2017-04-28T17:15:36-05:00 2016-06-30 ERNST & YOUNG US LLP 370 17TH ST 3300 DENVER CO 80202 990 2015-07-01 990246363 Hawai'i Pacific Health % Donna Masuda-Kam HAWA 8085357401 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 EARL INOUYE VICE PRESIDENT 8085357355 2017-04-28 true KELLEY SIMON P00791436 7209314000 2015 2021-01-29 14:40:06Z RAYMOND VARA 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 240787637 false X WWW.HAWAIIPACIFICHEALTH.ORG X 1986 HI SEE SCHEDULE O 14 8 1133 8 1060602 13246 10598384 9544963 144187685 151818291 4494652 -1846126 0 0 159280721 159517128 562015 341405 0 0 92472932 97461449 0 0 2159982 65721411 66296317 158756358 164099171 524363 -4582043 559540849 539701179 543888631 565826796 15652218 -26125617 X HAWAI'I PACIFIC HEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM, AND ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS AND PRIVATE EMPLOYERS. 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Board of Director 0.4 40.0 X 221067 0 45394 ANDREW KAWANO Board of Director 0.6 0.0 X 0 0 0 KEITH MATSUMOTO MD Board of Director, Vice Chair 0.4 0.2 X X 0 0 0 ELLIOT MILLS Board of Director 0.4 0.0 X 0 0 0 BEAU NAKAMOTO MD Board of Director 0.4 40.0 X 0 404627 11035 LYLE TABATA Board of Director 0.6 0.0 X 0 0 0 RAYMOND P VARA JR B.O.D, President & CEO 49.3 12.8 X X 1619202 0 657628 MARK WONG Board of Director 0.4 0.0 X 0 0 0 GERI YOUNG MD Board of Director 0.5 51.0 X 430718 0 59195 LYNN MCCRORY Board of Director (Part Year) 0.6 0.2 X 0 0 0 DAVID OKABE EVP, CFO & Treasurer 41.0 14.4 X 727747 0 271732 KENNETH B ROBBINS MD EVP & CMO 10.7 45.3 X 732193 0 274111 GAIL LERCH EVP 49.0 6.4 X 683748 0 220054 CHARLES R CHING EVP, Gen Counsel & Secretary 35.1 22.4 X 613655 0 218402 STEVEN ROBERTSON EVP & CIO 39.0 14.5 X 601130 0 226186 MELINDA ASHTON MD SVP & CQO 41.0 9.1 X 510699 0 105148 THOMAS MUNDELL SVP 46.8 15.2 X 319598 0 78217 KATIE SHIGEMITSU Compliance Officer 15.0 29.0 X 178214 0 22615 EARL INOUYE VP & System Controller 38.0 13.0 X 323923 0 66330 ARTHUR GLADSTONE VP & CNE 11.8 43.6 X 613451 0 153514 MARTHA SMITH VP 5.0 51.0 X 642492 0 155529 JENNIE CHAHANOVICH VP 0.4 62.0 X 505647 0 124158 SUSAN MASUMOTO-NONAKA VP 4.8 48.3 X 297153 0 67431 WARREN CHAIKO VP 10.0 40.0 X 307709 0 71951 BRANDT FARIAS VP 46.8 8.2 X 77243 0 29911 LORRIE-ANN LUKE VP 45.3 2.7 X 157671 0 53818 PAULA DIAS VP 3.0 48.0 X 292504 0 60131 MICHAEL ROBINSON VP 49.2 3.8 X 216195 0 39408 DAVID FOX Privacy Officer 20.0 20.0 X 142843 0 25167 ALAN ITO Information Security Officer 20.0 20.0 X 153291 0 25158 JESSICA LEWIS Assistant Corporate Secretary 12.0 28.0 X 128274 0 25615 PATRICIA BOECKMANN RN VP AND CNE 1.0 52.0 X 361439 0 100699 MAVIS NIKAIDO VP & CNE 1.0 49.0 X 291637 0 6612 MAUREEN FLANNERY VP 1.0 49.0 X 290778 0 67312 GIDGET RUSCETTA RN COO 1.0 49.0 X 280538 0 74987 BRIGITTE MCKALE VP & CNE 1.0 49.0 X 260508 0 60432 CHARLES A STED FORMER OFFICER 0.0 0.0 X 848183 0 8564 KATHLEEN A CLARK Former Officer 0.0 0.0 X 288616 0 10565 JOHN LA FORGIA Former Officer 0.0 0.0 X 402813 0 5653 13520879 1050472 3473797 163 true true false EPIC SYSTEMS CORPORATION BOX 88314 MILWAKEE WI 532880314 MEDICAL RECORD SYST 4151309 GE HEALTH CARE 9900 W INNOVATION DRIVE WAUWATOSA WI 53226 MEDICAL MAINTENANCE 2182044 PACXA PO BOX3347 HONOLULU HI 96801 COMPUTER HARDWARE 1651886 PHILLIPS HEALTH CARE 3000 MINUTEMAN ROAD ANDOVER MA 606751515 MEDICAL MAINTENANCE 1598506 INFOR US INC NW 7418 PO BOX 1450 MINNEAPOLIS MN 554857418 ERP SYSTEM 1435624 100 9256202 288761 0 9544963 ADMIN/MGMT SVC TO TAX EXEMPT AFFILIATES 561000 142854823 142782290 72533 0 HAWAI'I HEALTH PARTNERS REVENUE 561000 7584331 6596262 988069 0 GRANT & CLINICAL TRIAL-ADMIN & OVERHEAD 900099 821472 821472 0 0 NET PATIENT REVENUE 624190 435500 435500 0 0 CLINICAL TRIALS 541710 110643 110643 0 0 11522 11522 0 151818291 3973730 3973730 0 0 0 0 0 75450653 81268198 2311 -5817545 -2311 -5819856 -5819856 0 0 0 0 159517128 150757689 1060602 -1846126 341405 341405 0 0 0 0 0 0 11305706 7913994 3391712 0 1146336 0 1146336 0 64842289 27127561 36128726 1586002 6873743 3166033 3658375 49335 8049885 4617572 3184018 248295 5243490 2858249 2269281 115960 0 0 0 0 1574611 1574611 0 119602 0 119602 0 57955 57955 0 0 0 453755 0 453755 0 14137555 4336553 9795334 5668 4472225 19924 4452301 0 1917564 721774 1195667 123 17433712 10754852 6678860 0 0 0 0 0 3182416 2951225 231191 0 733698 369213 363828 657 0 0 0 0 224898 141355 83505 38 925926 925926 0 0 0 0 0 0 7398879 7245332 153547 134343 134343 0 PROGRAM SERVICE EXPENDITURES 9348650 9348650 0 0 DUES PAID 1195254 1195254 OTHER PURCHASES 979692 568430 410986 276 MEALS 693178 693178 1312404 86832 1225491 81 164099171 84188058 77751131 2159982 0 0 0 199142202 179201182 4031212 5706792 0 0 0 0 0 0 0 0 0 0 1445182 2042918 125368895 74412836 54661138 50956059 136590043 133718274 100486267 110713423 0 0 0 0 63184805 57362531 559540849 539701179 35627292 41322381 0 0 0 0 361507081 353420085 0 0 0 0 0 0 0 0 146754258 171084330 543888631 565826796 X 8603345 -34483362 4769900 5161818 2278973 3195927 15652218 -26125617 559540849 539701179 X -4582043 1823838 0 0 0 -39019630 X false true X true true true X X 5 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN 990177350 3 true 0 0 PALI MOMI MEDICAL CENTER 990274038 3 true 0 0 WILCOX MEMORIAL HOSPITAL 990074365 3 true 0 0 KAUA'I MEDICAL CLINIC 990326099 3 true 16100000 0 STRAUB CLINIC & HOSPITAL 912151670 3 true 0 0 5 16100000 0 true false false false false true false false false false false false false false false false true true X true true SCHEDULE A, PART I, LINE 11G, COLUMN (VI) HAWAII PACIFIC HEALTH OPERATES EXCLUSIVELY TO DEVELOP, MANAGE, FINANCE, COORDINATE, SUPERVISE, OPERATE, AND OTHERWISE PROVIDE FOR THE DELIVERY OF HEALTH CARE AND RELATED SERVICES THROUGH GOVERNANCE OF AFFILIATED ORGANIZATIONS THAT OPERATE FOR HOSPITAL, CHARITABLE, EDUCATIONAL, HEALTH CARE AND/OR SCIENTIFIC PURPOSES INCLUDING ALL SUPPORTED ORGANIZATIONS LISTED IN THIS SECTION. SCHEDULE A, PART IV, SECTION A, LINE 6 HAWAI'I PACIFIC HEALTH'S DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)(3) AND 501(C)(6) ORGANIZATIONS ON BEHALF OF ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION D, LINE 1 THE MEMBERS OF THE GOVERNING BODY OF EACH OF HPHS SUPPORTING ORGANIZATIONS ARE ELECTED BY HPH AND THEREFORE HAVE ACTUAL NOTIFICATION OF HPHS SUPPORT ON AN ONGOING BASIS. THE WRITTEN NOTIFICATION WAS NOT SENT BY NOVEMBER 30, 2016; HOWEVER, THE NOTIFICATION WAS SENT PRIOR TO THE FILING OF FORM 990. THE ORGANIZATION HAS PUT PROCEDURES IN PLACE TO ENSURE THE NOTIFICATION IS SENT TIMELY IN THE FUTURE. SCHEDULE A, PART IV, SECTION D, LINE 3 6 BOARD MEMBERS OF HAWAI'I PACIFIC HEALTH ALSO SERVE AS DIRECTORS FOR THE SUPPORTED ORGANIZATIONS. THEREFORE HPH'S SUPPORTED ORGANIZATIONS HAD A SIGNIFICANT VOICE IN THE INVESTMENT POLICIES AND IN DIRECTING THE USE OF THE ORGANIZATION'S INCOME OR ASSETS AT ALL TIMES DURING THE YEAR. SCHEDULE A, PART IV, SECTION E, LINE 3A HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD FOR EACH OF ITS SUPPORTED ORGANIZATIONS. SCHEDULE A, PART IV, SECTION E, LINE 3B HAWAI'I PACIFIC HEALTH (HPH) IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS AND HAS THE RIGHT TO PARTICIPATE IN THE SUPPORTED ORGANIZATIONS' GOVERNANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE SUPPORTED ORGANIZATIONS' GOVERNING BOARD. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 57955 57955 false LOBBYING ACTIVITY A REGISTERED LOBBYIST (CYNTHIA NAKAMURA) PROVIDES GENERAL ADVICE ON LEGISLATIVE ACTIVITIES INCLUDING INFORMATION AND INSIGHT ON LEGISLATIVE ACTIONS THAT MAY BE OF INTEREST TO HAWAI`I PACIFIC HEALTH ('HPH'). THE INDIVIDUAL ALSO PROVIDES GUIDANCE AND INSIGHT ON HOW TO NEGOTIATE THROUGH THE LEGISLATIVE PROCESS WHEN TRYING TO PASS LEGISLATION AS WELL AS INFORMATION AND INSIGHT ON THE GENERAL ACTIVITIES OF WHAT'S HAPPENING AT THE LEGISLATURE. THE INDIVIDUAL DOES SPEAK TO LEGISLATORS, SOMETIMES ON BEHALF OF LEGISLATION OR ISSUES IN WHICH HPH HAS AN INTEREST. THE INDIVIDUAL ALSO HAS AN INPUT ON HPH'S OVERALL LEGISLATIVE/COMMUNITY COMMUNICATION PLAN BUT DOES NOT SEND MAILINGS OUT TO LEGISLATORS OR THE PUBLIC ON HPH'S BEHALF. PUBLIC POLICY HAWAI'I PACIFIC HEALTH HAS A RESPONSIBILITY TO OFFER THOUGHTFUL AND INNOVATIVE INPUT TO LAWMAKERS REGARDING HEALTH CARE POLICY AND LEGISLATION. DURING THE MOST RECENT STATE SESSION, HAWAI'I PACIFIC HEALTH SUPPORTED LEGISLATION TO: REQUIRE INFLUENZA VACCINATIONS FOR HEALTH CARE WORKERS, MAINTAIN HOSPITAL DISCHARGE POLICIES THAT SUPPORT LAY CARE GIVERS CARING FOR ILL FAMILY MEMBERS, EXPAND THE SCOPE OF PRACTICE FOR ADVANCED PRACTICE REGISTERED NURSES, REDUCE SUGAR SWEETENED BEVERAGES IN SCHOOLS TO IMPROVE CHILDRENS HEALTH, AND EXTEND THE HOSPITAL SUSTAINABILITY PROGRAM WHICH SUPPORTS ACCESS TO CARE FOR MEDICAID-INSURED PATIENTS. 13334441 340551 12993890 13898962 564521 13334441 14317094 418132 13898962 14810400 493306 14317094 16383544 1573144 14810400 1.00000 false false 14981997 14981997 2999914 1298394 1701520 15067864 11751574 3316290 78107282 58641646 19465636 14211838 2721222 11490616 50956059 34000106 F UNRESTRICTED INVESTMENT 72035517 F HPH BOARD DESIGNATED 4677800 F 110713423 BENEFICIAL INTEREST-FDN ASSETS 47635439 INVESTMENT LIFE INSURANCE CSV 3306425 DEFERRED CHARGES - TK57 1866226 DEFERRED CHARGES - RETIREMENT 1062484 DEFERRED CHARGES - LEASES/DEP 81722 KAPI'OLANI MEDICAL SPECIALISTS 1306841 KAUA'I MEDICAL CENTER 599541 KAPI'OLANI MEDICAL CENTER 394885 KAPI'OLANI HEALTH FOUNDATION 385443 PALI MOMI MEDICAL CENTER 194911 STRAUB FOUNDATION 115344 PALI MOMI FOUNDATION 90590 WILCOX MEMORIAL HOSPITAL 85716 PROVIDERS INSURANCE 73742 HPHPI 55921 HICORD 44445 WILCOX HEALTH FOUNDATION 43736 KEAHONUIOKALANI 19120 57362531 0 ACCRUED PENSION BENEFIT COSTS 149102432 OTHER LONG TERM LIABILITIES 16602124 HMSA 2499499 PATIENT ACCOUNTS RECEIVABLE 150592 DEFERRED CHARGE - APOLLO 58289 DUE TO: 0 STRAUB 1047261 KAPI'OLANI MEDICAL SPECIALISTS 527650 KAUA'I MEDICAL CLINIC 414774 KAPI'OLANI MED CENTER WOMEN & CHILDREN 303434 PALI MOMI MEDICAL CLINIC 179982 STRAUB CLINIC HOSPITAL 112324 WILCOX MEMORIAL HOSPITAL 85969 171084330 Central America and the Caribbean Investments 37498577 Europe (Including Iceland and Greenland) Investments 32751152 Middle East and North Africa Investments 284895 70534624 70534624 true false true false true false SCHEDULE F, PART IV FOREIGN INVESTMENTS THE INVESTMENT COMMITTEE OF HAWAI'I PACIFIC HEALTH HAS CHOSEN TO DIVERSIFY ITS INVESTMENT PORTFOLIO, INCLUDING CERTAIN ALTERNATIVE INVESTMENTS THAT ARE ESTABLISHED AS PARTNERSHIPS. THESE PARTNERSHIPS ARE NOT OPERATING ENTITIES. HAWAI'I PACIFIC HEALTH'S DIRECT INVESTMENT IS MADE IN PARTNERSHIPS, AND THESE ENTITIES MAY MAKE UNDERLYING INVESTMENTS IN OTHER CERTAIN FOREIGN PARTNERSHIPS AND/OR CORPORATIONS. true UH FOUNDATION 1337 LOWER CAMPUS ROAD HONOLULU HI 96822 990085260 501(c)(3) 59200 GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT GENERAL SUPPORT CHILD AND FAMILY SERVICES 91-1841 FORT WEAVER RD EWA BEACH HI 96706 990073483 501(c)(3) 15000 0 GENERAL SUPPORT HAWAIIAN EDUCATIONAL COUNCIL 1585 KAPIOLANI BLVD 1212 HONOLULU HI 96814 990142666 501(c)(3) 10000 0 GENERAL SUPPORT AMERICAN RED CROSS 4155 DIAMOND HEAD ROAD HONOLULU HI 96816 530196605 501(c)(3) 10000 0 GENERAL SUPPORT GIFT FOUNDATION OF HAWAII 1288 ALA MOANA BLVD 208 HONOLULU HI 96813 300266316 501(c)(3) 10000 0 GENERAL SUPPORT DIAMOND HEAD THEATRE 520 MAKAPUU AVE HONOLULU HI 96813 990073495 501(c)(3) 11000 0 GENERAL SUPPORT TEACH FOR AMERICA 500 ALA MOANA BLVD 3-400 HONOLULU HI 96813 133541913 501(c)(3) 12500 0 GENERAL SUPPORT KAUA'I LIFEGUARD ASSOCIATION 160 LANI ALII PLACE KAPAA HI 96746 593836162 501(c)(3) 7000 0 GENERAL SUPPORT WAIKIKI COMMUNITY CENTER 310 PAOAKALANI AVE HONOLULU HI 96815 990179392 501(c)(3) 5500 0 GENERAL SUPPORT JOYFUL HEART FOUNDATION 32 W 22ND ST 4TH FL NEW YORK NY 10010 721519537 501(c)(3) 7500 0 GENERAL SUPPORT AFTER SCHOOL ALL STARS 4747 KILAUEA AVE 207 HONOLULU HI 96816 274604870 501(c)(3) 10000 0 GENERAL SUPPORT ALOHA COUNCIL BOY SCOUTS OF AMERICA 42 PUIWA ROAD HONOLULU HI 96817 990073482 501(c)(3) 18000 0 GENERAL SUPPORT AMERICAN HEART ASSOCIATION 677 ALA MOANA BLVD HONOLULU HI 96813 990085260 501(c)(3) 35000 0 GENERAL SUPPORT ARTHRITIS FOUNDATION 4155 DIAMOND HEAD ROAD HONOLULU HI 96813 951885447 501(c)(3) 20000 0 GENERAL SUPPORT HONOLULU MUSEUM OF ART 900 S BERETANIA STREET HONOLULU HI 96814 990079713 501(c)(3) 10000 0 GENERAL SUPPORT 15 FORM 990, SCHEDULE I, LINE 2 DESCR OF ORGANIZATION'S PROCEDURES FOR MONITORING THE USE OF GRANTS THE HAWAI'I PACIFIC HEALTH ("HPH") DONATIONS COMMITTEE REVIEWS AND APPROVES DONATIONS TO 501(C)(3) ORGANIZATIONS ON AN ANNUAL BASIS. NO FURTHER MONITORING IS NECESSARY AS DONATIONS ARE MADE ONLY TO 501(C)(3) ORGANIZATIONS. X X true true X X X X true true false false false false false false false DALE GLENN MD Board of Director 0 262380 0 26474 0 7060 0 10600 0 17435 0 323949 0 0 CHRISTOPHER JORDAN Board of Director 0 303773 0 3329 0 42829 0 10600 0 12500 0 373031 0 0 JAMES KAKUDA MD Board of Director 197702 0 700 0 22665 0 41004 0 4390 0 266461 0 0 0 BEAU NAKAMOTO MD Board of Director 0 332221 0 59398 0 13008 0 10600 0 435 0 415662 0 0 RAYMOND P VARA JR B.O.D, President & CEO 893498 0 388324 0 337380 0 634530 0 23098 0 2276830 0 296712 0 GERI YOUNG MD Board of Director 340611 0 33670 0 56437 0 46543 0 12652 0 489913 0 16835 0 DAVID OKABE EVP, CFO & Treasurer 450780 0 152265 0 124702 0 257404 0 14328 0 999479 0 94882 0 KENNETH B ROBBINS MD EVP & CMO 439859 0 115817 0 176517 0 259966 0 14145 0 1006304 0 125319 0 GAIL LERCH EVP 367240 0 130858 0 185650 0 210958 0 9096 0 903802 0 95902 0 CHARLES R CHING EVP, Gen Counsel & Secretary 338812 0 123416 0 151427 0 198040 0 20362 0 832057 0 89031 0 STEVEN ROBERTSON EVP & CIO 365310 0 95556 0 140264 0 211358 0 14828 0 827316 0 93921 0 MELINDA ASHTON MD SVP & CQO 361811 0 81977 0 66911 0 91008 0 14140 0 615847 0 40989 0 THOMAS MUNDELL SVP 225815 0 45416 0 48367 0 64643 0 13574 0 397815 0 0 0 KATIE SHIGEMITSU Compliance Officer 176224 0 500 0 1490 0 8463 0 14152 0 200829 0 0 0 EARL INOUYE VP & System Controller 246127 0 38502 0 39294 0 51458 0 14872 0 390253 0 19251 0 ARTHUR GLADSTONE VP & CNE 374221 0 128476 0 110754 0 133714 0 19800 0 766965 0 79308 0 MARTHA SMITH VP 375015 0 141805 0 125672 0 139901 0 15628 0 798021 0 95338 0 JENNIE CHAHANOVICH VP 319595 0 92969 0 93083 0 111690 0 12468 0 629805 0 70850 0 SUSAN MASUMOTO-NONAKA VP 220854 0 34603 0 41696 0 50603 0 16828 0 364584 0 17302 0 WARREN CHAIKO VP 225987 0 38010 0 43712 0 50187 0 21764 0 379660 0 19005 0 LORRIE-ANN LUKE VP 133999 0 7951 0 15721 0 32517 0 21301 0 211489 0 0 0 PAULA DIAS VP 216628 0 36113 0 39763 0 46477 0 13654 0 352635 0 18057 0 MICHAEL ROBINSON VP 193143 0 19823 0 3229 0 35572 0 3836 0 255603 0 0 0 DAVID FOX Privacy Officer 141217 0 500 0 1126 0 6867 0 18300 0 168010 0 0 0 ALAN ITO Information Security Officer 152069 0 500 0 722 0 5328 0 19830 0 178449 0 0 0 JESSICA LEWIS Assistant Corporate Secretary 127774 0 500 0 0 0 6349 0 19266 0 153889 0 0 0 PATRICIA BOECKMANN RN VP AND CNE 282382 0 42115 0 36942 0 79688 0 21011 0 462138 0 21058 0 MAVIS NIKAIDO VP & CNE 231267 0 35320 0 25050 0 0 0 6612 0 298249 0 0 0 MAUREEN FLANNERY VP 231715 0 37585 0 21478 0 53028 0 14284 0 358090 0 18793 0 GIDGET RUSCETTA RN COO 215360 0 35754 0 29424 0 61346 0 13641 0 355525 0 17877 0 BRIGITTE MCKALE VP & CNE 210568 0 32089 0 17851 0 47095 0 13337 0 320940 0 16045 0 CHARLES A STED FORMER OFFICER 5389 0 0 0 842794 0 0 0 8564 0 856747 0 0 0 KATHLEEN A CLARK Former Officer 146444 0 72434 0 69738 0 7358 0 3207 0 299181 0 65147 0 JOHN LA FORGIA Former Officer 57466 0 0 0 345347 0 2145 0 3508 0 408466 0 0 0 FORM 990, SCHEDULE J, PART I, LINE 1A HEALTH AND SOCIAL CLUB DUES HEALTH/SOCIAL CLUB DUES WERE PAID FOR VARIOUS OFFICERS OF THE ORGANIZATION. PERSONAL SERVICES WERE ALSO PAID FOR RAYMOND VARA AND GAIL LERCH. ALL AMOUNTS HAVE BEEN INCLUDED IN THE INDIVIDUAL'S FORM W-2 AS TAXABLE INCOME. FORM 990, SCHEDULE J, PART I, LINE 4A SEVERANCE PAY THE FOLLOWING INDIVIDUALS RECEIVED A SEVERANCE PAYMENT DURING THE YEAR: CHARLES A. STED - $756,578 JOHN LA FORGIA - $303,035 FORM 990, SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL 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. THE CAPITAL ACCUMULATION ACCOUNT (CAA) IS A SECTION 457(F) PROGRAM THAT WAS PREVIOUSLY AFFORDED TO EXECUTIVE OFFICERS OF THE ORGANIZATION TO PROVIDE BENEFITS ON A TAX DEFERRED BASIS. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR. - $132,595 DAVID OKABE - $36,249 KENNETH B. ROBBINS, M.D. - $67,410 GAIL LERCH - $47,973 CHARLES R. CHING - $44,823 STEVEN ROBERTSON - $46,143 ARTHUR GLADSTONE - $32,570 MARTHA SMITH - $41,935 JENNIE CHAHANOVICH - $24,365 KATHLEEN CLARK - $28,930 THE LONG TERM INCENTIVE PLAN IS AFFORDED TO EXECUTIVES ON ANNUAL AND LONG TERM SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. AMOUNT PAID OUT DURING THE YEAR BY THE ORGANIZATION: KENNETH T. NAKAMURA, M.D. - $19,850 RAYMOND P. VARA JR. - $328,324 GERI YOUNG, M.D. - $33,670 DAVID OKABE - $117,265 KENNETH B. ROBBINS, M.D. - $115,817 GAIL LERCH - $95,858 CHARLES R. CHING - $88,416 STEVEN ROBERTSON - $95,556 MELINDA ASHTON, M.D. - $81,977 EARL INOUYE - $38,502 ARTHUR GLADSTONE - $93,476 MARTHA SMITH - $106,805 JENNIE CHAHANOVICH - $92,969 SUSAN MASUMOTO-NONAKA - $34,603 WARREN CHAIKO - $38,010 PAULA DIAS - $36,113 PATRICIA BOECKMANN - $42,115 MAVIS NIKAIDO - $35,320 MAUREEN FLANNERY - $37,585 GIDGET RUSCETTA, R.N - $35,754 BRIGITTE MCKALE - $32,089 KATHLEEN CLARK - $72,434 A STATE OF HAWAII DEPARTMENT OF BUDGET & FINANCE 990266961 2013-10-03 50000000 SERIES 2013-C, SEE PART VI false false false B STATE OF HAWAII DEPARTMENT OF BUDGET & FINANCE 990266961 419771AN0 2010-06-10 99307516 SERIES 2010-A, SEE PART VI false false false C STATE OF HAWAII DEPARTMENT OF BUDGET & FINANCE 990266961 419771AX8 2010-07-21 60400728 SERIES 2010-B, SEE PART VI false false false D STATE OF HAWAII DEPARTMENT OF BUDGET & FINANCE 990266961 419800JX6 2013-10-03 159059332 SERIES 2013-A/B, SEE PART VI false false false A 1900000 0 50000000 0 0 0 0 0 0 0 50000000 0 2013 true false true true B 2920000 0 99307516 13845268 0 0 794170 0 0 0 88784057 0 2013 true false true true C 2160000 0 60400728 6703226 0 0 911278 0 0 0 20000000 0 2013 true false true true D 3725000 0 159059332 0 14284839 0 1995112 0 0 106578305 36348760 0 2016 true false false false A false true true true true true 0.00170 0.00170 false false true B false true true true true true 0.02170 0.00000 0.02170 false 0.00000 false true C false true true true true true 0.00940 0.00000 0.00940 false 0.00000 false true D false true true true true true 0.00160 0.00000 0.00160 false 0.00000 false false A false false false false true true GOLDMAN SACHS 0.296 false false false 0 false true B false false false false false false 0 false 0 false true C false false false false false false 0 false 0 false true D false false false false false false 0 false 0 false true A true B true C true D true DESCRIPTION OF PURPOSE OF TAX EXEMPT BONDS SCHEDULE K, PART I, COLUMN F LINE A TO REFUND SERIES 2004-B BONDS ISSUED ON 01/14/2004. LINE B TO REFUND SERIES 2009-A BONDS ISSUED ON 04/02/2009 LINE C NEW AND REFUNDED MONEY. LINE D NEW MONEY TO FUND THE KAPI'OLANI EXPANSION OF NEONATAL AND PEDIATRIC INTENSIVE CARE UNITS AND OTHER CLINICAL SERVICES. 2013-B IS REFUNDING SERIES 1998 BONDS ISSUED ON 04/08/1998 AND SERIES 2004-A BONDS ISSUED ON 01/14/2004. FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION HAWAI'I PACIFIC HEALTH IS A NOT-FOR-PROFIT HEALTH CARE SYSTEM, AND ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS AND PRIVATE EMPLOYERS. HAWAI'I PACIFIC HEALTH'S MISSION IS TO CREATE A HEALTHIER HAWAI'I. FORM 990, PART III, LINE 4 PROGRAM SERVICE ACCOMPLISHMENTS 4A. WOMEN'S SERVICES OBSTETRICS-GYNECOLOGY IN FISCAL YEAR 2016, HAWAI'I PACIFIC HEALTH SPENT $51,373,215 IN DIRECT EXPENSES FOR WOMEN'S OB-GYN SERVICES, AS PART OF OUR COMMITMENT TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. KAPI'OLANI MEDICAL CENTER IS THE ONLY HOSPITAL IN HAWAI'I SPECIALIZING IN MATERNITY CARE AND HAS THE ONLY SPECIALIZED WOMEN'S CANCER CENTER IN THE STATE. PALI MOMI HAS GYNECOLOGY AND BREAST HEALTH SERVICES PRIMARILY FOR THE CENTRAL, WEST O'AHU AND NORTH SHORE COMMUNITIES. STRAUB PROVIDES MAMMOGRAPHY SERVICES AT ITS HOSPITAL AND CERTAIN NEIGHBORHOOD CLINICS. THE WOMEN'S CENTER AT WILCOX PROVIDES DIAGNOSIS, TREATMENT AND PREVENTIVE HEALTH SERVICES TO KAUA'I. 4B. OUTPATIENT OPERATING ROOMS IN FISCAL YEAR 2016, HAWAI'I PACIFIC HEALTH SPENT $52,518,938 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. KAPI'OLANI IS THE ONLY HOSPITAL IN THE STATE PROVIDING DA VINCI ROBOT-AIDED PEDIATRIC SURGERY. THE ROBOT ALSO IS USED FOR GYNECOLOGICAL SURGICAL SERVICES. IN FISCAL YEAR 2016, 5,466 PEDIATRIC AND ADULT OUTPATIENT SURGERIES WERE PERFORMED. PALI MOMI'S OR FEATURES A FULLY INTEGRATED, MINIMALLY INVASIVE SURGICAL SUITE EQUIPPED WITH THE DA VINCI ROBOT-AIDED SURGICAL SYSTEM, AND PERFORMED 3,813 OUTPATIENT SURGERIES. STRAUB HAS INTEGRATED OUTPATIENT SURGERY AND PERFORMED 3,504 OUTPATIENT SURGERIES. WILCOX HAS A STATE-OF-THE-ART SURGICAL CENTER AND PERFORMED 3,339 OUTPATIENT SURGERIES. 4C. OUTPATIENT EMERGENCY ROOMS IN FISCAL YEAR 2015, HAWAI'I PACIFIC HEALTH HOSPITALS SAW 150,546 ER PATIENTS AND SPENT $51,672,343 IN DIRECT EXPENSES FOR OUTPATIENT ER SERVICES, AS PART OF OUR MISSION TO PROVIDE CARE FOR ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. THE KAPI'OLANI ER RECEIVED 44,727 PATIENTS, THE PALI MOMI ER RECEIVED 48,866 PATIENTS, THE STRAUB ER RECEIVED 32,642 PATIENTS, AND THE WILCOX ER RECEIVED 24,311 PATIENTS. 4D. OTHER PROGRAM SERVICES HAWAI'I RESIDENTS AND VISITORS RELY ON HAWAI'I PACIFIC HEALTH FOR ITS FULL RANGE OF PRIMARY, SECONDARY AND SELECT TERTIARY CARE SERVICES. IT IS ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS WITH FOUR MEDICAL CENTERS, MORE THAN 70 LOCATIONS, 1,700 AFFILIATED PHYSICIANS AND 6,600+ FULL- AND PART-TIME EMPLOYEES, AS WELL AS HUNDREDS OF COMMUNITY VOLUNTEERS. IN FISCAL YEAR 2016, THE MEDICAL CENTERS ADMITTED 33,619 PATIENTS. IN ADDITION, KAUA'I MEDICAL CLINIC HAD 339,933 CLINIC ENCOUNTERS AND KAPI`OLANI MEDICAL SPECIALISTS HAD 79,122 PATIENT VISITS. AFFILIATES AND SUBSIDIARIES KAPI'OLANI MEDICAL SPECIALISTS IS A SPECIALTY PHYSICIANS GROUP ORGANIZED TO SUPPORT KAPI'OLANI MEDICAL CENTER. THE FOUNDATIONS OF HAWAI'I PACIFIC HEALTH CONSIST OF KAPI'OLANI HEALTH FOUNDATION, PALI MOMI HEALTH 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 PACIFIC 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 TO 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. HAWAI'I PACIFIC HEALTH OFFERS THE PACIFIC REGION'S ONLY FULL-SERVICE WOMENS AND CHILDREN'S MEDICAL CENTER, ONLY DEDICATED BURN CENTER, AND ONLY BREAST AND WOMEN'S CANCER CENTERS; A STATE-OF-THE-ART IMAGING CENTER ON KAUA'I; WEST O'AHU'S ONLY CARDIAC CATHETERIZATION LABS; PIONEERING BONE & JOINT CENTERS; A SLEEP DISORDERS CENTER; THE STATE'S FIRST WOMEN'S CENTER; AND OTHER SPECIALIZED SERVICES CONSIDERED CRITICAL TO THE REMOTE HAWAIIAN ARCHIPELAGO. COMMUNITY ROLE/ACTIVITY AS ONE OF THE STATE'S LARGEST HEALTH CARE PROVIDERS, 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, IT SPONSORS MANY HEALTH, EDUCATION, TEACHING, RESEARCH AND OTHER INITIATIVES. IN FISCAL YEAR 2016, HAWAI'I PACIFIC HEALTH SPENT OVER $10.3 MILLION ON COMMUNITY BENEFIT PROGRAMS, INCLUDING THE KAPI'OLANI SEX ABUSE TREATMENT CENTER, KAPI'OLANI CHILD PROTECTION CENTER, BREAST AND CERVICAL CANCER SCREENINGS FOR UNINSURED WOMEN, HEART DISEASE PREVENTION, WOMENS AND INFANT HEALTH AND NUTRITION, REHABILITATION SERVICES, SUPPORT GROUPS, FREE GLUCOSE MONITORING AND BLOOD PRESSURE SCREENING, HEMOPHILIA PROGRAMS, AND OTHER EDUCATION AND SCREENINGS FOR HAWAI'I RESIDENTS ON HEALTH, WELLNESS AND DISEASE-PREVENTION STRATEGIES. HAWAI'I PACIFIC HEALTH SPECIALISTS DELIVERED FREE PUBLIC HEALTH EDUCATION PROGRAMS THAT HELPED THOUSANDS OF PEOPLE LEARN WAYS TO PREVENT OR MANAGE HEART ATTACKS, CANCER, ARTHRITIS, ASTHMA, ALLERGIES, STRESS, OBESITY, OSTEOPOROSIS AND DRUG ABUSE. EVENTS INCLUDE "HPH KIDS FEST," "WOMEN'S WAY TO HEALTH," "CANCER CARE," "VALENTINE IN PARADISE"GETTING A GRIP ON ARTHRITIS." IN FISCAL YEAR 2016, HAWAI'I PACIFIC HEALTH SPONSORED OR SUPPORTED NUMEROUS HEALTH EVENTS, INCLUDING "HPH WOMEN'S 10K," "AHA HEART WALK," "SUSAN G. KOMEN'S RACE FOR THE CURE," "RELAY FOR LIFE," "ARTHRITIS FOUNDATION'S ARTHRITIS WALK,MORE. HAWAI'I PACIFIC HEALTH PARTICIPATED IN SYMPOSIA AND MEETINGS FOR HEALTH CARE PROFESSIONALS, HIRED STUDENTS AS SUMMER INTERNS, 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. HAWAI'I PACIFIC HEALTH INVESTS MORE THAN $5,567,502 EACH YEAR IN TEACHING AND RESEARCH AS A PEDIATRIC AND OB-GYN TRAINING FACILITY FOR THE UNIVERSITY OF HAWAI'I. KAPI'OLANI MEDICAL CENTER IS ACTIVELY INVOLVED IN CLINICAL TRIALS AND RESEARCH 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. DURING THE MOST RECENT STATE SESSION, HAWAI'I PACIFIC HEALTH SUPPORTED LEGISLATION TO: REQUIRE INFLUENZA VACCINATIONS FOR HEALTH CARE WORKERS, MAINTAIN HOSPITAL DISCHARGE POLICIES THAT SUPPORT LAY CARE GIVERS CARING FOR ILL FAMILY MEMBERS, EXPAND THE SCOPE OF PRACTICE FOR ADVANCED PRACTICE REGISTERED NURSES, REDUCE SUGAR SWEETENED BEVERAGES IN SCHOOLS TO IMPROVE CHILDRENS HEALTH, AND EXTEND THE HOSPITAL SUSTAINABILITY PROGRAM WHICH SUPPORTS ACCESS TO CARE FOR MEDICAID-INSURED PATIENTS. 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 ON WHICH PATIENTS QUALIFY FOR FREE OR DISCOUNTED CARE. HAWAI'I PACIFIC HEALTH CONTRIBUTES MORE THAN $1 BILLION DOLLARS TO THE STATE ECONOMY EACH YEAR, SUPPORTING ITS 6,600+ EMPLOYEES, THEIR FAMILIES, AND MANY BUSINESSES THROUGH PURCHASES MADE BY ITS MEDICAL CENTERS AND CLINICS. FORM 990, PART VI, LINE 11B REVIEW OF THE 990 BY THE ORGANIZATION'S GOVERNING BODY VARIOUS SCHEDULES OF THE 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 990 OF EACH FILING ORGANIZATION WITHIN THE HEALTH CARE SYSTEM. ONCE SENIOR MANAGEMENT HAS COMPLETED ITS REVIEW, THE 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 990 REPORTING AND REVIEWS THE 990 FOR EACH ENTITY PRIOR TO FILING. IN ADDITION, THE 990 FOR EACH ENTITY ARE 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 990. THE 990 WILL BE POSTED TO HPH'S WEB SITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURNS WITH THE IRS. FORM 990, PART VI, LINE 12C MONITORING & ENFORCING OF CONFLICT OF INTEREST POLICY ANNUALLY, EACH DIRECTOR, OFFICER, KEY EMPLOYEE AND MEMBER OF A COMMITTEE WITH BOARD DELEGATED POWERS SHALL ANNUALLY SIGN A STATEMENT WHICH AFFIRMS THAT SUCH PERSON: 1) RECEIVED A COPY OF THE 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, LINES 15A & 15B PROCESS OF DETERMINING COMPENSATION OFFICES & POSITIONS FOR WHICH PROCESS WAS USED & YEAR PROCESS WAS BEGUN COMPENSATION FOR HAWAI'I PACIFIC HEALTH ('HPH") EXECUTIVES (VICE PRESIDENT AND ABOVE) 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 COMMITTEE MAKES 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 11, 2016 TO REVIEW PHYSICIAN COMPENSATION AND ON AUGUST 24, 2016 TO REVIEW EXECUTIVE COMPENSATION. FORM 990, PART VI, LINE 19 AVAIL OF GOV DOCS, CONFLICTS OF INTEREST POLICY, & FINANCIAL STMTS AT THIS TIME, THE HAWAI'I PACIFIC HEALTH ARTICLES OF INCORPORATION, BYLAWS, CHARTERS OF STANDING BOARD COMMITTEES, CONFLICT OF INTEREST POLICY, STANDARDS OF CONDUCT AND THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE GENERAL PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE. FORM 990, PART XI, LINE 9 RECONCILIATION OF NET ASSETS $ 35,049,273 - OBLIGATED GROUP INTERCOMPANY TRANFERS $(37,324,004) - PENSION AND POST RETIREMENT ADJUSTMENTS $(29,076,453) - EQUITY TRANSFERS WITH AFFILIATES $( 4,050,847) - CHANGE IN INTEREST IN KHF AND WHF $( 2,705,794) - CHANGE IN SWAP $( 887,604) - GAIN ON ALTERNATIVE INVESTMENTS $( 24,199) - OTHER CHANGES IN TEMPORARILY RESTRICTED NET ASSETS $( 2) - ROUNDING -------------- $(39,019,630) - TOTAL HAWAII HEALTH PARTNERS 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 352480297 HEALTHCARE HI 6596262 6482721 HPH KAPI'OLANI MED CENTER WOMEN & CHILDREN 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990274038 HOSPITAL HI 501(c)(3) 3 NA true STRAUB CLINIC & HOSPITAL 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 912151670 HOSPITAL HI 501(c)(3) 3 NA true PALI MOMI FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 383840327 FUNDRAISING HI 501(c)(3) 7 NA true STRAUB FOUNDATION 55 MERCHANT STREET 26TH FLOOR HONOLULU HI 96813 990109350 FUNDRAISING HI 501(c)(3) 7 NN true PALI MOMI MEDICAL CENTER 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990274038 HOSPITAL HI 501(c)(3) 3 ns true WILCOX HEALTH FOUNDATION 3-3420 KUHIO HIGHWAY LIHUE HI 96766 990204242 FUNDRAISING HI 501(c)(3) 7 NA true WILCOX MEMORIAL HOSPITAL 3-3420 KUHIO HIGHWAY LIHUE HI 96766 990074365 HOSPITAL HI 501(c)(3) 3 NA true KAUA'I MEDICAL CLINIC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990326099 HOSPITAL HI 501(c)(3) 3 NA true PROVIDERS INSURANCE CORPORATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 710893000 INSURANCE HI 501(c)(3) 11b, II NA true KAPI'OLANI HEALTH FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990246364 FUNDRAISING HI 501(c)(3) 7 NA true KAPI'OLANI MEDICAL SPECIALISTS 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990322406 HEALTHCARE HI 501(c)(3) 9 NA true ACS PACIFIC VENTURES LLC 3000 RIVERCHASE GALLERIA STE 500 BIRMINGHAM AL 35244 270540034 AMBU. SURG. 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TAXABLE AS PARTNERSHIP RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP ASC PACIFIC VENTURES, LLC EIN: 27-0540034 ADDRESS: 3000 RIVERCHASE GALLERIA, STE 500 BIRMINGHAM, AL 35244 INVISION, LLC EIN: 20-8565615 ADDRESS: 1010 SOUTH KING STREET HONOLULU, HI 96813 MAUI CANCER CENTER PET/CT, LLC EIN: 26-0163883 ADDRESS: 227 MAHALANI ST., STE 107 WAILUKU, HI 96793 MAUI CANCER CENTER PROPERTY COMPANY, LLC EIN: 26-0146602 ADDRESS: 227 MAHALANI ST., STE 107 WAILUKU, HI 96793