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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-07-03T08:55:11-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4365 EXECUTIVE DR STE 1600 | AddressLine1Txt |
| City | SAN DIEGO | CityNm |
| State Abbreviation | CA | StateAbbreviationCd |
| ZIP | 92121 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 383835105 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAWAI'I PACIFIC HEALTH GROUP RETURN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % ANN HO | InCareOfNm |
| Business Name Control | HAWA | BusinessNameControlTxt |
| Phone | 8085357401 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT STREET 24TH FLOOR | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CARRIE ANN TSUTSUI | PersonNm |
| Person Title | VP & Controller | PersonTitleTxt |
| Phone | 8085357401 | PhoneNum |
| Signature | 2023-06-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | CARRIE ANN | PersonFirstNm |
| Person Last | TSUTSUI | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOCELYNE C MILLER | PreparerPersonNm |
| PTIN | P00634378 | PTIN |
| Phone | 8585357200 | PhoneNum |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 2 | TrustedCustomerCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | Yes (X) | AmendedReturnInd |
| Principal Officer | Raymond P Vara Jr | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT STREET 24TH FLOOR | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,530,003,151 | GrossReceiptsAmt |
| Group Return For Affiliates | Yes (true) | GroupReturnForAffiliatesInd |
| All Affiliates Included | Yes (true) | AllAffiliatesIncludedInd |
| Group Exemption | 5834 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.hawaiipacifichealth.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Activity Or Mission | KAPI'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 Body | 41 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 26 | VotingMembersIndependentCnt |
| Total Employee | 5802 | TotalEmployeeCnt |
| Total Volunteers | 570 | TotalVolunteersCnt |
| Total Gross UBI | $2,583,864 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,730,039 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $41,949,556 | PYContributionsGrantsAmt |
| CY Contributions Grants | $76,350,613 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,286,290,946 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,396,586,913 | CYProgramServiceRevenueAmt |
| PY Investment Income | $769,030 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,071,789 | CYInvestmentIncomeAmt |
| PY Other Revenue | $7,576,971 | PYOtherRevenueAmt |
| CY Other Revenue | $6,173,600 | CYOtherRevenueAmt |
| PY Total Revenue | $1,336,586,503 | PYTotalRevenueAmt |
| CY Total Revenue | $1,481,182,915 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,345,863 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,759,340 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $563,104,321 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $489,365,766 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $712,337,450 | PYOtherExpensesAmt |
| CY Other Expenses | $848,833,987 | CYOtherExpensesAmt |
| PY Total Expenses | $1,277,787,634 | PYTotalExpensesAmt |
| CY Total Expenses | $1,339,959,093 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $58,798,869 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $141,223,822 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,068,453,240 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,165,070,529 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $325,811,336 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $346,730,013 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $742,641,904 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $818,340,516 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $62,130,342 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $86,123,289 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $53,537,856 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $112,350,035 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $50,376,770 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $150,183,001 | RevenueAmt |
| Desc | SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $999,660,030 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,759,340 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $1,050,996,022 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $1,165,704,998 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | Yes (true) | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 5802 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 41 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 26 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANN HO | PersonNm |
| Phone | 8085272520 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT STREET 24TH FLOOR | AddressLine1Txt |
| City | HONOLULU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (87 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| RAYMOND P VARA JR | |||||||||
| Board of Director, President | 8.0 | 54.1 | Yes (X) | Yes (X) | $0 | $2,201,810 | $2,584,503 | ||
| DAVID OKABE | |||||||||
| EVP, CFO & Treasurer | 9.0 | 41.0 | Yes (X) | $0 | $946,332 | $377,896 | |||
| MARTHA SMITH | |||||||||
| BOARD OF DIRECTOR, CEO (PT YR) | 50.0 | 10.0 | Yes (X) | Yes (X) | $0 | $876,739 | $308,071 | ||
| ARTHUR GLADSTONE | |||||||||
| BOD, CEO, EVP & CSO | 41.2 | 14.6 | Yes (X) | Yes (X) | $0 | $816,310 | $309,387 | ||
| CHARLES R CHING | |||||||||
| EVP, GEN. COUNSEL & SECRETARY | 12.0 | 28.0 | Yes (X) | $0 | $770,901 | $282,179 | |||
| GAIL LERCH | |||||||||
| Former Officer | 9.0 | 42.0 | $0 | $742,339 | $304,514 | Yes (X) | |||
| STEVEN ROBERTSON | |||||||||
| EVP & CIO | 3.0 | 50.0 | Yes (X) | $0 | $746,792 | $292,161 | |||
| MELINDA ASHTON MD | |||||||||
| EVP & CQO | 6.0 | 43.3 | Yes (X) | $0 | $720,839 | $248,689 | |||
| JENNIE CHAHANOVICH | |||||||||
| BOD, President & CEO | 42.0 | 14.5 | Yes (X) | Yes (X) | $0 | $660,280 | $228,096 | ||
| LESLIE CHUN MD | |||||||||
| EVP | 8.0 | 52.0 | Yes (X) | $0 | $664,477 | $114,056 | |||
| PATRICK O'DONNELL MD | |||||||||
| Board of Director | 40.0 | 0.2 | Yes (X) | $0 | $647,645 | $36,969 | |||
| RODNEY WILLIAMS MD | |||||||||
| Former Officer | 34.0 | 6.0 | $0 | $579,383 | $96,657 | Yes (X) | |||
| DAVID CHO MD | |||||||||
| Board of Director | 40.0 | 0.2 | Yes (X) | $0 | $623,988 | $33,672 | |||
| GERARD LIVAUDAIS MD | |||||||||
| EVP | 0.1 | 49.9 | Yes (X) | $0 | $523,145 | $123,914 | |||
| TODD MILLER MD | |||||||||
| Board of Director, Vice Chair | 40.0 | 0.0 | Yes (X) | Yes (X) | $0 | $601,105 | $18,839 | ||
| DOUGLAS KWOCK MD | |||||||||
| VP | 36.0 | 4.0 | Yes (X) | $0 | $492,064 | $95,971 | |||
| KENNETH B ROBBINS MD | |||||||||
| Former Officer | 24.5 | 30.5 | $0 | $346,070 | $180,365 | Yes (X) | |||
| TRAVIS CLEGG | |||||||||
| COO | 50.0 | 0.0 | Yes (X) | $0 | $406,311 | $96,095 | |||
| GIDGET RUSCETTA RN | |||||||||
| COO | 45.0 | 11.0 | Yes (X) | $0 | $404,309 | $94,693 | |||
| DAWN DUNBAR | |||||||||
| SVP | 0.0 | 45.0 | Yes (X) | $0 | $393,438 | $104,947 | |||
| WARREN CHAIKO | |||||||||
| SVP | 22.0 | 18.0 | Yes (X) | $0 | $375,732 | $110,606 | |||
| MAVIS NIKAIDO | |||||||||
| VP & CNE | 55.0 | 1.0 | Yes (X) | $0 | $371,061 | $77,433 | |||
| SUSAN MATSUMOTO-NONAKA | |||||||||
| VP | 31.5 | 8.5 | Yes (X) | $0 | $364,629 | $81,441 | |||
| BRANDT FARIAS | |||||||||
| SVP - (Part Year) | 10.0 | 53.0 | Yes (X) | $0 | $327,384 | $85,944 | |||
| TYLER CHIHARA DPM | |||||||||
| Board of Director | 0.2 | 40.0 | Yes (X) | $0 | $378,989 | $32,931 | |||
| ANDY LEE MD | |||||||||
| BOD, Chief of Staff | 8.0 | 41.0 | Yes (X) | Yes (X) | $0 | $358,849 | $45,247 | ||
| MICHAEL ROBINSON | |||||||||
| VP | 0.6 | 49.4 | Yes (X) | $0 | $327,479 | $74,190 | |||
| BRIGITTE MCKALE | |||||||||
| VP & CNE | 55.0 | 0.0 | Yes (X) | $0 | $314,717 | $75,342 | |||
| DAWN CHING | |||||||||
| VP | 50.0 | 3.0 | Yes (X) | $0 | $314,107 | $73,241 | |||
| JAMES LIN MD | |||||||||
| VP | 0.4 | 47.2 | Yes (X) | $0 | $313,224 | $66,003 | |||
| CAROL FUJIYOSHI MD | |||||||||
| Board of Director | 0.2 | 40.0 | Yes (X) | $0 | $353,186 | $18,715 | |||
| BEAU NAKAMOTO MD | |||||||||
| Former Officer | 40.0 | 0.4 | $0 | $343,709 | $11,550 | Yes (X) | |||
| EARL INOUYE | |||||||||
| Former Officer | 10.5 | 37.5 | $0 | $285,145 | $69,530 | Yes (X) | |||
| DAVID STUMBAUGH | |||||||||
| VP | 32.0 | 8.0 | Yes (X) | $0 | $266,339 | $79,416 | |||
| BARBARA CRAFT | |||||||||
| COO | 46.6 | 7.4 | Yes (X) | $0 | $281,326 | $63,356 | |||
| LORRIE-ANN LUKE | |||||||||
| VP | 7.0 | 34.5 | Yes (X) | $0 | $259,855 | $82,911 | |||
| WILLIAM BURKE | |||||||||
| VP | 16.0 | 38.0 | Yes (X) | $0 | $277,031 | $60,631 | |||
| MELANIE KIM MD | |||||||||
| Board of Director | 40.0 | 0.2 | Yes (X) | $0 | $302,650 | $19,065 | |||
| ANDREW MOATS | |||||||||
| VP | 40.0 | 0.0 | Yes (X) | $0 | $257,965 | $59,934 | |||
| SUNSHINE TOPPING | |||||||||
| SVP | 9.0 | 41.0 | Yes (X) | $0 | $289,279 | $21,615 | |||
| JOAN KANEMORI | |||||||||
| VP | 40.0 | 0.0 | Yes (X) | $0 | $251,867 | $56,330 | |||
| MONICA PRICE MD | |||||||||
| Board of Director | 40.0 | 0.4 | Yes (X) | $0 | $251,956 | $34,427 | |||
| CARRIE ANN TSUTSUI | |||||||||
| VP & SYS. Controller | 13.0 | 35.0 | Yes (X) | $0 | $230,878 | $53,413 | |||
| LAURA BONILLA | |||||||||
| EXEC. DIR. PEDIATRIC SRVCS. | 40.0 | 0.0 | $246,100 | $0 | $33,834 | Yes (X) | |||
| KENT KIKUCHI | |||||||||
| DIRECTOR OF PHARMACY | 40.0 | 0.0 | $223,917 | $0 | $48,078 | Yes (X) | |||
| JOY MATSUYAMA | |||||||||
| DIRECTOR OF PHARMACY | 40.0 | 0.0 | $225,551 | $0 | $46,243 | Yes (X) | |||
| MEGAN STOBO | |||||||||
| ADMINISTRATOR - HSC | 40.0 | 0.0 | $227,077 | $0 | $40,238 | Yes (X) | |||
| GLENN KAWABATA | |||||||||
| VP | 50.0 | 1.0 | Yes (X) | $0 | $210,480 | $55,568 | |||
| GLORIA BROOKS | |||||||||
| VP | 39.0 | 1.0 | Yes (X) | $0 | $225,785 | $39,977 | |||
| KATIE SHIGEMITSU | |||||||||
| Compliance Officer | 18.5 | 21.5 | Yes (X) | $0 | $224,686 | $38,125 | |||
| LORI INGRAM | |||||||||
| DIR. CLINICAL SERVICE LINE | 40.0 | 0.0 | $225,878 | $0 | $26,140 | Yes (X) | |||
| ALAN ITO | |||||||||
| Information Security Officer | 3.0 | 37.0 | Yes (X) | $0 | $200,273 | $35,376 | |||
| JESSICA LEWIS | |||||||||
| Assistant Corporate Secretary | 14.0 | 26.0 | Yes (X) | $0 | $170,876 | $40,404 | |||
| DAVID FOX | |||||||||
| Privacy Officer - (Part Year) | 15.2 | 24.8 | Yes (X) | $0 | $163,615 | $32,106 | |||
| FRANCE GRAVES | |||||||||
| Privacy Officer | 15.2 | 24.8 | Yes (X) | $0 | $108,993 | $33,530 | |||
| SIDNEY LEE MD | |||||||||
| Board of Director | 0.3 | 0.0 | Yes (X) | $0 | $24,506 | $0 | |||
| STEPHEN LIN MD | |||||||||
| Board of Director, Chair | 1.3 | 0.4 | Yes (X) | Yes (X) | $0 | $12,041 | $0 | ||
| OWEN CHAN MD | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $11,000 | $0 | |||
| DAWN MIURA MD | |||||||||
| Board of Director, Vice Chair | 0.2 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| JERRY PUPILLO | |||||||||
| Board of Director, Chair | 1.2 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL YAMANE | |||||||||
| Board of Director, Chair | 0.2 | 0.4 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| PAUL TONER | |||||||||
| Board of Director, Vice Chair | 1.2 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| RICHANNE LAM | |||||||||
| Board of Director, Chair | 0.2 | 0.1 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| TAD JACKSON MD | |||||||||
| BOARD OF DIR., CHAIR (PT YR) | 0.2 | 0.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| ALANA PAKKALA | |||||||||
| Board of Director | 0.3 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ANDREW ROSEN | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| AVI MANNIS | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CARL ACKERMAN | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CLAIRE TAMAMOTO | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| CLYDE KODANI | |||||||||
| BOARD OF DIRECTOR (PART YEAR) | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DENNIS FRANCIS | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS DUVAUCHELLE MD | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| EDWARD NISHIOKA | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| EMILY KURAOKA | |||||||||
| Board of Director | 0.2 | 0.1 | Yes (X) | $0 | $0 | $0 | |||
| GERALD MCKENNA MD | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JASMINE TANIOKA | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KATHY RICHARDSON | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| KIM HEHIR | |||||||||
| Board of Director | 0.3 | 0.2 | Yes (X) | $0 | $0 | $0 | |||
| LYLE TABATA | |||||||||
| Board of Director | 0.2 | 0.4 | Yes (X) | $0 | $0 | $0 | |||
| MARK YAMAKAWA | |||||||||
| Board of Director | 0.3 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MAYA ROGERS | |||||||||
| Board of Director | 0.3 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MICHAEL O'MALLEY ESQ | |||||||||
| Board of Director | 0.3 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| MICHELLE HO | |||||||||
| Board of Director | 0.3 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| NEIL MANAGO MD | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| PAUL EAKIN MD | |||||||||
| Board of Director | 0.3 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ROBERT KURISU | |||||||||
| Board of Director | 0.3 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| SCOTT KUROSAWA | |||||||||
| Board of Director | 0.2 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $15,982,072 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $6,320,029 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 1659 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| CLINICAL LABORATORIES OF HAWAI'I L | |||||
| MAIL CODE NO 60300 PO BOX 1300 | HONOLULU | HI | 968071300 | MEDICAL SERVICES | $25,296,209 |
| SODEXO INC AFFILIATES | |||||
| 9801 WASHINGTONIAN BLVD | GAITHERSBURG | MD | 20878 | Food & ENV. SRVCS. | $9,221,847 |
| UNIV CLINIC EDUC RESEARCH ASSOC | |||||
| 677 ALA MOANA BLVD Ste 1001 | HONOLULU | HI | 96813 | MEDICAL SERVICES | $8,914,190 |
| HAWAI'I RESIDENCY PROGRAMS INC | |||||
| 1356 LUSITANA ST STE 510 | HONOLULU | HI | 96813 | MEDICAL SERVICES | $7,638,035 |
| MEDEFIS INC | |||||
| 2121 n 117TH AVE STE | OMAHA | NE | 68164 | MANAGEMENT SERVICES | $5,192,551 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 72 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $4,571,594 | RelatedOrganizationsAmt |
| Government Grants | $71,600,337 | GovernmentGrantsAmt |
| All Other Contributions | $178,682 | AllOtherContributionsAmt |
| Noncash Contributions | $195,366 | NoncashContributionsAmt |
| Total Contributions | $76,350,613 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT REVENUES | 622110 | $1,219,275,836 | $1,219,275,836 | |
| INTER-ENTITY SERVICE REVENUE | 900099 | $110,074,647 | $110,074,647 | |
| OTHER HEALTH CARE REVENUES | 622110 | $34,625,792 | $32,637,110 | $1,988,682 |
| PREMIUM REVENUE | 622110 | $26,740,305 | $26,740,305 | |
| RENTAL INCOME | 531120 | $5,548,091 | $5,484,924 | $63,167 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $322,242 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $322,242 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,396,586,913 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,688,128 | TotalRevenueColumnAmt |
| Exclusion | $1,688,128 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,803 | TotalRevenueColumnAmt |
| Exclusion | $1,803 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $128,380 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $128,380 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $128,380 | TotalRevenueColumnAmt |
| Exclusion | $128,380 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $49,011,026 | SecuritiesAmt |
| Other | $74,776 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $48,441,158 | SecuritiesAmt |
| Other | $262,786 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $569,868 | SecuritiesAmt |
| Other | -$188,010 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $381,858 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$132,202 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $514,060 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $544,648 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $116,292 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $263,720 | TotalRevenueColumnAmt |
| Exclusion | $263,720 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| CAFETERIA REVENUE | 722110 | $1,730,798 | $1,730,798 |
| PARKING REVENUE | 812930 | $1,659,154 | $1,659,154 |
| 3RD PARTY EXPENSE REIMBURSEMENT | 900099 | $467,853 | $467,853 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,923,695 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,391,680 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $532,015 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,781,500 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,481,182,915 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,399,652,347 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,583,864 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,596,091 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,759,340 | TotalAmt |
| Program Services | $1,759,340 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $383,288,691 | TotalAmt |
| Program Services | $380,028,724 | ProgramServicesAmt |
| Management And General | $3,259,967 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,888,474 | TotalAmt |
| Program Services | $26,599,089 | ProgramServicesAmt |
| Management And General | $289,385 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $51,063,329 | TotalAmt |
| Program Services | $44,287,929 | ProgramServicesAmt |
| Management And General | $6,775,400 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,125,272 | TotalAmt |
| Program Services | $27,910,016 | ProgramServicesAmt |
| Management And General | $215,256 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,016,539 | TotalAmt |
| Management And General | $3,016,539 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $614,048 | TotalAmt |
| Management And General | $614,048 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $160,879,649 | TotalAmt |
| Program Services | $136,902,825 | ProgramServicesAmt |
| Management And General | $23,976,824 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $744,874 | TotalAmt |
| Program Services | $39,957 | ProgramServicesAmt |
| Management And General | $704,917 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,273,690 | TotalAmt |
| Program Services | $6,987,581 | ProgramServicesAmt |
| Management And General | $286,109 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,586,084 | TotalAmt |
| Program Services | $12,545,374 | ProgramServicesAmt |
| Management And General | $2,040,710 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,753,067 | TotalAmt |
| Program Services | $31,087,021 | ProgramServicesAmt |
| Management And General | $2,666,046 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $217,500 | TotalAmt |
| Program Services | $176,006 | ProgramServicesAmt |
| Management And General | $41,494 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $47,973 | TotalAmt |
| Program Services | $47,222 | ProgramServicesAmt |
| Management And General | $751 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,843,838 | TotalAmt |
| Program Services | $17,843,838 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $42,708,389 | TotalAmt |
| Program Services | $42,708,389 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,991,274 | TotalAmt |
| Program Services | $6,756,323 | ProgramServicesAmt |
| Management And General | -$1,765,049 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,403,628 | TotalAmt |
| Program Services | $1,999 | ProgramServicesAmt |
| Management And General | $1,401,629 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,339,959,093 | TotalAmt |
| Program Services | $1,165,704,998 | ProgramServicesAmt |
| Management And General | $174,254,095 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,274 | BOYAmt |
| EOY | $121,613 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,431,865 | BOYAmt |
| EOY | $6,068,345 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $135,613,760 | BOYAmt |
| EOY | $157,003,874 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,890,595 | BOYAmt |
| EOY | $23,373,506 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,969,245 | BOYAmt |
| EOY | $2,089,905 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,090,009,530 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $584,762,794 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $504,198,381 | BOYAmt |
| EOY | $505,246,736 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $82,505,761 | BOYAmt |
| EOY | $100,526,971 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $117,894,162 | BOYAmt |
| EOY | $148,436,611 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,618,557 | BOYAmt |
| EOY | $1,618,557 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200,947,640 | BOYAmt |
| EOY | $220,584,411 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,068,453,240 | BOYAmt |
| EOY | $1,165,070,529 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,024,569 | BOYAmt |
| EOY | $121,092,315 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $228,786,767 | BOYAmt |
| EOY | $225,637,698 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $325,811,336 | BOYAmt |
| EOY | $346,730,013 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $697,397,688 | BOYAmt |
| EOY | $759,747,317 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $45,244,216 | BOYAmt |
| EOY | $58,593,199 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $742,641,904 | BOYAmt |
| EOY | $818,340,516 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,068,453,240 | BOYAmt |
| EOY | $1,165,070,529 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $141,223,822 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $50,817,451 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$116,342,661 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | false | FSAuditedInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | false | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | false | OperateBenefitNonSuprtOrgInd |
Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timely Provided Documents | false | TimelyProvidedDocumentsInd |
| Officers Close Relationship | false | OfficersCloseRelationshipInd |
| Supported Org Voice Investment | false | SupportedOrgVoiceInvestmentInd |
Adjusted Net Income AdjustedNetIncomeGrp
Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Recoveries PY Distributions RecoveriesPYDistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Other Gross Income OtherGrossIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Adjusted Gross Income AdjustedGrossIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Production Income ProductionIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Total Adjusted Net Income TotalAdjustedNetIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Minimum Asset Amount MinimumAssetAmountGrp
Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Average Monthly Cash Balances AverageMonthlyCashBalancesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discount Claimed | $0 | DiscountClaimedAmt |
Acquisition Indebtedness AcquisitionIndebtednessGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Cash Deemed Charitable CashDeemedCharitableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Total Minimum Asset TotalMinimumAssetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prior Year | $0 | PriorYearAmt |
Distributable Amount DistributableAmountGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| CY Adj Net Income Distributable | $0 | CYAdjNetIncomeDistributableAmt |
| CY Pct85 Adjusted Net Income | $0 | CYPct85AdjustedNetIncomeAmt |
| CY Total Min Ast Distributable | $0 | CYTotalMinAstDistributableAmt |
| CY Greater Adjusted Minimum | $0 | CYGreaterAdjustedMinimumAmt |
| CY Income Tax Imposed PY | $0 | CYIncomeTaxImposedPYAmt |
| CY Distributable As Adjusted | $0 | CYDistributableAsAdjustedAmt |
Distributions DistributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| CY Paid Accomplish Exempt Prps | $0 | CYPaidAccomplishExemptPrpsAmt |
| CY Pd In Excess Income Activity | $0 | CYPdInExcessIncomeActivityAmt |
| CY Administrative Expense Paid | $0 | CYAdministrativeExpensePaidAmt |
| Exempt Use Assets Acquis Paid | $0 | ExemptUseAssetsAcquisPaidAmt |
| Qualified Set Aside | $0 | QualifiedSetAsideAmt |
| CY Other Distributions | $0 | CYOtherDistributionsAmt |
| CY Total Annual Distributions | $0 | CYTotalAnnualDistributionsAmt |
| CY Distri Attentive Suprt Org | $0 | CYDistriAttentiveSuprtOrgAmt |
| CY Distributable As Adjusted | $0 | CYDistributableAsAdjustedAmt |
| CY Distribution Yr | 0 | CYDistributionYrRt |
Distribution Allocations DistributionAllocationsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| CY Distributable As Adjusted | $0 | CYDistributableAsAdjustedAmt |
| Underdistributions | $0 | UnderdistributionsAmt |
| Excess Distribution Cyov Yr5 | $0 | ExcessDistributionCyovYr5Amt |
| Excess Distribution Cyov Yr4 | $0 | ExcessDistributionCyovYr4Amt |
| Excess Distribution Cyov Yr3 | $0 | ExcessDistributionCyovYr3Amt |
| Excess Distribution Cyov Yr2 | $0 | ExcessDistributionCyovYr2Amt |
| Excess Distribution Cyov Yr1 | $0 | ExcessDistributionCyovYr1Amt |
| Total Excess Distribution Cyov | $0 | TotalExcessDistributionCyovAmt |
| Cyov Applied Underdistri PY | $0 | CyovAppliedUnderdistriPYAmt |
| Cyov Applied Underdistr CPY | $0 | CyovAppliedUnderdistrCPYAmt |
| Carryover PY Not Applied | $0 | CarryoverPYNotAppliedAmt |
| Excess Distribution Cyov | $0 | ExcessDistributionCyovAmt |
| CY Total Annual Distributions | $0 | CYTotalAnnualDistributionsAmt |
| CY Distrib App Underdistri PY | $0 | CYDistribAppUnderdistriPYAmt |
| Excess Distribution | $0 | ExcessDistributionAmt |
| Remaining Underdistri PY | $0 | RemainingUnderdistriPYAmt |
| Remaining Underdistri CY | $0 | RemainingUnderdistriCYAmt |
| Excess Distri Cyov To Next Yr | $0 | ExcessDistriCyovToNextYrAmt |
| Excess From Year5 | $0 | ExcessFromYear5Amt |
| Excess From Year4 | $0 | ExcessFromYear4Amt |
| Excess From Year3 | $0 | ExcessFromYear3Amt |
| Excess From Year2 | $0 | ExcessFromYear2Amt |
| Excess From Year1 | $0 | ExcessFromYear1Amt |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Belongs Afflt Grp | Yes (X) | OrganizationBelongsAffltGrpInd |
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $61,356 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $61,356 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE C, PART II-B | FormAndLineReferenceDesc |
| Explanation | LOBBYING 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Assets Included | $1,794,980 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Held Works Art | HeldWorksArtGrp | |
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $213,487,581 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $52,193,682 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $29,709 | OtherExpendituresAmt |
| End Year Balance | $265,651,554 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $205,962,211 | BeginningYearBalanceAmt |
| Contributions | $67,736 | ContributionsAmt |
| Investment Earnings Or Losses | $7,620,886 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $163,252 | OtherExpendituresAmt |
| End Year Balance | $213,487,581 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $195,030,697 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $11,008,237 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $76,723 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $205,962,211 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $180,123,783 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $15,061,139 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $154,225 | OtherExpendituresAmt |
| Administrative Expenses | $0 | AdministrativeExpensesAmt |
| End Year Balance | $195,030,697 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $163,374,610 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $16,944,928 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $195,755 | OtherExpendituresAmt |
| End Year Balance | $180,123,783 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.99390 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.00610 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (true) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $19,720,249 | OtherCostOrOtherBasisAmt |
| Book Value | $19,720,249 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $669,991,137 | OtherCostOrOtherBasisAmt |
| Depreciation | $314,713,263 | DepreciationAmt |
| Book Value | $355,277,874 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $52,764,189 | OtherCostOrOtherBasisAmt |
| Depreciation | $26,245,105 | DepreciationAmt |
| Book Value | $26,519,084 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $313,177,568 | OtherCostOrOtherBasisAmt |
| Depreciation | $241,046,528 | DepreciationAmt |
| Book Value | $72,131,040 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $34,356,377 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,757,898 | DepreciationAmt |
| Book Value | $31,598,489 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $505,246,736 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| BOARD DESIGNATED SECURITIES | $141,858,024 | F |
| INVEST. IN UNCONSOLIDATED SUB. | $4,971,708 | F |
| LIMITED PARTNERSHIPS | $1,606,879 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $148,436,611 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (21 entries)
| DescDesc | Book 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $220,584,411 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (14 entries)
| DescDesc | AmtAmt |
|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $225,637,698 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART III, LINE 4 | ORGANIZATION'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 4 | ENDOWMENT 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 2 | UNCERTAIN 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 19816 | PersonsServedCnt |
| Total Community Benefit Expns | $5,484,222 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,484,222 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 235079 | PersonsServedCnt |
| Total Community Benefit Expns | $280,845,065 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $250,771,865 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $30,073,200 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02240 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 254895 | PersonsServedCnt |
| Total Community Benefit Expns | $286,329,287 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $250,771,865 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $35,557,422 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02650 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 24 | ActivitiesOrProgramsCnt |
| Persons Served | 2481 | PersonsServedCnt |
| Total Community Benefit Expns | $10,172,900 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $6,577,226 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,595,674 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 8 | ActivitiesOrProgramsCnt |
| Persons Served | 1434 | PersonsServedCnt |
| Total Community Benefit Expns | $11,330,597 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,489,129 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,841,468 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00660 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $62,313,531 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $35,801,484 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $26,512,047 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01980 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $1,711,612 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,711,612 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00130 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 69 | ActivitiesOrProgramsCnt |
| Persons Served | 3915 | PersonsServedCnt |
| Total Community Benefit Expns | $85,528,640 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $44,867,839 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $40,660,801 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03040 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 69 | ActivitiesOrProgramsCnt |
| Persons Served | 258810 | PersonsServedCnt |
| Total Community Benefit Expns | $371,857,927 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $295,639,704 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $76,218,223 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05690 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,122,737 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $151,015,343 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $165,306,410 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$14,291,067 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | false | FinancialAssistancePrvsnInd |
| Hospital Facilities | 4 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (4 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Teaching HospitalTeachingHospitalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Facility Reporting GroupFacilityReportingGroupCd | Childrens HospitalChildrensHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STRAUB CLINIC & HOSPITAL | ||||||||||||
| 1 | 888 SOUTH KING STREET | HONOLULU | HI | 96813 | www.hawaiipacifichealth.org/straub | 32-H | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | |
| KAPI'OLANI MEDICAL CENTER FOR WOMEN | ||||||||||||
| 2 | 1319 PUNAHOU STREET | HONOLULU | HI | 96826 | www.hawaiipacifichealth.org/kapiolani | 6-H | Yes (X) | Yes (X) | Yes (X) | Yes (X) | A | Yes (X) |
| PALI MOMI MEDICAL CENTER | ||||||||||||
| 3 | 98-1079 MOANALUA ROAD | AIEA | HI | 96701 | www.hawaiipacifichealth.org/pali-momi | 37-H | Yes (X) | Yes (X) | Yes (X) | A | ||
| WILCOX MEMORIAL HOSPITAL | ||||||||||||
| 4 | 3-3420 KUHIO HIGHWAY | LIHUE | HI | 967661099 | www.hawaiipacifichealth.org/wilcox | 23-H | Yes (X) | Yes (X) | Yes (X) | A | ||
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | A | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 14 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 18 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (true) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | SEE SCHEDULE H, PART V, SECTION C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | SEE SCHEDULE H, PART V, SECTION C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 19 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | SEE SCHEDULE H, PART V, SECTION C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, SECTION C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, SECTION C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, SECTION C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicaid Medcr Prvt | Yes (X) | LookBackMedicaidMedcrPrvtInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART V, SECTION B, LINE 3E | significant 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 & 6B | CHNA 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 7A | COMMUNITY 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 10A | IMPLEMENTATION 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 11 | ADDRESSING 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 16A | FINANCIAL ASSISTANCE POLICY https://www.hawaiipacifichealth.org/patients-visitors/financial-assistance -program/ |
| SCHEDULE H, PART V, SECTION B, LINE 16B | FINANCIAL ASSISTANCE APPLICATION https://www.hawaiipacifichealth.org/patients-visitors/financial-assistance -program/ |
| SCHEDULE H, PART V, SECTION B, LINE 16C | PLAIN LANGUAGE SUMMARY https://www.hawaiipacifichealth.org/patients-visitors/financial-assistance -program/ |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 29 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (29 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| PALI MOMI MEDICAL CENTER | ||||
| 98-1079 MOANLUA ROAD 480/590/630 | AEIA | HI | 96701 | CLINIC |
| STRAUB PEARLRIDGE CLINIC | ||||
| 98-151 PALI MOMI ST STE 142 | AIEA | HI | 96701 | CLINIC |
| PALI MOMI PAVILIONWOMEN'S CENTER | ||||
| 98-1005 MOANALUA ROAD FS4 | AIEA | HI | 96701 | CLINIC |
| STRAUB MILILANI FAMILY HEALTH CENTER | ||||
| 95-1249 MEHEULA PKWY UNIT 187 | MILILANI | HI | 96789 | CLINIC |
| STRAUB KAPOLEI CLINIC | ||||
| 91-5431 KAPOLEI PKWY SUITE 1706 | KAPOLEI | HI | 96707 | CLINIC |
| STRAUB HAWAI'I KAI FAMILY HEALTH CENTER | ||||
| 7192 KALANIANAOLE HIGHWAY STE A20 | HONOLULU | HI | 96825 | CLINIC |
| KAPI'OLANI WOMENS CENTER | ||||
| 1907 BERETANIA STREET 1ST 5TH FL | HONOLULU | HI | 96826 | CLINIC |
| STRAUB KANEOHE FAMILY HEALTH CENTER | ||||
| 46-056 KAMEHAMEHA HIGHWAY STE 221 | KANEOHE | HI | 96744 | CLINIC |
| STRAUB CLINIC AT FIRST INSURANCE CENTER | ||||
| 1100 WARD AVE STE 700 | HONOLULU | HI | 96814 | CLINIC |
| DOCS ON CALL - SHERATON | ||||
| 2255 KALAKAUA AVE MANOR WING LOWE | HONOLULU | HI | 96815 | CLINIC |
| PALI MOMI CANCER CENTER | ||||
| 98-1005 MOANALUA RD STE 4010 | AEIA | HI | 96701 | CLINIC |
| STRAUB KAILUA FAMILY HEALTH CENTER | ||||
| 602 KAILUA ROAD SUITE 200 | KAILUA | HI | 96734 | CLINIC |
| KAHALA CLINIC & URGENT CARE | ||||
| 4210 WAIALAE AVE SUITE 501 | HONOLULU | HI | 96816 | CLINIC |
| WARD VILLAGE PRIMARY CARE CLINIC | ||||
| 1001 QUEEN STREET SUITE 102 | HONOLULU | HI | 96814 | CLINIC |
| ARTESIAN SATELLITE | ||||
| 1907 SOUTH BERETANIA ST 1ST FLOOR | HONOLULU | HI | 96826 | CLINIC |
| STRAUB LANA'I FAMILY HEALTH CENTER | ||||
| 628-B SEVENTH STREET | LANAI CITY | HI | 96763 | CLINIC |
| HPH CANCER CENTER AT PALI MOMI MED CTR | ||||
| 98-1005 MOANALUA ROAD | AIEA | HI | 96701 | CLINIC |
| PALI MOMI CLINIC | ||||
| 98-1079 MOANALUA ROAD SUITE 600 | AIEA | HI | 96701 | CLINIC |
| OBGYN SATELLITE | ||||
| 1525 KALAKAUA AVENUE | HONOLULU | HI | 96814 | CLINIC |
| Kapi'olani Med CTR-Women & ChILD OBGYN | ||||
| 1319 Punahou Street Ste 500 | HONOLULU | HI | 96826 | CLINIC |
| KAHULUI CLINIC | ||||
| 33 LONO AVENUE SUITE 250 | KAHULUI | HI | 96732 | CLINIC |
| Straub med ctr - miliani sc clinic | ||||
| 95-390 KUAHELANI AVENUE SUITE J-1 | MILILANI | HI | 96789 | CLINIC |
| STRAUB KAPOLEI CLINIC | ||||
| 91-5431 KAPOLEI PKWY SUITE 1706 | KAPOLEI | HI | 96707 | CLINIC |
| straub med ctr - dt honolulu clinic | ||||
| 1003 BISHOP ST PAUAHI TOWER SUIT | HONOLULU | HI | 96813 | CLINIC |
| STRAUB CLINIC AT WATERFRONT PLAZA | ||||
| 500 ALA MOANA BLVD TOWER 7 SUITE | HONOLULU | HI | 96813 | CLINIC |
| STRAUB CLINIC - SOUTH KING STREET | ||||
| 826 SOUTH KING STREET | HONOLULU | HI | 96813 | CLINIC |
| KUAKINI CLINIC | ||||
| 321 NORTH KUAKINI STREET SUITE 504 | HONOLULU | HI | 96817 | CLINIC |
| STRAUB DOCTORS ON CALL - HILTON HAWAIIAN | ||||
| 2005 KALIA ROAD RAINBOW BAZAAR 2F | HONOLULU | HI | 96815 | CLINIC |
| STRAUB HILO CLINIC | ||||
| 75 PUUHONU PLACE SUITE 207 | HILO | HI | 96720 | CLINIC |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H, PART I, LINE 3C | Financial assistance eligibility criteria N/A |
| SCHEDULE H, PART I, LINE 6A | preparation 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 7 | costing 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 4 | bad 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 8 | costing 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 9B | debt 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 2 | additional 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 3 | PATIENT 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 4 | COMMUNITY 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 5 | PROMOTION 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 6 | AFFILIATED 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 7 | STATE FILING OF COMMUNITY BENEFIT REPORT N/A |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (9 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| UH Foundation | ||||||||
| 1314 S King St STE B | STE 2E1 BOX 3 | Honolulu | HI | 96814 | 990085260 | 501(C)(3) | $734,095 | Scholarship PLEDGE |
| Hawai'i Cancer Consortium | ||||||||
| 201 Merchant St STE 1830 | Honolulu | HI | 96813 | 452280259 | 501(C)(3) | $500,000 | General Support | |
| UNIVERSAL CLINICAL EDUCATION & RSRCH ASSOC | ||||||||
| PO Box 31000 | Honolulu | HI | 96813 | 990307152 | 501(C)(3) | $250,006 | General Support | |
| Residential Youth Services & Empowerment | ||||||||
| PO Box 11662 | BACHMAN HALL 105 | Kailua | HI | 96828 | 812102826 | 501(C)(3) | $37,500 | Scholarship Pledge |
| Hawai'i Island's Food Bank | ||||||||
| 40 Holomua St | Hilo | HI | 96720 | 260349476 | 501(C)(3) | $20,000 | General Support | |
| Hoola Na Pua | ||||||||
| POBox 22551 | Honolulu | HI | 93823 | 465139164 | 501(C)(3) | $10,000 | General Support | |
| Girl Scouts of Hawai'i | ||||||||
| 410 Atkinson Drive Ste 2E1 Box 3 | Honolulu | HI | 96814 | 990073488 | 501(C)(3) | $10,000 | General Support | |
| ST FRANCIS HEALTHCARE FDN OF HAWAI'I | ||||||||
| 2228 Liliha St STE 205 | Honolulu | HI | 96817 | 990240060 | 501(C)(3) | $7,500 | General Support | |
| YWCA of O'ahu | ||||||||
| 1040 Richards St | Honolulu | HI | 96813 | 990073534 | 501(C)(3) | $6,000 | General Support | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 9 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | DESCRIPTION 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (54 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp 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 ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 3 | SUPPLEMENTAL 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 4B | SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE RESTORATION PLAN WAS DESIGNED TO RESTORE BENEFITS THAT ARE LOST DUE TO LIMITS IMPOSED BY SECTIONS 401 AND 415 OF THE INTERNAL REVENUE CODE ON COMPENSATION CONSIDERED UNDER SUCH PLANS. AMOUNTS PAID OUT DURING THE YEAR BY 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 DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JOY MATSUYAMA | |||
| SEE PART V | $225,551 | DIRECTOR OF PHARMACY | false |
| HAWAI'I BIO WASTE | |||
| SEE PART V | $147,920 | WASTE MGMT SERVICES | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE L, PART IV, COLUMN B | FormAndLineReferenceDesc |
| Explanation | JOY 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Works Of Art | WorksOfArtGrp | |
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp |
Clothing And Household Goods ClothingAndHouseholdGoodsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Noncash Contributions Rpt F990 | $18,436 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp |
Food Inventory FoodInventoryGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 130 | ContributionCnt |
| Noncash Contributions Rpt F990 | $4,060 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 236 | ContributionCnt |
| Noncash Contributions Rpt F990 | $140,266 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | FMV | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp |
Other Non Cash Contri Table OtherNonCashContriTableGrp (5 entries)
| Non Cash CheckboxNonCashCheckboxInd | DescDesc | ContributionContributionCnt | Noncash Contributions Rpt F990NoncashContributionsRptF990Amt | Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt |
|---|---|---|---|---|
| Yes (X) | BOOKS | 2 | $475 | FMV |
| Yes (X) | OTHER- PREPAID GCS | 248 | $7,355 | FMV |
| Yes (X) | OTHER- TOYS | 270 | $14,639 | FMV |
| Yes (X) | HOTEL STAY | 2 | $10,000 | FMV |
| Yes (X) | PLANTS | 1 | $135 | FMV |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN B | FormAndLineReferenceDesc |
| Explanation | COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (28 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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-4D | PROGRAM 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 CONTINUED | PROGRAM 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 8 | COLLECTION 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 1A | FORM 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 6 | MEMBERS 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 7A | DESCRIPTION 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 7B | DESCRIPTION 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 CONTINUED | HAWAI'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 11B | REVIEW 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 12C | MONITORING & 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 & 15B | PROCESS 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 19 | DISCLOSURE 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 9 | OTHER 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 11G | DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:21164612 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:MEDICAL SERVICES TOTAL FEES:6809899 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONSULTING SERVICES TOTAL FEES:794175 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REGISTRY SERVICES TOTAL FEES:5423934 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TEMPORARY LABOR ADMIN SERVICES TOTAL FEES:3191250 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:TEMPORARY LABOR OTHER SERVICES TOTAL FEES:946930 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:4351387 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:CONTRACT & RECURRING SERVICES TOTAL FEES:48622861 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:FAMILY FUND SERVICES TOTAL FEES:196 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:COLLECTION FEES SERVICES TOTAL FEES:573420 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER SERVICES TOTAL FEES:18835760 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:10241099 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:INTERNAL SVCS PROVIDED EXPENSE TOTAL FEES:40111835 |
| FORM 990 PART IX LINE 11G | DESCRIPTION:OTHER EXPENSE RECOVERY TOTAL FEES:-187709 |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PROVIDERS INSURANCE CORPORATION | ||||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 710893000 | INSURANCE | HI | 501(C)(3) | 12B, II | HPH | Yes (true) |
| KAPI'OLANI HEALTH FOUNDATION | ||||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990246364 | FUNDRAISING | HI | 501(C)(3) | 7 | HPH | Yes (true) |
| KAPI'OLANI MEDICAL SPECIALISTS | ||||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990322406 | HEALTHCARE | HI | 501(C)(3) | 3 | HPH | Yes (true) |
| WILCOX HEALTH FOUNDATION | ||||||||||
| 3-3420 KUHIO HIGHWAY | LIHUE | HI | 96766 | 990204242 | FUNDRAISING | HI | 501(C)(3) | 7 | HPH | Yes (true) |
| KAUA'I MEDICAL CLINIC | ||||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990326099 | HOSPITAL | HI | 501(C)(3) | 3 | HPH | Yes (true) |
| STRAUB FOUNDATION | ||||||||||
| 55 MERCHANT STREET 26TH FLOOR | HONOLULU | HI | 96813 | 990109350 | FUNDRAISING | HI | 501(C)(3) | 7 | HPH | Yes (true) |
| PALI MOMI FOUNDATION | ||||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 383840327 | FUNDRAISING | HI | 501(C)(3) | 7 | HPH | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ASC PACIFIC VENTURES LLC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3000 riverchase galleria ste 500 | AddressLine1Txt |
| City | birmingham | CityNm |
| State Abbreviation | AL | StateAbbreviationCd |
| ZIP | 35244 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 270540034 | EIN |
| Primary Activities | AMBU. SURG. CTR. | PrimaryActivitiesTxt |
| Legal Domicile State | AL | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeTypeTxt |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HAWAI'I PACIFIC HEALTH PARTNERS INC | ||||||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990318588 | HOLDING COMPANY | HI | NA | C CORP | ||||
| STRAUB PHARMACY INC | ||||||||||||
| 888 SOUTH KING STREET | HONOLULU | HI | 96813 | 990145107 | INACTIVE | HI | SCH | C CORP | $0 | $4,971,708 | 1.00000 | Yes (true) |
| HICORD INC | ||||||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990251496 | INVESTMENT | HI | NA | C-CORP | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (14 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| KAPI'OLANI HEALTH FOUNDATION | ||
| C | $1,963,750 | FMV |
| KAPI'OLANI HEALTH FOUNDATION | ||
| Q | $266,348 | FMV |
| KAPI'OLANI HEALTH FOUNDATION | ||
| S | $376,739 | FMV |
| KAPI'OLANI MEDICAL SPECIALISTS | ||
| O | $167,073 | FMV |
| KAPI'OLANI MEDICAL SPECIALISTS | ||
| P | $23,649,336 | FMV |
| KAPI'OLANI MEDICAL SPECIALISTS | ||
| Q | $127,544,846 | FMV |
| KAPI'OLANI MEDICAL SPECIALISTS | ||
| S | $4,339,620 | FMV |
| KAUA'I MEDICAL CLINIC | ||
| P | $738,310 | FMV |
| KAUA'I MEDICAL CLINIC | ||
| Q | $291,691 | FMV |
| KAUA'I MEDICAL CLINIC | ||
| R | $637,558 | FMV |
| PALI MOMI FOUNDATION | ||
| C | $354,408 | FMV |
| PROVIDERS INSURANCE CORPORATION | ||
| R | $7,642,886 | FMV |
| STRAUB FOUNDATION | ||
| C | $704,915 | FMV |
| WILCOX HEALTH FOUNDATION | ||
| C | $446,634 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART III | FormAndLineReferenceDesc |
| Explanation | RELATED ORG. TAXABLE AS PARTNERSHIP: ASC PACIFIC VENTURES, LLC EIN: 27-0540034 ADDRESS: 55 MERCHANT ST., 27TH FLOOR, HONOLULU, HI 96813 | ExplanationTxt |