2016-05-11T21:48:48-05:00 2015-06-30 ERNST & YOUNG US LLP 370 17TH ST 3300 DENVER CO 80202 990 2014-07-01 383835105 HAWAI'I PACIFIC HEALTH GROUP RETURN % ANN HO HAWA 8085357401 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 EARL INOUYE VICE PRESIDENT 8085357401 2016-05-10 true kelley simon P00791436 7209314000 2014 2016-08-17 19:52:53Z RAYMOND VARA 55 MERCHANT ST 24TH FLOOR HONOLULU HI 96813 1233290281 true true 5834 X www.hawaiipacifichealth.org X SEE SCHEDULE O. 40 23 5886 864 590928 -19956 3169162 3590778 1073867376 1115441150 8805372 7063229 6269804 6432101 1092111714 1132527258 161150 161580 0 0 480111418 509057974 0 0 0 469819941 488127929 950092509 997347483 142019205 135179775 720108195 805615080 128584262 126684853 591523933 678930227 X SEE SCHEDULE O. false false 48983402 0 0 SEE SCHEDULE O. 54784729 0 0 SEE SCHEDULE O. 46984102 0 0 SEE SCHEDULE O. 716854630 161580 1120878126 867606863 true true false true false false false false false true true true false true true false false true false false false false false false false false true true true false true false false false false false false false false true false false false false true true true false false true 0 0 true 5886 true true true false false false false false false false false false X 40 23 false false false false true true true true true false false true true true true true true true true true true HI X X ANN HO 8085272520 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 DOUGLAS KWOCK MD Board of Director, Chair 1.3 0.0 X X 0 18500 0 MARK GRIEF MD Board of Director, Chair 0.2 0.0 X X 0 46684 0 GORDON HAMMOND Board of Director, Chair 0.2 0.0 X X 0 0 0 LYNN MCCRORY Board of Director, Chair 0.2 0.6 X X 0 0 0 VIOLETA ARNOBIT RN Board of Director, Vice Chair 0.2 0.1 X X 0 0 0 BEAU NAKAMOTO MD Board of Director, Vice Chair 40.0 0.0 X X 332212 0 27900 THOMAS J NORDYKE MD B.O.D, Vice Chair (Part Year) 40.0 0.0 X X 265073 0 45208 JOHN CULLINEY MD Board of Director, Vice Chair 0.2 40.0 X X 0 446529 51843 BEN GODSEY Board of Director 0.3 0.0 X 0 0 0 CHRIS ELDRIDGE Board of Director 0.3 0.0 X 0 0 0 ELLIOT MILLS Board of Director 0.3 0.0 X 0 0 0 JENNIFER SABAS Board of Director 0.3 0.0 X 0 0 0 MICHAEL O'MALLEY ESQ Board of Director 1.3 0.0 X 0 0 0 LOREN YAMAMOTO MD Board of Director 0.3 40.0 X 0 87375 20540 PETER MCNALLY MD Board of Director 0.3 0.0 X 0 0 0 SHELLEY WILSON Board of Director 0.3 0.0 X 0 0 0 STEPHEN LIN MD Board of Director 1.3 0.0 X 0 24506 0 STEVEN AI B.O.D (Part Year) 0.3 0.0 X 0 0 0 ANDREW DANG MD Board of Director 40.0 0.0 X 375665 0 45245 BETH HOBAN RN Board of Director 0.2 1.0 X 0 0 0 BRYAN MATSUMOTO MD Board of Director 0.2 0.0 X 0 0 0 CARLETON CHING Board of Director 0.2 0.0 X 0 0 0 GORDON NIHEI Board of Director 0.2 0.0 X 0 0 0 JAMES KAKUDA MD B.O.D (Part Year) 1.2 0.0 X 0 28107 0 MARK BAKER MD Board of Director 1.2 0.0 X 0 57812 0 AVI MANNIS Board of Director 0.2 0.0 X 0 0 0 MONICA PRICE MD Board of Director 0.2 40.0 X 158792 0 37247 KENN SARUWATARI MD Board of Director 40.0 0.0 X 257036 0 50321 RICHANNE LAM Board of Director 0.2 0.0 X 0 0 0 CLYDE KODANI Board of Director 0.2 0.0 X 0 0 0 DANIELLE RAMOS Board of Director 0.2 0.0 X 0 0 0 GERALD MCKENNA MD Board of Director 0.2 0.0 X 0 0 0 R CRAIG NETZER Board of Director 0.2 40.0 X 0 167418 21030 RAMON DE LA PENA Board of Director 0.2 0.0 X 0 0 0 TAD JACKSON MD Board of Director 0.2 0.0 X 0 0 0 WAYNE KATAYAMA Board of Director 0.2 0.0 X 0 0 0 MICHAEL YAMANE Board of Director 0.2 0.0 X 0 0 0 MARTHA SMITH Board of Director, CEO 45.0 11.0 X X 0 579746 146344 JENNIE CHAHANOVICH Board of Director, CEO 52.0 3.1 X X 0 437653 119056 RAYMOND P VARA JR B.O.D, PRES & CEO 8.0 54.1 X X 0 1498310 490418 KATHLEEN CLARK B.O.D, PRES & CEO 60.0 1.0 X X 0 414422 106868 KENNETH B ROBBINS MD B.O.D. 40.0 16.0 X X 0 732549 237733 ARTHUR GLADSTONE B.O.D. 43.2 12.2 X X 0 541232 135486 DAVID OKABE EVP, CFO & Treasurer 11.0 44.4 X 0 705697 203504 GAIL LERCH EVP 4.0 51.4 X 0 631229 190572 VIRGINIA PRESSLER-FISHER MD EVP 6.0 49.1 X 0 607717 84951 CHARLES R CHING EVP, GEN Counsel & Secretary 13.0 44.5 X 0 592918 193341 STEVEN ROBERTSON EVP & CIO 12.0 43.1 X 0 628131 196621 MELINDA ASHTON MD SVP & CQO 7.0 43.1 X 0 496019 90378 JOHN LA FORGIA SVP & Chief Marketing Officer 4.0 46.0 X 0 395986 32045 EARL INOUYE VP & System Controller 10.0 41.0 X 0 313526 73411 WARREN CHAIKO VP 35.0 17.1 X 0 285289 62569 SUSAN MASUMOTO-NONAKA VP 47.0 6.1 X 0 288271 67230 DAWN CHING VP 50.0 2.0 X 0 238062 72475 GIDGET RUSCETTA RN VP 43.0 10.1 X 0 259215 60149 PAULA DIAS VP 48.0 3.0 X 0 274251 65051 MAUREEN FLANNERY VP 50.0 0.4 X 0 272396 60723 MAVIS NIKAIDO VP & CNE 49.0 1.0 X 0 263569 53313 BRIGITTE MCKALE VP & CNE 50.0 1.1 X 0 236627 57490 PATRICIA BOECKMANN RN VP & CNE 50.0 2.0 X 0 335972 71778 RANDY YATES MD CMO 40.0 0.0 X 0 409001 41885 ALAN ITO Information Security Officer 17.0 23.0 X 0 103112 15696 JESSICA LEWIS Assistant Corporate Secretary 16.0 24.0 X 0 123094 26184 DAVID FOX Privacy & Info Security OFCR 17.0 23.0 X 0 139351 44937 KATIE SHIGEMITSU Compliance Officer 29.0 15.0 X 0 174515 42698 CASS K NAKASONE MD PHYSICIAN 40.0 0.0 X 870696 0 46343 MARK S GERBER MD PHYSICIAN 40.0 0.0 X 776186 0 35277 STEVEN S GLAZIER MD PHYSICIAN 40.0 0.0 X 716104 0 36843 HINGSON M CHUN MD PHYSICIAN 40.0 0.0 X 705880 0 45245 WESLEY J KAI MD PHYSICIAN 40.0 0.0 X 656022 0 45827 CHARLES A STED FORMER DIRECTOR OFFICER 0.0 0.0 X 0 875587 11332 ANN PETERS FORMER OFFICER 0.0 0.0 X 0 194292 453 5113666 13924670 3563560 1145 true true false LAYTON DCK JOINT VENTURE 9090 SOUTH SANDY PKWY SANDY UT 84070 CONSTRUCTION SVCS 30774444 CLINICAL LABORATORIES OF HAWAII LL PO BOX 1300 HONOLULU HI 968071300 laboratory services 24738367 SODEXO INC AFFILIATES 9801 WASHINGTONIAN BLVD GAITHERSBURG MD 20878 FOOD & ENVIRON SVCS 7025108 UNIVERSITY CLINICAL EDU RESEACH PO BOX 31000 HONOLULU HI 968495647 PHYSICIAN SVCS 4595730 HAWAI'I RESIDENCY PROGRAMS INC 1356 LUSITANA ST STE 510 HONOLULU HI 96813 CONSTRUCTION SVCS 4223816 146 3217011 373767 137282 3590778 NET PATIENT REVENUES 622110 1089215650 1088809207 406443 OTHER HEALTHCARE REVENUE 622110 17273039 17273039 RENTAL INCOME 531120 3251998 3237747 14251 PREMIUM REVENUE 622110 2788770 2788770 INTER-ENTITY SERVICE REVENUE 900099 2050439 2050439 861254 706907 154347 1115441150 3327709 3327709 727704 727704 0 138452 138452 0 138452 138452 103234454 162906 100310193 79351 2924261 83555 3007816 3007816 0 0 639225 373479 265745 265745 PARKING REVENUE 812930 2459305 2459305 CAFETERIA REVENUE 722110 2623632 2623632 EXPENSE REIMBURSEMENT 900099 321869 321869 623098 607211 15887 6027904 1132527258 1120878126 590928 7467426 X 161580 161580 0 0 0 1633364 1600236 33128 0 405835852 402544258 3291594 30342995 29941764 401231 43854383 36078824 7775559 27391380 27148779 242601 0 1389 -1293 2682 2739996 2739996 42566 42566 0 565000 565000 149225103 130328516 18896587 198137 86770 111367 151088775 150714243 374532 16429211 2903711 13525500 0 27037168 25437808 1599360 1167759 984412 183347 0 214863 201212 13651 11526678 11526678 0 35456341 35456341 7611951 6965008 646943 CORPORATE ALLOCATION 60848435 60848435 OTHER PURCHASES 23050000 5257246 17792754 AFFILIATE EXPENSES 542357 542357 PROGRAM SERVICE EXPENDITURES 183036 168023 15013 199164 102747 96417 997347483 867606863 129740620 0 -1018069 -994898 4381059 4725385 0 0 141671643 161686592 0 0 0 0 0 0 14505573 15932722 1468125 1231072 905268803 532153745 306324905 373115058 87553785 83745203 68788561 68273753 1618557 1618557 0 0 94814056 96281636 720108195 805615080 94636203 92730907 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33948059 33953946 128584262 126684853 X 536363153 622486126 44492198 45723128 10668582 10720973 591523933 678930227 720108195 805615080 X 135179775 -10584098 7225 -37196608 X false false false X false false false false false false false false false false false false false false false false false false false false 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0.0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X false false false false false false false false true 42566 42566 false SCHEDULE C, PART II-B LOBBYING EXPENDITURES LOBBYING EXPENSES ARE THE PORTION OF AMOUNTS PAID TO HEALTHCARE ASSOCIATONS THAT ENGAGED IN LEGISLATIVE LOBBYING ON BEHALF OF ITS MEMBERS. 170982165 564521 -4243274 0 167884 11753 167123775 151507463 418132 19077175 0 0 20605 170982165 135652768 493306 15453147 0 0 91758 151507463 138278199 1573144 -4110118 88457 135652768 114609981 1260873 22509891 102546 138278199 0.96000 0.04000 true true true 19720249 19720249 394899905 234690872 160209033 23201208 14923339 8277869 324382800 274495199 49887601 143064641 8044335 135020306 373115058 INVESTMT IN UNCONSOLIDATED SUB 4971708 F LIMITED PARTNERSHIPS 737110 F BOARD DESIGNATED SECURITIES 62564935 F RESTRICTED INVESTMENT 1618557 F 69892310 OTHER RECEIVABLES 6595934 BOARD DESIGNATED INVESTMENTS 16970609 INT IN NET ASSETS OF FDNS 47210106 DEPOSITS & NON-CURRENT ASSETS 2427327 INTEREST IN PERPETUAL TRUST 9612471 DECORATIVE ARTWORK 326992 INVESTMENT IN JOINT VENTURES 25000 THIRD PARTY PAYORS 10987280 PALI MOMI FOUNDATION 16566 STRAUB FOUNDATION 86713 KAUA'I MEDICAL CLINIC 137748 KAPI'OLANI HEALTH FOUNDATION 963201 KAPI'OLANI MEDICAL SPECIALISTS 77445 PROVIDER INSURANCE CORP 90423 WILCOX FOUNDATION 274881 HAWAI'I HEALTH PARTNERS 468345 HICORD 12 HAWAI'I PACIFIC HEALTH PTNRS 10582 96281635 0 OTHER LONG TERM LIABILITIES 21495726 ESCHEAT LIABILITY 203658 KAPI'OLANI HEALTH FOUNDATION 12215 STRAUB PHARMACY INC 4555888 WILCOX HEALTH FOUNDATION 10191 PALI MOMI FOUNDATION 3232 THIRD PARTY PAYORS 6091417 KEAHONUIOKALANI 66344 STRAUB FOUNDATION 17436 KAPI'OLANI MEDICAL SPECIALISTS 756430 HAWAI'I PACIFIC HEALTH PARTNERS 29936 KAUA'I MEDICAL CLINIC 289722 HAWAI'I HEALTH PARTNERS 421751 33953946 SCHEDULE D, PART V, LINE 4 ENDOWMENT FUNDS INTENDED USES ENDOWMENT FUNDS ARE INTENDED TO BE USED TO PROVIDE MEDICAL AND OTHER CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR SUCH CARE AND FOR OTHER EXPENSES RELATED TO THE EXEMPT PURCHASE OF THE HOSPITAL. true true X true X true X true true true false true true 6796 2276130 0 2276130 0.00230 200844 236039172 215835678 20203494 0.02030 0 0 0 0 207640 238315302 215835678 22479624 0.02260 70 82630 3384466 240281 3144185 0.00320 10 1476 6335112 1491097 4844015 0.00490 11 101 32089955 11027525 20609769 0.02110 1 0 2762 0 2762 8 115 196140 0 196140 0.00020 100 84322 42008435 12758903 28796871 0.02940 100 291962 280323737 228594581 51276495 0.05200 2 48062 48062 3 530003 530003 0.00050 5 578065 578065 0.00050 false 24828457 2124961 127024511 146486245 -19461734 X true false 4 1 KAPI'OLANI MEDICAL CENTER FOR WOMEN 1319 PUNAHOUR STREET HONOLULU HI 96826 www.hawaiipacifichealth.org/kapiolani 6-H X X X X X A 2 PALI MOMI MEDICAL CENTER 98-1079 MOANALUA ROAD AIEA HI 96701 www.hawaiipacifichealth.org/pali-momi 37-H X X X A 3 STRAUB CLINIC & HOSPITAL 888 SOUTH KING ST HONOLULU HI 96813 www.hawaiipacifichealth.org/straub 32-H X X X X A 4 WILCOX MEMORIAL HOSPITAL 3-3420 KUHIO HIGHWAY LIHUE HI 967661099 www.hawaiipacifichealth.org/wilcox 23-H X X X A A false false true X X X X X X X X X 12 true true true true X SEE SCHEDULE H, PART V, SECTION C X true 12 true SEE SCHEDULE H, PART V, SECTION C false false true X 200. 400. true true X true X X true X false X X X X true X false false SCHEDULE H, PART V, SECTION B, LINE 5 FACILITY 1 KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN (KMCWC) IN CONDUCTING KMCWC'S MOST RECENT CHNA, ADOPTED JUNE 2013, INTERVIEWS WERE HELD WITH 22 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 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. IN ADDITION, 3 COMMUNITY LEADERS BROADLY REPRESENTING COMMUNITY HEALTH ISSUES FOR THE KMCWC SERVICE AREA WERE CONSULTED TO VALIDATE THE CHOSEN PRIORITY COMMUNITY HEALTH NEEDS. PERSONS CONSULTED STATE DIRECTOR, HAWAII NUTRITION AND PHYSICAL ACTIVITY COALITION, DEPARTMENT OF EDUCATION EXPERTISE: EXERCISE, NUTRITION & WEIGHT DEPUTY DIRECTOR, BEHAVIORAL HEALTH SERVICES ADMINISTRATION, HAWAII DEPARTMENT OF HEALTH EXPERTISE: MENTAL HEALTH & MENTAL DISORDERS ADMINISTRATOR, DEPARTMENT OF HUMAN SERVICES, MED-QUEST DIVISION EXPERTISE: ACCESS TO HEALTH SERVICES DIRECTOR, HAWAII STATE DEPARTMENT OF HEALTH EXPERTISE: MENTAL HEALTH & MENTAL DISORDERS, SUBSTANCE ABUSE/VALIDATION OF PRIORITIZED HEALTH NEEDS HEALTHCARE TRANSFORMATION OFFICER, OFFICE OF THE GOVERNOR EXPERTISE: ACCESS TO HEALTH SERVICES, ORAL HEALTH/VALIDATION OF PRIORITIZED HEALTH NEEDS STATE SENATOR, EXECUTIVE MEDICAL DIRECTOR, HAWAII INDEPENDENT PHYSICIANS ASSOCIATION, EMERGENCY ROOM PHYSICIAN. EXPERTISE: DIABETES, SUBSTANCE ABUSE CEO, HAWAII PRIMARY CARE ASSOCIATION EXPERTISE: RESPIRATORY DISEASE, SOCIAL ENVIRONMENT HEALTHY HAWAII INITIATIVE, TOBACCO SETTLEMENT PROJECT MANAGER, HAWAII DEPARTMENT OF HEALTH EXPERTISE: CANCER, EXERCISE, NUTRITION & WEIGHT, RESPIRATORY DISEASE PROFESSOR OF OBSTETRICS/GYNECOLOGY, DIRECTOR OF FAMILY PLANNING, JOHN A. BURNS SCHOOL OF MEDICINE, UNIVERSITY OF HAWAI'I EXPERTISE: FAMILY PLANNING EXECUTIVE DIRECTOR, AMERICAN DIABETES ASSOCIATION HAWAI'I EXPERTISE: DIABETES CEO, KAMEHAMEHA SCHOOLS EXPERTISE: EDUCATION/VALIDATION OF PRIORITIZED HEALTH NEEDS SUPERINTENDENT OF EDUCATION, HAWAII STATE DEPARTMENT OF EDUCATION EXPERTISE: MENTAL HEALTH & MENTAL DISORDERS DIRECTOR, MOUNTAIN-PACIFIC QUALITY HEALTH EXPERTISE: HEART DISEASE, OLDER ADULTS & AGING DIRECTOR, HAWAII INITIATIVE FOR CHILDHOOD OBESITY RESEARCH AND EDUCATION, JOHN A. BURNS SCHOOL OF MEDICINE, PEDIATRICS, UNIVERSITY OF HAWAII EXPERTISE: EXERCISE, NUTRITION & WEIGHT CHIEF MEDICAL OFFICER, HAWAII MEDICAL SERVICE ASSOCIATION EXPERTISE: MATERNAL, FETAL & INFANT HEALTH PROFESSOR, JOHN A. BURNS SCHOOL OF MEDICINE, UNIVERSITY OF HAWAI'I EXPERTISE: ACCESS TO HEALTH SERVICES, CANCER CHIEF, DISEASE OUTBREAK CONTROL DIVISION, DEPARTMENT OF HEALTH EXPERTISE: IMMUNIZATIONS & INFECTIOUS DISEASE CHIEF, EMERGENCY MEDICAL SERVICES AND INJURY PREVENTION SYSTEMS BRANCH, HAWAII STATE DEPARTMENT OF HEALTH EXPERTISE: INJURY PREVENTION & SAFETY DEPUTY DIRECTOR, HEALTH SERVICES, HAWAII STATE DEPARTMENT OF HEALTH EXPERTISE: MENTAL HEALTH & MENTAL DISORDERS ADMINISTRATOR, CAREERSOURCE HAWAII, EXPERTISE: OLDER ADULTS & AGING, TRANSPORTATION HARDY SPOEHR, EXECUTIVE DIRECTOR, PAPA OLA LOKAHI EXPERTISE: ACCESS TO HEALTH SERVICES, SOCIAL ENVIRONMENT EXECUTIVE DIRECTOR, AMERICAN HEART ASSOCIATION, HAWAII CHAPTER EXPERTISE: HEART DISEASE CHIEF STAFF OFFICER, HIGH PLAINS DIVISION, AMERICAN CANCER SOCIETY HAWAII SITE EXPERTISE: CANCER PRESIDENT & CEO, HOSPICE HAWAII EXPERTISE: OLDER ADULTS & AGING FACILITY 2 PALI MOMI MEDICAL CENTER (PMMC) IN CONDUCTING PMMC'S MOST RECENT CHNA, ADOPTED JUNE 2013, INTERVIEWS WERE HELD WITH 17 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 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. IN ADDITION, 2 INDIVIDUALS BROADLY REPRESENTING COMMUNITY HEALTH CONCERNS FOR THE PMMC SERVICE AREA WERE CONSULTED TO VALIDATE THE CHOSEN PRIORITY COMMUNITY HEALTH NEEDS. PERSONS CONSULTED CHIEF OPERATION OFFICER, ALOHA UNITED WAY EXPERTISE: OLDER ADULTS & AGING, SOCIAL ENVIRONMENT PRESIDENT & CEO, YMCA OF HONOLULU EXPERTISE: EXERCISE, NUTRITION, & WEIGHT, OLDER ADULTS & AGING STATE DIRECTOR, HAWAI'I, NUTRITION AND PHYSICAL ACTIVITY COALITION, DEPARTMENT OF EDUCATION EXPERTISE: EXERCISE, NUTRITION, & WEIGHT EXECUTIVE DIRECTOR, KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES EXPERTISE: MATERNAL, FETAL & INFANT HEALTH, SOCIAL ENVIRONMENT DIRECTOR, HAWAII STATE DEPARTMENT OF HEALTH EXPERTISE: SUBSTANCE ABUSE & LIFESTYLE/VALIDATION OF PRIORITIZED HEALTH NEEDS HEALTHCARE TRANSFORMATION OFFICER, OFFICE OF THE GOVERNOR EXPERTISE: ORAL HEALTH EXECUTIVE DIRECTOR, MENTAL HEALTH AMERICA OF HAWAII EXPERTISE: MENTAL HEALTH & MENTAL DISORDERS STATE SENATOR, EXECUTIVE MEDICAL DIRECTOR, HAWAII INDEPENDENT PHYSICIANS ASSOCIATION EMERGENCY ROOM PHYSICIAN EXPERTISE: DIABETES, SUBSTANCE ABUSE & LIFESTYLE CEO, HAWAII PRIMARY CARE ASSOCIATION EXPERTISE: RESPIRATORY DISEASES DIRECTOR, EMERGENCY SERVICES, CITY AND COUNTY OF HONOLULU EXPERTISE: INJURY PREVENTION & SAFETY HEALTHY HAWAII INITIATIVE, TOBACCO SETTLEMENT PROJECT MANAGER, HAWAII STATE DEPARTMENT OF HEALTH EXPERTISE: RESPIRATORY DISEASES PROFESSOR OF OBSTETRICS/GYNECOLOGY, DIRECTOR OF FAMILY PLANNING, JOHN A. BURNS SCHOOL OF MEDICINE, UNIVERSITY OF HAWAII EXPERTISE: FAMILY PLANNING EXECUTIVE DIRECTOR, HALE NA'AU PONO EXPERTISE: MENTAL HEALTH & MENTAL DISORDERS EXECUTIVE DIRECTOR, AMERICAN DIABETES ASSOCIATION HAWAII EXPERTISE: DIABETES ADMINISTRATOR, PEARL CITY NURSING HOME, EXPERTISE: OLDER ADULTS & AGING CHIEF OF MEDICINE, PALI MOMI MEDICAL CENTER EXPERTISE: INJURY PREVENTION & SAFETY CEO, KAMEHAMEHA SCHOOLS, EXPERTISE: EDUCATION/VALIDATION OF PRIORITIZED HEALTH NEEDS PROFESSOR AND CHAIR OF PEDIATRICS, JOHN A. BURNS SCHOOL OF MEDICINE, UNIVERSITY OF HAWAII, MEDICAL DIRECTOR, KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN EXPERTISE: IMMUNIZATIONS & INFECTIOUS DISEASES CHIEF MEDICAL OFFICER, ALOHA CARE EXPERTISE: ACCESS TO HEALTH SERVICES, SOCIAL ENVIRONMENT DIRECTOR, HAWAII INITIATIVE FOR CHILDHOOD OBESITY RESEARCH AND EDUCATION, JOHN A. BURNS SCHOOL OF MEDICINE DEPARTMENT OF PEDIATRICS, UNIVERSITY OF HAWAII EXPERTISE: ACCESS TO HEALTH SERVICES, EXERCISE, NUTRITION, & WEIGHT CHIEF MEDICAL OFFICER, HAWAII MEDICAL SERVICE ASSOCIATION EXPERTISE: MATERNAL, FETAL & INFANT HEALTH, OLDER ADULTS & AGING DIRECTOR, HILOPA'A FAMILY TO FAMILY HEALTH INFORMATION CENTER EXPERTISE: IMMUNIZATIONS & INFECTIOUS DISEASES CHIEF, EMERGENCY MEDICAL SERVICES AND INJURY PREVENTION SYSTEMS BRANCH, HAWAII STATE DEPARTMENT OF HEALTH EXPERTISE: INJURY PREVENTION & SAFETY ADMINISTRATOR, CARERESOURCE HAWAII EXPERTISE: TRANSPORTATION EXECUTIVE DIRECTOR, ST. FRANCIS HOME HEALTH CARE SERVICES EXPERTISE: CANCER, OLDER ADULTS & AGING RESEARCH DIRECTOR, PAPA OLA LOKAHI EXPERTISE: CANCER, HEART DISEASE & STROKE FACILITY 3 STRAUB CLINIC AND HOSPITAL (STRAUB) IN CONDUCTING STRAUB'S MOST RECENT CHNA, ADOPTED JUNE 2013, INTERVIEWS WERE HELD WITH 22 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 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. IN ADDITION, 2 COMMUNITY LEADERS BROADLY REPRESENTING COMMUNITY HEALTH CONCERNS FOR THE STRAUB SERVICE AREA WERE CONSULTED TO VALIDATE THE CHOSEN PRIORITY COMMUNITY HEALTH NEEDS: DIRECTOR OF THE HAWAII DEPARTMENT OF HEALTH, AND A STATE SENATOR. PERSONS CONSULTED STATE DIRECTOR, HAWAII NUTRITION AND PHYSICAL ACTIVITY COALITION, DEPARTMENT OF EDUCATION EXPERTISE: EXERCISE, NUTRITION & WEIGHT DEPUTY DIRECTOR, BEHAVIORAL HEALTH SERVICES ADMINISTRATION, HAWAII DEPARTMENT OF HEALTH EXPERTISE: MENTAL HEALTH & MENTAL DISORDER SCHEDULE H, PART V, SECTION B, LINE 6A THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED COLLABORATIVELY BY THE FOLLOWING FACILITIES: KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN PALI MOMI MEDICAL CENTER STRAUB CLINIC & HOSPITAL WILCOX MEMORIAL HOSPITAL SCHEDULE H, PART V, SECTION B, LINE 6B THE HOSPITAL FACILITY'S CHNA WAS CONDUCTED WITH THE ORGANIZATIONS OTHER THAN HOSPITAL FACILITIES LISTED BELOW: HEALTH CARE ASSOCIATION OF HAWAII HEALTHY COMMUNITIES INSTITUTE SCHEDULE H, PART V, SECTION B, LINE 7A COMMUNITY HEALTH NEEDS ASSESSMENT WEBSITE KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/MEDIA/1716/CHNA-KAPIOLANI.PDF PALI MOMI MEDICAL CENTER HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/MEDIA/1718/CHNA-PALIMOMI.PDF STRAUB CLINIC & HOSPITAL HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/MEDIA/1715/CHNA-STRAUB.PDF WILCOX MEMORIAL HOSPITAL HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/MEDIA/1709/CHNA-WILCOX.PDF SCHEDULE H, PART V, SECTION B, LINE 10A IMPLEMENTATION STRATEGY PLAN WEBSITE KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN https://www.hawaiipacifichealth.org/media/1064/kapiolani-implementation-st rategy-plan_final.pdf PALI MOMI MEDICAL CENTER https://www.hawaiipacifichealth.org/media/1083/pali-momi-medicalcenter-imp lementation-strategy-plan_final.pdf STRAUB CLINIC & HOSPITAL https://www.hawaiipacifichealth.org/media/1082/straub-implementation-strat egyplan.pdf WILCOX MEMORIAL HOSPITAL https://www.hawaiipacifichealth.org/media/1080/wilcoxmemorial-hospital-imp lementation-strategyplan.pdf SCHEDULE H, PART V, SECTION B, LINE 11 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN THE FOLLOWING ACTIVITIES WERE CONDUCTED IN FISCAL YEAR 2015 BY KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KAPI'OLANI) TO ADDRESS THE TWO PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN ITS 2013 COMMUNITY HEALTH NEEDS ASSESSMENT: ACCESS TO HEALTH SERVICES, AND MATERNAL, FETAL AND INFANT HEALTH. THESE ACTIVITIES REFLECT STEPS TAKEN IN YEAR TWO TO EXECUTE A THREE-YEAR IMPLEMENTATION STRATEGY. KAPI'OLANI MEDICAL CENTER'S 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY MAY BE VIEWED ONLINE AT: HTTP://WWW.HAWAIIPACIFICHEALTH.ORG/ABOUT-US/COMMUNITY/ PRIORITY AREA 1: ACCESS TO HEALTH SERVICES HEALTH PROFESSIONS EDUCATION KAPI'OLANI MEDICAL CENTER PROVIDED CLINICAL TRAINING AND RESIDENCIES FOR MEDICAL 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 FOR WOMEN AND CHILDREN IN THE STATE OF HAWAI`I. - THE PHYSICIAN MEDICAL RESIDENCY PROGRAM TRAINED 44 PHYSICIANS IN FAMILY PRACTICE, INTERNAL MEDICINE, PEDIATRICS, PSYCHIATRY, NEONATAL, OBSTETRICS AND GYNECOLOGY, ORTHOPEDICS, PATHOLOGY AND SURGERY. THE PROGRAM WAS OFFERED IN PARTNERSHIP WITH THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE AND TRIPLER ARMY MEDICAL CENTER. KAPI'OLANI MEDICAL CENTER ALSO TRAINED MEDICAL STUDENTS IN PARTNERSHIP WITH THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. - THE NURSING STUDENT TRAINING PROGRAM PROVIDES CLINICAL TRAINING FOR STUDENT NURSES IN PARTNERSHIP WITH THE UNIVERSITY OF HAWAI'I SCHOOL OF NURSING AND HAWAI'I PACIFIC UNIVERSITY. - THE ALLIED PROFESSIONAL AND TECHNICIAN TRAINING PROGRAM CONDUCTED CLINICAL TRAINING FOR RESPIRATORY THERAPISTS, CHILD LIFE SPECIALISTS, RADIOLOGY TECHNICIANS AND OTHER SPECIALIZED CLINICIANS IN ALLIED HEALTH SPECIALTIES, IN PARTNERSHIP WITH HAWAI'I UNIVERSITIES, COMMUNITY COLLEGES AND TECHNICAL SCHOOLS. - KAPI'OLANI MEDICAL CENTER OPERATES OB-GYN CLINICS FIVE DAYS A WEEK THAT PROVIDE SPECIALTY TRAINING IN OBSTETRICS AND GYNECOLOGY FOR MEDICAL RESIDENTS. BREAST AND CERVICAL CANCER CONTROL PROGRAM THE BREAST AND CERVICAL CANCER CONTROL PROGRAM, OFFERED STATEWIDE, PROVIDES BREAST AND CERVICAL CANCER SCREENING FOR HIGH RISK POPULATIONS. SERVICES INCLUDE OUTREACH, PROFESSIONAL EDUCATION, TRACKING, FOLLOW-UP AND PUBLIC EDUCATION. THE GOAL IS TO REDUCE THE MORTALITY DISCREPANCY AMONG NATIVE HAWAIIANS, FILIPINOS, UNINSURED OR UNDERINSURED, AND WOMEN AGES 50-64. THE PROGRAM IS PARTIALLY FUNDED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION THROUGH THE HAWAI'I STATE DEPARTMENT OF HEALTH. HAWAI'I COMMUNITY GENETICS PROGRAM HAWAI'I COMMUNITY GENETICS IS THE ONLY PROGRAM IN THE STATE DEDICATED TO CARING FOR INDIVIDUALS OF ALL AGES WHO ARE AFFECTED BY BIRTH DEFECTS, DEVELOPMENTAL CONCERNS AND GENETIC CONDITIONS. IT IS A UNIQUE COLLABORATION BETWEEN KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN, KAPI'OLANI MEDICAL SPECIALISTS, THE STATE OF HAWAI'I DEPARTMENT OF HEALTH, AND THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. THE SERVICE OFFERS CONSULTATIONS TO INDIVIDUALS THROUGHOUT THE STATE, CONDUCTING MONTHLY NEIGHBOR ISLAND OUTREACH CLINICS AND PROVIDING TELEMEDICINE SERVICES FOR FAMILIES RESIDING ON THE NEIGHBOR ISLANDS. THE FOLLOWING SPECIALTY CLINICS ARE ALSO OFFERED: HEMOGLOBINOPATHY CLINIC CLEFT AND CRANIOFACIAL CENTER KULANA MULAMA OUTREACH CLINIC ADULT CANCER RISK ASSESSMENT PROGRAM METABOLIC GENETICS CLINIC FETAL ALCOHOL SPECTRUM DISORDER (FASD) DIAGNOSTIC CLINIC MEDICAL TRANSPORT SERVICES AS THE ONLY WOMEN'S AND CHILDREN'S HOSPITAL IN THE STATE OF HAWAI'I, KAPI'OLANI MEDICAL CENTER PROVIDES SUPPORT FOR INTER-HOSPITAL TRANSPORT FROM THE NEIGHBOR ISLANDS TO O'AHU AND TO THE MAINLAND FOR CRITICAL NEONATAL AND PEDIATRIC PATIENTS REQUIRING ACCESS TO SPECIALTY CARE NOT AVAILABLE IN THEIR COMMUNITIES. PRIORITY AREA 2: MATERNAL, FETAL AND INFANT HEALTH CHILD INJURY PREVENTION - CHILD PASSENGER SAFETY THE CHILD PASSENGER SAFETY PROGRAM PROMOTES PUBLIC AWARENESS OF THE NEED TO USE CHILD PASSENGER RESTRAINTS (CAR SEATS AND BOOSTER SEATS) AND SEAT BELTS, AND PROVIDES ASSISTANCE WITH THE PROPER FIT AND INSTALLATION OF VARIOUS CAR SEATS AND BOOSTER SEATS AT A VARIETY OF COMMUNITY VENUES. THE PROGRAM ALSO ASSISTS FAMILIES THAT MEET FINANCIAL NEED CRITERIA TO OBTAIN LOW- OR NO-COST CHILD SAFETY SEATS. KAPI'OLANI MEDICAL CENTER STAFF PROVIDED FREE CAR SEAT CHECKS, TRAININGS AND EDUCATIONAL PROGRAMS AT 22 COMMUNITY EVENTS IN FY15, ASSISTING OVER 500 FAMILIES WITH CAR SEAT INSTALLATION AND CHILD SAFETY EDUCATION. - KEIKI INJURY PREVENTION COALITION AND SAFE KIDS KAPI'OLANI MEDICAL CENTER SPONSORS THE KEIKI INJURY PREVENTION COALITION (KIPC), WHICH INCLUDES MORE THAN 40 AGENCIES AND STAKEHOLDERS COMMITTED TO IMPROVING CHILD SAFETY. THE COALITION IS AFFILIATED WITH THE NATIONAL CHAPTER OF SAFE KIDS WORLDWIDE, A GLOBAL ORGANIZATION DEDICATED TO PREVENTING INJURIES IN CHILDREN, AND KAPI'OLANI IS THE SAFE KIDS LEAD HOSPITAL FOR THE STATE OF HAWAI'I. KIPC PROGRAMS AND ACTIVITIES IN FY15 INCLUDED: - SPONSORSHIP OF QUARTERLY KIPC MEETINGS. - MULTIPLE HEALTH FAIRS THAT EDUCATED CHILDREN AND FAMILIES ON ALL ASPECTS OF INJURY PREVENTION, 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. - PROVISION OF MORE THAN 500 BIKE/MULTISPORT HELMETS FREE OF CHARGE TO CHILDREN AND YOUTH. SWEETER CHOICE DIABETIC INTERVENTION PROGRAM THE SWEETER CHOICE PROGRAM WORKS WITH 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. A TOTAL OF 482 PREGNANT WOMEN AND NEW MOTHERS PARTICIPATED IN FY15. IN ADDITION, KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN CONTINUED ITS PARTNERSHIP WITH THE STATE DEPARTMENT OF HEALTH AND IN FY14 BEGAN TO EXPAND THE SWEETER CHOICE PROGRAM TO FEDERALLY QUALIFIED HEALTH CENTERS ON OAHU. A TRAINING CURRICULUM WAS DEVELOPED BY KAPI'OLANI AND IN FY15 MEETINGS TO INTRODUCE THE PROGRAM WERE HELD WITH STAFF PERSONS FROM SEVEN O'AHU FEDERALLY-QUALIFIED HEALTH CENTERS. "HAPAI" APP "HAPAI" (MEANING "PREGNANT" IN HAWAIIAN) IS A COMPREHENSIVE PREGNANCY APP FOR EXPECTANT MOMS. FROM WEEK-TO-WEEK UPDATES AND EDUCATION ON BOTH PRENATAL AND FETAL CARE, TO TOOLS LIKE A CONTRACTION COUNTER AND A FEEDING LOG- HAPAI HELPS EXPECTANT MOM'S LEARN, PLAN AND PREPARE FOR THEIR BABY'S ARRIVAL. THE APP IS FREE TO ALL AND AVAILABLE IN BOTH THE ANDROID AND IPHONE APP STORES. HAPAI WAS ADDED TO KAPI'OLANI'S IMPLEMENTATION STRATEGY IN FY15 TO ADDRESS THE NEED FOR IMPROVED PRENATAL CARE AND BREAST FEEDING PRACTICES IDENTIFIED IN KAPI'OLANI'S 2013 COMMUNITY HEALTH NEEDS ASSESSMENT, WHICH FOUND THE FREQUENCY OF LOW BIRTH WEIGHT BABIES IN HAWAI'I IS HIGHER THAN THE NATIONAL AVERAGE. IN ADDITION, HAWAI'I HAS NOT ACHIEVED NATIONAL GOALS FOR NEWBORN AND INFANT BREASTFEEDING. HAPAI WAS DESIGNED TO BE AN EASILY ACCESSIBLE SOURCE OF INFORMATION TO HELP WOMEN IN HAWAI'I ACHIEVE HEALTHY BIRTH OUTCOMES, WITH A FOCUS ON LOCAL RESOURCES AND LOCAL CULTURAL PERSPECTIVES. N.E.W. KEIKI WEIGHT MANAGEMENT PROGRAM THE NEW KEIKI ("KEIKI" MEANS CHILD IN HAWAIIAN) PROGRAM WAS ADDED TO KAPI'OLANI'S IMPLEMENTATION STRATEGY IN FY14. IT IS AN EVIDENCE-BASED INTERVENTION WITH A DEMONSTRATED IMPACT ON ADDRESSING CHILDHOOD OBESITY, WHICH WAS FOUND TO BE A SIGNIFICANT AND INCREASING HEALTH CONCERN IN KAPI'OLANI'S 2013 COMMUNITY HEALTH NEEDS ASSESSMENT. THE N.E.W. (NUTRITION EXERCISE WEIGHT) KEIKI WEIGHT MANAGEMENT PROGRAM, CREATED BY KAPI'OLANI IN PARTNERSHIP WITH THE YMCA OF HONOLULU, IS A FAMILY-BASED INTERVENTION TO COMBAT CHILDHOOD OBESITY. IT USES A MULTI-DISCIPLINARY APPROACH, WORKING WITH THE CHILD AND FAMILY UNIT TO DEVELOP A HEALTHY LIFESTYLE FOR THE WHOLE FAMILY. THE PROGRAM INCLUDES EDUCATION ON PROPER NUTRITION, COOKING CLASSES FOR THE WHOLE FAMILY, AN EXERCISE COMPONENT THAT INCLUDES HIKES AND OTHER OUTINGS, MENTAL HEALTH INTERVENTIONS, FAMILY SUPPORT AND COMMUNITY BUILDING. IN FY15, NEW KEIKI WAS EXPANDED TO LEEWARD O'AHU IN COLLABORATION WITH PALI MOMI MEDICAL CENTER, AND TO THE WINDWARD SIDE IN COLLABORATION WITH CASTLE MEDICAL CENTER. THREE COHORTS WERE CONDUCTED, WITH 77 CHILDREN AND ADOLESCENTS AND THEIR FAMILIES COMPLETING THE PROGRAM. HAWAI'I PACIFIC HEALTH KIDS' FEST THIS ANNUAL HEALTH FAIR FOR FAMILIES AND CHILDREN IS A COLLABORATION OF HAWAI'I PACIFIC HEALTH'S FOUR HOSPITALS - KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN, PALI MOMI MEDICAL CENTER, STRAUB CLINIC & HOSPITAL AND WILCOX MEMORIAL HOSPITAL - HOSTED BY BISHOP MUSEUM. HANDS-ON ACTIVITIES, SUCH AS A TEDDY BEAR CLINIC, KEIKI ZUMBA, BALLOON OLYMPICS, WHEEL OF NUTRITION AND FIRE SAFETY HOUSE, AIM TO TEACH CHILDREN ABOUT HEALTHY SCHEDULE H, PART V, SECTION B, LINE 11 (CONTINUED) WILCOX MEMORIAL HOSPITAL WILCOX MEMORIAL HOSPITAL (WILCOX) CONDUCTED THE FOLLOWING ACTIVITIES IN FISCAL YEAR 2015 TO ADDRESS THE TWO 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 TWO TO EXECUTE A THREE-YEAR IMPLEMENTATION STRATEGY. WILCOX'S 2013 COMMUNITY HEALTH NEEDS ASSESSMENT AND IMPLEMENTATION STRATEGY MAY BE VIEWED ONLINE AT: HTTP://WWW.HAWAIIPACIFICHEALTH.ORG/HEALTHASSESSMENT PRIORITY AREA 1: ACCESS TO HEALTH SERVICES COMMUNITY HEALTH FAIRS AND SCREENINGS - KIDS' SUMMER FEST: WILCOX'S ANNUAL KIDS' SUMMER FEST WAS HELD FOR KAUA'I FAMILIES ON JUNE 13, 2015 AT SMITH'S TROPICAL PARADISE. AN ESTIMATED 957 PEOPLE ATTENDED THE FREE EVENT, WHICH PROVIDED HANDS-ON WORKSHOPS FOCUSED ON HEALTHY, ACTIVE LIFESTYLES, EXERCISE AND NUTRITION AND INJURY PREVENTION. PHYSICALS AND VISION TESTING ALSO WERE OFFERED TO CHILDREN ON-SITE. COMMUNITY PARTNERS AND PARTICIPANTS INCLUDED ALOHA CARE, AMERICAN MEDICAL RESPONSE, COALITION FOR A TOBACCO-FREE HAWAI'I, GARDEN ISLAND 4-H RANCHERS, HAWAI'I DENTAL SERVICES, HAWAI'I LIFE FLIGHT, HO'OLA LAHUI HAWAI'I, KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN, HMSA, KAUA'I FIRE DEPARTMENT PREVENTION BUREAU, KAUA'I LIFEGUARD ASSOCIATION, KAUA'I MEDICAL CLINIC, KAUA'I MEDICAL RESERVE CORP, P.A.T.C.H AND UNITED HEALTHCARE COMMUNITY PLAN. - KIDS' FEST: WILCOX PARTICIPATED IN THE HAWAI'I PACIFIC HEALTH'S ANNUAL KIDS' FEST HELD ON OCTOBER 26, 2014 AT THE BISHOP MUSEUM ON O'AHU. AN ESTIMATED 5,957 PEOPLE ATTENDED THE FREE EVENT, WHICH PROVIDED HANDS-ON WORKSHOPS FOCUSED ON HEALTHY LIFESTYLES. WILCOX'S PHYSICAL THERAPY DEPARTMENT CONDUCTED A WORKSHOP ON THE IMPORTANCE OF STRENGTH AND BALANCE FOR DAILY AND RECREATIONAL ACTIVITIES. WILCOX ALSO PARTNERED WITH THE KAUA'I LIFEGUARD ASSOCIATION TO PROVIDE A WORKSHOP ON OCEAN SAFETY TO PREVENT DROWNINGS IN HAWAI'I'S VERY POWERFUL AND UNPREDICTABLE WATERS. - SKIN CANCER AWARENESS AND SUN PROTECTION CAMPAIGN: WILCOX IMPLEMENTED AN EDUCATION PROGRAM TO HELP THE COMMUNITY BETTER UNDERSTAND THE IMPORTANCE OF SKIN CANCER PREVENTION, INCLUDING THE DANGERS OF UV RAYS AND THE IMPORTANCE OF USING AND REAPPLYING SUNSCREEN. (KAUA'I COUNTY HAS A HIGHER AVERAGE RATE OF MELANOMA CASES THAN THE STATE.) THE HOSPITAL PARTNERED WITH THE AMERICAN CANCER SOCIETY TO SHARE IMPORTANT INFORMATION AND DISTRIBUTE SUN PROTECTION RESOURCES, SUCH AS A FREE SUNSCREEN BOOTH FOR OVER 200 CHILDREN AND ADULTS AT THE IRON BROTHER PINE TREES KEIKI SURF CLASSIC, THE LARGEST SURF CONTEST ON THE ISLAND FOR CHILDREN, HELD APRIL 18, 2015 IN HANALEI ON THE NORTH SHORE OF KAUA'I. A BASELINE SURVEY WAS CONDUCTED TO OBTAIN THE SUN PROTECTION HABITS OF THOSE ATTENDING THE EVENT. 73% OF THE 138 RESPONDENTS (BOTH CHILDREN AND ADULTS) SPENT MORE THAN FIVE HOURS IN THE SUN AND USUALLY OR ALWAYS USED SUNSCREEN. FOR THOSE WHO ALWAYS USED SUNSCREEN, MOST OCCASIONALLY REAPPLIED IT. ANOTHER SURVEY WILL BE CONDUCTED IN FY16 TO DETERMINE THE IMPACT OF THE EDUCATION PROGRAM. - STAYING ACTIVE WITH ARTHRITIS: WILCOX IMPLEMENTED AN EDUCATION PROGRAM TO INFORM INDIVIDUALS WITH ARTHRITIS ON THE IMPORTANCE OF STAYING PHYSICALLY ACTIVE. THIS FREE WORKSHOP WAS HELD OCTOBER 4, 2014 AND PROVIDED IMPORTANT INFORMATION TO RESIDENTS ON THE WESTSIDE OF KAUAI TO HELP THEM PREVENT CHRONIC CONDITIONS THAT ARE COMMON AMONG ADULTS WITH ARTHRITIS, SUCH AS DIABETES, HEART DISEASE AND OBESITY. THE HOSPITAL'S GOAL IS TO ADDRESS THE GROWING TREND OF OBESITY AMONG ADULTS, WHICH IS WORSENING ON KAUA'I. - VIDEO TELECONFERENCES ON HEALTH TOPICS: IN PARTNERSHIP WITH THE OTHER HOSPITALS OF HAWAI'I PACIFIC HEALTH, FREE COMMUNITY HEALTH EDUCATION EVENTS THAT WERE PRESENTED ON O'AHU, WERE BROUGHT TO KAUA'I RESIDENTS VIA VIDEO TELECONFERENCE ON-SITE AT WILCOX MEMORIAL HOSPITAL. TOPICS INCLUDED: WOMEN'S HEALTH, CURRENT ISSUES IN CANCER CARE, HEART HEALTH, AND ARTHRITIS. A TOTAL OF 283 INDIVIDUALS ATTENDED THE VIDEO CONFERENCE EVENTS ON KAUA'I. - SENIOR FALL PREVENTION: THE GOAL OF THE SENIOR FALL PREVENTION WORKSHOPS WERE TO PREVENT SENIORS FROM VISITING THE ER DUE TO FALL-RELATED INJURIES ACCORDING TO THE IPCP OVERVIEW OF INJURY AMONG SENIORS IN HAWAI'I, 2015, EVERY DAY ON AVERAGE 22 SENIORS ARE TREATED FOR FALL-RELATED INJURIES IN HAWAII'S HOSPITALS, OR NEARLY ONE EVERY HOUR. OVER 90% OF HIP FRACTURES ARE THE RESULT OF FALLS. WILCOX'S TRAUMA PROGRAM PARTNERED WITH THE DEPARTMENT OF PARKS AND RECREATION TO CONDUCT A FALL PREVENTION WORKSHOP AT SENIOR ASSEMBLY DAYS AT FOUR NEIGHBORHOOD CENTERS ISLAND-WIDE. THE PROGRAM FOCUSED ON PREVENTION EDUCATION, INCLUDING MEDICATION REVIEWS BY THE PHARMACY PROGRAM AT THE UNIVERSITY OF HAWAI'I AT HILO TO IDENTIFY MEDICINES THAT MAY CAUSE SIDE EFFECTS OR INTERACTIONS SUCH AS DIZZINESS OR DROWSINESS. BALANCE TESTING WAS CONDUCTED BY THE WILCOX PHYSICAL THERAPY DEPARTMENT TO ASSESS MOBILITY. IN ADDITION, A WORKSHOP WAS CONDUCTED AT THE KAUAI PRIMETIME WELLNESS FAIR. THE SENIOR FALL PREVENTION WORKSHOPS IMPACTED 390 INDIVIDUALS. - KEIKI BIKE AND SAFETY DAY: WILCOX PARTNERED WITH SEVERAL COMMUNITY ORGANIZATIONS TO CONDUCT A KAUA'I KEIKI BIKE AND SAFETY DAY DURING NATIONAL BIKE MONTH. THE EVENT PROVIDED A BIKE AND SKATEBOARD SKILLS COURSE, CAR SEAT SAFETY INSPECTIONS, ACTIVITY BOOTHS AND FREE HELMETS IN AN EFFORT TO INCREASE AWARENESS OF SAFE RIDING AND PREVENTABLE INJURIES, SUCH AS HEAD TRAUMA. THE MAY 2, 2015 EVENT DREW 115 CHILDREN. COMMUNITY PARTNERS INCLUDED KAUA'I PATH, KAUA'I SKATE OHANA, AMERICAN MEDICAL RESPONSE, KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN, KAUA'I POLICE DEPARTMENT, HAWAI'I LIFE FLIGHT, DEPARTMENT OF HEALTH, KAUA'I MEDICAL RESERVE CORP, DEPARTMENT OF TRANSPORTATION, BOY SCOUTS OF AMERICA, AND THE LIONS CLUB. - PREVENTION OF UNINTENTIONAL DROWNING: WILCOX SUPPORTED AN INITIATIVE BY THE KAUA'I LIFEGUARD ASSOCIATION TOWARDS THE DEVELOPMENT OF 250,000 KAUA'I BEACH SAFETY GUIDES. KAUA'I COUNTY HAS THE SECOND HIGHEST UNINTENTIONAL DROWNING DEATH RATE IN THE STATE. THE KAUA'I BEACH SAFETY GUIDES PROVIDED CRITICAL INFORMATION TO PREVENT OCEAN-RELATED INJURIES AND DEATHS DUE TO UNINTENTIONAL DROWNING. - OPEN AIRWAYS ASTHMA CLASS: WILCOX MEMORIAL HOSPITAL PROVIDED THE DEPARTMENT OF EDUCATION WITH PEAK FLOW METERS TO MEASURE LUNG CAPACITY AND ASTHMA TEACHING KITS FOR STUDENTS AND PARENTS PARTICIPATING IN THE OPEN AIRWAYS ASTHMA CLASS AT KEKAHA ELEMENTARY SCHOOL LOCATED ON THE WEST SIDE OF THE ISLAND. PNEUMONIA & FLU VACCINATION CAMPAIGNS WILCOX PROVIDED FREE BACTERIAL PNEUMONIA VACCINATIONS FOR ELIGIBLE ADULTS, AGES 65 AND OLDER, AT THE KAUA'I ELDER LAW FAIR. PARTNERS WITH WILCOX INCLUDED THE LEGAL AID SOCIETY OF HAWAII- KAUA'I. WILCOX ALSO CONDUCTED FREE FLU VACCINATIONS CLINICS FOR ELIGIBLE ADULTS, WITH THE MAJORITY AGES 65 AND OLDER. IMMUNIZATIONS AND INFECTIOUS DISEASE RANKED EIGHTH AMONG KAUAI COUNTY'S AREAS OF NEED. THE KAUA'I AGENCY ON ELDERLY AFFAIRS ASSISTED WITH REGISTRATION AND LANGUAGE TRANSLATION; KAUA'I DEPARTMENT OF PARKS AND RECREATION SCHEDULED CLINICS ON SENIOR ASSEMBLY DAYS AT THE NEIGHBORHOOD CENTERS AND PROVIDED LOGISTICS ASSISTANCE AND PROMOTION; AND THE PHARMACY PROGRAM AT THE UNIVERSITY OF HAWAI'I AT HILO ASSISTED WITH REGISTRATIONS AND FIELDED QUESTIONS. FLU VACCINATION CLINICS WERE ALSO HELD AT THE QUEEN LILI'UOKALANI CHILDREN'S CENTER'S OHANA RAISING KEIKI CONFERENCE, KAMEHAMEHA ISLAND SCHOOL IN KAUMAKANI FOR TEACHERS, MCDONALD'S FIT AND HEALTH FAIR, AND THE KAUA'I ECONOMIC OPPORTUNITY'S TRANSITIONAL HOUSING CENTER. AFTER HOURS PHARMACY WILCOX'S AFTER HOURS PHARMACY IS THE ONLY PHARMACY OPEN AFTER NORMAL BUSINESS HOURS ON THE ISLAND OF KAUA'I, A FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED POPULATION AREA. IT PROVIDES CRITICAL AND TIME SENSITIVE MEDICATIONS TO THE COMMUNITY DURING EVENING HOURS WHEN OTHER PHARMACIES ON THE ISLAND ARE CLOSED. IN FY15, 1,487 PRESCRIPTIONS WERE FILLED/REFILLED DURING THESE LATE HOURS. CARDIAC REHABILITATION SERVICES 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. IN FY15, 84 INDIVIDUALS BENEFITED FROM THIS SERVICE. A NUTRITION COMPONENT WAS ADDED TO THE PROGRAM AND INCLUDED CLASSES TAUGHT BY REGISTERED DIETITIANS SPECIFICALLY TAILORED TO LOWERING CHOLESTEROL AND REDUCING SALT INTAKE, INCLUDING A HEART HEALTHY DIET. THE FIRST SERIES OF FREE CLASSES ENROLLED A TOTAL OF 17 INDIVIDUALS. CHEMOTHERAPY WILCOX'S CHEMOTHERAPY CENTER IS THE ONLY ONE AVAILABLE ON THE ISLAND OF KAUA'I. IT PROVIDES TREATMENTS THAT WOULD OTHERWISE NOT BE AVAILABLE TO THE COMMUNITY AND LESSENS THE NEED FOR ISLAND RESIDENTS WITH CANCER TO FLY TO O'AHU OR TO THE MAINLAND FOR CARE. THE AMERICAN CANCER SOCIETY, A PARTNER WITH WILCOX, IS PART OF THE HOSPITAL'S CANCER COMMITTEE. DURING FY15, THERE WERE 1,780 PATIENT VISITS TO THE CHEMOTHERAPY CENTER. ADVANCE CARE PLAN SCHEDULE H, PART V, SECTION B, LINE 16I HPH PUBLISHES THE AVAILABILITY OF A FINANCIAL AID POLICY ON ITS WEB SITE AND VIA TENT CARDS DISPLAYED IN ADMISSION, FINANCIAL SERVICES AND PATIENT CARE DEPARTMENTS. SCHEDULE H, PART V, SECTION B, LINE 22D All bills and patient statements are based on gross charges. FAP-eligible patients received fixed percentage discounts from gross charges based on income level and do not pay gross charge. 21 STRAUB PEARLRIDGE CLINIC 98-151 PALI MOMI STREET SUITE 142 AIEA HI 96701 CLINIC PALI MOMI PAVILLIONWOMEN'S CENTER 98-1005 MOANALUA RD FS2 AEIA HI 96701 CLINIC KAPI'OLANI WOMEN'S CENTER 1907 BERETANIA STREET 1st 5th Fl HONOLULU HI 96826 CLINIC STRAUB MILILANI FAMILY HLTH CNTR 95-1249 MEHEULA PKWY UNIT 187 MILILANI HI 96789 CLINIC STRAUB HAWAI'I KAI FAMILY HLTH CNTR 7192 KALANIANAOLE HIGHWAY STE A200 HONOLULU HI 96825 CLINIC DOCS ON CALL-PRINCESS KAIULANI HOTEL 120 KAIULANI AVE LOBBY LEVEL HONOLULU HI 96815 CLINIC STRAUB KANEOHE FAMILY HLTH CNTR 46-056 KAMEHAMEHA HWY SUITE 221 KANEOHE HI 96744 CLINIC PALI MOMI CLINIC 98-1079 MOANALUA RD STE 640/630/590 AIEA HI 96701 CLINIC STRAUB KAILUA FAMILY HLTH CNTR 602 KAILUA ROAD SUITE 200 KAILUA HI 96734 CLINIC STRAUB LANAI FAMILY HLTH CNTR 628-B SEVENTH STREET LANAI CITY HI 96763 CLINIC STRAUB KONA CLINIC 75-240 NANI KAILUA DRIVE STE 6B KAILUAKONA HI 96740 CLINIC ARTESIAN SATELLITE 1907 BERETANIA ST 5TH FLOOR HONOLULU HI 96826 CLINIC STRAUB CLINIC AT WATERFRONT PLAZA 500 ALA MOANA BLVD TOWER 7 STE 23 HONOLULU HI 96813 CLINIC DOCS ON CALL-HILTON HAWAIIAN VILLAGE 2005 KALIA ROAD 2ND FLOOR HONOLULU HI 96815 CLINIC STRAUB KAPOLEI CLINIC 590 FARRINGTTON HIGHWAY 100 KAPOLEI HI 96707 CLINIC KUAKINI CLINIC 321 NORTH KUAKINI STREET STE 504 HONOLULU HI 96817 CLINIC STRAUB HILO CLINIC 75 PUUHONU PLACE STTE 207 HILO HI 96720 CLINIC WINDWARD HEART CENTER 25 MALUNIU AVE SUITE 201 KAILUA HI 96734 CLINIC STRAUB'S WOMEN SERVICES 1319 PUNAHOU ST SUITE 520 HONOLULU HI 96826 CLINIC STRAUB CLINIC AT 1ST INSUR CNTR 1100 WARD AVE SUITE 700 HONOLULU HI 96813 CLINIC DOCS ON CALL - SHERATON 2255 KALAKAUA AVE HONOLULU HI 96815 CLINIC SCHEDULE H, PART I, LINE 3C N/A SCHEDULE H, PART I, LINE 6A COMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATIONS' PARENT. SCHEDULE H, PART I, LINE 7G NO COSTS OF A PHYSICIAN CLINIC WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES. SCHEDULE H, PART I, LINE 7 COST TO CHARGE RATIO AND SCHEDULE H WORKSHEET WAS USED TO CALCULATE THE COSTS. SCHEDULE H, PART II COMMUNITY BUILDING ACTIVITIES 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 HAWAI'I 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. IN FISCAL YEAR 2015, STRAUB SPENT $466,319 TO ATTRACT PHYSICIANS TO HAWAI'I. THIS INCLUDED HIRING A FULL-TIME RECRUITER AND PHYSICIAN SERVICES MANAGER, PURCHASING A LAPTOP COMPUTER AND "PRACTICE MATCH SERVICES" DATABASE, HIRING PHYSICIAN CONSULTANTS TO RECRUIT MAINLAND PHYSICIANS, 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 NURSE ESCORT DEEMED MEDICALLY NECESSARY. IN THESE SPECIAL CIRCUMSTANCES, WILCOX WILL TEMPORARILY 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. SCHEDULE H, PART III, LINE 4 THE 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. 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 8 BECAUSE TAX-EXEMPT HOSPITALS MUST PARTICIPATE IN MEDICARE AND MEDICAID AS A CONDITION OF MAINTAINING THEIR FEDERAL TAX-EXEMPT STATUS, MEDICARE UNDERPAYMENTS ARE NOT OPERATING EXPENSES THAT SHOULD BE EXPECTED IN THE ORDINARY COURSE OF BUSINESS. BECAUSE TAX-EXEMPT HOSPITALS MUST ACCEPT MEDICARE RATES THAT ARE IN SOME CASES BELOW COST, THEY SHOULD BE ABLE TO REPORT ANY NEGATIVE DIFFERENCES BETWEEN MEDICARE RATES AND COST AS LOSSES INCURRED BY SERVICING THE COMMUNITY. TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552.96. SCHEDULE H, PART III, LINE 9B COLLECTION 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 2 NEEDS 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 JUNE 2013. 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 140 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 ANALYSES 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 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE WHEN A PATIENT PRESENTS FOR SERVICES AND THE PATIENT DOES NOT HAVE INSURANCE COVERAGE FOR SERVICES TO BE PROVIDED, THE PATIENT, OR GUARANTOR IS ASKED TO SIGN THE "SELF-PAY ACKNOWLEDGEMENT" LETTER. THE LETTER DESCRIBES THE TERMS OF THE HAWAI'I PACIFIC HEALTH ("HPH") UNINSURED DISCOUNT PROGRAM, AND BY SIGNING THE LETTER, THE PATIENT ACKNOWLEDGES THAT HE/SHE UNDERSTANDS AVAILABLE UNINSURED PAYMENT TERMS. IN MOST UNINSURED CASES, THE PATIENT WILL BE OFFERED A HAWAI'I STATE MEDICAL ASSISTANCE APPLICATION. THIS IS THE APPLICATION FOR THE HAWAI'I STATE MEDICAID/QUEST PROGRAM. THE HOSPITAL CONTRACTS WITH SERVICE PROVIDERS WHO SPECIALIZE IN ASSISTING PATIENTS WITH THE MEDICAID/QUEST PROGRAM APPLICATION PROCESS. IF THE PATIENT'S APPLICATION FOR MEDICAID/QUEST IS DENIED OR IT IS DETERMINED THAT THE PATIENT IS INELIGIBLE TO APPLY FOR MEDICAID/QUEST, THE PATIENT MAY APPLY FOR HPH FINANCIAL ASSISTANCE EITHER IN THE HOSPITAL FINANCIAL SERVICES DEPARTMENT OR BY MAIL DIRECTLY TO THE HPH BUSINESS SERVICES OFFICE. FINANCIAL COUNSELORS ARE AVAILABLE ON SITE TO REVIEW PAYMENT OPTIONS WITH THE PATIENT OR THE GUARANTOR. THESE OPTIONS INCLUDE THE AFOREMENTIONED HPH UNINSURED DISCOUNT PROGRAM, THE HAWAI'I STATE MEDICAID/QUEST PROGRAM, THE HPH FINANCIAL ASSISTANCE PROGRAM, PAYMENT PLANS AND ANY GRANT OR FUNDING SOURCE THAT MAY BE APPROPRIATE FOR THE SERVICES PROVIDED. IN SOME CASES, HPH DETERMINES THAT A PATIENT OR GUARANTOR MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED, AND FINANCIAL INFORMATION IS MAILED TO THE PATIENT. EDUCATION AND ASSISTANCE IS OFTEN PROVIDED VIA PHONE CONTACT IN THESE CASES. PAYMENT PLAN ARRANGEMENTS ARE HANDLED VIA PHONE CONTACT WITH THE PATIENT. SCHEDULE H, PART VI, LINE 4 COMMUNITY INFORMATION THE AFFILIATE HOSPITALS OF HAWAI'I PACIFIC HEALTH 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 8.2M VISITORS (2013 DATA). UNINSURED PATIENTS EQUAL 1.41 PERCENT OF HAWAI'I PACIFIC HEALTH'S TOTAL AND 23.15 PERCENT ARE MEDICAID RECIPIENTS. THERE ARE 30 OTHER HOSPITALS IN THE STATE THAT PROVIDE ACUTE 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 207 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 2015, KAPI'OLANI HAD 54,415 IMAGING PROCEDURES, 39,776 WOMEN'S CENTER PROCEDURES, 43,397 ER VISITS, AND 17,243 INPATIENT ADMISSIONS. ITS GEOGRAPHIC SERVICE AREA IS THE ENTIRE PACIFIC BASIN 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. IN FISCAL YEAR 2015, PALI MOMI HAD 93,800 IMAGING PROCEDURES, 48,942 ER VISITS, 42,805 WOMEN'S CENTER PROCEDURES, AND 6,255 INPATIENT ADMISSIONS. PALI MOMI'S GEOGRAPHIC SERVICE AREA IS PRIMARILY CENTRAL O'AHU, WEST O'AHU AND THE NORTH SHORE. HOWEVER, FOR A FEW SELECT SERVICES, PALI MOMI IS ONE OF JUST A HANDFUL OF PROVIDERS ACROSS THE REGION. THE RETINA CENTER, FOR EXAMPLE, OFFERS HIGHLY SPECIALIZED CARE SOUGHT BY RESIDENTS ACROSS THE STATE AND FROM AS FAR AWAY AS JAPAN. STRAUB CLINIC & HOSPITAL HAS SERVED THE PEOPLE OF HAWAI'I FOR 90+ YEARS. THE FULLY INTEGRATED HEALTH CARE SYSTEM HAS A 159-BED HOSPITAL IN HONOLULU, 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 2015, STRAUB HAD 117,417 IMAGING PROCEDURES, 30,471 ER VISITS, AND 6,846 INPATIENT ADMISSIONS. 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 MEMORIAL HOSPITAL HAS SERVED KAUA'I FOR 75+ YEARS. THE ACUTE-CARE FACILITY OFFERS Over 20 SPECIALTIES AND A FULL SUITE OF SERVICES RANGING FROM EMERGENCYAND GENERAL SURGERY TO CARDIOLOGY, GASTROENTEROLOGY, GYNECOLOGY, INTERNAL MEDICINE, OBSTETRICS, ORTHOPEDICS, PALLATIVE CARE, PEDIATRICS, NEUROLOGY, AND WOMEN'S SERVICES. IN FISCAL YEAR 2015, WILCOX HAD 61,281 IMAGING PROCEDURES, 24,654 ER VISITS, AND 3,533 INPATIENT ADMISSIONS. WILCOX'S GEOGRAPHIC SERVICE AREA IS THE ISLAND OF KAUA'I. DEMOGRAPHICS OF THE KAUA'I COMMUNITY IN FISCAL YEAR 2015 INCLUDE AN ESTIMATED POPULATION OF APPROXIMATELY 70,000 (AND MORE THAN 1.1M VISITORS ANNUALLY). REGARDING WILCOX PATIENTS, 1.7 PERCENT ARE UNINSURED AND 16.7 PERCENT ARE MEDICAID RECIPIENTS. THERE ARE TWO OTHER HOSPITALS IN THE COMMUNITY, AND FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS ARE PRESENT. SCHEDULE H, PART VI, LINE 5 PROMOTION OF COMMUNITY HEALTH 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 2014, 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 2014, 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 6 AFFILIATED 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 HOSPITALS, MORE THAN 80 LOCATIONS, AND 1,900 AFFILIATED PHYSICIANS. THE HOSPITALS PROVIDE ACUTE AND SPECIALTY CARE WITH 566 BEDS, AND HANDLED 33,877 ADMISSIONS IN FISCAL YEAR 2015. 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. IN FISCAL YEAR 2015, KAPI'OLANI INVESTED $3,695,064 IN TEACHING PEDIATRICIANS AND OBSTETRICIANS AND FOR RESEARCH, INCLUDING CLINICAL TRIALS. 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 MORE. THE KAPI'OLANI CHILDREN'S MIRACLE NETWORK SUPPORTS THE COST OF PEDIATRIC HEALTH CARE, 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 PROTECTION CENTER, WHICH PROVIDES EXPERTISE IN RECOGNIZING AND TREATING CHILD ABUSE AND NEGLECT. IN FISCAL YEAR 2015, PALI MOMI MEDICAL CENTER EARNED THE JOINT COMMISSION'S GOLD SEAL OF APPROVAL AND THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S HEART-CHECK MARK FOR ADVANCED CERTIFICATION FOR PRIMARY STROKE CENTERS. PALI MOMI FOCUSES ON MEETING THE NEEDS OF CENTRAL AND WEST O'AHU AND THE NORTH SHORE. IN FISCAL YEAR 2015, IT HOSTED FREE COMMUNITY HEALTH EVENTS, INCLUDING FAMILY AND SENIOR HEALTH FAIRS, EDUCATIONAL SPEAKERS' SERIES, SUPPORT GROUPS, AND GLUCOSE MONITORING AND BLOOD PRESSURE SCREENINGS. PALI MOMI IS ALSO WORKING TO INCREASE THE NUMBER OF INDIVIDUALS TRAINED IN CPR AND THE AVAILABILITY OF AUTOMATED EXTERNAL DEFIBRILLATORS (AEDS) IN THE COMMUNITY, DONATING THREE TO AREA PUBLIC LIBRARIES. STRAUB CLINIC & HOSPITAL 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 HAS AN OPEN MEDICAL STAFF IN 19 SPECIALTIES AND AN OPEN/MANAGED MEDICAL STAFF IN 14 SPECIALTIES. IT PROVIDES CHARITY CARE, HEALTH EDUCATION AND PREVENTIVE PROGRAMS TO THE COMMUNITY. IN FISCAL YEAR 2015, STRAUB PROVIDED FREE HEALTH EDUCATION PROGRAMS ON PREVENTING AND MANAGING HEART ATTACKS, CANCER, ARTHRITIS, ASTHMA, ALLERGIES, OSTEOPOROSIS, OBESITY AND DRUG ABUSE. EVENTS INCLUDED "HPH KIDS FEST," "WOMEN'S WAY TO HEALTH," "CANCER CARE," "VALENTINE IN PARADISE," AND "GETTING A GRIP ON ARTHRITIS." "THE HPH WOMEN'S 10K RACE" IS HAWAI'I'S PREMIER FEMALE-ONLY FITNESS EVENT, NOW IN ITS 38TH YEAR. WILCOX MEMORIAL HOSPITAL IS DEDICATED TO PROVIDING KAUA'I WITH AFFORDABLE AND ACCESSIBLE HEALTH CARE. IN 2015, THE AMERICAN HEART ASSOCIATION ONCE AGAIN RECOGNIZED IT FOR EXCELLENCE IN CARDIAC CARE. IT MAINTAINS AN OPEN MEDICAL STAFF IN MORE THAN 20 SPECIALTIES. ALSO, WILCOX IS AN ACTIVE COMMUNITY PARTNER. IN FISCAL 2015, 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 KEIKI RUN," SEVERAL PHYSICIAN-LED COMMUNITY WALKS, "RELAY FOR LIFE," "HOEDOWN FOR HOPE," "KEIKI BIKE AND SAFETY DAY," "CANCER CARE VIDEO TELECONFERENCE," "WOMEN'S WAY TO HEALTH VIDEO TELECONFERENCE," "VALENTINE IN PARADISE CARDIOLOGY VIDEO TELECONFERENCE," "ACTIVE WITH ARTHRITIS COMMUNITY HEALTH EVENT," AND "OLD KOLOA SUGAR MILL RUN." SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A true MARCH OF DIMES FOUNDATION 1580 MAKALOA ST HONOLULU HI 96814 131846366 501(C)(3) 10000 GENERAL SUPPORT CENTRAL UNION CHURCH 1660 S BERETANIA ST HONOLULU HI 96826 990076013 501(C)(3) 6500 GENERAL SUPPORT UNIVERSITY OF HAWAI'I FOUNDATION 1337 LOWER CAMPUS ROAD HONOLULU HI 96822 990085260 501(C)(3) 44400 GENERAL SUPPORT WAHIAWA CENTER FOR COMMUNITY HEALTH PO BOX 860339 WAHIAWA HI 96786 455114944 501(C)(3) 20000 GENERAL SUPPORT GIRL SCOUTS OF HAWAI'I 410 ATKINSON DR HONOLULU HI 96814 990073488 501(C)(3) 25000 GENERAL SUPPORT 5 0 FORM 990, SCHEDULE I, PART I, LINE 2 DESCR 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. true true false false false false false false false BEAU NAKAMOTO MD Board of Director, Vice Chair 264271 0 60496 0 7445 0 27900 0 0 0 360112 0 0 0 THOMAS J NORDYKE MD B.O.D, Vice Chair (Part Year) 244341 0 14731 0 6001 0 27863 0 17345 0 310281 0 0 0 JOHN CULLINEY MD Board of Director, Vice Chair 0 403357 0 0 0 43172 0 33400 0 18443 0 498372 0 0 ANDREW DANG MD Board of Director 365629 0 3000 0 7036 0 27900 0 17345 0 420910 0 0 0 MONICA PRICE MD Board of Director 147976 0 7000 0 3816 0 15909 0 21338 0 196039 0 0 0 KENN SARUWATARI MD Board of Director 225195 0 24250 0 7591 0 32977 0 17344 0 307357 0 0 0 R CRAIG NETZER Board of Director 0 155898 0 0 11520 0 14862 0 6168 0 188448 0 0 MARTHA SMITH Board of Director, CEO 0 350933 0 138673 0 90140 0 130725 0 15619 0 726090 0 84857 JENNIE CHAHANOVICH Board of Director, CEO 0 298437 0 78894 0 60322 0 106237 0 12819 0 556709 0 55205 RAYMOND P VARA JR B.O.D, PRES & CEO 0 833937 0 356878 0 307495 0 469840 0 20578 0 1988728 0 280473 KATHLEEN CLARK B.O.D, PRES & CEO 0 261365 0 93859 0 59198 0 100534 0 6334 0 521290 0 49449 KENNETH B ROBBINS MD B.O.D. 0 431271 0 116774 0 184504 0 224330 0 13403 0 970282 0 167154 ARTHUR GLADSTONE B.O.D. 0 333230 0 124352 0 83650 0 114695 0 20791 0 676718 0 65503 DAVID OKABE EVP, CFO & Treasurer 0 437387 0 143234 0 125076 0 189185 0 14319 0 909201 0 103792 GAIL LERCH EVP 0 357550 0 131651 0 142028 0 181485 0 9087 0 821801 0 129755 VIRGINIA PRESSLER-FISHER MD EVP 0 339093 0 91944 0 176680 0 64598 0 20353 0 692668 0 148690 CHARLES R CHING EVP, GEN Counsel & Secretary 0 328714 0 124147 0 140057 0 172988 0 20353 0 786259 0 113586 STEVEN ROBERTSON EVP & CIO 0 355651 0 96346 0 176134 0 181802 0 14819 0 824752 0 157407 MELINDA ASHTON MD SVP & CQO 0 338068 0 82075 0 75876 0 76376 0 14002 0 586397 0 59157 JOHN LA FORGIA SVP & Chief Marketing Officer 0 295607 0 54449 0 45930 0 17295 0 14750 0 428031 0 27225 EARL INOUYE VP & System Controller 0 240794 0 37723 0 35009 0 54638 0 18773 0 386937 0 24285 WARREN CHAIKO VP 0 219272 0 36592 0 29425 0 40815 0 21754 0 347858 0 20240 SUSAN MASUMOTO-NONAKA VP 0 211473 0 44037 0 32761 0 52631 0 14599 0 355501 0 17148 DAWN CHING VP 0 199496 0 30980 0 7586 0 50570 0 21905 0 310537 0 15490 GIDGET RUSCETTA RN VP 0 201682 0 34098 0 23435 0 46644 0 13505 0 319364 0 17049 PAULA DIAS VP 0 208240 0 33752 0 32259 0 51532 0 13519 0 339302 0 16908 MAUREEN FLANNERY VP 0 211575 0 43992 0 16829 0 46584 0 14139 0 333119 0 17274 MAVIS NIKAIDO VP & CNE 0 206745 0 39066 0 17758 0 46853 0 6460 0 316882 0 14533 BRIGITTE MCKALE VP & CNE 0 195891 0 29035 0 11701 0 44297 0 13193 0 294117 0 14518 PATRICIA BOECKMANN RN VP & CNE 0 268096 0 41236 0 26640 0 50945 0 20833 0 407750 0 27655 RANDY YATES MD CMO 0 335110 0 52472 0 21419 0 35387 0 6498 0 450886 0 26236 DAVID FOX Privacy & Info Security OFCR 0 138982 0 0 0 369 0 24204 0 20733 0 184288 0 0 KATIE SHIGEMITSU Compliance Officer 0 172613 0 0 0 1902 0 28639 0 14059 0 217213 0 0 CASS K NAKASONE MD PHYSICIAN 849436 0 2000 0 19260 0 27900 0 18443 0 917039 0 0 0 MARK S GERBER MD PHYSICIAN 749442 0 2000 0 24744 0 27900 0 7377 0 811463 0 0 0 STEVEN S GLAZIER MD PHYSICIAN 693904 0 0 22200 0 16600 0 20243 0 752947 0 0 0 HINGSON M CHUN MD PHYSICIAN 626913 0 2000 0 76967 0 27900 0 17345 0 751125 0 0 0 WESLEY J KAI MD PHYSICIAN 629924 0 3000 0 23098 0 33400 0 12427 0 701849 0 0 0 CHARLES A STED FORMER DIRECTOR OFFICER 0 0 0 0 0 875587 0 0 0 11332 0 886919 0 0 ANN PETERS FORMER OFFICER 0 4997 0 0 0 189295 0 453 0 0 0 194745 0 0 SCHEDULE J, PART I, QUESTION 3 SUPPLEMENTAL 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 4A SEVERANCE PAY THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT FROM A RELATED ORGANIZATION: CHARLES A. STED - $866,867 ANN PETERS - $189,495 SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE RESTORATION PLAN WAS DESIGNED TO RESTORE BENEFITS THAT ARE LOST DUE TO LIMITS IMPOSED BY SECTIONS 401 AND 415 OF THE INTERNAL REVENUE CODE ON COMPENSATION CONSIDERED UNDER SUCH PLANS. THE CAPITAL ACCUMULATION ACCOUNT (CAA) IS A SECTION 457(F) PROGRAM THAT WAS PREVIOUSLY AFFORDED TO EXECUTIVE OFFICERS OF THE ORGANIZATION TO PROVIDE BENEFITS ON A TAX DEFERRED BASIS. AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: MARTHA SMITH - $33,021 JENNIE CHAHANOVICH - $15,758 RAYMOND P. VARA JR. - $127,035 KATHLEEN CLARK - $15,019 KENNETH B. ROBBINS, M.D. - $76,808 ARTHUR GLADSTONE - $20,828 DAVID OKABE - $44,675 GAIL LERCH - $48,092 VIRGINIA PRESSLER-FISHER, M.D. - $61,709 CHARLES R. CHING - $54,619 STEVEN ROBERTSON - $52,522 MELINDA ASHTON, M.D. - $23,120 EARL INOUYE - $5,423 WARREN CHAIKO - $1,944 SUSAN MASUMOTO-NONAKA - $130 MAUREEN FLANNERY - $278 PATRICIA BOECKMANN, R.N. - $7,038 HUGH N. HAZENFIELD, MD - $5,607 LONG TERM INCENTIVE PLAN THE LONG TERM INCENTIVE PLAN IS 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 - $103,673 JENNIE CHAHANOVICH - $78,894 RAYMOND P. VARA JR. - $306,878 KATHLEEN CLARK - $68,859 KENNETH B. ROBBINS, M.D. - $116,774 ARTHUR GLADSTONE - $89,352 DAVID OKABE - $118,234 GAIL LERCH - $96,651 VIRGINIA PRESSLER-FISHER, M.D. - $91,944 CHARLES R. CHING - $89,147 STEVEN ROBERTSON - $96,346 MELINDA ASHTON, M.D. - $72,075 EARL INOUYE - $37,723 WARREN CHAIKO - $36,592 SUSAN MASUMOTO-NONAKA - $34,037 DAWN CHING - $30,980 GIDGET RUSCETTA, R.N. - $34,098 MAUREEN FLANNERY - $33,992 MAVIS NIKAIDO - $29,066 BRIGITTE MCKALE - $29,035 PATRICIA BOECKMANN, R.N. - $41,236 RANDY YATES, M.D. - $52,472 HUGH N. HAZENFIELD, MD - $39,528 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS ARE MADE TO EXECUTIVES BASED ON SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. X MISCELLANEOUS ITEMS 3 137282 FMV 15 false false false SCHEDULE M, PART I, COLUMN B THE NUMBER LISTED IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED. FORM 990, PART I, LINE 1 STATEMENT OF ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES THE AFFILIATE, NOT-FOR-PROFIT HOSPITALS OF HAWAI'I PACIFIC HEALTH - KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN, PALI MOMI MEDICAL CENTER, STRAUB CLINIC & HOSPITAL, AND WILCOX MEMORIAL HOSPITAL - ANCHOR A HEALTH CARE SYSTEM THAT IS COMMITTED TO PROVIDING HIGH-QUALITY, ACCESSIBLE MEDICAL PROGRAMS AND SERVICES FOR THE PEOPLE OF HAWAI'I AND THE PACIFIC REGION. FORM 990, PART III, LINE 1 STATEMENT OF ORGANIZATION'S MISSION KAPI'OLANI MEDICAL CENTER'S MISSION IS TO IMPROVE AND ADVOCATE FOR THE HEALTH AND WELL-BEING OF WOMEN AND CHILDREN OF HAWAI'I AND THE PACIFIC REGION. PALI MOMI IS BASED IN WEST O'AHU AND DEDICATED TO THE HEALTH AND WELL-BEING OF ALL HAWAI'I RESIDENTS. STRAUB IS A HEALTH CARE SYSTEM WHOSE MISSION IS TO PROVIDE INTEGRATED HEALTH AND MEDICAL SERVICES THAT ARE COMPREHENSIVE, CARING, CONTINUOUSLY IMPROVING AND OF THE HIGHEST QUALITY. WILCOX SERVES THE KAUA'I COMMUNITY WITH ACCESSIBLE, QUALITY HEALTH CARE THAT SURPASSES EXPECTATIONS. FORM 990, PART III, LINES 4A-4D PROGRAM SERVICE ACCOMPLISHMENTS PROGRAM SERVICE #1 WOMEN'S SERVICES - OBSTETRICS/GYNECOLOGY IN FISCAL YEAR 2015, HAWAI'I PACIFIC HEALTH SPENT $48,983,402 IN DIRECT EXPENSES FOR WOMEN'S OB/GYN SERVICES AS PART OF ITS MISSION TO PROVIDE MEDICAL CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. KAPI'OLANI IS THE ONLY HOSPITAL IN HAWAI'I SPECIALIZING IN MATERNITY AND GYNECOLOGICAL CARE. IT IS THE REGIONAL PERINATAL CENTER FOR THE STATE. IT HAS SPECIALTY AND SUB-SPECIALTY OB/GYN PHYSICIANS ON STAFF 24/7, SUCH AS MATERNAL FETAL MEDICINE SPECIALISTS TO MANAGE HIGH-RISK PREGNANCIES AND DELIVERIES. IT PROVIDES GYNECOLOGIC ONCOLOGY SERVICES AND FEATURES A HIGH-RISK BREAST PROGRAM. IT IS A MAJOR TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE'S OB/GYN RESIDENCY PROGRAM. IN FISCAL YEAR 2015, KAPI'OLANI DELIVERED 6,094 BABIES. THE WOMEN'S CENTER PERFORMED 39,776 PROCEDURES. STRAUB'S MAIN HOSPITAL AND ALL FAMILY HEALTH CENTERS PROVIDE DIGITAL MAMMOGRAPHY SERVICES. THE WOMEN'S CLINIC PROVIDES HIGH-QUALITY CARE IN A CALMING, HEALING, ENVIRONMENT. BOARD-CERTIFIED SPECIALISTS PROVIDE OB/GYN CARE, FAMILY PLANNING, LASER SURGERY, LAPAROSCOPY AND COLPOSCOPY, MENOPAUSE, HORMONE REPLACEMENT THERAPY, AND INFERTILITY TREATMENT. MANY OF STRAUB'S PRIMARY CARE PHYSICIANS ALSO SPECIALIZE IN WOMEN'S HEALTH WITH PERSONAL, COMPREHENSIVE AND CONTINUING CARE. PALI MOMI PROVIDES COMPREHENSIVE WOMEN'S HEALTH SERVICES, PRIMARILY FOR THE CENTRAL, WEST O'AHU AND NORTH SHORE COMMUNITIES. SERVICES AVAILABLE INCLUDE HYSTERECTOMIES, OB/GYN ULTRASOUNDS, UROLOGY, INFUSION CHEMOTHERAPY, BREAST HEALTH SERVICES AND BONE HEALTH SCREENINGS. THE PALI MOMI WOMEN'S CENTER ALSO OFFERS THE STATE'S ONLY AUTOMATED WHOLE BREAST ULTRASOUND, THE LATEST TECHNOLOGY AVAILABLE TO DETECT BREAST CANCER FOR WOMEN WHO HAVE BEEN DIAGNOSED WITH DENSE BREAST TISSUE. IN FISCAL YEAR 2015, PALI MOMI'S WOMEN'S CENTER PERFORMED 42,805 PROCEDURES. THE WILCOX WOMEN'S CENTER PROVIDES DIAGNOSIS, TREATMENT, MAMMOGRAPHY WITH TOMOSYNTHESIS AND STEREOTACTIC CAPABILITIES, BONE DENSITY SCREENING, ULTRASOUND AND OTHER PREVENTIVE HEALTH SERVICES. THROUGH KAUA'I MEDICAL CLINIC, WILCOX PROVIDES COMPREHENSIVE OB/GYN CARE: DELIVERY, SURGERY AND OTHER SERVICES. PROGRAM SERVICE #2 OUTPATIENT OPERATING ROOMS IN FISCAL YEAR 2015, HAWAI'I PACIFIC HEALTH HOSPITALS AND CLINICS SPENT $54,784,729 IN DIRECT EXPENSES FOR OUTPATIENT OPERATING ROOMS AND SURGICAL PROCEDURES, AS PART OF OUR MISSION 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 THROAT, ORTHOPEDIC, NEUROLOGIC, UROLOGIC, OPHTHALMOLOGIC, GASTRO-INTESTINAL, 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 HOSPITAL 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 2015, KAPI'OLANI PERFORMED 5,354 OUTPATIENT SURGERIES. 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 2015, STRAUB PERFORMED 3,610 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 2015, PALI MOMI PERFORMED 3,858 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. 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 2015, WILCOX PERFORMED 6,129 OUTPATIENT SURGERIES. PROGRAM SERVICE #3 OUTPATIENT EMERGENCY ROOMS IN FISCAL YEAR 2015, HAWAI'I PACIFIC HEALTH HOSPITALS SAW 147,464 ER PATIENTS AND SPENT $46,984,102 IN DIRECT EXPENSES FOR OUTPATIENT ER SERVICES, AS PART OF OUR MISSION TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. THE KAPI'OLANI ER 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 2015, THE KAPI'OLANI ER RECEIVED 43,397 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 2015, THE STRAUB ER RECEIVED 30,471 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 2015, THE PALI MOMI ER RECEIVED 48,942 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 2015, THE WILCOX ER RECEIVED 24,654 PATIENTS. PROGRAM SERVICE #4 HAWAI'I PACIFIC HEALTH IS ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS WITH FOUR HOSPITALS, MORE THAN 80 LOCATIONS, 1,900 AFFILIATED PHYSICIANS, 6,500+ 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 2015, THE HOSPITALS ADMITTED 33,877 PATIENTS. KAUA'I MEDICAL CLINIC HAD 319,850 TOTAL CLINIC ENCOUNTERS. KAPI`OLANI MEDICAL SPECIALISTS HAD 65,674 PATIENT VISITS. AFFILIATES AND SUBSIDIARIES KAPI'OLANI MEDICAL SPECIALISTS ARE 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 HOSPITALS. 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 NETWORK INCLUDES: THE PACIFIC REGION'S ONLY FULL-SERVICE WOMEN'S AND CHILDREN'S HOSPITAL AND ONLY DEDICATED BURN CENTER, STATE-OF-THE-ART IMAGING CENTER ON KAUA'I, WEST O'AHU'S ONLY CARDIAC CATHETERIZATION LAB, 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 HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO IMPROVE THE HEALTH OF HAWAI'I RESIDENTS. EACH YEAR, IT SPONSORS HEALTH EDUCATION, TEACHING AND RESEARCH AND SUPPORTS LIKE-MINDED ORGANIZATIONS. IN FISCAL YEAR 2015, HAWAI'I PACIFIC HEALTH SPENT $11.2 MILLION ON COMMUNITY BENEFIT PROGRAMS, INCLUDING THE KAPI'OLANI SEX ABUSE TREATMENT CENTER, KAPI'OLANI CHILD 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 RESIDE 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 11D OTHER ASSETS 5% OR MORE OF TOTAL ASSETS KMCWC, SCH, AND WMH ALL REPORTED OTHER ASSETS GREATER OR EQUAL TO 5% OF TOTAL ASSETS. PMMC DID NOT REPORT OTHER ASSETS GREATER OR EQUAL TO 5% OF TOTAL ASSETS. FORM 990, PART VI, LINE 6 MEMBERS AND RIGHTS HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER WHO HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD. FORM 990, PART VI, LINE 7A DESCRIPTION OF CLASSES OF PERSON AND THE NATURE OF THEIR RIGHTS HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER, AND HAS THE POWER TO APPROVE THE ELECTION OF MEMBERS OF THE GOVERNING BODY. HAWAI'I PACIFIC HEALTH, AS MEMBER, ALSO HAS THE POWER TO ELECT ONE OR MORE EX OFFICIO VOTING MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, LINE 7B DESCR 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. HAWAI'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 CORPORATI FORM 990, PART VI, LINES 11B REVIEW OF THE 990S BY THE ORGANIZATION'S GOVERNING BODY VARIOUS SCHEDULES OF THE 990S 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 990S OF EACH FILING ORGANIZATION WITHIN THE HEALTH CARE SYSTEM. ONCE SENIOR MANAGEMENT HAS COMPLETED ITS REVIEW, THE 990S 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 990S FOR EACH ENTITY PRIOR TO FILING. IN ADDITION, THE 990S 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 990S WILL BE POSTED TO HPH'S WEB SITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURNS WITH THE IRS. FORM 990, PART VI, LINE 12C MONITORING & ENFORCING 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; AND 4) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE IN-HOUSE LEGAL DEPARTMENT DISTRIBUTES THE STATEMENT REQUEST AND REVIEWS THE COI STATEMENTS RETURNED. IDENTIFIED CONFLICTS OF INTEREST ARE PRESENTED TO THE BOARD FOR REVIEW, DELIBERATION AND CONFIRMATION/REFUTATION THAT A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST HAS BEEN FOUND, THE INDIVIDUAL MAY ADDRESS THE BOARD AND EXPLAIN THE TRANSACTION OR ARRANGEMENT CAUSING THE CONFLICT. AFTER THE PRESENTATION, THE INDIVIDUAL IS EXCUSED FROM THE MEETING AND SHALL NOT PARTICIPATE WITH ANY DISCUSSION OR VOTE ON MATTERS PERTAINING TO THE TRANSACTION OR ARRANGEMENT. IN MEETINGS WHERE APPLICATION OF THE COI POLICY OCCURS, THE MEETING MINUTES INCLUDE NATURE OF THE FINANCIAL INTEREST/CONFLICT, NAME(S) OF THE PERSON(S) WITH THE POTENTIAL OR ACTUAL CONFLICT, ANY ACTION TAKEN TO ASSIST IN THE DETERMINATION OF WHETHER A CONFLICT EXISTED, INCLUDING ANY DISCUSSION OF ALTERNATIVE ARRANGEMENTS, THE BOARD'S DECISION(S) REGARDING THE CONFLICT AND NAMES OF PERSON PRESENT IN THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, LINES 15A & 15B OFFICES AND POSITIONS WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN 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 FEBRUARY 17, 2015 TO REVIEW PHYSICIAN COMPENSATION AND ON AUGUST 26, 2015 TO REVIEW EXECUTIVE COMPENSATION. FORM 990, PART VI, LINE 19 DISCLOSURE 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 9 RECONCILIATION OF NET ASSETS OBLIGATED GROUP INTERCOMPANY TRANSFERS $(38,555,613) CHANGE IN INTEREST IN KHF/WHF $ 1,410,650 CHANGE IN INTEREST IN PERPETUAL TRUSTS $( 50,038) Restricted Grants and Contributions $ 1,493,280 Net Assets Released from Restriction $( 1,494,987) Other Changes in Net Assets $ 100 ------------- TOTAL $(37,196,608) FORM 990 PART IX LINE 11G DESCRIPTION:PHYSICIAN SERVICES TOTAL FEES:26443201 FORM 990 PART IX LINE 11G DESCRIPTION:MEDICAL SERVICES TOTAL FEES:4255128 FORM 990 PART IX LINE 11G DESCRIPTION:CONSULTING SERVICES TOTAL FEES:782716 FORM 990 PART IX LINE 11G DESCRIPTION:REGISTRY SERVICES TOTAL FEES:2728887 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY LABOR ADMIN SVCS TOTAL FEES:495059 FORM 990 PART IX LINE 11G DESCRIPTION:TEMPORARY OTHER LABOR SVCS TOTAL FEES:1122138 FORM 990 PART IX LINE 11G DESCRIPTION:LAUNDRY SERVICES TOTAL FEES:4444498 FORM 990 PART IX LINE 11G DESCRIPTION:CONTRACT RECURRING SERVICES TOTAL FEES:40151061 FORM 990 PART IX LINE 11G DESCRIPTION:COLLECTION FEE SERVICES TOTAL FEES:1032436 FORM 990 PART IX LINE 11G DESCRIPTION:BUS PASS SERVICES TOTAL FEES:31592 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER SERVICES TOTAL FEES:11270632 FORM 990 PART IX LINE 11G DESCRIPTION:REPAIRS & MAINTENACE SVCS TOTAL FEES:18935334 FORM 990 PART IX LINE 11G DESCRIPTION:INTERNAL SVC PROVIDER EXP TOTAL FEES:39309727 FORM 990 PART IX LINE 11G DESCRIPTION:OTHER EXPENSE RECOVERY TOTAL FEES:-1777306 PROVIDERS INSURANCE CORPORATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 710893000 NFP INSURANCE HI 501(C)(3) 11B TYPE II NA true KAPI'OLANI HEALTH FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990246364 FUNDRAISING HI 501(C)(3) 7 NA true KAPI'OLANI MEDICAL SPECIALISTS 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990322406 HEALTHCARE HI 501(C)(3) 9 NA true WILCOX HEALTH FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990204242 FUNDRAISING HI 501(C)(3) 7 NA true KAUA'I MEDICAL CLINIC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990326099 HOSPITAL HI 501(C)(3) 3 NA true STRAUB FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990109350 FUNDRAISING HI 501(C)(3) 7 NA true PALI MOMI FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 383840327 FUNDRAISING HI 501(C)(3) 7 NA true ASC PACIFIC VENTURES LLC AMBU. 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TAXABLE AS PARTNERSHIP ASC PACIFIC VENTURES, LLC EIN: 27-0540034 ADDRESS: 3000 RIVERCHASE GALLERIA, STE 500 BIRMINGHAM, AL 35244 Kapiolani Medical Ctr Women Childr 55 Merchant St 24th floor Honolulu HI 96813 990177350 KAPI Pali Momi Medical Center 55 Merchant St 24th Floor Honolulu HI 96813 990274038 PALI Straub Clinic & Hospital 55 Merchant St 24th Floor Honolulu HI 96813 912151670 STRA Wilcox Memorial Hospital 3-3420 Kuhio Hwy Lihue HI 96766 990074365 WILC