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HAWAII PACIFIC HEALTH: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
HAWAII PACIFIC HEALTH (EIN 99-0246363)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-09
IRS object ID
201331299349303103
Schema version
2011v1.5
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)
Timestamp2013-05-09T20:42:14-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

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 Date2011-07-01TaxPeriodBeginDate

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
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameEARL INOUYEName
TitleVICE PRESIDENTTitle
Date Signed2013-05-07DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8585357200Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

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 Receipts126786192GrossReceipts
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 Members7NbrIndependentVotingMembers
Total Nbr Employees932TotalNbrEmployees
Total Nbr Volunteers7TotalNbrVolunteers
Total Gross UBI20609TotalGrossUBI
Net Unrelated Business Txbl Income-8966NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7788705ContributionsGrantsPriorYear
Contributions Grants Current Year7648960ContributionsGrantsCurrentYear
Program Service Revenue Prior Year107798725ProgramServiceRevenuePriorYear
Program Service Revenue CY110097494ProgramServiceRevenueCY
Investment Income Prior Year1908283InvestmentIncomePriorYear
Investment Income Current Year1655337InvestmentIncomeCurrentYear
Other Revenue Prior Year186911OtherRevenuePriorYear
Other Revenue Current Year29730OtherRevenueCurrentYear
Total Revenue Prior Year117682624TotalRevenuePriorYear
Total Revenue Current Year119431521TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year443610GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY340805GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year74350011SalariesEtcPriorYear
Salaries Etc Current Year75375523SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1813261TotalFundrsngExpCurrentYear
Other Expense Prior Year42594603OtherExpensePriorYear
Other Expenses Current Year45426531OtherExpensesCurrentYear
Total Expenses Prior Year117388224TotalExpensesPriorYear
Total Expenses Current Year121142859TotalExpensesCurrentYear
Revenues Less Expenses Prior Year294400RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1711338RevenuesLessExpensesCY
Total Assets BOY280922060TotalAssetsBOY
Total Assets EOY292991218TotalAssetsEOY
Total Liabilities BOY364745468TotalLiabilitiesBOY
Total Liabilities EOY470909782TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-83823408NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-177918564NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE O.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense66257175Expense
Grants340805Grants
Revenue110076885Revenue
DescriptionSEE SCHEDULE O.Description
Total Program Service Expense66257175TotalProgramServiceExpense
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 With1096371NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees932NumberOfEmployees
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 Members7NumberIndependentVotingMembers
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
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (43 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
KAREN CHANG
Board of Director, Chair0.5XX000
KENN SARUWATARI MD
Board of Director, Vice Chair0.4XX025140048298
CLINTON R CHURCHILL
Board of Director0.4X000
LAURIE FOSTER
Board of Director0.4X000
JAMES KAKUDA MD
Board of Director0.4X0180000
ANDREW KAWANO
Board of Director0.6X000
FAYE KURREN
Board of Director0.3X000
LYNN MCCRORY
Board of Director0.6X000
LYLE TABATA
Board of Director0.6X000
HOWARD TODO
Board of Director0.6X000
MELVIN VENTURA
Board of Director0.4X000
MARK WONG
Board of Director0.3X000
DALE GLENN MD
Board of Director0.4X024014742361
DENNIS SCHEPPERS MD
Board of Director0.4X024294931936
KENNETH T NAKAMURA MD
Board of Director1.0X204324041725
CHARLES A STED
Board of Director, CEO40.0XX15554100597643
GERI YOUNG MD
Board of Director0.4X417777063266
RAYMOND P VARA JR
President15.0X10563460274172
DAVID OKABE
EVP, CFO & Treasurer35.0X6245190140845
CHARLES R CHING
EVP, General Counsel & Secreta30.0X4764860108462
GAIL LERCH
EVP40.0X5455010144607
VIRGINIA PRESSLER-FISHER MD
EVP45.0X5573130154090
KENNETH B ROBBINS MD
EVP & CMO10.0X6843840203029
STEVEN ROBERTSON
EVP & CIO15.0X5492780142203
MELINDA ASHTON MD
VP40.0X379697069014
JENNIE CHAHANOVICH
VP0.1X360845072537
WARREN CHAIKO
VP15.0X280639059425
ARTHUR GLADSTONE
VP & CNE5.0X382873076740
EARL INOUYE
VP & System Controller30.0X300820077938
SUSAN MASUMOTO-NONAKA
VP20.0X242748045576
ANN PETERS
VP45.0X216584044780
KEKA SANBORN
VP50.0X257300034458
MARTHA SMITH
VP0.1X4983060116318
DAVID FOX
Privacy & Information Security2.4X112370034869
JESSICA LEWIS
Assistant Corporate Secretary0.6X111856021557
KATIE SHIGEMITSU
Compliance Officer0.1X168402038172
COLBERT SETO
Director40.0216351047945X
PATRICIA ANN BOECKMANN
CNE & VP1.0322951054378X
HUGH N HAZENFIELD MD
CMO0.1287081049187X
KATHLEEN A CLARK
CEO OF WMH0.1273294042721X
PAULA DIAS
VP20.0247696043208X
MAUREEN FLANNERY
VP0.1236422043450X
TERRY LONG
FORMER OFFICER36.314444002528X
FieldValueIRS element (for citing)
Total Reportable Comp From Org11712013TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs752496TotalReportableCompFrmRltdOrgs
Total Other Compensation2967438TotalOtherCompensation
Number Individuals GT100 K125NumberIndividualsGT100K
Formers ListedtrueFormersListed
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 SYS3118212
CORE SYSTEMS HAWAI'I
1000 BISHOP STREET SUITE 500HONOLULUHI96813COMPUTER EQUIP/SVCS2962041
CENTURY COMPUTERS INC
PO BOX 3347HONOLULUHI96801COMPUTER EQUIP/SVCS1457898
XEROX CORPORATION
PO BOX 7405PASADENACA911097405XEROX COPIERS1365089
EOH ENTERPRISES
960 MAPUNAPUNA STREET 3RD FLOORHONOLULUHI96819TELECOM EQUIP/SVCS936041
FieldValueIRS element (for citing)
Number Of Contractors GT100 K40NumberOfContractorsGT100K
Related Organizations574085RelatedOrganizations
Government Grants7005246GovernmentGrants
All Other Contributions69629AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions7648960TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
ADMIN/MGMT SVC TO TAX EXEMPT AFFILIATES56100010850497010848436120609$0
CLINICAL TRIALS5417107516257516250$0
INDIRECT COSTS900099908020908020
NET PATIENT REVENUES624190-56076-56076
RESTRICTED CASH ADJUSTMENTS900099-11045-110450
FieldValueIRS element (for citing)
Total Program Service Revenue110097494TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1699965TotalRevenueColumn
Exclusion$1,699,965ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real50888Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real21158Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real29730Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column29730TotalRevenueColumn
Exclusion$29,730ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7288835Securities
Other50Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7333513Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-44678Securities
Other50Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-44628TotalRevenueColumn
Exclusion-$44,628ExclusionAmount

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 Column119431521TotalRevenueColumn
Related Or Exempt Function Income110076885RelatedOrExemptFunctionIncome
Unrelated Business Revenue20609UnrelatedBusinessRevenue
Exclusion$1,685,067ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total340805Total
Program Services340805ProgramServices

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)
Total10063380Total
Program Services7044366ProgramServices
Management And General3019014ManagementAndGeneral
Fundraising0Fundraising

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total161444Total
Management And General161444ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total51255745Total
Program Services23453371ProgramServices
Management And General26525770ManagementAndGeneral
Fundraising1276604Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total4707451Total
Program Services2358212ProgramServices
Management And General2248767ManagementAndGeneral
Fundraising100472Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5378349Total
Program Services4307790ProgramServices
Management And General866453ManagementAndGeneral
Fundraising204106Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3809154Total
Program Services2183525ProgramServices
Management And General1539807ManagementAndGeneral
Fundraising85822Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1925409Total
Management And General1925409ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total118694Total
Management And General118694ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total54000Total
Management And General54000ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total109200Total
Management And General109200ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9292826Total
Program Services3776965ProgramServices
Management And General5460727ManagementAndGeneral
Fundraising55134Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2721427Total
Program Services2225ProgramServices
Management And General2719202ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total869596Total
Program Services459805ProgramServices
Management And General409715ManagementAndGeneral
Fundraising76Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total8387638Total
Program Services3528844ProgramServices
Management And General4858794ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4641545Total
Program Services4523980ProgramServices
Management And General117565ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total643178Total
Program Services255743ProgramServices
Management And General387389ManagementAndGeneral
Fundraising46Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total439317Total
Program Services149749ProgramServices
Management And General289568ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1207211Total
Program Services1207211ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total4353111Total
Program Services4037543ProgramServices
Management And General224567ManagementAndGeneral
Fundraising91001Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total-20367Total
Program Services-113144ProgramServices
Management And General92777ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PROGRAM SERVICES EXPENDITURES80240198024019
OTHER PURCHASES17277766766051051171
OTHER EXPENSES93195139561892390

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total121142859Total
Program Services66257175ProgramServices
Management And General53072423ManagementAndGeneral
Fundraising1813261Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY74831221BOY
EOY68190788EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY1271216BOY
EOY1216156EOY

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)
BOY2048787BOY
EOY2389251EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis92263178LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec58417757LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY28341089BOY
EOY33845421EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY60317612BOY
EOY63832906EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY44264000BOY
EOY48964751EOY

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)
BOY69848135BOY
EOY74551945EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY280922060BOY
EOY292991218EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY21621270BOY
EOY20959736EOY

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)
BOY237983376BOY
EOY237887115EOY

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)
BOY105140822BOY
EOY212062931EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY364745468BOY
EOY470909782EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-89938411BOY
EOY-184743694EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3766668BOY
EOY4458890EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2348335BOY
EOY2366240EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-83823408BOY
EOY-177918564EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY280922060BOY
EOY292991218EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1711338ReconcilationRevenueExpenses
Reconcilation Other Changes-92383818ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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$14,838,759
PALI MOMI MEDICAL CENTER
99027403803truetruetrue$12,330,405
WILCOX MEMORIAL HOSPITAL
99007436503truetruetrue$7,326,187
STRAUB CLINIC & HOSPITAL
91215167003truetruetrue$5,527,804
FieldValueIRS element (for citing)
Total Number Of Supported Orgs4TotalNumberOfSupportedOrgs
Sum Of Amounts40023155SumOfAmounts

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 Lobbying TotalDirectLobbying

FieldValueIRS element (for citing)
Filing Organizations Totals54000FilingOrganizationsTotals
Affiliated Group Totals78692AffiliatedGroupTotals

Total Lobbying Expenditures TotalLobbyingExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals54000FilingOrganizationsTotals
Affiliated Group Totals78692AffiliatedGroupTotals

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals121059284FilingOrganizationsTotals
Affiliated Group Totals1044126462AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals121113284FilingOrganizationsTotals
Affiliated Group Totals1044205154AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals1000000FilingOrganizationsTotals
Affiliated Group Totals1000000AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals250000FilingOrganizationsTotals
Affiliated Group Totals250000AffiliatedGroupTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus31000000CurrentYearMinus3
Current Year Minus21000000CurrentYearMinus2
Current Year Minus11000000CurrentYearMinus1
Current Year1000000CurrentYear
Total4000000Total
FieldValueIRS element (for citing)
Lobbying Ceiling$6,000,000LobbyingCeilingAmount

Total Lobbying Expenditures2 TotalLobbyingExpenditures2

FieldValueIRS element (for citing)
Current Year Minus353805CurrentYearMinus3
Current Year Minus254000CurrentYearMinus2
Current Year Minus154000CurrentYearMinus1
Current Year54000CurrentYear
Total215805Total

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3250000CurrentYearMinus3
Current Year Minus2250000CurrentYearMinus2
Current Year Minus1250000CurrentYearMinus1
Current Year250000CurrentYear
Total1000000Total
FieldValueIRS element (for citing)
Grassroots Ceiling$1,500,000GrassrootsCeilingAmount

Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures

FieldValueIRS element (for citing)
Current Year0CurrentYear
Total0Total

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 Balance16383544BeginningOfYearBalance
Other Expenditures1573144OtherExpenditures
End Of Year Balance14810400EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance22012121BeginningOfYearBalance
Other Expenditures3027713OtherExpenditures
End Of Year Balance18984408EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Permanent Endowment EOY Balance0.00000PermanentEndowmentEOYBalance
Term Endowment EOY Balance0.00000TermEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis12453290OtherCostOrOtherBasis
Book Value12453290BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1285053OtherCostOrOtherBasis
Depreciation975612Depreciation
Book Value309441BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9057742OtherCostOrOtherBasis
Depreciation8256693Depreciation
Book Value801049BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis58090037OtherCostOrOtherBasis
Depreciation48788212Depreciation
Book Value9301825BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis11377056OtherCostOrOtherBasis
Depreciation397240Depreciation
Book Value10979816BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings33845421TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value22269261BookValue
Method Of ValuationFMethodOfValuation

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HPH BOARD DESIGNATED5746435F
UNRESTRICTED INVESTMENT20949055F
FieldValueIRS element (for citing)
Total Of Book Value Securities48964751TotalOfBookValueSecurities

Other Assets OtherAssets (18 entries)

DescriptionDescriptionBook ValueBookValue
LEASE & OTHER DEPOSITS8348
DEFERRED CHARGE-TK571093432
DEFERRED CHARGE-LEASE/DEPOSITS55661
DEFERRED BOND ISSUANCE COSTS4139072
OTHER RECEIVABLES1158306
DEFERRED CHARGES-CAPITAL ACCUM186101
DEFERRED CHARGES567166
SECURITY PLEDGE FOR CREDITORS11930000
BENEFICIAL INTEREST-FDN ASSETS50958839
OTHER ASSETS3304834
KAPI'OLANI HEALTH FOUNDATION519457
KEAHONUIOKALANI2737
HICORD18404
KAPI'OLANI SERVICE CORPORATION40848
KAPI'OLANI MEDICAL SPECIALISTS473081
STRAUB FOUNDATION3368
PROVIDERS INSURANCE CORP76810
WILCOX HEALTH FOUNDATION15481
FieldValueIRS element (for citing)
Total Book Value Other Assets74551945TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
DEFERRED CHARGES-APOLLO$158,970
PATIENT ACCOUNTS RECEIVABLE$187,667
OTHER LONG TERM LIABILITY$17,210,637
ACCRUED PENSION BENEFIT COST$194,426,000
KAPI'OLANI MEDICAL SPECIALISTS$43,432
KAUA'I MEDICAL CLINIC$36,225
FieldValueIRS element (for citing)
Total Of Amounts212062931TotalOfAmounts

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (2 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpenditures
Central America and the CaribbeanInvestments38986084
Europe (Including Iceland and Greenland)Investments31400
FieldValueIRS element (for citing)
Subtotal Amount Spent39017484SubtotalAmountSpent
Total Amount Spent39017484TotalAmountSpent
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 (17 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)32000GENERAL SUPPORT
AMERICAN CANCER SOCIETY
2370 NUUANU AVENUEHONOLULUHI96817990073489501(C)(3)15500GENERAL SUPPORT
AMERICAN HEART ASSOCIATION
677 ALA MOANA BLVDHONOLULUHI96813990085260501(C)(3)25000GENERAL SUPPORT
AMERICAN RED CROSS
4155 DIAMOND HEAD ROADHONOLULUHI96816530196605501(C)(3)10000GENERAL SUPPORT
ARTHRITIS FOUNDATION
615 PIIKOI STREETHONOLULUHI96814990268275501(C)(3)10000GENERAL SUPPORT
BOYS & GIRLS CLUB OF HAWAI'I
1523 KALAKAUA AVEHONOLULUHI96826996005407501(C)(3)5500GENERAL SUPPORT
GIRL SCOUTS OF HAWAI'I
410 ATKINSON DR STE 261HONOLULUHI96814990073488501(C)(3)10000GENERAL SUPPORT
HAWAI'I AFFILIATE OF SUSAN G KOMEN
3555 HARDING AVE STE 2GHONOLULUHI96816752844635501(C)(3)10000GENERAL SUPPORT
HAWAI'I INSTITUTE FOR PUBLIC AFFAIRS
1001 BISHOP ST ASB 1132HONOLULUHI96813223859306501(C)(3)50000GENERAL SUPPORT
HAWAI'I OPERA THEATRE
848 S BERETANIA ST STE 301HONOLULUHI96813990197758501(C)(3)12500GENERAL SUPPORT
HEALTH CARE ASSOCIATION OF HAWAI'I
932 WARD AVE STE 430HONOLULUHI96814990105817501(C)(6)7500GENERAL SUPPORT
HONOLULU ACADEMY OF ARTS
900 S BERETANIA STHONOLULUHI96814990079713501(C)(3)25000GENERAL SUPPORT
HOSPICE HAWAI'I
860 IWILEI ROADHONOLULUHI96817990203930501(C)(3)6000GENERAL SUPPORT
MOVE O'AHU FORWARD
900 FORT ST MALLHONOLULUHI96813454679179501(C)(3)10000GENERAL SUPPORT
POSITIVE COACHING HAWAI'I
1099 ALAKEA STHONOLULUHI96813912193841501(C)(3)10000GENERAL SUPPORT
THE CHAMBER OF COMMERCE OF HAWAI'I
1132 BISHOP ST STE 402HONOLULUHI96813990035510501(C)(6)16000GENERAL SUPPORT
UNIVERSITY OF HAWAI'I
1951 EAST WEST RDHONOLULUHI96822996000354501(C)(3)10000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants15TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

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)

Base 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
022526802303203100031800016498029969800
DALE GLENN MD
021997401317307000026091016270028250800
DENNIS SCHEPPERS MD
019972504322400015677016259027488500
KENNETH T NAKAMURA MD
14312903434502685002723501449002460490116920
CHARLES A STED
7613480364623042943905808220168210215305303795140
GERI YOUNG MD
33153602716005908104647101679504810430221340
RAYMOND P VARA JR
6097580255393019119502491300250420133051801532680
DAVID OKABE
424596013875506116801333280751707653640887650
CHARLES R CHING
322983010268105082201059670249505849480697900
GAIL LERCH
31688501073180121298012665701795006901080654990
VIRGINIA PRESSLER-FISHER MD
3455640983740113375013291002118007114030872010
KENNETH B ROBBINS MD
410438013321501407310182987020042088741301050270
STEVEN ROBERTSON
3452710113069090938012052302168006914810704370
MELINDA ASHTON MD
29928404224803816504775402126004487110144120
JENNIE CHAHANOVICH
25557706165204361605908701345004333820140610
WARREN CHAIKO
2098820374920332650376030218220340064042640
ARTHUR GLADSTONE
28751305398604137405682001992004596130160480
EARL INOUYE
2306880351690349630565670213710378758071370
SUSAN MASUMOTO-NONAKA
200568027173015007025452020124028832409270
ANN PETERS
1687170271170207500243960203840261364000
KEKA SANBORN
2078410242340252250144480200100291758000
MARTHA SMITH
325160063418010972809780801851006146240748020
KATIE SHIGEMITSU
16507403328000250350131370206574003186
COLBERT SETO
20002201632900027023020922026429600379514
PATRICIA ANN BOECKMANN
256701032386033864038849015529037732903020153268
HUGH N HAZENFIELD MD
25107103601000036273012914033626800105027
KATHLEEN A CLARK
206981038769027544036312064090316015031860
PAULA DIAS
1925510334780216670292840139240290904000
MAUREEN FLANNERY
1800050376890187280227680206820279872000
TERRY LONG
144440000002528000146968000

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: MELINDA ASHTON $14,412 PATRICIA BOECKMANN $3,020 JENNIE CHAHANOVICH $14,061 WARREN CHAIKO $4,264 CHARLES CHING $41,641 KATHLEEN CLARK $3,186 ARTHUR GLADSTONE $16,048 EARL INOUYE $7,137 GAIL LERCH $36,407 SUSAN MASUMOTO-NONAKA $927 KENNETH T. NAKAMURA $11,692 DAVID OKABE $51,432 VIRGINIA PRESSLER-FISHER $57,884 STEVEN ROBERTSON $40,015 KENNETH B. ROBBINS $67,793 MARTHA SMITH $74,802 CHARLES A. STED $277,790 RAYMOND VARA $85,005 GERI YOUNG $22,134 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: CHARLES A. STED $101,724 RAYMOND VARA $68,263 CHARLES CHING $28,149 VIRGINIA PRESSLER FISHER $29,317 GAIL LERCH $29,092 DAVID OKABE $37,333 KENNETH B. ROBBINS $37,234 STEVEN ROBERTSON $30,422

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
STATE OF HAWAI'I DEPARTMENT OF BUDGET & FINANCE
990266961419771AA82004-01-1429447000SERIES 2004-A, SEE SCHEDULE Ofalsefalsefalse
STATE OF HAWAI'I DEPARTMENT OF BUDGET & FINANCE
990266961419771AC42004-01-1450000000SERIES 2004-B, SEE SCHEDULE Ofalsefalsefalse
STATE OF HAWAI'I DEPARTMENT OF BUDGET & FINANCE
990266961419771AN02010-06-1099307516SERIES 2010-A, SEE SCHEDULE Ofalsefalsefalse
STATE OF HAWAI'I DEPARTMENT OF BUDGET & FINANCE
990266961419771AX82010-07-2160400728SERIES 2010-B, SEE SCHEDULE Ofalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Amount 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
00294470004109051004398190025932376002005falsefalsetruetrue
00504092365545181005039633117797041948240002005falsefalsetruetrue
0099307516142456060079417000000truefalsetruetrue
00604007517079594009112780011691000023309024truefalsefalsefalse

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruetruetruetrue0.045700.000000.04570true
falsetruetruetruetruetrue0.033400.000000.03340true
falsetruetruetruetruetrue0.038300.000000.03830true
falsetruetruetruetrue0.023800.000000.02380true

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Term Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminated
0
falsefalsefalsetrueTRINITY29.5truefalsefalse
GOLDMAN SACHS
falsetruetruetrueTRINITY29.5truefalsefalse29.6falsefalse
0
falsefalsefalsefalse0falsefalse
0
falsefalsefalsefalse0falsefalse
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

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 Transaction679264AmountOfTransaction
Description Of TransactionFEES & INTEREST PAID TO FHBDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ORGANIZATION'S MISSIONFORM 990, PART III, LINE 1HAWAI'I PACIFIC HEALTH IS A NONPROFIT HEALTH CARE SYSTEM THAT IS COMMITTED TO PROVIDING THE HIGHEST QUALITY AND MOST ACCESSIBLE MEDICAL CARE AND SERVICES TO THE PEOPLE OF HAWAI'I AND THE PACIFIC REGION.
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4DESCRIPTION OF EXEMPT PURPOSE ACHIEVEMENT OF WOMEN'S SERVICES-OBSTETRICS/GYNECOLOGY. IN FISCAL YEAR 2012, HAWAI'I PACIFIC HEALTH SPENT $40,000,021 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. STRAUB PROVIDES MAMMOGRAPHY SERVICES AT ITS HOSPITAL AND FAMILY HEALTH CENTERS. PALI MOMI HAS GYNECOLOGY SERVICES PRIMARILY FOR THE WEST O'AHU AND NORTH SHORE COMMUNITIES. THE WOMEN'S CENTER AT WILCOX PROVIDES DIAGNOSIS, TREATMENT, AND PREVENTIVE HEALTH SERVICES TO KAUA'I. DESCRIPTION OF EXEMPT PURPOSE ACHIEVEMENT OF OUTPATIENT OPERATING ROOMS. IN FISCAL YEAR 2012, HAWAI'I PACIFIC HEALTH SPENT $36,922,852 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 HAS HAWAI'I'S FIRST FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITES AND PERFORMED 5,701 PEDIATRIC AND WOMEN'S OUTPATIENT SURGERIES. STRAUB HAS INTEGRATED OUTPATIENT SURGERY AND PERFORMED 2,771 OUTPATIENT SURGERIES. PALI MOMI HAS A FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITE AND PERFORMED 5,905 OUTPATIENT SURGERIES. WILCOX HAS A STATE-OF-THE-ART SURGICAL CENTER AND PERFORMED 4,878 OUTPATIENT SURGERIES. DESCRIPTION OF EXEMPT PURPOSE ACHIEVEMENT OF OUTPATIENT EMERGENCY ROOMS. IN FISCAL YEAR 2012, HPH HOSPITALS SAW 139,240 E.R. PATIENTS AND SPENT $34,897,660 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 37,435 PATIENTS, THE STRAUB E.R. RECEIVED 26,121 PATIENTS, THE PALI MOMI E.R. RECEIVED 52,027 PATIENTS, AND THE WILCOX E.R. RECEIVED 23,657 PATIENTS. OTHER PROGRAM SERVICES. HAWAI'I RESIDENTS AND VISITORS RELY ON HPH FOR ITS FULL RANGE OF PRIMARY, SECONDARY AND SELECT TERTIARY CARE SERVICES. IT IS THE STATE'S LARGEST HEALTH CARE PROVIDER WITH FOUR HOSPITALS, 49 CLINICS AND SERVICE SITES, 1,597 AFFILIATED PHYSICIANS AND 6,045 FULL- AND PART-TIME EMPLOYEES, AS WELL AS HUNDREDS OF VOLUNTEERS FROM THE COMMUNITY. IN FISCAL YEAR 2012, THE HOSPITALS ADMITTED 34,632 PATIENTS FOR A TOTAL OF 169,694 PATIENT DAYS. IN ADDITION, KAUA'I MEDICAL CLINIC HAD 222,064 PATIENT VISITS AND 309,499 PATIENT ENCOUNTERS, AND KAPI`OLANI MEDICAL SPECIALISTS HAD 318,535 PATIENT VISITS. AFFILIATES AND SUBSIDIARIES. KAPI'OLANI MEDICAL SPECIALISTS IS A SPECIALTY PHYSICIANS GROUP LOCATED WITHIN 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 HPH WORKS WITH OTHER PROVIDERS. PROVIDERS INSURANCE CORPORATION IS A CAPTIVE INSURANCE COMPANY THAT PROVIDES PROFESSIONAL LIABILITY INSURANCE TO HPH-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. HPH 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 2012, HPH SPENT $8.8 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. HPH'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 2012, HPH 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. HPH PARTICIPATED IN SYMPOSIUM AND MEETINGS FOR HEALTH CARE PROFESSIONALS, HIRED COLLEGE STUDENTS AS SUMMER INTERNS, AND SPONSORED WORKSHOPS FOR VOLUNTEERS. TO TRAIN FUTURE DOCTORS, HPH HAS ALLIANCES WITH THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE AND HAWAI'I PACIFIC UNIVERSITY. AS A PEDIATRIC AND OB/GYN TRAINING FACILITY FOR UH, HPH INVESTS MORE THAN $5,000,000 EACH YEAR INTO TEACHING AND RESEARCH. 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. HPH LEADERS ARE ADVOCATES 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, HPH SUPPORTED LEGISLATION TO DETER ASSAULTS AGAINST MEDICAL SERVICE WORKERS FOR A SAFER HOSPITAL ENVIRONMENT, ESTABLISH A SPECIAL FUND FOR QUEST MEDICAID PROVIDERS, SIMPLIFY THE SHARING OF SECURE INFORMATION TO IMPROVE PATIENT CARE AND SAFETY, AND ESTABLISH A PERMANENT FUNDING SOURCE FOR THE HAWAI'I STATE CENTER FOR NURSING. 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. HPH 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 OF THE ORGANIZATION ARE NOT COMPENSATED. CERTAIN EMPLOYED PHYSICIANS MAY BE OFFICERS OR AN IDENTIFIED KEY EMPLOYEE OF THE REPORTING OR RELATED ORGANIZATION. PHYSICIAN COMPENSATION IS ALSO HANDLED IN THE SAME MANNER AS EXECUTIVE COMPENSATION, WITH THE HPH COMPENSATION COMMITTEE RECEIVING A REPORT FROM A NEUTRAL CONSULTANT AND FOLLOWING THE SAME PROCESS AS DESCRIBED ABOVE ON AN ANNUAL BASIS. THIS PROCESS WAS MOST RECENTLY COMPLETED ON MARCH 1, 2011 TO REVIEW PHYSICIAN COMPENSATION AND ON JULY 12, 2011 AND AUGUST 9, 2011 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.
HOURS DEVOTED TO RELATED ORGANIZATIONSFORM 990, PART VIIINDIVIDUALS LISTED ON PART VII ALSO DEVOTE TIME TO THE RELATED ORGANIZATIONS AS LISTED BELOW: KAPI'OLANI HEALTH FOUNDATION CHARLES A. STED 2 CHARLES R. CHING 0.1 DAVID OKABE 1 EARL INOUYE 0.2 JESSICA LEWIS 0.1 VIRGINIA PRESSLER-FISHER, M.D. 1 WILCOX HEALTH FOUNDATION CHARLES A. STED 1 CHARLES R. CHING 0.1 DAVID OKABE 0.1 EARL INOUYE 0.1 JESSICA LEWIS 0.2 KATHLEEN A CLARK 1 VIRGINIA PRESSLER-FISHER, M.D. 1 STRAUB FOUNDATION CHARLES A. STED 1 CHARLES R. CHING 0.1 DAVID OKABE 0.1 EARL INOUYE 0.1 JESSICA LEWIS 0.1 KENNETH B. ROBBINS, M.D. 0.1 RAYMOND P. VARA JR. 0.1 VIRGINIA PRESSLER-FISHER, M.D. 1 KAUA'I MEDICAL CLINIC ANN PETERS 1 ARTHUR GLADSTONE 0.2 CHARLES A. STED 2 CHARLES R. CHING 4 DAVID FOX 4.8 DAVID OKABE 1 EARL INOUYE 1 JESSICA LEWIS 2.4 KENNETH B. ROBBINS, M.D. 10 MELINDA ASHTON, M.D. 1 RAYMOND P. VARA JR. 5 STEVEN ROBERTSON 1 SUSAN MASUMOTO-NONAKA 1 VIRGINIA PRESSLER-FISHER, M.D. 0.2 WARREN CHAIKO 1 KAPI'OLANI MEDICAL SPECIALISTS CHARLES A. STED 2 CHARLES R. CHING 3 DAVID FOX 0.4 DAVID OKABE 1 EARL INOUYE 1 JESSICA LEWIS 1.3 KATIE SHIGEMITSU 0.8 KEKA SANBORN 0.2 KENNETH B. ROBBINS, M.D. 0.2 KENNETH T. NAKAMURA, M.D. 40 MARTHA SMITH 5 MELINDA ASHTON, M.D. 1 STEVEN ROBERTSON 1 SUSAN MASUMOTO-NONAKA 0.2 VIRGINIA PRESSLER-FISHER, M.D. 0.2 WARREN CHAIKO 1 PROVIDERS INSURANCE CORPORATION CHARLES A. STED 1 CHARLES R. CHING 2 DAVID OKABE 1 EARL INOUYE 0.5 JESSICA LEWIS 0.1 MELINDA ASHTON, M.D. 0.1 RAYMOND P. VARA JR. 2 PALI MOMI FOUNDATION CHARLES A. STED 1 CHARLES R. CHING 0.1 DAVID OKABE 0.1 EARL INOUYE 0.1 JESSICA LEWIS 0.1 VIRGINIA PRESSLER-FISHER, M.D. 0.1 HAWAI'I PACIFIC HEALTH GROUP RETURN ANN PETERS 4 ARTHUR GLADSTONE 50 CHARLES A. STED 10 CHARLES R. CHING 13 DAVID FOX 30.8 DAVID OKABE 16 EARL INOUYE 10 GAIL LERCH 19 JAMES KAKUDA, M.D. 1.2 JENNIE CHAHANOVICH 55 JESSICA LEWIS 36.3 KATHLEEN A CLARK 59 KATIE SHIGEMITSU 36.8 KEKA SANBORN 8 KENN SARUWATARI, M.D. 40 KENNETH B. ROBBINS, M.D. 40 LYNN MCCRORY 0.2 MARTHA SMITH 55 MAUREEN FLANNERY 50 MELINDA ASHTON, M.D. 7 PATRICIA BOECKMANN, R.N. 50 PAULA DIAS 34 RAYMOND P. VARA JR. 39 STEVEN ROBERTSON 43 SUSAN MASUMOTO-NONAKA 39 VIRGINIA PRESSLER-FISHER, M.D. 6 WARREN CHAIKO 35
RECONCILIATION OF NET ASSETSFORM 990, PART XI, LINE 5$ 39,288,807 - OBLIGATED GROUP INTERCOMPANY $(102,516,019) - PENSION AND POST RETIREMENT ADJUSTMENTS $( 2,835,843) - CHANGE IN INTEREST IN KHK AND WHF $( 6,466,798) - CHANGE IN SWAP $( 73,412) - CHANGE IN UREALIZED INVESTMENTS $( 19,574,013) - EQUITY TRANSFER WITH HPH $( 848,299) - OTHER CHANGES IN TR $ 643,822 - GAIN ON ALTERNATIVE INVESTMENTS $( 2,063) - TRANSFERS -------------- $( 92,383,818) - TOTAL
DESCRIPTION OF PURPOSE OF TAX EXEMPT BONDSSCHEDULE K, PART I, COLUMN FLINE 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.

Schedule R IRS990ScheduleR

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 500BIRMINGHAMAL35244270540034INVESTMENTALNA
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 OwnershipPercentageOwnership
HAWAI'I PACIFIC HEALTH PARTNERS INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990318588HOLDING COMPANYHINAC CORP12394008302917051.00000
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
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (54 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
O55987596FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
Q89360603FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
N11237023FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
I96208FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
R169798522FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
P1607154FMV
KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN
B114514FMV
PROVIDER'S INSURANCE CORP
O72288FMV
PROVIDER'S INSURANCE CORP
N269123FMV
PROVIDER'S INSURANCE CORP
C449195FMV
KAPI'OLANI HEALTH FOUNDATION
B873091FMV
KAPI'OLANI HEALTH FOUNDATION
R51091FMV
KAPI'OLANI HEALTH FOUNDATION
P115376FMV
KAPI'OLANI HEALTH FOUNDATION
O417943FMV
KAPI'OLANI HEALTH FOUNDATION
I84836FMV
KAPI'OLANI HEALTH FOUNDATION
C574554FMV
KAPI'OLANI HEALTH FOUNDATION
N1141514FMV
KAPI'OLANI MEDICAL SPECIALISTS
B5200000FMV
KAPI'OLANI MEDICAL SPECIALISTS
R743289FMV
KAPI'OLANI MEDICAL SPECIALISTS
P624583FMV
KAPI'OLANI MEDICAL SPECIALISTS
N1573693FMV
KAPI'OLANI MEDICAL SPECIALISTS
O5258971FMV
PALI MOMI MEDICAL CENTER
B53277FMV
PALI MOMI MEDICAL CENTER
P120477579FMV
PALI MOMI MEDICAL CENTER
R5225516FMV
PALI MOMI MEDICAL CENTER
N7784842FMV
PALI MOMI MEDICAL CENTER
O44937433FMV
PALI MOMI MEDICAL CENTER
Q60703692FMV
STRAUB CLINIC & HOSPITAL
B133011FMV
STRAUB CLINIC & HOSPITAL
J1306932FMV
STRAUB CLINIC & HOSPITAL
P1033815FMV
STRAUB CLINIC & HOSPITAL
R69081191FMV
STRAUB CLINIC & HOSPITAL
H612861FMV
STRAUB CLINIC & HOSPITAL
N17769600FMV
STRAUB CLINIC & HOSPITAL
Q220816FMV
STRAUB CLINIC & HOSPITAL
O47423867FMV
STRAUB FOUNDATION
B232000FMV
WILCOX MEMORIAL HOSPITAL
B1757579FMV
WILCOX MEMORIAL HOSPITAL
R27132738FMV
WILCOX MEMORIAL HOSPITAL
N5290088FMV
WILCOX MEMORIAL HOSPITAL
P271918FMV
WILCOX MEMORIAL HOSPITAL
H655940FMV
WILCOX MEMORIAL HOSPITAL
Q79978FMV
WILCOX MEMORIAL HOSPITAL
O15935232FMV
WILCOX HEALTH FOUNDATION
B168945FMV
WILCOX HEALTH FOUNDATION
N196291FMV
KAUA'I MEDICAL CLINIC
B5650910FMV
KAUA'I MEDICAL CLINIC
P218890FMV
KAUA'I MEDICAL CLINIC
R3111118FMV
KAUA'I MEDICAL CLINIC
H321436FMV
KAUA'I MEDICAL CLINIC
N4003635FMV
KAUA'I MEDICAL CLINIC
O5076661FMV
HAWAI'I PACIFIC HEALTH PARTNERS
N299517FMV
HAWAI'I PACIFIC HEALTH PARTNERS
O81344FMV

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
IdentifierRELATED ORG. TAXABLE AS PARTNERSHIPIdentifier
Return ReferenceSCHEDULE R, PART IIIReturnReference
Explanation1. ASC PACIFIC VENTURES, LLC EIN: 27-0540034 ADDRESS: 3000 RIVERCHASE GALLERIA, STE 500 BIRMINGHAM, AL 35244 2. INVISION, LLC EIN: 20-8565615 ADDRESS: 1010 SOUTH KING STREET HONOLULU, HI 96813 3. MAUI CANCER CENTER PET/CT, LLC EIN: 26-0163883 ADDRESS: 227 MAHALANI ST., STE 107 WAILUKU, HI 96793 4. MAUI CANCER CENTER PROPERTY COMPANY, LLC EIN: 26-0146602 ADDRESS: 227 MAHALANI ST., STE 107 WAILUKU, HI 96793Explanation