2019-05-13T13:20:23-05:00 2018-06-30 ERNST & YOUNG US LLP 4365 EXECUTIVE DR STE 1600 SAN DIEGO CA 92121 990 2017-07-01 990246363 HAWAI'I PACIFIC HEALTH % DONNA MASUDA-KAM HAWA 8085357401 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 EARL INOUYE VICE PRESIDENT 8085357355 2019-05-09 true JOCELYNE MILLER P00634378 8585357200 2019-05-10 164.57.159.253 33008120191335000000 2019-05-13 P 0072E5294F5D18F1B75D7F77F4CF3BDF0D7B2C2A 537EC6986AB1F8F0FDE33F35764D968E98BC4D64 2017 2019-02-21 02:37:17Z RAYMOND VARA 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 268561022 false X HAWAIIPACIFICHEALTH.ORG X 1986 HI SEE SCHEDULE O 14 9 1128 9 1334850 397668 12804961 14062814 156988685 169968867 15983838 11647015 0 0 185777484 195678696 399608 690650 0 0 100836234 105624041 0 0 2074576 69898713 72431524 171134555 178746215 14642929 16932481 606066849 826574979 496939801 616466725 109127048 210108254 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 96769049 690650 169968867 SEE SCHEDULE O. 96769049 true true false true false false false false 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 821 0 true 1128 true true true false false false false false false false false false X 14 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 STEVEN AI Board of Director 0.4 0.0 X 0 0 0 KAREN CHANG Board of Director, Chair 0.5 0.0 X X 0 0 0 MICHAEL GIBSON ESQ Board of Director 0.4 0.1 X 0 0 0 DALE GLENN MD Board of Director (PART YEAR) 0.4 40.0 X 0 298726 30740 KATHRYN INOUYE Board of Director 0.4 0.0 X 0 0 0 CHRISTOPHER JORDAN Board 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DAVID FOX Privacy Officer 20.3 19.7 X 148299 0 31417 ARTHUR GLADSTONE VP & CNE 11.8 43.6 X 785819 0 279189 EARL INOUYE VP & System Controller 30.5 18.0 X 341558 0 86237 ALAN ITO Information Security Officer 36.8 3.2 X 174922 0 37605 GAIL LERCH EVP 41.0 9.5 X 713515 0 279569 JESSICA LEWIS Assistant Corporate Secretary 16.5 23.5 X 138454 0 37263 LORRIE-ANN LUKE VP 42.0 8.7 X 222650 0 74131 SUSAN MASUMOTO-NONAKA VP 8.0 32.0 X 339685 0 85692 DAVID OKABE EVP, CFO & Treasurer 37.0 14.0 X 835619 0 339264 KENNETH B ROBBINS MD EVP & CMO 20.5 34.7 X 793702 0 312183 STEVEN ROBERTSON EVP & CIO 41.0 9.7 X 699378 0 262517 MICHAEL ROBINSON VP 49.2 0.8 X 261111 0 64808 KATIE SHIGEMITSU Compliance Officer 17.0 23.0 X 193030 0 33703 MARTHA SMITH VP 5.0 55.0 X 774689 0 268061 DAVID STUMBAUGH VP 5.0 35.0 X 158699 0 39353 MAUREEN FLANNERY VP 5.0 50.0 X 342364 0 78223 GERARD F LIVAUDAIS VP HI Health Partners 50.0 0.0 X 425954 0 101198 MAVIS H NIKAIDO VP Pt Svcs and CNE 1.0 49.0 X 345786 0 81166 RODNEY WILLIAMS MD CMO, CQO-SCH 0.1 39.9 X 568860 0 121746 GERI Q YOUNG Chief Medical Officer 0.5 50.0 X 599843 0 82800 THOMAS MUNDELL Former Officer 0.0 0.0 X 427274 0 37658 14739071 1263337 4622082 198 true true false EPIC SYSTEMS CORP BOX 88314 MILWAUKEE WI 532880314 MEDICAL RECORD SYST 4744410 ANTHOLOGY MARKETING GRP 1003 BISHOP STREET 9TH FLOOR HONOLULU HI 96813 MARKETING SVCS 2341820 PHILIPS HEALTHCARE PO BOX 100355 ATLANTA GA 303840355 Hardwr/Softwr Maint. 1938157 GE HEALTHCARE 9900 W INNOVATION DRIVE WAUWATOSA WI 53225 MEDICAL EQUIP MAINT. 1924309 PACXA PO BOX 3347 HONOLULU HI 96801 HARDWR/SOFTWR MAINT. 1757541 81 0 13744195 318619 0 14062814 ADMIN/MGMT SVC TO TAX EXEMPT AFFILIATES 561000 166526173 166367168 159005 0 HAWAI'I HEALTH PARTNERS REVENUE 561000 2357680 1168962 1188718 0 GRANT & CLINICAL TRIAL-ADMIN & OVERHEAD 900099 726266 726266 0 0 NET PATIENT REVENUE 624190 310775 310775 0 0 CLINICAL TRIALS 541710 47973 47973 0 0 169968867 3484532 -12873 3497405 0 0 0 0 0 81044809 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AND/OR SCIENTIFIC PURPOSES INCLUDING ALL SUPPORTED ORGANIZATIONS LISTED IN THIS SECTION. SCHEDULE A, PART IV, SECTION A, LINE 6 HAWAI'I PACIFIC HEALTH'S DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)(3) AND 501(C)(6) ORGANIZATIONS ON BEHALF OF ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, LINE 3 4 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. false false false 0 false 0 false 0 false 0 false 0 false 0 true 58238 58238 false 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 PROVIDES OBJECTIVE INPUT TO LAWMAKERS REGARDING HEALTH CARE POLICY, REGULATION AND LEGISLATION. DURING THE MOST RECENT 2018 LEGISLATIVE SESSION, HAWAI'I PACIFIC HEALTH SUPPORTED LEGISLATION TO SUPPORT PHYSICIAN LICENSURE BY ENDORSEMENT, RESOLUTION REQUESTING A SUNRISE ANALYSIS FOR MEDICAL TRANSPORT COVERAGE, FURTHER CRIMINALIZATION OF WORKPLACE VIOLENCE AGAINST HEALTH CARE WORKERS, TAX CREDIT FOR PRECEPTORS, AND LEGISLATION TO REGULATE ELECTRONIC SMOKING DEVICES. 13167545 -47837 13215382 12993890 -173655 13167545 13334441 340551 12993890 13898962 564521 13334441 14317094 418132 13898962 1.00000 false false 0 14981997 14981997 2999914 1471004 1528910 14162048 12387162 1774886 82199753 59614841 22584912 10688950 2775585 7913365 48784070 44072933 F LIMITED PARTNERSHIPS 103094736 F HPH BOARD DESIGNATED 5352230 F 152519899 BENEFICIAL INTEREST-FDN ASSETS 71011350 DEFERRED CHARGES - TK57 2826615 OTHER RECEIVABLES 2826056 INVESTMENT LIFE INSURANCE CSV 2666187 DEFERRED CHARGES - RETIREMENT 1423704 TENANT IMPROV. ALLOWANCE 710328 DEFERRED CHARGES - LEASES/DEP 84247 ARTWORK 24569 ESCHEAT 9741 PROVIDER'S INSURANCE CORP. 2059576 KAPI'OLANI MEDICAL SPECIALISTS 1211669 KAUA'I MEDICAL CLINIC 609641 KMCWC 542153 KAPI'OLANI HEALTH FOUNDATION 501610 PALI MOMI MEDICAL CENTER 411727 HPHPI 209790 PALI MOMI FOUNDATION 182275 STRAUB FOUNDATION 164416 WILCOX MEMORIAL HOSPITAL 150522 WILCOX HEALTH FOUNDATION 81174 KEAHONUIOKALANI 6761 HICORD 5394 87719505 0 ACCRUED PENSION BENEFIT COSTS 18853801 OTHER LONG TERM LIABILITIES 11427465 DEFERRED TIA LIABILITY 1918194 CAPITAL LEASE LIABILITY 713417 DEFERRED RENT LIABILITY 493165 UH JOBSOM SCHOLARSHIP PLEDGE 389474 PATIENT ACCOUNTS RECEIVABLE 144420 PHYSICIAN ALLOWANCE ACCOUNT 7988 AR OTHER EMPL RSS 6415 STRAUB CLINIC & HOSPITAL 585670 KAPI'OLANI MEDICAL SPECIALISTS 511781 KAUA'I MEDICAL CLINIC 361191 HPHPI 14000 35426981 Central America and the Caribbean Investments 54084862 Europe (Including Iceland and Greenland) Investments 12102443 66187305 66187305 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 GREAT ALOHA RUN 418 Kuwili Street Ste 102 Honolulu HI 96817 990314751 501(c)(3) 165000 GENERAL SUPPORT ACCESSURF HAWAII INC PO BOX 15152 HONOLULU HI 96830 204420646 501(c)(3) 10000 GENERAL SUPPORT AMERICAN DIABETES ASSOCIATION 2451 CRYSTAL DRIVE SUITE 900 ARLINGTON VA 22202 131623888 501(c)(3) 10000 GENERAL SUPPORT AFTER SCHOOL ALL STARS 4747 KILAUEA AVE SUITE 210 HONOLULU HI 96816 274604870 501(c)(3) 10000 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 677 ALA MOANA BLVD HONOLULU HI 96813 135613797 501(c)(3) 35000 GENERAL SUPPORT AIO FOUNDATION 1000 BISHOP STREET SUITE 202 HONOLULU HI 96813 943278794 501(c)(3) 8250 GENERAL SUPPORT AMERICAN RED CROSS HAWAII 4155 DIAMOND HEAD ROAD HONOLULU HI 96816 530196605 501(c)(3) 10000 GENERAL SUPPORT BIKESHARE HAWAII 914 ALA MOANA BLVD HONOLULU HI 96814 464561541 501(c)(3) 90000 GENERAL SUPPORT CHAMBER OF COMMERCE OF HAWAII 1132 BISHOP STREET SUITE 402 HONOLULU HI 96813 990035510 501(c)(6) 6000 GENERAL SUPPORT CHILD & FAMILY SERVICE 1001 BISHOP STREET SUITE 780 HONOLULU HI 96813 990073483 501(c)(3) 22500 GENERAL SUPPORT DIAMOND HEAD THEATRE 520 MAKAPUU AVE HONOLULU HI 96816 990073495 501(c)(3) 11000 GENERAL SUPPORT HEALTHCARE ASSOCIATION OF HAWAII 707 RICHARDS STREET PH2 HONOLULU HI 96813 990105817 501(c)(6) 25500 GENERAL SUPPORT HAWAII PUBLIC HEALTH INSTITUE 850 RICHARDS STREET SUITE 201 HONOLULU HI 96813 680637054 501(c)(3) 18000 GENERAL SUPPORT HONOLULU MUSEUM OF ART 900 SOUTH BERETANIA STREET HONOLULU HI 96814 990079713 501(c)(3) 15000 GENERAL SUPPORT MARCH OF DIMES 1580 MAKALOA STREET SUITE 1200 HONOLULU HI 96814 131846366 501(c)(3) 10000 GENERAL SUPPORT PACIFIC AVIATION MUSEUM 319 LEXINGTON BLVD HONOLULU HI 96818 990337979 501(c)(3) 44000 GENERAL SUPPORT SHINDLER SCHOOL OF BUSINESS 2404 MAILE WAY C202 HONOLULU HI 96822 990339302 501(c)(3) 26500 GENERAL SUPPORT SPIKE AND SERVE CLUB 1669 SAINT LOUIS DRIVE HONOLULU HI 96816 461014354 501(c)(3) 10000 GENERAL SUPPORT TEACH FOR AMERICA HAWAII 500 ALA MOANA BLVD SUITE 3-400 HONOLULU HI 96813 133541913 501(c)(3) 6000 GENERAL SUPPORT UNIVERSITY OF HAWAII FOUNDATION 2444 DOLE STREET BACHMAN HALL 105 HONOLULU HI 96822 990085260 501(c)(3) 38450 GENERAL SUPPORT UNIVERSITY OF HAWAII 1337 LOWER CAMPUS ROAD AHAHUI KOA HONOLULU HI 96822 996000354 GOVERNMENT 32500 GENERAL SUPPORT BIG BROTHERS BIG SISTERS HAWAII 418 KUWILI STREET SUITE 106 HONOLULU HI 96817 990109970 501(c)(3) 10000 GENERAL SUPPORT WAIKIKI COMMUNITY CENTER 310 PAOAKALANI AVENUE HONOLULU HI 96815 990179392 501(c)(3) 5500 GENERAL SUPPORT AMERICAN CANCER SOCIETY 250 WILLIAMNS STREET NW SUITE 400 ATLANTA GA 30303 131788491 501(C)(3) 10000 GENERAL SUPPORT 22 2 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 BEHALF OF ITS SUPPORTED ORGANIZATIONS ON AN ANNUAL BASIS. NO FURTHER MONITORING IS NECESSARY FOR DONATIONS MADE TO 501(C)(3) ORGANIZATIONS. X X X true true X X X X true true false false false false false false false DALE GLENN MD Board of Director (PART YEAR) 0 269820 0 21766 0 7140 0 10800 0 19940 0 329466 0 0 CHRISTOPHER JORDAN Board of Director 0 159214 0 0 0 15094 0 1712 0 11237 0 187257 0 0 JAMES KAKUDA MD Board of Director (PART YEAR) 448716 0 52604 0 93158 0 70471 0 20075 0 685024 0 42279 0 MARK MAGELSSEN MD Board of Director 0 226637 0 0 0 35226 0 9827 0 13413 0 285103 0 0 BEAU NAKAMOTO MD Board of Director 0 242690 0 9665 0 60287 0 10800 0 382 0 323824 0 0 MONICA PRICE MD Board of Director 0 170915 0 549 0 44334 0 8430 0 21697 0 245925 0 0 RAYMOND P VARA JR Board of Dir, President & CEO 948892 0 497727 0 583359 0 851629 0 23278 0 2904885 0 389984 0 MELINDA ASHTON MD EVP & CQO 403706 0 109332 0 72766 0 114014 0 15773 0 715591 0 80859 0 JENNIE CHAHANOVICH VP 335722 0 107085 0 121750 0 180963 0 13039 0 758559 0 105277 0 WARREN CHAIKO SVP 239729 0 44681 0 46570 0 68926 0 24278 0 424184 0 38768 0 CHARLES R CHING EVP, Gen Counsel & Secretary 368738 0 140275 0 168406 0 229595 0 21780 0 928794 0 107869 0 PAULA DIAS VP 228847 0 53684 0 63461 0 67640 0 14574 0 428206 0 35473 0 BRANDT FARIAS SVP & Chief Marketing Officer 197165 0 48129 0 20542 0 51000 0 9185 0 326021 0 27066 0 DAVID FOX Privacy Officer 146804 0 0 0 1495 0 15529 0 15888 0 179716 0 0 0 ARTHUR GLADSTONE VP & CNE 455088 0 180230 0 150501 0 257118 0 22071 0 1065008 0 124936 0 EARL INOUYE VP & System Controller 255688 0 43382 0 42488 0 67746 0 18491 0 427795 0 40079 0 ALAN ITO Information Security Officer 168811 0 3500 0 2611 0 16463 0 21142 0 212527 0 0 0 GAIL LERCH EVP 394947 0 148419 0 170149 0 270029 0 9540 0 993084 0 117325 0 JESSICA LEWIS Assistant Corporate Secretary 138454 0 0 0 0 0 12067 0 25196 0 175717 0 0 0 LORRIE-ANN LUKE VP 175436 0 32490 0 14724 0 49450 0 24681 0 296781 0 25571 0 THOMAS MUNDELL Former Officer 175274 0 0 0 252000 0 16988 0 20670 0 464932 0 0 0 SUSAN MASUMOTO-NONAKA VP 242091 0 53266 0 44328 0 67640 0 18052 0 425377 0 39472 0 DAVID OKABE EVP, CFO & Treasurer 485359 0 181256 0 169004 0 324005 0 15259 0 1174883 0 143406 0 KENNETH B ROBBINS MD EVP & CMO 461691 0 138974 0 193037 0 295724 0 16459 0 1105885 0 139998 0 STEVEN ROBERTSON EVP & CIO 391948 0 143046 0 164384 0 246258 0 16259 0 961895 0 116758 0 MICHAEL ROBINSON VP 204754 0 37673 0 18684 0 55605 0 9203 0 325919 0 32835 0 KATIE SHIGEMITSU Compliance Officer 191175 0 0 0 1855 0 18484 0 15219 0 226733 0 0 0 MARTHA SMITH VP 443205 0 176687 0 154797 0 252502 0 15559 0 1042750 0 126614 0 DAVID STUMBAUGH VP 149738 0 8961 0 0 0 15319 0 24034 0 198052 0 0 0 MAUREEN FLANNERY VP 263520 0 48938 0 29906 0 62784 0 15439 0 420587 0 41697 0 GERARD F LIVAUDAIS VP HI Health Partners 337992 0 61859 0 26103 0 79125 0 22073 0 527152 0 46399 0 MAVIS H NIKAIDO VP Pt Svcs and CNE 267733 0 50413 0 27640 0 74131 0 7035 0 426952 0 43082 0 RODNEY WILLIAMS MD CMO, CQO-SCH 432436 0 82192 0 54232 0 102989 0 18757 0 690606 0 27388 0 GERI Q YOUNG Chief Medical Officer 354313 0 45050 0 200480 0 69261 0 13539 0 682643 0 35012 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. PERSONAL SERVICES WERE ALSO PAID FOR RAYMOND VARA. 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 - $252,000 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. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR. $193,669 JENNIE CHAHANOVICH $35,591 CHARLES R. CHING $55,730 ARTHUR GLADSTONE $60,055 DAVID OKABE $75,026 GAIL LERCH $64,691 KENNETH B. ROBBINS, M.D. $79,809 STEVEN ROBERTSON $63,844 MARTHA SMITH $59,907 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: JAMES KAKUDA, M.D. $52,330 RAYMOND P. VARA JR. $397,727 MELINDA ASHTON, M.D. $94,332 JENNIE CHAHANOVICH $107,085 WARREN CHAIKO $44,681 CHARLES R. CHING $110,275 PAULA DIAS $43,684 BRANDT FARIAS $33,129 ARTHUR GLADSTONE $145,230 EARL INOUYE $43,382 GAIL LERCH $118,419 LORRIE-ANN LUKE $32,490 SUSAN MASUMOTO-NONAKA $43,266 DAVID OKABE $146,256 KENNETH B. ROBBINS, M.D. $138,975 STEVEN ROBERTSON $118,046 MICHAEL ROBINSON $37,673 MARTHA SMITH $141,687 MAUREEN FLANNERY $48,938 GERARD F. LIVAUDAIS $61,859 MAVIS NIKAIDO $50,413 RODNEY WILLIAMS, M.D. $82,192 GERI YOUNG, M.D. $45,050 A STATE OF HAWAI'I - DEPARTMENT OF BUDGET & FINANCE 990266961 419800JX6 2013-10-03 159059332 SERIES 2013-A/B, SEE PART VI false false false B STATE OF HAWAI'I - DEPARTMENT OD BUDGET & FINANCE 990266961 2013-10-03 50000000 SERIES 2013-C, SEE PART VI false false false C STATE OF HAWAI'I - DEPARTMENT OF BUDGET & FINANCE 990266961 419771AX8 2010-07-21 60400728 SERIES 2010-B, SEE PART VI true false false D STATE OF HAWAI'I - DEPARTMENT OF BUDGET & FINANCE 990266961 419771AN0 2010-06-10 99307516 SERIES 2010-A, SEE PART VI true false false A 8780000 0 159059332 0 14284839 0 1995112 0 0 106569161 36348760 0 2016 true false true true B 5700000 0 50000000 0 0 0 0 0 0 0 50000000 0 2013 true false true true C 4545000 56665000 60400728 322 5163794 0 911278 0 0 29836206 20000000 0 2013 true false true true D 4285000 97655000 99307516 966 0 0 794170 0 0 0 88784057 0 2013 true false true true A false true true true true true 0.00160 0.00160 false true 0.05490 true B false true true true true true 0.00150 0.00150 false true 0.14000 true C false true true true true true 0.00900 0.00900 false false false true D false true true true true true 0.02060 0.02060 false true 0.19000 true A false false false true false false 0 false 0 false true B false false false true true true Goldman Sachs 0.294 false false 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 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 2004-B BONDS ISSUED ON 01/14/2004. LINE C NEW AND REFUNDED MONEY. LINE D TO REFUND SERIES 2009-A BONDS ISSUED ON 04/02/2009. DATE OF REBATE COMPUTATION SCHEDULE K, PART IV, LINE 2C COLUMN A - 2013AB - 01/10/2017 COLUMN B - 2013C - 07/30/2015 COLUMN C - 2010B - 08/24/2016 COLUMN D - 2010A - 07/20/2017 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 2018, HAWAI'I PACIFIC HEALTH SPENT $61,761,864 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 16,642 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 2018, KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN (KAPI'OLANI) PERFORMED 5,770 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 3,644 OUTPATIENT SURGERIES. STRAUB CLINIC AND HOSPITAL (STRAUB) HAS INTEGRATED OUTPATIENT SURGERY AND PERFORMED 3,779 OUTPATIENT SURGERIES. WILCOX MEMORIAL HOSPITAL (WILCOX) HAS A STATE-OF-THE-ART SURGICAL CENTER AND PERFORMED 3,449 OUTPATIENT SURGERIES. OUTPATIENT EMERGENCY ROOMS IN FISCAL YEAR 2018, HAWAI'I PACIFIC HEALTH HOSPITALS SAW 151,364 ER VISITS AND SPENT $55,843,595 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 RECEIVED 45,093 VISITS, THE PALI MOMI ER RECEIVED 47,984 VISITS, THE STRAUB ER RECEIVED 33,317 VISITS, AND THE WILCOX ER RECEIVED 24,970 VISITS. PEDIATRIC-NEONATAL SERVICES IN FISCAL YEAR 2018, HAWAI'I PACIFIC HEALTH SPENT $50,880,390 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 4,083 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 2018, KAPI'OLANI PROVIDED SPECIALIZED CARE FOR 3,866 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 2018, WILCOX PROVIDED SPECIALIZED CARE FOR 217 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 PROVIDERS WITH FOUR MEDICAL CENTERS, MORE THAN 70 LOCATIONS, 1,700+ AFFILIATED PHYSICIANS AND NEARLY 7,000 FULL- AND PART-TIME EMPLOYEES, AS WELL AS HUNDREDS OF COMMUNITY VOLUNTEERS. IN FISCAL YEAR 2018, THE MEDICAL CENTERS ADMITTED 31,872 PATIENTS. IN ADDITION, STRAUB CLINICS HAD 865,851 CLINIC ENCOUNTERS, KAUA'I MEDICAL CLINIC HAD 348,578 CLINIC ENCOUNTERS AND KAPI'OLANI MEDICAL SPECIALISTS HAD 85,763 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 HEALTH 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, MINIMALLY INVASIVE BONE & JOINT CENTER, SLEEP DISORDERS CENTER, STATE'S FIRST WOMEN'S CENTER, STATE'S ONLY BREAST AND WOMEN'S CANCER CENTERS, AND OTHER SPECIALIZED SERVICES CONSIDERED CRITICAL TO THE REMOTE HAWAIIAN ARCHIPELAGO. COMMUNITY ROLE/ACTIVITY AS ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS, 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 2018, 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 HEART ATTACKS, CANCER, ARTHRITIS AND OTHER CHRONIC HEALTH CONDITIONS. THESE EVENTS INCLUDE "HPH KIDS FEST," "CANCER CARE," "VALENTINE IN PARADISE,"GETTING A GRIP ON ARTHRITIS." IN FISCAL 2018, HAWAI'I PACIFIC HEALTH SPONSORED OR SUPPORTED NUMEROUS HEALTH EVENTS, INCLUDING "HPH WOMEN'S 10K," "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 NEARLY 7,000 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 16, 2018 TO REVIEW PHYSICIAN COMPENSATION AND ON AUGUST 21, 2018 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 $ 92,437,377 - OBLIGATED GROUP INTERCOMPANY TRANFERS $ 12,808,053 - PENSION AND POST RETIREMENT ADJUSTMENTS $ 5,000,000 - CONTRIBUTIONS INTERENTLY $ 4,021,988 - CHANGE IN INTEREST IN KHF AND WHF $ 246,548 - CHANGE IN SWAP $( 4) - ROUNDING $( 341,863) - NONCONTROLLING INTEREST $( 2,329,105) - CHANGE IN SPLIT INTEREST $(33,219,406) - EQUITY TRANSFERS WITH AFFILIATES -------------- $ 78,623,588 - TOTAL Hawai'i Health Partners 55 Merchant Street 24th Floor Honolulu HI 96813 352480297 HEALTHCARE HI 2357680 7759575 HPH KAPI'OLANI MED CENTER WOMEN & CHILDREN 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990274038 HOSPITAL HI 501(c)(3) 3 NA true STRAUB CLINIC & HOSPITAL 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 912151670 HOSPITAL HI 501(c)(3) 3 NA true PALI MOMI FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 383840327 FUNDRAISING HI 501(c)(3) 7 NA true STRAUB FOUNDATION 55 MERCHANT STREET 26TH FLOOR HONOLULU HI 96813 990109350 FUNDRAISING HI 501(c)(3) 7 NA true PALI MOMI MEDICAL CENTER 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990274038 HOSPITAL HI 501(c)(3) 3 NA true WILCOX HEALTH FOUNDATION 3-3420 KUHIO HIGHWAY LIHUE HI 96766 990204242 FUNDRAISING HI 501(c)(3) 7 NA true WILCOX MEMORIAL HOSPITAL 3-3420 KUHIO HIGHWAY LIHUE HI 96766 990074365 HOSPITAL HI 501(c)(3) 3 NA true KAUA'I MEDICAL CLINIC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990326099 HOSPITAL HI 501(c)(3) 3 NA true PROVIDERS INSURANCE CORPORATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 710893000 INSURANCE HI 501(c)(3) 12b, II NA true KAPI'OLANI HEALTH FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990246364 FUNDRAISING HI 501(c)(3) 7 NA true KAPI'OLANI MEDICAL SPECIALISTS 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990322406 HEALTHCARE HI 501(c)(3) 10 NA true ACS PACIFIC VENTURES LLC 3000 RIVERCHASE GALLERIA STE 500 BIRMINGHAM AL 35244 270540034 AMBU. SURG. CTR AL NA INVISION LLC 1010 SOUTH KING STREET HONOLULU HI 96813 208565615 MRI CENTER HI NA MAUI CANCER CENTER PETCT LLC 227 MAHALANI STREET STE 107 WAILUKU HI 96793 260163883 INACTIVE HI NA MAUI CANCER CTR PROPERTY CO LLC 227 MAHALANI STREET STE 107 WAILUKU HI 96793 260146602 INACTIVE HI NA HAWAI'I PACIFIC HEALTH PARTNERS INC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990318588 HOLDING COMPANY HI NA C Corp 1.00000 true STRAUB PHARMACY INC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990145107 INACTIVE HI SCH C Corp 0 0 HICORD INC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990251496 INVESTMENT HI HPHPI C Corp 0 0 false true true false false false false false false true true false false false true true true true true KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN b 147782 FMV KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN s 279011606 FMV KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN q 6930382 FMV KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN o 12435892 FMV KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN p 187435740 FMV KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN r 7731383 FMV PROVIDER'S INSURANCE CORPORATION o 1187136 FMV PROVIDER'S INSURANCE CORPORATION s 329404 FMV PROVIDER'S INSURANCE CORPORATION c 654689 FMV PROVIDER'S INSURANCE CORPORATION P 6514565 FMV KAPI'OLANI HEALTH FOUNDATION B 450000 FMV KAPI'OLANI HEALTH FOUNDATION O 643519 FMV KAPI'OLANI HEALTH FOUNDATION P 1870798 FMV KAPI'OLANI HEALTH FOUNDATION R 370057 FMV KAPI'OLANI MEDICAL SPECIALISTS B 13911290 FMV KAPI'OLANI MEDICAL SPECIALISTS S 4383496 FMV KAPI'OLANI MEDICAL SPECIALISTS Q 817301 FMV KAPI'OLANI MEDICAL SPECIALISTS O 2502496 FMV KAPI'OLANI MEDICAL SPECIALISTS P 16011878 FMV KAPI'OLANI MEDICAL SPECIALISTS R 703792 FMV PALI MOMI MEDICAL CENTER B 51948 FMV PALI MOMI MEDICAL CENTER Q 103876091 FMV PALI MOMI MEDICAL CENTER S 45160091 FMV PALI MOMI MEDICAL CENTER O 11368353 FMV PALI MOMI MEDICAL CENTER P 122105320 FMV PALI MOMI MEDICAL CENTER R 2516762 FMV STRAUB CLINIC & HOSPITAL B 305729 FMV STRAUB CLINIC & HOSPITAL K 972972 FMV STRAUB CLINIC & HOSPITAL Q 94448044 FMV STRAUB CLINIC & HOSPITAL S 121508844 FMV STRAUB CLINIC & HOSPITAL O 19274143 FMV STRAUB CLINIC & HOSPITAL R 5955073 FMV STRAUB CLINIC & HOSPITAL P 204110367 FMV STRAUB FOUNDATION B 834137 FMV STRAUB FOUNDATION P 541608 FMV STRAUB FOUNDATION R 120421 FMV STRAUB FOUNDATION O 667283 FMV WILCOX MEMORIAL HOSPITAL S 77721502 FMV WILCOX MEMORIAL HOSPITAL Q 2512490 FMV WILCOX MEMORIAL HOSPITAL O 6889081 FMV WILCOX MEMORIAL HOSPITAL R 1142036 FMV WILCOX MEMORIAL HOSPITAL P 61324968 FMV WILCOX HEALTH FOUNDATION C 1512799 FMV WILCOX HEALTH FOUNDATION P 192519 FMV WILCOX HEALTH FOUNDATION O 537836 FMV KAUA'I MEDICAL CLINIC B 16814208 FMV KAUA'I MEDICAL CLINIC Q 306701 FMV KAUA'I MEDICAL CLINIC S 12132379 FMV KAUA'I MEDICAL CLINIC R 439600 FMV KAUA'I MEDICAL CLINIC O 8530748 FMV KAUA'I MEDICAL CLINIC P 9548442 FMV HAWAI'I PACIFIC HEALTH PARTNERS INC O 305639 FMV HAWAI'I PACIFIC HEALTH PARTNERS INC P 103317 FMV PALI MOMI FOUNDATION B 715000 FMV PALI MOMI FOUNDATION O 464202 FMV PALI MOMI FOUNDATION P 324005 FMV PALI MOMI FOUNDATION R 56000 FMV SCHEDULE R, PART III RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP ASC PACIFIC VENTURES, LLC EIN: 27-0540034 ADDRESS: 3000 RIVERCHASE GALLERIA, STE 500 BIRMINGHAM, AL 35244 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