WILCOX MEMORIAL HOSPITAL: Form 990, tax year 2009
View the entire original 990 at ProPublica ↗
- Organization
- WILCOX MEMORIAL HOSPITAL (EIN 99-0074365)
- Tax period
- 2009-07-01 to 2010-06-30
- Filed
- 2011-05-09
- IRS object ID
- 201121299349300422
- Schema version
- 2009v1.7
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-05-09T09:28:37-04:00 | Timestamp |
| Tax Period End Date | 2010-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT ST SUITE 1900 C-120 | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2009-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990074365 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WILCOX MEMORIAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | WILC | NameControl |
| Phone | 8082451100 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT STREET 24TH FLOOR | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | EARL INOUYE | Name |
| Title | VP & SYSTEM CONTROLLER | Title |
| Phone | 8085272595 | Phone |
| Date Signed | 2011-05-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8085312037 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2009 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | KATHLEEN CLARK | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT STREET 24TH FLOOR | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 87693461 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.WILCOXHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1936 | YearFormation |
| State Legal Domicile | HI | StateLegalDomicile |
| Activity Or Mission Description | WILCOX MEMORIAL HOSPITAL'S MISSION IS TO SERVE THE KAUA'I COMMUNITY WITH ACCESSIBLE, QUALITY HEALTHCARE THAT SURPASSES EXPECTATIONS. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 11 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 557 | TotalNbrEmployees |
| Total Nbr Volunteers | 76 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 533582 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 628670 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 80001837 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 84429511 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 246580 | InvestmentIncomePriorYear |
| Investment Income Current Year | 124719 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1992305 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2353904 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 82774304 | TotalRevenuePriorYear |
| Total Revenue Current Year | 87536804 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 33072 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 32682897 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 34392682 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 42161095 | OtherExpensePriorYear |
| Other Expenses Current Year | 43267609 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 74843992 | TotalExpensesPriorYear |
| Total Expenses Current Year | 77693363 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7930312 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 9843441 | RevenuesLessExpensesCY |
| Total Assets BOY | 63975275 | TotalAssetsBOY |
| Total Assets EOY | 64333099 | TotalAssetsEOY |
| Total Liabilities BOY | 25502189 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 25607474 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 38473086 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 38725625 | NetAssetsOrFundBalancesEOY |
| Mission Description | WILCOX MEMORIAL HOSPITAL IS A NONPROFIT HOSPITAL WHOSE MISSION IS TO SERVE THE KAUA'I COMMUNITY WITH ACCESSIBLE, QUALITY HEALTHCARE THAT SURPASSES EXPECTATIONS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 9304070 | Expense |
| Revenue | 12786305 | Revenue |
| Description | OUTPATIENT E.R. - WILCOX MEMORIAL HOSPITAL ("WILCOX) HAS A 20-BED EMERGENCY DEPARTMENT THAT SERVES ALL KAUA'I RESIDENTS AND VISITORS. IN FISCAL YEAR 2010, IT HAD 22,223 ER VISITS, AND IS ON TRACK TO BE THE FIRST NEIGHBOR ISLAND FACILITY TO OBTAIN A TRAUMA III DESIGNATION. ALSO IN FY10, WILCOX SUCCESSFULLY IMPLEMENTED A TRIAGE BEST PRACTICE CALLED "RAPID TRIAGE AND IMMEDIATE BED PLACEMENT" TO DECREASE BOTH DOOR-TO-BED AND DOOR-TO-DOC TIMES. THIS ALLOWS NEWLY ARRIVING PATIENTS TO BYPASS THE TRIAGE AREA, AS WELL AS NURSE ASSESSMENT AND ER PHYSICIAN EVALUATION TO OCCUR SIMULTANEOUSLY. THE PHILOSOPHY IMPROVES SERVICE, QUALITY AND SAFETY FOR PATIENTS NEEDING EMERGENCY CARE. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 8346175 | Expense |
| Revenue | 8393042 | Revenue |
| Description | OUTPATIENT OR - WILCOX IS EQUIPPED WITH A STATE-OF-THE-ART SURGICAL CENTER WITH SIX SURGICAL SUITES, 20 SAME-DAY SURGERY BEDS, VOICE-ACTIVATED ROBOTICS AND COMPUTER-ASSISTED TECHNOLOGY. IN FISCAL YEAR 2010, THE WILCOX SURGICAL CENTER INCREASED ITS OUTPATIENT SURGERIES TO 5,870. THE CENTER OPENED IN THE SPRING OF 2006, PART OF A $10 MILLION PROJECT AND CAPITAL CAMPAIGN. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 6325218 | Expense |
| Revenue | 4531431 | Revenue |
| Description | OUTPATIENT INFUSION SERVICES - THE INFUSION CENTER AT WILCOX PROVIDES COMPREHENSIVE, CUSTOMIZED TREATMENT REGIMENS AND PROCEDURES, INCLUDING CHEMOTHERAPY AND PALLIATIVE CARE FOR ONCOLOGY AND OTHER SERVICES, SUCH AS BLOOD/PLATELET TRANSFUSIONS; IV INFUSIONS OF IV ANTIBIOTICS, ALBUMIN, IRON, REMICAIDE, RECLAST AND IVIG; IV HYDRATION; AND PHLEBOTOMY. THE HIGHLY TRAINED AND CARING STAFF HAS ACQUIRED ADVANCED CERTIFICATIONS IN ONCOLOGY AND/OR PALLIATIVE SUPPORT AND COORDINATES MEDICAL CARE WITH PRIMARY CARE PHYSICIANS, ONCOLOGISTS, NURSES, AND COMMUNITY RESOURCES. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 45887122 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Rev | 61028068 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 69862585 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Balance Sheet Amounts Reported | true | BalanceSheetAmountsReported |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | true | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 50 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 557 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Nbr Voting Governing Body Members | 11 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Own Website | X | OwnWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | DEBRA TUQUERO | NamePerson |
| Telephone Number | 8085357284 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT STREET 24TH FLOOR | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (38 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| PAUL DOUGLASS | |||||||||
| CHAIR, BOARD OF DIRECTOR | 0.2 | X | X | 0 | 0 | 0 | |||
| LYLE TABATA | |||||||||
| VICE CHAIR, BOARD OF DIRECTOR | 0.2 | X | X | 0 | 0 | 0 | |||
| SHIRLEY AKITA | |||||||||
| BOARD OF DIRECTOR | 0.2 | X | 0 | 0 | 0 | ||||
| TERENCE CAROLAN MD | |||||||||
| BOARD OF DIRECTOR | 0.2 | X | 0 | 0 | 0 | ||||
| KATHLEEN CLARK | |||||||||
| PRESIDENT & CEO, BOARD OF DIR. | 60.0 | X | X | 0 | 295251 | 17320 | |||
| JOHN CULLINEY MD | |||||||||
| BOARD OF DIRECTOR | 0.2 | X | 0 | 564442 | 24184 | ||||
| RAMON DE LA PENA | |||||||||
| BOARD OF DIRECTOR | 0.2 | X | 0 | 0 | 0 | ||||
| DOUGLAS DUVAUCHELLE MD | |||||||||
| BOARD OF DIRECTOR | 0.2 | X | 0 | 0 | 0 | ||||
| CHRISTOPHER JORDAN | |||||||||
| BOARD OF DIRECTOR | 0.2 | X | 0 | 327504 | 19573 | ||||
| CHARLES A STED | |||||||||
| BOARD OF DIRECTOR | 8.0 | X | 0 | 2010991 | 283726 | ||||
| ELLIOT MILLS | |||||||||
| BOARD OF DIRECTOR | 0.2 | X | 0 | 0 | 0 | ||||
| LYNN McCRORY | |||||||||
| BOARD OF DIRECTOR | 0.2 | X | 0 | 0 | 0 | ||||
| DAVID OKABE | |||||||||
| EVP, CFO & TREASURER | 3.0 | X | 0 | 828139 | 109283 | ||||
| KENNETH B ROBBINS MD | |||||||||
| EVP & CMO | 0.1 | X | 0 | 861367 | 126959 | ||||
| GAIL LERCH | |||||||||
| EVP | 1.0 | X | 0 | 623021 | 100175 | ||||
| VIRGINIA PRESSLER-FISHER MD | |||||||||
| EVP | 2.0 | X | 0 | 587408 | 106744 | ||||
| CHARLES R CHING | |||||||||
| EVP, GEN'L COUNSEL & SECRETARY | 5.0 | X | 0 | 545613 | 79218 | ||||
| STEVEN ROBERTSON | |||||||||
| EVP & CIO | 8.0 | X | 0 | 447932 | 93805 | ||||
| EARL INOUYE | |||||||||
| VP & SYSTEM CONTROLLER | 12.0 | X | 0 | 338063 | 33176 | ||||
| ARTHUR GLADSTONE | |||||||||
| VP & CNE | 0.5 | X | 0 | 397128 | 43542 | ||||
| HILTON RAETHEL | |||||||||
| VP | 5.0 | X | 0 | 304447 | 14689 | ||||
| SUSAN MASUMOTO-NONAKA | |||||||||
| VP | 9.0 | X | 0 | 260504 | 40022 | ||||
| WARREN CHAIKO | |||||||||
| VP | 5.0 | X | 0 | 287396 | 30757 | ||||
| THERESA RAMEY | |||||||||
| COMPLIANCE OFFICER | 20.0 | X | 0 | 113223 | 16116 | ||||
| MELINDA ASHTON MD | |||||||||
| MEDICAL DIRECTOR | 1.0 | X | 0 | 328748 | 35227 | ||||
| DAVID FOX | |||||||||
| PRIVACY&INFO SECURITY OFFICER | 4.2 | X | 0 | 111240 | 17249 | ||||
| JESSICA LEWIS | |||||||||
| ASSISTANT CORPORATE SECRETARY | 3.9 | X | 0 | 98248 | 11015 | ||||
| TERRY LONG | |||||||||
| VP | 4.0 | X | 0 | 250732 | 35958 | ||||
| KENT KIKUCHI | |||||||||
| DIRECTOR OF PHARMACY | 34.0 | 0 | 167975 | 21557 | X | ||||
| LINDA ROZELLE | |||||||||
| DIRECTOR OF CLINICAL SVC LINE | 40.0 | 167242 | 0 | 10609 | X | ||||
| BONNIE J CLARK | |||||||||
| DIRECTOR OF CLINICAL SVC LINE | 40.0 | 148468 | 0 | 11684 | X | ||||
| LINDA LEAVITT | |||||||||
| DIRECTOR OF CLINICAL SVC LINE | 40.0 | 146438 | 0 | 19521 | X | ||||
| CLYDE MILLER | |||||||||
| LEAD PHARMACIST | 40.0 | 139434 | 0 | 12728 | X | ||||
| TERRY TAYLOR | |||||||||
| PHARMACIST | 40.0 | 136166 | 0 | 12959 | X | ||||
| JOHN HARLACHER | |||||||||
| FORMER OFFICER | 0.0 | 108201 | 0 | 19651 | X | ||||
| KEOKI CLEMENTE | |||||||||
| FORMER OFFICER | 0.0 | 0 | 103335 | 15916 | X | ||||
| PAULA DIAS | |||||||||
| FORMER OFFICER | 0.0 | 0 | 270249 | 25517 | X | ||||
| LYNNE JOSEPH | |||||||||
| FORMER OFFICER | 0.0 | 0 | 207562 | 33183 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 845949 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 10330518 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 1422063 | TotalOtherCompensation |
| Number Individuals GT100 K | 40 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CLINICAL LABORATORIES OF HAWAI'I L | |||||
| PO BOX 1882 | HILO | HI | 967211882 | MEDICAL LAB TESTING | 2045084 |
| SHIOI CONSTRUCTION INC | |||||
| 4023 HALAU ST | LIHUE | HI | 96766 | CONSTRUCTION | 943796 |
| UP TO DATE CLEANERS KAUA'I | |||||
| 3145 HIKINA ROAD | KOLOA | HI | 96756 | COMMERCIAL LAUNDRY | 761760 |
| PHILIPS MEDICAL SYSTEMS | |||||
| 3000 MINUTEMAN ROAD MS 0400 | ANDOVER | MA | 01810 | IMAGING EQUIP MAINT | 609611 |
| GE HEALTHCARE | |||||
| 150 WEST CERRITOS AVENUE | ANAHEIM | CA | 92805 | MEDICAL EQUIP MAINT | 287100 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 15 | NumberOfContractorsGT100K |
| Related Organizations | 533159 | RelatedOrganizations |
| All Other Contributions | 95511 | AllOtherContributions |
| Total Contributions | 628670 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT REVENUES | 622110 | 47118229 | 47118229 |
| MEDICARE / MEDICAID REVENUE | 622110 | 36169150 | 36169150 |
| RENTAL INCOME FROM AFFILIATES | 531120 | 779757 | 779757 |
| RENTAL INCOME RELATED TO PROGRAM SERVICES | 531120 | 362375 | 362375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 84429511 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40529 | TotalRevenueColumn |
| Exclusion | $40,529 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 135366 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30925 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 104441 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 104441 | TotalRevenueColumn |
| Exclusion | $104,441 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 187937 | Securities |
| Other | 21985 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 163619 | Securities |
| Other | -37887 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 24318 | Securities |
| Other | 59872 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 84190 | TotalRevenueColumn |
| Related Or Exempt Function Income | 59872 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $24,318 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| CAFETERIA SALES | 722110 | 1019391 | 1019391 |
| SPECIAL EVENTS/CATERING | 722320 | 833199 | 833199 |
| PLANT OPERATIONS | 900099 | 292993 | 292993 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 103880 | TotalRevenueColumn |
| Related Or Exempt Function Income | 103880 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2249463 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 87536804 | TotalRevenueColumn |
| Related Or Exempt Function Income | 86738846 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $169,288 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33072 | Total |
| Program Services | 33072 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 127574 | Total |
| Program Services | 127574 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27390155 | Total |
| Program Services | 27329641 | ProgramServices |
| Management And General | 60514 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 901074 | Total |
| Program Services | 898911 | ProgramServices |
| Management And General | 2163 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3920914 | Total |
| Program Services | 3745528 | ProgramServices |
| Management And General | 175386 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2052965 | Total |
| Program Services | 2048707 | ProgramServices |
| Management And General | 4258 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 258011 | Total |
| Management And General | 258011 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1061 | Total |
| Management And General | 1061 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30916 | Total |
| Management And General | 30916 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9896275 | Total |
| Program Services | 8409422 | ProgramServices |
| Management And General | 1486853 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 69566 | Total |
| Management And General | 69566 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12436342 | Total |
| Program Services | 12354072 | ProgramServices |
| Management And General | 82270 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1058928 | Total |
| Program Services | 253312 | ProgramServices |
| Management And General | 805616 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2337046 | Total |
| Program Services | 2168067 | ProgramServices |
| Management And General | 168979 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46039 | Total |
| Program Services | 31849 | ProgramServices |
| Management And General | 14190 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2426 | Total |
| Program Services | 2426 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1501463 | Total |
| Program Services | 1501463 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5077232 | Total |
| Program Services | 4994451 | ProgramServices |
| Management And General | 82781 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1336817 | Total |
| Program Services | 1283498 | ProgramServices |
| Management And General | 53319 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| CORPORATE ALLOCATION | 4402596 | 4402596 | |
| PROVISION FOR BAD DEBT | 3512760 | 3512760 | |
| OTHER PURCHASES | 1270932 | 103964 | 1166968 |
| ALL OTHER EXPENSES | 29199 | 28335 | 864 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 77693363 | Total |
| Program Services | 69862585 | ProgramServices |
| Management And General | 7830778 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -492793 | BOY |
| EOY | -441540 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9131947 | BOY |
| EOY | 9269825 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2048575 | BOY |
| EOY | 2359363 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 78299 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 103101224 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 63244501 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40118244 | BOY |
| EOY | 39856723 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5671630 | BOY |
| EOY | 5748772 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 484952 | BOY |
| EOY | 547962 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7012720 | BOY |
| EOY | 6913695 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63975275 | BOY |
| EOY | 64333099 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3051346 | BOY |
| EOY | 8354748 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 22450843 | BOY |
| EOY | 17252726 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25502189 | BOY |
| EOY | 25607474 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 32433649 | BOY |
| EOY | 32583425 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3121769 | BOY |
| EOY | 2960816 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2917668 | BOY |
| EOY | 3181384 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38473086 | BOY |
| EOY | 38725625 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 63975275 | BOY |
| EOY | 64333099 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $1,061 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1061 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITY | Identifier |
| Return Reference | FORM 990, SCHEDULE C, PART II-B, LINE 1I | ReturnReference |
| Explanation | LOBBYING FEES WERE INCLUDED IN THE ANNUAL MEMBERSHIP DUES PAID TO HEALTHCARE ASSOCIATION OF HAWAI'I. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 1112105 | OtherCostOrOtherBasis |
| Book Value | 1112105 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 66580668 | OtherCostOrOtherBasis |
| Depreciation | 35938403 | Depreciation |
| Book Value | 30642265 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 417000 | OtherCostOrOtherBasis |
| Depreciation | 417000 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 26587081 | OtherCostOrOtherBasis |
| Depreciation | 22130355 | Depreciation |
| Book Value | 4456726 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 8404370 | OtherCostOrOtherBasis |
| Depreciation | 4758743 | Depreciation |
| Book Value | 3645627 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 39856723 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (6 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| BENEFICIAL INT IN N.A. OF FDN | 3547417 |
| BENEFICIAL INT IN PERP TRUST | 2594783 |
| OTHER RECEIVABLES | 314691 |
| UNAMORTIZED BOND COSTS | 206105 |
| DUE FROM KAPI'OLANI FOUNDATION | 43212 |
| DUE FROM WILCOX FOUNDATION | 207486 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6913695 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (8 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO GOVERNMENTAL AGENCIES | $423,923 |
| OTHER LONG TERM LIABILITIES | $24,425 |
| ALLOC OF OBLIG GRP TAX EXEMPT BONDS | $16,707,848 |
| DEFERRED CHARGES | $350 |
| DUE TO PROVIDERS INSURANCE | $87,253 |
| DUE TO HAWAI'I PACIFIC HEALTH PTRS | $135 |
| DUE TO KEAHONUIOKALANI | $8,487 |
| DUE TO STRAUB FOUNDATION | $305 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 17252726 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SCHEDULE D - FIN 48 FOOTNOTE | Identifier |
| Return Reference | PART X, LINE 2 | ReturnReference |
| Explanation | FOLLOWING IS THE FIN 48 FOOTNOTE FROM THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATION'S PARENT. THE TAXABLE AFFILIATES OF THE COMPANY UTILIZE THE LIABILITY METHOD OF ACCOUNTING FOR INCOME TAXES. UNDER THIS METHOD, DEFERRED INCOME TAX ASSETS AND LIABILITIES ARE DETERMINED BASED ON DIFFERENCES BETWEEN THE FINANCIAL REPORTING AND TAX BASIS OF ASSETS AND LIABILITIES, AND ARE MEASURED USING THE CURRENTLY EXACTED TAX RATES AND LAWS. VALUATION ALLOWANCES ARE USED TO REDUCE DEFERRED TAX ASSETS TO THEIR ESTIMATED NET REALIZABLE VALUES WHEN MANAGEMENT DETERMINES ULTIMATE RECOVERY OF THE DEFERRED TAX ASSETS IS NOT MORE LIKELY THAN NOT TO OCCUR. | Explanation |
Schedule G IRS990ScheduleG
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 986 | PersonsServed |
| Total Community Benefit Expense | 338426 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 338426 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00460 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 10785 | PersonsServed |
| Total Community Benefit Expense | 10343507 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7816546 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2526961 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03410 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11771 | PersonsServed |
| Total Community Benefit Expense | 10681933 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7816546 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2865387 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03870 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 63 | PersonsServed |
| Total Community Benefit Expense | 88856 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 23798 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 65058 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 10646 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 10646 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 4727047 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3385519 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1341528 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01810 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 18238 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 18238 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00020 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 63 | PersonsServed |
| Total Community Benefit Expense | 4844787 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3409317 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1435470 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01930 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Persons Served | 11834 | PersonsServed |
| Total Community Benefit Expense | 15526720 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11225863 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4300857 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05800 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 23306 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 23306 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 23306 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 23306 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $1,123,732 | BadDebtExpenseAmount |
| Amount Attributable To | 86435 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 22459412 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 19813927 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2645485 | MedicareSurplusOrShortfall |
| Costing Methodology Used | CostingMethodologyUsed | |
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
Form990 Schedule H Part V Form990ScheduleHPartV (3 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|
| WILCOX MEMORIAL HOSPITAL | |||||||
| 3-3420 KUHIO HIGHWAY | LIHUE | HI | 967661099 | X | X | X | |
| WILCOX MEMORIAL HOSPITAL ADULT DAYCARE | |||||||
| 2943 KRESS STREET | LIHUE | HI | 96766 | ADULT DAYCARE CLINIC | |||
| WILCOX MEMORIAL HOSPITAL REHAB | |||||||
| 4366 KUKUI GROVE STREET SUITE 202 | LIHUE | HI | 96766 | REHAB THERAPY CLINIC | |||
Form990 Schedule H Part VI Form990ScheduleHPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Income Based Criteria | N/A | IncomeBasedCriteria |
| Annual Community Benefit Expln | COMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATION'S PARENT. | AnnualCommunityBenefitExpln |
| Costing Method Used | COST TO CHARGE RATIO AND SCHEDULE H WORKSHEET WAS USED | CostingMethodUsed |
| Subsidized Health Services Expln | SUBSIDIZED HEALTH SERVICES INCLUDES COSTS ASSOCIATED WITH WILCOX MEMORIAL HOSPTIAL'S INFUSION AND DAYCARE SERVICES | SubsidizedHealthServicesExpln |
| Percent Of Total Expense Expln | BAD DEBT EXPENSE OF $3,512,760 WAS SUBTRACTED FROM TOTAL EXPENSES TO COMPUTE PERCENTAGES | PercentOfTotalExpenseExpln |
| Bad Debt Footnote | THE ESTIMATE OF BAD DEBT COST IS BASED ON THE COST TO CHARGE RATIO AND THE ESTIMATE OF CHARITY CARE COST IS BASED ON THE COST TO CHARGE RATIO ATTRIBUTED TO MANAGEMENT'S ESTIMATE OF THE PORTION OF THE UN-INSURED PATIENTS THAT COULD HAVE QUALIFIED FOR CHARITY CARE. PER THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF HAWAI'I PACIFIC HEALTH FILING ORGANIZATION'S PARENT: THE PROVISION FOR BAD DEBTS EXPENSE IS BASED UPON MANAGEMENT'S ASSESSMENT OF HISTORICAL AND EXPECTED NET COLLECTIONS, TAKING INTO CONSIDERATION HISTORICAL BUSINESS AND ECONOMIC TRENDS, TRENDS IN HEALTHCARE COVERAGES AND OTHER COLLECTION INDICATORS. PERIODICALLY THROUGHOUT THE YEAR, MANAGEMENT ASSESSES THE ADEQUACY OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS TO ESTABLISH AN APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. BAD DEBT CONSISTS OF SERVICES FOR WHICH THE COMPANY ANTICIPATED BUT DID NOT RECEIVE PAYMENT BECAUSE OF PATIENTS' UNWILLINGNESS TO PAY. BAD DEBT ALSO INCLUDES SERVICES FOR MEDICALLY INDIGENT AND/OR UNINSURED PATIENTS WHO ARE UNABLE TO PAY AND WHO MIGHT HAVE QUALIFIED FOR CHARITY CARE HAD THE PATIENT SELF-IDENTIFIED THEMSELVES AS MEDICALLY INDIGENT ALONG WITH PROVIDING INFORMATION SO THAT PROPER MEANS TESTING COULD HAVE BEEN ACCOMPLISHED TO QUALIFY THE PATIENT FOR CHARITY CARE. | BadDebtFootnote |
| Debt Collection Policy | COLLECTION PROCEDURES FOR PATIENTS WHO QUALIFY FOR CHARITY CARE OR FINANCIAL ASSISTANCE FOLLOW THE SAME POLICY AS ALL OTHER PATIENTS. IN GENERAL THE POLICY INVOLVES SENDING FOLLOW UP STATEMENTS AND DOING FOLLOW UP PHONE CALLS. PAYMENT OPTIONS ARE ALSO PRESENTED TO THE PATIENT AS PART OF THE COLLECTION PROCESS. ACCOUNTS NOT COLLECTED WITHIN THE SPECIFIED TIME PERIOD OUTLINED IN THE POLICY (HOSPITAL AND PHYSICIAN CLAIMS) ARE SENT TO A COLLECTION AGENCY FOR COLLECTIONS. | DebtCollectionPolicy |
| Number Of Facility Type Expln | 1 REHAB THERAPY CLINIC AND 1 ADULT DAYCARE CLINIC | NumberOfFacilityTypeExpln |
| Needs Assessment | THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF DEVELOPING A PLAN TO ASSESS THE COMMUNITY NEEDS IN ACCORDANCE WITH IRC SECTION 501(R) | NeedsAssessment |
| Patient Education Assistance | WHEN A PATIENT PRESENTS FOR SERVICES AND THE PATIENT DOES NOT HAVE INSURANCE COVERAGE FOR SERVICES TO BE PROVIDED, THE PATIENT OR GUARANTOR IS ASKED TO SIGN THE "SELF PAY ACKNOWLEDGEMENT" LETTER. THIS LETTER DESCRIBES THE TERMS OF THE HAWAI'I PACIFIC HEALTH ("HPH") UNINSURED DISCOUNT PROGRAM, AND BY SIGNING THE LETTER, THE PATIENT ACKNOWLEDGES THAT HE/SHE UNDERSTANDS AVAILABLE UNINSURED PAYMENT TERMS. IN MOST UNINSURED CASES, THE PATIENT WILL BE OFFERED A HAWAII STATE MEDICAL ASSISTANCE APPLICATION. THIS IS THE APPLICATION FOR THE HAWAII 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 HAWAII STATE MEDICAID/QUEST PROGRAM, THE HPH FINANCIAL ASSISTANCE PROGRAM, PAYMENT PLANS AND ANY GRANT OF FUNDING SOURCE THAT MAY BE APPROPRIATE FOR THE SERVICES PROVIDED. IN SOME CASES, HPH DETERMINES THAT A PATIENT OR GUARANTOR MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED AND FINANCIAL ASSISTANCE INFORMATION IS MAILED TO THE PATIENT. EDUCATION AND ASSISTANCE IS OFTEN PROVIDED VIA PHONE CONTACT IN THESE CASES. PAYMENT PLAN ARRANGEMENTS ARE HANDLED VIA PHONE CONTACT WITH THE PATIENT. | PatientEducationAssistance |
| Community Information | WILCOX MEMORIAL HOSPITAL ("WILCOX") HAS BEEN SERVING RESIDENTS AND VISITORS OF KAUA'I FOR MORE THAN 70 YEARS. THE LARGEST MEDICAL FACILITY ON THE ISLAND, IT IS AN ACUTE-CARE FACILITY WITH MORE THAN 22 SPECIALTIES AND A FULL SUITE OF SERVICES RANGING FROM EMERGENCY, OB/GYN AND PEDIATRICS TO CARDIOLOGY, GASTROENTEROLOGY, OPHTHALMOLOGY, PULMONOLOGY, NEPHROLOGY, COSMETIC SURGERY, INTERNAL MEDICINE, FAMILY PRACTICE, AND WOMEN'S SERVICES. IN FISCAL YEAR 2010, WILCOX HAD MORE THAN 63,000 IMAGING PROCEDURES, 22,223 ER VISITS, AND ALMOST 3,700 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. WILCOX'S GEOGRAPHIC SERVICE AREA IS THE ISLAND OF KAUA'I. DEMOGRAPHICS OF THE COMMUNITY IN FISCAL 2010 INCLUDE A KAUA'I POPULATION OF 67,091 (AND MORE THAN 900,000 VISITORS ANNUALLY), WITH 10.5 PERCENT OF RESIDENTS HAVING INCOMES BELOW THE FPG, 10.5 PERCENT OF WILCOX PATIENTS ARE UNINSURED AND 15.6 PERCENT ARE MEDICAID RECIPIENTS. THERE ARE TWO OTHER HOSPITALS IN THE COMMUNITY, AND FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS ARE PRESENT. | CommunityInformation |
| Community Building Activities | WHEN DISCHARGING PATIENTS, WILCOX MEMORIAL HOSPITAL ("WILCOX") FOLLOWS THE GUIDELINES OF THE FEDERAL CENTERS FOR MEDICARE AND MEDICAID SERVICES. THE HOSPITAL ENSURES THAT A SAFE DISCHARGE PLAN IS PROVIDED TO ALL PATIENTS. THIS MAY NECESSITATE PROVIDING PATIENTS WHO ARE LEAVING THE HOSPITAL WITH TRANSPORTATION TO A PERMANENT OR TRANSITIONAL DESTINATION. IN SOME CASES, INDIGENT PATIENTS ARE READY FOR DISCHARGE, BUT DO NOT HAVE THE ABILITY TO PAY FOR TRANSPORTATION FROM THE HOSPITAL, HOUSING, MEDICATIONS AND MEDICAL EQUIPMENT, AND/OR SPECIFIC FOODS REQUIRED AS PART OF A RESTRICTED DIET. IN THOSE SPECIAL CIRCUMSTANCES, WILCOX WILL TEMPORARILY COVER THESE COSTS. IN FISCAL 2010, WILCOX'S PAYMENTS FOR INDIGENT PATIENTS WAS $23,306. IN SOME CASES, TRANSPORTATION COSTS INCLUDED A NURSE PROVIDING MEDICALLY NECESSARY ESCORT SERVICES FOR THE PATIENT. IN ANOTHER CASE, WILCOX PURCHASED SPECIAL BABY FORMULA THAT COULD BE TOLERATED BY A NEWBORN. BY HELPING ITS MOST VULNERABLE PATIENTS OVERCOME THESE FINANCIAL BARRIERS, WILCOX IS HELPING TO ENSURE A SAFE DISCHARGE AND SMOOTH TRANSITION TO AN APPROPRIATE CARE SETTING FOR ALL PATIENTS, AS WELL AS MAKING AVAILABLE A HOSPITAL BED FOR AN ACUTE OR CRITICALLY ILL PATIENT WHO REQUIRES HOSPITAL-GRADE CARE. | CommunityBuildingActivities |
| Other Information | WILCOX MEMORIAL HOSPITAL ("WILCOX") IS DEDICATED TO PROVIDING KAUA'I WITH AFFORDABLE AND ACCESSIBLE HEALTH CARE. IN 2010, THE AMERICAN HEART ASSOCIATION RECOGNIZED WILCOX IN THREE AREAS OF EXCELLENCE: CORONARY ARTERY DISEASE - GOLD AWARD, STROKE - SILVER AWARD, AND HEART FAILURE - SILVER AWARD. WILCOX MAINTAINS AN OPEN MEDICAL STAFF IN 22 SPECIALTIES. THIS ARRANGEMENT, WHICH GRANTS HOSPITAL PRIVILEGES TO NONAFFILITATED PHYSICIAN SPECIALISTS, ALSO BROADENS WILCOX'S ABILITY TO OFFER HIGH-QUALITY, SPECIALIZED CARE TO THE COMMUNITY. WILCOX 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 WILCOX FULFILLS ITS MISSION-DRIVEN GOALS. AS AN AFFILIATE OF THE NON-PROFIT HAWAI'I PACIFIC HEALTH NETWORK, WILCOX REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE AND TO SUBSIDIZE THOSE WHO CANNOT PAY. IN ADDITION, WILCOX PLAYS AN ACTIVE ROLE IN KAUA'I'S COMMUNITY. IN FISCAL YEAR 2010, IT HOSTED VALENTINE IN PARADISE, A TELECONFERENCE ON HEART DISEASE PREVENTION AND THE WOMEN'S HEALTH SYMPOSIUM, WHICH ATTRACTED MORE THAN 200 ATTENDEES. WILCOX CO-SPONSORS THE ARTHRITIS WALK AND OLD KOLOA SUGAR MILL WALK/RUN, AND SUPPORTS THE PARADE OF LIGHTS, AMERICAN CANCER SOCIETY/RELAY FOR LIFE, KAUA'I FOOD BANK, KAUA'I LIFEGUARD ASSOCIATION, TOYS FOR TOTS, VISITOR INDUSTRY CHARITY WALK, ALZHEIMER'S MEMORY WALK AND MANY MORE COMMUNITY EVENTS. | OtherInformation |
| Affiliated Health Care System | THE HAWAI'I PACIFIC HEALTH CARE SYSTEM INCLUDES FOUR AFFILIATED HOSPITALS, 49 OUTPATIENT CLINICS AND SERVICE SITES, AND MORE THAN 1,300 PHYSICIANS. THE FOUR HOSPITALS PROVIDE ACUTE AND SPECIALTY CARE WITH 553 BEDS AND BASSINETS, AND HANDLE MORE THAN 34,000 ADMISSIONS ANNUALLY. HAWAI'I PACIFIC HEALTH, THE STATE'S LARGEST HEALTH CARE PROVIDER, IS COMMITTED TO PROVIDING THE HIGHEST QUALITY AND MOST ACCESSIBLE MEDICAL CARE AND SERVICES TO THE PEOPLE OF HAWAI'I AND THE PACIFIC REGION. | AffiliatedHealthCareSystem |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
| No Grant More Than5000 | X | NoGrantMoreThan5000 |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS | Identifier |
| Return Reference | SCHEDULE I | ReturnReference |
| Explanation | THE HAWAI'I PACIFIC HEALTH DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)(3) ORGANIZATIONS ON AN ANNUAL BASIS. NO FURTHER MONITORING IS NECESSARY SINCE DONATIONS ARE ONLY MADE TO 501(C)(3) ORGANIZATIONS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (26 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KATHLEEN CLARK | |||||||||||||
| 0 | 199624 | 0 | 30774 | 0 | 64853 | 0 | 11638 | 0 | 5682 | 0 | 312571 | 0 | 37991 |
| JOHN CULLINEY MD | |||||||||||||
| 0 | 541042 | 0 | 23400 | 0 | 0 | 0 | 9800 | 0 | 14384 | 0 | 588626 | 0 | 0 |
| CHRISTOPHER JORDAN | |||||||||||||
| 0 | 292504 | 0 | 35000 | 0 | 0 | 0 | 9800 | 0 | 9773 | 0 | 347077 | 0 | 0 |
| CHARLES A STED | |||||||||||||
| 0 | 753034 | 0 | 189314 | 0 | 1068643 | 0 | 271408 | 0 | 12318 | 0 | 2294717 | 0 | 927278 |
| DAVID OKABE | |||||||||||||
| 0 | 410893 | 0 | 83331 | 0 | 333915 | 0 | 94274 | 0 | 15009 | 0 | 937422 | 0 | 263953 |
| KENNETH B ROBBINS MD | |||||||||||||
| 0 | 407086 | 0 | 83109 | 0 | 371172 | 0 | 109190 | 0 | 17769 | 0 | 988326 | 0 | 301378 |
| 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 | 30186 | 0 | 2990 | 0 | 371239 | 0 | 52775 |
| ARTHUR GLADSTONE | |||||||||||||
| 0 | 279978 | 0 | 43298 | 0 | 73852 | 0 | 21015 | 0 | 22527 | 0 | 440670 | 0 | 46593 |
| HILTON RAETHEL | |||||||||||||
| 0 | 203431 | 0 | 24396 | 0 | 76620 | 0 | 11638 | 0 | 3051 | 0 | 319136 | 0 | 75187 |
| SUSAN MASUMOTO-NONAKA | |||||||||||||
| 0 | 197875 | 0 | 24444 | 0 | 38185 | 0 | 11638 | 0 | 28384 | 0 | 300526 | 0 | 23460 |
| WARREN CHAIKO | |||||||||||||
| 0 | 210889 | 0 | 26472 | 0 | 50035 | 0 | 11654 | 0 | 19103 | 0 | 318153 | 0 | 26874 |
| MELINDA ASHTON MD | |||||||||||||
| 0 | 262570 | 0 | 29981 | 0 | 36197 | 0 | 14152 | 0 | 21075 | 0 | 363975 | 0 | 0 |
| TERRY LONG | |||||||||||||
| 0 | 162112 | 0 | 26010 | 0 | 62610 | 0 | 28138 | 0 | 7820 | 0 | 286690 | 0 | 46971 |
| KENT KIKUCHI | |||||||||||||
| 0 | 157004 | 0 | 10971 | 0 | 0 | 0 | 8038 | 0 | 13519 | 0 | 189532 | 0 | 0 |
| LINDA ROZELLE | |||||||||||||
| 156836 | 0 | 9206 | 0 | 1200 | 0 | 9508 | 0 | 1101 | 0 | 177851 | 0 | 0 | 0 |
| BONNIE J CLARK | |||||||||||||
| 140735 | 0 | 7733 | 0 | 0 | 0 | 2163 | 0 | 9521 | 0 | 160152 | 0 | 0 | 0 |
| LINDA LEAVITT | |||||||||||||
| 137429 | 0 | 9009 | 0 | 0 | 0 | 9846 | 0 | 9675 | 0 | 165959 | 0 | 0 | 0 |
| CLYDE MILLER | |||||||||||||
| 139370 | 0 | 64 | 0 | 0 | 0 | 7944 | 0 | 4784 | 0 | 152162 | 0 | 0 | 0 |
| JOHN HARLACHER | |||||||||||||
| 105163 | 0 | 3038 | 0 | 0 | 0 | 6276 | 0 | 13375 | 0 | 127852 | 0 | 0 | 0 |
| PAULA DIAS | |||||||||||||
| 0 | 191240 | 0 | 24224 | 0 | 54785 | 0 | 11638 | 0 | 13879 | 0 | 295766 | 0 | 35942 |
| LYNNE JOSEPH | |||||||||||||
| 0 | 163920 | 0 | 25974 | 0 | 17668 | 0 | 13564 | 0 | 19619 | 0 | 240745 | 0 | 0 |
| KEOKI CLEMENTE | |||||||||||||
| 0 | 102087 | 0 | 1248 | 0 | 0 | 0 | 1848 | 0 | 14068 | 0 | 119251 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| QUESTIONS REGARDING COMPENSATION | SCHEDULE J, PART I, LINE 3 | THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, HAWAI'I PACIFIC HEALTH ("HPH"), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O FOR 990 PART VI, LINE 15A FOR THE PROCESS USED BY HPH TO DETERMINE COMPENSATION. |
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDUEL J, PART I, LINE 4B | AMOUNTS PAID OUT DURING THE YEAR BY RELATED ORGANIZATION: WARREN CHAIKO $ 26,874 CHARLES R. CHING $129,699 KATHLEEN CLARK $ 37,991 ARTHUR GLADSTONE $ 46,593 EARL INOUYE $ 52,775 GAIL LERCH $185,756 TERRY LONG $ 46,971 SUSAN MASUMOTO-NONAKA $ 23,460 DAVID OKABE $263,953 VIRGINIA PRESSLER-FISHER, M.D. $145,627 STEVEN ROBERTSON $ 25,048 HILTON RAETHEL $ 75,187 KENNETH B. ROBBINS, M.D. $301,378 CHARLES A. STED $927,278 PAULA DIAS $ 35,942 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 PHYSCIANS ARE BASED ON CLINICAL PERFORMANCE MEASURES. |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (8 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| SUPPLEMENTAL INFORMATION | TOTAL OTHER PROGRAM EXPENSES FORM 990, PART III, LINE 4D WILCOX MEMORIAL HOSPITAL ("WILCOX") WAS FOUNDED IN 1938 AND HAS BEEN TREATING THE ISLAND'S RESIDENTS AND VISITORS FOR MORE THAN SEVEN DECADES. AN AFFILIATE OF HAWAI'I PACIFIC HEALTH, THE STATE'S LARGEST HEALTH CARE PROVIDER, WILCOX IS AN ACUTE CARE HOSPITAL WITH A FULL SUITE OF SERVICES FROM EMERGENCY, OB/GYN AND PEDIATRICS TO CARDIOLOGY, GASTROENTEROLOGY, OPHTHALMOLOGY, PULMONOLOGY, NEPHROLOGY, COSMETIC SURGERY, INTERNAL MEDICINE, FAMILY PRACTICE, AND WOMEN'S SERVICES. IT HAS 71 BEDS, INCLUDING SEVEN INTENSIVE CARE BEDS, 10 BASSINETS, FIVE BIRTHING SUITES AND A 20-BED EMERGENCY DEPARTMENT. IT HAS A MEDICAL STAFF OF 169 PHYSICIANS. DURING FISCAL YEAR 2010, THE HOSPITAL ADMITTED 3,699 ACUTE CARE PATIENTS FOR A TOTAL OF 16,072 PATIENT DAYS, WITH 22,223 EMERGENCY ROOM VISITS. WILCOX CONDUCTED 1,276 INPATIENT SURGERIES, INCREASED ITS OUTPATIENT SURGERIES TO 5,870 AND PROVIDED INFUSION SERVICES TO 3,647 PATIENTS. WILCOX MEMORIAL HOSPITAL IS KAUAI'S LARGEST MEDICAL FACILITY. IT IS THE ONLY HOSPITAL IN HAWAI'I TO RECEIVE THREE QUALITY PERFORMANCE AWARDS IN ONE YEAR FROM THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES PROGRAM. THE WILCOX FAMILY IMAGING CENTER PROVIDES MRI, CT, NUCLEAR MEDICINE, ULTRASOUND, TELEMEDICINE, MAMMOGRAPHY, AND BONE DENSITOMETRY. A STATE-OF-THE-ART SURGICAL CENTER HAS SIX SURGICAL SUITES, 20 SAME-DAY SURGERY BEDS AND MORE THAN 22 SPECIALTIES. CARDIO-PULMONARY OFFERS STRESS TESTING AND RESPIRATORY THERAPY. REHABILITATION SERVICES ARE OFFERED IN PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY. HOSPITALISTS ARE ON STAFF AT ALL TIMES. ALSO, PATIENTS HAVE ACCESS TO ENDOSCOPY, CARDIOVERSION, BRONCHOSCOPY AND TRANSESOPHAGEAL ECHOCARDIOGRAPHY AND OTHER SPECIALTY PROCEDURES. WILCOX PLAYS AN ACTIVE ROLE IN KAUAI'S COMMUNITY. IT IS COMMITTED TO HEALTH EDUCATION, PREVENTION AND SUPPORT. IN FISCAL YEAR 2010, THE HOSPITAL HOSTED A VARIETY OF COMMUNITY HEALTH EDUCATION EVENTS. IN ADDITION, WILCOX SPONSORS THE ARTHRITIS WALK AND SUPPORTS THE PARADE OF LIGHTS, AMERICAN CANCER SOCIETY/RELAY FOR LIFE, KAUA'I FOODBANK, KAUA'I LIFEGUARD ASSOCIATION, TOYS FOR TOTS, VISITOR INDUSTRY CHARITY WALK, ALZHEIMER'S MEMORY WALK AND MANY MORE COMMUNITY EVENTS. WILCOX TREATS 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. IN FISCAL 2010, THE HOSPITAL PROVIDED MORE THAN $4.3 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 WILCOX MEMORIAL HOSPITAL IS A MEMBER OF THE HAWAI'I PACIFIC HEALTH OBLIGATED GROUP, WHICH HAS ISSUED VARIOUS BOND ISSUES AND IS REPORTED ON THE HAWAI'I PACIFIC HEALTH FORM 990. | |
| MEMBERS AND RIGHTS | 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 BODY. DESCRIPTION OF CLASSES OF PERSONS AND NATURE OF THEIR RIGHTS FORM 990, PART VI, LINE 7A HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER AND HAS THE POWER TO APPROVE THE ELECTION OF MEMBERS OF THE GOVERNING BODY. HAWAI'I PACIFIC HEALTH, AS MEMBER, ALSO HAS THE POWER TO ELECT ONE OR MORE EX OFFICIO VOTING MEMBERS OF THE GOVERNING BODY. DESCRIBE CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, LINE 7B HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS RESERVED POWERS TO APPROVE THE FOLLOWING: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE PRESIDENT/CHIEF EXECUTIVE OFFICER, TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, OTHER EXECUTIVE VICE-PRESIDENTS, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE OPERATING UNIT VICE-PRESIDENTS, AS SUCH TERM IS DEFINED IN THE BYLAWS; (II) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (III) AMEND THE BYLAWS; (IV) THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1)YEAR AND/OR FOR ONE MILLION DOLLAR ($1,000,000) OR MORE; (V) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (VI) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (VII) EFFECT INTER-CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (VIII) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (IX) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, OR PARTNERSHIP OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (X) EXCEPT AS OTHERWISE PROVIDED IN THE BYLAWS OR AS REQUIRED BY THE LAW OF THE STATE OF HAWAI`I, SELL, LEASE OR OTHERWISE TRANSFER FIFTY PERCENT (50%) OR MORE OF THE THEN CURRENT AMOUNT, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE TOTAL ASSETS HELD BY WILCOX MEMORIAL HOSPITAL, KAUA'I MEDICAL CLINIC AND WILCOX HEALTH FOUNDATION (THE "WILCOX AFFILIATES"); (XI) EXCEPT AS PROVIDED IN THE BYLAWS OR AS REQUIRED BY THE LAWS OF THE STATE OF HAWAI`I, SELL, LEASE OR TRANSFER OF OPERATIONS OR ACTIVITIES OF THE WILCOX AFFILIATES WHICH GENERATE FIFTY PERCENT (50%) OR MORE OF THE TOTAL NET REVENUES, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE WILCOX AFFILIATES DURING THE PRIOR FISCAL YEAR; (XII) CLOSE THE CLINICAL FACILITIES OWNED AND OPERATED BY THE CORPORATION; PROVIDED, THAT, AFTER THE EFFECTIVE DATE OF THE BYLAWS, ANY ELIMINATION OF A CLINICAL SERVICE PROVIDED BY THE CORPORATION MUST ALSO BE APPROVED BY THE BOARD; (XIII) CONVERT THE CLINIC OWNED AND OPERATED BY THE CORPORATION INTO A FACILITY NO LONGER OFFERING MEDICAL SERVICES; PROVIDED, THAT, AFTER THE EFFECTIVE DATE OF THE BYLAWS, ANY ELIMINATION OF A CLINICAL SERVICE PROVIDED BY THE CORPORATION MUST ALSO BE APPROVED BY THE BOARD; (XIV) AFTER CONSULTING WITH THE BOARD, REMOVE THE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, TREASURER, SECRETARY, OTHER EXECUTIVE VICE-PRESIDENTS, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE OPERATING UNIT VICE-PRESIDENTS; PROVIDED, HOWEVER, THAT TO REMOVE OR TERMINATE THE PRESIDENT/CHIEF EXECUTIVE OFFICER WILL REQUIRE THE PRESIDENT/CHIEF EXECUTIVE OFFICER OF THE MEMBER TO FULLY COLLABORATE AND CONSULT WITH THE BOARD AND SEEK THE BOARD'S ADVANCE CONSENT FOR SUCH REMOVAL OR TERMINATION. IF THE BOARD DOES NOT CONCUR WITH THE PROPOSED REMOVAL OR TERMINATION OF THE PRESIDENT/CHIEF EXECUTIVE OFFICER, SUCH REMOVAL OR TERMINATION WILL REQUIRE THE APPROVAL OF A MAJORITY OF THE MEMBERS ON THE MEMBER BOARD; (XV) AFTER CONSULTING WITH THE BOARD, DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG RANGE AND STRATEGIC PLANS OF THE CORPORATION; AND (XVI) AFTER CONSULTING WITH THE BOARD, DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS. THE CORPORATION SHALL NOT TAKE THE FOLLOWING ACTIONS WITHOUT FIRST OBTAINING MEMBER BOARD APPROVAL: (I) ADD ANY DIRECTOR TO THE BOARD; (II) REMOVE ANY DIRECTOR FROM THE BOARD; (III) AMEND THE ARTICLES; (IV) ENTER INTO ANY UNBUDGETED CONTRACTS ON BEHALF OF THE CORPORATION WHICH REQUIRE ANNUAL PAYMENTS ON BEHALF OF THE CORPORATION EXCEEDING ONE MILLION DOLLARS ($1,000,000) IN VALUE; (V) ACQUIRE ASSETS WORTH OVER ONE MILLION DOLLARS ($1,000,000); (VI) ACQUIRE SHARES IN ANOTHER CORPORATION; (VII) SELL, LEASE OR OTHERWISE TRANSFER FIFTY PERCENT (50%) OR MORE OF THE THEN CURRENT AMOUNT, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE TOTAL ASSETS HELD BY THE WILCOX AFFILIATES; (VIII) SELL, LEASE, EXCHANGE OR DISPOSE OF FIFTY PERCENT (50%) OR MORE OF THE PROPERTY AND ASSETS HELD BY THE CORPORATION TO ANY ENTITY THAT IS NOT AN AFFILIATE; (IX) SELL, LEASE OR TRANSFER OF OPERATIONS OR ACTIVITIES OF THE WILCOX AFFILIATES WHICH GENERATE FIFTY PERCENT (50%) OR MORE OF THE TOTAL NET REVENUES, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE WILCOX AFFILIATES DURING THE PRIOR FISCAL YEAR; (X) MERGE THE CORPORATION WITH ANY ENTITY; (XI) DISSOLVE OR LIQUIDATE THE CORPORATION; (XII) ISSUE THE CORPORATION'S MEMBERSHIP TO ANYONE OTHER THAN THE MEMBER; (XIII) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONSHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION AND ANY PERSON OR ENTITY; AND (XIV) DEVELOP A NEW LINE OF BUSINESS OR A NEW SERVICE. | FORM 990, PART VI, LINE 6 |
| REVIEW OF THE 990S BY THE ORGANIZATION'S GOVERNING BODY | VARIOUS SCHEDULES OF THE 990S ARE PREPARED PRIMARILY BY STAFF WITHIN THE ACCOUNTING AREA OF THE ORGANIZATION WORKING WITH VARIOUS OTHER AREAS OF THE ORGANIZATION SUCH AS MANAGEMENT OF THE OPERATING UNITS, HR, LEGAL, ETC. DISCLOSURE NARRATIVES ARE WRITTEN AND COMPILED INTERNALLY BASED ON INPUT AND DISCUSSION WITH FINANCIAL ANALYSTS AND THE CHIEF OPERATING OFFICER / EXECUTIVE DIRECTOR OF THE REPORTING ENTITY. THE CHIEF OPERATING OFFICER / EXECUTIVE DIRECTOR OF EACH REPORTING ENTITY REVIEWS AND APPROVES THE DISCLOSURE NARRATIVES WHICH DESCRIBES THE MISSION/PURPOSE AND PROGRAM ACCOMPLISHMENTS OF THEIR ORGANIZATION. SENIOR MANAGEMENT OF THE HEALTH CARE SYSTEM REVIEWS THE 990S OF EACH FILING ORGANIZATION WITHIN THE HEALTH CARE SYSTEM. ONCE SENIOR MANAGEMENT HAS COMPLETED ITS REVIEW, THE 990S ARE THEN PROVIDED TO THE GOVERNANCE AND NOMINATING COMMITTEE OF THE HEALTH CARE SYSTEM'S BOARD OF DIRECTORS FOR THEIR REVIEW. THE GOVERNANCE AND NOMINATING COMMITTEE OF THE PARENT ENTITY'S (HAWAI'I PACIFIC HEALTH "HPH") BOARD PROVIDES OVERSIGHT FOR THE 990 REPORTING AND REVIEWS THE 990S FOR EACH ENTITY PRIOR TO FILING. IN ADDITION, THE 990S FOR EACH ENTITY ARE MADE AVAILABLE TO THE HPH BOARD OF DIRECTORS THROUGH A BOARD MEMBER PORTAL FOR REVIEW PRIOR TO THE FILING OF THE 990. COPIES OF THE 990S ARE MADE AVAILABLE TO THE BOARD MEMBERS OF EACH SUBSIDIARY UNIT OF HPH AND ARE PHYSICALLY LOCATED AT EACH FACILITY'S SITE FOR THE BOARD MEMBER TO REVIEW PRIOR TO FILING. THE 990S WILL BE POSTED TO HPH'S WEB SITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURN WITH THE IRS. | FORM 990, PART VI, LINE 11A |
| MONITORING & ENFORCING OF CONFLICT OF INTERST POLICY | ANNUALLY, EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: - RECEIVED A COPY OF THE CONFLICT OF INTEREST ("COI") POLICY; - HAS READ AND UNDERSTANDS THE POLICY; - AGREES TO COMPLY WITH THE POLICY; AND - UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE IN-HOUSE LEGAL DEPARTMENT DISTRIBUTES THE STATEMENT REQUEST AND REVIEWS THE COI STATEMENTS RETURNED. IDENTIFIED CONFLICTS OF INTEREST ARE PRESENTED TO THE BOARD FOR REVIEW, DELIBERATION AND CONFIRMATION/REFUTATION THAT A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST HAS BEEN FOUND, THE INDIVIDUAL MAY ADDRESS THE BOARD AND EXPLAIN THE TRANSACTION OR ARRANGEMENT CAUSING THE CONFLICT. AFTER THE PRESENTATION, THE INDIVIDUAL IS EXCUSED FROM THE MEETING AND SHALL NOT PARTICIPATE WITH ANY DISCUSSION OR VOTE ON MATTERS PERTAINING TO THE TRANSACTION OR ARRANGEMENT. IN MEETINGS WHERE APPLICATION OF THE COI POLICY OCCURS, THE MEETING MINUTES INCLUDE NATURE OF THE FINANCIAL INTEREST/CONFLICT, NAME(S) OF THE PERSON(S) WITH THE POTENTIAL OR ACTUAL CONFLICT, ANY ACTION TAKEN TO ASSIST IN THE DETERMINATION OF WHETHER A CONFLICT EXISTED, INCLUDING ANY DISCUSSION OF ALTERNATIVE ARRANGEMENTS, THE BOARD'S DECISION(S) REGARDING THE CONFLICT AND NAMES OF PERSON PRESENT IN THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT. | FORM 990, PART VI, LINE 12C |
| OFFICES AND POSITIONS FOR WHICH PROCESS WAS USED, AND YEAR PROCESS WAS | 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. | LAST COMPLETED |
| DISCLOSURE OF GOV DOCS, CONFLICT OF INTEREST POLICY & FINANCIAL STMTS | THE CONFLICT OF INTEREST POLICY AND STANDARDS OF CONDUCT ARE AVAILABLE ON THE HAWAI'I PACIFIC HEALTH WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS WILL BE MADE AVAILABLE TO THE PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE. | FORM 990, PART VI, LINE 19 |
| 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 ROBBINS 10.0 ROBERTSON 15.0 STED 32.0 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 ASHTON 2.0 C.R. CHING 1.0 CHAIKO 1.0 CULLINEY 40.0 INOUYE 4.0 JOHNSON-JOSEPH 5.0 LEWIS 2.4 LONG 4.0 MASUMOTO-NONAKA 1.0 OKABE 1.0 RAETHAL 5.0 RAMEY 20.0 ROBBINS 10.0 ROBERTSON 1.0 STED 6.0 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 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 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN ASHTON 2.0 C.R. CHING 4.0 CHAIKO 15.0 DIAS 30.0 FOX 10.4 GLADSTONE .5 INOUYE 5.0 LERCH 6.0 LEWIS 10.8 MASUMOTO-NONAKA 10.0 OKABE 4.0 PRESSLER-FISHER 1.0 RAETHAL 10.0 ROBERTSON 12.0 STED 2.0 KAPI'OLANI MEDICAL SPECIALISTS C.R. CHING 3.0 CHAIKO 1.0 INOUYE 2.0 LERCH 1.0 LEWIS 1.3 MASUMOTO-NONAKA 8.0 OKABE 1.0 RAETHAL 5.0 ROBBINS .2 ROBERTSON 1.0 STED 1.0 PROVIDERS INSURANCE CORPORATION ASHTON .1 OKABE 1.0 STED 1.0 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 LERCH 6.0 LEWIS 15.0 MASUMOTO-NONAKA 12.0 OKABE 6.0 PRESSLER-FISHER 2.0 RAETHAL 10.0 ROBBINS 40.0 ROBERTSON 15.0 STED 3.0 STRAUB FOUNDATION C.R. CHING .5 LEWIS .5 OKABE .5 ROBBINS .1 STED 1.0 WILCOX HEALTH FOUNDATION C.R. CHING .5 INOUYE .5 K. CLARK 1.0 LEWIS .5 OKABE .5 PRESSLER-FISHER 1.0 STED 1.0 | |
| SCHEDULE R, PART V, LINE 2 | IN GENERAL, AMOUNTS REPORTED WITH RELATED ORGANIZATIONS ARE DETERMINED BASED ON MARKET VALUES FOR SIMILAR ITEMS OR SERVICES. | REASONABLE METHOD TO DETERMINE VALUE OF SERVICES, CASH & OTHER SERVICES |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| HAWAI'I PACIFIC HEALTH | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990246363 | HOLDING CO. | HI | 501 (C)(3) | 11B TYPE II | NA |
| PROVIDERS INSURANCE CORPORATION | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 710893000 | NFP INSURANCE | HI | 501 (C)(3) | 11B TYPE II | NA |
| KAPI'OLANI MEDICAL CTR WOMEN & CHILDREN | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990177350 | HOSPITAL | HI | 501 (C)(3) | 3 | 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 HEALTH FOUNDATION | |||||||||
| 55 MERCHANT STREET 24TH FLOOR | HONOLULU | HI | 96813 | 990204242 | FUNDRAISING | HI | 501 (C)(3) | 7 | 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 | FUNDRAISING | HI | 501 (C)(3) | 7 | NA |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAWAI'I PACIFIC HEALTH PARTNERS INC&SUB | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 MERCHANT STREET 24TH FLOOR | AddressLine1 |
| City | HONOLULU | City |
| State | HI | State |
| ZIP Code | 96813 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990318588 | EIN |
| Primary Activity | HOLDING COMPANY | PrimaryActivity |
| Legal Domicile State | HI | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C CORP | TypeOfEntity |
| Share Of Total Income | 0 | ShareOfTotalIncome |
| Share Of EOY Assets | 0 | ShareOfEOYAssets |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| KAPI'OLANI MEDICAL CTR FOR WOMEN & CHILDREN | |
| P | 277111 |
| PROVIDERS INSURANCE CORPORATION | |
| Q | 1241320 |
| KAPI'OLANI MEDICAL CENTER AT PALI MOMI | |
| P | 65984 |
| KAPI'OLANI MEDICAL CENTER AT PALI MOMI | |
| Q | 130556 |
| STRAUB CLINIC & HOSPITAL | |
| P | 243312 |
| WILCOX HEALTH FOUNDATION | |
| C | 678707 |
| WILCOX HEALTH FOUNDATION | |
| O | 63311 |
| KAUA'I MEDICAL CLINIC | |
| R | 108944 |
| KAUA'I MEDICAL CLINIC | |
| O | 1725780 |
| HAWAI'I PACIFIC HEALTH PARTNERS INC & SUB | |
| 0 | |
| KAPI'OLANI HEALTH FOUNDATION | |
| 0 | |
| KAPI'OLANI MEDICAL SPECIALISTS | |
| 0 | |
| STRAUB FOUNDATION | |
| 0 | |