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      <GrantsToDomesticIndividuals>
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      <BenefitsToMembers>
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      <FederalGrantAuditPerformed>true</FederalGrantAuditPerformed>
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      <CurrentYearMinus4Years>
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        <BookValue>11830533</BookValue>
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      <Buildings>
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        <BookValue>266653</BookValue>
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        <MethodOfValuation>F</MethodOfValuation>
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        <BookValue>569849</BookValue>
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      <OtherAssets>
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      <OtherAssets>
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      </OtherAssets>
      <OtherAssets>
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      </OtherAssets>
      <OtherAssets>
        <Description>SECURITY PLEDGE FOR CREDITORS</Description>
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      </OtherAssets>
      <OtherAssets>
        <Description>BENEFICIAL INTEREST-FDN ASSETS</Description>
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      </OtherAssets>
      <OtherAssets>
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      <OtherAssets>
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      <OtherAssets>
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      <OtherAssets>
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      <OtherAssets>
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      <OtherAssets>
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      </OtherLiabilities>
      <OtherLiabilities>
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      <OtherLiabilities>
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      </OtherLiabilities>
      <OtherLiabilities>
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      <OtherLiabilities>
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        <TypeOfActivitiesConducted>Investments</TypeOfActivitiesConducted>
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      <AcctsActvsOutUSTable>
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        <NamePerson>ANN PETERS</NamePerson>
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        <NamePerson>KATIE SHIGEMITSU</NamePerson>
        <Title>Compliance Officer</Title>
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        <NamePerson>DAVID FOX</NamePerson>
        <Title>Privacy &amp; Information Security</Title>
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        <NamePerson>COLBERT YF SETO</NamePerson>
        <Title>Director of IT</Title>
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        <NamePerson>PATRICIA ANN BOECKMANN</NamePerson>
        <Title>CNE &amp; VP</Title>
        <BaseCompensationFilingOrg>258025</BaseCompensationFilingOrg>
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        <NamePerson>HUGH N HAZENFIELD MD</NamePerson>
        <Title>CMO</Title>
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        <NamePerson>KATHLEEN A CLARK</NamePerson>
        <Title>CEO OF WMH</Title>
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        <NamePerson>PAULA DIAS</NamePerson>
        <Title>VP</Title>
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        <NamePerson>DAWN A CHING</NamePerson>
        <Title>VP</Title>
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        <Identifier>HEALTH AND SOCIAL CLUB DUES</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 1A</ReturnReference>
        <Explanation>HEALTH/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.</Explanation>
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        <Identifier>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN</Identifier>
        <ReturnReference>SCHEDULE J, PART I, LINE 4B</ReturnReference>
        <Explanation>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 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</Explanation>
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          <BusinessNameLine1>STATE OF HAWAI'I DEPARTMENT OF BUDGET &amp; FINANCE</BusinessNameLine1>
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        <CUSIPNumber>419771AA8</CUSIPNumber>
        <DateIssued>2004-01-14</DateIssued>
        <IssuePrice>29447000</IssuePrice>
        <DescriptionOfPurpose>SERIES 2004-A, SEE SCHEDULE O</DescriptionOfPurpose>
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        <DateIssued>2010-06-10</DateIssued>
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        <DescriptionOfPurpose>SERIES 2010-A, SEE SCHEDULE O</DescriptionOfPurpose>
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        </NameOfHedgeProvider>
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        <NameOfGICProvider>
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        </NameOfGICProvider>
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          <BusinessNameLine1>GOLMAN SACHS</BusinessNameLine1>
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          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfHedgeProvider>
        <GrossProceedsInvestedInGIC>false</GrossProceedsInvestedInGIC>
        <NameOfGICProvider>
          <BusinessNameLine1>0</BusinessNameLine1>
        </NameOfGICProvider>
        <GrossProceedsInvested>false</GrossProceedsInvested>
        <WrittenProcToMonitorReqs>true</WrittenProcToMonitorReqs>
      </Form990ScheduleKPartIV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>A</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>B</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>C</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartV>
        <BondReferenceCd>D</BondReferenceCd>
        <ProcToUndertkCorrectiveAction>true</ProcToUndertkCorrectiveAction>
      </Form990ScheduleKPartV>
      <Form990ScheduleKPartVI>
        <Identifier>DESCRIPTION OF PURPOSE OF TAX EXEMPT BONDS</Identifier>
        <ReturnReference>0</ReturnReference>
        <Explanation>SCHEDULE K, PART I, COLUMN F LINE A REIMBURSEMENT FOR PURCHASE OF STRAUB CLINIC &amp; 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>
      </Form990ScheduleKPartVI>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>FIRST HAWAIIAN BANK</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>DIR OF HPH &amp; FHB-KURREN</Relationship>
        <AmountOfTransaction>810892</AmountOfTransaction>
        <DescriptionOfTransaction>FEES &amp; INTEREST PAID TO FHB</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>ORGANIZATION'S MISSION</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 1</ReturnReference>
        <Explanation>HAWAI'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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>PROGRAM SERVICE ACCOMPLISHMENTS</Identifier>
        <ReturnReference>FORM 990, PART III, LINE 4</ReturnReference>
        <Explanation>DESCRIPTION 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 &amp; 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 &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>REVIEW OF THE 990S BY THE GOVERNING BODY</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 11B</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MONITORING &amp; ENFORCING OF CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C</ReturnReference>
        <Explanation>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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OFFICES &amp; POSITIONS FOR WHICH PROCESS WAS USED AND YEAR PROCESS WAS LAST</Identifier>
        <ReturnReference>COMPLETED</ReturnReference>
        <Explanation>FORM 990, PART VI, LINES 15A &amp; 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, &amp; FINANCIAL STMTS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 19</ReturnReference>
        <Explanation>AT 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.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>$ 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</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartI>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>HAWAI'I HEALTH PARTNERS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>352480297</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <TotalIncome>0</TotalIncome>
        <EOYAssets>5000000</EOYAssets>
        <DirectControllingEntityName>
          <BusinessNameLine1>HPH</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartI>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KAPI'OLANI MEDICAL CENTER WOMEN CHILDREN</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990177350</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>STRAUB CLINIC &amp; HOSPITAL</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>912151670</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PALI MOMI FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>383840327</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>STRAUB FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990109350</EIN>
        <PrimaryActivities>RESEARCH/EDU</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROVIDERS INSURANCE CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>710893000</EIN>
        <PrimaryActivities>NFP INSURANCE</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B-TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KAPI'OLANI HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990246364</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KAPI'OLANI MEDICAL SPECIALISTS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990322406</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <ControlledOrg>true</ControlledOrg>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
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        <Explanation>ASC PACIFIC VENTURES, LLC EIN: 27-0540034 ADDRESS: 3000 RIVERCHASE GALLERIA, STE 500 BIRMINGHAM, AL 35244 INVISION, LLC EIN: 20-8565615 ADDRESS: 1010 SOUTH KING STREET HONOLULU, HI 96813 MAUI CANCER CENTER PET/CT, LLC EIN: 26-0163883 ADDRESS: 227 MAHALANI ST., STE 107 WAILUKU, HI 96793 MAUI CANCER CENTER PROPERTY COMPANY, LLC EIN: 26-0146602 ADDRESS: 227 MAHALANI ST., STE 107 WAILUKU, HI 96793</Explanation>
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