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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 KEITH MATSUMOTO MD Board of Director (Part Year) 0.3 0.2 X 0 0 0 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 41500 0 0 STEVEN AI Board of Director 0.3 0.0 X 0 0 0 ANDREW DANG MD Board of Director 40.0 0.0 X 368386 0 51299 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 Board of Director 1.2 0.0 X 36000 3500 0 AVI MANNIS Board of Director 0.2 0.0 X 0 0 0 BEAU NAKAMOTO MD Board of Director 40.0 0.0 X 255468 0 28042 KENN SARUWATARI MD Board of Director 40.0 0.0 X 247687 0 57314 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 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REVENUES 622110 1052987765 1052595724 392041 OTHER HEALTHCARE REVENUE 622110 13718087 13718087 RENTAL INCOME 531120 3618495 3618495 CAPITATION REVENUE 900099 2630294 2630294 RENTAL INCOME FROM AFFILIATES 622110 706536 706536 206199 206199 1073867376 2138851 2138851 798837 798837 0 147353 147353 0 147353 147353 57499562 108407 51486118 254167 6013444 -145760 5867684 5867684 0 0 637609 295609 255560 255560 PARKING 812930 2386619 2386619 CAFETERIA 722110 2608217 2608217 MEDICAL RECORD COPIES 622110 68239 68239 803816 803816 5866891 1092111714 1079136027 598240 9208285 X 161150 161150 0 0 0 1376690 1283315 93375 0 383811431 380757143 3054288 28081530 27734406 347124 40912295 33816758 7095537 25929472 25711842 217630 0 14758 -1640 16398 2485398 2485398 20593 20593 0 589217 589217 145659127 129228727 16430400 666453 41161 625292 141233516 140749714 483802 15047180 2821090 12226090 0 28576337 26901669 1674668 1121785 860056 261729 0 131404 111628 19776 12093248 12093248 0 33909266 33908684 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LEGISLATIVE LOBBYING ON BEHALF OF ITS MEMBERS. 151507463 418132 19077175 0 0 20605 170982165 135652768 493306 15453147 0 0 91758 151507463 138278199 1573144 -4110118 88457 135652768 114609981 1260873 22509891 102546 138278199 102107743 1339991 11175215 12968 114609981 0.96000 0.04000 0.00000 true true true 19720249 19720249 357349306 220482413 136866893 15608836 13355647 2253189 311036537 239751601 71284936 105063146 28863508 76199638 306324905 INVESTMT IN UNCONSOLIDATED SUB 4971708 F LIMITED PARTNERSHIPS 63816853 F 68788561 OTHER RECEIVABLES 5685722 BOARD DESIGNATED INVESTMENTS 16908720 INT IN NET ASSETS OF FDNS 45799455 DEPOSITS & NON-CURRENT ASSETS 6194438 INTEREST IN PERPETUAL TRUST 4952842 DECORATIVE ARTWORK 314077 INVESTMENT IN JOINT VENTURES 25000 THIRD PARTY PAYORS 13154559 PALI MOMI FOUNDATION 23728 STRAUB FOUNDATION 71335 KAUA'I MEDICAL CLINIC 222137 KAPI'OLANI HEALTH FOUNDATION 821584 KAPI'OLANI MEDICAL SPECIALISTS 53650 PROVIDER INSURANCE 371229 WILCOX FOUNDATION 109998 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39268495 12666247 26602248 0.02790 85 186042 271572069 228354918 43217151 0.04540 1 5000 5000 0.00000 3 35 415652 415652 0.00000 4 35 420652 420652 0.00000 false 25153982 2160071 127942694 140531731 -12589037 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 1 2 PALI MOMI MEDICAL CENTER 98-1079 MOANALUA ROAD AIEA HI 96701 www.hawaiipacifichealth.org/pali-momi 37-H X X X 1 3 STRAUB CLINIC & HOSPITAL 888 SOUTH KING ST HONOLULU HI 96813 www.hawaiipacifichealth.org/straub 32-H X X X X 1 4 WILCOX MEMORIAL HOSPITAL 3-3420 KUHIO HIGHWAY LIHUE HI 967661099 www.hawaiipacifichealth.org/wilcox 23-H X X X 1 1 true X X X X X X X X X 12 true true true X SEE SCHEDULE H, PART V, SECTION C X X X X X false false true true 200. true 400. true X true true X true false X X X X true X false false SCHEDULE H, PART V, LINE 3 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, LINE 4 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, LINE 5 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, LINE 7 NEEDS NOT ADDRESSED IN MOST RECENTLY CONDUCTED CHNA KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN THE FOLLOWING AREAS OF NEED IDENTIFIED IN KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN'S 2013 CHNA ARE NOT BEING ADDRESSED IN ITS CURRENT IMPLEMENTATION STRATEGY BECAUSE THEY WERE NOT SELECTED AS THE HIGHEST PRIORITY FOR KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN, BASED ON THE FOLLOWING CRITERIA: MAGNITUDE/SEVERITY OF PROBLEM, OPPORTUNITY TO INTERVENE AT PREVENTION LEVEL, ALIGNMENT WITH KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN'S MISSION/STRENGTHS/ PROGRAMS, OPPORTUNITY FOR PARTNERSHIP, SOLUTION COULD IMPACT MULTIPLE PROBLEMS, FEASIBILITY OF CHANGE, AND IMPORTANCE OF PROBLEM TO COMMUNITY. CANCER DIABETES DISABILITIES ECONOMY EDUCATION ENVIRONMENT EXERCISE, NUTRITION, & WEIGHT FAMILY PLANNING HEART DISEASE & STROKE IMMUNIZATIONS & INFECTIOUS DISEASES INJURY PREVENTION & SAFETY MENTAL HEALTH & MENTAL DISORDERS OLDER ADULTS & AGING ORAL HEALTH RESPIRATORY DISEASES SOCIAL ENVIRONMENT SUBSTANCE ABUSE & LIFESTYLE TRANSPORTATION KAPI'OLANI MEDICAL CENTER CONTINUES TO REFINE ITS IMPLEMENTATION STRATEGY THROUGH THE EXPLORATION OF NEW PROGRAMS, ENHANCEMENTS TO CURRENT PROGRAMS, AND IDENTIFICATION OF NEW PARTNERSHIPS THAT CAN STRENGTHEN THE IMPACT OF KAPI'OLANI'S COMMUNITY HEALTH IMPROVEMENT EFFORTS. PALI MOMI MEDICAL CENTER THE FOLLOWING AREAS OF NEED IDENTIFIED IN PALI MOMI MEDICAL CENTER'S 2013 CHNA ARE NOT BEING ADDRESSED IN ITS CURRENT IMPLEMENTATION STRATEGY BECAUSE THEY WERE NOT SELECTED AS THE HIGHEST PRIORITY FOR PALI MOMI MEDICAL CENTER, BASED ON THE FOLLOWING CRITERIA: PALI MOMI MEDICAL CENTER'S COMMUNITY BENEFIT RESOURCES AND EXPERTISE, MAGNITUDE/SEVERITY OF PROBLEM, OPPORTUNITY TO INTERVENE AT PREVENTION LEVEL, SOLUTION COULD IMPACT MULTIPLE PROBLEMS, FEASIBILITY OF CHANGE, AND IMPORTANCE OF PROBLEM TO COMMUNITY. ACCESS TO HEALTH SERVICES CANCER DIABETES DISABILITIES ECONOMY EDUCATION ENVIRONMENT FAMILY PLANNING IMMUNIZATIONS & INFECTIOUS DISEASES INJURY PREVENTION & SAFETY MATERNAL, FETAL & INFANT HEALTH MENTAL HEALTH & MENTAL DISORDERS OLDER ADULTS & AGING ORAL HEALTH RESPIRATORY DISEASES SOCIAL ENVIRONMENT SUBSTANCE ABUSE & LIFESTYLE TRANSPORTATION PALI MOMI MEDICAL CENTER CONTINUES TO REFINE ITS IMPLEMENTATION STRATEGY THROUGH THE EXPLORATION OF NEW PROGRAMS, ENHANCEMENTS TO CURRENT PROGRAMS, AND IDENTIFICATION OF NEW PARTNERSHIPS THAT CAN STRENGTHEN THE IMPACT OF PALI MOMI'S COMMUNITY HEALTH IMPROVEMENT EFFORTS. STRAUB CLINIC & HOSPITAL THE FOLLOWING AREAS OF NEED IDENTIFIED IN STRAUB HOSPITAL AND CLINIC'S 2013 CHNA ARE NOT BEING ADDRESSED IN ITS CURRENT IMPLEMENTATION STRATEGY BECAUSE THEY WERE NOT SELECTED AS THE HIGHEST PRIORITIES FOR STRAUB, BASED ON THE FOLLOWING CRITERIA: STRAUB CLINIC AND HOSPITAL'S COMMUNITY BENEFIT RESOURCES AND EXPERTISE, MAGNITUDE/SEVERITY OF PROBLEM, OPPORTUNITY TO INTERVENE AT PREVENTION LEVEL, SOLUTION COULD IMPACT MULTIPLE PROBLEMS, FEASIBILITY OF CHANGE, AND IMPORTANCE OF PROBLEM TO COMMUNITY. IT IS EXPECTED THAT THE TWO PRIORITIES THAT WERE SELECTED WILL INCORPORATE ACTIVITIES THAT HAVE IMPACT ON MULTIPLE TOPIC AREAS, INCLUDING CANCER, DIABETES, EXERCISE, NUTRITION, AND WEIGHT, AND RESPIRATORY DISEASE. CANCER DIABETES DISABILITIES ECONOMY EDUCATION ENVIRONMENT EXERCISE, NUTRITION & WEIGHT FAMILY PLANNING IMMUNIZATIONS & INFECTIOUS DISEASES INJURY PREVENTION & SAFETY MATERNAL, FETAL & INFANT HEALTH MENTAL HEALTH & MENTAL DISORDERS OLDER ADULTS & AGING ORAL HEALTH RESPIRATORY DISEASES SOCIAL ENVIRONMENT SUBSTANCE ABUSE & LIFESTYLE TRANSPORTATION STRAUB CLINIC & HOSPITAL CONTINUES TO REFINE ITS IMPLEMENTATION STRATEGY THROUGH THE EXPLORATION OF NEW PROGRAMS, ENHANCEMENTS TO CURRENT PROGRAMS, AND IDENTIFICATION OF NEW PARTNERSHIPS THAT CAN STRENGTHEN THE IMPACT OF STRAUB'S COMMUNITY HEALTH IMPROVEMENT EFFORTS. WILCOX MEMORIAL HOSPITAL THE FOLLOWING AREAS OF NEED IDENTIFIED IN WILCOX MEMORIAL HOSPITAL'S 2013 CHNA ARE NOT BEING ADDRESSED IN ITS CURRENT IMPLEMENTATION STRATEGY, BECAUSE THEY WERE NOT SELECTED AS PRIORITIES FOR WILCOX BASED ON THE FOLLOWING CRITERIA: WILCOX MEMORIAL HOSPITAL'S CURRENT COMMUNITY BENEFIT RESOURCES AND AREAS OF EXPERTISE, MAGNITUDE/SEVERITY OF PROBLEM, OPPORTUNITY TO INTERVENE AT PREVENTION LEVEL, OPPORTUNITY FOR PARTNERSHIP, SOLUTION COULD IMPACT MULTIPLE PROBLEMS, FEASIBILITY OF CHANGE, AND IMPORTANCE OF PROBLEM TO COMMUNITY. IT IS EXPECTED THAT THE TWO PRIORITIES THAT WERE SELECTED WILL INCORPORATE ACTIVITIES THAT HAVE IMPACT ON MULTIPLE TOPIC AREAS, INCLUDING CANCER, DIABETES, HEART DISEASE, STROKE AND IMMUNIZATIONS & INFECTIOUS DISEASES. CANCER DIABETES DISABILITIES ECONOMY EDUCATION ENVIRONMENT FAMILY PLANNING HEART DISEASE & STROKE IMMUNIZATIONS & INFECTIOUS DISEASES INJURY PREVENTION & SAFETY MATERNAL, FETAL & INFANT HEALTH MENTAL HEALTH OLDER ADULTS & AGING ORAL HEALTH RESPIRATORY DISEASES SOCIAL ENVIRONMENT SUBSTANCE ABUSE & LIFESTYLE TRANSPORTATION WILCOX MEMORIAL HOSPITAL CONTINUES TO REFINE ITS IMPLEMENTATION STRATEGY THROUGH THE EXPLORATION OF NEW PROGRAMS, ENHANCEMENTS TO CURRENT PROGRAMS, AND IDENTIFICATION OF NEW PARTNERSHIPS THAT CAN STRENGTHEN THE IMPACT OF WILCOX'S COMMUNITY HEALTH IMPROVEMENT EFFORTS. SCHEDULE H, PART V, LINE 14G 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, LINE 20D 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. SCHEDULE H, PART V, LINE 21 POSSIBLE FOR PARTIAL FINANCIAL ASSISTANCE PATIENTS, DEPENDING ON THE SIZE OF THE ACCOUNT, THE SERVICES PROVIDED, AND THE DISCOUNT PERCENTAGE FOR THE PATIENT. 20 PEARLRIDGE CLINIC 98-151 PALI MOMI STREET 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 HONOLULU HI 96826 CLINIC MILILANI CLINIC 95-1249 MEHEULA PKWY UNIT 187 MILILANI HI 96789 CLINIC HAWAI'I KAI CLINIC 7192 KALANIANAOLE HIGHWAY STE A200 HONOLULU HI 96825 CLINIC DOCS ON CALL-PRINCESS KAIULANI HOTEL 120 KAIULANI AVE LOBBY LEVEL HONOLULU HI 96815 CLINIC WINDWARD MALL CLINIC 46-056 KAMEHAMEHA HWY SUITE 221 KANEOHE HI 96744 CLINIC PALI MOMI CLINIC 98-1079 MOANALUA ROAD STE 640/630/ AIEA HI 96701 CLINIC KAILUA CLINIC 602 KAILUA ROAD SUITE 200 KAILUA HI 96734 CLINIC LANAI CLINIC 628-B SEVENTH STREET LANAI CITY HI 96763 CLINIC KONA CLINIC 75-240 NANI KAILUA DRIVE STE 6B KAILUAKONA HI 96740 CLINIC ARTESIAN SATELLITE 1907 BERETANIA ST 5TH FLOOR HONOLULU HI 96826 CLINIC RESTAURANT ROW CLINIC 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 KAPOLEI CLINIC 590 FARRINGTTON HIGHWAY STTE 526A KAPOLEI HI 96707 CLINIC KUAKINI CLINIC 321 NORTH KUAKINI STREET STE 504 HONOLULU HI 96817 CLINIC HILO CLINIC 75 PUUHONU PLACE STTE 207 HILO HI 96720 CLINIC KAPI'OLANI HAWAI'I COMMUNITY GENETICS 1441 KAPIOLANI BLVD 18TH FLOOR HONOLULU HI 96814 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 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 2011, STRAUB SPENT $409,912 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 2014, KAPI'OLANI HAD 56,138 IMAGING PROCEDURES, 36,330 WOMEN'S CENTER PROCEDURES, 44,424 ER VISITS, AND 17,116 INPATIENT ADMISSIONS. ITS GEOGRAPHIC SERVICE AREA IS THE ENTIRE PACIFIC BASIC 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 2014, PALI MOMI HAD 116,535 IMAGING PROCEDURES, 66,009 ER VISITS, 44,205 WOMEN'S CENTER PROCEDURES, AND 6,797 INPATIENT ADMISSIONS. PALI MOMI'S GEOGRAPHIC SERVICE AREA IS PRIMARILY CENTRAL, 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 2014, STRAUB HAD 113,418 IMAGING PROCEDURES, 29,571 ER VISITS, AND 6,908 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 22 SPECIALTIES AND A FULL SUITE OF SERVICES RANGING FROM EMERGENCY, OB/GYN AND PEDIATRICS TO CARDIOLOGY, GASTROENTEROLOGY, INTERNAL MEDICINE, FAMILY PRACTICE, ORTHOPEDICS, NEUROLOGY, URGENT CARE AND WOMEN'S SERVICES. IN FISCAL YEAR 2014, WILCOX HAD 61,295 IMAGING PROCEDURES, 24,478 ER VISITS, AND 3,447 INPATIENT ADMISSIONS. WILCOX'S GEOGRAPHIC SERVICE AREA IS THE ISLAND OF KAUA'I. DEMOGRAPHICS OF THE KAUA'I COMMUNITY IN FISCAL YEAR 2014 INCLUDE A POPULATION OF APPROXIMATELY 67,000 (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. 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, THE STATE'S LARGEST HEALTH CARE PROVIDER, 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, 50 OUTPATIENT CLINICS AND SERVICE SITES, AND 1,800 AFFILIATED PHYSICIANS. THE HOSPITALS PROVIDE ACUTE AND SPECIALTY CARE WITH 566 BEDS, AND HANDLED 34,268 ADMISSIONS IN FISCAL YEAR 2014. 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 2014, KAPI'OLANI INVESTED $4,133,000 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 2014, PALI MOMI MEDICAL CENTER RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION GET WITH THE GUIDELINES GOLD AWARD FOR STROKE AND TARGET STROKE AWARD. PALI MOMI FOCUSES ON MEETING THE NEEDS OF CENTRAL AND WEST O'AHU AND THE NORTH SHORE. IN FISCAL YEAR 2014, IT HOSTED FREE COMMUNITY HEALTH EVENTS, FROM FAMILY AND SENIOR HEALTH FAIRS TO SUPPORT GROUPS TO GLUCOSE MONITORING AND BLOOD PRESSURE SCREENINGS. IT ALSO PARTNERED WITH AN AREA HIGH SCHOOL TO PROVIDE AED AND CPR TRAINING FOR ITS STAFF AND STUDENTS. 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 2014, 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," "LIVING HEALTHY IN PARADISE," "WOMEN'S WAY TO HEALTH," "CANCER CARE," "BREATHE WITH EASE," "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 37TH YEAR. WILCOX MEMORIAL HOSPITAL IS DEDICATED TO PROVIDING KAUA'I WITH AFFORDABLE AND ACCESSIBLE HEALTH CARE. IN 2014, 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 2014, ITS HEALTH EDUCATION, PREVENTION PROGRAMS AND SUPPORT GROUPS FOCUSED ON DIABETES, 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," "KOLOA SUGAR MILL RUN," AND KAUAI LIFE GUARD ASSOCIATION'S "FIRST WAVE." WILCOX ALSO PROVIDED PHYSICIAN SUPPORT FOR LOCAL HIGH SCHOOL FOOTBALL TEAMS. SCHEDULE H, PART VI, LINE 7 STATE FILING OF COMMUNITY BENEFIT REPORT N/A true UNIVERSITY OF HAWAI'I FOUNDATION 2444 DOLE STREET BACHMAN HALL 105 HONOLULU HI 96822 990085260 501(C)(3) 50000 GENERAL SUPPORT CENTRAL UNION PRESCHOOL 1660 S BERETANIA ST HONOLULU HI 96826 990076013 501(C)(3) 21000 GENERAL SUPPORT UCERA 677 ALA MOANA BLVD 1001 HONOLULU HI 96813 990307152 501(C)(3) 23450 GENERAL SUPPORT 3 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. ORGANIZATIONS. true true false false false false false false false THOMAS J NORDYKE MD Board of Director, Vice Chair 242203 0 8000 0 3548 0 27111 0 15015 0 295877 0 0 0 JOHN CULLINEY MD Board of Director, Vice Chair 0 406395 0 24000 0 2322 0 33200 0 17384 0 483301 0 0 ANDREW DANG MD Board of Director 364305 0 3000 0 1081 0 27700 0 23599 0 419685 0 0 0 BEAU NAKAMOTO MD Board of Director 236613 0 15435 0 3420 0 27697 0 345 0 283510 0 0 0 KENN SARUWATARI MD Board of Director 222324 0 23000 0 2363 0 32973 0 24341 0 305001 0 0 0 R CRAIG NETZER Board of Director 0 154776 0 0 0 3430 0 13961 0 5824 0 177991 0 0 MARTHA SMITH Board of Director, CEO 0 340763 0 112419 0 72485 0 119970 0 15190 0 660827 0 53953 JENNIE CHAHANOVICH Board of Director, CEO 0 272266 0 60418 0 54769 0 90318 0 12390 0 490161 0 42599 RAYMOND P VARA JR Board of Director, President 0 780906 0 445327 0 264495 0 372504 0 20970 0 1884202 0 267684 KATHLEEN CLARK PRES & CEO 0 232849 0 73134 0 40031 0 84561 0 5950 0 436525 0 26779 KENNETH B ROBBINS MD B.O.D., EVP & CMO 0 423048 0 175124 0 160442 0 198028 0 17927 0 974569 0 142030 ARTHUR GLADSTONE B.O.D., CEO/VP & System CNE 0 303773 0 94105 0 69498 0 95116 0 20167 0 582659 0 43420 DAVID OKABE EVP, CFO & Treasurer 0 429188 0 177313 0 177171 0 161473 0 13890 0 959035 0 131479 GAIL LERCH EVP 0 339750 0 178172 0 88207 0 153400 0 14690 0 774219 0 98708 VIRGINIA PRESSLER-FISHER MD EVP 0 332773 0 137886 0 116338 0 164622 0 19716 0 771335 0 116500 CHARLES R CHING EVP, Gen Counsel & Secretary 0 325455 0 173692 0 160676 0 155468 0 5082 0 820373 0 103184 STEVEN ROBERTSON EVP & CIO 0 348031 0 144488 0 135351 0 158680 0 18822 0 805372 0 114115 MELINDA ASHTON MD SVP & CQO 0 316112 0 61720 0 63787 0 94270 0 11481 0 547370 0 38079 EARL INOUYE VP & System Controller 0 236093 0 41827 0 39770 0 59398 0 19987 0 397075 0 25156 WARREN CHAIKO VP 0 214407 0 35180 0 31520 0 45308 0 21130 0 347545 0 19056 SUSAN MASUMOTO-NONAKA VP 0 203579 0 45404 0 59773 0 52261 0 14170 0 375187 0 17791 DAWN CHING VP 0 197909 0 33714 0 19790 0 41544 0 18272 0 311229 0 16857 GIDGET RUSCETTA RN VP 0 192006 0 30618 0 41887 0 45965 0 12841 0 323317 0 15309 PAULA DIAS VP 0 200559 0 32971 0 30987 0 48494 0 12935 0 325946 0 16524 MAUREEN FLANNERY VP 0 199441 0 61095 0 18169 0 46887 0 16999 0 342591 0 33460 MAVIS NIKAIDO VP & CNE 0 195101 0 36380 0 19091 0 43045 0 5915 0 299532 0 18190 BRIGITTE MCKALE VP & CNE 0 186436 0 28453 0 13278 0 42284 0 12504 0 282955 0 14227 PATRICIA BOECKMANN RN VP & CNE 0 262152 0 44438 0 29365 0 57268 0 18872 0 412095 0 27722 RANDY YATES MD CMO 0 315788 0 49131 0 24902 0 61349 0 5950 0 457120 0 24566 DAVID FOX Privacy & Information Security 0 123225 0 0 0 0 0 23498 0 18576 0 165299 0 0 KATIE SHIGEMITSU Compliance Officer 0 169283 0 0 0 76 0 25170 0 13300 0 207829 0 0 CASS K NAKASONE MD PHYSICIAN 863726 0 7000 0 1858 0 27700 0 17384 0 917668 0 0 0 HINGSON M CHUN MD PHYSICIAN 718792 0 63000 0 1390 0 27700 0 16355 0 827237 0 0 0 KENNETH LEE MD PHYSICIAN 649226 0 3000 0 16593 0 27700 0 1345 0 697864 0 0 0 MARK S GERBER MD PHYSICIAN 739362 0 4846 0 1242 0 27700 0 7024 0 780174 0 0 0 ROBERT SCHULZ MD PHYSICIAN 711978 0 23071 0 15271 0 33200 0 17211 0 800731 0 0 0 CHARLES A STED FORMER OFFICER 0 144326 0 0 0 1481122 0 32947 0 2161 0 1660556 0 28913 KEOKI CLEMENTE FORMER OFFICER 0 136276 0 13776 0 0 0 2665 0 16874 0 169591 0 0 ANN PETERS VP (PART YEAR) 0 181463 0 28390 0 23388 0 18625 0 18849 0 270715 0 14195 LYNNE JOHNSON-JOSEPH FORMER OFFICER 0 169102 0 26761 0 37458 0 36388 0 12351 0 282060 0 13381 HUGH N HAZENFIELD MD FORMER OFFICER 0 250258 0 44196 0 14114 0 60483 0 11793 0 380844 0 27005 THERESA RAMEY FORMER OFFICER 0 116373 0 0 0 0 0 23040 0 6475 0 145888 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 - $999,598 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 - $14,743 JENNIE CHAHANOVICH - $12,390 RAYMOND P. VARA JR. - $70,020 KATHLEEN CLARK - $2,712 KENNETH B. ROBBINS, M.D. - $54,468 ARTHUR GLADSTONE - $11,367 DAVID OKABE - $42,822 GAIL LERCH - $29,622 VIRGINIA PRESSLER-FISHER, M.D. - $47,557 CHARLES R. CHING - $36,337 STEVEN ROBERTSON - $41,870 MELINDA ASHTON, M.D. - $12,219 EARL INOUYE - $4,242 WARREN CHAIKO - $1,466 SUSAN MASUMOTO-NONAKA - $89 PATRICIA BOECKMANN, R.N. - $5,503 HUGH N. HAZENFIELD, MD - $4,907 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 - $78,419 JENNIE CHAHANOVICH - $60,418 RAYMOND P. VARA JR. - $395,327 KATHLEEN CLARK - $48,134 KENNETH B. ROBBINS, M.D. - $175,124 ARTHUR GLADSTONE - $64,105 DAVID OKABE - $177,313 GAIL LERCH - $138,172 VIRGINIA PRESSLER-FISHER, M.D. - $137,886 CHARLES R. CHING - $133,692 STEVEN ROBERTSON - $144,488 MELINDA ASHTON, M.D. - $51,720 EARL INOUYE - $41,827 WARREN CHAIKO - $35,180 SUSAN MASUMOTO-NONAKA - $35,404 DAWN CHING - $33,714 GIDGET RUSCETTA, R.N. - $30,618 MAUREEN FLANNERY - $33,459 MAVIS NIKAIDO - $36,380 BRIGITTE MCKALE - $28,453 PATRICIA BOECKMANN, R.N. - $44,438 RANDY YATES, M.D. - $49,131 ANN PETERS - $28,390 LYNNE JOSEPH - $26,761 HUGH N. HAZENFIELD, MD - $44,196 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. UNITED LAUNDRY SEE PART V 1034678 PAYMENT FOR LAUNDRY SERVICES false PACIFIC MEDICAL COLLECTIONS SEE PART V 311008 PAYMENT FOR MEDICAL COLLECTION false UNITED LAUNDRY SEE PART V 1119306 PAYMENT FOR LAUNDRY SERVICES false PACIFIC MEDICAL COLLECTIONS SEE PART V 174744 PAYMENT FOR MEDICAL COLLECTION false UNITED LAUNDRY SEE PART V 1179504 PAYMENT FOR LAUNDRY SERVICES false PACIFIC MEDICAL COLLECTIONS SEE PART V 179380 PAYMENT FOR MEDICAL COLLECTION false FORM 990, SCHEDULE L, PART VI, COLUMN B 1) TREASURER IS EVP/CFO/TREAS OF SCH - OKABE 2) DIRECTOR IS EVP/CIO OF SCH - ROBERTSON 3) TREASURER IS EVP/CFO/TREAS OF PMMC - OKABE 4) DIRECTOR IS EVP/CIO OF PMMC - ROBERTSON 5) TREASURER IS EVP/CFO/TREAS OF KMCWC - OKABE 6) DIRECTOR IS EVP/CIO OF KMCWC - ROBERTSON X MISCELLANEOUS ITEMS 2 74568 FMV 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 2014, HAWAI'I PACIFIC HEALTH SPENT $40,147,515 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 2014, KAPI'OLANI DELIVERED 6,050 BABIES, OR 55% OF AVAILABLE REPORTED O'AHU BIRTHS. THE WOMEN'S CENTER PERFORMED 36,330 PROCEDURES. STRAUB'S MAIN HOSPITAL AND ALL FAMILY HEALTH CENTERS HAVE UPGRADED TO DIGITAL MAMMOGRAPHY. 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 HAS GYNECOLOGY SERVICES, PRIMARILY FOR THE CENTRAL, WEST O'AHU AND NORTH SHORE COMMUNITIES, INCLUDING HYSTERECTOMIES, OB/GYN ULTRASOUNDS, UROLOGY, AND INFUSION CHEMOTHERAPY. IN FISCAL YEAR 2014, PALI MOMI'S WOMEN'S CENTER PERFORMED 44,205 PROCEDURES, NEARLY DOUBLE THE NUMBER PERFORMED IN FISCAL YEAR 2012. THE SIGNIFICANT GROWTH IN PROCEDURES REFLECTS THE WOMEN'S CENTER'S FIRST FULL YEAR AS AN EXPANDED FACILITY AT THE NEW PALI MOMI MEDICAL PAVILION. IN ORDER TO ACCOMMODATE THE INCREASE IN PATIENTS IN FISCAL YEAR 2013, PALI MOMI PURCHASED A SECOND TOMOSYNETHESIS MACHINE. THE ADDITIONAL MACHINE LOWERED WAIT TIME FOR PATIENTS IN NEED OF THIS TYPE OF BREAST EVALUATION. 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 2014, HAWAI'I PACIFIC HEALTH HOSPITALS AND CLINICS SPENT $50,415,244 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 2014, KAPI'OLANI PERFORMED 5,611 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 2014, STRAUB PERFORMED 3,267 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 2014, PALI MOMI PERFORMED 4,571 OUTPATIENT SURGERIES. PALI MOMI ADDED THE DA VINCI FIREFLY ROBOT-AIDED SYSTEM TO THEIR 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. 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 2014, WILCOX PERFORMED 6,555 OUTPATIENT SURGERIES. PROGRAM SERVICE #3 OUTPATIENT EMERGENCY ROOMS IN FISCAL YEAR 2014, HAWAI'I PACIFIC HEALTH HOSPITALS SAW 164,482 ER PATIENTS AND SPENT $52,214,524 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 2014, THE KAPI'OLANI ER RECEIVED 44,424 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 2014, THE STRAUB ER RECEIVED 29,571 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 2014, THE PALI MOMI ER RECEIVED 66,009 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 2014, THE WILCOX ER RECEIVED 24,478 PATIENTS. PROGRAM SERVICE #4 HAWAI'I PACIFIC HEALTH IS THE STATE'S LARGEST HEALTH CARE PROVIDER WITH FOUR HOSPITALS, MORE THAN 50 OUTPATIENT CLINICS AND SERVICE SITES, 1,800 AFFILIATED PHYSICIANS, 6,400+ 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 2014, THE HOSPITALS ADMITTED 34,268 PATIENTS FOR A TOTAL OF 175,175 PATIENT DAYS. KAUA'I MEDICAL CLINIC HAD 311,746 TOTAL CLINIC ENCOUNTERS. KAPI`OLANI MEDICAL SPECIALISTS HAD 88,286 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 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 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 2014, HAWAI'I PACIFIC HEALTH SPENT $8.4 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 HE 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, LINE 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 MARCH 3, 2014 TO REVIEW PHYSICIAN COMPENSATION AND ON AUGUST 22, 2014 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 IX, LINE 11G OTHER FEES FOR SERVICES $ 26,829,390 - PHYSICIAN SERVICES $ 4,818,499 - MEDICAL SERVICES $ 723,125 - CONSULTING SERVICES $ 4,165,826 - REGISTRY SERVICES $ 496,145 - TEMPORARY LABOR ADMIN SERVICES $ 648,537 - TEMPORARY OTHER LABOR SERVICES $ 4,733,143 - LAUNDRY SERVICES $ 40,498,932 - CONTRACT AND RECURRING SERVICES $ 1,194,056 - COLLECTION SERVICES $ 10,398,583 - OTHER SERVICES $ 17,436,069 - REPAIRS & MAINTENANCE $ 37,497,120 - INTERNAL SERVICES PROVIDED EXPENSE $ (3,811,433)- OTHER EXPENSE RECOVERY $ 31,135 - BUS PASS SERVICES ------------- $145,659,127 - TOTAL OTHER FEES FOR SERVICES FORM 990, PART XI, LINE 9 RECONCILIATION OF NET ASSETS OBLIGATED GROUP INTERCOMPANY TRANSFERS $ (78,143,432) CHANGE IN INTEREST IN KHF/WHF $ 10,019,304 CHANGE IN INTEREST IN PERPETUAL TRUSTS $ 233,401 ROUNDING $ 4 ------------- TOTAL $ (67,890,723) 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. SURG. CNTR AL NA HAWAI'I PACIFIC HEALTH PARTNERS INC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990318588 HOLDING COMPA HI NA C CORP true STRAUB PHARMACY INC 888 SOUTH KING STREET HONOLULU HI 96813 990145107 INACTIVE HI SCH C CORP -17437 4971708 1.00000 true HICORD INC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990251496 INVESTMENT HI NA C-CORP CHARITABLE REMAINDER TRUST (1) NA false false false true false false false false false false true false false false false true true true true true PROVIDERS INSURANCE CORPORATION R 1951239 FMV KAPI'OLANI HEALTH FOUNDATION C 1400483 FMV KAPI'OLANI MEDICAL SPECIALISTS Q 7822121 FMV KAPI'OLANI MEDICAL SPECIALISTS S 130151 FMV KAPI'OLANI MEDICAL SPECIALISTS P 281133 FMV KAUA'I MEDICAL CLINIC S 88768 FMV PROVIDERS INSURANCE CORPORATION R 515091 FMV WILCOX HEALTH FOUNDATION C 320712 FMV KAUA'I MEDICAL CLINIC S 64083 FMV KAUA'I MEDICAL CLINIC P 1683344 FMV PROVIDERS INSURANCE CORPORATION R 3214547 FMV KAPI'OLANI MEDICAL SPECIALISTS R 56742 FMV STRAUB FOUNDATION C 218522 FMV KAUA'I MEDICAL CLINIC Q 122391 FMV KAUA'I MEDICAL CLINIC R 124468 FMV HAWAI'I HEALTH PARTNERS S 94752 FMV PROVIDERS INSURANCE CORPORATION R 815292 FMV PALI MOMI FOUNDATION C 73034 FMV KAUA'I MEDICAL CLINIC Q 62822 FMV SCHEDULE R, PART III RELATED ORG. 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