HAWAII PACIFIC HEALTH GROUP RETURN: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
HAWAII PACIFIC HEALTH GROUP RETURN (EIN 38-3835105)
Tax period
2022-07-01 to 2023-06-30
Filed
2024-05-15
IRS object ID
202441369349316974
Schema version
2022v5.0
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)
Return2024-05-15T17:03:02+00:00ReturnTs
Tax Period End2023-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line12005 MARKET STREETAddressLine1Txt
CityPHILADELPHIACityNm
State AbbreviationPAStateAbbreviationCd
ZIP19103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN383835105EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Hawai'i Pacific Health Group ReturnBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHAWABusinessNameControlTxt
Phone8085357401PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRAYMOND P VARA JRPersonNm
Person TitleBOARD OF DIRECTOR, PRESIDENTPersonTitleTxt
Phone8085357401PhoneNum
Signature2024-05-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstCARRIE ANNPersonFirstNm
Person LastTSUTSUIPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLauren E BennettPreparerPersonNm
PTINP01787029PTIN
Phone2154485000PhoneNum
Preparation2024-05-13PreparationDt
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1RAYMOND P VARA JRBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,693,853,122GrossReceiptsAmt
Group Return For AffiliatesYes (true)GroupReturnForAffiliatesInd
All Affiliates IncludedYes (true)AllAffiliatesIncludedInd
Group Exemption5834GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HAWAIIPACIFICHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionKAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN, PALI MOMI MEDICAL CENTER, STRAUB MEDICAL CENTER AND WILCOX MEDICAL CENTER'S MISSION IS TO CREATE A HEALTHIER HAWAI'I.ActivityOrMissionDesc
Voting Members Governing Body49VotingMembersGoverningBodyCnt
Voting Members Independent27VotingMembersIndependentCnt
Total Employee5810TotalEmployeeCnt
Total Volunteers444TotalVolunteersCnt
Total Gross UBI$410,821TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$73,020NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$44,311,085PYContributionsGrantsAmt
CY Contributions Grants$5,750,743CYContributionsGrantsAmt
PY Program Service Revenue$1,518,032,914PYProgramServiceRevenueAmt
CY Program Service Revenue$1,637,485,583CYProgramServiceRevenueAmt
PY Investment Income$6,567,509PYInvestmentIncomeAmt
CY Investment Income$6,660,044CYInvestmentIncomeAmt
PY Other Revenue$6,917,435PYOtherRevenueAmt
CY Other Revenue$10,402,129CYOtherRevenueAmt
PY Total Revenue$1,575,828,943PYTotalRevenueAmt
CY Total Revenue$1,660,298,499CYTotalRevenueAmt
PY Grants And Similar Paid$1,648,527PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,735,536CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$488,909,912PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$506,833,577CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$933,849,097PYOtherExpensesAmt
CY Other Expenses$1,012,763,928CYOtherExpensesAmt
PY Total Expenses$1,424,407,536PYTotalExpensesAmt
CY Total Expenses$1,521,333,041CYTotalExpensesAmt
PY Revenues Less Expenses$151,421,407PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$138,965,458CYRevenuesLessExpensesAmt
Total Assets BOY$1,155,436,693TotalAssetsBOYAmt
Total Assets EOY$1,206,159,738TotalAssetsEOYAmt
Total Liabilities BOY$295,936,316TotalLiabilitiesBOYAmt
Total Liabilities EOY$278,505,792TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$859,500,377NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$927,653,946NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$72,604,865ExpenseAmt
Grant$0GrantAmt
Revenue$99,703,597RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$71,007,229ExpenseAmt
Grant$0GrantAmt
Revenue$174,864,256RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$51,965,170ExpenseAmt
Grant$0GrantAmt
Revenue$126,989,393RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$1,120,102,488ExpenseAmt
Grant$1,735,536GrantAmt
Revenue$1,245,869,961RevenueAmt
DescOTHER PROGRAMS HAWAI'I PACIFIC HEALTH IS ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS WITH FOUR MEDICAL CENTERS, MORE THAN 70 LOCATIONS, 1,500+ AFFILIATED PHYSICIANS, MORE THAN 7,000 EMPLOYEES, AND HUNDREDS OF VOLUNTEERS FROM THE COMMUNITY. HAWAI'I RESIDENTS AND VISITORS RELY ON HAWAI'I PACIFIC HEALTH FOR ITS FULL RANGE OF PRIMARY, SECONDARY AND SELECT TERTIARY CARE SERVICES. IN FISCAL YEAR 2023, THE MEDICAL CENTERS ADMITTED 31,186 PATIENTS. IN ADDITION, PALI MOMI HAD 89,433 PATIENT CLINIC ENCOUNTERS, STRAUB CLINICS HAD 971,118 PATIENT CLINIC ENCOUNTERS, KAUA'I MEDICAL CLINIC HAD 317,883 TOTAL PATIENT CLINIC ENCOUNTERS AND KAPI'OLANI MEDICAL SPECIALISTS HAD 259,303 PATIENT CLINIC ENCOUNTERS. AFFILIATES AND SUBSIDIARIES HAWAI'I HEALTH PARTNERS IS A PHYSICIAN-LED ACCOUNTABLE CARE ORGANIZATION WITH THE GOAL OF PROVIDING HIGH-QUALITY CARE, INCREASED EFFICIENCY AND OPTIMAL PATIENT HEALTH. KAPI'OLANI MEDICAL SPECIALISTS IS A SPECIALTY PHYSICIANS GROUP ORGANIZED TO SUPPORT KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN. KAUA'I MEDICAL CLINIC IS ORGANIZED TO SUPPORT WILCOX MEMORIAL HOSPITAL. THE FOUNDATIONS OF HAWAI'I PACIFIC HEALTH CONSIST OF KAPI'OLANI HEALTH FOUNDATION, PALI MOMI FOUNDATION, STRAUB FOUNDATION AND WILCOX HEALTH FOUNDATION. THESE CHARITABLE ENTITIES SUPPORT HEALTH RESEARCH, FACILITY ENHANCEMENTS, TECHNOLOGY INVESTMENTS, EDUCATIONAL PROGRAMS AND OTHER RESOURCES FOR THEIR RESPECTIVE MEDICAL CENTERS. HAWAI'I HEALTH PARTNERS, INC. IS A FOR-PROFIT SUBSIDIARY THAT SERVES AS THE JOINT VENTURE PARTNER WHEN HAWAI'I PACIFIC HEALTH WORKS WITH OTHER PROVIDERS. PROVIDERS INSURANCE CORPORATION IS A CAPTIVE INSURANCE COMPANY THAT PROVIDES PROFESSIONAL LIABILITY INSURANCE FOR HAWAI'I PACIFIC HEALTH-AFFILIATED EMPLOYED PHYSICIANS. PATIENT CARE HAWAI'I PACIFIC HEALTH HAS STRATEGIC INITIATIVES IN WOMEN'S HEALTH, PEDIATRIC CARE, CARDIOVASCULAR SERVICES, BONE & JOINT SERVICES, AND CANCER CARE. IT IS RECOGNIZED NATIONALLY FOR ITS EXCELLENCE IN HEALTH INFORMATION TECHNOLOGY, SPECIFICALLY THE USE OF ELECTRONIC HEALTH RECORDS TO IMPROVE QUALITY OF CARE AND PATIENT SAFETY. THE HAWAI'I PACIFIC HEALTH SYSTEM INCLUDES: THE PACIFIC REGION'S ONLY FULL-SERVICE WOMEN'S AND CHILDREN'S MEDICAL CENTER AND ONLY DEDICATED BURN UNIT, HAWAI'I'S ONLY PEDIATRIC HEART CENTER, STATE-OF-THE-ART IMAGING CENTER ON KAUA'I, WEST O'AHU'S ONLY CARDIAC CATHETERIZATION LABS, CENTRAL AND WEST O'AHU'S ONLY COMPREHENSIVE CANCER CENTER, MINIMALLY INVASIVE BONE AND JOINT CENTER, STATE'S FIRST WOMEN'S CENTER, SPECIALIZED BREAST AND WOMEN'S CANCER CENTERS, AND OTHER SERVICES CONSIDERED CRITICAL TO THE REMOTE HAWAIIAN ARCHIPELAGO. COMMUNITY ROLE/ACTIVITY AS ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS, HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO IMPROVE THE HEALTH OF HAWAI'I RESIDENTS AND, THROUGH ITS MISSION, IS COMMITTED TO CREATING A HEALTHIER HAWAI'I. EACH YEAR, HAWAI'I PACIFIC HEALTH SPONSORS HEALTH EDUCATION, TEACHING AND RESEARCH, AND SUPPORTS LIKE-MINDED ORGANIZATIONS. HAWAI'I PACIFIC HEALTH CONTINUES TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS, INCLUDING THE KAPI'OLANI SEX ABUSE TREATMENT CENTER, KAPI'OLANI CHILD ADVOCACY AND PROTECTION CENTER, HEART DISEASE PREVENTION, BREAST AND CERVICAL CANCER SCREENING FOR UNINSURED PERSONS, WOMEN AND INFANT HEALTH AND NUTRITION, REHABILITATION SERVICES, SUPPORT GROUPS, HEMOPHILIA PROGRAMS, AND OTHER EDUCATION AND SCREENINGS FOR HAWAI'I RESIDENTS ON HEALTH, WELLNESS AND DISEASE-PREVENTION STRATEGIES. IN FISCAL YEAR 2023, HAWAI'I PACIFIC HEALTH SPONSORED OR SUPPORTED NUMEROUS HEALTH EVENTS, INCLUDING "AMERICAN HEART ASSOCIATION HAWAI'I HEART WALK," "SUSAN G. KOMENMORE THAN PINK WALK," "ARTHRITIS FOUNDATION'S WALK TO CURE ARTHRITIS, MANY MORE INITIATIVES THAT PROMOTE A HEALTHIER LIFESTYLE AND HEALTHY OUTLOOK FOR PHYSICAL AND EMOTIONAL WELL BEING. IN FISCAL YEAR 2023, HAWAI'I PACIFIC HEALTH'S WOMEN'S 10K & 5K FUN RUN RETURNED TO AN IN-PERSON RACE FOR THE FIRST TIME SINCE 2019. THE EVENT DREW MORE THAN 500 RUNNERS. HPH'S WOMEN'S 10K & 5K FUN RUN IS HAWAI'I'S ONLY ALL-FEMALE SANCTIONED RACE. HAWAI'I PACIFIC HEALTH ALSO SERVED AS THE PRESENTING SPONSOR FOR THE GREAT ALOHA RUN. PROCEEDS FROM THE EVENT BENEFIT MORE THAN 150 NONPROFIT ORGANIZATIONS IN HAWAI'I. HAWAI'I PACIFIC HEALTH ALSO PARTICIPATED IN SYMPOSIA AND MEETINGS FOR HEALTH CARE PROFESSIONALS, HIRED STUDENTS AS SUMMER INTERNS, FACILITATED CLINICAL TRAINING PROGRAMS FOR PUBLIC HIGH SCHOOL STUDENTS TO EARN NATIONAL CERTIFICATION IN MEDICAL FIELDS AND SPONSORED WORKSHOPS FOR VOLUNTEERS. TO TRAIN HEALTH CARE PROVIDERS, HAWAI'I PACIFIC HEALTH HAS ALLIANCES WITH THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE AND HAWAI'I PACIFIC UNIVERSITY, PLUS WORKS CLOSELY IN PARTNERSHIP WITH THE HAWAI'I STATE DEPARTMENT OF EDUCATION. HAWAI'I PACIFIC HEALTH INVESTS EACH YEAR IN TEACHING AND RESEARCH AS A PEDIATRIC AND OB-GYN TRAINING FACILITY FOR THE UNIVERSITY OF HAWAI'I. HAWAI'I PACIFIC HEALTH IS ALSO ACTIVELY INVOLVED IN CLINICAL TRIALS AND RESEARCH THROUGH ITS VAROUS FACILITIES IN 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. HAWAI'I PACIFIC HEALTH LEADERS ADVOCATE FOR LEGISLATIVE REFORM AND REGULATORY ENHANCEMENTS FOR VARIOUS HEALTH CARE INDUSTRY ISSUES RANGING FROM RETAINING PHYSICIANS IN THE STATE TO PROVIDING STABILITY FOR HEALTH CARE PROVIDERS AND ACCESS TO CARE AND SERVICES FOR RESIDENTS ACROSS THE STATE. OTHER HAWAI'I PACIFIC HEALTH MEDICAL CENTERS TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS A SAFETY NET PROVIDER OF HEALTH CARE FOR THE COMMUNITY. AN ESTABLISHED CHARITY CARE POLICY SETS GUIDELINES BY WHICH IT IS DETERMINED IF PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. HAWAI'I PACIFIC HEALTH CONTRIBUTES MORE THAN $1 BILLION TO THE STATE ECONOMY EACH YEAR, SUPPORTING ITS MORE THAN 7,000 EMPLOYEES, THEIR FAMILIES, AND MANY BUSINESSES THROUGH PURCHASES MADE BY ITS MEDICAL CENTERS AND CLINICS. ESTIMATED PROGRAM SERVICES REVENUE IS REPORTED ON PART III, LINE 4.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$1,120,102,488TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,735,536TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$1,245,869,961TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$1,315,679,752TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtYes (true)CollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee5810EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members49GoverningBodyVotingMembersCnt
Independent Voting Member27IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldHIStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ANN HOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8085272520PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line155 MERCHANT STREET 24TH FLOORAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96813ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (93 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Andrew Rosen
Board of Director, Chair0.20Yes (X)Yes (X)$0$0$0
David Underriner
Board of Director, CEO30.010.0Yes (X)Yes (X)$0$983,391$225,626
Dawn Miura MD
Board of Director, Vice Chair0.20.1Yes (X)Yes (X)$0$9,011$0
Jennie Chahanovich
BOD, President & CEO42.014.5Yes (X)Yes (X)$0$856,593$223,586
Jerry Pupillo
Board of Director, Chair0.20Yes (X)Yes (X)$0$0$0
Michael Yamane
Board of Director, Chair0.20.4Yes (X)Yes (X)$0$0$0
Paul Toner
Board of Director, Vice Chair0.20Yes (X)Yes (X)$0$0$0
Raymond P Vara Jr
Board of Director, President8.054.1Yes (X)Yes (X)$0$2,867,542$1,366,459
Stephen Lin MD
Board of Director, Chair0.30.4Yes (X)Yes (X)$0$0$0
Todd Miller MD
Board of Director, Vice Chair40.00.0Yes (X)Yes (X)$0$711,005$19,817
Alana Pakkala
Board of Director - part year0.30Yes (X)$0$0$0
Allen Hixon MD
Board of Director0.240.0Yes (X)$0$141,165$5,647
Avi Mannis
Board of Director - part year0.20Yes (X)$0$0$0
Carl Ackerman
Board of Director0.20Yes (X)$0$0$0
Carol Ai-May
Board of Director0.20.1Yes (X)$0$0$0
Carol Fujiyoshi MD
Board of Director0.240.0Yes (X)$0$396,863$19,685
Claire Tamamoto
Board of Director0.20Yes (X)$0$0$0
David Cho MD
Board of Director40.00.2Yes (X)$0$693,033$34,658
Dennis Francis
Board of Director0.20Yes (X)$0$0$0
Douglas Duvauchelle MD
Board of Director0.20Yes (X)$0$0$0
Edward Nishioka
Board of Director0.20Yes (X)$0$0$0
Elizabeth (Lisa) Ubay
Board of Director0.20Yes (X)$0$0$0
Emily Kuraoka
Board of Director0.20Yes (X)$0$0$0
Ivica Zalud MD
Board of Director0.340.1Yes (X)$0$433,128$12,200
Jasmine Tanioka
Board of Director0.20Yes (X)$0$0$0
Jason Isa MD
Board of Director0.20.1Yes (X)$0$21,000$0
Kathy Richardson
Board of Director0.20Yes (X)$0$0$0
Kenneth T Nakamura MD
Board of Director0.228.0Yes (X)$0$275,620$21,773
Kim Hehir
Board of Director0.30Yes (X)$0$0$0
Lee Buenconsejo-Lum
Board of Director0.20.6Yes (X)$0$4,015$0
Lyle Tabata
Board of Director0.20Yes (X)$0$0$0
Mark Yamakawa
Board of Director0.30.4Yes (X)$0$0$0
Maya Rogers
Board of Director0.30Yes (X)$0$0$0
Melanie Kim MD
Board of Director40.00.0Yes (X)$0$325,097$19,987
Michael O'Malley Esq
Board of Director0.30Yes (X)$0$0$0
Michelle Ho
Board of Director0.30Yes (X)$0$0$0
Monica Price MD
Board of Director40.00.2Yes (X)$0$284,539$33,959
Nathan Tokuda MD
Board of Director0.20Yes (X)$0$0$0
Neil Manago MD
Board of Director0.20Yes (X)$0$0$0
Owen Chan MD
Board of Director0.20.0Yes (X)$0$13,213$0
Patrick O'Donnell MD
Board of Director0.340.0Yes (X)$0$628,686$35,058
Paul Eakin MD
Board of Director0.30Yes (X)$0$0$0
Robert Kurisu
Board of Director0.30Yes (X)$0$0$0
Scott Kurosawa
Board of Director0.20Yes (X)$0$0$0
Sidney Lee MD
Board of Director0.30.1Yes (X)$0$38,042$0
Tyler Chihara DPM
Board of Director0.240.0Yes (X)$0$473,072$34,658
Andrew Moats RN
VP40.00.0Yes (X)$0$312,443$86,390
Arthur Gladstone
EVP & CSO0.055.0Yes (X)$0$1,076,309$322,168
Brandon Wong
VP - part year7.040.0Yes (X)$0$241,460$76,115
Carrie Ann Tsutsui
VP & Controller13.035.4Yes (X)$0$298,669$81,513
Charles R Ching
EVP, General Counsel & Secretary8.032.0Yes (X)$0$964,630$277,063
Darla Sabry RN
VP & CNE40.00.0Yes (X)$0$328,610$35,268
David Okabe
EVP, CFO & Treasurer8.042.0Yes (X)$0$1,247,925$393,579
David Stumbaugh
VP32.08.0Yes (X)$0$291,863$93,255
Dawn Ching
VP - part year50.03.0Yes (X)$0$279,522$77,998
Dawn Dunbar
SVP0.045.0Yes (X)$0$427,166$120,296
Dean Tateyama
VP16.024.0Yes (X)$0$298,314$62,276
Douglas Kwock MD
VP34.06.0Yes (X)$0$525,329$122,721
Gidget Ruscetta RN
COO - KMCWC40.010.0Yes (X)$0$500,472$122,118
Glenn Kawabata
VP50.01.0Yes (X)$0$283,303$89,321
Gloria Brooks
COO39.01.0Yes (X)$0$338,854$76,725
James Lin MD
VP0.447.3Yes (X)$0$357,236$99,947
Jessica Lewis
Assistant Corporate Secretary14.026.0Yes (X)$0$171,486$44,093
Joan Kanemori
VP40.01.0Yes (X)$0$326,261$89,519
John McNamara
SVP & CMO16.024.0Yes (X)$0$413,407$60,230
Katie Shigemitsu
Compliance Officer18.521.5Yes (X)$0$229,191$32,842
Leslie Chun MD
EVP8.052.0Yes (X)$0$1,005,675$285,731
Lorrie-Ann Luke
VP7.034.5Yes (X)$0$300,099$92,518
Louise Fukumoto
VP16.024.0Yes (X)$0$289,643$63,221
Mathew Loughlin
VP40.00.0Yes (X)$0$210,324$40,563
Michael Foutch
VP40.00.0Yes (X)$0$36,147$109
Michael Robinson
VP0.749.3Yes (X)$0$358,366$82,470
Peter Lewis
VP & Chief Information Security Officer3.037.0Yes (X)$0$329,209$38,115
Reina (France) Graves
Privacy Officer15.224.8Yes (X)$0$131,213$35,491
Robyn Kalahiki RN
VP & CNE40.00.0Yes (X)$0$276,036$57,026
Shilpa Patel MD
SVP & CQO6.433.6Yes (X)$0$405,247$97,543
Steven Robertson
EVP & CIO5.547.0Yes (X)$0$1,350,885$283,183
Sunshine Topping
SVP9.041.0Yes (X)$0$441,947$121,585
Travis Clegg
COO50.00.0Yes (X)$0$458,477$125,633
Troy Branstetter
VP40.018.0Yes (X)$0$297,700$70,074
Warren Chaiko
SVP16.024.0Yes (X)$0$404,477$122,967
William Burke
VP16.036.0Yes (X)$0$320,250$90,629
Gary Noah-Casison RN
Director of nursing40.00$445,187$0$37,251Yes (X)
Jill Oishi Ramos RN
registered nurse40.00$411,646$0$45,213Yes (X)
Joy Matsuyama MD
FORMER DIRECTOR OF PHARMACY40.00$399,868$0$34,189Yes (X)
Laura Bonilla
Exec. Director - Pediatrics40.00$366,318$0$16,501Yes (X)
Rodney Chelliah RN
registered nurse40.00$416,357$0$24,891Yes (X)
Barbara Craft
Former Officer46.67.4$0$259,955$13,797Yes (X)
Beau Nakamoto MD
Former Officer40.00.4$0$275,231$10,613Yes (X)
Brigitte McKale
Former Officer55.00.0$0$276,194$31,499Yes (X)
Gail Lerch
Former Officer9.042.0$0$232,089$19,426Yes (X)
Kenneth B Robbins MD
Former Officer21.034.0$0$236,660$39,535Yes (X)
Melinda Ashton MD
Former Officer6.043.3$0$810,453$236,150Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,039,376TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$26,773,742TotReportableCompRltdOrgAmt
Total Other Compensation$6,532,473TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1647IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtAddress Line2ContractorAddress/USAddress/AddressLine2TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
CLINICAL LABORATORIES OF HAWAII LLP
MAILCODE NUMBER 60300PO BOX 1300HONOLULUHI968071300MEDICAL SERVICES$29,124,627
PROLINK HEALTHCARE LLC
4600 MONTGOMERY RD STE 300CINCINNATIOH45212staffing services$26,625,129
MEDEFIS INC
2121 N 117TH AVE STE 200OMAHANE68164MANAGEMENT SERVICES$25,870,791
SODEXO INC AND AFFILIATES
9801 WASHINGTONIAN BLVDGAITHERSBURGMD20878FOOD & ENVIRONMENT SERVICES$9,781,590
HI RESIDENCY PROGRAMS INC
1356 LUSITANA STREET STE 510HONOLULUHI96813MEDICAL SERVICES$7,366,043
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K173CntrctRcvdGreaterThan100KCnt
Related Organizations$5,603,259RelatedOrganizationsAmt
All Other Contributions$147,484AllOtherContributionsAmt
Noncash Contributions$52,236NoncashContributionsAmt
Total Contributions$5,750,743TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
NET PATIENT REVENUES622110$1,429,847,617$1,429,847,617
INTER-ENTITY SERVICE REVENUE900099$107,110,580$107,110,580
OTHER HEALTH CARE REVENUES622110$67,080,176$66,787,174$293,002
PREMIUM REVENUE622110$29,265,815$29,265,815
RENTAL INCOME531120$3,859,153$3,836,474$22,679

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$322,242TotalRevenueColumnAmt
Related Or Exempt Func Income$322,242RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$1,637,485,583TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,716,286TotalRevenueColumnAmt
Exclusion$3,716,286ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$199,231TotalRevenueColumnAmt
Exclusion$199,231ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$127,188RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$127,188RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$127,188TotalRevenueColumnAmt
Exclusion$127,188ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$35,837,717SecuritiesAmt
Other$113,744OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$33,061,291SecuritiesAmt
Other$145,643OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,776,426SecuritiesAmt
Other-$31,899OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,744,527TotalRevenueColumnAmt
Related Or Exempt Func Income-$52,425RelatedOrExemptFuncIncomeAmt
Exclusion$2,796,952ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$533,441GrossSalesOfInventoryAmt
Cost Of Goods Sold$347,689CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$185,752TotalRevenueColumnAmt
Exclusion$185,752ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PARKING REVENUE812930$2,563,235$2,563,235
CAFETERIA REVENUE722110$2,294,836$2,294,836
HMSA settlement payment900099$4,301,633$4,301,633

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$929,485TotalRevenueColumnAmt
Related Or Exempt Func Income$834,345RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$95,140UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$10,089,189OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,660,298,499TotalRevenueColumnAmt
Related Or Exempt Func Income$1,647,111,526RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$410,821UnrelatedBusinessRevenueAmt
Exclusion$7,025,409ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,735,536TotalAmt
Program Services$1,735,536ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$402,788,784TotalAmt
Program Services$398,729,578ProgramServicesAmt
Management And General$4,059,206ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$24,453,691TotalAmt
Program Services$24,169,935ProgramServicesAmt
Management And General$283,756ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$49,770,039TotalAmt
Program Services$39,834,188ProgramServicesAmt
Management And General$9,935,851ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$29,821,063TotalAmt
Program Services$29,548,406ProgramServicesAmt
Management And General$272,657ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,763,894TotalAmt
Management And General$2,763,894ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$92,922TotalAmt
Management And General$92,922ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$622,192TotalAmt
Management And General$622,192ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$216,461,124TotalAmt
Program Services$193,798,870ProgramServicesAmt
Management And General$22,662,254ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$399,098TotalAmt
Program Services$20,700ProgramServicesAmt
Management And General$378,398ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,538,246TotalAmt
Program Services$6,257,343ProgramServicesAmt
Management And General$280,903ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,199,688TotalAmt
Program Services$12,937,998ProgramServicesAmt
Management And General$2,261,690ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$41,207,315TotalAmt
Program Services$38,321,185ProgramServicesAmt
Management And General$2,886,130ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$458,134TotalAmt
Program Services$284,299ProgramServicesAmt
Management And General$173,835ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$154,342TotalAmt
Program Services$112,988ProgramServicesAmt
Management And General$41,354ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$16,864,266TotalAmt
Program Services$16,864,266ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$44,836,146TotalAmt
Program Services$44,836,146ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$9,660,307TotalAmt
Program Services$9,310,309ProgramServicesAmt
Management And General$349,998ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES$251,526,763$251,403,350$123,413
INTER-ENTITY PURCHASED SERVICES$240,511,298$240,511,298
CORPORATE ALLOCATION$112,931,867$112,931,867
OTHER PURCHASES$32,239,319$6,856,631$25,382,688

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$20,297,007TotalAmt
Program Services$146,726ProgramServicesAmt
Management And General$20,150,281ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$1,521,333,041TotalAmt
Program Services$1,315,679,752ProgramServicesAmt
Management And General$205,653,289ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY-$242,188BOYAmt
EOY-$432,758EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$12,158,026BOYAmt
EOY$16,375,767EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$161,636,075BOYAmt
EOY$154,178,926EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$22,738,972BOYAmt
EOY$27,415,076EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,165,577BOYAmt
EOY$2,522,996EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$1,141,490,214LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$638,224,761LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$503,246,511BOYAmt
EOY$503,265,453EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$84,848,049BOYAmt
EOY$91,086,759EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$135,893,269BOYAmt
EOY$150,291,940EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$1,618,557BOYAmt
EOY$1,618,557EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$101,844EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$231,373,845BOYAmt
EOY$259,735,178EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,155,436,693BOYAmt
EOY$1,206,159,738EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$123,921,889BOYAmt
EOY$117,132,441EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$172,014,427BOYAmt
EOY$161,373,351EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$295,936,316BOYAmt
EOY$278,505,792EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$781,319,809BOYAmt
EOY$837,204,443EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$78,180,568BOYAmt
EOY$90,449,503EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$859,500,377BOYAmt
EOY$927,653,946EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,155,436,693BOYAmt
EOY$1,206,159,738EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$138,965,458ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$18,398,326NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$89,210,215OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedfalseFSAuditedInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$92,922OtherActivitiesAmt
Total Lobbying Expenditures$92,922TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationLOBBYING EXPENSES ARE THE PORTION OF AMOUNTS PAID TO HEALTHCARE ASSOCIATIONS THAT ENGAGED IN LEGISLATIVE LOBBYING ON BEHALF OF ITS MEMBERS.ExplanationTxt

Schedule D IRS990ScheduleD

Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp

FieldValueIRS element (for citing)
Assets Included$1,808,957AssetsIncludedAmt
FieldValueIRS element (for citing)
Collection Used Pub ExhibitionYes (X)CollectionUsedPubExhibitionInd
Solicited Assets SalefalseSolicitedAssetsSaleInd

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$241,504,197BeginningYearBalanceAmt
Investment Earnings Or Losses$26,115,577InvestmentEarningsOrLossesAmt
End Year Balance$267,619,774EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$265,651,554BeginningYearBalanceAmt
Investment Earnings Or Losses-$24,147,357InvestmentEarningsOrLossesAmt
End Year Balance$241,504,197EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$213,487,581BeginningYearBalanceAmt
Investment Earnings Or Losses$52,193,682InvestmentEarningsOrLossesAmt
Other Expenditures$29,709OtherExpendituresAmt
End Year Balance$265,651,554EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$205,962,211BeginningYearBalanceAmt
Contributions$67,736ContributionsAmt
Investment Earnings Or Losses$7,620,886InvestmentEarningsOrLossesAmt
Other Expenditures$163,252OtherExpendituresAmt
End Year Balance$213,487,581EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$195,030,697BeginningYearBalanceAmt
Investment Earnings Or Losses$11,008,237InvestmentEarningsOrLossesAmt
Other Expenditures$76,723OtherExpendituresAmt
End Year Balance$205,962,211EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.9874BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.0126PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (true)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$19,720,249OtherCostOrOtherBasisAmt
Book Value$19,720,249BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$706,670,619OtherCostOrOtherBasisAmt
Depreciation$357,055,118DepreciationAmt
Book Value$349,615,501BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$54,089,789OtherCostOrOtherBasisAmt
Depreciation$32,466,387DepreciationAmt
Book Value$21,623,402BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$314,177,071OtherCostOrOtherBasisAmt
Depreciation$245,758,569DepreciationAmt
Book Value$68,418,502BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$46,832,486OtherCostOrOtherBasisAmt
Depreciation$2,944,687DepreciationAmt
Book Value$43,887,799BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$503,265,453TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
BOARD DESIGNATED SECURITIES$143,700,063F
INVESTMENT IN UNCONSOLIDATED SUB.$4,971,708F
LIMITED PARTNERSHIPS$1,620,169F
FieldValueIRS element (for citing)
Total Book Value Securities$150,291,940TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (22 entries)

DescDescBook ValueBookValueAmt
OPERATING & FINANCE LEASE RIGHT OF USE ASSETS$99,572,963
INTEREST IN NET ASSETS OF FOUNDATIONS$80,051,185
DUE FROM THIRD-PARTY PAYORS$32,615,151
BOARD DESIGNATED INVESTMENTS$17,960,774
OTHER RECEIVABLES$11,928,174
DEPOSITS & NON-CURRENT ASSETS$5,910,698
INTEREST IN PERPETUAL TRUST$4,869,668
DECORATIVE ARTWORK$1,808,957
DUE FROM PROVIDERS INSURANCE CORPORATION$179,532
INTERCOMPANY TRANSFERS
DUE FROM KAPI'OLANI HEALTH FOUNDATION$796,421
DUE FROM STRAUB FOUNDATION$213,349
DUE FROM KAUA'I MEDICAL CLINIC$2,843,167
DUE FROM KAPI'OLANI MEDICAL SPECIALISTS$479,815
DUE FROM WILCOX HEALTH FOUNDATION$218,993
HONOLULU IMAGING CENTER
DUE FROM HONOLULU SURGERY CENTER$32,221
DUE FROM PALI MOMI FOUNDATION$51,570
INVESTMENT IN JOINT VENTURES$25,000
DUE FROM HAWAI'I PACIFIC HEALTH PARTNERS$6,657
DUE FROM HICORD, INC.
GOODWILL$170,883
FieldValueIRS element (for citing)
Total Book Value Other Assets$259,735,178TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (16 entries)

DescDescAmtAmt
OP. & FIN LEASE LIABILITIES$96,479,200
DUE TO THIRD-PARTY PAYORS$8,881,747
OTHER LONG-TERM LIABILITIES$24,792,067
CURRENT OP & FIN LEASE LIABILITIES$11,067,770
DUE TO KAPI'OLANI MEDICAL SPECIALISTS$14,344,727
DUE TO STRAUB PHARMACY, INC.$4,971,708
DUE TO HAWAI'I PACIFIC HEALTH$441,573
DUE TO HAWAI'I PACIFIC HEALTH PARTNERS
ESCHEAT LIABILITY$211,129
DUE TO KEAHONUIOKALANI$92,836
DUE TO STRAUB FOUNDATION$13,452
DUE TO WILCOX HEALTH FOUNDATION$10,963
DUE TO HONOLULU SURGERY CENTER
DUE TO KAPI'OLANI HEALTH FOUNDATION$12,472
DUE TO PALI MOMI FOUNDATION$15,176
DUE TO PROVIDERS INSURANCE CORPORATION$38,531
FieldValueIRS element (for citing)
Total Liability$161,373,351TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part III, Line 4 Collections of art - description of collectionsARTWORK IS USED TO IMPROVE THE INTERNAL ENVIRONMENT OF THE HOSPITALS SETTING FOR BOTH FAMILIES AND PATIENTS. THIS INCLUDES CREATING AN INVITING PATIENT ATMOSPHERE IN BOTH THE ROOMS AND THE HALLS OF OUR FACILITIES. THIS ENVIRONMENT IS A KEY DIFFERENTIATING FACTOR IN IMPROVING THE OUTLOOK OF THOSE WHO UTILIZE OUR FACILITIES AS WELL AS THE STAFF WHO WORK THERE. BOTH OF WHICH LEADS TO IMPROVED PATIENT RESULTS AND POSITIVE VIEWS OF OUR SERVICES.
Schedule D, Part V, Line 4 Intended uses of endowment fundsENDOWMENT FUNDS ARE INTENDED TO BE USED TO PROVIDE MEDICAL AND OTHER CARE TO PATIENTS WHO ARE UNABLE TO PAY FOR SUCH CARE AND FOR OTHER EXPENSES RELATED TO THE EXEMPT PURPOSE OF THE HOSPITAL.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteUNCERTAIN TAX POSITIONS AUDITED FINANCIAL STATEMENT FOOTNOTE THE COMPANY HAS NOT RECORDED ANY EXPENSE OR ACCRUED FOR ANY RELATED EXPENSE FOR ANY UNCERTAIN TAX POSITIONS.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Persons Served23780PersonsServedCnt
Total Community Benefit Expns$4,889,835TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,889,835NetCommunityBenefitExpnsAmt
Total Expense0.0032TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Persons Served249384PersonsServedCnt
Total Community Benefit Expns$318,878,307TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$311,024,954DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,853,353NetCommunityBenefitExpnsAmt
Total Expense0.0052TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served273164PersonsServedCnt
Total Community Benefit Expns$323,768,142TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$311,024,954DirectOffsettingRevenueAmt
Net Community Benefit Expns$12,743,188NetCommunityBenefitExpnsAmt
Total Expense0.0084TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs19ActivitiesOrProgramsCnt
Persons Served2043PersonsServedCnt
Total Community Benefit Expns$2,051,344TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$214,839DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,836,505NetCommunityBenefitExpnsAmt
Total Expense0.0012TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs7ActivitiesOrProgramsCnt
Total Community Benefit Expns$12,660,481TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$2,871,732DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,788,749NetCommunityBenefitExpnsAmt
Total Expense0.0064TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs12ActivitiesOrProgramsCnt
Total Community Benefit Expns$71,450,853TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$38,587,239DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,863,614NetCommunityBenefitExpnsAmt
Total Expense0.0216TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs44ActivitiesOrProgramsCnt
Total Community Benefit Expns$1,548,856TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$1,548,856NetCommunityBenefitExpnsAmt
Total Expense0.0010TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs82ActivitiesOrProgramsCnt
Persons Served2043PersonsServedCnt
Total Community Benefit Expns$87,711,534TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,673,810DirectOffsettingRevenueAmt
Net Community Benefit Expns$46,037,724NetCommunityBenefitExpnsAmt
Total Expense0.0303TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs82ActivitiesOrProgramsCnt
Persons Served275207PersonsServedCnt
Total Community Benefit Expns$411,479,676TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$352,698,764DirectOffsettingRevenueAmt
Net Community Benefit Expns$58,780,912NetCommunityBenefitExpnsAmt
Total Expense0.0386TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$25,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$25,000NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$75,000TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$75,000NetCommunityBenefitExpnsAmt
Total Expense0.0000TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$100,000TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$100,000NetCommunityBenefitExpnsAmt
Total Expense0.0001TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$18,181,598BadDebtExpenseAmt
Bad Debt Expense Attributable$14,830,959BadDebtExpenseAttributableAmt
Reimbursed By Medicare$169,517,076ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$170,543,578CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,026,502MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnfalseFinancialAssistancePrvsnInd
Hospital Facilities4HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (4 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndFacility Reporting GroupFacilityReportingGroupCdChildrens HospitalChildrensHospitalInd
STRAUB CLINIC & HOSPITAL
1888 SOUTH KING STREETHONOLULUHI96813WWW.HAWAIIPACIFICHEALTH.ORG/STRAUB32-HYes (X)Yes (X)Yes (X)Yes (X)A
KAPI'OLANI MEDICAL CENTER FOR WOMEN
21319 PUNAHOU STREETHONOLULUHI96826WWW.HAWAIIPACIFICHEALTH.ORG/KAPIOLANI6-HYes (X)Yes (X)Yes (X)Yes (X)AYes (X)
PALI MOMI MEDICAL CENTER
398-1079 MOANALUA ROADAIEAHI96701WWW.HAWAIIPACIFICHEALTH.ORG/PALI-MOMI37-HYes (X)Yes (X)Yes (X)A
WILCOX MEMORIAL HOSPITAL
43-3420 KUHIO HIGHWAYLIHUEHI967661099WWW.HAWAIIPACIFICHEALTH.ORG/WILCOX23-HYes (X)Yes (X)Yes (X)A

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://www.hawaiipacifichealth.org/about-us/community/OwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLhttps://www.hah.org/chnaOtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URL(SEE STATEMENT)StrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://www.hawaiipacifichealth.org/patients-visitors/financial-assistance-program/FAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://www.hawaiipacifichealth.org/patients-visitors/financial-assistance-program/FAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://www.hawaiipacifichealth.org/patients-visitors/financial-assistance-program/FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicaid Medcr PrvtYes (X)LookBackMedicaidMedcrPrvtInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3ETHE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.
Schedule H, Part V, Section B, Line 5 Facility A, 1Facility A, 1 - REPORTING GROUP A. In conducting the most recent CHNA, conducted jointly by Hawai'i's nonprofit hospitals with support from the Healthcare Association of Hawai'i, the researchers convened 18 community meetings across the islands to engage everyday people in discussions around health in their communities. A full list of community meetings can be found in Appendix E of the CHNA. In addition, 82 interviews were conducted with "key informants" with expertise in community health issues and/or possessing special knowledge of vulnerable populations, including (but not limited to) low-income, mentally ill, or particular racial/ethnic groups. A complete list of these key informants and their organizational affiliations can be found in Appendix F of the CHNA. Additionally, the researchers convened three panels of experts from the University of Hawai'i Thompson School of Social Work & Public Health, and conducted four focus groups each focused on a significant community health need that emerged from the community conversations. All community meetings and interviews took place from August to December, 2021. A Community Advisory Committee, made up of leaders representing under-served or minority populations with health disparities, provided input to the research team throughout the CHNA process. A list of Community Advisory Committee members can be found in Appendix D of the CHNA.
Schedule H, Part V, Section B, Line 6a Facility A, 1Facility A, 1 - REPORTING GROUP A. Hawai'i Pacific Health's four hospital facilities participated with fifteen other nonprofit Hawai'i hospitals to collaborate on a joint CHNA led by the Healthcare Association of Hawai'i. Research was completed in December 2021. Ward Research was retained to conduct the CHNA research. Participating hospitals were: Adventist Health Castle, Sutter Health Kahi Mohala, Kahuku Medical Center, Kaiser Permanente Moanalua Medical Center, Kapi'olani Medical Center for Women & Children, Kuakini Medical Center, Kula Hospital, Lanai Community Hospital, Maui Memorial Hospital, Molokai General Hospital, North Hawai'i Community Hospital, Pali Momi Medical Center, Rehabilitation Hospital of the Pacific, Shriners Hospitals for Children - Honolulu, Straub Medical Center, The Queen's Medical Center, The Queen's Medical Center - West Oahu, Wahiawa General Hospital, and Wilcox Medical Center.
Schedule H, Part V, Section B, Line 6b Facility A, 1Facility A, 1 - REPORTING GROUP A. The Healthcare Association of Hawai'i, Ward Research, Solutions Pacific and the University of Hawai'i Thompson School of Social Work & Public Heath collaborated with the hospitals to conduct the hospitals' joint CHNA.
Schedule H, Part V, Section B, Line 11 Facility A, 1Facility A, 1 - KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN. Kapi'olani conducted the following activities to execute Year 1 of the hospital's 2023-2025 Implementation Strategy to address the priority community health needs identified in its CHNA: Financial Security, Food Security, Housing Stability, and Trust in & Equitable Access to the Health Care System. IN FISCAL YEAR 2023, KAPI'OLANI CONDUCTED THE FOLLOWING COMMUNITY BENEFIT INITIATIVES: FINANCIAL SECURITY Hawaiian Community Assets: Kapi'olani provided financial support to Hawaiian Community Assets, a nonprofit with a particular focus on Native Hawaiians that builds the capacity of low-income individuals and communities to achieve and sustain economic self-sufficiency by providing culturally-relevant financial education, asset building, and homeownership programs. Job Training for Low-Income and Minority Populations: Kapi'olani and the other HPH hospitals collaborated with RYSE Hawai'i, Liliuokalani Trust and We are Oceania to provide job training in health careers for low-income vulnerable youth, offering program graduates career pathways in health care. Aloha United Way's ALICE Report: Kapi'olani provided funding for the ALICE initiative, a comprehensive strategy for generating awareness and understanding around what asset-limited, income-constrained, employed ("ALICE") Hawai'i households face in an effort to drive long-term, systemic change that results in greater financial stability for these households. FOOD SECURITY SNAP Double-Up Food Bucks Incentive Program: Kapi'olani partnered with a multisector coalition to support a fund that offers SNAP households double the value of all purchases of fresh, local produce made with SNAP-EBT. Programs such as these are demonstrated to increase consumption of fresh fruits and vegetables by SNAP recipients while supporting access to healthy local foods. Farm to Keiki: The hospitals of Hawai'i Pacific Health partnered with Kamehameha Schools and Olapono, a nonprofit specializing in child nutrition, to pilot a healthy eating curriculum in two Kauai preschools to improve access to healthy foods for preschool-aged children and build new avenues for farm to school food programs. Healthy Together is a family-based adolescent weight management program to combat childhood obesity. The National Kidney Foundation of Hawai'i and Kapi'olani, together with the other hospitals of Hawai'i Pacific Health, partnered to provide the program at no cost to families across O'ahu, making it accessible through an innovative online format. Hawai'i Food Hub Hui: The hospitals of HPH partnered to strengthen community food systems and assure access to fresh, healthy local foods for residents of our service areas, particularly those in food insecure households, by providing financial support to the Hawai'i Food Hub Hui which supports the viability of small low-income farmers and endeavors to transform Hawai'i's local food economy into an equitable and efficient community-led system. Hawai'i Investment Ready: Kapi'olani provided financial support for Hawai'i Investment Ready's Food Systems Accelerator which seeks to build a more sustainable, resilient local food system. HOUSING STABILITY Residential Youth Services & Empowerment Hawai'i (RYSE) is a youth-specific shelter providing temporary overnight lodging and support services to help homeless youth achieve housing, employment and self-sufficiency. Kapi'olani provided financial support for employment counseling and job training services for this vulnerable population. Honolulu Habitat for Humanity: Kapi'olani provided financial support to Honolulu Habitat for Humanity's programs that assist low-income households to achieve homeownership, repair and maintain their current homes, and increase self-reliance and security through stable, safe housing. Hawai'i Community Reinvestment Corporation Affordable Housing Fund: Stable housing is crucial to households' health and wellbeing. Kapi'olani supported an increase in available affordable housing for low-income households by supporting the nonprofit Hawai'i Community Reinvestment Corporation which provides loan capital and technical assistance for development of affordable housing. Kahauiki Village is an affordable rental community for families who previously experienced homelessness. Kapi'olani provided funding for programs to strengthen resident families and support healthy child and youth development. TRUST IN AND EQUITABLE ACCESS TO THE HEALTH CARE SYSTEM Partners In Care: Kapi'olani provides funding for and collaborates with Partners in Care, a coalition of organizations providing services to homeless individuals. Kapi'olani participates in PIC's Homeless Management Information System which facilitates coordination of services for homeless individuals across multiple providers. Cancer Research Center of Hawai'i: Kapi'olani, together with the other hospitals of Hawai'i Pacific Health, Queens Medical Center, and Kuakini Medical Center, partnered with the Cancer Research Center of Hawai'i to enhance the quality and breadth of cancer care in Hawai'i by supporting enhanced patient access to clinical trials, state-of-the-art treatment, and innovative therapies focused on Hawai'i's unique population. Health Professionals Education: Many areas of Hawai'i are identified as health professional shortage areas. To address this shortage and improve access to health care services for Hawai'i residents, Kapi'olani provides clinical training and residencies for medical students and residents, nursing students, and allied health professionals. Kapi'olani also supports a scholarship that provides financial assistance for local students committed to practicing in Hawai'i to attend the University of Hawai'i John A. Burns School of Medicine. Medical Transport Services: Kapi'olani provides inter-hospital transports from the neighbor islands to O'ahu, where Kapi'olani is located, and to the continent, for critical neonatal and pediatric patients requiring access to specialty care not available in their communities. SIGNIFICANT COMMUNITY HEALTH NEEDS NOT BEING ADDRESSED The following areas of need identified in Kapi'olani's 2022 CHNA were not addressed in the hospital's 2023-2025 Implementation Strategy: Nurture Community Identity and Cohesiveness, Shift Elder Care Away from Sick Care, Restore Environment and Sense of Place, Prepare for Emergencies, Mental and Behavioral Health and Work Together for Equity and Justice. They were not selected as priorities for Kapi'olani to address because they did not meet the following criteria: alignment with Kapiolani's community health partnership focus areas, opportunity to leverage Kapi'olani's planned and existing community partnerships and initiatives, Kapi'olani's available resources and expertise to address the needs, and potential to have a measurable impact on community health in collaboration with partners.
Schedule H, Part V, Section B, Line 11 Facility A, 2Facility A, 2 - PALI MOMI MEDICAL CENTER. Pali Momi conducted the following activities to execute Year 1 of the hospital's 2023-2025 Implementation Strategy to address the priority community health needs identified in its CHNA: Financial Security, Food Security, Housing Stability, and Trust in & Equitable Access to the Health Care System. IN FISCAL YEAR 2023, PALI MOMI CONDUCTED THE FOLLOWING COMMUNITY BENEFIT INITIATIVES: FINANCIAL SECURITY Hawaiian Community Assets: Pali Momi provided financial support to Hawaiian Community Assets, a nonprofit with a particular focus on Native Hawaiians that builds the capacity of low-income individuals and communities to achieve and sustain economic self-sufficiency by providing culturally-relevant financial education, asset building, and homeownership programs. Job Training for Low-Income and Minority Populations: Pali Momi and the other HPH hospitals collaborated with RYSE Hawai'i, Liliuokalani Trust and We are Oceania to provide job training in health careers for low-income vulnerable youth, offering program graduates career pathways in health care. Aloha United Way's ALICE Report: Pali Momi provided funding for the ALICE initiative, a comprehensive strategy for generating awareness and understanding around what asset-limited, income-constrained, employed ("ALICE") Hawai'i households face in an effort to drive long-term, systemic change that results in greater financial stability for these households. FOOD SECURITY SNAP Double-Up Food Bucks Incentive Program: Pali Momi partnered with a multisector coalition to support a fund that offers SNAP households double the value of all purchases of fresh, local produce made with SNAP-EBT. Programs such as these are demonstrated to increase consumption of fresh fruits and vegetables by SNAP recipients while supporting access to healthy local foods. Farm to Keiki: The hospitals of Hawai'i Pacific Health partnered with Kamehameha Schools and Olapono, a nonprofit specializing in child nutrition, to pilot a healthy eating curriculum in two Kauai preschools to improve access to healthy foods for preschool-aged children and build new avenues for farm to school food programs. Healthy Together is a family-based adolescent weight management program to combat childhood obesity. The National Kidney Foundation of Hawai'i and Pali Momi, together with the other hospitals of Hawai'i Pacific Health, partnered to provide the program at no cost to families across O'ahu, making it accessible through an innovative online format. Hawai'i Food Hub Hui: The hospitals of HPH partnered to strengthen community food systems and assure access to fresh, healthy local foods for residents of our service areas, particularly those in food insecure households, by providing financial support to the Hawai'i Food Hub Hui which supports the viability of small low-income farmers and endeavors to transform Hawai'i's local food economy into an equitable and efficient community-led system. Hawai'i Investment Ready: Pali Momi provided financial support for Hawai'i Investment Ready's Food Systems Accelerator which seeks to build a more sustainable, resilient local food system. HOUSING STABILITY Residential Youth Services & Empowerment Hawai'i (RYSE) is a youth-specific shelter providing temporary overnight lodging and support services to help homeless youth achieve housing, employment and self-sufficiency. Pali Momi provided financial support for employment counseling and job training services for this vulnerable population. Honolulu Habitat for Humanity: Pali Momi provided financial support to Honolulu Habitat for Humanity's programs that assist low-income households to achieve homeownership, repair and maintain their current homes, and increase self-reliance and security through stable, safe housing. Hawai'i Community Reinvestment Corporation Affordable Housing Fund: Stable housing is crucial to households' health and wellbeing. Pali Momi supported an increase in available affordable housing for low-income households by supporting the nonprofit Hawai'i Community Reinvestment Corporation which provides funding and technical assistance for development of affordable housing. Kahauiki Village is an affordable rental community for families who previously experienced homelessness. Pali Momi provided funding for programs that strengthen resident families and support healthy child development. TRUST IN AND EQUITABLE ACCESS TO THE HEALTH CARE SYSTEM Partners In Care: Pali Momi provides funding for and collaborates with Partners in Care, a coalition of organizations providing services to homeless individuals, participating in PIC's Homeless Management Information System which facilitates coordination of care for homeless individuals across multiple providers. Cancer Research Center of Hawai'i: Pali Momi, together with the other hospitals of Hawai'i Pacific Health, Queens Medical Center, and Kuakini Medical Center, partnered with the Cancer Research Center of Hawai'i to enhance the quality and breadth of cancer care in Hawai'i by supporting enhanced patient access to clinical trials, state-of-the-art treatment, and innovative therapies focused on Hawai'i's unique population. Health Professionals Education: Many areas of Hawai'i are identified as health professional shortage areas. To address this shortage and improve access to health care services for Hawai'i residents, Pali Momi provides clinical training and residencies for family practice physicians. Pali Momi also supports a scholarship that provides financial assistance for local students committed to practicing in Hawai'i to attend the University of Hawai'i John A. Burns School of Medicine. SIGNIFICANT HEALTH NEEDS NOT BEING ADDRESSED The following areas of need identified in Pali Momi's 2022 CHNA were not addressed in the hospital's 2023-2025 Implementation Strategy: Nurture Community Identity and Cohesiveness, Shift Elder Care Away from Sick Care, Restore Environment and Sense of Place, Prepare for Emergencies, Mental and Behavioral Health, and Work Together for Equity and Justice. They were not selected as priorities for Pali Momi to address because they did not meet the following criteria: alignment with Pali Momi's community health partnership focus areas, opportunity to leverage Pali Momi's planned and existing community partnerships and initiatives, Pali Momi's available resources and expertise to address the needs, and potential to have a measurable impact on community health in collaboration with partners.
Schedule H, Part V, Section B, Line 11 Facility A, 3Facility A, 3 - STRAUB MEDICAL CENTER. Straub conducted the following activities to execute Year 1 of the hospital's 2023-2025 Implementation Strategy to address the priority community health needs identified in its CHNA: Financial Security, Food Security, Housing Stability, and Trust in & Equitable Access to the Health Care System. IN FISCAL YEAR 2023, STRAUB CONDUCTED THE FOLLOWING COMMUNITY BENEFIT INITIATIVES: FINANCIAL SECURITY Hawaiian Community Assets: Straub provided financial support to Hawaiian Community Assets, a nonprofit with a particular focus on Native Hawaiians that builds the capacity of low-income individuals and communities to achieve and sustain economic self-sufficiency by providing culturally-relevant financial education, asset building, and homeownership programs. Job Training for Low-Income and Minority Populations: Straub and the other HPH hospitals collaborated with RYSE Hawai'i, Liliuokalani Trust and We are Oceania to provide job training in health careers for low-income vulnerable youth, offering program graduates career pathways in health care. Aloha United Way's ALICE Report: Straub provided funding for the ALICE initiative, a comprehensive strategy for generating awareness and understanding around what asset-limited, income-constrained, employed ("ALICE") Hawai'i households face in an effort to drive long-term, systemic change that results in greater financial stability for these households. FOOD SECURITY SNAP Double-Up Food Bucks Incentive Program: Straub partnered with a multisector coalition to support a fund that offers SNAP households double the value of all purchases of fresh, local produce made with SNAP-EBT. Programs such as these are demonstrated to increase consumption of fresh fruits and vegetables by SNAP recipients while supporting access to healthy local foods. Farm to Keiki: The hospitals of Hawai'i Pacific Health partnered with Kamehameha Schools and Olapono, a nonprofit specializing in child nutrition, to pilot a healthy eating curriculum in two Kauai preschools to improve access to healthy foods for preschool-aged children and build new avenues for farm to school food programs. Healthy Together is a family-based adolescent weight management program to combat childhood obesity. The National Kidney Foundation of Hawai'i and Straub, together with the other hospitals of HPH, partnered to provide the program at no cost to families across O'ahu, making it accessible through an innovative online format. Hawai'i Food Hub Hui: The hospitals of HPH partnered to strengthen community food systems and assure access to fresh, healthy local foods for residents of our service areas, particularly those in food insecure households, by providing financial support to the Hawai'i Food Hub Hui which supports the viability of small low-income farmers and endeavors to transform Hawai'i's local food economy into an equitable and efficient community-led system. Hawai'i Investment Ready: Straub provided financial support for Hawai'i Investment Ready's Food Systems Accelerator which seeks to build a more sustainable, resilient local food system. HOUSING STABILITY Residential Youth Services & Empowerment Hawai'i (RYSE) is a youth-specific shelter providing temporary overnight lodging and support services to help homeless youth achieve housing, employment and self-sufficiency. Straub provided financial support for employment counseling and job training services for this vulnerable population. Honolulu Habitat for Humanity: Straub provided financial support to Honolulu Habitat for Humanity's programs that assist low-income households to achieve homeownership, repair and maintain their current homes, and increase self-reliance and security through stable, safe housing. Hawai'i Community Reinvestment Corporation Affordable Housing Fund: Stable housing is crucial to households' health and wellbeing. Straub supported an increase in available affordable housing for low-income households by supporting the nonprofit Hawai'i Community Reinvestment Corporation which provides funding and technical assistance for development of affordable housing. Kahauiki Village is an affordable rental community for families who previously experienced homelessness. Straub provided funding for programs that will strengthen resident families and support healthy child development. TRUST IN AND EQUITABLE ACCESS TO THE HEALTH CARE SYSTEM Partners In Care: Straub provides funding for, and collaborates with, Partners in Care, a coalition of organizations providing services to homeless individuals. Straub participates in PIC's Homeless Management Information System which facilitates coordination of care for homeless individuals across multiple providers. Cancer Research Center of Hawai'i: Straub, together with the other hospitals of Hawai'i Pacific Health, Queens Medical Center, and Kuakini Medical Center, partnered with the Cancer Research Center of Hawai'i to enhance the quality and breadth of cancer care in Hawai'i by supporting enhanced patient access to clinical trials, state-of-the-art treatment, and innovative therapies focused on Hawai'i's unique population. Health Professionals Education: Many areas of Hawai'i are identified as health professional shortage areas. To address this shortage and improve access to health care services for Hawai'i residents, Straub provides clinical training and medical residencies for physicians. Straub also supports a scholarship that provides financial assistance for local students committed to practicing in Hawai'i to attend the University of Hawai'i John A. Burns School of Medicine. SIGNIFICANT COMMUNITY HEALTH NEEDS NOT BEING ADDRESSED The following areas of need identified in Straub's 2022 CHNA were not addressed in the hospital's 2023-2025 Implementation Strategy: Nurture Community Identity and Cohesiveness, Shift Elder Care Away from Sick Care, Restore Environment and Sense of Place, Prepare for Emergencies, Mental and Behavioral Health, and Work Together for Equity and Justice. They were not selected as priorities for Straub to address because they did not meet the following criteria: alignment with Straub's community health partnership focus areas, opportunity to leverage Straub's planned and existing community partnerships and initiatives, Straub's available resources and expertise to address the needs, and potential to have a measurable impact on community health in collaboration with partners.
Schedule H, Part V, Section B, Line 11 Facility A, 4Facility A, 4 - WILCOX MEDICAL CENTER. Wilcox conducted the following activities to execute Year 1 of the hospital's 2023-2025 Implementation Strategy to address the priority community health needs identified in the its CHNA: Financial Security, Food Security, Housing Stability, and Trust in & Equitable Access to the Health Care System. IN FISCAL YEAR 2023, WILCOX CONDUCTED THE FOLLOWING COMMUNITY BENEFIT INITIATIVES: FINANCIAL SECURITY Hawaiian Community Assets: Wilcox provided financial support to Hawaiian Community Assets, a nonprofit with a particular focus on Native Hawaiians that builds the capacity of low-income individuals and communities to achieve and sustain economic self-sufficiency by providing culturally-relevant financial education, asset building, and homeownership programs. Job Training for Low-Income and Minority Populations: Wilcox provides financial support to Hale Opio's First Jobs Academy which offers social service supports and training in life skills and work readiness for young adults exiting foster care or experiencing homelessness or other vulnerable situations. Aloha United Way's ALICE Report: Wilcox provided funding for the ALICE initiative, a comprehensive strategy for generating awareness and understanding around what asset-limited, income-constrained, employed ("ALICE") Hawai'i households face in an effort to drive long-term, systemic change that results in greater financial stability for these households. FOOD SECURITY SNAP Double-Up Food Bucks Incentive Program: Wilcox partnered with a multisector coalition to support a fund that offers SNAP households double the value of all purchases of fresh, local produce made with SNAP-EBT. Programs such as these are demonstrated to increase consumption of fresh fruits and vegetables by SNAP recipients while supporting access to healthy local foods. Farm to Keiki: The hospitals of Hawai'i Pacific Health partnered with Kamehameha Schools and Olapono, a nonprofit specializing in child nutrition, to pilot a healthy eating curriculum in two Kauai preschools to improve access to healthy foods for preschool-aged children and build new avenues for farm to school food programs. Malama Kaua'i: Wilcox supported Malama Kaua'i's programs to increase access to healthy foods on Kaua'i, including the Village Harvest gleaning program which collects food left over from harvests on personal properties and small farms and donates it to food pantries and youth programs. Hawai'i Investment Ready: Wilcox provided financial support for Hawai'i Investment Ready's Food Systems Accelerator which seeks to build a more sustainable, resilient local food system. HOUSING STABILITY Kaua'i Habitat for Humanity: Wilcox provided financial support to Kaua'i Habitat for Humanity's programs that assist low-income households to achieve homeownership, repair and maintain their current homes, and increase self-reliance and security through stable, safe housing. Hawai'i Community Reinvestment Corporation Affordable Housing Fund: Stable housing is crucial to households' health and wellbeing. Wilcox supported an increase in available affordable housing for low-income households by supporting the nonprofit Hawai'i Community Reinvestment Corporation which provides funding and technical assistance for development of affordable housing. TRUST IN AND EQUITABLE ACCESS TO THE HEALTH CARE SYSTEM Project Vision is a nonprofit committed to increasing access to care for homeless individuals through "street-level" social and medical services including mobile health clinics, vision care, and hygiene trailers. Wilcox provided funding to support mobile health clinic services on Kaua'i. Chemotherapy: Wilcox's chemotherapy center, subsidized by the medical center, is the only one available on the island, lessening the need for island residents with cancer to fly to O'ahu or to the continent for care. After Hours Pharmacy: Wilcox's After Hours Pharmacy is the only pharmacy open after normal business hours on the island of Kaua'i. It provides critical and time sensitive medications to the community when the other pharmacies on the island are closed. Wilcox subsidizes provision of service during these hours. Cancer Research Center of Hawai'i: Wilcox, together with the other hospitals of Hawai'i Pacific Health, Queens Medical Center, and Kuakini Medical Center, partnered with the Cancer Research Center of Hawai'i to enhance the quality and breadth of cancer care in Hawai'i by supporting enhanced patient access to clinical trials, state-of-the-art treatment, and innovative therapies focused on Hawai'i's unique population. Health Professionals Education: The island of Kaua'i is among the many areas of Hawai'i that are identified as health professional shortage areas. To address this shortage and improve access to health care services for Kaua'i residents, Wilcox supports scholarships and a training program for University of Hawai'i John A. Burns School of Medicine medical students who are committed to practicing in Hawai'i and on Kaua'i after they complete their medical training. SIGNIFICANT COMMUNITY HEALTH NEEDS NOT BEING ADDRESSED The following areas of need identified in Wilcox's 2022 CHNA were not addressed in the hospital's 2023-2025 Implementation Strategy: Nurture Community Identity and Cohesiveness, Shift Elder Care Away from Sick Care, Restore Environment and Sense of Place, Prepare for Emergencies, Mental and Behavioral Health, and Work Together for Equity and Justice. They were not selected as priorities for Wilcox to address because they did not meet the following criteria: alignment with Wilcox's community health partnership focus areas, opportunity to leverage Wilcox's planned and existing community partnerships and initiatives, Wilcox's available resources and expertise to address the needs, and potential to have a measurable impact on community health in collaboration with partners.
FieldValueIRS element (for citing)
Facility26FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
STRAUB MEDICAL CENTER-PEARLRIDGE CLINIC
98-151 PALI MOMI ST SUITE 142AIEAHI96701CLINIC
PALI MOMI MEDICAL CENTER
98-1079 MOANLUA RD STE 300/480/490/AEIAHI96701CLINIC630/640/670/680
PALI MOMI PAVILIONWOMEN'S CENTER
98-1005 MOANALUA ROAD FS4AIEAHI96701CLINIC
STRAUB MEDICAL CENTER-KAPOLEI CLINIC & URGENT CARE
91-5431 KAPOLEI PKWY SUITE 1706KAPOLEIHI96707CLINIC
STRAUB MEDICAL CENTER-MILILANI TOWN CENTER CLINIC
95-1249 MEHEULA PKWY UNIT 187MILILANIHI96789CLINIC
STRAUB MEDICAL CENTER-DOCTORS ON CALL AT SHERATON WAIKIKI
2255 KALAKAUA AVE MANOR WING LOWERHONOLULUHI96815CLINICLEVEL
STRAUB MEDICAL CENTER-HAWAI'I KAI CLINIC
7192 KALANIANAOLE HIGHWAY SUITE A20HONOLULUHI96825CLINIC0
STRAUB MEDICAL CENTER-KANEOHE CLINIC
46-056 KAMEHAMEHA HWY SUITE 221KANEOHEHI96744CLINIC
STRAUB MEDICAL CENTER-KAHALA CLINIC & URGENT CARE
4210 WAIALAE AVE SUITE 501HONOLULUHI96816CLINIC
STRAUB MEDICAL CENTER-FIRST INSURANCE CENTER CLINIC
1100 WARD AVE STE 700HONOLULUHI96814CLINIC
PALI MOMI CANCER CENTER
98-1005 MOANALUA RD STE 4010AEIAHI96701CLINIC
STRAUB MEDICAL CENTER-WARD VILLAGE CLINIC & URGENT CARE
1001 QUEEN ST SUITE 102HONOLULUHI96814CLINIC
STRAUB MEDICAL CENTER- KAILUA CLINIC
602 KAILUA ROAD SUITE 200KAILUAHI96734CLINIC
STRAUB MEDICAL CENTER-LANA'I CLINIC
628-B SEVENTH STREETLANAI CITYHI96763CLINIC
STRAUB MEDICAL CENTER-ARTESIAN SATELLITE
1907 SOUTH BERETANIA ST 1ST 5th FLOHONOLULUHI96826CLINICORS
STRAUB MEDICAL CENTER-PALI MOMI CLINIC
98-1079 MOANALUA ROAD SUITE 600AIEAHI96701CLINIC
STRAUB MEDICAL CENTER-MILILANI SHOPPING CENTER CLINIC
95-390 KUAHELANI AVENUE SUITE J-1MILILANIHI96789CLINIC
HPH CANCER CENTER AT PALI MOMI MEDICAL CENTER
98-1005 MOANALUA ROADAIEAHI96701CLINIC
STRAUB MEDICAL CENTER-DOWNTOWN HONOLULU CLINIC
1003 BISHOP ST PAUAHI TOWER SUITE 3HONOLULUHI96813CLINIC95
STRAUB MEDICAL CENTER-KAHULUI CLINIC
33 LONO AVENUE SUITE 250KAHULUIHI96732CLINIC
STRAUB MEDICAL CENTER-OBGYN SATELLITE
1525 KALAKAUA AVEHONOLULUHI96814CLINIC
STRAUB MEDICAL CENTER-DOCTORS ON CALL AT HILTON HAWAIIAN VILLAGE
2005 KALIA ROAD RAINBOW BAZAAR 2FHONOLULUHI96815CLINIC
Kapiolani Medical Center for Women & Children OBGYN
1319 Punahou Street Ste 500HONOLULUHI96826CLINIC
CARDIOLOGY CLINIC-KUAKINI MEDICAL PLAZA
321 NORTH KUAKINI ST SUITE 504HONOLULUHI96817CLINIC
STRAUB MEDICAL CENTER-MOBILE CLINIC
888 S King StHONOLULUHI96813CLINIC
STRAUB MEDICAL CENTER-HILO CLINIC
75 PUUHONU PLACE SUITE 207HILOHI96720CLINIC

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 10 IMPLEMENTATION STRATEGY PLAN WEBSITEKAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN: https://www.hawaiipacifichealth.org/media/17126/chi_plan_kapiolani_fy23-25.pdf PALI MOMI MEDICAL CENTER: https://www.hawaiipacifichealth.org/media/17127/chi_plan_palimomi_fy23-25.pdf STRAUB CLINIC & HOSPITAL: https://www.hawaiipacifichealth.org/media/17128/chi_plan_straub_fy23-25.pdf WILCOX MEMORIAL HOSPITAL: https://www.hawaiipacifichealth.org/media/17129/chi_plan_wilcox_fy23-25.pdf
Schedule H, Part III, Line 9b DEBT COLLECTION POLICYPATIENTS WHO QUALIFY FOR CHARITY CARE RECEIVE EITHER 100% DISCOUNT (FREE SERVICES) OR 85% DISCOUNT (PARTIAL CHARITY) ON OUTSTANDING BALANCES. PATIENTS RECEIVING PARTIAL CHARITY THAT HAVE REMAINING ACCOUNT BALANCES AFTER THE CHARITY CARE ADJUSTMENT, FOLLOW THE SAME COLLECTION PROCEDURES AS ALL OTHER PATIENTS. PATIENTS WHO QUALIFY FOR 100% DISCOUNT HAVE THEIR PATIENT ACCOUNT BALANCES FULLY ADJUSTED AND ARE NOT SUBJECT TO ANY COLLECTION PROCEDURES. 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 COLLECTION. DUE TO IMPROVED ECONOMIC CONDITIONS, HAWAI'I PACIFIC HEALTH REINSTATED COLLECTION PRACTICES ON OUTSTANDING ACCOUNTS AS FOLLOWS: - FORWARDING ACCOUNTS TO OUTSIDE COLLECTION AGENCIES EFFECTIVE APRIL 19, 2021 - SENDING FINAL COLLECTION LETTERS FOR HOSPITAL ACCOUNTS EFFECTIVE APRIL 17, 2021 - REPLACED REMINDER NOTICE ON PROFESSIONAL BILLING STATEMENTS WITH FINAL NOTICE DUNNING MESSAGE EFFECTIVE APRIL 24, 2021
Schedule H, Part I, Line 7 COSTING METHODOLOGY USEDCOST TO CHARGE RATIO AND SCHEDULE H WORKSHEET WAS USED TO CALCULATE THE COSTS.
Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICESNO COSTS OF A PHYSICIAN CLINIC WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES.
Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORTN/A
Schedule H, Part I Line 3CHPH FINANCIAL ASSISTANCE POLICY INCLUDES PRESUMPTIVE ELIGIBILITY CRITERIA: PATIENT IS HOMELESS, PATIENT CURRENTLY QUALIFIES FOR MEDICAID, PATIENT IS SEX ABUSE TREATMENT CENTER (SATC)/CRIME VICTIM, PATIENT HAS DECLARED BANKRUPTCY, AND PATIENT IS DECEASED WITH NO SPOUSE, PROPERTY OR PROBATE. HPH ALSO EMPLOYS AN ANALYTICS ENGINE THAT MAY DETERMINE ELIGIBILITY IN ABSENCE OF OTHER DOCUMENTATION.
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationCOMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATIONS' PARENT.
Schedule H, Part II Community Building ActivitiesIn the jointly conducted 2022 CHNA, Food Security and Housing Security were identified as significant health priorities for Hawai'i residents. The hospitals of HPH partnered to strengthen community food systems and assure access to fresh, healthy local foods for residents of our service areas, particularly those in food insecure households, by providing financial support to the Hawai'i Food Hub Hui which supports the viability of small low-income farmers and endeavors to transform Hawai'i's local food economy into an equitable and efficient community-led system; and to Hawai'i Investment Ready's Food Systems Accelerator which seeks to build a more sustainable, resilient local food system. Numerous studies have affirmed that stable housing is crucial to health and wellbeing. The HPH hospitals supported an increase in available affordable housing for disadvantaged households by supporting the nonprofit Hawai'i Community Reinvestment Corporation which provides funding and technical assistance for development of affordable housing.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyIn calculating the estimated FY23 bad debt, HPH applied the calendar year percentage of No Insurance to the total bad debt expense in order to determine the bad debt related to no insurance. HPH also applied the calendar year percentage of charity care to bad debt related to no insurance to determine the amounts eligible for financial assistance.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteSEE FOOTNOTE 1 ON PAGE 17 OF THE AUDITED FINANCIALS FOR INFORMATION RELATING TO THE ORGANIZATION'S EXPLANATION OF IMPLICIT PRICE CONCESSIONS. A COPY OF THE FY23 AUDITED FINANCIAL STATEMENTS IS AVAILABLE UPON REQUEST AND ATTACHED TO THE FILED COPY OF THIS RETURN.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsBECAUSE TAX-EXEMPT HOSPITALS MUST PARTICIPATE IN MEDICARE AND MEDICAID AS A CONDITION OF MAINTAINING THEIR FEDERAL TAX EXEMPT STATUS, MEDICARE UNDERPAYMENTS ARE NOT OPERATING EXPENSES THAT SHOULD BE EXPECTED IN THE ORDINARY COURSE OF BUSINESS. BECAUSE TAX-EXEMPT HOSPITALS MUST ACCEPT MEDICARE RATES THAT ARE IN SOME CASES BELOW COST, THEY SHOULD BE ABLE TO REPORT ANY NEGATIVE DIFFERENCES BETWEEN MEDICARE RATES AND COST AS LOSSES INCURRED BY SERVICING THE COMMUNITY. TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552.96.
Schedule H, Part V, Section B, Line 16a FAP websiteA - STRAUB CLINIC & HOSPITAL: Line 16a URL: https://www.hawaiipacifichealth.org/patients-visitors/financial-assistance-program/;
Schedule H, Part V, Section B, Line 16b FAP Application websiteA - STRAUB CLINIC & HOSPITAL: Line 16b URL: https://www.hawaiipacifichealth.org/patients-visitors/financial-assistance-program/;
Schedule H, Part V, Section B, Line 16c FAP plain language summary websiteA - STRAUB CLINIC & HOSPITAL: Line 16c URL: https://www.hawaiipacifichealth.org/patients-visitors/financial-assistance-program/;
Schedule H, Part VI, Line 2 Needs assessmentHAWAI'I PACIFIC HEALTH'S FOUR HOSPITAL FACILITIES PARTICIPATED WITH FIFTEEN OTHER NONPROFIT HAWAI'I HOSPITALS TO COLLABORATE ON A JOINT CHNA LED BY THE HEALTHCARE ASSOCIATION OF HAWAI'I. RESEARCH WAS COMPLETED IN DECEMBER 2021 AND EACH HPH HOSPITAL FACILITY ADOPTED ITS CHNA IN 2022 OUR APPROACH FOLLOWED THE PUBLIC HEALTH MODEL OF ASSESSING AND UNDERSTANDING COMMUNITY HEALTH HOLISTICALLY. A FRAMEWORK FOR ANALYSIS WAS CONSTRUCTED BASED ON DETERMINANTS OF HEALTH; THE FRAMEWORK INCLUDED A BROAD DEFINITION OF COMMUNITY HEALTH THAT CONSIDERS SECONDARY DATA ON THE SOCIAL, ECONOMIC, AND PHYSICAL ENVIRONMENTS, AS WELL AS HEALTH RISKS AND OUTCOMES. SPECIAL ATTENTION WAS GIVEN TO IDENTIFYING HEALTH DISPARITIES, THE NEEDS OF VULNERABLE POPULATIONS, AND UNMET HEALTH NEEDS OR GAPS IN SERVICES. A BROAD ARRAY OF SECONDARY AND PRIMARY DATA WAS COLLECTED AND SYNTHESIZED TO DETERMINE COMMUNITY NEEDS. OVER 375 INDICATORS FROM OVER 20 SOURCES FROM A DATABASE MAINTAINED BY THE HAWAI'I DEPARTMENT OF HEALTH WERE ANALYZED USING A SYSTEMATIC AND QUANTITATIVE APPROACH THAT INCORPORATED MULTIPLE BENCHMARKS AND COMPARISONS. ADDITIONAL ANALYSIS NCLUDED PREVENTABLE CAUSES OF HOSPITALIZATION USING DATA PROVIDED BY THE HAWAI'I HEALTH INFORMATION CORPORATION, AND INFORMATION FROM RECENTLY PUBLISHED REPORTS ON ACCESS TO CARE, HEALTH DISPARITIES, PRIMARY CARE NEEDS, AND BEHAVIORAL HEALTH NEEDS. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS HAVING SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, HEALTH DISPARITIES, AND VULNERABLE POPULATIONS IN THE IDENTIFIED COMMUNITIES.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceWHEN A PATIENT PRESENTS FOR SERVICES AND THE PATIENT DOES NOT HAVE INSURANCE COVERAGE FOR SERVICES TO BE PROVIDED, THE PATIENT, OR GUARANTOR IS ASKED TO SIGN THE "SELF-PAY ACKNOWLEDGEMENT" LETTER. THE LETTER DESCRIBES THE TERMS OF THE HAWAI'I PACIFIC HEALTH ("HPH") UNINSURED DISCOUNT PROGRAM, AND BY SIGNING THE LETTER, THE PATIENT ACKNOWLEDGES THAT HE/SHE UNDERSTANDS AVAILABLE UNINSURED PAYMENT TERMS. IN MOST UNINSURED CASES, THE PATIENT WILL BE OFFERED A HAWAI'I STATE MEDICAL ASSISTANCE APPLICATION. THIS IS THE APPLICATION FOR THE HAWAI'I STATE MEDICAID/QUEST PROGRAM. THE HOSPITAL CONTRACTS WITH SERVICE PROVIDERS WHO SPECIALIZE IN ASSISTING PATIENTS WITH THE MEDICAID/QUEST PROGRAM APPLICATION PROCESS. IF THE PATIENT'S APPLICATION FOR MEDICAID/QUEST IS DENIED OR IT IS DETERMINED THAT THE PATIENT IS INELIGIBLE TO APPLY FOR MEDICAID/QUEST, THE PATIENT MAY APPLY FOR HPH FINANCIAL ASSISTANCE EITHER IN THE HOSPITAL FINANCIAL SERVICES DEPARTMENT OR BY MAIL DIRECTLY TO THE HPH BUSINESS SERVICES OFFICE. FINANCIAL COUNSELORS ARE AVAILABLE ON SITE TO REVIEW PAYMENT OPTIONS WITH THE PATIENT OR THE GUARANTOR. THESE OPTIONS INCLUDE THE AFOREMENTIONED HPH UNINSURED DISCOUNT PROGRAM, THE HAWAI'I STATE MEDICAID/QUEST PROGRAM, THE HPH FINANCIAL ASSISTANCE PROGRAM, PAYMENT PLANS AND ANY GRANT OR FUNDING SOURCE THAT MAY BE APPROPRIATE FOR THE SERVICES PROVIDED. IN SOME CASES, HPH DETERMINES THAT A PATIENT OR GUARANTOR MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED, AND FINANCIAL 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.
Schedule H, Part VI, Line 4 Community informationHAWAI'I PACIFIC HEALTH'S MEDICAL CENTERS TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS SAFETY NET PROVIDERS OF HEALTH CARE FOR THE COMMUNITY. DEMOGRAPHICS OF THE STATE OF HAWAI'I INCLUDE 1.4M RESIDENTS AND 10.4M VISITORS (2019 DATA). THERE ARE MORE THAN 20 OTHER HOSPITALS IN THE STATE THAT PROVIDE ACUTE CARE SERVICES, INCLUDING THOSE THAT ARE COMMUNITY ACCESS HOSPITALS. AREAS AND POPULATIONS DESIGNATED AS MEDICALLY-UNDERSERVED BY THE FEDERAL GOVERNMENT ARE PRESENT. KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN HAS BEEN TREATING WOMEN, CHILDREN AND INFANTS FOR MORE THAN A CENTURY. IT IS HAWAI'I'S ONLY MATERNITY, NEWBORN AND PEDIATRIC SPECIALTY HOSPITAL WITH 253 BEDS. IT IS ALSO A TERTIARY CARE, TEACHING AND RESEARCH FACILITY. FOR WOMEN, KAPI'OLANI PROVIDES COMPLETE OBSTETRICAL AND GYNECOLOGICAL CARE. FOR INFANTS AND CHILDREN, IT HAS MORE THAN 100 PEDIATRIC SPECIALISTS AND SUBSPECIALISTS. IN FISCAL YEAR 2023, KAPI'OLANI HAD 5,784 DELIVERIES (BIRTHS), 57,790 WOMEN'S CENTER PROCEDURES, 37,893 ER VISITS, 57,275 IMAGING PROCEDURES, 438 TRANSPORTS AND 14,562 INPATIENT ADMISSIONS. ITS GEOGRAPHIC SERVICE AREA IS THE ENTIRE PACIFIC REGION AS MANY SPECIALTIES OFFERED ARE NOT AVAILABLE ELSEWHERE. PALI MOMI MEDICAL CENTER IS A COMMUNITY-BASED, ACUTE-CARE HOSPITAL THAT OFFERS A FULL RANGE OF SERVICES IN CARDIOLOGY, ORTHOPEDICS, EMERGENCY MEDICINE, GENERAL SURGERY AND MEDICINE, OPHTHALMOLOGY, WOMEN'S SERVICES, ONCOLOGY AND MORE. IT HAS DELIVERED MANY MEDICAL FIRSTS FOR THE COMMUNITY, INCLUDING WEST O'AHU'S ONLY INTERVENTIONAL CARDIAC CATHETERIZATION UNITS, A WOMEN'S CENTER AND RETINA CENTER, AND THE REGION'S ONLY COMPREHENSIVE CANCER CENTER. IT HAS BEEN DESIGNATED AS A LEVEL III TRAUMA CENTER BY THE STATE OF HAWAI'I AND IT IS ALSO A CERTIFIED PRIMARY STROKE CENTER. IN FISCAL YEAR 2023, PALI MOMI HAD 38,628 ER VISITS, 59,297 WOMEN'S CENTER PROCEDURES, 87,433 IMAGING PROCEDURES AND 5,534 INPATIENT ADMISSIONS. PALI MOMI'S GEOGRAPHIC SERVICE AREA IS PRIMARILY CENTRAL O'AHU, WEST O'AHU AND THE NORTH SHORE. STRAUB MEDICAL CENTER HAS SERVED THE PEOPLE OF HAWAI'I FOR NEARLY 100 YEARS. IT IS A FULLY INTEGRATED HEALTH CARE PROVIDER WITH A 159-BED HOSPITAL IN HONOLULU, A NETWORK OF NEIGHBORHOOD CLINICS, AND A VISITING SPECIALISTS PROGRAM TO IMPROVE ACCESS TO MEDICAL SERVICES FOR NEIGHBOR ISLAND RESIDENTS. STRAUB HOUSES AN ARRAY OF PHYSICIAN SPECIALISTS UNDER ONE ROOF, ENABLING PATIENTS TO RECEIVE DIAGNOSIS AND TREATMENT IN MORE THAN 32 MEDICAL SPECIALTIES. IN FISCAL YEAR 2023, STRAUB HAD 28,889 ER VISITS, 6,160 INPATIENT ADMISSIONS, 106,679 IMAGING PROCEDURES AND 1,083,521 CLINIC ENCOUNTERS. STRAUB IS PROUD TO PROVIDE SERVICES THAT ARE NOT OFFERED BY ANY OTHER PROVIDERS IN THE REGION. THE BURN CENTER, FOR EXAMPLE, IS THE ONLY DEDICATED BURN TREATMENT FACILITY IN HAWAI'I AND TREATS MILITARY AND CIVILIAN PATIENTS THROUGHOUT THE PACIFIC REGION. WILCOX MEDICAL CENTER HAS SERVED KAUA'I FOR MORE THAN 80 YEARS. THE ACUTE-CARE FACILITY OFFERS OVER 30 SPECIALTIES AND PROGRAMS, AND A FULL SUITE OF SERVICES INCLUDING CARDIOLOGY, EMERGENCY, FAMILY PRACTICE, GASTROENTEROLOGY, HEALTH MANAGEMENT, INTERNAL MEDICINE, NEUROLOGY, OB-GYN, ONCOLOGY, ORTHOPEDICS, PEDIATRICS AND UROLOGY. IN FISCAL YEAR 2023, WILCOX HAD 21,428 ER VISITS, 478 DELIVERIES (BIRTHS), 73,370 IMAGING PROCEDURES AND 3,425 INPATIENT ADMISSIONS. WILCOX'S GEOGRAPHIC SERVICE AREA IS THE ISLAND OF KAUA'I. DEMOGRAPHICS OF THE KAUA'I COMMUNITY IN FISCAL YEAR 2020 INCLUDE AN ESTIMATED POPULATION OF APPROXIMATELY 72,293 (2019 CENSUS BUREAU DATA) AND NEARLY 1.4M VISITORS ANNUALLY (2019 DATA). THERE ARE TWO OTHER HOSPITALS IN THE COMMUNITY, AND FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS ARE PRESENT.
Schedule H, Part VI, Line 5 Promotion of community healthEACH AFFILIATE HOSPITAL OF HAWAI'I PACIFIC HEALTH IS A LEADER IN COMMUNITY HEALTH CARE EDUCATION AND ADVOCACY, AND MAINTAINS AN OPEN MEDICAL STAFF; THIS ARRANGEMENT GRANTS ADMITTING PRIVILEGES TO NONAFFILIATED PHYSICIAN SPECIALISTS AND BROADENS EACH FACILITY'S ABILITY TO OFFER HIGH-QUALITY, SPECIALIZED CARE TO THEIR RESPECTIVE COMMUNITY. EACH HOSPITAL 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 EACH FACILITY FULFILLS ITS MISSION-DRIVEN GOALS. AS AFFILIATES OF THE NOT FOR-PROFIT HAWAI'I PACIFIC HEALTH NETWORK, EACH HOSPITAL REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE AND TO SUBSIDIZE THOSE WHO CANNOT PAY.
Schedule H, Part VI, Line 6 Affiliated health care systemHAWAI'I PACIFIC HEALTH, ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS, IS COMMITTED TO PROVIDING HIGH-QUALITY, ACCESSIBLE CARE AND SERVICES TO THE PEOPLE OF HAWAI'I AND THE PACIFIC REGION. THE HAWAI'I PACIFIC HEALTH SYSTEM INCLUDES FOUR MEDICAL CENTERS, 70 LOCATIONS, MORE THAN 1,400 AFFILIATED PHYSICIANS AND MORE THAN 7,200 EMPLOYEES. THE MEDICAL CENTERS PROVIDE ACUTE AND SPECIALTY CARE WITH 602 BEDS AND HANDLED 29,681 ADMISSIONS IN FISCAL YEAR 2023. KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN IS THE PRIMARY PEDIATRIC AND OBSTETRIC TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. KAPI'OLANI SUPPORTS THE TRAINING AND TEACHING OF HAWAI'I'S FUTURE DOCTORS, NURSES AND OTHER HEALTH CARE PROFESSIONALS, AS WELL AS CLINICAL AND COMMUNITY HEALTH RESEARCH THAT BRINGS NEW THERAPIES AND TREATMENT PROTOCOLS TO THE ISLANDS. KAPI'OLANI ACTIVELY SUPPORTS COMMUNITY ORGANIZATIONS AND EVENTS THAT ARE IN LINE WITH ITS MISSION, INCLUDING THE GREAT ALOHA RUN AND KEIKI GREAT ALOHA RUN, SUSAN G. KOMEN BREAST CANCER FOUNDATION, MARCH OF DIMES, HAWAI'I CHILDREN'S CANCER FOUNDATION AND OTHERS. THE KAPI'OLANI CHILDREN'S MIRACLE NETWORK SUPPORTS THE COST OF PEDIATRIC HEALTH CARE PROGRAMS AND SERVICES AT THE HOSPITAL, AS WELL AS MEDICAL EQUIPMENT, NEIGHBOR ISLAND TRAVEL, RESEARCH AND PUBLIC AWARENESS. THE HOSPITAL ALSO OPERATES THE SEX ABUSE TREATMENT CENTER OF HAWAI'I, WHICH PROVIDES TREATMENT SERVICES FOR SURVIVORS OF SEXUAL ASSAULT, PROMOTES PREVENTION AND EDUCATION, AND ENGAGES IN PUBLIC POLICY ACTIVITIES RELATING TO SEXUAL ASSAULT, AND THE KAPI'OLANI CHILD ADVOCACY AND PROTECTION CENTER, WHICH PROVIDES EXPERTISE IN RECOGNIZING AND TREATING CHILD ABUSE AND NEGLECT. PALI MOMI MEDICAL CENTER CONTINUES TO FOCUS ON MEETING THE NEEDS OF THE COMMUNITIES OF CENTRAL AND WEST O'AHU AND THE NORTH SHORE. IN FISCAL YEAR 2020, PALI MOMI CONTINUED TO PROVIDE SERVICES AS A DESIGNATED LEVEL III TRAUMA CENTER BY THE STATE OF HAWAI'I. PALI MOMI HOLDS THIS DESIGNATION BECAUSE OF ITS KEY GEOGRAPHIC LOCATION AND ADVANCED HOSPITAL CAPABILITIES THAT ENABLE IT TO PROVIDE THIS CRITICALLY NEEDED SERVICE TO THE COMMUNITY. IT IS ALSO CERTIFIED AS A PRIMARY STROKE CENTER IN RECOGNITION OF ITS COMMITMENT TO THE CARE OF STROKE PATIENTS. IN FISCAL YEAR 2023, PALI MOMI ALSO HOSTED AND PARTICIPATED IN FREE COMMUNITY HEALTH EVENTS, HEALTH FAIRS AND HEALTH SCREENINGS, VIDEO CONFERENCES FOR EDUCATIONAL SPEAKERS' SERIES AND SUPPORT GROUPS. STRAUB MEDICAL CENTER HAS MANY SPECIALTY CARE UNITS. THE BURN CENTER IS THE STATE'S ONLY MULTIDISCIPLINARY BURN TREATMENT CENTER, PROVIDING VICTIMS WITH IMMEDIATE AND COMPREHENSIVE CARE CLOSE TO HOME. STRAUB PHYSICIANS PROVIDE PATIENTS WITH DIAGNOSES AND TREATMENTS FOR MORE THAN 32 DIFFERENT MEDICAL SPECIALTIES, INCLUDING BONE AND JOINT, HEART, CANCER, ENDOCRINOLOGY/DIABETES, FAMILY MEDICINE, GASTROENTEROLOGY, GERIATRIC MEDICINE, INTERNAL MEDICINE, VASCULAR AND UROLOGY. IT PROVIDES CHARITY CARE, HEALTH EDUCATION AND PREVENTIVE PROGRAMS TO THE COMMUNITY. IN FISCAL YEAR 2023, STRAUB PROVIDED A VARIETY OF FREE HEALTH EDUCATION PROGRAMS, ACTIVITIES AND EVENTS. WILCOX MEDICAL CENTER IS DEDICATED TO PROVIDING KAUA'I WITH AFFORDABLE AND ACCESSIBLE HEALTH CARE. WILCOX PHYSICIANS OFFER CARE IN 30 SPECIALTIES AND PROGRAMS. WILCOX IS AN ACTIVE COMMUNITY PARTNER. IN FISCAL YEAR 2020, ITS HEALTH EDUCATION, PREVENTION PROGRAMS AND SUPPORT GROUPS FOCUSED ON DIABETES, OBESITY, CANCER, HEART ATTACK/STROKE, IMMUNIZATION, SPORTS MEDICINE, WATER SAFETY, INJURY PREVENTION, AND HEALTH FAIRS. TOGETHER WITH KAUA'I MEDICAL CLINIC, WILCOX HOSTED OR SPONSORED A VARIETY OF COMMUNITY HEALTH EDUCATION EVENTS, AND STAFF SUPPORTED THEIR COMMUNITY BY PARTICIPATING IN ANNUAL CHARITABLE ENDEAVORS. THESE INCLUDED "HAWAI'I PACIFIC HEALTH GREAT ALOHA RUN," "KIDS FEST," "KAUA'I MARATHON," SEVERAL PHYSICIAN LED COMMUNITY WALKS, "A HEALTHIER YOU" HEALTH AND LIFESTYLE PROGRAM, "KEIKI BIKE AND SKATEBOARD SAFETY DAY," "BACK TO SCHOOL BASH, "WESTSIDE OHANA DAY."

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UH Foundation
1314 S King StHonoluluHI96814990085260501(c)(3)$681,814SCOLARSHIP Pledge & GENERAL SUPPORT
Hawaii Cancer Consortium
201 Merchant StHonoluluHI96813452280259501(c)(3)$500,000General Support
Residential Youth Svcs & Empowerment
PO Box 11662KailuaHI96828812102826501(c)(3)$58,000General Support
Hawaii Investment Ready
44-527 A Kaneohe Bay DrKaneoheHI96744814611816501(c)(3)$45,000General Support
Hawaiian Community Assets
200 N Vineyard BlvdHonoluluHI96817990348767501(c)(3)$40,000General Support
Aloha United Way
200 N Vineyard BlvdHonoluluHI96817990073494501(c)(3)$40,000General Support
IHS The Institute for Human Services Inc
546 Kaaahi StreetHonoluluHI96817990199107501(c)(3)$36,000General Support
Hawaii Good Food Alliance
PO Box 1334KaunakakaiHI96748834503785501(c)(3)$30,000General Support
Honolulu Habitat for Humanity Inc
680 Iwilei RoadHonoluluHI96817990261871501(c)(3)$30,000General Support
Hawaii Community Reinvestment Corp
PO BOX 3409HonoluluHI96801990282148501(c)(3)$25,000General Support
Olapano
PO BOX 508KoloaHI96756853025920501(c)(3)$20,000General Support
Project Vision Hawaii
PO Box 23212HonoluluHI96823272831637501(c)(3)$20,000General Support
National Kidney Foundation
1314 S King StHonoluluHI96814990266733501(c)(3)$15,000General Support
Hawaii Island's Food Bank
40 Holomua StHiloHI96720260349475501(c)(3)$20,000General Support
Malama Kauai
PO Box 1414KilaueaHI96754205137488501(c)(3)$15,000General Support
Girl Scouts of Hawai'i
410 Atkinson DriveHonoluluHI96814990073488501(c)(3)$10,000General Support
Arthritis Foundation Hawai'i
1355 Peachtree Street NEAtlantaGA30309581341679501(c)(3)$10,000General Support
NAVIAN HAWAI'I
860 IWILEI ROADHONOLULUHI96817990203930501(c)(3)$10,000General Support
The Kauai Marathon
PO Box 573KoloaHI96756264084075501(c)(3)$10,000General Support
Kauai Habitat for Humanity Inc
PO Box 28EleeleHI96705990302595501(c)(3)$10,000General Support
Honolulu Firefighters Foundation
1018 Palm DriveHonoluluHI96814943432887501(c)(3)$8,000General Support
FieldValueIRS element (for citing)
Total501c3 Org21Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationTHE HAWAI'I PACIFIC HEALTH DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO IRC SECTIONS 501(C)(3) ORGANIZATIONS ON AN ANNUAL BASIS. NO FURTHER MONITORING IS DONE FOR DONATIONS MADE TO 501(C)(3) ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (58 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Jennie Chahanovich
BOD, President & CEO$0$387,841$0$300,659$0$168,093$0$210,204$0$13,382$0$1,080,179$0$267,670
Todd Miller MD
Board of Director, Vice Chair$0$634,807$0$1,573$0$74,625$0$12,200$0$7,617$0$730,822$0$0
David Underriner
Board of Director, CEO$0$603,163$0$288,572$0$91,656$0$208,231$0$17,395$0$1,209,017$0$0
Raymond P Vara Jr
Board of Director, President$0$1,158,108$0$1,199,993$0$509,441$0$1,339,031$0$27,428$0$4,234,001$0$1,178,079
Tyler Chihara DPM
Board of Director$0$463,393$0$1,069$0$8,610$0$12,200$0$22,458$0$507,730$0$0
David Cho MD
Board of Director$0$644,713$0$11,447$0$36,873$0$12,200$0$22,458$0$727,691$0$0
Carol Fujiyoshi MD
Board of Director$0$324,900$0$2,139$0$69,824$0$12,200$0$7,485$0$416,548$0$0
Melanie Kim MD
Board of Director$0$10,060$0$34,528$0$280,509$0$12,200$0$7,787$0$345,084$0$0
Kenneth T Nakamura MD
Board of Director$0$162,504$0$1,965$0$111,151$0$8,212$0$13,561$0$297,393$0$0
Patrick O'Donnell MD
Board of Director$0$590,460$0$1,887$0$36,339$0$12,200$0$22,858$0$663,744$0$0
Monica Price MD
Board of Director$0$228,082$0$12,535$0$43,922$0$11,107$0$22,852$0$318,498$0$0
Ivica Zalud MD
Board of Director$0$410,771$0$1,132$0$21,225$0$12,200$0$0$0$445,328$0$0
Troy Branstetter
VP$0$224,128$0$45,156$0$28,416$0$62,589$0$7,485$0$367,774$0$12,437
Gloria Brooks
COO$0$266,222$0$48,253$0$24,379$0$68,520$0$8,205$0$415,579$0$36,720
William Burke
VP$0$240,487$0$51,106$0$28,657$0$73,234$0$17,395$0$410,879$0$41,453
Warren Chaiko
SVP$0$270,546$0$77,019$0$56,912$0$95,145$0$27,822$0$527,444$0$62,456
Charles R Ching
EVP, General Counsel & Secretary$0$456,173$0$329,628$0$178,829$0$261,282$0$15,781$0$1,241,693$0$311,476
Dawn Ching
VP - part year$0$192,175$0$53,352$0$33,995$0$69,675$0$8,323$0$357,520$0$32,603
Leslie Chun MD
EVP$0$545,441$0$365,197$0$95,037$0$258,279$0$27,452$0$1,291,406$0$178,873
Travis Clegg
COO$0$339,948$0$94,652$0$23,877$0$100,446$0$25,187$0$584,110$0$74,663
Dawn Dunbar
SVP$0$302,499$0$85,040$0$39,627$0$95,618$0$24,678$0$547,462$0$68,960
Louise Fukumoto
VP$0$223,039$0$36,547$0$30,057$0$48,104$0$15,117$0$352,864$0$0
Arthur Gladstone
EVP & CSO$0$523,608$0$382,770$0$169,931$0$297,096$0$25,072$0$1,398,477$0$369,609
Reina (France) Graves
Privacy Officer$0$130,089$0$0$0$1,124$0$12,776$0$22,715$0$166,704$0$0
Robyn Kalahiki RN
VP & CNE$0$221,860$0$27,548$0$26,628$0$41,465$0$15,561$0$333,062$0$0
Joan Kanemori
VP$0$242,375$0$51,932$0$31,954$0$73,938$0$15,581$0$415,780$0$29,907
Glenn Kawabata
VP$0$214,467$0$45,599$0$23,237$0$62,850$0$26,471$0$372,624$0$35,620
Douglas Kwock MD
VP$0$400,661$0$84,686$0$39,982$0$98,379$0$24,342$0$648,050$0$70,038
Jessica Lewis
Assistant Corporate Secretary$0$170,929$0$0$0$557$0$17,065$0$27,028$0$215,579$0$0
Peter Lewis
VP & Chief Information Security Officer$0$265,114$0$40,549$0$23,546$0$36,795$0$1,320$0$367,324$0$0
James Lin MD
VP$0$266,760$0$56,884$0$33,592$0$74,975$0$24,972$0$457,183$0$45,528
Mathew Loughlin
VP$0$175,732$0$16,376$0$18,216$0$18,697$0$21,866$0$250,887$0$0
Lorrie-Ann Luke
VP$0$225,129$0$46,653$0$28,317$0$67,446$0$25,072$0$392,617$0$36,781
John McNamara
SVP & CMO$0$311,476$0$57,312$0$44,619$0$50,723$0$9,507$0$473,637$0$0
Andrew Moats RN
VP$0$240,777$0$50,573$0$21,093$0$61,948$0$24,442$0$398,833$0$39,886
David Okabe
EVP, CFO & Treasurer$0$577,990$0$416,750$0$253,185$0$377,798$0$15,781$0$1,641,504$0$415,256
Shilpa Patel MD
SVP & CQO$0$311,682$0$85,243$0$8,322$0$73,975$0$23,568$0$502,790$0$0
Steven Robertson
EVP & CIO$0$470,116$0$369,600$0$511,169$0$267,402$0$15,781$0$1,634,068$0$326,496
Michael Robinson
VP$0$272,152$0$56,686$0$29,528$0$72,633$0$9,837$0$440,836$0$45,542
Gidget Ruscetta RN
COO - KMCWC$0$349,536$0$105,861$0$45,075$0$107,537$0$14,581$0$622,590$0$58,022
Darla Sabry RN
VP & CNE$0$216,794$0$36,081$0$75,735$0$21,707$0$13,561$0$363,878$0$0
Katie Shigemitsu
Compliance Officer$0$223,306$0$0$0$5,885$0$23,670$0$9,172$0$262,033$0$0
David Stumbaugh
VP$0$226,737$0$47,069$0$18,057$0$68,047$0$25,208$0$385,118$0$37,816
Dean Tateyama
VP$0$223,083$0$36,547$0$38,684$0$47,395$0$14,881$0$360,590$0$0
Sunshine Topping
SVP$0$323,136$0$86,940$0$31,871$0$97,176$0$24,409$0$563,532$0$63,758
Carrie Ann Tsutsui
VP & Controller$0$226,544$0$47,628$0$24,497$0$68,452$0$13,061$0$380,182$0$38,265
Brandon Wong
VP - part year$0$184,894$0$39,035$0$17,531$0$53,657$0$22,458$0$317,575$0$14,729
Laura Bonilla
Exec. Director - Pediatrics$232,269$0$26,276$0$107,773$0$12,248$0$4,253$0$382,819$0$0$0
Rodney Chelliah RN
registered nurse$334,738$0$400$0$81,219$0$17,406$0$7,485$0$441,248$0$0$0
Joy Matsuyama MD
FORMER DIRECTOR OF PHARMACY$323,368$0$24,216$0$52,284$0$19,863$0$14,326$0$434,057$0$0$0
Gary Noah-Casison RN
Director of nursing$415,542$0$27,335$0$2,310$0$22,670$0$14,581$0$482,438$0$0$0
Jill Oishi Ramos RN
registered nurse$332,397$0$5,700$0$73,549$0$22,709$0$22,504$0$456,859$0$0$0
Melinda Ashton MD
Former Officer$0$276,841$0$395,535$0$138,077$0$221,243$0$14,907$0$1,046,603$0$279,893
Barbara Craft
Former Officer$0$0$0$0$0$259,955$0$0$0$13,797$0$273,752$0$60,609
Gail Lerch
Former Officer$0$18,658$0$0$0$213,431$0$15,683$0$3,743$0$251,515$0$154,085
Brigitte McKale
Former Officer$0$69,478$0$185,000$0$21,716$0$26,811$0$4,688$0$307,693$0$45,668
Kenneth B Robbins MD
Former Officer$0$236,660$0$0$0$0$0$25,194$0$14,341$0$276,195$0$170,064
Beau Nakamoto MD
Former Officer$0$178,126$0$5,130$0$91,975$0$10,613$0$0$0$285,844$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control paymentThe following individuals received severance payments, included in Part II, Column (b)(iii), during the 2022 calendar year: Barbara Craft - $259,955
Schedule J, Part I, Line 4b Supplemental nonqualified retirement planSUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN 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. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: JENNIE CHAHANOVICH - $32,725 RAYMOND P. VARA JR. - $212,216 LESLIE CHUN - $41,152 ARTHUR GLADSTONE - $65,492 DAVID OKABE - $141,318 GAIL LERCH - $46,032 CHARLES R. CHING - $56,494 STEVEN ROBERTSON - $87,981 MELINDA ASHTON, M.D. - $52,872 ANNUAL INCENTIVE PLAN THE ANNUAL INCENTIVE PLAN IS AFFORDED TO EXECUTIVES BASED ON ANNUAL SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: JENNIE CHAHANOVICH - $280,659 RAYMOND P. VARA JR. - $1,199,993 LESLIE CHUN - $365,197 ARTHUR GLADSTONE - $382,770 DAVID OKABE - $416,750 CHARLES R. CHING - $329,628 STEVEN ROBERTSON - $339,600 MELINDA ASHTON, M.D. - $345,535 DAVID UNDERRINER - $272,538 SHILPA PATEL - $51,188 CARRIE ANN TSUTSUI - $47,628 WARREN CHAIKO - $77,019 DAWN DUNBAR - $85,040 LOUISE FUKUMOTO - $24,078 MICHAEL ROBINSON - $56,686 JOHN McNAMARA - $57,312 LORRIE-ANN LUKE - $46,653 DAVID STUMBAUGH - $47,069 PETER LEWIS - $40,549 GLORIA BROOKS - $48,253 DAWN CHING - $53,352 GIDGET RUSCETTA, R.N. - $95,861 DEAN TATEYAMA - $24,078 TRAVIS CLEGG - $94,652 JOAN KANEMORI - $51,932 ANDREW MOATS - $50,573 GLENN KAWABATA - $45,599 ROBYN KALAHIKI - $18,064 BRANDON WONG - $39,035 WILLIAM BURKE - $51,106 JAMES LIN - $56,129 DOUGLAS KWOCK - $84,686 TROY BRANSTETTER - $45,156 SUNSHINE TOPPING - $86,940 RETENTION INCENTIVE PLAN THE RETENTION INCENTIVE PLAN WAS DESIGNED TO ENCOURAGE CONTINUED INTEREST IN THE SUCCESS OF THE ORGANIZATION AND PROVIDE COMPETITIVE RETIREMENT BENEFITS. THE SOLE PLAN PARTICIPANT IS HAWAI'I PACIFIC HEALTH'S CHIEF EXECUTIVE OFFICER, RAYMOND P. VARA JR. THE PLAN DOES NOT REPLACE THE ANNUAL AND LONG-TERM INCENTIVE PLAN NOR THE SERP RESTORATION PLAN. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR. - $331,845
Schedule J, Part I, Line 3 SUPPLEMENTAL COMPENSATION INFORMATIONTHE ORGANIZATION'S PRESIDENT IS PAID BY ITS TAX EXEMPT PARENT, HAWAI'I PACIFIC HEALTH ('HPH'), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. COMPENSATION FOR HPH EXECUTIVES IS SET BY THE INDEPENDENT BOARD MEMBERS OF THE HAWAI'I PACIFIC BOARD'S COMPENSATION COMMITTEE. ON AN ANNUAL BASIS THE HPH BOARD CHAIRPERSON (WHO IS INDEPENDENT) SELECTS A NEUTRAL THIRD PARTY EXECUTIVE COMPENSATION CONSULTANT TO REVIEW THE EXECUTIVE'S 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 COMMTTIEE MAKES A FINAL DECISIONS REGARDING COMPENSATION AND BENEFITS AT THE MEETING AFTER REVIEW AND DISCUSSION OF THE CONSULTANT'S REPORT. 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. THIS PROCESS WAS MOST RECENTLY COMPLETED ON MARCH 02, 2023 TO REVIEW PHYSICIAN COMPENSATION AND ON JULY 25, 2023 TO REVIEW EXECUTIVE COMPENSATION.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
HAWAI'I BIO WASTE
SEE PART V$149,558WASTE MANAGEMENT SERVICESfalse
JOY MATSUYAMA
SEE PART V$241,451HCE, FORMER DIRECTOR OF PHARMACYfalse

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule L, Part IV HAWAI'I BIO WASTEMICHELLE HO, WHO SERVES ON THE BOARD OF DIRECTORS, OWNS MORE THAN 65% DIRECTLY AND INDIRECTLY OF HAWAI'I BIO WASTE.
Schedule L, Part IV JOY MATSUYAMAJOY MATSUYAMA, HIGHEST COMPENSATED EMPLOYEE, FORMER DIRECTOR OF PHARMACY, IS A FAMILY MEMBER OF DAWN DUNBAR, CURRENT STRAUB CLINIC & HOSPITAL SVP.

Schedule M IRS990ScheduleM

Books And Publications BooksAndPublicationsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$200NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt

Clothing And Household Goods ClothingAndHouseholdGoodsGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Noncash Contributions Rpt F990$3,950NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt

Food Inventory FoodInventoryGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution8ContributionCnt
Noncash Contributions Rpt F990$1,637NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution5ContributionCnt
Noncash Contributions Rpt F990$3,800NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt

Other Non Cash Contri Table OtherNonCashContriTableGrp (4 entries)

Non Cash CheckboxNonCashCheckboxIndDescDescContributionContributionCntNoncash Contributions Rpt F990NoncashContributionsRptF990AmtMethod Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)TOYS & BICYCLES15$39,262Market value
Yes (X)PREPAID GIFT CARDS12$2,154Market value
Yes (X)SKIN CARE PRODUCTS1$833Market value
Yes (X)GIFT BASKETS3$400Market value
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Column BFormAndLineReferenceDesc
ExplanationCOLUMN B REPRESENTS THE NUMBER OF CONTRIBUTIONS RECEIVED.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 1 ORGANIZATION'S MISSIONHAWAI'I PACIFIC HEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM WITH OVER 70 LOCATIONS STATEWIDE INCLUDING MEDICAL CENTERS, CLINICS, PHYSICIANS AND OTHER CAREGIVERS COMMITTED TO THE ORGANIZATION'S MISSION TO CREATE A HEALTHIER HAWAI'I. ITS FOUR MEDICAL CENTERS - KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN (KAPI'OLANI), PALI MOMI MEDICAL CENTER (PALI MOMI), STRAUB CLINIC AND HOSPITAL (STRAUB) AND WILCOX MEMORIAL HOSPITAL (WILCOX) - SPECIALIZE IN INNOVATIVE PROGRAMS IN WOMEN'S HEALTH, PEDIATRIC CARE, CARDIOVASCULAR SERVICES, CANCER CARE, BONE AND JOINT SERVICES AND MORE. HAWAI'I PACIFIC HEALTH IS RECOGNIZED NATIONALLY FORITS EXCELLENCE IN PATIENT CARE AND THE USE OF ELECTRONIC HEALTH RECORDS TO IMPROVE QUALITY AND PATIENT SAFETY.
Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTIONOUTPATIENT OPERATING ROOMS IN FISCAL YEAR 2023, HAWAI'I PACIFIC HEALTH MEDICAL CENTERS AND CLINICS SPENT A TOTAL OF $72,604,865 IN DIRECT EXPENSES FOR OUTPATIENT OPERATING ROOMS AND SURGICAL PROCEDURES, AS PART OF OUR COMMITMENT TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. PEDIATRIC SURGERIES AT KAPI'OLANI INCLUDE THORACIC/HEART; CLEFT LIP/PALATE; EAR, NOSE AND THROAT; ORTHOPEDIC; NEUROLOGIC; UROLOGIC; OPHTHALMOLOGIC; GASTROINTESTINAL; PLASTIC AND GENERAL PROCEDURES. WOMEN'S SURGERIES INCLUDE BREAST BIOPSIES, LUMPECTOMIES, MASTECTOMIES AND RECONSTRUCTION, HYSTEROSCOPIES, INTERSTIM BLADDER IMPLANT AND SUB URETHRAL SLING TO TREAT INCONTINENCE, TUBAL LIGATION AND ENDOMETRIAL ABLATION. KAPI'OLANI IS THE ONLY MEDICAL CENTER IN THE STATE PROVIDING DA VINCI ROBOT-AIDED PEDIATRIC SURGERY. ADDITIONALLY, THE ROBOT IS UTILIZED IN PERFORMING GYNECOLOGICAL SURGICAL SERVICES. THE MINIMALLY INVASIVE SURGERIES PERFORMED USING THE DA VINCI PROVIDE INCREASED BENEFITS FOR PATIENTS, INCLUDING LESS PAIN, LOWER RISK OF INFECTION AND LESS BLOOD LOSS. IN 2023 KAPI'OLANI BECAME THE FIRST AND ONLY MEDICAL CENTER IN HAWAI'I TO ACHIEVE LEVEL 1 CHILDREN'S SURGERY VERIFICATION FROM THE AMERICAN COLLEGE OF SURGEONS (ACS). KAPI'OLANI WAS EVALUATED ON MORE THAN 140 REQUIREMENTS AND CONSIDERATIONS IN ORDER TO BE AWARDED THE HIGHEST OF ACS' THREE SURGERY DESIGNATIONS FOR CHILDREN'S HOSPITALS. IN FISCAL YEAR 2023, KAPI'OLANI PERFORMED 4,346 PEDIATRIC AND ADULT OUTPATIENT SURGERIES. PALI MOMI HAS A FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITE EQUIPPED WITH TELEMEDICINE CAPABILITY, TOUCHSCREEN CONTROL PANELS AT THE NURSES' STATION, VOICE ACTIVATION SYSTEM, AND LIVE VIDEO FEED TO MEDICAL CENTERS AROUND THE WORLD. IN FISCAL YEAR 2023, PALI MOMI PERFORMED 3,772 OUTPATIENT SURGERIES. PALI MOMI UTILIZES THE DA VINCI FIREFLY ROBOT-AIDED SYSTEM TO ASSIST WITH MINIMALLY INVASIVE SURGERY. THE MINIMALLY INVASIVE SURGERIES PERFORMED USING THE DA VINCI PROVIDE INCREASED BENEFITS FOR PATIENTS INCLUDING LESS PAIN, LOWER RISK OF INFECTION AND LESS BLOOD LOSS. STRAUB OFFERS INTEGRATED OUTPATIENT SURGERY IN A 7-ROOM SUITE, 2-ROOM PLASTIC SURGERY SUITE, 2-ROOM GENERAL SURGERY DEPARTMENT, 2-ROOM INTERVENTIONAL CARDIAC CATHETERIZATION LABORATORY, INTERVENTIONAL RADIOLOGY SUITES, AND ENDOSCOPY DEPARTMENT. PROCEDURES PERFORMED RANGE FROM MINOR EXCISIONS TO COMPLEX PERIPHERAL INTRAVASCULAR TECHNIQUES. IN FISCAL YEAR 2023, STRAUB PERFORMED 3,381 OUTPATIENT SURGERIES. WILCOX HAS A STATE-OF-THE-ART SURGICAL CENTER WITH 6 SURGICAL SUITES, 20 SAME-DAY SURGERY BEDS, VOICE-ACTIVATED ROBOTICS AND OTHER COMPUTER-ASSISTED TECHNOLOGIES. IN FISCAL YEAR 2023, WILCOX PERFORMED 2,871 OUTPATIENT SURGERIES.
Form 990, Part III, Line 4c PROGRAM SERVICE DESCRIPTIONPEDIATRICS-NEONATAL SERVICES IN FISCAL YEAR 2023, HAWAI'I PACIFIC HEALTH SPENT $51,965,170 IN DIRECT EXPENSES FOR PEDIATRIC-NEONATAL SERVICES AS PART OF ITS COMMITMENT TO PROVIDE HIGH-QUALITY MEDICAL CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. KAPI'OLANI IS RECOGNIZED AS HAWAI'I'S PEDIATRIC MEDICAL CENTER AND ALSO PROVIDES CARE TO SERVE PATIENTS THROUGHOUT THE PACIFIC REGION. IT HAS THE ONLY INTENSIVE CARE UNITS IN HAWAI'I TO TREAT CRITICALLY-ILL CHILDREN AND INFANTS. IN FISCAL YEAR 2023, THE PEDIATRIC INTENSIVE CARE UNIT SERVED NEARLY 700 CHILDREN RANGING IN AGE FROM ONE WEEK TO 21 YEARS OF AGE. SPECIAL SERVICES DELIVERED BY THE PEDIATRIC INTENSIVE CARE UNIT INCLUDE AN OPEN-HEART PROGRAM THROUGH ITS NEW PEDIATRIC HEART CENTER, ECMO (EXTRACORPOREAL MEMBRANE OXYGENATION), DIALYSIS CRRT (CONTINUOUS RENAL REPLACEMENT THERAPY), AND TRAUMA AND TRANSPLANT COLLABORATION WITH OTHER MEDICAL CENTERS FOR POSTOPERATIVE CARE. THE NEONATAL INTENSIVE CARE UNIT TREATS MORE THAN 1,000 OF THE TINIEST AND MOST VULNERABLE INFANTS IN HAWAI'I EACH YEAR. SPECIALIZED PROCEDURES INCLUDE ECMO (EXTRACORPOREAL MEMBRANE OXYGENATION) AND WHOLE-BODY COOLING. KAPI'OLANI ALSO PROVIDES SPECIALTY PEDIATRIC CARE IN CARDIOLOGY, GASTROENTEROLOGY, NEUROLOGY, OPHTHALMOLOGY, UROLOGY, ONCOLOGY, SURGERY, ORTHOPEDICS, REHABILITATION AND OTHER SUPPORT SERVICES. IT IS A MAJOR TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE'S PEDIATRIC AND NEONATAL-PERINATAL MEDICINE PROGRAMS. IN FISCAL YEAR 2023, KAPI'OLANI PROVIDED SPECIALIZED CARE FOR 4,209 PEDIATRIC-NEONATAL PATIENTS. WILCOX PROVIDES PREVENTIVE CARE AND TREATMENT SERVICES TO MEET THE HEALTH NEEDS OF KAUA'I'S CHILDREN. THROUGH KAUA'I MEDICAL CLINIC, WILCOX PROVIDES COMPREHENSIVE PEDIATRIC CARE FOR CHILDREN OF ALL AGES. PEDIATRICIANS AT WILCOX ALSO COLLABORATE WITH PHYSICIANS AT KAPI'OLANI OR OTHER HAWAI'I PACIFIC HEALTH FACILITIES WHEN KAUA'I CHILDREN NEED SPECIALIZED CARE. IN FISCAL YEAR 2023, WILCOX PROVIDED SPECIALIZED CARE FOR 180 PEDIATRIC-NEONATAL PATIENTS.
Form 990, Part III, Line 4b PROGRAM SERVICE ACCOMPLISHMENTSOUTPATIENT EMERGENCY DEPARTMENTS IN FISCAL YEAR 2023, HAWAI'I PACIFIC HEALTH MEDICAL CENTERS SPENT A TOTAL OF $71,007,229 IN DIRECT EXPENSES FOR OUTPATIENT EMERGENCY DEPARTMENT (ED) SERVICES, AS PART OF OUR COMMITMENT TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. KAPI'OLANI IS THE ONLY LEVEL III PEDIATRIC TRAUMA CENTER SERVING HAWAI'I AND THE PACIFIC REGION. KAPI'OLANI'S EXPANDED ED FEATURES 24 PRIVATE TREATMENT ROOMS, INCLUDING TWO TRAUMA ROOMS AND TWO TRIAGE ROOMS; THREE ROOMS EQUIPPED AS NEGATIVE-PRESSURE ISOLATION ROOMS; ON-SITE SATELLITE RADIOLOGY SUITE FOR PLAIN X-RAYS, SEPARATE ADULT AND PEDIATRIC WAITING AREAS; CHILD-FRIENDLY DECOR; AND A CENTRAL, OPEN BUSINESS CENTER. KAPI'OLANI'S ED IS THE ONLY ONE IN THE STATE WITH PEDIATRIC SPECIALISTS AVAILABLE 24/7. IT HAS A TEAM FOR ADULTS AND ANOTHER DEDICATED TO PEDIATRICS, WHERE BOARD-CERTIFIED PEDIATRIC EMERGENCY PHYSICIANS CAN QUICKLY DIAGNOSE AND TREAT A FULL RANGE OF MEDICAL CONDITIONS IN BABIES, CHILDREN AND TEENS, FROM RARE INFECTIONS TO SPORTS INJURIES. IN FISCAL YEAR 2023, KAPI'OLANI HAD 46,064 OUTPATIENT ED CASES. PALI MOMI IS THE ONLY LEVEL III TRAUMA CENTER SERVING CENTRAL AND WEST O'AHU. IT HAS A TEAM OF BOARD-CERTIFIED EMERGENCY PHYSICANS WHO HAVE UNIQUE SPECIALTY SERVICES AVAILABE AT PALI MOMI WHICH INCLUDE THE FIRST AND ONLY INTERVENTIONAL CARDIAC CATHERIZATION UNIT TO DETECT AND TREAT HEART DIESASE IN CENTRAL AND WEST OAHU AS WELL AS A PRIMARY STROKE CENTER. IN FISCAL YEAR 2023, THE PALI MOMI ED HAD 38,013 OUTPATIENT ED CASES. THE STRAUB ED ALSO HAS BOARD-CERTIFIED EMERGENCY PHYSICIANS ON STAFF 24/7, 365 DAYS A YEAR. IN FISCAL YEAR 2023, THE STRAUB ED HAD 29,723 OUTPATIENT ER CASES. WILCOX IS THE FIRST AMERICAN COLLEGE OF SURGEONS VERIFIED LEVEL III TRAUMA CENTER IN THE STATE OF HAWAI'I. THE WILCOX 20-BED ER IS THE FIRST NEIGHBOR ISLAND FACILITY TO OBTAIN A LEVEL III TRAUMA DESIGNATION. IT IMPLEMENTED A TRIAGE BEST PRACTICE, "RAPID TRIAGE AND IMMEDIATE BED PLACEMENT," TO DECREASE DOOR-TO-BED AND DOOR-TO-DOC TIMES, ALLOW SOME PATIENTS TO BYPASS THE TRIAGE AREA, AND LET NURSE ASSESSMENT AND ER PHYSICIAN EVALUATION OCCUR SIMULTANEOUSLY. THIS IMPROVES SERVICE, QUALITY AND SAFETY. IN FISCAL YEAR 2023, THE WILCOX ED HAD 21,636 OUTPATIENT ED CASES.
Form 990, Part III, Line 4d Description of other program services(Expenses $ 1,120,102,488 including grants of $ 1,735,536)(Revenue $ 1,245,869,961) OTHER PROGRAMS HAWAI'I PACIFIC HEALTH IS ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS WITH FOUR MEDICAL CENTERS, MORE THAN 70 LOCATIONS, 1,500+ AFFILIATED PHYSICIANS, MORE THAN 7,000 EMPLOYEES, AND HUNDREDS OF VOLUNTEERS FROM THE COMMUNITY. HAWAI'I RESIDENTS AND VISITORS RELY ON HAWAI'I PACIFIC HEALTH FOR ITS FULL RANGE OF PRIMARY, SECONDARY AND SELECT TERTIARY CARE SERVICES. IN FISCAL YEAR 2023, THE MEDICAL CENTERS ADMITTED 31,186 PATIENTS. IN ADDITION, PALI MOMI HAD 89,433 PATIENT CLINIC ENCOUNTERS, STRAUB CLINICS HAD 971,118 PATIENT CLINIC ENCOUNTERS, KAUA'I MEDICAL CLINIC HAD 317,883 TOTAL PATIENT CLINIC ENCOUNTERS AND KAPI'OLANI MEDICAL SPECIALISTS HAD 259,303 PATIENT CLINIC ENCOUNTERS. AFFILIATES AND SUBSIDIARIES HAWAI'I HEALTH PARTNERS IS A PHYSICIAN-LED ACCOUNTABLE CARE ORGANIZATION WITH THE GOAL OF PROVIDING HIGH-QUALITY CARE, INCREASED EFFICIENCY AND OPTIMAL PATIENT HEALTH. KAPI'OLANI MEDICAL SPECIALISTS IS A SPECIALTY PHYSICIANS GROUP ORGANIZED TO SUPPORT KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN. KAUA'I MEDICAL CLINIC IS ORGANIZED TO SUPPORT WILCOX MEMORIAL HOSPITAL. THE FOUNDATIONS OF HAWAI'I PACIFIC HEALTH CONSIST OF KAPI'OLANI HEALTH FOUNDATION, PALI MOMI FOUNDATION, STRAUB FOUNDATION AND WILCOX HEALTH FOUNDATION. THESE CHARITABLE ENTITIES SUPPORT HEALTH RESEARCH, FACILITY ENHANCEMENTS, TECHNOLOGY INVESTMENTS, EDUCATIONAL PROGRAMS AND OTHER RESOURCES FOR THEIR RESPECTIVE MEDICAL CENTERS. HAWAI'I HEALTH PARTNERS, INC. IS A FOR-PROFIT SUBSIDIARY THAT SERVES AS THE JOINT VENTURE PARTNER WHEN HAWAI'I PACIFIC HEALTH WORKS WITH OTHER PROVIDERS. PROVIDERS INSURANCE CORPORATION IS A CAPTIVE INSURANCE COMPANY THAT PROVIDES PROFESSIONAL LIABILITY INSURANCE FOR HAWAI'I PACIFIC HEALTH-AFFILIATED EMPLOYED PHYSICIANS. PATIENT CARE HAWAI'I PACIFIC HEALTH HAS STRATEGIC INITIATIVES IN WOMEN'S HEALTH, PEDIATRIC CARE, CARDIOVASCULAR SERVICES, BONE & JOINT SERVICES, AND CANCER CARE. IT IS RECOGNIZED NATIONALLY FOR ITS EXCELLENCE IN HEALTH INFORMATION TECHNOLOGY, SPECIFICALLY THE USE OF ELECTRONIC HEALTH RECORDS TO IMPROVE QUALITY OF CARE AND PATIENT SAFETY. THE HAWAI'I PACIFIC HEALTH SYSTEM INCLUDES: THE PACIFIC REGION'S ONLY FULL-SERVICE WOMEN'S AND CHILDREN'S MEDICAL CENTER AND ONLY DEDICATED BURN UNIT, HAWAI'I'S ONLY PEDIATRIC HEART CENTER, STATE-OF-THE-ART IMAGING CENTER ON KAUA'I, WEST O'AHU'S ONLY CARDIAC CATHETERIZATION LABS, CENTRAL AND WEST O'AHU'S ONLY COMPREHENSIVE CANCER CENTER, MINIMALLY INVASIVE BONE AND JOINT CENTER, STATE'S FIRST WOMEN'S CENTER, SPECIALIZED BREAST AND WOMEN'S CANCER CENTERS, AND OTHER SERVICES CONSIDERED CRITICAL TO THE REMOTE HAWAIIAN ARCHIPELAGO. COMMUNITY ROLE/ACTIVITY AS ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS, HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO IMPROVE THE HEALTH OF HAWAI'I RESIDENTS AND, THROUGH ITS MISSION, IS COMMITTED TO CREATING A HEALTHIER HAWAI'I. EACH YEAR, HAWAI'I PACIFIC HEALTH SPONSORS HEALTH EDUCATION, TEACHING AND RESEARCH, AND SUPPORTS LIKE-MINDED ORGANIZATIONS. HAWAI'I PACIFIC HEALTH CONTINUES TO SUPPORT VARIOUS COMMUNITY BENEFIT PROGRAMS, INCLUDING THE KAPI'OLANI SEX ABUSE TREATMENT CENTER, KAPI'OLANI CHILD ADVOCACY AND PROTECTION CENTER, HEART DISEASE PREVENTION, BREAST AND CERVICAL CANCER SCREENING FOR UNINSURED PERSONS, WOMEN AND INFANT HEALTH AND NUTRITION, REHABILITATION SERVICES, SUPPORT GROUPS, HEMOPHILIA PROGRAMS, AND OTHER EDUCATION AND SCREENINGS FOR HAWAI'I RESIDENTS ON HEALTH, WELLNESS AND DISEASE-PREVENTION STRATEGIES. IN FISCAL YEAR 2023, HAWAI'I PACIFIC HEALTH SPONSORED OR SUPPORTED NUMEROUS HEALTH EVENTS, INCLUDING "AMERICAN HEART ASSOCIATION HAWAI'I HEART WALK," "SUSAN G. KOMENMORE THAN PINK WALK," "ARTHRITIS FOUNDATION'S WALK TO CURE ARTHRITIS, MANY MORE INITIATIVES THAT PROMOTE A HEALTHIER LIFESTYLE AND HEALTHY OUTLOOK FOR PHYSICAL AND EMOTIONAL WELL BEING. IN FISCAL YEAR 2023, HAWAI'I PACIFIC HEALTH'S WOMEN'S 10K & 5K FUN RUN RETURNED TO AN IN-PERSON RACE FOR THE FIRST TIME SINCE 2019. THE EVENT DREW MORE THAN 500 RUNNERS. HPH'S WOMEN'S 10K & 5K FUN RUN IS HAWAI'I'S ONLY ALL-FEMALE SANCTIONED RACE. HAWAI'I PACIFIC HEALTH ALSO SERVED AS THE PRESENTING SPONSOR FOR THE GREAT ALOHA RUN. PROCEEDS FROM THE EVENT BENEFIT MORE THAN 150 NONPROFIT ORGANIZATIONS IN HAWAI'I. HAWAI'I PACIFIC HEALTH ALSO PARTICIPATED IN SYMPOSIA AND MEETINGS FOR HEALTH CARE PROFESSIONALS, HIRED STUDENTS AS SUMMER INTERNS, FACILITATED CLINICAL TRAINING PROGRAMS FOR PUBLIC HIGH SCHOOL STUDENTS TO EARN NATIONAL CERTIFICATION IN MEDICAL FIELDS AND SPONSORED WORKSHOPS FOR VOLUNTEERS. TO TRAIN HEALTH CARE PROVIDERS, HAWAI'I PACIFIC HEALTH HAS ALLIANCES WITH THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE AND HAWAI'I PACIFIC UNIVERSITY, PLUS WORKS CLOSELY IN PARTNERSHIP WITH THE HAWAI'I STATE DEPARTMENT OF EDUCATION. HAWAI'I PACIFIC HEALTH INVESTS EACH YEAR IN TEACHING AND RESEARCH AS A PEDIATRIC AND OB-GYN TRAINING FACILITY FOR THE UNIVERSITY OF HAWAI'I. HAWAI'I PACIFIC HEALTH IS ALSO ACTIVELY INVOLVED IN CLINICAL TRIALS AND RESEARCH THROUGH ITS VAROUS FACILITIES IN 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. HAWAI'I PACIFIC HEALTH LEADERS ADVOCATE FOR LEGISLATIVE REFORM AND REGULATORY ENHANCEMENTS FOR VARIOUS HEALTH CARE INDUSTRY ISSUES RANGING FROM RETAINING PHYSICIANS IN THE STATE TO PROVIDING STABILITY FOR HEALTH CARE PROVIDERS AND ACCESS TO CARE AND SERVICES FOR RESIDENTS ACROSS THE STATE. OTHER HAWAI'I PACIFIC HEALTH MEDICAL CENTERS TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS A SAFETY NET PROVIDER OF HEALTH CARE FOR THE COMMUNITY. AN ESTABLISHED CHARITY CARE POLICY SETS GUIDELINES BY WHICH IT IS DETERMINED IF PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. HAWAI'I PACIFIC HEALTH CONTRIBUTES MORE THAN $1 BILLION TO THE STATE ECONOMY EACH YEAR, SUPPORTING ITS MORE THAN 7,000 EMPLOYEES, THEIR FAMILIES, AND MANY BUSINESSES THROUGH PURCHASES MADE BY ITS MEDICAL CENTERS AND CLINICS. ESTIMATED PROGRAM SERVICES REVENUE IS REPORTED ON PART III, LINE 4.
Form 990, Part IV, Line 8 COLLECTION OF WORKS OF ART, HISTORICAL TREASURES OR SIMILARKAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC) AND PALI MOMI MEDICAL CENTER (PMMC) MAINTAIN WORKS OF ART. STRAUB CLINIC & HOSPITAL (SCH) AND WILCOX MEMORIAL HOSPITAL (WMH) DID NOT MAINTAIN WORKS OF ART.
Form 990, Part IV, Line 10 ENDOWMENT FUNDSKAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC), PALI MOMI MEDICAL CENTER (PMMC) AND STRAUB CLINIC & HOSPITAL (SCH) HELD ASSETS IN ENDOWMENT FUNDS. WILCOX MEMORIAL HOSPITAL DID NOT HOLD ASSETS IN ENDOWMENT FUNDS.
Form 990, Part IV, Line 11b INVESTMENTS - OTHER SECURITIES 5% OR MORE OF TOTAL ASSETSKAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC) AND PALI MOMI MEDICAL CENTER (PMMC) BOTH REPORTED INVESTMENTS IN OTHER SECURITIES GREATER OR EQUAL TO 5% OF TOTAL ASSETS. STRAUB CLINIC & HOSPITAL (SCH) AND WILCOX MEMORIAL HOSPITAL (WMH) BOTH DID NOT REPORT INVESTMENTS IN OTHER SECURITIES GREATER OR EQUAL TO 5% OF TOTAL ASSETS.
Form 990, Part IV, Line 28c BUSINESS TRANSACTION WITH A CONTROLLED ENTITYKAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN (KMCWC) WAS A PARTY TO A BUSINESS TRANSACTION WITH A 35% CONTROLLED ENTITY BY A CURRENT OFFICER. PALI MOMI MEDICAL CENTER (PMMC), STRAUB CLINICAL & HOSPITAL (SCH) AND WILCOX MEMORIAL HOSPITAL (WMH) WERE NOT A PARTY TO A BUSINESS TRANSACTION WITH A 35% CONTROLLED ENTITY BY A CURRENT OFFICER.
Form 990, Part V, Line 1a FORM 1096 REPORTINGHAWAI'I PACIFIC HEALTH (HPH), THE ORGANIZATION'S TAX EXEMPT PARENT, PAYS ALL VENDORS. THEREFORE, HPH ISSUES FORMS 1099 UNDER ITS TAX ID.
Form 990, Part VI, Line 7b DECISIONS REQUIRING APPROVAL BY MEMBERS OR STOCKHOLDERS - CONTINUEDHAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING RESERVED POWERS WITH RESPECT TO WILCOX MEMORIAL HOSPITAL: (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) CAUSE 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 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 2 Family/business relationships amongst interested personsJESSICA LEWIS AND PETER LEWIS - Family relationship
Form 990, Part VI, Line 6 Classes of members or stockholdersHAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER WHO HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyHAWAI'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.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersHAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING RESERVED POWERS WITH RESPECT TO KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN AND PALI MOMI MEDICAL CENTER: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE EXECUTIVE VICE PRESIDENT/CHIEF EXECUTIVE OFFICER, TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, CHIEF OPERATING 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) DETERMINE AND EFFECT THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR FOR ONE MILLION DOLLARS ($1,000,000) OR MORE; (V) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (VI) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE, AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (VII) DETERMINE AND EFFECT INTER CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (VIII) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (IX) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (X) CLOSE THE ACUTE CARE HOSPITAL OWNED AND OPERATED BY THE CORPORATION; (XI) AFTER CONSULTING WITH THE BOARD, REMOVE THE EXECUTIVE VICE PRESIDENT/CHIEF EXECUTIVE OFFICER, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, TREASURER, SECRETARY, OTHER EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, ASSISTANT SECRETARIES, AND/OR ALL VICE PRESIDENTS EXCEPT THE OPERATING UNIT VICE PRESIDENTS; (XII) AFTER CONSULTING WITH THE BOARD, DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG-RANGE AND STRATEGIC PLAN OF THE CORPORATION; AND (XIII) AFTER CONSULTING WITH THE BOARD, DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS. HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING RESERVED POWERS WITH RESPECT TO STRAUB CLINIC & HOSPITAL: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE TREASURER, SECRETARY, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, EXECUTIVE VICE PRESIDENTS OTHER THAN THE EXECUTIVE VICE-PRESIDENT/CHIEF EXECUTIVE OFFICER (THE "EVP/CEO") AND THE EXECUTIVE VICE-PRESIDENT OF THE CORPORATION WHO IS THE CHIEF MEDICAL OFFICER OF THE MEMBER (THE "EVP/CMO") OF THE CORPORATION, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ALL VICE-PRESIDENTS EXCEPT THE CLINIC AND HOSPITAL UNIT VICE-PRESIDENTS, AS SUCH TERM IS DEFINED IN THE BYLAWS; (II) REMOVE ANY DIRECTOR FROM THE BOARD; PROVIDED, HOWEVER, THAT THE BOARD MAY REMOVE ANY DIRECTOR FROM THE BOARD IF APPROVED BY THE MEMBER BOARD; (III) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (IV) AMEND THE BYLAWS; (V) CAUSE THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR FOR ONE MILLION DOLLARS ($1,000,000) OR MORE; (VI) ACQUIRE ASSETS WORTH OVER ONE MILLION DOLLARS ($1,000,000); (VII) ACQUIRE SHARES IN ANOTHER CORPORATION; (VIII) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (IX) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE, AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (X) DETERMINE AND EFFECT INTER CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (XI) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (XII) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (XIII) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONSHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION AND ANY PERSON OR ENTITY; (XIV) CLOSE THE ACUTE CARE HOSPITAL OR CLINIC FACILITIES OWNED AND OPERATED BY THE CORPORATION; (XV) RELOCATE THE ACUTE CARE HOSPITAL OR CLINIC FACILITIES OWNED AND OPERATED BY THE CORPORATION; (XVI) CONVERT THE ACUTE CARE HOSPITAL OWNED AND OPERATED BY THE CORPORATION INTO A NON-ACUTE CARE FACILITY; (XVII) AFTER CONSULTING WITH THE BOARD, REMOVE THE TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, EXECUTIVE VICE-PRESIDENTS OTHER THAN THE EVP/CEO AND THE EVP/CMO, SENIOR VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND/OR ALL VICE PRESIDENTS EXCEPT THE CLINIC AND HOSPITAL UNIT VICE PRESIDENTS; (XVIII) DEVELOP AND PROMULGATE THE CORPORATE GOALS AND THE LONG-RANGE AND STRATEGIC PLAN OF THE CORPORATION; (XIX) AFTER CONSULTING WITH THE BOARD, DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS; AND (XX) IMPLEMENT INDIVIDUAL PHYSICIAN COMPENSATION ARRANGEMENTS FOR EACH PHYSICIAN OPERATING UNIT IN THE CORPORATION. THE FOLLOWING ACTIONS REQUIRE APPROVAL FROM THE MEMBER BOARD: (I) ADD ANY DIRECTOR TO THE BOARD; (II) AMEND THE ARTICLES OF INCORPORATION; (III) SELL, LEASE, EXCHANGE OR DISPOSE OF FIFTY PERCENT (50%) OR MORE OF THE AMOUNT OF PROPERTY OR ASSETS HELD BY THE ORGANIZATION, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, TO ANY ENTITY THAT IS NOT AN AFFILIATE; (IV) ENTER INTO ANY UNBUDGETED CONTRACTS ON BEHALF OF THE ORGANIZATION WHICH REQUIRE ANNUAL PAYMENTS ON BEHALF OF THE ORGANIZATION EXCEEDING ONE MILLION DOLLARS ($1,000,000) IN VALUE; (V) ISSUE THE ORGANIZATION'S MEMBERSHIP TO ANYONE OTHER THAN THE MEMBER; (VI) MERGE THE ORGANIZATION WITH ANY ENTITY; (VII) DISSOLVE THE ORGANIZATION; AND (VIII) DEVELOP A NEW LINE OF BUSINESS OR A NEW SERVICE.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyVARIOUS SCHEDULES OF THE FORM 990 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 FORM 990 OF EACH FILING ORGANIZATION WITHIN THE HEALTH CARE SYSTEM. ONCE SENIOR MANAGEMENT HAS COMPLETED ITS REVIEW, THE FORMS 990 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 FORM 990 REPORTING AND REVIEWS THE FORM 990 FOR EACH ENTITY PRIOR TO FILING. IN ADDITION, THE FORM 990 FOR EACH ENTITY IS MADE AVAILABLE TO THE BOARD MEMBERS OF EACH SUBSIDIARY UNIT OF HPH AND THE HPH BOARD OF DIRECTORS THROUGH A BOARD MEMBER PORTAL FOR REVIEW PRIOR TO THE FILING OF THE FORM 990. THE FORMS 990 WILL BE POSTED TO HPH'S WEBSITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURNS WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policyANNUALLY, EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) RECEIVED A COPY OF THE CONFLICT OF INTEREST ("COI") POLICY; 2) HAS READ AND UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) HAS DISCLOSED ANY CONFLICTS OR POTENTIAL CONFLICTS OR ECONOMIC INTERESTS AS REQUIRED; AND 5) 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 19 Required documents available to the publicDISCLOSURE OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND STANDARDS OF CONDUCT ARE AVAILABLE ON THE HAWAI'I PACIFIC HEALTH WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE.
Form 990, Part VIII, Line 2f Other Program Service RevenueRENTAL INCOME FROM AFFILIATES - Total Revenue: 322242, Related or Exempt Function Revenue: 322242, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueOTHER PURCHASES - Total Revenue: 442731, Related or Exempt Function Revenue: 347591, Unrelated Business Revenue: 95140, Revenue Excluded from Tax Under Sections 512, 513, or 514: ; EXPENSE REIMBURSEMENT FROM THIRD PARTY - Total Revenue: 486754, Related or Exempt Function Revenue: 486754, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesPHYSICIAN SERVICES - Total Expense: 20037420, Program Service Expense: 19714347, Management and General Expenses: 323073, Fundraising Expenses: ; MEDICAL SERVICES - Total Expense: 3643950, Program Service Expense: 3589033, Management and General Expenses: 54917, Fundraising Expenses: ; CONSULTING SERVICES - Total Expense: 833248, Program Service Expense: 733862, Management and General Expenses: 99386, Fundraising Expenses: ; REGISTRY SERVICES - Total Expense: 32862100, Program Service Expense: 32695607, Management and General Expenses: 166493, Fundraising Expenses: ; TEMPORARY LABOR ADMIN SERVICES - Total Expense: 2006549, Program Service Expense: 2002167, Management and General Expenses: 4382, Fundraising Expenses: ; TEMPORARY LABOR OTHER SERVICES - Total Expense: 10590057, Program Service Expense: 10590057, Management and General Expenses: , Fundraising Expenses: ; LAUNDRY SERVICES - Total Expense: 4819818, Program Service Expense: 4817543, Management and General Expenses: 2275, Fundraising Expenses: ; CONTRACT & RECURRING SERVICES - Total Expense: 52301651, Program Service Expense: 48621662, Management and General Expenses: 3679989, Fundraising Expenses: ; COLLECTION FEES SERVICES - Total Expense: 519574, Program Service Expense: 519574, Management and General Expenses: , Fundraising Expenses: ; OTHER SERVICES - Total Expense: 28371841, Program Service Expense: 25429537, Management and General Expenses: 2942304, Fundraising Expenses: ; REPAIRS & MAINTENANCE - Total Expense: 11571025, Program Service Expense: 11469613, Management and General Expenses: 101412, Fundraising Expenses: ; INTERNAL SERVICE PROVIDED EXPENSE - Total Expense: 49148150, Program Service Expense: 33858869, Management and General Expenses: 15289281, Fundraising Expenses: ; OTHER EXPENSE RECOVERY - Total Expense: -244259, Program Service Expense: -243001, Management and General Expenses: -1258, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesOBLIGATED GROUP INTERCOMPANY TRANSFERS - -XXX-XX-XXXX; NET ASSETS RELEASED FROM RESTRICTION - -1398561; EQUITY TRANSFERS - -245242; CHANGE IN INTEREST IN KHF/WHF - 11801745; CHANGE IN INTEREST IN PERPETUAL TRUSTS - 242513; RESTRICTED GRANTS AND CONTRIBUTIONS - 1372528; ROUNDING - 2;

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
PROVIDERS INSURANCE COMPANY
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813710893000INSURANCEHI501(c)(3)Type IIHPHYes (true)
KAPI'OLANI HEALTH FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990246364FUNDRAISINGHI501(c)(3)7HPHYes (true)
KAPI'OLANI MEDICAL SPECIALISTS
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990322406HEALTHCAREHI501(c)(3)3HPHYes (true)
WILCOX HEALTH FOUNDATION
3-3420 KUHIO HIGHWAYLIHUEHI96766990204242FUNDRAISINGHI501(c)(3)7HPHYes (true)
KAUA'I MEDICAL CLINIC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990326099HOSPITALHI501(c)(3)3HPHYes (true)
STRAUB FOUNDATION
55 MERCHANT STREET 26TH FLOORHONOLULUHI96813990109350FUNDRAISINGHI501(c)(3)7HPHYes (true)
PALI MOMI FOUNDATION
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813383840327FUNDRAISINGHI501(c)(3)7HPHYes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtAddress Line2USAddress/AddressLine2TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxt
HONOLULU SURGERY CENTER LP
55 MERCHANT STREET24TH FLOORHONOLULUHI96813621506645AMBU. SURG. CTR.TNNAN/A
SPECIALTY SURGICAL SUITES LLC
1401 S BERETANIA STSTE 750HONOLULUHI96814461674512AMBU. SURG. CTR.HINAN/A
HONOLULU IMAGING CENTER LLC
55 MERCHANT STREET27TH FLOORHONOLULUHI96814871602945DIAG. IMAGING CTRDENAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
HAWAI'I PACIFIC HEALTH PARTNERS INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990318588HOLDING COMPANYHINAC Corporation
STRAUB PHARMACY INC
888 SOUTH KING STREETHONOLULUHI96813990145107INACTIVEHISCHC Corporation1Yes (true)
HICORD INC
55 MERCHANT STREET 24TH FLOORHONOLULUHI96813990251496INVESTMENTHINAC Corporation
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
KAPIOLANI MEDICAL SPECIALISTS
Q$148,342,461FMV
KAPIOLANI MEDICAL SPECIALISTS
P$16,959,955FMV
PROVIDERS INSURANCE CORPORATION
R$9,147,824FMV
KAPI'OLANI HEALTH FOUNDATION
C$1,837,149FMV
KAUA'I MEDICAL CLINIC
P$1,012,579FMV
KAUA'I MEDICAL CLINIC
R$1,006,763FMV
WILCOX HEALTH FOUNDATION
C$827,841FMV
STRAUB FOUNDATION
C$791,764FMV
KAPI'OLANI HEALTH FOUNDATION
S$690,611FMV
PALI MOMI FOUNDATION
P$211,917FMV
KAPIOLANI MEDICAL SPECIALISTS
R$297,943FMV
PALI MOMI FOUNDATION
C$241,953FMV
STRAUB FOUNDATION
P$137,068FMV
KAUA'I MEDICAL CLINIC
Q$77,184FMV
KAPIOLANI MEDICAL SPECIALISTS
S$61,056FMV

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