2011-05-09T09:28:39-04:00 2010-06-30 ERNST & YOUNG US LLP 55 MERCHANT ST SUITE 1900 C-120 HONOLULU HI 96813 990 2009-07-01 990177350 KAPI'OLANI MEDICAL CTR WOMEN CHILDREN KAPI 8089836000 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 EARL INOUYE 2011-05-09 8085312037 2009 2016-02-24 21:20:13Z RAYMOND P VARA JR 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 274484570 false X WWW.KAPIOLANI.ORG/WOMEN-AND-CHILDREN X 1976 HI 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. 11 6 1539 500 2812 -353 2389038 1952071 243777137 257232494 -910941 1711771 1343860 1276605 246599094 262172941 12286 35113 0 0 101462397 107478492 0 0 0 111784804 117041764 213259487 224555369 33339607 37617572 168207446 184104875 29450960 27617364 138756486 156487511 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. false false 45350671 0 39675446 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. 36879953 0 59913814 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. 20947881 0 20476954 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. 98635477 0 138247615 201813982 true true false true false false false false true true false true false false false false false false true false true true false true false false false false false false false true false false false false false true true false false true 114 0 true 1539 true true true false false false false false false false false 11 6 false false false false true true true true true false false true true true true true true true true false X X DONNA MASUDA-KAM 8085357355 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 KEITH MATSUMOTO MD 0.3 X X 0 0 0 CHARLES A STED 2.0 X X 0 2010991 283726 RAYMOND P VARA JR 10.0 X X 0 1389883 182347 STEVEN AI 0.3 X 0 0 0 CHRIS ELDRIDGE 0.3 X 0 0 0 BEN GODSEY 0.3 X 0 0 0 DOUGLAS KWOCK MD 0.3 X 12000 0 0 STEPHEN LIN MD 0.3 X 41500 0 0 PETER MCNALLY MD 0.3 X 12000 0 0 JENNIFER SABAS 0.3 X 0 0 0 SHELLEY WILSON 0.3 X 0 0 0 DAVID OKABE 4.0 X 0 828139 109283 GAIL LERCH 6.0 X 0 623021 100175 VIRGINIA PRESSLER-FISHER MD 1.0 X 0 587408 106744 CHARLES R CHING 4.0 X 0 545613 79218 STEVEN ROBERTSON 12.0 X 0 447932 93805 EARL INOUYE 5.0 X 0 338063 33175 ARTHUR GLADSTONE 0.5 X 0 397128 43541 MARTHA SMITH 55.0 X 0 444350 117815 WARREN CHAIKO 15.0 X 0 287396 30756 JANA HALL 50.0 X 0 53891 1266 DAWN CHING 50.0 X 0 197193 31081 JOAN BURRITT RN 40.0 X 0 0 0 SUSAN MASUMOTO-NONAKA 10.0 X 0 260504 40021 PAULA DIAS 30.0 X 0 270249 25517 MELINDA ASHTON MD 2.0 X 0 328748 35227 ANN MK PETERS 1.0 X 0 130344 22657 PRUDENCE KUSANO 8.7 X 0 164208 13630 DAVID FOX 10.4 X 0 111240 17249 JESSICA LEWIS 10.8 X 0 98248 11015 HILTON RAETHEL 10.0 X 0 304447 14688 TERRY LONG 0.1 X 0 250732 35957 LILIA LAUREANO 40.0 X 176049 0 13330 MAVIS NIKAIDO 40.0 X 167252 0 22335 LAURA BONILLA 40.0 X 173759 0 19374 CHRISTINA TURNER 40.0 X 164719 0 13459 PAMELA GUARNERI 40.0 X 158228 0 10129 RICHARD NOVAK 40.0 X 156534 0 21071 KATHLEEN WHITT 40.0 X 150182 0 22481 RODNEY BOYCHUK MD 0.0 X 0 313163 27090 WILLOW MORTON 0.0 X 0 232437 26100 1212223 10615328 1604262 230 true true false 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 36 1917468 34603 1952071 NET PATIENT SERVICES 622110 249999659 249999659 OTHER PROGRAM SERVICE REVENUE 622110 4276658 4276658 RENTAL INCOME 531120 2905347 2905347 PREMIUM REVENUE 622110 50830 50830 257232494 1739240 1739240 0 0 12042022 12069491 -27469 -27469 -27469 23064 18365 4699 4699 0 385815 223773 162042 162042 PARKING 812930 1010838 1010838 REIMBURSEMENTS 900099 53190 53190 CAFETERIA 722110 17307 17307 28529 2812 25717 1109864 262172941 258313829 2812 1904229 35113 35113 0 0 0 425233 377202 48031 0 88358398 87546451 811947 0 12168545 11299452 869093 6526316 6467477 58839 0 3056 3056 630283 630283 4252 4252 0 289943 289943 42193522 39619163 2574359 0 79635 14253 65382 25229805 25163079 66726 3124121 447841 2676280 0 5486666 5197327 289339 63378 59214 4164 0 34861 33361 1500 3688271 3688271 0 11512980 11120984 391996 3071617 3031312 40305 CORPORATE ALLOCATION 13303500 13303500 BAD DEBT 6398579 6398579 Other Purchases 1182725 644492 538233 LOSS - EXTINGUISHMENT OF DEBT 637704 637704 All other expenses 106866 32707 74159 224555369 201813982 22741387 0 -961226 -909985 4895767 4940814 33545112 33498870 2675222 2699679 231790 280511 229833589 166260087 66553799 63573502 27965172 31976187 22704449 27262862 1618558 1618557 8978803 19163878 168207446 184104875 22976572 21891429 6474388 5725935 29450960 27617364 X 129825107 138502844 3885275 12791157 5046104 5193510 138756486 156487511 168207446 184104875 X false true true X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 4252 4252 false LOBBYING ACTIVITY FORM 990, SCHEDULE C, PART II-B, LINE 1I LOBBYING FEES WERE INCLUDED IN THE ANNUAL MEMBERSHIP DUES PAID TO HEALTHCARE ASSOCIATION OF HAWAI'I AND NACHRI. 55953629 1339991 7265301 12968 64545953 69049023 3027713 -16112020 11087 55953629 0.95000 0.05000 0.00000 true true true 289265 289265 104695349 71269182 33426167 3712538 3570508 142030 114529541 91064494 23465047 6606896 355903 6250993 63573502 BOARD DESIGNATION 27262862 F 27262862 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 19163878 0 OTHER L/T LIAB-POST RETIREMENT HLTH 158379 ALLOC OF OBLIG GRP TAX EXEMPT BONDS 4806369 DUE TO PROVIDERS INSURANCE CORP 223412 DUE TO HAWAI'I PACIFIC HEALTH PTRS 2194 DUE TO KAPI'OLANI MEDICAL SPECIALISTS 535581 5725935 ENDOWMENT FUNDS INTENDED USES FORM 990, SCHEDULE D, PART V, LINE 4 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. X false GOLF TOURNAMENT 23064 23064 405 3339 9569 5052 0 23064 23064 405 3339 9569 5052 18365 4699 true true X true X true X true true true false true true 632 482731 482731 0.00220 41102 94361074 85115986 9245088 0.04240 41734 94843805 85115986 9727819 0.04460 11 3919 415091 134412 280679 0.00130 16415059 1196697 15218362 0.06980 35113 35113 0.00020 11 3919 16865263 1331109 15534154 0.07130 11 45653 111709068 86447095 25261973 0.11590 false 2642946 228837 3017983 3993535 -975552 X true true 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 N/A COMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATION'S PARENT. COST TO CHARGE RATIO AND SCHEDULE H WORKSHEET WAS USED N/A BAD DEBT EXPENSE OF $6,398,579 WAS SUBTRACTED FROM TOTAL EXPENSES TO COMPUTE PERCENTAGES 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. 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. 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. 1 WOMEN'S SPECIALITY CARE SERVICES AND 1 GENETIC SERVICES THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF DEVELOPING A PLAN TO ASSESS THE COMMUNITY NEEDS IN ACCORDANCE WITH IRC SECTION 501(R) 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. 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. 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. 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. true X DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS FORM 990, SCHEDULE I, PART I, LINE 2 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. false true false false false false false true false 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 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. UNITED LAUNDRY DIR. IS DIR. OF KMCWC 1117856 PAYMENT OF LAUNDRY SERVICES false PACIFIC MEDICAL COLLECTIONS DIR. IS OFFICER OF KMCWC 115108 FEES false 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. 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 HAWAI'I PACIFIC HEALTH PARTNERS INC& SUB 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990318588 HOLDING COMPANY HI NA C CORP false false true false false false false false false true false false false true true true true true 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