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HAWAII PACIFIC HEALTH GROUP RETURN: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HAWAII PACIFIC HEALTH GROUP RETURN (EIN 38-3835105)
Tax period
2020-07-01 to 2021-06-30
Filed
2023-07-03
IRS object ID
202321849349300212
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-07-03T08:55:11-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line14365 EXECUTIVE DR STE 1600AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92121ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383835105EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HAWAI'I PACIFIC HEALTH GROUP RETURNBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% ANN HOInCareOfNm
Business Name ControlHAWABusinessNameControlTxt
Phone8085357401PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARRIE ANN TSUTSUIPersonNm
Person TitleVP & ControllerPersonTitleTxt
Phone8085357401PhoneNum
Signature2023-06-29SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCARRIE ANNPersonFirstNm
Person LastTSUTSUIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOCELYNE C MILLERPreparerPersonNm
PTINP00634378PTIN
Phone8585357200PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Amended ReturnYes (X)AmendedReturnInd
Principal OfficerRaymond P Vara JrPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,530,003,151GrossReceiptsAmt
Group Return For AffiliatesYes (true)GroupReturnForAffiliatesInd
All Affiliates IncludedYes (true)AllAffiliatesIncludedInd
Group Exemption5834GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.hawaiipacifichealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionKAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN, PALI MOMI MEDICAL CENTER, STRAUB MEDICAL CENTER AND WILCOX MEDICAL CENTER'S MISSION IS TO CREATE A HEALTHIER HAWAI'I.ActivityOrMissionDesc
Voting Members Governing Body41VotingMembersGoverningBodyCnt
Voting Members Independent26VotingMembersIndependentCnt
Total Employee5802TotalEmployeeCnt
Total Volunteers570TotalVolunteersCnt
Total Gross UBI$2,583,864TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,730,039NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$41,949,556PYContributionsGrantsAmt
CY Contributions Grants$76,350,613CYContributionsGrantsAmt
PY Program Service Revenue$1,286,290,946PYProgramServiceRevenueAmt
CY Program Service Revenue$1,396,586,913CYProgramServiceRevenueAmt
PY Investment Income$769,030PYInvestmentIncomeAmt
CY Investment Income$2,071,789CYInvestmentIncomeAmt
PY Other Revenue$7,576,971PYOtherRevenueAmt
CY Other Revenue$6,173,600CYOtherRevenueAmt
PY Total Revenue$1,336,586,503PYTotalRevenueAmt
CY Total Revenue$1,481,182,915CYTotalRevenueAmt
PY Grants And Similar Paid$2,345,863PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,759,340CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$563,104,321PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$489,365,766CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$712,337,450PYOtherExpensesAmt
CY Other Expenses$848,833,987CYOtherExpensesAmt
PY Total Expenses$1,277,787,634PYTotalExpensesAmt
CY Total Expenses$1,339,959,093CYTotalExpensesAmt
PY Revenues Less Expenses$58,798,869PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$141,223,822CYRevenuesLessExpensesAmt
Total Assets BOY$1,068,453,240TotalAssetsBOYAmt
Total Assets EOY$1,165,070,529TotalAssetsEOYAmt
Total Liabilities BOY$325,811,336TotalLiabilitiesBOYAmt
Total Liabilities EOY$346,730,013TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$742,641,904NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$818,340,516NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$62,130,342ExpenseAmt
Grant$0GrantAmt
Revenue$86,123,289RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$53,537,856ExpenseAmt
Grant$0GrantAmt
Revenue$112,350,035RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$50,376,770ExpenseAmt
Grant$0GrantAmt
Revenue$150,183,001RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$999,660,030TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,759,340TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$1,050,996,022TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,165,704,998TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5802EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members41GoverningBodyVotingMembersCnt
Independent Voting Member26IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldHIStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANN HOPersonNm
Phone8085272520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (87 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RAYMOND P VARA JR
Board of Director, President8.054.1Yes (X)Yes (X)$0$2,201,810$2,584,503
DAVID OKABE
EVP, CFO & Treasurer9.041.0Yes (X)$0$946,332$377,896
MARTHA SMITH
BOARD OF DIRECTOR, CEO (PT YR)50.010.0Yes (X)Yes (X)$0$876,739$308,071
ARTHUR GLADSTONE
BOD, CEO, EVP & CSO41.214.6Yes (X)Yes (X)$0$816,310$309,387
CHARLES R CHING
EVP, GEN. COUNSEL & SECRETARY12.028.0Yes (X)$0$770,901$282,179
GAIL LERCH
Former Officer9.042.0$0$742,339$304,514Yes (X)
STEVEN ROBERTSON
EVP & CIO3.050.0Yes (X)$0$746,792$292,161
MELINDA ASHTON MD
EVP & CQO6.043.3Yes (X)$0$720,839$248,689
JENNIE CHAHANOVICH
BOD, President & CEO42.014.5Yes (X)Yes (X)$0$660,280$228,096
LESLIE CHUN MD
EVP8.052.0Yes (X)$0$664,477$114,056
PATRICK O'DONNELL MD
Board of Director40.00.2Yes (X)$0$647,645$36,969
RODNEY WILLIAMS MD
Former Officer34.06.0$0$579,383$96,657Yes (X)
DAVID CHO MD
Board of Director40.00.2Yes (X)$0$623,988$33,672
GERARD LIVAUDAIS MD
EVP0.149.9Yes (X)$0$523,145$123,914
TODD MILLER MD
Board of Director, Vice Chair40.00.0Yes (X)Yes (X)$0$601,105$18,839
DOUGLAS KWOCK MD
VP36.04.0Yes (X)$0$492,064$95,971
KENNETH B ROBBINS MD
Former Officer24.530.5$0$346,070$180,365Yes (X)
TRAVIS CLEGG
COO50.00.0Yes (X)$0$406,311$96,095
GIDGET RUSCETTA RN
COO45.011.0Yes (X)$0$404,309$94,693
DAWN DUNBAR
SVP0.045.0Yes (X)$0$393,438$104,947
WARREN CHAIKO
SVP22.018.0Yes (X)$0$375,732$110,606
MAVIS NIKAIDO
VP & CNE55.01.0Yes (X)$0$371,061$77,433
SUSAN MATSUMOTO-NONAKA
VP31.58.5Yes (X)$0$364,629$81,441
BRANDT FARIAS
SVP - (Part Year)10.053.0Yes (X)$0$327,384$85,944
TYLER CHIHARA DPM
Board of Director0.240.0Yes (X)$0$378,989$32,931
ANDY LEE MD
BOD, Chief of Staff8.041.0Yes (X)Yes (X)$0$358,849$45,247
MICHAEL ROBINSON
VP0.649.4Yes (X)$0$327,479$74,190
BRIGITTE MCKALE
VP & CNE55.00.0Yes (X)$0$314,717$75,342
DAWN CHING
VP50.03.0Yes (X)$0$314,107$73,241
JAMES LIN MD
VP0.447.2Yes (X)$0$313,224$66,003
CAROL FUJIYOSHI MD
Board of Director0.240.0Yes (X)$0$353,186$18,715
BEAU NAKAMOTO MD
Former Officer40.00.4$0$343,709$11,550Yes (X)
EARL INOUYE
Former Officer10.537.5$0$285,145$69,530Yes (X)
DAVID STUMBAUGH
VP32.08.0Yes (X)$0$266,339$79,416
BARBARA CRAFT
COO46.67.4Yes (X)$0$281,326$63,356
LORRIE-ANN LUKE
VP7.034.5Yes (X)$0$259,855$82,911
WILLIAM BURKE
VP16.038.0Yes (X)$0$277,031$60,631
MELANIE KIM MD
Board of Director40.00.2Yes (X)$0$302,650$19,065
ANDREW MOATS
VP40.00.0Yes (X)$0$257,965$59,934
SUNSHINE TOPPING
SVP9.041.0Yes (X)$0$289,279$21,615
JOAN KANEMORI
VP40.00.0Yes (X)$0$251,867$56,330
MONICA PRICE MD
Board of Director40.00.4Yes (X)$0$251,956$34,427
CARRIE ANN TSUTSUI
VP & SYS. Controller13.035.0Yes (X)$0$230,878$53,413
LAURA BONILLA
EXEC. DIR. PEDIATRIC SRVCS.40.00.0$246,100$0$33,834Yes (X)
KENT KIKUCHI
DIRECTOR OF PHARMACY40.00.0$223,917$0$48,078Yes (X)
JOY MATSUYAMA
DIRECTOR OF PHARMACY40.00.0$225,551$0$46,243Yes (X)
MEGAN STOBO
ADMINISTRATOR - HSC40.00.0$227,077$0$40,238Yes (X)
GLENN KAWABATA
VP50.01.0Yes (X)$0$210,480$55,568
GLORIA BROOKS
VP39.01.0Yes (X)$0$225,785$39,977
KATIE SHIGEMITSU
Compliance Officer18.521.5Yes (X)$0$224,686$38,125
LORI INGRAM
DIR. CLINICAL SERVICE LINE40.00.0$225,878$0$26,140Yes (X)
ALAN ITO
Information Security Officer3.037.0Yes (X)$0$200,273$35,376
JESSICA LEWIS
Assistant Corporate Secretary14.026.0Yes (X)$0$170,876$40,404
DAVID FOX
Privacy Officer - (Part Year)15.224.8Yes (X)$0$163,615$32,106
FRANCE GRAVES
Privacy Officer15.224.8Yes (X)$0$108,993$33,530
SIDNEY LEE MD
Board of Director0.30.0Yes (X)$0$24,506$0
STEPHEN LIN MD
Board of Director, Chair1.30.4Yes (X)Yes (X)$0$12,041$0
OWEN CHAN MD
Board of Director0.20.0Yes (X)$0$11,000$0
DAWN MIURA MD
Board of Director, Vice Chair0.20.0Yes (X)Yes (X)$0$0$0
JERRY PUPILLO
Board of Director, Chair1.20.0Yes (X)Yes (X)$0$0$0
MICHAEL YAMANE
Board of Director, Chair0.20.4Yes (X)Yes (X)$0$0$0
PAUL TONER
Board of Director, Vice Chair1.20.0Yes (X)Yes (X)$0$0$0
RICHANNE LAM
Board of Director, Chair0.20.1Yes (X)Yes (X)$0$0$0
TAD JACKSON MD
BOARD OF DIR., CHAIR (PT YR)0.20.0Yes (X)Yes (X)$0$0$0
ALANA PAKKALA
Board of Director0.30.0Yes (X)$0$0$0
ANDREW ROSEN
Board of Director0.20.0Yes (X)$0$0$0
AVI MANNIS
Board of Director0.20.0Yes (X)$0$0$0
CARL ACKERMAN
Board of Director0.20.0Yes (X)$0$0$0
CLAIRE TAMAMOTO
Board of Director0.20.0Yes (X)$0$0$0
CLYDE KODANI
BOARD OF DIRECTOR (PART YEAR)0.20.0Yes (X)$0$0$0
DENNIS FRANCIS
Board of Director0.20.0Yes (X)$0$0$0
DOUGLAS DUVAUCHELLE MD
Board of Director0.20.0Yes (X)$0$0$0
EDWARD NISHIOKA
Board of Director0.20.0Yes (X)$0$0$0
EMILY KURAOKA
Board of Director0.20.1Yes (X)$0$0$0
GERALD MCKENNA MD
Board of Director0.20.0Yes (X)$0$0$0
JASMINE TANIOKA
Board of Director0.20.0Yes (X)$0$0$0
KATHY RICHARDSON
Board of Director0.20.0Yes (X)$0$0$0
KIM HEHIR
Board of Director0.30.2Yes (X)$0$0$0
LYLE TABATA
Board of Director0.20.4Yes (X)$0$0$0
MARK YAMAKAWA
Board of Director0.30.0Yes (X)$0$0$0
MAYA ROGERS
Board of Director0.30.0Yes (X)$0$0$0
MICHAEL O'MALLEY ESQ
Board of Director0.30.0Yes (X)$0$0$0
MICHELLE HO
Board of Director0.30.0Yes (X)$0$0$0
NEIL MANAGO MD
Board of Director0.20.0Yes (X)$0$0$0
PAUL EAKIN MD
Board of Director0.30.0Yes (X)$0$0$0
ROBERT KURISU
Board of Director0.30.0Yes (X)$0$0$0
SCOTT KUROSAWA
Board of Director0.20.0Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$15,982,072TotReportableCompRltdOrgAmt
Total Other Compensation$6,320,029TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1659IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CLINICAL LABORATORIES OF HAWAI'I L
MAIL CODE NO 60300 PO BOX 1300HONOLULUHI968071300MEDICAL SERVICES$25,296,209
SODEXO INC AFFILIATES
9801 WASHINGTONIAN BLVDGAITHERSBURGMD20878Food & ENV. SRVCS.$9,221,847
UNIV CLINIC EDUC RESEARCH ASSOC
677 ALA MOANA BLVD Ste 1001HONOLULUHI96813MEDICAL SERVICES$8,914,190
HAWAI'I RESIDENCY PROGRAMS INC
1356 LUSITANA ST STE 510HONOLULUHI96813MEDICAL SERVICES$7,638,035
MEDEFIS INC
2121 n 117TH AVE STEOMAHANE68164MANAGEMENT SERVICES$5,192,551
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K72CntrctRcvdGreaterThan100KCnt
Related Organizations$4,571,594RelatedOrganizationsAmt
Government Grants$71,600,337GovernmentGrantsAmt
All Other Contributions$178,682AllOtherContributionsAmt
Noncash Contributions$195,366NoncashContributionsAmt
Total Contributions$76,350,613TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUES622110$1,219,275,836$1,219,275,836
INTER-ENTITY SERVICE REVENUE900099$110,074,647$110,074,647
OTHER HEALTH CARE REVENUES622110$34,625,792$32,637,110$1,988,682
PREMIUM REVENUE622110$26,740,305$26,740,305
RENTAL INCOME531120$5,548,091$5,484,924$63,167

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$322,242TotalRevenueColumnAmt
Related Or Exempt Func Income$322,242RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,396,586,913TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,688,128TotalRevenueColumnAmt
Exclusion$1,688,128ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,803TotalRevenueColumnAmt
Exclusion$1,803ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$128,380RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$128,380RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$128,380TotalRevenueColumnAmt
Exclusion$128,380ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$49,011,026SecuritiesAmt
Other$74,776OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$48,441,158SecuritiesAmt
Other$262,786OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$569,868SecuritiesAmt
Other-$188,010OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$381,858TotalRevenueColumnAmt
Related Or Exempt Func Income-$132,202RelatedOrExemptFuncIncomeAmt
Exclusion$514,060ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$544,648GrossSalesOfInventoryAmt
Cost Of Goods Sold$116,292CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$263,720TotalRevenueColumnAmt
Exclusion$263,720ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE722110$1,730,798$1,730,798
PARKING REVENUE812930$1,659,154$1,659,154
3RD PARTY EXPENSE REIMBURSEMENT900099$467,853$467,853

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,923,695TotalRevenueColumnAmt
Related Or Exempt Func Income$1,391,680RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$532,015UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,781,500OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,481,182,915TotalRevenueColumnAmt
Related Or Exempt Func Income$1,399,652,347RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,583,864UnrelatedBusinessRevenueAmt
Exclusion$2,596,091ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,759,340TotalAmt
Program Services$1,759,340ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$383,288,691TotalAmt
Program Services$380,028,724ProgramServicesAmt
Management And General$3,259,967ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$26,888,474TotalAmt
Program Services$26,599,089ProgramServicesAmt
Management And General$289,385ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$51,063,329TotalAmt
Program Services$44,287,929ProgramServicesAmt
Management And General$6,775,400ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$28,125,272TotalAmt
Program Services$27,910,016ProgramServicesAmt
Management And General$215,256ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,016,539TotalAmt
Management And General$3,016,539ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$614,048TotalAmt
Management And General$614,048ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$160,879,649TotalAmt
Program Services$136,902,825ProgramServicesAmt
Management And General$23,976,824ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$744,874TotalAmt
Program Services$39,957ProgramServicesAmt
Management And General$704,917ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,273,690TotalAmt
Program Services$6,987,581ProgramServicesAmt
Management And General$286,109ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$14,586,084TotalAmt
Program Services$12,545,374ProgramServicesAmt
Management And General$2,040,710ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$33,753,067TotalAmt
Program Services$31,087,021ProgramServicesAmt
Management And General$2,666,046ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$217,500TotalAmt
Program Services$176,006ProgramServicesAmt
Management And General$41,494ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$47,973TotalAmt
Program Services$47,222ProgramServicesAmt
Management And General$751ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,843,838TotalAmt
Program Services$17,843,838ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$42,708,389TotalAmt
Program Services$42,708,389ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$4,991,274TotalAmt
Program Services$6,756,323ProgramServicesAmt
Management And General-$1,765,049ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
CORPORATE ALLOCATION$102,784,890$102,784,890
OTHER PURCHASES$34,762,703$27,952,159$6,810,544
MEDICAL SUPPLIES$204,906,405-$6,980$204,913,385
INTER-ENTITY PURCHASED SVCS.$218,299,436$218,299,436

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,403,628TotalAmt
Program Services$1,999ProgramServicesAmt
Management And General$1,401,629ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,339,959,093TotalAmt
Program Services$1,165,704,998ProgramServicesAmt
Management And General$174,254,095ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$383,274BOYAmt
EOY$121,613EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,431,865BOYAmt
EOY$6,068,345EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$135,613,760BOYAmt
EOY$157,003,874EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$21,890,595BOYAmt
EOY$23,373,506EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,969,245BOYAmt
EOY$2,089,905EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,090,009,530LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$584,762,794LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$504,198,381BOYAmt
EOY$505,246,736EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$82,505,761BOYAmt
EOY$100,526,971EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$117,894,162BOYAmt
EOY$148,436,611EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,618,557BOYAmt
EOY$1,618,557EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$200,947,640BOYAmt
EOY$220,584,411EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,068,453,240BOYAmt
EOY$1,165,070,529EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$97,024,569BOYAmt
EOY$121,092,315EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$228,786,767BOYAmt
EOY$225,637,698EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$325,811,336BOYAmt
EOY$346,730,013EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$697,397,688BOYAmt
EOY$759,747,317EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$45,244,216BOYAmt
EOY$58,593,199EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$742,641,904BOYAmt
EOY$818,340,516EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,068,453,240BOYAmt
EOY$1,165,070,529EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$141,223,822ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$50,817,451NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$116,342,661OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstfalsePowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt OrgfalseOperateBenefitNonSuprtOrgInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsfalseTimelyProvidedDocumentsInd
Officers Close RelationshipfalseOfficersCloseRelationshipInd
Supported Org Voice InvestmentfalseSupportedOrgVoiceInvestmentInd

Adjusted Net Income AdjustedNetIncomeGrp

Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Recoveries PY Distributions RecoveriesPYDistributionsGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Other Gross Income OtherGrossIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Adjusted Gross Income AdjustedGrossIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Production Income ProductionIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Total Adjusted Net Income TotalAdjustedNetIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Minimum Asset Amount MinimumAssetAmountGrp

Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Average Monthly Cash Balances AverageMonthlyCashBalancesGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt
FieldValueIRS element (for citing)
Discount Claimed$0DiscountClaimedAmt

Acquisition Indebtedness AcquisitionIndebtednessGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Cash Deemed Charitable CashDeemedCharitableGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Total Minimum Asset TotalMinimumAssetGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Distributable Amount DistributableAmountGrp

FieldValueIRS element (for citing)
CY Adj Net Income Distributable$0CYAdjNetIncomeDistributableAmt
CY Pct85 Adjusted Net Income$0CYPct85AdjustedNetIncomeAmt
CY Total Min Ast Distributable$0CYTotalMinAstDistributableAmt
CY Greater Adjusted Minimum$0CYGreaterAdjustedMinimumAmt
CY Income Tax Imposed PY$0CYIncomeTaxImposedPYAmt
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt

Distributions DistributionsGrp

FieldValueIRS element (for citing)
CY Paid Accomplish Exempt Prps$0CYPaidAccomplishExemptPrpsAmt
CY Pd In Excess Income Activity$0CYPdInExcessIncomeActivityAmt
CY Administrative Expense Paid$0CYAdministrativeExpensePaidAmt
Exempt Use Assets Acquis Paid$0ExemptUseAssetsAcquisPaidAmt
Qualified Set Aside$0QualifiedSetAsideAmt
CY Other Distributions$0CYOtherDistributionsAmt
CY Total Annual Distributions$0CYTotalAnnualDistributionsAmt
CY Distri Attentive Suprt Org$0CYDistriAttentiveSuprtOrgAmt
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt
CY Distribution Yr0CYDistributionYrRt

Distribution Allocations DistributionAllocationsGrp

FieldValueIRS element (for citing)
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt
Underdistributions$0UnderdistributionsAmt
Excess Distribution Cyov Yr5$0ExcessDistributionCyovYr5Amt
Excess Distribution Cyov Yr4$0ExcessDistributionCyovYr4Amt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Cyov Applied Underdistri PY$0CyovAppliedUnderdistriPYAmt
Cyov Applied Underdistr CPY$0CyovAppliedUnderdistrCPYAmt
Carryover PY Not Applied$0CarryoverPYNotAppliedAmt
Excess Distribution Cyov$0ExcessDistributionCyovAmt
CY Total Annual Distributions$0CYTotalAnnualDistributionsAmt
CY Distrib App Underdistri PY$0CYDistribAppUnderdistriPYAmt
Excess Distribution$0ExcessDistributionAmt
Remaining Underdistri PY$0RemainingUnderdistriPYAmt
Remaining Underdistri CY$0RemainingUnderdistriCYAmt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year5$0ExcessFromYear5Amt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$61,356OtherActivitiesAmt
Total Lobbying Expenditures$61,356TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE C, PART II-BFormAndLineReferenceDesc
ExplanationLOBBYING EXPENDITURES LOBBYING EXPENSES ARE THE PORTION OF AMOUNTS PAID TO HEALTHCARE ASSOCIATIONS THAT ENGAGED IN LEGISLATIVE LOBBYING ON BEHALF OF ITS MEMBERS.ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$1,794,980AssetsIncludedAmt
FieldValueIRS element (for citing)
Held Works ArtHeldWorksArtGrp
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets SalefalseSolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,487,581BeginningYearBalanceAmt
Investment Earnings Or Losses$52,193,682InvestmentEarningsOrLossesAmt
Other Expenditures$29,709OtherExpendituresAmt
End Year Balance$265,651,554EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$205,962,211BeginningYearBalanceAmt
Contributions$67,736ContributionsAmt
Investment Earnings Or Losses$7,620,886InvestmentEarningsOrLossesAmt
Other Expenditures$163,252OtherExpendituresAmt
End Year Balance$213,487,581EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$195,030,697BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$11,008,237InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$76,723OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$205,962,211EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$180,123,783BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$15,061,139InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$154,225OtherExpendituresAmt
Administrative Expenses$0AdministrativeExpensesAmt
End Year Balance$195,030,697EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$163,374,610BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$16,944,928InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$195,755OtherExpendituresAmt
End Year Balance$180,123,783EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.99390BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00610PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,720,249OtherCostOrOtherBasisAmt
Book Value$19,720,249BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$669,991,137OtherCostOrOtherBasisAmt
Depreciation$314,713,263DepreciationAmt
Book Value$355,277,874BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,764,189OtherCostOrOtherBasisAmt
Depreciation$26,245,105DepreciationAmt
Book Value$26,519,084BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$313,177,568OtherCostOrOtherBasisAmt
Depreciation$241,046,528DepreciationAmt
Book Value$72,131,040BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,356,377OtherCostOrOtherBasisAmt
Depreciation$2,757,898DepreciationAmt
Book Value$31,598,489BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$505,246,736TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BOARD DESIGNATED SECURITIES$141,858,024F
INVEST. IN UNCONSOLIDATED SUB.$4,971,708F
LIMITED PARTNERSHIPS$1,606,879F
FieldValueIRS element (for citing)
Total Book Value Securities$148,436,611TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (21 entries)

DescDescBook ValueBookValueAmt
OPERATING & FINANCE LEASE$102,574,467
INT. IN NET ASSETS OF FDNS.$47,028,238
DUE FROM THIRD-PARTY PAYORS$21,507,877
BOARD DESIGNATED INVESTMENTS$18,487,375
OTHER RECEIVABLES$10,758,371
DEPOSITS & NON-CURRENT ASSETS$7,104,425
INTEREST IN PERPETUAL TRUST$5,519,309
DECORATIVE ARTWORK$1,794,980
INTERCOMPANY TRANSFERS$949,323
INVESTMENT IN JOINT VENTURES$25,000
DUE FROM HAWAI'I HEALTH PRTNRS$2,895,769
DUE FROM KAPI'OLANI HLTH. FDN.$626,100
DUE FROM PROVIDERS INS. CORP.$580,295
DUE FROM KAUA'I MEDICAL CLINIC$213,863
DUE FROM KAPI'OLANI MED. SP.$172,236
DUE FROM STRAUB FOUNDATION$140,108
DUE FROM PALI MOMI FOUNDATION$114,457
DUE FROM WILCOX FOUNDATION$52,175
DUE FROM HONOLULU SURGERY CTR.$28,502
DUE FROM HPH PARTNERS, INC.$11,540
DUE FROM HICORD, INC.$1
FieldValueIRS element (for citing)
Total Book Value Other Assets$220,584,411TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (14 entries)

DescDescAmtAmt
OP. & FIN LEASE LIABILITIES$96,244,102
OTHER LONG-TERM LIABILITIES$21,346,352
CURRENT OP & FIN LEASE LIABILITIES$13,609,097
ESCHEAT LIABILITY$315,490
DUE TO THIRD-PARTY PAYORS$79,534,835
DUE TO HPH MED. GROUP$9,464,214
DUE TO STRAUB PHARMACY, INC.$4,971,708
DUE TO KEAHONUIOKALANI$67,825
DUE TO KAPI'OLANI MEDICAL SPECIALISTS$49,002
DUE TO STRAUB FOUNDATION$14,975
DUE TO WILCOX HEALTH FOUNDATION$10,500
DUE TO KAPI'OLANI HEALTH FOUNDATION$6,282
DUE TO KAUA'I MEDICAL CLINIC$2,128
DUE TO PALI MOMI FOUNDATION$1,188
FieldValueIRS element (for citing)
Total Liability$225,637,698TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART III, LINE 4ORGANIZATION'S ART COLLECTION ARTWORK IS USED TO IMPROVE THE INTERNAL ENVIRONMENT OF THE HOSPITALS SETTING FOR BOTH FAMILIES AND PATIENTS. THIS INCLUDES CREATING AN INVITING PATIENT ATMOSPHERE IN BOTH THE ROOMS AND THE HALLS OF OUR FACILITIES. THIS ENVIRONMENT IS A KEY DIFFERENTIATING FACTOR IN IMPROVING THE OUTLOOK OF THOSE WHO UTILIZE OUR FACILITIES AS WELL AS THE STAFF WHO WORK THERE. BOTH OF WHICH LEADS TO IMPROVED PATIENT RESULTS AND POSITIVE VIEWS OF OUR SERVICES.
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS INTENDED USES ENDOWMENT FUNDS ARE INTENDED TO BE USED TO PROVIDE MEDICAL AND OTHER CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR SUCH CARE AND FOR OTHER EXPENSES RELATED TO THE EXEMPT PURPOSE OF THE HOSPITAL.
SCHEDULE D, PART X, LINE 2UNCERTAIN TAX POSITIONS AUDITED FINANCIAL STATEMENT 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.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served19816PersonsServedCnt
Total Community Benefit Expns$5,484,222TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$5,484,222NetCommunityBenefitExpnsAmt
Total Expense0.00410TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served235079PersonsServedCnt
Total Community Benefit Expns$280,845,065TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$250,771,865DirectOffsettingRevenueAmt
Net Community Benefit Expns$30,073,200NetCommunityBenefitExpnsAmt
Total Expense0.02240TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served254895PersonsServedCnt
Total Community Benefit Expns$286,329,287TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$250,771,865DirectOffsettingRevenueAmt
Net Community Benefit Expns$35,557,422NetCommunityBenefitExpnsAmt
Total Expense0.02650TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs24ActivitiesOrProgramsCnt
Persons Served2481PersonsServedCnt
Total Community Benefit Expns$10,172,900TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,577,226DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,595,674NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs8ActivitiesOrProgramsCnt
Persons Served1434PersonsServedCnt
Total Community Benefit Expns$11,330,597TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,489,129DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,841,468NetCommunityBenefitExpnsAmt
Total Expense0.00660TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Total Community Benefit Expns$62,313,531TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$35,801,484DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,512,047NetCommunityBenefitExpnsAmt
Total Expense0.01980TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs25ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,711,612TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,711,612NetCommunityBenefitExpnsAmt
Total Expense0.00130TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs69ActivitiesOrProgramsCnt
Persons Served3915PersonsServedCnt
Total Community Benefit Expns$85,528,640TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$44,867,839DirectOffsettingRevenueAmt
Net Community Benefit Expns$40,660,801NetCommunityBenefitExpnsAmt
Total Expense0.03040TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs69ActivitiesOrProgramsCnt
Persons Served258810PersonsServedCnt
Total Community Benefit Expns$371,857,927TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$295,639,704DirectOffsettingRevenueAmt
Net Community Benefit Expns$76,218,223NetCommunityBenefitExpnsAmt
Total Expense0.05690TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$2,122,737BadDebtExpenseAmt
Reimbursed By Medicare$151,015,343ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$165,306,410CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$14,291,067MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnfalseFinancialAssistancePrvsnInd
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdChildrens HospitalChildrensHospitalInd
STRAUB CLINIC & HOSPITAL
1888 SOUTH KING STREETHONOLULUHI96813www.hawaiipacifichealth.org/straub32-HYes (X)Yes (X)Yes (X)Yes (X)A
KAPI'OLANI MEDICAL CENTER FOR WOMEN
21319 PUNAHOU STREETHONOLULUHI96826www.hawaiipacifichealth.org/kapiolani6-HYes (X)Yes (X)Yes (X)Yes (X)AYes (X)
PALI MOMI MEDICAL CENTER
398-1079 MOANALUA ROADAIEAHI96701www.hawaiipacifichealth.org/pali-momi37-HYes (X)Yes (X)Yes (X)A
WILCOX MEMORIAL HOSPITAL
43-3420 KUHIO HIGHWAYLIHUEHI967661099www.hawaiipacifichealth.org/wilcox23-HYes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility14FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE SCHEDULE H, PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt19ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V, SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V, SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V, SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 3Esignificant health needs of the community THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA. SCHEDULE H, PART V, SECTION B, LINE 5 INPUT FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY SERVED KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN IN CONDUCTING KAPI'OLANI'S MOST RECENT CHNA, ISLANDER INSTITUTE CONVENED 21 COMMUNITY MEETINGS ACROSS THE ISLANDS TO ENGAGE EVERYDAY PEOPLE IN DISCUSSIONS AROUND HEALTH IN THEIR COMMUNITIES. A FULL LIST OF COMMUNITY MEETINGS CAN BE FOUND IN APPENDIX D OF THE CHNA. IN ADDITION, ISLANDER CONDUCTED INTERVIEWS WITH 200 "KEY INFORMANTS" WITH EXPERTISE IN COMMUNITY HEALTH ISSUES AND/OR POSSESSING SPECIAL KNOWLEDGE OF VULNERABLE POPULATIONS, INCLUDING (BUT NOT LIMITED TO) LOW-INCOME, MENTALLY ILL, OR PARTICULAR RACIAL/ETHNIC GROUPS. A COMPLETE LIST OF THESE KEY INFORMANTS AND THEIR ORGANIZATIONAL AFFILIATIONS CAN BE FOUND IN APPENDIX E OF THE CHNA. COMMUNITY MEETINGS AND INTERVIEWS TOOK PLACE BETWEEN JANUARY AND DECEMBER, 2018. COMMON THEMES FROM THE COMMUNITY MEETINGS AND KEY INFORMANT INTERVIEWS WERE DISTILLED AND USED TO DEVELOP A "NEW COMMUNITY PRESCRIPTION FOR HEALTH" IN HAWAI'I DERIVED FROM PEOPLE'S OWN DEFINITIONS OF HEALTH AND THE FACTORS THAT CONTRIBUTE TO ATTAINING AND MAINTAINING THAT HEALTH. THE CHNA REPORT WAS ORGANIZED AROUND THESE FACTORS AND USED TO IDENTIFY PRIORITY HEALTH NEEDS AND DEVELOP A STRATEGY FOR COMMUNITY HEALTH THAT ADDRESSES THE IMPORTANT GAPS AND TAKES ADVANTAGE OF OPPORTUNITIES TO HELP HAWAI'I'S PEOPLE LIVE HEALTHY, FULFILLING LIVES. STRAUB MEDICAL CENTER IN CONDUCTING STRAUB'S MOST RECENT CHNA, ISLANDER INSTITUTE CONVENED 21 COMMUNITY MEETINGS ACROSS THE ISLANDS TO ENGAGE EVERYDAY PEOPLE IN DISCUSSIONS AROUND HEALTH IN THEIR COMMUNITIES. A FULL LIST OF COMMUNITY MEETINGS CAN BE FOUND IN APPENDIX D OF THE CHNA. IN ADDITION, ISLANDER CONDUCTED INTERVIEWS WITH 200 "KEY INFORMANTS" WITH EXPERTISE IN COMMUNITY HEALTH ISSUES AND/OR POSSESSING SPECIAL KNOWLEDGE OF VULNERABLE POPULATIONS, INCLUDING (BUT NOT LIMITED TO) LOW-INCOME, MENTALLY ILL, OR PARTICULAR RACIAL/ETHNIC GROUPS. A COMPLETE LIST OF THESE KEY INFORMANTS AND THEIR ORGANIZATIONAL AFFILIATIONS CAN BE FOUND IN APPENDIX E OF THE CHNA. COMMUNITY MEETINGS AND INTERVIEWS TOOK PLACE BETWEEN JANUARY AND DECEMBER, 2018. COMMON THEMES FROM THE COMMUNITY MEETINGS AND KEY INFORMANT INTERVIEWS WERE DISTILLED AND USED TO DEVELOP A "NEW COMMUNITY PRESCRIPTION FOR HEALTH" IN HAWAI'I DERIVED FROM PEOPLE'S OWN DEFINITIONS OF HEALTH AND THE FACTORS THAT CONTRIBUTE TO ATTAINING AND MAINTAINING THAT HEALTH. THE CHNA REPORT WAS ORGANIZED AROUND THESE FACTORS AND USED TO IDENTIFY PRIORITY HEALTH NEEDS AND DEVELOP A STRATEGY FOR COMMUNITY HEALTH THAT ADDRESSES THE IMPORTANT GAPS AND TAKES ADVANTAGE OF OPPORTUNITIES TO HELP HAWAI'I'S PEOPLE LIVE HEALTHY, FULFILLING LIVES. PALI MOMI MEDICAL CENTER IN CONDUCTING PALI MOMI'S MOST RECENT CHNA, ISLANDER INSTITUTE CONVENED 21 COMMUNITY MEETINGS ACROSS THE ISLANDS TO ENGAGE EVERYDAY PEOPLE IN DISCUSSIONS AROUND HEALTH IN THEIR COMMUNITIES. A FULL LIST OF COMMUNITY MEETINGS CAN BE FOUND IN APPENDIX D OF THE CHNA. IN ADDITION, ISLANDER CONDUCTED INTERVIEWS WITH 200 "KEY INFORMANTS" WITH EXPERTISE IN COMMUNITY HEALTH ISSUES AND/OR POSSESSING SPECIAL KNOWLEDGE OF VULNERABLE POPULATIONS, INCLUDING (BUT NOT LIMITED TO) LOW-INCOME, MENTALLY ILL, OR PARTICULAR RACIAL/ETHNIC GROUPS. A COMPLETE LIST OF THESE KEY INFORMANTS AND THEIR ORGANIZATIONAL AFFILIATIONS CAN BE FOUND IN APPENDIX E OF THE CHNA. COMMUNITY MEETINGS AND INTERVIEWS TOOK PLACE BETWEEN JANUARY AND DECEMBER, 2018. COMMON THEMES FROM THE COMMUNITY MEETINGS AND KEY INFORMANT INTERVIEWS WERE DISTILLED AND USED TO DEVELOP A "NEW COMMUNITY PRESCRIPTION FOR HEALTH" IN HAWAI'I DERIVED FROM PEOPLE'S OWN DEFINITIONS OF HEALTH AND THE FACTORS THAT CONTRIBUTE TO ATTAINING AND MAINTAINING THAT HEALTH. THE CHNA REPORT WAS ORGANIZED AROUND THESE FACTORS AND USED TO IDENTIFY PRIORITY HEALTH NEEDS AND DEVELOP A STRATEGY FOR COMMUNITY HEALTH THAT ADDRESSES THE IMPORTANT GAPS AND TAKES ADVANTAGE OF OPPORTUNITIES TO HELP HAWAI'I'S PEOPLE LIVE HEALTHY, FULFILLING LIVES. WILCOX MEDICAL CENTER IN CONDUCTING WILCOX'S MOST RECENT CHNA, ISLANDER INSTITUTE CONVENED 21 COMMUNITY MEETINGS ACROSS THE ISLANDS TO ENGAGE EVERYDAY PEOPLE IN DISCUSSIONS AROUND HEALTH IN THEIR COMMUNITIES. A FULL LIST OF COMMUNITY MEETINGS CAN BE FOUND IN APPENDIX D OF THE CHNA. IN ADDITION, ISLANDER CONDUCTED INTERVIEWS WITH 200 "KEY INFORMANTS" WITH EXPERTISE IN COMMUNITY HEALTH ISSUES AND/OR POSSESSING SPECIAL KNOWLEDGE OF VULNERABLE POPULATIONS, INCLUDING (BUT NOT LIMITED TO) LOW-INCOME, MENTALLY ILL, OR PARTICULAR RACIAL/ETHNIC GROUPS. A COMPLETE LIST OF THESE KEY INFORMANTS AND THEIR ORGANIZATIONAL AFFILIATIONS CAN BE FOUND IN APPENDIX E OF THE CHNA. COMMUNITY MEETINGS AND INTERVIEWS TOOK PLACE BETWEEN JANUARY AND DECEMBER, 2018. COMMON THEMES FROM THE COMMUNITY MEETINGS AND KEY INFORMANT INTERVIEWS WERE DISTILLED AND USED TO DEVELOP A "NEW COMMUNITY PRESCRIPTION FOR HEALTH" IN HAWAI'I DERIVED FROM PEOPLE'S OWN DEFINITIONS OF HEALTH AND THE FACTORS THAT CONTRIBUTE TO ATTAINING AND MAINTAINING THAT HEALTH. THE CHNA REPORT WAS ORGANIZED AROUND THESE FACTORS AND USED TO IDENTIFY PRIORITY HEALTH NEEDS AND DEVELOP A STRATEGY FOR COMMUNITY HEALTH THAT ADDRESSES THE IMPORTANT GAPS AND TAKES ADVANTAGE OF OPPORTUNITIES TO HELP HAWAI'I'S PEOPLE LIVE HEALTHY, FULFILLING LIVES.
SCHEDULE H, PART V, SECTION B, LINES 6A & 6BCHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES AND ORGANIZATIONS Hawai'i Pacific Health's four hospital facilities participated with nineteen other nonprofit Hawai'i hospitals to collaborate on a CHNA in FISCAL YEAR 2019, led by the Healthcare Association of Hawai'i. Islander Institute, a firm specializing in gathering and analyzing community input from Hawai'i's communities, was retained to conduct the CHNA research. Participating hospitals were: Adventist Health Castle, Sutter Health Kahi Mohala, Kahuku Medical Center, Kaiser Permanente Medical Center, Kapi'olani Medical Center for Women & Children, Kuakini Medical Center, Kula Hospital, Lani Community Hospital, Maui Memorial Hospital, Molokai General Hospital, North Hawai'i Community Hospital, Pali Momi Medical Center, Rehabilitation Hospital of the Pacific, Shriners Hospitals for Children - Honolulu, Straub Medical Center, The Queen's Medical Center, The Queen's Medical Center - West Oahu, Wahiawa General Hospital, and Wilcox Medical Center.
SCHEDULE H, PART V, SECTION B, LINE 7ACOMMUNITY HEALTH NEEDS ASSESSMENT WEBSITE HOSPITAL FACILITY'S WEBSITE WHERE THE CHNA IS MADE WIDELY AVAILABLE: HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/ABOUT-US/COMMUNITY/ SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE WHERE THE CHNA IS MADE AVAILABLE TO THE PUBLIC HEALTHCARE ASSOCIATION OF HAWAII: https://www.hah.org/reports-and-data
SCHEDULE H, PART V, SECTION B, LINE 10AIMPLEMENTATION STRATEGY PLAN WEBSITE KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN: https://www.hawaiipacifichealth.org/media/12311/chi-plan_kapiolani_fy2020- 2022.pdf PALI MOMI MEDICAL CENTER: https://www.hawaiipacifichealth.org/media/12312/chi-plan_pali-momi_fy2020- 2022.pdf STRAUB CLINIC & HOSPITAL: https://www.hawaiipacifichealth.org/media/12313/chi-plan_straub_fy2020- 2022.pdf WILCOX MEMORIAL HOSPITAL: https://www.hawaiipacifichealth.org/media/12314/chi-plan_wilcox_fy2020- 2022.pdf
SCHEDULE H, PART V, SECTION B, LINE 11ADDRESSING SIGNIFICANT NEEDS IDENTIFIED IN CHNA & NEEDS NOT BEING ADDRESSED KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN: In fiscal year 2021, Kapi'olani conducted the following community benefit activities to execute year two of a three-year Implementation Strategy to address the priority community health needs identified in Kapi'olani's 2019 Community Health Needs Assessment: Strengthening Families, Building Good Food Systems, Investing in Teenagers and Healthy Starts, and Providing Accessible Proactive Support for Those with High Needs. Kapi'olani's 2016 and 2019 CHNAs and Implementation Strategies may be viewed online at: http://www.hawaiipacifichealth.org/about-us/community/ In FY21, Kapi'olani provided extensive community support to address the ongoing COVID public health emergency, including standing up community COVID testing sites and vaccination clinics as well as collaborating extensively with state agencies and other health care systems to provide expertise, assistance and public health education. Due to pandemic-related restrictions on in-person gatherings and other precautions, certain programs outlined in Kapi'olani's 2019 Implementation Strategy were suspended until they can safely be conducted. In FY21, in addition to significant clinical and public health interventions to address COVID, Kapi'olani also conducted the following community benefit initiatives: SNAP Double-Up Food Bucks Incentive Program: In Hawai'i, food insecurity increased significantly due to economic fall-out from the pandemic. Kapi'olani partnered with a multisector coalition to support a fund that offers double the value for all purchases of fresh, local produce made with SNAP-EBT. Programs such as these are demonstrated to increase consumption of fresh fruits and vegetables by SNAP recipients while supporting local farmers. Residential Youth Services & Empowerment (RYSE) is a youth-specific shelter providing temporary overnight lodging and support services to help homeless youth achieve housing, employment and self-sufficiency. Kapi'olani provided financial support to address the needs of this vulnerable population. Healthy Weight and Your Child is an intensive, family-based adolescent weight management program to combat childhood obesity. The Kidney Foundation of Hawai'i and Kapi'olani, together with the other hospitals of Hawai'i Pacific Health, partnered to provide the program at no cost to families across O'ahu. In FY21, the program was delivered in an entirely virtual format. Medical Transport Services: Kapi'olani provides inter-hospital transports from the neighbor islands to O'ahu, where Kapi'olani is located, and to the mainland, for critical neonatal and pediatric patients requiring access to specialty care not available in their communities. Cancer Research Center of Hawai'i: Kapi'olani, together with the other hospitals of Hawai'i Pacific Health, Queens Medical Center, and Kuakini Medical Center, partnered with the Cancer Research Center of Hawai'i to enhance the quality and breadth of cancer care in Hawai'i by supporting enhanced patient access to clinical trials, state-of-the-art treatment, and innovative therapies near to home. Health Professionals Education: Many areas of Hawai'i are identified as health professional shortage areas. To address this shortage and improve access to health care services for Hawai'i residents, Kapi'olani provides clinical training and residencies for medical students and residents, nursing students, and allied health professionals. Kapi'olani also supports a scholarship that provides financial assistance for local students to attend the University of Hawai'i John A. Burns School of Medicine. Significant Community Health Needs Not Being Addressed The following areas of need identified in Kapi'olani's 2019 CHNA are not being addressed in the hospital's Implementation Strategy: address financial insecurity, work together for equality and justice, restore environment and sense of place, nurture community identity and cohesiveness, shift elder care away from "sick care,strengthen trust in health care. They were not selected as priorities for Kapi'olani to address because they did not meet some or all of the following criteria: alignment with HPH's community health partnership focus areas, opportunity to leverage planned and existing HPH community partnerships and initiatives, alignment with HPH's resources and expertise, and potential to have a measurable impact on community health in collaboration with partners. PALI MOMI MEDICAL CENTER: In fiscal year 2021, Pali Momi conducted the following community benefit activities to execute year two of a three-year Implementation Strategy to address the priority community health needs identified in Pali Momi's 2019 Community Health Needs Assessment: Strengthening Families, Building Good Food Systems, Investing in Teenagers and Healthy Starts, and Providing Accessible Proactive Support for Those with High Needs. Pali Momi's 2016 and 2019 CHNAs and Implementation Strategies may be viewed online at: http://www.hawaiipacifichealth.org/about-us/community/ In FY21, Pali Momi provided extensive community support to address the ongoing COVID public health emergency, including standing up community COVID testing sites and vaccination clinics as well as collaborating extensively with state agencies and other health care systems to provide expertise, assistance and public health education. Due to pandemic-related restrictions on in-person gatherings and other precautions, certain programs outlined in Pali Momi's 2019 Implementation Strategy were suspended until they can safely be conducted. In FY21, in addition to significant clinical and public health interventions to address COVID, Pali Momi also conducted the following community benefit initiatives: SNAP Double-Up Food Bucks Incentive Program: In Hawai'i, food insecurity increased significantly due to economic fall-out from the pandemic. Pali Momi partnered with a multisector coalition to support a fund that offers double the value for all purchases of fresh, local produce made with SNAP-EBT. Programs such as these are demonstrated to increase consumption of fresh fruits and vegetables by SNAP recipients while supporting local farmers. Residential Youth Services & Empowerment (RYSE) is a youth-specific shelter providing temporary overnight lodging and support services to help homeless youth achieve housing, employment and self-sufficiency. Pali Momi provided financial support to address the needs of this vulnerable population. Healthy Weight and Your Child is an intensive, family-based adolescent weight management program to combat childhood obesity. The Kidney Foundation of Hawai'i and Pali Momi, together with the other hospitals of Hawai'i Pacific Health, partnered to provide the program at no cost to families across O'ahu. In FY21, the program was delivered in an entirely virtual format. Cancer Research Center of Hawai'i: Pali Momi, together with the other hospitals of Hawai'i Pacific Health, Queens Medical Center, and Kuakini Medical Center, partnered with the Cancer Research Center of Hawai'i to enhance the quality and breadth of cancer care in Hawai'i by supporting enhanced patient access to clinical trials, state-of-the-art treatment, and innovative therapies near to home. Health Professionals Education: Many areas of Hawai'i are identified as health professional shortage areas. To address this shortage and improve access to health care services for Hawai'i residents, Pali Momi provides clinical training and residencies for medical students and residents. Pali Momi also supports a scholarship that provides financial assistance for local students to attend the University of Hawai'i John A. Burns School of Medicine. Significant Community Health Needs Not Being Addressed: The following areas of need identified in Pali Momi's 2019 CHNA are not being addressed in the hospital's Implementation Strategy: address financial insecurity, work together for equality and justice, restore environment and sense of place, nurture community identity and cohesiveness, shift elder care away from "sick care,strengthen trust in health care. They were not selected as priorities for Pali Momi to address because they did not meet some or all of the following criteria: alignment with HPH's community health partnership focus areas, opportunity to leverage planned and existing HPH community partnerships and initiatives, alignment with HPH's resources and expertise, and potential to have a measurable impact on community health in collaboration with partners. STRAUB MEDICAL CENTER: In fiscal year 2021, Straub conducted the following community benefit activities to execute year two of a three-year Implementation Strategy to address the priority community health needs identified in Straub's 2019 Community Health Needs Assessment: Strengthening Families, Building Good Food Systems, Investing in Teenagers and Healthy Starts, and Pro
SCHEDULE H, PART V, SECTION B, LINE 16AFINANCIAL ASSISTANCE POLICY https://www.hawaiipacifichealth.org/patients-visitors/financial-assistance -program/
SCHEDULE H, PART V, SECTION B, LINE 16BFINANCIAL ASSISTANCE APPLICATION https://www.hawaiipacifichealth.org/patients-visitors/financial-assistance -program/
SCHEDULE H, PART V, SECTION B, LINE 16CPLAIN LANGUAGE SUMMARY https://www.hawaiipacifichealth.org/patients-visitors/financial-assistance -program/
FieldValueIRS element (for citing)
Facility29FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
PALI MOMI MEDICAL CENTER
98-1079 MOANLUA ROAD 480/590/630AEIAHI96701CLINIC
STRAUB PEARLRIDGE CLINIC
98-151 PALI MOMI ST STE 142AIEAHI96701CLINIC
PALI MOMI PAVILIONWOMEN'S CENTER
98-1005 MOANALUA ROAD FS4AIEAHI96701CLINIC
STRAUB MILILANI FAMILY HEALTH CENTER
95-1249 MEHEULA PKWY UNIT 187MILILANIHI96789CLINIC
STRAUB KAPOLEI CLINIC
91-5431 KAPOLEI PKWY SUITE 1706KAPOLEIHI96707CLINIC
STRAUB HAWAI'I KAI FAMILY HEALTH CENTER
7192 KALANIANAOLE HIGHWAY STE A20HONOLULUHI96825CLINIC
KAPI'OLANI WOMENS CENTER
1907 BERETANIA STREET 1ST 5TH FLHONOLULUHI96826CLINIC
STRAUB KANEOHE FAMILY HEALTH CENTER
46-056 KAMEHAMEHA HIGHWAY STE 221KANEOHEHI96744CLINIC
STRAUB CLINIC AT FIRST INSURANCE CENTER
1100 WARD AVE STE 700HONOLULUHI96814CLINIC
DOCS ON CALL - SHERATON
2255 KALAKAUA AVE MANOR WING LOWEHONOLULUHI96815CLINIC
PALI MOMI CANCER CENTER
98-1005 MOANALUA RD STE 4010AEIAHI96701CLINIC
STRAUB KAILUA FAMILY HEALTH CENTER
602 KAILUA ROAD SUITE 200KAILUAHI96734CLINIC
KAHALA CLINIC & URGENT CARE
4210 WAIALAE AVE SUITE 501HONOLULUHI96816CLINIC
WARD VILLAGE PRIMARY CARE CLINIC
1001 QUEEN STREET SUITE 102HONOLULUHI96814CLINIC
ARTESIAN SATELLITE
1907 SOUTH BERETANIA ST 1ST FLOORHONOLULUHI96826CLINIC
STRAUB LANA'I FAMILY HEALTH CENTER
628-B SEVENTH STREETLANAI CITYHI96763CLINIC
HPH CANCER CENTER AT PALI MOMI MED CTR
98-1005 MOANALUA ROADAIEAHI96701CLINIC
PALI MOMI CLINIC
98-1079 MOANALUA ROAD SUITE 600AIEAHI96701CLINIC
OBGYN SATELLITE
1525 KALAKAUA AVENUEHONOLULUHI96814CLINIC
Kapi'olani Med CTR-Women & ChILD OBGYN
1319 Punahou Street Ste 500HONOLULUHI96826CLINIC
KAHULUI CLINIC
33 LONO AVENUE SUITE 250KAHULUIHI96732CLINIC
Straub med ctr - miliani sc clinic
95-390 KUAHELANI AVENUE SUITE J-1MILILANIHI96789CLINIC
STRAUB KAPOLEI CLINIC
91-5431 KAPOLEI PKWY SUITE 1706KAPOLEIHI96707CLINIC
straub med ctr - dt honolulu clinic
1003 BISHOP ST PAUAHI TOWER SUITHONOLULUHI96813CLINIC
STRAUB CLINIC AT WATERFRONT PLAZA
500 ALA MOANA BLVD TOWER 7 SUITEHONOLULUHI96813CLINIC
STRAUB CLINIC - SOUTH KING STREET
826 SOUTH KING STREETHONOLULUHI96813CLINIC
KUAKINI CLINIC
321 NORTH KUAKINI STREET SUITE 504HONOLULUHI96817CLINIC
STRAUB DOCTORS ON CALL - HILTON HAWAIIAN
2005 KALIA ROAD RAINBOW BAZAAR 2FHONOLULUHI96815CLINIC
STRAUB HILO CLINIC
75 PUUHONU PLACE SUITE 207HILOHI96720CLINIC

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CFinancial assistance eligibility criteria N/A
SCHEDULE H, PART I, LINE 6Apreparation of community benefit report COMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATIONS' PARENT.
SCHEDULE H, PART I, LINE 7costing methodology used COST TO CHARGE RATIO AND SCHEDULE H WORKSHEET WAS USED TO CALCULATE THE COSTS. SCHEDULE H, PART I, LINE 7G SUBSIDIZED HEALTH SERVICES NO COSTS OF A PHYSICIAN CLINIC WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES.
SCHEDULE H, PART III, SECTION A, LINES 3 AND 4bad debt audited financial footnote PER THE CONSOLIDATED AUDITED FINANCIAL STATEMENT OF HAWAI'I PACIFIC HEALTH ("HPH"): ON JULY 1, 2018, THE COMPANY ADOPTED THE NEW REVENUE STANDARD, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), AND ELECTED TO USE THE MODIFIED RETROSPECTIVE ADOPTION METHOD. AS A PRACTICAL EXPEDIENT, THE COMPANY UTILIZES A PORTFOLIO APPROACH TO GROUP CONTRACTS WITH SIMILAR CHARACTERISTICS. UNDER THE NEW REVENUE STANDARD, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS THE PROVISION FOR BAD DEBTS IN THE CONSOLIDATED FINANCIAL STATEMENTS OF UNRESTRICTED REVENUES, EXPENSES AND OTHER CHANGES IN NET ASSETS IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS AND IS INCLUDED AS A REDUCTION TO NET PATIENT SERVICE REVENUE FOR THE YEAR ENDED JUNE 30, 2019. PRIOR TO THE ADOPTION OF THE NEW REVENUE STANDARD, THE PROVISION FOR BAD DEBTS WAS PRESENTED CONSISTENT WITH THE PREVIOUS REVENUE RECOGNITION STANDARDS THAT REQUIRED SUCH PROVISION TO BE PRESENTED SEPARATELY AS A COMPONENT OF NET PATIENT SERVICE REVENUE.
SCHEDULE H, PART III, SECTION B, LINE 8costing methodology BECAUSE TAX-EXEMPT HOSPITALS MUST PARTICIPATE IN MEDICARE AND MEDICAID AS A CONDITION OF MAINTAINING THEIR FEDERAL TAX-EXEMPT STATUS, MEDICARE UNDERPAYMENTS ARE NOT OPERATING EXPENSES THAT SHOULD BE EXPECTED IN THE ORDINARY COURSE OF BUSINESS. BECAUSE TAX-EXEMPT HOSPITALS MUST ACCEPT MEDICARE RATES THAT ARE IN SOME CASES BELOW COST, THEY SHOULD BE ABLE TO REPORT ANY NEGATIVE DIFFERENCES BETWEEN MEDICARE RATES AND COST AS LOSSES INCURRED BY SERVICING THE COMMUNITY. TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552.96.
SCHEDULE H, PART III, SECTION B, LINE 9Bdebt collection policy PATIENTS WHO QUALIFY FOR CHARITY CARE RECEIVE EITHER 100% DISCOUNT (FREE SERVICES) OR 85% DISCOUNT (PARTIAL CHARITY) ON OUTSTANDING BALANCES. PATIENTS RECEIVING PARTIAL CHARITY THAT HAVE REMAINING ACCOUNT BALANCES AFTER THE CHARITY CARE ADJUSTMENT, FOLLOW THE SAME COLLECTION PROCEDURES AS ALL OTHER PATIENTS. PATIENTS WHO QUALIFY FOR 100% DISCOUNT HAVE THEIR PATIENT ACCOUNT BALANCES FULLY ADJUSTED AND ARE NOT SUBJECT TO ANY COLLECTION PROCEDURES. IN GENERAL THE POLICY INVOLVES SENDING FOLLOW UP STATEMENTS AND DOING FOLLOW UP PHONE CALLS. PAYMENT OPTIONS ARE ALSO PRESENTED TO THE PATIENT AS PART OF THE COLLECTION PROCESS. ACCOUNTS NOT COLLECTED WITHIN THE SPECIFIED TIME PERIOD OUTLINED IN THE POLICY (HOSPITAL AND PHYSICIAN CLAIMS) ARE SENT TO A COLLECTION AGENCY FOR COLLECTION. IN RESPONSE TO ECONOMIC IMPACTS OF THE COVID 19 PANDEMIC, HAWAI'I PACIFIC HEALTH IMPLEMENTED THE FOLLOWING CHANGES TO COLLECTION PROCEDURES ON OUTSTANDING ACCOUNTS: - SUSPENDED FORWARDING ACCOUNTS TO OUTSIDE COLLECTION AGENCIES EFFECTIVE MARCH 27, 2020 - STOPPED SENDING FINAL COLLECTION LETTERS FOR HOSPITAL ACCOUNTS EFFECTIVE MARCH 27, 2020 - REPLACED FINAL NOTICE DUNNING MESSAGE WITH REMINDER NOTICE ON PROFESSIONAL BILLING STATEMENTS EFFECTIVE APRIL 1, 2020.
SCHEDULE H, PART VI, LINE 2additional community health needs assessment THE HOSPITALS OF HAWAI'I PACIFIC HEALTH PARTNERED WITH THE HEALTHCARE ASSOCIATION OF HAWAI'I AND THE HEALTHY COMMUNITIES INSTITUTE TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) FOR EACH OF THE COMMUNITIES SERVED BY THE HOSPITALS. THE CHNAS WERE COMPLETED IN MARCH 2016. 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 SECONDARY DATA ON THE SOCIAL, ECONOMIC, AND PHYSICAL ENVIRONMENTS, AS WELL AS HEALTH RISKS AND OUTCOMES. SPECIAL ATTENTION WAS GIVEN TO IDENTIFYING HEALTH DISPARITIES, THE NEEDS OF VULNERABLE POPULATIONS, AND UNMET HEALTH NEEDS OR GAPS IN SERVICES. A BROAD ARRAY OF SECONDARY AND PRIMARY DATA WAS COLLECTED AND SYNTHESIZED TO DETERMINE COMMUNITY NEEDS. OVER 375 INDICATORS FROM OVER 20 SOURCES FROM A DATABASE MAINTAINED BY THE HAWAI'I DEPARTMENT OF HEALTH WERE ANALYZED USING A SYSTEMATIC AND QUANTITATIVE APPROACH THAT INCORPORATED MULTIPLE BENCHMARKS AND COMPARISONS. ADDITIONAL ANALYSIS INCLUDED PREVENTABLE CAUSES OF HOSPITALIZATION USING DATA PROVIDED BY THE HAWAI'I HEALTH INFORMATION CORPORATION, AND INFORMATION FROM RECENTLY PUBLISHED REPORTS ON ACCESS TO CARE, HEALTH DISPARITIES, PRIMARY CARE NEEDS, AND BEHAVIORAL HEALTH NEEDS. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS HAVING SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, HEALTH DISPARITIES, AND VULNERABLE POPULATIONS IN THE IDENTIFIED COMMUNITIES.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WHEN A PATIENT PRESENTS FOR SERVICES AND THE PATIENT DOES NOT HAVE INSURANCE COVERAGE FOR SERVICES TO BE PROVIDED, THE PATIENT, OR GUARANTOR IS ASKED TO SIGN THE "SELF-PAY ACKNOWLEDGEMENT" LETTER. THE LETTER DESCRIBES THE TERMS OF THE HAWAI'I PACIFIC HEALTH ("HPH") UNINSURED DISCOUNT PROGRAM, AND BY SIGNING THE LETTER, THE PATIENT ACKNOWLEDGES THAT HE/SHE UNDERSTANDS AVAILABLE UNINSURED PAYMENT TERMS. IN MOST UNINSURED CASES, THE PATIENT WILL BE OFFERED A HAWAI'I STATE MEDICAL ASSISTANCE APPLICATION. THIS IS THE APPLICATION FOR THE HAWAI'I STATE MEDICAID/QUEST PROGRAM. THE HOSPITAL CONTRACTS WITH SERVICE PROVIDERS WHO SPECIALIZE IN ASSISTING PATIENTS WITH THE MEDICAID/QUEST PROGRAM APPLICATION PROCESS. IF THE PATIENT'S 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 HPH FINANCIAL ASSISTANCE EITHER IN THE HOSPITAL FINANCIAL SERVICES DEPARTMENT OR BY MAIL DIRECTLY TO THE HPH BUSINESS SERVICES OFFICE. FINANCIAL COUNSELORS ARE AVAILABLE ON SITE TO REVIEW PAYMENT OPTIONS WITH THE PATIENT OR THE GUARANTOR. THESE OPTIONS INCLUDE THE AFOREMENTIONED HPH UNINSURED DISCOUNT PROGRAM, THE HAWAI'I STATE MEDICAID/QUEST PROGRAM, THE HPH FINANCIAL ASSISTANCE PROGRAM, PAYMENT PLANS AND ANY GRANT OR FUNDING SOURCE THAT MAY BE APPROPRIATE FOR THE SERVICES PROVIDED. IN SOME CASES, HPH DETERMINES THAT A PATIENT OR GUARANTOR MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED, AND FINANCIAL INFORMATION IS MAILED TO THE PATIENT. EDUCATION AND ASSISTANCE IS OFTEN PROVIDED VIA PHONE CONTACT IN THESE CASES. PAYMENT PLAN ARRANGEMENTS ARE HANDLED VIA PHONE CONTACT WITH THE PATIENT.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION HAWAI'I PACIFIC HEALTH'S MEDICAL CENTERS TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS SAFETY NET PROVIDERS OF HEALTH CARE FOR THE COMMUNITY. DEMOGRAPHICS OF THE STATE OF HAWAI'I INCLUDE 1.4M RESIDENTS AND 10.4M VISITORS (2019 DATA). THERE ARE MORE THAN 20 OTHER HOSPITALS IN THE STATE THAT PROVIDE ACUTE CARE SERVICES, INCLUDING THOSE THAT ARE COMMUNITY ACCESS HOSPITALS. AREAS AND POPULATIONS DESIGNATED AS MEDICALLY-UNDERSERVED BY THE FEDERAL GOVERNMENT ARE PRESENT. KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN HAS BEEN TREATING WOMEN, CHILDREN AND INFANTS FOR MORE THAN A CENTURY. IT IS HAWAI'I'S ONLY MATERNITY, NEWBORN AND PEDIATRIC SPECIALTY HOSPITAL WITH 253 BEDS. IT IS ALSO A TERTIARY CARE, TEACHING AND RESEARCH FACILITY. FOR WOMEN, KAPI'OLANI PROVIDES COMPLETE OBSTETRICAL AND GYNECOLOGICAL CARE. FOR INFANTS AND CHILDREN, IT HAS MORE THAN 100 PEDIATRIC SPECIALISTS AND SUBSPECIALISTS. IN FISCAL YEAR 2020, KAPI'OLANI HAD 6,049 DELIVERIES (BIRTHS), 46,392 WOMEN'S CENTER PROCEDURES, 37,247 ER VISITS, 53,269 IMAGING PROCEDURES, 547 TRANSPORTS AND 14,836 INPATIENT ADMISSIONS. ITS GEOGRAPHIC SERVICE AREA IS THE ENTIRE PACIFIC REGION AS MANY SPECIALTIES OFFERED ARE NOT AVAILABLE ELSEWHERE. PALI MOMI MEDICAL CENTER IS A COMMUNITY-BASED, ACUTE-CARE HOSPITAL THAT OFFERS A FULL RANGE OF SERVICES IN CARDIOLOGY, ORTHOPEDICS, EMERGENCY MEDICINE, GENERAL SURGERY AND MEDICINE, OPHTHALMOLOGY, WOMEN'S SERVICES, ONCOLOGY AND MORE. IT HAS DELIVERED MANY MEDICAL FIRSTS FOR THE COMMUNITY, INCLUDING WEST O'AHU'S ONLY INTERVENTIONAL CARDIAC CATHETERIZATION UNITS, A WOMEN'S CENTER AND RETINA CENTER, AND THE REGION'S ONLY COMPREHENSIVE CANCER CENTER. IT HAS BEEN DESIGNATED AS A LEVEL III TRAUMA CENTER BY THE STATE OF HAWAI'I AND IT IS ALSO A CERTIFIED PRIMARY STROKE CENTER. IN FISCAL YEAR 2020, PALI MOMI HAD 41,941 ER VISITS, 50,957 WOMEN'S CENTER PROCEDURES, 84,117 IMAGING PROCEDURES AND 5,492 INPATIENT ADMISSIONS. PALI MOMI'S GEOGRAPHIC SERVICE AREA IS PRIMARILY CENTRAL O'AHU, WEST O'AHU AND THE NORTH SHORE. STRAUB MEDICAL CENTER HAS SERVED THE PEOPLE OF HAWAI'I FOR NEARLY 100 YEARS. IT IS A FULLY INTEGRATED HEALTH CARE PROVIDER WITH A 159-BED HOSPITAL IN HONOLULU, A NETWORK OF NEIGHBORHOOD CLINICS, AND A VISITING SPECIALISTS PROGRAM TO IMPROVE ACCESS TO MEDICAL SERVICES FOR NEIGHBOR ISLAND RESIDENTS. STRAUB HOUSES AN ARRAY OF PHYSICIAN SPECIALISTS UNDER ONE ROOF, ENABLING PATIENTS TO RECEIVE DIAGNOSIS AND TREATMENT IN MORE THAN 32 MEDICAL SPECIALTIES. IN FISCAL YEAR 2020, STRAUB HAD 30,077 ER VISITS, 5,747 INPATIENT ADMISSIONS, 100,078 IMAGING PROCEDURES AND 856,560 CLINIC ENCOUNTERS. STRAUB IS PROUD TO PROVIDE SERVICES THAT ARE NOT OFFERED BY ANY OTHER PROVIDERS IN THE REGION. THE BURN CENTER, FOR EXAMPLE, IS THE ONLY DEDICATED BURN TREATMENT FACILITY IN HAWAI'I AND TREATS MILITARY AND CIVILIAN PATIENTS THROUGHOUT THE PACIFIC REGION. WILCOX MEDICAL CENTER HAS SERVED KAUA'I FOR MORE THAN 80 YEARS. THE ACUTE-CARE FACILITY OFFERS OVER 30 SPECIALTIES AND PROGRAMS, AND A FULL SUITE OF SERVICES INCLUDING CARDIOLOGY, EMERGENCY, FAMILY PRACTICE, GASTROENTEROLOGY, HEALTH MANAGEMENT, INTERNAL MEDICINE, NEUROLOGY, OB-GYN, ONCOLOGY, ORTHOPEDICS, PEDIATRICS AND UROLOGY. IN FISCAL YEAR 2020, WILCOX HAD 21,852 ER VISITS, 450 DELIVERIES (BIRTHS), 63,677 IMAGING PROCEDURES AND 2,946 INPATIENT ADMISSIONS. WILCOX'S GEOGRAPHIC SERVICE AREA IS THE ISLAND OF KAUA'I. DEMOGRAPHICS OF THE KAUA'I COMMUNITY IN FISCAL YEAR 2020 INCLUDE AN ESTIMATED POPULATION OF APPROXIMATELY 72,293 (2019 CENSUS BUREAU DATA) AND NEARLY 1.4M VISITORS ANNUALLY (2019 DATA). THERE ARE TWO OTHER HOSPITALS IN THE COMMUNITY, AND FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS ARE PRESENT.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH EACH AFFILIATE HOSPITAL OF HAWAI'I PACIFIC HEALTH IS A LEADER IN COMMUNITY HEALTH CARE EDUCATION AND ADVOCACY, AND MAINTAINS AN OPEN MEDICAL STAFF; THIS ARRANGEMENT GRANTS ADMITTING PRIVILEGES TO NONAFFILIATED PHYSICIAN SPECIALISTS AND BROADENS EACH FACILITY'S ABILITY TO OFFER HIGH-QUALITY, SPECIALIZED CARE TO THEIR RESPECTIVE COMMUNITY. EACH HOSPITAL IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF PHYSICIANS, COMMUNITY MEMBERS AND KEY LEADERSHIP WITHIN HAWAI'I PACIFIC HEALTH. THESE VOLUNTEER, UNPAID MEMBERS ENSURE THAT EACH FACILITY FULFILLS ITS MISSION-DRIVEN GOALS. AS AFFILIATES OF THE NOT-FOR-PROFIT HAWAI'I PACIFIC HEALTH NETWORK, EACH HOSPITAL REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE AND TO SUBSIDIZE THOSE WHO CANNOT PAY.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM HAWAI'I PACIFIC HEALTH, ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS, IS COMMITTED TO PROVIDING HIGH-QUALITY, ACCESSIBLE CARE AND SERVICES TO THE PEOPLE OF HAWAI'I AND THE PACIFIC REGION. THE HAWAI'I PACIFIC HEALTH SYSTEM INCLUDES FOUR MEDICAL CENTERS, 70 LOCATIONS, MORE THAN 1,400 AFFILIATED PHYSICIANS AND MORE THAN 7,200 EMPLOYEES. THE MEDICAL CENTERS PROVIDE ACUTE AND SPECIALTY CARE WITH 602 BEDS AND HANDLED 29,021 ADMISSIONS IN FISCAL YEAR 2020. KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN IS THE PRIMARY PEDIATRIC AND OBSTETRIC TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. KAPI'OLANI SUPPORTS THE TRAINING AND TEACHING OF HAWAI'I'S FUTURE DOCTORS, NURSES AND OTHER HEALTH CARE PROFESSIONALS, AS WELL AS CLINICAL AND COMMUNITY HEALTH RESEARCH THAT BRINGS NEW THERAPIES AND TREATMENT PROTOCOLS TO THE ISLANDS. KAPI'OLANI ACTIVELY SUPPORTS COMMUNITY ORGANIZATIONS AND EVENTS THAT ARE IN LINE WITH ITS MISSION, INCLUDING THE GREAT ALOHA RUN AND KEIKI GREAT ALOHA RUN, SUSAN G. KOMEN BREAST CANCER FOUNDATION, MARCH OF DIMES, HAWAI'I CHILDREN'S CANCER FOUNDATION AND OTHERS. THE KAPI'OLANI CHILDREN'S MIRACLE NETWORK SUPPORTS THE COST OF PEDIATRIC HEALTH CARE PROGRAMS AND SERVICES AT THE HOSPITAL, AS WELL AS MEDICAL EQUIPMENT, NEIGHBOR ISLAND TRAVEL, RESEARCH AND PUBLIC AWARENESS. THE HOSPITAL ALSO OPERATES THE SEX ABUSE TREATMENT CENTER OF HAWAI'I, WHICH PROVIDES TREATMENT SERVICES FOR SURVIVORS OF SEXUAL ASSAULT, PROMOTES PREVENTION AND EDUCATION, AND ENGAGES IN PUBLIC POLICY ACTIVITIES RELATING TO SEXUAL ASSAULT, AND THE KAPI'OLANI CHILD ADVOCACY AND PROTECTION CENTER, WHICH PROVIDES EXPERTISE IN RECOGNIZING AND TREATING CHILD ABUSE AND NEGLECT. PALI MOMI MEDICAL CENTER CONTINUES TO FOCUS ON MEETING THE NEEDS OF THE COMMUNITIES OF CENTRAL AND WEST O'AHU AND THE NORTH SHORE. IN FISCAL YEAR 2020, PALI MOMI CONTINUED TO PROVIDE SERVICES AS A DESIGNATED LEVEL III TRAUMA CENTER BY THE STATE OF HAWAI'I. PALI MOMI HOLDS THIS DESIGNATION BECAUSE OF ITS KEY GEOGRAPHIC LOCATION AND ADVANCED HOSPITAL CAPABILITIES THAT ENABLE IT TO PROVIDE THIS CRITICALLY NEEDED SERVICE TO THE COMMUNITY. IT IS ALSO CERTIFIED AS A PRIMARY STROKE CENTER IN RECOGNITION OF ITS COMMITMENT TO THE CARE OF STROKE PATIENTS. IN FISCAL YEAR 2020, PALI MOMI ALSO HOSTED AND PARTICIPATED IN FREE COMMUNITY HEALTH EVENTS, HEALTH FAIRS AND HEALTH SCREENINGS, VIDEO CONFERENCES FOR EDUCATIONAL SPEAKERS' SERIES AND SUPPORT GROUPS, ALTHOUGH SOME OF ITS REGULAR ANNUAL EVENTS WERE CANCELED DUE TO THE COVID-19 PANDEMIC. STRAUB MEDICAL CENTER HAS MANY SPECIALTY CARE UNITS. THE BURN CENTER IS THE STATE'S ONLY MULTIDISCIPLINARY BURN TREATMENT CENTER, PROVIDING VICTIMS WITH IMMEDIATE AND COMPREHENSIVE CARE CLOSE TO HOME. STRAUB PHYSICIANS PROVIDE PATIENTS WITH DIAGNOSES AND TREATMENTS FOR MORE THAN 32 DIFFERENT MEDICAL SPECIALTIES, INCLUDING BONE AND JOINT, HEART, CANCER, ENDOCRINOLOGY/DIABETES, FAMILY MEDICINE, GASTROENTEROLOGY, GERIATRIC MEDICINE, INTERNAL MEDICINE, VASCULAR AND UROLOGY. IT PROVIDES CHARITY CARE, HEALTH EDUCATION AND PREVENTIVE PROGRAMS TO THE COMMUNITY. IN FISCAL YEAR 2020, STRAUB PROVIDED A VARIETY OF FREE HEALTH EDUCATION PROGRAMS, ACTIVITIES AND EVENTS, ALTHOUGH SOME OF ITS REGULAR ANNUAL EVENTS WERE CANCELED DUE TO THE COVID-19 PANDEMIC WILCOX MEDICAL CENTER IS DEDICATED TO PROVIDING KAUA'I WITH AFFORDABLE AND ACCESSIBLE HEALTH CARE. WILCOX PHYSICIANS OFFER CARE IN 30 SPECIALTIES AND PROGRAMS. WILCOX IS AN ACTIVE COMMUNITY PARTNER. IN FISCAL YEAR 2020, ITS HEALTH EDUCATION, PREVENTION PROGRAMS AND SUPPORT GROUPS FOCUSED ON DIABETES, OBESITY, CANCER, HEART ATTACK/STROKE, IMMUNIZATION, SPORTS MEDICINE, WATER SAFETY, INJURY PREVENTION, AND HEALTH FAIRS. TOGETHER WITH KAUA'I MEDICAL CLINIC, WILCOX HOSTED OR SPONSORED A VARIETY OF COMMUNITY HEALTH EDUCATION EVENTS, AND STAFF SUPPORTED THEIR COMMUNITY BY PARTICIPATING IN ANNUAL CHARITABLE ENDEAVORS. THESE INCLUDED "HAWAI'I PACIFIC HEALTH GREAT ALOHA RUN," "KIDS FEST," "KAUA'I MARATHON," SEVERAL PHYSICIAN-LED COMMUNITY WALKS, "A HEALTHIER YOU" HEALTH AND LIFESTYLE PROGRAM, "KEIKI BIKE AND SKATEBOARD SAFETY DAY," "BACK TO SCHOOL BASH,"WESTSIDE OHANA DAY." THE WILCOX HEALTH ANNUAL "KIDS SUMMER FEST" WAS CANCELED IN FISCAL YEAR 2020 DUE TO THE COVID-19 PANDEMIC.
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT N/A

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (9 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UH Foundation
1314 S King St STE BSTE 2E1 BOX 3HonoluluHI96814990085260501(C)(3)$734,095Scholarship PLEDGE
Hawai'i Cancer Consortium
201 Merchant St STE 1830HonoluluHI96813452280259501(C)(3)$500,000General Support
UNIVERSAL CLINICAL EDUCATION & RSRCH ASSOC
PO Box 31000HonoluluHI96813990307152501(C)(3)$250,006General Support
Residential Youth Services & Empowerment
PO Box 11662BACHMAN HALL 105KailuaHI96828812102826501(C)(3)$37,500Scholarship Pledge
Hawai'i Island's Food Bank
40 Holomua StHiloHI96720260349476501(C)(3)$20,000General Support
Hoola Na Pua
POBox 22551HonoluluHI93823465139164501(C)(3)$10,000General Support
Girl Scouts of Hawai'i
410 Atkinson Drive Ste 2E1 Box 3HonoluluHI96814990073488501(C)(3)$10,000General Support
ST FRANCIS HEALTHCARE FDN OF HAWAI'I
2228 Liliha St STE 205HonoluluHI96817990240060501(C)(3)$7,500General Support
YWCA of O'ahu
1040 Richards StHonoluluHI96813990073534501(C)(3)$6,000General Support
FieldValueIRS element (for citing)
Total501c3 Org9Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE HAWAI'I PACIFIC HEALTH DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)(3) & 501(C)(6) ORGANIZATIONS ON AN ANNUAL BASIS. NO FURTHER MONITORING IS DONE FOR DONATIONS MADE TO 501(C)(3) ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (54 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAYMOND P VARA JR
Board of Director, President$0$1,110,173$0$372,487$0$719,150$0$2,558,309$0$26,194$0$4,786,313$0$593,274
DAVID OKABE
EVP, CFO & Treasurer$0$553,990$0$132,543$0$259,799$0$362,800$0$15,096$0$1,324,228$0$224,487
MARTHA SMITH
BOARD OF DIRECTOR, CEO (PT YR)$0$564,852$0$138,435$0$173,452$0$292,175$0$15,896$0$1,184,810$0$182,195
ARTHUR GLADSTONE
BOD, CEO, EVP & CSO$0$516,857$0$128,098$0$171,355$0$285,469$0$23,918$0$1,125,697$0$195,252
CHARLES R CHING
EVP, GEN. COUNSEL & SECRETARY$0$436,925$0$104,835$0$229,141$0$262,171$0$20,008$0$1,053,080$0$164,297
GAIL LERCH
Former Officer$0$448,776$0$107,316$0$186,247$0$294,796$0$9,718$0$1,046,853$0$176,006
STEVEN ROBERTSON
EVP & CIO$0$450,338$0$108,006$0$188,448$0$276,365$0$15,796$0$1,038,953$0$172,460
MELINDA ASHTON MD
EVP & CQO$0$467,643$0$111,972$0$141,224$0$233,089$0$15,600$0$969,528$0$169,135
JENNIE CHAHANOVICH
BOD, President & CEO$0$381,818$0$99,404$0$179,058$0$215,398$0$12,698$0$888,376$0$133,412
LESLIE CHUN MD
EVP$0$532,633$0$83,827$0$48,017$0$90,427$0$23,629$0$778,533$0$0
PATRICK O'DONNELL MD
Board of Director$0$628,175$0$744$0$18,726$0$11,400$0$25,569$0$684,614$0$0
RODNEY WILLIAMS MD
Former Officer$0$245,576$0$51,984$0$281,823$0$83,641$0$13,016$0$676,040$0$47,219
DAVID CHO MD
Board of Director$0$595,629$0$7,474$0$20,885$0$11,400$0$22,272$0$657,660$0$0
GERARD LIVAUDAIS MD
EVP$0$410,238$0$78,825$0$34,082$0$108,525$0$15,389$0$647,059$0$71,310
TODD MILLER MD
Board of Director, Vice Chair$0$548,029$0$744$0$52,332$0$11,400$0$7,439$0$619,944$0$0
DOUGLAS KWOCK MD
VP$0$407,043$0$48,037$0$36,984$0$73,862$0$22,109$0$588,035$0$45,958
KENNETH B ROBBINS MD
Former Officer$0$255,484$0$0$0$90,586$0$165,414$0$14,951$0$526,435$0$219,481
TRAVIS CLEGG
COO$0$336,184$0$49,405$0$20,722$0$71,416$0$24,679$0$502,406$0$0
GIDGET RUSCETTA RN
COO$0$317,467$0$51,840$0$35,002$0$80,642$0$14,051$0$499,002$0$48,845
DAWN DUNBAR
SVP$0$299,741$0$57,822$0$35,875$0$81,124$0$23,823$0$498,385$0$65,358
WARREN CHAIKO
SVP$0$268,426$0$52,369$0$54,937$0$84,038$0$26,568$0$486,338$0$59,768
MAVIS NIKAIDO
VP & CNE$0$298,793$0$38,843$0$33,425$0$70,062$0$7,371$0$448,494$0$40,312
SUSAN MATSUMOTO-NONAKA
VP$0$278,475$0$39,915$0$46,239$0$71,170$0$10,271$0$446,070$0$45,567
BRANDT FARIAS
SVP - (Part Year)$0$249,279$0$47,553$0$30,552$0$76,212$0$9,732$0$413,328$0$50,819
TYLER CHIHARA DPM
Board of Director$0$370,320$0$744$0$7,925$0$11,400$0$21,531$0$411,920$0$0
ANDY LEE MD
BOD, Chief of Staff$0$302,715$0$31,200$0$24,934$0$21,375$0$23,872$0$404,096$0$0
MICHAEL ROBINSON
VP$0$266,844$0$38,177$0$22,458$0$64,458$0$9,732$0$401,669$0$44,010
BRIGITTE MCKALE
VP & CNE$0$258,755$0$30,524$0$25,438$0$61,466$0$13,876$0$390,059$0$28,920
DAWN CHING
VP$0$248,122$0$32,377$0$33,608$0$63,381$0$9,860$0$387,348$0$33,931
JAMES LIN MD
VP$0$262,147$0$18,953$0$32,124$0$42,220$0$23,783$0$379,227$0$0
CAROL FUJIYOSHI MD
Board of Director$0$305,659$0$7,066$0$40,461$0$11,400$0$7,315$0$371,901$0$0
BEAU NAKAMOTO MD
Former Officer$0$161,849$0$5,738$0$176,122$0$11,400$0$150$0$355,259$0$0
EARL INOUYE
Former Officer$0$201,366$0$40,705$0$43,074$0$67,586$0$1,944$0$354,675$0$46,925
DAVID STUMBAUGH
VP$0$217,152$0$31,699$0$17,488$0$56,827$0$22,589$0$345,755$0$34,835
BARBARA CRAFT
COO$0$234,763$0$20,550$0$26,013$0$48,375$0$14,981$0$344,682$0$0
LORRIE-ANN LUKE
VP$0$211,025$0$30,832$0$17,998$0$57,735$0$25,176$0$342,766$0$34,527
WILLIAM BURKE
VP$0$237,450$0$16,427$0$23,154$0$43,960$0$16,671$0$337,662$0$0
MELANIE KIM MD
Board of Director$0$250,140$0$27,907$0$24,603$0$11,400$0$7,665$0$321,715$0$0
ANDREW MOATS
VP$0$224,837$0$14,963$0$18,165$0$33,910$0$26,024$0$317,899$0$0
SUNSHINE TOPPING
SVP$0$261,580$0$0$0$27,699$0$0$0$21,615$0$310,894$0$0
JOAN KANEMORI
VP$0$208,905$0$15,730$0$27,232$0$40,275$0$16,055$0$308,197$0$0
MONICA PRICE MD
Board of Director$0$178,273$0$12,158$0$61,525$0$9,800$0$24,627$0$286,383$0$0
CARRIE ANN TSUTSUI
VP & SYS. Controller$0$195,857$0$17,756$0$17,265$0$41,055$0$12,358$0$284,291$0$0
LAURA BONILLA
EXEC. DIR. PEDIATRIC SRVCS.$225,914$0$17,882$0$2,304$0$25,599$0$8,235$0$279,934$0$0$0
KENT KIKUCHI
DIRECTOR OF PHARMACY$206,742$0$15,300$0$1,875$0$23,564$0$24,514$0$271,995$0$0$0
JOY MATSUYAMA
DIRECTOR OF PHARMACY$210,187$0$14,509$0$855$0$23,734$0$22,509$0$271,794$0$0$0
MEGAN STOBO
ADMINISTRATOR - HSC$194,602$0$16,559$0$15,916$0$23,584$0$16,654$0$267,315$0$0$0
GLENN KAWABATA
VP$0$197,339$0$12,781$0$360$0$31,452$0$24,116$0$266,048$0$0
GLORIA BROOKS
VP$0$195,293$0$12,293$0$18,199$0$32,424$0$7,553$0$265,762$0$0
KATIE SHIGEMITSU
Compliance Officer$0$221,265$0$0$0$3,421$0$23,435$0$14,690$0$262,811$0$0
LORI INGRAM
DIR. CLINICAL SERVICE LINE$209,196$0$15,028$0$1,654$0$19,059$0$7,081$0$252,018$0$0$0
ALAN ITO
Information Security Officer$0$185,591$0$13,070$0$1,612$0$21,083$0$14,293$0$235,649$0$0
JESSICA LEWIS
Assistant Corporate Secretary$0$170,876$0$0$0$0$0$15,118$0$25,286$0$211,280$0$0
DAVID FOX
Privacy Officer - (Part Year)$0$160,526$0$0$0$3,089$0$16,325$0$15,781$0$195,721$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 3SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION'S PRESIDENT IS PAID BY ITS TAX EXEMPT PARENT, HAWAI'I PACIFIC HEALTH ('HPH'), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, FORM 990 PART VI, SECTION B, LINE 15A FOR THE PROCESS USED BY HPH TO DETERMINE COMPENSATION.
SCHEDULE J, PART I, LINE 4BSUPPLEMENTAL 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 RELATED ORGANIZATIONS: RAYMOND P. VARA JR. - $443,030 DAVID OKABE - $156,411 GAIL LERCH - $113,397 STEVEN ROBERTSON - $100,707 KENNETH B. ROBBINS, M.D. - $91,556 CHARLES R. CHING - $84,461 ARTHUR GLADSTONE - $77,843 MARTHA SMITH - $74,608 MELINDA ASHTON, M.D. - $61,798 JENNIE CHAHANOVICH - $47,714 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 RELATED ORGANIZATIONS: RAYMOND P. VARA JR. - $372,488 DAVID OKABE - $132,543 GAIL LERCH - $107,316 STEVEN ROBERTSON - $108,006 CHARLES R. CHING - $104,835 ARTHUR GLADSTONE - $128,098 MARTHA SMITH - $138,435 MELINDA ASHTON, M.D. - $111,972 JENNIE CHAHANOVICH - $99,404 LESLIE CHUN, M.D. - $83,827 GERARD LIVAUDAIS, M.D. - $78,824 DAWN DUNBAR - $57,822 WARREN CHAIKO - $52,368 RODNEY WILLIAMS, M.D. - $51,984 GIDGET RUSCETTA, R.N. - $51,840 TRAVIS CLEGG - $49,405 DOUGLAS KWOCK, M.D. - $48,037 BRANDT FARIAS - $47,553 EARL INOUYE - $40,705 SUSAN NONAKA - $39,915 MAVIS NIKAIDO - $38,843 MICHAEL ROBINSON - $38,177 DAWN CHING - $32,377 DAVID STUMBAUGH - $31,700 LORRIE-ANN LUKE - $30,832 BRIGITTE MCKALE - $30,524 BARBARA CRAFT - $20,550 JAMES LIN, M.D. - $18,581 CARRIE ANN TSUTSUI - $17,756 WILLIAM BURKE - $16,427 JOAN KANEMORI - $15,730 ANDREW MOATS - $14,963 GLENN KAWABATA - $12,781 GLORIA BROOKS - $12,293 RETENTION INCENTIVE PLAN THE RETENTION INCENTIVE PLAN WAS DESIGNED TO ENCOURAGE CONTINUED INTEREST IN THE SUCCESS OF THE ORGANIZATION AND PROVIDE COMPETITVE 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 A RELATED ORGANIZATION: RAYMOND P. VARA JR: $1,015,000

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
JOY MATSUYAMA
SEE PART V$225,551DIRECTOR OF PHARMACYfalse
HAWAI'I BIO WASTE
SEE PART V$147,920WASTE MGMT SERVICESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE L, PART IV, COLUMN BFormAndLineReferenceDesc
ExplanationJOY MATSUYAMA, DIRECTOR OF PHARMACY, IS A FAMILY MEMBER OF DAWN DUNBAR, CURRENT STRAUB CLINIC & HOSPITAL SVP. MICHELLE HO, who serves on the board of directors, OWNS MORE THAN 65% DIRECTLY AND INDIRECTLY OF HAWAI'I BIO WASTE.ExplanationTxt

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArtGrp
Art Historical TreasuresArtHistoricalTreasuresGrp
Art Fractional InterestArtFractionalInterestGrp
Books And PublicationsBooksAndPublicationsGrp

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$18,436NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehiclesGrp
Boats And PlanesBoatsAndPlanesGrp
Intellectual PropertyIntellectualPropertyGrp
Securities Publicly TradedSecuritiesPubliclyTradedGrp
Securities Closely Held StockSecuritiesCloselyHeldStockGrp
Secur Prtnrshp Trust IntrstsSecurPrtnrshpTrustIntrstsGrp
Securities MiscellaneousSecuritiesMiscellaneousGrp
Qualified Contrib Hist StructQualifiedContribHistStructGrp
Qualified Contrib OtherQualifiedContribOtherGrp
Real Estate ResidentialRealEstateResidentialGrp
Real Estate CommercialRealEstateCommercialGrp
Real Estate OtherRealEstateOtherGrp
CollectiblesCollectiblesGrp

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution130ContributionCnt
Noncash Contributions Rpt F990$4,060NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution236ContributionCnt
Noncash Contributions Rpt F990$140,266NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
TaxidermyTaxidermyGrp
Historical ArtifactsHistoricalArtifactsGrp
Scientific SpecimensScientificSpecimensGrp
Archaeological ArtifactsArchaeologicalArtifactsGrp

Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)BOOKS2$475FMV
Yes (X)OTHER- PREPAID GCS248$7,355FMV
Yes (X)OTHER- TOYS270$14,639FMV
Yes (X)HOTEL STAY2$10,000FMV
Yes (X)PLANTS1$135FMV
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE M, PART I, COLUMN BFormAndLineReferenceDesc
ExplanationCOLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (28 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, AMENDED RETURN DETAIL:HAWAI'I PACIFIC HEALTH IS AMENDING ITS 2020 FORM 990 (TAX YEAR ENDING JUNE 30, 2021) FOR THE FOLLOWING- SCHEDULE H, PART I, LINE 7 THE 'FINANCIAL ASSISTANCE AND CERTAIN OTHER COMMUNITY BENEFITS AT COST REPORTING' HAS BEEN UPDATED TO REFLECT REVISED FINANCIAL ASSISTANCE AT COST, REPORTED ON LINE 7(A). SIMILARLY, LINE 7(B) HAS BEEN UPDATED TO REPORT A REVISION IN THE TOTAL COMMUNITY BENEFIT EXPENSE (COLUMN C) AND DIRECT OFFSETTING REVENUE (COLUMN D) FOR TAX YEAR ENDING 06/30/2021. AS A RESULT OF THE NOTED CHANGES, THE 'TOTAL FINANCIAL ASSISTANCE AND MEANS-TESTED GOVERNMENT PROGRAMS,' LINE 7(D) AND 'TOTAL FINANCIAL & COMMUNITY BENEFITS AT COST,' LINE 7(K) HAVE BOTH AUTOMATICALLY BEEN ADJUSTED. FORM 990, PART III, LINE 1 ORGANIZATION'S MISSION STATEMENT OF ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES HAWAI'I PACIFIC HEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM WITH OVER 70 LOCATIONS STATEWIDE INCLUDING MEDICAL CENTERS, CLINICS, PHYSICIANS AND OTHER CAREGIVERS COMMITTED TO THE ORGANIZATION'S MISSION TO CREATE A HEALTHIER HAWAI'I. ITS FOUR MEDICAL CENTERS - KAPI'OLANI, PALI MOMI, STRAUB AND WILCOX - SPECIALIZE IN INNOVATIVE PROGRAMS IN WOMEN'S HEALTH, PEDIATRIC CARE, CARDIOVASCULAR SERVICES, CANCER CARE, BONE AND JOINT SERVICES AND MORE. HAWAI'I PACIFIC HEALTH IS RECOGNIZED NATIONALLY FOR ITS EXCELLENCE IN PATIENT CARE AND THE USE OF ELECTRONIC HEALTH RECORDS TO IMPROVE QUALITY AND PATIENT SAFETY. ITS EXCELLENCE IN PATIENT CARE AND THE USE OF ELECTRONIC HEALTH RECORDS TO IMPROVE QUALITY AND PATIENT SAFETY.
FORM 990, PART III, LINES 4A-4DPROGRAM SERVICE ACCOMPLISHMENTS PROGRAM SERVICE #1 OUTPATIENT OPERATING ROOMS IN FISCAL YEAR 2021, HAWAI'I PACIFIC HEALTH HOSPITALS AND CLINICS SPENT $62,130,342 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. PEDIATRIC SURGERIES AT KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KAPI'OLANI) INCLUDE THORACIC/HEART; CLEFT LIP/PALATE; EAR, NOSE AND THROAT; ORTHOPEDIC; NEUROLOGIC; UROLOGIC; OPHTHALMOLOGIC; GASTROINTESTINAL; PLASTIC AND GENERAL PROCEDURES. WOMEN'S SURGERIES INCLUDE BREAST BIOPSIES, LUMPECTOMIES, MASTECTOMIES AND RECONSTRUCTION, HYSTEROSCOPIES, INTERSTIM BLADDER IMPLANT AND SUB URETHRAL SLING TO TREAT INCONTINENCE, TUBAL LIGATION AND ENDOMETRIAL ABLATION. KAPI'OLANI IS THE ONLY MEDICAL CENTER IN THE STATE PROVIDING DA VINCI ROBOT-AIDED PEDIATRIC SURGERY. ADDITIONALLY, THE ROBOT IS UTILIZED IN PERFORMING GYNECOLOGICAL SURGICAL SERVICES. THE MINIMALLY INVASIVE SURGERIES PERFORMED USING THE DA VINCI PROVIDE INCREASED BENEFITS FOR PATIENTS, INCLUDING LESS PAIN, LOWER RISK OF INFECTION AND LESS BLOOD LOSS. IN FISCAL YEAR 2021, KAPI'OLANI PERFORMED 3,864 PEDIATRIC AND ADULT OUTPATIENT SURGERIES. PALI MOMI MEDICAL CENTER (PALI MOMI) HAS A FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITE EQUIPPED WITH TELEMEDICINE CAPABILITY, TOUCHSCREEN CONTROL PANELS AT THE NURSES' STATION, VOICE ACTIVATION SYSTEM, AND LIVE VIDEO FEED TO MEDICAL CENTERS AROUND THE WORLD. IN FISCAL YEAR 2021, PALI MOMI PERFORMED 3,256 OUTPATIENT SURGERIES. PALI MOMI UTILIZES THE DA VINCI FIREFLY ROBOT-AIDED SYSTEM TO ASSIST WITH MINIMALLY INVASIVE SURGERY. THE MINIMALLY INVASIVE SURGERIES PERFORMED USING THE DA VINCI PROVIDE INCREASED BENEFITS FOR PATIENTS INCLUDING LESS PAIN, LOWER RISK OF INFECTION AND LESS BLOOD LOSS. STRAUB CLINIC & HOSPITAL (STRAUB) OFFERS INTEGRATED OUTPATIENT SURGERY IN A 7-ROOM SUITE, 2-ROOM PLASTIC SURGERY SUITE, 2-ROOM GENERAL SURGERY DEPARTMENT, 2-ROOM INTERVENTIONAL CARDIAC CATHETERIZATION LABORATORY, INTERVENTIONAL RADIOLOGY SUITES, AND ENDOSCOPY DEPARTMENT. PROCEDURES PERFORMED RANGE FROM MINOR EXCISIONS TO COMPLEX PERIPHERAL INTRAVASCULAR TECHNIQUES. IN FISCAL YEAR 2021, STRAUB PERFORMED 3,291 OUTPATIENT SURGERIES. WILCOX MEMORIAL HOSPITAL (WILCOX) HAS A STATE-OF-THE-ART SURGICAL CENTER WITH 6 SURGICAL SUITES, 20 SAME-DAY SURGERY BEDS, VOICE-ACTIVATED ROBOTICS AND OTHER COMPUTER-ASSISTED TECHNOLOGIES. IN FISCAL YEAR 2021, WILCOX PERFORMED 3,038 OUTPATIENT SURGERIES. PROGRAM SERVICES REVENUE IS REPORTED ON PART III, LINE 4. PROGRAM SERVICE #2 OUTPATIENT EMERGENCY ROOMS IN FISCAL YEAR 2021, HAWAI'I PACIFIC HEALTH HOSPITALS SAW 91,513 OUTPATIENT ER CASES AND SPENT $53,537,856 IN DIRECT EXPENSES FOR OUTPATIENT ER SERVICES, AS PART OF OUR COMMITMENT TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN FISCAL YEAR 2021, KAPI'OLANI CELEBRATED THE THIRD ANNIVERSARY OF ITS NEWLY EXPANDED EMERGENCY DEPARTMENT IN THE DIAMOND HEAD TOWER. AT MORE THAN TWICE THE SIZE OF THE PREVIOUS SPACE, THE NEW ED FEATURES 24 PRIVATE TREATMENT ROOMS, INCLUDING TWO TRAUMA ROOMS AND TWO TRIAGE ROOMS; THREE ROOMS EQUIPPED AS NEGATIVE-PRESSURE ISOLATION ROOMS; ON-SITE SATELLITE RADIOLOGY SUITE FOR PLAIN X-RAYS, SEPARATE ADULT AND PEDIATRIC WAITING AREAS; CHILD-FRIENDLY DCOR; AND A CENTRAL, OPEN BUSINESS CENTER. KAPI'OLANI'S ER IS THE ONLY ONE IN THE STATE WITH PEDIATRIC SPECIALISTS AVAILABLE 24/7. IT HAS A TEAM FOR ADULTS AND ANOTHER DEDICATED TO PEDIATRICS, WHERE BOARD-CERTIFIED PEDIATRIC EMERGENCY PHYSICIANS CAN QUICKLY DIAGNOSE AND TREAT A FULL RANGE OF MEDICAL CONDITIONS IN BABIES, CHILDREN AND TEENS, FROM RARE INFECTIONS TO SPORTS INJURIES. IN FISCAL YEAR 2021, KAPI'OLANI HAD 25,197 OUTPATIENT ER CASES. THE PALI MOMI ER IS THE ONLY ONE IN THE STATE THAT USES A TEAM TRIAGE APPROACH, WHERE PATIENTS ARE PROMPTLY EVALUATED BY A PHYSICIAN. IN FISCAL YEAR 2021, THE PALI MOMI ER HAD 29,672 OUTPATIENT ER CASES. THE STRAUB ER HAS BOARD-CERTIFIED EMERGENCY PHYSICIANS ON STAFF 24/7, 365 DAYS A YEAR, WITH WHEELCHAIR TRANSPORT AND VALET SERVICES AVAILABLE. IN FISCAL YEAR 2021, THE STRAUB ER HAD 21,159 OUTPATIENT ER CASES. THE WILCOX 20-BED ER IS THE FIRST NEIGHBOR ISLAND FACILITY TO OBTAIN A LEVEL III TRAUMA DESIGNATION. IT IMPLEMENTED A TRIAGE BEST PRACTICE, "RAPID TRIAGE AND IMMEDIATE BED PLACEMENT," TO DECREASE DOOR-TO-BED AND DOOR-TO-DOC TIMES, ALLOW SOME PATIENTS TO BYPASS THE TRIAGE AREA, AND LET NURSE ASSESSMENT AND ER PHYSICIAN EVALUATION OCCUR SIMULTANEOUSLY. THIS IMPROVES SERVICE, QUALITY AND SAFETY. IN FISCAL YEAR 2021, THE WILCOX ER HAD 15,485 OUTPATIENT ER CASES. PROGRAM SERVICES REVENUE IS REPORTED ON PART III, LINE 4. PROGRAM SERVICE #3 PEDIATRICS-NEONATAL SERVICES IN FISCAL YEAR 2021, HAWAI'I PACIFIC HEALTH SPENT $50,376,770 IN DIRECT EXPENSES FOR PEDIATRIC-NEONATAL SERVICES AS PART OF ITS COMMITMENT TO PROVIDE HIGH-QUALITY MEDICAL CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. KAPI'OLANI IS RECOGNIZED AS HAWAI'I'S PEDIATRIC MEDICAL CENTER AND ALSO PROVIDES CARE THROUGHOUT THE PACIFIC REGION. IT HAS THE ONLY INTENSIVE CARE UNITS IN HAWAI'I TO TREAT CRITICALLY-ILL CHILDREN AND INFANTS. THE PEDIATRIC INTENSIVE CARE UNIT SERVES NEARLY 500 CHILDREN EACH YEAR RANGING IN AGE FROM ONE WEEK TO 21 YEARS OF AGE. SPECIAL SERVICES DELIVERED BY THE PEDIATRIC INTENSIVE CARE UNIT INCLUDE AN OPEN-HEART PROGRAM (FIVE TIMES PER YEAR), ECMO (EXTRACORPOREAL MEMBRANE OXYGENATION), DIALYSIS CRRT (CONTINUOUS RENAL REPLACEMENT THERAPY), AND TRAUMA AND TRANSPLANT COLLABORATION WITH OTHER MEDICAL CENTERS FOR POSTOPERATIVE CARE. THE NEONATAL INTENSIVE CARE UNIT CARES FOR MORE THAN 1,000 OF THE TINIEST AND MOST VULNERABLE INFANTS IN HAWAI'I EACH YEAR. SPECIALIZED PROCEDURES INCLUDE ECMO (EXTRACORPOREAL MEMBRANE OXYGENATION) AND WHOLE-BODY COOLING. KAPI'OLANI ALSO PROVIDES SPECIALTY PEDIATRIC CARE IN CARDIOLOGY, GASTROENTEROLOGY, NEUROLOGY, OPHTHALMOLOGY, UROLOGY, ONCOLOGY, SURGERY, ORTHOPEDICS, REHABILITATION AND OTHER SUPPORT SERVICES. IT IS A MAJOR TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE'S PEDIATRIC AND NEONATAL-PERINATAL MEDICINE PROGRAMS. IN FISCAL YEAR 2021, KAPI'OLANI PROVIDED SPECIALIZED CARE FOR 3,628 PEDIATRIC-NEONATAL PATIENTS. WILCOX MEDICAL CENTER PROVIDES PREVENTIVE CARE AND TREATMENT SERVICES TO MEET THE HEALTH NEEDS OF KAUA'I'S CHILDREN. THROUGH KAUA'I MEDICAL CLINIC, WILCOX PROVIDES COMPREHENSIVE PEDIATRIC CARE FOR CHILDREN OF ALL AGES. PEDIATRICIANS AT WILCOX ALSO COLLABORATE WITH PHYSICIANS AT KAPI'OLANI OR OTHER HAWAI'I PACIFIC HEALTH FACILITIES WHEN KAUA'I CHILDREN NEED SPECIALIZED CARE. IN FISCAL YEAR 2021, WILCOX PROVIDED SPECIALIZED CARE FOR 146 PEDIATRIC-NEONATAL PATIENTS. PROGRAM SERVICES REVENUE IS REPORTED ON PART III, LINE 4.
FORM 990, PART III, LINES 4A-4D CONTINUEDPROGRAM SERVICE #4 OTHER PROGRAMS HAWAI'I PACIFIC HEALTH IS ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS WITH FOUR MEDICAL CENTERS, MORE THAN 70 LOCATIONS, 1,500+ AFFILIATED PHYSICIANS, MORE THAN 7,000 EMPLOYEES, AND HUNDREDS OF VOLUNTEERS FROM THE COMMUNITY. HAWAI'I RESIDENTS AND VISITORS RELY ON HAWAI'I PACIFIC HEALTH FOR ITS FULL RANGE OF PRIMARY, SECONDARY AND SELECT TERTIARY CARE SERVICES. IN FISCAL YEAR 2021, THE MEDICAL CENTERS ADMITTED 28,355 PATIENTS. STRAUB CLINICS HAD 998,249 TOTAL PATIENT CLINIC ENCOUNTERS, KAUA'I MEDICAL CLINIC HAD 261,667 TOTAL PATIENT CLINIC ENCOUNTERS AND KAPI'OLANI MEDICAL SPECIALISTS HAD 125,093 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. 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 BURNUNIT, STATE-OF-THE-ART IMAGING CENTER ON KAUA'I, WEST O'AHU'S ONLY CARDIAC CATHETERIZATION LABS, MINIMALLY INVASIVE BONE & JOINT CENTER, SLEEP DISORDERS CENTER, STATE'S FIRST WOMEN'S CENTER, STATE'S ONLY BREAST AND WOMEN'S CANCER CENTERS, AND OTHER SPECIALIZED 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 2021, 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, COMMUNITY TESTING SITES AT ITS MEDICAL FACILITIES AND DIRECTLY IN NEIGHBORHOODS THROUGH MOBILE OUTREACH EVENTS, RESPIRATORY CLINICS AND TELEHEALTH OPTIONS. OTHER COMMUNITY RESOURCES THAT HAWAI'I PACIFIC HEALTH PROVIDED WERE PUBLIC HEALTH EDUCATION, A FREE EMPLOYER COVID HOTLINE TO HELP NAVIGATE SAFE WORK ENVIRONMENTS AND A COHESIVE PUBLIC HEALTH RESPONSE IN COLLABORATING WITH THE DEPARTMENT OF HEALTH 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 THAT MET VIRTUALLY, HEMOPHILIA PROGRAMS, AND OTHER EDUCATION AND SCREENINGS FOR HAWAI'I RESIDENTS ON HEALTH, WELLNESS AND DISEASE-PREVENTION STRATEGIES. IN FISCAL YEAR 2021, HAWAI'I PACIFIC HEALTH SPONSORED OR SUPPORTED NUMEROUS HEALTH EVENTS, INCLUDING "AHA HEARTWALK," "SUSAN G. KOMEN RACE FOR THE CURE," "ARTHRITIS FOUNDATION'S ARTHRITIS WALK," - ALL HELD VIRTUALLY THIS YEAR - AND MORE. HAWAI'I PACIFIC HEALTH ALSO SERVED AS THE PRESENTING SPONSOR FOR THE VIRTUAL GREAT ALOHA RUN AND VIRTUAL KEIKI 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 VAROUS 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. 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. PROGRAM SERVICES REVENUE IS REPORTED ON PART III, LINE 4.
FORM 990, PART IV, LINE 8COLLECTION OF WORKS OF ART, HISTORICAL TREASURES OR SIMILAR KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC) AND PALI MOMI MEDICAL CENTER (PMMC) MAINTAIN WORKS OF ART. STRAUB CLINIC & HOSPITAL (SCH) AND WILCOX MEMORIAL HOSPITAL (WMH) DID NOT MAINTAIN WORKS OF ART. FORM 990, PART IV, LINE 10 ENDOWMENT FUNDS KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC), PALI MOMI MEDICAL CENTER (PMMC) AND STRAUB CLINIC & HOSPITAL (SCH) HELD ASSETS IN ENDOWMENT FUNDS. WILCOX MEMORIAL HOSPITAL DID NOT HOLD ASSETS IN ENDOWMENT FUNDS. FORM 990, PART IV, LINE 11B INVESTMENTS - OTHER SECURITIES 5% OR MORE OF TOTAL ASSETS KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC) AND PALI MOMI MEDICAL CENTER (PMMC) BOTH REPORTED INVESTMENTS IN OTHER SECURITIES GREATER OR EQUAL TO 5% OF TOTAL ASSETS. STRAUB CLINIC & HOSPITAL (SCH) AND WILCOX MEMORIAL HOSPITAL (WMH) BOTH DID NOT REPORT INVESTMENTS IN OTHER SECURITIES GREATER OR EQUAL TO 5% OF TOTAL ASSETS. FORM 990, PART IV, LINE 28B BUSINESS TRANSACTION WITH A FAMILY MEMBER STRAUB CLINIC & HOSPITAL (SCH) WAS A PARTY TO A BUSINESS TRANSACTION WITH A FAMILY MEMBER OF A CURRENT OFFICER. KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC), PALI MOMI MEDICAL CENTER (PMMC) AND WILCOX MEMORIAL HOSPITAL (WMH) WERE NOT A PARTY TO A BUSINESS TRANSACTION WITH A FAMILY MEMBER OF A CURRENT OFFICER. FORM 990, PART IV, LINE 28C BUSINESS TRANSACTION WITH A CONTROLLED ENTITY KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC) WAS A PARTY TO A BUSINESS TRANSACTION WITH A 35% CONTROLLED ENTITY BY A CURRENT OFFICER. PALI MOMI MEDICAL CENTER (PMMC), STRAUB CLINICAL & HOSPITAL (SCH) AND WILCOX MEMORIAL HOSPITAL (WMH) WERE NOT A PARTY TO A BUSINESS TRANSACTION WITH A 35% CONTROLLED ENTITY BY A CURRENT OFFICER.
FORM 990, PART V, LINE 1AFORM 1096 REPORTING HAWAI'I PACIFIC HEALTH (HPH), THE ORGANIZATION'S TAX EXEMPT PARENT, PAYS ALL VENDORS. THEREFORE, HPH ISSUES FORMS 1099 UNDER ITS TAX ID.
FORM 990, PART VI, SECTION A, LINE 6MEMBERS AND RIGHTS HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER WHO HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD.
FORM 990, PART VI, SECTION A, LINE 7ADESCRIPTION OF CLASSES OF PERSON AND THE NATURE OF THEIR RIGHTS HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER, AND HAS THE POWER TO APPROVE THE ELECTION OF MEMBERS OF THE GOVERNING BODY. HAWAI'I PACIFIC HEALTH, AS MEMBER, ALSO HAS THE POWER TO ELECT ONE OR MORE EX OFFICIO VOTING MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, SECTION A, LINE 7BDESCRIPTION CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL & TYPE OF VOTING RIGHTS HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING RESERVED POWERS WITH RESPECT TO KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN AND PALI MOMI MEDICAL CENTER: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE EXECUTIVE VICE PRESIDENT/CHIEF EXECUTIVE OFFICER, TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER, OTHER EXECUTIVE VICE-PRESIDENTS, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE OPERATING UNIT VICE-PRESIDENTS, AS SUCH TERM IS DEFINED IN THE BYLAWS; (II) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (III) AMEND THE BYLAWS; (IV) DETERMINE AND EFFECT THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR FOR ONE MILLION DOLLARS ($1,000,000) OR MORE; (V) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (VI) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE, AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (VII) DETERMINE AND EFFECT INTER-CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (VIII) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (IX) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (X) CLOSE THE ACUTE CARE HOSPITAL OWNED AND OPERATED BY THE CORPORATION; (XI) AFTER CONSULTING WITH THE BOARD, REMOVE THE EXECUTIVE VICE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, TREASURER, SECRETARY, OTHER EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, ASSISTANT SECRETARIES, AND/OR ALL VICE PRESIDENTS EXCEPT THE OPERATING UNIT VICE PRESIDENTS; (XII) AFTER CONSULTING WITH THE BOARD, DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG-RANGE AND STRATEGIC PLAN OF THE CORPORATION; AND (XIII) AFTER CONSULTING WITH THE BOARD, DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS. HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING RESERVED POWERS WITH RESPECT TO STRAUB CLINIC & HOSPITAL: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, EXECUTIVE VICE PRESIDENTS OTHER THAN THE EXECUTIVE VICE-PRESIDENT/CHIEF EXECUTIVE OFFICER (THE "EVP/CEO") AND THE EXECUTIVE VICE-PRESIDENT OF THE CORPORATION WHO IS THE CHIEF MEDICAL OFFICER OF THE MEMBER (THE "EVP/CMO") OF THE CORPORATION, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE CLINIC AND HOSPITAL UNIT VICE-PRESIDENTS, AS SUCH TERM IS DEFINED IN THE BYLAWS; (II) REMOVE ANY DIRECTOR FROM THE BOARD; PROVIDED, HOWEVER, THAT THE BOARD MAY REMOVE ANY DIRECTOR FROM THE BOARD IF APPROVED BY THE MEMBER BOARD; (III) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (IV) AMEND THE BYLAWS; (V) CAUSE THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR FOR ONE MILLION DOLLARS ($1,000,000) OR MORE; (VI) ACQUIRE ASSETS WORTH OVER ONE MILLION DOLLARS ($1,000,000); (VII) ACQUIRE SHARES IN ANOTHER CORPORATION; (VIII) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (IX) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE, AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (X) DETERMINE AND EFFECT INTER-CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (XI) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (XII) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (XIII) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONSHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION AND ANY PERSON OR ENTITY; (XIV) CLOSE THE ACUTE CARE HOSPITAL OR CLINIC FACILITIES OWNED AND OPERATED BY THE CORPORATION; (XV) RELOCATE THE ACUTE CARE HOSPITAL OR CLINIC FACILITIES OWNED AND OPERATED BY THE CORPORATION; (XVI) CONVERT THE ACUTE CARE HOSPITAL OWNED AND OPERATED BY THE CORPORATION INTO A NON-ACUTE CARE FACILITY; (XVII) AFTER CONSULTING WITH THE BOARD, REMOVE THE TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, EXECUTIVE VICE-PRESIDENTS OTHER THAN THE EVP/CEO AND THE EVP/CMO, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND/OR ALL VICE-PRESIDENTS EXCEPT THE CLINIC AND HOSPITAL UNIT VICE-PRESIDENTS; (XVIII) DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG-RANGE AND STRATEGIC PLAN OF THE CORPORATION; (XIX) AFTER CONSULTING WITH THE BOARD, DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS; AND (XX) IMPLEMENT INDIVIDUAL PHYSICIAN COMPENSATION ARRANGEMENTS FOR EACH PHYSICIAN OPERATING UNIT IN THE CORPORATION. THE FOLLOWING ACTIONS REQUIRE APPROVAL FROM THE MEMBER BOARD: (I) ADD ANY DIRECTOR TO THE BOARD; (II) AMEND THE ARTICLES OF INCORPORATION; (III) SELL, LEASE, EXCHANGE OR DISPOSE OF FIFTY PERCENT (50%) OR MORE OF THE AMOUNT OF PROPERTY OR ASSETS HELD BY THE ORGANIZATION, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, TO ANY ENTITY THAT IS NOT AN AFFILIATE; (IV) ENTER INTO ANY UNBUDGETED CONTRACTS ON BEHALF OF THE ORGANIZATION WHICH REQUIRE ANNUAL PAYMENTS ON BEHALF OF THE ORGANIZATION EXCEEDING ONE MILLION DOLLARS ($1,000,000) IN VALUE; (V) ISSUE THE ORGANIZATION'S MEMBERSHIP TO ANYONE OTHER THAN THE MEMBER; (VI) MERGE THE ORGANIZATION WITH ANY ENTITY; (VII) DISSOLVE THE ORGANIZATION; AND (VIII) DEVELOP A NEW LINE OF BUSINESS OR A NEW SERVICE.
FORM 990, PART VI, LINE 7B CONTINUEDHAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING RESERVED POWERS WITH RESPECT TO WILCOX MEMORIAL HOSPITAL: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE PRESIDENT/CHIEF EXECUTIVE OFFICER, TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, OTHER EXECUTIVE VICE-PRESIDENTS, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE OPERATING UNIT VICE-PRESIDENTS, AS SUCH TERM IS DEFINED IN THE BYLAWS; (II) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (III) AMEND THE BYLAWS; (IV) CAUSE THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR FOR ONE MILLION DOLLAR ($1,000,000) OR MORE; (V) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (VI) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (VII) EFFECT INTER-CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (VIII) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (IX) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, OR PARTNERSHIP OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (X) EXCEPT AS OTHERWISE PROVIDED IN THE BYLAWS OR AS REQUIRED BY THE LAW OF THE STATE OF HAWAI'I, SELL, LEASE OR OTHERWISE TRANSFER FIFTY PERCENT (50%) OR MORE OF THE THEN CURRENT AMOUNT, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE TOTAL ASSETS HELD BY WILCOX MEMORIAL HOSPITAL, KAUA'I MEDICAL CLINIC AND WILCOX HEALTH FOUNDATION (THE "WILCOX AFFILIATES"); (XI) EXCEPT AS PROVIDED IN THE BYLAWS OR AS REQUIRED BY THE LAWS OF THE STATE OF HAWAI'I, SELL, LEASE OR TRANSFER OF OPERATIONS OR ACTIVITIES OF THE WILCOX AFFILIATES WHICH GENERATE FIFTY PERCENT (50%) OR MORE OF THE TOTAL NET REVENUES, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE WILCOX AFFILIATES DURING THE PRIOR FISCAL YEAR; (XII) CLOSE THE CLINICAL FACILITIES OWNED AND OPERATED BY THE CORPORATION; PROVIDED, THAT, AFTER THE EFFECTIVE DATE OF THE BYLAWS, ANY ELIMINATION OF A CLINICAL SERVICE PROVIDED BY THE CORPORATION MUST ALSO BE APPROVED BY THE BOARD; (XIII) CONVERT THE CLINIC OWNED AND OPERATED BY THE CORPORATION INTO A FACILITY NO LONGER OFFERING MEDICAL SERVICES; PROVIDED, THAT, AFTER THE EFFECTIVE DATE OF THE BYLAWS, ANY ELIMINATION OF A CLINICAL SERVICE PROVIDED BY THE CORPORATION MUST ALSO BE APPROVED BY THE BOARD; (XIV) AFTER CONSULTING WITH THE BOARD, REMOVE THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, TREASURER, SECRETARY, OTHER EXECUTIVE VICE-PRESIDENTS, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE OPERATING UNIT VICE-PRESIDENTS; PROVIDED, HOWEVER, THAT TO REMOVE OR TERMINATE THE PRESIDENT/CHIEF EXECUTIVE OFFICER WILL REQUIRE THE CHIEF EXECUTIVE OFFICER OF THE MEMBER TO FULLY COLLABORATE AND CONSULT WITH THE BOARD AND SEEK THE BOARD'S ADVANCE CONSENT FOR SUCH REMOVAL OR TERMINATION. IF THE BOARD DOES NOT CONCUR WITH THE PROPOSED REMOVAL OR TERMINATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SUCH REMOVAL OR TERMINATION WILL REQUIRE THE APPROVAL OF A MAJORITY OF THE MEMBERS ON THE MEMBER BOARD; (XV) AFTER CONSULTING WITH THE BOARD, DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG RANGE AND STRATEGIC PLANS OF THE CORPORATION; AND (XVI) AFTER CONSULTING WITH THE BOARD, DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS. THE CORPORATION SHALL NOT TAKE THE FOLLOWING ACTIONS WITHOUT FIRST OBTAINING MEMBER BOARD APPROVAL: (I) ADD ANY DIRECTOR TO THE BOARD; (II) REMOVE ANY DIRECTOR FROM THE BOARD; (III) AMEND THE ARTICLES; (IV) ENTER INTO ANY UNBUDGETED CONTRACTS ON BEHALF OF THE CORPORATION WHICH REQUIRE ANNUAL PAYMENTS ON BEHALF OF THE CORPORATION EXCEEDING ONE MILLION DOLLARS ($1,000,000) IN VALUE; (V) ACQUIRE ASSETS WORTH OVER ONE MILLION DOLLARS ($1,000,000); (VI) ACQUIRE SHARES IN ANOTHER CORPORATION; (VII) SELL, LEASE OR OTHERWISE TRANSFER FIFTY PERCENT (50%) OR MORE OF THE THEN CURRENT AMOUNT, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE TOTAL ASSETS HELD BY THE WILCOX AFFILIATES; (VIII) SELL, LEASE, EXCHANGE OR DISPOSE OF FIFTY PERCENT (50%) OR MORE OF THE PROPERTY AND ASSETS HELD BY THE CORPORATION TO ANY ENTITY THAT IS NOT AN AFFILIATE; (IX) SELL, LEASE OR TRANSFER OF OPERATIONS OR ACTIVITIES OF THE WILCOX AFFILIATES WHICH GENERATE FIFTY PERCENT (50%) OR MORE OF THE TOTAL NET REVENUES, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE WILCOX AFFILIATES DURING THE PRIOR FISCAL YEAR; (X) MERGE THE CORPORATION WITH ANY ENTITY; (XI) DISSOLVE OR LIQUIDATE THE CORPORATION; (XII) ISSUE THE CORPORATION'S MEMBERSHIP TO ANYONE OTHER THAN THE MEMBER (XIII) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONSHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION AND ANY PERSON OR ENTITY; AND (XIV) DEVELOP A NEW LINE OF BUSINESS OR A NEW SERVICE.
FORM 990, PART VI, SECTION B, LINE 11BREVIEW OF THE FORM 990 BY THE ORGANIZATION'S GOVERNING BODY VARIOUS SCHEDULES OF THE FORM 990 ARE PREPARED PRIMARILY 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 MANAGEMENT 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, SECTION B, LINE 12CMONITORING & ENFORCEMENT OF 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 CONFLICT OF INTEREST ("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, SECTION B, LINES 15A & 15BPROCESS OF DETERMINING COMPENSATION THE CEO OF THE ORGANIZATION IS NOT COMPENSATED BY THE FILING ORGANIZATION, BUT RATHER BY THE TAX-EXEMPT PARENT, HAWAI'I PACIFIC HEALTH ("HPH"). FOLLOWING IS THE PROCESS THAT THE PARENT ORGANIZATION UNDERTAKES TO APPROVE THE CEO'S COMPENSATION. COMPENSATION FOR HAWAI'I PACIFIC HEALTH ("HPH") EXECUTIVES (VICE PRESIDENT AND ABOVE) 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 COMMITTEE MAKES 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, 2021 TO REVIEW PHYSICIAN COMPENSATION AND ON JULY 28, 2021 TO REVIEW EXECUTIVE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19DISCLOSURE OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS 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 STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE.
FORM 990, PART XI, LINE 9OTHER CHANGES IN NET ASSETS OBLIGATED GROUP INTERCOMPANY TRANSFERS $(128,336,883) NET ASSETS RELEASED FROM RESTRICTION $(970,502) EQUITY TRANSFERS $(178,206) WRITE-OFFS $(126) CHANGE IN INTEREST IN KHF/WHF $11,073,799 CHANGE IN INTEREST IN PERPETUAL TRUSTS $1,127,332 RESTRICTED GRANTS AND CONTRIBUTIONS $941,798 ROUNDING $127 ------------- TOTAL $(116,342,661)
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:21164612
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL SERVICES TOTAL FEES:6809899
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING SERVICES TOTAL FEES:794175
FORM 990 PART IX LINE 11GDESCRIPTION:REGISTRY SERVICES TOTAL FEES:5423934
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY LABOR ADMIN SERVICES TOTAL FEES:3191250
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY LABOR OTHER SERVICES TOTAL FEES:946930
FORM 990 PART IX LINE 11GDESCRIPTION:LAUNDRY SERVICES TOTAL FEES:4351387
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT & RECURRING SERVICES TOTAL FEES:48622861
FORM 990 PART IX LINE 11GDESCRIPTION:FAMILY FUND SERVICES TOTAL FEES:196
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION FEES SERVICES TOTAL FEES:573420
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER SERVICES TOTAL FEES:18835760
FORM 990 PART IX LINE 11GDESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:10241099
FORM 990 PART IX LINE 11GDESCRIPTION:INTERNAL SVCS PROVIDED EXPENSE TOTAL FEES:40111835
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER EXPENSE RECOVERY TOTAL FEES:-187709

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
PROVIDERS INSURANCE CORPORATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813710893000INSURANCEHI501(C)(3)12B, IIHPHYes (true)
KAPI'OLANI HEALTH FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990246364FUNDRAISINGHI501(C)(3)7HPHYes (true)
KAPI'OLANI MEDICAL SPECIALISTS
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990322406HEALTHCAREHI501(C)(3)3HPHYes (true)
WILCOX HEALTH FOUNDATION
3-3420 KUHIO HIGHWAYLIHUEHI96766990204242FUNDRAISINGHI501(C)(3)7HPHYes (true)
KAUA'I MEDICAL CLINIC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990326099HOSPITALHI501(C)(3)3HPHYes (true)
STRAUB FOUNDATION
55 MERCHANT STREET 26TH FLOORHONOLULUHI96813990109350FUNDRAISINGHI501(C)(3)7HPHYes (true)
PALI MOMI FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813383840327FUNDRAISINGHI501(C)(3)7HPHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ASC PACIFIC VENTURES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13000 riverchase galleria ste 500AddressLine1Txt
CitybirminghamCityNm
State AbbreviationALStateAbbreviationCd
ZIP35244ZIPCd
FieldValueIRS element (for citing)
EIN270540034EIN
Primary ActivitiesAMBU. SURG. CTR.PrimaryActivitiesTxt
Legal Domicile StateALLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt
FieldValueIRS element (for citing)
Predominant Income TypeN/APredominantIncomeTypeTxt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
HAWAI'I PACIFIC HEALTH PARTNERS INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990318588HOLDING COMPANYHINAC CORP
STRAUB PHARMACY INC
888 SOUTH KING STREETHONOLULUHI96813990145107INACTIVEHISCHC CORP$0$4,971,7081.00000Yes (true)
HICORD INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990251496INVESTMENTHINAC-CORP
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (14 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
KAPI'OLANI HEALTH FOUNDATION
C$1,963,750FMV
KAPI'OLANI HEALTH FOUNDATION
Q$266,348FMV
KAPI'OLANI HEALTH FOUNDATION
S$376,739FMV
KAPI'OLANI MEDICAL SPECIALISTS
O$167,073FMV
KAPI'OLANI MEDICAL SPECIALISTS
P$23,649,336FMV
KAPI'OLANI MEDICAL SPECIALISTS
Q$127,544,846FMV
KAPI'OLANI MEDICAL SPECIALISTS
S$4,339,620FMV
KAUA'I MEDICAL CLINIC
P$738,310FMV
KAUA'I MEDICAL CLINIC
Q$291,691FMV
KAUA'I MEDICAL CLINIC
R$637,558FMV
PALI MOMI FOUNDATION
C$354,408FMV
PROVIDERS INSURANCE CORPORATION
R$7,642,886FMV
STRAUB FOUNDATION
C$704,915FMV
WILCOX HEALTH FOUNDATION
C$446,634FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIIFormAndLineReferenceDesc
ExplanationRELATED ORG. TAXABLE AS PARTNERSHIP: ASC PACIFIC VENTURES, LLC EIN: 27-0540034 ADDRESS: 55 MERCHANT ST., 27TH FLOOR, HONOLULU, HI 96813ExplanationTxt