2013-05-14T22:42:09-05:00 2012-06-30 ERNST & YOUNG US LLP 4370 LA JOLLA VILLAGE DR STE 500 SAN DIEGO CA 921221251 990 2011-07-01 990269825 WAHIAWA GENERAL HOSPITAL % KAREN FERNANDEZ WAHI 8086218411 128 LEHUA STREET WAHIAWA HI 96786 R DON OLDEN 2013-05-14 8585357200 2011 2016-03-07 17:11:31Z R DON OLDEN 128 LEHUA STREET WAHIAWA HI 96786 53448122 false X N/A X 1968 HI TO PROVIDE HEALTH SERVICES, EDUCATION, ACTIVITIES AND PROGRAMS TO SUPPORT THE SURROUNDING COMMUNITY. 14 13 735 13 0 0 964126 1248455 45689375 52176647 16519 23020 0 0 46670020 53448122 0 0 0 0 31330697 31563519 0 0 0 19778332 22230431 51109029 53793950 -4439009 -345828 15019268 15711316 36213753 35919097 -21194485 -20207781 X TO PROVIDE HEALTH SERVICES, EDUCATION, ACTIVITIES AND PROGRAMS TO SUPPORT THE SURROUNDING COMMUNITY. false false 16154965 21811577 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. 15170596 20531397 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. 4528718 9455751 SNF SERVICES - TOTAL PATIENT DAYS ARE 32,556 SKILLED NURSING SERVICES PRIMARILY INCLUDES: INTERMEDIATE CARE AND SKILLED NURSING CARE. 377923 35854279 true true false true false false false false false false true false false false true false false false false false false false false false false false true true false false true false false false false false false false false false false false false false true true true false false true 12 0 true 735 true false false false false false false false false false false X 14 13 false false false false true true true true true false false false true true true true true true false false HI X KAREN FERNANDEZ 8086214281 128 LEHUA STREET WAHIAWA HI 96786 RANDALL SUZUKA MD 2.0 X X 0 0 0 ROBERT WAYNE JONES 2.0 X X 0 0 0 JOHN KAMPFER 2.0 X X 0 0 0 ROY DOI 2.0 X X 0 0 0 NORBERTO BAYSA MD 2.0 X 0 0 0 ED EBISUI 2.0 X 0 0 0 R KALANI FRONDA 2.0 X 0 0 0 BISHOP MICHAEL HENDERSON 2.0 X 0 0 0 MARY JANE LEE 2.0 X 0 0 0 WILLIAM MCKENZIE 2.0 X 0 0 0 MARTHA PETERSON 2.0 X 0 0 0 DAVID SEEHOLZER 2.0 X 0 0 0 JIM WALSH 2.0 X 0 0 0 R DON OLDEN 40.0 X X 188537 0 17838 KAREN FERNANDEZ 41.0 X 137909 0 11154 ERLINDA KIMURA 45.0 X 126116 0 7154 SUSAN RICH 40.0 X 128542 0 16764 SHELLY IRWIN 40.0 X 164403 0 3906 BRIGIDA PADRON 44.0 X 124178 0 7309 869685 0 64125 29 false true false 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 5 300000 942469 5986 1248455 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 52176647 23020 23020 0 0 0 0 0 0 0 53448122 52176647 0 23020 0 0 0 0 188537 188537 0 24160154 17226329 6933825 249615 179723 69892 5134614 3696922 1437692 1830599 1318031 512568 364822 262672 102150 222959 0 222959 177772 0 177772 6269 6269 0 0 6850614 2805213 4045401 45716 89 45627 5968452 2484228 3484224 0 0 0 23771 18231 5540 0 40128 18377 21751 331565 238727 92838 0 1105642 796062 309580 802696 577941 224755 MEDICAL SUPPLIES 2878812 2878812 BAD DEBT 2459900 2459900 REPAIRS AND MAINTENANCE 951313 704485 246828 53793950 35854279 17939671 0 1949363 960881 868233 868019 0 0 6916409 8206081 0 0 0 0 0 0 389931 385535 770657 761310 16416759 12509302 3764844 3907457 0 0 0 0 0 0 0 0 359831 622033 15019268 15711316 17862683 17777830 0 0 0 0 0 0 0 0 0 0 0 0 0 0 18351070 18141267 36213753 35919097 X -21194485 -20207781 0 0 0 0 -21194485 -20207781 15019268 15711316 X -345828 1332532 X false false X false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 6269 6269 false false LOBBYING ACTIVITY FORM 990, SCHEDULE C, PART II-B, LINE 1I LOBBYING FEES WERE INCLUDED IN THE ANNUAL MEMBERSHIP DUES PAID TO HEALTHCARE ASSOCIATION OF HAWAII AND AMERICAN HEALTHCARE ASSOCIATION. 817135 639569 177566 596420 495335 101085 10443700 8488607 1955093 4559504 2885791 1673713 3907457 0 PENSION LIABILITY 17563383 CAPITAL LEASE OBLIGATION 577884 18141267 true true X true X true X true true true false false 57606 0 57606 0.03900 12968257 11531052 1437205 0.96100 13025863 11531052 1494811 1.00000 13025863 11531052 1494811 1.00000 false 2459900 20565318 19615590 949728 X true true 1 1 WAHIAWA GENERAL HOSPITAL

125 LEHUA STREET WAHIAWA HI 96786

X X X X X WAHIAWA GENERAL HOSPITAL 1 true true 200. true 400. true X X X X true true X X X X true X X X false true false false 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 COMMUNITY BUILDING ACTIVITIES 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. 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 X X false false false false false false false false false 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 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 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 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 false false true true false false false false true false false false false false false true false false WAHIAWA HEALTHCARE SERVICES FOUNDATION D 75000 COST