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HAWAII PACIFIC HEALTH: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
HAWAII PACIFIC HEALTH (EIN 99-0246363)
Tax period
2009-07-01 to 2010-06-30
Filed
2011-05-09
IRS object ID
201121299349300032
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-05-09T09:28:36-04:00Timestamp
Tax Period End Date2010-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN990246363EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HAWAI'I PACIFIC HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHAWANameControl
Phone8085357401Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameEarl InouyeName
TitleVP & System ControllerTitle
Date Signed2011-05-09DateSigned

Preparer Preparer

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

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonCHARLES A STEDNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Gross Receipts112406012GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.HAWAIIPACIFICHEALTH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionHAWAI'I PACIFIC HEALTH IS A NONPROFIT HEALTH CARE SYSTEM THAT IS COMMITTED TO PROVIDING THE HIGHEST QUALITY & MOST ACCESSIBLE MEDICAL CARE AND SERVICE TO THE PEOPLE OF HAWAI'I AND THE PACIFIC REGION.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members7NbrIndependentVotingMembers
Total Nbr Employees926TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI79792TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year7959105ContributionsGrantsPriorYear
Contributions Grants Current Year8755865ContributionsGrantsCurrentYear
Program Service Revenue Prior Year89448423ProgramServiceRevenuePriorYear
Program Service Revenue CY96975552ProgramServiceRevenueCY
Investment Income Prior Year-16896828InvestmentIncomePriorYear
Investment Income Current Year6397606InvestmentIncomeCurrentYear
Other Revenue Prior Year73354OtherRevenuePriorYear
Other Revenue Current Year124117OtherRevenueCurrentYear
Total Revenue Prior Year80584054TotalRevenuePriorYear
Total Revenue Current Year112253140TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year271473GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY405020GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year60501675SalariesEtcPriorYear
Salaries Etc Current Year64277400SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year1630187TotalFundrsngExpCurrentYear
Other Expense Prior Year47499888OtherExpensePriorYear
Other Expenses Current Year45934949OtherExpensesCurrentYear
Total Expenses Prior Year108273036TotalExpensesPriorYear
Total Expenses Current Year110617369TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-27688982RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1635771RevenuesLessExpensesCY
Total Assets BOY303402116TotalAssetsBOY
Total Assets EOY197686070TotalAssetsEOY
Total Liabilities BOY437820665TotalLiabilitiesBOY
Total Liabilities EOY342445963TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-134418549NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-144759893NetAssetsOrFundBalancesEOY
Mission DescriptionHAWAI`I PACIFIC HEALTH IS A NONPROFIT HEALTH CARE SYSTEM THAT IS COMMITTED TO PROVIDING THE HIGHEST QUALITY AND MOST ACCESSIBLE MEDICAL CARE AND SERVICE TO THE PEOPLE OF HAWAI`I AND THE PACIFIC REGION.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense69828125Expense
Grants405020Grants
Revenue96895870Revenue
DescriptionSEE SCHEDULE ODescription
Total Program Service Expense69828125TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096375NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees926NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members7NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Own WebsiteXOwnWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonDONNA MASUDA-KAMNamePerson
Telephone Number8085357355TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (41 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
KAREN CHANG
BOARD OF DIRECTOR0.3X000
CLINTON R CHURCHILL
BOARD OF DIRECTOR0.8X000
PAMELA DOHRMAN
BOARD OF DIRECTOR0.6X000
DALE GLENN MD
BOARD OF DIRECTOR0.3X020639621976
FAYE KURREN
BOARD OF DIRECTOR0.3X000
COLBERT M MATSUMOTO
BOARD OF DIRECTOR0.3X000
KENNETH T NAKAMURA MD
BOARD OF DIRECTOR1.0X360212028823
DAVID T PIETSCH JR
CHAIR, BOARD OF DIRECTOR0.7X000X
KENN SARUWATARI MD
VICE CHAIR, BOARD OF DIRECTOR0.4X035795826121X
DENNIS SCHEPPERS MD
BOARD OF DIRECTOR0.4X029484724799
CHARLES A STED
PRESIDENT & CEO, BOARD OF DIR.32.0X20109910283726X
MELVIN VENTURA
BOARD OF DIRECTOR0.6X000
DON WILCOX MD
BOARD OF DIRECTOR0.4X000
MARK WONG
BOARD OF DIRECTOR0.3X000
GERI YOUNG MD
BOARD OF DIRECTOR0.3X426559034170
DAVID OKABE
EVP, CFO & TREASURER35.08281390109283X
RAYMOND P VARA JR
EVP & CEO OF OPERATIONS5.013898830182347X
KENNETH B ROBBINS MD
EVP & CMO10.08613670126959X
GAIL LERCH
EVP40.06230210100175X
VIRGINIA PRESSLER-FISHER MD
EVP45.05874080106744X
CHARLES R CHING
EVP, GEN'L COUNSEL & SECRETARY30.0545613079218X
STEVEN ROBERTSON
EVP & CIO15.0447932093805X
EARL INOUYE
VP & SYSTEM CONTROLLER25.0338063033175X
ARTHUR GLADSTONE
VP & CNE5.0397128043542X
HILTON RAETHEL
VP15.0304447014689X
SUSAN MASUMOTO-NONAKA
VP20.0260504040021X
WARREN CHAIKO
VP15.0287396030756X
MELINDA ASHTON MD
MEDICAL DIRECTOR40.0328748035227X
DAVID FOX
PRIVACY&INFO SECURITY OFFICER4.0111240017249X
JESSICA LEWIS
ASSISTANT CORPORATE SECRETARY0.398248011015X
KATIE SHIGEMITSU
COMPLIANCE OFFICER0.1237230026301X
PRUDENCE KUSANO
COMPLIANCE OFFICER0.1164208013630X
TERRY LONG
VP32.0250732035958X
COLBERT SETO
DIR. OF INFORMATION TECHNOLOGY40.0212311025997X
MARTHA SMITH
COO KMCWC0.14443500117815X
JENNIE CHAHANOVICH
COO KMCPM0.1326322021396X
KATHLEEN CLARK
CEO WMH0.1295251017319X
DELIA KNUDSEN
VP HR OPERATIONS16.0284750025807X
SHARON TOURVILLE
CNE & VP HOSPITAL OPER. KMCWC0.127335609040X
KENNETH PIERCE MD
FORMER DIRECTOR0.017453200X
ROBERT SCHULZ MD
FORMER DIRECTOR0.0063924124073X
FieldValueIRS element (for citing)
Total Reportable Comp From Org12869941TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1498442TotalReportableCompFrmRltdOrgs
Total Other Compensation1761156TotalOtherCompensation
Number Individuals GT100 K148NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
EPIC SYSTEMS CORPORATION
5301 TORAT BOULEVARDMADISONWI53711MEDICAL RECORD SYSTE3303050
XEROX CORPORATION
PO BOX 7413PASADENACA911097413XEROX COPIERS1190582
CAREFUSION SOLUTIONS LLC
1952 SOLUTIONS CENTERCHICAGOIL606771009PYXIS PHARMACEUTICAL896221
CARDINAL HEALTH
PO BOX 100316PASADENACA911890316MEDICAL SUPPLIES788753
CERIDIAN EMPLOYER SERVICES
PO BOX 10989NEWARKNJ071930989PAYROLL PROCESSING &517727
FieldValueIRS element (for citing)
Number Of Contractors GT100 K54NumberOfContractorsGT100K
Federated Campaigns8130FederatedCampaigns
Related Organizations261623RelatedOrganizations
Government Grants8053428GovernmentGrants
All Other Contributions432684AllOtherContributions
Noncash Contributions205085NoncashContributions
Total Contributions8755865TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
ADMIN/MGT SERVICES TO TAX EXEMPT AFFILIATES561000948354329475564079792
CLINICAL TRIALS54171010912541091254
INDIRECT COSTS900099932475932475
NET PATIENT REVENUE624190328044328044
RESTRICTED CASH ADJMTS900099-211653-211653
FieldValueIRS element (for citing)
Total Program Service Revenue96975552TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6409339TotalRevenueColumn
Exclusion$6,409,339ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real174038Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real49921Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real124117Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column124117TotalRevenueColumn
Exclusion$124,117ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities88077Securities
Other3141Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities102951Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-14874Securities
Other3141Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-11733TotalRevenueColumn
Exclusion-$11,733ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column112253140TotalRevenueColumn
Related Or Exempt Function Income96895760RelatedOrExemptFunctionIncome
Unrelated Business Revenue79792UnrelatedBusinessRevenue
Exclusion$6,521,723ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total405020Total
Program Services405020ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total9092472Total
Program Services6637505ProgramServices
Management And General2454967ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total45181297Total
Program Services26492816ProgramServices
Management And General17487950ManagementAndGeneral
Fundraising1200531Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1755692Total
Program Services951035ProgramServices
Management And General765657ManagementAndGeneral
Fundraising39000Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total4872211Total
Program Services3795176ProgramServices
Management And General865019ManagementAndGeneral
Fundraising212016Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3375728Total
Program Services1918490ProgramServices
Management And General1375978ManagementAndGeneral
Fundraising81260Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1310990Total
Program Services96304ProgramServices
Management And General1214686ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total177483Total
Program Services49172ProgramServices
Management And General128311ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total54000Total
Management And General54000ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total2208Total
Management And General2208ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total9707750Total
Program Services4374307ProgramServices
Management And General5324281ManagementAndGeneral
Fundraising9162Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total2611178Total
Program Services29617ProgramServices
Management And General2581561ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1081030Total
Program Services568196ProgramServices
Management And General511382ManagementAndGeneral
Fundraising1452Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total6727547Total
Program Services3077156ProgramServices
Management And General3650391ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3565318Total
Program Services3474971ProgramServices
Management And General90347ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total409031Total
Program Services180463ProgramServices
Management And General228568ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total172287Total
Program Services83252ProgramServices
Management And General89035ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total1411186Total
Program Services1411186ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3470238Total
Program Services2902226ProgramServices
Management And General490926ManagementAndGeneral
Fundraising77086Fundraising

Insurance Insurance

FieldValueIRS element (for citing)
Total93140Total
Program Services5981ProgramServices
Management And General87159ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
PROGRAM SERVICE EXPENDITURES1266878212668782
OTHER PURCHASES14720726741897882069677
OTHER EXPENSE1000709322819684253

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total110617369Total
Program Services69828125ProgramServices
Management And General39159057ManagementAndGeneral
Fundraising1630187Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY33975710BOY
EOY37845551EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY913624BOY
EOY2910423EOY
FieldValueIRS element (for citing)
Accounts ReceivableAccountsReceivable

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY5206EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1268596BOY
EOY1259044EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis76661574LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec50652858LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY23257111BOY
EOY26008716EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY150613572BOY
EOY29381391EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY27848610BOY
EOY38829406EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY65524893BOY
EOY61446333EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY303402116BOY
EOY197686070EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY20459433BOY
EOY19282434EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY302461066BOY
EOY177877792EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY25000000BOY
EOY20000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY89900166BOY
EOY125285737EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY437820665BOY
EOY342445963EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-143455190BOY
EOY-149352971EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY6981730BOY
EOY2424743EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY2054911BOY
EOY2168335EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY-134418549BOY
EOY-144759893EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY303402116BOY
EOY197686070EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3XSupportingOrganization509a3
Supporting Org509a3 Type2XSupportingOrg509a3Type2
Certification CheckboxXCertificationCheckbox
Contrib By Controlling IndividualfalseContribByControllingIndividual
Contribution By Related PartyfalseContributionByRelatedParty
Contrib By35 Controlled EntityfalseContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (3 entries)

EINEINType Of OrganizationTypeOfOrganizationListed In Governing DocListedInGoverningDocSupported Organization NotifiedSupportedOrganizationNotifiedOrganized In USOrganizedInUSAmountAmount
KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN
99017735003truetruetrue$30,105,003
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
99027403803truetruetrue$11,439,986
WILCOX MEMORIAL HOSPITAL
99007436503truetruetrue$7,749,242
FieldValueIRS element (for citing)
Total Number Of Supported Orgs3TotalNumberOfSupportedOrgs
Sum Of Amounts49294231SumOfAmounts

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$54,000OtherActivitiesAmount
Total Lobbying Expenditures IIB54000TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3
Form4720 Filed4912 TaxfalseForm4720Filed4912Tax

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLOBBYING ACTIVITYIdentifier
Return ReferencePART II-B, LINE 1IReturnReference
ExplanationA REGISTERED LOBBYIST (LINDA CHU-TAKAYAMA) PROVIDES GENERAL ADVICE ON LEGISLATIVE ACTIVITIES INCLUDING INFORMATION AND INSIGHT ON LEGISLATIVE ACTIONS THAT MAY BE OF INTEREST TO HAWAI'I PACIFIC HEALTH ("HPH"). THE INDIVIDUAL ALSO PROVIDES GUIDANCE AND INSIGHT ON HOW TO NEGOTIATE THROUGH THE LEGISLATIVE PROCESS WHEN TRYING TO PASS LEGISLATION AS WELL AS INFORMATION AND INSIGHT ON THE GENERAL ACTIVITIES OF WHAT'S HAPPENING AT THE LEGISLATURE. THE INDIVIDUAL DOES SPEAK TO LEGISLATORS, SOMETIMES ON BEHALF OF LEGISLATION OR ISSUES IN WHICH HPH HAS AN INTEREST. THE INDIVIDUAL ALSO HAS AN INPUT ON HPH'S OVERALL LEGISLATIVE/COMMUNITY COMMUNICATION PLAN BUT DOES NOT SEND MAILINGS OUT TO LEGISLATORS OR THE PUBLIC ON HPH'S BEHALF.Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance18984408BeginningOfYearBalance
Other Expenditures1339991OtherExpenditures
End Of Year Balance17644417EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance22012121BeginningOfYearBalance
Other Expenditures3027713OtherExpenditures
End Of Year Balance18984408EndOfYearBalance
FieldValueIRS element (for citing)
Board Designated EOY Balance1.00000BoardDesignatedEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis12453290OtherCostOrOtherBasis
Book Value12453290BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1167680OtherCostOrOtherBasis
Depreciation760064Depreciation
Book Value407616BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis7874314OtherCostOrOtherBasis
Depreciation7452628Depreciation
Book Value421686BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis50129984OtherCostOrOtherBasis
Depreciation42206319Depreciation
Book Value7923665BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis5036306OtherCostOrOtherBasis
Depreciation233847Depreciation
Book Value4802459BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings26008716TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives

Closely Held Equity Interests CloselyHeldEquityInterests

FieldValueIRS element (for citing)
Book Value20995285BookValue
Method Of ValuationFMethodOfValuation

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HPH BOARD DESIGNATED7834121F
CERTIFICATE OF DEPOSIT10000000C
FieldValueIRS element (for citing)
Total Of Book Value Securities38829406TotalOfBookValueSecurities

Other Assets OtherAssets (15 entries)

DescriptionDescriptionBook ValueBookValue
BENEFICIAL INTEREST46111999
DEFERRED BOND ISSUANCE COST4028948
SECURITY PLEDGE FOR CREDITORS6930000
LIFE INSURANCE - CSV2208996
ALL OTHER ASSETS7249
DUE FROM KAPI'OLANI FOUNDATION97727
DUE FROM KEAHONUIOKALANI1833
DUE FROM HICORD9920
DUE FROM HAWAI'I PACIFIC PTRS61932
DUE FROM KAPI'OLANI SPECIALIST460697
DUE FROM STRAUB FOUNDATION1274
DUE FROM PROVIDERS INSURANCE62692
DUE FROM WILCOX FOUNDATION15075
DEFERRED CHARGES997327
OTHER RECEIVABLES450664
FieldValueIRS element (for citing)
Total Book Value Other Assets61446333TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
ACCRUED PENSION BENEFIT COST$112,035,314
FHB LOAN PAYABLE$5,000,000
OTHER LONG TERM LIABILITY$7,987,441
DUE TO KAPI'OLANI FOUNDATION$204,197
DUE TO KAPI'OLANI MEDICAL SPECIALISTS$57,551
DUE TO KAUA'I MEDICAL CLINIC$1,234
FieldValueIRS element (for citing)
Total Of Amounts125285737TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSCHEDULE D, PART X, LINE 2Identifier
Return ReferenceFIN 48 FOOTNOTEReturnReference
ExplanationFOLLOWING IS THE FIN 48 FOOTNOTE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF HAWAI'I PACIFIC HEALTH. 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 F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (3 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConducted
Central America and the CaribbeanInvestments
North AmericaInvestments
Europe (Including Iceland and Greenland)Investments

Form990 Schedule F Part IV Form990ScheduleFPartIV

FieldValueIRS element (for citing)
IdentifierFOREIGN INVESTMENTSIdentifier
Return ReferenceSchedule F, Part IVReturnReference
ExplanationTHE INVESTMENT COMMITTEE OF HAWAI'I PACIFIC HEALTH HAS CHOSEN TO DIVERSIFY ITS INVESTMENT PORTFOLIO, INCLUDING CERTAIN ALTERNATIVE INVESTMENTS THAT ARE ESTABLISHED AS PARTNERSHIPS. THESE PARTNERSHIPS ARE NOT OPERATING ENTITIES. HAWAI'I PACIFIC HEALTH'S DIRECT INVESTMENT IS MADE IN PARTNERSHIPS, AND THESE ENTITIES MAY MAKE UNDERLYING INVESTMENTS IN OTHER CERTAIN FOREIGN PARTNERSHIPS AND/OR CORPORATIONS.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
HAWAI'I PACIFIC UNIVERSITY
1060 BISHOP STREET SUITE 400HONOLULUHI96813990113930501(C)(3)18000GENERAL SUPPORT
AMERICAN CANCER SOCIETY
2370 NUUANU AVENUEHONOLULUHI96817990073489501(C)(3)9000GENERAL SUPPORT
UNIVERSITY OF HAWAI'I FOUNDATION
2444 DOLE STREETHONOLULUHI96822990085260501(C)(3)235900GENERAL SUPPORT
HAWAI'I PRIMARY CARE ASSOCIATION
990268275501(C)(3)7895GENERAL SUPPORT
BOYS & GIRLS CLUB OF HAWAI'I
996005407501(C)(3)8000GENERAL SUPPORT
HONOLULU ACADEMY OF ARTS
990079713501(C)(3)10000GENERAL SUPPORT
JUVENILE DIABETIS RESEARCH
231907729501(C)(3)6000GENERAL SUPPORT
KOMEN RACE FOR THE CURE
752844635501(C)(3)10000GENERAL SUPPORT
UNIVERSITY OF HAWAI'I FOUNDATION
990085260501(C)(3)7500HALL OF HONOR
HAWAI'I DEPARTMENT OF HUMAN SERVICES
1390 MILLER STHONOLULUHI96813996001089GOVERNMENT100000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants9TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierFORM 990, SCHEDULE I, PART I, LINE 2Identifier
Return ReferenceDESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTSReturnReference
ExplanationTHE HAWAI'I PACIFIC HEALTH ("HPH") DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)(3) ORGANIZATIONS ON AN ANNUAL BASIS. NO FURTHER MONITORING IS NECESSARY AS DONATIONS ARE MADE ONLY TO 501(C)(3)ORGANIZATIONS.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (30 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DALE GLENN MD
01886090154850230208245013731022837202302
KENNETH T NAKAMURA MD
23850402781509389301826201056103890350484690
KENN SARUWATARI MD
0276143025331056484098000163210384079041876
DENNIS SCHEPPERS MD
02700850208800388209800014999031964600
CHARLES A STED
75303401893140106864302714080123180229471709272780
GERI YOUNG MD
3243240378020644330178310163390460729000
DAVID OKABE
4108930833310333915094274015009093742202639530
RAYMOND P VARA JR
6010400130473065837001660240163230157223005588780
KENNETH B ROBBINS MD
40708608310903711720109190017769098832603013780
GAIL LERCH
3201900695070233324082010018165072319601857560
VIRGINIA PRESSLER-FISHER MD
3226600639010200847076480030264069415201456270
CHARLES R CHING
3098090617390174065068962010256062483101296990
STEVEN ROBERTSON
30629906649107514206664202716305417370250480
EARL INOUYE
2290570285890804170301850299003712380527750
ARTHUR GLADSTONE
27997804329807385202101502252704406700465930
HILTON RAETHEL
2034310243960766200116380305103191360751870
SUSAN MASUMOTO-NONAKA
19787502444403818501163702838403005250234600
WARREN CHAIKO
21088902647205003501165301910303181520268740
MELINDA ASHTON MD
2625700299810361970141520210750363975000
KATIE SHIGEMITSU
1728000187870456430111660151350263531000
PRUDENCE KUSANO
16413300075028760107540177838000
TERRY LONG
1621120260100626100281380782002866900469710
COLBERT SETO
199084013227000102180157790238308000
MARTHA SMITH
32889105555805990109427702353805621650420150
JENNIE CHAHANOVICH
2379380379500504340987501152103477180266790
KATHLEEN CLARK
1996240307740648530116370568203125700379910
DELIA KNUDSEN
19670402506606298001408701172003105570379440
SHARON TOURVILLE
17780802651206903603690053500282396000
KENNETH PIERCE MD
000017453200000174532000
ROBERT SCHULZ MD
06190930161390400909800014273066331400

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
HEALTH AND SOCIAL CLUB DUESSCHEDULE J, PART I, LINE 1ASOCIAL CLUB DUES PAID FOR CHARLES STED, VIRGINIA FISHER-PRESSLER, HILTON RAETHAL, RAYMOND VARA AND MICHAEL ROBINSON. THESE AMOUNTS ARE INCLUDED IN THE LISTED PERSON'S TAXABLE COMPENSATION. HEALTH CLUB DUES PAID FOR CHARLES STED AND RAYMOND VARA. THESE AMOUNTS WERE INCLUDED IN THE LISTED PERSON'S TAXABLE COMPENSATION. TRAVEL FOR COMPANIONS WAS PAID FOR CHARLES STED AND WAS INCLUDED IN HIS TAXABLE COMPENSATION. SEVERANCE PAYMENT SCHEDULE J, PART I, LINE 4A PAID TO KENNETH PIERCE, M.D. $174,532
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BAMOUNTS PAID DURING THE YEAR BY THE ORGANIZATION: JENNIE CHAHANOVICH $26,679 WARREN CHAIKO $26,874 CHARLES R. CHING $129,699 KATHLEEN CLARK $37,991 ARTHUR GLADSTONE $46,593 KIM HADDEN $21,841 EARL INOUYE $52,775 DELIA KNUDSEN $37,944 GAIL LERCH $185,756 TERRY LONG $46,971 SUSAN MASUMOTO-NONAKA $23,460 KENNETH T. NAKAMURA, M.D. $48,469 DAVID OKABE $263,953 VIRGINIA PRESSLER-FISHER, M.D. $145,627 HILTON RAETHEL $75,187 KENNETH B. ROBBINS, M.D. $301,378 STEVEN ROBERTSON $25,048 KATIE SHIGEMITSU $32,196 MARTHA SMITH $64,255 CHARLES A. STED $927,278 SHARON TOURVILLE $12,638 RAYMOND P. VARA, JR. $558,878 PAID BY RELATED ORGANIZATION: DALE GLENN, M.D. $2,302 KENN SARUWATARI, M.D. $41,876 IN RESPONSE TO NEW REGULATORY REQUIREMENTS ASSOCIATED WITH INTERNAL REVENUE CODE SECTIONS 409A AND 457(F). HAWAI'I PACFIC HEALTH ("HPH") PROVIDED AN OPTION TO ITS OFFICERS ON PAYING OUT ACCUMULATED BALANCES ON ITS VARIOUS NON-QUALIFIED DEFERRED COMPENSATION ARRANGEMENTS IN 2009 OR TO DEFER ITS DISTRIBUTION SUBJECT TO CLIFF VESTING IN ACCORDANCE WITH THE IRS APPROVED ONE TIME 409A TRANSITION RULE. CERTAIN OFFICERS SELECTED THE PAY OUT OPTION ON THE ACCUMULATED BALANCE ASSOCIATED WITH THE CAPITAL ACCUMULATION PLAN AND ITS RESTORATION PLAN DURING 2009. THE AMOUNTS PAID OUT HAVE BEEN INCLUDED IN THE W-2 OF THOSE PARTICIPANTS ELECTING THE PAYOUT OPTION. THE RESTORATION PLAN WAS DESIGNED TO RESTORE BENEFITS THAT ARE LOST DUE TO LIMITS IMPOSED BY SECTIONS 401 AND 415 OF THE INTERNAL REVENUE CODE ON COMPENSATION CONSIDERED UNDER SUCH PLANS. THE CAPITAL ACCUMULATION ACCOUNT (CAA) IS A SECTION 457(F) PROGRAM THAT WAS PREVIOUSLY AFFORDED TO EXECUTIVE OFFICERS OF THE ORGANIZATION TO PROVIDE BENEFITS ON A TAX DEFERRED BASIS. NON-FIXED PAYMENTS TO PERSON LISTED ON PART VII, SECTION A, LINE 1A SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS ARE MADE TO EXECUTIVES BASED ON SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. NON-FIXED PAYMENTS MADE TO PHYSICIANS ARE BASED ON CLINICAL PERFORMANCE MEASURES.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
STATE OF HAWAI'I DEPARTMENT OF BUDGET & FINANCE
990266961419771AA82004-04-1429447000SERIES 2004A - SEE SCHEDULE Ofalsefalse
STATE OF HAWAI'I DEPARTMENT OF BUDGET & FINANCE
990266961419771AN02010-06-1099307516SERIES 2010A - SEE SCHEDULE Ofalsefalse
STATE OF HAWAI'I DEPARTMENT OF BUDGET & FINANCE
990266961419771AC42004-01-1450000000SERIES 2004B - SEE SCHEDULE Ofalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (3 entries)

Total ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundAmount DefeasedAmountDefeasedAmount UnspentAmountUnspentIssuance Costs From ProceedsIssuanceCostsFromProceedsWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
294474003000000004398190259323762005falsefalsetruetrue
9930751797292890079417000truefalsetruetrue
5030195844300000036217600419482402005falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)

Owning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyAny Research AgreementsAnyResearchAgreementsBond Counsel Routinely EngagedBondCounselRoutinelyEngagedPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
falsetruetruetruetrue0.044000.000000.04400true
falsetruetruetruetrue0.044100.000000.04410true
falsetruetruetruetrue0.032200.000000.03220true

Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebateTerm Of HedgeTermOfHedge
TRINITY
falsefalsefalsetrue29.5truefalsefalse
(no name)
falsefalsefalsefalsefalsefalse
GOLDMAN SACHS
falsetruetruetrue29.5truefalsefalse29.6

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
FIRST HAWAIIAN BANK
DIR. IS DIR. OF HPH874025FEES & INTERESTfalse
PACIFIC MEDICAL COLLECTIONS
DIR. IS OFFICER OF HPH112746COLLECTION FEESfalse

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty
Securities Publicly TradedSecuritiesPubliclyTraded
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential

Real Estate Commercial RealEstateCommercial

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F990197000NoncashContribsRptdF990
Method Of Determining Revenuesopinions of expertsMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionFURN/CONTENTS IN BLDG., S. KING ST.Description
Number Of Contributions1NumberOfContributions
Noncash Contribs Rptd F9908085NoncashContribsRptdF990
Method Of Determining RevenuesFMVMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received1NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedtrueThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierSALE OF NON-CASH CONTRIBUTIONSIdentifier
Return ReferencePART IReturnReference
ExplanationFOR NON-CASH CONTRIBUTIONS, SUCH AS SECURITIES, THAT ARE NOT TO BE USED BY HAWAI'I PACIFIC HEALTH IN THE CONDUCT OF ITS OPERATIONS, HAWAI'I PACIFIC HEALTH ARRANGES FOR FINANCIAL INSTITUTIONS WITH EXPERTISE IN THE AREA TO ASSIST WITH THE SALE.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
PROGRAM SERVICE ACCOMPLISHMENTSFORM 990, PART III, LINE 4AFOR MORE THAN A CENTURY, RESIDENTS AND VISITORS HAVE DEPENDED ON THE HOSPITALS, CLINICS, PHYSICIANS AND STAFF OF HAWAI'I PACIFIC HEALTH ("HPH") AS THEIR TRUSTED HEALTH CARE PROVIDERS. AS THE STATE'S LARGEST HEALTH CARE PROVIDER AND LARGEST PRIVATE EMPLOYER, HPH PROVIDES A FULL RANGE OF PRIMARY, SECONDARY AND SELECT TERTIARY CARE SERVICES. THE NETWORK IS ANCHORED BY ITS FOUR NONPROFIT HOSPITALS: KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN, KAPI'OLANI MEDICAL CENTER AT PALI MOMI, STRAUB CLINIC & HOSPITAL AND WILCOX MEMORIAL HOSPITAL. THE SYSTEM EMPLOYS MORE THAN 5,400 FULL- AND PART-TIME EMPLOYEES AND HAS OVER 1,300 AFFILIATED PHYSICIANS. IN ADDITION, HUNDREDS OF PEOPLE FROM THE COMMUNITY VOLUNTEER AT THE HOSPITALS EVERY YEAR. DURING FISCAL YEAR 2010, THE FOUR HOSPITALS ADMITTED 34,278 PATIENTS FOR A TOTAL OF 158,752 PATIENT DAYS. KAUA'I MEDICAL CLINIC'S TOTAL PATIENT VISITS WERE 227,555. THE EMERGENCY ROOMS AT KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN, KAPI`OLANI MEDICAL CENTER AT PALI MOMI, STRAUB CLINIC & HOSPITAL AND WILCOX MEMORIAL HOSPITAL COMBINED TO TREAT 119,944 PATIENTS. AFFILIATES AND SUBSIDIARIES HAWAI'I PACIFIC HEALTH IS COMPRISED OF FOUR AFFILIATE HOSPITALS, 49 OUTPATIENT CLINICS AND SERVICE SITES INCLUDING KAUA'I MEDICAL CLINIC, AND THE SPECIALTY PHYSICIAN GROUP KAPI`OLANI MEDICAL SPECIALISTS. IN ADDITION, THE SYSTEM INCLUDES THREE FOUNDATIONS AND TWO SUBSIDIARIES. KAPI`OLANI HEALTH FOUNDATION, STRAUB FOUNDATION AND WILCOX HEALTH FOUNDATION MAKE UP THE FOUNDATIONS OF HAWAI'I PACIFIC HEALTH. THESE CHARITABLE ENTITIES HELP SUPPORT HEALTH RESEARCH, FACILITY ENHANCEMENTS, TECHNOLOGY INVESTMENTS, EDUCATIONAL PROGRAMS AND OTHER NECESSARY RESOURCES FOR THEIR RESPECTIVE HOSPITALS. HAWAI'I PACIFIC HEALTH PARTNERS, INC. IS A FOR-PROFIT SUBSIDIARY THAT SERVES AS THE JOINT VENTURE PARTNER WITH OTHER PROVIDERS. PROVIDERS INSURANCE CORPORATION IS A CAPTIVE INSURANCE COMPANY THAT PROVIDES PROFESSIONAL LIABILITY INSURANCE TO HAWAI'I PACIFIC HEALTH AND ITS AFFILIATES. PATIENT CARE COLLECTIVELY, THE HOSPITALS AND CLINICS OF HAWAI'I PACIFIC HEALTH LEAD THE STATE IN THE AREAS OF WOMEN'S HEALTH, PEDIATRIC CARE, CARDIOVASCULAR SERVICES, BONE AND JOINT SERVICES AND CANCER CARE. THEY RANK AMONG THE TOP HOSPITALS NATIONWIDE IN ELECTRONIC MEDICAL RECORD (EMR) ADOPTION, WITH SYSTEM-WIDE EMR IMPLEMENTATION THAT ENABLES INTEGRATED, COORDINATED CARE THROUGHOUT THE STATE. THIS STATEWIDE NETWORK OF ACUTE CARE HOSPITALS AND OUTPATIENT CLINICS INCLUDES: THE REGION'S ONLY FULL SERVICE CHILDREN'S HOSPITAL, A STATE-OF-THE-ART IMAGING CENTER ON KAUA'I, LEEWARD O'AHU'S ONLY CARDIAC CATHETERIZATION LAB, A PIONEERING BONE AND JOINT PRACTICE, A FULLY ACCREDITED SLEEP DISORDERS CENTER, THE PACIFIC REGION'S ONLY MULTI-DISCIPLINARY BURN UNIT, THE STATE'S FIRST WOMEN'S CENTER, THE STATE'S ONLY BREAST AND WOMEN'S CANCER CENTERS, AND OTHER SPECIALIZED HEALTH SERVICES CONSIDERED CRITICAL TO THE REMOTE HAWAIIAN ARCHIPELAGO. COMMUNITY ROLE/ACTIVITY AS THE STATE'S LARGEST HEALTH CARE PROVIDER, HAWAI'I PACIFIC HEALTH IS COMMITTED TO IMPROVING THE HEALTH OF ALL HAWAI'I RESIDENTS BY CONDUCTING HEALTH EDUCATION, TEACHING AND RESEARCH, AND BY SUPPORTING SIMILAR EFFORTS BY OTHER ORGANIZATIONS. IN FISCAL YEAR 2010, HAWAI'I PACIFIC HEALTH'S COMMUNITY BENEFIT PROGRAMS AMOUNTED TO $8.7 MILLION WHICH INCLUDED THE SEX ABUSE TREATMENT CENTER, KAPI'OLANI CHILD PROTECTION CENTER, HEART DISEASE PREVENTION, BREAST AND CERVICAL CANCER SCREENING FOR UNINSURED INDIVIDUALS, WOMEN AND INFANT HEALTH AND NUTRITION, REHABILITATION SERVICES, VARIOUS SUPPORT GROUPS, FREE GLUCOSE MONITORING AND BLOOD PRESSURE SCREENING, HEMOPHILIA PROGRAM COORDINATION, AND MANY OTHER EDUCATION AND SCREENINGS FOR HAWAI'I RESIDENTS ON THE LATEST HEALTH, WELLNESS AND PREVENTION STRATEGIES. IN FISCAL 2010, ITS MEDICAL SPECIALISTS DELIVERED FREE PUBLIC HEALTH EDUCATION PROGRAMS THAT HELPED THOUSANDS OF INDIVIDUALS LEARN THE LATEST STRATEGIES FOR PREVENTING OR MANAGING HEART ATTACKS, CANCER, ARTHRITIS, ASTHMA, ALLERGIES, STRESS, OSTEOPOROSIS, OBESITY AND DRUG ABUSE. THEY INCLUDED KIDS FEST, LIVING HEALTHY IN PARADISE, WOMEN'S WAY TO HEALTH, CANCER CARE: CURRENT ISSUES, BREATHE WITH EASE, VALENTINE IN PARADISE AND GETTING A GRIP ON ARTHRITIS. TO TRAIN HEALTH CARE PROVIDERS FOR THE NEXT GENERATION, HAWAI'I PACIFIC HEALTH HAS STRONG ALLIANCES WITH THE UNIVERSITY OF HAWAII'S JOHN A. BURNS SCHOOL OF MEDICINE AND HAWAI'I PACIFIC UNIVERSITY. AS A MAJOR PEDIATRIC AND OB/GYN TRAINING FACILITY FOR THE UNIVERSITY OF HAWAI'I, HAWAI'I PACIFIC HEALTH INVESTS MORE THAN $6,471,000 EACH YEAR INTO TEACHING AND RESEARCH. KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN IS ACTIVELY INVOLVED IN CLINICAL TRIALS. OTHER RESEARCH AREAS OF FOCUS INCLUDE PEDIATRICS, ONCOLOGY, OPHTHALMOLOGY AND CARDIOLOGY. PUBLIC POLICY HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO OFFER THOUGHTFUL AND INNOVATIVE INPUT TO LAWMAKERS REGARDING HEALTH CARE POLICY AND LEGISLATION. THE ORGANIZATION'S LEADERS ARE PASSIONATE ADVOCATES FOR LEGISLATIVE REFORMS AND REGULATORY ENHANCEMENTS TO RETAIN TOP PHYSICIANS IN THE STATE AND PROVIDE GREATER STABILITY FOR ALL HEALTH CARE PROVIDERS. DURING THE MOST RECENT LEGISLATIVE SESSION, HAWAI'I PACIFIC HEALTH SUPPORTED LEGISLATION TO REFORM THE STATE'S REIMBURSEMENT SYSTEM, TO ENSURE THAT PATIENT CONFIDENTIALITY IS PROTECTED, TO ENSURE THAT COLORECTAL CANCER SCREENING IS COVERED FOR PATIENTS, AND THAT STANDARDS OF CONTINUING EDUCATION FOR NURSES ARE ESTABLISHED AS A CONDITION OF LICENSURE. OTHER IN 2010, HAWAI'I PACIFIC HEALTH SUPPORTED NUMEROUS COMMUNITY EVENTS, INCLUDING THE WOMEN'S 10K RUN, GREAT ALOHA RUN, AMERICAN HEART ASSOCIATION HEARTWALK, SUSAN G. KOMEN RACE FOR THE CURE, AMERICAN CANCER SOCIETY RELAY FOR LIFE, AND ARTHRITIS FOUNDATION ARTHRITIS WALK. IT PARTICIPATED IN THE ASIA-PACIFIC ASSOCIATION OF PEDIATRIC UROLOGY'S 10TH ANNUAL MEETING, THE 4TH COLLABORATIVE NEONATAL AND PEDIATRIC NURSES CONFERENCE, AMY THOMAS/MICHELLE ZIPPAY AND OTHER MEETINGS FOR HEALTH CARE PROFESSIONALS. IT HIRED 70 COLLEGE STUDENTS AS SUMMER INTERNS, AND SPONSORED WORKSHOPS FOR ITS MORE THAN 700 VOLUNTEERS. HAWAI'I PACIFIC HEALTH IS COMMITTED TO THE ENVIRONMENT. IN FISCAL YEAR 2010, IT CREATED A SUSTAINABILITY COMMITTEE. ALL FACILITIES IMPLEMENTED THE USE OF GREEN CLEANING PRODUCTS AND PROCEDURES TO REDUCE HAZARDOUS CHEMICALS. OAHU FACILITIES INSTALLED WATER-DISPENSING SYSTEMS TO REDUCE THE CONSUMPTION OF BOTTLED WATER, TRANSITIONED TO BULK CONDIMENTS, AND IMPLEMENTED A REUSABLE HOT-AND-COLD CUP PROGRAM. WILCOX MEMORIAL HOSPITAL BECAME EVEN MORE "GREEN" WITH ITS SOLAR FARM AND FURTHER RECYCLING OF OFFICE WASTE, COLLECTION OF RECYCLABLE ITEMS, AND REDUCTION IN WASTE. STRAUB CLINIC & HOSPITAL, KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN, AND KAPI'OLANI MEDICAL CENTER AT PALI MOMI ("PALI MOMI") COMPLETED THEIR CONVERSION TO REUSABLE SHARPS CONTAINERS. PALI MOMI BEGAN RECYCLING NEWSPAPERS AND CARDBOARD AND INSTALLED LED LIGHTS IN THE PARKING GARAGES. PALI MOMI IS THE ONLY HOSPITAL IN THE STATE TO PARTICIPATE IN HAWAIIAN ELECTRIC COMPANY'S ENERGYSCOUT FOR BUSINESS PROGRAM, WHICH REDUCES THE HOSPITAL'S ELECTRICAL CAPACITY IN AN EMERGENCY. AFFILIATES OF HAWAI'I PACIFIC HEALTH TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS THE COMMUNITY'S SAFETY NET PROVIDER OF HEALTH CARE. AN ESTABLISHED CHARITY CARE POLICY SETS GUIDELINES ON WHICH PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. HAWAI'I PACIFIC HEALTH COLLECTIVELY CONTRIBUTES MORE THAN $1 BILLION DOLLARS TO THE LOCAL AND STATE ECONOMY EACH YEAR, SUPPORTING ITS EMPLOYEES, THEIR FAMILIES, AND MANY LARGE AND SMALL BUSINESSES THROUGH PURCHASES MADE BY ITS HOSPITALS AND CLINICS. INDEPENDENT VOTING MEMBERS FORM 990, PART I, LINE 4 & PART VI, LINE 1B DURING 11 MONTHS OF THE FISCAL YEAR INDEPENDENT BOARD MEMBERS NUMBERED 8 AND AS OF JUNE 30, 2010 REPORT DATE DUE TO THE RESIGNATION OF ONE BOARD MEMBER ON MAY 27, 2010 THE NUMBER DECREASED TO 7. HOWEVER, RIGHT AFTER ITS FISCAL YEAR END HAWAI'I PACIFIC HEALTH FILLED ITS VACANT BOARD SEAT WITH ANOTHER INDEPENDENT BOARD MEMBER ON JULY 29, 2010.
REVIEW OF THE 990S BY THE GOVERNING BODYFORM 990, PART VI, LINE 11AVARIOUS 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 COMMITTEE OF HAWAI'I PACIFIC HEALTH ("HPH") BOARD PROVIDES OVERSIGHT FOR THE 990 REPORTING AND REVIEWS THE 990S PRIOR TO FILING. IN ADDITION, THE 990S FOR EACH ENTITY IS MADE AVAILABLE THROUGH A BOARD MEMBER PORTAL ON THE PARENT ENTITY'S WEB SITE PRIOR TO THE FILING OF THE 990. COPIES OF THE 990S ARE MADE AVAILABLE TO THE BOARD MEMBERS OF EACH SUBSIDIARY UNIT OF HPH AND IS PHYSICALLY LOCATED AT EACH FACILITY'S SITE FOR THE BOARD MEMBER TO REVIEW PRIOR TO FILING. THE 990S ARE POSTED TO HPH'S WEB SITE FOR PUBLIC ACCESS CONTEMPORANEOUS WITH THE FILING OF THE FORM TO THE IRS.
MONITORING & ENFORCING OF CONFLICT OF INTEREST POLICYFORM 990, PART VI, LINE 12CANNUALLY, EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) RECEIVED A COPY OF THE COI POLICY 2) HAS READ AND UNDERSTANDS THE POLICY 3) AGREES TO COMPLY WITH THE POLICY AND 4) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE IN-HOUSE LEGAL DEPARTMENT DISTRIBUTES THE STATEMENT REQUEST AND REVIEWS THE COI STATEMENTS RETURNED. IDENTIFIED CONFLICTS OF INTEREST ARE PRESENTED TO THE BOARD FOR REVIEW, DELIBERATION AND CONFIRMATION/ REFUTATION THAT A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST HAS BEEN FOUND, THE INDIVIDUAL MAY ADDRESS THE BOARD AND EXPLAIN THE TRANSACTION OR ARRANGEMENT CAUSING THE CONFLICT. AFTER THE PRESENTATION, THE INDIVIDUAL IS EXCUSED FROM THE MEETING AND SHALL NOT PARTICIPATE WITH ANY DISCUSSION OR VOTE ON MATTERS PERTAINING TO THE TRANSACTION OR ARRANGEMENT. IN MEETINGS WHERE APPLICATION OF THE COI POLICY OCCURS, THE MEETING MINUTES INCLUDE NATURE OF THE FINANCIAL INTEREST/CONFLICT, NAME(S) OF THE PERSON(S) WITH THE POTENTIAL OR ACTUAL CONFLICT, ANY ACTION TAKEN TO ASSIST IN THE DETERMINATION OF WHETHER A CONFLICT EXISTED, INCLUDING ANY DISCUSSION OF ALTERNATIVE ARRANGEMENTS, THE BOARD'S DECISION(S) REGARDING THE CONFLICT AND NAMES OF PERSON PRESENT IN THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT.
OFFICES AND POSITIONS FOR WHICH PROCESS WAS USED AND YEAR PROCESS WAS LASTCOMPLETEDFORM 990, PART VI, LINE 15A & 15B COMPENSATION FOR HAWAI'I PACIFIC HEALTH ("HPH") EXECUTIVES (VICE PRESIDENT AND ABOVE) IS SET BY THE HPH COMPENSATION COMMITTEE, WHICH IS COMPOSED SOLELY OF INDEPENDENT, COMMUNITY-BASED MEMBERS OF THE HPH BOARD OF DIRECTORS. ON AN ANNUAL BASIS THE HPH BOARD CHAIRPERSON (WHO IS INDEPENDENT) SELECTS A NEUTRAL THIRD PARTY EXECUTIVE COMPENSATION CONSULTANT TO REVIEW THE EXECUTIVES' COMPENSATION AND BENEFITS. 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 STMTSFORM 990, PART VI, LINE 19AT THIS TIME, THE HAWAI'I PACIFIC HEALTH ARTICLES OF INCORPORATION, BYLAWS, CHARTERS OF STANDING BOARD COMMITTEES, CONFLICT OF INTEREST POLICY, STANDARDS OF CONDUCT AND THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE GENERAL PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE.
SCHEDULE J-2 COLUMN BINDIVIDUALS LISTED ON SCHEDULE J-2 ALSO DEVOTE TIME TO RELATED ORGANIZATION AS LISTED BELOW: 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 RAETHEL 5.0 ROBBINS 10.0 ROBERTSON 1.0 STED 6.0 VARA 5.0 KAPI'OLANI MEDICAL CENTER AT PALI MOMI ASHTON 2.0 C.R. CHING 1.0 CHAHANOVICH 55.0 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 RAETHEL 5.0 ROBERTSON 8.0 STED 2.0 VARA 10.0 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN ASHTON 2.0 C.R. CHING 4.0 CHAIKO 15.0 FOX 10.4 GLADSTONE .5 INOUYE 5.0 KUSANO 8.7 LERCH 6.0 LEWIS 10.8 MASUMOTO-NONAKA 10.0 OKABE 4.0 PRESSLER-FISHER 1.0 RAETHEL 10.0 ROBERTSON 12.0 SMITH 55.0 STED 2.0 VARA 10.0 KAPI'OLANI MEDICAL SPECIALISTS C.R. CHING 3.0 CHAIKO 1.0 INOUYE 2.0 K.T. NAKAMURA 40.0 KUSANO .9 LERCH 1.0 LEWIS 1.3 OKABE 1.0 RAETHEL 5.0 ROBBINS .2 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 FOX 10.0 GLADSTONE 50.0 INOUYE 6.0 KURREN .2 KUSANO 20.0 LERCH 6.0 LEWIS 15.0 MASUMOTO-NONAKA 12.0 OKABE 6.0 PRESSLER-FISHER 2.0 RAETHEL 10.0 ROBBINS 40.0 ROBERTSON 15.0 SARUWATARI 40.0 SCHULZ 40.0 SHIGEMITSU 50.0 STED 3.0 VARA 15.0 STRAUB FOUNDATION C.R. CHING .5 LEWIS .5 OKABE .5 PIETSCH .1 ROBBINS .1 STED 1.0 VARA .1 WILCOX HEALTH FOUNDATION C.R. CHING .5 INOUYE .5 K. CLARK 1.0 LEWIS .5 OKABE .5 PRESSLER-FISHER 1.0 STED 1.0 WILCOX MEMORIAL HOSPITAL ASHTON 1.0 C.R. CHING 5.0 CHAIKO 5.0 FOX 4.2 GLADSTONE .5 INOUYE 12.0 K. CLARK 60.0 LERCH 1.0 LEWIS 3.9 LONG 4.0 MASUMOTO-NONAKA 9.0 OKABE 3.0 PRESSLER-FISHER 2.0 RAETHEL 5.0 ROBERTSON 8.0 STED 8.0
SCHEDULE R, PART V, LINE 2IN GENERAL, AMOUNTS REPORTED WITH RELATED ORGANIZATIONS ARE DETERMINED BASED ON MARKET VALUES FOR SIMILAR ITEMS OR SERVICES
SCHEDULE K, PART I, COLUMN FDESCRIPTION OF PURPOSELINE A REIMBURSEMENT FOR THE PURCHASE OF THE STRAUB CLINIC & HOSPITAL BUILDING LINE B TO REFUND THE SERIES 2009A BONDS ISSUED ON 04/02/2009 LINE C TO FINANCE THE CONSTRUCTION, RENOVATION, EXPANSION AND EQUIPPING OF CERTAIN PORTIONS OF THE HEALTH CARE FACILITIES OF HAWAI'I PACIFIC HEALTH AND ITS AFFILIATES

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
KAPI'OLANI MEDICAL CENTER WOMEN CHILDREN
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990177350HOSPITALHI501 (C)(3)3NA
PROVIDERS INSURANCE CORPORATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813710893000NFP INSURANCEHI501 (C)(3)11B-TYPE IINA
KAPI'OLANI HEALTH FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990246364FUNDRAISINGHI501 (C)(3)7NA
KAPI'OLANI MEDICAL SPECIALISTS
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990322406HEALTHCAREHI501 (C)(3)9NA
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
55 Merchant Street 24th FloorHONOLULUHI96813990274038HOSPITALHI501 (C)(3)3NA
WILCOX MEMORIAL HOSPITAL
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990074365HOSPITALHI501 (C)(3)3NA
WILCOX HEALTH FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990204242FUNDRAISINGHI501 (C)(3)7NA
KAUA'I MEDICAL CLINIC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990326099HOSPITALHI501 (C)(3)3NA
STRAUB CLINIC & HOSPITAL
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813912151670HOSPITALHI501 (C)(3)3NA
STRAUB FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990109350RESEARCH/EDUHI501 (C)(3)7NA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
HAWAI'I PACIFIC HEALTH PARTNERS & SUB
55 MERCHANT STREET 24TH FLOORHonoluluHI96813990318588HOLDING COMPANYHINAC CORP11221940202956241.00000
STRAUB PHARMACY INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990145107INACTIVEHISTRAUB CLINICC CORP000.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetstrueExchangeOfAssets
Rental Of Facilities To Other OrgstrueRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (58 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN
B277897
KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN
B1174407
KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN
R163614819
KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN
P1030999
KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN
I104151
KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN
N9557472
KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN
O47709182
KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN
Q78622313
PROVIDERS INSURANCE CORPORATION
C963016
PROVIDERS INSURANCE CORPORATION
N352314
KAPI'OLANI HEALTH FOUNDATION
B2079192
KAPI'OLANI HEALTH FOUNDATION
P82720
KAPI'OLANI HEALTH FOUNDATION
R956541
KAPI'OLANI HEALTH FOUNDATION
O347634
KAPI'OLANI HEALTH FOUNDATION
I91840
KAPI'OLANI HEALTH FOUNDATION
B261623
KAPI'OLANI HEALTH FOUNDATION
N1093805
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
B90300
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
C775318
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
P654692
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
R108555381
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
N6292645
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
O41912426
KAPI'OLANI MEDICAL CENTER AT PALI MOMI
Q50430634
KAPI'OLANI MEDICAL SPECIALISTS
B4028983
KAPI'OLANI MEDICAL SPECIALISTS
R445175
KAPI'OLANI MEDICAL SPECIALISTS
P228952
KAPI'OLANI MEDICAL SPECIALISTS
N1685435
KAPI'OLANI MEDICAL SPECIALISTS
O4199585
STRAUB FOUNDATION
B133041
STRAUB FOUNDATION
P58878
STRAUB FOUNDATION
O116747
STRAUB CLINIC & HOSPITAL
B255305
STRAUB CLINIC & HOSPITAL
C853421
STRAUB CLINIC & HOSPITAL
J1002852
STRAUB CLINIC & HOSPITAL
P1921683
STRAUB CLINIC & HOSPITAL
R60805515
STRAUB CLINIC & HOSPITAL
H5091821
STRAUB CLINIC & HOSPITAL
N16260385
STRAUB CLINIC & HOSPITAL
O49623213
STRAUB CLINIC & HOSPITAL
Q189083
WILCOX MEMORIAL HOSPITAL
B144165
WILCOX MEMORIAL HOSPITAL
C463060
WILCOX MEMORIAL HOSPITAL
P119526
WILCOX MEMORIAL HOSPITAL
R26461525
WILCOX MEMORIAL HOSPITAL
H620101
WILCOX MEMORIAL HOSPITAL
N4346147
WILCOX MEMORIAL HOSPITAL
O14472787
WILCOX HEALTH FOUNDATION
B801671
WILCOX HEALTH FOUNDATION
N191818
KAUA'I MEDICAL CLINIC
B2861876
KAUA'I MEDICAL CLINIC
P412269
KAUA'I MEDICAL CLINIC
R1991389
KAUA'I MEDICAL CLINIC
N3470202
KAUA'I MEDICAL CLINIC
O4895860
HAWAI'I PACIFIC HEALTH PARTNERS
N300080
HAWAI'I PACIFIC HEALTH PARTNERS
O299416
STRAUB PHARMACY
0