WAHIAWA GENERAL HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- WAHIAWA GENERAL HOSPITAL (EIN 99-0269825)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-14
- IRS object ID
- 201301349349308075
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-14T22:42:09-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4370 LA JOLLA VILLAGE DR STE 500 | AddressLine1 |
| City | SAN DIEGO | City |
| State | CA | State |
| ZIP Code | 921221251 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990269825 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAHIAWA GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % KAREN FERNANDEZ | InCareOfName |
| Name Control | WAHI | NameControl |
| Phone | 8086218411 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 128 LEHUA STREET | AddressLine1 |
| City | WAHIAWA | City |
| State | HI | State |
| ZIP Code | 96786 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | R DON OLDEN | Name |
| Title | CEO | Title |
| Date Signed | 2013-05-14 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8585357200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | R DON OLDEN | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 128 LEHUA STREET | AddressLine1 |
| City | WAHIAWA | City |
| State | HI | State |
| ZIP Code | 96786 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 53448122 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | N/A | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1968 | YearFormation |
| State Legal Domicile | HI | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE HEALTH SERVICES, EDUCATION, ACTIVITIES AND PROGRAMS TO SUPPORT THE SURROUNDING COMMUNITY. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 13 | NbrIndependentVotingMembers |
| Total Nbr Employees | 735 | TotalNbrEmployees |
| Total Nbr Volunteers | 13 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 964126 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1248455 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 45689375 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 52176647 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 16519 | InvestmentIncomePriorYear |
| Investment Income Current Year | 23020 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 46670020 | TotalRevenuePriorYear |
| Total Revenue Current Year | 53448122 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 31330697 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 31563519 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 19778332 | OtherExpensePriorYear |
| Other Expenses Current Year | 22230431 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 51109029 | TotalExpensesPriorYear |
| Total Expenses Current Year | 53793950 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -4439009 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -345828 | RevenuesLessExpensesCY |
| Total Assets BOY | 15019268 | TotalAssetsBOY |
| Total Assets EOY | 15711316 | TotalAssetsEOY |
| Total Liabilities BOY | 36213753 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 35919097 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -21194485 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -20207781 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROVIDE HEALTH SERVICES, EDUCATION, ACTIVITIES AND PROGRAMS TO SUPPORT THE SURROUNDING COMMUNITY. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 16154965 | Expense |
| Revenue | 21811577 | Revenue |
| Description | INPATIENT - TOTAL INPATIENT DAYS 9,458 INPATIENT SERVICES INCLUDES: EMERGENCY AND INTENSIVE CARE SERVICES, ROUTINE MEDICAL, SURGICAL CARE, BEHAVIORAL HEALTH AND SURGERY PROGRAMS, INPATIENT ADMISSIONS WERE APPROXIMATELY 2753 IN FY 2012. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 15170596 | Expense |
| Revenue | 20531397 | Revenue |
| Description | OUTPATIENT - TOTAL VISITS 47,980 OUTPATIENT SERVICES PRIMARILY INCLUDE: EMERGENCY SERVICES, RADIOLOGY, LABORATORY, OBSERVATION, CARDIO PULMANARY, ONCOLOGY AND HOME HEALTH. EMERGENCY VISITS WERE APPROXIMATELY 19,940 IN FY 2012. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 4528718 | Expense |
| Revenue | 9455751 | Revenue |
| Description | SNF SERVICES - TOTAL PATIENT DAYS ARE 32,556 SKILLED NURSING SERVICES PRIMARILY INCLUDES: INTERMEDIATE CARE AND SKILLED NURSING CARE. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Rev | 377923 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 35854279 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 12 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 735 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 13 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | false | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | false | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | HI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KAREN FERNANDEZ | NamePerson |
| Telephone Number | 8086214281 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 128 LEHUA STREET | AddressLine1 |
| City | WAHIAWA | City |
| State | HI | State |
| ZIP Code | 96786 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (19 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| RANDALL SUZUKA MD | |||||||
| CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 | |
| ROBERT WAYNE JONES | |||||||
| VICE CHAIRMAN | 2.0 | X | X | 0 | 0 | 0 | |
| JOHN KAMPFER | |||||||
| SECRETARY | 2.0 | X | X | 0 | 0 | 0 | |
| ROY DOI | |||||||
| TREASURER | 2.0 | X | X | 0 | 0 | 0 | |
| NORBERTO BAYSA MD | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| ED EBISUI | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| R KALANI FRONDA | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| BISHOP MICHAEL HENDERSON | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| MARY JANE LEE | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| WILLIAM MCKENZIE | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| MARTHA PETERSON | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| DAVID SEEHOLZER | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| JIM WALSH | |||||||
| DIRECTOR | 2.0 | X | 0 | 0 | 0 | ||
| R DON OLDEN | |||||||
| CEO | 40.0 | X | X | 188537 | 0 | 17838 | |
| KAREN FERNANDEZ | |||||||
| FIN SVC MANAGER | 41.0 | 137909 | 0 | 11154 | X | ||
| ERLINDA KIMURA | |||||||
| ASST CLINICAL COORD | 45.0 | 126116 | 0 | 7154 | X | ||
| SUSAN RICH | |||||||
| ASST ADMIN QUALITY | 40.0 | 128542 | 0 | 16764 | X | ||
| SHELLY IRWIN | |||||||
| PHARMACY MANAGER | 40.0 | 164403 | 0 | 3906 | X | ||
| BRIGIDA PADRON | |||||||
| STAFF NURSE | 44.0 | 124178 | 0 | 7309 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 869685 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 64125 | TotalOtherCompensation |
| Number Individuals GT100 K | 29 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CPSI | |||||
| 6600 WALL STREET | MOBILE | AL | 36695 | COMPUTER SYSTEM | 416979 |
| ANESTHESIA RELIEF LLC | |||||
| PO BOX 647 | CAPTAIN COOK | HI | 96704 | ANESTHESIA | 297254 |
| ZR SYSTEMS GROUP LLC | |||||
| 1953 S BERETAINIA ST 3C | HONOLULU | HI | 96826 | COMPUTER CONSULTING | 230092 |
| DONALD WRIGHT ASSOC LLC | |||||
| 2354 POPLAR WOOD DRIVE | BATON ROUGE | LA | 70816 | CONSULTING | 198304 |
| ERNST AND YOUNG LLP-006 | |||||
| 55 MERCHANT STREET STE 1900-C-120 | HONOLULU | HI | 96813 | AUDIT AND TAX SVC | 165167 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Related Organizations | 300000 | RelatedOrganizations |
| Government Grants | 942469 | GovernmentGrants |
| All Other Contributions | 5986 | AllOtherContributions |
| Total Contributions | 1248455 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| IN PATIENT REVENUE | 622110 | 21811576 | 21811576 |
| OUT PATIENT REVENUE | 622110 | 20531397 | 20531397 |
| SNF REVENUE | 622110 | 9455751 | 9455751 |
| RENTAL INCOME -PROGRAM SVC RELATED | 531120 | 27434 | 27434 |
| ALL OTHER PROGRAM SERVICES REVENUE | 900099 | 350489 | 350489 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 52176647 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23020 | TotalRevenueColumn |
| Exclusion | $23,020 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 0 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 53448122 | TotalRevenueColumn |
| Related Or Exempt Function Income | 52176647 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $23,020 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188537 | Total |
| Program Services | 188537 | ProgramServices |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24160154 | Total |
| Program Services | 17226329 | ProgramServices |
| Management And General | 6933825 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 249615 | Total |
| Program Services | 179723 | ProgramServices |
| Management And General | 69892 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5134614 | Total |
| Program Services | 3696922 | ProgramServices |
| Management And General | 1437692 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1830599 | Total |
| Program Services | 1318031 | ProgramServices |
| Management And General | 512568 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 364822 | Total |
| Program Services | 262672 | ProgramServices |
| Management And General | 102150 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 222959 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 222959 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177772 | Total |
| Program Services | 0 | ProgramServices |
| Management And General | 177772 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6269 | Total |
| Management And General | 6269 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6850614 | Total |
| Program Services | 2805213 | ProgramServices |
| Management And General | 4045401 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 45716 | Total |
| Program Services | 89 | ProgramServices |
| Management And General | 45627 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5968452 | Total |
| Program Services | 2484228 | ProgramServices |
| Management And General | 3484224 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23771 | Total |
| Program Services | 18231 | ProgramServices |
| Management And General | 5540 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40128 | Total |
| Program Services | 18377 | ProgramServices |
| Management And General | 21751 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 331565 | Total |
| Program Services | 238727 | ProgramServices |
| Management And General | 92838 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1105642 | Total |
| Program Services | 796062 | ProgramServices |
| Management And General | 309580 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 802696 | Total |
| Program Services | 577941 | ProgramServices |
| Management And General | 224755 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| MEDICAL SUPPLIES | 2878812 | 2878812 | |
| BAD DEBT | 2459900 | 2459900 | |
| REPAIRS AND MAINTENANCE | 951313 | 704485 | 246828 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 53793950 | Total |
| Program Services | 35854279 | ProgramServices |
| Management And General | 17939671 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1949363 | BOY |
| EOY | 960881 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 868233 | BOY |
| EOY | 868019 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6916409 | BOY |
| EOY | 8206081 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 389931 | BOY |
| EOY | 385535 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 770657 | BOY |
| EOY | 761310 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 16416759 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 12509302 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3764844 | BOY |
| EOY | 3907457 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 359831 | BOY |
| EOY | 622033 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15019268 | BOY |
| EOY | 15711316 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17862683 | BOY |
| EOY | 17777830 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18351070 | BOY |
| EOY | 18141267 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 36213753 | BOY |
| EOY | 35919097 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -21194485 | BOY |
| EOY | -20207781 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -21194485 | BOY |
| EOY | -20207781 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 15019268 | BOY |
| EOY | 15711316 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -345828 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1332532 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | false | FSAudited |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $6,269 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 6269 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
| Form4720 Filed4912 Tax | false | Form4720Filed4912Tax |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITY | Identifier |
| Return Reference | FORM 990, SCHEDULE C, PART II-B, LINE 1I | ReturnReference |
| Explanation | LOBBYING FEES WERE INCLUDED IN THE ANNUAL MEMBERSHIP DUES PAID TO HEALTHCARE ASSOCIATION OF HAWAII AND AMERICAN HEALTHCARE ASSOCIATION. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Land | Land |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 817135 | OtherCostOrOtherBasis |
| Depreciation | 639569 | Depreciation |
| Book Value | 177566 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 596420 | OtherCostOrOtherBasis |
| Depreciation | 495335 | Depreciation |
| Book Value | 101085 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 10443700 | OtherCostOrOtherBasis |
| Depreciation | 8488607 | Depreciation |
| Book Value | 1955093 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4559504 | OtherCostOrOtherBasis |
| Depreciation | 2885791 | Depreciation |
| Book Value | 1673713 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 3907457 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| PENSION LIABILITY | $17,563,383 |
| CAPITAL LEASE OBLIGATION | $577,884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 18141267 | TotalOfAmounts |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| Annual Community Benefit Report | false | AnnualCommunityBenefitReport |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 57606 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 57606 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03900 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12968257 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11531052 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1437205 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.96100 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13025863 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11531052 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1494811 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 1.00000 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 13025863 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11531052 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1494811 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 1.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $2,459,900 | BadDebtExpenseAmount |
| Amount Reimbursed By Medicare | 20565318 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 19615590 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 949728 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAHIAWA GENERAL HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 125 LEHUA STREET | AddressLine1 |
| City | WAHIAWA | City |
| State | HI | State |
| ZIP Code | 96786 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Teaching Hospital | X | TeachingHospital |
| Research Facility | X | ResearchFacility |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAHIAWA GENERAL HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Medicaid Medicare | X | MedicaidMedicare |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Permit Report To Credit Agency | X | PermitReportToCreditAgency |
| Permit Lawsuit | X | PermitLawsuit |
| Permit Lien On Residence | X | PermitLienOnResidence |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| PART I, LINE 3C | N/A | |
| PART I, LINE 6A | NO COMMUNITY BENEFIT REPORTED IS GENERALLY DEVELOPED. HOWEVER THE ANNUAL TAX RETURN IS FILED WITH THE NON-PROFIT DIVISION OF THE STATE ATTORNEY GENERAL'S OFFICE. | |
| PART I, LINE 7 | COST TO CHARGE RATIO AND ADDRESSES ALL PATIENT SEGMENTS. | |
| PART II | WAHIAWA GENERAL HOSPITAL HAS SPONSORED A GME FAMILY PRACTICE RESIDENCY PROGRAM FOR OVER 15 YEARS. OVER 80 RESIDENTS HAVE GRADUATED FROM THE PROGRAM AND 80% OF THE GRADUATES CURRENTLY LICENSED FAMILY PRACTICE PHYSICIANS IN THE STATE. THE PROGRAM IS A MEDICARE RECOGNIZED GME PROGRAM WHICH TRAINS PHYSICIANS IN A COMMUNITY BASED SETTING. | COMMUNITY BUILDING ACTIVITIES |
| PART III, LINE 4 | WAHIAWA GENERAL HOSPITAL ESTIMATED THE PATIENTS CONTRIBUTION TO THE BAD DEBT EXPENSE UNDER THE ORGANIZATION'S CHARITY CARE POLICY AT 13.5%. WAHIAWA, THE TOWN WHERE THE HOSPITAL IS LOCATED IS ONE OF THE LOWEST SOCIOECONOMIC AREAS ON OAHU. APPROXIMATELY 13.5% OF THE RESIDENTS ARE BELOW 100% OF FPG. ESTIMATING BAD DEBT EXPENSE AT COST WAS BASED ON THE HOSPITAL'S COST TO CHARGE RATIO. | |
| PART III, LINE 8 | WAHIAWA GENERAL HOSPITAL PROVIDES UNCOMPENSATED CARE TO MEDICARE AND OTHER PATIENTS IN THE AMOUNTS PROVIDED IN THIS SECTION. | |
| PART III, LINE 9B | WAHIAWA GENERAL HOSPITAL NOTIFIES THE PATIENT OF THE FINANCIAL ASSISTANCE POLICY AFTER TRYING TO GET THE PATIENT QUALIFIED FOR MEDICAID. IF THE PATIENT DOES NOT QUALIFY FOR MEDICAID OR CHARITY CARE AND IF THE PATIENT IS UNABLE TO REMIT PAYMENT IN ACCORDANCE WITH THE TIMELINE OUTLINED IN THE COLLECTION POLICY. THE HOSPITAL WILL SEND THE ACCOUNT TO A COLLECTION AGENCY AND RECORD THE WRITE OFF AS BAD DEBT. | |
| NEEDS ASSESSMENT | WAHIAWA GENERAL HOSPITAL AND ITS PARENT, WAHIAWA HOSPITAL ASSOCIATION HAVE PERFORMED STUDIES OF THE DEMAND FOR HELATHCARE IN THE COMMUNITY AND HAVE STRATICALLY ATTEMPTED TO EXPAND AND/OR MOVE THE HOSPITAL TO BETTER SERVE THE COMMUNITY. THE ACTIONS AROUND THIS EFFORT ARE CONTINUING TO DEVELOP TO THIS DATE. | |
| PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | HAWAII IS ONE OF THE STATES WITH A LOW NUMBER OF UNINSURED DUE TO A PREPAID HEALTHCARE LAW. MOST UNINSURED PATIENTS ARE ELIGIBLE FOR MEDICAID AND ARE GENERALLY COVERED BY MEDICAID EVEN AFTER SERVICES ARE PROVIDED. THOSE WHO CANNOT QUALIFY AND WHOSE ECONOMIC STATUS IS BELOW 200% OF THE FPG FOR CHARITY CARE AND THOSE BETWEEN 200% AND 300% QUALIFY FOR DISCOUNTED SERVICES. SUCH PATIENTS ARE NOTIFIED OF THESE POLICIES DURING ADMISSION, PRIOR TO DISCHARGE AND DURING THE BILLING AND COLLECTION PROCESS. | |
| COMMUNITY INFORMATION | WAHIAWA GENERAL HOSPITAL SERVICES A CENTRAL OAHU AREA COMPROMISED OF APPROXIMATELY 60,000 RESIDENTS. WAHIAWA , THE TOWN THE HOSPITAL IS LOCATED IN, IS ONE OF THE LOWEST SOCIOECONOMIC AREAS ON OAHU. APPROXIMATELY 13.5% OF THE RESIDENTS ARE BELOW 100% IF THE FPG. | |
| PROMOTION OF COMMUNITY HEALTH | WAHIAWA GENERAL HOSPITAL IS A CRITICAL LINK TO THE EMERGENCY SERVICES NETWORK FOR THE ISLAND OF OAHU. OVER 18,000 EMERGENCY VISITS OCCUR ANNUALLY AND 95% OF THE HOSPITAL ADMISSIONS COME THROUGH THE EMERGENCY ROOM. THE MEDICAL STAFF IS AN OPEN STAFF MODEL, AND ALL BOARD MEMBERS SERVE WITHOUT COMPENSATION. | |
| AFFILIATED HEALTH CARE SYSTEM ROLES | N/A |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| R DON OLDEN | |||||||||||||
| 188537 | 0 | 0 | 0 | 0 | 0 | 3800 | 0 | 14038 | 0 | 206375 | 0 | 0 | 0 |
| SHELLY IRWIN | |||||||||||||
| 164403 | 0 | 0 | 0 | 0 | 0 | 2520 | 0 | 1386 | 0 | 168309 | 0 | 0 | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| OTHER PROGRAM SERVICES | FORM 990, PART III, LINE 4D | ALL OTHER PROGRAM SERVICES ARE FOR OTHER RELATED ACTIVITIES. |
| MEMBERS AND RIGHTS | FORM 990, PART VI, QUESTION 6 | WAHIAWA HOSPITAL ASSOCIATION IS A SOLE MEMBER OF WAHIAWA GENERAL HOSPITAL. |
| DESCRIPTION OF CLASSES OF MEMBERS AND DECISIONS REQUIRING APPROVAL | FORM 990, PART VI, QUESTION 7A | WAHIAWA HOSPITAL ASSOCIATION, AS SOLE MEMBER, ANNUALLY ELECTS THE BOARD OF DIRECTORS OF WAHIAWA GENERAL HOSPITAL. |
| PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 | FORM 990, PART VI, QUESTION 11B | THE FORM 990 WILL BE PRESENTED TO THE BOARD OF DIRECTORS AFTER FILING WITH THE IRS. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTION OF CONFLICT OF INTEREST | FORM 990, PART VI, QUESTION 12C | BOARD MEMBERS COMPLETE THE CONFLICT OF INTEREST FORM ANNUALLY AND SUBMITS IT TO ADMINISTRATION. ANY CONFLICTS ARE DISCLOSED TO THE BOARD. |
| PROCESS USED TO DETERMINE COMPENSATION | FORM 990, PART VI, QUESTION 15A | CEO SALARY IS REVIEWED BY THE BOARD EXECUTIVE COMMITTEE AND DOCUMENTED IN THE MINUTES. IT IS THROUGH A CONTRACTUAL RELATIONSHIP AND IS COMPARED TO OTHER SIMILAR CEO HEALTHCARE SALARIES AND WAGES. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY & FIN STMTS TO GEN PUBLIC | FORM 990, PART VI, QUESTION 19 | THE FINANCIAL STATEMENTS AND CONFLICT OF INTEREST POLICY IS AVAILABLE UPON REQUEST. GOVERNING DOCUMENTS ARE NOT AVAILABLE AT THIS TIME. |
| TIME DEVOTED TO RELATED ORGANIZATION | FORM 990, PART VII | INDIVIDUALS LISTED ON FORM 990, PART VII ALSO DEVOTE TIME TO THE FOLLOWING RELATED ORGANIZATIONS: Wahiawa Hospital Association Jones 2.0 Kampfer 2.0 Doi 2.00 Baysa 2.0 Fronda 2.0 Henderson 2.0 Lee 2.0 Peterson 2.0 McKenzie 2.0 Wahiawa Health Care Services Foundation Suzuka 2.0 Doi 2.0 |
| NET ASSET RECONCILIATION | FORM 990, PART XI, LINE 5 | PRIOR PERIOD ADJUSTMENTS 1,332,532 |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| WAHIAWA HEALTHCARE SERVICES FOUNDATION | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | 300206692 | FUNDRAISING | HI | 501(C)(3) | 11 TYPE I | WGH | true |
| WAHIAWA HOSPITAL ASSOCIATION | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | 990073529 | HOSPITAL SVCS | HI | 501(C)(3) | 11 TYPE II | NA | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership |
|---|---|---|---|---|---|---|---|---|---|---|
| WAHIAWA HOSPITAL SERVICES CORPORATION | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| WAHIAWA-CENTRAL OAHU HEALTH CENTER INC | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| PACIFIC WOMEN'S CENTER INC | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| PACIFIC WELLNESS CENTER INC | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| PACIFIC BIOTECH INSTITUTE INC | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| PACIFIC SPORTS MEDICINE & RESEARCH CTR | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| PACIFIC SAGING CENTER INC | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| PACIFIC COMMUNITY HEALTH & WELLNESS | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| PACIFIC CARDIAC INSTITUTE INC | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| PACIFIC ADOLESCENT CENTER INC | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| PACIFIC HEALTH CENTER INC | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| WAHIAWA-PACIFIC HEALTH CENTER | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| PACIFIC HEALTH COMMUNITY INC | ||||||||||
| 128 LEHUA STREET | WAHIAWA | HI | 96786 | INACTIVE | HI | NA | C CORP | 0 | 0 | 0.00000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | true | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | true | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAHIAWA HEALTHCARE SERVICES FOUNDATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionType |
| Amount Involved | 75000 | AmountInvolved |
| Method Of Amt Determination | COST | MethodOfAmtDetermination |