2021-05-14T17:18:16-05:00 2020-06-30 ERNST & YOUNG US LLP 4365 EXECUTIVE DR STE 1600 SAN DIEGO CA 92121 990 2019-07-01 990246363 Hawai'i Pacific Health % DONNA MASUDA-KAM HAWA 8085357401 55 Merchant Street 24th Floor Honolulu HI 96813 CARRIE ANN TSUTSUI VICE PRESIDENT 8085357355 2021-05-14 true JOCELYNE MILLER P00634378 8585357200 2019 2022-09-23 18:48:47Z RAYMOND VARA 55 MERCHANT ST 24TH FLOOR HONOLULU HI 96813 273225895 false X HAWAIIPACIFICHEALTH.ORG X 1986 HI SEE SCHEDULE O 15 9 1234 9 612803 374305 10808486 10906068 175536099 180305375 3740031 -4662069 0 0 190084616 186549374 739850 525850 0 0 114112940 121534317 0 0 2220125 77109703 72285870 191962493 194346037 -1877877 -7796663 888432764 964668065 669124935 707763003 219307829 256905062 X 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. false false 100846959 525850 180305375 SEE SCHEDULE O. 100846959 true true false true false false false true false true true true false true true false false true false false true false false false false false false true false true true false false false false false false false false false false false false false false true true true true false false true 794 0 true 1234 true true true false false false false false false false false false true false X 15 9 false false false false false false false true true false false true true true true true true true true false HI X X DONNA MASUDA-KAM 8085272520 55 MERCHANT ST 24TH FLOOR HONOLULU HI 96813 RAYMOND P VARA JR Board of Dir, President & CEO 50.3 11.8 X X 2726020 0 809070 DAVID OKABE EVP, CFO & Treasurer 35.0 15.0 X 1137967 0 324115 KENNETH B ROBBINS MD EVP & CMO (Part Year) 10.6 34.9 X 1032948 0 316781 ARTHUR GLADSTONE VP & CNE 32.0 23.7 X 986718 0 300180 MARTHA SMITH EVP 5.0 55.0 X 964858 0 277967 STEVEN ROBERTSON EVP & CIO 30.9 19.1 X 915110 0 262340 GAIL LERCH EVP 38.5 12.5 X 892670 0 260449 CHARLES R CHING EVP, Gen. Counsel & Secretary 23.0 17.0 X 882738 0 259467 MELINDA ASHTON MD EVP & CQO 43.0 6.3 X 852060 0 245672 JENNIE CHAHANOVICH VP 0.5 56.0 X 778113 0 213656 RODNEY WILLIAMS MD CMO - SCH 5.0 35.0 X 558768 0 89420 GERI YOUNG MD CMO - KMC 0.5 50.0 X 533768 0 70680 GERARD LIVAUDAIS MD EVP 49.8 0.2 X 476551 0 110606 DOUGLAS KWOCK MD VP - PMMC 40.0 0.0 X 473170 0 44558 WARREN CHAIKO SVP 5.0 35.0 X 386485 0 115152 DAWN DUNBAR SVP 14.7 30.3 X 386847 0 109851 EARL INOUYE VP & System Ctrlr (part year) 16.5 31.5 X 362232 0 91604 GIDGET RUSCETTA RN COO - KMCWC 10.0 43.1 X 363352 0 89224 SUSAN MASUMOTO-NONAKA VP 7.9 32.1 X 357929 0 84899 MAVIS NIKAIDO System CNE 1.0 55.0 X 357784 0 77146 BRANDT FARIAS SVP & Chief Marketing Officer 40.9 22.1 X 310735 0 87182 MICHAEL ROBINSON VP 49.1 0.9 X 310671 0 80378 ANDY LEE MD Medical Director - HHP 41.0 8.0 X 346061 0 44713 LORRIE-ANN LUKE VP 32.5 9.0 X 250632 0 84149 DAVID STUMBAUGH VP 5.0 35.0 X 254650 0 79874 BEAU NAKAMOTO MD Board of Director 0.4 40.0 X 0 315502 11574 MONICA PRICE MD Board of Director 0.4 40.0 X 0 273196 34527 JAMES LIN MD VP 45.0 1.6 X 256098 0 35794 WILLIAM BURKE VP 24.0 30.0 X 226442 0 40220 KATIE SHIGEMITSU Compliance Officer 15.5 24.5 X 213670 0 36268 MARK MAGELSSEN MD Board of Director 0.4 40.0 X 0 206939 20411 ALAN ITO Information Security Officer 36.8 3.2 X 191773 0 32146 JESSICA LEWIS Assistant Corporate Secretary 17.0 23.0 X 160085 0 38697 CARRIE ANN TSUTSUI VP & Controller 18.3 29.7 X 168392 0 28870 DAVID FOX Privacy Officer 21.6 18.4 X 157023 0 31704 LESLIE CHUN MD EVP 6.0 54.0 X 59212 0 413 STEPHEN LIN MD Board of Director 0.4 1.3 X 0 59088 0 CHRISTOPHER JORDAN Board of Director 0.4 2.75 X 0 6694 268 STEVEN AI Board of Director 0.4 0.0 X 0 0 0 ELISIA FLORES Board of Director 0.4 0.0 X 0 0 0 MICHAEL GIBSON ESQ Board of Director 0.4 0.1 X 0 0 0 KATHRYN INOUYE Board of Director 0.4 0.0 X 0 0 0 TRINETTE KAUI Board of Director 0.4 0.0 X 0 0 0 ANDREW KAWANO BoD, Vice Chair (Part Year) 0.4 0.2 X X 0 0 0 KEITH MATSUMOTO MD Board of Director, Chair 0.4 0.0 X X 0 0 0 ELLIOT MILLS Board of Director 0.4 0.3 X 0 0 0 LYLE TABATA Board of Director (Part Year) 0.4 0.2 X 0 0 0 RICHARD WACKER Board of Director, Vice Chair 0.4 0.0 X X 0 0 0 MICHAEL YAMANE Board of Director 0.4 0.2 X 0 0 0 SUNSHINE TOPPING SVP 37.5 12.5 X 0 0 0 16898837 0 4529133 236 false true false EPIC SYSTEMS CORP BOX 88314 MILWAKEE WI 532880314 MEDICAL RECORD SYST. 6423559 PACXA PO BOX 3347 HONOLULU HI 96801 HW/SW MAINTENANCE 3129786 ANTHOLOGY MARKETING GROUP 1003 BISHOP ST 9TH FLOOR HONOLULU HI 96813 MARKETING SERVICES 2633786 HEALTH CATALYST INC 3165 MILLROCK DR STE400 SALT LAKE CITY UT 84121 PROFESSIONAL SVCS 1894817 OXFORD GLOBAL RESOURCES LLC PO BOX 3256 BOSTON MA 022413256 IT CONSULTING 1724833 85 15013 10459642 431413 10906068 ADMIN/MGMT SVC TO TAX EXEMPT AFFILIATE 561000 176963005 176541994 421011 0 HAWAI'I HEALTH PARTNERS REVENUE 561000 2041830 1850038 191792 0 GRANT & CLINICAL TRIAL ADMIN & OVERHEAD 900099 693806 693806 0 0 NET PATIENT REVENUE 624190 352138 352138 0 0 CLINICAL TRIALS 624190 254596 254596 0 0 180305375 4138942 4138942 0 0 0 0 0 77875510 86676521 -8801011 -8801011 -8801011 0 0 0 0 0 0 0 0 0 0 186549374 179692572 612803 -4662069 525850 525850 0 0 0 0 0 17152602 12006821 5145781 0 0 0 0 0 80954814 33186572 46196949 1571293 6920500 4012724 2845348 62428 10101875 5668446 4146894 286535 6404526 3405026 2873182 126318 0 0 0 0 2312009 0 2312009 0 139281 0 139281 0 57816 0 57816 0 0 0 906132 0 906132 0 14017077 3738907 10260240 17930 4018217 1918 4016299 0 347737 166214 181523 0 17518148 12099122 5419026 0 0 0 0 0 4532578 3192877 1339701 0 594658 305293 289104 261 0 0 0 0 223814 143540 80274 0 1121248 1102240 19008 0 0 0 0 0 8801744 8656436 0 145308 232969 232969 0 PROGRAM SERVICE EXPENDITURES 10236346 10236346 BANK SERVICE CHARGES 1188044 272490 915554 DUES 1426588 940602 485986 MEALS 1067929 198395 869534 3543535 987140 2546343 10052 194346037 100846959 91278953 2220125 0 0 0 356145747 394857057 3302335 2836205 0 130071 0 0 0 0 0 0 0 763105 4057535 4246849 143201000 92163722 51903083 51037278 186406834 145129746 195605752 250132006 0 0 0 0 91011478 115535748 888432764 964668065 45407822 38298310 0 0 0 0 534387783 583837045 0 0 0 0 0 0 0 0 89329330 85627648 669124935 707763003 X 206285511 243065759 13022318 13839303 219307829 256905062 888432764 964668065 X -7796663 13542313 0 0 0 31851583 X false true X true true true X X 5 KAUA'I MEDICAL CLINIC 990326099 3 true 13700000 0 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN 990177350 3 true 0 0 WILCOX MEMORIAL HOSPITAL 990074365 3 true 0 0 PALI MOMI MEDICAL CENTER 990274038 3 true 0 0 STRAUB CLINIC & HOSPITAL 912151670 3 true 0 0 5 13700000 0 true false false false false true false false false false false false false false false true true true X true true SCHEDULE A, PART I, LINE 12G, COLUMN (VI) HAWAI'I PACIFIC HEALTH (HPH) IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND HAS THE RIGHT TO PARTICIPATE IN THE SUPPORTED ORGANIZATIONS' GOVERANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE SUPPORTED ORGANIZATIONS' GOVERNING BOARD. SCHEDULE A, PART IV, SECTION A, LINE 6 HAWAI'I PACIFIC HEALTH'S DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)(3) ORGANIZATIONS ON BEHALF OF ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, LINE 3 8 BOARD MEMBERS OF HAWAI'I PACIFIC HEALTH ALSO SERVE AS DIRECTORS FOR THE SUPPORTED ORGANIZATIONS. THEREFORE HPH'S SUPPORTED ORGANIZATIONS HAD A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME OR ASSETS AT ALL TIMES DURING THE YEAR. SCHEDULE A, PART IV, SECTION E, LINE 3A HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD FOR EACH OF ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION E, LINE 3B HAWAI'I PACIFIC HEALTH (HPH) IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND HAS THE RIGHT TO PARTICIPATE IN THE SUPPORTED ORGANIZATIONS' GOVERNANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE SUPPORTED ORGANIZATIONS' GOVERNING BOARD. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 57816 57816 false false Schedule C, Part II-B, Line 1I LOBBYING ACTIVITY A REGISTERED LOBBYIST (CYNTHIA NAKAMURA) PROVIDES GENERAL ADVICE ON LEGISLATIVE ACTIVITIES INCLUDING INFORMATION AND INSIGHT ON LEGISLATIVE ACTIONS THAT MAY BE OF INTEREST TO HAWAI'I PACIFIC HEALTH ('HPH'). THE INDIVIDUAL ALSO PROVIDES GUIDANCE AND INSIGHT ON HOW TO NEGOTIATE THROUGH THE LEGISLATIVE PROCESS WHEN TRYING TO PASS LEGISLATION AS WELL AS INFORMATION AND INSIGHT ON THE GENERAL ACTIVITIES OF WHAT'S HAPPENING AT THE LEGISLATURE. THE INDIVIDUAL DOES SPEAK TO LEGISLATORS, SOMETIMES ON BEHALF OF LEGISLATION OR ISSUES IN WHICH HPH HAS AN INTEREST. THE INDIVIDUAL ALSO HAS AN INPUT ON HPH'S OVERALL LEGISLATIVE/COMMUNITY COMMUNICATION PLAN BUT DOES NOT SEND MAILINGS OUT TO LEGISLATORS OR THE PUBLIC ON HPH'S BEHALF. PUBLIC POLICY HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO OFFER THOUGHTFUL AND INNOVATIVE INPUT TO LAWMAKERS REGARDING HEALTH CARE POLICY AND LEGISLATION. HAWAI'I PACIFIC HEALTH LEADERS ADVOCATE FOR LEGISLATIVE REFORM AND REGULATORY ENHANCEMENTS FOR VARIOUS HEALTH CARE INDUSTRY ISSUES RANGING FROM RETAINING PHYSICIANS IN THE STATE TO PROVIDING STABILITY FOR HEALTH CARE PROVIDERS. 24569 X false 12942804 311768 12631036 13215382 272578 12942804 13167545 -47837 13215382 12993890 -173655 13167545 13334441 340551 12993890 1.00000 false false 14981997 14981997 3021252 1603035 1418217 14591249 12995292 1595957 99480233 74844173 24636060 11126269 2721222 8405047 51037278 42284152 F LIMITED PARTNERSHIP 200433436 F HPH BOARD DESIGNATED 7414418 F 250132006 BENEFICIAL INETREST- FDN ASSET 73165425 DEFFERED CHARGES- TK57 5752231 INVESTMENT LIFE INSURANCE CSV 2607279 OTHER RECEIVABLES 2484164 DEFFERED CHARGES - RETIREMENT 1598657 DEFFERED CHARGES - LEASE/DEP 37061 ARTWORK 24569 DUE FROM 0 PROVIDER'S INSURANCE CORP. 1628116 KAUA'I MEDICAL CENTER 300241 HPHPI 19879 KMCWC 171032 STRAUB MEDICAL CENTER 184892 KAPI'OLANI HEALTH FOUNDATION 157591 PALI MOMI MEDICAL CENTER 118497 STRAUB FOUNDATION 119124 WILCOX MEMORIAL HOSPITAL 58543 PALI MOMI FOUNDATION 91316 WILCOX HEALTH FOUNDATION 85183 HONOLULU SURGERY CENTER 74944 KEAHONUIOKALANI 8387 HICORD 5265 HPHMG 12584146 HPH 136427 RIGHT OF USE ASSETS OPERATING 13743969 RIGHT OF USE ASSETS FINANCE 378810 115535748 0 ACCRUED PENSION BENEFIT COST 51823576 OTHER LONG TERM LIABILITIES 7201791 LT LEASE LIABILTIY-OPERATING 14139341 DEFFERED RENT LIABILITY 125616 UH JOBSOM SCHOLARSHIP PLEDGE 901975 LT LEASE LIABILTIY-FINANCE 319248 CURRENT PORTION OF CAPITAL LEASE 1845992 ST LEASE LIABILTIY-FINANCE 174612 LT FED EXCISE TAX EXEC 201250 ESCHEAT 153 KAPI'OLANI MEDICAL SPECIALISTS 39959 HPHPI 1489 KAUA'I MEDICAL CLINIC 40543 HPHMG 7636171 DUE TO AFFILIATES-RECL CR BALANCE 136427 DEFFERED PAYROLL TAXES 591467 STALE DATED AP CHECKS 448037 ROUNDING 1 85627648 X SCHEDULE D, PART III, LINE 4 HPH'S COLLECTION OF ARTWORK INCLUDES PAINTINGS AND SIMILAR WORKS THAT ARE DISPLAYED IN PUBLIC WAITING AREAS TO FURTHER ITS MISSION OF CREATING A HEALTHIER HAWAI'I. SCHEDULE D, PART X, LINE 2 The Company has not recorded any expense or accrued for any related expense for any uncertain tax positions. The company's 2016 through 2019 tax years remain subject to examination for federal income tax purposes, whereas the 2015 through 2019 tax years remain subject to examination for state taxing jurisdictions in which the Company operates. Central America and the Caribbean Investments 103956788 Europe (Including Iceland and Greenland) Investments 27000000 130956788 130956788 true false true false true false SCHEDULE F, PART IV FOREIGN INVESTMENTS THE INVESTMENT COMMITTEE OF HAWAI'I PACIFIC HEALTH HAS CHOSEN TO DIVERSIFY ITS INVESTMENT PORTFOLIO, INCLUDING CERTAIN ALTERNATIVE INVESTMENTS THAT ARE ESTABLISHED AS PARTNERSHIPS. THESE PARTNERSHIPS ARE NOT OPERATING ENTITIES. HAWAI'I PACIFIC HEALTH'S DIRECT INVESTMENT IS MADE IN PARTNERSHIPS, AND THESE ENTITIES MAY MAKE UNDERLYING INVESTMENTS IN OTHER CERTAIN FOREIGN PARTNERSHIPS AND/OR CORPORATIONS. true UH FOUNDATION 2444 DOLE ST 105 HONOLULU HI 96822 990085260 501(c)(3) 18750 0 GENERAL SUPPORT CHILD AND FAMILY SERVICES 1001 BISHOP ST SUITE 790 HONOLULU HI 96813 990073483 501(c)(3) 10000 0 GENERAL SUPPORT AMERICAN DIABETES ASSN 2451 CRYSTAL DRIVE STE 900 ARLINGTON VA 22202 131623888 501(c)(3) 10000 0 GENERAL SUPPORT AMERICAN RED CROSS 4155 DIAMOND HEAD ROAD HONOLULU HI 96816 530196605 501(c)(3) 20000 0 GENERAL SUPPORT HAWAII PUBLIC HEALTH INSTITUTE 850 RICHARDS STREET STE 201 HONOLULU HI 96813 680637054 501(c)(3) 18000 0 GENERAL SUPPORT DIAMOND HEAD THEATRE 520 MOKAPUU AVE HONOLULU HI 96816 990073495 501(c)(3) 12000 0 GENERAL SUPPORT HAWAIIAN HUMANE SOCIETY 2700 WAIALAE AVE HONOLULU HI 968261806 990073490 501(c)(3) 10000 0 GENERAL SUPPORT BIKESHARE HAWAII 914 ALA MOANA BLVD HONOLULU HI 96814 464561541 501(c)(3) 90000 0 GENERAL SUPPORT PEARL HARBOR AVIATION MUSEUM 319 LEXINGTON BLVD HONOLULU HI 96818 990337979 501(c)(3) 7000 0 GENERAL SUPPORT AFTER SCHOOL ALL STAR 4747 KILAUEA AVE STE 210 HONOLULU HI 96816 274604870 501(c)(3) 15000 0 GENERAL SUPPORT AMERICAN HEART ASSN 677 ALA MOANA BLVD HONOLULU HI 96813 135613797 501(c)(3) 35000 0 GENERAL SUPPORT MARCH OF DIMES 1580 MAKALOA STREET STE 1200 HONOLULU HI 96814 131846366 501(c)(3) 15000 0 GENERAL SUPPORT ARTHRITIS FOUNDATION 1355 PEACHTREE ST NE STE 600 ATLANTA GA 303093234 581341679 501(c)(3) 10000 0 GENERAL SUPPORT GREAT ALOHA RUN 418 KUWILI STREET STE 102 HONOLULU HI 96817 990314751 501(c)(3) 175000 0 GENERAL SUPPORT PARTNERS IN DEVELOPMENT 1000 BISHOP STREET 202 HONOLULU HI 96813 943278794 501(c)(3) 7500 0 GENERAL SUPPORT HAWAII APPLESEED CENTER 733 BISHOP STREET HONOLULU HI 96813 760748976 501(c)(3) 6000 0 GENERAL SUPPORT HEALTHCARE ASSOCIATION OF HAWAII 707 RICHARDS ST PH2 HONOLULU HI 96813 990105817 501(c)(3) 12200 0 GENERAL SUPPORT 17 0 FORM 990, SCHEDULE I, LINE 2 DESCR 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. X X true true X X X X false true false false false false false false false RAYMOND P VARA JR Board of Dir, President & CEO 1033137 0 1243254 0 449629 0 783086 0 25984 0 3535090 0 1164033 0 DAVID OKABE EVP, CFO & Treasurer 520205 0 406003 0 211759 0 309351 0 14764 0 1462082 0 413043 0 KENNETH B ROBBINS MD EVP & CMO (Part Year) 477249 0 357670 0 198029 0 301237 0 15544 0 1349729 0 396604 0 ARTHUR GLADSTONE VP & CNE 485457 0 358339 0 142922 0 276552 0 23628 0 1286898 0 364645 0 MARTHA SMITH EVP 477372 0 341791 0 145695 0 262403 0 15564 0 1242825 0 361169 0 STEVEN ROBERTSON EVP & CIO 422759 0 339367 0 152984 0 246776 0 15564 0 1177450 0 328662 0 GAIL LERCH EVP 421695 0 308486 0 162489 0 250310 0 10139 0 1153119 0 334634 0 CHARLES R CHING EVP, Gen. Counsel & Secretary 409868 0 297161 0 175709 0 236489 0 22978 0 1142205 0 306902 0 MELINDA ASHTON MD EVP & CQO 439151 0 287410 0 125499 0 230179 0 15493 0 1097732 0 138152 0 JENNIE CHAHANOVICH VP 358610 0 264221 0 155282 0 201397 0 12259 0 991769 0 269400 0 RODNEY WILLIAMS MD CMO - SCH 452280 0 51731 0 54757 0 76619 0 12801 0 648188 0 21894 0 GERI YOUNG MD CMO - KMC 368612 0 34122 0 131034 0 58086 0 12594 0 604448 0 34570 0 GERARD LIVAUDAIS MD EVP 372457 0 78124 0 25970 0 97910 0 12696 0 587157 0 61076 0 DOUGLAS KWOCK MD VP - PMMC 387236 0 50350 0 35584 0 23800 0 20758 0 517728 0 0 0 WARREN CHAIKO SVP 253695 0 80480 0 52310 0 89168 0 25984 0 501637 0 67479 0 DAWN DUNBAR SVP 281633 0 71604 0 33610 0 86358 0 23493 0 496698 0 55170 0 EARL INOUYE VP & System Ctrlr (part year) 268741 0 51409 0 42082 0 76325 0 15279 0 453836 0 51704 0 GIDGET RUSCETTA RN COO - KMCWC 276175 0 53512 0 33665 0 75445 0 13779 0 452576 0 57620 0 SUSAN MASUMOTO-NONAKA VP 263169 0 49921 0 44839 0 74967 0 9932 0 442828 0 49726 0 MAVIS NIKAIDO System CNE 282247 0 44165 0 31372 0 69712 0 7434 0 434930 0 49500 0 BRANDT FARIAS SVP & Chief Marketing Officer 225772 0 55675 0 29288 0 77419 0 9763 0 397917 0 53601 0 MICHAEL ROBINSON VP 241022 0 48215 0 21434 0 70610 0 9768 0 391049 0 41364 0 ANDY LEE MD Medical Director - HHP 286964 0 34959 0 24138 0 21000 0 23713 0 390774 0 0 0 LORRIE-ANN LUKE VP 197053 0 37827 0 15752 0 59354 0 24795 0 334781 0 37320 0 DAVID STUMBAUGH VP 200279 0 38164 0 16207 0 57649 0 22225 0 334524 0 25102 0 BEAU NAKAMOTO MD Board of Director 0 190494 0 10517 0 114491 0 11200 0 374 0 327076 0 0 MONICA PRICE MD Board of Director 0 205562 0 10432 0 57202 0 10756 0 23771 0 307723 0 0 JAMES LIN MD VP 231984 0 18638 0 5476 0 10161 0 25633 0 291892 0 0 0 WILLIAM BURKE VP 205642 0 20800 0 0 0 23943 0 16277 0 266662 0 0 0 KATIE SHIGEMITSU Compliance Officer 207349 0 0 0 6321 0 21837 0 14431 0 249938 0 0 0 MARK MAGELSSEN MD Board of Director 0 186849 0 1347 0 18743 0 7602 0 12809 0 227350 0 0 ALAN ITO Information Security Officer 176197 0 13027 0 2549 0 18050 0 14096 0 223919 0 0 0 JESSICA LEWIS Assistant Corporate Secretary 160085 0 0 0 0 0 13865 0 24832 0 198782 0 0 0 CARRIE ANN TSUTSUI VP & Controller 155055 0 13337 0 0 0 17786 0 11084 0 197262 0 0 0 DAVID FOX Privacy Officer 152341 0 0 0 4682 0 16130 0 15574 0 188727 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A HEALTH AND SOCIAL CLUB DUES HEALTH/SOCIAL CLUB DUES WERE PAID FOR VARIOUS 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 VARIOUS OFFICERS OF THE ORGANIZATION. ALL AMOUNTS HAVE BEEN INCLUDED IN THE INDIVIDUALS FORM W-2 AS TAXABLE INCOME. FORM 990, SCHEDULE J, PART I, LINE 4A SEVERANCE PAY THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING THE YEAR: THOMAS MUNDELL - $228,079 FORM 990, 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. AMOUNT PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR. - $177,421 KENNETH B. ROBBINS, MD - $126,800 DAVID OKABE - $64,485 ARTHUR GLADSTONE - $50,854 MARTHA SMITH - $48,863 GAIL LERCH - $51,544 CHARLES R. CHING - $42,085 STEVEN ROBERTSON - $46,746 JENNIE CHAHANOVICH - $22,324 ANNUAL AND LONG TERM INCENTIVE PLAN THE ANNUAL AND LONG TERM INCENTIVE PLAN IS AFFORDED TO EXECUTIVES ON ANNUAL SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. AMOUNT PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR. - $404,511 KENNETH B. ROBBINS, M.D. - $139,966 DAVID OKABE - $147,300 GAIL LERCH - $119,264 CHARLES R. CHING - $113,240 STEVEN ROBERTSON - $118,888 ARTHUR GLADSTONE - $146,837 MARTHA SMITH - $143,255 MELINDA ASHTON, M.D. - $124,439 JENNIE CHAHANOVICH - $108,270 EARL INOUYE - $46,572 SUSAN NONAKA - $44,790 WARREN CHAIKO - $60,780 MICHAEL ROBINSON - $37,258 BRANDT FARIAS - $48,281 LORRIE-ANN LUKE - $33,615 DAVID STUMBAUGH - $22,610 DAWN DUNBAR - $49,694 MAVIS NIKAIDO - $44,587 RODNEY WILLIAMS, M.D. - $19,721 GERI YOUNG, M.D. - $31,139 KEN NAKAMURA, M.D. - $24,668 GERARD F LIVAUDAIS - $55,013 JOHN BELEW - $17,345 A STATE OF HAWAI'I - DEPARTMENT OF BUDGET & FINANCE 990266961 2019-05-15 48079910 SEE PART VI false false false B STATE OF HAWAI'I - DEPARTMENT OF BUDGET & FINANCE 990266961 419771AX8 2010-07-21 60400728 SEE PART VI true false false C STATE OF HAWAI'I - DEPARTMENT OF BUDGET & FINANCE 990266961 419771AN0 2010-06-10 99307516 SEE PART VI true false false D STATE OF HAWAI'I - DEPARTMENT OF BUDGET & FINANCE 990266961 419800JX6 2013-10-03 159059332 SEE PART VI false false false A 410000 0 48079910 0 0 0 493599 0 0 0 47586311 0 2019 true false true true B 7175000 55380000 60400757 0 5168823 0 911278 0 0 29836235 24489450 0 2013 true false true true C 7550000 96320000 99307516 0 0 0 794170 0 0 0 98513346 0 2013 true false true true D 12695000 0 159068477 0 14284839 0 1995112 0 0 106439766 36357905 0 2016 true false true true A false true true true true true 0.00430 0.00430 false true 0.18700 true B false true true true true true 0.00900 0.00000 0.00900 false false 0.00000 false true C false true true true true true 0.02070 0.00000 0.02070 false true 0.19000 true D false true true true true true 0.00160 0.00000 0.00160 false true 0.01540 true A false false false true false false 0 false false false 0 false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true D false false false true false false 0 false 0 false true A true B true C true D true DESCRIPTION OF PURPOSE OF TAX EXEMPT BONDS SCHEDULE K, PART I, COLUMN F LINE A TO REFUND SERIES 2013C BOND ISSUED 10/3/2013. LINE B TO REFUND SERIES 2009A TERM LOAN AND TO FUND THE CONSTRUCTION OF THE KAPI'OLANI PARKING GARAGE. LINE C TO REFUND SERIES 2009A BONDS ISSUED ON 04/02/2009. LINE D SERIES 2013A IS NEW MONEY TO FUND THE KAPIOLANI EXPANSION OF NEONATAL AND PEDIATRIC INTENSIVE CARE UNITS AND OTHER CLINICAL SERVICES. SERIES 2013B IS REFUNDING SERIES 1998 BONDS ISSUED ON 04/08/1998 AND SERIES 2004A BOND ISSUED ON 01/14/2004. DIFFERENCE BETWEEN ISSUE PRICE AND TOTAL PROCEEDS SCHEDULE K, PART II, LINE 3 THE DIFFERENCE IN ISSUE PRICE AND TOTAL PROCEEDS OF ISSUE IS DUE TO INVESTMENT EARNINGS. INVESTMENT EARNINGS. DATE OF REBATE COMPUTATION SCHEDULE K, PART IV, LINE 2C COLUMN A - 2019 - 07/10/2020 COLUMN B - 2010B - 07/18/2019 COLUMN C - 2010A - 07/18/2019 COLUMN D - 2013AB - 01/10/2017 FORM 990, PART I, LINE 1 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 4 PROGRAM SERVICE ACCOMPLISHMENTS OUTPATIENT OPERATING ROOMS IN FISCAL YEAR 2020, HAWAI'I PACIFIC HEALTH SPENT $61,647,411 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 13,487 OUTPATIENT SURGERIES. 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 2020, KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN (KAPI'OLANI) PERFORMED 3,299 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 3,551 OUTPATIENT SURGERIES. STRAUB CLINIC AND HOSPITAL (STRAUB) HAS INTEGRATED OUTPATIENT SURGERY AND PERFORMED 3,546 OUTPATIENT SURGERIES. WILCOX MEMORIAL HOSPITAL (WILCOX) HAS A STATE-OF-THE-ART SURGICAL CENTER AND PERFORMED 3,091 OUTPATIENT SURGERIES. OUTPATIENT EMERGENCY ROOMS IN FISCAL YEAR 2020, HAWAI'I PACIFIC HEALTH HOSPITALS HAD 108,196 OUTPATIENT ER VISITS AND SPENT $58,704,515 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 26,558 OUTPATIENT ER VISITS, THE PALI MOMI ER HAD 36,438 OUTPATIENT ER VISITS, THE STRAUB ER HAD 25,859 OUTPATIENT ER VISITS, AND THE WILCOX ER HAD 19,341 OUTPATIENT ER VISITS. PEDIATRIC-NEONATAL SERVICES IN FISCAL YEAR 2020, HAWAI'I PACIFIC HEALTH SPENT $50,683,464 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 3,874 PATIENTS. KAPI'OLANI IS RECOGNIZED AS HAWAI'I'S PEDIATRIC MEDICAL CENTER, 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 2020, KAPI'OLANI PROVIDED SPECIALIZED CARE FOR 3,724 PEDIATRIC-NEONATAL PATIENTS. WILCOX MEDICAL CENTER PROVIDES PREVENTIVE CARE AND TREATMENT SERVICES TO MEET THE HEALTH NEEDS OF KAUA'I'S CHILDREN. IN FISCAL YEAR 2020, WILCOX PROVIDED SPECIALIZED CARE FOR 150 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, 1,400+ AFFILIATED PHYSICIANS AND MORE THAN 7,200 FULL- AND PART-TIME EMPLOYEES, AS WELL AS HUNDREDS OF COMMUNITY VOLUNTEERS. IN FISCAL YEAR 2020, THE MEDICAL CENTERS ADMITTED 29,021 PATIENTS. IN ADDITION, STRAUB CLINICS HAD 856,560 CLINIC ENCOUNTERS, KAUA'I MEDICAL CLINIC HAD 320,270 CLINIC ENCOUNTERS AND KAPI'OLANI MEDICAL SPECIALISTS HAD 85,771 PATIENT VISITS. 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 PACIFIC HEALTH PARTNERS, INC. IS A FOR-PROFIT SUBSIDIARY THAT SERVES AS THE JOINT VENTURE PARTNER WHEN HAWAI'I PACIFIC HEALTH WORKS WITH OTHER PROVIDERS. PROVIDERS INSURANCE CORPORATION IS A CAPTIVE INSURANCE COMPANY THAT PROVIDES PROFESSIONAL LIABILITY INSURANCE FOR HAWAI'I PACIFIC HEALTH-AFFILIATED EMPLOYED PHYSICIANS. PATIENT CARE HAWAI'I PACIFIC HEALTH HAS STRATEGIC INITIATIVES IN WOMEN'S HEALTH, PEDIATRIC CARE, CARDIOVASCULAR SERVICES, BONE & JOINT SERVICES, AND CANCER CARE. IT IS RECOGNIZED NATIONALLY FOR ITS EXCELLENCE IN HEALTH INFORMATION TECHNOLOGY, SPECIFICALLY THE USE OF ELECTRONIC HEALTH RECORDS TO IMPROVE QUALITY OF CARE AND PATIENT SAFETY. THE HAWAI'I PACIFIC HEALTH SYSTEM INCLUDES THE PACIFIC REGION'S ONLY FULL-SERVICE WOMEN'S AND CHILDREN'S MEDICAL CENTER AND ONLY DEDICATED BURN CENTER, 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, 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, IT SPONSORS HEALTH EDUCATION, TEACHING AND RESEARCH, AND SUPPORTS LIKE-MINDED ORGANIZATIONS. IN FISCAL YEAR 2020, HAWAI'I PACIFIC HEALTH SUPPORTED 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, FREE GLUCOSE MONITORING AND BLOOD PRESSURE SCREENING, HEMOPHILIA PROGRAMS, AND OTHER EDUCATION AND SCREENINGS FOR HAWAI'I RESIDENTS ON HEALTH, WELLNESS AND DISEASE-PREVENTION STRATEGIES. HAWAI'I PACIFIC HEALTH SPECIALISTS DELIVERED FREE PUBLIC HEALTH EDUCATION PROGRAMS THAT HELPED THOUSANDS OF PEOPLE LEARN WAYS TO PREVENT OR MANAGE THEIR HEALTH AND WELL-BEING. IN FISCAL YEAR 2020, 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,MORE. HAWAI'I PACIFIC HEALTH ALSO PROVIDED MEDICAL SUPPORT, INCLUDING CLINICAL AND NON-CLINICAL VOLUNTEERS, SUPPLIES AND OTHER SERVICES, FOR THE GREAT ALOHA RUN AND KEIKI GREAT ALOHA RUN. MORE THAN 20,000 PEOPLE PARTICIPATE IN THE GREAT ALOHA RUN EACH YEAR, WHICH IS AN 8.1-MILE RACE FROM ALOHA TOWER TO ALOHA STADIUM. 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, 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 7,200 EMPLOYEES, THEIR FAMILIES, AND MANY BUSINESSES THROUGH PURCHASES MADE BY ITS MEDICAL CENTERS AND CLINICS. FORM 990, PART VI, LINE 11B REVIEW OF THE 990 BY THE ORGANIZATION'S GOVERNING BODY VARIOUS SCHEDULES OF THE 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 990 OF EACH FILING ORGANIZATION WITHIN THE HEALTH CARE SYSTEM. ONCE SENIOR MANAGMENT HAS COMPLETED ITS REVIEW, THE 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 990 REPORTING AND REVIEWS THE 990 FOR EACH ENTITY PRIOR TO FILING. IN ADDITION, THE 990 FOR EACH ENTITY ARE MADE AVAILABLE TO TE 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 990. THE 990 WILL BE POSTED TO HPH'S WEB SITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURNS WITH THE IRS. FORM 990, PART VI, LINE 12C MONITORING & ENFORCING 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, LINES 15A & 15B PROCESS 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 13, 2019 TO REVIEW PHYSICIAN COMPENSATION AND ON AUGUST 22, 2019 TO REVIEW EXECUTIVE COMPENSATION. FORM 990, PART VI, LINE 19 DISCLOSURE OF GOVERNING DOCUMENTS CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND STANDARDS OF CONDUCT ARE AVAILABLE ON THE HAWAI'I PACIFIC HEALTH WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATAEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE. FORM 990, PART XI, LINE 9 RECONCILIATION OF NET ASSETS $ 147,560,437 - OBLIGATED GROUP INTERCOMPANY TRANFERS $ 5,000,000 - CONTRIBUTIONS INTERENTITY $ 949,058 - CHANGE IN SWAP $ 1 - ROUNDING $ (83,770) - NON CONTROLLING INTEREST $ (753,086) - CHANGE IN INTEREST IN KHF AND WHF $ (1,071,361) - EQUITY OF UNCONSOLIDATED DEBT $ (77,436,218) - EQUITY TRANSFERS WITH HPH $ (42,313,478) - PENSION AND POST RETIREMENT ADJUSTMENTS -------------- $ 31,851,583 - TOTAL Form 990, Part XI, Line 5 (1,162,093) - CHANGE IN NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS Hawai'i Health Partners 55 Merchant Street 24th Floor Honolulu HI 96813 352480297 HEALTHCARE HI 7759575 HPH KAPI'OLANI MED CENTER WOMEN & CHILDREN 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990274038 HOSPITAL HI 501(c)(3) 3 HPH true STRAUB CLINIC & HOSPITAL 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 912151670 HOSPITAL HI 501(c)(3) 3 hph true PALI MOMI FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 383840327 FUNDRAISING HI 501(c)(3) 7 HPH true STRAUB FOUNDATION 55 MERCHANT STREET 26TH FLOOR HONOLULU HI 96813 990109350 FUNDRAISING HI 501(c)(3) 7 HPH true PALI MOMI MEDICAL CENTER 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990274038 HOSPITAL HI 501(c)(3) 3 HPH true WILCOX HEALTH FOUNDATION 3-3420 KUHIO HIGHWAY LIHUE HI 96766 990204242 FUNDRAISING HI 501(c)(3) 7 HPH true WILCOX MEMORIAL HOSPITAL 3-3420 KUHIO HIGHWAY LIHUE HI 96766 990074365 HOSPITAL HI 501(c)(3) 3 HPH true KAUA'I MEDICAL CLINIC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990326099 HOSPITAL HI 501(c)(3) 3 HPH true PROVIDERS INSURANCE CORPORATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 710893000 INSURANCE HI 501(c)(3) 12b, II HPH true KAPI'OLANI HEALTH FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990246364 FUNDRAISING HI 501(c)(3) 7 HPH true KAPI'OLANI MEDICAL SPECIALISTS 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990322406 HEALTHCARE HI 501(c)(3) 10 HPH true ASC PACIFIC VENTURES LLC 3000 riverchase galleria ste 500 birmingham AL 35244 270540034 AMBU. SURG. CTR AL NA INVISION LLC MRI CENTER HI NA MAUI CANCER CENTER PETCT LLC INACTIVE HI NA MAUI CANCER CTR PROPERTY CO LLC INACTIVE HI NA HAWAI'I PACIFIC HEALTH PARTNERS INC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990318588 HOLDING COMPANY HI NA C Corp 3778783 43786386 1.00000 true STRAUB PHARMACY INC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990145107 INACTIVE HI SCH C Corp 0 0 true HICORD INC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990251496 INVESTMENT HI HPHPI C Corp 0 0 true false true true false false false false false false false false false false false true true true true true KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN b 124018 FMV KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN s 315819565 FMV KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN q 7549568 FMV KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN o 14102489 FMV KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN p 240261573 FMV KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN r 8488723 FMV PROVIDER'S INSURANCE CORPORATION c 721363 FMV PROVIDER'S INSURANCE CORPORATION o 379334 FMV PROVIDER'S INSURANCE CORPORATION p 10002873 FMV KAPI'OLANI HEALTH FOUNDATION b 59873 FMV KAPI'OLANI HEALTH FOUNDATION o 561892 FMV KAPI'OLANI HEALTH FOUNDATION p 1650616 FMV KAPI'OLANI HEALTH FOUNDATION r 183680 FMV KAPI'OLANI MEDICAL SPECIALISTS b 63194768 FMV KAPI'OLANI MEDICAL SPECIALISTS s 3084941 FMV KAPI'OLANI MEDICAL SPECIALISTS q 1370506 FMV KAPI'OLANI MEDICAL SPECIALISTS o 7814190 FMV KAPI'OLANI MEDICAL SPECIALISTS p 31481856 FMV PALI MOMI MEDICAL CENTER b 53740 FMV PALI MOMI MEDICAL CENTER q 155827049 FMV PALI MOMI MEDICAL CENTER s 26986821 FMV PALI MOMI MEDICAL CENTER o 12499754 FMV PALI MOMI MEDICAL CENTER p 137049562 FMV PALI MOMI MEDICAL CENTER r 1322107 FMV STRAUB CLINIC & HOSPITAL b 193575 FMV STRAUB CLINIC & HOSPITAL q 6959765 FMV STRAUB CLINIC & HOSPITAL s 321403768 FMV STRAUB CLINIC & HOSPITAL o 21166225 FMV STRAUB CLINIC & HOSPITAL r 4852680 FMV STRAUB CLINIC & HOSPITAL p 268547414 FMV STRAUB FOUNDATION b 480000 FMV STRAUB FOUNDATION p 580631 FMV STRAUB FOUNDATION r 71685 FMV STRAUB FOUNDATION o 612154 FMV WILCOX MEMORIAL HOSPITAL s 97734156 FMV WILCOX MEMORIAL HOSPITAL q 1325585 FMV WILCOX MEMORIAL HOSPITAL o 8644036 FMV WILCOX MEMORIAL HOSPITAL r 1054862 FMV WILCOX MEMORIAL HOSPITAL p 68254150 FMV WILCOX HEALTH FOUNDATION b 290847 FMV WILCOX HEALTH FOUNDATION p 245574 FMV WILCOX HEALTH FOUNDATION o 529876 FMV KAUA'I MEDICAL CLINIC b 13723816 FMV KAUA'I MEDICAL CLINIC q 280142 FMV KAUA'I MEDICAL CLINIC s 5647711 FMV KAUA'I MEDICAL CLINIC o 3222047 FMV KAUA'I MEDICAL CLINIC p 13658183 FMV HAWAI'I PACIFIC HEALTH PARTNERS INC o 128346 FMV PALI MOMI FOUNDATION b 690000 FMV PALI MOMI FOUNDATION o 500739 FMV PALI MOMI FOUNDATION p 320248 FMV HONOLULU SURGERY CENTER p 391229 FMV SCHEDULE R, PART III RELATED 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 96793