KAPI OLANI MEDICAL CENTER FOR WOMEN & CHILDREN: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- KAPI OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (EIN 99-0177350)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-09
- IRS object ID
- 201111299349300031
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-09T09:28:39-04:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT ST SUITE 1900 C-120 | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990177350 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAPI'OLANI MEDICAL CTR WOMEN CHILDREN | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KAPI | NameControl |
| Phone | 8089836000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT STREET 24TH FLOOR | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EARL INOUYE | Name |
| Title | VP & SYSTEM CONTROLLER | Title |
| Date Signed | 2011-05-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8085312037 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RAYMOND P VARA JR | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT STREET 24TH FLOOR | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 274484570 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.KAPIOLANI.ORG/WOMEN-AND-CHILDREN | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1976 | YearFormation |
| State Legal Domicile | HI | StateLegalDomicile |
| Activity Or Mission Description | KAPI'OLANI MEDICAL CENTER FOR WOMEN & 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 6 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1539 | TotalNbrEmployees |
| Total Nbr Volunteers | 500 | TotalNbrVolunteers |
| Total Gross UBI | 2812 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -353 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2389038 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1952071 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 243777137 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 257232494 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -910941 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1711771 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1343860 | OtherRevenuePriorYear |
| Other Revenue Current Year | 1276605 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 246599094 | TotalRevenuePriorYear |
| Total Revenue Current Year | 262172941 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 12286 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 35113 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 101462397 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 107478492 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 111784804 | OtherExpensePriorYear |
| Other Expenses Current Year | 117041764 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 213259487 | TotalExpensesPriorYear |
| Total Expenses Current Year | 224555369 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 33339607 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 37617572 | RevenuesLessExpensesCY |
| Total Assets BOY | 168207446 | TotalAssetsBOY |
| Total Assets EOY | 184104875 | TotalAssetsEOY |
| Total Liabilities BOY | 29450960 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 27617364 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 138756486 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 156487511 | NetAssetsOrFundBalancesEOY |
| Mission Description | KAPI'OLANI MEDICAL CENTER FOR WOMEN & 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. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 45350671 | Expense |
| Grants | 0 | Grants |
| Revenue | 39675446 | Revenue |
| Description | WOMEN'S SERVICES - OB/GYN. KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN ("KAPI'OLANI") IS THE ONLY HOSPITAL IN HAWAI'I SPECIALIZING IN MATERNITY CARE. IT IS THE REGIONAL PERINATAL CENTER FOR THE STATE. IN FISCAL YEAR 2010, THE HOSPITAL DELIVERED MORE THAN 6,100 BABIES, REPRESENTING ALMOST 50% OF ALL O'AHU BIRTHS. THE MAJORITY OF PATIENTS WILL DELIVER WITHOUT COMPLICATIONS. HOWEVER, FOR WOMEN IN HIGH-RISK PREGNANCIES DUE TO THE MOTHER'S AGE, PRE-EXISTING CONDITIONS OR OTHER COMPLICATIONS, KAPI'OLANI OFFERS THE HIGHEST LEVEL OF CARE IN THE STATE. A DEDICATED TEAM OF MATERNAL FETAL MEDICINE SPECIALISTS ARE AVAILABLE TO ASSIST BOTH IN MANAGING HIGH-RISK PREGNANCIES AND FOR THE ACTUAL DELIVERY. A HIGHLY EXPERIENCED TEAM HAS THE EXPERTISE TO MANAGE NORMAL NEWBORN DELIVERIES AND THE MOST COMPLEX MEDICAL CASES. WHEN NECESSARY, EXPECTANT MOTHERS CAN BE ADMITTED TO THE HOSPITAL TO MANAGE COMPLICATIONS AND TO HELP PREVENT PRE-TERM BIRTH. KAPI'OLANI IS A MAJOR TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE'S OB/GYN RESIDENCY TRAINING PROGRAM. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 36879953 | Expense |
| Grants | 0 | Grants |
| Revenue | 59913814 | Revenue |
| Description | PEDIATRIC NEONATE. KAPI'OLANI IS THE ONLY HOSPITAL IN HAWAI'I SPECIALIZING IN NEWBORN CARE. ITS LEVEL IIIB NEONATAL INTENSIVE CARE UNIT PROVIDES THE HIGHEST LEVEL OF CARE FOR MORE THAN 900 PREMATURE AND CRITICALLY-ILL BABIES EACH YEAR. IT IS THE ONLY HOSPITAL IN THE STATE STAFFED BY A DEDICATED TEAM OF NEONATOLOGISTS, ON-SITE 24 HOURS A DAY. MORE THAN 150 NEWBORN BABIES REQUIRING THIS SPECIAL CARE ARE TRANSFERRED TO KAPI'OLANI FROM THROUGHOUT HAWAI'I HOSPITALS EVERY YEAR. KAPI'OLANI IS A MAJOR TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE'S PEDIATRIC RESIDENCY TRAINING PROGRAM. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 20947881 | Expense |
| Grants | 0 | Grants |
| Revenue | 20476954 | Revenue |
| Description | OUTPATIENT O.R. KAPI'OLANI IS HOME TO HAWAII'S FIRST FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITES. THIS APPROACH PLACES COMPLETE CONTROL IN THE HANDS OF SURGEONS TO ENHANCE EFFICIENCY AND REDUCE SURGICAL TIME, THEREBY IMPROVING PATIENT CARE. IN FISCAL YEAR 2010, 6,607 OUTPATIENT PROCEDURES WERE PERFORMED. HIGHLY TRAINED PEDIATRIC ANESTHESIOLOGISTS, SURGEONS AND STAFF PROVIDE SPECIALIZED CARE NECESSARY FOR NEWBORNS, CHILDREN AND TEENS. PEDIATRIC PROCEDURES INCLUDE THORACIC/HEART, CLEFT LIP/PALATE, EAR NOSE THROAT, ORTHOPEDIC, NEUROLOGIC, UROLOGIC, OPHTHALMOLOGIC, GASTRO-INTESTINAL, PLASTICS AND GENERAL SURGERY. KAPI'OLANI ALSO HAS A TEAM OF SPECIALISTS JUST FOR WOMEN, INCLUDING UROGYNECOLOGISTS, GYNECOLOGIC ONCOLOGISTS AND GENERAL SURGEONS. COMMON PROCEDURES INCLUDE BREAST BIOPSIES AND LUMPECTOMIES, HYSTEROSCOPIES, INTERSTIM BLADDER IMPLANT AND SUBURETHRAL SLING FOR TREATMENT OF INCONTINENCE, TUBAL LIGATION AND ENDOMETRIAL ABLATION. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 98635477 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 138247615 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 201813982 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | true | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 114 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1539 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 6 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DONNA MASUDA-KAM | NamePerson |
| Telephone Number | 8085357355 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT STREET 24TH FLOOR | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (41 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| KEITH MATSUMOTO MD | |||||||||
| CHAIR, BOARD OF DIRECTOR | 0.3 | X | X | 0 | 0 | 0 | |||
| CHARLES A STED | |||||||||
| PRESIDENT, BOARD OF DIRECTOR | 2.0 | X | X | 0 | 2010991 | 283726 | |||
| RAYMOND P VARA JR | |||||||||
| EVP & CEO OF OPERATIONS, BOD | 10.0 | X | X | 0 | 1389883 | 182347 | |||
| STEVEN AI | |||||||||
| BOARD OF DIRECTOR | 0.3 | X | 0 | 0 | 0 | ||||
| CHRIS ELDRIDGE | |||||||||
| BOARD OF DIRECTOR | 0.3 | X | 0 | 0 | 0 | ||||
| BEN GODSEY | |||||||||
| BOARD OF DIRECTOR | 0.3 | X | 0 | 0 | 0 | ||||
| DOUGLAS KWOCK MD | |||||||||
| BOARD OF DIRECTOR | 0.3 | X | 12000 | 0 | 0 | ||||
| STEPHEN LIN MD | |||||||||
| BOARD OF DIRECTOR | 0.3 | X | 41500 | 0 | 0 | ||||
| PETER MCNALLY MD | |||||||||
| BOARD OF DIRECTOR | 0.3 | X | 12000 | 0 | 0 | ||||
| JENNIFER SABAS | |||||||||
| BOARD OF DIRECTOR | 0.3 | X | 0 | 0 | 0 | ||||
| SHELLEY WILSON | |||||||||
| BOARD OF DIRECTOR | 0.3 | X | 0 | 0 | 0 | ||||
| DAVID OKABE | |||||||||
| EVP, CFO & TREASURER | 4.0 | X | 0 | 828139 | 109283 | ||||
| GAIL LERCH | |||||||||
| EVP | 6.0 | X | 0 | 623021 | 100175 | ||||
| VIRGINIA PRESSLER-FISHER MD | |||||||||
| EVP | 1.0 | X | 0 | 587408 | 106744 | ||||
| CHARLES R CHING | |||||||||
| EVP, GEN'L COUNSEL & SECRETARY | 4.0 | X | 0 | 545613 | 79218 | ||||
| STEVEN ROBERTSON | |||||||||
| EVP & CIO | 12.0 | X | 0 | 447932 | 93805 | ||||
| EARL INOUYE | |||||||||
| VP & SYSTEM CONTROLLER | 5.0 | X | 0 | 338063 | 33175 | ||||
| ARTHUR GLADSTONE | |||||||||
| VP & CNE | 0.5 | X | 0 | 397128 | 43541 | ||||
| MARTHA SMITH | |||||||||
| VP & COO | 55.0 | X | 0 | 444350 | 117815 | ||||
| WARREN CHAIKO | |||||||||
| VP | 15.0 | X | 0 | 287396 | 30756 | ||||
| JANA HALL | |||||||||
| VP | 50.0 | X | 0 | 53891 | 1266 | ||||
| DAWN CHING | |||||||||
| VP | 50.0 | X | 0 | 197193 | 31081 | ||||
| JOAN BURRITT RN | |||||||||
| VP & CNE | 40.0 | X | 0 | 0 | 0 | ||||
| SUSAN MASUMOTO-NONAKA | |||||||||
| VP | 10.0 | X | 0 | 260504 | 40021 | ||||
| PAULA DIAS | |||||||||
| VP | 30.0 | X | 0 | 270249 | 25517 | ||||
| MELINDA ASHTON MD | |||||||||
| VP | 2.0 | X | 0 | 328748 | 35227 | ||||
| ANN MK PETERS | |||||||||
| VP | 1.0 | X | 0 | 130344 | 22657 | ||||
| PRUDENCE KUSANO | |||||||||
| HPH COMPLIANCE OFFICER | 8.7 | X | 0 | 164208 | 13630 | ||||
| DAVID FOX | |||||||||
| PRIVACY&INFO SECURITY OFFICER | 10.4 | X | 0 | 111240 | 17249 | ||||
| JESSICA LEWIS | |||||||||
| ASSISTANT CORPORATE SECRETARY | 10.8 | X | 0 | 98248 | 11015 | ||||
| HILTON RAETHEL | |||||||||
| VP | 10.0 | X | 0 | 304447 | 14688 | ||||
| TERRY LONG | |||||||||
| VP | 0.1 | X | 0 | 250732 | 35957 | ||||
| LILIA LAUREANO | |||||||||
| DIRECTOR CLINICAL SERVICE LINE | 40.0 | 176049 | 0 | 13330 | X | ||||
| MAVIS NIKAIDO | |||||||||
| DIRECTOR CLINICAL SERVICE LINE | 40.0 | 167252 | 0 | 22335 | X | ||||
| LAURA BONILLA | |||||||||
| EXEC DIRECTOR PEDIATRIC SVC | 40.0 | 173759 | 0 | 19374 | X | ||||
| CHRISTINA TURNER | |||||||||
| DIRECTOR CLINICAL SERVICE LINE | 40.0 | 164719 | 0 | 13459 | X | ||||
| PAMELA GUARNERI | |||||||||
| DIRECTOR CLINICAL SERVICE LINE | 40.0 | 158228 | 0 | 10129 | X | ||||
| RICHARD NOVAK | |||||||||
| DIRECTOR CLINICAL SERVICE LINE | 40.0 | 156534 | 0 | 21071 | X | ||||
| KATHLEEN WHITT | |||||||||
| REGISTERED NURSE | 40.0 | 150182 | 0 | 22481 | X | ||||
| RODNEY BOYCHUK MD | |||||||||
| FORMER DIRECTOR | 0.0 | 0 | 313163 | 27090 | X | ||||
| WILLOW MORTON | |||||||||
| FORMER DIRECTOR | 0.0 | 0 | 232437 | 26100 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1212223 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 10615328 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1604262 | TotalOtherCompensation |
| Number Individuals GT100 K | 230 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| UNIVERSITY CLINICAL EDUC RES | |||||
| 677 ALA MOANA BLVD STE 1003 | HONOLULU | HI | 96813 | PHYSICIAN SVCS | 4670556 |
| HAWAI'I RESIDENCY PROGRAM | |||||
| 1356 LUSITANA ST 6TH FLOOR | HONOLULU | HI | 96813 | MEDICAL SVCS | 4525492 |
| CLINICAL LABORATORIES OF HI LLP | |||||
| PO BOX 1300 | HONOLULU | HI | 96807 | MEDICAL SVCS | 4109084 |
| EMERGENCY PHYSICIANS' MEDICAL GROUP | |||||
| 4535 DRESSLER NW | CANTON | OH | 44718 | PHYSICIAN SVCS | 1523069 |
| SODEXHO INC AFFILIATES | |||||
| 888 KING STREET | HONOLULU | HI | 96813 | FOOD & ENVIRON SVCS | 1122125 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 36 | NumberOfContractorsGT100K |
| Related Organizations | 1917468 | RelatedOrganizations |
| All Other Contributions | 34603 | AllOtherContributions |
| Total Contributions | 1952071 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICES | 622110 | 249999659 | 249999659 |
| OTHER PROGRAM SERVICE REVENUE | 622110 | 4276658 | 4276658 |
| RENTAL INCOME | 531120 | 2905347 | 2905347 |
| PREMIUM REVENUE | 622110 | 50830 | 50830 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 257232494 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1739240 | TotalRevenueColumn |
| Exclusion | $1,739,240 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12042022 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 12069491 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -27469 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -27469 | TotalRevenueColumn |
| Exclusion | -$27,469 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 23064 | GrossIncomeFundraisingEvents |
| Fundraising Direct Expenses | 18365 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4699 | TotalRevenueColumn |
| Exclusion | $4,699 | ExclusionAmount |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 385815 | GrossSalesOfInventory |
| Cost Of Goods Sold | 223773 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 162042 | TotalRevenueColumn |
| Exclusion | $162,042 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PARKING | 812930 | 1010838 | 1010838 |
| REIMBURSEMENTS | 900099 | 53190 | 53190 |
| CAFETERIA | 722110 | 17307 | 17307 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28529 | TotalRevenueColumn |
| Unrelated Business Revenue | 2812 | UnrelatedBusinessRevenue |
| Exclusion | $25,717 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1109864 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 262172941 | TotalRevenueColumn |
| Related Or Exempt Function Income | 258313829 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 2812 | UnrelatedBusinessRevenue |
| Exclusion | $1,904,229 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 35113 | Total |
| Program Services | 35113 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 425233 | Total |
| Program Services | 377202 | ProgramServices |
| Management And General | 48031 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 88358398 | Total |
| Program Services | 87546451 | ProgramServices |
| Management And General | 811947 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12168545 | Total |
| Program Services | 11299452 | ProgramServices |
| Management And General | 869093 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6526316 | Total |
| Program Services | 6467477 | ProgramServices |
| Management And General | 58839 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3056 | Total |
| Management And General | 3056 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 630283 | Total |
| Management And General | 630283 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4252 | Total |
| Management And General | 4252 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 289943 | Total |
| Management And General | 289943 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 42193522 | Total |
| Program Services | 39619163 | ProgramServices |
| Management And General | 2574359 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79635 | Total |
| Program Services | 14253 | ProgramServices |
| Management And General | 65382 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25229805 | Total |
| Program Services | 25163079 | ProgramServices |
| Management And General | 66726 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3124121 | Total |
| Program Services | 447841 | ProgramServices |
| Management And General | 2676280 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5486666 | Total |
| Program Services | 5197327 | ProgramServices |
| Management And General | 289339 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63378 | Total |
| Program Services | 59214 | ProgramServices |
| Management And General | 4164 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34861 | Total |
| Program Services | 33361 | ProgramServices |
| Management And General | 1500 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3688271 | Total |
| Program Services | 3688271 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11512980 | Total |
| Program Services | 11120984 | ProgramServices |
| Management And General | 391996 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3071617 | Total |
| Program Services | 3031312 | ProgramServices |
| Management And General | 40305 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| CORPORATE ALLOCATION | 13303500 | 13303500 | |
| BAD DEBT | 6398579 | 6398579 | |
| Other Purchases | 1182725 | 538233 | 644492 |
| LOSS - EXTINGUISHMENT OF DEBT | 637704 | 637704 | |
| All other expenses | 106866 | 74159 | 32707 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 224555369 | Total |
| Program Services | 201813982 | ProgramServices |
| Management And General | 22741387 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -961226 | BOY |
| EOY | -909985 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4895767 | BOY |
| EOY | 4940814 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 33545112 | BOY |
| EOY | 33498870 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2675222 | BOY |
| EOY | 2699679 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 231790 | BOY |
| EOY | 280511 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 229833589 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 166260087 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 66553799 | BOY |
| EOY | 63573502 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27965172 | BOY |
| EOY | 31976187 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22704449 | BOY |
| EOY | 27262862 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1618558 | BOY |
| EOY | 1618557 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8978803 | BOY |
| EOY | 19163878 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168207446 | BOY |
| EOY | 184104875 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22976572 | BOY |
| EOY | 21891429 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6474388 | BOY |
| EOY | 5725935 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 29450960 | BOY |
| EOY | 27617364 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 129825107 | BOY |
| EOY | 138502844 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3885275 | BOY |
| EOY | 12791157 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5046104 | BOY |
| EOY | 5193510 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 138756486 | BOY |
| EOY | 156487511 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 168207446 | BOY |
| EOY | 184104875 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $4,252 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 4252 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITY | Identifier |
| Return Reference | FORM 990, SCHEDULE C, PART II-B, LINE 1I | ReturnReference |
| Explanation | LOBBYING FEES WERE INCLUDED IN THE ANNUAL MEMBERSHIP DUES PAID TO HEALTHCARE ASSOCIATION OF HAWAI'I AND NACHRI. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 55953629 | BeginningOfYearBalance |
| Contributions | 1339991 | Contributions |
| Investment Earnings Or Losses | 7265301 | InvestmentEarningsOrLosses |
| Administrative Expenses | 12968 | AdministrativeExpenses |
| End Of Year Balance | 64545953 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 69049023 | BeginningOfYearBalance |
| Contributions | 3027713 | Contributions |
| Investment Earnings Or Losses | -16112020 | InvestmentEarningsOrLosses |
| Other Expenditures | 11087 | OtherExpenditures |
| End Of Year Balance | 55953629 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.95000 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.05000 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | true | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 289265 | OtherCostOrOtherBasis |
| Book Value | 289265 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 104695349 | OtherCostOrOtherBasis |
| Depreciation | 71269182 | Depreciation |
| Book Value | 33426167 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3712538 | OtherCostOrOtherBasis |
| Depreciation | 3570508 | Depreciation |
| Book Value | 142030 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 114529541 | OtherCostOrOtherBasis |
| Depreciation | 91064494 | Depreciation |
| Book Value | 23465047 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 6606896 | OtherCostOrOtherBasis |
| Depreciation | 355903 | Depreciation |
| Book Value | 6250993 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 63573502 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | BOARD DESIGNATION | Description |
| Book Value | 27262862 | BookValue |
| Method Of Valuation | F | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 27262862 | TotalOfBookValueSecurities |
Other Assets OtherAssets (9 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| DEPOSITS & NON-CURRENT ASSETS | 1299384 |
| DUE FROM GOV'T AGENCY | 1074123 |
| OTHER RECEIVABLES | 1533460 |
| DECORATIVE ARTWORK | 166117 |
| BENEFICIAL INTEREST TRUST/FDN | 14815554 |
| DUE FROM KAPI'OLANI FOUNDATION | 267909 |
| DUE FROM STRAUB FOUNDATION | 4608 |
| DUE FROM WILCOX FOUNDATION | 1737 |
| DUE FROM KAUA'I MEDICAL CLINIC | 986 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 19163878 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER L/T LIAB-POST RETIREMENT HLTH | $158,379 |
| ALLOC OF OBLIG GRP TAX EXEMPT BONDS | $4,806,369 |
| DUE TO PROVIDERS INSURANCE CORP | $223,412 |
| DUE TO HAWAI'I PACIFIC HEALTH PTRS | $2,194 |
| DUE TO KAPI'OLANI MEDICAL SPECIALISTS | $535,581 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 5725935 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | ENDOWMENT FUNDS INTENDED USES | Identifier |
| Return Reference | FORM 990, SCHEDULE D, PART V, LINE 4 | ReturnReference |
| Explanation | ENDOWMENT FUNDS ARE INTENDED 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 HOSPITAL. FOOTNOTE EXPLANATION FOR FIN 48 Form 990, SCHEDULE D, PART X, LINE 2 FOLLOWING 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. | Explanation |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | X | SpecialFundraisingEvents |
| Agreement Ref Fundraising | false | AgreementRefFundraising |
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | GOLF TOURNAMENT | NameOfEvent1 |
| Gross Receipts Event1 | 23064 | GrossReceiptsEvent1 |
| Gross Revenue Event1 | 23064 | GrossRevenueEvent1 |
| Cash Prizes Event1 | 405 | CashPrizesEvent1 |
| Non Cash Prizes Event1 | 3339 | NonCashPrizesEvent1 |
| Rent Facility Costs Event1 | 9569 | RentFacilityCostsEvent1 |
| Other Direct Expenses Event1 | 5052 | OtherDirectExpensesEvent1 |
| Total Number Of Other Events | 0 | TotalNumberOfOtherEvents |
| Gross Receipts Total | 23064 | GrossReceiptsTotal |
| Gross Revenue Total Events | 23064 | GrossRevenueTotalEvents |
| Cash Prizes Total Events | 405 | CashPrizesTotalEvents |
| Non Cash Prizes Total Events | 3339 | NonCashPrizesTotalEvents |
| Rent Facility Costs Total Events | 9569 | RentFacilityCostsTotalEvents |
| Other Direct Expenses Total Events | 5052 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 18365 | DirectExpenseSummaryEvents |
| Net Income Summary | 4699 | NetIncomeSummary |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 632 | PersonsServed |
| Total Community Benefit Expense | 482731 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 482731 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00220 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 41102 | PersonsServed |
| Total Community Benefit Expense | 94361074 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 85115986 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9245088 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04240 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 41734 | PersonsServed |
| Total Community Benefit Expense | 94843805 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 85115986 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9727819 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04460 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 3919 | PersonsServed |
| Total Community Benefit Expense | 415091 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 134412 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 280679 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00130 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 16415059 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1196697 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15218362 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06980 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 35113 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 35113 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 3919 | PersonsServed |
| Total Community Benefit Expense | 16865263 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 1331109 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 15534154 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07130 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 11 | NumberOfActivitiesOrPrograms |
| Persons Served | 45653 | PersonsServed |
| Total Community Benefit Expense | 111709068 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 86447095 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 25261973 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.11590 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $2,642,946 | BadDebtExpenseAmount |
| Amount Attributable To | 228837 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 3017983 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 3993535 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -975552 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Childrens HospitalChildrensHospital | Teaching HospitalTeachingHospital | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|---|
| KAPI'OLANI MED CTR FOR WOMEN & CHILDREN | |||||||||
| 1319 PUNAHOU STREET | HONOLULU | HI | 96826 | X | X | X | X | X | |
| WOMEN'S BREAST CENTER | |||||||||
| 1907 BERETANIA STREET1ST FLOOR | HONOLULU | HI | 96826 | WOMEN'S SPECIALTY CARE SERVICES | |||||
| HAWAI'I COMMUNITY GENETICS | |||||||||
| 1441 KAPIOLANI BLVD 18TH FLOOR | HONOLULU | HI | 96814 | GENETIC SERVICES | |||||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | N/A | IncomeBasedCriteria |
| Annual Community Benefit Expln | COMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATION'S PARENT. | AnnualCommunityBenefitExpln |
| Costing Method Used | COST TO CHARGE RATIO AND SCHEDULE H WORKSHEET WAS USED | CostingMethodUsed |
| Subsidized Health Services Expln | N/A | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | BAD DEBT EXPENSE OF $6,398,579 WAS SUBTRACTED FROM TOTAL EXPENSES TO COMPUTE PERCENTAGES | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | THE 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 ("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 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 ACCOMPLISED TO QUALIFY THE PATIENT FOR CHARITY CARE. | BadDebtFootnote |
| Shortfall As Community Benefit | 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. | ShortfallAsCommunityBenefit |
| Debt Collection Policy | 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 COLLECTIONS. | DebtCollectionPolicy |
| Number Of Facility Type Expln | 1 WOMEN'S SPECIALITY CARE SERVICES AND 1 GENETIC SERVICES | NumberOfFacilityTypeExpln |
| Needs Assessment | THE 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 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. 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 Information | KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN ("KAPI'OLANI") HAS BEEN TREATING WOMEN, CHILDREN AND INFANTS FOR MORE THAN A CENTURY. IT IS HAWAII'S ONLY MATERNITY, NEWBORN AND PEDIATRIC SPECIALTY HOSPITAL. IT IS ALSO A TERTIARY CARE, MEDICAL TEACHING AND RESEARCH FACILITY, WITH 207 BEDS AND 66 BASSINETS. FOR WOMEN, IT PROVIDES COMPLETE OBSTETRICAL AND GYNECOLOGICAL CARE. FOR INFANTS AND CHILDREN, IT PROVIDES MORE THAN 100 SUBSPECIALTY PEDIATRIC PHYSICIANS IN MULTIPLE SPECIALTY AREAS. IN FISCAL 2010, KAPI'OLANI HAD MORE THAN 54,000 IMAGING PROCEDURES, 42,000 WOMEN'S CENTER PROCEDURES, 34,000 ER VISITS, AND ALMOST 18,000 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. KAPI'OLANI MEDICAL CENTER'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. KAPI'OLANI'S PEDIATRIC INTENSIVE CARE UNIT, FOR EXAMPLE, IS THE ONLY SUCH FACILITY BETWEEN LOS ANGELES AND HONG KONG. DEMOGRAPHICS OF THE HAWAI'I COMMUNITY IN FISCAL 2010 INCLUDE A STATE POPULATION OF 1.4 MILLION, WITH 10.7 PERCENT OF STATE RESIDENTS HAVING INCOMES BELOW THE FPG, 7.6 PERCENT OF KAPI'OLANI 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 |
| Other Information | KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN ("KAPI'OLANI") IS THE PRIMARY PEDIATRIC AND OBSTETRIC TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. EACH YEAR, KAPI'OLANI INVESTS MORE THAN $6,471,000 INTO TEACHING AND RESEARCH, INCLUDING CLINICAL TRIALS, TO TRAIN THE STATE'S NEXT GENERATION OF PEDIATRICIANS AND OBSTETRICIANS. THE RESIDENCY PROGRAMS HAVE LAUNCHED THE CAREERS OF HUNDREDS OF PHYSICIANS WHO WILL CARE FOR THE WOMEN AND CHILDREN OF HAWAI'I AND THE PACIFIC REGION. KAPI'OLANI MEDICAL CENTER MAINTAINS AN OPEN MEDICAL STAFF. THIS ARRANGEMENT, WHICH GRANTS HOSPITAL PRIVILEGES TO NONAFFILITATED PHYSICIAN SPECIALISTS, ALSO BROADENS KAPI'OLANI'S ABILITY TO OFFER HIGH-QUALITY, SPECIALIZED CARE TO THE COMMUNITY. KAPI'OLANI 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 KAPI'OLANI FULFILLS ITS MISSION-DRIVEN GOALS. AS AN AFFILIATE OF THE NON-PROFIT HAWAI'I PACIFIC HEALTH NETWORK, KAPI'OLANI REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE AND TO SUBSIDIZE THOSE WHO CANNOT PAY. IN ADDITION, KAPI'OLANI IS A LEADER IN COMMUNITY HEALTH CARE EDUCATION AND ADVOCACY. IT STRIVES TO HAVE A POSITIVE INFLUENCE ON PUBLIC POLICY FOR THE BENEFIT OF HAWAI'I'S WOMEN AND CHILDREN. THE HOSPITAL 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 ALSO OFFERS 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. | OtherInformation |
| Affiliated Health Care System | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
| No Grant More Than5000 | X | NoGrantMoreThan5000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS | Identifier |
| Return Reference | FORM 990, SCHEDULE I, PART I, LINE 2 | ReturnReference |
| Explanation | THE ORGANIZATION 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. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (28 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CHARLES A STED | |||||||||||||
| 0 | 753034 | 0 | 189314 | 0 | 1068643 | 0 | 271408 | 0 | 12318 | 0 | 2294717 | 0 | 927278 |
| RAYMOND P VARA JR | |||||||||||||
| 0 | 601040 | 0 | 130473 | 0 | 658370 | 0 | 166024 | 0 | 16323 | 0 | 1572230 | 0 | 558878 |
| DAVID OKABE | |||||||||||||
| 0 | 410893 | 0 | 83331 | 0 | 333915 | 0 | 94274 | 0 | 15009 | 0 | 937422 | 0 | 263953 |
| GAIL LERCH | |||||||||||||
| 0 | 320190 | 0 | 69507 | 0 | 233324 | 0 | 82010 | 0 | 18165 | 0 | 723196 | 0 | 185756 |
| VIRGINIA PRESSLER-FISHER MD | |||||||||||||
| 0 | 322660 | 0 | 63901 | 0 | 200847 | 0 | 76480 | 0 | 30264 | 0 | 694152 | 0 | 145627 |
| CHARLES R CHING | |||||||||||||
| 0 | 309809 | 0 | 61739 | 0 | 174065 | 0 | 68962 | 0 | 10256 | 0 | 624831 | 0 | 129699 |
| STEVEN ROBERTSON | |||||||||||||
| 0 | 306299 | 0 | 66491 | 0 | 75142 | 0 | 66642 | 0 | 27163 | 0 | 541737 | 0 | 25048 |
| EARL INOUYE | |||||||||||||
| 0 | 229057 | 0 | 28589 | 0 | 80417 | 0 | 30185 | 0 | 2990 | 0 | 371238 | 0 | 52775 |
| ARTHUR GLADSTONE | |||||||||||||
| 0 | 279978 | 0 | 43298 | 0 | 73852 | 0 | 21014 | 0 | 22527 | 0 | 440669 | 0 | 46593 |
| MARTHA SMITH | |||||||||||||
| 0 | 328891 | 0 | 55558 | 0 | 59901 | 0 | 94277 | 0 | 23538 | 0 | 562165 | 0 | 42015 |
| WARREN CHAIKO | |||||||||||||
| 0 | 210889 | 0 | 26472 | 0 | 50035 | 0 | 11653 | 0 | 19103 | 0 | 318152 | 0 | 26874 |
| DAWN CHING | |||||||||||||
| 0 | 157615 | 0 | 18840 | 0 | 20738 | 0 | 9165 | 0 | 21916 | 0 | 228274 | 0 | 0 |
| SUSAN MASUMOTO-NONAKA | |||||||||||||
| 0 | 197875 | 0 | 24444 | 0 | 38185 | 0 | 11637 | 0 | 28384 | 0 | 300525 | 0 | 23460 |
| PAULA DIAS | |||||||||||||
| 0 | 191240 | 0 | 24224 | 0 | 54785 | 0 | 11638 | 0 | 13879 | 0 | 295766 | 0 | 35942 |
| MELINDA ASHTON MD | |||||||||||||
| 0 | 262570 | 0 | 29981 | 0 | 36197 | 0 | 14152 | 0 | 21075 | 0 | 363975 | 0 | 0 |
| ANN MK PETERS | |||||||||||||
| 0 | 121730 | 0 | 8614 | 0 | 0 | 0 | 6334 | 0 | 16323 | 0 | 153001 | 0 | 0 |
| PRUDENCE KUSANO | |||||||||||||
| 0 | 164133 | 0 | 0 | 0 | 75 | 0 | 2876 | 0 | 10754 | 0 | 177838 | 0 | 0 |
| HILTON RAETHEL | |||||||||||||
| 0 | 203431 | 0 | 24396 | 0 | 76620 | 0 | 11637 | 0 | 3051 | 0 | 319135 | 0 | 75187 |
| TERRY LONG | |||||||||||||
| 0 | 162112 | 0 | 26010 | 0 | 62610 | 0 | 28137 | 0 | 7820 | 0 | 286689 | 0 | 46971 |
| LILIA LAUREANO | |||||||||||||
| 165857 | 0 | 10192 | 0 | 0 | 0 | 8234 | 0 | 5096 | 0 | 189379 | 0 | 0 | 0 |
| MAVIS NIKAIDO | |||||||||||||
| 155541 | 0 | 11711 | 0 | 0 | 0 | 8001 | 0 | 14334 | 0 | 189587 | 0 | 0 | 0 |
| LAURA BONILLA | |||||||||||||
| 162536 | 0 | 11223 | 0 | 0 | 0 | 8308 | 0 | 11066 | 0 | 193133 | 0 | 0 | 0 |
| CHRISTINA TURNER | |||||||||||||
| 155699 | 0 | 8970 | 0 | 50 | 0 | 7786 | 0 | 5673 | 0 | 178178 | 0 | 0 | 0 |
| PAMELA GUARNERI | |||||||||||||
| 126595 | 0 | 7428 | 0 | 24205 | 0 | 1008 | 0 | 9121 | 0 | 168357 | 0 | 0 | 0 |
| RICHARD NOVAK | |||||||||||||
| 145790 | 0 | 10744 | 0 | 0 | 0 | 7488 | 0 | 13583 | 0 | 177605 | 0 | 0 | 0 |
| KATHLEEN WHITT | |||||||||||||
| 149382 | 0 | 800 | 0 | 0 | 0 | 7253 | 0 | 15228 | 0 | 172663 | 0 | 0 | 0 |
| RODNEY BOYCHUK MD | |||||||||||||
| 0 | 196967 | 0 | 0 | 0 | 116196 | 0 | 14088 | 0 | 13002 | 0 | 340253 | 0 | 29315 |
| WILLOW MORTON | |||||||||||||
| 0 | 99400 | 0 | 23551 | 0 | 109486 | 0 | 16822 | 0 | 9278 | 0 | 258537 | 0 | 108272 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| QUESTIONS REGARDING COMPENSATION | SCHEDULE J, PART I, LINE 3 | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, HAWAI'I PACIFIC HEALTH ("HPH"), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O FOR 990 PART VI, LINE 15A FOR THE PROCESS USED BY HPH TO DETERMINE COMPENSATION. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN AMOUNTS PAID OUT DURING THE YEAR BY A RELATED ORGANIZATION: WARREN CHAIKO $26,874 CHARLES R. CHING $129,699 PAULA DIAS $35,942 ARTHUR GLADSTONE $46,593 EARL INOUYE $52,775 GAIL LERCH $185,756 TERRY LONG $46,971 SUSAN MASUMOTO-NONAKA $23,460 WILLOW MORTON $108,272 DAVID OKABE $263,953 VIRGINIA PRESSLER-FISHER, M.D. $145,627 HILTON RAETHEL $75,187 STEVEN ROBERTSON $25,048 MARTHA SMITH $64,255 CHARLES A. STED $927,278 RAYMOND P. VARA, JR. $558,878 RODNEY BOYCHUK, M.D. $29,315 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 PERSONS LISTED ON PART VII, SECTION A, LINE 1A | SCHEDULE J, PART I, LINE 7 | NON-FIXED PAYMENTS ARE MADE TO EMPLOYEES BASED ON SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. NON-FIXED PAYMENTS MADE TO PHYSICIANS ARE BASED ON CLINICAL PERFORMANCE MEASURES. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| UNITED LAUNDRY | |||
| DIR. IS DIR. OF KMCWC | 1117856 | PAYMENT OF LAUNDRY SERVICES | false |
| PACIFIC MEDICAL COLLECTIONS | |||
| DIR. IS OFFICER OF KMCWC | 115108 | FEES | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| STATEMENT OF PROGRAM SERVICE ACTIVITIES | FORM 990, PART III, LINE 4D | OTHER PROGRAM SERVICES KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN ("KAPI'OLANI") WAS FOUNDED AS A MATERNITY HOME BY QUEEN KAPI'OLANI IN 1890 AND AS A CHILDREN'S HOSPITAL BY ALBERT AND EMMA KAUIKEOLANI WILCOX IN 1909. THE COMBINED HOSPITAL HAS BEEN TREATING WOMEN, CHILDREN AND INFANTS FOR MORE THAN A CENTURY. AN AFFILIATE OF HAWAI'I PACIFIC HEALTH, THE STATE'S LARGEST HEALTH CARE PROVIDER, KAPI'OLANI IS HAWAII'S ONLY MATERNITY, NEWBORN AND PEDIATRIC SPECIALTY HOSPITAL. IT IS ALSO A TERTIARY CARE HOSPITAL, MEDICAL TEACHING AND RESEARCH FACILITY. IT HAS 207 BEDS AND 66 BASSINETS, EMPLOYS 1,339 EMPLOYEES AND HAS MORE THAN 600 PHYSICIANS ON ITS MEDICAL STAFF. IN ADDITION, ALMOST 500 VOLUNTEERS DONATE THEIR TIME AT THE HOSPITAL. DURING FISCAL YEAR 2010, THE HOSPITAL ADMITTED 17,949 PATIENTS FOR A TOTAL OF 68,879 PATIENT DAYS. EMERGENCY ROOM VISITS INCREASED TO 34,297, WHICH INCLUDES URGENT CARE VISITS. THERE WERE 8,348 SURGERY CASES. A TOTAL OF 6,120 NEWBORNS WERE DELIVERED HERE, REPRESENTING ALMOST 50% PERCENT OF ALL OAHU BIRTHS, IN FISCAL YEAR 2010. CHILDREN'S SERVICES AS THE ONLY FULL SERVICE CHILDREN'S HOSPITAL BETWEEN LOS ANGELES AND HONG KONG, KAPI'OLANI PLAYS A CRITICAL ROLE IN THE REGION. ITS COMPREHENSIVE PEDIATRIC PROGRAMS INVOLVE MORE THAN 100 SUBSPECIALTY PEDIATRIC PHYSICIANS IN MULTIPLE SPECIALTY AREAS. THE HOSPITAL MAINTAINS THE STATE'S ONLY 24-HOUR PEDIATRIC EMERGENCY ROOM, PEDIATRIC INTENSIVE CARE UNIT, NEONATAL/PEDIATRIC EMERGENCY TRANSPORT TEAM, AND STATE-DESIGNATED REGIONAL PERINATAL CENTER. FOR NEWBORN INFANTS, THE NEONATAL INTENSIVE CARE UNIT HAS NEONATOLOGISTS ON-SITE 24 HOURS A DAY. FOR CHILDREN, THE HOSPITAL OFFERS A RANGE OF PEDIATRIC SPECIALTIES, STATE-OF-THE-ART EQUIPMENT AND HIGHLY EXPERIENCED STAFF. 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. WOMEN'S SPECIALTY CARE KAPI'OLANI IS HOME TO THE STATE'S FIRST WOMEN'S CENTER, PROVIDING AN ARRAY OF SCREENING AND THERAPY SERVICES, INCLUDING THE STATE'S FIRST COMPREHENSIVE BREAST CENTER AND WOMEN'S CANCER CENTER. THE BREAST CENTER OFFERS THE LATEST SCREENING, DIAGNOSTIC AND THERAPY TREATMENTS, AND IS ACCREDITED BY THE AMERICAN COLLEGE OF RADIOLOGY AS A CENTER OF EXCELLENCE. THE WOMEN'S CANCER CENTER IS DEDICATED TO THE PREVENTION AND TREATMENT OF GYNECOLOGICAL CANCERS. RESIDENCY PROGRAMS KAPI'OLANI IS THE OFFICIAL PEDIATRIC AND OBSTETRIC TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. EACH YEAR, KAPI'OLANI INVESTS MORE THAN $6,471,000 EACH YEAR INTO TEACHING AND RESEARCH TO TRAIN THE STATE'S NEXT GENERATION OF PEDIATRICIANS AND OBSTETRICIANS. THE RESIDENCY PROGRAMS HAVE LAUNCHED THE CAREERS OF HUNDREDS OF PHYSICIANS WHO WILL LEAD HAWAI'I'S COMMUNITIES IN CARING AND ADVOCATING FOR THE WOMEN AND CHILDREN OF HAWAI'I AND THE PACIFIC REGION. IN ADDITION, KAPI'OLANI IS A LEADER IN COMMUNITY HEALTH CARE EDUCATION AND ADVOCACY. IT STRIVES TO HAVE A POSITIVE INFLUENCE ON PUBLIC POLICY FOR THE BENEFIT OF HAWAI'I'S WOMEN AND CHILDREN. THE HOSPITAL 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 ALSO RUNS 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. 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. AN ESTABLISHED CHARITY CARE POLICY SETS GUIDELINES IN WHICH PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. IN FISCAL YEAR 2010, THE HOSPITAL PROVIDED ALMOST $25 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 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDEN 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 RIGHTS | FORM 990, PART IV, 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 ELECT DIRECTORS AND FILL VACANCIES ON THE BOARD OF THE GOVERNING BODY. HAWAI'I PACIFIC HEALTH, AS MEMEBER, ALSO HAS THE POWER TO ELECT ONE OR MORE EX OFFICIO VOTING MEMBERS OF THE GOVERNING BODY. DESCRIPTION OF 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 RESERVED POWERS: (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 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 OEPRATED BY THE CORPORATION; (XI) AFTER CONSULTING WITH THE BOARD, REMOVE THE EXECUTIVE VICE PRESEIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, TREASURER, SECRETARY, OTHER EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIENTS, 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. | |
| REVIEW OF THE 990S BY THE ORGANIZATION'S GOVERNING BODY | FORM 990, PART VI, LINE 11A | VARIOUS SCHEDULES OF THE 990S ARE PREPARED PRIMARILY BY STAFF WITHIN THE ACCOUNTING AREA OF THE ORGANIZATION WORKING WITH VARIOUS OTHER AREAS OF THE ORGANIZATION SUCH AS MANAGEMENT OF 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 990'S WILL BE POSTED TO HPH'S WEB SITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURNS WITH THE IRS. |
| MONITORING & ENFORCING CONFLICT OF INTEREST POLICY | FORM 990, PART VI, LINE 12C | ANNUALLY, EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTE 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 WIHT 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 ITNEREST 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, 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. |
| DISCLOSURE OF GOV DOCS, CONFLICT OF INTEREST POLICY & 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 STAEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE. |
| SCHEDULE J-2, COLUMN B | INDIVIDUALS 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 LERCH 40.0 LEWIS .3 LONG 32.0 MASUMOTO-NONAKA 20.0 OKABE 35.0 PRESSLER-FISHER 45.0 RAETHAL 15.0 ROBERTSON 15.0 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 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 OKABE 3.0 PRESSLER-FISHER 1.0 RAETHAL 5.0 ROBERTSON 8.0 STED 2.0 VARA 10.0 KAPI'OLANI MEDICAL SPECIALISTS C.R. CHING 3.0 CHAIKO 1.0 INOUYE 2.0 K. MATSUMOTO .2 KUSANO .9 LERCH 1.0 LEWIS 1.3 OKABE 1.0 RAETHAL 5.0 ROBERTSON 1.0 SMITH 5.0 STED 1.0 PROVIDERS INSURANCE CORPORATION ASHTON .1 C.R. CHING 2.0 OKABE 1.0 STED 1.0 VARA 5.0 STRAUB CLINIC & HOSPITAL ASHTON 2.0 C.R. CHING 3.0 CHAIKO 5.0 DIAS 2.0 FOX 10.0 GLADSTONE 50.0 INOUYE 6.0 KUSANO 20.0 LERCH 6.0 LEWIS 15.0 MASUMOTO-NONAKA 12.0 OKABE 6.0 PETERS 1.0 PRESSLER-FISHER 2.0 RAETHAL 10.0 ROBERTSON 15.0 STED 3.0 VARA 15.0 STRAUB FOUNDATION C.R. CHING .5 LEWIS .5 OKABE .5 STED 1.0 VARA .1 WILCOX HEALTH FOUNDATION C.R. CHING .5 LEWIS .5 OKABE .5 STED 1.0 VARA .1 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 2 | IN GENERAL, AMOUNTS REPORTED WITH RELATED ORGANIZATIONS ARE DETERMINED BASED ON MARKET VALUES FOR SIMILAR ITEMS OR SERVICES. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| HAWAI'I PACIFIC HEALTH | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990246363 | HOLDING CO. | HI | 501(C)(3) | 11B TYPE II | NA |
| PROVIDERS INSURANCE CORPORATION | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 710893000 | NFP INSURANCE | HI | 501 (C)(3) | 11B TYPE II | NA |
| KAPI'OLANI HEALTH FOUNDATION | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990246364 | FUNDRAISING | HI | 501 (C)(3) | 7 | NA |
| KAPI'OLANI MEDICAL SPECIALISTS | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990322406 | HEALTHCARE | HI | 501 (C)(3) | 9 | NA |
| KAPI'OLANI MEDICAL CENTER AT PALI MOMI | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990274038 | HOSPITAL | HI | 501 (C)(3) | 3 | NA |
| WILCOX MEMORIAL HOSPITAL | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990074365 | HOSPITAL | HI | 501 (C)(3) | 3 | NA |
| KAUA'I MEDICAL CLINIC | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990326099 | HOSPITAL | HI | 501(C)(3) | 3 | NA |
| STRAUB CLINIC & HOSPITAL | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 912151670 | HOSPITAL | HI | 501(c)(3) | 3 | NA |
| STRAUB FOUNDATION | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990109350 | RESEARCH/EDU | HI | 501(C)(3) | 7 | NA |
| WILCOX HEALTH FOUNDATION | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990204242 | FUNDRAISING | HI | 501(C)(3) | 7 | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAWAI'I PACIFIC HEALTH PARTNERS INC& SUB | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT STREET 24TH FLOOR | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990318588 | EIN |
| Primary Activity | HOLDING COMPANY | PrimaryActivity |
| Legal Domicile State | HI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (18 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| PROVIDERS INSURANCE CORPORATION | |
| Q | 3284661 |
| KAPI'OLANI HEALTH FOUNDATION | |
| C | 743061 |
| KAPI'OLANI MEDICAL SPECIALISTS | |
| P | 6113884 |
| KAPI'OLANI MEDICAL SPECIALISTS | |
| O | 283955 |
| KAPI'OLANI MEDICAL SPECIALISTS | |
| Q | 78786 |
| KAPI'OLANI MEDICAL CENTER AT PALI MOMI | |
| N | 1819652 |
| KAPI'OLANI MEDICAL CENTER AT PALI MOMI | |
| P | 1402119 |
| KAPI'OLANI MEDICAL CENTER AT PALI MOMI | |
| O | 1671224 |
| KAPI'OLANI MEDICAL CENTER AT PALI MOMI | |
| Q | 1237732 |
| STRAUB CLINIC & HOSPITAL | |
| P | 758965 |
| STRAUB CLINIC & HOSPITAL | |
| N | 74033 |
| STRAUB CLINIC & HOSPITAL | |
| O | 432061 |
| STRAUB CLINIC & HOSPITAL | |
| Q | 134469 |
| WILCOX MEMORIAL HOSPITAL | |
| O | 277111 |
| KAUA'I MEDICAL CLINIC | |
| 0 | |
| STRAUB FOUNDATION | |
| 0 | |
| WILCOX HEALTH FOUNDATION | |
| 0 | |
| HAWAI'I PACIFIC HEALTH PARTNERS INC & SUB | |
| 0 | |