STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HAWAII PACIFIC HEALTH GROUP RETURN: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
HAWAII PACIFIC HEALTH GROUP RETURN (EIN 38-3835105)
Tax period
2016-07-01 to 2017-06-30
Filed
2018-05-04
IRS object ID
201841249349301664
Schema version
2016v3.1
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)
Return2018-05-04T16:55:53-05:00ReturnTs
Tax Period End2017-06-30TaxPeriodEndDt

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 Line14370 LA JOLLA VILLAGE DR SUITE 500AddressLine1Txt
CitySAN DIEGOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP92122ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383835105EIN

Business Name BusinessName

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonEARL INOUYEPersonNm
Person Titlevp & system controllPersonTitleTxt
Signature2018-05-03SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJOCELYNE MILLERPreparerPersonNm
PTINP00634378PTIN
Phone8585357200PhoneNum
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRAYMOND VARAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 MERCHANT ST 24TH FLOORAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,341,538,582GrossReceiptsAmt
Group Return For AffiliatesYes (true)GroupReturnForAffiliatesInd
All Affiliates IncludedYes (true)AllAffiliatesIncludedInd
Group Exemption5834GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.hawaiipacifichealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionKAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN, PALI MOMI MEDICAL CENTER, STRAUB MEDICAL CENTER AND WILCOX MEDICAL CENTER'S MISSION IS TO CREATE A HEALTHIER HAWAI'I.ActivityOrMissionDesc
Voting Members Governing Body40VotingMembersGoverningBodyCnt
Voting Members Independent28VotingMembersIndependentCnt
Total Employee5943TotalEmployeeCnt
Total Volunteers689TotalVolunteersCnt
Total Gross UBI$814,155TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$11,929NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$4,024,550PYContributionsGrantsAmt
CY Contributions Grants$38,200,792CYContributionsGrantsAmt
PY Program Service Revenue$1,152,640,538PYProgramServiceRevenueAmt
CY Program Service Revenue$1,189,562,447CYProgramServiceRevenueAmt
PY Investment Income-$2,185,713PYInvestmentIncomeAmt
CY Investment Income$7,146,921CYInvestmentIncomeAmt
PY Other Revenue$6,467,796PYOtherRevenueAmt
CY Other Revenue$7,151,712CYOtherRevenueAmt
PY Total Revenue$1,160,947,171PYTotalRevenueAmt
CY Total Revenue$1,242,061,872CYTotalRevenueAmt
PY Grants And Similar Paid$2,725,326PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$910,702CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$539,388,506PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$549,366,323CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$513,747,465PYOtherExpensesAmt
CY Other Expenses$552,383,400CYOtherExpensesAmt
PY Total Expenses$1,055,861,297PYTotalExpensesAmt
CY Total Expenses$1,102,660,425CYTotalExpensesAmt
PY Revenues Less Expenses$105,085,874PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$139,401,447CYRevenuesLessExpensesAmt
Total Assets BOY$920,581,653TotalAssetsBOYAmt
Total Assets EOY$914,346,914TotalAssetsEOYAmt
Total Liabilities BOY$171,438,146TotalLiabilitiesBOYAmt
Total Liabilities EOY$147,252,420TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$749,143,507NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$767,094,494NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE O.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$58,487,791ExpenseAmt
Grant$0GrantAmt
Revenue$83,000,000RevenueAmt
DescSEE SCHEDULE O.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$54,884,619ExpenseAmt
Grant$0GrantAmt
Revenue$156,000,000RevenueAmt
DescSEE SCHEDULE O.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$54,568,828ExpenseAmt
Grant$0GrantAmt
Revenue$136,000,000RevenueAmt
DescSEE SCHEDULE O.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$797,867,803TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$910,702TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$820,736,143TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$965,809,041TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
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 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5943EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members40GoverningBodyVotingMembersCnt
Independent Voting Member28IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldHIStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonANN HOPersonNm
Phone8085272520PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (75 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MARK BAKER MD
BOARD OF DIRECTOR (Part Year)1.20.0Yes (X)$0$0$0
CHRIS ELDRIDGE
BOARD OF DIRECTOR0.30.0Yes (X)$0$0$0
BEN GODSEY
BOARD OF DIRECTOR0.30.0Yes (X)$0$0$0
KEVIN HARA MD
BOARD OF DIRECTOR1.20.0Yes (X)$0$0$0
BETH HOBAN RN
BOARD OF DIRECTOR0.20.1Yes (X)$0$0$0
WAYNE KATAYAMA
BOARD OF DIRECTOR0.20.0Yes (X)$0$0$0
CLYDE KODANI
BOARD OF DIRECTOR0.20.0Yes (X)$0$0$0
RICHANNE LAM
BOARD OF DIRECTOR0.20.1Yes (X)$0$0$0
STEPHEN LIN MD
BOARD OF DIRECTOR1.30.0Yes (X)$0$7,512$0
NEIL MANAGO MD
BOARD OF DIRECTOR0.20.0Yes (X)$0$0$0
AVI MANNIS
BOARD OF DIRECTOR0.20.0Yes (X)$0$0$0
GERALD MCKENNA MD
Board of Director0.20.0Yes (X)$0$0$0
PETER MCNALLY MD
Board of Director0.30.0Yes (X)$0$0$0
ELLIOT MILLS
Board of Director, Chair0.30.4Yes (X)$0$0$0
MICHAEL O'MALLEY ESQ
Board of Director1.30.0Yes (X)$0$0$0
FRED PAINE
Board of Director0.20.0Yes (X)$0$0$0
ALANA PAKKALA
Board of Director0.20.2Yes (X)$0$0$0
MARK PITTS MD
Board of Director0.20.0Yes (X)$0$0$0
JERRY PUPILLO
Board of Director0.20.0Yes (X)$0$0$0Yes (X)
DANIELLE RAMOS
BOARD OF DIRECTOR (Part Year)0.20.0Yes (X)$0$0$0
KATHY RICHARDSON
Board of Director0.20.0Yes (X)$0$0$0
LYLE TABATA
Board of Director0.20.6Yes (X)$0$0$0
JASMINE TANIOKA
Board of Director0.20.0Yes (X)$0$0$0
SHELLEY WILSON
Board of Director0.30.0Yes (X)$0$0$0
MARK YAMAKAWA
BOARD OF DIRECTOR0.30.0Yes (X)$0$0$0
LOREN YAMAMOTO MD
BOARD OF DIRECTOR0.30.0Yes (X)$0$0$0
MICHAEL YAMANE
BOARD OF DIRECTOR0.20.0Yes (X)$0$0$0
GORDON HAMMOND
BOARD OF DIRECTOR, CHAIR0.20.0Yes (X)$0$0$0Yes (X)
GORDON NIHEI
BOARD OF DIRECTOR, CHAIR0.20.0Yes (X)$0$0$0Yes (X)
VIOLETA ARNOBIT RN
BOD, VICE CHAIR (Part Year)0.20.1Yes (X)$0$0$0Yes (X)
TAD JACKSON MD
BOARD OF DIRECTOR, VICE CHAIR0.20.0Yes (X)$0$0$0Yes (X)
DAWN MIURA MD
BOARD OF DIRECTOR0.20.0Yes (X)$0$12,666$0
DOUGLAS KWOCK MD
BOARD OF DIRECTOR, CHAIR1.30.0Yes (X)$0$15,574$0Yes (X)
R CRAIG NETZER
Board of Director0.20.0Yes (X)$0$41,595$0
DAVID CHO MD
Board of Director40.00.0Yes (X)$481,167$0$31,668
CAROL FUJIYOSHI MD
Board of Director0.240.0Yes (X)$0$341,495$14,174
MONICA PRICE MD
Board of Director40.00.0Yes (X)$194,583$0$27,560
MARTHA SMITH
Board of Director, CEO50.010.0Yes (X)$0$829,391$210,124Yes (X)
KENNETH B ROBBINS MD
BOARD OF DIRECTOR, EVP & CMO21.633.6Yes (X)$0$909,142$222,896Yes (X)
RAYMOND P VARA JR
BOD, President & CEO8.054.1Yes (X)$0$2,204,534$577,097Yes (X)
JENNIE CHAHANOVICH
BOD, PRESIDENT & CEO30.026.5Yes (X)$0$627,702$173,834Yes (X)
ARTHUR GLADSTONE
BOD, CEO, VP & SYSTEM CNE43.212.2Yes (X)$0$812,800$212,733Yes (X)
BEAU NAKAMOTO MD
Board of Director, VICE CHAIR40.00.0Yes (X)$377,465$0$11,035Yes (X)
RODNEY WILLIAMS MD
CMO39.01.0$502,459$0$59,137Yes (X)
KATIE SHIGEMITSU
COMPLIANCE OFFICER23.017.0$0$181,068$31,504Yes (X)
JOHN BELEW
COO39.01.0$0$0$0Yes (X)
PATRICIA BOECKMANN RN
COO50.02.0$0$321,184$108,472Yes (X)
GIDGET RUSCETTA RN
COO43.010.1$0$317,834$87,329Yes (X)
GAIL LERCH
EVP8.050.5$0$779,268$194,547Yes (X)
STEVEN ROBERTSON
EVP & CIO13.541.0$0$788,539$200,092Yes (X)
DAVID OKABE
EVP, CFO & TREASURER12.038.4$0$931,782$232,268Yes (X)
CHARLES R CHING
EVP, GEN COUNSEL & SECRETARY12.028.0$0$734,133$193,392Yes (X)
ALAN ITO
INFORMATION SECURITY OFFICER3.037.0$0$164,310$35,352Yes (X)
DAVID FOX
PRIVACY OFFICER16.523.5$0$146,572$28,989Yes (X)
THOMAS MUNDELL
SVP0.861.2$0$448,416$46,039Yes (X)
MELINDA ASHTON MD
SVP & CQO6.043.3$0$548,575$123,698Yes (X)
WARREN CHAIKO
VP30.020.0$0$333,799$89,461Yes (X)
DAWN CHING
VP50.02.0$0$270,063$84,269Yes (X)
PAULA DIAS
VP48.03.0$0$298,882$75,717Yes (X)
BRANDT FARIAS
VP4.051.0$0$234,937$50,132Yes (X)
MAUREEN FLANNERY
VP50.05.0$0$322,783$74,668Yes (X)
LORRIE-ANN LUKE
VP7.043.7$0$197,016$65,774Yes (X)
SUSAN MASUMOTO-NONAKA
VP32.011.2$0$323,353$84,552Yes (X)
MICHAEL ROBINSON
VP0.649.4$0$247,734$56,525Yes (X)
BRIGITTE MCKALE
VP & CNE50.01.0$0$282,707$77,546Yes (X)
MAVIS NIKAIDO
VP & CNE49.01.0$0$335,950$77,864Yes (X)
EARL INOUYE
VP & SYSTEM CONTROLLER10.041.0$0$331,492$83,124Yes (X)
JESSICA LEWIS
ASSISTANT CORPORATE SECRETARY16.024.0$0$134,343$32,501Yes (X)
SPENCER K CHANG MD
PHYSICIAN40.00.0$804,967$0$32,048Yes (X)
MARK S GERBER MD
PHYSICIAN40.00.0$908,335$0$17,079Yes (X)
CURTIS B KAMIDA MD
PHYSICIAN40.00.0$872,622$0$51,125Yes (X)
KENNETH C LEE MD
PHYSICIAN40.00.0$783,426$0$14,726Yes (X)
CASS K NAKASONE MD
PHYSICIAN40.00.0$1,096,060$0$31,168Yes (X)
THOMAS J NORDYKE MD
FORMER OFFICER40.00.0$290,951$0$29,168Yes (X)
CHARLES A STED
FORMER OFFICER0.00.0$179,701$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,491,736TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$14,477,151TotReportableCompRltdOrgAmt
Total Other Compensation$3,849,387TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1578IndivRcvdGreaterThan100KCnt
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
LAYTON DCK JOINT VENTURE
9090 SOUTH SANDY PKWYSANDYUT84070CONSTRUCTION SVCS$48,501,493
CLINICAL LABORATORIES OF HAWAI'I L
PO BOX 1300HONOLULUHI968071300laboratory services$26,683,381
SODEXO INC AFFILIATES
9801 WASHINGTONIAN BLVDGAITHERSBURGMD20878FOOD & ENVIRON SVCS$9,042,680
CONSTRUCTORS HAWAI'I INC
1728 KAHAI STHONOLULUHI968133133CONSTRUCTION SVCS$6,690,243
UNIVERSITY CLINIC EDU RESEARCH AS
677 ALA MOANA BLVD STE 1001HONOLULUHI96813PHYSICIAN SVCS$6,146,167
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K166CntrctRcvdGreaterThan100KCnt
Related Organizations$37,912,827RelatedOrganizationsAmt
All Other Contributions$287,965AllOtherContributionsAmt
Noncash Contributions$18,056NoncashContributionsAmt
Total Contributions$38,200,792TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUES622110$1,169,443,172$1,169,443,172
OTHER HEALTHCARE REVENUE622110$9,681,655$9,681,655
RENTAL INCOME531120$3,608,130$3,595,058$13,072
PREMIUM REVENUE622110$3,387,972$3,387,972
INTER-ENTITY SERVICE REVENUE900099$2,054,023$2,054,023

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,387,495TotalRevenueColumnAmt
Related Or Exempt Func Income$706,920RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$680,575UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,189,562,447TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,125,389TotalRevenueColumnAmt
Exclusion$2,125,389ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$748,710TotalRevenueColumnAmt
Exclusion$748,710ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$487,754RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$487,754RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$487,754TotalRevenueColumnAmt
Exclusion$487,754ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$103,265,340SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$98,895,403SecuritiesAmt
Other$97,115OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$4,369,937SecuritiesAmt
Other-$97,115OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,272,822TotalRevenueColumnAmt
Exclusion$4,272,822ExclusionAmt
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$853,946GrossSalesOfInventoryAmt
Cost Of Goods Sold$484,192CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$369,754TotalRevenueColumnAmt
Exclusion$369,754ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE722110$2,815,585$2,815,585
PARKING REVENUE812930$2,628,092$2,628,092
EXPENSE REIMBURSEMENT900099$331,444$331,444

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$519,083TotalRevenueColumnAmt
Related Or Exempt Func Income$398,575RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$120,508UnrelatedBusinessRevenueAmt
FieldValueIRS element (for citing)
Other Revenue Total$6,294,204OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,242,061,872TotalRevenueColumnAmt
Related Or Exempt Func Income$1,195,042,496RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$814,155UnrelatedBusinessRevenueAmt
Exclusion$8,004,429ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$910,702TotalAmt
Program Services$910,702ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,073,259TotalAmt
Program Services$1,067,893ProgramServicesAmt
Management And General$5,366ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$536,683TotalAmt
Program Services$536,683ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$438,883,567TotalAmt
Program Services$434,444,657ProgramServicesAmt
Management And General$4,438,910ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$31,477,658TotalAmt
Program Services$31,127,596ProgramServicesAmt
Management And General$350,062ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$47,828,463TotalAmt
Program Services$39,329,406ProgramServicesAmt
Management And General$8,499,057ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,566,693TotalAmt
Program Services$29,245,250ProgramServicesAmt
Management And General$321,443ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$3,897TotalAmt
Program Services$3,897ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$3,081,432TotalAmt
Management And General$3,081,432ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$644,113TotalAmt
Management And General$644,113ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$166,703,850TotalAmt
Program Services$145,476,252ProgramServicesAmt
Management And General$21,227,598ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$608,700TotalAmt
Program Services$161,104ProgramServicesAmt
Management And General$447,596ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$173,732,906TotalAmt
Program Services$173,164,967ProgramServicesAmt
Management And General$567,939ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$6,289,066TotalAmt
Program Services$3,786,948ProgramServicesAmt
Management And General$2,502,118ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$27,579,492TotalAmt
Program Services$26,373,625ProgramServicesAmt
Management And General$1,205,867ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,164,672TotalAmt
Program Services$1,076,181ProgramServicesAmt
Management And General$88,491ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$259,556TotalAmt
Program Services$240,885ProgramServicesAmt
Management And General$18,671ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$17,896,414TotalAmt
Program Services$17,896,414ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$41,889,601TotalAmt
Program Services$41,889,601ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$12,603,467TotalAmt
Program Services$12,763,567ProgramServicesAmt
Management And General-$160,100ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
CORPORATE ALLOCATION$80,055,934$80,055,934
OTHER PURCHASES$18,890,786$12,672,085$6,218,701
AFFILIATE EXPENSES$836,089$836,089
SPECIFIC PURPOSE DONATION$362$362

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$143,063TotalAmt
Program Services$94,350ProgramServicesAmt
Management And General$48,713ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,102,660,425TotalAmt
Program Services$965,809,041ProgramServicesAmt
Management And General$136,851,384ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$853,297BOYAmt
EOY-$579,135EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$10,949,757BOYAmt
EOY$949,037EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$162,013,837BOYAmt
EOY$149,461,558EOYAmt

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$16,626,837BOYAmt
EOY$17,846,426EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,202,733BOYAmt
EOY$2,419,339EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$991,929,152LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$504,262,263LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$472,472,694BOYAmt
EOY$487,666,889EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$85,116,205BOYAmt
EOY$105,219,613EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$57,944,356BOYAmt
EOY$63,970,832EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$112,489,974BOYAmt
EOY$85,773,798EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$920,581,653BOYAmt
EOY$914,346,914EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$110,599,860BOYAmt
EOY$96,653,942EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$60,838,286BOYAmt
EOY$50,598,478EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$171,438,146BOYAmt
EOY$147,252,420EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$691,901,208BOYAmt
EOY$739,105,520EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$47,524,996BOYAmt
EOY$17,911,891EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$9,717,303BOYAmt
EOY$10,077,083EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$749,143,507BOYAmt
EOY$767,094,494EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$920,581,653BOYAmt
EOY$914,346,914EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$139,401,447ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$9,986,751NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$131,437,211OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

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

Form990 Sch A Type3 Sprt Org All Form990SchAType3SprtOrgAllGrp

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

Adjusted Net Income AdjustedNetIncomeGrp

Net ST Capital Gain Adj Net Incm NetSTCapitalGainAdjNetIncmGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Recoveries PY Distributions RecoveriesPYDistributionsGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Other Gross Income OtherGrossIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Adjusted Gross Income AdjustedGrossIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Production Income ProductionIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Total Adjusted Net Income TotalAdjustedNetIncomeGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Minimum Asset Amount MinimumAssetAmountGrp

Average Monthly FMV Of Sec AverageMonthlyFMVOfSecGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Average Monthly Cash Balances AverageMonthlyCashBalancesGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

FMV Other Non Exempt Use Asset FMVOtherNonExemptUseAssetGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Total FMV Of Non Exempt Use Asset TotalFMVOfNonExemptUseAssetGrp

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

Acquisition Indebtedness AcquisitionIndebtednessGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Adjusted FMV Less Indebtedness AdjustedFMVLessIndebtednessGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Cash Deemed Charitable CashDeemedCharitableGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Net Vl Non Exempt Use Assets NetVlNonExemptUseAssetsGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Pct Of Net Vl Non Exempt Use Ast PctOfNetVlNonExemptUseAstGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Recoveries PY Distri Min Asset RecoveriesPYDistriMinAssetGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Total Minimum Asset TotalMinimumAssetGrp

FieldValueIRS element (for citing)
Prior Year$0PriorYearAmt

Distributable Amount DistributableAmountGrp

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

Distributions DistributionsGrp

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

Distribution Allocations DistributionAllocationsGrp

FieldValueIRS element (for citing)
CY Distributable As Adjusted$0CYDistributableAsAdjustedAmt
Underdistributions$0UnderdistributionsAmt
Excess Distribution Cyov Yr3$0ExcessDistributionCyovYr3Amt
Excess Distribution Cyov Yr2$0ExcessDistributionCyovYr2Amt
Excess Distribution Cyov Yr1$0ExcessDistributionCyovYr1Amt
Total Excess Distribution Cyov$0TotalExcessDistributionCyovAmt
Cyov Applied Underdistri PY$0CyovAppliedUnderdistriPYAmt
Cyov Applied Underdistr CPY$0CyovAppliedUnderdistrCPYAmt
Excess Distribution Cyov$0ExcessDistributionCyovAmt
CY Total Annual Distributions$0CYTotalAnnualDistributionsAmt
CY Distrib App Underdistri PY$0CYDistribAppUnderdistriPYAmt
Excess Distribution$0ExcessDistributionAmt
Remaining Underdistri PY$0RemainingUnderdistriPYAmt
Remaining Underdistri CY$0RemainingUnderdistriCYAmt
Excess Distri Cyov To Next Yr$0ExcessDistriCyovToNextYrAmt
Excess From Year4$0ExcessFromYear4Amt
Excess From Year3$0ExcessFromYear3Amt
Excess From Year2$0ExcessFromYear2Amt
Excess From Year1$0ExcessFromYear1Amt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Organization Belongs Afflt GrpYes (X)OrganizationBelongsAffltGrpInd
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$52,759OtherActivitiesAmt
Total Lobbying Expenditures$52,759TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

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

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Revenues Included$0RevenuesIncludedAmt
Assets Included$1,212,966AssetsIncludedAmt
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$163,374,610BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$16,944,928InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$195,755OtherExpendituresAmt
End Year Balance$180,123,783EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$167,123,775BeginningYearBalanceAmt
Contributions$340,551ContributionsAmt
Investment Earnings Or Losses-$3,972,004InvestmentEarningsOrLossesAmt
Other Expenditures$117,712OtherExpendituresAmt
End Year Balance$163,374,610EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$170,982,165BeginningYearBalanceAmt
Contributions$564,521ContributionsAmt
Investment Earnings Or Losses-$4,243,274InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$167,884OtherExpendituresAmt
Administrative Expenses$11,753AdministrativeExpensesAmt
End Year Balance$167,123,775EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$151,507,463BeginningYearBalanceAmt
Contributions$418,132ContributionsAmt
Investment Earnings Or Losses$19,077,175InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$20,605AdministrativeExpensesAmt
End Year Balance$170,982,165EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$135,652,768BeginningYearBalanceAmt
Contributions$493,306ContributionsAmt
Investment Earnings Or Losses$15,453,147InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$0OtherExpendituresAmt
Administrative Expenses$91,758AdministrativeExpensesAmt
End Year Balance$151,507,463EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.99100BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.00900PrmnntEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$619,012,202OtherCostOrOtherBasisAmt
Depreciation$253,445,515DepreciationAmt
Book Value$365,566,687BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,960,839OtherCostOrOtherBasisAmt
Depreciation$19,220,165DepreciationAmt
Book Value$5,740,673BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$293,339,062OtherCostOrOtherBasisAmt
Depreciation$228,726,777DepreciationAmt
Book Value$64,612,285BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$34,896,800OtherCostOrOtherBasisAmt
Depreciation$2,869,805DepreciationAmt
Book Value$32,026,995BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$487,666,889TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BOARD DESIGNATED SECURITIES$58,313,366F
INVESTMT IN UNCONSOLIDATED SUB$4,971,708F
LIMITED PARTNERSHIPS$685,758F
FieldValueIRS element (for citing)
Total Book Value Securities$63,970,832TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (18 entries)

DescDescBook ValueBookValueAmt
INT IN NET ASSETS OF FDNS$18,577,785
BOARD DESIGNATED INVESTMENTS$16,778,000
DEPOSITS & NON-CURRENT ASSETS$9,592,675
OTHER RECEIVABLES$6,225,393
INTEREST IN PERPETUAL TRUST$4,805,471
DECORATIVE ARTWORK$1,212,966
INVESTMENT IN JOINT VENTURES$25,000
DUE FROM THIRD PARTY PAYORS$21,894,222
DUE FROM KAPI'OLANI HLTH FDN$5,224,149
WILCOX HEALTH FOUNDATION$664,432
PALI MOMI FOUNDATION$302,559
STRAUB FOUNDATION$186,220
KAUA'I MEDICAL CLINIC$162,296
PROVIDER INSURANCE CORP$44,235
KAPI'OLANI MEDICAL SPECIALISTS$42,207
HAWAI'I PACIFIC HEALTH PTNRS$25,471
HAWAI'I HEALTH PARTNERS$10,682
HICORD$35
FieldValueIRS element (for citing)
Total Book Value Other Assets$85,773,798TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (12 entries)

DescDescAmtAmt
OTHER LONG TERM LIABILITIES$22,231,756
ESCHEAT LIABILITY$366,887
THIRD PARTY PAYORS$22,322,229
STRAUB PHARMACY INC$4,555,888
KAPI'OLANI MEDICAL SPECIALISTS$816,398
HAWAI'I HEALTH PARTNERS$97,160
PROVIDERS INSURANCE CORPORATION$24,274
KEAHONUIOKALANI$98,779
HAWAI'I PACIFIC HEALTH PARTNERS$42,747
STRAUB FOUNDATION$17,391
KAPI'OLANI HEALTH FOUNDATION$14,878
WILCOX HEALTH FOUNDATION$10,091
FieldValueIRS element (for citing)
Total Liability$50,598,478TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE D, PART III, LINE 4Artwork is used to improve the internal environment of the hospitals setting for both families and patients. This includes creating an inviting patient atmosphere in both the rooms and the halls of our facilities. This environment is a key differentiating factor in improving the outlook of those who utilize our facilities as well as the staff who work there. Both of which leads to improved patient results and positive views of our services.
SCHEDULE D, PART V, LINE 4ENDOWMENT FUNDS INTENDED USES ENDOWMENT FUNDS ARE INTENDED TO BE USED TO PROVIDE MEDICAL AND OTHER CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR SUCH CARE AND FOR OTHER EXPENSES RELATED TO THE EXEMPT PURPOSE OF THE HOSPITAL.

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served26166PersonsServedCnt
Total Community Benefit Expns$5,038,776TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,038,776NetCommunityBenefitExpnsAmt
Total Expense0.00460TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served213653PersonsServedCnt
Total Community Benefit Expns$254,306,486TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$237,616,941DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,689,545NetCommunityBenefitExpnsAmt
Total Expense0.01510TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Persons Served239819PersonsServedCnt
Total Community Benefit Expns$259,345,262TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$237,616,941DirectOffsettingRevenueAmt
Net Community Benefit Expns$21,728,321NetCommunityBenefitExpnsAmt
Total Expense0.01970TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs56ActivitiesOrProgramsCnt
Persons Served52607PersonsServedCnt
Total Community Benefit Expns$2,333,145TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$257,007DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,076,138NetCommunityBenefitExpnsAmt
Total Expense0.00190TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs10ActivitiesOrProgramsCnt
Persons Served76PersonsServedCnt
Total Community Benefit Expns$9,838,810TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,733,134DirectOffsettingRevenueAmt
Net Community Benefit Expns$8,105,676NetCommunityBenefitExpnsAmt
Total Expense0.00740TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Persons Served384PersonsServedCnt
Total Community Benefit Expns$35,909,070TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,821,257DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,087,813NetCommunityBenefitExpnsAmt
Total Expense0.02000TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs13ActivitiesOrProgramsCnt
Persons Served50065PersonsServedCnt
Total Community Benefit Expns$1,008,853TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,008,853NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs91ActivitiesOrProgramsCnt
Persons Served103132PersonsServedCnt
Total Community Benefit Expns$49,089,878TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$15,811,398DirectOffsettingRevenueAmt
Net Community Benefit Expns$33,278,480NetCommunityBenefitExpnsAmt
Total Expense0.03020TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs91ActivitiesOrProgramsCnt
Persons Served342951PersonsServedCnt
Total Community Benefit Expns$308,435,140TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$253,428,339DirectOffsettingRevenueAmt
Net Community Benefit Expns$55,006,801NetCommunityBenefitExpnsAmt
Total Expense0.04990TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Activities Or Programs1ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$3,398TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,398NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served448PersonsServedCnt
Total Community Benefit Expns$492,387TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$492,387NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs3ActivitiesOrProgramsCnt
Persons Served448PersonsServedCnt
Total Community Benefit Expns$495,785TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$495,785NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$19,272,660BadDebtExpenseAmt
Bad Debt Expense Attributable$1,971,296BadDebtExpenseAttributableAmt
Reimbursed By Medicare$139,391,170ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$159,316,786CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$19,925,616MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCd
KAPI'OLANI MEDICAL CENTER FOR WOMEN
11319 PUNAHOU STREETHONOLULUHI96826www.hawaiipacifichealth.org/kapiolani6-HYes (X)Yes (X)Yes (X)Yes (X)Yes (X)A
PALI MOMI MEDICAL CENTER
298-1079 MOANALUA ROADAIEAHI96701www.hawaiipacifichealth.org/pali-momi37-HYes (X)Yes (X)Yes (X)A
STRAUB CLINIC & HOSPITAL
3888 SOUTH KING STHONOLULUHI96813www.hawaiipacifichealth.org/straub32-HYes (X)Yes (X)Yes (X)Yes (X)A
WILCOX MEMORIAL HOSPITAL
43-3420 KUHIO HIGHWAYLIHUEHI967661099www.hawaiipacifichealth.org/wilcox23-HYes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility14FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLSEE SCHEDULE H, PART V, SECTION COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLSEE SCHEDULE H, PART V, SECTION COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt16ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLSEE SCHEDULE H, PART V, SECTION CStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLSEE PART V SECTION CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLSEE PART V SECTION CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLSEE PART V SECTION CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART V, SECTION B, LINE 5KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN IN CONDUCTING KAPI'OLANI'S MOST RECENT CHNA, COMPLETED MARCH 2016, INTERVIEWS WERE HELD WITH 19 COMMUNITY REPRESENTATIVES WITH PUBLIC HEALTH EXPERTISE IN THE TOP TEN HEALTH AREAS IDENTIFIED FOR WOMEN AND CHILDREN IN THE STATE OF HAWAI'I AND/OR POSSESSING SPECIAL KNOWLEDGE OF VULNERABLE POPULATIONS, INCLUDING (BUT NOT LIMITED TO) LOW-INCOME, MENTALLY ILL, OR PARTICULAR RACIAL/ETHNIC GROUPS. THE INPUT FROM THE INTERVIEWS WAS TAKEN INTO ACCOUNT IN THE CHNA IN THE FOLLOWING WAYS: A SUMMARY QUALITATIVE ANALYSIS TOOL CALLED A "WORD CLOUD" WAS PRODUCED, EXCERPTS FROM THE INTERVIEWS WERE CODED BY RELEVANT TOPIC AREAS TO IDENTIFY THE MOST COMMON THEMES AND TOPICS RAISED BY THE COMMUNITY REPRESENTATIVES, AND RELEVANT INPUT WAS SUMMARIZED UNDER EACH HEALTH TOPIC AREA ANALYZED IN THE CHNA AND FACTORED INTO THE QUALITATIVE EVALUATION OF THE HEALTH NEED. COMMUNITY REPRESENTATIVES WHO PROVIDED INPUT WERE FROM THE FOLLOWING AGENCIES AND ORGANIZATIONS: AMERICAN DIABETES ASSOCIATION, CATHOLIC CHARITIES HAWAI'I, DEPARTMENT OF EDUCATION, STATE DEPARTMENT OF HEALTH, DEPARTMENT OF HEALTH BEHAVIORAL HEALTH SERVICES, DEPARTMENT OF HEALTH DISEASE OUTBREAK AND CONTROL DIVISION, DEPARTMENT OF HUMAN SERVICES, EXECUTIVE OFFICE ON AGING, GOVERNOR'S OFFICE, HAWAI'I DENTAL SERVICE, HAWAI'I MEDICAL SERVICE ASSOCIATION, HAWAI'I PRIMARY CARE ASSOCIATION, STATE HOMELESS PROGRAMS OFFICE, JOHN A BURNS SCHOOL OF MEDICINE, HAWAI'I STATE SENATE, HAWAI'I CHAPTER AMERICAN ASSOCIATION OF PEDIATRICS, KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN, UNIVERSITY WOMEN'S HEALTH SPECIALISTS. STRAUB MEDICAL CENTER IN CONDUCTING STRAUBS MOST RECENT CHNA, COMPLETED MARCH 2016, INTERVIEWS WERE HELD WITH 15 COMMUNITY REPRESENTATIVES WITH PUBLIC HEALTH EXPERTISE IN THE TOP TEN HEALTH TOPIC AREAS IDENTIFIED FOR THE STATE OF HAWAI'I AND/OR POSSESSING SPECIAL KNOWLEDGE OF VULNERABLE POPULATIONS, INCLUDING (BUT NOT LIMITED TO) LOW-INCOME, MENTALLY ILL, OR PARTICULAR RACIAL/ETHNIC GROUPS. THE INPUT FROM THE INTERVIEWS WAS TAKEN INTO ACCOUNT IN THE CHNA IN THE FOLLOWING WAYS: A SUMMARY QUALITATIVE ANALYSIS TOOL CALLED A "WORD CLOUD" WAS PRODUCED, EXCERPTS FROM THE INTERVIEWS WERE CODED BY RELEVANT TOPIC AREAS TO IDENTIFY THE MOST COMMON THEMES AND TOPICS RAISED BY THE COMMUNITY REPRESENTATIVES, AND RELEVANT INPUT WAS SUMMARIZED UNDER EACH HEALTH TOPIC AREA ANALYZED IN THE CHNA AND FACTORED INTO THE QUALITATIVE EVALUATION OF THE HEALTH NEED. COMMUNITY REPRESENTATIVES WHO PROVIDED INPUT WERE FROM THE FOLLOWING AGENCIES AND ORGANIZATIONS: AMERICAN DIABETES ASSOCIATION, CATHOLIC CHARITIES HAWAI'I, DEPARTMENT OF EDUCATION, STATE DEPARTMENT OF HEALTH, DEPARTMENT OF HEALTH BEHAVIORAL HEALTH SERVICES, DEPARTMENT OF HEALTH DISEASE OUTBREAK AND CONTROL DIVISION, DEPARTMENT OF HUMAN SERVICES, EXECUTIVE OFFICE ON AGING, GOVERNOR'S OFFICE, HAWAI'I DENTAL SERVICE, HAWAI'I MEDICAL SERVICE ASSOCIATION, HAWAI'I PRIMARY CARE ASSOCIATION, STATE HOMELESS PROGRAMS OFFICE, JOHN A BURNS SCHOOL OF MEDICINE, HAWAI'I STATE SENATE. PALI MOMI MEDICAL CENTER IN CONDUCTING PALI MOMI'S MOST RECENT CHNA, COMPLETED MARCH 2016, INTERVIEWS WERE HELD WITH 24 COMMUNITY REPRESENTATIVES WITH PUBLIC HEALTH EXPERTISE IN THE TOP TEN HEALTH AREAS IDENTIFIED FOR HONOLULU COUNTY AND/OR POSSESSING SPECIAL KNOWLEDGE OF VULNERABLE POPULATIONS, INCLUDING (BUT NOT LIMITED TO) LOW-INCOME, MENTALLY ILL, OR PARTICULAR RACIAL/ETHNIC GROUPS. THE INPUT FROM THE INTERVIEWS WAS TAKEN INTO ACCOUNT IN THE CHNA IN THE FOLLOWING WAYS: A SUMMARY QUALITATIVE ANALYSIS TOOL CALLED A "WORD CLOUD" WAS PRODUCED, EXCERPTS FROM THE INTERVIEWS WERE CODED BY RELEVANT TOPIC AREAS TO IDENTIFY THE MOST COMMON THEMES AND TOPICS RAISED BY THE COMMUNITY REPRESENTATIVES, AND RELEVANT INPUT WAS SUMMARIZED UNDER EACH HEALTH TOPIC AREA ANALYZED IN THE CHNA AND FACTORED INTO THE QUALITATIVE EVALUATION OF THE HEALTH NEED. COMMUNITY REPRESENTATIVES WHO PROVIDED INPUT WERE FROM THE FOLLOWING AGENCIES AND ORGANIZATIONS: ALOHA UNITED WAY, AOHACARE, CARERESOURCE HAWAI'I, STATE DEPARTMENT OF HEALTH, HELPING HANDS HAWAI'I, HILOPA`A FAMILY TO FAMILY HEALTH INFORMATION CENTER, HONOLULU EMERGENCY MEDICAL SERVICES DEPARTMENT, HAWAI'I INITIATIVE FOR CHILDHOOD OBESITY RESEARCH AND EDUCATION, JOHN A BURNS SCHOOL OF MEDICINE, MENTAL HEALTH AMERICA HAWAI'I, FILIPINO COMMUNITY CENTER, HAWAI'I HOUSE OF REPRESENTATIVES, HAWAI'I STATE SENATE, INSTITUTE FOR HUMAN SERVICES, PALI MOMI MEDICAL CENTER, KAHI MOHALA, WAHIAWA CENTER FOR COMMUNITY HEALTH, UNIVERSITY WOMEN'S HEALTH SPECIALISTS, WAIANAE COAST COMPREHENSIVE HEALTH CENTER, WAIKIKI HEALTH CENTER, WAIMANALO HEALTH CENTER. WILCOX MEDICAL CENTER IN CONDUCTING WILCOX'S MOST RECENT CHNA, COMPLETED MARCH 2016, INTERVIEWS WERE HELD WITH 14 COMMUNITY REPRESENTATIVES WITH PUBLIC HEALTH EXPERTISE IN THE TOP TEN HEALTH AREAS IDENTIFIED FOR THE ISLAND OF KAUA'I AND/OR POSSESSING SPECIAL KNOWLEDGE OF VULNERABLE POPULATIONS, INCLUDING (BUT NOT LIMITED TO) LOW-INCOME, MENTALLY ILL, OR PARTICULAR RACIAL/ETHNIC GROUPS. THE INPUT FROM THE INTERVIEWS WAS TAKEN INTO ACCOUNT IN THE CHNA IN THE FOLLOWING WAYS: A SUMMARY QUALITATIVE ANALYSIS TOOL CALLED A "WORD CLOUD" WAS PRODUCED, EXCERPTS FROM THE INTERVIEWS WERE CODED BY RELEVANT TOPIC AREAS TO IDENTIFY THE MOST COMMON THEMES AND TOPICS RAISED BY THE COMMUNITY REPRESENTATIVES, AND RELEVANT INPUT WAS SUMMARIZED UNDER EACH HEALTH TOPIC AREA ANALYZED IN THE CHNA AND FACTORED INTO THE QUALITATIVE EVALUATION OF THE HEALTH NEED. COMMUNITY REPRESENTATIVES WHO PROVIDED INPUT WERE FROM THE FOLLOWING AGENCIES AND ORGANIZATIONS: DEPARTMENT OF HEALTH KAUA'I DISTRICT OFFICE, GET FIT KAUA'I HEALTH, HALE OPIO, HAWAI'I HEALTH SYSTEMS CORPORATION, HO'OLA LAHUI, KAUA'I COMMUNITY MENTAL HEALTH CENTER, KAUA'I MAYORS OFFICE, MCKENNA RECOVERY CENTER, OHANA PACIFIC MANAGEMENT COMPANY, STAY AT HOME HEALTH SERVICES, SUGIHARA PLANNING AND CONSULTING, WILCOX HEALTH FOUNDATION, WILCOX MEDICAL CENTER, YWCA OF KAUA'I. PLANNING AND CONSULTING, WILCOX HEALTH FOUNDATION, WILCOX MEDICAL CENTER, YWCA OF KAUA'I.
SCHEDULE H, PART V, SECTION B, LINE 6A & 6BHAWAI'I PACIFIC HEALTH'S FOUR HOSPITAL FACILITIES PARTICIPATED WITH ELEVEN OTHER NONPROFIT HAWAI'I HOSPITALS TO COLLABORATE ON A CHNA IN 2016, LED BY THE HEALTHCARE ASSOCIATION OF HAWAI'I. XEROX COMMUNITY HEALTH SOLUTIONS, A FIRM SPECIALIZING IN PUBLIC HEALTH DATA, WAS RETAINED TO CONDUCT THE CHNA RESEARCH. SEPARATE NEEDS ASSESSMENTS WERE CONDUCTED FOR THE STATE AS A WHOLE AND FOR EACH COUNTY. HAWAI'I PACIFIC HEALTH FUNDED TWO ADDITIONAL NEEDS ASSESSMENTS FOCUSED ON O'AHU'S WEST SIDE, AND ON WOMEN AND CHILDREN STATEWIDE. PARTICIPATING HOSPITALS WERE: CASTLE MEDICAL CENTER, SUTTER HEALTH KAHI MOHALA BEHAVIORAL HEALTH, KAISER PERMANENTE MEDICAL CENTER, KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN, KUAKINI MEDICAL CENTER, MOLOKAI GENERAL HOSPITAL, NORTH HAWAI'I COMMUNITY HOSPITAL, PALI MOMI MEDICAL CENTER, REHABILITATION HOSPITAL OF THE PACIFIC, SHRINERS HOSPITALS FOR CHILDREN - HONOLULU, STRAUB MEDICAL CENTER, THE QUEENS MEDICAL CENTER, THE QUEENS MEDICAL CENTER WEST OAHU, WAHIAWA GENERAL HOSPITAL, AND WILCOX MEDICAL CENTER.
SCHEDULE H, PART V, SECTION B, LINE 7ACOMMUNITY HEALTH NEEDS ASSESSMENT WEBSITE KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/MEDIA/5003/2016_CHNA_KAPIOLANI_ FINAL.PDF PALI MOMI MEDICAL CENTER https://www.hawaiipacifichealth.org/media/5007/2016-chna_pali-momi _final.pdf STRAUB CLINIC & HOSPITAL https://www.hawaiipacifichealth.org/media/5011/2016-chna_straub_final.pdf WILCOX MEMORIAL HOSPITAL https://www.hawaiipacifichealth.org/media/5015/2016-chna_wilcox_final.pdf SCHEDULE H, PART V, SECTION B, LINE 7B OTHER WEBSITE http://hah.org/reports-data/community-health-needs-assessment/
SCHEDULE H, PART V, SECTION B, LINE 10AIMPLEMENTATION STRATEGY PLAN WEBSITE KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN https://www.hawaiipacifichealth.org/media/5134/2016-chi-plan_kapiolani_19o ct2016.pdf PALI MOMI MEDICAL CENTER https://www.hawaiipacifichealth.org/media/5131/2016-chi-plan_pali-momi_21s ep2016.pdf STRAUB CLINIC & HOSPITAL https://www.hawaiipacifichealth.org/media/5132/2016-chi-plan_straub_10nov2 016.pdf WILCOX MEMORIAL HOSPITAL https://www.hawaiipacifichealth.org/media/5133/2016-chi-plan_wilcox-_27oct 2016.pdf
SCHEDULE H, PART V, SECTION B, LINE 11Kapi'olani Medical Center for Women and Children The following community benefit activities were conducted in fiscal year 2017 by Kapi'olani Medical Center for Women & Children (Kapi'olani) to address the two priority community health needs identified in its 2016 Community Health Needs Assessment: Access to Health Services, and Diabetes. In addition, Kapi'olani addressed Child Injury Prevention which was also identified as a significant health need. These activities reflect steps taken in year one to execute a three-year Implementation Strategy. Kapi'olanis 2013 and 2016 CHNAs and Implementation Strategies may be viewed online at: http://www.hawaiipacifichealth.org/about-us/community/ ACCESS TO HEALTH SERVICES Breast and Cervical Cancer Control Program: Offered statewide in partnership with the state Department of Health, the program provides free mammograms and pap smears to low-income women ages 40-64 who have little or no medical insurance or who cannot afford a co-payment. The program's goal is to reduce mortality from breast and cervical cancer among uninsured or underinsured women, with a priority on Native Hawaiians, Filipinos, and Pacific Islanders, who have a higher rate of mortality from these diseases than other populations in Hawai'i. Hawai'i Community Genetics Program: Kapi'olani provides the only program in the State of Hawai'i dedicated to caring for individuals affected by birth defects, developmental concerns and genetic conditions. Kapi'olani specialists conduct monthly clinics on the neighbor islands where services would not otherwise be available, and also offer telemedicine services. Specialty clinics include: Hemoglobinopathy, Cleft and Craniofacial, Fetal Alcohol Spectrum Disorders, and Metabolic Genetics. Medical Transport Services: Kapi'olani provides inter-hospital transports from the neighbor islands to O'ahu, where Kapi'olani is located, and to the mainland, for critical neonatal and pediatric patients requiring access to specialty care not available in their communities. This program is subsidized by the hospital. Health Professionals Education: Kapi'olani provides clinical training and residencies for medical students and residents, nursing students, and allied health professionals to increase the capacity of the local health care workforce and improve the availability of, and access to, quality specialty medical care in Hawai'i. DIABETES Sweeter Choice Diabetic Intervention Program: The Sweeter Choice program targets high-risk pregnant women to reduce gestational and pre-gestational diabetes by helping them develop healthy diet and exercise habits, resulting in a decrease in the number of low birth-weight babies. This program is subsidized by the hospital. NEW Keiki Weight Management Program: The NEW (Nutrition Exercise Weight) Keiki child and adolescent weight management program was co-created by Kapi'olani and the YMCA of Honolulu. NEW Keiki is an intensive, family-based program to combat childhood obesity, based on best practices identified by the U.S. Preventive Services Task Force. The YMCA of Honolulu and Kapi'olani, together with the other hospitals of Hawai'i Pacific Health, partnered to provide the program at very low or no cost in communities around O'ahu where vulnerable youth with especially high rates of obesity reside, particularly Filipinos, Native Hawaiians and Pacific Islanders. CHILD INJURY PREVENTION AND SAFETY Child Passenger Safety Program: The Child Passenger Safety Program promotes public awareness of the importance of using child passenger restraints and seat belts to prevent child injuries, and provides assistance with the proper fit and installation of various car seats and booster seats at a variety of community events and locations. The program also assists families that meet financial need criteria to obtain low- or no-cost child safety seats. Keiki Injury Prevention Coalition: Kapi'olani sponsors the Keiki Injury Prevention Coalition (KIPC), which includes more than 40 agencies and stakeholders committed to improving child safety. KIPC supports community events and education for children and families on ways to prevent injuries including child passenger safety, pedestrian safety, water and swim safety, sports injury prevention, bike and wheeled vehicle safety, burn prevention, poison prevention, window falls prevention, shaken baby syndrome prevention, and safe sleep/SIDS prevention. Significant Community Health Needs Not Being Addressed: The following areas of need identified in Kapi'olani's 2016 CHNA are not being addressed in the hospital's Implementation Strategy because they were not selected as the highest priority for Kapi'olani, based on the following criteria: magnitude/severity of problem, opportunity to intervene at prevention level, alignment with Kapi'olanis mission/strengths/ programs, opportunity for partnership, solution could impact multiple problems, feasibility of change, and importance of problem to community: Disabilities; Immunizations and Infectious Diseases; Older Adults and Aging; Mental Health; Substance Abuse; Wellness and Lifestyle; Cancer; Environmental and Occupational Health. Maternal, Fetal and Infant Health is Kapi'olani's over-arching mission, and all it community benefits programs target these populations. Exercise, Nutrition and Weight are contributing factors to diabetes and Kapi'olani's diabetes activities address these issues. Pali Momi Medical Center Pali Momi Medical Center conducted the following activities in fiscal year 2017 to address the priority community health needs identified in its 2016 Community Health Needs Assessment: Access to Health Services and Diabetes. These activities reflect steps taken in year one to execute a three-year implementation strategy. Pali Momi's 2013 and 2016 CHNAs and Implementation Strategies may be viewed online at: http://www.hawaiipacifichealth.org/about-us/community/ ACCESS TO HEALTH SERVICES Health Professionals Education: Pali Momi, in partnership with the University of Hawai'i John A. Burns School of Medicine's Mililani Clinic, provided clinical training in West Oahu for family practice residents. Pali Momi also offered continuing medical education for community physicians. Both of these help increase the capacity of the local health care workforce and improve the availability of, and access to, quality medical care in Pali Momi's service area. Physician Recruitment: To improve access to quality specialty care for residents of West O'ahu, Pali Momi worked to bring in physicians with specialties for which the area has a documented shortage to serve the community. In FY17, Pali Momi successfully recruited six new physicians with much needed specialties including obesity medicine, orthopedics, cardiology, and oncology. Medical Respite for Homeless Patients: In fiscal year 2017, Pali Momi and Straub Medical Center worked with Mental Health Kokua, a nonprofit homeless services organization, to create a new program to provide medical respite services for homeless patients who require stepped-down care and a safe place to recover upon discharge from the medical centers. Over the year, Mental Health Kokua has been upgrading its facilities and developing its capacity to be ready to accommodate these referrals. Health and Wellness Programs in Low-Income Communities: Pali Momi is working with Wahiawa Center for Community Health, a newly established federally qualified health center, to offer health and wellness programming in this Medically Underserved Area. In FY17, Pali Momi supported free diabetes self-management education at WCCH, and plans were developed for additional programming to begin once WCCH has completed its renovations. DIABETES Child and Adolescent Weight Management: The NEW (Nutrition Exercise Weight) Keiki program was co-created by Hawai'i Pacific Health and the YMCA of Honolulu. NEW Keiki is an intensive, family-based program to combat childhood obesity, based on best practices identified by the U.S. Preventive Services Task Force. The YMCA of Honolulu and Pali Momi, together with the other hospitals of Hawai'i Pacific Health, partnered to provide the program at very low or no cost in communities in West O'ahu where vulnerable youth with especially high rates of obesity reside, particularly Filipinos, Native Hawaiians and Pacific Islanders. Diabetes Self-Management Education: In partnership with Straub Medical Center, Pali Momi provided an American Diabetes Association-approved diabetes self-management education program at no cost for residents of West O'ahu. The program focused on enrolling high-need, low-income, under-insured populations and was offered at Wahiawa Center for Community Health, a federally-qualified health center. Significant Community Health Needs Not Being Addressed The following areas of need identified in Pali Momi Medical Centers 2016 CHNA are not being addressed in its current Implementation Strategy because they were not selected as the highest priority fo
SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUED)STRAUB MEDICAL CENTER STRAUB MEDICAL CENTER (STRAUB) CONDUCTED THE FOLLOWING ACTIVITIES IN FISCAL YEAR 2016 TO ADDRESS THE TWO PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN ITS 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: HEART DISEASE AND STROKE, AND ACCESS TO HEALTH SERVICES. THESE ACTIVITIES REFLECT STEPS TAKEN IN YEAR THREE TO EXECUTE A THREE-YEAR IMPLEMENTATION STRATEGY. IN ADDITION, IN FISCAL YEAR 2016 STRAUB CONDUCTED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOPED A RELATED IMPLEMENTATION STRATEGY WHICH WAS ADOPTED NOVEMBER 10, 2016. PRIORITIZED NEEDS FROM THE 2016 CHNA AND A DESCRIPTION OF HOW THEY ARE BEING ADDRESSED WILL BE PROVIDED WITH THE SCHEDULE H IN SUBSEQUENT TAX YEARS. STRAUB'S 2013 AND 2016 CHNAS AND IMPLEMENTATION STRATEGIES MAY BE VIEWED ONLINE AT: HTTP://WWW.HAWAIIPACIFICHEALTH.ORG/ABOUT-US/COMMUNITY/ PRIORITY 1: HEART DISEASE AND STROKE WINDWARD SCHOOL FITNESS PARTNERSHIP: STRAUB ASSISTED THE DEPARTMENT OF EDUCATION WITH FITNESS ASSESSMENTS FOR STUDENTS ON O'AHU'S WINDWARD SIDE WHO PARTICIPATED IN THE NATIONAL PRESIDENTIAL PHYSICAL FITNESS PROGRAM. STUDENTS WERE GIVEN FEEDBACK ON THEIR LEVELS OF FITNESS AND EDUCATED ABOUT HEALTHY LIFESTYLE CHOICES TO IMPROVE AND MAINTAIN THEIR PHYSICAL FITNESS. SCREENINGS FOR HEART DISEASE AND STROKE: STRAUB CARE COORDINATORS, HEALTH EDUCATORS AND CARDIOLOGISTS PROVIDED EDUCATIONAL MATERIALS AND CONDUCTED FREE SCREENINGS FOR HEART DISEASE, STROKE AND DIABETES RISK FACTORS ANNUALLY ON O'AHU AT THE AMERICAN HEART ASSOCIATION HEART WALK, AMERICAN DIABETES ASSOCIATION'S DIABETES WALK, WAIMANALO HEALTH FAIR, FILIPINO SENIORS FAIR AND THE HAWAI'I PACIFIC HEALTH WOMEN'S 10K RACE. STRAUB ALSO SENT CARE COORDINATORS AND HEALTH EDUCATORS TO THE ISLAND OF LANA'I TO CONDUCT COMMUNITY HEALTH FAIRS. PRIORITY 2: ACCESS TO HEALTH SERVICES VISITING PHYSICIANS: SPECIALTY PHYSICIANS FROM STRAUB REGULARLY TRAVEL TO FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED POPULATION AREAS LOCATED THROUGHOUT THE STATE OF HAWAI'I TO PROVIDE ACCESS TO MEDICAL CARE FOR SPECIALTIES THAT ARE NOT OTHERWISE AVAILABLE IN THESE REGIONS. WAHIAWA CENTER FOR COMMUNITY HEALTH: STRAUB CONTRIBUTED FINANCIAL SUPPORT FOR THE DEVELOPMENT OF THE WAHIAWA CENTER FOR COMMUNITY HEALTH (WCCH), A PROPOSED NEW FEDERALLY QUALIFIED HEALTH CENTER (FQHC) IN WAHIAWA, ONE OF THE MOST ECONOMICALLY DISADVANTAGED AREAS OF O'AHU, AND A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED POPULATION AREA. FEDERALLY QUALIFIED HEALTH CENTERS ARE IMPORTANT COMMUNITY-BASED SAFETY NET PROVIDERS THAT OFFER COMPREHENSIVE PRIMARY CARE SERVICES ON A SLIDING FEE SCALE TO RURAL, LOW-INCOME, UNDERSERVED COMMUNITIES. DIABETES SELF-MANAGEMENT TRAINING: STRAUB COLLABORATED WITH COMMUNITY PARTNERS TO PROVIDE A SERIES OF FREE CLASSES FOR DIABETICS ON HOW TO BETTER MANAGE THEIR DIABETES. THE PROGRAM TARGETED VULNERABLE POPULATIONS AND UNDER-INSURED. PHYSICIAN RECRUITMENT: TO IMPROVE ACCESS TO QUALITY SPECIALTY CARE FOR HAWAI'I RESIDENTS, STRAUB ACTIVELY RECRUITED PHYSICIANS WITH SPECIALTIES FOR WHICH HAWAI'I HAS A DOCUMENTED SHORTAGE TO SERVE COMMUNITIES THROUGHOUT THE STATE. HEALTH PROFESSIONALS EDUCATION: STRAUB PROVIDED CLINICAL TRAINING AND RESIDENCIES FOR MEDICAL STUDENTS AND RESIDENTS, NURSING STUDENTS AND ALLIED HEALTH PROFESSIONALS TO INCREASE THE CAPACITY OF THE LOCAL HEALTH CARE WORKFORCE AND IMPROVE THE AVAILABILITY OF, AND ACCESS TO, QUALITY SPECIALTY MEDICAL CARE IN HAWAI'I. KIDS FEST: THIS ANNUAL HEALTH FAIR FOR CHILDREN AND FAMILIES OFFERS HANDS-ON ACTIVITIES, SUCH AS A TEDDY BEAR CLINIC AND FIRE SAFETY HOUSE, TO TEACH PARTICIPANTS ABOUT CHILD HEALTH, NUTRITION AND INJURY PREVENTION. KIDS FEST IS A COLLABORATION OF HAWAI'I PACIFIC HEALTH'S FOUR HOSPITALS. COMMUNITY HEALTH EDUCATION FORUMS: STRAUB ALSO PARTNERED WITH THE OTHER HOSPITALS OF HAWAI'I PACIFIC HEALTH TO PRESENT FREE COMMUNITY EDUCATION EVENTS ON HEART HEALTH, CANCER CARE, AND MANAGING ARTHRITIS. THE EVENTS WERE HELD AT A CENTRALLY-LOCATED DOWNTOWN HONOLULU VENUE, AND ALSO PROVIDED TO WEST O'AHU AND ON KAUA'I ISLAND VIA VIDEO-CONFERENCES. SIGNIFICANT COMMUNITY HEALTH NEEDS NOT BEING ADDRESSED THE FOLLOWING AREAS OF NEED IDENTIFIED IN STRAUB'S 2013 CHNA ARE NOT BEING ADDRESSED IN THE IMPLEMENTATION STRATEGY BECAUSE THEY WERE NOT SELECTED AS THE HIGHEST PRIORITIES FOR STRAUB, BASED ON THE FOLLOWING CRITERIA: STRAUB'S COMMUNITY BENEFIT RESOURCES AND EXPERTISE, MAGNITUDE/SEVERITY OF PROBLEM, OPPORTUNITY TO INTERVENE AT PREVENTION LEVEL, SOLUTION COULD IMPACT MULTIPLE PROBLEMS, FEASIBILITY OF CHANGE, AND IMPORTANCE OF PROBLEM TO COMMUNITY. CANCER; DIABETES; DISABILITIES; ECONOMY; EDUCATION; ENVIRONMENT; EXERCISE, NUTRITION & WEIGHT; FAMILY PLANNING IMMUNIZATIONS & INFECTIOUS; DISEASES; INJURY PREVENTION & SAFETY; MATERNAL, FETAL & INFANT HEALTH; MENTAL HEALTH & MENTAL DISORDERS; OLDER ADULTS & AGING ORAL HEALTH; RESPIRATORY DISEASES; SOCIAL ENVIRONMENT; SUBSTANCE ABUSE & LIFESTYLE TRANSPORTATION. IT IS EXPECTED THAT THE TWO PRIORITIES THAT WERE SELECTED, ACCESS TO HEALTH SERVICES AND HEART DISEASE AND STROKE, WILL INCORPORATE ACTIVITIES THAT HAVE IMPACT ON MULTIPLE TOPIC AREAS, INCLUDING DIABETES, EXERCISE, NUTRITION, AND WEIGHT, AND RESPIRATORY DISEASE. WILCOX MEDICAL CENTER WILCOX MEDICAL CENTER (WILCOX) CONDUCTED THE FOLLOWING ACTIVITIES IN FISCAL YEAR 2016 TO ADDRESS THE PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN ITS 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: ACCESS TO HEALTH SERVICES AND EXERCISE, NUTRITION, AND WEIGHT. THESE ACTIVITIES REFLECT STEPS TAKEN IN YEAR THREE TO EXECUTE A THREE-YEAR IMPLEMENTATION STRATEGY. IN ADDITION, IN FISCAL YEAR 2016 WILCOX CONDUCTED A NEW COMMUNITY HEALTH NEEDS ASSESSMENT AND DEVELOPED A RELATED IMPLEMENTATION STRATEGY WHICH WAS ADOPTED OCTOBER 27, 2016. PRIORITIZED NEEDS FROM THE 2016 CHNA AND A DESCRIPTION OF HOW THEY ARE BEING ADDRESSED WILL BE PROVIDED WITH THE SCHEDULE H IN SUBSEQUENT TAX YEARS. WILCOX'S 2013 AND 2016 CHNAS AND IMPLEMENTATION STRATEGIES MAY BE VIEWED ONLINE AT: HTTP://WWW.HAWAIIPACIFICHEALTH.ORG/ABOUT-US/COMMUNITY/ PRIORITY 1: ACCESS TO HEALTH SERVICES PNEUMONIA & FLU VACCINATION CLINICS: WILCOX PROVIDED FREE BACTERIAL PNEUMONIA VACCINATIONS IN THE COMMUNITY FOR ELIGIBLE SENIORS, AND FREE FLU VACCINATIONS FOR ELIGIBLE ADULTS. THE PROGRAM TARGETED THE WEST SIDE OF KAUA'I WHICH HAD THE LOWEST RATE OF VACCINATION IN THE STATE IN THE 2013 CHNA, AND IS ALSO THE MOST SOCIO-ECONOMICALLY DISADVANTAGED AREA OF KAUA'I. FISCAL YEAR 2016 FOCUSED ON AN ISLAND-WIDE OUTREACH EFFORT ALONGSIDE HO'OLA LAHUI HAWAI'I, A FEDERALLY QUALIFIED HEALTH CENTER, AT LOCAL CHURCH FOOD PANTRIES TO REACH TO MOST VULNERABLE AND ECONOMICALLY DISADVANTAGED POPULATIONS. KAUA'I MENTAL HEALTH CONSORTIUM: THE CONSORTIUM, SPEARHEADED BY WILCOX, WAS FORMED TO IMPROVE ACCESS TO MENTAL HEALTH SERVICES THROUGH BETTER COORDINATION AMONG PROVIDERS. WILCOX PUBLISHED AND MAINTAINS A PROVIDER TO PROVIDER DIRECTORY OF MENTAL HEALTH SERVICE PRACTITIONERS, AND HOSTS REGULAR NETWORKING EVENTS FOR MENTAL HEALTH PROFESSIONALS AND PRIMARY CARE PROVIDERS. A COMPREHENSIVE BEHAVIORAL HEALTH REPORT HAS BEEN DEVELOPED BY THE CONSORTIUM TO IMPROVE THE REPORTING MECHANISM FROM MENTAL HEALTH CARE PROVIDERS TO PRIMARY CARE PROVIDERS FOR THEIR PATIENTS. AFTER HOURS PHARMACY: WILCOX'S AFTER HOURS PHARMACY IS THE ONLY PHARMACY OPEN AFTER NORMAL BUSINESS HOURS ON THE ISLAND OF KAUA'I. IT PROVIDES CRITICAL AND TIME SENSITIVE MEDICATIONS TO THE COMMUNITY DURING EVENING HOURS WHEN OTHER PHARMACIES ON THE ISLAND ARE CLOSED. CARDIAC REHABILITATION: WILCOX PROVIDED FREE PHYSICAL REHABILITATION SERVICES TO KAUA'I RESIDENTS TO SUPPORT RECOVERY FROM CONGESTIVE HEART FAILURE, CARDIAC SURGERY AND CARDIAC EVENTS. CARDIAC REHABILITATION SERVICES ARE NOT OTHERWISE AVAILABLE ON KAUA'I. CHEMOTHERAPY: WILCOX'S CHEMOTHERAPY CENTER IS THE ONLY ONE AVAILABLE ON THE ISLAND, LESSENING THE NEED FOR ISLAND RESIDENTS WITH CANCER TO FLY TO O'AHU OR TO THE MAINLAND FOR CARE. HEALTH PROFESSIONALS EDUCATION: WILCOX PROVIDED CLINICAL TRAINING AND PHARMACY RESIDENCIES FOR UNIVERSITY OF HAWAI'I AT HILO PHARMACY STUDENTS, AND CLINICAL TRAINING FOR NURSING STUDENTS FROM KAUA'I COMMUNITY COLLEGE AND THE UNIVERSITY OF HAWAI'I AT MANOA. "LIVE HEALTHY KAUA'I" WEBSITE: CREATED AND MAINTAINED BY WILCOX, THE WEBSITE IS A WELLNESS RESOURCE FOR THE KAUA'I COMMUNITY, FOCUSING ON LOCAL AND CULTURALLY APPROPRIATE RESOURCES FOR HEALTH AND WELLNESS. COMMUNITY HEALTH EDUCATION: WILCOX OFFERED A VARIETY OF WORKSHOPS AND HEALTH EDUCATION EVENTS ON IDENTIFIED COMMUNITY HEALTH NEEDS, INCLUDING: SKIN CANCER AWARENESS AND SUN PROTECTION, ONCOLOGY SUPPORT GROUP, SENIOR FALLS PREVENTION WORKSHOPS, KEIKI BIKE AND SAFETY DAY, AND ADVANCE CARE PLANNING WORKSHOPS. WILCOX ALSO PARTNERED WITH THE OTHER HOSPITALS OF HAWAI'I PACIFIC HEALTH TO OFFER A SERIES OF FREE COMMUNITY HEALTH FORUMS. EACH EVENT ADDRESSED A HEALTH TOPIC IDENTIFIED AS AN IMPORTANT COMMUNITY HEALTH NEED: WOMEN'S HEALTH, CANCER CARE, ARTHRITIS AND HEART HEALTH. THE CONFERENCES WERE HELD AT A DOWNTOWN H
SCHEDULE H, PART V, SECTION B, LINE 16AFINANCIAL ASSISTANCE POLICY https://www.hawaiipacifichealth.org/media/6951/english-fa-policy-august- 2017.pdf
SCHEDULE H, PART V, SECTION B, LINE 16BFINANCIAL ASSISTANCE APPLICATION https://www.hawaiipacifichealth.org/media/4567/1english-fa-letter-04-28-16 -corrected.pdf
SCHEDULE H, PART V, SECTION B, LINE 16CPLAIN LANGUAGE SUMMARY https://www.hawaiipacifichealth.org/media/5115/fin_asst_summary_flier_web. pdf
SCHEDULE H, PART V, SECTION B, LINE 16HTHE HOSPITALS WERE MADE AWARE IN NOVEMBER OF 2017 THAT PROCEDURES WERE NOT IN PLACE TO COMMUNICATE THE FINANCIAL ASSISTANCE POLICY TO MEMBERS OF THE COMMUNITY WHO ARE MOST LIKELY TO REQUIRE FINANCIAL ASSISTANCE OUTSIDE OF PATIENTS SERVED BY THE HOSPITAL. UPON DISCOVERY IN NOVEMBER OF 2017, THE HOSPITALS IMPLEMENTED A POLICY AND PROCESS TO PUBLISH THE AVAILABILITY OF FINANCIAL ASSISTANCE IN PATIENT ENEWSLETTERS AND PROMOTE THE POLICY AT COMMUNITY EVENTS GOING FORWARD.
FieldValueIRS element (for citing)
Facility21FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
STRAUB PEARLRIDGE CLINIC
98-151 PALI MOMI STREET SUITE 142AIEAHI96701CLINIC
PALI MOMI PAVILLIONWOMEN'S CENTER
98-1005 MOANALUA RD FS2AEIAHI96701CLINIC
PALI MOMI MEDICAL CENTER
98-1079 MOANALUA RD STE 480/590/63AEIAHI96701CLINIC
STRAUB MILLANI FAMILY HEALTH CENTER
95-1249 MEHEULA PKWY UNIT 187MILLANIHI96789CLINIC
STRAUB HAWAI'I KAI FAMILY HEALTH CENTER
7192 KALANIANAOLE HIGHWAY STE A200HONOLULUHI96825CLINIC
KAPI'OLANI WOMEN'S CENTER
1907 BERETANIA STREET 1ST 5TH FLHONOLULUHI96826CLINIC
DOCS ON CALL - SHERATON
2255 KALAKAUA AVEHONOLULUHI96815CLINIC
STRAUB KANEOHE FAMILY HEALTH CENTER
46-056 KAMEHAMEHA HWY SUITE 221KANEOHEHI96744CLINIC
STRAUB KAILUA FAMILY HEALTH CENTER
602 KAILUA ROAD SUITE 200KAILUAHI96734CLINIC
STRAUB CLINIC AT FIRST INSURANCE CENTER
1100 WARD AVE STE 700HONOLULUHI96813CLINIC
STRAUB LANA'I FAMILY HEALTH CENTER
628-B SEVENTH STREETLANAI CITYHI96763CLINIC
PALI MOMI CLINIC
98-1079 MOANALUA ROAD SUITE 600AIEAHI96701CLINIC
STRAUB KONA CLINIC
75-240 NAKI KAILUA DRIVE SUITE 6BKAILUAKONAHI96740CLINIC
STRAUB CLINIC AT WATERFRONT PLAZA
500 ALA MOANA BLVD TOWER 7 SUITEHONOLULUHI96813CLINIC
DOCS ON CALL - HILTON HAWAIIAN VILLAGE
2005 KALIA ROAD 2ND FLOORHONOLULUHI96815CLINIC
STRAUB KAPOLEI CLINIC
590 FARRINGTON HIGHWAY SUITE 526AKAPOLEIHI96707CLINIC
PALI MOMI CANCER CENTER
98-1005 MOANALUA RD FS4AEIAHI96701CLINIC
STRAUB HILO CLINIC
75 PUUHONU PLACE SUITE 207HILOHI96720CLINIC
KUAKINI CLINIC
321 NORTH KUAKINI ST SUITE 504HONOLULUHI96817CLINIC
ARTESIAN SATELLITE
1907 BERATANIA ST 5TH FLOORHONOLULUHI96826CLINIC
WINDWARD HEART CENTER
25 MALUNIU AVE SUITE 201KAILUAHI96734CLINIC

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H, PART I, LINE 3CN/A
SCHEDULE H, PART I, LINE 6ACOMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATIONS' PARENT.
SCHEDULE H, PART I, LINE 7GNO COSTS OF A PHYSICIAN CLINIC WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES.
SCHEDULE H, PART I, LINE 7COST TO CHARGE RATIO AND SCHEDULE H WORKSHEET WAS USED TO CALCULATE THE COSTS.
SCHEDULE H, PART IICOMMUNITY BUILDING ACTIVITIES THE HOSPITALS OF HAWAI`I PACIFIC HEALTH ARE COMMITTED TO ATTRACTING AND RETAINING TOP-QUALITY PHYSICIANS TO SERVE HAWAI'I WHICH HAS A DOCUMENTED PHYSICIAN SHORTAGE STATEWIDE FOR MANY SPECIALTIES. ACCORDING TO THE HAWAI'I PHYSICIAN WORKFORCE ASSESSMENT PROJECT, BY 2020 HAWAI'I WILL HAVE 1,500 FEWER PHYSICIANS THAN NEEDED TO MEET THE STATE'S HEALTH CARE NEEDS. IN 2016, HAWAI`I PACIFIC HEALTH INVESTED IN ATTRACTING PHYSICIANS WITH UNDER-REPRESENTED SPECIALTIES TO HAWAI'I TO HELP ENSURE THAT THE COMMUNITY'S HEALTH CARE NEEDS WILL BE MET. HAWAI`I PACIFIC HEALTH ALSO PROMOTED AN INTEREST IN HEALTH CAREERS AMONG YOUTH IN A MEDICALLY UNDERSERVED AREA BY WORKING WITH THE DEPARTMENT OF EDUCATION TO CONDUCT A HEALTH PROFESSIONS MENTORING PROGRAM FOR KAUAI HIGH SCHOOL STUDENTS. HAWAII PACIFIC HEALTH SUPPORTED THE REACH OUT AND READ PROGRAM ON KAUAI, WHICH PARTNERS WITH MEDICAL PROFESSIONALS TO INCORPORATE LITERACY SUPPORT INTO WELL-CHILD VISITS. REACH OUT AND READ HAS BEEN IDENTIFIED BY THE CDC AS AN EFFECTIVE EVIDENCE-BASED PROGRAM THAT CAN DEVELOP IMPROVED LANGUAGE SKILLS AND EARLY LITERACY WHICH ARE CORRELATED WITH IMPROVED HEALTH OUTCOMES.
SCHEDULE H, PART III, LINE 3THE ESTIMATE FOR BAD DEBT THAT COULD HAVE POTENTIALLY QUALIFIED FOR CHARITY CARE WAS CALCULATED BY FIRST COMPUTING THE BAD DEBT ASSOCIATED WITH THE UNINSURED, THEN CALCULATING THE COST USING A COST TO CHARGE RATIO (PER SCHEDULE H WORKSHEET 2) AND THEN APPLYING MANAGEMENTS ESTIMATE FOR PORTION OF UNINSURED THAT COULD HAVE QUALIFIED FOR CHARITY CARE. MANAGEMENT CONSERVATIVELY ESTIMATES THAT 15-20% OF THE UNINSURED BAD DEBT COULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE IF SUFFICIENT INFORMATION WAS OBTAINED TO DEMONSTRATE FINANCIAL NEED. SCHEDULE H, PART III, LINE 4 PER THE CONSOLIDATED AUDITED FINANCIAL STATEMENT OF HAWAI'I PACIFIC HEALTH ("HPH"), THE FILING ORGANIZATION'S PARENT: THE PROVISION FOR BAD DEBTS EXPENSE IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL AND BUSINESS AND ECONOMIC TRENDS, TRENDS IN HEALTHCARE COVERAGES AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE COMPANY ANTICIPATED BUT DID NOT RECEIVE PAYMENT BECAUSE OF THE PATIENTS' UNWILLINGNESS TO PAY. BAD DEBT ALSO INCLUDES SERVICES FOR MEDICALLY INDIGENT AND/OR UNINSURED PATIENTS WHO ARE UNABLE TO PAY AND WHO MIGHT HAVE QUALIFIED FOR CHARITY CARE HAD THE PATIENT SELF-IDENTIFIED THEMSELVES AS MEDICALLY INDIGENT ALONG WITH PROVIDING INFORMATION SO THAT PROPER MEANS TESTING COULD HAVE BEEN ACCOMPLISHED TO QUALIFY THE PATIENT FOR CHARITY CARE.
SCHEDULE H, PART III, LINE 8BECAUSE TAX-EXEMPT HOSPITALS MUST PARTICIPATE IN MEDICARE AND MEDICAID AS A CONDITION OF MAINTAINING THEIR FEDERAL TAX-EXEMPT STATUS, MEDICARE UNDERPAYMENTS ARE NOT OPERATING EXPENSES THAT SHOULD BE EXPECTED IN THE ORDINARY COURSE OF BUSINESS. BECAUSE TAX-EXEMPT HOSPITALS MUST ACCEPT MEDICARE RATES THAT ARE IN SOME CASES BELOW COST, THEY SHOULD BE ABLE TO REPORT ANY NEGATIVE DIFFERENCES BETWEEN MEDICARE RATES AND COST AS LOSSES INCURRED BY SERVICING THE COMMUNITY. TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552.96.
SCHEDULE H, PART III, LINE 9BCOLLECTION PROCEDURES FOR PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE FOLLOW THE SAME POLICY AS ALL OTHER PATIENTS. IN GENERAL THE POLICY INVOLVES SENDING FOLLOW UP STATEMENTS AND DOING FOLLOW UP PHONE CALLS. PAYMENT OPTIONS ARE ALSO PRESENTED TO THE PATIENT AS PART OF THE COLLECTION PROCESS. ACCOUNTS NOT COLLECTED WITHIN THE SPECIFIED TIME PERIOD OUTLINED IN THE POLICY (HOSPITAL AND PHYSICIAN CLAIMS) ARE SENT TO A COLLECTION AGENCY FOR COLLECTION.
SCHEDULE H, PART VI, LINE 2NEEDS ASSESSMENT THE HOSPITALS OF HAWAI'I PACIFIC HEALTH PARTNERED WITH THE HEALTHCARE ASSOCIATION OF HAWAII AND THE HEALTHY COMMUNITIES INSTITUTE TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNAS) FOR EACH OF THE COMMUNITIES SERVED BY THE HOSPITALS. THE CHNAS WERE COMPLETED IN MARCH 2016. OUR APPROACH FOLLOWED THE PUBLIC HEALTH MODEL OF ASSESSING AND UNDERSTANDING COMMUNITY HEALTH HOLISTICALLY. A FRAMEWORK FOR ANALYSIS WAS CONSTRUCTED BASED ON DETERMINANTS OF HEALTH; THE FRAMEWORK INCLUDED A BROAD DEFINITION OF COMMUNITY HEALTH THAT CONSIDERS SECONDARY DATA ON THE SOCIAL, ECONOMIC, AND PHYSICAL ENVIRONMENTS, AS WELL AS HEALTH RISKS AND OUTCOMES. SPECIAL ATTENTION WAS GIVEN TO IDENTIFYING HEALTH DISPARITIES, THE NEEDS OF VULNERABLE POPULATIONS, AND UNMET HEALTH NEEDS OR GAPS IN SERVICES. A BROAD ARRAY OF SECONDARY AND PRIMARY DATA WAS COLLECTED AND SYNTHESIZED TO DETERMINE COMMUNITY NEEDS. OVER 375 INDICATORS FROM OVER 20 SOURCES FROM A DATABASE MAINTAINED BY THE HAWAI'I DEPARTMENT OF HEALTH WERE ANALYZED USING A SYSTEMATIC AND QUANTITATIVE APPROACH THAT INCORPORATED MULTIPLE BENCHMARKS AND COMPARISONS. ADDITIONAL ANALYSIS INCLUDED PREVENTABLE CAUSES OF HOSPITALIZATION USING DATA PROVIDED BY THE HAWAII HEALTH INFORMATION CORPORATION, AND INFORMATION FROM RECENTLY PUBLISHED REPORTS ON ACCESS TO CARE, HEALTH DISPARITIES, PRIMARY CARE NEEDS, AND BEHAVIORAL HEALTH NEEDS. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS HAVING SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, HEALTH DISPARITIES, AND VULNERABLE POPULATIONS IN THE IDENTIFIED COMMUNITIES.
SCHEDULE H, PART VI, LINE 3PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WHEN A PATIENT PRESENTS FOR SERVICES AND THE PATIENT DOES NOT HAVE INSURANCE COVERAGE FOR SERVICES TO BE PROVIDED, THE PATIENT, OR GUARANTOR IS ASKED TO SIGN THE "SELF-PAY ACKNOWLEDGEMENT" LETTER. THE LETTER DESCRIBES THE TERMS OF THE HAWAI'I PACIFIC HEALTH ("HPH") UNINSURED DISCOUNT PROGRAM, AND BY SIGNING THE LETTER, THE PATIENT ACKNOWLEDGES THAT HE/SHE UNDERSTANDS AVAILABLE UNINSURED PAYMENT TERMS. IN MOST UNINSURED CASES, THE PATIENT WILL BE OFFERED A HAWAI'I STATE MEDICAL ASSISTANCE APPLICATION. THIS IS THE APPLICATION FOR THE HAWAI'I STATE MEDICAID/QUEST PROGRAM. THE HOSPITAL CONTRACTS WITH SERVICE PROVIDERS WHO SPECIALIZE IN ASSISTING PATIENTS WITH THE MEDICAID/QUEST PROGRAM APPLICATION PROCESS. IF THE PATIENT'S APPLICATION FOR MEDICAID/QUEST IS DENIED OR IT IS DETERMINED THAT THE PATIENT IS INELIGIBLE TO APPLY FOR MEDICAID/QUEST, THE PATIENT MAY APPLY FOR HPH FINANCIAL ASSISTANCE EITHER IN THE HOSPITAL FINANCIAL SERVICES DEPARTMENT OR BY MAIL DIRECTLY TO THE HPH BUSINESS SERVICES OFFICE. FINANCIAL COUNSELORS ARE AVAILABLE ON SITE TO REVIEW PAYMENT OPTIONS WITH THE PATIENT OR THE GUARANTOR. THESE OPTIONS INCLUDE THE AFOREMENTIONED HPH UNINSURED DISCOUNT PROGRAM, THE HAWAI'I STATE MEDICAID/QUEST PROGRAM, THE HPH FINANCIAL ASSISTANCE PROGRAM, PAYMENT PLANS AND ANY GRANT OR FUNDING SOURCE THAT MAY BE APPROPRIATE FOR THE SERVICES PROVIDED. IN SOME CASES, HPH DETERMINES THAT A PATIENT OR GUARANTOR MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED, AND FINANCIAL INFORMATION IS MAILED TO THE PATIENT. EDUCATION AND ASSISTANCE IS OFTEN PROVIDED VIA PHONE CONTACT IN THESE CASES. PAYMENT PLAN ARRANGEMENTS ARE HANDLED VIA PHONE CONTACT WITH THE PATIENT.
SCHEDULE H, PART VI, LINE 4COMMUNITY INFORMATION HAWAI'I PACIFIC HEALTHS MEDICAL CENTERS TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS SAFETY NET PROVIDERS OF HEALTH CARE FOR THE COMMUNITY. DEMOGRAPHICS OF THE STATE OF HAWAI'I INCLUDE 1.4M RESIDENTS AND 8.9M VISITORS (2016 DATA). THERE ARE MORE THAN 20 OTHER HOSPITALS IN THE STATE THAT PROVIDE ACUTE CARE SERVICES, INCLUDING THOSE THAT ARE COMMUNITY ACCESS HOSPITALS. AREAS AND POPULATIONS DESIGNATED AS MEDICALLY-UNDERSERVED BY THE FEDERAL GOVERNMENT ARE PRESENT. KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN HAS BEEN TREATING WOMEN, CHILDREN AND INFANTS FOR MORE THAN A CENTURY. IT IS HAWAI'I'S ONLY MATERNITY, NEWBORN AND PEDIATRIC SPECIALTY HOSPITAL WITH 243 BEDS. IT IS ALSO A TERTIARY CARE, TEACHING AND RESEARCH FACILITY. FOR WOMEN, KAPI'OLANI PROVIDES COMPLETE OBSTETRICAL AND GYNECOLOGICAL CARE. FOR INFANTS AND CHILDREN, IT HAS MORE THAN 100 PEDIATRIC SPECIALISTS AND SUBSPECIALISTS. IN FISCAL YEAR 2017, KAPI'OLANI HAD 6,248 DELIVERIES (BIRTHS), 46,512 WOMEN'S CENTER PROCEDURES, 45,620 ER VISITS, 57,447 IMAGING PROCEDURES, 578 TRANSPORTS AND 16,317 INPATIENT ADMISSIONS. ITS GEOGRAPHIC SERVICE AREA IS THE ENTIRE PACIFIC REGION AS MANY SPECIALTIES OFFERED ARE NOT AVAILABLE ELSEWHERE. PALI MOMI MEDICAL CENTER IS A COMMUNITY-BASED, ACUTE-CARE HOSPITAL THAT OFFERS A FULL RANGE OF SERVICES IN CARDIOLOGY, ORTHOPEDICS, EMERGENCY MEDICINE, GENERAL SURGERY AND MEDICINE, OPHTHALMOLOGY, WOMEN'S SERVICES, ONCOLOGY AND MORE. IT HAS DELIVERED MANY MEDICAL FIRSTS FOR THE COMMUNITY, INCLUDING WEST O'AHU'S ONLY INTERVENTIONAL CARDIAC CATHETERIZATION UNIT, A WOMEN'S CENTER AND RETINA CENTER. IT HAS BEEN DESIGNATED AS A LEVEL III TRAUMA CENTER BY THE STATE OF HAWAI?I AND IT IS ALSO A CERTIFIED PRIMARY STROKE CENTER. IN FISCAL YEAR 2017, PALI MOMI HAD 49,091 ER VISITS, 46,742 WOMEN'S CENTER PROCEDURES, 85,153 IMAGING PROCEDURES AND 5,757 INPATIENT ADMISSIONS. PALI MOMI'S GEOGRAPHIC SERVICE AREA IS PRIMARILY CENTRAL O'AHU, WEST O'AHU AND THE NORTH SHORE. STRAUB MEDICAL CENTER HAS SERVED THE PEOPLE OF HAWAI'I FOR MORE THAN 95 YEARS. IT IS A FULLY INTEGRATED HEALTH CARE PROVIDER WITH A 159-BED HOSPITAL IN HONOLULU, A NETWORK OF NEIGHBORHOOD CLINICS, AND A VISITING SPECIALISTS PROGRAM TO IMPROVE ACCESS TO MEDICAL SERVICES FOR NEIGHBOR ISLAND RESIDENTS. STRAUB HOUSES AN ARRAY OF PHYSICIAN SPECIALISTS UNDER ONE ROOF, ENABLING PATIENTS TO RECEIVE DIAGNOSIS AND TREATMENT IN MORE THAN 32 MEDICAL SPECIALTIES. IN FISCAL YEAR 2017, STRAUB HAD 33,323 ER VISITS, 7,230 INPATIENT ADMISSIONS, 93,500 IMAGING PROCEDURES AND 875,594 CLINIC ENCOUNTERS. STRAUB IS PROUD TO PROVIDE SERVICES THAT ARE NOT OFFERED BY ANY OTHER PROVIDERS IN THE REGION. THE BURN CENTER, FOR EXAMPLE, IS THE ONLY DEDICATED BURN TREATMENT FACILITY IN HAWAI'I AND TREATS MILITARY AND CIVILIAN PATIENTS THROUGHOUT THE PACIFIC REGION. WILCOX MEDICAL CENTER HAS SERVED KAUA'I FOR MORE THAN 75 YEARS. THE ACUTE-CARE FACILITY OFFERS OVER 30 SPECIALTIES AND PROGRAMS, AND A FULL SUITE OF SERVICES INCLUDING CARDIOLOGY, EMERGENCY, FAMILY PRACTICE, GASTROENTEROLOGY, HEALTH MANAGEMENT, INTERNAL MEDICINE, NEUROLOGY, OB-GYN, ONCOLOGY, ORTHOPEDICS, PEDIATRICS AND UROLOGY. IN FISCAL YEAR 2017, WILCOX HAD 24,451 ER VISITS, 507 DELIVERIES (BIRTHS), 65,028 IMAGING PROCEDURES AND 3,407 INPATIENT ADMISSIONS. WILCOX'S GEOGRAPHIC SERVICE AREA IS THE ISLAND OF KAUA'I. DEMOGRAPHICS OF THE KAUA'I COMMUNITY IN FISCAL YEAR 2017 INCLUDE AN ESTIMATED POPULATION OF APPROXIMATELY 72,000 (2016 CENSUS BUREAU DATA) AND MORE THAN 1.1M VISITORS ANNUALLY (2016 DATA). THERE ARE TWO OTHER HOSPITALS IN THE COMMUNITY, AND FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS ARE PRESENT.
SCHEDULE H, PART VI, LINE 5PROMOTION OF COMMUNITY HEALTH WHEN DISCHARGING PATIENTS, PALI MOMI MEDICAL CENTER FOLLOWS THE GUIDELINES OF THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. THE PROCEDURES INVOLVED WITH PROVIDING A SAFE DISCHARGE PLAN INCLUDE DESIGNATING A PERMANENT OR TRANSITIONAL DESTINATION FOR ALL PATIENTS LEAVING THE HOSPITAL. HOWEVER, IN SOME CASES, PATIENTS HAVE NO INSURANCE OR ARE PENDING APPROVAL UNDER THE MEDICAID PROGRAM FOR PAST SERVICES PROVIDED. THESE PATIENTS DO NOT REQUIRE FURTHER HOSPITAL-GRADE CARE BUT RATHER, FOLLOW-UP CARE AT A TRANSITIONAL CARE FACILITY, SUCH AS A LICENSED FOSTER CARE HOME OR REHABILITATION CENTER. IN THESE SPECIAL CIRCUMSTANCES, PALI MOMI WILL PAY AN INDEPENDENT CASE MANAGER FROM THE COMMUNITY, USUALLY A NURSE REPRESENTATIVE OF AN INDEPENDENT CASE MANAGEMENT COMPANY, TO ASSUME CARE OF THE PATIENT. THE CASE MANAGER IDENTIFIES AN APPROPRIATE FACILITY, HELPS THE PATIENT TRANSITION THERE, AND MONITORS THE PATIENT. PALI MOMI ASSUMES RESPONSIBILITY FOR THE FINANCIAL COST UNTIL INSURANCE APPROVAL UNDER MEDICAID IS ESTABLISHED. PALI MOMI DOES THIS TO ENSURE THAT A SAFE DISCHARGE PLAN IS BEING FOLLOWED, AND TO MAKE AVAILABLE A HOSPITAL BED FOR AN ACUTE OR CRITICALLY-ILL PATIENT WHO REQUIRES HOSPITAL-GRADE CARE. STRAUB CLINIC & HOSPITAL IS COMMITTED TO ATTRACTING AND RETAINING TOP-QUALITY PHYSICIANS IN HAWAI'I, WHERE LOSING PHYSICIANS TO THE U.S. MAINLAND IS A CONSTANT THREAT. ACCORDING TO HAWAII MEDICAL JOURNAL AND HAWAI'I PHYSICIAN WORKFORCE ASSESSMENT PROJECT, BY 2020, HAWAI'I WILL HAVE 1,500 FEWER PHYSICIANS THAN NEEDED TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. SHORTAGES WILL BE PARTICULARLY SEVERE IN PRIMARY CARE, CARDIOLOGY, GASTROENTEROLOGY, ORTHOPEDICS, GENERAL SURGERY, AND OTHER SPECIALTIES. STRAUB FOCUSED ON BOTH RECRUITING AND RETAINING PHYSICIANS IN FISCAL YEAR 2016, WHO WERE TRAINED IN OR FROM THE STATE OF HAWAI'I. THERE WAS A STRONG EMPHASIS ON RECRUITING PHYSICIANS WITH BACKGROUNDS IN PRIMARY CARE AND PREVENTION. STRAUB ALSO CONTINUED TO STRENGTHEN ITS SPORTS MEDICINE FELLOWSHIP PROGRAM IN FISCAL YEAR 2015, IN CONJUNCTION WITH THE UNIVERSITY OF HAWAI'I. ADDITIONALLY, STRAUB SUPPORTED OFFICE AND TRAVEL EXPENSES, TRAVEL EXPENSES OF PHYSICIAN CANDIDATES, GENERAL RECRUITMENT ACTIVITIES, AND MOVING EXPENSES OF PHYSICIANS AND THEIR FAMILY MEMBERS. STRAUB COVERS THESE COSTS TO HELP ENSURE THAT THE COMMUNITY'S FUTURE HEALTH CARE NEEDS WILL BE MET. WHEN DISCHARGING PATIENTS, WILCOX MEMORIAL HOSPITAL FOLLOWS THE GUIDELINES OF THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. THE HOSPITAL STRIVES TO ENSURE THAT A SAFE DISCHARGE PLAN IS PROVIDED TO ALL PATIENTS. THIS MAY INVOLVE PROVIDING SOME PATIENTS WITH TRANSPORTATION TO A PERMANENT OR TRANSITIONAL DESTINATION. IN SOME CASES, INDIGENT PATIENTS ARE READY FOR DISCHARGE, BUT DO NOT HAVE THE ABILITY TO PAY FOR TRANSPORTATION OR HOUSING, MEDICATIONS AND MEDICAL EQUIPMENT, SPECIFIC FOODS REQUIRED AS PART OF A RESTRICTED DIET, OR A MEDICALLY NECESSARY NURSE ESCORT. IN THESE SPECIAL CIRCUMSTANCES, WILCOX WILL COVER THESE COSTS. BY HELPING ITS MOST VULNERABLE POPULATION OVERCOME FINANCIAL BARRIERS, WILCOX IS HELPING TO ENSURE A SMOOTH TRANSITION TO AN APPROPRIATE CARE SETTING FOR ALL PATIENTS, AS WELL AS MAKING AVAILABLE A HOSPITAL BED FOR AN ACUTE OR CRITICALLY ILL PATIENT WHO REQUIRES HOSPITAL-GRADE CARE. EACH AFFILIATE HOSPITAL OF HAWAI'I PACIFIC HEALTH IS A LEADER IN COMMUNITY HEALTH CARE EDUCATION AND ADVOCACY, AND MAINTAINS AN OPEN MEDICAL STAFF; THIS ARRANGEMENT GRANTS ADMITTING PRIVILEGES TO NONAFFILIATED PHYSICIAN SPECIALISTS AND BROADENS EACH FACILITY'S ABILITY TO OFFER HIGH-QUALITY, SPECIALIZED CARE TO THEIR RESPECTIVE COMMUNITY. EACH HOSPITAL IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF PHYSICIANS, COMMUNITY MEMBERS AND KEY LEADERSHIP WITHIN HAWAI'I PACIFIC HEALTH. THESE VOLUNTEER, UNPAID MEMBERS ENSURE THAT EACH FACILITY FULFILLS ITS MISSION-DRIVEN GOALS. AS AFFILIATES OF THE NOT-FOR-PROFIT HAWAI'I PACIFIC HEALTH NETWORK, EACH HOSPITAL REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE AND TO SUBSIDIZE THOSE WHO CANNOT PAY.
SCHEDULE H, PART VI, LINE 6AFFILIATED HEALTH CARE SYSTEM HAWAI'I PACIFIC HEALTH, ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS, IS COMMITTED TO PROVIDING HIGH-QUALITY, ACCESSIBLE CARE AND SERVICES TO THE PEOPLE OF HAWAI'I AND THE PACIFIC REGION. THE HAWAI'I PACIFIC HEALTH SYSTEM INCLUDES FOUR MEDICAL CENTERS, 70 LOCATIONS AND MORE THAN 1,600 AFFILIATED PHYSICIANS. THE MEDICAL CENTERS PROVIDE ACUTE AND SPECIALTY CARE WITH 592 BEDS, AND HANDLED 32,711 ADMISSIONS IN FISCAL YEAR 2017. KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN IS THE PRIMARY PEDIATRIC AND OBSTETRIC TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. KAPI'OLANI SUPPORTS THE TRAINING AND TEACHING OF HAWAI'I'S FUTURE DOCTORS, NURSES AND OTHER HEALTH CARE PROFESSIONALS, AS WELL AS CLINICAL AND COMMUNITY HEALTH RESEARCH THAT BRINGS NEW THERAPIES AND TREATMENT PROTOCOLS TO THE ISLANDS. KAPI'OLANI STRIVES TO INFLUENCE PUBLIC POLICY TO BENEFIT HAWAI'I'S WOMEN AND CHILDREN. IT ACTIVELY SUPPORTS THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, MARCH OF DIMES, HAWAI'I CHILDREN'S CANCER FOUNDATION AND OTHERS. THE KAPI'OLANI CHILDREN'S MIRACLE NETWORK SUPPORTS THE COST OF PEDIATRIC HEALTH CARE PROGRAMS AND SERVICES AT THE HOSPITAL, AS WELL AS MEDICAL EQUIPMENT, NEIGHBOR ISLAND TRAVEL, RESEARCH AND PUBLIC AWARENESS. THE HOSPITAL ALSO OPERATES THE KAPI'OLANI SEX ABUSE TREATMENT CENTER, WHICH AIMS TO REDUCE SEXUAL VIOLENCE AND ENABLE THE STATE'S FORENSIC TEAMS TO INVESTIGATE AND PROSECUTE SEX OFFENSES, AND THE KAPI'OLANI CHILD ADVOCACY AND PROTECTION CENTER, WHICH PROVIDES EXPERTISE IN RECOGNIZING AND TREATING CHILD ABUSE AND NEGLECT. PALI MOMI MEDICAL CENTER CONTINUES TO FOCUS ON MEETING THE NEEDS OF THE COMMUNITIES OF CENTRAL AND WEST O'AHU AND THE NORTH SHORE. IN FISCAL YEAR 2017, PALI MOMI CONTINUED TO PROVIDE SERVICES AS A DESIGNATED LEVEL III TRAUMA CENTER BY THE STATE OF HAWAI?I. PALI MOMI HOLDS THIS DESIGNATION BECAUSE OF ITS KEY GEOGRAPHIC LOCATION AND ADVANCED HOSPITAL CAPABILITIES THAT ENABLE IT TO PROVIDE THIS CRITICALLY NEEDED SERVICE TO THE COMMUNITY. IT IS ALSO CERTIFIED AS A PRIMARY STROKE CENTER IN RECOGNITION OF ITS COMMITMENT TO THE CARE OF STROKE PATIENTS. IN FISCAL YEAR 2017, PALI MOMI ALSO HOSTED FREE COMMUNITY HEALTH EVENTS, INCLUDING FAMILY AND SENIOR HEALTH FAIRS, EDUCATIONAL SPEAKERS' SERIES, SUPPORT GROUPS, AND GLUCOSE MONITORING AND BLOOD PRESSURE SCREENINGS. STRAUB MEDICAL CENTER HAS MANY SPECIALTY CARE UNITS. THE BURN CENTER IS THE STATE'S ONLY MULTIDISCIPLINARY BURN TREATMENT CENTER, PROVIDING VICTIMS WITH IMMEDIATE AND COMPREHENSIVE CARE CLOSE TO HOME. STRAUB PHYSICIANS PROVIDE PATIENTS WITH DIAGNOSES AND TREATMENTS FOR MORE THAN 32 DIFFERENT MEDICAL SPECIALTIES, INCLUDING BONE AND JOINT, HEART, CANCER, ENDOCRINOLOGY/DIABETES, FAMILY MEDICINE, GASTROENTEROLOGY, GERIATRIC MEDICINE, INTERNAL MEDICINE, VASCULAR AND UROLOGY. IT PROVIDES CHARITY CARE, HEALTH EDUCATION AND PREVENTIVE PROGRAMS TO THE COMMUNITY. IN FISCAL YEAR 2017, STRAUB PROVIDED FREE HEALTH EDUCATION PROGRAMS ON PREVENTING AND MANAGING HEART ATTACKS, CANCER, ARTHRITIS, ASTHMA, ALLERGIES, HEALTHY LIFESTYLES AND INJURY PREVENTION WITH EVENTS SUCH AS "HPH KIDS FEST," "CANCER CARE," "VALENTINE IN PARADISE"GETTING A GRIP ON ARTHRITIS." "THE HPH WOMEN'S 10K RACE" IS HAWAI'I'S PREMIER FEMALE-ONLY FITNESS EVENT, WHICH CELEBRATED ITS 40TH YEAR. WILCOX MEDICAL CENTER IS DEDICATED TO PROVIDING KAUA'I WITH AFFORDABLE AND ACCESSIBLE HEALTH CARE. IN 2016, THE AMERICAN HEART ASSOCIATION ONCE AGAIN RECOGNIZED IT FOR EXCELLENCE IN CARDIAC CARE. WILCOX PHYSICIANS OFFER CARE IN 30 SPECIALTIES AND PROGRAMS. WILCOX IS AN ACTIVE COMMUNITY PARTNER. IN FISCAL 2017, ITS HEALTH EDUCATION, PREVENTION PROGRAMS AND SUPPORT GROUPS FOCUSED ON DIABETES, OBESITY, CANCER, HEART ATTACK/STROKE, IMMUNIZATION, SPORTS MEDICINE, WATER SAFETY, INJURY PREVENTION, AND HEALTH FAIRS. TOGETHER WITH KAUA'I MEDICAL CLINIC, WILCOX HOSTED OR SPONSORED A VARIETY OF COMMUNITY HEALTH EDUCATION EVENTS, AND STAFF SUPPORTED THEIR COMMUNITY BY PARTICIPATING IN ANNUAL CHARITABLE ENDEAVORS. THESE INCLUDED "KIDS SUMMER FEST," "KIDS FEST," "KAUAI MARATHON," SEVERAL PHYSICIAN-LED COMMUNITY WALKS, "KEIKI BIKE AND SAFETY DAY," "CANCER CARE VIDEO TELECONFERENCE," "VALENTINE IN PARADISE CARDIOLOGY VIDEO TELECONFERENCE," "GETTING A GRIP ON ARTHRITIS COMMUNITY HEALTH EVENT"OLD KOLOA SUGAR MILL RUN."
SCHEDULE H, PART VI, LINE 7STATE FILING OF COMMUNITY BENEFIT REPORT N/A
501(R) COMPLIANCETHE HOSPITALS IDENTIFIED AND CORRECTED A GAP IN ITS 501(R) COMPLIANCE. FOR MORE INFORMATION, SEE DISCLOSURES IN PART V, SECTION C, CORRESPONDING TO PART V, SECTION B, LINE 16H.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
CHILD & FAMILY SERVICE
1001 BISHOP STREET STE 780HONOLULUHI96813990073483501(C)(3)$10,000GENERAL SUPPORT
GIRL SCOUTS OF HAWAI'I
410 ATKINSON DRIVEHONOLULUHI96814990073488501(C)(3)$20,000GENERAL SUPPORTSTE 2E1 BOX 3
WAHIAWA CENTER FOR COMMUNITY HEALTH
PO BOX 860339WAHIAWAHI96786455114944501(C)(3)$20,000GENERAL SUPPORT
CENTRAL UNION CHURCH PRESCHOOL
1660 SOUTH BERETANIA STREETHONOLULUHI96826990076013501(C)(3)$6,000GENERAL SUPPORT
HAWAI'I CANCER CONSORTIUM
737 BISHOP ST 2360HONOLULUHI96813452280259501(C)(3)$500,000GENERAL SUPPORT
University Clinical EDU & RSRCH Assoc
PO Box 31000HonoluluHI96849990307152501(C)(3)$250,000GENERAL SUPPORT
CATHOLIC CHARITIES HAWAI'I
1822 KEEAUMOKU STREETHONOLULUHI96822990073547501(C)(3)$10,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
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 PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (40 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
DAVID CHO MD
Board of Director$457,649$0$4,758$0$18,760$0$10,600$0$21,068$0$512,835$0$0$0
CAROL FUJIYOSHI MD
Board of Director$0$314,286$0$4,677$0$22,532$0$7,695$0$6,479$0$355,669$0$0
MONICA PRICE MD
Board of Director$146,706$0$21,413$0$26,464$0$7,574$0$19,986$0$222,143$0$0$0
MARTHA SMITH
Board of Director, CEO$0$413,905$0$282,634$0$132,852$0$195,516$0$14,608$0$1,039,515$0$127,314
KENNETH B ROBBINS MD
BOARD OF DIRECTOR, EVP & CMO$0$450,245$0$291,893$0$167,004$0$208,210$0$14,686$0$1,132,038$0$338,723
RAYMOND P VARA JR
BOD, President & CEO$0$921,344$0$935,665$0$347,525$0$555,554$0$21,543$0$2,781,631$0$827,600
JENNIE CHAHANOVICH
BOD, PRESIDENT & CEO$0$327,135$0$219,044$0$81,523$0$161,746$0$12,088$0$801,536$0$99,103
ARTHUR GLADSTONE
BOD, CEO, VP & SYSTEM CNE$0$425,141$0$273,304$0$114,355$0$193,130$0$19,603$0$1,025,533$0$121,126
BEAU NAKAMOTO MD
Board of Director, VICE CHAIR$304,323$0$15,077$0$58,065$0$10,600$0$435$0$388,500$0$0$0
RODNEY WILLIAMS MD
CMO$376,923$0$77,025$0$48,511$0$42,238$0$16,899$0$561,596$0$0$0
KATIE SHIGEMITSU
COMPLIANCE OFFICER$0$179,635$0$0$0$1,433$0$17,362$0$14,142$0$212,572$0$0
PATRICIA BOECKMANN RN
COO$0$213,232$0$67,100$0$40,852$0$94,636$0$13,836$0$429,656$0$67,100
GIDGET RUSCETTA RN
COO$0$238,847$0$49,350$0$29,637$0$73,634$0$13,695$0$405,163$0$49,350
GAIL LERCH
EVP$0$382,239$0$264,401$0$132,628$0$185,483$0$9,064$0$973,815$0$270,437
STEVEN ROBERTSON
EVP & CIO$0$379,494$0$263,631$0$145,414$0$184,784$0$15,308$0$988,631$0$274,137
DAVID OKABE
EVP, CFO & TREASURER$0$471,769$0$330,697$0$129,316$0$217,960$0$14,308$0$1,164,050$0$337,301
CHARLES R CHING
EVP, GEN COUNSEL & SECRETARY$0$354,634$0$251,722$0$127,777$0$173,039$0$20,353$0$927,525$0$255,185
ALAN ITO
INFORMATION SECURITY OFFICER$0$163,403$0$0$0$907$0$15,610$0$19,742$0$199,662$0$0
DAVID FOX
PRIVACY OFFICER$0$145,401$0$0$0$1,171$0$15,325$0$13,664$0$175,561$0$0
THOMAS MUNDELL
SVP$0$331,634$0$64,642$0$52,140$0$25,686$0$20,353$0$494,455$0$64,643
MELINDA ASHTON MD
SVP & CQO$0$384,542$0$93,421$0$70,612$0$109,009$0$14,689$0$672,273$0$78,421
WARREN CHAIKO
VP$0$232,807$0$47,599$0$53,393$0$66,918$0$22,543$0$423,260$0$37,599
DAWN CHING
VP$0$217,068$0$43,747$0$9,248$0$62,348$0$21,921$0$354,332$0$33,746
PAULA DIAS
VP$0$224,570$0$34,403$0$39,909$0$62,024$0$13,693$0$374,599$0$34,403
BRANDT FARIAS
VP$0$181,058$0$36,250$0$17,629$0$41,499$0$8,633$0$285,069$0$26,250
MAUREEN FLANNERY
VP$0$253,612$0$40,440$0$28,731$0$60,255$0$14,413$0$397,451$0$40,440
LORRIE-ANN LUKE
VP$0$160,911$0$24,800$0$11,305$0$43,399$0$22,375$0$262,790$0$24,800
SUSAN MASUMOTO-NONAKA
VP$0$232,088$0$48,282$0$42,983$0$67,622$0$16,930$0$407,905$0$38,282
MICHAEL ROBINSON
VP$0$196,340$0$31,845$0$19,549$0$48,602$0$7,923$0$304,259$0$31,845
BRIGITTE MCKALE
VP & CNE$0$226,301$0$35,501$0$20,905$0$64,151$0$13,395$0$360,253$0$35,501
MAVIS NIKAIDO
VP & CNE$0$257,510$0$51,783$0$26,657$0$71,232$0$6,632$0$413,814$0$41,783
EARL INOUYE
VP & SYSTEM CONTROLLER$0$251,072$0$38,870$0$41,550$0$68,229$0$14,895$0$414,616$0$38,870
JESSICA LEWIS
ASSISTANT CORPORATE SECRETARY$0$134,343$0$0$0$0$0$10,304$0$22,197$0$166,844$0$0
SPENCER K CHANG MD
PHYSICIAN$757,574$0$17,606$0$29,787$0$10,600$0$21,448$0$837,015$0$0$0
MARK S GERBER MD
PHYSICIAN$852,904$0$5,413$0$50,018$0$10,600$0$6,479$0$925,414$0$0$0
CURTIS B KAMIDA MD
PHYSICIAN$462,236$25,213$385,173$10,600$40,525$923,747$0
KENNETH C LEE MD
PHYSICIAN$758,004$0$5,213$0$20,209$0$10,600$0$4,126$0$798,152$0$0$0
CASS K NAKASONE MD
PHYSICIAN$1,055,763$0$4,213$0$36,084$0$10,600$0$20,568$0$1,127,228$0$0$0
THOMAS J NORDYKE MD
FORMER OFFICER$247,248$0$16,880$0$26,823$0$10,600$0$18,568$0$320,119$0$0$0
CHARLES A STED
FORMER OFFICER$0$0$0$0$179,701$0$0$0$0$0$179,701$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, QUESTION 3SUPPLEMENTAL COMPENSATION INFORMATION THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, HAWAI'I PACIFIC HEALTH, AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O FORM 990 PART VI, LINE 15A FOR THE PROCESS USED BY HAWAI'I PACIFIC HEALTH TO DETERMINE COMPENSATION.
SCHEDULE J, PART I, QUESTION 4ASEVERANCE PAY THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT FROM A RELATED ORGANIZATION: CHARLES A. STED - $179,701
SCHEDULE J, PART I, QUESTION 4BSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE RESTORATION PLAN WAS DESIGNED TO RESTORE BENEFITS THAT ARE LOST DUE TO LIMITS IMPOSED BY SECTIONS 401 AND 415 OF THE INTERNAL REVENUE CODE ON COMPENSATION CONSIDERED UNDER SUCH PLANS. AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: MARTHA SMITH - $43,733 JENNIE CHAHANOVICH - $14,886 RAYMOND P. VARA - $120,716 KENNETH B. ROBBINS, MD - $56,545 ARTHUR GLADSTONE - $34,916 DAVID OKABE - $39,702 GAIL LERCH - $38,829 CHARLES R. CHING - $31,622 STEVEN ROBERTSON - $32,692 ANNUAL AND LONG TERM INCENTIVE PLAN THE ANNUAL AND LONG TERM INCENTIVE PLAN ARE AFFORDED TO EXECUTIVES BASED ON ANNUAL AND LONG TERM SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. AMOUNT PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: MARTHA SMITH - $257,634 JENNIE CHAHANOVICH - $219,044 RAYMOND P. VARA - $855,665 KENNETH B. ROBBINS, MD - $291,893 ARTHUR GLADSTONE - $253,304 DAVID OKABE - $300,697 GAIL LERCH - $244,401 CHARLES R. CHING - $226,722 STEVEN ROBERTSON - $243,631 MELINDA ASHTON, MD - $78,421 EARL INOUYE - $38,870 WARREN CHAIKO - $37,599 DAWN CHING - $33,746 MAVIS NIKAIDO - $41,783 SUSAN MASUMOTO-NONAKA - $38,282 PAULA DIAS - $34,403 GIDGET RUSCETTA - $49,350 BRIGITTE MCKALE - $35,501 PATRICIA BOECKMANN - $67,100 MAUREEN FLANNERY - $40,440 LORRIE-ANN LUKE - $24,800 BRANDT FARIAS - $26,250 THOMAS MUNDELL - $64,643 MICHAEL ROBINSON - $31,845 RODNEY WILLIAMS - $26,563
SCHEDULE J, PART I, LINE 7NON-FIXED PAYMENTS ARE MADE TO EXECUTIVES BASED ON SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonJANNY CHENPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionSEE PART VRelationshipDescriptionTxt
Transaction$198,636TransactionAmt
TransactionPHYSICIAN COMPENSATIONTransactionDesc
Sharing Of RevenuesfalseSharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE L, PART IV, COLUMN BFormAndLineReferenceDesc
ExplanationJANNY CHEN IS A FAMILY MEMBER OF DAVID CHO, MD CURRENT BOARD OF DIRECTOR.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (28 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 1ORGANIZATION'S MISSION STATEMENT OF ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES HAWAI'I PACIFIC HEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM WITH OVER 70 LOCATIONS STATEWIDE INCLUDING MEDICAL CENTERS, CLINICS, PHYSICIANS AND OTHER CAREGIVERS COMMITTED TO THE ORGANIZATION'S MISSION TO CREATE A HEALTHIER HAWAI'I. ITS FOUR MEDICAL CENTERS KAPI'OLANI, PALI MOMI, STRAUB AND WILCOX SPECIALIZE IN INNOVATIVE PROGRAMS IN WOMEN'S HEALTH, PEDIATRIC CARE, CARDIOVASCULAR SERVICES, CANCER CARE, BONE AND JOINT SERVICES AND MORE. HAWAI'I PACIFIC HEALTH IS RECOGNIZED NATIONALLY FOR ITS EXCELLENCE IN PATIENT CARE AND THE USE OF ELECTRONIC HEALTH RECORDS TO IMPROVE QUALITY AND PATIENT SAFETY.
FORM 990, PART III, LINES 4A-4DPROGRAM SERVICE ACCOMPLISHMENTS PROGRAM SERVICE #1 OUTPATIENT OPERATING ROOMS IN FISCAL YEAR 2017, HAWAI'I PACIFIC HEALTH HOSPITALS AND CLINICS SPENT $58,487,791 IN DIRECT EXPENSES FOR OUTPATIENT OPERATING ROOMS AND SURGICAL PROCEDURES, AS PART OF OUR COMMITMENT TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. PEDIATRIC SURGERIES AT KAPI'OLANI INCLUDE THORACIC/HEART; CLEFT LIP/PALATE; EAR, NOSE AND THROAT; ORTHOPEDIC; NEUROLOGIC; UROLOGIC; OPHTHALMOLOGIC; GASTROINTESTINAL; PLASTIC AND GENERAL PROCEDURES. WOMEN'S SURGERIES INCLUDE BREAST BIOPSIES, LUMPECTOMIES, MASTECTOMIES AND RECONSTRUCTION, HYSTEROSCOPIES, INTERSTIM BLADDER IMPLANT AND SUB URETHRAL SLING TO TREAT INCONTINENCE, TUBAL LIGATION AND ENDOMETRIAL ABLATION. KAPI'OLANI IS THE ONLY MEDICAL CENTER IN THE STATE PROVIDING DA VINCI ROBOT-AIDED PEDIATRIC SURGERY. ADDITIONALLY, THE ROBOT IS UTILIZED IN PERFORMING GYNECOLOGICAL SURGICAL SERVICES. THE MINIMALLY INVASIVE SURGERIES PERFORMED USING THE DA VINCI PROVIDE INCREASED BENEFITS FOR PATIENTS, INCLUDING LESS PAIN, LOWER RISK OF INFECTION AND LESS BLOOD LOSS. IN FISCAL YEAR 2017, KAPI'OLANI PERFORMED 5,673 OUTPATIENT SURGERIES. PALI MOMI HAS A FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITE EQUIPPED WITH TELEMEDICINE CAPABILITY, TOUCHSCREEN CONTROL PANELS AT THE NURSES' STATION, VOICE ACTIVATION SYSTEM, AND LIVE VIDEO FEED TO MEDICAL CENTERS AROUND THE WORLD. IN FISCAL YEAR 2017, PALI MOMI PERFORMED 3,644 OUTPATIENT SURGERIES. PALI MOMI UTILIZES THE DA VINCI FIREFLY ROBOT-AIDED SYSTEM TO ASSIST WITH MINIMALLY INVASIVE SURGERY. THE MINIMALLY INVASIVE SURGERIES PERFORMED USING THE DA VINCI PROVIDE INCREASED BENEFITS FOR PATIENTS INCLUDING LESS PAIN, LOWER RISK OF INFECTION AND LESS BLOOD LOSS. STRAUB OFFERS INTEGRATED OUTPATIENT SURGERY IN A 7-ROOM SUITE, 2-ROOM PLASTIC SURGERY SUITE, 2-ROOM GENERAL SURGERY DEPARTMENT, 2-ROOM INTERVENTIONAL CARDIAC CATHETERIZATION LABORATORY, INTERVENTIONAL RADIOLOGY SUITES, AND ENDOSCOPY DEPARTMENT. PROCEDURES PERFORMED RANGE FROM MINOR EXCISIONS TO COMPLEX PERIPHERAL INTRAVASCULAR TECHNIQUES. IN FISCAL YEAR 2017, STRAUB PERFORMED 3,874 OUTPATIENT SURGERIES. WILCOX HAS A STATE-OF-THE-ART SURGICAL CENTER WITH 6 SURGICAL SUITES, 20 SAME-DAY SURGERY BEDS, VOICE-ACTIVATED ROBOTICS AND OTHER COMPUTER-ASSISTED TECHNOLOGIES. IN FISCAL YEAR 2017, WILCOX PERFORMED 3,449 OUTPATIENT SURGERIES. ESTIMATED PROGRAM SERVICES REVENUE IS REPORTED ON PART III, LINE 4. PROGRAM SERVICE #2 PEDIATRICS-NEONATAL SERVICES IN FISCAL YEAR 2017, HAWAI'I PACIFIC HEALTH SPENT $54,884,619 IN DIRECT EXPENSES FOR PEDIATRIC-NEONATAL SERVICES AS PART OF ITS COMMITMENT TO PROVIDE HIGH-QUALITY MEDICAL CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. KAPI'OLANI IS RECOGNIZED AS HAWAI'I'S PEDIATRIC MEDICAL CENTER AND ALSO PROVIDES CARE THROUGHOUT THE PACIFIC REGION. IT HAS THE ONLY OPEN INTENSIVE CARE UNITS IN HAWAI'I TO TREAT CRITICALLY-ILL CHILDREN AND INFANTS. IN FISCAL YEAR 2017, KAPI'OLANI OPENED ITS NEW STATE-OF-THE-ART DIAMOND HEAD TOWER THAT HOUSES SIGNIFICANTLY EXPANDED UNITS WITH PRIVATE ROOMS FOR PEDIATRIC INTENSIVE CARE AND NEONATAL INTENSIVE CARE. THE PEDIATRIC INTENSIVE CARE UNIT SERVES NEARLY 500 CHILDREN EACH YEAR RANGING IN AGE FROM ONE WEEK TO 21 YEARS OF AGE. SPECIAL SERVICES DELIVERED BY THE PEDIATRIC INTENSIVE CARE UNIT INCLUDE AN OPEN HEART PROGRAM (FIVE TIMES PER YEAR), ECMO (EXTRACORPOREAL MEMBRANE OXYGENATION), DIALYSIS CRRT (CONTINUOUS RENAL REPLACEMENT THERAPY), AND TRAUMA AND TRANSPLANT COLLABORATION WITH OTHER MEDICAL CENTERS FOR POSTOPERATIVE CARE. THE NEONATAL INTENSIVE CARE UNIT CARES FOR MORE THAN 1,000 OF THE TINIEST AND MOST VULNERABLE INFANTS IN HAWAII EACH YEAR. SPECIALIZED PROCEDURES INCLUDE ECMO (EXTRACORPOREAL MEMBRANE OXYGENATION) AND WHOLE BODY COOLING. KAPI'OLANI ALSO PROVIDES SPECIALTY PEDIATRIC CARE IN CARDIOLOGY, GASTROENTEROLOGY, NEUROLOGY, OPHTHALMOLOGY, UROLOGY, ONCOLOGY, SURGERY, ORTHOPEDICS, REHABILITATION AND OTHER SUPPORT SERVICES. IT IS A MAJOR TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE'S PEDIATRIC AND NEONATAL-PERINATAL MEDICINE PROGRAMS. IN FISCAL YEAR 2017, KAPI'OLANI PROVIDED SPECIALIZED CARE FOR 3,864 PEDIATRIC-NEONATAL PATIENTS. WILCOX MEDICAL CENTER PROVIDES PREVENTIVE CARE AND TREATMENT SERVICES TO MEET THE HEALTH NEEDS OF KAUA'I'S CHILDREN. THROUGH KAUA'I MEDICAL CLINIC, WILCOX PROVIDES COMPREHENSIVE PEDIATRIC CARE FOR CHILDREN OF ALL AGES. PEDIATRICIANS AT WILCOX ALSO COLLABORATE WITH PHYSICIANS AT KAPI'OLANI OR OTHER HAWAI'I PACIFIC HEALTH FACILITIES WHEN KAUA'I CHILDREN NEED SPECIALIZED CARE. IN FISCAL YEAR 2017, WILCOX PROVIDED SPECIALIZED CARE FOR 217 PEDIATRIC-NEONATAL PATIENTS. ESTIMATED PROGRAM SERVICES REVENUE IS REPORTED ON PART III, LINE 4. PROGRAM SERVICE #3 OUTPATIENT EMERGENCY ROOMS IN FISCAL YEAR 2017, HAWAI'I PACIFIC HEALTH HOSPITALS SAW 137,022 ER PATIENTS AND SPENT $54,568,828 IN DIRECT EXPENSES FOR OUTPATIENT ER SERVICES, AS PART OF OUR COMMITMENT TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. THE KAPI'OLANI ER IS THE ONLY ONE IN THE STATE WITH PEDIATRIC SPECIALISTS AVAILABLE 24/7. IT HAS A TEAM FOR ADULTS AND ANOTHER DEDICATED TO PEDIATRICS, WHERE BOARD-CERTIFIED PEDIATRIC EMERGENCY PHYSICIANS CAN QUICKLY DIAGNOSE AND TREAT A FULL RANGE OF MEDICAL CONDITIONS IN BABIES, CHILDREN AND TEENS, FROM RARE INFECTIONS TO SPORTS INJURIES. IN FISCAL YEAR 2017, THE KAPI'OLANI ER RECEIVED 43,525 PATIENTS. THE PALI MOMI ER IS THE ONLY ONE IN THE STATE THAT USES A TEAM TRIAGE APPROACH, WHERE PATIENTS ARE PROMPTLY EVALUATED BY A PHYSICIAN. IN FISCAL YEAR 2017, THE PALI MOMI ER RECEIVED 43,751 PATIENTS. THE STRAUB ER HAS BOARD-CERTIFIED EMERGENCY PHYSICIANS ON STAFF 24/7, 365 DAYS A YEAR, WITH WHEELCHAIR TRANSPORT AND VALET SERVICES AVAILABLE. IN FISCAL YEAR 2017, THE STRAUB ER RECEIVED 27,946 PATIENTS. THE WILCOX 20-BED ER IS THE FIRST NEIGHBOR ISLAND FACILITY TO OBTAIN A LEVEL III TRAUMA DESIGNATION. IT IMPLEMENTED A TRIAGE BEST PRACTICE, "RAPID TRIAGE AND IMMEDIATE BED PLACEMENT," TO DECREASE DOOR-TO-BED AND DOOR-TO-DOC TIMES, ALLOW SOME PATIENTS TO BYPASS THE TRIAGE AREA, AND LET NURSE ASSESSMENT AND ER PHYSICIAN EVALUATION OCCUR SIMULTANEOUSLY. THIS IMPROVES SERVICE, QUALITY AND SAFETY. IN FISCAL YEAR 2017, THE WILCOX ER RECEIVED 21,800 PATIENTS. ESTIMATED PROGRAM SERVICES REVENUE IS REPORTED ON PART III, LINE 4.
FORM 990, PART III, LINES 4A-4D CONTINUEDPROGRAM SERVICE #4 OTHER PROGRAMS HAWAI'I PACIFIC HEALTH IS ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS WITH FOUR MEDICAL CENTERS, MORE THAN 70 LOCATIONS, 1,600 AFFILIATED PHYSICIANS, MORE THAN 6,700 EMPLOYEES, AND HUNDREDS OF VOLUNTEERS FROM THE COMMUNITY. HAWAI'I RESIDENTS AND VISITORS RELY ON HAWAI'I PACIFIC HEALTH FOR ITS FULL RANGE OF PRIMARY, SECONDARY AND SELECT TERTIARY CARE SERVICES. IN FISCAL YEAR 2017, THE MEDICAL CENTERS ADMITTED 32,711 PATIENTS. STRAUB CLINICS HAD 875,594 TOTAL CLINIC ENCOUNTERS, KAUA'I MEDICAL CLINIC HAD 343,735 TOTAL CLINIC ENCOUNTERS AND KAPIOLANI MEDICAL SPECIALISTS HAD 83,087 PATIENT VISITS. AFFILIATES AND SUBSIDIARIES 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 STATES 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 2017, 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 2017, 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 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. HAWAII 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 TO RETAIN PHYSICIANS IN THE STATE AND PROVIDE 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 6,700+ EMPLOYEES, THEIR FAMILIES, AND MANY BUSINESSES THROUGH PURCHASES MADE BY ITS MEDICAL CENTERS AND CLINICS. ESTIMATED PROGRAM SERVICES REVENUE IS REPORTED ON PART III, LINE 4.
FORM 990, PART IV, LINE 10ENDOWMENT FUNDS KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC), PALI MOMI MEDICAL CENTER (PMMC) AND STRAUB CLINIC & HOSPITAL (SCH) HELD ASSETS IN ENDOWMENT FUNDS. WILCOX MEMORIAL HOSPITAL DID NOT HOLD ASSETS IN ENDOWMENT FUNDS. FORM 990, PART IV, LINE 11B INVESTMENTS - OTHER SECURITIES 5% OR MORE OF TOTAL ASSETS KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC) AND PALI MOMI MEDICAL CENTER (PMMC) BOTH REPORTED INVESTMENTS IN OTHER SECURITIES GREATER OR EQUAL TO 5% OF TOTAL ASSETS. STRAUB CLINIC & HOSPITAL (SCH) AND WILCOX MEMORIAL HOSPITAL (WMH) BOTH DID NOT REPORT INVESTMENTS IN OTHER SECURITIES GREATER OR EQUAL TO 5% OF TOTAL ASSETS. FORM 990, PART IV, LINE 29 NON-CASH CONTRIBUTIONS GREATER THAN $25,000 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC) RECEIVED NON-CASH CONTRIBUTIONS GREATER THAN $25,000. PALI MOMI MEDICAL CENTER (PMMC), STRAUB CLINIC & HOSPITAL (SCH), AND WILCOX MEMORIAL HOSPITAL (WMH) DID NOT RECEIVE NON-CASH CONTRIBUTIONS GREATER THAN $25,000.
FORM 990, PART V, LINE 1AHAWAI'I PACIFIC HEALTH (HPH), THE ORGANIZATION'S TAX EXEMPT PARENT, PAYS ALL VENDORS. THEREFORE, HPH ISSUES FORM 1099S UNDER ITS TAX ID.
FORM 990, PART VI, LINE 6MEMBERS AND RIGHTS HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER WHO HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD.
FORM 990, PART VI, LINE 7ADESCRIPTION OF CLASSES OF PERSON AND THE NATURE OF THEIR RIGHTS HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER, AND HAS THE POWER TO APPROVE THE ELECTION OF MEMBERS OF THE GOVERNING BODY. HAWAI'I PACIFIC HEALTH, AS MEMBER, ALSO HAS THE POWER TO ELECT ONE OR MORE EX OFFICIO VOTING MEMBERS OF THE GOVERNING BODY.
FORM 990, PART VI, LINE 7BDESCR CLASSES OF PERSONS, DECISIONS REQ APPROVAL & TYPE OF VOTING RIGHTS HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING RESERVED POWERS WITH RESPECT TO KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN AND PALI MOMI MEDICAL CENTER: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE EXECUTIVE VICE PRESIDENT/CHIEF EXECUTIVE OFFICER, TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER, OTHER EXECUTIVE VICE-PRESIDENTS, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE OPERATING UNIT VICE-PRESIDENTS; AS SUCH TERM IS DEFINED IN THE BYLAWS; (II) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (III) AMEND THE BYLAWS; (IV) DETERMINE AND EFFECT THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR FOR ONE MILLION DOLLARS ($1,000,000) OR MORE; (V) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (VI) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE, AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (VII) DETERMINE AND EFFECT INTER-CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (VIII) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (IX) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (X) CLOSE THE ACUTE CARE HOSPITAL OWNED AND OPERATED BY THE CORPORATION; (XI) AFTER CONSULTING WITH THE BOARD, REMOVE THE EXECUTIVE VICE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, TREASURER, SECRETARY, OTHER EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, ASSISTANT SECRETARIES, AND/OR ALL VICE PRESIDENTS EXCEPT THE OPERATING UNIT VICE PRESIDENTS; (XII) AFTER CONSULTING WITH THE BOARD, DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG-RANGE AND STRATEGIC PLAN OF THE CORPORATION; AND (XIII) AFTER CONSULTING WITH THE BOARD, DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS. HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING POWERS RESERVED TO APPROVE THE FOLLOWING WITH RESPECT TO STRAUB CLINIC & HOSPITAL: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, EXECUTIVE VICE PRESIDENTS OTHER THAN THE EXECUTIVE VICE-PRESIDENT/CHIEF EXECUTIVE OFFICER (THE "EVP/CEO") AND THE; EXECUTIVE VICE-PRESIDENT/CHIEF MEDICAL OFFICER (THE "EVP/CMO") OF THE CORPORATION, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE CLINIC AND HOSPITAL UNIT VICE-PRESIDENTS, AS SUCH TERM IS DEFINED IN THE BYLAWS; (II) REMOVE ANY DIRECTOR FROM THE BOARD; PROVIDED, HOWEVER, THAT THE BOARD MAY REMOVE ANY DIRECTOR FROM THE BOARD IF APPROVED BY THE MEMBER BOARD; (III) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (IV) AMEND THE BYLAWS; (V) THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR FOR ONE MILLION DOLLARS ($1,000,000) OR MORE; (VI) ACQUIRE ASSETS WORTH OVER ONE MILLION DOLLARS ($1,000,000); (VII) ACQUIRE SHARES IN ANOTHER CORPORATION; (VIII) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (IX) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE, AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (X) DETERMINE AND EFFECT INTER-CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (XI) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (XII) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (XIII) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONSHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION AND ANY PERSON OR ENTITY; (XIV) CLOSE THE ACUTE CARE HOSPITAL OR CLINIC FACILITIES OWNED AND OPERATED BY THE CORPORATION; (XV) RELOCATE THE ACUTE CARE HOSPITAL OR CLINIC FACILITIES OWNED AND OPERATED BY THE CORPORATION; (XVI) CONVERT THE ACUTE CARE HOSPITAL OWNED AND OPERATED BY THE CORPORATION INTO A NON-ACUTE CARE FACILITY; (XVII) AFTER CONSULTING WITH THE BOARD, REMOVE THE TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, EXECUTIVE VICE-PRESIDENTS OTHER THAN THE EVP/CEO AND THE EVP/CMO, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND/OR ALL VICE-PRESIDENTS EXCEPT THE CLINIC AND HOSPITAL UNIT VICE-PRESIDENTS; AND (XVIII) DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG-RANGE AND STRATEGIC PLAN OF THE CORPORATION. THE FOLLOWING ACTIONS REQUIRE APPROVAL FROM THE MEMBER BOARD: (I) ADD ANY DIRECTOR TO THE BOARD; (II) AMEND THE ARTICLES OF INCORPORATION; (III) SELL, LEASE, EXCHANGE OR DISPOSE OF FIFTY PERCENT (50%) OR MORE OF THE AMOUNT OF PROPERTY OR ASSETS HELD BY THE ORGANIZATION, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, TO ANY ENTITY THAT IS NOT AN AFFILIATE, EXCEPT THAT IF THE GFS HEALTH PHYSICIAN ADVISORY GROUP (THE "PAG") ELECTS TO INITIATE A SEPARATION ACTION PURSUANT TO ARTICLE XIII OF THE AFFILIATION AGREEMENT BY AND AMONG THE MEMBER, THE ORGANIZATION, AND STRAUB CLINIC AND HOSPITAL, INC., DATED AS OF DECEMBER 23, 2001, THE ORGANIZATION SHALL BE ALLOWED, BY A MAJORITY VOTE OF A QUORUM OF THE BOARD, TO SELL, LEASE, EXCHANGE OR DISPOSE OF FIFTY PERCENT (50%) OR MORE OF THE AMOUNT OF THE PROPERTY OR ASSETS HELD BY THE ORGANIZATION, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, AND SHALL NOT BE REQUIRED TO RECEIVE DIRECTION OR APPROVAL TO DO SO FROM THE MEMBER; (IV) IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS; (V) IMPLEMENT INDIVIDUAL PHYSICIAN COMPENSATION ARRANGEMENTS FOR EACH PHYSICIAN OPERATING UNIT IN THE ORGANIZATION; (VI) ENTER INTO ANY UNBUDGETED CONTRACTS ON BEHALF OF THE ORGANIZATION WHICH REQUIRE ANNUAL PAYMENTS ON BEHALF OF THE ORGANIZATION EXCEEDING ONE MILLION DOLLARS ($1,000,000) IN VALUE; (VII) ISSUE THE ORGANIZATION'S MEMBERSHIP TO ANYONE OTHER THAN THE MEMBER; (VIII) MERGE THE ORGANIZATION WITH ANY ENTITY; (IX) DISSOLVE THE ORGANIZATION; AND (X) DEVELOP A NEW LINE OF BUSINESS OR A NEW SERVICE.
FORM 990, PART VI, LINE 7B CONTINUEDHAWAI'I PACIFIC HEALTH, AS MEMBER, HAS RESERVED POWERS TO APPROVE THE FOLLOWING WITH RESPECT TO WILCOX MEMORIAL HOSPITAL: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE PRESIDENT/CHIEF EXECUTIVE OFFICER, TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, OTHER EXECUTIVE VICE-PRESIDENTS, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE OPERATING UNIT VICE-PRESIDENTS, AS SUCH TERM IS DEFINED IN THE BYLAWS; (II) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (III) AMEND THE BYLAWS; (IV) THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR FOR ONE MILLION DOLLAR ($1,000,000) OR MORE; (V) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (VI) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (VII) EFFECT INTER-CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (VIII) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (IX) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, OR PARTNERSHIP OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (X) EXCEPT AS OTHERWISE PROVIDED IN THE BYLAWS OR AS REQUIRED BY THE LAW OF THE STATE OF HAWAI'I, SELL, LEASE OR OTHERWISE TRANSFER FIFTY PERCENT (50%) OR MORE OF THE THEN CURRENT AMOUNT, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE TOTAL ASSETS HELD BY WILCOX MEMORIAL HOSPITAL, KAUA'I MEDICAL CLINIC AND WILCOX HEALTH FOUNDATION (THE "WILCOX AFFILIATES"); (XI) EXCEPT AS PROVIDED IN THE BYLAWS OR AS REQUIRED BY THE LAWS OF THE STATE OF HAWAI'I, SELL, LEASE OR TRANSFER OF OPERATIONS OR ACTIVITIES OF THE WILCOX AFFILIATES WHICH GENERATE FIFTY PERCENT (50%) OR MORE OF THE TOTAL NET REVENUES, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE WILCOX AFFILIATES DURING THE PRIOR FISCAL YEAR; (XII) CLOSE THE CLINICAL FACILITIES OWNED AND OPERATED BY THE CORPORATION; PROVIDED, THAT, AFTER THE EFFECTIVE DATE OF THE BYLAWS, ANY ELIMINATION OF A CLINICAL SERVICE PROVIDED BY THE CORPORATION MUST ALSO BE APPROVED BY THE BOARD; (XIII) CONVERT THE CLINIC OWNED AND OPERATED BY THE CORPORATION INTO A FACILITY NO LONGER OFFERING MEDICAL SERVICES; PROVIDED, THAT, AFTER THE EFFECTIVE DATE OF THE BYLAWS, ANY ELIMINATION OF A CLINICAL SERVICE PROVIDED BY THE CORPORATION MUST ALSO BE APPROVED BY THE BOARD; (XIV) AFTER CONSULTING WITH THE BOARD, REMOVE THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, TREASURER, SECRETARY, OTHER EXECUTIVE VICE-PRESIDENTS, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE OPERATING UNIT VICE-PRESIDENTS; PROVIDED, HOWEVER, THAT TO REMOVE OR TERMINATE THE PRESIDENT/CHIEF EXECUTIVE OFFICER WILL REQUIRE THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE MEMBER TO FULLY COLLABORATE AND CONSULT WITH THE BOARD AND SEEK THE BOARD'S ADVANCE CONSENT FOR SUCH REMOVAL OR TERMINATION. IF THE BOARD DOES NOT CONCUR WITH THE PROPOSED REMOVAL OR TERMINATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SUCH REMOVAL OR TERMINATION WILL REQUIRE THE APPROVAL OF A MAJORITY OF THE MEMBERS ON THE MEMBER BOARD; (XV) AFTER CONSULTING WITH THE BOARD, DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG RANGE AND STRATEGIC PLANS OF THE CORPORATION; AND (XVI) AFTER CONSULTING WITH THE BOARD, DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS. THE CORPORATION SHALL NOT TAKE THE FOLLOWING ACTIONS WITHOUT FIRST OBTAINING MEMBER BOARD APPROVAL: (I) ADD ANY DIRECTOR TO THE BOARD; (II) REMOVE ANY DIRECTOR FROM THE BOARD; (III) AMEND THE ARTICLES; (IV) ENTER INTO ANY UNBUDGETED CONTRACTS ON BEHALF OF THE CORPORATION WHICH REQUIRE ANNUAL PAYMENTS ON BEHALF OF THE CORPORATION EXCEEDING ONE MILLION DOLLARS ($1,000,000) IN VALUE; (V) ACQUIRE ASSETS WORTH OVER ONE MILLION DOLLARS ($1,000,000); (VI) ACQUIRE SHARES IN ANOTHER CORPORATION; (VII) SELL, LEASE OR OTHERWISE TRANSFER FIFTY PERCENT (50%) OR MORE OF THE THEN CURRENT AMOUNT, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE TOTAL ASSETS HELD BY THE WILCOX AFFILIATES; (VIII) SELL, LEASE, EXCHANGE OR DISPOSE OF FIFTY PERCENT (50%) OR MORE OF THE PROPERTY AND ASSETS HELD BY THE CORPORATION TO ANY ENTITY THAT IS NOT AN AFFILIATE; (IX) SELL, LEASE OR TRANSFER OF OPERATIONS OR ACTIVITIES OF THE WILCOX AFFILIATES WHICH GENERATE FIFTY PERCENT (50%) OR MORE OF THE TOTAL NET REVENUES, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE WILCOX AFFILIATES DURING THE PRIOR FISCAL YEAR; (X) MERGE THE CORPORATION WITH ANY ENTITY; (XI) DISSOLVE OR LIQUIDATE THE CORPORATION; (XII) ISSUE THE CORPORATION'S MEMBERSHIP TO ANYONE OTHER THAN THE MEMBER; (XIII) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONSHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION AND ANY PERSON OR ENTITY; AND (XIV) DEVELOP A NEW LINE OF BUSINESS OR A NEW SERVICE.
FORM 990, PART VI, LINE 11BREVIEW OF THE 990 BY THE ORGANIZATION'S GOVERNING BODY VARIOUS SCHEDULES OF THE 990 ARE PREPARED PRIMARILY BY STAFF WITHIN THE ACCOUNTING AREA OF THE ORGANIZATION WORKING WITH VARIOUS OTHER AREAS OF THE ORGANIZATION SUCH AS MANAGEMENT OF THE OPERATING UNITS, HR, LEGAL, ETC. DISCLOSURE NARRATIVES ARE WRITTEN AND COMPILED INTERNALLY BASED ON INPUT AND DISCUSSION WITH FINANCIAL ANALYSTS AND THE CHIEF OPERATING OFFICER/EXECUTIVE DIRECTOR OF THE REPORTING ENTITY. THE CHIEF OPERATING OFFICER/EXECUTIVE DIRECTOR OF EACH REPORTING ENTITY REVIEWS AND APPROVES THE DISCLOSURE NARRATIVES WHICH DESCRIBES THE MISSION/PURPOSE AND PROGRAM ACCOMPLISHMENTS OF THEIR ORGANIZATION. SENIOR MANAGEMENT OF THE HEALTH CARE SYSTEM REVIEWS THE 990 OF EACH FILING ORGANIZATION WITHIN THE HEALTH CARE SYSTEM. ONCE SENIOR MANAGEMENT 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 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 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 12CMONITORING & ENFORCING CONFLICT OF INTEREST POLICY ANNUALLY, EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) RECEIVED A COPY OF THE CONFLICT OF INTEREST ("COI") POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) HAS DISCLOSED ANY CONFLICTS OR POTENTIAL CONFLICTS OR ECONOMIC INTERESTS AS REQUIRED; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE IN-HOUSE LEGAL DEPARTMENT DISTRIBUTES THE STATEMENT REQUEST AND REVIEWS THE COI STATEMENTS RETURNED. IDENTIFIED CONFLICTS OF INTEREST ARE PRESENTED TO THE BOARD FOR REVIEW, DELIBERATION AND CONFIRMATION/REFUTATION THAT A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST HAS BEEN FOUND, THE INDIVIDUAL MAY ADDRESS THE BOARD AND EXPLAIN THE TRANSACTION OR ARRANGEMENT CAUSING THE CONFLICT. AFTER THE PRESENTATION, THE INDIVIDUAL IS EXCUSED FROM THE MEETING AND SHALL NOT PARTICIPATE WITH ANY DISCUSSION OR VOTE ON MATTERS PERTAINING TO THE TRANSACTION OR ARRANGEMENT. IN MEETINGS WHERE APPLICATION OF THE COI POLICY OCCURS, THE MEETING MINUTES INCLUDE NATURE OF THE FINANCIAL INTEREST/CONFLICT, NAME(S) OF THE PERSON(S) WITH THE POTENTIAL OR ACTUAL CONFLICT, ANY ACTION TAKEN TO ASSIST IN THE DETERMINATION OF WHETHER A CONFLICT EXISTED, INCLUDING ANY DISCUSSION OF ALTERNATIVE ARRANGEMENTS, THE BOARD'S DECISION(S) REGARDING THE CONFLICT AND NAMES OF PERSON PRESENT IN THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, LINES 15A & 15BPROCESS OF DETERMINING COMPENSATION THE CEO OF THE ORGANIZATION IS NOT COMPENSATED BY THE FILING ORGANIZATION, BUT RATHER BY THE TAX-EXEMPT PARENT, HPH. FOLLOWING IS THE PROCESS THAT THE PARENT ORGANIZATION UNDERTAKES TO APPROVE THE CEO'S COMPENSATION. COMPENSATION FOR HAWAI'I PACIFIC HEALTH ('HPH") EXECUTIVES (VICE PRESIDENT AND ABOVE) IS SET BY THE INDEPENDENT BOARD MEMBERS OF THE HAWAI'I PACIFIC BOARD'S COMPENSATION COMMITTEE. ON AN ANNUAL BASIS THE HPH BOARD CHAIRPERSON (WHO IS INDEPENDENT) SELECTS A NEUTRAL THIRD PARTY EXECUTIVE COMPENSATION CONSULTANT TO REVIEW THE EXECUTIVE'S COMPENSATION AND BENEFITS. THE CONSULTANT PROVIDES A WRITTEN REPORT TO THE COMPENSATION COMMITTEE AT ITS ANNUAL MEETING. INCLUDED IN THE REPORT IS MARKET BASED DATA FROM LIKE ORGANIZATIONS. THE COMPENSATION COMMITTEE MAKES FINAL DECISIONS REGARDING COMPENSATION AND BENEFITS AT THE MEETING AFTER REVIEW AND DISCUSSION OF THE CONSULTANT'S REPORT. COMMUNITY BASED DIRECTORS OF THE ORGANIZATION ARE NOT COMPENSATED. CERTAIN EMPLOYED PHYSICIANS MAY BE OFFICERS OR AN IDENTIFIED KEY EMPLOYEE OF THE REPORTING OR RELATED ORGANIZATION. PHYSICIAN COMPENSATION IS ALSO HANDLED IN THE SAME MANNER AS EXECUTIVE COMPENSATION, WITH THE HPH COMPENSATION COMMITTEE RECEIVING A REPORT FROM A NEUTRAL CONSULTANT AND FOLLOWING THE SAME PROCESS AS DESCRIBED ABOVE ON AN ANNUAL BASIS. THIS PROCESS WAS MOST RECENTLY COMPLETED ON MARCH 10, 2017 TO REVIEW PHYSICIAN COMPENSATION AND ON AUGUST 24, 2017 TO REVIEW EXECUTIVE COMPENSATION.
FORM 990, PART VI, LINE 19DISCLOSURE OF GOV DOCS, CONFLICT OF INTEREST POLICY & FINANCIAL STMTS THE CONFLICT OF INTEREST POLICY AND STANDARD OF CONDUCT ARE AVAILABLE ON THE HAWAI'I PACIFIC HEALTH WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE.
FORM 990, PART XI, LINE 9RECONCILIATION OF NET ASSETS OBLIGATED GROUP INTERCOMPANY TRANSFERS $(101,788,980) CHANGE IN INTEREST IN KHF/WHF $( 29,884,517) CHANGE IN INTEREST IN PERPETUAL TRUSTS $ 258,016 OTHER CHANGES IN NET ASSETS $( 21,730) ------------- TOTAL $(131,437,211)
FORM 990 PART IX LINE 11GDESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:29307072
FORM 990 PART IX LINE 11GDESCRIPTION:MEDICAL SERVICES TOTAL FEES:4682990
FORM 990 PART IX LINE 11GDESCRIPTION:CONSULTING SERVICES TOTAL FEES:1112862
FORM 990 PART IX LINE 11GDESCRIPTION:REGISTRY SERVICES TOTAL FEES:10026114
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY LABOR ADMIN SERVICES TOTAL FEES:208322
FORM 990 PART IX LINE 11GDESCRIPTION:TEMPORARY LABOR OTHER SERVICES TOTAL FEES:2069160
FORM 990 PART IX LINE 11GDESCRIPTION:LAUNDRY SERVICES TOTAL FEES:4492300
FORM 990 PART IX LINE 11GDESCRIPTION:CONTRACT & RECURRING SERVICES TOTAL FEES:43869766
FORM 990 PART IX LINE 11GDESCRIPTION:COLLECTION FEES SERVICES TOTAL FEES:1633134
FORM 990 PART IX LINE 11GDESCRIPTION:BUS PASS SERVICES TOTAL FEES:29406
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER SERVICES TOTAL FEES:11904539
FORM 990 PART IX LINE 11GDESCRIPTION:REPAIRS & MAINTENANCE TOTAL FEES:16620852
FORM 990 PART IX LINE 11GDESCRIPTION:INTERNAL SVCS PROVIDED EXPENSE TOTAL FEES:41855094
FORM 990 PART IX LINE 11GDESCRIPTION:OTHER EXPENSE RECOVERY TOTAL FEES:-1107761

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
PROVIDERS INSURANCE CORPORATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813710893000INSURANCEHI501(C)(3)12B, IINAYes (true)
KAPI'OLANI HEALTH FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990246364FUNDRAISINGHI501(C)(3)7NAYes (true)
KAPI'OLANI MEDICAL SPECIALISTS
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990322406HEALTHCAREHI501(C)(3)10NAYes (true)
WILCOX HEALTH FOUNDATION
3-3420 KUHIO HIGHWAYLIHUEHI96766990204242FUNDRAISINGHI501(C)(3)7NAYes (true)
KAUA'I MEDICAL CLINIC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990326099HOSPITALHI501(C)(3)3NAYes (true)
STRAUB FOUNDATION
55 MERCHANT STREET 26TH FLOORHONOLULUHI96813990109350FUNDRAISINGHI501(C)(3)7NAYes (true)
PALI MOMI FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813383840327FUNDRAISINGHI501(C)(3)7NAYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ASC PACIFIC VENTURES LLCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Primary ActivitiesAMBU. SURG. CPrimaryActivitiesTxt
Legal Domicile StateALLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 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 COMPAHINAC CORP
STRAUB PHARMACY INC
888 SOUTH KING STREETHONOLULUHI96813990145107INACTIVEHISCHC CORP$0$4,971,7081.00000Yes (true)
HICORD INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990251496INVESTMENTHINAC-CORP
CHARITABLE REMAINDER TRUST (1)
NA
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
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
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 (20 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
KAPI'OLANI HEALTH FOUNDATION
C$34,918,650FMV
KAPI'OLANI HEALTH FOUNDATION
S$28,355,529FMV
KAPI'OLANI HEALTH FOUNDATION
S$50,864FMV
KAPI'OLANI MEDICAL SPECIALISTS
Q$9,333,267FMV
KAPI'OLANI MEDICAL SPECIALISTS
P$102,698FMV
KAUA'I MEDICAL CLINIC
P$72,527FMV
KAUA'I MEDICAL CLINIC
R$59,972FMV
PROVIDERS INSURANCE CORPORATION
R$3,127,972FMV
PALI MOMI FOUNDATION
C$460,026FMV
PROVIDERS INSURANCE CORPORATION
R$1,347,490FMV
WILCOX HEALTH FOUNDATION
C$1,633,420FMV
KAUA'I MEDICAL CLINIC
Q$1,059,489FMV
KAUA'I MEDICAL CLINIC
S$118,987FMV
KAUA'I MEDICAL CLINIC
P$2,741,091FMV
PROVIDERS INSURANCE CORPORATION
R$815,772FMV
KAPI'OLANI MEDICAL SPECIALIST
P$151,800FMV
STRAUB FOUNDATION
C$441,532FMV
KAUA'I MEDICAL CLINIC
P$142,415FMV
KAUA'I MEDICAL CLINIC
R$232,119FMV
PROVIDERS INSURANCE CORPORATION
R$7,086,904FMV

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE R, PART IIIFormAndLineReferenceDesc
ExplanationRELATED ORG. TAXABLE AS PARTNERSHIP ASC PACIFIC VENTURES, LLC EIN: 27-0540034 ADDRESS: 3000 RIVERCHASE GALLERIA, STE 500 BIRMINGHAM, AL 35244ExplanationTxt

Affiliate Listing AffiliateListing

Affiliate Listing AffiliateListingGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINBusiness Name ControlBusinessNameControlTxt
Kapiolani Medical Ctr Women Childr
55 Merchant St 24th floorHonoluluHI96813990177350KAPI
Pali Momi Medical Center
55 Merchant St 24th FloorHonoluluHI96813990274038PALI
Straub Clinic & Hospital
55 Merchant St 24th FloorHonoluluHI96813912151670STRA
Wilcox Memorial Hospital
3-3420 Kuhio HwyLihueHI96766990074365WILC