﻿<?xml version="1.0" encoding="utf-8"?>
<Return xmlns="http://www.irs.gov/efile" xsi:schemaLocation="http://www.irs.gov/efile" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" returnVersion="2010v3.7">
  <ReturnHeader binaryAttachmentCount="0">
    <Timestamp>2012-05-14T15:08:36-05:00</Timestamp>
    <TaxPeriodEndDate>2011-06-30</TaxPeriodEndDate>
    <PreparerFirm>
      <PreparerFirmBusinessName>
        <BusinessNameLine1>ERNST &amp; YOUNG US LLP</BusinessNameLine1>
      </PreparerFirmBusinessName>
      <PreparerFirmUSAddress>
        <AddressLine1>55 MERCHANT ST SUITE 1900 C-120</AddressLine1>
        <City>HONOLULU</City>
        <State>HI</State>
        <ZIPCode>96813</ZIPCode>
      </PreparerFirmUSAddress>
    </PreparerFirm>
    <ReturnType>990</ReturnType>
    <TaxPeriodBeginDate>2010-07-01</TaxPeriodBeginDate>
    <Filer>
      <EIN>383835105</EIN>
      <Name>
        <BusinessNameLine1>HAWAI'I PACIFIC HEALTH GROUP RETURN</BusinessNameLine1>
      </Name>
      <NameControl>HAWA</NameControl>
      <Phone>8085357401</Phone>
      <USAddress>
        <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
        <City>HONOLULU</City>
        <State>HI</State>
        <ZIPCode>96813</ZIPCode>
      </USAddress>
    </Filer>
    <Officer>
      <Name>EARL INOUYE</Name>
      <Title>VP &amp; SYSTEM CONTROLLER</Title>
      <DateSigned>2012-05-10</DateSigned>
    </Officer>
    <Preparer>
      <Phone>8085312037</Phone>
    </Preparer>
    <TaxYear>2010</TaxYear>
    <BuildTS>2016-02-24 21:20:13Z</BuildTS>
  </ReturnHeader>
  <ReturnData documentCount="14">
    <IRS990 documentId="IRS990" referenceDocumentId="IRS990ScheduleO">
      <InitialReturn>X</InitialReturn>
      <NameOfPrincipalOfficerPerson>CHARLES STED</NameOfPrincipalOfficerPerson>
      <AddressPrincipalOfficerUS>
        <AddressLine1>55 MERCHANT ST 24TH FLOOR</AddressLine1>
        <City>HONOLULU</City>
        <State>HI</State>
        <ZIPCode>96813</ZIPCode>
      </AddressPrincipalOfficerUS>
      <GrossReceipts>866748687</GrossReceipts>
      <GroupReturnForAffiliates>true</GroupReturnForAffiliates>
      <AllAffiliatesIncluded referenceDocumentId="AffiliateListing">true</AllAffiliatesIncluded>
      <GroupExemptionNumber>5834</GroupExemptionNumber>
      <Organization501c3>X</Organization501c3>
      <WebSite>www.hawaiipacifichealth.org</WebSite>
      <TypeOfOrganizationCorporation>X</TypeOfOrganizationCorporation>
      <YearFormation>2010</YearFormation>
      <StateLegalDomicile>HI</StateLegalDomicile>
      <ActivityOrMissionDescription>SEE SCHEDULE O.</ActivityOrMissionDescription>
      <NbrVotingMembersGoverningBody>42</NbrVotingMembersGoverningBody>
      <NbrIndependentVotingMembers>22</NbrIndependentVotingMembers>
      <TotalNbrEmployees>4380</TotalNbrEmployees>
      <TotalNbrVolunteers>833</TotalNbrVolunteers>
      <TotalGrossUBI>645472</TotalGrossUBI>
      <ContributionsGrantsPriorYear>5724147</ContributionsGrantsPriorYear>
      <ContributionsGrantsCurrentYear>2668426</ContributionsGrantsCurrentYear>
      <ProgramServiceRevenuePriorYear>780928911</ProgramServiceRevenuePriorYear>
      <ProgramServiceRevenueCY>827650237</ProgramServiceRevenueCY>
      <InvestmentIncomePriorYear>2777976</InvestmentIncomePriorYear>
      <InvestmentIncomeCurrentYear>5810586</InvestmentIncomeCurrentYear>
      <OtherRevenuePriorYear>5185307</OtherRevenuePriorYear>
      <OtherRevenueCurrentYear>4746727</OtherRevenueCurrentYear>
      <TotalRevenuePriorYear>794616341</TotalRevenuePriorYear>
      <TotalRevenueCurrentYear>840875976</TotalRevenueCurrentYear>
      <GrantsAndSimilarAmntsPriorYear>77685</GrantsAndSimilarAmntsPriorYear>
      <GrantsAndSimilarAmntsCY>47100</GrantsAndSimilarAmntsCY>
      <BenefitsPaidToMembersPriorYear>0</BenefitsPaidToMembersPriorYear>
      <BenefitsPaidToMembersCY>0</BenefitsPaidToMembersCY>
      <SalariesEtcPriorYear>349893526</SalariesEtcPriorYear>
      <SalariesEtcCurrentYear>388555181</SalariesEtcCurrentYear>
      <TotalProfFundrsngExpPriorYear>0</TotalProfFundrsngExpPriorYear>
      <TotalProfFundrsngExpCY>0</TotalProfFundrsngExpCY>
      <TotalFundrsngExpCurrentYear>0</TotalFundrsngExpCurrentYear>
      <OtherExpensePriorYear>381646037</OtherExpensePriorYear>
      <OtherExpensesCurrentYear>401132932</OtherExpensesCurrentYear>
      <TotalExpensesPriorYear>731617248</TotalExpensesPriorYear>
      <TotalExpensesCurrentYear>789735213</TotalExpensesCurrentYear>
      <RevenuesLessExpensesPriorYear>62999093</RevenuesLessExpensesPriorYear>
      <RevenuesLessExpensesCY>51140763</RevenuesLessExpensesCY>
      <TotalAssetsBOY>527296180</TotalAssetsBOY>
      <TotalAssetsEOY>531469901</TotalAssetsEOY>
      <TotalLiabilitiesBOY>138060953</TotalLiabilitiesBOY>
      <TotalLiabilitiesEOY>129152839</TotalLiabilitiesEOY>
      <NetAssetsOrFundBalancesBOY>389235227</NetAssetsOrFundBalancesBOY>
      <NetAssetsOrFundBalancesEOY>402317062</NetAssetsOrFundBalancesEOY>
      <InfoInScheduleOPartIII>X</InfoInScheduleOPartIII>
      <MissionDescription>SEE SCHEDULE O.</MissionDescription>
      <SignificantNewProgramServices>false</SignificantNewProgramServices>
      <SignificantChange>false</SignificantChange>
      <Expense>62137639</Expense>
      <Description>SEE SCHEDULE O.</Description>
      <Activity2>
        <Expense>38912628</Expense>
        <Description>SEE SCHEDULE O.</Description>
      </Activity2>
      <Activity3>
        <Expense>35976498</Expense>
        <Description>SEE SCHEDULE O.</Description>
      </Activity3>
      <TotalOfOtherProgramServiceExp>569130778</TotalOfOtherProgramServiceExp>
      <TotalOfOtherProgramServiceGrnt>47100</TotalOfOtherProgramServiceGrnt>
      <TotalOfOtherProgramServiceRev>833466344</TotalOfOtherProgramServiceRev>
      <TotalProgramServiceExpense>706157543</TotalProgramServiceExpense>
      <DescribedIn501C3 referenceDocumentId="IRS990ScheduleA">true</DescribedIn501C3>
      <ScheduleBRequired referenceDocumentId="IRS990ScheduleB">true</ScheduleBRequired>
      <PoliticalActivities referenceDocumentId="IRS990ScheduleC">false</PoliticalActivities>
      <LobbyingActivities referenceDocumentId="IRS990ScheduleC">true</LobbyingActivities>
      <DonorAdvisedFunds referenceDocumentId="IRS990ScheduleD">false</DonorAdvisedFunds>
      <ConservationEasements referenceDocumentId="IRS990ScheduleD">false</ConservationEasements>
      <CollectionsOfArt referenceDocumentId="IRS990ScheduleD">false</CollectionsOfArt>
      <CreditCounseling referenceDocumentId="IRS990ScheduleD">false</CreditCounseling>
      <TermOrPermanentEndowments referenceDocumentId="IRS990ScheduleD">true</TermOrPermanentEndowments>
      <ReportLandBldgEquip referenceDocumentId="IRS990ScheduleD">true</ReportLandBldgEquip>
      <ReportInvestOthSecurities referenceDocumentId="IRS990ScheduleD">true</ReportInvestOthSecurities>
      <ReportProgRelInvest referenceDocumentId="IRS990ScheduleD">false</ReportProgRelInvest>
      <ReportOtherAssets referenceDocumentId="IRS990ScheduleD">true</ReportOtherAssets>
      <ReportOtherLiabilities referenceDocumentId="IRS990ScheduleD">true</ReportOtherLiabilities>
      <ReportFin48Footnote referenceDocumentId="IRS990ScheduleD">true</ReportFin48Footnote>
      <IndependentAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">false</IndependentAuditFinancialStmt>
      <ConsolidatedAuditFinancialStmt referenceDocumentId="IRS990ScheduleD">true</ConsolidatedAuditFinancialStmt>
      <School>false</School>
      <ForeignOffice>false</ForeignOffice>
      <ForeignActivities>false</ForeignActivities>
      <MoreThan5000KToOrganizations>false</MoreThan5000KToOrganizations>
      <MoreThan5000KToIndividuals>false</MoreThan5000KToIndividuals>
      <ProfessionalFundraising referenceDocumentId="IRS990ScheduleG">false</ProfessionalFundraising>
      <FundraisingActivities referenceDocumentId="IRS990ScheduleG">true</FundraisingActivities>
      <Gaming referenceDocumentId="IRS990ScheduleG">false</Gaming>
      <Hospital referenceDocumentId="IRS990ScheduleH">true</Hospital>
      <FinancialStmtAttached referenceDocumentId="BinaryAttach BinaryAttachN1">true</FinancialStmtAttached>
      <GrantsToOrganizations referenceDocumentId="IRS990ScheduleI">true</GrantsToOrganizations>
      <GrantsToIndividuals referenceDocumentId="IRS990ScheduleI">false</GrantsToIndividuals>
      <ScheduleJRequired referenceDocumentId="IRS990ScheduleJ">true</ScheduleJRequired>
      <TaxExemptBonds>false</TaxExemptBonds>
      <ExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</ExcessBenefitTransaction>
      <PriorExcessBenefitTransaction referenceDocumentId="IRS990ScheduleL">false</PriorExcessBenefitTransaction>
      <LoanToOfficerOrDQP referenceDocumentId="IRS990ScheduleL">false</LoanToOfficerOrDQP>
      <GrantToRelatedPerson referenceDocumentId="IRS990ScheduleL">false</GrantToRelatedPerson>
      <BsnssRltnshpWithOrganization referenceDocumentId="IRS990ScheduleL">false</BsnssRltnshpWithOrganization>
      <BsnssRltnshpThruFamilyMember referenceDocumentId="IRS990ScheduleL">false</BsnssRltnshpThruFamilyMember>
      <OfficerEntityWithBsnssRltnshp referenceDocumentId="IRS990ScheduleL">true</OfficerEntityWithBsnssRltnshp>
      <DeductibleNonCashContributions referenceDocumentId="IRS990ScheduleM">true</DeductibleNonCashContributions>
      <DeductibleContributionsOfArt referenceDocumentId="IRS990ScheduleM">false</DeductibleContributionsOfArt>
      <Terminated>false</Terminated>
      <PartialLiquidation>false</PartialLiquidation>
      <DisregardedEntity referenceDocumentId="IRS990ScheduleR">false</DisregardedEntity>
      <RelatedEntity referenceDocumentId="IRS990ScheduleR">true</RelatedEntity>
      <RelatedOrgControlledEntity>true</RelatedOrgControlledEntity>
      <TransactionRelatedEntity referenceDocumentId="IRS990ScheduleR">true</TransactionRelatedEntity>
      <TransfersToExemptNonChrtblOrg referenceDocumentId="IRS990ScheduleR">false</TransfersToExemptNonChrtblOrg>
      <ActivitiesConductedPartnership referenceDocumentId="IRS990ScheduleR">false</ActivitiesConductedPartnership>
      <ScheduleORequired>true</ScheduleORequired>
      <NumberFormsTransmittedWith1096>449</NumberFormsTransmittedWith1096>
      <NumberW2GIncluded>0</NumberW2GIncluded>
      <ComplianceWithBackupWitholding>true</ComplianceWithBackupWitholding>
      <NumberOfEmployees>4380</NumberOfEmployees>
      <EmploymentTaxReturnsFiled>true</EmploymentTaxReturnsFiled>
      <UnrelatedBusinessIncome>true</UnrelatedBusinessIncome>
      <Form990-TFiled>true</Form990-TFiled>
      <ForeignFinancialAccount>false</ForeignFinancialAccount>
      <ProhibitedTaxShelterTrans>false</ProhibitedTaxShelterTrans>
      <TaxablePartyNotification>false</TaxablePartyNotification>
      <NonDeductibleContributions>false</NonDeductibleContributions>
      <QuidProQuoContributions>false</QuidProQuoContributions>
      <Form8282PropertyDisposedOf>false</Form8282PropertyDisposedOf>
      <FundsToPayPremiums>false</FundsToPayPremiums>
      <PremiumsPaid>false</PremiumsPaid>
      <IndoorTanningServices>false</IndoorTanningServices>
      <InfoInScheduleOPartVI>X</InfoInScheduleOPartVI>
      <NbrVotingGoverningBodyMembers>42</NbrVotingGoverningBodyMembers>
      <NumberIndependentVotingMembers>22</NumberIndependentVotingMembers>
      <FamilyOrBusinessRelationship>false</FamilyOrBusinessRelationship>
      <DelegationOfManagementDuties>false</DelegationOfManagementDuties>
      <ChangesToOrganizingDocs>false</ChangesToOrganizingDocs>
      <MaterialDiversionOrMisuse>false</MaterialDiversionOrMisuse>
      <MembersOrStockholders>true</MembersOrStockholders>
      <ElectionOfBoardMembers>true</ElectionOfBoardMembers>
      <DecisionsSubjectToApproval>true</DecisionsSubjectToApproval>
      <MinutesOfGoverningBody>true</MinutesOfGoverningBody>
      <MinutesOfCommittees>true</MinutesOfCommittees>
      <OfficerMailingAddress>false</OfficerMailingAddress>
      <LocalChapters>false</LocalChapters>
      <Form990ProvidedToGoverningBody>true</Form990ProvidedToGoverningBody>
      <ConflictOfInterestPolicy>false</ConflictOfInterestPolicy>
      <WhistleblowerPolicy>false</WhistleblowerPolicy>
      <DocumentRetentionPolicy>false</DocumentRetentionPolicy>
      <CompensationProcessCEO>true</CompensationProcessCEO>
      <CompensationProcessOther>true</CompensationProcessOther>
      <InvestmentInJointVenture>false</InvestmentInJointVenture>
      <OwnWebsite>X</OwnWebsite>
      <UponRequest>X</UponRequest>
      <TheBooksAreInCareOf>
        <NamePerson>ANN HO</NamePerson>
        <TelephoneNumber>8085272520</TelephoneNumber>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
      </TheBooksAreInCareOf>
      <Form990PartVIISectionA>
        <NamePerson>ANDREW DANG MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>40.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>423132</ReportableCompFromRelatedOrgs>
        <OtherCompensation>28696</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>B JEANNIE HEDBERG CPA</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BEAU NAKAMOTO MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>265561</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10490</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BEN GODSEY</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BETH HOBAN RN</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BRYAN MATSUMOTO MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CARLETON CHING</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLES A STED</NamePerson>
        <Title>PRESIDENT, BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>15.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>1741906</ReportableCompFromRelatedOrgs>
        <OtherCompensation>370246</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHRIS ELDRIDGE</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHRISTOPHER JORDAN</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>296187</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19584</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DOUGLAS DUVAUCHELLE MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DOUGLAS KWOCK MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>18500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ELLIOT MILLS</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EUGENE TANABE MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>6000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>FAYE KURREN</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GORDON HAMMOND</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GORDON NIHEI</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JENNIFER SABAS</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN CULLINEY MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>506953</ReportableCompFromRelatedOrgs>
        <OtherCompensation>24131</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATHLEEN CLARK</NamePerson>
        <Title>PRESIDENT &amp; CEO, BOARD OF DIRE</Title>
        <AverageHoursPerWeek>60.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>294123</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20684</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KEITH MATSUMOTO MD</NamePerson>
        <Title>CHAIR, BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.3</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KENN SARUWATARI MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>39.6</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>296084</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>48828</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KENNETH B ROBBINS MD</NamePerson>
        <Title>EVP &amp; CMO, BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>39.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>774200</ReportableCompFromRelatedOrgs>
        <OtherCompensation>131328</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LYLE TABATA</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LYNN McCRORY</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK GRIEF MD</NamePerson>
        <Title>CHAIR, BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK PITTS MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>24000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MICHAEL GIBSON ESQ</NamePerson>
        <Title>CHAIR, BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAUL DOUGLASS</NamePerson>
        <Title>CHAIR, BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PETER MCNALLY MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>12000</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RAMON DE LA PENA</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>RAYMOND P VARA JR</NamePerson>
        <Title>EVP &amp; CEO OF OPER, DIRECTOR</Title>
        <AverageHoursPerWeek>44.5</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>1256151</ReportableCompFromRelatedOrgs>
        <OtherCompensation>163907</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ROBERT SCHULZ MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>610712</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20457</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHELLEY WILSON</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SHIRLEY AKITA</NamePerson>
        <Title>VICE CHAIR, BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEPHEN LIN MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>41500</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEVEN AI</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.25</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>TERENCE CAROLAN MD</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>THOMAS J NORDYKE MD</NamePerson>
        <Title>VICE CHAIR, BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>276312</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>25059</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VIOLETA ARNOBIT RN</NamePerson>
        <Title>VICE CHAIR, BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WAYNE KATAYAMA</NamePerson>
        <Title>BOARD OF DIRECTOR</Title>
        <AverageHoursPerWeek>0.2</AverageHoursPerWeek>
        <IndividualTrusteeOrDirector>X</IndividualTrusteeOrDirector>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ANN MK PETERS</NamePerson>
        <Title>VP</Title>
        <AverageHoursPerWeek>4.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>185886</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21006</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>ARTHUR GLADSTONE</NamePerson>
        <Title>VP &amp; CNE</Title>
        <AverageHoursPerWeek>51.5</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>459256</ReportableCompFromRelatedOrgs>
        <OtherCompensation>48755</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CHARLES R CHING</NamePerson>
        <Title>EVP, GEN COUNSEL &amp; SECRETARY</Title>
        <AverageHoursPerWeek>13.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>599319</ReportableCompFromRelatedOrgs>
        <OtherCompensation>75805</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID FOX</NamePerson>
        <Title>PRIVACY/INFO SECURITY OFFICER</Title>
        <AverageHoursPerWeek>30.8</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>109986</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18615</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAVID OKABE</NamePerson>
        <Title>EVP, CFO &amp; TREASURER</Title>
        <AverageHoursPerWeek>16.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>795218</ReportableCompFromRelatedOrgs>
        <OtherCompensation>94276</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>DAWN CHING</NamePerson>
        <Title>VP</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>218457</ReportableCompFromRelatedOrgs>
        <OtherCompensation>33933</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>EARL INOUYE</NamePerson>
        <Title>VP &amp; SYSTEM CONTROLLER</Title>
        <AverageHoursPerWeek>24.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>325704</ReportableCompFromRelatedOrgs>
        <OtherCompensation>51543</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GAIL LERCH</NamePerson>
        <Title>EXECUTIVE VP</Title>
        <AverageHoursPerWeek>19.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>604089</ReportableCompFromRelatedOrgs>
        <OtherCompensation>93486</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>GIDGET RUSCETTA</NamePerson>
        <Title>VP</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>0</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JENNIE CHAHANOVICH</NamePerson>
        <Title>VP &amp; COO</Title>
        <AverageHoursPerWeek>54.5</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>398182</ReportableCompFromRelatedOrgs>
        <OtherCompensation>36088</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JESSICA LEWIS</NamePerson>
        <Title>ASSISTANT CORPORATE SECRETARY</Title>
        <AverageHoursPerWeek>36.5</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>108668</ReportableCompFromRelatedOrgs>
        <OtherCompensation>10465</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KATIE SHIGEMITSU</NamePerson>
        <Title>HPH COMPLIANCE OFFICER</Title>
        <AverageHoursPerWeek>36.8</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>167726</ReportableCompFromRelatedOrgs>
        <OtherCompensation>17128</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KEKA SANBORN</NamePerson>
        <Title>VP</Title>
        <AverageHoursPerWeek>8.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>103318</ReportableCompFromRelatedOrgs>
        <OtherCompensation>6758</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARTHA SMITH</NamePerson>
        <Title>VP &amp; COO</Title>
        <AverageHoursPerWeek>54.5</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>498389</ReportableCompFromRelatedOrgs>
        <OtherCompensation>76327</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MAUREEN FLANNERY</NamePerson>
        <Title>VP</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>220712</ReportableCompFromRelatedOrgs>
        <OtherCompensation>3968</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MAVIS NIKAIDO</NamePerson>
        <Title>VP &amp; CNE</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>187432</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>18570</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MELINDA ASHTON MD</NamePerson>
        <Title>VP</Title>
        <AverageHoursPerWeek>7.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>402336</ReportableCompFromRelatedOrgs>
        <OtherCompensation>44902</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PATRICIA BOECKMANN RN</NamePerson>
        <Title>VP &amp; CNE</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>351069</ReportableCompFromRelatedOrgs>
        <OtherCompensation>30926</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>PAULA DIAS</NamePerson>
        <Title>VP</Title>
        <AverageHoursPerWeek>34.5</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>263740</ReportableCompFromRelatedOrgs>
        <OtherCompensation>23466</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>STEVEN ROBERTSON</NamePerson>
        <Title>EVP &amp; CIO</Title>
        <AverageHoursPerWeek>43.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>623242</ReportableCompFromRelatedOrgs>
        <OtherCompensation>90575</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>SUSAN MASUMOTO-NONAKA</NamePerson>
        <Title>VP</Title>
        <AverageHoursPerWeek>39.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>266449</ReportableCompFromRelatedOrgs>
        <OtherCompensation>37491</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>THERESA RAMEY</NamePerson>
        <Title>COMPLIANCE OFFICER</Title>
        <AverageHoursPerWeek>8.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>117779</ReportableCompFromRelatedOrgs>
        <OtherCompensation>16287</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>VIRGINIA PRESSLER-FISHER MD</NamePerson>
        <Title>EVP</Title>
        <AverageHoursPerWeek>6.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>615632</ReportableCompFromRelatedOrgs>
        <OtherCompensation>112590</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WARREN CHAIKO</NamePerson>
        <Title>VP</Title>
        <AverageHoursPerWeek>35.0</AverageHoursPerWeek>
        <Officer>X</Officer>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>296040</ReportableCompFromRelatedOrgs>
        <OtherCompensation>30527</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BARBARA CRAFT</NamePerson>
        <Title>DIRECTOR OF CLINICLA SVC LINE</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>170951</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>13545</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>BONNIE J CLARK</NamePerson>
        <Title>DIRECTOR OF CLINICAL SVC LINE</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>153748</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>7358</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KEITH MIYASHIRO</NamePerson>
        <Title>DIRECTOR OF IMAGING</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>153915</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21622</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KENT KIKUCHI</NamePerson>
        <Title>DIRECTOR OF PHARMACY</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>173478</ReportableCompFromRelatedOrgs>
        <OtherCompensation>21661</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LINDA LEAVITT</NamePerson>
        <Title>DIRECTOR OF CLINICAL SVC LINE</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>150621</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20250</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LOIS NASH</NamePerson>
        <Title>SYSTEM DIRECTOR OF PHARMACY</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <KeyEmployee>X</KeyEmployee>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>220498</ReportableCompFromRelatedOrgs>
        <OtherCompensation>19634</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>HINGSON M CHUN MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>846140</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>25059</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>CASS K NAKASONE MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>773886</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20802</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>MARK S GERBER MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>768755</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15176</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>WESLEY J KAI MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>768272</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20202</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>J ROY CHEN MD</NamePerson>
        <Title>PHYSICIAN</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <HighestCompensatedEmployee>X</HighestCompensatedEmployee>
        <ReportableCompFromOrganization>710358</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>25059</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>JOHN HARLACHER</NamePerson>
        <Title>FORMER OFFICER</Title>
        <AverageHoursPerWeek>40.0</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>118144</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>0</ReportableCompFromRelatedOrgs>
        <OtherCompensation>20058</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>KEOKI CLEMENTE</NamePerson>
        <Title>FORMER OFFICER</Title>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>122009</ReportableCompFromRelatedOrgs>
        <OtherCompensation>15374</OtherCompensation>
      </Form990PartVIISectionA>
      <Form990PartVIISectionA>
        <NamePerson>LYNNE JOSEPH</NamePerson>
        <Title>FORMER OFFICER</Title>
        <AverageHoursPerWeek>50.0</AverageHoursPerWeek>
        <Former>X</Former>
        <ReportableCompFromOrganization>0</ReportableCompFromOrganization>
        <ReportableCompFromRelatedOrgs>249038</ReportableCompFromRelatedOrgs>
        <OtherCompensation>34353</OtherCompensation>
      </Form990PartVIISectionA>
      <TotalReportableCompFromOrg>6198976</TotalReportableCompFromOrg>
      <TotalReportableCompFrmRltdOrgs>13942787</TotalReportableCompFrmRltdOrgs>
      <TotalOtherCompensation>2137050</TotalOtherCompensation>
      <NumberIndividualsGT100K>14</NumberIndividualsGT100K>
      <FormersListed>true</FormersListed>
      <TotalCompGT150K>true</TotalCompGT150K>
      <CompensationFromOtherSources>false</CompensationFromOtherSources>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CLINICAL LABORATORIES OF HAWAII LL</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>PO BOX 1300</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96807</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>LABORATORY SERVICES</DescriptionOfServices>
        <Compensation>19862349</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>SODEXO INC AFFILIATES</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>888 SOUTH KING STREET</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96813</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>FOOD &amp; ENVIORN SVCS</DescriptionOfServices>
        <Compensation>8951614</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>UNIVERSITY CLINICAL EDUC RESEARC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>677 ALA MOANA BLVD SUITE 1003</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96813</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>PHYSICIAN SERVICES</DescriptionOfServices>
        <Compensation>5474260</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>HAWAII RESIDENCY PROGRAMS INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1356 LUISTANA STREET 6TH FLOOR</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96813</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>MEDICAL SERVICES</DescriptionOfServices>
        <Compensation>5249347</Compensation>
      </ContractorCompensation>
      <ContractorCompensation>
        <NameOfContractor>
          <NamePerson>CONSTRUCTORS HAWAII INC</NamePerson>
        </NameOfContractor>
        <AddressOfContractor>
          <AddressUS>
            <AddressLine1>1728 KAHAI STREET</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>968193133</ZIPCode>
          </AddressUS>
        </AddressOfContractor>
        <DescriptionOfServices>CONSTRUCTION</DescriptionOfServices>
        <Compensation>5196210</Compensation>
      </ContractorCompensation>
      <NumberOfContractorsGT100K>5</NumberOfContractorsGT100K>
      <RelatedOrganizations>2548423</RelatedOrganizations>
      <AllOtherContributions>120003</AllOtherContributions>
      <NoncashContributions>82417</NoncashContributions>
      <TotalContributions>2668426</TotalContributions>
      <ProgramServiceRevenue>
        <Description>NET PATIENT REVENUES</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>805728430</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>805728430</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>OTHER HEALTHCARE REVENUE</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>13436131</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>13436131</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>RENTAL INCOME</Description>
        <BusinessCode>531120</BusinessCode>
        <TotalRevenueColumn>4369527</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>4369527</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>PREMIUM REVENUE</Description>
        <BusinessCode>622110</BusinessCode>
        <TotalRevenueColumn>2348160</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2348160</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <ProgramServiceRevenue>
        <Description>RENTAL INCOME FROM AFFILIATES</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>780052</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>780052</RelatedOrExemptFunctionIncome>
      </ProgramServiceRevenue>
      <TotalOthProgramServiceRevenue>
        <TotalRevenueColumn>987937</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>369116</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>618821</UnrelatedBusinessRevenue>
      </TotalOthProgramServiceRevenue>
      <TotalProgramServiceRevenue>827650237</TotalProgramServiceRevenue>
      <InvestmentIncome>
        <TotalRevenueColumn>3350698</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2247225</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>1103473</ExclusionAmount>
      </InvestmentIncome>
      <IncomeFromInvestBondProceeds>
        <TotalRevenueColumn>258503</TotalRevenueColumn>
        <ExclusionAmount>258503</ExclusionAmount>
      </IncomeFromInvestBondProceeds>
      <RoyaltiesRevenue>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </RoyaltiesRevenue>
      <GrossRents>
        <Real>201414</Real>
      </GrossRents>
      <LessRentalExpenses>
        <Real>40402</Real>
      </LessRentalExpenses>
      <RentalIncomeOrLoss>
        <Real>161012</Real>
      </RentalIncomeOrLoss>
      <NetRentalIncomeOrLoss>
        <TotalRevenueColumn>161012</TotalRevenueColumn>
        <UnrelatedBusinessRevenue>23307</UnrelatedBusinessRevenue>
        <ExclusionAmount>137705</ExclusionAmount>
      </NetRentalIncomeOrLoss>
      <GrossAmountSalesAssets>
        <Securities>27406935</Securities>
        <Other>200248</Other>
      </GrossAmountSalesAssets>
      <LessCostOthBasisSalesExpenses>
        <Securities>25141711</Securities>
        <Other>264087</Other>
      </LessCostOthBasisSalesExpenses>
      <GainOrLoss>
        <Securities>2265224</Securities>
        <Other>-63839</Other>
      </GainOrLoss>
      <NetGainOrLossInvestments>
        <TotalRevenueColumn>2201385</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>-119613</RelatedOrExemptFunctionIncome>
        <ExclusionAmount>2320998</ExclusionAmount>
      </NetGainOrLossInvestments>
      <GrossIncomeFundraisingEvents>26971</GrossIncomeFundraisingEvents>
      <FundraisingDirectExpenses>27984</FundraisingDirectExpenses>
      <NetIncomeFromFundraisingEvents>
        <TotalRevenueColumn>-1013</TotalRevenueColumn>
        <ExclusionAmount>-1013</ExclusionAmount>
      </NetIncomeFromFundraisingEvents>
      <NetIncomeFromGaming>
        <TotalRevenueColumn>0</TotalRevenueColumn>
      </NetIncomeFromGaming>
      <GrossSalesOfInventory>660087</GrossSalesOfInventory>
      <CostOfGoodsSold>398527</CostOfGoodsSold>
      <NetIncomeOrLoss>
        <TotalRevenueColumn>261560</TotalRevenueColumn>
        <ExclusionAmount>261560</ExclusionAmount>
      </NetIncomeOrLoss>
      <OtherRevenueMisc>
        <Description>PARKING</Description>
        <BusinessCode>812930</BusinessCode>
        <TotalRevenueColumn>2232269</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>2232269</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>CAFETERIA</Description>
        <BusinessCode>722110</BusinessCode>
        <TotalRevenueColumn>1095577</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>1095577</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <OtherRevenueMisc>
        <Description>SPECIAL EVENTS/CATERING</Description>
        <BusinessCode>900099</BusinessCode>
        <TotalRevenueColumn>457348</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>457348</RelatedOrExemptFunctionIncome>
      </OtherRevenueMisc>
      <MiscellaneousRevenue>
        <TotalRevenueColumn>539974</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>522122</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>3344</UnrelatedBusinessRevenue>
        <ExclusionAmount>14508</ExclusionAmount>
      </MiscellaneousRevenue>
      <TotalOtherRevenue>4325168</TotalOtherRevenue>
      <TotalRevenue>
        <TotalRevenueColumn>840875976</TotalRevenueColumn>
        <RelatedOrExemptFunctionIncome>833466344</RelatedOrExemptFunctionIncome>
        <UnrelatedBusinessRevenue>645472</UnrelatedBusinessRevenue>
        <ExclusionAmount>4095734</ExclusionAmount>
      </TotalRevenue>
      <GrantsToDomesticOrgs>
        <Total>47100</Total>
        <ProgramServices>47100</ProgramServices>
      </GrantsToDomesticOrgs>
      <GrantsToDomesticIndividuals>
        <Total>0</Total>
      </GrantsToDomesticIndividuals>
      <ForeignGrants>
        <Total>0</Total>
      </ForeignGrants>
      <BenefitsToMembers>
        <Total>0</Total>
      </BenefitsToMembers>
      <CompCurrentOfficersDirectors>
        <Total>2294252</Total>
        <ProgramServices>2204626</ProgramServices>
        <ManagementAndGeneral>89626</ManagementAndGeneral>
      </CompCurrentOfficersDirectors>
      <CompDisqualPersons>
        <Total>139377</Total>
        <ProgramServices>139377</ProgramServices>
      </CompDisqualPersons>
      <OtherSalariesAndWages>
        <Total>310073758</Total>
        <ProgramServices>307057880</ProgramServices>
        <ManagementAndGeneral>3015878</ManagementAndGeneral>
      </OtherSalariesAndWages>
      <PensionPlanContributions>
        <Total>23215403</Total>
        <ProgramServices>22982675</ProgramServices>
        <ManagementAndGeneral>232728</ManagementAndGeneral>
      </PensionPlanContributions>
      <OtherEmployeeBenefits>
        <Total>31670931</Total>
        <ProgramServices>30463263</ProgramServices>
        <ManagementAndGeneral>1207668</ManagementAndGeneral>
      </OtherEmployeeBenefits>
      <PayrollTaxes>
        <Total>21161460</Total>
        <ProgramServices>20989195</ProgramServices>
        <ManagementAndGeneral>172265</ManagementAndGeneral>
      </PayrollTaxes>
      <FeesForServicesManagement>
        <Total>0</Total>
      </FeesForServicesManagement>
      <FeesForServicesLegal>
        <Total>13240</Total>
        <ManagementAndGeneral>13240</ManagementAndGeneral>
      </FeesForServicesLegal>
      <FeesForServicesAccounting>
        <Total>2480098</Total>
        <ManagementAndGeneral>2480098</ManagementAndGeneral>
      </FeesForServicesAccounting>
      <FeesForServicesLobbying>
        <Total>17632</Total>
        <ManagementAndGeneral>17632</ManagementAndGeneral>
      </FeesForServicesLobbying>
      <FeesForServicesProfFundraising>
        <Total>0</Total>
      </FeesForServicesProfFundraising>
      <FeesForServicesInvstMgmntFees>
        <Total>527190</Total>
        <ManagementAndGeneral>527190</ManagementAndGeneral>
      </FeesForServicesInvstMgmntFees>
      <FeesForServicesOther>
        <Total>115623472</Total>
        <ProgramServices>102686136</ProgramServices>
        <ManagementAndGeneral>12937336</ManagementAndGeneral>
      </FeesForServicesOther>
      <Advertising>
        <Total>331034</Total>
        <ProgramServices>16367</ProgramServices>
        <ManagementAndGeneral>314667</ManagementAndGeneral>
      </Advertising>
      <OfficeExpenses>
        <Total>113253156</Total>
        <ProgramServices>112588420</ProgramServices>
        <ManagementAndGeneral>664736</ManagementAndGeneral>
      </OfficeExpenses>
      <InformationTechnology>
        <Total>11842928</Total>
        <ProgramServices>1779223</ProgramServices>
        <ManagementAndGeneral>10063705</ManagementAndGeneral>
      </InformationTechnology>
      <Royalties>
        <Total>0</Total>
      </Royalties>
      <Occupancy>
        <Total>23183927</Total>
        <ProgramServices>22075000</ProgramServices>
        <ManagementAndGeneral>1108927</ManagementAndGeneral>
      </Occupancy>
      <Travel>
        <Total>1130040</Total>
        <ProgramServices>948709</ProgramServices>
        <ManagementAndGeneral>181331</ManagementAndGeneral>
      </Travel>
      <TravelEntrtnmntPublicOfficials>
        <Total>0</Total>
      </TravelEntrtnmntPublicOfficials>
      <ConferencesMeetings>
        <Total>117494</Total>
        <ProgramServices>102359</ProgramServices>
        <ManagementAndGeneral>15135</ManagementAndGeneral>
      </ConferencesMeetings>
      <Interest>
        <Total>12110002</Total>
        <ProgramServices>12110002</ProgramServices>
      </Interest>
      <PaymentsToAffiliates>
        <Total>0</Total>
      </PaymentsToAffiliates>
      <DepreciationDepletion>
        <Total>32472733</Total>
        <ProgramServices>31315033</ProgramServices>
        <ManagementAndGeneral>1157700</ManagementAndGeneral>
      </DepreciationDepletion>
      <Insurance>
        <Total>8609861</Total>
        <ProgramServices>8609861</ProgramServices>
      </Insurance>
      <OtherExpenses>
        <Description>CORPORATE ALLOCATION</Description>
        <Total>46982260</Total>
        <ManagementAndGeneral>46982260</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>BAD DEBT</Description>
        <Total>26421926</Total>
        <ProgramServices>26421926</ProgramServices>
      </OtherExpenses>
      <OtherExpenses>
        <Description>OTHER PURCHASES</Description>
        <Total>3707381</Total>
        <ProgramServices>2876492</ProgramServices>
        <ManagementAndGeneral>830889</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>ALL OTHER EXPENSES</Description>
        <Total>109934</Total>
        <ProgramServices>79624</ProgramServices>
        <ManagementAndGeneral>30310</ManagementAndGeneral>
      </OtherExpenses>
      <OtherExpenses>
        <Description>DEFERRED COMPENSATION</Description>
        <Total>1000562</Total>
        <ManagementAndGeneral>1000562</ManagementAndGeneral>
      </OtherExpenses>
      <AllOtherExpenses>
        <Total>1198062</Total>
        <ProgramServices>664275</ProgramServices>
        <ManagementAndGeneral>533787</ManagementAndGeneral>
      </AllOtherExpenses>
      <TotalFunctionalExpenses>
        <Total>789735213</Total>
        <ProgramServices>706157543</ProgramServices>
        <ManagementAndGeneral>83577670</ManagementAndGeneral>
        <Fundraising>0</Fundraising>
      </TotalFunctionalExpenses>
      <CashNonInterestBearing>
        <BOY>-2898490</BOY>
        <EOY>-6314220</EOY>
      </CashNonInterestBearing>
      <SavingsAndTempCashInvestments>
        <BOY>7785943</BOY>
        <EOY>13103329</EOY>
      </SavingsAndTempCashInvestments>
      <AccountsReceivable>
        <BOY>92567502</BOY>
        <EOY>81939195</EOY>
      </AccountsReceivable>
      <InventoriesForSaleOrUse>
        <BOY>11251666</BOY>
        <EOY>12815830</EOY>
      </InventoriesForSaleOrUse>
      <PrepaidExpensesDeferredCharges>
        <BOY>1188057</BOY>
        <EOY>1135587</EOY>
      </PrepaidExpensesDeferredCharges>
      <LandBuildingsEquipmentBasis>673872503</LandBuildingsEquipmentBasis>
      <LandBldgEquipmentAccumDeprec>425152001</LandBldgEquipmentAccumDeprec>
      <LandBuildingsEquipmentBasisNet>
        <BOY>249558122</BOY>
        <EOY>248720502</EOY>
      </LandBuildingsEquipmentBasisNet>
      <InvestmentsPubTradedSecurities>
        <BOY>58991470</BOY>
        <EOY>66911643</EOY>
      </InvestmentsPubTradedSecurities>
      <InvestmentsOtherSecurities>
        <BOY>48486527</BOY>
        <EOY>57490990</EOY>
      </InvestmentsOtherSecurities>
      <InvestmentsProgramRelated>
        <BOY>1618557</BOY>
        <EOY>1618557</EOY>
      </InvestmentsProgramRelated>
      <IntangibleAssets>
        <BOY>10573719</BOY>
        <EOY>0</EOY>
      </IntangibleAssets>
      <OtherAssetsTotal>
        <BOY>48173107</BOY>
        <EOY>54048488</EOY>
      </OtherAssetsTotal>
      <TotalAssets>
        <BOY>527296180</BOY>
        <EOY>531469901</EOY>
      </TotalAssets>
      <AccountsPayableAccruedExpenses>
        <BOY>68419431</BOY>
        <EOY>67602758</EOY>
      </AccountsPayableAccruedExpenses>
      <OtherLiabilities>
        <BOY>69641522</BOY>
        <EOY>61550081</EOY>
      </OtherLiabilities>
      <TotalLiabilities>
        <BOY>138060953</BOY>
        <EOY>129152839</EOY>
      </TotalLiabilities>
      <FollowSFAS117>X</FollowSFAS117>
      <UnrestrictedNetAssets>
        <BOY>363587834</BOY>
        <EOY>373761487</EOY>
      </UnrestrictedNetAssets>
      <TemporarilyRestrictedNetAssets>
        <BOY>16184348</BOY>
        <EOY>18672769</EOY>
      </TemporarilyRestrictedNetAssets>
      <PermanentlyRestrictedNetAssets>
        <BOY>9463045</BOY>
        <EOY>9882806</EOY>
      </PermanentlyRestrictedNetAssets>
      <TotalNetAssetsFundBalances>
        <BOY>389235227</BOY>
        <EOY>402317062</EOY>
      </TotalNetAssetsFundBalances>
      <TotalLiabNetAssetsFundBalances>
        <BOY>527296180</BOY>
        <EOY>531469901</EOY>
      </TotalLiabNetAssetsFundBalances>
      <InfoInScheduleOPartXI>X</InfoInScheduleOPartXI>
      <ReconcilationRevenueExpenses>51140763</ReconcilationRevenueExpenses>
      <ReconcilationOtherChanges>-38058928</ReconcilationOtherChanges>
      <MethodOfAccountingAccrual>X</MethodOfAccountingAccrual>
      <AccountantCompileOrReview>false</AccountantCompileOrReview>
      <FSAudited>true</FSAudited>
      <AuditCommittee>true</AuditCommittee>
      <FinancialStatementConsolidated>X</FinancialStatementConsolidated>
      <FederalGrantAuditRequired>false</FederalGrantAuditRequired>
    </IRS990>
    <IRS990ScheduleA documentId="IRS990ScheduleA">
      <Hospital170b1Aiii>X</Hospital170b1Aiii>
    </IRS990ScheduleA>
    <IRS990ScheduleB documentId="IRS990ScheduleB">
      <ContributorInfo>
        <ContributorNumber>RESTRICTED</ContributorNumber>
        <ContributorNameBusiness>
          <BusinessNameLine1>RESTRICTED</BusinessNameLine1>
        </ContributorNameBusiness>
        <ContributorAddressUS>
          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
        </ContributorAddressUS>
        <AggregateContributions>RESTRICTED</AggregateContributions>
      </ContributorInfo>
    </IRS990ScheduleB>
    <IRS990ScheduleC documentId="IRS990ScheduleC">
      <OrgBelongsToAffiliatedGroup>X</OrgBelongsToAffiliatedGroup>
      <TotalGrassrootsLobbying />
      <TotalDirectLobbying>
        <FilingOrganizationsTotals>3793</FilingOrganizationsTotals>
        <AffiliatedGroupTotals>67840</AffiliatedGroupTotals>
      </TotalDirectLobbying>
      <TotalLobbyingExpenditures>
        <FilingOrganizationsTotals>3793</FilingOrganizationsTotals>
        <AffiliatedGroupTotals>67840</AffiliatedGroupTotals>
      </TotalLobbyingExpenditures>
      <OtherExemptPurposeExpenditures>
        <FilingOrganizationsTotals>314452218</FilingOrganizationsTotals>
        <AffiliatedGroupTotals>1002392346</AffiliatedGroupTotals>
      </OtherExemptPurposeExpenditures>
      <TotalExemptPurposeExpenditures>
        <FilingOrganizationsTotals>314456011</FilingOrganizationsTotals>
        <AffiliatedGroupTotals>1002460186</AffiliatedGroupTotals>
      </TotalExemptPurposeExpenditures>
      <LobbyingNontaxableAmount>
        <FilingOrganizationsTotals>1000000</FilingOrganizationsTotals>
        <AffiliatedGroupTotals>1000000</AffiliatedGroupTotals>
      </LobbyingNontaxableAmount>
      <GrassrootsNontaxableAmount>
        <FilingOrganizationsTotals>250000</FilingOrganizationsTotals>
        <AffiliatedGroupTotals>250000</AffiliatedGroupTotals>
      </GrassrootsNontaxableAmount>
      <TotLobbyingGrassrootMinusNonTx />
      <TotLobbyExpendMnsLobbyingNontx />
      <LobbyingNontaxableAmount2>
        <CurrentYearMinus3>1000000</CurrentYearMinus3>
        <CurrentYearMinus2>1000000</CurrentYearMinus2>
        <CurrentYearMinus1>1000000</CurrentYearMinus1>
        <CurrentYear>1000000</CurrentYear>
        <Total>4000000</Total>
      </LobbyingNontaxableAmount2>
      <LobbyingCeilingAmount>6000000</LobbyingCeilingAmount>
      <TotalLobbyingExpenditures2>
        <CurrentYearMinus3>2488</CurrentYearMinus3>
        <CurrentYearMinus2>2488</CurrentYearMinus2>
        <CurrentYearMinus1>2133</CurrentYearMinus1>
        <CurrentYear>3793</CurrentYear>
        <Total>10902</Total>
      </TotalLobbyingExpenditures2>
      <GrassrootsNontaxableAmount2>
        <CurrentYearMinus3>250000</CurrentYearMinus3>
        <CurrentYearMinus2>250000</CurrentYearMinus2>
        <CurrentYearMinus1>250000</CurrentYearMinus1>
        <CurrentYear>250000</CurrentYear>
        <Total>1000000</Total>
      </GrassrootsNontaxableAmount2>
      <GrassrootsCeilingAmount>1500000</GrassrootsCeilingAmount>
      <Form990ScheduleCPartIV>
        <Identifier>POLITICAL EXPENDITURES</Identifier>
        <ReturnReference>SCHEDULE C, PART II-A, LINE 1D</ReturnReference>
        <Explanation>LOBBYING FEES WERE INCLUDED IN THE ANNUAL MEMERSHIP DUES PAID TO HEALTHCARE ASSOCIATION OF HAWAI'I. AFFILIATED GROUP ATTACHMENT SCHEDULE C, PART II-A HAWAI'I PACIFIC HEALTH 99-0246363 KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN 99-0177350 PALI MOMI MEDICAL CENTER 99-0274038 WILCOX MEMORIAL HOSPITAL 99-0074365 KAUA'I MEDICAL CLINIC 99-0326099 PROVIDERS INSURANCE CORPORATION 71-0893000 KAPI'OLANI MEDICAL SPECIALISTS 99-0322406 STRAUB FOUNDATION 99-0109350 WILCOX HEALTH FOUNDATION 99-0204242 KAPI'OLANI HEALTH FOUNDATION 99-0246364 STRAUB CLINIC &amp; HOSPITAL 91-2151670 PALI MOMI FOUNDATION 38-3840327 MAILING ADDRESS FOR ALL MEMBERS OF THE AFFILIATED GROUP IS 55 MERCHANT STREET, 24TH FLOOR, HONOLULU, HI 96813 THE ONLY MEMBER TO MAKE THE ELECTION UNDER SECTION 501(H) WAS STRAUB CLINIC &amp; HOSPITAL</Explanation>
      </Form990ScheduleCPartIV>
    </IRS990ScheduleC>
    <IRS990ScheduleD documentId="IRS990ScheduleD">
      <ArtPublicExhibitionAmts />
      <HeldWorksOfArtAmts />
      <CurrentYear>
        <BeginningOfYearBalance>114609981</BeginningOfYearBalance>
        <Contributions>1260873</Contributions>
        <InvestmentEarningsOrLosses>22509891</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>102546</AdministrativeExpenses>
        <EndOfYearBalance>138278199</EndOfYearBalance>
      </CurrentYear>
      <CurrentYearMinus1Year>
        <BeginningOfYearBalance>102107743</BeginningOfYearBalance>
        <Contributions>1339991</Contributions>
        <InvestmentEarningsOrLosses>11175215</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>12968</AdministrativeExpenses>
        <EndOfYearBalance>114609981</EndOfYearBalance>
      </CurrentYearMinus1Year>
      <CurrentYearMinus2Years>
        <BeginningOfYearBalance>123858456</BeginningOfYearBalance>
        <Contributions>3027713</Contributions>
        <InvestmentEarningsOrLosses>-24767339</InvestmentEarningsOrLosses>
        <AdministrativeExpenses>11087</AdministrativeExpenses>
        <EndOfYearBalance>102107743</EndOfYearBalance>
      </CurrentYearMinus2Years>
      <BoardDesignatedEOYBalance>0.97000</BoardDesignatedEOYBalance>
      <PermanentEndowmentEOYBalance>0.02000</PermanentEndowmentEOYBalance>
      <TermEndowmentEOYBalance>0.01000</TermEndowmentEOYBalance>
      <EndowmentsHeldByUnrelatedOrgs>true</EndowmentsHeldByUnrelatedOrgs>
      <EndowmentsHeldByRelatedOrgs>true</EndowmentsHeldByRelatedOrgs>
      <AreRelatedOrgsListedScheduleR>true</AreRelatedOrgsListedScheduleR>
      <Land>
        <OtherCostOrOtherBasis>19720249</OtherCostOrOtherBasis>
        <BookValue>19720249</BookValue>
      </Land>
      <Buildings>
        <OtherCostOrOtherBasis>334533464</OtherCostOrOtherBasis>
        <Depreciation>185958817</Depreciation>
        <BookValue>148574647</BookValue>
      </Buildings>
      <LeaseholdImprovements>
        <OtherCostOrOtherBasis>14170162</OtherCostOrOtherBasis>
        <Depreciation>9626024</Depreciation>
        <BookValue>4544138</BookValue>
      </LeaseholdImprovements>
      <Equipment>
        <OtherCostOrOtherBasis>282417156</OtherCostOrOtherBasis>
        <Depreciation>223965130</Depreciation>
        <BookValue>58452026</BookValue>
      </Equipment>
      <OtherLandBuildings>
        <OtherCostOrOtherBasis>23031472</OtherCostOrOtherBasis>
        <Depreciation>5602030</Depreciation>
        <BookValue>17429442</BookValue>
      </OtherLandBuildings>
      <TotalOfBookValueLandBuildings>248720502</TotalOfBookValueLandBuildings>
      <FinancialDerivatives />
      <CloselyHeldEquityInterests />
      <OtherSecurities>
        <Description>INVESTMT IN UNCONSOLIDATED SUB</Description>
        <BookValue>4971277</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>BOARD DESIGNATED SECURITIES</Description>
        <BookValue>33631270</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>LIMITED PARTNERSHIPS</Description>
        <BookValue>18863443</BookValue>
        <MethodOfValuation>F</MethodOfValuation>
      </OtherSecurities>
      <OtherSecurities>
        <Description>INVESTMT IN UNCONSOLIDATED SUB</Description>
        <BookValue>25000</BookValue>
        <MethodOfValuation>C</MethodOfValuation>
      </OtherSecurities>
      <TotalOfBookValueSecurities>57490990</TotalOfBookValueSecurities>
      <OtherAssets>
        <Description>DUE FROM THIRD PARTY PAYORS</Description>
        <BookValue>2002181</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>OTHER RECEIVABLES</Description>
        <BookValue>3836768</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM STRAUB FDN</Description>
        <BookValue>6703</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM KAUA'I MEDICAL CLINIC</Description>
        <BookValue>67816</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM KAPI'OLANI HEALTH FDN</Description>
        <BookValue>346800</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM KAPI'OLANI SPECIALIST</Description>
        <BookValue>78719</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM PROVIDERS INSURANCE</Description>
        <BookValue>368968</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>BOARD DESIGNATED INVESTMENTS</Description>
        <BookValue>16416008</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INTEREST IN N.A. FOUNDATION</Description>
        <BookValue>24906784</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>INVESTMENTS IN JOINT VENTURES</Description>
        <BookValue>84702</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DEPOSITS &amp; NON-CURRENT ASSETS</Description>
        <BookValue>4196429</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM WILCOX HEALTH FDN</Description>
        <BookValue>178914</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>UNAMORTIZED BOND COSTS</Description>
        <BookValue>179511</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DUE FROM GOVERNMENT AGENCIES</Description>
        <BookValue>1102182</BookValue>
      </OtherAssets>
      <OtherAssets>
        <Description>DECORATIVE ARTWORK</Description>
        <BookValue>276003</BookValue>
      </OtherAssets>
      <TotalBookValueOtherAssets>54048488</TotalBookValueOtherAssets>
      <FederalIncomeTaxLiability>0</FederalIncomeTaxLiability>
      <OtherLiabilities>
        <Description>DUE TO STRAUB PHARMACY</Description>
        <Amount>4555888</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO KAPI'OLANI HEALTH FDN</Description>
        <Amount>9930</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO WILCOX HEALTH FDN</Description>
        <Amount>5632</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>OTHER LONG TERM LIABILITIES</Description>
        <Amount>23062878</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO GOVERNMENTAL AGENCIES</Description>
        <Amount>694948</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>ALLOC OF GROUP TAX EXEMPT BONDS</Description>
        <Amount>32609613</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO HAWAI'I PACIFIC HEALTH PTRS</Description>
        <Amount>2520</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO KEAHONUIOKALANI</Description>
        <Amount>27123</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO STRAUB FOUNDATION</Description>
        <Amount>16128</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE TO KAPI`OLANI SPECIALISTS</Description>
        <Amount>506683</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DEFERRED EQUIPMENT PURCHASE PLAN</Description>
        <Amount>9300</Amount>
      </OtherLiabilities>
      <OtherLiabilities>
        <Description>DUE FROM PACIFIC HEALTH PARTNERS</Description>
        <Amount>49438</Amount>
      </OtherLiabilities>
      <TotalOfAmounts>61550081</TotalOfAmounts>
      <Form990ScheduleDPartXIV>
        <Identifier>ENDOWMENT FUNDS INTENDED USES</Identifier>
        <ReturnReference>SCHEDULE D, PART V, LINE 4</ReturnReference>
        <Explanation>ENDOWMENT FUNDS ARE INTENEDED TO BE USED TO PROVIDE MEDICAL AND OTHER CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR SUCH CARE AND FOR OTHER EXPENSES RELATED TO THE EXEMPT PURPOSE OF THE HOPITAL. FIN 48 (ASC 740) FOOTNOTE SCHEDULE D, PART X, LINE 2 THE 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 ENACTED TAX RATES AND LAWS. VALUATION ALLOWANCES ARE USED TO REDUCE DEFERRED TAX ASSETS TO THEIR ESTIMATED NET RELIZABLE VALUES WHEN MANAGEMENT DETERMINES ULTIMATE RECOVERY OF THE DEFERRED TAX ASSETS IS NOT MORE LIKELY THAN NOT TO OCCUR.</Explanation>
      </Form990ScheduleDPartXIV>
    </IRS990ScheduleD>
    <IRS990ScheduleG documentId="IRS990ScheduleG">
      <EventsInformation>
        <NameOfEvent1>GOLF TOURNAMENT</NameOfEvent1>
        <GrossReceiptsEvent1>26971</GrossReceiptsEvent1>
        <GrossRevenueEvent1>26971</GrossRevenueEvent1>
        <OtherDirectExpensesEvent1>27984</OtherDirectExpensesEvent1>
        <TotalNumberOfOtherEvents>0</TotalNumberOfOtherEvents>
        <GrossReceiptsTotal>26971</GrossReceiptsTotal>
        <GrossRevenueTotalEvents>26971</GrossRevenueTotalEvents>
        <OtherDirectExpensesTotalEvents>27984</OtherDirectExpensesTotalEvents>
        <DirectExpenseSummaryEvents>27984</DirectExpenseSummaryEvents>
        <NetIncomeSummary>-1013</NetIncomeSummary>
      </EventsInformation>
    </IRS990ScheduleG>
    <IRS990ScheduleH documentId="IRS990ScheduleH">
      <CharityCarePolicy>true</CharityCarePolicy>
      <WrittenPolicy>true</WrittenPolicy>
      <PolicyAppliedToAllHospitals>X</PolicyAppliedToAllHospitals>
      <FPGReferenceFreeCare>true</FPGReferenceFreeCare>
      <Pcent200>X</Pcent200>
      <FPGReferenceDiscountedCare>true</FPGReferenceDiscountedCare>
      <Pcent400>X</Pcent400>
      <FreeDiscCareMedicallyIndigent>true</FreeDiscCareMedicallyIndigent>
      <AmountsBudgetedForCharityCare>true</AmountsBudgetedForCharityCare>
      <ExpensesExceededBudget>false</ExpensesExceededBudget>
      <AnnualCommunityBenefitReport>true</AnnualCommunityBenefitReport>
      <ReportPublicallyAvailable>true</ReportPublicallyAvailable>
      <CharityCareAtCost>
        <PersonsServed>10703</PersonsServed>
        <TotalCommunityBenefitExpense>2366888</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2366888</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00320</PercentOfTotalExpense>
      </CharityCareAtCost>
      <UnreimbursedMedicaid>
        <PersonsServed>121909</PersonsServed>
        <TotalCommunityBenefitExpense>165594291</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>132476988</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>33117303</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03010</PercentOfTotalExpense>
      </UnreimbursedMedicaid>
      <TotalCharityCare>
        <PersonsServed>132612</PersonsServed>
        <TotalCommunityBenefitExpense>167961179</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>132476988</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>35484191</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.03330</PercentOfTotalExpense>
      </TotalCharityCare>
      <CommunityHealthServices>
        <NumberOfActivitiesOrPrograms>8</NumberOfActivitiesOrPrograms>
        <PersonsServed>3806</PersonsServed>
        <TotalCommunityBenefitExpense>1237212</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>341431</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>895781</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00120</PercentOfTotalExpense>
      </CommunityHealthServices>
      <HealthProfessionsEducation>
        <NumberOfActivitiesOrPrograms>2</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>21723902</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>1679749</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>20044153</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02630</PercentOfTotalExpense>
      </HealthProfessionsEducation>
      <SubsidizedHealthServices>
        <NumberOfActivitiesOrPrograms>4</NumberOfActivitiesOrPrograms>
        <TotalCommunityBenefitExpense>10875270</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>8774873</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>2100396</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00200</PercentOfTotalExpense>
      </SubsidizedHealthServices>
      <CashAndInKindContributions>
        <TotalCommunityBenefitExpense>123755</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>123755</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.00020</PercentOfTotalExpense>
      </CashAndInKindContributions>
      <TotalOtherBenefits>
        <NumberOfActivitiesOrPrograms>14</NumberOfActivitiesOrPrograms>
        <PersonsServed>3806</PersonsServed>
        <TotalCommunityBenefitExpense>33960139</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>10796053</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>23164085</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.02970</PercentOfTotalExpense>
      </TotalOtherBenefits>
      <TotalCommunityBenefits>
        <NumberOfActivitiesOrPrograms>14</NumberOfActivitiesOrPrograms>
        <PersonsServed>136418</PersonsServed>
        <TotalCommunityBenefitExpense>201921318</TotalCommunityBenefitExpense>
        <DirectOffsettingRevenue>143273041</DirectOffsettingRevenue>
        <NetCommunityBenefitExpense>58648276</NetCommunityBenefitExpense>
        <PercentOfTotalExpense>0.06300</PercentOfTotalExpense>
      </TotalCommunityBenefits>
      <WorkforceDevelopment>
        <TotalCommunityBuildingExpense>409912</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>409912</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </WorkforceDevelopment>
      <Other>
        <TotalCommunityBuildingExpense>8865</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>8865</NetCommunityBuildingExpense>
      </Other>
      <Total>
        <TotalCommunityBuildingExpense>418777</TotalCommunityBuildingExpense>
        <DirectOffsettingRevenue>0</DirectOffsettingRevenue>
        <NetCommunityBuildingExpense>418777</NetCommunityBuildingExpense>
        <PercentOfTotalExpense>0.00060</PercentOfTotalExpense>
      </Total>
      <BadDebtExpenseReported>false</BadDebtExpenseReported>
      <BadDebtExpenseAmount>9388645</BadDebtExpenseAmount>
      <AmountAttributableTo>820041</AmountAttributableTo>
      <AmountReimbursedByMedicare>136623770</AmountReimbursedByMedicare>
      <CostOfCareReimbursedByMedicare>147006535</CostOfCareReimbursedByMedicare>
      <MedicareSurplusOrShortfall>-10382765</MedicareSurplusOrShortfall>
      <CostingMethodologyUsed>
        <Other>X</Other>
      </CostingMethodologyUsed>
      <WrittenDebtCollectionPolicy>true</WrittenDebtCollectionPolicy>
      <ProvisionForCharityCare>true</ProvisionForCharityCare>
      <NumberOfHospitalFacilities>4</NumberOfHospitalFacilities>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>1</FacilityNumber>
        <Name>
          <BusinessNameLine1>KAPI'OLANI MED CTR FOR WOMEN &amp; CHILDREN</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>1319 PUNAHOU STREET</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96826</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <ChildrensHospital>X</ChildrensHospital>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>2</FacilityNumber>
        <Name>
          <BusinessNameLine1>PALI MOMI MEDICAL CENTER</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>98-1079 MOANALUA ROAD</AddressLine1>
          <City>AIEA</City>
          <State>HI</State>
          <ZIPCode>96701</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>3</FacilityNumber>
        <Name>
          <BusinessNameLine1>STRAUB CLINIC &amp; HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>888 SOUTH KING STREET</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <TeachingHospital>X</TeachingHospital>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionA>
        <FacilityNumber>4</FacilityNumber>
        <Name>
          <BusinessNameLine1>WILCOX MEMORIAL HOSPITAL</BusinessNameLine1>
        </Name>
        <Address>
          <AddressLine1>3-3420 KUHIO HIGHWAY</AddressLine1>
          <City>LIHUE</City>
          <State>HI</State>
          <ZIPCode>967661099</ZIPCode>
        </Address>
        <LicensedHospital>X</LicensedHospital>
        <GeneralMedicalAndSurgical>X</GeneralMedicalAndSurgical>
        <Er24Hours>X</Er24Hours>
      </Form990ScheduleHPartVSectionA>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>KAPI'OLANI MED CTR FOR WOMEN &amp; CHILDREN</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>1</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>PALI MOMI MEDICAL CENTER</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>2</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>STRAUB CLINIC &amp; HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>3</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionB>
        <HospitalFacilityName>
          <BusinessNameLine1>WILCOX MEMORIAL HOSPITAL</BusinessNameLine1>
        </HospitalFacilityName>
        <HospitalFacilityNumber>4</HospitalFacilityNumber>
      </Form990ScheduleHPartVSectionB>
      <Form990ScheduleHPartVSectionC>
        <NumberOfOtherFacilities>16</NumberOfOtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PEARLRIDGE CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>98-151 PALI MOMI STREET</AddressLine1>
            <City>AIEA</City>
            <State>HI</State>
            <ZIPCode>96701</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>MILILANI CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>95-1249 MEHEULA PARKWAY SUITE C-2</AddressLine1>
            <City>MILILANI</City>
            <State>HI</State>
            <ZIPCode>96789</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>DOCS ON CALL - PRINCESS KAIULANI HOTEL</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>120 KAIULANI AVENUE LOBBY LEVEL</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96815</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HAWAI'I KAI CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>7192 KALANIANAOLE HIGHWAY SUITE A2</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96825</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>WINDWARD MALL CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>46-056 KAMEHAMEHA HIGHWAY SUITE 22</AddressLine1>
            <City>KANEOHE</City>
            <State>HI</State>
            <ZIPCode>96744</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>KAILUA CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>602 KAILUA ROAD 2ND FLOOR</AddressLine1>
            <City>KAILUA</City>
            <State>HI</State>
            <ZIPCode>96734</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>LANA'I CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>628-B SEVENTH STREET</AddressLine1>
            <City>LANAI CITY</City>
            <State>HI</State>
            <ZIPCode>96763</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>PALI MOMI CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>98-1079 MOANALUA ROAD SUITE 640</AddressLine1>
            <City>AIEA</City>
            <State>HI</State>
            <ZIPCode>96701</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>KONA CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>75-240 NANI KAILUA DRIVE SUITE 6B</AddressLine1>
            <City>KAILUAKONA</City>
            <State>HI</State>
            <ZIPCode>96740</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>ARTESIAN SATELLITE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1907 BERETANIA STREET 5TH FLOOR</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96826</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>DOCS ON CALL - HILTON HAWAIIAN VILLAGE</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>2005 KALIA ROAD 2ND FLOOR</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96815</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>RESTAURANT ROW CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>500 ALA MOANA BLVD TOWER 7 SUITE</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96813</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>KAPOLEI CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>590 FARRINGTON HIGHWAY SUITE 590</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96707</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HILO CLINIC</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>73 PUUHOU PLACE</AddressLine1>
            <City>HILO</City>
            <State>HI</State>
            <ZIPCode>96720</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>KAPI'OLANI WOMEN'S BREAST CENTER</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1907 BERETANIA STREET 1ST FLOOR</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96826</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
        <OtherFacilities>
          <Name>
            <BusinessNameLine1>HAWAI'I COMMUNITY GENETICS</BusinessNameLine1>
          </Name>
          <Address>
            <AddressLine1>1441 KAPIOLANI BLVD 18TH FLOOR</AddressLine1>
            <City>HONOLULU</City>
            <State>HI</State>
            <ZIPCode>96814</ZIPCode>
          </Address>
          <FacilityType>CLINIC</FacilityType>
        </OtherFacilities>
      </Form990ScheduleHPartVSectionC>
      <Form990ScheduleHPartVI>
        <Identifier>FORM 990, SCHEDULE H</Identifier>
        <ReturnReference>PART I, LINE 3C:</ReturnReference>
        <Explanation>N/A PART I, LINE 6A: COMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATION'S PARENT. PART I, LINE 7G: NO COSTS OF A PHYSICIAN CLINIC WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES. PART I, LINE 7, COLUMN G: BAD DEBT EXPENSE OF $26,421,926 WAS SUBTRACTED FROM TOTAL EXPENSES TO COMPUTE PERCENTAGES. PART I, LINE 7: COST TO CHARGE RATIO AND SCHEDULE H WORKSHEET WAS USED TO CALCULATE THE COSTS.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART II</Identifier>
        <ReturnReference>COMMUNITY BUILDING ACTIVITIES:</ReturnReference>
        <Explanation>WHEN DISCHARGING PATIENTS, PALI MOMI MEDICAL CENTER FOLLOWS THE GUIDELINES OF THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. THE PROCEDURES INVOLVED WITH PROVIDING A SAFE DISCHARGE PLAN INCLUDE DESIGNATING A PERMANENT OR TRANSITIONAL DESTINATION FOR ALL PATIENTS LEAVING THE HOSPITAL. HOWEVER, IN SOME CASES, PATIENTS HAVE NO INSURANCE OR ARE PENDING APPROVAL UNDER THE MEDICAID PROGRAM FOR PAST SERVICES PROVIDED. THESE PATIENTS DO NOT REQUIRE FURTHER HOSPITAL-GRADE CARE BUT RATHER, FOLLOW-UP CARE AT A TRANSITIONAL CARE FACILITY, SUCH AS A LICENSED FOSTER CARE HOME OR REHABILITATION CENTER. IN THESE SPECIAL CIRCUMSTANCES, PALI MOMI WILL PAY AN INDEPENDENT CASE MANAGER FROM THE COMMUNITY, USUALLY A NURSE REPRESENTATIVE OF AN INDEPENDENT CASE MANAGEMENT COMPANY, TO ASSUME CARE OF THE PATIENT. THE CASE MANAGER IDENTIFIES AN APPROPRIATE FACILITY, HELPS THE PATIENT TRANSITION THERE, AND MONITORS THE PATIENT. PALI MOMI ASSUMES RESPONSIBILITY FOR THE FINANCIAL COST UNTIL INSURANCE APPROVAL UNDER MEDICAID IS ESTABLISHED. PALI MOMI DOES THIS TO ENSURE THAT A SAFE DISCHARGE PLAN IS BEING FOLLOWED, AND TO MAKE AVAILABLE A HOSPITAL BED FOR AN ACUTE OR CRITICALLY-ILL PATIENT WHO REQUIRES HOSPITAL-GRADE CARE. STRAUB CLINIC &amp; HOSPITAL IS COMMITTED TO ATTRACTING AND RETAINING TOP-QUALITY PHYSICIANS IN HAWAI'I, WHERE LOSING PHYSICIANS TO THE U.S. MAINLAND IS A CONSTANT THREAT. ACCORDING TO HAWAII MEDICAL JOURNAL AND HAWAI'I PHYSICIAN WORKFORCE ASSESSMENT PROJECT, BY 2020, HAWAI'I WILL HAVE 1,500 FEWER PHYSICIANS THAN NEEDED TO MEET THE COMMUNITY'S HEALTH CARE NEEDS. SHORTAGES WILL BE PARTICULARLY SEVERE IN PRIMARY CARE, CARDIOLOGY, GASTROENTEROLOGY, ORTHOPEDICS, GENERAL SURGERY, AND OTHER SPECIALTIES. IN FISCAL YEAR 2011, STRAUB SPENT $409,912 TO ATTRACT PHYSICIANS TO HAWAI'I. THIS INCLUDED HIRING A FULL-TIME RECRUITER AND PHYSICIAN SERVICES MANAGER, PURCHASING A LAPTOP COMPUTER AND "PRACTICE MATCH SERVICES" DATABASE, HIRING PHYSICIAN CONSULTANTS TO RECRUIT MAINLAND PHYSICIANS, OFFICE AND TRAVEL EXPENSES, TRAVEL EXPENSES OF PHYSICIAN CANDIDATES, GENERAL RECRUITMENT ACTIVITIES, AND MOVING EXPENSES OF PHYSICIANS AND THEIR FAMILY MEMBERS. STRAUB COVERS THESE COSTS TO HELP ENSURE THAT THE COMMUNITY'S FUTURE HEALTH CARE NEEDS WILL BE MET. WHEN DISCHARGING PATIENTS, WILCOX MEMORIAL HOSPITAL FOLLOWS THE GUIDELINES OF THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. THE HOSPITAL STRIVES TO ENSURE THAT A SAFE DISCHARGE PLAN IS PROVIDED TO ALL PATIENTS. THIS MAY INVOLVE PROVIDING SOME PATIENTS WITH TRANSPORTATION TO A PERMANENT OR TRANSITIONAL DESTINATION. IN SOME CASES, INDIGENT PATIENTS ARE READY FOR DISCHARGE, BUT DO NOT HAVE THE ABILITY TO PAY FOR TRANSPORTATION OR HOUSING, MEDICATIONS AND MEDICAL EQUIPMENT, SPECIFIC FOODS REQUIRED AS PART OF A RESTRICTED DIET, OR A NURSE ESCORT DEEMED MEDICALLY NECESSARY. IN THESE SPECIAL CIRCUMSTANCES, WILCOX WILL TEMPORARILY COVER THESE COSTS. BY HELPING ITS MOST VULNERABLE POPULATION OVERCOME FINANCIAL BARRIERS, WILCOX IS HELPING TO ENSURE A SMOOTH TRANSITION TO AN APPROPRIATE CARE SETTING FOR ALL PATIENTS, AS WELL AS MAKING AVAILABLE A HOSPITAL BED FOR AN ACUTE OR CRITICALLY ILL PATIENT WHO REQUIRES HOSPITAL-GRADE CARE.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PART III, LINE 4:</Identifier>
        <Explanation>THE ESTIMATE FOR BAD DEBT THAT COULD HAVE POTENTIALLY QUALIFIED FOR CHARITY CARE WAS CALCULATED BY FIRST COMPUTING THE BAD DEBT ASSOCIATED WITH THE UNINSURED, THEN CALCULATING THE COST USING A COST TO CHARGE RATIO (PER SCHEDULE H WORKSHEET 2) AND THEN APPLYING MANAGEMENTS ESTIMATE FOR PORTION OF UNINSURED THAT COULD HAVE QUALIFIED FOR CHARITY CARE. MANAGEMENT CONSERVATIVELY ESTIMATES THAT 15-20% OF THE UNINSURED BAD DEBT COULD HAVE QUALIFIED FOR FINANCIAL ASSISTANCE IF SUFFICIENT INFORMATION WAS OBTAINED TO DEMONSTRATE FINANCIAL NEED. PER THE CONSOLIDATED AUDITED FINANCIAL STATEMENT OF HAWAI'I PACIFIC HEALTH ("HPH"), THE FILING ORGANIZATION'S PARENT: THE PROVISION FOR BAD DEBTS EXPENSE IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL AND BUSINESS AND ECONOMIC TRENDS, TRENDS IN HEALTHCARE COVERAGES AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE COMPANY ANTICIPATED BUT DID NOT RECEIVE PAYMENT BECAUSE OF THE PATIENTS' UNWILLINGNESS TO PAY. BAD DEBT ALSO INCLUDES SERVICES FOR MEDICALLY INDIGENT AND/OR UNINSURED PATIENTS WHO ARE UNABLE TO PAY AND WHO MIGHT HAVE QUALIFIED FOR CHARITY CARE HAD THE PATIENT SELF-IDENTIFIED THEMSELVES AS MEDICALLY INDIGENT ALONG WITH PROVIDING INFORMATION SO THAT PROPER MEANS TESTING COULD HAVE BEEN ACCOMPLISHED TO QUALIFY THE PATIENT FOR CHARITY CARE. PART III, LINE 8: BECAUSE TAX-EXEMPT HOSPITALS MUST PARTICIPATE IN MEDICARE AND MEDICAID AS A CONDITION OF MAINTAINING THEIR FEDERAL TAX-EXEMPT STATUS, MEDICARE UNDERPAYMENTS ARE NOT OPERATING EXPENSES THAT SHOULD BE EXPECTED IN THE ORDINARY COURSE OF BUSINESS. BECAUSE TAX-EXEMPT HOSPITALS MUST ACCEPT MEDICARE RATES THAT ARE IN SOME CASES BELOW COST, THEY SHOULD BE ABLE TO REPORT ANY NEGATIVE DIFFERENCES BETWEEN MEDICARE RATES AND COST AS LOSSES INCURRED BY SERVICING THE COMMUNITY. TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552.96. PART III, LINE 9B: COLLECTION PROCEDURES FOR PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE FOLLOW THE SAME POLICY AS ALL OTHER PATIENTS. IN GENERAL THE POLICY INVOLVES SENDING FOLLOW UP STATEMENTS AND DOING FOLLOW UP PHONE CALLS. PAYMENT OPTIONS ARE ALSO PRESENTED TO THE PATIENT AS PART OF THE COLLECTION PROCESS. ACCOUNTS NOT COLLECTED WITHIN THE SPECIFIED TIME PERIOD OUTLINED IN THE POLICY (HOSPITAL AND PHYSICIAN CLAIMS) ARE SENT TO A COLLECTION AGENCY FOR COLLECTION.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>NEEDS ASSESSMENT:</Identifier>
        <Explanation>THE HOSPITALS OF HAWAI'I PACIFIC HEALTH ARE CURRENTLY IN THE PROCESS OF DEVELOPING A PLAN TO ASSESS THE COMMUNITY NEEDS IN ACCORDANCE WITH IRC SECTION 501(R). PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE: WHEN A PATIENT PRESENTS FOR SERVICES AND THE PATIENT DOES NOT HAVE INSURANCE COVERAGE FOR SERVICES TO BE PROVIDED, THE PATIENT, OR GUARANTOR IS ASKED TO SIGN THE "SELF PAY ACKNOWLEDGEMENT" LETTER. THE LETTER DESCRIBES THE TERMS OF THE HAWAI'I PACIFIC HEALTH ("HPH") UNINSURED DISCOUNT PROGRAM, AND BY SIGNING THE LETTER, THE PATIENT ACKNOWLEDGES THAT HE/SHE UNDERSTANDS AVAILABLE UNINSURED PAYMENT TERMS. IN MOST UNINSURED CASES, THE PATIENT WILL BE OFFERED A HAWAI'I STATE MEDICAL ASSISTANCE APPLICATION. THIS IS THE APPLICATION FOR THE HAWAI'I STATE MEDICAID/QUEST PROGRAM. THE HOSPITAL CONTRACTS WITH SERVICE PROVIDERS WHO SPECIALIZE IN ASSISTING PATIENTS WITH THE MEDICAID/QUEST PROGRAM APPLICATION PROCESS. IF THE PATIENT'S APPLICATION FOR MEDICAID/QUEST IS DENIED OR IT IS DETERMINED THAT THE PATIENT IS INELIGIBILE TO APPLY FOR MEDICAID/QUEST, THE PATIENT MAY APPLY FOR HPH FINANCIAL ASSISTANCE EITHER IN THE HOSPITAL FINANCIAL SERVICES DEPARTMENT OR BY MAIL DIRECTLY TO THE HPH BUSINESS SERVICES OFFICE. FINANCIAL COUNSELORS ARE AVAILABLE ON SITE TO REVIEW PAYMENT OPTIONS WITH THE PATIENT OR THE GUARANTOR. THESE OPTIONS INCLUDE THE AFOREMENTIONED HPH UNINSURED DISCOUNT PROGRAM, THE HAWAI'I STATE MEDICAID/QUEST PROGRAM, THE HPH FINANCIAL ASSISTANCE PROGRAM, PAYMENT PLANS AND ANY GRANT OR FUNDING SOURCE THAT MAY BE APPROPRIATE FOR THE SERVICES PROVIDED. IN SOME CASES, HPH DETERMINES THAT A PATIENT OR GUARANTOR MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED, AND FINANCIAL INFORMATION IS MAILED TO THE PATIENT. EDUCATION AND ASSISTANCE IS OFTEN PROVIDED VIA PHONE CONTACT IN THESE CASES. PAYMENT PLAN ARRANGEMENTS ARE HANDLED VIA PHONE CONTACT WITH THE PATIENT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>COMMUNITY INFORMATION:</Identifier>
        <Explanation>KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN ("KAPI'OLANI") HAS BEEN TREATING WOMEN, CHILDREN AND INFANTS FOR MORE THAN A CENTURY. IT IS HAWAI'I'S ONLY MATERNITY, NEWBORN, AND PEDIATRIC SPECIALTY HOSPITAL. IT IS ALSO A TERTIARY CARE, TEACHING AND RESEARCH FACILITY. IT HAS 207 BEDS AND 66 BASSINETS. FOR WOMEN, IT PROVIDES COMPLETE OBSTETRICAL AND GYNECOLOGICAL CARE. FOR INFANTS AND CHILDREN, IT HAS MORE THAN 100 PHYSICIANS IN MULTIPLE PEDIATRIC SPECIALTIES AND SUBSPECIALTIES. IN FISCAL YEAR 2011, KAPI'OLANI HAD 53,324 IMAGING PROCEDURES, 42,505 WOMEN'S CENTER PROCEDURES, 37,004 ER VISITS, AND 18,013 INPATIENT ADMISSIONS. KAPI'OLANI'S GEOGRAPHIC SERVICE AREA IS THE ENTIRE PACIFIC BASIN, SINCE MANY OF ITS MEDICAL SPECIALTIES ARE NOT PROVIDED ELSEWHERE IN THIS REGION, WHICH STRETCHES FROM THE U.S. WEST COAST TO FAR EAST ASIA. THE PEDIATRIC INTENSIVE CARE UNIT ("PICU"), FOR EXAMPLE, IS THE ONLY PICU BETWEEN LOS ANGELES AND HONG KONG. PALI MOMI MEDICAL CENTER ("PALI MOMI") IS A COMMUNITY-BASED, ACUTE-CARE HOSPITAL THAT OFFERS A FULL RANGE OF SERVICES IN CARDIOLOGY, ORTHOPEDICS, EMERGENCY MEDICINE, GENERAL SURGERY AND MEDICINE, OPHTHALMOLOGY, WOMEN'S SERVICES AND ONCOLOGY. IT HAS DELIVERED MANY MEDICAL FIRSTS FOR THE COMMUNITY, INCLUDING WEST OAHU'S ONLY INTERVENTIONAL CARDIAC CATHETERIZATION UNIT, WOMEN'S CENTER, AND RETINA CENTER. IN FISCAL YEAR 2011, PALI MOMI HAD 88,966 IMAGING PROCEDURES, 44,916 ER VISITS, 25,604 WOMEN'S CENTER PROCEDURES, AND 6,316 INPATIENT ADMISSIONS. PALI MOMI'S GEOGRAPHIC SERVICE AREA IS THE ENTIRE PACIFIC BASIN, SINCE SOME SPECIALTIES HAVE FEW OTHER PROVIDERS IN THE REGION. THE RETINA CENTER, FOR EXAMPLE, OFFERS HIGHLY SPECIALIZED CARE ACCESSED BY RESIDENTS ACROSS THE STATE AND BEYOND. STRAUB CLINIC &amp; HOSPITAL ("STRAUB") HAS BEEN SERVING THE COMMUNITY'S HEALTH CARE NEEDS FOR MORE THAN 80 YEARS. THE FULLY INTEGRATED HEALTH CARE SYSTEM IS MADE UP OF A 159-BED HOSPITAL IN HONOLULU, A NETWORK OF NEIGHBORHOOD CLINICS, AND A VISITING SPECIALIST PROGRAM THAT REACHES THROUGHOUT THE STATE OF HAWAI'I. STRAUB HOUSES AN ARRAY OF PHYSICIAN SPECIALISTS UNDER ONE ROOF, ENABLING PATIENTS TO RECEIVE EXPERT DIAGNOSIS AND TREATMENT IN MORE THAN 32 DIFFERENT SPECIALTIES. IN FISCAL YEAR 2011, STRAUB HAD 109,131 IMAGING PROCEDURES, 24,801 ER VISITS, AND 6,793 INPATIENT ADMISSIONS. STRAUB'S GEOGRAPHIC SERVICE AREA IS THE ENTIRE PACIFIC BASIN, SINCE SOME MEDICAL SPECIALTIES ARE NOT PROVIDED ELSEWHERE IN THE REGION. THE STRAUB BURN UNIT, FOR EXAMPLE, IS THE ONLY DEDICATED BURN TREATMENT FACILITY BETWEEN LOS ANGELES AND HONG KONG. WILCOX MEMORIAL HOSPITAL ("WILCOX") HAS BEEN SERVING RESIDENTS AND VISITORS OF KAUA'I FOR MORE THAN 70 YEARS. THE ACUTE-CARE FACILITY OFFERS MORE THAN 22 SPECIALTIES AND A FULL SUITE OF SERVICES RANGING FROM EMERGENCY, OB/GYN AND PEDIATRICS TO CARDIOLOGY, GASTROENTEROLOGY, OPHTHALMOLOGY, PULMONOLOGY, NEPHROLOGY, COSMETIC SURGERY, INTERNAL MEDICINE, FAMILY PRACTICE, AND WOMEN'S SERVICES. IN FISCAL YEAR 2011, WILCOX HAD 59,878 IMAGING PROCEDURES, 23,974 ER VISITS, AND 3,624 INPATIENT ADMISSIONS. WILCOX'S GEOGRAPHIC SERVICE AREA IS THE ISLAND OF KAUA'I. DEMOGRAPHICS OF THE KAUA'I COMMUNITY IN FISCAL YEAR 2011 INCLUDE A POPULATION OF APPROXIMATELY 67,000 (AND MORE THAN 900,000 VISITORS ANNUALLY). REGARDING WILCOX PATIENTS, 1.7 PERCENT ARE UNINSURED AND 16.7 PERCENT ARE MEDICAID RECIPIENTS. THERE ARE TWO OTHER HOSPITALS IN THE COMMUNITY, AND FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS ARE PRESENT. HAWAI'I PACIFIC HEALTH ("HPH") TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS ONE OF THE COMMUNITY'S SAFETY NET PROVIDERS OF HEALTH CARE. DEMOGRAPHICS OF HAWAI'I IN FISCAL YEAR 2011 INCLUDE A STATE POPULATION OF 1,375,810 (AND ALMOST 7 MILLION VISITORS ANNUALLY). REGARDING HPH PATIENTS, 1.3 PERCENT ARE UNINSURED AND 21.9 PERCENT ARE MEDICAID RECIPIENTS. THERE ARE 14 OTHER HOSPITALS IN THE STATE THAT PROVIDE ACUTE SERVICES, AND FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS ARE PRESENT.</Explanation>
      </Form990ScheduleHPartVI>
      <Form990ScheduleHPartVI>
        <Identifier>PROMOTION OF COMMUNITY HEALTH:</Identifier>
        <Explanation>KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN ("KAPI'OLANI") IS THE PRIMARY PEDIATRIC AND OBSTETRIC TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. IN FISCAL YEAR 2011, KAPI'OLANI INVESTED $8,858,000 INTO TEACHING PEDIATRICIANS AND OBSTETRICIANS AND RESEARCH, INCLUDING CLINICAL TRIALS. KAPI'OLANI STRIVES TO HAVE A POSITIVE INFLUENCE ON PUBLIC POLICY TO BENEFIT HAWAI'I'S WOMEN AND CHILDREN. IT ACTIVELY SUPPORTS THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, MARCH OF DIMES AND HAWAI'I CHILDREN'S CANCER FOUNDATION. THE KAPI'OLANI CHILDREN'S MIRACLE NETWORK SUPPORTS THE COST OF PEDIATRIC HEALTH CARE, MEDICAL EQUIPMENT, NEIGHBOR ISLAND TRAVEL, RESEARCH AND PUBLIC AWARENESS. THE HOSPITAL OPERATES THE SEX ABUSE TREATMENT CENTER, WHICH AIMS TO REDUCE SEXUAL VIOLENCE AND ENABLE THE STATE'S FORENSIC TEAMS TO INVESTIGATE AND PROSECUTE SEX OFFENSES, AND THE KAPI'OLANI CHILD PROTECTION CENTER, WHICH PROVIDES EXPERTISE IN RECOGNIZING AND TREATING CHILD ABUSE AND NEGLECT. FOR FIVE CONSECUTIVE YEARS, THE AMERICAN HEART ASSOCIATION HAS RECOGNIZED PALI MOMI MEDICAL CENTER FOR EXCELLENCE IN THE TREATMENT OF CORONARY ARTERY DISEASE. PALI MOMI FOCUSES ON THE MEDICAL NEEDS OF THE WEST O'AHU COMMUNITY. IN FISCAL YEAR 2011, IT HOSTED MANY FREE COMMUNITY EVENTS TO RAISE PUBLIC AWARENESS OF HEALTH AND WELLNESS ISSUES, FROM FAMILY AND SENIOR HEALTH FAIRS TO MULTIPLE SUPPORT GROUPS TO FREE GLUCOSE MONITORING AND BLOOD PRESSURE SCREENING TWICE A MONTH. STRAUB CLINIC &amp; HOSPITAL ("STRAUB") OPERATES SEVERAL SPECIALTY CARE UNITS, INCLUDING THE HEART CENTER AND BONE &amp; JOINT CENTER. THE BURN UNIT IS THE ONLY MULTIDISCIPLINARY BURN TREATMENT CENTER IN THE PACIFIC REGION, PROVIDING BURN VICTIMS WITH IMMEDIATE AND COMPREHENSIVE CARE, CLOSE TO HOME. STRAUB MAINTAINS AN OPEN MEDICAL STAFF IN 19 SPECIALTIES AND AN OPEN/MANAGED MEDICAL STAFF IN 14 SPECIALTIES. STRAUB PROVIDES CHARITY CARE, HEALTH EDUCATION AND PREVENTATIVE PROGRAMS TO THE COMMUNITY. IN FISCAL YEAR 2011, IT PROVIDED FREE PUBLIC HEALTH EDUCATION PROGRAMS AND EVENTS ON PREVENTING OR MANAGING HEART ATTACKS, CANCER, ARTHRITIS, ASTHMA, ALLERGIES, STRESS, OSTEOPOROSIS, OBESITY AND DRUG ABUSE. THESE INCLUDED KIDS FEST, LIVING HEALTHY IN PARADISE, WOMEN'S WAY TO HEALTH, CANCER CARE, BREATHE WITH EASE, VALENTINE IN PARADISE AND GETTING A GRIP ON ARTHRITIS. THE ANNUAL WOMEN'S 10K RUN, ONE OF THE MORE VISIBLE SPORTS EVENTS IN THE COMMUNITY, CELEBRATED ITS 34TH CONSECUTIVE YEAR. WILCOX MEMORIAL HOSPITAL ("WILCOX") IS DEDICATED TO PROVIDING KAUA'I WITH AFFORDABLE AND ACCESSIBLE HEALTH CARE. IN 2011, THE AMERICAN HEART ASSOCIATION RECOGNIZED WILCOX FOR EXCELLENCE IN CARDIAC CARE. WILCOX MAINTAINS AN OPEN MEDICAL STAFF IN MORE THAN 20 SPECIALTIES. IN ADDITION, WILCOX PLAYS AN ACTIVE ROLE IN KAUAI'S COMMUNITY. IN FISCAL YEAR 2011, IT HOSTED VALENTINE IN PARADISE, A TELECONFERENCE ON HEART DISEASE PREVENTION, AND THE WOMEN'S HEALTH SYMPOSIUM, WHICH ATTRACTED MORE THAN 200 ATTENDEES. IT CO-SPONSORS THE ARTHRITIS WALK AND OLD KOLOA SUGAR MILL WALK/RUN, AND SUPPORTS THE PARADE OF LIGHTS, RELAY FOR LIFE, KAUA'I FOOD BANK, KAUA'I LIFEGUARD ASSOCIATION, TOYS FOR TOTS, ALOHA UNITED WAY WALK-A-THON, ALZHEIMER'S MEMORY WALK AND OTHER COMMUNITY EVENTS. EACH AFFILIATE HOSPITAL OF HAWAI'I PACIFIC HEALTH IS A LEADER IN COMMUNITY HEALTH CARE EDUCATION AND ADVOCACY. EACH HOSPITAL MAINTAINS AN OPEN MEDICAL STAFF; THIS ARRANGEMENT GRANTS ADMITTING PRIVILEGES TO NONAFFILITATED PHYSICIAN SPECIALISTS AND BROADENS EACH FACILITY'S ABILITY TO OFFER HIGH-QUALITY, SPECIALIZED CARE TO THEIR COMMUNITY. EACH HOSPITAL IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF PHYSICIANS, COMMUNITY MEMBERS AND KEY LEADERSHIP WITHIN HAWAI'I PACIFIC HEALTH. THESE VOLUNTEER, UNPAID MEMBERS ENSURE THAT EACH FACILITY FULFILLS ITS MISSION-DRIVEN GOALS. AS AFFILIATES OF THE NON-PROFIT HAWAI'I PACIFIC HEALTH NETWORK, EACH HOSPITAL REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE AND TO SUBSIDIZE THOSE WHO CANNOT PAY. AFFILIATED HEALTH CARE SYSTEM ROLES: THE HAWAI'I PACIFIC HEALTH SYSTEM INCLUDES FOUR HOSPITALS, 49 OUTPATIENT CLINICS AND SERVICE SITES, AND 1,372 AFFILIATED PHYSICIANS. THE HOSPITALS PROVIDE ACUTE AND SPECIALTY CARE WITH 553 BEDS AND 76 BASSINETS, AND HANDLED 34,746 ADMISSIONS IN FISCAL YEAR 2011. HAWAI'I PACIFIC HEALTH, THE STATE'S LARGEST HEALTH CARE PROVIDER, IS COMMITTED TO PROVIDING THE HIGHEST QUALITY AND MOST ACCESSIBLE MEDICAL CARE AND SERVICES TO THE PEOPLE OF HAWAI'I AND THE PACIFIC REGION. PEOPLE OF HAWAI'I AND THE PACIFIC REGION.</Explanation>
      </Form990ScheduleHPartVI>
    </IRS990ScheduleH>
    <IRS990ScheduleI documentId="IRS990ScheduleI">
      <RecordsMaintained>true</RecordsMaintained>
      <NoGrantMoreThan5000>X</NoGrantMoreThan5000>
      <Form990ScheduleIPartIV>
        <Identifier>Description of Organization's Procedures for Monitoring the Use of Grants</Identifier>
        <ReturnReference>FORM 990, SCHEDULE I, PART I, LINE 2</ReturnReference>
        <Explanation>KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN AWARDS QUALIFIED STUDENTS SCHOLARSHIPS FROM THE RICHARD DAVI SCHOLARSHIP FUND. AN AWARD LETTER IS MAILED TO THE RECIPIENT TO INFORM THEM OF THIS HONOR, AND TO INSTRUCT THE RECIPIENT THAT A CHECK IN THE AMOUNT OF THE SCHOLARSHIP AWARD WILL BE MADE OUT TO THE SCHOOL. ADDITIONALLY, INSTRUCTION IS GIVEN THAT THE STUDENT SHOULD SUBMIT RECEIPTS FOR TUITION, BOOKS, LABS, ETC. UP TO THE TOTAL AMOUNT OF THE SCHOLARSHIP. A CONTACT TELEPHONE NUMBER FOR THE SCHOLARSHIP COMMITTEE IS PROVIDED FOR QUESTIONS. THE HAWAI'I PACIFIC HEALTH DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)3 ORGANIZATIONS ON AN ANNUAL BASIS. NO FURTHER MONITORING IS NECESSARY SINCE DONATIONS ARE ONLY MADE TO 501(C)3 ORGANIZATIONS.</Explanation>
      </Form990ScheduleIPartIV>
    </IRS990ScheduleI>
    <IRS990ScheduleJ documentId="IRS990ScheduleJ">
      <SeverancePayment>false</SeverancePayment>
      <SupplementalNonqualRetirePlan>true</SupplementalNonqualRetirePlan>
      <EquityBasedCompArrangement>false</EquityBasedCompArrangement>
      <CompBasedOnRevenueOfFilingOrg>false</CompBasedOnRevenueOfFilingOrg>
      <CompBasedOnRevenueRelatedOrgs>false</CompBasedOnRevenueRelatedOrgs>
      <CompBasedNetEarningsFilingOrg>false</CompBasedNetEarningsFilingOrg>
      <AnyNonFixedPayments>true</AnyNonFixedPayments>
      <InitialContractException>false</InitialContractException>
      <Form990ScheduleJPartII>
        <NamePerson>ANDREW DANG MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>380331</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>4912</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>37889</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>9800</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>18896</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>451828</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ANN MK PETERS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>138872</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>25032</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>21982</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>8373</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>12633</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>206892</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ARTHUR GLADSTONE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>278600</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>118519</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>62137</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>27686</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>21069</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>508011</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>9377</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BARBARA CRAFT</NamePerson>
        <BaseCompensationFilingOrg>156918</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>14033</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8155</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5390</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>184496</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BEAU NAKAMOTO MD</NamePerson>
        <BaseCompensationFilingOrg>247410</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>9344</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>8807</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>690</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>276051</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>BONNIE J CLARK</NamePerson>
        <BaseCompensationFilingOrg>140012</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>13736</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9032</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>7358</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>170138</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES A STED</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>742711</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>734897</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>264298</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>359765</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10481</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>2112152</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>448157</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHARLES R CHING</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>308285</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>205141</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>85893</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>68009</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>7796</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>675124</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>93424</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CHRISTOPHER JORDAN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>259225</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>36962</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>9800</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>9784</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>315771</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAVID OKABE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>408872</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>274875</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>111471</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>82840</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>11436</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>889494</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>157867</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>DAWN CHING</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>161040</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>43992</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>13425</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>10222</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>23711</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>252390</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>EARL INOUYE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>228359</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>64393</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>32952</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>35275</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>16268</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>377247</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>2048</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>GAIL LERCH</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>318615</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>215782</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>69692</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>79953</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>13533</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>697575</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>112501</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JENNIE CHAHANOVICH</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>252150</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>113537</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>32495</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>25699</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>10389</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>434270</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>3343</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN CULLINEY MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>482245</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>24708</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>9800</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>14331</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>531084</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>JOHN HARLACHER</NamePerson>
        <BaseCompensationFilingOrg>109983</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>8111</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>50</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>6838</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>13220</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>138202</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KATHLEEN CLARK</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>200072</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>66207</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>27844</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>14824</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>5860</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>314807</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KATIE SHIGEMITSU</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>165166</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>2560</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>8026</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>9102</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>184854</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KEITH MIYASHIRO</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>141112</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>12803</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>7415</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>14207</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>175537</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KENN SARUWATARI MD</NamePerson>
        <BaseCompensationFilingOrg>267425</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>23018</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5641</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>9800</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>14614</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>14614</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>320498</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>24414</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KENNETH B ROBBINS MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>407784</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>266032</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>100384</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>115646</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>15682</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>905528</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>156082</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KENT KIKUCHI</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>157507</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>15971</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>8301</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>13360</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>195139</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>KEOKI CLEMENTE</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>118584</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>3425</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>2162</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>13212</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>137383</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LINDA LEAVITT</NamePerson>
        <BaseCompensationFilingOrg>137653</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>12968</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>10125</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10125</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>170871</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LOIS NASH</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>193511</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>26987</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>10440</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>9194</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>240132</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>LYNNE JOSEPH</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>163114</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>52355</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>33569</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>16357</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>17996</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>283391</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARTHA SMITH</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>327273</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>108301</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>62815</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>56218</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>20109</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>574716</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>33498</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MAUREEN FLANNERY</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>175942</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>28532</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>16238</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>652</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>3316</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>224680</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MAVIS NIKAIDO</NamePerson>
        <BaseCompensationFilingOrg>173266</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>13822</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>344</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>8887</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>9683</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>206002</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MELINDA ASHTON MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>287982</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>79716</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>34638</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>26050</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>18852</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>447238</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>2514</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PATRICIA BOECKMANN RN</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>253349</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>69172</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>28548</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>14658</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>16268</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>381995</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>PAULA DIAS</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>189990</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>52677</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>21073</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>11638</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>11828</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>287206</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>RAYMOND P VARA JR</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>598083</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>500563</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>157505</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>149281</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>14626</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>1420058</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>275410</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>ROBERT SCHULZ MD</NamePerson>
        <BaseCompensationFilingOrg>589510</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>14356</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>6846</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10657</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>631169</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>STEVEN ROBERTSON</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>312546</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>202187</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>108509</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>66131</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>24444</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>713817</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>110115</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>SUSAN MASUMOTO-NONAKA</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>195503</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>56295</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>14651</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>12565</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>24926</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>303940</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>THOMAS J NORDYKE MD</NamePerson>
        <BaseCompensationFilingOrg>262730</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>9069</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>4513</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15259</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>301371</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>VIRGINIA PRESSLER-FISHER MD</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>321073</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>215850</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>78709</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>85044</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>27546</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>728222</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>123927</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WARREN CHAIKO</NamePerson>
        <BaseCompensationFilingOrg>0</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>209852</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>0</BonusFilingOrg>
        <BonusRelatedOrgs>60427</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>0</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>25761</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>0</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>15901</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>0</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>14626</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>0</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>326567</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>16</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>HINGSON M CHUN MD</NamePerson>
        <BaseCompensationFilingOrg>780040</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>63000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>3100</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15259</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>871199</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>CASS K NAKASONE MD</NamePerson>
        <BaseCompensationFilingOrg>760786</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>10000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>3100</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>11002</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>794688</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>MARK S GERBER MD</NamePerson>
        <BaseCompensationFilingOrg>759346</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>4308</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>5101</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>5376</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>783931</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>WESLEY J KAI MD</NamePerson>
        <BaseCompensationFilingOrg>756141</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>2000</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>10131</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>10402</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>788474</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartII>
        <NamePerson>J ROY CHEN MD</NamePerson>
        <BaseCompensationFilingOrg>611245</BaseCompensationFilingOrg>
        <CompBasedOnRelatedOrgs>0</CompBasedOnRelatedOrgs>
        <BonusFilingOrg>70885</BonusFilingOrg>
        <BonusRelatedOrgs>0</BonusRelatedOrgs>
        <OtherCompensationFilingOrg>28228</OtherCompensationFilingOrg>
        <OtherCompensationRelatedOrgs>0</OtherCompensationRelatedOrgs>
        <DeferredCompFilingOrg>9800</DeferredCompFilingOrg>
        <DeferredCompRelatedOrgs>0</DeferredCompRelatedOrgs>
        <NontaxableBenefitsFilingOrg>15259</NontaxableBenefitsFilingOrg>
        <NontaxableBenefitsRelatedOrgs>0</NontaxableBenefitsRelatedOrgs>
        <TotalCompensationFilingOrg>735417</TotalCompensationFilingOrg>
        <TotalCompensationRelatedOrgs>0</TotalCompensationRelatedOrgs>
        <CompReportPrior990FilingOrg>0</CompReportPrior990FilingOrg>
        <CompReportPrior990RelatedOrgs>0</CompReportPrior990RelatedOrgs>
      </Form990ScheduleJPartII>
      <Form990ScheduleJPartIII>
        <Identifier>SUPPLEMENTAL COMPENSATION INFORMATION</Identifier>
        <Explanation>SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B 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. KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: MELINDA ASHTON, M.D. $2,514 WARREN CHAIKO $16 ARTHUR GLADSTONE $9,377 EARL INOUYE $2,048 GAIL LERCH $14,788 DAVID OKABE $32,476 VIRGINIA PRESSLER-FISHER, M.D. $25,459 STEVEN ROBERTSON $18,273 MARTHA SMITH $33,498 CHARLES A. STED $106,674 RAYMOND P. VARA, JR. $46,206 PALI MOMI MEDICAL CENTER AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: MELINDA ASHTON, M.D. $2,514 JENNIE CHAHANOVICH $3,343 WARREN CHAIKO $16 ANDREW DANG, M.D. $30,906 ARTHUR GLADSTONE $9,377 EARL INOUYE $2,048 GAIL LERCH $14,788 DAVID OKABE $32,476 VIRGINIA PRESSLER-FISHER, M.D. $25,459 STEVEN ROBERTSON $18,273 CHARLES A. STED $106,674 RAYMOND P. VARA, JR. $46,206 STRAUB CLINIC &amp; HOSPITAL AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: J ROY CHEN, M.D. $25,566 MELINDA ASHTON, M.D. $2,514 WARREN CHAIKO $16 ARTHUR GLADSTONE $9,377 EARL INOUYE $2,048 GAIL LERCH $14,788 DAVID OKABE $32,476 VIRGINIA PRESSLER-FISHER, M.D. $25,459 STEVEN ROBERTSON $18,273 KENNETH B. ROBBINS, M.D. $31,025 CHARLES A. STED $106,674 RAYMOND P. VARA, JR. $46,206 WILCOX MEMORIAL HOSPITAL AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: MELINDA ASHTON, M.D. $2,514 WARREN CHAIKO $16 ARTHUR GLADSTONE $9,377 EARL INOUYE $2,048 GAIL LERCH $14,788 DAVID OKABE $32,476 VIRGINIA PRESSLER-FISHER, M.D. $25,459 STEVEN ROBERTSON $18,273 KENNETH B. ROBBINS, M.D. $31,025 CHARLES A. STED $106,674 RAYMOND P. VARA, JR. $46,206 NON-FIXED PAYMENTS TO PERSON LISTED ON PART VIII, SECTION A, LINE 1A SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS ARE MADE TO EXECUTIVES BASED ON SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. NON-FIXED PAYMENTS MADE TO PHYSICIANS ARE BASED ON CLINICAL PERFORMANCE MEASURES. 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. KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: GAIL LERCH $97,713 DAVID OKABE $125,391 VIRGINIA PRESSLER-FISHER, M.D. $98,468 STEVEN ROBERTSON $91,842 KENNETH B. ROBBINS, M.D. $125,057 RAYMOND VARA, JR. $229,204 CHARLES A. STED $341,483 CHARLES R. CHING $93,424 PALI MOMI MEDICAL CENTER AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: GAIL LERCH $97,713 DAVID OKABE $125,391 VIRGINIA PRESSLER-FISHER, M.D. $98,468 STEVEN ROBERTSON $91,842 CHARLES A. STED $341,483 RAYMOND P. VARA, JR. $229,204 CHARLES R. CHING $93,424 STRAUB CLINIC &amp; HOSPITAL AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: GAIL LERCH $97,713 DAVID OKABE $125,391 VIRGINIA PRESSLER-FISHER, M.D. $98,468 STEVEN ROBERTSON $91,842 KENNETH B. ROBBINS, M.D. $125,057 CHARLES A. STED $341,483 RAYMOND P. VARA, JR. $229,204 CHARLES R. CHING $93,424 WILCOX MEMORIAL HOSPITAL AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: GAIL LERCH $97,713 DAVID OKABE $125,391 VIRGINIA PRESSLER-FISHER, M.D. $98,468 CHARLES R. CHING $93,424 RAYMOND P. VARA, JR. $229,204 STEVEN ROBERTSON $125,057 KENNETH B. ROBBINS, M.D. $125,391 CHARLES A. STED $341,483 CHARLES R. CHING $93,424</Explanation>
      </Form990ScheduleJPartIII>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL">
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>FIRST HAWAIIAN BANK</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>109877</AmountOfTransaction>
        <DescriptionOfTransaction>BANK TRANSACTION FEES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PACIFIC RADIOPHARMACY LTD</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>350328</AmountOfTransaction>
        <DescriptionOfTransaction>PURCHASE OF MEDICAL SUPPLIES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>UNITED LAUNDRY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>880089</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR LAUNDRY SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PACIFIC MEDICAL COLLECTIONS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>219429</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR MEDICAL COLLECTION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>BOSTON SCIENTIFIC CORPORATION</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>3626814</AmountOfTransaction>
        <DescriptionOfTransaction>PURCHASE OF MEDICAL SUPPLIES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>UNITED LAUNDRY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>1136391</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR LAUNDRY SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PACIFIC MEDICAL COLLECTIONS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>117598</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR MEDICAL COLLECTION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>UNITED LAUNDRY</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART</Relationship>
        <AmountOfTransaction>777009</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR LAUNDRY SERVICES</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartIV>
        <NameOfInterestedPerson>
          <NamePerson>PACIFIC MEDICAL COLLECTIONS</NamePerson>
        </NameOfInterestedPerson>
        <Relationship>SEE PART V</Relationship>
        <AmountOfTransaction>99467</AmountOfTransaction>
        <DescriptionOfTransaction>PAYMENT FOR MEDICAL COLLECTION</DescriptionOfTransaction>
        <SharingOfRevenues>false</SharingOfRevenues>
      </Form990ScheduleLPartIV>
      <Form990ScheduleLPartV>
        <Identifier>BUSINESS TRANSACTION WITH INTERESTED PERSONS</Identifier>
        <ReturnReference>FORM 990, SCHEDULE L, PART VI, LINES 1 TO 9, COLUMN B</ReturnReference>
        <Explanation>1) DIR. IS DIR. OF SCH - KURREN 2) DIR. IS VP/COO OF SCH - GLADSTONE 3) DIR. IS DIR. OF SCH - STED 4) DIR. IS VP/CIO OF SCH - ROBERTSON 5) DIR. IS PRGM DIR. OF SCH - CHUN 6) DIR. IS OFC/DIR. OF KMCWC - STED 7) DIR. IS OFC/ OF KMCWC - ROBERTSON 8) DIR. IS OFC/DIR. OF PMMC - STED 9) DIR/ IS OFC/DIR. OF PMMC - ROBERTSON</Explanation>
      </Form990ScheduleLPartV>
    </IRS990ScheduleL>
    <IRS990ScheduleM documentId="IRS990ScheduleM">
      <WorksOfArt />
      <ArtHistoricalTreasures />
      <ArtFractionalInterest />
      <BooksAndPublications />
      <ClothingAndHouseholdGoods />
      <CarsAndOtherVehicles />
      <BoatsAndPlanes />
      <IntellectualProperty />
      <SecuritiesPubliclyTraded />
      <SecuritiesCloselyHeldStock />
      <SecuritiesPrtnrshpTrustIntrsts />
      <SecuritiesMiscellaneous />
      <QualifiedContribHistStruct />
      <QualifiedContribOther />
      <RealEstateResidential />
      <RealEstateCommercial />
      <RealEstateOther />
      <Collectibles />
      <FoodInventory />
      <DrugsAndMedicalSupplies />
      <Taxidermy />
      <HistoricalArtifacts />
      <ScientificSpecimens />
      <ArchaeologicalArtifacts />
      <OtherNonCashContributionsTable>
        <NonCashCheckbox>X</NonCashCheckbox>
        <Description>MISCELLANEOUS DONATIONS</Description>
        <NumberOfContributions>0</NumberOfContributions>
        <NoncashContribsRptdF990>120003</NoncashContribsRptdF990>
        <MethodOfDeterminingRevenues>COST/SELLING PRICE</MethodOfDeterminingRevenues>
      </OtherNonCashContributionsTable>
      <NumberOf8283Received>0</NumberOf8283Received>
      <AnyPropertyThatMustBeHeld>false</AnyPropertyThatMustBeHeld>
      <ReviewProcessUnusualNCGifts>true</ReviewProcessUnusualNCGifts>
      <ThirdPartiesUsed>false</ThirdPartiesUsed>
    </IRS990ScheduleM>
    <IRS990ScheduleO documentId="IRS990ScheduleO">
      <GeneralExplanation>
        <Identifier>STATEMENT OF ORGANIZATION'S MISSION OR MOST SIGNIFICANT ACTIVITIES</Identifier>
        <ReturnReference>FORM 990, PART I, LINE 1</ReturnReference>
        <Explanation>THE AFFILIATE HOSPITALS OF HAWAI'I PACIFIC HEALTH - KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN, PALI MOMI MEDICAL CENTER, STRAUB CLINIC &amp; HOSPITAL, AND WILCOX MEMORIAL HOSPITAL - ANCHOR 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. STATEMENT OF ORGANIZATION'S MISSION FORM 990, PART III, LINE 1 KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN IS A NONPROFIT HOSPITAL WHOSE MISSION IS TO IMPROVE AND ADVOCATE FOR THE HEALTH AND WELL-BEING OF WOMEN AND CHILDREN OF HAWAI'I AND THE PACIFIC REGION. PALI MOMI MEDICAL CENTER IS A NONPROFIT HOSPITAL BASED IN WEST O'AHU AND DEDICATED TO THE HEALTH AND WELL-BEING OF ALL HAWAI'I RESIDENTS. STRAUB CLINIC &amp; HOSPITAL IS A NONPROFIT HEALTH CARE SYSTEM WHOSE MISSION IS TO PROVIDE INTEGRATED HEALTH AND MEDICAL SERVICES THAT ARE COMPREHENSIVE, CARING, CONTINUOUSLY IMPROVING AND OF THE HIGHEST QUALITY. WILCOX MEMORIAL HOSPITAL IS A NONPROFIT HOSPITAL WHOSE MISSION IS TO SERVE THE KAUA'I COMMUNITY WITH ACCESSIBLE, QUALITY HEALTH CARE THAT SURPASSES EXPECTATIONS. STATEMENT OF PROGRAM SERVICE ACTIVITIES FORM 990, PART III, LINE 4A - 4D PROGRAM SERVICE #1 INTERNAL MEDICINE IN FISCAL YEAR 2011, THE HOSPITALS OF HAWAI'I PACIFIC HEALTH SPENT $62,137,639 IN DIRECT EXPENSES FOR INTERNAL MEDICINE, AS PART OF OUR MISSION TO PROVIDE ACCESS TO MEDICAL CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. STRAUB CLINIC &amp; HOSPITAL'S BOARD-CERTIFIED INTERNISTS SPECIALIZE IN ADULTS AND ADOLESCENTS. THEY COORDINATE WITH OTHER MEDICAL AND SURGICAL SPECIALISTS, AS NEEDED, WHILE EMPHASIZING PREVENTION, EARLY DIAGNOSIS AND NON-SURGICAL TREATMENT OF MEDICAL CONDITIONS THROUGH A LONG-TERM PERSONAL RELATIONSHIP WITH PATIENTS. KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN'S ("KAPI'OLANI") ADULT HOSPITALIST PROGRAM PROVIDES MEDICAL SERVICES TO PATIENTS ADMITTED WHO MAY NOT HAVE A PRIMARY CARE PHYSICIAN ("PCP") OR WHOSE PCP HAS REQUESTED HOSPITALIST SERVICES. INTERNAL MEDICINE CORE PRIVILEGES INCLUDE THE ABILITY TO DIAGNOSE AND PROVIDE NONSURGICAL TREATMENT, INCLUDING CONSULTATION FOR ADOLESCENT AND ADULT PATIENTS ADMITTED OR IN NEED OF CARE TO TREAT GENERAL MEDICAL PROBLEMS. PATIENTS ADMITTED MAY ALSO RECEIVE INTERNAL MEDICINE SERVICES FROM THEIR PCP IN THE COMMUNITY WHO HAS ADMITTING PRIVILEGES AT KAPI'OLANI. ANY ADULT PATIENT WHOSE IDENTIFIED MEDICAL NEEDS CANNOT BE MET AT KAPI'OLANI IS TRANSFERRED TO STRAUB CLINIC &amp; HOSPITAL. ALL PEDIATRIC PATIENTS WHO REQUIRE GENERAL MEDICAL SERVICES ARE PROVIDED BY THE PATIENT'S PCP WHO HAS PRIVILEGES, IN COLLABORATION WITH A PEDIATRIC SUBSPECIALIST, OR IS PLACED ON THE PEDIATRIC HOSPITALIST SERVICE AT KAPI'OLANI. PALI MOMI MEDICAL CENTER PROVIDES INTERNAL MEDICINE SERVICES TO THE WEST O'AHU COMMUNITY THROUGH ITS HOSPITALIST PROGRAM, WHICH PROVIDES MEDICAL SERVICES TO PATIENTS ADMITTED WHO MAY NOT HAVE A PRIMARY CARE PHYSICIAN ("PCP") OR WHOSE PCP HAS REQUESTED HOSPITALIST SERVICES. INTERNAL MEDICINE CORE PRIVILEGES INCLUDE THE ABILITY TO DIAGNOSE AND PROVIDE NONSURGICAL TREATMENT, INCLUDING CONSULTATION FOR PATIENTS ADMITTED OR IN NEED OF CARE TO TREAT GENERAL MEDICAL PROBLEMS. PATIENTS ADMITTED MAY ALSO RECEIVE INTERNAL MEDICINE SERVICES FROM THEIR PCP IN THE COMMUNITY WHO HAS ADMITTING PRIVILEGES AT PALI MOMI MEDICAL CENTER. WILCOX MEMORIAL HOSPITAL, THROUGH KAUA'I MEDICAL CLINIC AND COMMUNITY PHYSICIANS WITH ADMITTING PRIVILEGES, PROVIDES INTERNAL MEDICAL AND SURGICAL SERVICES TO KAUA'I'S COMMUNITY AND VISITORS. THE HOSPITAL RECENTLY WAS DESIGNATED A TRAUMA III CENTER BY THE STATE DEPARTMENT OF HEALTH. WILCOX MEMORIAL HOSPITAL HAS A HOSPITALIST PROGRAM THAT PROVIDES INTERNAL MEDICAL CARE IN THE HOSPITAL AND COORDINATES CARE WITH THE PATIENT'S PRIMARY CARE PHYSICIAN, THROUGH ITS "EPIC" ELECTRONIC MEDICAL RECORD SYSTEM, ADDED IN FISCAL YEAR 2011. PROGRAM SERVICE #2 WOMEN'S SERVICES - OB/GYN IN FISCAL YEAR 2011, THE HOSPITALS OF HAWAI'I PACIFIC HEALTH SPENT $38,912,630 IN DIRECT EXPENSES FOR WOMEN'S OB/GYN SERVICES, AS PART OF OUR MISSION TO PROVIDE ACCESS TO MEDICAL CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN IS THE ONLY HOSPITAL IN HAWAI'I SPECIALIZING IN MATERNITY CARE. IT IS THE REGIONAL PERINATAL CENTER FOR THE STATE. IN FISCAL YEAR 2011, THE HOSPITAL DELIVERED 6,066 BABIES, REPRESENTING ALMOST 50% OF ALL O'AHU BIRTHS. FOR WOMEN IN HIGH-RISK PREGNANCIES, A DEDICATED TEAM OF MATERNAL FETAL MEDICINE SPECIALISTS ARE AVAILABLE TO ASSIST IN MANAGING HIGH-RISK PREGNANCIES AND DELIVERIES. WHEN NECESSARY, EXPECTANT MOTHERS CAN BE ADMITTED IN ORDER TO MANAGE COMPLICATIONS AND TO HELP PREVENT PRE-TERM BIRTH. KAPI'OLANI MEDICAL CETNER FOR WOMEN &amp; CHILDREN IS A MAJOR TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE'S OB/GYN RESIDENCY TRAINING PROGRAM. PALI MOMI MEDICAL CENTER PERFORMS GYNECOLOGY SERVICES FOR THE WEST O'AHU COMMUNITY, INCLUDING HYSTERECTOMIES, OB/GYN ULTRASOUND PROCEDURES IN THE IMAGING DEPARTMENT, UROLOGY, BARIATRICS, AND INFUSION CHEMOTHERAPY. IT WILL SOON OPEN A DEDICATED WOMEN'S CENTER TO BETTER MEET THE HEALTH CARE NEEDS OF WEST O'AHU'S GROWING COMMUNITY. STRAUB CLINIC &amp; HOSPITAL ("STRAUB") PROVIDES MAMMOGRAPHY SERVICES AT ITS MAIN CAMPUS AND SATELLITE CLINICS; ALL CLINICS HAVE UPGRADED TO DIGITAL MAMMOGRAPHY. THE STRAUB WOMEN'S CLINIC AT WATERFRONT PLAZA IS DEDICATED TO PROVIDING THE HIGHEST-QUALITY WOMEN'S CARE IN A BEAUTIFUL AND HEALING ENVIRONMENT. MANY OF STRAUB'S PRIMARY CARE PHYSICIANS SPECIALIZE IN WOMEN'S HEALTH AND PROVIDE PERSONAL, COMPREHENSIVE AND CONTINUING CARE. STRAUB'S BOARD-CERTIFIED OB/GYN PHYSICIANS PROVIDE GENERAL OBSTETRIC AND GYNECOLOGICAL CARE, INCLUDING FAMILY PLANNING SERVICES, LASER SURGERY, LAPAROSCOPY AND COLPOSCOPY, MENOPAUSE, HORMONE REPLACEMENT THERAPY, AND INFERTILITY TREATMENTS. THE WOMEN'S CENTER AT WILCOX MEMORIAL HOSPITAL PROVIDES DIAGNOSIS, TREATMENT, AND PREVENTIVE HEALTH SERVICES TO KAUAI'S WOMEN, INCLUDING MAMMOGRAPHY AND BONE DENSITY SCREENING. THROUGH KAUA'I MEDICAL CLINIC AND COMMUNITY PHYSICIANS WITH ADMITTING PRIVILEGES, WILCOX MEMORIAL HOSPITAL ALSO PROVIDES COMPREHENSIVE OB/GYN CARE, SUCH AS DELIVERING BABIES, SURGICAL PROCEDURES, AND OTHER WOMEN'S MEDICAL SERVICES. PROGRAM SERVICE #3 OUTPATIENT OPERATING ROOM IN FISCAL YEAR 2011, THE HOSPITALS OF HAWAI'I PACIFIC HEALTH SPENT $35,976,498 IN DIRECT EXPENSES FOR OUTPATIENT OPERATING ROOMS, AS PART OF OUR MISSION TO PROVIDE ACCESS TO MEDICAL CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN IS HOME TO HAWAII'S FIRST FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITES. PEDIATRIC PROCEDURES INCLUDE THORACIC/HEART, CLEFT LIP/PALATE, EAR NOSE THROAT, ORTHOPEDIC, NEUROLOGIC, UROLOGIC, OPHTHALMOLOGIC, GASTRO-INTESTINAL, PLASTICS AND GENERAL SURGERY. WOMEN'S PROCEDURES INCLUDE BREAST BIOPSIES AND LUMPECTOMIES, HYSTEROSCOPIES, INTERSTIM BLADDER IMPLANT AND SUBURETHRAL SLING TO TREAT INCONTINENCE, TUBAL LIGATION AND ENDOMETRIAL ABLATION. IN FISCAL YEAR 2011, KAPI'OLANI PERFORMED 6,147 OUTPATIENT SURGICAL PROCEDURES. PALI MOMI MEDICAL CENTER HAS A FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITE EQUIPPED WITH TELEMEDICINE CAPABILITY, TOUCHSCREEN CONTROL PANELS AT THE NURSES' STATION, A SOPHISTICATED VOICE ACTIVATION SYSTEM, AND LIVE VIDEO FEED TO OTHER MEDICAL CENTERS AROUND THE WORLD TO ENHANCE PATIENT CARE. IN FISCAL YEAR 2011, PALI MOMI PERFORMED 5,984 OUTPATIENT SURGICAL PROCEDURES. WILCOX MEMORIAL HOSPITAL HAS A STATE-OF-THE-ART SURGICAL CENTER WITH SIX SURGICAL SUITES, 20 SAME-DAY SURGERY BEDS, VOICE-ACTIVATED ROBOTICS AND COMPUTER-ASSISTED TECHNOLOGY. IN FISCAL YEAR 2011, WILCOX PERFORMED 6,083 OUTPATIENT SURGICAL PROCEDURES. STRAUB CLINIC &amp; HOSPITAL HAS INTEGRATED OUTPATIENT SURGERY CAPABILITIES, WHICH TAKE PLACE WITHIN A 7-ROOM SURGICAL SUITE, TWO-ROOM PLASTIC SURGERY SUITE, AND TWO DEDICATED ROOMS IN THE GENERAL SURGERY DEPARTMENT. OUTPATIENT PROCEDURES ALSO TAKE PLACE IN A TWO-ROOM INTERVENTIONAL CARDIAC CATHETERIZATION LABORATORY, INTERVENTIONAL RADIOLOGY SUITES, AND ENDOSCOPY DEPARTMENT. PROCEDURES RANGE FROM MINOR EXCISIONS THROUGH COMPLEX PERIPHERAL INTRAVASCULAR TECHNIQUES. IN FISCAL YEAR 2011, STRAUB PERFORMED 2,791 OUTPATIENT SURGICAL PROCEDURES.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>OTHER PROGRAM SERVICES</Identifier>
        <Explanation>KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN ("KAPI'OLANI") IS HAWAII'S ONLY MATERNITY, NEWBORN AND PEDIATRIC SPECIALTY HOSPITAL. IT IS ALSO A TERTIARY CARE HOSPITAL AND TEACHING AND RESEARCH FACILITY. IT HAS 207 BEDS AND 66 BASSINETS, EMPLOYS 1,432 EMPLOYEES AND HAS MORE THAN 600 PHYSICIANS ON ITS MEDICAL STAFF. ALMOST 500 VOLUNTEERS DONATE THEIR TIME HERE. DURING FISCAL YEAR 2011, IT ADMITTED 18,013 PATIENTS FOR A TOTAL OF 68,653 PATIENT DAYS. THERE WERE 37,004 EMERGENCY ROOM AND URGENT CARE VISITS, AND 7,948 SURGERY CASES. ALMOST 50% PERCENT OF ALL OAHU BIRTHS WERE DELIVERED HERE (6,066). CHILDREN'S SERVICES: KAPI'OLANI HAS MORE THAN 100 SUBSPECIALTY PEDIATRIC PHYSICIANS IN MULTIPLE SPECIALTY AREAS. IT MAINTAINS THE STATE'S ONLY 24-HOUR PEDIATRIC EMERGENCY ROOM, NEONATAL AND PEDIATRIC INTENSIVE CARE UNITS, NEONATAL/PEDIATRIC EMERGENCY TRANSPORT TEAM, AND STATE-DESIGNATED REGIONAL PERINATAL CENTER. WOMEN'S SPECIALTY CARE: KAPI'OLANI OPERATES THE STATE'S FIRST WOMEN'S CENTER, COMPREHENSIVE BREAST CENTER, AND WOMEN'S CANCER CENTER. THE BREAST CENTER IS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY AS A CENTER OF EXCELLENCE. FOR WOMEN IN LABOR, THERE ARE 26 LABOR AND DELIVERY ROOMS, 3 OPERATING ROOMS FOR CAESAREAN-SECTIONS, 24-HOUR IN-HOUSE OBSTETRICAL ANESTHESIA SERVICES, ANTEPARTUM CARE, HIGH-RISK OBSTETRICAL SERVICES, AND A FETAL DIAGNOSTIC CENTER. RESIDENCY PROGRAMS: KAPI'OLANI IS THE OFFICIAL PEDIATRIC AND OBSTETRIC TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. IN FISCAL YEAR 2011, IT INVESTED $8,800,000 INTO RESEARCH AND TEACHING THE STATE'S NEXT GENERATION OF PEDIATRICIANS AND OBSTETRICIANS. COMMUNITY: KAPI'OLANI SUPPORTS THE SUSAN G. KOMEN BREAST CANCER FOUNDATION, MARCH OF DIMES, AND HAWAI'I CHILDREN'S CANCER FOUNDATION. THE KAPI'OLANI CHILDREN'S MIRACLE NETWORK SUPPORTS THE COST OF PEDIATRIC CARE, EQUIPMENT, NEIGHBOR ISLAND TRAVEL, RESEARCH AND PUBLIC AWARENESS. THE HOSPITAL RUNS THE SEX ABUSE TREATMENT CENTER TO REDUCE SEXUAL VIOLENCE AND THE KAPI'OLANI CHILD PROTECTION CENTER TO RECOGNIZE AND TREAT CHILD ABUSE AND NEGLECT. KAPI'OLANI TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS ONE OF THE COMMUNITY'S SAFETY NET PROVIDERS OF HEALTH CARE. IN FISCAL YEAR 2011, IT PROVIDED $30,000,000 WORTH OF CARE TO PATIENTS WHO WERE UNINSURED OR UNABLE TO PAY FOR THEIR CARE, AND OTHER COMMUNITY BENEFITS. PALI MOMI MEDICAL CENTER ("PALI MOMI") IS A COMMUNITY-BASED ACUTE CARE HOSPITAL THAT OFFERS A FULL RANGE OF SERVICES IN CARDIOLOGY, ORTHOPEDICS, EMERGENCY MEDICINE, GENERAL SURGERY, OPHTHALMOLOGY, WOMEN'S SERVICES AND ONCOLOGY. IT HAS 116 ACUTE CARE BEDS AND EMPLOYS 951 EMPLOYEES; 370 PHYSICIANS ARE ON THE PALI MOMI'S MEDICAL STAFF. MORE THAN 80 PEOPLE VOLUNTEER HERE. DURING FISCAL YEAR 2011, IT ADMITTED 6,316 PATIENTS FOR A TOTAL OF 39,512 PATIENT DAYS. EMERGENCY VISITS WERE 44,916, WITH 7,663 SURGERIES AND 108,427 OUTPATIENT ENCOUNTERS (NOT EMERGENCIES OR SURGERIES). SPECIALTY UNITS: PALI MOMI HAS WEST OAHU'S ONLY CARDIAC CATHETERIZATION UNIT TO DETECT HEART DISEASE, A FULLY INTEGRATED MINIMALLY INVASIVE SURGICAL SUITE, CT SCAN AND MRI SERVICES, EMERGENCY SERVICES, A WOMEN'S CENTER AND THE STATE'S FIRST RETINA CENTER. FOR THE FIFTH YEAR IN A ROW, PALI MOMI RECEIVED A GOLD MEDAL FROM THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES PROGRAM. COMMUNITY: IN FISCAL YEAR 2011, THE HOSPITAL HOSTED A VARIETY OF FREE EVENTS TO RAISE PUBLIC AWARENESS OF CURRENT HEALTH CARE AND WELLNESS ISSUES - FROM ITS FAMILY AND SENIOR HEALTH FAIRS TO MULTIPLE SUPPORT GROUPS. IT ALSO OFFERED FREE GLUCOSE MONITORING AND BLOOD PRESSURE SCREENING TWICE A MONTH. PALI MOMI TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS ONE OF THE COMMUNITY'S SAFETY NET PROVIDERS OF HEALTH CARE. IN FISCAL YEAR 2011, IT PROVIDED $2,500,000 WORTH OF CARE TO INDIVIDUALS WHO WERE UNINSURED OR UNABLE TO PAY FOR THEIR CARE, AS WELL AS IN OTHER COMMUNITY BENEFITS. STRAUB CLINIC &amp; HOSPITAL ("STRAUB") IS AN INTEGRATED HEALTH CARE SYSTEM WITH A MAIN HOSPITAL, NEIGHBORHOOD CLINICS AND VISITING SPECIALIST PROGRAMS THROUGHOUT HAWAI'I. IT HAS 159 BEDS AND EMPLOYS 1,580 STAFF AND 200 EMPLOYED OR CONTRACTED PHYSICIANS. MORE THAN 80 PEOPLE VOLUNTEER HERE. DURING FISCAL 2011, STRAUB ADMITTED 6,793 PATIENTS FOR A TOTAL OF 38,216 PATIENT DAYS. THE EMERGENCY ROOM TREATED 24,801 PATIENTS, WITH 5,036 SURGERY CASES AND 760,875 CLINIC ENCOUNTERS. SPECIALTY SERVICES: STRAUB PROVIDES EXPERTISE IN MORE THAN 32 SPECIALTIES, INCLUDING BONE &amp; JOINT, HEART, CANCER, GASTROENTEROLOGY, INTERNAL MEDICINE, ENDOCRINOLOGY/DIABETES, GERIATRICS, VASCULAR, UROLOGY, ALLERGY, PATHOLOGY, ANESTHESIOLOGY, DERMATOLOGY, NEUROLOGY, NUCLEAR MEDICINE, OPHTHALMOLOGY, OBSTETRICS/GYNECOLOGY, OCCUPATIONAL HEALTH, OTOLARYNGOLOGY, PLASTIC SURGERY, PSYCHIATRY, RADIOLOGY, SPORTS MEDICINE AND RHEUMATOLOGY. SPECIALTY UNITS: STRAUB BROUGHT MINIMALLY INVASIVE OPEN-HEART SURGERY AND TOTAL JOINT REPLACEMENT TO HAWAI'I. THE BURN UNIT IS THE ONLY MULTI-DISCIPLINARY BURN CENTER IN THE PACIFIC. THE HEART CENTER RECEIVED THE HIGHEST DESIGNATION FROM THE NATIONAL SOCIETY FOR THORACIC SURGEONS. THE BONE AND JOINT CENTER OFFERS MINIMALLY INVASIVE HIP AND JOINT REPLACEMENT. COMMUNITY: STRAUB PROVIDES CHARITY CARE, HEALTH EDUCATION AND PREVENTATIVE PROGRAMS TO THE COMMUNITY. IN FISCAL 2011, IT DELIVERED FREE PUBLIC HEALTH EDUCATION PROGRAMS ON HEART ATTACKS, CANCER, ARTHRITIS, ASTHMA, ALLERGIES, STRESS, OSTEOPOROSIS, OBESITY AND DRUG ABUSE. STRAUB TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS ONE OF THE COMMUNITY'S SAFETY NET PROVIDERS OF HEALTH CARE. IN FISCAL 2011, IT PROVIDED $13,500,000 WORTH OF CARE TO PATIENTS WHO WERE UNINSURED OR UNABLE TO PAY FOR THEIR CARE, AS WELL AS IN OTHER COMMUNITY BENEFITS. WILCOX MEMORIAL HOSPITAL ("WILCOX") IS AN ACUTE CARE HOSPITAL WITH A FULL SUITE OF SERVICES FROM EMERGENCY, OB/GYN AND PEDIATRICS TO CARDIOLOGY, GASTROENTEROLOGY, OPHTHALMOLOGY, PULMONOLOGY, NEPHROLOGY, COSMETIC SURGERY, INTERNAL MEDICINE, FAMILY PRACTICE, AND WOMEN'S SERVICES. IT HAS 71 BEDS, INCLUDING SEVEN INTENSIVE CARE BEDS, 10 BASSINETS, FIVE BIRTHING SUITES AND A 20-BED EMERGENCY DEPARTMENT. IT HAS A MEDICAL STAFF OF 169 PHYSICIANS. DURING FISCAL YEAR 2011, THE HOSPITAL ADMITTED 3,624 ACUTE CARE PATIENTS FOR A TOTAL OF 16,903 PATIENT DAYS, WITH 23,974 EMERGENCY ROOM VISITS. IT CONDUCTED 1,129 INPATIENT SURGERIES, 6,083 OUTPATIENT SURGERIES, AND 3,473 INFUSION SERVICES. SPECIALTY UNITS: WILCOX IS THE ONLY HOSPITAL IN HAWAI'I TO RECEIVE THREE QUALITY PERFORMANCE AWARDS IN ONE YEAR FROM THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES PROGRAM. THE FAMILY IMAGING CENTER PROVIDES MRI, CT, NUCLEAR MEDICINE, ULTRASOUND, TELEMEDICINE, MAMMOGRAPHY, AND BONE DENSITOMETRY. THE SURGICAL CENTER HAS SIX SUITES AND 20 SAME-DAY BEDS. COMMUNITY: WILCOX IS COMMITTED TO HEALTH EDUCATION, PREVENTION AND SUPPORT. IN FISCAL YEAR 2011, IT SUPPORTED THE ARTHRITIS WALK, PARADE OF LIGHTS, AMERICAN CANCER SOCIETY'S RELAY FOR LIFE, KAUA'I FOODBANK, KAUA'I LIFEGUARD ASSOCIATION, TOYS FOR TOTS, ALOHA UNITED WAY WALK-A-THON, AND ALZHEIMER'S MEMORY WALK. WILCOX TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS THE COMMUNITY'S SAFETY NET PROVIDER OF HEALTH CARE. IN FISCAL 2011, IT PROVIDED $3,900,000 WORTH OF CARE TO PATIENTS WHO WERE UNINSURED OR UNABLE TO PAY FOR THEIR CARE, AS WELL AS IN OTHER COMMUNITY BENEFITS. TAX EXEMPT BONDS FORM 990, PART IV, LINE 24A KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN, PALI MOMI MEDICAL CENTER, STRAUB CLINIC &amp; HOSPITAL AND WILCOX MEMORIAL HOSPITAL ARE MEMBERS OF THE HAWAI'I PACIFIC HEALTH OBLIGATED GROUP, WHICH HAS ISSUED VARIOUS BOND ISSUES THAT ARE REPORTED ON THE HAWAI'I PACIFIC HEALTH FORM 990.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MEMBERS AND RIGHTS</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 6</ReturnReference>
        <Explanation>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 PERSONS 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. DESCRIPTION OF CLASSES OR PERSONS, DECISIONS REQUIRING APPROVAL &amp; TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING RESERVED POWERS WITH RESPECT TO KAPIOLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN AND PALI MOMI MEDICAL CENTER: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE EXECUTIVE VICE PRESIDENT/CHIEF EXECUTIVE OFFICER, TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, CHIEF OPERATING OFFICER, OTHER EXECUTIVE VICE-PRESIDENTS, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE OPERATING UNIT VICE-PRESIDENTS; AS SUCH TERM IS DEFINED IN THE BYLAWS; (II) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (III) AMEND THE BYLAWS; (IV) DETERMINE AND EFFECT THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR FOR ONE MILLION DOLLARS ($1,000,000) OR MORE; (V) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (VI) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE, AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (VII) DETERMINE AND EFFECT INTER-CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (VIII) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (IX) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (X) CLOSE THE ACUTE CARE HOSPITAL OWNED AND OPERATED BY THE CORPORATION; (XI) AFTER CONSULTING WITH THE BOARD, REMOVE THE EXECUTIVE VICE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, TREASURER, SECRETARY, OTHER EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, ASSISTANT SECRETARIES, AND/OR ALL VICE PRESIDENTS EXCEPT THE OPERATING UNIT VICE PRESIDENTS; (XII) AFTER CONSULTING WITH THE BOARD, DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG-RANGE AND STRATEGIC PLAN OF THE CORPORATION; AND (XIII) AFTER CONSULTING WITH THE BOARD, DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF CLASSES OR PERSONS, DECISIONS REQUIRING APPROVAL &amp; TYPE</Identifier>
        <ReturnReference>OF VOTING RIGHTS (CONTINUATION)</ReturnReference>
        <Explanation>HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING POWERS RESERVED TO APPROVE THE FOLLOWING WITH RESPECT TO STRAUB CLINIC &amp; HOSPITAL: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, EXECUTIVE VICE PRESIDENTS OTHER THAN THE EXECUTIVE VICE-PRESIDENT/CHIEF EXECUTIVE OFFICER (THE "EVP/CEO") AND THE; EXECUTIVE VICE-PRESIDENT/CHIEF MEDICAL OFFICER (THE "EVP/CMO") OF THE CORPORATION, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE CLINIC AND HOSPITAL UNIT VICE-PRESIDENTS, AS SUCH TERM IS DEFINED IN THE BYLAWS; (II) REMOVE ANY DIRECTOR FROM THE BOARD; PROVIDED, HOWEVER, THAT THE BOARD MAY REMOVE ANY DIRECTOR FROM THE BOARD IF APPROVED BY THE MEMBER BOARD; (III) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (IV) AMEND THE BYLAWS; (V) THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR FOR ONE MILLION DOLLARS ($1,000,000) OR MORE; (VI) ACQUIRE ASSETS WORTH OVER ONE MILLION DOLLARS ($1,000,000); (VII) ACQUIRE SHARES IN ANOTHER CORPORATION; (VIII) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (IX) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE, AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (X) DETERMINE AND EFFECT INTER-CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (XI) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (XII) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (XIII) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONSHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION AND ANY PERSON OR ENTITY; (XIV) CLOSE THE ACUTE CARE HOSPITAL OR CLINIC FACILITIES OWNED AND OPERATED BY THE CORPORATION; (XV) RELOCATE THE ACUTE CARE HOSPITAL OR CLINIC FACILITIES OWNED AND OPERATED BY THE CORPORATION; (XVI) CONVERT THE ACUTE CARE HOSPITAL OWNED AND OPERATED BY THE CORPORATION INTO A NON-ACUTE CARE FACILITY; (XVII) AFTER CONSULTING WITH THE BOARD, REMOVE THE TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, EXECUTIVE VICE-PRESIDENTS OTHER THAN THE EVP/CEO AND THE EVP/CMO, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND/OR ALL VICE-PRESIDENTS EXCEPT THE CLINIC AND HOSPITAL UNIT VICE-PRESIDENTS; AND (XVIII) DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG-RANGE AND STRATEGIC PLAN OF THE CORPORATION. THE FOLLOWING ACTIONS REQUIRE APPROVAL FROM THE MEMBER BOARD: (I) ADD ANY DIRECTOR TO THE BOARD; (II) AMEND THE ARTICLES OF INCORPORATION; (III) SELL, LEASE, EXCHANGE OR DISPOSE OF FIFTY PERCENT (50%) OR MORE OF THE AMOUNT OF PROPERTY OR ASSETS HELD BY THE ORGANIZATION, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, TO ANY ENTITY THAT IS NOT AN AFFILIATE, EXCEPT THAT IF THE GFS HEALTH PHYSICIAN ADVISORY GROUP (THE "PAG") ELECTS TO INITIATE A SEPARATION ACTION PURSUANT TO ARTICLE XIII OF THE AFFILIATION AGREEMENT BY AND AMONG THE MEMBER, THE ORGANIZATION, AND STRAUB CLINIC AND HOSPITAL, INC., DATED AS OF DECEMBER 23, 2001, THE ORGANIZATION SHALL BE ALLOWED, BY A MAJORITY VOTE OF A QUORUM OF THE BOARD, TO SELL, LEASE, EXCHANGE OR DISPOSE OF FIFTY PERCENT (50%) OR MORE OF THE AMOUNT OF THE PROPERTY OR ASSETS HELD BY THE ORGANIZATION, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, AND SHALL NOT BE REQUIRED TO RECEIVE DIRECTION OR APPROVAL TO DO SO FROM THE MEMBER; (IV) IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS; (V) IMPLEMENT INDIVIDUAL PHYSICIAN COMPENSATION ARRANGEMENTS FOR EACH PHYSICIAN OPERATING UNIT IN THE ORGANIZATION; (VI) ENTER INTO ANY UNBUDGETED CONTRACTS ON BEHALF OF THE ORGANIZATION WHICH REQUIRE ANNUAL PAYMENTS ON BEHALF OF THE ORGANIZATION EXCEEDING ONE MILLION DOLLARS ($1,000,000) IN VALUE; (VII) ISSUE THE ORGANIZATION'S MEMBERSHIP TO ANYONE OTHER THAN THE MEMBER; (VIII) MERGE THE ORGANIZATION WITH ANY ENTITY; (IX) DISSOLVE THE ORGANIZATION; AND (X) DEVELOP A NEW LINE OF BUSINESS OR A NEW SERVICE. HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS RESERVED POWERS TO APPROVE THE FOLLOWING WITH RESPECT TO WILCOX MEMORIAL HOSPITAL: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE PRESIDENT/CHIEF EXECUTIVE OFFICER, TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, OTHER EXECUTIVE VICE-PRESIDENTS, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE OPERATING UNIT VICE-PRESIDENTS, AS SUCH TERM IS DEFINED IN THE BYLAWS; (II) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (III) AMEND THE BYLAWS; (IV) THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR FOR ONE MILLION DOLLAR ($1,000,000) OR MORE; (V) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (VI) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (VII) EFFECT INTER-CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (VIII) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (IX) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, OR PARTNERSHIP OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (X) EXCEPT AS OTHERWISE PROVIDED IN THE BYLAWS OR AS REQUIRED BY THE LAW OF THE STATE OF HAWAI`I, SELL, LEASE OR OTHERWISE TRANSFER FIFTY PERCENT (50%) OR MORE OF THE THEN CURRENT AMOUNT, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE TOTAL ASSETS HELD BY WILCOX MEMORIAL HOSPITAL, KAUA'I MEDICAL CLINIC AND WILCOX HEALTH FOUNDATION (THE "WILCOX AFFILIATES"); (XI) EXCEPT AS PROVIDED IN THE BYLAWS OR AS REQUIRED BY THE LAWS OF THE STATE OF HAWAI`I, SELL, LEASE OR TRANSFER OF OPERATIONS OR ACTIVITIES OF THE WILCOX AFFILIATES WHICH GENERATE FIFTY PERCENT (50%) OR MORE OF THE TOTAL NET REVENUES, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE WILCOX AFFILIATES DURING THE PRIOR FISCAL YEAR; (XII) CLOSE THE CLINICAL FACILITIES OWNED AND OPERATED BY THE CORPORATION; PROVIDED, THAT, AFTER THE EFFECTIVE DATE OF THE BYLAWS, ANY ELIMINATION OF A CLINICAL SERVICE PROVIDED BY THE CORPORATION MUST ALSO BE APPROVED BY THE BOARD; (XIII) CONVERT THE CLINIC OWNED AND OPERATED BY THE CORPORATION INTO A FACILITY NO LONGER OFFERING MEDICAL SERVICES; PROVIDED, THAT, AFTER THE EFFECTIVE DATE OF THE BYLAWS, ANY ELIMINATION OF A CLINICAL SERVICE PROVIDED BY THE CORPORATION MUST ALSO BE APPROVED BY THE BOARD; (XIV) AFTER CONSULTING WITH THE BOARD, REMOVE THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, TREASURER, SECRETARY, OTHER EXECUTIVE VICE-PRESIDENTS, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE OPERATING UNIT VICE-PRESIDENTS; PROVIDED, HOWEVER, THAT TO REMOVE OR TERMINATE THE PRESIDENT/CHIEF EXECUTIVE OFFICER WILL REQUIRE THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE MEMBER TO FULLY COLLABORATE AND CONSULT WITH THE BOARD AND SEEK THE BOARD'S ADVANCE CONSENT FOR SUCH REMOVAL OR TERMINATION. IF THE BOARD DOES NOT CONCUR WITH THE PROPOSED REMOVAL OR TERMINATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SUCH REMOVAL OR TERMINATION WILL REQUIRE THE APPROVAL OF A MAJORITY OF THE MEMBERS ON THE MEMBER BOARD; (XV) AFTER CONSULTING WITH THE BOARD, DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG RANGE AND STRATEGIC PLANS OF THE CORPORATION; AND (XVI) AFTER CONSULTING WITH THE BOARD, DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>DESCRIPTION OF CLASSES OR PERSONS, DECISIONS REQUIRING APPROVAL &amp; TYPE</Identifier>
        <ReturnReference>OF APPROVAL (CONTINUATION)</ReturnReference>
        <Explanation>THE CORPORATION SHALL NOT TAKE THE FOLLOWING ACTIONS WITHOUT FIRST OBTAINING MEMBER BOARD APPROVAL: (I) ADD ANY DIRECTOR TO THE BOARD; (II) REMOVE ANY DIRECTOR FROM THE BOARD; (III) AMEND THE ARTICLES; (IV) ENTER INTO ANY UNBUDGETED CONTRACTS ON BEHALF OF THE CORPORATION WHICH REQUIRE ANNUAL PAYMENTS ON BEHALF OF THE CORPORATION EXCEEDING ONE MILLION DOLLARS ($1,000,000) IN VALUE; (V) ACQUIRE ASSETS WORTH OVER ONE MILLION DOLLARS ($1,000,000); (VI) ACQUIRE SHARES IN ANOTHER CORPORATION; (VII) SELL, LEASE OR OTHERWISE TRANSFER FIFTY PERCENT (50%) OR MORE OF THE THEN CURRENT AMOUNT, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE TOTAL ASSETS HELD BY THE WILCOX AFFILIATES; (VIII) SELL, LEASE, EXCHANGE OR DISPOSE OF FIFTY PERCENT (50%) OR MORE OF THE PROPERTY AND ASSETS HELD BY THE CORPORATION TO ANY ENTITY THAT IS NOT AN AFFILIATE; (IX) SELL, LEASE OR TRANSFER OF OPERATIONS OR ACTIVITIES OF THE WILCOX AFFILIATES WHICH GENERATE FIFTY PERCENT (50%) OR MORE OF THE TOTAL NET REVENUES, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE WILCOX AFFILIATES DURING THE PRIOR FISCAL YEAR; (X) MERGE THE CORPORATION WITH ANY ENTITY; (XI) DISSOLVE OR LIQUIDATE THE CORPORATION; (XII) ISSUE THE CORPORATION'S MEMBERSHIP TO ANYONE OTHER THAN THE MEMBER; (XIII) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONSHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION AND ANY PERSON OR ENTITY; AND (XIV) 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 11B VARIOUS SCHEDULES OF THE 990S ARE PREPARED PRIMARILY BY STAFF WITHIN THE ACCOUNTING AREA OF THE ORGANIZATION WORKING WITH VARIOUS OTHER AREAS OF THE ORGANIZATION SUCH AS MANAGEMENT OF THE OPERATING UNITS, HR, LEGAL, ETC. DISCLOSURE NARRATIVES ARE WRITTEN AND COMPILED INTERNALLY BASED ON INPUT AND DISCUSSION WITH FINANCIAL ANALYSTS AND THE CHIEF OPERATING OFFICER / EXECUTIVE DIRECTOR OF THE REPORTING ENTITY. THE CHIEF OPERATING OFFICER / EXECUTIVE DIRECTOR OF EACH REPORTING ENTITY REVIEWS AND APPROVES THE DISCLOSURE NARRATIVES WHICH DESCRIBES THE MISSION/PURPOSE AND PROGRAM ACCOMPLISHMENTS OF THEIR ORGANIZATION. SENIOR MANAGEMENT OF THE HEALTH CARE SYSTEM REVIEWS THE 990S OF EACH FILING ORGANIZATION WITHIN THE HEALTH CARE SYSTEM. ONCE SENIOR MANAGEMENT HAS COMPLETED ITS REVIEW, THE 990S ARE THEN PROVIDED TO THE GOVERNANCE AND NOMINATING COMMITTEE OF THE HEALTH CARE SYSTEM'S BOARD OF DIRECTORS FOR THEIR REVIEW. THE GOVERNANCE AND NOMINATING COMMITTEE OF THE PARENT ENTITY'S (HAWAI'I PACIFIC HEALTH "HPH") BOARD PROVIDES OVERSIGHT FOR THE 990 REPORTING AND REVIEWS THE 990S FOR EACH ENTITY PRIOR TO FILING. IN ADDITION, THE 990S FOR EACH ENTITY ARE MADE AVAILABLE TO THE 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 ARE PHYSICALLY LOCATED AT EACH FACILITY'S SITE FOR THE BOARD MEMBER TO REVIEW PRIOR TO FILING. THE 990S WILL BE POSTED TO HPH'S WEB SITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURNS WITH THE IRS. ADOPTION OF POLICIES FORM 990, PART VI, LINES 12A, 13, 14 &amp; 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 WAS FORMALLY ADOPTED 12/3/07 BY HPH - LINE 13 - WRITTEN WHISTLEBLOWER POLICY WAS FORMALLY ADOPTED ON 5/26/11 BY HPH - LINE 14 - WRITTEN DOCUMENT RETENTION AND DESTRUCTION POLICY WAS FORMALLY ADOPTED 5/26/11 BY HPH - LINE 16B - WRITTEN POLICY REGARDING PARTICIPATION IN JOINT VENTURE ARRANGEMENTS WAS FORMALLY ADOPTED ON 5/26/11 BY HPH</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>MONITORING &amp; ENFORCING CONFLICT OF INTEREST POLICY</Identifier>
        <ReturnReference>FORM 990, PART VI, LINE 12C</ReturnReference>
        <Explanation>ANNUALLY, EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) RECEIVED A COPY OF THE CONFLICT OF INTEREST ("COI") POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; AND 4) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE IN-HOUSE LEGAL DEPARTMENT DISTRIBUTES THE STATEMENT REQUEST AND REVIEWS THE COI STATEMENTS RETURNED. IDENTIFIED CONFLICTS OF INTEREST ARE PRESENTED TO THE BOARD FOR REVIEW, DELIBERATION AND CONFIRMATION/REFUTATION THAT A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST HAS BEEN FOUND, THE INDIVIDUAL MAY ADDRESS THE BOARD AND EXPLAIN THE TRANSACTION OR ARRANGEMENT CAUSING THE CONFLICT. AFTER THE PRESENTATION, THE INDIVIDUAL IS EXCUSED FROM THE MEETING AND SHALL NOT PARTICIPATE WITH ANY DISCUSSION OR VOTE ON MATTERS PERTAINING TO THE TRANSACTION OR ARRANGEMENT. IN MEETINGS WHERE APPLICATION OF THE COI POLICY OCCURS, THE MEETING MINUTES INCLUDE NATURE OF THE FINANCIAL INTEREST/CONFLICT, NAME(S) OF THE PERSON(S) WITH THE POTENTIAL OR ACTUAL CONFLICT, ANY ACTION TAKEN TO ASSIST IN THE DETERMINATION OF WHETHER A CONFLICT EXISTED, INCLUDING ANY DISCUSSION OF ALTERNATIVE ARRANGEMENTS, THE BOARD'S DECISION(S) REGARDING THE CONFLICT AND NAMES OF PERSON PRESENT IN THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT. OFFICES AND POSITIONS FOR WHICH PROCESS WAS USED, AND YEAR PROCESS WAS LAST COMPLETED FORM 990, PART VI, LINES 15A &amp; 15B COMPENSATION FOR HAWAI'I PACIFIC HEALTH ("HPH") EXECUTIVES (VICE PRESIDENT AND ABOVE) IS SET BY THE HPH COMPENSATION COMMITTEE, WHICH IS COMPOSED SOLELY OF INDEPENDENT, COMMUNITY-BASED MEMBERS OF THE HPH BOARD OF DIRECTORS. ON AN ANNUAL BASIS THE 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. THE 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 &amp; FINANCIAL STMTS FORM 990, PART VI, LINE 19 THE CONFLICT OF INTEREST POLICY AND STANDARD OF CONDUCT ARE AVAILABLE ON THE HAWAI'I PACIFIC HEALTH WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE.</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>GROUP RETURN LISTING</Identifier>
        <ReturnReference>FORM 990, PART VII</ReturnReference>
        <Explanation>CHARLES STED SERVES ON THE BOARD FOR THE FOLLOWING ENTITIES: STRAUB CLINIC &amp; HOSPITAL - DIRECTOR PALI MOMI MEDICAL CENTER - DIRECTOR &amp; OFFICER KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN - DIRECTOR &amp; OFFICER WILCOX MEMORIAL HOSPTIAL - DIRECTOR RAYMOND VARA SERVES ON THE BOARD FOR THE FOLLOWING ENTITIES: STRAUB CLINIC &amp; HOSPITAL - DIRECTOR &amp; OFFICER PALI MOMI MEDICAL CENTER - DIRECTOR &amp; OFFICER KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN - DIRECTOR &amp; OFFICER THE FOLLOWING PEOPLE SERVE AS OFFICERS FOR STRAUB CLINIC &amp; HOSPITAL, PALI MOMI MEDICAL CENTER, KAPI'OLANI MEDICAL CENTER FOR WOMEN &amp; CHILDREN AND WILCOX MEMORIAL HOSPTIAL: ARTHUR GLADSTONE CHARLES CHING DAVID OKABE DAVID FOX EARL INOUYE GAIL LERCH JESSICA LEWIS KATIE SHIGEMITSU KEKA SANBORN MELINDA ASHTON PAULA DIAS STEVEN ROBERTSON SUSAN MASUMOTO-NONAKA VIRGINIA PRESSLER-FISHER WARREN CHAIKO</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>RECONCILIATION OF NET ASSETS</Identifier>
        <ReturnReference>FORM 990, PART XI, LINE 5</ReturnReference>
        <Explanation>CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 88,749 ALTERNATIVE INVESTMENT GAINS (MARK TO MARKET) 10,495,496 OBLIGATED GROUP INTERCOMPANY TRANSFERS (46,927,985) EQUITY TRANSFERS 669,388 CHANGE IN NET UNREALIZED GAINS ON INVESTMENTS 5,674,782 CHANGE IN INTEREST IN KHF/WHF 2,094,028 CHANGE IN INTEREST IN PERPETUAL TRUSTS 394,761 WRITE OFF GOODWILL (10,573,719) OTHER CHANGES 25,572 -------------- (38,058,928) HOURS DEVOTED TO RELATED ORGANIZATION FORM 990, PART VII, COLUMN B INDIVIDUALS LISTED ON PART VII ALSO DEVOTE TIME TO THE RELATED ORGANIZATIONS AS LISTED BELOW: WILCOX HEALTH FOUNDATION CHARLES STED 1.0 CHARLES CHING 0.5 DAVID FOX 0.4 DAVID OKABE 0.5 EARL INOUYE 0.5 GERI YOUNG 1.0 JESSICA LEWIS 0.5 KATHLEEN CLARK 1.0 LYNNE JOHNSON-JOSEPH 1.0 VIRGINIA PRESSLER-FISHER 1.0 KAPI'OLANI HEALTH FOUNDATION CHARLES STED 3.0 CHARLES CHING 0.5 DAVID FOX 0.4 DAVID OKABE 1.0 EARL INOUYE 0.5 JESSICA LEWIS 0.1 VIRGINIA PRESSLER-FISHER 1.0 STRAUB FOUNDATION B. JEANNIE HEDBERG 0.1 CHARLES STED 1.0 CHARLES CHING 0.5 DAVID FOX 0.4 DAVID OKABE 0.5 EARL INOUYE 0.1 JESSICA LEWIS 0.5 KENNETH ROBBINS 0.1 MICHAEL GIBSON 0.1 PATRICIA BOECKMANN 1.0 RAYMOND VARA 0.1 VIRGINIA PRESSLER-FISHER 1.0 HAWAI'I PACIFIC HEALTH ANN PETERS 45.0 ARTHUR GLADSTONE 5.0 CHARLES STED 32.0 CHARLES CHING 30.0 DALE GLENN 0.3 DAVID FOX 2.4 DAVID OKABE 35.0 DELIA KNUDSEN 16.0 EARL INOUYE 25.0 FAYE KURREN 0.3 GAIL LERCH 40.0 GERI YOUNG 0.3 HUGH HAZENFIELD 0.8 JENNIE CHAHANOVICH 0.5 JESSICA LEWIS 0.5 KEKA SANBORN 50.0 KENN SARUWATARI 0.4 KENNETH ROBBINS 10.0 LYLE TABATA 0.3 LYNNE JOHNSON-JOSEPH 1.0 MARTHA SMITH 0.5 MELINDA ASHTON 40.0 PATRICIA BOECKMANN 1.0 PAULA DIAS 20.0 RAYMOND VARA 5.0 ROBERT SCHULZ 0.8 STEVEN ROBERTSON 15.0 SUSAN MASUMOTO-NONAKA 20.0 VIRGINIA PRESSLER-FISHER 45.0 WARREN CHAIKO 15.0 KAUA'I MEDICAL CLINIC DAVID FOX 4.8 DAVID OKABE 1.0 EARL INOUYE 4.0 GAIL LERCH 0.1 GERI YOUNG 38.5 JESSICA LEWIS 2.5 JOHN CULLINEY 40.0 KATIE SHIGEMITSU 2.4 KEKA SANBORN 0.5 KENNETH ROBBINS 10.0 LYNNE JOHNSON-JOSEPH 5.0 MELINDA ASHTON 1.0 PAUAL DIAS 0.5 RAYMOND VARA 5.0 STEVEN ROBERTSON 1.0 SUSAN MASUMOTO-NONAKA 1.0 THERESA RAMEY 32.0 VIRGINIA PRESSLER-FISHER 0.1 WARREN CHAIKO 1.0 KAPI'OLANI MEDICAL SPECIALISTS ANN PETERS 0.2 CHARLES STED 1.0 CHARLES CHING 3.0 DAVID FOX 0.4 DAVID OKABE 1.0 DAWN CHING 1.0 EARL INOUYE 2.0 GAIL LERCH 1.0 JESSICA LEWIS 1.3 JOHN CULLINEY 0.8 KEITH MATSUMOTO 0.2 KEKA SANBORN 0.2 KENNETH ROBBINS 0.2 MARTHA SMITH 5.0 MELINDA ASHTON 1.0 STEVEN ROBERTSON 1.0 SUSAN MASUMOTO-NONAKA 0.2 VIRGINIA PRESSLER-FISHER 0.2 WARREN CHAIKO 1.0 PROVIDERS INSURANCE CORPORATION CHARLES STED 1.0 CHARLES CHING 2.0 DAVID FOX 0.4 DAVID OKABE 1.0 EARL INOUYE 0.5 MELINDA ASHTON 0.1 MICHAEL GIBSON 0.1 RAYMOND VARA 5.0 MICHAEL GIBSON 0.1 RAYMOND VARA 5.0</Explanation>
      </GeneralExplanation>
      <GeneralExplanation>
        <Identifier>HOURS DEVOTED TO RELATED ORGANIZATIONS</Identifier>
        <ReturnReference>FORM 990, PART VII, COLUMN B</ReturnReference>
        <Explanation>INDIVIDUALS LISTED ON PART VII ALSO DEVOTE TIME TO THE RELATED ORGANIZATIONS AS LISTED BELOW: WILCOX HEALTH FOUNDATION CHARLES STED 1.0 CHARLES CHING 0.5 DAVID FOX 0.4 DAVID OKABE 0.5 EARL INOUYE 0.5 GERI YOUNG 1.0 JESSICA LEWIS 0.5 KATHLEEN CLARK 1.0 LYNNE JOHNSON-JOSEPH 1.0 VIRGINIA PRESSLER-FISHER 1.0 KAPI'OLANI HEALTH FOUNDATION CHARLES STED 3.0 CHARLES CHING 0.5 DAVID FOX 0.4 DAVID OKABE 1.0 EARL INOUYE 0.5 JESSICA LEWIS 0.1 VIRGINIA PRESSLER-FISHER 1.0 STRAUB FOUNDATION B. JEANNIE HEDBERG 0.1 CHARLES STED 1.0 CHARLES CHING 0.5 DAVID FOX 0.4 DAVID OKABE 0.5 EARL INOUYE 0.1 JESSICA LEWIS 0.5 KENNETH ROBBINS 0.1 MICHAEL GIBSON 0.1 PATRICIA BOECKMANN 1.0 RAYMOND VARA 0.1 VIRGINIA PRESSLER-FISHER 1.0 HAWAI'I PACIFIC HEALTH ANN PETERS 45.0 ARTHUR GLADSTONE 5.0 CHARLES STED 32.0 CHARLES CHING 30.0 DALE GLENN 0.3 DAVID FOX 2.4 DAVID OKABE 35.0 DELIA KNUDSEN 16.0 EARL INOUYE 25.0 FAYE KURREN 0.3 GAIL LERCH 40.0 GERI YOUNG 0.3 HUGH HAZENFIELD 0.8 JENNIE CHAHANOVICH 0.5 JESSICA LEWIS 0.5 KEKA SANBORN 50.0 KENN SARUWATARI 0.4 KENNETH ROBBINS 10.0 LYLE TABATA 0.3 LYNNE JOHNSON-JOSEPH 1.0 MARTHA SMITH 0.5 MELINDA ASHTON 40.0 PATRICIA BOECKMANN 1.0 PAULA DIAS 20.0 RAYMOND VARA 5.0 ROBERT SCHULZ 0.8 STEVEN ROBERTSON 15.0 SUSAN MASUMOTO-NONAKA 20.0 VIRGINIA PRESSLER-FISHER 45.0 WARREN CHAIKO 15.0 KAUA'I MEDICAL CLINIC DAVID FOX 4.8 DAVID OKABE 1.0 EARL INOUYE 4.0 GAIL LERCH 0.1 GERI YOUNG 38.5 JESSICA LEWIS 2.5 JOHN CULLINEY 40.0 KATIE SHIGEMITSU 2.4 KEKA SANBORN 0.5 KENNETH ROBBINS 10.0 LYNNE JOHNSON-JOSEPH 5.0 MELINDA ASHTON 1.0 PAUAL DIAS 0.5 RAYMOND VARA 5.0 STEVEN ROBERTSON 1.0 SUSAN MASUMOTO-NONAKA 1.0 THERESA RAMEY 32.0 VIRGINIA PRESSLER-FISHER 0.1 WARREN CHAIKO 1.0 KAPI'OLANI MEDICAL SPECIALISTS ANN PETERS 0.2 CHARLES STED 1.0 CHARLES CHING 3.0 DAVID FOX 0.4 DAVID OKABE 1.0 DAWN CHING 1.0 EARL INOUYE 2.0 GAIL LERCH 1.0 JESSICA LEWIS 1.3 JOHN CULLINEY 0.8 KEITH MATSUMOTO 0.2 KEKA SANBORN 0.2 KENNETH ROBBINS 0.2 MARTHA SMITH 5.0 MELINDA ASHTON 1.0 STEVEN ROBERTSON 1.0 SUSAN MASUMOTO-NONAKA 0.2 VIRGINIA PRESSLER-FISHER 0.2 WARREN CHAIKO 1.0 PROVIDERS INSURANCE CORPORATION CHARLES STED 1.0 CHARLES CHING 2.0 DAVID FOX 0.4 DAVID OKABE 1.0 EARL INOUYE 0.5 MELINDA ASHTON 0.1 MICHAEL GIBSON 0.1 RAYMOND VARA 5.0 MICHAEL GIBSON 0.1 RAYMOND VARA 5.0</Explanation>
      </GeneralExplanation>
    </IRS990ScheduleO>
    <IRS990ScheduleR documentId="IRS990ScheduleR">
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PROVIDERS INSURANCE CORPORATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>710893000</EIN>
        <PrimaryActivities>NFP INSURANCE</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>11B TYPE II</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KAPI'OLANI HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990246364</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KAPI'OLANI MEDICAL SPECIALISTS</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990322406</EIN>
        <PrimaryActivities>HEALTHCARE</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>9</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>WILCOX HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990204242</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>KAUA'I MEDICAL CLINIC</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990326099</EIN>
        <PrimaryActivities>HOSPITAL</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>3</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>STRAUB FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990109350</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartII>
        <NameOfDisregardedEntity>
          <BusinessNameLine1>PALI MOMI FOUNDATION</BusinessNameLine1>
        </NameOfDisregardedEntity>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>383840327</EIN>
        <PrimaryActivities>FUNDRAISING</PrimaryActivities>
        <LegalDomicileState>HI</LegalDomicileState>
        <ExemptCodeSection>501(C)(3)</ExemptCodeSection>
        <PublicCharityStatus>7</PublicCharityStatus>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
      </Form990ScheduleRPartII>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>HAWAI'I PACIFIC HEALTH PARTNERS INC &amp;SUB</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>55 MERCHANT STREET 24TH FLOOR</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990318588</EIN>
        <PrimaryActivity>HOLDING COMPANY</PrimaryActivity>
        <LegalDomicileState>HI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>NA</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>0</ShareOfTotalIncome>
        <ShareOfEOYAssets>0</ShareOfEOYAssets>
        <PercentageOwnership>0.00000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <Form990ScheduleRPartIV>
        <NameOfRelatedOrg>
          <BusinessNameLine1>STRAUB PHARMACY INC</BusinessNameLine1>
        </NameOfRelatedOrg>
        <AddressUS>
          <AddressLine1>888 SOUTH KING STREET</AddressLine1>
          <City>HONOLULU</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990145107</EIN>
        <PrimaryActivity>INACTIVE</PrimaryActivity>
        <LegalDomicileState>HI</LegalDomicileState>
        <DirectControllingEntityName>
          <BusinessNameLine1>SCH</BusinessNameLine1>
        </DirectControllingEntityName>
        <TypeOfEntity>C CORP</TypeOfEntity>
        <ShareOfTotalIncome>-3564</ShareOfTotalIncome>
        <ShareOfEOYAssets>4996272</ShareOfEOYAssets>
        <PercentageOwnership>0.01000</PercentageOwnership>
      </Form990ScheduleRPartIV>
      <ReceiptOfIntAnnRentsRoyalties>false</ReceiptOfIntAnnRentsRoyalties>
      <GiftGrantOrCapContrToOtherOrg>false</GiftGrantOrCapContrToOtherOrg>
      <GiftGrantOrCapContrFrOtherOrg>true</GiftGrantOrCapContrFrOtherOrg>
      <LoansOrGuaranteesToOtherOrg>false</LoansOrGuaranteesToOtherOrg>
      <LoansOrGuaranteesFromOtherOrg>false</LoansOrGuaranteesFromOtherOrg>
      <SaleOfAssetsToOtherOrg>false</SaleOfAssetsToOtherOrg>
      <PurchaseOfAssetsFromOtherOrg>false</PurchaseOfAssetsFromOtherOrg>
      <ExchangeOfAssets>false</ExchangeOfAssets>
      <RentalOfFacilitiesToOtherOrgs>true</RentalOfFacilitiesToOtherOrgs>
      <RentalOfFacilitiesFrOtherOrgs>false</RentalOfFacilitiesFrOtherOrgs>
      <PerformOfServicesForOtherOrgs>false</PerformOfServicesForOtherOrgs>
      <PerformOfServicesByOtherOrgs>false</PerformOfServicesByOtherOrgs>
      <SharingOfFacilities>false</SharingOfFacilities>
      <SharingOfPaidEmployees>true</SharingOfPaidEmployees>
      <ReimbursementPaidToOtherOrg>true</ReimbursementPaidToOtherOrg>
      <ReimbursementPaidByOtherOrg>true</ReimbursementPaidByOtherOrg>
      <OtherTransferToOtherOrg>true</OtherTransferToOtherOrg>
      <OtherTransferFromOtherOrg>true</OtherTransferFromOtherOrg>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KAPI'OLANI HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>1754847</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>STRAUB FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>363448</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>WILCOX HEALTH FOUNDATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>C</TransactionType>
        <AmountInvolved>351792</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KAPI'OLANI MEDICAL SPECIALISTS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>N</TransactionType>
        <AmountInvolved>61735</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KAPI'OLANI MEDICAL SPECIALISTS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>352772</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KAUA'I MEDICAL CLINIC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>O</TransactionType>
        <AmountInvolved>1894008</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KAPI'OLANI MEDICAL SPECIALISTS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>P</TransactionType>
        <AmountInvolved>6291492</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KAPI'OLANI MEDICAL SPECIALISTS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>227022</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KAUA'I MEDICAL CLINIC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>86499</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>PROVIDERS INSURANCE CORPORATION</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>Q</TransactionType>
        <AmountInvolved>14072985</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KAPI'OLANI MEDICAL SPECIALISTS</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>98555</AmountInvolved>
      </TransactionsRelatedOrgsTable>
      <TransactionsRelatedOrgsTable>
        <NameOfOtherOrganization>
          <BusinessNameLine1>KAUA'I MEDICAL CLINIC</BusinessNameLine1>
        </NameOfOtherOrganization>
        <TransactionType>R</TransactionType>
        <AmountInvolved>966011</AmountInvolved>
      </TransactionsRelatedOrgsTable>
    </IRS990ScheduleR>
    <AffiliateListing documentId="AffiliateListing">
      <Affiliate>
        <Name>
          <BusinessNameLine1>Kapiolani Medical Ctr Women Childr</BusinessNameLine1>
        </Name>
        <AddressUS>
          <AddressLine1>55 Merchant St 24th floor</AddressLine1>
          <City>Honolulu</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990177350</EIN>
        <NameControl>KAPI</NameControl>
      </Affiliate>
      <Affiliate>
        <Name>
          <BusinessNameLine1>Pali Momi Medical Center</BusinessNameLine1>
        </Name>
        <AddressUS>
          <AddressLine1>55 Merchant St 24th Floor</AddressLine1>
          <City>Honolulu</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>990274038</EIN>
        <NameControl>PALI</NameControl>
      </Affiliate>
      <Affiliate>
        <Name>
          <BusinessNameLine1>Straub Clinic &amp; Hospital</BusinessNameLine1>
        </Name>
        <AddressUS>
          <AddressLine1>55 Merchant St 24th Floor</AddressLine1>
          <City>Honolulu</City>
          <State>HI</State>
          <ZIPCode>96813</ZIPCode>
        </AddressUS>
        <EIN>912151670</EIN>
        <NameControl>STRA</NameControl>
      </Affiliate>
      <Affiliate>
        <Name>
          <BusinessNameLine1>Wilcox Memorial Hospital</BusinessNameLine1>
        </Name>
        <AddressUS>
          <AddressLine1>3-3420 Kuhio Hwy</AddressLine1>
          <City>Lihue</City>
          <State>HI</State>
          <ZIPCode>96766</ZIPCode>
        </AddressUS>
        <EIN>990074365</EIN>
        <NameControl>WILC</NameControl>
      </Affiliate>
    </AffiliateListing>
  </ReturnData>
</Return>