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HAWAII PACIFIC HEALTH: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HAWAII PACIFIC HEALTH (EIN 99-0246363)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-08
IRS object ID
201421289349301557
Schema version
2012v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-08T12:06:04-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line14370 LA JOLLA VILLAGE DR STE 500AddressLine1
CitySAN DIEGOCity
StateCAState
ZIP Code92122ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN990246363EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HAWAI'I PACIFIC HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% DONNA MASUDA-KAMInCareOfName
Name ControlHAWANameControl
Phone8085357401Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1
Address Line2SuiteAddressLine2
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEARL INOUYEName
TitleVP & SYSTEM CONTROLLERTitle
Date Signed2014-05-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8585357200Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRAYMOND VARANameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Gross Receipts155487317GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HAWAIIPACIFICHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionHAWAI'I PACIFIC HEALTH IS A NONPROFIT HEALTH CARE SYSTEM THAT IS COMMITTED TO PROVIDING THE HIGHEST QUALITY & MOST ACCESSIBLE MEDICAL CARE AND SERVICE TO THE PEOPLE OF HAWAI'I AND THE PACIFIC REGION.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees961TotalNbrEmployees
Total Nbr Volunteers8TotalNbrVolunteers
Total Gross UBI97441TotalGrossUBI
Net Unrelated Business Txbl Income43890NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7648960ContributionsGrantsPriorYear
Contributions Grants Current Year7456249ContributionsGrantsCurrentYear
Program Service Revenue Prior Year110097494ProgramServiceRevenuePriorYear
Program Service Revenue CY119799435ProgramServiceRevenueCY
Investment Income Prior Year1655337InvestmentIncomePriorYear
Investment Income Current Year3732202InvestmentIncomeCurrentYear
Other Revenue Prior Year29730OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year119431521TotalRevenuePriorYear
Total Revenue Current Year130987886TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year340805GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY310675GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year75375523SalariesEtcPriorYear
Salaries Etc Current Year86524988SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2135500TotalFundrsngExpCurrentYear
Other Expense Prior Year45426531OtherExpensePriorYear
Other Expenses Current Year47946078OtherExpensesCurrentYear
Total Expenses Prior Year121142859TotalExpensesPriorYear
Total Expenses Current Year134781741TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-1711338RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-3793855RevenuesLessExpensesCY
Total Assets BOY292991218TotalAssetsBOY
Total Assets EOY347036298TotalAssetsEOY
Total Liabilities BOY470909782TotalLiabilitiesBOY
Total Liabilities EOY433995416TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-177918564NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-86959118NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense72732124Expense
Grants310675Grants
Revenue119701994Revenue
DescriptionSEE SCHEDULE O.Description
Total Program Service Expense72732124TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096388NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees961NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledHIStatesWhereCopyOfReturnIsFiled
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDONNA MASUDA-KAMNamePerson
Telephone Number8085357355TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
KAREN CHANG
Board of Director, Chair0.50.0XX000
KENN SARUWATARI MD
Board of Director, Vice Chair0.440.0XX024164753266
LAURIE FOSTER
Board of Director0.40.0X000
MICHAEL GIBSON ESQ
Board of Director0.40.0X000
DALE GLENN MD
Board of Director0.440.0X024597943147
JAMES KAKUDA MD
Board of Director0.40.2X6000350000
ANDREW KAWANO
Board of Director0.60.0X000
LYNN MCCRORY
Board of Director0.60.2X000
KENNETH T NAKAMURA MD
Board of Director1.020.0X156508038531
DENNIS SCHEPPERS MD
Board of Director0.440.0X024965336140
LYLE TABATA
Board of Director0.60.0X000
HOWARD TODO
Board of Director0.60.0X000
RAYMOND P VARA JR
Board of Director, Pres. & CEO35.030.0XX11832710318255
MARK WONG
Board of Director0.30.0X000
GERI YOUNG MD
Board of Director0.460.0X428148056653
FAYE KURREN
Board of Director (PART YEAR)0.30.2X000
CHARLES A STED
Board of Director (PART YEAR)40.020.0X1733229045535
DAVID OKABE
EVP, CFO & Treasurer35.020.0X7357880156303
KENNETH B ROBBINS MD
EVP & CMO10.050.0X7376540190882
CHARLES R CHING
EVP, General Counsel & Secreta38.022.0X5616510117352
EARL INOUYE
VP & System Controller25.030.0X306408075801
JESSICA LEWIS
Assistant Corporate Secretary40.02.0X112417015739
VIRGINIA PRESSLER-FISHER MD
EVP45.014.0X5944210149714
GAIL LERCH
EVP45.015.0X6045060143372
STEVEN ROBERTSON
EVP & CIO15.045.0X6014320148329
WARREN CHAIKO
VP15.040.0X282180053128
SUSAN MASUMOTO-NONAKA
VP20.040.0X257284044923
ARTHUR GLADSTONE
VP & CNE5.050.0X399942075634
KEKA SANBORN
VP50.08.0X27652202032
MARTHA SMITH
VP0.459.0X481844099117
JENNIE CHAHANOVICH
VP0.454.0X371849068023
MELINDA ASHTON MD
VP40.09.0X401315070584
ANN PETERS
VP45.05.0X215560047705
KATIE SHIGEMITSU
Compliance Officer0.140.0X173263037971
DAVID FOX
Privacy & Information Security3.037.0X118231040863
COLBERT YF SETO
Director of IT40.00.0219076046291X
PATRICIA ANN BOECKMANN
CNE & VP1.051.0337230060733X
HUGH N HAZENFIELD MD
CMO0.132.0301869051917X
KATHLEEN A CLARK
CEO OF WMH0.160.0291712045173X
PAULA DIAS
VP45.09.0245882042343X
DAWN A CHING
VP0.160.0235253049793X
FieldValueIRS element (for citing)
Total Reportable Comp From Org12370445TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs772279TotalReportableCompFrmRltdOrgs
Total Other Compensation2425249TotalOtherCompensation
Number Individuals GT100 K133NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EPIC SYSTEMS CORPORATION
PO BOX 88314MILWAUKEEWI532880314MEDICAL RECORD SYS4253175
LAWSON SOFTWARE AMERICAS - USD
C/O CITY BANK PO BOX 1450CARL STREAMIL601322395ERP SYSTEM2915728
INFOR US INC
NW7418 PO BOX 1450MINNEAPOLISMN554857418ERP SYSTEM1203090
PREMIER INC
5882 COLLECTIONS CENTER DRIVECHICAGOIL60693SFTWARE SUBSCRIPTION1194732
PACXA
PO BOX 3347HONOLULUHI96801COMPUTER EQUIP/SVCS1024596
FieldValueIRS element (for citing)
Number Of Contractors GT100 K57NumberOfContractorsGT100K
Related Organizations51845RelatedOrganizations
Government Grants7368355GovernmentGrants
All Other Contributions36049AllOtherContributions
Total Contributions7456249TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
ADMIN/MGMT SVC TO TAX EXEMPT AFFILIATES56100011858799911849055897441
CLINICAL TRIALS541710221653221653
INDIRECT COSTS900099737990737990
NET PATIENT REVENUES624190323256323256
RESTRICTED CASH ADJUSTMENTS900099-71463-71463
FieldValueIRS element (for citing)
Total Program Service Revenue119799435TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2945331TotalRevenueColumn
Exclusion$2,945,331ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities25284502Securities
Other1800Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities24194894Securities
Other304537Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1089608Securities
Other-302737Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column786871TotalRevenueColumn
Exclusion$786,871ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column130987886TotalRevenueColumn
Related Or Exempt Function Income119701994RelatedOrExemptFunctionIncome
Unrelated Business Revenue97441UnrelatedBusinessRevenue
Exclusion$3,732,202ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total310675Total
Program Services310675ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total10842411Total
Program Services7589688ProgramServices
Management And General3252723ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total58123997Total
Program Services24628859ProgramServices
Management And General32045376ManagementAndGeneral
Fundraising1449762Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7115154Total
Program Services3513904ProgramServices
Management And General3447323ManagementAndGeneral
Fundraising153927Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6175766Total
Program Services5296935ProgramServices
Management And General588811ManagementAndGeneral
Fundraising290020Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4267660Total
Program Services2547943ProgramServices
Management And General1622273ManagementAndGeneral
Fundraising97444Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1745346Total
Management And General1745346ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total103245Total
Management And General103245ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total57600Total
Management And General57600ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total131300Total
Management And General131300ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total10301860Total
Program Services5774101ProgramServices
Management And General4500211ManagementAndGeneral
Fundraising27548Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2653790Total
Program Services1884ProgramServices
Management And General2651906ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1123259Total
Program Services367379ProgramServices
Management And General755803ManagementAndGeneral
Fundraising77Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total9030093Total
Program Services3634471ProgramServices
Management And General5395622ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4571831Total
Program Services4466563ProgramServices
Management And General105268ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total686320Total
Program Services266651ProgramServices
Management And General419669ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total474395Total
Program Services227575ProgramServices
Management And General246820ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1177634Total
Program Services1177634ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total5339901Total
Program Services4922285ProgramServices
Management And General304535ManagementAndGeneral
Fundraising113081Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total-387930Total
Program Services-495252ProgramServices
Management And General107322ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROGRAM SERVICES EXPENDITURES75484517548451
OTHER PURCHASES215009383077513156773641
OTHER EXPENSES12388901216031117287

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total134781741Total
Program Services72732124ProgramServices
Management And General59914117ManagementAndGeneral
Fundraising2135500Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY68190788BOY
EOY100257098EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1216156BOY
EOY2201663EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY2389251BOY
EOY2191101EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis105825902LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec63392332LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33845421BOY
EOY42433570EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY63832906BOY
EOY69917621EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY48964751BOY
EOY59645551EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY74551945BOY
EOY70389694EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY292991218BOY
EOY347036298EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20959736BOY
EOY27686743EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY237887115BOY
EOY237936168EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY212062931BOY
EOY168372505EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY470909782BOY
EOY433995416EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-184743694BOY
EOY-94301556EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY4458890BOY
EOY5076503EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2366240BOY
EOY2265935EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-177918564BOY
EOY-86959118EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY292991218BOY
EOY347036298EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-3793855ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-2805272ReconciliationUnrealizedInvest
Reconcilation Other Changes97558573ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (4 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN
99017735003truetruetrue$19,357,923
PALI MOMI MEDICAL CENTER
99027403803truetruetrue$18,760,066
WILCOX MEMORIAL HOSPITAL
99007436503truetruetrue$6,307,215
STRAUB CLINIC & HOSPITAL
91215167003truetruetrue$16,997,330
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts61422534SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$57,600OtherActivitiesAmount
Total Lobbying Expenditures IIB57600TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITYIdentifier
Return ReferencePART II-B, LINE 11ReturnReference
ExplanationA REGISTERED LOBBYIST (LINDA CHU-TAKAYAMA) PROVIDES GENERAL ADVICE ON LEGISLATIVE ACTIVITIES INCLUDING INFORMATION AND INSIGHT ON LEGISLATIVE ACTIONS THAT MAY BE OF INTEREST TO Hawai'i PACIFIC HEALTH ("HPH"). THE INDIVIDUAL ALSO PROVIDES GUIDANCE AND INSIGHT ON HOW TO NEGOTIATE THROUGH THE LEGISLATIVE PROCESS WHEN TRYING TO PASS LEGISLATION AS WELL AS INFORMATION AND INSIGHT ON THE GENERAL ACTIVITIES OF WHAT'S HAPPENING AT THE LEGISLATURE. THE INDIVIDUAL DOES SPEAK TO LEGISLATORS, SOMETIMES ON BEHALF OF LEGISLATION OR ISSUES IN WHICH HPH HAS AN INTEREST. THE INDIVIDUAL ALSO HAS AN INPUT ON HPH'S OVERALL LEGISLATIVE/COMMUNITY COMMUNICATION PLAN BUT DOES NOT SEND MAILINGS OUT TO LEGISLATORS OR THE PUBLIC ON HPH'S BEHALF.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance14810400BeginningOfYearBalance
Other Expenditures493306OtherExpenditures
End Of Year Balance14317094EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance16383544BeginningOfYearBalance
Other Expenditures1573144OtherExpenditures
End Of Year Balance14810400EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance17644417BeginningOfYearBalance
Other Expenditures1260873OtherExpenditures
End Of Year Balance16383544EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance18984408BeginningOfYearBalance
Other Expenditures1339991OtherExpenditures
End Of Year Balance17644417EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance22012121BeginningOfYearBalance
Other Expenditures3027713OtherExpenditures
End Of Year Balance18984408EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis11830533OtherCostOrOtherBasis
Book Value11830533BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1285053OtherCostOrOtherBasis
Depreciation1018400Depreciation
Book Value266653BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9116658OtherCostOrOtherBasis
Depreciation8803193Depreciation
Book Value313465BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis37263312OtherCostOrOtherBasis
Depreciation31284959Depreciation
Book Value5978353BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis46330345OtherCostOrOtherBasis
Depreciation22285779Depreciation
Book Value24044566BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings42433570TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value29687179BookValue
Method Of ValuationFMethodOfValuation

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HPH BOARD DESIGNATED4996666F
UNRESTRICTED INVESTMENT24961706F
FieldValueIRS element (for citing)
Total Of Book Value Securities59645551TotalOfBookValueSecurities

Other Assets OtherAssets (19 entries)

DescriptionDescriptionBook ValueBookValue
DEFERRED CHARGE - RETIREMENT569849
DEFERRED CHARGE-TK571072010
DEFERRED CHARGE-LEASE/DEPOSITS64159
DEFERRED BOND ISSUANCE COSTS3995668
OTHER RECEIVABLES600643
DEFERRED CHARGES-CAPITAL ACCUM55823
SECURITY PLEDGE FOR CREDITORS4730000
BENEFICIAL INTEREST-FDN ASSETS54292460
INVESTMENT LIFE INS CSV_FHB4029715
KAPI'OLANI HEALTH FOUNDATION153388
KEAHONUIOKALANI3602
HICORD25713
PALI MOMI FOUNDATION27145
KAPI'OLANI MEDICAL SPECIALISTS628281
STRAUB FOUNDATION46980
PROVIDERS INSURANCE CORP29627
WILCOX HEALTH FOUNDATION16755
HPHPI47874
ROUNDING2
FieldValueIRS element (for citing)
Total Book Value Other Assets70389694TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
DEFERRED CHARGES-APOLLO$465,290
PATIENT ACCOUNTS RECEIVABLE$147,039
OTHER LONG TERM LIABILITY$12,335,386
ACCRUED PENSION BENEFIT COST$155,388,694
KAPI'OLANI MEDICAL SPECIALISTS$11,696
KAUA'I MEDICAL CLINIC$24,202
PALI MOMI FOUNDATION$198
FieldValueIRS element (for citing)
Total Of Amounts168372505TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Central America and the CaribbeanInvestments32595627
Europe (Including Iceland and Greenland)Investments5000000
FieldValueIRS element (for citing)
Subtotal Amount Spent37595627SubtotalAmountSpent
Total Amount Spent37595627TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierFOREIGN INVESTMENTSIdentifier
Return ReferenceSCHEDULE F, PART IVReturnReference
ExplanationTHE INVESTMENT COMMITTEE OF HAWAI'I PACIFIC HEALTH HAS CHOSEN TO DIVERSIFY ITS INVESTMENT PORTFOLIO, INCLUDING CERTAIN ALTERNATIVE INVESTMENTS THAT ARE ESTABLISHED AS PARTNERSHIPS. THESE PARTNERSHIPS ARE NOT OPERATING ENTITIES. HAWAI'I PACIFIC HEALTH'S DIRECT INVESTMENT IS MADE IN PARTNERSHIPS, AND THESE ENTITIES MAY MAKE UNDERLYING INVESTMENTS IN OTHER CERTAIN FOREIGN PARTNERSHIPS AND/OR CORPORATIONS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
ALOHA COUNCIL BOY SCOUTS OF AMERICA
42 PUIWA ROADHONOLULUHI96817990073482501(C)(3)22000GENERAL SUPPORT
AMERICAN CANCER SOCIETY
2370 NUUANU AVENUEHONOLULUHI96817990073489501(C)(3)27500GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
677 ALA MOANA BLVDHONOLULUHI96813990085260501(C)(3)30000GENERAL SUPPORT
AMERICAN RED CROSS
4155 DIAMOND HEAD ROADHONOLULUHI96816530196605501(C)(3)10000GENERAL SUPPORT
ARTHRITIS FOUNDATION
615 PIIKOI STREETHONOLULUHI96814990268275501(C)(3)10000GENERAL SUPPORT
GIRL SCOUTS OF HAWAI'I
410 ATKINSON DR STE 261HONOLULUHI96814990073488501(C)(3)10000GENERAL SUPPORT
HEALTH CARE ASSOCIATION OF HAWAI'I
932 WARD AVE STE 430HONOLULUHI96814990105817501(C)(6)10000GENERAL SUPPORT
PACIFIC BUSINESS NEWS
Po Box 31000HONOLULUHI9684959308918813585GENERAL SUPPORT
THE CHAMBER OF COMMERCE OF HAWAI'I
1132 BISHOP ST STE 402HONOLULUHI96813990035510501(C)(6)7500GENERAL SUPPORT
UNIVERSITY OF HAWAI'I
1951 EAST WEST RDHONOLULUHI96822996000354501(C)(3)10000GENERAL SUPPORT
POSITIVE COACHING HAWAI'I
1099 ALAKEA SR STE 1605HONOLULUHI96813912193841501(C)(3)5500GENERAL SUPPORT
THE GIFT FOUNDATION OF HAWAI'I
1288 ALA MOANA BLVD SUITE 208HONOLULUHI96814300266316501(C)(3)10000GENERAL SUPPORT
UNIVERSITY OF HAWAII ATHLETICS
1337 LOWER CAMPUS ROADHONOLULUHI96814996000354GOVERNMENT24265GENERAL SUPPORT
MARCH OF DIMES
1580 MAKALOA ST STE 1200HONOLULUHI96814131846366501(C)(3)6500GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants10TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations4TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE UESE OF GRANTSIdentifier
Return ReferenceFORM 990, SCHEDULE I, PART I, LINE 2ReturnReference
ExplanationTHE HAWAI'I PACIFIC HEALTH ("HPH") DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)(3) AND 501(C)(6) ORGANIZATIONS ON AN ANNUAL BASIS. NO FURTHER MONITORING IS NECESSARY AS DONATIONS ARE MADE ONLY TO 501(C)(3) AND 501(C)(6) ORGANIZATIONS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Personal ServicesXPersonalServices
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (30 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KENN SARUWATARI MD
Board of Director, Vice Chair021469702385003100032087021179029491300
DALE GLENN MD
Board of Director0219602013000013377026812016335028912600
KENNETH T NAKAMURA MD
Board of Director12507601797501345702579901273201950390176290
DENNIS SCHEPPERS MD
Board of Director020590304375000019852016288028579300
RAYMOND P VARA JR
Board of Director, Pres. & CEO6459200325816021153502965960216590150152602209930
GERI YOUNG MD
Board of Director33650703313305850804349001316304848010348340
CHARLES A STED
Board of Director (PART YEAR)766059045105005161200289130166220177876405526850
DAVID OKABE
EVP, CFO & Treasurer431997018365001201410143391012912089209101216530
KENNETH B ROBBINS MD
EVP & CMO413181016548501589880170943019939092853601548120
CHARLES R CHING
EVP, General Counsel & Secreta326252014486209053701150970225506790030942920
EARL INOUYE
VP & System Controller23190003637403813405406802173303822090283920
VIRGINIA PRESSLER-FISHER MD
EVP340354013273901213280128412021302074413501212350
GAIL LERCH
EVP34209701487640113645012762001575207478780984820
STEVEN ROBERTSON
EVP & CIO349025014987301025340126027022302074976101088480
WARREN CHAIKO
VP21139103449003629903096802216003353080259280
SUSAN MASUMOTO-NONAKA
VP20387503094202246702969101523203022070140270
ARTHUR GLADSTONE
VP & CNE29173406539904280905533302030104755760451450
KEKA SANBORN
VP209817041503025202000203202785540124690
MARTHA SMITH
VP33034507949407200508286501625205809610696710
JENNIE CHAHANOVICH
VP25935506525604723805451101351204398720483760
MELINDA ASHTON MD
VP30713505587103830904999202059204718990360790
ANN PETERS
VP16898502587502070002472202298302632650139310
KATIE SHIGEMITSU
Compliance Officer17326300000246760132950211234000
DAVID FOX
Privacy & Information Security11823100000220660187970159094000
COLBERT YF SETO
Director of IT206585012491000275350187560265367000
PATRICIA ANN BOECKMANN
CNE & VP25802503778404142103963502109803979630271740
HUGH N HAZENFIELD MD
CMO2573300384300610903891701300003537860245980
KATHLEEN A CLARK
CEO OF WMH2087380538440291300386920648103368850246370
PAULA DIAS
VP19416602934602237002822501411802882250176220
DAWN A CHING
VP1920630257560174340279780218150285046000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
HEALTH AND SOCIAL CLUB DUESSCHEDULE J, PART I, LINE 1AHEALTH/SOCIAL CLUB DUES WERE PAID FOR VARIOUS OFFICERS OF THE ORGANIZATION. PERSONAL SERVICES INCLUDED SECURITY (GAIL LERCH) AND CHILD CARE COVERAGE (RAYMOND VARA). ALL AMOUNTS HAVE BEEN INCLUDED IN THE INDIVIDUAL'S FORM W-2.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BTHE 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 DURING THE TAX YEAR BY THE ORGANIZATION: $ 14,409 - MELINDA ASHTON $ 41,295 - CHARLES CHING $ 50,005 - DAVID OKABE $364,357 - CHARLES A. STED $ 89,128 - RAYMOND P. VARA, JR. $ 10,333 - EARL INOUYE $ 70,464 - VIRGINIA PRESSLER $ 43,101 - GAIL LERCH $ 50,529 - STEVEN ROBERTSON $ 86,050 - KENNETH B. ROBBINS $ 6,665 - WARREN CHAIKO $ 96 - SUSAN NONAKA $ 17,455 - ART GLADSTONE $ 20,903 - GERI YOUNG $ 37,079 - MARTHA SMITH $ 16,730 - JENNIE CHAHANOVICH $ 10,577 - PATRICIA BOECKMAN $ 6,109 - HUGH HAZENFIELD $ 4,772 - KATHLEEN CLARK $ 423 - PAULA DIAS THE LONG TERM INCENTIVE PLAN IS AFFORDED TO EXECUTIVES ON ANNUAL AND LONG TERM SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. AMOUNTS PAID DURING THE YEAR BY THE ORGANIZATION: $ 45,871 - MELINDA ASHTON $131,362 - CHARLES CHING $171,650 - DAVID OKABE $451,050 - CHARLES A. STED $305,816 - RAYMOND P. VARA, JR. $ 36,374 - EARL INOUYE $132,739 - VIRGINIA PRESSLER-FISHER $135,764 - GAIL LERCH $139,873 - STEVEN ROBERTSON $165,485 - KENNETH B. ROBBINS $ 34,490 - WARREN CHAIKO $ 30,942 - SUSAN MATSUMOTO-NONAKA $ 55,399 - ART GLADSTONE $ 20,903 - GERI YOUNG $ 69,494 - MARTHA SMITH $ 55,256 - JENNIE CHAHANOVICH $ 37,784 - PATRICIA BOECKMAN $ 38,430 - HUGH HAZENFIELD $ 43,844 - KATHLEEN CLARK $ 29,346 - PAULA DIAS $ 17,975 - KENNETH T. NAKAMURA, M.D. $ 31,503 - KEKA SANBORN $ 25,875 - KEALA PETERS $ 25,756 - DAWN A. CHING

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
STATE OF HAWAI'I DEPARTMENT OF BUDGET & FINANCE
A990266961419771AA82004-01-1429447000SERIES 2004-A, SEE SCHEDULE Ofalsefalsefalse
STATE OF HAWAI'I DEPARTMENT OF BUDGET & FINANCE
B990266961419771AC42004-01-1450000000SERIES 2004-B, SEE SCHEDULE Ofalsefalsefalse
STATE OF HAWAI'I DEPARTMENT OF BUDGET & FINANCE
C990266961419771AN02010-06-1099307516SERIES 2010-A, SEE SCHEDULE Ofalsefalsefalse
STATE OF HAWAI'I DEPARTMENT OF BUDGET & FINANCE
D990266961419771AX82010-07-2160400728SERIES 2010-B, SEE SCHEDULE Ofalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A00294474003840003004398190025932376002005falsefalsetruetrue
B00504092365463786005039633117797041948240002005falsefalsetruetrue
C00993075161427976400794170000002013truefalsetruetrue
D00604007577170721009112780032166417028336122013truefalsefalsefalse

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers
A0
B0
C0
D0

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
0
AfalsefalsefalsefalsefalsefalsetrueTRINITY29.5truefalsetrue
GOLMAN SACHS
BfalsefalsefalsefalsetruetruetrueTRINITY29.5truefalsetrue29.6falsefalse
0
Cfalsefalsefalsefalsefalsefalsefalse0true
0
Dfalsefalsefalsefalsefalsefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue
Dtrue

Form990 Schedule K Part VI Form990ScheduleKPartVI

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF PURPOSE OF TAX EXEMPT BONDSIdentifier
Return Reference0ReturnReference
ExplanationSCHEDULE K, PART I, COLUMN F LINE A REIMBURSEMENT FOR PURCHASE OF STRAUB CLINIC & HOSPITAL BUILDING. LINE B TO FINANCE THE CONSTRUCTION, RENOVATION, EXPANSION AND EQUIPPING OF CERTAIN PORTIONS OF THE HEALTH CARE FACILITIES OF HAWAI'I PACIFIC HEALTH AND ITS AFFILIATES. LINE C TO REFUND SERIES 2009A BONDS ISSUED ON 04/02/2009. LINE D 2010B - NEW AND REFUNDED MONEY.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

FieldValueIRS element (for citing)
Name PersonFIRST HAWAIIAN BANKNamePerson
FieldValueIRS element (for citing)
RelationshipDIR OF HPH & FHB-KURRENRelationship
Amount Of Transaction810892AmountOfTransaction
Description Of TransactionFEES & INTEREST PAID TO FHBDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1HAWAI'I PACIFIC HEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM, THE STATE'S LARGEST HEALTH CARE PROVIDER, AND THE STATE'S LARGEST PRIVATE EMPLOYER. HAWAI'I PACIFIC HEALTH IS COMMITTED TO PROVIDING HIGH-QUALITY, ACCESSIBLE CARE AND SERVICES FOR THE PEOPLE OF HAWAI'I AND PACIFIC REGION.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4DESCRIPTION OF EXEMPT PURPOSE ACHIEVEMENT OF WOMEN'S SERVICES-OBSTETRICS/GYNECOLOGY. IN FISCAL YEAR 2013, HAWAII PACIFIC HEALTH SPENT $40,474,022 IN DIRECT EXPENSES FOR WOMEN'S OB/GYN SERVICES, AS PART OF OUR MISSION TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. KAPI'OLANI MEDICAL CENTER IS THE ONLY HOSPITAL IN HAWAI'I SPECIALIZING IN MATERNITY CARE AND HAS THE ONLY SPECIALIZED WOMEN'S CANCER CENTER IN THE STATE. STRAUB PROVIDES MAMMOGRAPHY SERVICES AT ITS HOSPITAL AND FAMILY HEALTH CENTERS. PALI MOMI HAS GYNECOLOGY SERVICES PRIMARILY FOR THE CENTRAL, WEST O'AHU AND NORTH SHORE COMMUNITIES. THE WOMEN'S CENTER AT WILCOX PROVIDES DIAGNOSIS, TREATMENT AND PREVENTIVE HEALTH SERVICES TO KAUAI. DESCRIPTION OF EXEMPT PURPOSE ACHIEVEMENT OF OUTPATIENT OPERATING ROOMS. IN FISCAL YEAR 2013, HAWAII PACIFIC HEALTH SPENT $51,792,828 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. KAPI'OLANI IS THE ONLY HOSPITAL IN THE STATE PROVIDING DA VINCI ROBOT-AIDED PEDIATRIC SURGERY. ADDITIONALLY, THE ROBOT IS UTILIZED IN PERFORMING GYNOCOLOGICAL SURGICAL SERVICES, PERFORMING 5,628 PEDIATRIC AND ADULT OUTPATIENT SURGERIES TOTAL. STRAUB HAS INTEGRATED OUTPATIENT SURGERY AND PERFORMED 2,978 OUTPATIENT SURGERIES. PALI MOMI'S O.R. FEATURES A FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITE AND PERFORMED 6,804 OUTPATIENT SURGERIES. WILCOX HAS A STATE-OF-THE-ART SURGICAL CENTER AND PERFORMED 4,626 OUTPATIENT SURGERIES. DESCRIPTION OF EXEMPT PURPOSE ACHIEVEMENT OF OUTPATIENT EMERGENCY ROOMS. IN FISCAL YEAR 2013, HAWAI'I PACIFIC HEALTH HOSPITALS SAW 156,519 E.R. PATIENTS AND SPENT $96,172,550 IN DIRECT EXPENSES FOR OUTPATIENT E.R. SERVICES, AS PART OF OUR MISSION TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. THE KAPI'OLANI E.R. RECEIVED 42,431 PATIENTS, THE STRAUB E.R. RECEIVED 28,077 PATIENTS, THE PALI MOMI E.R. RECEIVED 61,400 PATIENTS, AND THE WILCOX E.R. RECEIVED 24,601 PATIENTS. OTHER PROGRAM SERVICES. HAWAI'I RESIDENTS AND VISITORS RELY ON HAWAI'I PACIFIC HEALTH FOR ITS FULL RANGE OF PRIMARY, SECONDARY AND SELECT TERTIARY CARE SERVICES. IT IS THE STATE'S LARGEST HEALTH CARE PROVIDER WITH FOUR HOSPITALS, 50 CLINICS AND SERVICE SITES, 1,600 AFFILIATED PHYSICIANS AND 6,900+ FULL- AND PART-TIME EMPLOYEES, AS WELL AS HUNDREDS OF VOLUNTEERS FROM THE COMMUNITY. IN FISCAL YEAR 2013, THE HOSPITALS ADMITTED 35,151 PATIENTS FOR A TOTAL OF 175,175 PATIENT DAYS. IN ADDITION, KAUA'I MEDICAL CLINIC HAD 217,025 PATIENT VISITS AND 300,381 PATIENT ENCOUNTERS, AND KAPI`OLANI MEDICAL SPECIALISTS HAD 80,404 PATIENT VISITS. AFFILIATES AND SUBSIDIARIES. KAPI'OLANI MEDICAL SPECIALISTS IS A SPECIALTY PHYSICIANS GROUP ORGANIZED TO SUPPORT KAPI'OLANI MEDICAL CENTER. THE FOUNDATIONS OF HAWAI'I PACIFIC HEALTH CONSIST OF KAPI'OLANI HEALTH FOUNDATION, PALI MOMI HEALTH FOUNDATION, STRAUB FOUNDATION AND WILCOX HEALTH FOUNDATION. THESE CHARITABLE ENTITIES SUPPORT HEALTH RESEARCH, FACILITY ENHANCEMENTS, TECHNOLOGY INVESTMENTS, EDUCATIONAL PROGRAMS AND OTHER RESOURCES FOR THEIR RESPECTIVE 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 TO 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 RANKS AMONG THE TOP HOSPITALS NATIONWIDE IN THE ADOPTION OF ELECTRONIC MEDICAL RECORDS, WHICH ENABLE COORDINATED CARE THROUGHOUT THE STATE. HAWAI'I PACIFIC HEALTH OFFERS THE PACIFIC REGION'S ONLY FULL-SERVICE CHILDREN'S HOSPITAL, ONLY DEDICATED BURN UNIT, AND ONLY BREAST AND WOMEN'S CANCER CENTERS; A STATE-OF-THE-ART IMAGING CENTER ON KAUA'I; WEST O'AHU'S ONLY CARDIAC CATHETERIZATION LAB; PIONEERING BONE & JOINT CENTERS; A SLEEP DISORDERS CENTER; THE STATE'S FIRST WOMEN'S CENTER; AND OTHER SPECIALIZED SERVICES CONSIDERED CRITICAL TO THE REMOTE HAWAIIAN ARCHIPELAGO. COMMUNITY ROLE/ACTIVITY AS THE STATE'S LARGEST HEALTH CARE PROVIDER, HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO IMPROVE THE HEALTH OF THE COMMUNITY. EACH YEAR, IT SPONSORS MANY HEALTH, EDUCATION, TEACHING, RESEARCH AND OTHER INITIATIVES. IN FISCAL YEAR 2013, HAWAI'I PACIFIC HEALTH SPENT OVER $4 MILLION ON COMMUNITY BENEFIT PROGRAMS, INCLUDING THE KAPIOLANI SEX ABUSE TREATMENT CENTER, KAPI'OLANI CHILD PROTECTION CENTER, BREAST AND CERVICAL CANCER SCREENINGS FOR UNINSURED WOMEN, HEART DISEASE PREVENTION, INFANT HEALTH, REHABILITATION SERVICES, CANCER SUPPORT GROUPS, BLOOD PRESSURE SCREENING AND GLUCOSE MONITORING, HEMOPHILIA CARE, AND MANY OTHER EDUCATION AND SCREENINGS FOR THE PUBLIC. HAWAI'I PACIFIC HEALTH'S PUBLIC HEALTH EDUCATION PROGRAMS HAVE TAUGHT THOUSANDS OF PEOPLE HOW TO PREVENT A HEART ATTACK, CANCER, ARTHRITIS, ASTHMA, ALLERGIES, STRESS, OBESITY, OSTEOPOROSIS AND DRUG ABUSE. EVENTS INCLUDE "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". IN FISCAL YEAR 2013, HAWAI'I PACIFIC HEALTH SPONSORED OR SUPPORTED HEALTH EVENTS, INCLUDING "THE WOMEN'S 10K RACE", "GREAT ALOHA RUN", "HEARTWALK", "RACE FOR THE CURE", "RELAY FOR LIFE", "ARTHRITIS WALK", "KOMEN RACE FOR THE CURE", AND MORE. HAWAI'I PACIFIC HEALTH PARTICIPATED IN SYMPOSIA AND MEETINGS FOR HEALTH CARE PROFESSIONALS, HIRED COLLEGE STUDENTS AS SUMMER INTERNS, AND SPONSORED WORKSHOPS FOR VOLUNTEERS. TO TRAIN FUTURE DOCTORS AND OTHER HEALTH CARE PROFESSIONALS, HAWAI'I PACIFIC HEALTH HAS ALLIANCES WITH THE UNIVERSITY OF HAWAII JOHN A. BURNS SCHOOL OF MEDICINE AND HAWAI'I PACIFIC UNIVERSITY. HAWAI'I PACIFIC HEALTH INVESTS MORE THAN $3,050,000 EACH YEAR INTO TEACHING AND RESEARCH AS A PEDIATRIC AND OB/GYN TRAINING FACILITY FOR UH. KAPI'OLANI MEDICAL CENTER IS ACTIVELY INVOLVED IN CLINICAL TRIALS AND RESEARCH IN PEDIATRICS, ONCOLOGY, OPHTHALMOLOGY AND CARDIOLOGY. PUBLIC POLICY HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO OFFER THOUGHTFUL AND INNOVATIVE INPUT TO LAWMAKERS REGARDING HEALTH CARE POLICY AND LEGISLATION. HAWAI'I PACIFIC HEALTH LEADERS ADVOCATE FOR LEGISLATIVE REFORM AND REGULATORY ENHANCEMENTS TO RETAIN PHYSICIANS IN THE STATE AND PROVIDE STABILITY FOR HEALTH CARE PROVIDERS. DURING THE MOST RECENT STATE SESSION, HAWAI'I PACIFIC HEALTH SUPPORTED LEGISLATION TO: DETER ASSAULTS AGAINST MEDICAL SERVICE WORKERS FOR A SAFER HOSPITAL ENVIRONMENT, ESTABLISH STANDARDS FOR ACCESS TO CONTRACEPTIVES IN EMERGENCY ROOMS FOR VICTIMS OF SEX ASSAULT, ELIMINATINE STATUATORY LIMITATIONS IN ORDER TO ENCOURAGE EMPLOYEES TO PARTICIPATE IN EMPLOYER WELLNESS PROGRAMS, AND URGED THE CONVENING OF A TASK FORCE TO DEVELOP A STATEWIDE SYSTEM OF STROKE CARE. OTHER HAWAI'I PACIFIC HEALTH HOSPITALS TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS A SAFETY NET PROVIDER OF HEALTH CARE FOR THE COMMUNITY. AN ESTABLISHED CHARITY CARE POLICY SETS GUIDELINES ON WHICH PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. HAWAI'I PACIFIC HEALTH CONTRIBUTES MORE THAN $1 BILLION DOLLARS TO THE STATE ECONOMY EACH YEAR, SUPPORTING ITS EMPLOYEES, THEIR FAMILIES, AND MANY BUSINESSES THROUGH PURCHASES MADE BY ITS HOSPITALS AND CLINICS.
REVIEW OF THE 990S BY THE GOVERNING BODYFORM 990, PART VI, LINE 11BVARIOUS 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.
MONITORING & ENFORCING OF CONFLICT OF INTEREST POLICYFORM 990, PART VI, LINE 12CANNUALLY, 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.
OFFICES & POSITIONS FOR WHICH PROCESS WAS USED AND YEAR PROCESS WAS LASTCOMPLETEDFORM 990, PART VI, LINES 15A & 15B COMPENSATION FOR HAWAI'I PACIFIC HEALTH ('HPH") EXECUTIVES (VICE PRESIDENT AND ABOVE) IS SET BY THE HPH COMPENSATION COMMITTEE, WHICH IS COMPOSED SOLELY OF INDEPENDENT COMMUNITY-BASED MEMBERS OF THE HPH BOARD OF DIRECTORS. ON AN ANNUAL BASIS, THE HAWAI'I PACIFIC HEALTH ("HPH") BOARD CHAIRPERSON (WHO IS INDEPENDENT) SELECTS A NEUTRAL THIRD PARTY EXECUTIVE COMPENSATION CONSULTANT TO REVIEW THE EXECUTIVES' 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, AND SUCH DECISIONS ARE DOCUMENTED IN THE COMPENSATION COMMITTEE MEETING MINUTES. COMMUNITY BASED DIRECTORS 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 5, 2013 TO REVIEW PHYSICIAN COMPENSATION AND ON AUGUST 7, 2013 TO REVIEW EXECUTIVE COMPENSATION.
AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FINANCIAL STMTSFORM 990, PART VI, LINE 19AT THIS TIME, THE HAWAI'I PACIFIC HEALTH ARTICLES OF INCORPORATION, BYLAWS, CHARTERS OF STANDING BOARD COMMITTEES, CONFLICT OF INTEREST POLICY, STANDARDS OF CONDUCT AND THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE.
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 5$ 59,354,614 - OBLIGATED GROUP INTERCOMPANY $ 40,775,360 - PENSION AND POST RETIREMENT ADJUSTMENTS $ 3,333,622 - CHANGE IN INTEREST IN KHF AND WHF $ 4,621,274 - CHANGE IN SWAP $( 19,324,793) - EQUITY TRANSFER WITH HPH $( 105,600) - NET ASSETS RELEASED FROM RESTRICTIONS-HOSPITAL $ 56,041 - OTHER CHANGES IN TR $ 3,848,052 - GAIN ON ALTERNATIVE INVESTMENTS $ 5,000,000 - HHP CAPITAL CONTRIBUTION $ 3 - ROUNDING -------------- $ 97,558,573 - TOTAL

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1HAWAI'I HEALTH PARTNERSBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREETAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
EIN352480297EIN
Primary ActivitiesHEALTHCAREPrimaryActivities
Legal Domicile StateHILegalDomicileState
Total Income0TotalIncome
EOY Assets5000000EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HPHBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
KAPI'OLANI MEDICAL CENTER WOMEN CHILDREN
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990177350HOSPITALHI501(C)(3)3NAtrue
STRAUB CLINIC & HOSPITAL
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813912151670HOSPITALHI501(C)(3)3NAtrue
PALI MOMI FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813383840327FUNDRAISINGHI501(C)(3)7NAtrue
STRAUB FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990109350RESEARCH/EDUHI501(C)(3)7NAtrue
PROVIDERS INSURANCE CORPORATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813710893000NFP INSURANCEHI501(C)(3)11B-TYPE IINAtrue
KAPI'OLANI HEALTH FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990246364FUNDRAISINGHI501(C)(3)7NAtrue
KAPI'OLANI MEDICAL SPECIALISTS
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990322406HEALTHCAREHI501(C)(3)9NAtrue
PALI MOMI MEDICAL CENTER
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990274038HOSPITALHI501(C)(3)3NAtrue
WILCOX MEMORIAL HOSPITAL
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990074365HOSPITALHI501(C)(3)3NAtrue
WILCOX HEALTH FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990204242FUNDRAISINGHI501(C)(3)7NAtrue
KAUA'I MEDICAL CLINIC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990326099HOSPITALHI501(C)(3)3NAtrue

Form990 Schedule R Part III Form990ScheduleRPartIII (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
ASC PACIFIC VENTURES LLC
3000 RIVERCHASE GALLERIA STE 500BIRMINGHAMAL35244270540034AMBU. SURG. CNTRALNA
INVISION LLC
1010 SOUTH KING STREETHONOLULUHI96813200856515MRI CENTERHINA
MAUI CANCER CENTER PETCT LLC
227 MAHALANI ST STE 107WAILUKUHI96793260163883INACTIVEHINA
MAUI CANCER CTR PROPERTY CO LLC
227 MAHALANI ST STE 107WAILUKUHI96793260146602INACTIVEHINA

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
HAWAI'I PACIFIC HEALTH PARTNERS INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990318588HOLDING COMPAHINAC CORP12394008302917051.00000true
STRAUB PHARMACY INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990145107INACTIVEHISCHC CORP000.00000
HICORD Inc
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990251496INVESTMENTHIHPHPIC-CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (55 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
B59735FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
S188609253FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
Q763476FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
J89248FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
O12428691FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
P62921302FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
R94635300FMV
PROVIDERS INSURANCE CORPORATION
P79869FMV
PROVIDERS INSURANCE CORPORATION
O311214FMV
PROVIDERS INSURANCE CORPORATION
C325383FMV
KAPI'OLANI HEALTH FOUNDATION
B211982FMV
KAPI'OLANI HEALTH FOUNDATION
R150879FMV
KAPI'OLANI HEALTH FOUNDATION
P602703FMV
KAPI'OLANI HEALTH FOUNDATION
J121193FMV
KAPI'OLANI HEALTH FOUNDATION
O1042903FMV
KAPI'OLANI MEDICAL SPECIALISTS
B6456716FMV
KAPI'OLANI MEDICAL SPECIALISTS
S589810FMV
KAPI'OLANI MEDICAL SPECIALISTS
Q606308FMV
KAPI'OLANI MEDICAL SPECIALISTS
O1775941FMV
KAPI'OLANI MEDICAL SPECIALISTS
P6621719FMV
PALI MOMI MEDICAL CENTER
Q149448852FMV
PALI MOMI MEDICAL CENTER
S271517FMV
PALI MOMI MEDICAL CENTER
O8229026FMV
PALI MOMI MEDICAL CENTER
C136445FMV
PALI MOMI MEDICAL CENTER
P53032223FMV
PALI MOMI MEDICAL CENTER
R69562610FMV
STRAUB CLINIC & HOSPITAL
B102516FMV
STRAUB CLINIC & HOSPITAL
K1220056FMV
STRAUB CLINIC & HOSPITAL
Q324031FMV
STRAUB CLINIC & HOSPITAL
S89963780FMV
STRAUB CLINIC & HOSPITAL
H230932FMV
STRAUB CLINIC & HOSPITAL
O18883295FMV
STRAUB CLINIC & HOSPITAL
R505209FMV
STRAUB CLINIC & HOSPITAL
P54993618FMV
STRAUB FOUNDATION
B352787FMV
STRAUB FOUNDATION
R53220FMV
STRAUB FOUNDATION
O62515FMV
WILCOX MEMORIAL HOSPITAL
B2669743FMV
WILCOX MEMORIAL HOSPITAL
S28343634FMV
WILCOX MEMORIAL HOSPITAL
O6120896FMV
WILCOX MEMORIAL HOSPITAL
Q86645FMV
WILCOX MEMORIAL HOSPITAL
H444368FMV
WILCOX MEMORIAL HOSPITAL
R102278FMV
WILCOX MEMORIAL HOSPITAL
P18125263FMV
WILCOX HEALTH FOUNDATION
B1061466FMV
WILCOX HEALTH FOUNDATION
O218015FMV
KAUA'I MEDICAL CLINIC
B4955932FMV
KAUA'I MEDICAL CLINIC
Q145541FMV
KAUA'I MEDICAL CLINIC
S2442443FMV
KAUA'I MEDICAL CLINIC
R119457FMV
KAUA'I MEDICAL CLINIC
O4082211FMV
KAUA'I MEDICAL CLINIC
P5181794FMV
HAWAI'I HEALTH PARTNERS
B5000000FMV
HAWAI'I HEALTH PARTNERS
O333438FMV
HAWAI'I HEALTH PARTNERS
P130301FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierRELATED ORG. TAXABLE AS PARTNERSHIPIdentifier
Return ReferenceSCHEDULE R, PART IIIReturnReference
ExplanationASC PACIFIC VENTURES, LLC EIN: 27-0540034 ADDRESS: 3000 RIVERCHASE GALLERIA, STE 500 BIRMINGHAM, AL 35244 INVISION, LLC EIN: 20-8565615 ADDRESS: 1010 SOUTH KING STREET HONOLULU, HI 96813 MAUI CANCER CENTER PET/CT, LLC EIN: 26-0163883 ADDRESS: 227 MAHALANI ST., STE 107 WAILUKU, HI 96793 MAUI CANCER CENTER PROPERTY COMPANY, LLC EIN: 26-0146602 ADDRESS: 227 MAHALANI ST., STE 107 WAILUKU, HI 96793Explanation