2024-05-15T14:34:31+00:00 2023-06-30 346565596 ERNST & YOUNG US LLP 2005 MARKET STREET PHILADELPHIA PA 19103 990 2022-07-01 990322406 Kapi'olani Medical Specialists KAPI 8089838986 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 LESLIE CHUN MD CEO 2024-05-15 true CARRIE ANN TSUTSUI 999009999 Lauren E Bennett P01787029 2154485000 2023-05-13 2022 2023-04-26 12:10:37Z HAWAI'I PACIFIC HEALTH MEDICAL GROUP LESLIE CHUN MD 1100 WARD STREET STE 1130 HONOLULU HI 96814 333070854 false X WWW.HAWAIIPACIFICHEALTH.ORG X 1995 HI SEE SCHEDULE O 9 5 1039 5 0 0 19157086 0 309962519 332920466 17284 150388 0 329136889 333070854 5500 7000 0 237203675 259410033 0 0 171980012 185000206 409189187 444417239 -80052298 -111346385 78117233 67223230 64704583 70561550 13412650 -3338320 SEE SCHEDULE O false false 421054196 7000 332920466 SEE SCHEDULE O 421054196 true false false true false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false true false false false false false false true true true false false true X 0 0 1039 true false false false false false false false false false false false false X 9 5 true false false false true true true true true false false true true true true true true false true false CA HI X X JESSICA LI 8085357434 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 Gordon Hammond Board of Director, Chair 0.2 0 X X 0 0 0 Raymond P Vara Jr BOARD OF DIRECTOR & PRESIDENT 0.2 61.9 X X 0 2867542 1366459 Andrew Kawano Board of Director 0.2 0 X 0 0 0 Anne Dempsey MD Board of Director 0.2 40.0 X 323821 0 27761 Chris Eldridge Board of Director 0.2 0 X 0 0 0 David Cho MD Board of Director 0.2 40.0 X 693033 0 34658 Patrick O'Donnell MD Board of Director 40.0 0.3 X 628686 0 35058 Wayne Katayama Board of Director 0.2 0 X 0 0 0 Willow Morton Board of Director 0.2 0 X 0 0 0 Amanda Woo VP 40.0 0.0 X 0 257470 37648 Arthur Gladstone EVP & CSO 0.0 55.0 X 0 1076309 322168 Brandon Wong VP - part year 0.0 47.0 X 0 241460 76115 Carrie Ann Tsutsui VP & SYSTEM CONTROLLER 6.0 42.4 X 0 298669 81513 Charles R Ching EVP, General Counsel & Secretary 2.1 37.9 X 0 964630 277063 David Okabe EVP, CFO & Treasurer 3.0 47.0 X 0 1247925 393579 David Stumbaugh VP 1.5 38.5 X 0 291863 93255 Dawn Dunbar SVP 0.1 44.9 X 0 427166 120296 Dean Tateyama VP 1.0 39.0 X 0 298314 62276 Douglas Kwock MD VP 1.0 39.0 X 0 525329 122721 James Lin MD VP 2.0 45.7 X 0 357236 99947 Jennifer Jones VP 60.0 0.0 X 0 279225 77088 Jessica Lewis Assistant Corporate Secretary 2.5 37.5 X 0 171486 44093 John McNamara SVP & CMO 2.0 38.0 X 0 413407 60230 Katie Shigemitsu Compliance Officer 5.0 35.0 X 0 229191 32842 Leslie Chun MD CEO 45.0 15.0 X 0 1005675 285731 Lorrie-Ann Luke VP 1.5 40.0 X 0 300099 92518 Louise Fukumoto VP 4.0 36.0 X 0 289643 63221 Michael Robinson VP 0.1 49.9 X 0 358366 82470 Peter Lewis VP & Chief Information Security Officer 0.1 39.9 X 0 329209 38115 Reina (France) Graves Privacy Officer 1.2 38.8 X 0 131213 35491 Shilpa Patel MD SVP & CQO 8.5 31.5 X 0 405247 97543 Steven Robertson EVP & CIO 10.0 42.5 X 0 1350885 283183 Sunshine Topping SVP 3.0 47.0 X 0 441947 121585 Terence Young VP 38.0 22.0 X 0 330581 61969 Troy Branstetter VP 5.0 53.0 X 0 297700 70074 Warren Chaiko SVP 10.0 30.0 X 0 404477 122967 William Burke VP 8.0 44.0 X 0 320250 90629 Brandon Kai MD Physician 40.0 0 X 928703 0 37139 Cass Nakasone MD Physician 40.0 0 X 1528977 0 34658 Daniel Judd MD Physician 40.0 0 X 976028 0 25902 Gregory Chow MD Physician 40.0 0 X 1187303 0 28511 Timothy Fei MD Physician 40.0 0 X 1052227 0 38158 Gail Lerch Former Officer 3.0 48.0 X 0 232089 19426 Kenneth T Nakamura MD Former Officer 28.0 2.5 X 275620 0 21773 Melinda Ashton MD Former Officer 0.1 49.2 X 0 810453 236150 7594398 16955056 5251983 692 true true false COMPHEALTH INC PO BOX 972651 DALLAS TX 753972651 PHYSICIAN SERVICES 3416179 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 753972633 PHYSICIAN SERVICES 2821363 UNIVERSITY OF HAWAI'I 2440 CAMPUS RD BOX 368 HONOLULU HI 96822 PHYSICIAN SERVICES 1514001 LUCILE PACKARD CHILDRENS HOSPITAL 725 WELCH RD MC 5553 PALO ALTO CA 94304 PHYSICIAN SERVICES 857476 VISTA STAFFING SOLS INC FILE 50384 LOS ANGELES CA 900740834 PHYSICIAN SERVICES 580712 14 0 PATIENT SERVICE REVENUE 622110 35320721 35320721 SERVICE CONTRACTS 900099 7252407 7252407 INTER-ENTITY SERVICE REVENUE 622110 290347338 290347338 0 0 0 0 332920466 150388 150388 0 0 0 0 0 0 0 0 0 333070854 332920466 0 150388 7000 7000 1786148 1786148 762534 515119 247415 222280438 217587019 4693419 7148354 6972925 175429 16660811 9297512 7363299 10771748 10493525 278223 872862 872862 17996 17996 33756971 27518952 6238019 0 215957 182401 33556 480461 214097 266364 3490747 3312247 178500 1441055 1370573 70482 4351 1454 2897 250933 250933 354974 354974 15169299 14902698 266601 CONTRACT SERVICE HPHMG 125179405 125179405 OTHER PURCHASES 2495922 591302 1904620 MOVING EXPENSE 514002 514002 MEDICAL SUPPLIES 462463 435952 26511 292808 61964 230844 0 444417239 421054196 23363043 0 0 0 19828870 671155 0 0 3845307 2862086 0 0 0 0 0 0 0 0 1606522 1945331 4378865 3027151 1629215 1351714 0 0 1549309 1549309 0 0 0 49658010 58843635 78117233 67223230 23453157 21878191 0 0 0 0 0 0 0 0 0 0 0 0 0 0 41251426 48683359 64704583 70561550 X 13387972 -3362998 24678 24678 0 0 0 0 0 0 13412650 -3338320 78117233 67223230 X -111346385 0 0 0 0 94595415 X false true X true false X false false false false false false false false true 17996 17996 false Schedule C, Part II-B LOBBYING EXPENDITURES LOBBYING EXPENSES ARE THE PORTION OF AMOUNTS PAID TO HEALTHCARE ASSOCIATIONS THAT ENGAGED IN LEGISLATIVE LOBBYING ON BEHALF OF ITS MEMBERS. 299341 194677 104664 3971924 2832474 1139450 107600 107600 1351714 VARIOUS DEFERRED CHARGES 34403981 DUE FROM STRAUB CLINIC & HOSP. 11479990 OPERATING LEASE 5685503 DUE FROM KAUA'I MEDICAL CLINIC 2941337 OTHER RECEIVABLES 1366710 DUE FROM KMCWC 1756475 DUE FROM HAWAI'I HLTH. PTNRS. 330197 DUE FROM WILCOX MEMORIAL HOSP. 352823 DUE FROM HPHRI 118059 DUE FROM STRAUB FOUNDATION 41985 DUE FROM PALI MOMI MED. CTR. 275624 DUE FROM PROVIDERS INS. CORP. 59496 ESCHEAT LIABILITY 1173 DUE TO CMS COVID PAYMENT DUE FROM THIRD PARTY 30282 58843635 457B LIABILITY 34323295 DUE TO HAWAI'I PACIFIC HEALTH 7853597 LONG-TERM OPERATING LEASE LIABILITY 5206449 SHORT-TERM OPERATING LEASE 1278480 DUE TO KAPI'OLANI HEALTH FOUNDATION 12560 CAPITAL ACCUMULATION LIABILITY 4631 DEFERRED TENANT IMPROVE ALLOW LESSEE 4235 DUE TO HONOLULU IMAGING CENTER DUE TO PALI MOMI FOUNDATION 100 DUE FROM THIRD PARTY DUE TO WILCOX HEALTH FOUNDATION 12 DUE TO HONOLULU SURGERY CENTER ESCHEAT LIABILITY 48683359 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote UNCERTAIN TAX POSITIONS AUDITED FINANCIAL STATEMENT FOOTNOTE THE COMPANY HAS NOT RECORDED ANY EXPENSE OR ACCRUED FOR ANY RELATED EXPENSE FOR ANY UNCERTAIN TAX POSITIONS. false true false false false false false false false Raymond P Vara Jr BOARD OF DIRECTOR & PRESIDENT 0 1158108 0 1199993 0 509441 0 1339031 0 27428 0 4234001 0 1178079 David Cho MD Board of Director 644713 0 11447 0 36873 0 12200 0 22458 0 727691 0 0 0 Anne Dempsey MD Board of Director 295589 0 126 0 28106 0 12200 0 15561 0 351582 0 0 0 Patrick O'Donnell MD Board of Director 590460 0 1887 0 36339 0 12200 0 22858 0 663744 0 0 0 Melinda Ashton MD Former Officer 0 276841 0 395535 0 138077 0 221243 0 14907 0 1046603 0 279893 Gail Lerch Former Officer 0 18658 0 0 0 213431 0 15683 0 3743 0 251515 0 154085 Kenneth T Nakamura MD Former Officer 162504 0 1965 0 111151 0 8212 0 13561 0 297393 0 0 0 Troy Branstetter VP 0 224128 0 45156 0 28416 0 62589 0 7485 0 367774 0 12437 William Burke VP 0 240487 0 51106 0 28657 0 73234 0 17395 0 410879 0 41453 Warren Chaiko SVP 0 270546 0 77019 0 56912 0 95145 0 27822 0 527444 0 62456 Charles R Ching EVP, General Counsel & Secretary 0 456173 0 329628 0 178829 0 261282 0 15781 0 1241693 0 311476 Leslie Chun MD CEO 0 545441 0 365197 0 95037 0 258279 0 27452 0 1291406 0 178873 Dawn Dunbar SVP 0 302499 0 85040 0 39627 0 95618 0 24678 0 547462 0 68960 Louise Fukumoto VP 0 223039 0 36547 0 30057 0 48104 0 15117 0 352864 0 0 Arthur Gladstone EVP & CSO 0 523608 0 382770 0 169931 0 297096 0 25072 0 1398477 0 369609 Reina (France) Graves Privacy Officer 0 130089 0 0 0 1124 0 12776 0 22715 0 166704 0 0 Jennifer Jones VP 0 224340 0 34629 0 20256 0 52015 0 25073 0 356313 0 30234 Douglas Kwock MD VP 0 400661 0 84686 0 39982 0 98379 0 24342 0 648050 0 70038 Jessica Lewis Assistant Corporate Secretary 0 170929 0 0 0 557 0 17065 0 27028 0 215579 0 0 Peter Lewis VP & Chief Information Security Officer 0 265114 0 40549 0 23546 0 36795 0 1320 0 367324 0 0 James Lin MD VP 0 266760 0 56884 0 33592 0 74975 0 24972 0 457183 0 45528 Lorrie-Ann Luke VP 0 225129 0 46653 0 28317 0 67446 0 25072 0 392617 0 36781 John McNamara SVP & CMO 0 311476 0 57312 0 44619 0 50723 0 9507 0 473637 0 0 David Okabe EVP, CFO & Treasurer 0 577990 0 416750 0 253185 0 377798 0 15781 0 1641504 0 415256 Shilpa Patel MD SVP & CQO 0 311682 0 85243 0 8322 0 73975 0 23568 0 502790 0 0 Steven Robertson EVP & CIO 0 470116 0 369600 0 511169 0 267402 0 15781 0 1634068 0 326496 Michael Robinson VP 0 272152 0 56686 0 29528 0 72633 0 9837 0 440836 0 45542 Katie Shigemitsu Compliance Officer 0 223306 0 0 0 5885 0 23670 0 9172 0 262033 0 0 David Stumbaugh VP 0 226737 0 47069 0 18057 0 68047 0 25208 0 385118 0 37816 Dean Tateyama VP 0 223083 0 36547 0 38684 0 47395 0 14881 0 360590 0 0 Sunshine Topping SVP 0 323136 0 86940 0 31871 0 97176 0 24409 0 563532 0 63758 Carrie Ann Tsutsui VP & SYSTEM CONTROLLER 0 226544 0 47628 0 24497 0 68452 0 13061 0 380182 0 38265 Brandon Wong VP - part year 0 184894 0 39035 0 17531 0 53657 0 22458 0 317575 0 14729 Amanda Woo VP 0 224759 0 32048 0 663 0 22202 0 15446 0 295118 0 0 Terence Young VP 0 270308 0 40075 0 20198 0 55718 0 6251 0 392550 0 34989 Gregory Chow MD Physician 1084310 0 2013 0 100980 0 12200 0 16311 0 1215814 0 0 0 Timothy Fei MD Physician 983899 0 1761 0 66567 0 12200 0 25958 0 1090385 0 0 0 Daniel Judd MD Physician 934313 0 1573 0 40142 0 3050 0 22852 0 1001930 0 0 0 Brandon Kai MD Physician 892686 0 1761 0 34256 0 12200 0 24939 0 965842 0 0 0 Cass Nakasone MD Physician 1245883 0 1573 0 281521 0 12200 0 22458 0 1563635 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE ORGANIZATION'S CHIEF EXECUTIVE OFFICER IS PAID BY ITS TAX EXEMPT PARENT, HAWAI'I PACIFIC HEALTH ('HPH'), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. SEE SCHEDULE O, FORM 990, PART VI, SECTION B, LINE 15A FOR THE PROCESS USED BY HPH TO DETERMINE COMPENSATION. 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. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR. - $212,216 DAVID OKABE - $141,318 STEVEN ROBERTSON - $87,981 ARTHUR GLADSTONE - $65,492 CHARLES R. CHING - $56,494 MELINDA ASHTON, M.D. - $52,872 GAIL LERCH - $46,032 LESLIE CHUN - $41,152 ANNUAL INCENTIVE PLAN THE ANNUAL INCENTIVE PLAN IS AFFORDED TO EXECUTIVES BASED ON ANNUAL SYSTEM GOALS THAT ARE NOT BASED ON A PERCENTAGE OF NET EARNINGS. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR. - $1,199,993 DAVID OKABE - $416,750 ARTHUR GLADSTONE - $382,770 LESLIE CHUN - $365,197 MELINDA ASHTON,M.D. - $345,535 STEVEN ROBERTSON - $339,600 CHARLES R. CHING - $329,628 SUNSHINE TOPPING - $86,940 DAWN DUNBAR - $85,040 DOUGLAS KWOCK - $84,686 WARREN CHAIKO - $77,019 JOHN McNAMARA - $57,312 MICHAEL ROBINSON - $56,686 JAMES LIN - $56,129 SHILPA PATEL - $51,188 WILLIAM BURKE - $51,106 CARRIE ANN TSUTSUI - $47,628 DAVID STUMBAUGH - $47,069 LORRIE-ANN LUKE - $46,653 TROY BRANSTETTER - $45,156 PETER LEWIS - $ 40,549 TERENCE YOUNG - $40,075 BRANDON WONG - $39,035 JENNIFER JONES - $34,629 LOUISE FUKUMOTO - $24,078 DEAN TATEYAMA - $24,078 RETENTION INCENTIVE PLAN THE RETENTION INCENTIVE PLAN WAS DESIGNED TO ENCOURAGE CONTINUED INTEREST IN THE SUCCESS OF THE ORGANIZATION AND PROVIDE COMPETITIVE RETIREMENT BENEFITS. THE SOLE PLAN PARTICIPANT IS HAWAI'I PACIFIC HEALTH'S CHIEF EXECUTIVE OFFICER, RAYMOND P. VARA JR. THE PLAN DOES NOT REPLACE THE ANNUAL AND LONG-TERM INCENTIVE PLAN NOR THE SERP RESTORATION PLAN. AMOUNTS PAID OUT DURING THE YEAR BY THE ORGANIZATION: RAYMOND P. VARA JR. - $331,845 JANNY CHEN MD SEE PART V 197720 PHYSICIAN COMPENSATION false SUSAN LIN MD SEE PART V 279463 PHYSICIAN COMPENSATION false CAMNHUNG NGUYEN MD SEE PART V 144010 PHYSICIAN COMPENSATION false Schedule L, Part IV, Column (b) JANNY CHEN, M.D. IS A FAMILY MEMBER OF DAVID CHO, M.D., A CURRENT MEMBER OF THE BOARD OF DIRECTORS. SUSAN LIN, M.D. IS A FAMILY MEMBER OF LESLIE CHUN, M.D., CHIEF EXECUTIVE OFFICER. CAMNHUNG NGUYEN, M.D. IS A FAMILY MEMBER OF JAMES LIN, M.D., VICE PRESIDENT, INFORMATION TECHNOLOGY. Form 990, Part I, Line 1 brief mission KAPI'OLANI MEDICAL SPECIALISTS, (DBA HAWAI'I PACIFIC HEALTH MEDICAL GROUP), IS A MULTI-SPECIALTY PROVIDER GROUP THAT SERVES HAWAI'I PACIFIC HEALTH THROUGH ACADEMICS, RESEARCH AND CLINICAL CARE, IN PARTNERSHIP WITH KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN (KAPI'OLANI), PALI MOMI MEDICAL CENTER (PALI MOMI), STRAUB CLINIC AND HOSPITAL (STRAUB), AND WILCOX MEMORIAL HOSPITAL (WILCOX). Form 990, Part III, Line 4a PROGRAM SERVICE DESCRIPTION IN FISCAL YEAR 2023 KAPI'OLANI MEDICAL SPECIALISTS (DBA HAWAI'I PACIFIC HEALTH MEDICAL GROUP) HAD 266 EMPLOYED FTE PROVIDERS WHO PROVIDED EXPERTISE IN 34 SPECIALTIES. THE PROVIDER GROUP IS ORGANIZED BY THE FOLLOWING SPECIALTIES: PRIMARY CARE, MEDICAL SUBSPECIALTIES, SURGERY, OBSTETRICS AND GYNECOLOGY, HOSPITAL BASED MEDICINE, AND PEDIATRICS. IN FISCAL YEAR 2023, KAPI'OLANI MEDICAL SPECIALISTS HAD 1,637,797 PATIENT ENCOUNTERS. KAPI'OLANI MEDICAL SPECIALISTS ALLIES WITH THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE, IN ADHERENCE TO ITS CORE VALUES OF WORLD-CLASS HEALTH CARE, PHYSICIAN TRAINING, AND MEDICAL RESEARCH. THIS PARTNERSHIP PROVIDES A UNIQUE ACADEMIC AFFILIATION FOR HAWAI'I PACIFIC HEALTH AND FURTHERS ITS COMMITMENT TO EFFECTIVE HEALTH CARE THROUGH MEDICAL RESEARCH AND BY TRAINING TOMORROW'S HEALTH CARE PROVIDERS. KAPI'OLANI MEDICAL SPECIALISTS HAS DEVELOPED A VARIETY OF WAYS TO IDENTIFY AND MEET THE UNIQUE HEALTH CARE NEEDS OF HAWAI'I. KAPI'OLANI MEDICAL SPECIALISTS RECRUITS PHYSICIANS THROUGHOUT THE NATION WHO DESIRE EMPLOYMENT IN A GROUP PRACTICE SETTING WITH HAWAI'I'S LEADING HEALTH CARE SYSTEM, ESPECIALLY SUB-SPECIALISTS IN SHORT SUPPLY, YET HIGH DEMAND. KAPI'OLANI MEDICAL SPECIALISTS PHYSICIANS PROVIDE ESSENTIAL SERVICES AT OTHER HOSPITALS IN THE STATE OF HAWAI'I, I.E., NEONATAL SERVICES AT THE QUEEN'S MEDICAL CENTER, CLINICS AT TRIPLER ARMY MEDICAL CENTER, AND SPECIALTY SERVICES AT KAISER PEMANENTE LOCATIONS. ADDITIONALLY, THEY PROVIDE PATIENT CARE AT OUTREACH CLINICS AND COMMUNITY HEALTH CENTERS THROUGHOUT HAWAI'I, PROMOTE LESSER-KNOWN SERVICES TO PATIENTS WITH SPECIAL NEEDS, PROVIDE HEALTH EDUCATION ON THE NEIGHBOR ISLANDS AND HEALTH CARE TRAINING TO THE COMMUNITY AND OTHER PROVIDERS, AND SERVE AS MEDICAL DIRECTORS ON VARIOUS COMMUNITY BOARDS. CARING FOR THE UNDERSERVED, A LONG-STANDING TRADITION OF ACADEMIC MEDICAL CENTERS THROUGHOUT THE NATION, CONTINUES TO BE A MAJOR FOCUS OF KAPI'OLANI MEDICAL SPECIALISTS. IN FISCAL YEAR 2023, KAPI'OLANI MEDICAL SPECIALISTS PROVIDED $332,920,466 IN MEDICAL CARE TO PATIENTS IN NEED OF MEDICAL SERVICES. Form 990, Part III, Line 1 ORGANIZATION'S MISSION KAPI'OLANI MEDICAL SPECIALISTS (DBA HAWAI'I PACIFIC HEALTH MEDICAL GROUP) IS A MULTI-SPECIALTY PROVIDER GROUP DEDICATED TO PROVIDING WORLD-CLASS CARE FOR ADULTS AND CHILDREN ACROSS HAWAI'I AND THE PACIFIC REGION WORKING IN PARTNERSHIP WITH KAPI'OLANI MEDICAL CENTER FOR WOMEN AND CHILDREN (KAPI'OLANI), PALI MOMI MEDICAL CENTER (PALI MOMI), STRAUB CLINIC AND HOSPITAL (STRAUB), AND WILCOX MEMORIAL HOSPITAL (WILCOX). THE GROUP'S MISSION IS TO CREATE A HEALTHIER HAWAI'I. Form 990, Part V, Line 1a FORM 1096 REPORTING HAWAI'I PACIFIC HEALTH (HPH), THE ORGANIZATION'S TAX EXEMPT PARENT, PAYS ALL VENDORS. THEREFORE, HPH ISSUES FORMS 1099 UNDER ITS TAX ID. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons JESSICA LEWIS AND PETER LEWIS - Family relationship Form 990, Part VI, Line 6 Classes of members or stockholders HAWAI'I PACIFIC HEALTH (HPH) IS THE SOLE MEMBER WHO HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE WITH THE RIGHT TO APPROVE CERTAIN DECISIONS OF THE GOVERNING BODY. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER AND HAS THE POWER TO ELECT MEMBERS OF THE GOVERNING BODY. HAWAI'I PACIFIC HEALTH, AS MEMBER, ALSO HAS THE POWER TO ELECT ONE OR MORE EX-OFFICIO VOTING MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING RESERVED POWERS: (I) NOMINATE CANDIDATES TO THE BOARD FOR THE FOLLOWING POSITIONS: THE CHIEF MEDICAL OFFICER, DIRECTOR OF OPERATIONS, TREASURER, SECRETARY, EXECUTIVE VP/CFO, OTHER EXCUTIVE VP'S, SENIOR VP, ASSISTANT SECRETARIES, AND ALL VP'S EXCEPT THE OPERATING UNIT VP'S, AS SUCH TERMS ARE DEFINED IN THESE BYLAWS; (II) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER BOARD; (III) AMEND THESE BYLAWS; (IV) THE CORPORATION'S PARTICIPATION IN ALL LONG-TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF 1 YEAR AND/OR FOR $1,000,000 OR MORE; (V) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (VI) DIRECT, MANAGE AND CONTROL THE CUSTODY, THE ADVISORY SERVICE AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (VII) EFFECT INTER-CORPORATE TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE; (VIII) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S PHYSICIAN AND EXECUTIVE COMPENSATION AND BENEFIT PLANS; (IX) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, OR PARTNERSHIP OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (X) EXCEPT AS PROVIDED IN SECTION 3.2(C) OF THE BYLAWS OR AS REQUIRED BY THE LAWS OF THE STATE OF HAWAI'I, SELL, LEASE OR OTHERWISE TRANSFER 50 OR MORE OF THE THEN CURRENT AMOUNT, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE TOTAL ASSETS HELD BY THE CORP; (XI) EXCEPT AS PROVIDED IN SECTION 3.2(C) OF THE BYLAWS OR AS REQUIRED BY THE LAWS OF THE STATE OF HAWAI'I, SELL, LEASE OR TRANSFER OF OPERATIONS OR ACTIVITIES OF THE CORPORATION WHICH GENERATE 50 OR MORE OF THE TOTAL NET REVENUES, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE CORPORATION DURING THE PRIOR FISCAL YEAR; (XII) CLOSE THE CLINICAL FACILITIES OWNED AND OPERATED BY THE CORPORATION; PROVIDED THAT AFTER THE EFFECTIVE DATE OF THESE BYLAWS, ANY ELIMINATION OF A CLINICAL SERVICE PROVIDED BY THE CORP MUST ALSO BE APPROVED BY THE BOARD; (XIII) CONVERT THE CLINICAL FACILITIES OWNED AND OPERATED BY THE CORPORATION INTO A FACILITY NO LONGER OFFERING MEDICAL SERVICES; PROVIDED THAT AFTER THE EFFECTIVE DATE OF THESE BYLAWS, ANY ELIMINATION OF A CLINICAL SERVICE PROVIDED BY THE CORPORATION MUST ALSO BE APPROVED BY THE BOARD; (XIV) AFTER CONSULTING WITH THE BOARD, REMOVE THE CHIEF MEDICAL OFFICER, DIRECTOR OF OPERATIONS, EXECUTIVE VP/CFO, TREASURER, SECRETARY, OTHER EXECUTIVE VP'S, SENIOR VP'S, ASSISTANT SECRETARIES, AND ALL VP'S EXCEPT THE OPERATING UNIT VP'S; PROVIDED, HOWEVER, THAT TO REMOVE OR TERMINATE THE CHIEF MEDICAL OFFICER WILL REQUIRE THE CHIEF MEDICAL OFFICER OF THE MEMBER TO FULLY COLLABORATE AND CONSULT WITH THE BOARD AND SEEK THE BOARD'S ADVANCE CONSENT FOR SUCH REMOVAL OR TERMINATION. IF THE BOARD DOES NOT CONCUR WITH THE PROPOSED REMOVAL OR TERMINATION OF THE CHIEF MEDICAL OFFICER, SUCH REMOVAL OR TERMINATION WILL REQUIRE THE APPROVAL OF A MAJORITY OF THE MEMBERS ON THE MEMBER BOARD; (XV) AFTER CONSULTING WITH THE BOARD, DEVELOP AND PROMULGATE THE CORPORATION GOALS AND THE LONG RANGE AND STRATEGIC PLANS OF THE CORPORATION; AND (XVI) AFTER CONSULTING WITH THE BOARD, DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS. IN ADDITION, DECISIONS OF THE GOVERNING BODY REQUIRING THE APPROVAL OF HAWAI'I PACIFIC HEALTH, AS MEMBER, INCLUDE: (I) ADD ANY DIRECTOR TO THE BOARD; (II) REMOVE ANY DIRECTOR FROM THE BOARD; (III) AMEND THE ARTICLES; (IV) ENTER INTO ANY UNBUDGETED CONTRACTS ON BEHALF OF THE CORPORATION WHICH REQUIRE ANNUAL PAYMENTS ON BEHALF OF THE CORPORATION EXCEEDING $1,000,000 IN VALUE; (V) ACQUIRE ASSETS WORTH OVER $1,000,000; (VI) AQUIRE SHARES IN ANOTHER CORPORATION; (VII) SELL, LEASE OR OTHERWISE TRANSFER 50 OR MORE OF THE THEN CURRENT AMOUNT, AS REPORTED UNDER THE GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE TOTAL ASSETS HELD BY THE CORPORATION; (VIII) SELL, LEASE, EXCHANGE OR DISPOSE OF 50 OR MORE OF THE THEN PROPERTY AND ASSETS HELD BY THE CORPORATION; (IX) SELL, LEASE OR TRANSFER OF OPERATIONS OR ACTIVITIES OF THE CORPORATION WHICH GENERATE 50 OR MORE OF THE TOTAL NET REVENUES, AS REPORTED UNDER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, OF THE CORPORATION DURING THE PRIOR FISCAL YEAR; (X) MERGE THE CORPORATION WITH ANY ENTITY; (XI) DISSOLVE OR LIQUIDATE THE CORPORATION; (XII) ISSUE THE CORPORATION'S MEMBERSHIP TO ANY OTHER THAN THE MEMBER; (XIII) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONASHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION AND ANY PERSON OR ENTITY; AND (XIV) DEVELOP A NEW LINE OF BUSINESS Form 990, Part VI, Line 11b Review of form 990 by governing body VARIOUS SCHEDULES OF THE FORM 990 ARE PREPARED PRIMARILY BY STAFF WITHIN THE ACCOUNTING AREA OF THE ORGANIZATION WORKING WITH VARIOUS OTHER AREAS OF THE ORGANIZATION SUCH AS MANAGEMENT OF THE OPERATING UNITS, HR, LEGAL, ETC. DISCLOSURE NARRATIVES ARE WRITTEN AND COMPILED INTERNALLY BASED ON INPUT AND DISCUSSION WITH FINANCIAL ANALYSTS AND THE CHIEF OPERATING OFFICER/EXECUTIVE DIRECTOR OF THE REPORTING ENTITY. THE CHIEF OPERATING OFFICER/EXECUTIVE DIRECTOR OF EACH REPORTING ENTITY REVIEWS AND APPROVES THE DISCLOSURE NARRATIVES WHICH DESCRIBES THE MISSION/PURPOSE AND PROGRAM ACCOMPLISHMENTS OF THEIR ORGANIZATION. SENIOR MANAGEMENT OF THE HEALTH CARE SYTEM REVIEWS THE FORM 990 OF EACH FILLING ORGANIZATION WITHIN THE HEALTH CARE SYSTEM. ONCE SENIOR MANAGEMENT HAS COMPLETED ITS REVIEW, THE FORMS 990 ARE THEN PROVIDED TO THE GOVERNANCE AND NOMINATING COMMITTEE OF THE HEALTH CARE SYSTEM'S BOARD OF DIRECTORS FOR THEIR REVIEW. THE GOVERNANCE AND NOMINATING COMMITTEE OF THE PARENT'S ENTITY (HAWAI'I PACIFIC HEALTH "HPH") BOARD PROVIDES OVERSIGHT FOR THE FORM 990 REPORTING AND REVIEWS THE FORM 990 FOR EACH ENTITY PRIOR TO FILING. IN ADDITION, THE FORM 990 FOR EACH ENTITY IS MADE AVAILABLE TO THE HPH BOARD OF DIRECTORS THROUGH A BOARD PORTAL FOR REVIEW PRIOR TO THE FILING OF THE FORM 990. COPIES OF THE FORMS 990 ARE MADE AVAILABLE TO THE BOARD MEMBERS OF EACH SUBSIDIARY UNIT OF HPH AND IS PHYSICALLY LOCATED AT EACH FACILITY'S SITE FOR THE BOARD MEMBER TO REVIEW PRIOR TO FILING. THE FORMS 990 WILL BE POSTED TO HPH'S WEBSITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURNS WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest 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 CONFLICT OF INTEREST ('COI') POLICY; 2) HAS READ AND UNDERSTAND 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 ACTIVITES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE IN-HOUSE LEGAL DEPARTMENT DISTRIBUTES THE STATEMENT REQUEST AND REVIEWS THE COI STATEMENTS RETURNED. IDENTIFIED CONFLICTS OF INTEREST ARE PRESENTED TO THE BOARD FOR REVIEW, DELIBERATION AND CONFIRMATION/REFUTATION THAT A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST HAS BEEN FOUND, THE INDIVIDUAL MAY ADDRESS THE BOARD AND EXPLAIN THE TRANSACTION OR ARRANGEMENT CAUSING THE CONFLICT. AFTER THE PRESENTATION, THE INDIVIDUAL IS EXCUSED FROM THE MEETING AND SHALL NOT PARTICIPATE WITH ANY DISCUSSION OR VOTE ON MATTERS PERTAINING TO THE TRANSACTION OR ARRANGEMENT. IN MEETINGS WHERE APPLICATION OF THE COI POLICY OCCURS, THE MEETING MINUTES INCLUDE NATURE OF THE FINANCIAL INTEREST/CONFLICT, NAME(S) OF THE PERSON(S) WITH THE POTENTIAL OR ACTUAL CONFLICT, ANY ACTION TAKEN TO ASSIST IN THE DETERMINATION OF WHETHER A CONFLICT EXISTED, INCLUDING ANY DISCUSSION OF ALTERNATIVE ARRANGEMENTS, THE BOARD'S DECISION(S) REGARDING THE CONFLICT AND NAMES OF PERSON PRESENT IN THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT. Form 990, Part VI, Line 15b Process to establish compensation of other employees THE TOP MANAGEMENT OFFICIALS OF THE ORGANIZATION ARE NOT COMPENSATED BY THE FILING ORGANIZATION, BUT RATHER BY THE TAX-EXEMPT PARENT, HAWAI'I PACIFIC HEALTH ("HPH"). FOLLOWING IS THE PROCESS THAT THE PARENT ORGANIZATION UNDERTAKES TO APPROVE THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. COMPENSATION FOR HPH EXECUTIVES (VP AND ABOVE) IS SET BY THE INDEPENDENT BOARD MEMBERS WHO ARE MEMBERS OF THE HPH 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 LAST COMPLETED ON MARCH 02, 2023 TO REVIEW PHYSICIAN COMPENSATION AND ON JULY 25, 2023 TO REVIEW EXECUTIVE COMPENSATION. Form 990, Part VI, Line 19 Required documents available to the public DISCLOSURE OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS AND STANDARDS OF CONDUCT ARE AVAILABLE ON THE HAWAI'I PACIFIC HEALTH WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE HAWAI'I PACIFIC HEALTH WEBSITE. Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY TRANSFER WITH HPH - 94595415; HAWAI'I PACIFIC HEALTH 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990246363 ADMIN SVCS. HI 501(c)(3) Type III-FI NA false KAPI'OLANI HEALTH FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990246364 FUNDRAISING HI 501(c)(3) 7 HPH true KAPI'OLANI MED CTR FOR WOMEN & CHILDREN 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990177350 HOSPITAL HI 501(c)(3) 3 HPH true KAUA'I MEDICAL CLINIC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990326099 HOSPITAL HI 501(c)(3) 3 HPH true PALI MOMI FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 383840327 FUNDRAISING HI 501(c)(3) 7 HPH true PALI MOMI MEDICAL CENTER 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990274038 HOSPITAL HI 501(c)(3) 3 HPH true PROVIDERS INSURANCE COMPANY 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 710893000 INSURANCE HI 501(c)(3) Type II HPH true STRAUB CLINIC & HOSPITAL 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 912151670 HOSPITAL HI 501(c)(3) 3 HPH true STRAUB FOUNDATION 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990109350 FUNDRAISING HI 501(c)(3) 7 HPH true WILCOX HEALTH FOUNDATION 3-3420 KUHIO HIGHWAY LIHUE HI 96766 990204242 FUNDRAISING HI 501(c)(3) 7 HPH true WILCOX MEMORIAL HOSPITAL 3-3420 KUHIO HIGHWAY LIHUE HI 96766 990074365 HOSPITAL HI 501(c)(3) 3 HPH true HONOLULU SURGERY CENTER LP 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 621506645 AMBU. SURG. CENTER TN NA N/A SPECIALTY SURGICAL SUITES LLC 1401 S BERETANIA STREET SUITE 750 HONOLULU HI 96814 461674512 AMBU. SURG. CENTER HI NA N/A HONOLULU IMAGING CENTER LLC 55 MERCHANT STREET 27TH FLOOR HONOLULU HI 96813 871602945 DIAG. IMAGING CTR DE NA N/A HAWAI'I PACIFIC HEALTH PARTNERS INC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990318588 HOLDING COMPANY HI NA C Corporation STRAUB PHARMACY INC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990145107 INACTIVE HI NA C Corporation HICORD INC 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990251496 INVESTMENT HI NA C Corporation false false false false false false false false false false false false false false true true true true true KAPI'OLANI MED CTR FOR WOMEN & CHILDREN Q 4462829 FMV KAPI'OLANI MED CTR FOR WOMEN & CHILDREN P 24579985 FMV PALI MOMI MEDICAL CENTER Q 338114 FMV PALI MOMI MEDICAL CENTER P 5746216 FMV STRAUB CLINIC & HOSPITAL Q 8601832 FMV STRAUB CLINIC & HOSPITAL S 297943 FMV STRAUB CLINIC & HOSPITAL P 110830628 FMV KAPI'OLANI MED CTR FOR WOMEN & CHILDREN R 61056 FMV WILCOX MEMORIAL HOSPITAL Q 3557180 FMV WILCOX MEMORIAL HOSPITAL P 7185632 FMV KAUA'I MEDICAL CLINIC P 31461495 FMV PROVIDERS INSURANCE CORPORATION R 15651290 FMV