2012-05-01T14:03:58-04:00 2011-06-30 ERNST & YOUNG US LLP 55 MERCHANT ST SUITE 1900 C-120 HONOLULU HI 96813 990 2010-07-01 990246364 KAPI'OLANI HEALTH FOUNDATION KAPI 8085357100 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 EARL INOUYE 2012-05-01 8085312037 2010 2016-02-24 21:20:13Z MICHAEL ROBINSON 55 MERCHANT ST 26TH FLOOR HONOLULU HI 96813 18045402 false X www.kapiolanigift.org X 1986 HI TO IMPROVE THE HEALTH OF HAWAII'S PEOPLE THROUGH FUNDING OF MEDICAL CARE, EQUIPMENT, HEALTH EDUCATION AND RESEARCH AT KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN AND PALI MOMI MEDICAL CENTER. 23 21 0 39 0 0 10715146 5992481 0 0 1132203 2155132 0 0 11847349 8147613 1141024 1928138 0 0 0 0 260266 137085 3374392 4829229 5217421 6230519 7282644 5616830 864969 57304425 65335991 790159 703703 56514266 64632288 X TO IMPROVE THE HEALTH OF HAWAII'S PEOPLE THROUGH FUNDING OF MEDICAL CARE, EQUIPMENT, HEALTH EDUCATION AND RESEARCH AT KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN AND PALI MOMI MEDICAL CENTER. false false 3295870 1327221 0 SEE SCHEDULE O. 3295870 true true false false false false false true true true true false false true true false true false false false false false true false false false true false true false false false false false false false false true false false false false true true true false false true 38 0 true 0 false false false false false false false false false false X 23 21 false false false false true true true true true false false true false false false true true false X X ANN HO 8085272520 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 MICHAEL O'MALLEY ESQ 0.2 X X 0 0 0 JEFFREY A ARCE 0.2 X X 0 0 0 LYNN ARAKI-REGAN 0.2 X 0 0 0 MEREDITH CHING 0.2 X 0 0 0 KIMBERLY W DEY 0.2 X 0 0 0 SARA DUDGEON 0.2 X 0 0 0 ROBERT T FUJIOKA 0.2 X 0 0 0 CLINTON GOO 0.2 X 0 0 0 MICHELLE HO 0.2 X 0 0 0 DAVID HUDSON 0.2 X 0 0 0 GREGG T KOKAME MD 0.2 X 0 0 0 THOMAS KOSASA MD 0.2 X 0 0 0 LORI L MCCARNEY 0.2 X 0 0 0 BARBARA MATHEWS 0.2 X 0 0 0 FRED M NOA 0.2 X 0 0 0 ALANA K PAKKALA 0.2 X 0 0 0 KEAHI D PELAYO 0.2 X 0 0 0 VIRGINIA PRESSLER-FISHER MD 1.0 X X 0 615632 112590 ABELINA M SHAW 0.2 X 0 0 0 PATRICIA W SHEEHAN 0.2 X 0 0 0 HEIDI SNOW 0.2 X 0 0 0 CHARLES A STED 3.0 X 0 1741906 370246 ANNE TAKABUKI 0.2 X 0 0 0 JOHN C WALKER JR 0.2 X 0 0 0 ROBERT WO JR 0.2 X 0 0 0 GREGORY K YIM MD 0.2 X 0 0 0 BRAD TOTHEROW 0.2 X 0 0 0 PAUL MARX 0.2 X 0 0 0 MICHAEL ROBINSON 20.0 X 0 196093 8845 DAVID OKABE 1.0 X 0 795218 94276 CHARLES R CHING 0.5 X 0 599319 75805 EARL INOUYE 0.5 X 0 325704 51543 JESSICA LEWIS 0.1 X 0 108668 10465 0 4382540 723770 0 false true false 0 5992481 156953 5992481 0 1161238 1161238 0 0 10891683 9897789 993894 993894 993894 0 0 0 0 8147613 0 0 2155132 1928138 1928138 0 0 0 0 0 0 0 0 0 0 0 8137 8137 0 137085 137085 211634 211634 1989990 123161 1866829 1069746 1069746 113360 15705 97655 0 0 95836 95836 54946 54946 0 1423 1423 12582 12582 0 12511 6590 5921 15995 15995 Corporate Allocation 215496 215496 Other Purchases 35930 3082 32848 Other Expenses 12103 12103 Program Services Expenditures 1367732 1367732 7282644 3295870 612382 3374392 4151184 5407577 7453480 7395752 379052 745705 344394 288000 50426 56394 22259110 25422835 20646747 24145366 2107192 2107192 257234 55170 57304425 65335991 182705 37105 112248 107448 495206 559150 790159 703703 X 42919606 48467814 11485168 14054982 2109492 2109492 56514266 64632288 57304425 65335991 X 864969 7253053 X false true true X false X 1399649 2859782 2319745 10715146 5992481 23286803 1399649 2859782 2319745 10715146 5992481 23286803 3266815 20019988 1017639 1915921 1261588 1043284 1161238 6399670 34803 34803 29721276 0.67359 0.64360 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true 48210664 3000 8530795 17916 56726543 44154504 1000 4203721 148560 48210665 53317480 21041 -9163154 20863 44154504 0.95000 0.04000 0.01000 false false 56667 56667 0 235450 181419 54031 52277 49914 2363 56394 Unrestricted Investments 431861 F Restricted Investments 25820697 F 26252558 0 DUE TO KAPI'OLANI WOMEN 258056 DUE TO HAWAI'I PACIFIC HEALTH 178446 DUE TO KAPI'OLANI SPECIALISTS 68685 DUE TO WILCOX MEMORIAL HOSPITAL 43963 DUE TO WILCOX HEALTH FDN 10000 559150 TRUST, ESCROW, AND CUSTODIAL ARRANGEMENTS FORM 990, SCHEDULE D, PART IV ESCROW LIABILITIES REPRESENT AMOUNTS DUE TO INDIVIDUALS UNDER CHARITABLE REMAINDER TRUST AGREEMENTS. DESCRIPTION OF INTENDED USES OF THE ORGANIZATION'S ENDOWMENT FUNDS FORM 990, SCHEDULE D, PART V, LINE 4 ENDOWMENTS CALVIN C.J. SIA, MD ENDOWMENT ESTABLISHED IN 2001 IN HONOR OF DR. CAL SIA, PEDIATRICIAN, EDUCATOR, ADMINISTRATOR AND ADVOCATE FOR HAWAII'S KEIKI. THE PURPOSE OF THIS FUND IS TO PROMOTE OPTIMAL HEALTH AND DEVELOPMENT OF ALL CHILDREN. CECIL MARSHALL ENDOWMENT ESTABLISHED IN 2001 TO SUPPORT THE MISSION OF THE KAPI'OLANI HEALTH FOUNDATION. CHAN FAMILY FUND ESTABLISHED IN 1999 TO PROVIDE ASSISTANCE TO FAMILIES OF CHILDREN WITH CANCER. DAVID & DORIS CROWELL ENDOWMENT ESTABLISHED IN 2000 TO PROVIDE MEDICAL CARE FOR ECONOMICALLY DISADVANTAGED CHILDREN AT KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN. FLANDERS ENDOWMENT FUND ESTABLISHED BY MURIEL MACFARLANE FLANDERS IN MEMORY OF HER TWO GRANDMOTHERS, EMELIE HEDEMANN MACFARLANE AND ABIGAIL KUAIHELANI CAMPBELL. THE HARRY & JEANETTE WEINBERG FOUNDATION ENDOWMENT ESTABLISHED TO PROVIDE ONGOING SUPPORT TO KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN'S EMERGENCY ROOM AND PEDIATRIC INTENSIVE CARE UNIT (PICU). MARJORIE BOOTH STEPHENS FUND ESTABLISHED TO PROVIDE MEDICAL CARE TO ALL WHO NEED IT, REGARDLESS OF THEIR ABILITY TO PAY. MAUDE NISHIMOTO SCHOLARSHIP FUND ESTABLISHED TO PROVIDE SCHOLARSHIPS FOR CONTINUING MEDICAL EDUCATION. RICHARD DAVI SCHOLARSHIP FUND ESTABLISHED TO PROVIDE SCHOLARSHIPS FOR CONTINUING MEDICAL EDUCATION. THE WILLIAM SAUNDERS ENDOWMENT ESTABLISHED IN HONOR OF CECIL A. SAUNDERS, MD, A PEDIATRICIAN WHO ESTABLISHED BABY CLINICS IN THE 1920S, THIS FUND SUPPORTS PEDIATRIC PROGRAMS AT KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN. FIN 48 (ASC 740) FOOTNOTE FORM 990, SCHEDULE D, PART X, LINE 2 FOLLOWING IS THE FIN 48 (ASC 740) FOOTNOTE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATION'S PARENT: THE TAXABLE AFFILIATES OF THE COMPANY UTILIZE THE LIABILITY METHOD OF ACCOUNTING FOR INCOME TAXES. UNDER THIS METHOD, DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON DIFFERENCES BETWEEN THE FINANCIAL REPORTING AND TAX BASIS OF ASSETS AND LIABILITIES, AND ARE MEASURED USING THE CURRENTLY EXACTED TAX RATES AND LAWS. VALUATION ALLOWANCES ARE USED TO REDUCE DEFERRED TAX ASSETS TO THEIR ESTIMATED NET REALIZABLE VALUES WHEN MANAGEMENT DETERMINES ULTIMATE RECOVERY OF THE DEFERRED TAX ASSETS IS NOT MORE LIKELY THAN NOT TO OCCUR. X X X X X true MARTS AND LUNDY CAMPAIGN COUNSEL false 99811 AUBREY HAWK PUBLIC RELATIONS PUBLIC RELATIONS false 37274 137085 HI true Pali Momi Medical Center 55 Merchant Street 24th Floor Honolulu HI 96813 990274038 501(C)(3) 74529 5598 Cost MISC DONATIONS INTERNAL SERVICES Straub Clinic & Hospital 55 Merchant Street 24th Floor Honolulu HI 96813 912151670 501(C)(3) 58481 INTERNAL SERVICES KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILD 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990177350 501(C)(3) 1615956 76537 COST STOCK/MISC DONATIONS INTERNAL SERVICES KAPI'OLANI MEDICAL SPECIALISTS 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990322406 501(C)(3) 95004 INTERNAL SERVICES 4 0 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants Temporarily Restricted Funds released (& granted) to the affiliated organizations are released after the specific purpose of the fund has been met. Once the affiliated organization communicates the expense and satisfies the substantiation of the expense for the purpose that the funds were contributed for, the Foundation releases the restriction and records the grant to the affiliated organization. No further monitoring of the funds after distribution is necessary. false true false false false false false true false VIRGINIA PRESSLER-FISHER MD 0 321073 0 215850 0 78709 0 85044 0 27546 0 728222 0 123927 CHARLES A STED 0 742711 0 734897 0 264298 0 359765 0 10481 0 2112152 0 448157 MICHAEL ROBINSON 0 175952 0 18520 0 1621 0 3403 0 5442 0 204938 0 0 DAVID OKABE 0 408872 0 274875 0 111471 0 82840 0 11436 0 889494 0 157867 CHARLES R CHING 0 308285 0 205141 0 85893 0 68009 0 7796 0 675124 0 93424 EARL INOUYE 0 228359 0 64393 0 32952 0 35275 0 16268 0 377247 0 2048 Supplemental Compensation Information SCHEDULE J, PART I, LINE 3 THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, HAWAI'I PACIFIC HEALTH ("HPH"), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O FOR 990 PART VI, LINE 15A FOR THE PROCESS USED BY HPH TO DETERMINE COMPENSATION. SCHEDULE J, PART I, LINE 4 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN THE RESTORATION PLAN WAS DESIGNED TO RESTORE BENEFITS THAT ARE LOST DUE TO LIMITS IMPOSED BY SECTIONS 401 AND 415 OF THE INTERNAL REVENUE CODE ON COMPENSATION CONSIDERED UNDER SUCH PLANS. THE CAPITAL ACCUMULATION ACCOUNT (CAA) IS A SECTION 457(F) PROGRAM THAT WAS PREVIOUSLY AFFORDED TO EXECUTIVE OFFICERS OF THE ORGANIZATION TO PROVIDE BENEFITS ON A TAX DERERRED BASIS. AMOUNT PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: EARL INOUYE $2,048 DAVID OKABE $32,476 VIRGINIA PRESSLER-FISHER, M.D. $25,459 CHARLES A. STED $106,674 SUPPLEMENTAL INFORMATION REGARDING NON-FIXED PAYMENTS SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS ARE MADE TO EMPLOYEES BASED ON SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. LONG TERM INCENTIVE PLAN THE LONG TERM INCENTIVE PLAN IS AFFORDED TO EXECUTIVES BASED ON ANNUAL AND LONG TERM SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. AMOUNT PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: CHARLES CHING $93,424 VIRGINIA PRESSLER-FISHER $98,468 CHARLES A. STED $341,483 DAVID OKABE $125,391 X 65093 cost or selling pric X MISCELLANEOUS DONATIONS 0 91860 COST OR SELLING PRIC 0 false true false PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4A THE 26 YEAR OLD KAPI'OLANI HEALTH FOUNDATION SUPPORTS KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN. THE FOUNDATION IS AN AFFILIATE OF HAWAI'I PACIFIC HEALTH AND CONTRIBUTES TO FUNDING SERVICES, RESEARCH, EQUIPMENT AND PROGRAMS THAT HELP MAKE BOTH FACILITIES VITAL RESOURCES FOR THE COMMUNITIES THEY SERVE. IT ALSO HELPS MAKE POSSIBLE COMMUNITY OUTREACH AND EDUCATIONAL PROGRAMS. SUPPORT FOR KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN MAKES IT A TRULY FAMILY-FRIENDLY ENVIRONMENT - A NECESSITY FOR HAWAI'I'S ONLY HIGH-RISK MATERNITY CENTER AND THE STATE'S ONLY TERTIARY PEDIATRIC SPECIALTY CENTER. IN 2010, THE HOSPITAL WAS ALSO DESIGNATED A PEDIATRIC TRAUMA RESOURCE CENTER BY THE STATE OF HAWAI'I. IN 2011, THE KAPI'OLANI HEALTH FOUNDATION RAISED FUNDS TOWARDS THE CAPITAL CAMPAIGN IN SUPPORT OF THE RENOVATION AND REBUILD OF THE NEONATAL INTENSIVE CARE UNIT AND THE PEDIATRIC INTENSIVE CARE UNIT. WITH THE SUPPORT OF THE KAPI'OLANI HEALTH FOUNDATION, KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN HAS CONTINUED TO PROVIDE LIFE-SAVING TECHNOLOGIES AND SPECIAL PROGRAMS IN FISCAL YEAR 2011. DONOR CONTRIBUTIONS HAVE HELPED THE HOSPITAL CONTINUE ITS POPULAR ANIMAL ASSISTED THERAPY WITH TUCKER, THE RESIDENT THERAPY DOG. KAPI'OLANI HAS ALSO BEEN ABLE TO CONTINUE ITS LONGSTANDING PARTNERSHIP WITH THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE WITH CLINICAL RESEARCH TRIALS AND TRAINING FOR FUTURE DOCTORS WITH RESIDENCY PROGRAMS IN OBSTETRICS, GYNECOLOGY AND PEDIATRICS. DONOR SUPPORT HELPS SUBSIDIZE PEDIATRIC HEART WEEK, WHICH HAS HAPPENED FIVE TIMES A YEAR SINCE 1995 WITH COLLABORATION BETWEEN KAPI'OLANI'S PEDIATRIC SPECIALISTS AND LEADING SPECIALISTS FROM RADY CHILDREN'S HOSPITAL IN SAN DIEGO AND LUCILE PACKARD CHILDREN'S HOSPITAL IN SAN FRANCISCO. THIS PROGRAM ALLOWS INFANTS, CHILDREN AND TEENS TO UNDERGO CARDIAC PROCEDURES WITHOUT THE STRESS, ANXIETY AND ADDED COST OF BEING AWAY FROM HOME. IN ADDITION, THE KAPI'OLANI HEALTH FOUNDATION CONTINUED TO RAISE FUNDS TO OFFSET MEDICAL COSTS FOR INDIVIDUAL CHILDREN WHOSE FAMILIES CAN'T COVER THESE EXPENSES ON THEIR OWN, THESE SPECIAL MEDICAL NEEDS INCLUDE TRAVEL, EDUCATION AND SURGICAL PROCEDURES. MEMBERS AND RIGHTS FORM 990, PART VI, LINE 6 HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER WHO HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD. DESCRIPTION OF CLASSES OF PERSON AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER, AND HAS THE POWER TO APPROVE THE ELECTION OF MEMBERS OF THE GOVERNING BODY. HAWAI'I PACIFIC HEALTH, AS MEMBER, ALSO HAS THE POWER TO ELECT ONE OR MORE EX OFFICIO VOTING MEMBERS OF THE GOVERNING BODY. DESCRIBE CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS EXCLUSIVE POWER TO TAKE AND DIRECT THE FOLLOWING ACTIONS OF THE CORPORATION: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: PRESIDENT, VICE-PRESIDENT(S), TREASURER, SECRETARY, ASSISTANT TREASURERS AND SECRETARIES, AND ANY OTHER OFFICER, EXCEPT THE CHAIR AND VICE-CHAIR OF THE BOARD; (II) AFTER CONSULTATION WITH THE BOARD, REMOVE THE PRESIDENT, VICE-PRESIDENT(S), TREASURER, SECRETARY, ASSISTANT TREASURERS AND SECRETARIES, AND ANY OTHER OFFICER, EXCEPT THE CHAIR AND VICE-CHAIR; (III) REMOVE A DIRECTOR FROM THE BOARD; (IV) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER; (V) AMEND THESE BYLAWS; (VI) CAUSE THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR ONE MILLION DOLLARS ($1,000,000) OR MORE; (VII) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (VIII) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE, AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (IX) DETERMINE AND EFFECT INTER-CORPORATE FUND TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (X) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S EXECUTIVE COMPENSATION AND BENEFIT PLANS; (XI) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (XII) DEVELOP AND PROMULGATE OVERALL CORPORATE GOALS AND THE LONG-RANGE AND STRATEGIC PLAN OF THE CORPORATION; AND (XIII) DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS. THE CORPORATION SHALL NOT TAKE THE FOLLOWING ACTIONS WITHOUT FIRST OBTAINING MEMBER APPROVAL: (I) ELECT ANY DIRECTOR TO THE BOARD; (II) AMEND THE ARTICLES; (III) MERGE THE CORPORATION WITH ANY ENTITY; (IV) DISSOLVE THE CORPORATION; (V) ENTER INTO ANY UNBUDGETED CONTRACTS ON BEHALF OF THE CORPORATION WHICH REQUIRE ANNUAL PAYMENTS BY OR ON BEHALF OF THE CORPORATION EXCEEDING ONE MILLION DOLLARS ($1,000,000) IN VALUE; (VI) ACQUIRE ASSETS WORTH OVER ONE MILLION DOLLARS ($1,000,000) EXCEPT FOR THOSE ASSETS ACQUIRED BY GIFTS, GRANT, OR DONATION; (VII) ACQUIRE SHARES IN ANOTHER CORPORATION; (VIII) SELL, LEASE, EXCHANGE, ENCUMBER OR DISPOSE OF TWENTY-FIVE PERCENT (25%) OR MORE OF THE PROPERTY AND ASSETS HELD BY THE CORPORATION TO ANY ENTITY THAT IS NOT AN AFFILIATE; (IX) ISSUE THE CORPORATION'S MEMBERSHIP TO ANYONE OTHER THAN THE MEMBER; (X) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONSHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION AND ANY PERSON OR ENTITY; AND (XI) DEVELOP A NEW LINE OF BUSINESS OR A NEW SERVICE. REVIEW OF THE 990S BY THE ORGANIZATION'S GOVERNING BODY FORM 990, PART VI, LINE 11A REVIEW OF THE 990S BY THE ORGANIZATION'S GOVERNING BODY FORM 990, PART VI, LINE 11A 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 OPERATING UNITS, HR, LEGAL, ETC. DISCLOSURE NARRATIVES ARE WRITTEN AND COMPLETED 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 IS MADE AVAILABLE TO THE HPH BOARD OF DIRECTORS THROUGH A BOARD MEMBER PORTAL FOR REVIEW PRIOR TO THE FILING OF THE 990. COPIES OF THE 990S ARE MADE AVAILABLE TO THE BOARD MEMBERS OF EACH SUBSIDIARY UNIT OF HPH AND IS PHYSICALLY LOCATED AT EACH FACILITIY'S SITE FOR THE BOARD MEMBER TO REVIEW PRIOR TO FILING. 990S WILL BE POSTED TO THE HPH'S WEBSITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURN WITH THE IRS. ADOPTION OF POLICIES FORM 990,PART VI,LINES 12A, 13, 14 & 16B THE POLICIES IDENTIFIED IN PART VI WERE FORMALLY ADOPTED BY THE BOARD OF HAWAI'I PACIFIC HEALTH ("HPH"), THE SOLE MEMBER OF THE ORGANIZATION. AS THE SOLE MEMBER, THE POLICIES ADOPTED BY HPH MUST BE FOLLOWED BY ALL HPH ORGANIZATIONS. THE POLICIES ARE CURRENTLY BEING ADOPTED BY THE ORGANIZATION'S BOARD. - LINE 12A - WRITTEN CONFLICT OF INTEREST POLICY FORMALLY ADOPTED 12/3/07 BY HPH - LINE 13 - WRITTEN WHISTLEBLOWER POLICY FORMALLY ADOPTED 5/26/11 BY HPH - LINE 14 - WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY FORMALLY ADOPTED 5/26/11 BY HPH - LINE 16B - WRITTEN POLICY REGARDING PARTICIPATION IN JOINT VENTURE ARRANGEMENTS FORMALLY ADOPTED 5/26/11 BY HPH MONITORING & ENFORCING OF CONFLICT OF INTEREST POLICY FORM 990, PART VI, LINE 12C 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 CONFLIC 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 INTERESTARE 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. BOARD'S DECISION(S) REGARDING THE CONFLICT AND NAMES OF PERSON PRESENT IN THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT. OFFICES AND POSITIONS FOR WHICH PROCESS WAS USED, AND YEAR PROCESS WAS LAST COMPLETED FORM 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 HPH BOARD CHAIRPERSON (WHO IS INDEPENDENT) SELECTS A NEUTRAL THIRD PARTY EXECUTIVE COMPENSATION CONSULTANT TO REVIEW THE EXECUTIVES' COMPENSATION AND BENEFITS. THECONSULTANT 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 LAST COMPLETED ON MARCH 1, 2011 TO REVIEW PHYSICIAN COMPENSATION, AND ON JULY 12, 2011 AND AUGUST 9, 2011 TO REVIEW EXECUTIVE COMPENSATION. DISCLOSURE OF GOV DOCS, CONFLICT OF INTEREST POLICY & FINANCIAL STMTS FORM 990, PART VI, LINE 19 THE CONFLICT OF INTEREST POLICY AND STANDARDS OF CONDUCT ARE AVAILABLE ON THE HAWAI'I PACIFIC HEALTH WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE. PROGRAM SERVICE EXPENSES FORM 990, PART IX IN 2011, THE KAPI'OLANI HEALTH FOUNDATION RAISED FUNDS TORWARDS THE CAPITAL CAMPAIGN, IN SUPPORT OF THE RENOVATION AND REBUILD OF THE NEONATAL INTENSIVE CARE UNIT AND PEDIATRICT INTENSIVE CARE UNIT AT KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN. THE FOUNDATION IS ACCUMULATING THESE FUNDS AND WILL TRANSFER THE FUNDS TO KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN AT THE END OF THE CAPITAL CAMPAIGN. OTHER CHANGES IN NET ASSETS OR FUND BALANCES FORM 990, PART XI, LINE 5 $4,077,215 - NET GAIN ON ALTERNATIVE INVESTMENTS (MARK TO MARKET) $2,258,295 - NET UNREALIZED GAIN (LOSS) ON INVESTMENTS $802,952 - EQUITY TRANSFERS $114,591 - OTHER CHANGES IN NET ASSETS. ------------------ $7,253,053 - OTHER CHANGES IN NET ASSETS OR FUND BALANCES HOURS DEVOTED TO RELATED ORGANIZATIONS FORM 990, PART VII, COLUMN B INDIVIDUALS LISTED ON PART VIII ALSO DEVOTE TIME TO THE RELATED ORGANIZATIONS AS LISTED BELOW: WILCOX HEALTH FOUNDATION CHARLES CHING 0.5 CHARLES STED 1.0 DAVID FOX 0.4 DAVID OKABE 0.5 EARL INOUYE 0.5 JESSICA LEWIS 0.5 VIRGINIA PRESSLER-FISHER 1.0 STRAUB FOUNDATION CHARLES CHING 0.5 CHARLES STED 1.0 DAVID FOX 0.4 DAVID OKABE 0.5 EARL INOUYE 0.1 JESSICA LEWIS 0.5 VIRGINIA PRESSLER-FISHER 1.0 HAWAI'I PACIFIC HEALTH CHARLES CHING 30.0 CHARLES STED 32.0 DAVID FOX 2.4 DAVID OKABE 35.0 EARL INOUYE 25.0 JESSICA LEWIS 0.5 VIRGINIA PRESSLER-FISHER 45.0 KAUA'I MEDICAL CLINIC CHARLES CHING 4.0 CHARLES STED 6.0 DAVID FOX 4.8 DAVID OKABE 1.0 EARL INOUYE 4.0 JESSICA LEWIS 2.5 VIRGINIA PRESSLER-FISHER 0.1 KAPI'OLANI MEDICAL SPECIALISTS CHARLES CHING 3.0 CHARLES STED 6.0 DAVID FOX 0.4 DAVID OKABE 1.0 EARL INOUYE 2.0 JESSICA LEWIS 1.3 VIRGINIA PRESSLER-FISHER 0.2 PROVIDERS INSURANCE CHARLES CHING 2.0 CHARLES STED 1.0 DAVID FOX 0.4 DAVID OKABE 1.0 EARL INOUYE 0.5 STRAUB CLINIC & HOSPITAL CHARLES CHING 3.0 CHARLES STED 3.0 DAVID FOX 10.0 DAVID OKABE 6.0 EARL INOUYE 6.0 JESSICA LEWIS 15.0 VIRGINIA PRESSLER-FISHER 2.0 PALI MOMI MEDICAL CENTER CHARLES CHING 1.0 CHARLES STED 2.0 DAVID FOX 6.0 DAVID OKABE 3.0 EARL INOUYE 1.0 JESSICA LEWIS 6.6 VIRGINIA PRESSLER-FISHER 1.0 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN CHARLES CHING 4.0 CHARLES STED 2.0 DAVID FOX 10.0 DAVID OKABE 4.0 EARL INOUYE 5.0 JESSICA LEWIS 10.8 VIRGINIA PRESSLER-FISHER 1.0 WILCOX MEMORIAL HOSPITAL CHARLES CHING 5.0 CHARLES STED 8.0 DAVID FOX 4.8 DAVID OKABE 3.0 EARL INOUYE 12.0 JESSICA LEWIS 4.1 VIRGINIA PRESSLER-FISHER 2.0 HAWAI'I PACIFIC HEALTH 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990246363 HOLDING CO. HI 501(C)(3) 11B TYPE II NA PROVIDERS INSURANCE CORPORATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 710893000 NFP INSURANCE HI 501(C)(3) 11B TYPE II NA KAPI'OLANI MEDICAL CTR WOMEN & CHILDREN 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990177350 HOSPITAL HI 501(C)(3) 3 NA KAPI'OLANI MEDICAL SPECIALIST 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990322406 HEALTHCARE HI 501(C)(3) 9 NA PALI MOMI MEDICAL CENTER 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990274038 HOSPITAL HI 501(C)(3) 3 NA WILCOX MEMORIAL HOSPITAL 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990074365 HOSPITAL HI 501(C)(3) 3 NA WILCOX HEALTH FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990204242 FUNDRAISING HI 501(C)(3) 7 NA KAUA'I MEDICAL CLINIC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990326099 HOSPITAL HI 501(C)(3) 3 NA STRAUB CLINIC & HOSPITAL 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 912151670 HOSPITAL HI 501(C)(3) 3 NA STRAUB FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990109350 RESEARCH/EDU HI 501(C)(3) 7 NA PALI MOMI FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 383840327 FUNDRAISING HI 501(C)(3) 7 NA HAWAI'I PACIFIC HEALTH PARTNERS INC &SUB 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990318588 BIZ RELATE HE HI HPH C CORP 0 0 0.00000 false true true false false false false false false true false false false true true true true true KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN B 2061537 KAPI'OLANI MEDICAL CNTR FOR WOMEN & CHILDREN C 462879 PALI MOMI MEDICAL CENTER B 72446 STRAUB CLINIC & HOSPITAL P 73589 STRAUB FOUNDATION C 75546 HAWAI'I PACIFIC HEALTH RESEARCH INSTITUTE B 183541