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HAWAII PACIFIC HEALTH: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
HAWAII PACIFIC HEALTH (EIN 99-0246363)
Tax period
2020-07-01 to 2021-06-30
Filed
2022-05-13
IRS object ID
202201339349301610
Schema version
2020v4.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-13T08:05:46-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN990246363EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hawai'i Pacific HealthBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% Chenwei LiInCareOfNm
Business Name ControlHAWABusinessNameControlTxt
Phone8085357401PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Merchant Street 24th FloorAddressLine1Txt
CityHonoluluCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCARRIE ANN TSUTSUIPersonNm
Person TitleVP & ControllerPersonTitleTxt
Phone8085357355PhoneNum
Signature2022-05-10SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOCELYNE C MILLERPreparerPersonNm
PTINP00634378PTIN
Phone8585357200PhoneNum
Preparation2022-05-05PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRAYMOND P VARA JrPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$276,889,486GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressHAWAIIPACIFICHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1986FormationYr
Legal Domicile StateHILegalDomicileStateCd
Activity Or MissionSEE SCHEDULE OActivityOrMissionDesc
Voting Members Governing Body17VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee1192TotalEmployeeCnt
Total Volunteers11TotalVolunteersCnt
Total Gross UBI$1,243,935TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$634,940NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,906,068PYContributionsGrantsAmt
CY Contributions Grants$11,104,658CYContributionsGrantsAmt
PY Program Service Revenue$180,305,375PYProgramServiceRevenueAmt
CY Program Service Revenue$183,848,861CYProgramServiceRevenueAmt
PY Investment Income-$4,662,069PYInvestmentIncomeAmt
CY Investment Income$3,175,780CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$186,549,374PYTotalRevenueAmt
CY Total Revenue$198,129,299CYTotalRevenueAmt
PY Grants And Similar Paid$525,850PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$640,995CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$121,534,317PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$122,742,159CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$2,146,057CYTotalFundraisingExpenseAmt
PY Other Expenses$72,285,870PYOtherExpensesAmt
CY Other Expenses$70,244,262CYOtherExpensesAmt
PY Total Expenses$194,346,037PYTotalExpensesAmt
CY Total Expenses$193,627,416CYTotalExpensesAmt
PY Revenues Less Expenses-$7,796,663PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$4,501,883CYRevenuesLessExpensesAmt
Total Assets BOY$964,668,065TotalAssetsBOYAmt
Total Assets EOY$966,967,056TotalAssetsEOYAmt
Total Liabilities BOY$707,763,003TotalLiabilitiesBOYAmt
Total Liabilities EOY$507,367,993TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$256,905,062NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$459,599,063NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionHAWAI'I PACIFIC HEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM, AND ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS AND PRIVATE EMPLOYERS. HAWAI'I PACIFIC HEALTH'S MISSION IS TO CREATE A HEALTHIER HAWAI'I.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$100,178,695ExpenseAmt
Grant$640,995GrantAmt
Revenue$182,396,983RevenueAmt
DescSEE SCHEDULE O.Desc
Total Program Service Expenses$100,178,695TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document652IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee1192EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldCAStatesWhereCopyOfReturnIsFldCd
States Where Copy Of Return Is FldHIStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonChenwei LiPersonNm
Phone8085357434PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (52 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
RAYMOND P VARA JR
Board of Dir, President & CEO50.311.8Yes (X)Yes (X)$2,201,810$0$2,584,503
DAVID OKABE
EVP, CFO & Treasurer35.015.0Yes (X)$946,332$0$377,896
MARTHA SMITH
VP (Part Year)5.055.0Yes (X)$876,739$0$308,071
ARTHUR GLADSTONE
EVP & CSO14.041.8Yes (X)$816,310$0$309,387
CHARLES R CHING
EVP, Gen. Counsel & Secretary26.113.9Yes (X)$770,901$0$282,179
GAIL LERCH
Former Officer38.512.5$742,339$0$304,514Yes (X)
STEVEN ROBERTSON
EVP & CIO40.013.0Yes (X)$746,792$0$292,161
MELINDA ASHTON MD
EVP & CQO43.06.3Yes (X)$720,839$0$248,689
JENNIE CHAHANOVICH
EVP1.555.0Yes (X)$660,280$0$228,096
LESLIE CHUN MD
EVP6.054.0Yes (X)$664,477$0$114,056
RODNEY WILLIAMS MD
CMO - SCH4.036.0$579,383$0$96,657Yes (X)
GERARD LIVAUDAIS MD
EVP49.80.2Yes (X)$523,145$0$123,914
DOUGLAS KWOCK MD
VP2.038.0Yes (X)$492,064$0$95,971
KENNETH B ROBBINS MD
Former Officer20.534.5$346,070$0$180,365Yes (X)
TRAVIS CLEGG
COOO - SCH0.050.0$406,311$0$96,095Yes (X)
GIDGET RUSCETTA RN
COO - KMCWC10.046.0$404,309$0$94,693Yes (X)
DAWN DUNBAR
SVP9.535.5Yes (X)$393,438$0$104,947
WARREN CHAIKO
SVP4.036.0Yes (X)$375,732$0$110,606
MAVIS NIKAIDO
System CNE1.055.0Yes (X)$371,061$0$77,433
SUSAN MASUMOTO-NONAKA
VP7.932.1Yes (X)$364,629$0$81,441
BRANDT FARIAS
SVP (PART YEAR)40.922.1Yes (X)$327,384$0$85,944
ANDY LEE MD
MEDICAL DIRECTOR - HHP1.048.0$358,849$0$45,247Yes (X)
MICHAEL ROBINSON
VP49.10.9Yes (X)$327,479$0$74,190
BRIGITTE MCKALE
VP/CNE - PMMC0.055.0$314,717$0$75,342Yes (X)
JAMES LIN MD
VP45.12.5Yes (X)$285,691$27,533$66,003
BEAU NAKAMOTO MD
Board of Director0.440.0Yes (X)$0$343,709$11,550
EARL INOUYE
Former Officer16.531.5$285,145$0$69,530Yes (X)
DAVID STUMBAUGH
VP5.035.0Yes (X)$266,339$0$79,416
LORRIE-ANN LUKE
VP32.59.0Yes (X)$259,855$0$82,911
WILLIAM BURKE
VP22.032.0Yes (X)$277,031$0$60,631
SUNSHINE TOPPING
SVP37.512.5Yes (X)$289,279$0$21,615
MONICA PRICE MD
Board of Director0.440.0Yes (X)$0$251,956$34,427
CARRIE ANN TSUTSUI
VP & Controller18.329.7Yes (X)$230,878$0$53,413
KATIE SHIGEMITSU
Compliance Officer15.524.5Yes (X)$224,686$0$38,125
ALAN ITO
Information Security Officer36.83.2Yes (X)$200,273$0$35,376
MARK MAGELSSEN MD
Board of Director0.440.0Yes (X)$0$196,136$20,171
JESSICA LEWIS
Assistant Corporate Secretary17.023.0Yes (X)$170,876$0$40,404
DAVID FOX
Privacy Officer (Part Year)21.618.4Yes (X)$163,615$0$32,106
FRANCE GRAVES
Privacy Officer21.618.4Yes (X)$108,993$0$33,530
STEPHEN LIN MD
Board of Director0.41.3Yes (X)$81,033$0$0
CHRISTOPHER JORDAN MD
Board of Director0.42.75Yes (X)$0$14,452$578
STEVEN AI
Board of Director0.40.0Yes (X)$0$0$0
ELISIA FLORES
Board of Director0.40.0Yes (X)$0$0$0
MICHAEL GIBSON ESQ
Board of Director0.40.1Yes (X)$0$0$0
JAMES HINTON
Board of Director0.40.0Yes (X)$0$0$0
KATHRYN INOUYE
Board of Director0.40.0Yes (X)$0$0$0
TRINETTE KAUI
Board of Director0.40.2Yes (X)$0$0$0
KEITH MATSUMOTO MD
Board of Director, Chair0.40.0Yes (X)Yes (X)$0$0$0
ELLIOT MILLS
Board of Director0.40.0Yes (X)$0$0$0
RICHARD WACKER
Board of Director, Vice Chair0.40.0Yes (X)Yes (X)$0$0$0
MARK YAMAKAWA
Board of Director0.40.0Yes (X)$0$0$0
MICHAEL YAMANE
Board of Director0.40.2Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$15,017,081TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$27,533TotReportableCompRltdOrgAmt
Total Other Compensation$6,458,400TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K270IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EPIC SYSTEMS CORP
PO BOX 88314MILWAUKEEWI532880314MEDICAL RECORD SYST.$4,924,186
PACXA
PO BOX 3347HONOLULUHI96801HW/SW MAINTENANCE$2,561,258
HEALTH CATALYST INC
3165 MILLROCK DR STE 400SALT LAKE CITYUT84121PROFESSIONAL SVCS.$1,884,203
ANTHOLOGY MARKETING GROUP
1003 BISHOP ST 9TH FLOORHONOLULUHI96813MARKETING SERVICES$1,729,350
Microsoft Services
One Microsoft WayREDMONDWA980526399COMPUTER SERVICES$1,533,126
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K72CntrctRcvdGreaterThan100KCnt
Related Organizations$3,860RelatedOrganizationsAmt
Government Grants$10,596,153GovernmentGrantsAmt
All Other Contributions$504,645AllOtherContributionsAmt
Total Contributions$11,104,658TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
ADMIN./MGMT. SERVICE TO TAX561000$178,969,832$178,335,364$634,468$0
HAWAI'I HEALTH PARTNERS561000$3,340,877$2,523,467$817,410$0
GRANT AND CLINICAL TRIALS900099$733,651$733,651$0$0
NET PATIENT REVENUE624190$357,447$357,447$0$0
CLINICAL TRIALS624190$447,054$447,054$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$183,848,861TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,269,581TotalRevenueColumnAmt
Unrelated Business Revenue-$207,943UnrelatedBusinessRevenueAmt
Exclusion$2,477,524ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$79,666,386SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$78,760,187SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$906,199SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$906,199TotalRevenueColumnAmt
Exclusion$906,199ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$198,129,299TotalRevenueColumnAmt
Related Or Exempt Func Income$182,396,983RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,243,935UnrelatedBusinessRevenueAmt
Exclusion$3,383,723ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$640,995TotalAmt
Program Services$640,995ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$13,529,526TotalAmt
Program Services$9,470,668ProgramServicesAmt
Management And General$4,058,858ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$989,030TotalAmt
Program Services$0ProgramServicesAmt
Management And General$989,030ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$84,414,746TotalAmt
Program Services$34,561,080ProgramServicesAmt
Management And General$48,316,505ManagementAndGeneralAmt
Fundraising$1,537,161FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$7,457,467TotalAmt
Program Services$4,256,076ProgramServicesAmt
Management And General$3,141,242ManagementAndGeneralAmt
Fundraising$60,149FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$9,990,089TotalAmt
Program Services$5,500,618ProgramServicesAmt
Management And General$4,207,904ManagementAndGeneralAmt
Fundraising$281,567FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$6,361,301TotalAmt
Program Services$3,339,286ProgramServicesAmt
Management And General$2,900,211ManagementAndGeneralAmt
Fundraising$121,804FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,661,876TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,661,876ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$187,871TotalAmt
Program Services$0ProgramServicesAmt
Management And General$187,871ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$57,600TotalAmt
Program Services$0ProgramServicesAmt
Management And General$57,600ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,018,156TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,018,156ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,215,020TotalAmt
Program Services$4,139,362ProgramServicesAmt
Management And General$9,069,023ManagementAndGeneralAmt
Fundraising$6,635FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,253,400TotalAmt
Program Services$252ProgramServicesAmt
Management And General$3,253,148ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$180,947TotalAmt
Program Services$126,018ProgramServicesAmt
Management And General$54,929ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$18,004,155TotalAmt
Program Services$12,313,868ProgramServicesAmt
Management And General$5,690,287ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,329,935TotalAmt
Program Services$3,017,594ProgramServicesAmt
Management And General$1,312,341ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$83,952TotalAmt
Program Services$56,252ProgramServicesAmt
Management And General$27,700ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$93,569TotalAmt
Program Services$58,720ProgramServicesAmt
Management And General$34,849ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,572,834TotalAmt
Program Services$1,553,064ProgramServicesAmt
Management And General$19,770ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$9,287,874TotalAmt
Program Services$9,139,373ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$148,501FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$87,021TotalAmt
Program Services$0ProgramServicesAmt
Management And General$87,021ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
PROGRAM SERVICE EXPENDITURES$10,097,727$10,097,727$0$0
OTHER PURCHASES$1,095,425$295,934$799,491$0
DUES$994,740$455,442$539,298$0
RECRUITMENT$260,882$14,539$246,343

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$3,761,278TotalAmt
Program Services$1,141,827ProgramServicesAmt
Management And General$2,629,211ManagementAndGeneralAmt
Fundraising-$9,760FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$193,627,416TotalAmt
Program Services$100,178,695ProgramServicesAmt
Management And General$91,302,664ManagementAndGeneralAmt
Fundraising$2,146,057FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$394,857,057BOYAmt
EOY$248,491,961EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,836,205BOYAmt
EOY$2,019,523EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$130,071BOYAmt
EOY$152,649EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$763,105BOYAmt
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$4,246,849BOYAmt
EOY$4,377,473EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$139,246,558LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$91,357,913LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$51,037,278BOYAmt
EOY$47,888,645EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$145,129,746BOYAmt
EOY$174,045,174EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$250,132,006BOYAmt
EOY$307,444,193EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$115,535,748BOYAmt
EOY$182,547,438EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$964,668,065BOYAmt
EOY$966,967,056EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$38,298,310BOYAmt
EOY$41,677,674EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$583,837,045BOYAmt
EOY$427,585,625EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$85,627,648BOYAmt
EOY$38,104,694EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$707,763,003BOYAmt
EOY$507,367,993EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$243,065,759BOYAmt
EOY$443,397,646EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,839,303BOYAmt
EOY$16,201,417EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$256,905,062BOYAmt
EOY$459,599,063EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$964,668,065BOYAmt
EOY$966,967,056EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$4,501,883ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$83,177,672NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$115,014,446OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type3 Func IntYes (X)SupportingOrgType3FuncIntInd
Supported Organizations5SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp (5 entries)

EINEINOrganization TypeOrganizationTypeCdGoverning Document ListedGoverningDocumentListedIndSupportSupportAmtOther SupportOtherSupportAmt
KAUA'I MEDICAL CLINIC
9903260993Yes (true)$2,000,000$0
KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN
9901773503Yes (true)$0$0
WILCOX MEMORIAL HOSPITAL
9900743653Yes (true)$0$0
PALI MOMI MEDICAL CENTER
9902740383Yes (true)$0$0
STRAUB CLINIC & HOSPITAL
9121516703Yes (true)$0$0
FieldValueIRS element (for citing)
Supported Organizations Total5SupportedOrganizationsTotalCnt
Support Sum$2,000,000SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (true)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationfalseSuprtOrgNoIRSDeterminationInd
Supported Org Section C456falseSupportedOrgSectionC456Ind
Supported Org Not Organized USfalseSupportedOrgNotOrganizedUSInd
Organization Change Suprt OrgfalseOrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (true)SupportNonSupportedOrgInd
Payment Substantial ContribtrfalsePaymentSubstantialContribtrInd
Loan Disqualified PersonfalseLoanDisqualifiedPersonInd
Controlled Disqualified PrsnfalseControlledDisqualifiedPrsnInd
Disqualified Prsn Controll IntfalseDisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr IntfalseDisqualifiedPrsnOwnrIntInd
Excess Business Holdings RulesfalseExcessBusinessHoldingsRulesInd
Contribution ControllerfalseContributionControllerInd
Contribution FamilyfalseContributionFamilyInd
Contribution35 ControlledfalseContribution35ControlledInd

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

FieldValueIRS element (for citing)
Timely Provided DocumentsYes (true)TimelyProvidedDocumentsInd
Officers Close RelationshipYes (true)OfficersCloseRelationshipInd
Supported Org Voice InvestmentYes (true)SupportedOrgVoiceInvestmentInd

Form990 Sch A Type3 Func Int Form990SchAType3FuncIntGrp

FieldValueIRS element (for citing)
Parent Supported OrgYes (X)ParentSupportedOrgInd
Appoint Elect Majority OfficerYes (true)AppointElectMajorityOfficerInd
Exercise Direction PoliciesYes (true)ExerciseDirectionPoliciesInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A, PART I, LINE 12G, COLUMN (VI)SUPPORTED ORGANIZATIONS HAWAI'I PACIFIC HEALTH ('HPH') IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND HAS THE RIGHT TO PARTICIPATE IN THE SUPPORTED ORGANIZATIONS' GOVERANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE SUPPORTED ORGANIZATIONS' GOVERNING BOARD.
SCHEDULE A, PART IV, SECTION A, LINE 6additional supported organizations HAWAI'I PACIFIC HEALTH'S DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)(3) ORGANIZATIONS ON BEHALF OF ITS SUPPORTED ORGANIZATIONS.
SCHEDULE A, PART IV, SECTION D, LINE 3Role of the supported organizations Five BOARD MEMBERS OF HAWAI'I PACIFIC HEALTH ('HPH') ALSO SERVE AS DIRECTORS FOR THE SUPPORTED ORGANIZATIONS. THEREFORE HPH'S SUPPORTED ORGANIZATIONS HAD A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME OR ASSETS AT ALL TIMES DURING THE YEAR.
SCHEDULE A, PART IV, SECTION E, LINE 3Apower of appointment HAWAI'I PACIFIC HEALTH ('HPH') IS THE SOLE MEMBER WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD FOR EACH OF ITS SUPPORTED ORGANIZATIONS.
SCHEDULE A, PART IV, SECTION E, LINE 3Bdegree of direction over the policies, programs, and activities of support organizations HAWAI'I PACIFIC HEALTH ('HPH') IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND HAS THE RIGHT TO PARTICIPATE IN THE SUPPORTED ORGANIZATIONS' GOVERNANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE SUPPORTED ORGANIZATIONS' GOVERNING BOARD.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Publications Or Broadcast$0PublicationsOrBroadcastAmt
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Grants Other Organizations$0GrantsOtherOrganizationsAmt
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Rallies Demonstrations$0RalliesDemonstrationsAmt
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$57,600OtherActivitiesAmt
Total Lobbying Expenditures$57,600TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind
Form4720 Filed4912 TaxfalseForm4720Filed4912TaxInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1IFormAndLineReferenceDesc
ExplanationLOBBYING ACTIVITY A REGISTERED LOBBYIST (CYNTHIA NAKAMURA) PROVIDES GENERAL ADVICE ON LEGISLATIVE ACTIVITIES INCLUDING INFORMATION AND INSIGHT ON LEGISLATIVE ACTIONS THAT MAY BE OF INTEREST TO HAWAI'I PACIFIC HEALTH ('HPH'). THE INDIVIDUAL ALSO PROVIDES GUIDANCE AND INSIGHT ON HOW TO NEGOTIATE THROUGH THE LEGISLATIVE PROCESS WHEN TRYING TO PASS LEGISLATION AS WELL AS INFORMATION AND INSIGHT ON THE GENERAL ACTIVITIES OF WHAT'S HAPPENING AT THE LEGISLATURE. THE INDIVIDUAL DOES SPEAK TO LEGISLATORS, SOMETIMES ON BEHALF OF LEGISLATION OR ISSUES IN WHICH HPH HAS AN INTEREST. THE INDIVIDUAL ALSO HAS AN INPUT ON HPH'S OVERALL LEGISLATIVE/COMMUNITY COMMUNICATION PLAN BUT DOES NOT SEND MAILINGS OUT TO LEGISLATORS OR THE PUBLIC ON HPH'S BEHALF. PUBLIC POLICY HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO OFFER THOUGHTFUL AND INNOVATIVE INPUT TO LAWMAKERS REGARDING HEALTH CARE POLICY AND LEGISLATION. HAWAI'I PACIFIC HEALTH LEADERS ADVOCATE FOR LEGISLATIVE REFORM AND REGULATORY ENHANCEMENTS FOR VARIOUS HEALTH CARE INDUSTRY ISSUES RANGING FROM RETAINING PHYSICIANS IN THE STATE TO PROVIDING STABILITY FOR HEALTH CARE PROVIDERS.ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$24,569AssetsIncludedAmt
FieldValueIRS element (for citing)
Held Works ArtHeldWorksArtGrp
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets SalefalseSolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,631,036BeginningYearBalanceAmt
Other Expenditures$254,216OtherExpendituresAmt
End Year Balance$12,376,820EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,942,804BeginningYearBalanceAmt
Other Expenditures$311,768OtherExpendituresAmt
End Year Balance$12,631,036EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,215,382BeginningYearBalanceAmt
Other Expenditures$272,578OtherExpendituresAmt
End Year Balance$12,942,804EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,167,545BeginningYearBalanceAmt
Other Expenditures-$47,837OtherExpendituresAmt
End Year Balance$13,215,382EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,993,890BeginningYearBalanceAmt
Other Expenditures-$173,655OtherExpendituresAmt
End Year Balance$13,167,545EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY1.00000BoardDesignatedBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgfalseEndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$14,981,997OtherCostOrOtherBasisAmt
Book Value$14,981,997BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,067,147OtherCostOrOtherBasisAmt
Depreciation$1,681,886DepreciationAmt
Book Value$1,385,261BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,921,815OtherCostOrOtherBasisAmt
Depreciation$8,594,545DepreciationAmt
Book Value$1,327,270BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$107,940,185OtherCostOrOtherBasisAmt
Depreciation$81,081,482DepreciationAmt
Book Value$26,858,703BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,335,414OtherCostOrOtherBasisAmt
Book Value$3,335,414BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$47,888,645TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$47,090,942BookValueAmt
Method ValuationFMethodValuationCd

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
LIMITED PARTNERSHIP$251,088,058F
HPH BOARD DESIGNATED$7,265,193F
INVESTMENT IN TRUVETA$2,000,000F
FieldValueIRS element (for citing)
Total Book Value Securities$307,444,193TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (24 entries)

DescDescBook ValueBookValueAmt
BENEFICIAL INETREST- FDN ASSET$91,799,961
NOTE RECEIVABLE HPHPI$26,938,000
DUE FROM HPHMG$14,269,187
PREPAID PENSION$11,375,832
OTHER RECEIVABLES$10,144,325
RIGHT OF USE ASSETS OPERATING$9,944,922
DEFFERED CHARGES - TK57$8,346,177
DEFFERED CHARGES - RETIREMENT$2,018,171
PROVIDER'S INSURANCE CORP.$1,826,221
INVESTMENT LIFE INSURANCE CSV$1,605,206
RIGHT OF USE ASSETS FINANCE$1,383,946
COST OF INSURANCE$1,348,090
DUE FROM KAUA'I MEDICAL CENTER$615,573
DUE FROM KAPI'OLANI HLTH. FDN.$214,886
DUE FROM HPHPI$190,924
DUE FROM STRAUB FOUNDATION$158,678
DUE FROM WILCOX FOUNDATION$136,197
DUE FROM HONOLULU SURGERY CTR.$73,821
DUE FROM PALI MOMI FDN.$71,154
DEFFERED CHARGES - LEASE/DEP$42,811
ARTWORK$24,569
DUE FROM KEAHONUIOKALANI$10,674
DUE FROM HICORD, INC.$5,145
ESCHEAT$2,968
FieldValueIRS element (for citing)
Total Book Value Other Assets$182,547,438TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (18 entries)

DescDescAmtAmt
LT LEASE LIABILTIY-OPERATING$10,306,073
OTHER LONG TERM LIABILITIES$9,589,133
DUE TO KAPI'OLANI MED. SPECIALISTS$7,748,270
CURRENT PORTION OF CAPITAL LEASE$1,775,930
DEFFERED PAYROLL TAXES$1,452,357
DUE TO HPHMG$1,441,183
LT LEASE LIABILTIY-FINANCE$1,099,427
DUE TO WILCOX$869,962
DUE TO PALI MOMI MED. CTR.$787,211
DUE TO KAUA'I MEDICAL CLINIC$659,463
DUE TO STRAUB CLINIC & HOSPITAL$579,133
UH JOBSOM SCHOLARSHIP PLEDGE$549,937
ST LEASE LIABILTIY-FINANCE$442,505
LT FEDERAL EXCISE TAX$306,250
STALE DATED AP CHECKS$285,646
DEFFERED RENT LIABILITY$175,863
DUE TO KAUA'I MEDICAL CLINIC$36,352
ROUNDING-$1
FieldValueIRS element (for citing)
Total Liability$38,104,694TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART III, LINE 4ORGANIZATION'S ART COLLECTION HAWAI'I PACIFIC HEALTH'S ('HPH') COLLECTION OF ARTWORK INCLUDES PAINTINGS AND SIMILAR WORKS THAT ARE DISPLAYED IN PUBLIC WAITING AREAS TO FURTHER ITS MISSION OF CREATING A HEALTHIER HAWAI'I.
SCHEDULE D, PART X, LINE 2Uncertain Tax Positions Audited Financial Statement Footnote The Company has not recorded any expense or accrued for any related expense for any uncertain tax positions. The company's 2017 through 2020 tax years remain subject to examination for federal income tax purposes, whereas the 2016 through 2020 tax years remain subject to examination for state taxing jurisdictions in which the Company operates.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (2 entries)

RegionRegionTxtType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmt
Central America and the CaribbeanInvestments$104,994,306
Europe (Including Iceland and Greenland)Investments$7,000,000
FieldValueIRS element (for citing)
Subtotal Spent$111,994,306SubtotalSpentAmt
Total Spent$111,994,306TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE F, PART IVFormAndLineReferenceDesc
ExplanationFOREIGN INVESTMENTS THE INVESTMENT COMMITTEE OF HAWAI'I PACIFIC HEALTH HAS CHOSEN TO DIVERSIFY ITS INVESTMENT PORTFOLIO, INCLUDING CERTAIN ALTERNATIVE INVESTMENTS THAT ARE ESTABLISHED AS PARTNERSHIPS. THESE PARTNERSHIPS ARE NOT-OPERATING ENTITIES. HAWAI'I PACIFIC HEALTH'S DIRECT INVESTMENT IS MADE IN PARTNERSHIPS, AND THESE ENTITIES MAY MAKE UNDERLYING INVESTMENTS IN OTHER CERTAIN FOREIGN PARTNERSHIPS AND/OR CORPORATIONS.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
GREAT ALOHA RUN
418 KUWILI STREET STE 102HONOLULUHI96817990314751501(c)(3)$150,000$0GENERAL SUPPORT
HAWAI'I COMMUNITY FOUNDATION
827 FORT STREET MALLHONOLULUHI96813990261283501(c)(3)$150,000$0GENERAL SUPPORT
BIKESHARE HAWAI'I
914 ALA MOANA BLVDHONOLULUHI96814464561541501(c)(3)$90,000$0GENERAL SUPPORT
AMERICAN HEART ASSN
677 ALA MOANA BLVDHONOLULUHI96813135613797501(c)(3)$72,000$0GENERAL SUPPORT
HEALTHCARE ASSOCIATION OF HAWAI'I
707 RICHARDS ST PH2HONOLULUHI96813990105817501(c)(3)$26,250$0GENERAL SUPPORT
UH FOUNDATION
2444 DOLE ST 105HONOLULUHI96822990085260501(c)(3)$23,667$0GENERAL SUPPORT
AMERICAN RED CROSS
4155 DIAMOND HEAD ROADHONOLULUHI96816530196605501(c)(3)$18,000$0GENERAL SUPPORT
HAWAI'I PUBLIC HEALTH INSTITUTE
850 RICHARDS STREET STE 201HONOLULUHI96813680637054501(c)(3)$18,000$0GENERAL SUPPORT
HONOLULU MUSEUM OF ART
900 SOUTH BERETANIA STHONOLULUHI96814990079713501(c)(3)$10,500$0GENERAL SUPPORT
AFTER SCHOOL ALL STAR
4747 KILAUEA AVE STE 210HONOLULUHI96816274604870501(c)(3)$10,000$0GENERAL SUPPORT
GIFT FOUNDATION OF HAWAI'I
1288 ALA MOANA BLVD STE 201HONOLULUHI96814300266316501(c)(3)$10,000$0GENERAL SUPPORT
MARCH OF DIMES
1580 MAKALOA STREET STE 1200HONOLULUHI96814131846366501(c)(3)$8,000$0GENERAL SUPPORT
HAWAI'I APPLESEED CENTER
733 BISHOP STREETHONOLULUHI96813760748976501(c)(3)$8,000$0GENERAL SUPPORT
BOYS AND GIRLS CLUB OF HAWAI'I
1000 BISHOP ST STE 505HONOLULUHI96813996005407501(c)(3)$7,000$0GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org14Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (38 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
RAYMOND P VARA JR
Board of Dir, President & CEO$1,110,173$0$372,487$0$719,150$0$2,558,309$0$26,194$0$4,786,313$0$593,274$0
DAVID OKABE
EVP, CFO & Treasurer$553,990$0$132,543$0$259,799$0$362,800$0$15,096$0$1,324,228$0$224,487$0
MARTHA SMITH
VP (Part Year)$564,852$0$138,435$0$173,452$0$292,175$0$15,896$0$1,184,810$0$182,195$0
ARTHUR GLADSTONE
EVP & CSO$516,857$0$128,098$0$171,355$0$285,469$0$23,918$0$1,125,697$0$195,252$0
CHARLES R CHING
EVP, Gen. Counsel & Secretary$436,925$0$104,835$0$229,141$0$262,171$0$20,008$0$1,053,080$0$164,297$0
GAIL LERCH
Former Officer$448,776$0$107,316$0$186,247$0$294,796$0$9,718$0$1,046,853$0$176,006$0
STEVEN ROBERTSON
EVP & CIO$450,338$0$108,006$0$188,448$0$276,365$0$15,796$0$1,038,953$0$172,460$0
MELINDA ASHTON MD
EVP & CQO$467,643$0$111,972$0$141,224$0$233,089$0$15,600$0$969,528$0$169,135$0
JENNIE CHAHANOVICH
EVP$381,818$0$99,404$0$179,058$0$215,398$0$12,698$0$888,376$0$133,412$0
LESLIE CHUN MD
EVP$532,633$0$83,827$0$48,017$0$90,427$0$23,629$0$778,533$0$0$0
RODNEY WILLIAMS MD
CMO - SCH$245,576$0$51,984$0$281,823$0$83,641$0$13,016$0$676,040$0$47,219$0
GERARD LIVAUDAIS MD
EVP$410,238$0$78,825$0$34,082$0$108,525$0$15,389$0$647,059$0$71,310$0
DOUGLAS KWOCK MD
VP$407,043$0$48,037$0$36,984$0$73,862$0$22,109$0$588,035$0$45,958$0
KENNETH B ROBBINS MD
Former Officer$255,484$0$0$0$90,586$0$165,414$0$14,951$0$526,435$0$219,481$0
TRAVIS CLEGG
COOO - SCH$336,184$0$49,405$0$20,722$0$71,416$0$24,679$0$502,406$0$0$0
GIDGET RUSCETTA RN
COO - KMCWC$317,467$0$51,840$0$35,002$0$80,642$0$14,051$0$499,002$0$48,845$0
DAWN DUNBAR
SVP$299,741$0$57,822$0$35,875$0$81,124$0$23,823$0$498,385$0$65,358$0
WARREN CHAIKO
SVP$268,426$0$52,369$0$54,937$0$84,038$0$26,568$0$486,338$0$59,768$0
MAVIS NIKAIDO
System CNE$298,793$0$38,843$0$33,425$0$70,062$0$7,371$0$448,494$0$40,312$0
SUSAN MASUMOTO-NONAKA
VP$278,475$0$39,915$0$46,239$0$71,170$0$10,271$0$446,070$0$45,567$0
BRANDT FARIAS
SVP (PART YEAR)$249,279$0$47,553$0$30,552$0$76,212$0$9,732$0$413,328$0$50,819$0
ANDY LEE MD
MEDICAL DIRECTOR - HHP$302,715$0$31,200$0$24,934$0$21,375$0$23,872$0$404,096$0$0$0
MICHAEL ROBINSON
VP$266,844$0$38,177$0$22,458$0$64,458$0$9,732$0$401,669$0$44,010$0
BRIGITTE MCKALE
VP/CNE - PMMC$258,755$0$30,524$0$25,438$0$61,466$0$13,876$0$390,059$0$28,920$0
BEAU NAKAMOTO MD
Board of Director$0$161,849$0$5,738$0$176,122$0$11,400$0$150$0$355,259$0$0
EARL INOUYE
Former Officer$201,366$0$40,705$0$43,074$0$67,586$0$1,944$0$354,675$0$46,925$0
JAMES LIN MD
VP$235,544$26,603$18,953$0$31,194$930$39,945$2,275$21,768$2,015$347,404$31,823$0$0
DAVID STUMBAUGH
VP$217,152$0$31,699$0$17,488$0$56,827$0$22,589$0$345,755$0$34,835$0
LORRIE-ANN LUKE
VP$211,025$0$30,832$0$17,998$0$57,735$0$25,176$0$342,766$0$34,527$0
WILLIAM BURKE
VP$237,450$0$16,427$0$23,154$0$43,960$0$16,671$0$337,662$0$0$0
SUNSHINE TOPPING
SVP$261,580$0$0$0$27,699$0$0$0$21,615$0$310,894$0$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 & Controller$195,857$0$17,756$0$17,265$0$41,055$0$12,358$0$284,291$0$0$0
KATIE SHIGEMITSU
Compliance Officer$221,265$0$0$0$3,421$0$23,435$0$14,690$0$262,811$0$0$0
ALAN ITO
Information Security Officer$185,591$0$13,070$0$1,612$0$21,083$0$14,293$0$235,649$0$0$0
MARK MAGELSSEN MD
Board of Director$0$177,463$0$279$0$18,394$0$7,195$0$12,976$0$216,307$0$0
JESSICA LEWIS
Assistant Corporate Secretary$170,876$0$0$0$0$0$15,118$0$25,286$0$211,280$0$0$0
DAVID FOX
Privacy Officer (Part Year)$160,526$0$0$0$3,089$0$16,325$0$15,781$0$195,721$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, SCHEDULE J, PART I, LINE 1AHEALTH AND SOCIAL CLUB DUES HEALTH/SOCIAL CLUB DUES WERE PAID FOR SIX OFFICERS OF THE ORGANIZATION. ALL AMOUNTS HAVE BEEN INCLUDED IN THE INDIVIDUAL'S FORM W-2 AS TAXABLE INCOME. HOUSING ALLOWANCE/RESIDENCE FOR PERSONAL USE HOUSING ALLOWANCES WERE PAID FOR ONE OFFICER OF THE ORGANIZATION. ALL AMOUNTS HAVE BEEN INCLUDED IN THE INDIVIDUALS FORM W-2 AS TAXABLE INCOME.
FORM 990, SCHEDULE J, PART I, LINE 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE RESTORATION PLAN WAS DESIGNED TO RESTORE BENEFITS THAT ARE LOST DUE TO LIMITS IMPOSED BY SECTIONS 401 AND 415 OF THE INTERNAL REVENUE CODE ON COMPENSATION CONSIDERED UNDER SUCH PLANS. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: 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 THE ORGANIZATION: 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 DAVID STUMBAUGH - $31,700 LORRIE-ANN LUKE - $30,832 BRIGITTE MCKALE - $30,524 JAMES LIN, M.D. - $18,581 CARRIE ANN TSUTSUI - $17,756 WILLIAM BURKE - $16,427 RETENTION INCENTIVE PLAN THE RETENTION INCENTIVE PLAN WAS DESIGNED TO ENCOURAGE CONTINUED INTEREST IN THE SUCCESS OF THE ORGANIZATION AND PROVIDE COMPETITIVE RETIREMENT BENEFITS. THE SOLE PLAN PARTICIPANT IS HAWAI'I PACIFIC HEALTH'S CHIEF EXECUTIVE OFFICER, RAYMOND P. VARA JR. THE PLAN DOES NOT REPLACE THE ANNUAL AND LONG-TERM INCENTIVE PLAN NOR THE SERP RESTORATION PLAN. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR - $1,015,000

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
STATE OF HAWAI'I - DEPARTMENT OF BUDGET & FINANCE
A990266961419800JX62013-10-03$159,059,332SEE PART VIfalsefalsefalse
STATE OF HAWAI'I - DEPARTMENT OF BUDGET & FINANCE
B9902669612019-05-15$48,079,910SEE PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$14,475,000$0$159,068,477$0$14,284,839$0$1,995,112$0$0$106,439,766$36,348,760$02016Yes (true)falseYes (true)Yes (true)
B$3,241,590$0$48,079,910$0$0$0$493,599$0$0$0$47,586,311$02019Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.001600.000000.00160falseYes (true)0.01540Yes (true)
BfalseYes (true)Yes (true)Yes (true)Yes (true)Yes (true)0.004300.00430falseYes (true)0.27000Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, COLUMN FDESCRIPTION OF PURPOSE OF TAX EXEMPT BONDS LINE A SERIES 2013-A IS NEW MONEY TO FUND THE Kapi'olani EXPANSION OF NEONATAL AND PEDIATRIC INTENSIVE CARE UNITS AND OTHER CLINICAL SERVICES. SERIES 2013-B IS REFUNDING SERIES 1998 BONDS ISSUED ON 04/08/1998 AND SERIES 2004-A BONDS ISSUED ON 01/14/2004. LINE B TO REFUND SERIES 2013-C BOND ISSUED 10/03/2013. SCHEDULE K, PART II, LINE 3 DIFFERENCE BETWEEN ISSUE PRICE AND TOTAL PROCEEDS THE DIFFERENCE IN ISSUE PRICE AND TOTAL PROCEEDS OF ISSUE IS DUE TO INVESTMENT EARNINGS.
DATE OF REBATE COMPUTATIONSCHEDULE K, PART IV, LINE 2C COLUMN A - 2013-AB - 01/10/2017 COLUMN B - 2019 - 07/10/2020

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1DESCRIPTION OF ORGANIZATION'S MISSION HAWAI'I PACIFIC HEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM, AND ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS AND PRIVATE EMPLOYERS. HAWAI'I PACIFIC HEALTH'S MISSION IS TO CREATE A HEALTHIER HAWAI'I.
FORM 990, PART III, LINE 4PROGRAM SERVICE ACCOMPLISHMENTS OUTPATIENT OPERATING ROOMS IN FISCAL YEAR 2021, HAWAI'I PACIFIC HEALTH 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. HAWAI'I PACIFIC HEALTH HOSPITALS PERFORMED A TOTAL OF 13,449 OUTPATIENT SURGERIES. KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN (KAPI'OLANI) IS THE ONLY HOSPITAL IN THE STATE PROVIDING DA VINCI ROBOT-AIDED PEDIATRIC SURGERY. THE ROBOT ALSO IS USED FOR GYNECOLOGICAL SURGICAL SERVICES. IN FISCAL YEAR 2021, KAPI'OLANI PERFORMED 4,341 PEDIATRIC AND ADULT OUTPATIENT SURGERIES. PALI MOMI MEDICAL CENTER'S (PALI MOMI) OPERATING ROOM FEATURES A FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITE EQUIPPED WITH THE DA VINCI ROBOT-AIDED SURGICAL SYSTEM, AND PERFORMED 3,657 OUTPATIENT SURGERIES. STRAUB CLINIC AND HOSPITAL (STRAUB) HAS INTEGRATED OUTPATIENT SURGERY AND PERFORMED 3,872 OUTPATIENT SURGERIES. WILCOX MEMORIAL HOSPITAL (WILCOX) HAS A STATE-OF-THE-ART SURGICAL CENTER AND PERFORMED 3,369 OUTPATIENT SURGERIES. OUTPATIENT EMERGENCY ROOMS IN FISCAL YEAR 2021, HAWAI'I PACIFIC HEALTH HOSPITALS HAD 91,513 OUTPATIENT ER VISITS AND SPENT $53,537,856 IN DIRECT EXPENSES FOR OUTPATIENT ER SERVICES, AS PART OF OUR MISSION TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. THE KAPI'OLANI ER HAD 24,333 OUTPATIENT ER VISITS, THE PALI MOMI ER HAD 33,857 OUTPATIENT ER VISITS, THE STRAUB ER HAD 25,894 OUTPATIENT ER VISITS, AND THE WILCOX ER HAD 17,591 OUTPATIENT ER VISITS. PEDIATRIC-NEONATAL SERVICES IN FISCAL YEAR 2021, HAWAI'I PACIFIC HEALTH SPENT $50,376,770 IN DIRECT EXPENSES FOR PEDIATRIC-NEONATAL SERVICES, AS PART OF OUR COMMITMENT TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. THESE SERVICES WERE PROVIDED PRIMARILY AT KAPI'OLANI AND WILCOX FOR A TOTAL OF 3,774 PATIENTS. KAPI'OLANI IS RECOGNIZED AS HAWAI'I'S ONLY FULL-SERVICE SPECIALTY HOSPITAL FOR CHILDREN, AND ALSO PROVIDES CARE FOR PEDIATRIC PATIENTS THROUGHOUT THE PACIFIC REGION. IT HAS THE ONLY OPEN INTENSIVE CARE UNITS IN HAWAI'I TO TREAT CRITICALLY-ILL CHILDREN AND INFANTS. IN FISCAL YEAR 2021, KAPI'OLANI PROVIDED SPECIALIZED CARE FOR 3,628 PEDIATRIC-NEONATAL PATIENTS. WILCOX PROVIDES PREVENTIVE CARE AND TREATMENT SERVICES TO MEET THE HEALTH NEEDS OF KAUA'I'S CHILDREN. IN FISCAL YEAR 2021, WILCOX PROVIDED SPECIALIZED CARE FOR 146 PEDIATRIC-NEONATAL PATIENTS. OTHER PROGRAM SERVICES HAWAI'I RESIDENTS AND VISITORS RELY ON HAWAI'I PACIFIC HEALTH FOR ITS FULL RANGE OF PRIMARY, SECONDARY AND SELECT TERTIARY CARE SERVICES. IT IS ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS WITH FOUR MEDICAL CENTERS, MORE THAN 70 LOCATIONS, 1,500+ AFFILIATED PHYSICIANS AND MORE THAN 7,000 FULL AND PART-TIME EMPLOYEES, AS WELL AS HUNDREDS OF COMMUNITY VOLUNTEERS. IN FISCAL YEAR 2021, THE MEDICAL CENTERS ADMITTED 28,355 PATIENTS. IN ADDITION, PALI MOMI CLINICS HAD 63,168 PATIENT CLINIC ENCOUNTERS, STRAUB CLINICS HAD 998,249 PATIENT CLINIC ENCOUNTERS, KAUA'I MEDICAL CLINIC HAD 261,667 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 FOR WOMEN AND CHILDREN. 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 AND COMPREHENSIVE CANCER CENTER, MINIMALLY INVASIVE BONE & JOINT CENTERS, THE STATE'S FIRST WOMEN'S CENTER, THE 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 VARIOUS FACILITIES IN PEDIATRICS, ONCOLOGY, OPHTHALMOLOGY AND CARDIOLOGY. PUBLIC POLICY HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO OFFER THOUGHTFUL AND INNOVATIVE INPUT TO LAWMAKERS REGARDING HEALTH CARE POLICY AND LEGISLATION. HAWAI'I PACIFIC HEALTH LEADERS ADVOCATE FOR LEGISLATIVE REFORM AND REGULATORY ENHANCEMENTS FOR VARIOUS HEALTH CARE INDUSTRY ISSUES RANGING FROM RETAINING PHYSICIANS IN THE STATE TO PROVIDING STABILITY FOR HEALTH CARE PROVIDERS. OTHER HAWAI'I PACIFIC HEALTH MEDICAL CENTERS TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS A SAFETY NET PROVIDER OF HEALTH CARE FOR THE COMMUNITY. AN ESTABLISHED CHARITY CARE POLICY SETS GUIDELINES BY WHICH IT IS DETERMINED IF PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. HAWAI'I PACIFIC HEALTH CONTRIBUTES MORE THAN $1 BILLION TO THE STATE ECONOMY EACH YEAR, SUPPORTING ITS MORE THAN 7,000 EMPLOYEES, THEIR FAMILIES, AND MANY BUSINESSES THROUGH PURCHASES MADE BY ITS MEDICAL CENTERS AND CLINICS.
FORM 990, PART VI, SECTION B, LINE 11BREVIEW OF THE FORM 990 BY THE ORGANIZATION'S GOVERNING BODY VARIOUS SCHEDULES OF THE FORM 990 ARE PREPARED BY STAFF WITHIN THE ACCOUNTING AREA OF THE ORGANIZATION WORKING WITH VARIOUS OTHER AREAS OF THE ORGANIZATION SUCH AS MANAGEMENT OF THE OPERATING UNITS, HR, LEGAL, ETC. DISCLOSURE NARRATIVES ARE WRITTEN AND COMPILED INTERNALLY BASED ON INPUT AND DISCUSSION WITH FINANCIAL ANALYSTS AND THE CHIEF OPERATING OFFICER/EXECUTIVE DIRECTOR OF THE REPORTING ENTITY. THE CHIEF OPERATING OFFICER/EXECUTIVE DIRECTOR OF EACH REPORTING ENTITY REVIEWS AND APPROVES THE DISCLOSURE NARRATIVES WHICH DESCRIBES THE MISSION/PURPOSE AND PROGRAM ACCOMPLISHMENTS OF THEIR ORGANIZATION. SENIOR MANAGEMENT OF THE HEALTH CARE SYSTEM REVIEWS THE FORM 990 OF EACH FILING ORGANIZATION WITHIN THE HEALTH CARE SYSTEM. ONCE SENIOR MANAGMENT HAS COMPLETED ITS REVIEW, THE FORMS 990 ARE THEN PROVIDED TO THE GOVERNANCE AND NOMINATING COMMITTEE OF THE HEALTH CARE SYSTEM'S BOARD OF DIRECTORS FOR THEIR REVIEW. THE GOVERNANCE AND NOMINATING COMMITTEE OF THE PARENT ENTITY'S (HAWAI'I PACIFIC HEALTH "HPH") BOARD PROVIDES OVERSIGHT FOR THE FORM 990 REPORTING AND REVIEWS THE FORM 990 FOR EACH ENTITY PRIOR TO FILING. IN ADDITION, THE FORM 990 FOR EACH ENTITY IS MADE AVAILABLE TO THE BOARD MEMBERS OF EACH SUBSIDIARY UNIT OF HPH AND THE HPH BOARD OF DIRECTORS THROUGH A BOARD MEMBER PORTAL FOR REVIEW PRIOR TO THE FILING OF THE FORM 990. THE FORMS 990 WILL BE POSTED TO HPH'S WEBSITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURNS WITH THE IRS.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING & ENFORCEMENT OF CONFLICT OF INTEREST POLICY ANNUALLY, EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) RECEIVED A COPY OF THE COI POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) HAS DISCLOSED ANY CONFLICTS OR POTENTIAL CONFLICTS OR ECONOMIC INTERESTS AS REQUIRED; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE IN-HOUSE LEGAL DEPARTMENT DISTRIBUTES THE STATEMENT REQUEST AND REVIEWS THE COI STATEMENTS RETURNED. IDENTIFIED CONFLICTS OF INTEREST ARE PRESENTED TO THE BOARD FOR REVIEW, DELIBERATION AND CONFIRMATION/REFUTATION THAT A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST HAS BEEN FOUND, THE INDIVIDUAL MAY ADDRESS THE BOARD AND EXPLAIN THE TRANSACTION OR ARRANGEMENT CAUSING THE CONFLICT. AFTER THE PRESENTATION, THE INDIVIDUAL IS EXCUSED FROM THE MEETING AND SHALL NOT PARTICIPATE WITH ANY DISCUSSION OR VOTE ON MATTERS PERTAINING TO THE TRANSACTION OR ARRANGEMENT. IN MEETINGS WHERE APPLICATION OF THE COI POLICY OCCURS, THE MEETING MINUTES INCLUDE NATURE OF THE FINANCIAL INTEREST/CONFLICT, NAME(S) OF THE PERSON(S) WITH THE POTENTIAL OR ACTUAL CONFLICT, ANY ACTION TAKEN TO ASSIST IN THE DETERMINATION OF WHETHER A CONFLICT EXISTED, INCLUDING ANY DISCUSSION OF ALTERNATIVE ARRANGEMENTS, THE BOARD'S DECISION(S) REGARDING THE CONFLICT AND NAMES OF PERSON PRESENT IN THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINES 15A & 15BPROCESS OF DETERMINING COMPENSATION COMPENSATION FOR HPH EXECUTIVES IS SET BY THE INDEPENDENT BOARD MEMBERS OF THE HAWAI'I PACIFIC BOARD'S COMPENSATION COMMITTEE. ON AN ANNUAL BASIS THE HPH BOARD CHAIRPERSON (WHO IS INDEPENDENT) SELECTS A NEUTRAL THIRD PARTY EXECUTIVE COMPENSATION CONSULTANT TO REVIEW THE EXECUTIVE'S COMPENSATION AND BENEFITS. THE CONSULTANT PROVIDES A WRITTEN REPORT TO THE COMPENSATION COMMITTEE AT ITS ANNUAL MEETING. INCLUDED IN THE REPORT IS MARKET BASED DATA FROM LIKE ORGANIZATIONS. THE COMPENSATION COMMTTIEE MAKES A FINAL DECISIONS REGARDING COMPENSATION AND BENEFITS AT THE MEETING AFTER REVIEW AND DISCUSSION OF THE CONSULTANT'S REPORT. COMMUNITY BASED DIRECTORS OF THE ORGANIZATION ARE NOT COMPENSATED. CERTAIN EMPLOYED PHYSICIANS MAY BE OFFICERS OR AN IDENTIFIED KEY EMPLOYEE OF THE REPORTING OR RELATED ORGANIZATION. PHYSICIAN COMPENSATION IS ALSO HANDLED IN THE SAME MANNER AS EXECUTIVE COMPENSATION, WITH THE HPH COMPENSATION COMMITTEE RECEIVING A REPORT FROM A NEUTRAL CONSULTANT AND FOLLOWING THE SAME PROCESS AS DESCRIBED ABOVE ON AN ANNUAL BASIS. THIS PROCESS WAS MOST RECENTLY COMPLETED ON MARCH 09, 2021 TO REVIEW PHYSICIAN COMPENSATION AND ON JULY 28, 2021 TO REVIEW EXECUTIVE COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19DISCLOSURE OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS DISCLOSURE OF GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND STANDARDS OF CONDUCT ARE AVAILABLE ON THE HAWAI'I PACIFIC HEALTH WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATAEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE.
FORM 990, PART XI, LINE 9other changes in net assets OBLIGATED GROUP INTERCOMPANY TRANFERS $128,115,327 PENSION AND POST RETIREMENT ADJUSTMENTS $56,910,554 CHANGE IN INTEREST IN KHF AND WHF $18,634,536 EQUITY OF UNCONSOLIDATED SUBS $4,926,357 CHANGE IN SWAP $904,260 NON CONTROLLING INTEREST $(119,565) EQUITY TRANSFERS WITH AFFILIATES $(94,357,023) --------------- TOTAL $115,014,446

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Hawai'i Health PartnersBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 Merchant Street 24th FloorAddressLine1Txt
CityHonoluluCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
EIN352480297EIN
Primary ActivitiesHEALTHCAREPrimaryActivitiesTxt
Legal Domicile StateHILegalDomicileStateCd
Total Income$5,197,558TotalIncomeAmt
End Of Year Assets$11,014,851EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HPHBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
KAPI'OLANI MED CTR FOR WOMEN & CHILDREN
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990274038HOSPITALHI501(c)(3)3HPHYes (true)
STRAUB CLINIC & HOSPITAL
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813912151670HOSPITALHI501(c)(3)3hphYes (true)
PALI MOMI FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813383840327FUNDRAISINGHI501(c)(3)7HPHYes (true)
STRAUB FOUNDATION
55 MERCHANT STREET 26TH FLOORHONOLULUHI96813990109350FUNDRAISINGHI501(c)(3)7HPHYes (true)
PALI MOMI MEDICAL CENTER
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990274038HOSPITALHI501(c)(3)3HPHYes (true)
WILCOX HEALTH FOUNDATION
3-3420 KUHIO HIGHWAYLIHUEHI96766990204242FUNDRAISINGHI501(c)(3)7HPHYes (true)
WILCOX MEMORIAL HOSPITAL
3-3420 KUHIO HIGHWAYLIHUEHI96766990074365HOSPITALHI501(c)(3)3HPHYes (true)
KAUA'I MEDICAL CLINIC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990326099HOSPITALHI501(c)(3)3HPHYes (true)
PROVIDERS INSURANCE CORPORATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813710893000INSURANCEHI501(c)(3)12B, IIHPHYes (true)
KAPI'OLANI HEALTH FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990246364FUNDRAISINGHI501(c)(3)7HPHYes (true)
KAPI'OLANI MEDICAL SPECIALISTS
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990322406HEALTHCAREHI501(c)(3)3HPHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
ASC PACIFIC VENTURES LLC
3000 riverchase galleria ste 500birminghamAL35244270540034AMBU. SURG. CTR.ALNAN/A
INVISION LLC
MRI CENTERHINAN/A
MAUI CANCER CENTER PETCT LLC
INACTIVEHINAN/A
MAUI CANCER CTR PROPERTY CO LLC
INACTIVEHINAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
HAWAI'I PACIFIC HEALTH PARTNERS INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990318588HOLDING COMPANYHINAC Corp$5,009,754$72,213,3631.00000Yes (true)
STRAUB PHARMACY INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990145107INACTIVEHISCHC Corp$0$0Yes (true)
HICORD INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990251496INVESTMENTHIHPHPIC Corp$0$0Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (56 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
b$178,206FMV
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
s$267,858,015FMV
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
q$4,679,269FMV
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
o$12,562,012FMV
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
p$187,623,459FMV
KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN
r$7,011,096FMV
PROVIDER'S INSURANCE CORPORATION
q$65,720FMV
PROVIDER'S INSURANCE CORPORATION
c$1,098,254FMV
PROVIDER'S INSURANCE CORPORATION
o$389,399FMV
PROVIDER'S INSURANCE CORPORATION
p$10,126,284FMV
KAPI'OLANI HEALTH FOUNDATION
b$54,717FMV
KAPI'OLANI HEALTH FOUNDATION
o$539,114FMV
KAPI'OLANI HEALTH FOUNDATION
p$1,745,257FMV
KAPI'OLANI HEALTH FOUNDATION
r$161,219FMV
KAPI'OLANI MEDICAL SPECIALISTS
b$92,776,012FMV
KAPI'OLANI MEDICAL SPECIALISTS
s$3,155,092FMV
KAPI'OLANI MEDICAL SPECIALISTS
q$1,706,040FMV
KAPI'OLANI MEDICAL SPECIALISTS
o$225,903,913FMV
KAPI'OLANI MEDICAL SPECIALISTS
p$46,546,108FMV
PALI MOMI MEDICAL CENTER
b$106,997FMV
PALI MOMI MEDICAL CENTER
q$6,637,435FMV
PALI MOMI MEDICAL CENTER
s$208,126,868FMV
PALI MOMI MEDICAL CENTER
o$10,993,197FMV
PALI MOMI MEDICAL CENTER
p$167,333,370FMV
PALI MOMI MEDICAL CENTER
r$2,011,308FMV
STRAUB CLINIC & HOSPITAL
b$94,712FMV
STRAUB CLINIC & HOSPITAL
q$18,820,285FMV
STRAUB CLINIC & HOSPITAL
s$314,600,793FMV
STRAUB CLINIC & HOSPITAL
o$16,197,265FMV
STRAUB CLINIC & HOSPITAL
r$3,281,529FMV
STRAUB CLINIC & HOSPITAL
p$277,525,065FMV
STRAUB FOUNDATION
b$233,787FMV
STRAUB FOUNDATION
c$276,213FMV
STRAUB FOUNDATION
p$677,380FMV
STRAUB FOUNDATION
r$174,033FMV
STRAUB FOUNDATION
o$575,153FMV
WILCOX MEMORIAL HOSPITAL
b$52,655FMV
WILCOX MEMORIAL HOSPITAL
s$91,628,929FMV
WILCOX MEMORIAL HOSPITAL
q$2,988,053FMV
WILCOX MEMORIAL HOSPITAL
o$8,330,537FMV
WILCOX MEMORIAL HOSPITAL
r$169,562FMV
WILCOX MEMORIAL HOSPITAL
p$89,787,347FMV
WILCOX HEALTH FOUNDATION
b$106,587FMV
WILCOX HEALTH FOUNDATION
p$222,333FMV
WILCOX HEALTH FOUNDATION
o$491,715FMV
KAUA'I MEDICAL CLINIC
b$13,723,816FMV
KAUA'I MEDICAL CLINIC
s$3,360,552FMV
KAUA'I MEDICAL CLINIC
c$2,000,000FMV
KAUA'I MEDICAL CLINIC
o$306,239FMV
KAUA'I MEDICAL CLINIC
p$9,035,885FMV
HAWAI'I PACIFIC HEALTH PARTNERS INC
o$199,220FMV
HAWAI'I PACIFIC HEALTH PARTNERS INC
p$138,987FMV
PALI MOMI FOUNDATION
b$184,540FMV
PALI MOMI FOUNDATION
o$468,231FMV
PALI MOMI FOUNDATION
p$254,290FMV
HONOLULU SURGERY CENTER
p$660,292FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIIFormAndLineReferenceDesc
ExplanationRELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP: ASC PACIFIC VENTURES, LLC EIN: 27-0540034 ADDRESS: 55 MERCHANT ST., 27TH FLOOR, HONOLULU, HI 96813 INVISION, LLC EIN: 20-8565615 ADDRESS: 1010 SOUTH KING STREET HONOLULU, HI 96813 MAUI CANCER CENTER PET/CT, LLC EIN: 26-0163883 ADDRESS: 227 MAHALANI ST., STE. 107 WAILUKU, HI 96793 MAUI CANCER CENTER PROPERTY COMPANY, LLC EIN: 26-0146602 ADDRESS: 227 MAHALANI ST., STE. 107 WAILUKU, HI 96793ExplanationTxt