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STRAUB CLINIC & HOSPITAL: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
STRAUB CLINIC & HOSPITAL (EIN 91-2151670)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-09
IRS object ID
201101299349300030
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-09T09:28:37-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line155 MERCHANT ST SUITE 1900 C-120AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN912151670EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1STRAUB CLINIC & HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlSTRANameControl
Phone8085224000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameEARL INOUYEName
TitleVP & SYSTEM CONTROLLERTitle
Date Signed2011-05-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8085312037Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Gross Receipts293456448GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.STRAUBHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2001YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionSEE SCHEDULE OActivityOrMissionDescription
Nbr Voting Members Governing Body9NbrVotingMembersGoverningBody
Nbr Independent Voting Members2NbrIndependentVotingMembers
Total Nbr Employees1730TotalNbrEmployees
Total Nbr Volunteers81TotalNbrVolunteers
Total Gross UBI477323TotalGrossUBI
Contributions Grants Prior Year1212110ContributionsGrantsPriorYear
Contributions Grants Current Year2276491ContributionsGrantsCurrentYear
Program Service Revenue Prior Year281289540ProgramServiceRevenuePriorYear
Program Service Revenue CY290026454ProgramServiceRevenueCY
Investment Income Prior Year165500InvestmentIncomePriorYear
Investment Income Current Year238261InvestmentIncomeCurrentYear
Other Revenue Prior Year950625OtherRevenuePriorYear
Other Revenue Current Year915242OtherRevenueCurrentYear
Total Revenue Prior Year283617775TotalRevenuePriorYear
Total Revenue Current Year293456448TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year13000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY9500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year138566029SalariesEtcPriorYear
Salaries Etc Current Year146970871SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year144097467OtherExpensePriorYear
Other Expenses Current Year146416825OtherExpensesCurrentYear
Total Expenses Prior Year282676496TotalExpensesPriorYear
Total Expenses Current Year293397196TotalExpensesCurrentYear
Revenues Less Expenses Prior Year941279RevenuesLessExpensesPriorYear
Revenues Less Expenses CY59252RevenuesLessExpensesCY
Total Assets BOY156305668TotalAssetsBOY
Total Assets EOY157663391TotalAssetsEOY
Total Liabilities BOY54931488TotalLiabilitiesBOY
Total Liabilities EOY53471462TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY101374180NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY104191929NetAssetsOrFundBalancesEOY
Mission DescriptionSTRAUB CLINIC & 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.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense57824230Expense
Revenue57423817Revenue
DescriptionINTERNAL MEDICINE STRAUB'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.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense23626174Expense
Revenue26936370Revenue
DescriptionCARDIOLOGY THE HEART CENTER PROVIDES COMPREHENSIVE CARDIAC CARE, EDUCATION AND REHABILITATION. SERVICES INCLUDE NON- AND MINIMALLY-INVASIVE DIAGNOSTIC EVALUATION USING ANGIOGRAMS, ECHOCARDIOGRAMS, HOLTER MONITORING, EXERCISE TOLERANCE TESTING, THALLIUM STRESS TESTING AND ELECTROPHYSIOLOGY TESTING. STRAUB WAS THE FIRST TO BRING MINIMALLY INVASIVE OPEN-HEART SURGERY AND THE CLOT-DISSOLVING DRUG "TPA" TO HAWAI'I. IT HAS RECEIVED THE HIGHEST DESIGNATION FROM THE SOCIETY FOR THORACIC SURGEONS.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense20715303Expense
Revenue19349333Revenue
DescriptionORTHOPEDIC SURGERY. THE BONE & JOINT CENTER AT STRAUB IS HAWAII'S FIRST MULTI-DISCIPLINARY CENTER TO PROVIDE COMPREHENSIVE ORTHOPEDIC, SPORTS MEDICINE AND RHEUMATOLOGY SERVICES. ITS COLLABORATIVE TEAM OF ORTHOPEDIC SURGEONS, SPORTS MEDICINE PHYSICIANS, PHYSIATRISTS, RHEUMATOLOGISTS, REHAB THERAPISTS AND ATHLETIC TRAINERS MAKES THE CENTER UNIQUE. STRAUB WAS THE FIRST TO BRING MINIMALLY INVASIVE TOTAL JOINT REPLACEMENT TO THE STATE. THE CENTER ALSO PARTICIPATES WITH LOCAL SCHOOLS TO PROVIDE PHYSICIAN SERVICES DURING ATHLETIC EVENTS.Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp156780673TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev186672016TotalOfOtherProgramServiceRev
Total Program Service Expense258946380TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096187NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees1730NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members9NbrVotingGoverningBodyMembers
Number Independent Voting Members2NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDEBRA TUQUERONamePerson
Telephone Number8085357284TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (36 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MICHAEL GIBSON ESQ
BOARD OF DIRECTOR0.2X000
B JEANNIE HEDBERG CPA
CHAIR, BOARD OF DIRECTOR0.2X000X
FAYE KURREN
BOARD OF DIRECTOR0.2X000
THOMAS J NORDYKE MD
VICE CHAIR, BOARD OF DIRECTOR40.0X276356016148X
KENNETH B ROBBINS MD
EVP & CMO, BOARD OF DIRECTOR40.0X0861367126959X
KENN SARUWATARI MD
BOARD OF DIRECTOR40.0X357958026121
ROBERT SCHULZ MD
BOARD OF DIRECTOR40.0X639241024073
CHARLES A STED
BOARD OF DIRECTOR3.0X02010991283726
RAYMOND P VARA JR
EVP & CEO, BOARD OF DIRECTOR15.0X01389883182347X
DAVID OKABE
EVP, CFO & TREASURER6.00828139109283X
GAIL LERCH
EVP6.00623021100175X
VIRGINIA PRESSLER-FISHER MD
EVP2.00587408106744X
STEVEN ROBERTSON
EVP & CIO15.0044793293805X
CHARLES R CHING
EVP, GEN'L COUNSEL & SECRETARY3.0054561379218X
EARL INOUYE
VP & SYSTEM CONTROLLER6.0033806333175X
ARTHUR GLADSTONE
VP & COO50.0039712843541X
PATRICIA BOECKMANN RN
VP & CNE50.0018815913014X
WARREN CHAIKO
VP5.0028739630756X
HILTON RAETHEL
VP10.0030444714688X
SUSAN MASUMOTO-NONAKA
VP12.0026050440021X
PAULA DIAS
VP2.0027024925516X
MAUREEN FLANNERY
VP50.0036818775X
MELINDA ASHTON MD
VP2.0032874835227X
ANN MK PETERS
VP1.0013034422657X
KATIE SHIGEMITSU
COMPLIANCE OFFICER50.0023723026301X
DAVID FOX
PRIVACY&INFO SECURITY OFFICER10.0011124017249X
JESSICA LEWIS
ASSISTANT CORPORATE SECRETARY15.009824811015X
TERRY LONG
VP0.0025073235957X
PRUDENCE KUSANO
COMPLIANCE OFFICER20.0016420813630X
KEITH MIYASHIRO
DIRECTOR OF IMAGING16.0015113723042X
WESLEY KAI MD
PHYSICIAN40.01408687023736X
HINGSON CHUN MD
PHYSICIAN40.0996273023498X
J ROY CHEN MD
PHYSICIAN40.0897420024238X
ELNA MASUDA MD
PHYSICIAN40.0797713027088X
STEPHEN CHINN MD
PHYSICIAN40.0780308025498X
KIM HADDEN
FORMER OFFICER0.002381308325X
FieldValueIRS element (for citing)
Total Reportable Comp From Org6153956TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs11087135TotalReportableCompFrmRltdOrgs
Total Other Compensation1667546TotalOtherCompensation
Number Individuals GT100 K328NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CLINICAL LABORATORIES OF HAWAI'I L
PO BOX 1300HONOLULUHI96807LAB SERVICES7352413
SODEXHO INC AFFILIATES
888 S KING STREETHONOLULUHI96813FOOD PREP & CATERING6448118
ARITA POULSON GENERAL CONTRACTING
PO BOX 1035PUUNENEHI96784CONSTRUCTION SVCS2290948
HEARTLAND INFORMATION SERVICES
PO BOX 11407 DEPT 1760BIRMINGHAMAL35246TRANSCRIPTION SVCS1121760
COMPHEALTH INC
PO BOX 972651DALLASTX75397CONTRACT PHYSICIANS919411
FieldValueIRS element (for citing)
Number Of Contractors GT100 K28NumberOfContractorsGT100K
Related Organizations2266325RelatedOrganizations
All Other Contributions10166AllOtherContributions
Total Contributions2276491TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT REVENUE622110165487216165487216
MEDICARE/MEDICAID REVENUE622110118875294118875294
OTHER HEALTH CARE SERVICES62211023811412381141
PREMIUM REVENUE62211023044102304410
RENTAL INCOME531120523573523573

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column454820TotalRevenueColumn
Unrelated Business Revenue454820UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Program Service Revenue290026454TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column238261TotalRevenueColumn
Exclusion$238,261ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real105339Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real105339Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column105339TotalRevenueColumn
Unrelated Business Revenue22503UnrelatedBusinessRevenue
Exclusion$82,836ExclusionAmount

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PARKING REVENUE812930813468813468
EQUITY INCOME OF UNCONSOLIDATED SUBSIDIARIES900099-3565-3565
FieldValueIRS element (for citing)
Total Other Revenue809903TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column293456448TotalRevenueColumn
Related Or Exempt Function Income290381537RelatedOrExemptFunctionIncome
Unrelated Business Revenue477323UnrelatedBusinessRevenue
Exclusion$321,097ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total9500Total
Program Services9500ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1217373Total
Program Services1217373ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total124551987Total
Program Services123728710ProgramServices
Management And General823277ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3550298Total
Program Services3516215ProgramServices
Management And General34083ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total10149104Total
Program Services9657075ProgramServices
Management And General492029ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7502109Total
Program Services7444911ProgramServices
Management And General57199ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total34230Total
Program Services18733ProgramServices
Management And General15497ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1115387Total
Management And General1115387ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total2133Total
Management And General2133ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total37925283Total
Program Services34054265ProgramServices
Management And General3871018ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total75799Total
Program Services15950ProgramServices
Management And General59849ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total46149502Total
Program Services45989006ProgramServices
Management And General160496ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4004771Total
Program Services313356ProgramServices
Management And General3691415ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total11445211Total
Program Services11131007ProgramServices
Management And General314204ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total742358Total
Program Services669438ProgramServices
Management And General72920ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19028Total
Program Services17763ProgramServices
Management And General1265ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1894361Total
Program Services1894361ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total11145350Total
Program Services7085793ProgramServices
Management And General4059557ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total2869594Total
Program Services3360500ProgramServices
Management And General-490906ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalManagement And GeneralManagementAndGeneralProgram ServicesProgramServices
CORPORATE ALLOCATION1837724418377244
PROVISION FOR BAD DEBT83654498365449
DEFERRED COMPENSATION12907071290707
PROGRAM SERVICE EXPENDITURES1471914719
All other expenses945699503443442256

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total293397196Total
Program Services258946380ProgramServices
Management And General34450817ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY-1103364BOY
EOY-1213555EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY31950782BOY
EOY32002901EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3382447BOY
EOY3650003EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY675513BOY
EOY756134EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis152056834LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec65988952LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY86155437BOY
EOY86067882EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY4999840EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY11493408BOY
EOY10573719EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY23751445BOY
EOY20826467EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY156305668BOY
EOY157663391EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY22776130BOY
EOY24168574EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY32155358BOY
EOY29302888EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY54931488BOY
EOY53471462EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY100156014BOY
EOY102915970EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY180015BOY
EOY187808EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1038151BOY
EOY1088151EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY101374180BOY
EOY104191929EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY156305668BOY
EOY157663391EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Org Belongs To Affiliated GroupXOrgBelongsToAffiliatedGroup
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures

Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals2133FilingOrganizationsTotals
Affiliated Group Totals62928AffiliatedGroupTotals

Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures

FieldValueIRS element (for citing)
Filing Organizations Totals2133FilingOrganizationsTotals
Affiliated Group Totals62928AffiliatedGroupTotals

Lobbying Nontaxable LobbyingNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals427FilingOrganizationsTotals
Affiliated Group Totals12586AffiliatedGroupTotals

Grassroots Nontaxable GrassrootsNontaxableAmount

FieldValueIRS element (for citing)
Filing Organizations Totals107FilingOrganizationsTotals
Affiliated Group Totals3147AffiliatedGroupTotals
FieldValueIRS element (for citing)
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx

Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus3249CurrentYearMinus3
Current Year Minus2249CurrentYearMinus2
Current Year Minus1498CurrentYearMinus1
Current Year427CurrentYear
Total1423Total
FieldValueIRS element (for citing)
Lobbying Ceiling$2,135LobbyingCeilingAmount

Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2

FieldValueIRS element (for citing)
Current Year Minus362CurrentYearMinus3
Current Year Minus262CurrentYearMinus2
Current Year Minus1124CurrentYearMinus1
Current Year107CurrentYear
Total355Total
FieldValueIRS element (for citing)
Grassroots Ceiling$533GrassrootsCeilingAmount

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPOLITICAL EXPENDITURESIdentifier
Return ReferenceSCHEDULE C, PART II-A, LINE 1DReturnReference
ExplanationLOBBYING FEES WERE INCLUDED IN THE ANNUAL MEMBERSHIP DUES PAID TO HEALTHCARE ASSOCIATION OF HAWAI'I. AFFILIATED GROUP TOTAL ALSO INCLUDES FEES PAID TO A REGISTERED LOBBYIST WHO PROVIDES GENERAL ADVICE ON LEGISLATIVE ACTIVITIES INCLUDING INFORMATION AND INSIGHT ON LEGISLATIVE ACTIONS THAT MAY BE OF INTEREST TO HAWAI'I PACIFIC HEALTH.Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance14001855BeginningOfYearBalance
Investment Earnings Or Losses783751InvestmentEarningsOrLosses
End Of Year Balance14785606EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance15671969BeginningOfYearBalance
Investment Earnings Or Losses-1670114InvestmentEarningsOrLosses
End Of Year Balance14001855EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis8709732OtherCostOrOtherBasis
Book Value8709732BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis71756590OtherCostOrOtherBasis
Depreciation19766726Depreciation
Book Value51989864BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis7643690OtherCostOrOtherBasis
Depreciation3963690Depreciation
Book Value3680000BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis62618293OtherCostOrOtherBasis
Depreciation42258536Depreciation
Book Value20359757BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1328529OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value1328529BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings86067882TotalOfBookValueLandBuildings

Other Assets OtherAssets (8 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM THIRD PARTY PAYORS2044875
OTHER RECEIVABLES448652
DUE FROM STRAUB FOUNDATION11574
BOARD DESIGNATED INVESTMENTS14785606
BENEFICIAL INT. IN N.A. OF FDN1215674
LIFE INSURANCE - CSV102384
DEPOSITS AND NON-CURRENT ASSET2158083
INVESTMENTS IN JOINT VENTURES59619
FieldValueIRS element (for citing)
Total Book Value Other Assets20826467TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (13 entries)

DescriptionDescriptionAmountAmount
DUE TO AFFILIATES - STRAUB PHARMACY INC$4,555,888
DUE TO AFFILIATES - PROVIDERS INSURANCE CORPORATION$230,747
DUR TO AFFILIATES - KAPI'OLANI HEALTH FOUNDATION$29,533
DUE TO AFFILIATES - KAPI'OLANI MEDICAL SPECIALISTS$20,463
DUE TO AFFILIATES - HPHPI$7,198
DUE TO AFFILIATES - WILCOX HEALTH FOUNDATION$3,778
DUE TO AFFILIATES - KAUA'I MEDICAL CLINIC$475
LONG TERM LIABILITIES - DUE TO SCHI HOLDINGS INC$16,347,446
LONG TERM LIABILITIES - NEGATIVE LEASE RENT LIABILITY$4,034,857
LONG TERM LIABILITIES - COVENANT NOT TO COMPETE$1,296,970
LONG TERM LIABILITIES - 457B PLAN$1,505,033
LONG TERM LIABILITIES - PEARLRIGDE DEFERRED LIABILITY$1,056,860
LONG TERM LIABILITIES - OTHER$213,640
FieldValueIRS element (for citing)
Total Of Amounts29302888TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
USE OF ENDOWMENT FUNDSSCHEDULE D, PART V, LINE 4THE ORGANIZATION'S ENDOWMENTS ARE HELD & ADMINISTERED BY STRAUB FOUNDATION, A RELATED TAX EXEMPT AFFILIATE. SEE STRAUB FOUNDATION'S FORM 990 FOR A DESCRIPTION OF HOW THE ENDOWMENT FUNDS ARE USED.
SCHEDULE D - FIN 48 FOOTNOTEPART X, LINE 2FOLLOWING IS THE FIN 48 FOOTNOTE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATION'S PARENT. THE TAXABLE AFFILIATES OF THE COMPANY UTILIZE THE LIABILITY METHOD OF ACCOUNTING FOR INCOME TAXES. UNDER THIS METHOD, DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON DIFFERENCES BETWEEN THE FINANCIAL REPORTING AND TAX BASIS OF ASSETS AND LIABILITIES, AND ARE MEASURED USING THE CURRENTLY EXACTED TAX RATES AND LAWS. VALUATION ALLOWANCES ARE USED TO REDUCE DEFERRED TAX ASSETS TO THEIR ESTIMATED NET REALIZABLE VALUES WHEN MANAGEMENT DETERMINES ULTIMATE RECOVERY OF THE DEFERRED TAX ASSETS IS NOT MORE LIKELY THAN NOT TO OCCUR.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Pcent400XPcent400
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Persons Served6755PersonsServed
Total Community Benefit Expense621738TotalCommunityBenefitExpense
Net Community Benefit Expense621738NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Persons Served46394PersonsServed
Total Community Benefit Expense26838854TotalCommunityBenefitExpense
Direct Offsetting Revenue21616248DirectOffsettingRevenue
Net Community Benefit Expense5222606NetCommunityBenefitExpense
Percent Of Total Expense0.01830PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Persons Served53149PersonsServed
Total Community Benefit Expense27460592TotalCommunityBenefitExpense
Direct Offsetting Revenue21616248DirectOffsettingRevenue
Net Community Benefit Expense5844344NetCommunityBenefitExpense
Percent Of Total Expense0.02050PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense645363TotalCommunityBenefitExpense
Direct Offsetting Revenue181493DirectOffsettingRevenue
Net Community Benefit Expense463870NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Total Community Benefit Expense835090TotalCommunityBenefitExpense
Direct Offsetting Revenue329499DirectOffsettingRevenue
Net Community Benefit Expense505591NetCommunityBenefitExpense
Percent Of Total Expense0.00180PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs4NumberOfActivitiesOrPrograms
Total Community Benefit Expense6699516TotalCommunityBenefitExpense
Direct Offsetting Revenue5349393DirectOffsettingRevenue
Net Community Benefit Expense1350123NetCommunityBenefitExpense
Percent Of Total Expense0.00470PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense48763TotalCommunityBenefitExpense
Net Community Benefit Expense48763NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Total Community Benefit Expense8228732TotalCommunityBenefitExpense
Direct Offsetting Revenue5860385DirectOffsettingRevenue
Net Community Benefit Expense2368347NetCommunityBenefitExpense
Percent Of Total Expense0.00830PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Persons Served53149PersonsServed
Total Community Benefit Expense35689324TotalCommunityBenefitExpense
Direct Offsetting Revenue27476633DirectOffsettingRevenue
Net Community Benefit Expense8212691NetCommunityBenefitExpense
Percent Of Total Expense0.02880PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense347780TotalCommunityBuildingExpense
Net Community Building Expense347780NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense347780TotalCommunityBuildingExpense
Net Community Building Expense347780NetCommunityBuildingExpense
Percent Of Total Expense0.00120PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,075,056BadDebtExpenseAmount
Amount Attributable To302054AmountAttributableTo
Amount Reimbursed By Medicare68119457AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare72152915CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-4033458MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part V Form990ScheduleHPartV (14 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalEr24 HoursEr24HoursOtherOther
STRAUB CLINIC & HOSPITAL
888 SOUTH KING STREETHONOLULUHI96813XXXX
KAILUA CLINIC
602 KAILUA ROAD 2ND FLOORKAILUAHI96734CLINIC
WINDWARD MALL CLINIC
46-056 KAMEHAMEHA HWY SUITE 221KANEOHEHI96744CLINIC
HAWAI'I KAI CLINIC
7192 KALANIANAOLE HIGHWAY SUITE A20HONOLULUHI96825CLINIC
PALI MOMI CLINIC
98-1079 MOANALUA ROAD SUITE 640AIEAHI96701CLINIC
KAPOLEI CLINIC
590 FARRINGTON HIGHWAY SUITE 590KAPOLEIHI96707CLINIC
ARTESIAN SATELLITE
1907 BERETANIA ST 5TH FLOORHONOLULUHI96826CLINIC
HILO CLINIC
73 PUUHOU PLACEHILOHI96720CLINIC
KONA CLINIC
75-240 NANI KAILUA DRIVE SUITE 157KAILUAKONAHI96740CLINIC
PEARLRIDGE CLINIC
98-151 PALI MOMI STREETAIEAHI96701CLINIC
LANAI CLINIC
628-B SEVENTH STREETLANAI CITYHI96763CLINIC
DOCTORS ON CALL -HILTON HAWAIIAN VILLAGE
2005 KALIA ROADHONOLULUHI96815CLINIC
DOCTORS ON CALL -PRINCESS KAIULANI HOTEL
120 KAIULANI AVENUE LOBBY LEVELHONOLULUHI96815CLINIC
MILILANI CLINIC
95-1249 MEHEULA PKWY SUITE C-2MILILANIHI96789CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Income Based CriteriaN/AIncomeBasedCriteria
Annual Community Benefit ExplnCOMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATION'S PARENT.AnnualCommunityBenefitExpln
Costing Method UsedCOST TO CHARGE RATIO AND SCHEDULE H WORKSHEET WAS USEDCostingMethodUsed
Subsidized Health Services ExplnVARIOUS CLINICS (DOCTORS ON CALL, LANAI, HILO AND KONA). THE COST ASSOCIATED WITH THESE CLINICS IS REPORTED ON PART I, LINE 7G.SubsidizedHealthServicesExpln
Percent Of Total Expense ExplnBAD DEBT EXPENSE OF $8,365,449 WAS SUBTRACTED FROM TOTAL EXPENSES TO COMPUTE PERCENTAGESPercentOfTotalExpenseExpln
Bad Debt FootnoteTHE ESTIMATE OF BAD DEBT COST IS BASED ON THE COST TO CHARGE RATIO AND THE ESTIMATE OF CHARITY CARE COST IS BASED ON THE COST TO CHARGE RATIO ATTRIBUTED TO MANAGEMENT'S ESTIMATE OF THE PORTION OF THE UN-INSURED PATIENT THAT COULD HAVE QUALIFIED FOR CHARITY CARE. PER THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF HAWAI'I PACIFIC HEALTH, 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 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 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.BadDebtFootnote
Shortfall As Community BenefitBECAUSE 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 COSTS ARE LOSSES INCURRED BY SERVING THE COMMUNITY. TOTAL MEDICARE ALLOWABLE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD MEDICARE REPORTING FORM CMS-2552-96.ShortfallAsCommunityBenefit
Debt Collection PolicyCOLLECTION 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 COLLECTIONS.DebtCollectionPolicy
Needs AssessmentTHE ORGANIZATION IS CURRENTLY IN THE PROCESS OF DEVELOPING A PLAN TO ASSESS THE COMMUNITY NEEDS IN ACCORDANCE WITH IRC SECTION 501(R)NeedsAssessment
Patient Education AssistanceWHEN 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. THIS 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 INELIGIBLE 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 ASSISTANCE 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.PatientEducationAssistance
Community InformationSTRAUB CLINIC & HOSPITAL ("STRAUB") HAS BEEN SERVING THE COMMUNITY'S HEALTH CARE NEEDS FOR MORE THAN 80 YEARS. IT IS A FULLY INTEGRATED, NONPROFIT HEALTH CARE SYSTEM WITH 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 THE HOSPITAL TO PROVIDE EXPERT DIAGNOSIS AND TREATMENT IN MORE THAN 32 DIFFERENT SPECIALTIES. THUS, PATIENTS WITH COMPLEX MEDICAL PROBLEMS FROM ALL ISLANDS AND COMMUNITIES OF HAWAI'I COME HERE TO QUICKLY RECEIVE FOCUSED CARE. IN FISCAL 2010, STRAUB HAD MORE THAN 110,000 IMAGING PROCEDURES, 23,003 ER VISITS, AND 6,300 INPATIENT ADMISSIONS. IT TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS ONE OF THE COMMUNITY'S SAFETY NET PROVIDERS OF HEALTH CARE. STRAUB'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 STRAUB BURN UNIT, FOR EXAMPLE, IS THE ONLY DEDICATED BURN TREATMENT FACILITY BETWEEN LOS ANGELES AND HONG KONG. DEMOGRAPHICS OF THE COMMUNITY IN FISCAL 2010 INCLUDE A STATE POPULATION OF 1.4 MILLION, WITH 10.7 PERCENT OF RESIDENTS HAVING INCOMES BELOW THE FPG, 7.6 PERCENT OF STRAUB PATIENTS ARE UNINSURED AND 15.6 PERCENT ARE MEDICAID RECIPIENTS. THERE ARE 10 OTHER HOSPITALS IN THE STATE, AND FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS ARE PRESENT.CommunityInformation
Community Building ActivitiesSTRAUB CLINIC & HOSPITAL("STRAUB") IS COMMITTED TO ATTRACTING AND RETAINING TOP-QUALITY PHYSICIANS. IN HAWAI'I, THE THREAT OF LOSING PHYSICIANS TO THE U.S. MAINLAND IS CONSTANT. ACCORDING TO THE HAWAI'I MEDICAL JOURNAL AND HAWAI'I PHYSICIAN WORKFORCE ASSESSMENT PROJECT, BY 2020, HAWAI'I WILL HAVE 1,500 FEWER PHYSICIANS THAN ARE 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 2010, STRAUB SPENT $347,780 TO ATTRACT PHYSICIANS TO HAWAI'I. THIS INCLUDED STAFF EXPENSES: THE SALARY AND BENEFITS OF A FULL-TIME RECRUITER, A PHYSICIAN SERVICES MANAGER; THE PURCHASE OF A LAPTOP COMPUTER AND SOFTWARE, THE "PRACTICE MATCH SERVICES" DATABASE FOR LOCATING PHYSICIANS AS POTENTIAL CANDIDATES; CONSULTING FEES FOR IN-STATE PHYSICIANS WHO RECRUIT MAINLAND PHYSICIANS; AND MISCELLANEOUS OFFICE AND TRAVEL EXPENSES. IN ADDITION, STRAUB PAID THE TRAVEL EXPENSES OF PHYSICIAN CANDIDATES WHO INTERVIEWED AT STRAUB, INCLUDING AIRFARE, HOTEL, CAR RENTAL, MEALS AND GENERAL RECRUITMENT ACTIVITIES. STRAUB ALSO PAID THE MOVING EXPENSES OF PHYSICIANS WHO COMMITTED TO PRACTICING AT THE HOSPITAL, INCLUDING AIRFARE, SHORT-TERM HOUSING, CAR RENTAL, FOOD, RELOCATION SERVICES FOR MOVING/SHIPPING PERSONAL ITEMS, AND RELATED EXPENSES OF ANY FAMILY MEMBERS. BY COVERING THESE COSTS, STRAUB IS INVESTING IN HAWAII'S FUTURE, AND ENSURING THAT THE COMMUNITY'S HEALTH CARE NEEDS WILL BE MET.CommunityBuildingActivities
Other InformationSTRAUB CLINIC & HOSPITAL ("STRAUB") OPERATES SEVERAL HIGHLY REGARDED SPECIALTY CARE UNITS, INCLUDING THE HEART CENTER AND BONE AND 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. THIS ARRANGEMENT, WHICH GRANTS HOSPITAL PRIVILEGES TO NONAFFILITATED PHYSICIAN SPECIALISTS, ALSO BROADENS STRAUB'S ABILITY TO OFFER HIGH-QUALITY, SPECIALIZED CARE TO THE COMMUNITY. STRAUB 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 STRAUB FULFILLS ITS MISSION-DRIVEN GOALS. AS AN AFFILIATE OF THE NON-PROFIT HAWAI'I PACIFIC HEALTH NETWORK, STRAUB REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE AND TO SUBSIDIZE THOSE WHO CANNOT PAY. IN ADDITION, STRAUB PROVIDES CHARITY CARE, HEALTH EDUCATION AND PREVENTATIVE PROGRAMS TO THE COMMUNITY. IN FISCAL 2010, ITS MEDICAL SPECIALISTS DELIVERED FREE PUBLIC HEALTH EDUCATION PROGRAMS AND EVENTS THAT HELPED THOUSANDS OF INDIVIDUALS LEARN THE LATEST STRATEGIES FOR PREVENTING OR MANAGING HEART ATTACKS, CANCER, ARTHRITIS, ASTHMA, ALLERGIES, STRESS, OSTEOPOROSIS, OBESITY AND DRUG ABUSE. THESE EVENTS INCLUDED KIDS FEST, LIVING HEALTHY IN PARADISE, WOMEN'S WAY TO HEALTH, CANCER CARE: CURRENT ISSUES, 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 33ND CONSECUTIVE YEAR.OtherInformation
Affiliated Health Care SystemTHE HAWAI'I PACIFIC HEALTH CARE SYSTEM INCLUDES FOUR AFFILIATED HOSPITALS, 49 OUTPATIENT CLINICS AND SERVICE SITES, AND MORE THAN 1,300 PHYSICIANS. THE FOUR HOSPITALS PROVIDE ACUTE AND SPECIALTY CARE WITH 553 BEDS AND 76 BASSINETS, AND HANDLE MORE THAN 34,000 ADMISSIONS ANNUALLY. 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.AffiliatedHealthCareSystem

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained
No Grant More Than5000XNoGrantMoreThan5000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE IIdentifier
Return ReferenceDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSReturnReference
ExplanationTHE 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

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (30 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
THOMAS J NORDYKE MD
25513501648504736024500136980292504047360
KENNETH B ROBBINS MD
04070860831090371172010919001776909883260301378
KENN SARUWATARI MD
2761430253310564840980001632103840790418760
ROBERT SCHULZ MD
61909301613904009098000142730663314000
CHARLES A STED
07530340189314010686430271408012318022947170927278
RAYMOND P VARA JR
0601040013047306583700166024016323015722300558878
DAVID OKABE
0410893083331033391509427401500909374220263953
GAIL LERCH
0320190069507023332408201001816507231960185756
VIRGINIA PRESSLER-FISHER MD
0322660063901020084707648003026406941520145627
STEVEN ROBERTSON
03062990664910751420666420271630541737025048
CHARLES R CHING
0309809061739017406506896201025606248310129699
EARL INOUYE
0229057028589080417030185029900371238052775
ARTHUR GLADSTONE
02799780432980738520210140225270440669046593
PATRICIA BOECKMANN RN
01696260185330000013014020117300
WARREN CHAIKO
02108890264720500350116530191030318152026874
HILTON RAETHEL
0203431024396076620011637030510319135075187
SUSAN MASUMOTO-NONAKA
01978750244440381850116370283840300525023460
PAULA DIAS
01912400242240547850116370138790295765035942
MELINDA ASHTON MD
0262570029981036197014152021075036397500
ANN MK PETERS
0121730086140006334016323015300100
KATIE SHIGEMITSU
01728000187870456430111660151350263531032196
TERRY LONG
0162112026010062610028137078200286689046971
PRUDENCE KUSANO
01641330007502876010754017783800
KIM HADDEN
06460000017353002624057010246455021841
KEITH MIYASHIRO
0141278098590007299015743017417900
WESLEY KAI MD
786008051000617579098000139360143242306135490
HINGSON CHUN MD
81536909644608445809800013698010197710844580
J ROY CHEN MD
64773607744601722380980001443809216580112100
ELNA MASUDA MD
5703450921502181530980001728808248010576310
STEPHEN CHINN MD
533457092150237636098000156980805806000

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
QUESTIONS REGARDING COMPENSATIONSCHEDULE J, PART I, LINE 3THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, HAWAI'I PACIFIC HEALTH ("HPH"), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O FOR 990 PART VI, LINE 15A FOR THE PROCESS USED BY HPH TO DETERMINE COMPENSATION. SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A $140,000 TO KIM HADDEN BY HAWAI'I PACIFIC HEALTH, FILING ORGANIZATION'S PARENT.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BAMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: J ROY CHEN, M.D. $ 11,210 STEPHEN CHINN, M.D. $ 13,841 HINGSON CHUN, M.D. $ 84,458 WESLEY KAI, M.D. $613,549 ELNA MASUDA, M.D. $ 57,631 THOMAS J. NORDYKE, M.D. $ 4,736 KENN SARUWATARI, M.D. $ 41,876 AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: WARREN CHAIKO $ 26,874 CHARLES R. CHING $129,699 PAULA DIAS $ 35,942 ARTHUR GLADSTONE $ 46,593 KIM HADDEN $ 21,841 EARL INOUYE $ 52,775 GAIL LERCH $185,756 TERRY LONG $ 46,971 SUSAN MASUMOTO-NONAKA $ 23,460 DAVID OKABE $263,953 VIRGINIA PRESSLER-FISHER, M.D. $145,627 STEVEN ROBERTSON $ 25,048 HILTON RAETHEL $ 75,187 KENNETH B. ROBBINS, M.D. $301,378 KATIE SHIGEMITSU $ 32,196 CHARLES A. STED $927,278 RAYMOND P. VARA, JR. $558,878 IN RESPONSE TO NEW REGULATORY REQUIREMENTS ASSOCIATED WITH INTERNAL REVENUE CODE SECTIONS 409A AND 457(F). HPH PROVIDED AN OPTION TO ITS OFFICERS ON PAYING OUT ACCUMULATED BALANCES ON ITS VARIOUS NON-QUALIFIED DEFERRED COMPENSATION ARRANGEMENTS IN 2009 OR TO DEFER ITS DISTRIBUTION SUBJECT TO CLIFF VESTING IN ACCORDANCE WITH THE IRS APPROVED ONE TIME 409A TRANSITION RULE. CERTAIN OFFICERS SELECTED THE PAY OUT OPTION ON THE ACCUMULATED BALANCE ASSOCIATED WITH THE CAPITAL ACCUMULATION PLAN AND ITS RESTORATION PLAN DURING 2009. THE AMOUNTS PAID OUT HAVE BEEN INCLUDED IN THE W-2 OF THOSE PARTICIPANTS ELECTING THE PAYOUT OPTION. THE RESTORATION PLAN WAS DESIGNED TO RESTORE BENEFITS THAT ARE LOST DUE TO LIMITS IMPOSED BY SECTIONS 401 AND 415 OF THE INTERNAL REVENUE CODE ON COMPENSATION CONSIDERED UNDER SUCH PLANS. THE CAPITAL ACCUMULATION ACCOUNT (CAA) IS A SECTION 457(F) PROGRAM THAT WAS PREVIOUSLY AFFORDED TO EXECUTIVE OFFICERS OF THE ORGANIZATION TO PROVIDE BENEFITS ON A TAX DEFERRED BASIS.
NON-FIXED PAYMENTS TO PERSON LISTED ON PART VII, SECTION A, LINE 1ASCHEDULE J, PART I, LINE 7NON-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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
FIRST HAWAIIAN BANK
DIR. IS DIR. OF SCH105842BANK TRANSACTION FEESfalse
PACIFIC RADIOPHARMACY
DIR. IS OFFICER OF SCH312803PURCHASE OF MEDICAL SUPPLIESfalse
UNITED LAUNDRY
DIR. IS DIR. OF SCH809364LAUNDRY SERVICESfalse
BOSTON SCIENTIFIC
DIR. IS OFFICER OF SCH710818PURCHASE OF MEDICAL SUPPLIESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
MISSION & PROGRAM SERVICE ACCOMPLISHMENTSORGANIZATION'S MISSION FORM 990, PART I, LINE 1 STRAUB CLINIC & 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. DESCRIBE PROGRAM SERVICE ACCOMPLISHMENTS FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES STRAUB CLINIC & HOSPITAL ("STRAUB") WAS FOUNDED IN 1921 AND HAS BEEN MEETING THE HEALTH CARE NEEDS OF HAWAI'I FOR MORE THAN 80 YEARS. AN AFFILIATE OF HAWAI'I PACIFIC HEALTH, THE STATE'S LARGEST HEALTH CARE PROVIDER, STRAUB IS A FULLY INTEGRATED HEALTH CARE SYSTEM WITH NEIGHBORHOOD CLINICS AND VISITING SPECIALIST PROGRAMS THROUGHOUT HAWAI'I. STRAUB HAS CONSISTENTLY BROUGHT NEW TECHNOLOGIES AND INNOVATIVE MEDICAL PRACTICES TO HAWAI'I, SUCH AS MINIMALLY INVASIVE OPEN-HEART SURGERY AND TOTAL JOINT REPLACEMENT, WHICH SUBSEQUENTLY HAVE BEEN ADOPTED BY OTHER HEALTH CARE PROVIDERS. IT HAS 159 BEDS AND EMPLOYS 1,337 STAFF AND NEARLY 200 EMPLOYED OR CONTRACTED PHYSICIANS. IN ADDITION, 81 PEOPLE VOLUNTEERED THERE. DURING FISCAL 2010, STRAUB ADMITTED 6,357 PATIENTS FOR A TOTAL OF 36,534 PATIENT DAYS. THE EMERGENCY ROOM TREATED 23,003 PATIENTS. THERE WERE 5,108 SURGERY CASES AND 746,971 CLINIC ENCOUNTERS. STRAUB HOUSES AN ARRAY OF PHYSICIAN SPECIALISTS UNDER ONE ROOF, ALLOWING PATIENTS WITH COMPLEX MEDICAL PROBLEMS TO QUICKLY RECEIVE FOCUSED CARE. IT PROVIDES EXPERT DIAGNOSIS AND TREATMENT IN MORE THAN 32 DIFFERENT SPECIALTIES, INCLUDING BONE AND JOINT, HEART, CANCER, ENDOCRINOLOGY/DIABETES, FAMILY MEDICINE, GASTROENTEROLOGY, GERIATRICS, INTERNAL MEDICINE, VASCULAR, UROLOGY, ALLERGY, ANESTHESIOLOGY, DERMATOLOGY, EMERGENCY, HOSPITALISTS, PATHOLOGY, NEUROLOGY, NUCLEAR MEDICINE, OBSTETRICS/GYNECOLOGY, OCCUPATIONAL HEALTH, OPHTHALMOLOGY, OTOLARYNGOLOGY, PLASTIC SURGERY, PSYCHIATRY AND PSYCHOLOGY, RADIOLOGY, SPORTS MEDICINE AND RHEUMATOLOGY. STRAUB OPERATES SEVERAL HIGHLY REGARDED SPECIALTY CARE UNITS. THE BURN UNIT IS THE ONLY MULTI-DISCIPLINARY BURN TREATMENT CENTER IN THE STATE. THE HEART CENTER PROVIDES COMPREHENSIVE CARDIAC SERVICES, FROM EDUCATION TO DIAGNOSIS AND TREATMENT TO REHABILITATION. IT HAS RECEIVED A THREE-STAR RATING, THE HIGHEST DESIGNATION, FROM THE NATIONAL SOCIETY FOR THORACIC SURGEONS. THE BONE AND JOINT CENTER OFFERS MINIMALLY INVASIVE HIP AND JOINT REPLACEMENT. STRAUB PROVIDES CHARITY CARE, HEALTH EDUCATION AND PREVENTATIVE PROGRAMS TO THE COMMUNITY. IN FISCAL 2010, ITS MEDICAL SPECIALISTS DELIVERED FREE PUBLIC HEALTH EDUCATION PROGRAMS THAT HELPED THOUSANDS OF INDIVIDUALS LEARN THE LATEST STRATEGIES FOR PREVENTING OR MANAGING HEART ATTACKS, CANCER, ARTHRITIS, ASTHMA, ALLERGIES, STRESS, OSTEOPOROSIS, OBESITY AND DRUG ABUSE. THEY INCLUDED KIDS FEST, LIVING HEALTHY IN PARADISE, WOMEN'S WAY TO HEALTH, CANCER CARE: CURRENT ISSUES, 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 33RD CONSECUTIVE YEAR. STRAUB TREATS ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS ONE OF THE COMMUNITY'S SAFETY NET PROVIDERS OF HEALTH CARE. IT HAS AN ESTABLISHED CHARITY CARE POLICY THAT SETS GUIDELINES ON WHICH PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. IN FISCAL 2010, STRAUB CLINIC & HOSPITAL PROVIDED MORE THAN $8.2 MILLION 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 STRAUB CLINIC & HOSPITAL IS A MEMBER OF THE HAWAI'I PACIFIC HEALTH OBLIGATED GROUP, WHICH HAS ISSUED VARIOUS BOND ISSUES AND IS REPORTED ON THE HAWAI'I PACIFIC HEALTH FORM 990.
MEMBERS AND RIGHTSFORM 990, PART VI, LINE 6 HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER WHO HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD. DESCRIPTION OF CLASSES OF 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. DESCRIBE CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING POWERS RESERVED TO APPROVE THE FOLLOWING: (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 THESE 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.
REVIEW OF THE 990S BY THE ORGANIZATION'S GOVERNING BODYVARIOUS 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 IS MADE AVAILABLE TO THE HPH BOARD OF DIRECTORS THROUGH A BOARD MEMBER PORTAL FOR REVIEW PRIOR TO THE FILING OF THE 990. COPIES OF THE 990S ARE MADE AVAILABLE TO THE BOARD MEMBERS OF EACH SUBSIDIARY UNIT OF HPH AND IS PHYSICALLY LOCATED AT EACH FACILITY'S SITE FOR THE BOARD MEMBER TO REVIEW PRIOR TO FILING. THE 990S WILL BE POSTED TO HPH'S WEBSITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURN WITH THE IRS.FORM 990, PART VI, LINE 11A
MONITORING & ENFORCING CONFLICT OF INTEREST POLICYANNUALLY, EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: -RECEIVED A COPY OF THE CONFLICT OF INTEREST ("COI") POLICY; -HAS READ AND UNDERSTANDS THE POLICY; -AGREES TO COMPLY WITH THE POLICY; AND -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 DECISION9S) REGARDING THE CONFLICT AND NAMES OF PERSON PRESENT IN THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT.FORM 990, PART VI, LINE 12C
OFFICES AND POSITIONS FOR WHICH PROCESS WAS USED, AND YEAR PROCESS WASFORM 990, PART VI, LINE 15A & 15B COMPENSATION FOR HPH EXECUTIVES (VICE PRESIDENT AND ABOVE) IS SET BY THE HAWAI'I PACIFIC HEALTH ("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.LAST COMPLETED
DISCLOSURE OF GOV DOCS, CONFLICT OF INTEREST POLICY & FINANCIAL STMTSTHE CONFLICT OF INTEREST POLICY AND STANDARDS OF CONDUCT ARE AVAILABLE ON THE HAWAI'I PACIFIC HEALTH WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE GENERAL PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE.FORM 990, PART VI, LINE 19
SCHEDULE J-2, COLUMN BINDIVIDUALS LISTED ON SCHEDULE J-2 ALSO DEVOTE TIME TO RELATED ORGANIZATION AS LISTED BELOW: HAWAI'I PACIFIC HEALTH ASHTON 40.0 C.R. CHING 30.0 CHAIKO 15.0 FOX 4.0 GLADSTONE 5.0 INOUYE 25.0 KURREN .3 LERCH 40.0 LEWIS .3 LONG 32.0 MASUMOTO-NONAKA 20.0 OKABE 35.0 PRESSLER-FISHER 45.0 RAETHAL 15.0 ROBBINS 10.0 ROBERTSON 15.0 SARUWATARI .4 STED 32.0 VARA 5.0 KAPI'OLANI HEALTH FOUNDATION C.R. CHING .5 INOUYE .5 LEWIS .2 LONG .5 OKABE 1.0 PRESSLER-FISHER 1.0 STED 3.0 KAUA'I MEDICAL CLINIC C.R. CHING 4.0 CHAIKO 1.0 INOUYE 4.0 LEWIS 2.4 LONG 4.0 MASUMOTO-NONAKA 1.0 OKABE 1.0 RAETHAL 5.0 ROBBINS 10.0 ROBERTSON 1.0 STED 6.0 VARA 5.0 KAPI'OLANI MEDICAL CENTER AT PALI MOMI ASHTON 2.0 C.R. CHING 1.0 CHAIKO 10.0 FOX 6.0 GLADSTONE .5 INOUYE 1.0 KUSANO 5.2 LERCH 6.0 LEWIS 6.0 MASUMOTO-NONAKA 8.0 MIYASHIRO 16.0 OKABE 3.0 PRESSLER-FISHER 1.0 RAETHAL 5.0 ROBERTSON 8.0 STED 2.0 VARA 10.0 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN ASHTON 2.0 C.R. CHING 4.0 CHAIKO 15.0 DIAS 30.0 FOX 10.4 GLADSTONE .5 INOUYE 5.0 KUSANO 8.7 LERCH 6.0 LEWIS 10.8 MASUMOTO-NONAKA 10.0 OKABE 4.0 PETERS 1.0 PRESSLER-FISHER 1.0 RAETHAL 10.0 ROBERTSON 12.0 STED 2.0 VARA 10.0 KAPI'OLANI MEDICAL SPECIALISTS C.R. CHING 3.0 CHAIKO 1.0 INOUYE 2.0 KUSANO .9 LERCH 1.0 LEWIS 1.3 OKABE 1.0 PRESSLER-FISHER 5.0 RAETHAL .2 ROBBINS 1.0 STED 1.0 PROVIDERS INSURANCE CORPORATION ASTHON .1 C.R. CHING 2.0 GIBSON .1 OKABE 1.0 STED 1.0 VARA 5.0 STRAUB FOUNDATION C.R. CHING .5 GIBSON .1 HEDBERG .1 LEWIS .5 OKABE .5 ROBBINS .1 STED 1.0 VARA .1 WILCOX HEALTH FOUNDATION C.R. CHING .5 INOUYE .5 LEWIS .5 OKABE .5 PRESSLER-FISHER 1.0 STED 1.0 WILCOX MEMORIAL HOSPITAL ASHTON 1.0 C.R. CHING 5.0 CHAIKO 5.0 FOX 4.2 GLADSTONE .5 INOUYE 12.0 LERCH 1.0 LEWIS 3.9 LONG 4.0 MASUMOTO-NONAKA 9.0 OKABE 3.0 PRESSLER-FISHER 2.0 RAETHAL 5.0 ROBERTSON 8.0 STED 8.0
SCHEDULE R, PART V, LINE 2IN GENERAL, AMOUNTS REPORTED WITH RELATED ORGANIZATIONS ARE DETERMINED BASED ON MARKET VALUES FOR SIMILAR ITEMS OR SERVICES.REASONABLE METHOD TO DETERMINE VALUE OF SERVICES, CASH & OTHER SERVICES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
HAWAI'I PACIFIC HEALTH
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990246363HOLDING COMPAHI501 (C)(3)11B TYPE IINA
PROVIDERS INSURANCE CORPORATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813710893000NFP INSURANCEHI501 (C)(3)11B TYPE IINA
KAPI'OLANI MEDICAL CTR WOMEN & CHILDREN
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990177350HOSPITALHI501 (C)(3)3NA
KAPI'OLANI HEALTH FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990246364FUNDRAISINGHI501 (C)(3)7NA
KAPI'OLANI MEDICAL SPECIALISTS
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990322406HEALTH CAREHI501 (C)(3)9NA
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990274038HOSPITALHI501 (C)(3)3NA
WILCOX MEMORIAL HOSPITAL
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990074365HOSPITALHI501 (C)(3)3NA
WILCOX HEALTH FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990204242FUNDRAISINGHI501 (C)(3)7NA
KAUA'I MEDICAL CLINIC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990326099HOSPITALHI501 (C)(3)3NA
STRAUB FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990109350RESEARCH/EDUHI501 (C)(3)7NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
HAWAI'I PACIFIC HEALTH PARTNERS INC& SUB
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990318588HOLDING COMPANYHINAC CORP
STRAUB PHARMACY INC
888 SOUTH KING STREETHONOLULUHI96813990145107INACTIVEHISCHC CORP-356449998361.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (17 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
KAPI'OLANI MEDICAL CENTER FOR WOMENCHILDREN
N74033
KAPI'OLANI MEDICAL CENTER FOR WOMENCHILDREN
P432061
KAPI'OLANI MEDICAL CENTER FOR WOMENCHILDREN
R134469
KAPI'OLANI MEDICAL CENTER FOR WOMENCHILDREN
O758965
PROVIDERS INSURANCE CORPORATION
Q3308616
KAPI'OLANI HEALTH FOUNDATION
R55309
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
N214854
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
R55580
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
O1196983
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
Q425952
STRAUB FOUNDATION
C235995
WILCOX MEMORIAL HOSPITAL
O243312
HAWAI'I PACIFIC HEALTH PARTNERS INC & SUB
0
KAPI'OLANI MEDICAL SPECIALISTS
0
WILCOX HEALTH FOUNDATION
0
KAUA'I MEDICAL CLINIC
0
STRAUB PHARMACY INC
0

Affiliated Group Attachment AffiliatedGroupAttachment

FieldValueIRS element (for citing)
ExplanationHAWAI'I PACIFIC HEALTH 99-0246363 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN 99-0177350 KAPI'OLANI MEDICAL CENTER AT PALI MOMI 99-0274038 WILCOX MEMORIAL HOSPITAL 99-0274038 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 & HOSPITAL 91-2151670 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 & HOSPITALExplanation