17185 0 390645 0 16974 0 Jennie Chahanovich EVP 372818 0 148018 0 160343 0 218488 0 13372 0 913039 0 143838 0 Warren Chaiko SVP 259893 0 67444 0 440149 0 92906 0 27704 0 888096 0 54113 0 Charles R Ching EVP, General Counsel & Secretary 431400 0 135036 0 392695 0 252886 0 15769 0 1227786 0 185998 0 Leslie Chun MD EVP 519567 0 180626 0 85652 0 200623 0 24688 0 1011156 0 86619 0 Dawn Dunbar SVP 290624 0 74468 0 38173 0 93610 0 24660 0 521535 0 59749 0 Louise Fukumoto VP 176638 0 17733 0 4777 0 20815 0 15106 0 235069 0 0 0 Arthur Gladstone EVP & CSO 503226 0 189772 0 213837 0 292071 0 25054 0 1223960 0 199456 0 Reina (France) Graves PRIVACY OFFICER 248960 0 0 0 1099 0 12228 0 22540 0 284827 0 0 0 Alan Ito Information Security Officer (part year) 144850 0 18144 0 38304 0 17782 0 14649 0 233729 0 0 0 Douglas Kwock MD VP 392692 0 75632 0 39672 0 94688 0 24325 0 627009 0 49637 0 Jessica Lewis Assistant Corporate Secretary 167315 0 0 0 725 0 14873 0 25976 0 208889 0 0 0 James Lin MD VP 256939 0 52655 0 25538 0 73078 0 24404 0 432614 0 19200 0 Gerard Livaudais MD EVP (part year) 374236 0 126878 0 69675 0 172318 0 9160 0 752267 0 81450 0 Lorrie-Ann Luke VP 207351 0 39718 0 23683 0 63397 0 25054 0 359203 0 31859 0 Susan Masumoto-Nonaka VP (part year) 207594 0 51419 0 263295 0 74942 0 7431 0 604681 0 41245 0 Mavis Nikaido System CNE (part year) 200524 0 42238 0 226910 0 64604 0 5574 0 539850 0 40137 0 David Okabe EVP, CFO & Treasurer 546669 0 170726 0 235766 0 376357 0 15769 0 1345287 0 226880 0 Shilpa Patel MD Associate CQO 129013 21271 991 0 79612 85908 16936 6006 9350 13090 235902 126275 0 0 Steven Robertson EVP & CIO 444593 0 169121 0 173730 0 284000 0 15769 0 1087213 0 177390 0 Michael Robinson VP 260167 0 49180 0 28544 0 75992 0 9831 0 423714 0 39448 0 Katie Shigemitsu Compliance Officer 183738 0 0 0 39580 0 23057 0 9168 0 255543 0 0 0 David Stumbaugh VP 212851 0 40836 0 17570 0 62403 0 23440 0 357100 0 32756 0 Dean Tateyama VP 181497 0 18285 0 1389 0 21464 0 19340 0 241975 0 0 0 Amy Thomas RN System CNE 187660 0 21571 0 2034 0 20663 0 26904 0 258832 0 0 0 Sunshine Topping SVP 280785 0 68850 0 30118 0 89038 0 24660 0 493451 0 0 0 Carrie Ann Tsutsui VP, System Controller 214570 0 41321 0 22396 0 65763 0 13048 0 357098 0 18347 0 David Underriner EVP 240233 0 75000 0 1904 0 0 0 6410 0 323547 0 0 0 Brandon Wong VP 169022 0 15905 0 736 0 32689 0 22440 0 240792 0 0 0 Travis Clegg COO - SCH 326626 0 80626 0 23339 0 96413 0 25169 0 552173 0 51050 0 Barbara Craft COO - PMMC 232764 0 65450 0 49763 0 91059 0 15596 0 454632 0 21234 0 Andy Lee MD Medical Director - HHP 295998 0 36372 0 25000 0 21750 0 24925 0 404045 0 0 0 Brigitte McKale VP/CNE - PMMC 252259 0 49316 0 28631 0 76118 0 14269 0 420593 0 31541 0 Gidget Ruscetta RN COO - KMCWC 323251 0 62656 0 38738 0 85572 0 14569 0 524786 0 53567 0 Schedule J, Part I, Line 1a Housing allowance or residence for personal use HOUSING ALLOWANCES WERE PAID FOR ONE OFFICER OF THE ORGANIZATION. ALL AMOUNTS HAVE BEEN INCLUDED IN THE INDIVIDUALS FORM W-2 AS TAXABLE INCOME. Schedule J, Part I, Line 1a Health or social club dues or initiation fees HEALTH/SOCIAL CLUB DUES WERE PAID FOR SIX OFFICERS OF THE ORGANIZATION. ALL AMOUNTS HAVE BEEN INCLUDED IN THE INDIVIDUAL'S FORM W-2 AS TAXABLE INCOME. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE RESTORATION PLAN WAS DESIGNED TO RESTORE BENEFITS THAT ARE LOST DUE TO LIMITS IMPOSED BY SECTIONS 401 AND 415 OF THE INTERNAL REVENUE CODE ON COMPENSATION CONSIDERED UNDER SUCH PLANS. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR. - $193,418 DAVID OKABE - $72,983 GAIL LERCH - $7,785 STEVEN ROBERTSON - $49,068 LESLIE CHUN, M.D. - $33,229 CHARLES R. CHING - $44,945 ARTHUR GLADSTONE - $50,298 MARTHA SMITH - $58,273 MELINDA ASHTON, M.D. - $41,256 JENNIE CHAHANOVICH - $27,896 GERARD F. LIVAUDIS - $26,186 ANNUAL INCENTIVE PLAN THE ANNUAL INCENTIVE PLAN IS AFFORDED TO EXECUTIVES BASED ON ANNUAL SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR. - $479,773 DAVID OKABE - $170,726 STEVEN ROBERTSON - $139,121 CHARLES R. CHING - $135,036 ARTHUR GLADSTONE - $159,772 MELINDA ASHTON, M.D. - $144,229 JENNIE CHAHANOVICH - $123,018 LESLIE CHUN, M.D. - $155,626 GERARD LIVAUDAIS, M.D. - $126,564 DAWN DUNBAR - $74,468 WARREN CHAIKO - $67,444 DOUGLAS KWOCK, M.D. - $75,632 SUSAN MASUMOTO NONAKA - $51,419 MAVIS NIKAIDO - $42,238 MICHAEL ROBINSON - $49,180 DAVID STUMBAUGH - $40,836 LORRIE-ANN LUKE - $39,718 JAMES LIN, M.D. - $49,164 CARRIE ANN TSUTSUI - $41,321 WILLIAM BURKE - $44,764 SUNSHINE TOPPING - $68,850 TROY BRANSTETTER - $13,431 BRANDON WONG - $15,905 MARTHA SMITH - $124,419 BRANDT FARIAS - $61,243 RETENTION INCENTIVE PLAN THE RETENTION INCENTIVE PLAN WAS DESIGNED TO ENCOURAGE CONTINUED INTEREST IN THE SUCCESS OF THE ORGANIZATION AND PROVIDE COMPETITIVE RETIREMENT BENEFITS. THE SOLE PLAN PARTICIPANT IS HAWAI'I PACIFIC HEALTH'S CHIEF EXECUTIVE OFFICER, RAYMOND P. VARA JR. THE PLAN DOES NOT REPLACE THE ANNUAL AND LONG-TERM INCENTIVE PLAN NOR THE SERP RESTORATION PLAN. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR. - $1,015,000 A STATE OF HAWAI'I - DEPARTMENT OF BUDGET & FINANCE 990266961 419800JX6 2013-10-03 159059332 SEE PART VI false false false B STATE OF HAWAI'I - DEPARTMENT OF BUDGET & FINANCE 990266961 000000000 2019-05-15 48079910 TO REFUND SERIES 2013C BOND ISSUED 10/03/2013 false false false A 16365000 0 159068477 0 14284839 0 1995112 0 0 106439766 36348760 0 2016 true false true true B 6052270 0 48079910 0 0 0 493599 0 0 0 47586311 0 2019 true false true true A false true true true true true 0.0016 0.0016 false true 0.0157 false true B false true true true true true 0.0043 0.0043 false true 0.2859 false true A false false false false false false false false true B false false false false false false false false true A true B true Schedule K, Part II, Line 3 DIFFERENCE BETWEEN ISSUE PRICE AND TOTAL PROCEEDS THE DIFFERENCE IN ISSUE PRICE AND TOTAL PROCEEDS OF ISSUE IS DUE TO INVESTMENT EARNINGS. Schedule K, Part I, Column (f) DESCRIPTION OF PURPOSE OF TAX EXEMPT BONDS LINE A SERIES 2013-A IS NEW MONEY TO FUND THE KAPI'OLANI EXPANSION OF NEONATAL AND PEDIATRIC INTENSIVE CARE UNITS AND OTHER CLINICAL SERVICES. SERIES 2013-B IS REFUNDING SERIES 1998 BONDS ISSUED ON 04/08/1998 AND SERIES 2004-A BONDS ISSUED ON 01/14/2004. LINE B TO REFUND SERIES 2013-C BOND ISSUED 10/03/2013. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS (continued) OTHER HAWAI'I PACIFIC HEALTH MEDICAL CENTERS TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS A SAFETY NET PROVIDER OF HEALTH CARE FOR THE COMMUNITY. AN ESTABLISHED CHARITY CARE POLICY SETS GUIDELINES BY WHICH IT IS DETERMINED IF PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. HAWAI'I PACIFIC HEALTH CONTRIBUTES MORE THAN $1 BILLION TO THE STATE ECONOMY EACH YEAR, SUPPORTING ITS MORE THAN 7, 000 EMPLOYEES, THEIR FAMILIES, AND MANY BUSINESSES THROUGH PURCHASES MADE BY ITS MEDICAL CENTERS AND CLINICS. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS OUTPATIENT OPERATING ROOMS IN FISCAL YEAR 2022, HAWAI'I PACIFIC HEALTH SPENT A TOTAL OF $69,730,044 IN DIRECT EXPENSES FOR OUTPATIENT OPERATING ROOMS AND SURGICAL PROCEDURES, AS PART OF OUR COMMITMENT TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. HAWAI'I PACIFIC HEALTH MEDICAL CENTERS PERFORMED A TOTAL OF 14,569 OUTPATIENT SURGERIES. KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN (KAPI'OLANI) IS THE ONLY HOSPITAL IN THE STATE PROVIDING DA VINCI ROBOT-AIDED PEDIATRIC SURGERY. THE ROBOT ALSO IS USED FOR GYNECOLOGICAL SURGICAL SERVICES. IN FISCAL YEAR 2022, KAPI'OLANI PERFORMED 4,368 PEDIATRIC AND ADULT OUTPATIENT SURGERIES. PALI MOMI MEDICAL CENTER'S (PALI MOMI) OPERATING ROOM FEATURES A FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITE EQUIPPED WITH THE DA VINCI ROBOT-AIDED SURGICAL SYSTEM AND PERFORMED 3,718 OUTPATIENT SURGERIES. STRAUB CLINIC AND HOSPITAL (STRAUB) HAS INTEGRATED OUTPATIENT SURGERY AND PERFORMED 3,432 OUTPATIENT SURGERIES. WILCOX MEMORIAL HOSPITAL (WILCOX) HAS A STATE-OF-THE-ART SURGICAL CENTER AND PERFORMED 3,051 OUTPATIENT SURGERIES. OUTPATIENT EMERGENCY ROOMS IN FISCAL YEAR 2022, HAWAI'I PACIFIC HEALTH SPENT A TOTAL OF $62,964,812 IN DIRECT EXPENSES FOR OUTPATIENT EMERGENCY ROOM (ER) SERVICES, AS PART OF OUR COMMITMENT TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. HAWAI'I PACIFIC HEALTH MEDICAL CENTERS, WHICH ARE OPEN 24/7, SERVED A TOTAL OF 113,402 PATIENTS FOR OUTPATIENT ER VISITS. KAPI'OLANI IS THE ONLY LEVEL III PEDIATRIC TRAUMA CENTER SERVING HAWAI'I AND THE PACIFIC REGION. IN FISCAL YEAR 2022, KAPI'OLANI'S ER HAD 36,341 OUTPATIENT ER VISITS. PALI MOMI IS THE ONLY LEVEL III TRAUMA CENTER SERVING CENTRAL AND WEST O'AHU. IN FISCAL YEAR 2022, PALI MOMI'S ER HAD 33,755 OUTPATIENT ER VISITS. WILCOX MEDICAL CENTER IS THE FIRST AMERICAN COLLEGE OF SURGEONS VERIFIED LEVEL III TRAUMA CENTER IN THE STATE OF HAWAI'I. IN FISCAL YEAR 2022, WILCOX'S ER HAD 19,030 OUTPATIENT ER VISITS ON KAUA'I. IN FISCAL YEAR 2022, STRAUB'S ER HAD 24,276 OUTPATIENT ER VISITS. WOMEN'S SERVICES: OBSTETRICS IN FISCAL YEAR 2022, HAWAI'I PACIFIC HEALTH SPENT A TOTAL OF $46,024,292 IN DIRECT EXPENSES FOR WOMEN'S SERVICES FOR OBSTETRICS, AS PART OF OUR COMMITMENT TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. HAWAI'I PACIFIC HEALTH MEDICAL CENTERS HAD A TOTAL OF 6,559 CASES TO SUPPORT WOMEN FOR THEIR CARE DURING PREGNANCY, LABOR, AND BIRTH TO HELP MAINTAIN HEALTHY PREGNANCIES AND DELIVERIES OF BABIES. KAPI'OLANI IS RECOGNIZED AS HAWAI'I'S ONLY FULL-SERVICE SPECIALTY HOSPITAL FOR WOMEN AND CHILDREN, AND ALSO PROVIDES CARE FOR WOMEN AND CHILDREN THROUGHOUT THE PACIFIC REGION. IT HAS THE ONLY OPEN INTENSIVE CARE UNITS IN HAWAI'I TO TREAT CRITICALLY-ILL CHILDREN AND INFANTS. IN FISCAL YEAR 2022, KAPI'OLANI PROVIDED SPECIALIZED CARE FOR 6,045 OBSTETRICS PATIENTS. IN FISCAL YEAR 2022, WILCOX PROVIDED OBSTETRIC SERVICES FOR 493 PATIENTS TO MEET THE HEALTH NEEDS ON KAUA'I. IN FISCAL YEAR 2022, PALI MOMI PROVIDED OBSTETRIC SERVICES FOR 12 PATIENTS AND STRAUB PROVIDED OBSTETRICS SERVICES FOR 9 PATIENTS. OTHER PROGRAM SERVICES HAWAI'I RESIDENTS AND VISITORS RELY ON HAWAI'I PACIFIC HEALTH FOR ITS FULL RANGE OF PRIMARY, SECONDARY AND SELECT TERTIARY CARE SERVICES. IT IS ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS WITH FOUR MEDICAL CENTERS, MORE THAN 70 LOCATIONS, 1,500+ AFFILIATED PHYSICIANS AND MORE THAN 7,000 FULL- AND PART-TIME EMPLOYEES, AS WELL AS HUNDREDS OF COMMUNITY VOLUNTEERS. IN FISCAL YEAR 2022, THE MEDICAL CENTERS ADMITTED 29,681 PATIENTS. IN ADDITION, PALI MOMI CLINICS HAD 73,061 PATIENT CLINIC ENCOUNTERS, STRAUB CLINICS HAD 1,083,521 PATIENT CLINIC ENCOUNTERS, KAUA'I MEDICAL CLINIC HAD 312,256 PATIENT CLINIC ENCOUNTERS AND KAPI'OLANI MEDICAL SPECIALISTS HAD 202,527 PATIENT CLINIC ENCOUNTERS. AFFILIATES AND SUBSIDIARIES HAWAI'I HEALTH PARTNERS IS A PHYSICIAN-LED ACCOUNTABLE CARE ORGANIZATION WITH THE GOAL OF PROVIDING HIGH-QUALITY CARE, INCREASED EFFICIENCY AND OPTIMAL PATIENT HEALTH. KAPI'OLANI MEDICAL SPECIALISTS IS A SPECIALTY PHYSICIANS GROUP ORGANIZED TO SUPPORT KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN. KAUA'I MEDICAL CLINIC IS A SPECIALTY PHYSICIANS GROUP ORGANIZED TO SUPPORT WILCOX MEDICAL CENTER. THE FOUNDATIONS OF HAWAI'I PACIFIC HEALTH CONSIST OF KAPI'OLANI HEALTH FOUNDATION, PALI MOMI FOUNDATION, STRAUB FOUNDATION AND WILCOX HEALTH FOUNDATION. THESE CHARITABLE ENTITIES SUPPORT HEALTH RESEARCH, FACILITY ENHANCEMENTS, TECHNOLOGY INVESTMENTS, EDUCATIONAL PROGRAMS AND OTHER RESOURCES FOR THEIR RESPECTIVE MEDICAL CENTERS. HAWAI'I HEALTH PARTNERS, INC. IS A FOR-PROFIT SUBSIDIARY THAT SERVES AS THE JOINT VENTURE PARTNER WHEN HAWAI'I PACIFIC HEALTH WORKS WITH OTHER PROVIDERS. PROVIDERS INSURANCE CORPORATION IS A CAPTIVE INSURANCE COMPANY THAT PROVIDES PROFESSIONAL LIABILITY INSURANCE FOR HAWAI'I PACIFIC HEALTH-AFFILIATED EMPLOYED PHYSICIANS. PATIENT CARE HAWAI'I PACIFIC HEALTH HAS STRATEGIC INITIATIVES IN WOMEN'S HEALTH, PEDIATRIC CARE, CARDIOVASCULAR SERVICES, BONE & JOINT SERVICES, AND CANCER CARE. IT IS RECOGNIZED NATIONALLY FOR ITS EXCELLENCE IN HEALTH INFORMATION TECHNOLOGY, SPECIFICALLY THE USE OF ELECTRONIC HEALTH RECORDS TO IMPROVE QUALITY OF CARE AND PATIENT SAFETY. THE HAWAI'I PACIFIC HEALTH SYSTEM INCLUDES THE PACIFIC REGION'S ONLY FULL-SERVICE WOMEN'S AND CHILDREN'S MEDICAL CENTER AND ONLY DEDICATED BURN UNIT, STATE-OF-THE-ART IMAGING CENTER ON KAUA'I, WEST O'AHU'S ONLY CARDIAC CATHETERIZATION LABS AND CENTRAL AND WEST O'AHU'S ONLY COMPREHENSIVE CANCER CENTER, MINIMALLY INVASIVE BONE AND JOINT CENTERS, THE STATE'S FIRST WOMEN'S CENTER, SPECIALIZED BREAST AND WOMEN'S CANCER CENTERS, AND OTHER SERVICES CONSIDERED CRITICAL TO THE REMOTE HAWAIIAN ARCHIPELAGO. COMMUNITY ROLE/ACTIVITY AS ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS, HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO IMPROVE THE HEALTH OF HAWAI'I RESIDENTS AND, THROUGH ITS MISSION, IS COMMITTED TO CREATING A HEALTHIER HAWAI'I. EACH YEAR, HAWAI'I PACIFIC HEALTH SPONSORS HEALTH EDUCATION, TEACHING AND RESEARCH, AND SUPPORTS LIKE-MINDED ORGANIZATIONS. IN FISCAL YEAR 2022, HAWAI'I PACIFIC HEALTH SERVED AS A STATEWIDE RESOURCE TO THE COMMUNITY IN RESPONSE TO EVER-CHANGING HEALTH NEEDS BASED ON THE PANDEMIC. COVID-19 INITIATIVES BY THE SYSTEM INCLUDED FREE COMMUNITY VACCINE CLINICS, MOBILE VACCINE OUTREACH EVENTS, DRIVE-THROUGH VACCINE AND BOOSTER SHOT EVENTS FOR CHILDREN AND FAMILIES, DEDICATED PEDIATRIC VACCINE AND BOOSTER CLINICS, AND TELEHEALTH OPTIONS. OTHER COMMUNITY RESOURCES THAT HAWAI'I PACIFIC HEALTH PROVIDED WERE PUBLIC HEALTH EDUCATION, AND A COHESIVE PUBLIC HEALTH RESPONSE IN COLLABORATING WITH THE DEPARTMENT OF HEALTH, DEPARTMENT OF EDUCATION, HONOLULU FIRE DEPARTMENT, HAWAI'I HEALTHCARE ASSOCIATION OF HAWAI'I AND OTHER HEALTH CARE PROVIDERS. HAWAI'I PACIFIC HEALTH ALSO CONTINUED TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS, INCLUDING THE KAPI'OLANI SEX ABUSE TREATMENT CENTER, KAPI'OLANI CHILD ADVOCACY AND PROTECTION CENTER, HEART DISEASE PREVENTION, BREAST AND CERVICAL CANCER SCREENING FOR UNINSURED PERSONS, WOMEN AND INFANT HEALTH AND NUTRITION, REHABILITATION SERVICES, SUPPORT GROUPS, HEMOPHILIA PROGRAMS, AND OTHER EDUCATION AND SCREENINGS FOR HAWAI'I RESIDENTS ON HEALTH, WELLNESS AND DISEASE-PREVENTION STRATEGIES. IN FISCAL YEAR 2022, HAWAI'I PACIFIC HEALTH SPONSORED OR SUPPORTED NUMEROUS HEALTH EVENTS, INCLUDING "AMERICAN HEART ASSOCIATION HAWAI'I HEART WALK," "SUSAN G. KOMEN-MORE THAN PINK WALK," "ARTHRITIS FOUNDATION'S WALK TO CURE ARTHRITIS," - THAT WELCOMED PARTIPATION IN-PERSON AND VIRTUALLY THIS YEAR - AND MORE. HAWAI'I PACIFIC HEALTH ALSO SERVED AS THE PRESENTING SPONSOR FOR THE VIRTUAL GREAT ALOHA RUN. PROCEEDS FROM THE EVENT BENEFIT MORE THAN 150 NONPROFIT ORGANIZATIONS IN HAWAI'I. HAWAI'I PACIFIC HEALTH ALSO PARTICIPATED IN SYMPOSIA AND MEETINGS FOR HEALTH CARE PROFESSIONALS, HIRED STUDENTS AS SUMMER INTERNS, FACILITATED CLINICAL TRAINING PROGRAMS FOR PUBLIC HIGH SCHOOL STUDENTS TO EARN NATIONAL CERTIFICATION IN MEDICAL FIELDS AND SPONSORED WORKSHOPS FOR VOLUNTEERS TO TRAIN HEALTH CARE PROVIDERS. HAWAI'I PACIFIC HEALTH HAS ALLIANCES WITH THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE AND HAWAI'I PACIFIC UNIVERSITY. HAWAI'I PACIFIC HEALTH INVESTS EACH YEAR IN TEACHING AND RESEARCH AS A PEDIATRIC AND OB-GYN TRAINING FACILITY FOR THE UNIVERSITY OF HAWAI'I. HAWAI'I PACIFIC HEALTH IS ALSO ACTIVELY INVOLVED IN CLINICAL TRIALS AND RESEARCH THROUGH ITS VARIOUS FACILITIES IN PEDIATRICS, ONCOLOGY, OPHTHALMOLOGY AND CARDIOLOGY. PUBLIC POLICY HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO OFFER THOUGHTFUL AND INNOVATIVE INPUT TO LAWMAKERS REGARDING HEALTH CARE POLICY AND LEGISLATION. HAWAI'I PACIFIC HEALTH LEADERS ADVOCATE FOR LEGISLATIVE REFORM AND REGULATORY ENHANCEMENTS FOR VARIOUS HEALTH CARE INDUSTRY ISSUES RANGING FROM RETAINING PHYSICIANS IN THE STATE TO PROVIDING STABILITY FOR HEALTH CARE PROVIDERS. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Peter Lewis and Jessica Lewis - Family relationship Form 990, Part VI, Line 11b Review of form 990 by governing body VARIOUS SCHEDULES OF THE FORM 990 ARE PREPARED BY STAFF WITHIN THE ACCOUNTING AREA OF THE ORGANIZATION WORKING WITH VARIOUS OTHER AREAS OF THE ORGANIZATION SUCH AS MANAGEMENT OF THE OPERATING UNITS, HR, LEGAL, ETC. DISCLOSURE NARRATIVES ARE WRITTEN AND COMPILED INTERNALLY BASED ON INPUT AND DISCUSSION WITH FINANCIAL ANALYSTS AND THE CHIEF OPERATING OFFICER/EXECUTIVE DIRECTOR OF THE REPORTING ENTITY. THE CHIEF OPERATING OFFICER/EXECUTIVE DIRECTOR OF EACH REPORTING ENTITY REVIEWS AND APPROVES THE DISCLOSURE NARRATIVES WHICH DESCRIBES THE MISSION/PURPOSE AND PROGRAM ACCOMPLISHMENTS OF THEIR ORGANIZATION. SENIOR MANAGEMENT OF THE HEALTH CARE SYSTEM REVIEWS THE FORM 990 OF EACH FILING ORGANIZATION WITHIN THE HEALTH CARE SYSTEM. ONCE SENIOR MANAGMENT HAS COMPLETED ITS REVIEW, THE FORMS 990 ARE THEN PROVIDED TO THE GOVERNANCE AND NOMINATING COMMITTEE OF THE HEALTH CARE SYSTEM'S BOARD OF DIRECTORS FOR THEIR REVIEW. THE GOVERNANCE AND NOMINATING COMMITTEE OF THE PARENT ENTITY'S (HAWAI'I PACIFIC HEALTH "HPH") BOARD PROVIDES OVERSIGHT FOR THE FORM 990 REPORTING AND REVIEWS THE FORM 990 FOR EACH ENTITY PRIOR TO FILING. IN ADDITION, THE FORM 990 FOR EACH ENTITY IS MADE AVAILABLE TO THE BOARD MEMBERS OF EACH SUBSIDIARY UNIT OF HPH AND THE HPH BOARD OF DIRECTORS THROUGH A BOARD MEMBER PORTAL FOR REVIEW PRIOR TO THE FILING OF THE FORM 990. THE FORMS 990 WILL BE POSTED TO HPH'S WEBSITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURNS WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy ANNUALLY, EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) RECEIVED A COPY OF THE COI POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) HAS DISCLOSED ANY CONFLICTS OR POTENTIAL CONFLICTS OR ECONOMIC INTERESTS AS REQUIRED; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE IN-HOUSE LEGAL DEPARTMENT DISTRIBUTES THE STATEMENT REQUEST AND REVIEWS THE COI STATEMENTS RETURNED. IDENTIFIED CONFLICTS OF INTEREST ARE PRESENTED TO THE BOARD FOR REVIEW, DELIBERATION AND CONFIRMATION/REFUTATION THAT A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST HAS BEEN FOUND, THE INDIVIDUAL MAY ADDRESS THE BOARD AND EXPLAIN THE TRANSACTION OR ARRANGEMENT CAUSING THE CONFLICT. AFTER THE PRESENTATION, THE INDIVIDUAL IS EXCUSED FROM THE MEETING AND SHALL NOT PARTICIPATE WITH ANY DISCUSSION OR VOTE ON MATTERS PERTAINING TO THE TRANSACTION OR ARRANGEMENT. IN MEETINGS WHERE APPLICATION OF THE COI POLICY OCCURS, THE MEETING MINUTES INCLUDE NATURE OF THE FINANCIAL INTEREST/CONFLICT, NAME(S) OF THE PERSON(S) WITH THE POTENTIAL OR ACTUAL CONFLICT, ANY ACTION TAKEN TO ASSIST IN THE DETERMINATION OF WHETHER A CONFLICT EXISTED, INCLUDING ANY DISCUSSION OF ALTERNATIVE ARRANGEMENTS, THE BOARD'S DECISION(S) REGARDING THE CONFLICT AND NAMES OF PERSON PRESENT IN THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT. Form 990, Part VI, Line 15a Process to establish compensation of top management official COMPENSATION FOR HPH EXECUTIVES IS SET BY THE INDEPENDENT BOARD MEMBERS OF THE HAWAI'I PACIFIC BOARD'S COMPENSATION COMMITTEE. ON AN ANNUAL BASIS THE HPH BOARD CHAIRPERSON (WHO IS INDEPENDENT) SELECTS A NEUTRAL THIRD PARTY EXECUTIVE COMPENSATION CONSULTANT TO REVIEW THE EXECUTIVE'S COMPENSATION AND BENEFITS. THE CONSULTANT PROVIDES A WRITTEN REPORT TO THE COMPENSATION COMMITTEE AT ITS ANNUAL MEETING. INCLUDED IN THE REPORT IS MARKET BASED DATA FROM LIKE ORGANIZATIONS. THE COMPENSATION COMMTTIEE MAKES A FINAL DECISIONS REGARDING COMPENSATION AND BENEFITS AT THE MEETING AFTER REVIEW AND DISCUSSION OF THE CONSULTANT'S REPORT. COMMUNITY BASED DIRECTORS OF THE ORGANIZATION ARE NOT COMPENSATED. CERTAIN EMPLOYED PHYSICIANS MAY BE OFFICERS OR AN IDENTIFIED KEY EMPLOYEE OF THE REPORTING OR RELATED ORGANIZATION. PHYSICIAN COMPENSATION IS ALSO HANDLED IN THE SAME MANNER AS EXECUTIVE COMPENSATION, WITH THE HPH COMPENSATION COMMITTEE RECEIVING A REPORT FROM A NEUTRAL CONSULTANT AND FOLLOWING THE SAME PROCESS AS DESCRIBED ABOVE ON AN ANNUAL BASIS. THIS PROCESS WAS MOST RECENTLY COMPLETED ON MARCH 09, 2022 TO REVIEW PHYSICIAN COMPENSATION AND ON JULY 26, 2022 TO REVIEW EXECUTIVE COMPENSATION. Form 990, Part VI, Line 19 Required documents available to the public DISCLOSURE OF GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND STANDARDS OF CONDUCT ARE AVAILABLE ON THE HAWAI'I PACIFIC HEALTH WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATAEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE. Form 990, Part XI, Line 9 Other changes in net assets or fund balances OBLIGATED GROUP INTERCOMPANY TRANFERS - 99241474; PENSION AND POST RETIREMENT ADJUSTMENTS - 14981543; NON CONTROLLING INTEREST - 12675714; EQUITY OF UNCONSOLIDATED SUBS - 2012200; CHANGE IN SWAP - 859096; OTHER CHANGES IN NET ASSETS - -353448; CHANGE IN INTEREST IN KHF AND WHF - -12500555; EQUITY TRANSFERS WITH AFFILIATES - -98505798; Schedule F, Part IV FOREIGN INVESTMENTS THE INVESTMENT COMMITTEE OF HAWAI'I PACIFIC HEALTH HAS CHOSEN TO DIVERSIFY ITS INVESTMENT PORTFOLIO, INCLUDING CERTAIN ALTERNATIVE INVESTMENTS THAT ARE ESTABLISHED AS PARTNERSHIPS. THESE PARTNERSHIPS ARE NOT-OPERATING ENTITIES. HAWAI'I PACIFIC HEALTH'S DIRECT INVESTMENT IS MADE IN PARTNERSHIPS, AND THESE ENTITIES MAY MAKE UNDERLYING INVESTMENTS IN OTHER CERTAIN FOREIGN PARTNERSHIPS AND/OR CORPORATIONS. HAWAI'I HEALTH PARTNERS 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 352480297 HEALTHCARE HI 4206311 5580672 HPH ASC PACIFIC VENTURES LLC 55 MERCHANT STREET 27TH FLOOR HONOLULU HI 96813 270540034 AMBU. SURG. CTR. 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