2025-05-15T12:01:08+00:00 2024-06-30 346565596 ERNST & YOUNG US LLP 2005 MARKET STREET PHILADELPHIA PA 19103 990 2023-07-01 990109350 Straub Foundation STRA 8085357434 55 MERCHANT STREET 26TH FLOOR HONOLULU HI 96813 DAWN DUNBAR PRESIDENT 8085357434 2025-05-15 true Lauren E Bennett P01787029 2154485000 2025-05-11 2023 2025-03-06 01:10:19Z DAWN DUNBAR 55 MERCHANT STREET 26TH FLOOR HONOLULU HI 96813 9613080 false X HTTPS://GIVING.HAWAIIPACIFICHEALTH.ORG X 1962 HI THE MISSION OF STRAUB FOUNDATION IS TO CREATE A HEALTHIER HAWAI'I. 7 5 0 11 0 0 4971762 8533133 0 158454 726319 0 5130216 9259452 1364526 760622 0 0 0 418479 1142780 1219238 2507306 1979860 2622910 7279592 29971973 38176600 801158 681793 29170815 37494807 THE MISSION OF STRAUB FOUNDATION IS TO CREATE A HEALTHIER HAWAI'I. false false 1172100 760622 0 SEE SCHEDULE O 1172100 true true false false false false false true true true true true false true true false true false false false false false false false false false true false true false false false false false false false false true false false false false true true true false false true X 0 0 0 false false false false false false false false false false false false X 7 5 false false false false true true true true true false false true true true true true true false false false HI X X CHENWEI LI 8085357434 55 MERCHANT STREET 26TH FLOOR HONOLULU HI 96813 Adelia Chung Board of Director, Vice Chair 0.1 0 X X 0 0 0 Jon Snook Board of Director, Chair 0.1 0 X X 0 0 0 Richanne Lam Board of Director, Chair (part year) 0.1 0.4 X X 0 0 0 Carol Ai-May Board of Director 0.1 0.2 X 0 0 0 D Matthew Pakkala Board of Director 0.1 0 X 0 0 0 Edward Weldon MD Board of Director 0.1 40.0 X 0 848574 36312 Kenton Eldridge Board of Director 0.1 0 X 0 0 0 Raymond P Vara Jr Board of Director 0.1 62.0 X 0 2464885 1946467 Carrie Ann Tsutsui Assistant Treasurer 0.1 48.3 X 0 307290 79120 Charles R Ching Secretary 0.1 39.9 X 0 830806 294495 David Okabe Treasurer 0.1 49.9 X 0 1124153 424421 Dawn Dunbar President 15.0 30.0 X 0 432600 119562 Jessica Lewis Assistant Secretary 0.5 39.5 X 0 183999 45659 0 6192307 2946036 0 false true false 0 8533133 226792 8533133 0 0 0 0 0 697486 697486 0 0 382461 353628 28833 0 28833 28833 0 0 0 0 0 9259452 0 0 726319 X 760622 760622 13169 13169 4126 4126 886550 411478 282275 192797 4073 4073 16208 11962 4246 24669 24669 25610 25610 43129 43129 353 353 4740 4740 8047 8047 CORPORATE ALLOCATION 64962 64962 PRINTING & DESIGN SVCS. 110490 110490 DUES 5817 5817 SUBSCRIPTION 4647 4647 2648 0 0 2648 1979860 1172100 389281 418479 15365033 19713523 318439 228864 4831086 7599119 446504 327708 0 0 0 0 99095 96725 7110 2370 1732980 2105546 2999265 3639012 3696041 3780011 575515 780447 29971973 38176600 100338 345793 52745 46332 0 0 648075 289668 801158 681793 X -5708965 -6262917 34879780 43757724 29170815 37494807 29971973 38176600 X 7279592 1124206 483 -80289 X false true X true false X 2660627 3023335 14465837 4971762 8533133 33654694 0 0 2660627 3023335 14465837 4971762 8533133 33654694 13510249 20144445 79503 1169887 87523 141449 697486 2175848 0 0 0 0 0 0 0 35830542 0 0.5622 0.6573 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true X 7019535 126970 1050138 90697 46419 8059527 6427417 43000 674518 80644 44756 7019535 7181461 35500 -618280 125464 45800 6427417 5763235 37951 1501526 75550 45701 7181461 5626431 38050 184274 38667 46853 5763235 0.0 0.5106 0.4894 false false 99095 96725 2370 2370 INVESTMENTS-OTHER SECURITIES 3639012 F 3639012 LIMITED PARTNERSHIPS 2302785 F EQUITY SECURITIES 1102875 F DEBT SECURITIES 229525 F CASH AND SHORT-TERM INVESTMENTS 144826 F 3780011 DUE TO HAWAI'I PACIFIC HEALTH 25140 DUE TO STRAUB CLINIC & HOSPITAL 142778 DUE TO KAPI'OLANI HEALTH FOUNDATION 50061 DUE TO KAPI'OLANI MEDICAL SPECIALISTS 40414 DUE TO PALI MOMI FOUNDATION 18279 DUE TO WILCOX MEDICAL HOSPITAL 10460 DUE TO HAWAII PACIFICX HEALTH MEDICAL GROUP 1623 DUE TO KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN 913 289668 X Schedule D, Part IV, Line 2b Explanation of escrow agreement ESCROW LIABILITIES OF $46,332 REPRESENT AMOUNTS DUE UNDER CHARITABLE ANNUITY AGREEMENTS. Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE MANAGED TO ENSURE THAT THE RETURNS SUPPORT THE MEDICAL CENTER'S OPERATIONS; HIRING OF STAFF; IMPLEMENTATION OF PROGRAMS; RESEARCH AND EDUCATION; AND PROVIDE QUALITY CARE FOR PATIENTS, ALL IN ACCORDANCE WITH THE DONOR'S INTENT AND THE ORGANIZATION'S MISSION. 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. true STRAUB CLINIC & HOSPITAL 888 SOUTH KING ST HONOLLU HI 96813 912151670 501(C)(3) 746938 9067 FMV home goods/clothing, food, gift cards GENERAL SUPPORT 1 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. TEMPORARY RESTRICTED FUNDS RELEASED (& GRANTED) TO THE AFFILIATED ORGANIZATION ARE RELEASED AFTER THE SPECIFIC PURPOSE OF THE FUND HAS BEEN MET. ONCE THE AFFILIATED ORGANIZATION COMMUNICATES THE EXPENSE AND SATISFIES THE SUBSTANTIATION OF THE EXPENSE FOR THE PURPOSE THAT THE FUNDS WERE CONTRIBUTED FOR, THE FOUNDATION RELEASES THE RESTRICTIONS AND RECORDS THE GRANT TO THE AFFILIATED ORGANIZATION. NO FURTHER MONITORING OF THE FUNDS AFTER DISTRIBUTION IS NECESSARY. false true false false false false false false false Raymond P Vara Jr Board of Director 0 1231412 0 505774 0 727699 0 1923428 0 23039 0 4411352 0 671154 Edward Weldon MD Board of Director 0 779462 0 1588 0 67524 0 13200 0 23112 0 884886 0 0 Charles R Ching Secretary 0 474538 0 139662 0 216606 0 278322 0 16173 0 1125301 0 187977 Dawn Dunbar President 0 313399 0 74859 0 44342 0 94230 0 25332 0 552162 0 68960 Jessica Lewis Assistant Secretary 0 176275 0 5000 0 2724 0 18051 0 27608 0 229658 0 0 David Okabe Treasurer 0 601227 0 206576 0 316350 0 408248 0 16173 0 1548574 0 244318 Carrie Ann Tsutsui Assistant Treasurer 0 239446 0 42745 0 25099 0 67840 0 11280 0 386410 0 38265 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation THE ORGANIZATION'S PRESIDENT IS PAID BY ITS TAX EXEMPT PARENT, HAWAI'I PACIFIC HEALTH ('HPH'), AND IS DISCLOSED AS A PERSON PAID BY A RELATED ORGANIZATION. 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 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 RELATED ORGANIZATIONS: RAYMOND P. VARA JR. - $307,960 DAVID OKABE - $114,710 CHARLES R. CHING - $77,492 ANNUAL INCENTIVE PLAN THE ANNUAL INCENTIVE PLANS ARE 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 RELATED ORGANIZATIONS: RAYMOND P. VARA JR. - $505,774 DAVID OKABE - $176,576 CARRIE ANN TSUTSUI - $42,745 CHARLES R. CHING - $139,662 DAWN DUNBAR - $74,859 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 A RELATED ORGANIZATION: RAYMOND P. VARA JR. - $500,000 X 1989 Other X 8 217725 Other - FMV X 1 1008 Other - FMV X PREPAID GIFT CARD 5 6070 Other - FMV 0 false true false Schedule M, Part I COLUMN B COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. Form 990, Part III, Line 4a PROGRAM SERVICE ACCOMPLISHMENTS STRAUB BENIOFF MEDICAL CENTER (STRAUB BENIOFF) IS A NOT-FOR-PROFIT MEDICAL CENTER LOCATED IN HONOLULU THAT IS DEDICATED TO THE HEALTH AND WELL-BEING OF ALL HAWAI'I RESIDENTS. STRAUB BENIOFF INCLUDES A MEDICAL CENTER IN HONOLULU, A NETWORK OF NEIGHBORHOOD CLINICS, AND A VISITING SPECIALIST PROGRAM THAT REACHES THROUGHOUT THE STATE OF HAWAI'I. STRAUB BENIOFF IS A PART OF HAWAI'I PACIFIC HEALTH, ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS. AS A NOT-FOR-PROFIT MEDICAL CENTER, STRAUB BENIOFF RELIES ON PHILANTHROPIC SUPPORT FROM THE COMMUNITY TO FULFILL ITS MISSION AND CARE FOR PATIENTS REGARDLESS OF THEIR ABILITY TO PAY. CONTRIBUTIONS, BOTH UNRESTRICTED AND DESIGNATED, HELP THE MEDICAL CENTER PROVIDE EXCEPTIONAL MEDICAL CARE IN HAWAI'I. GENEROUS DONATIONS ASSIST, AND ARE NOT LIMITED TO, THESE AREAS: PATIENT AND SPECIALITY CARE, CAPITAL IMPROVEMENTS, EDUCATION AND RESEARCH, COMMUNITY HEALTH AND UNCOMPENSATED CARE. PATIENT AND SPECIALTY CARE BURN CARE UNIT STRAUB BENIOFF HAS THE PACIFIC REGION'S ONLY MULTIDISCIPLINARY BURN TREATMENT UNIT. FIREFIGHTERS, ELECTRICIANS AND RESIDENTS THROUGHOUT HAWAI'I AND THE PACIFIC BASIN RELY ON THIS HIGHLY SPECIALIZED LIFESAVING CARE. BESIDES THE SPECIALTY CARE THAT THE STRAUB BENIOFF TEAM PROVIDES AT IT'S BURN CARE UNIT, PHYSICIANS SERVE PATIENT NEEDS ACROSS THE NEIGHBOR ISLANDS, WHEN NECESSARY, THROUGH VIRTUAL VISITS. RECENT COMMUNITY DONATIONS HAVE SUPPORTED ONGOING SPECIALTY TRAINING FOR CLINICIANS WHO SERVE BURN PATIENTS AND INVESTMENTS IN EQUIPMENT FOR STRAUB BENIOFF'S BURN CARE UNIT TEAM. EDUCATION AND RESEARCH SUMMER STUDENT RESEARCH PROGRAM SINCE 1986, THE SUMMER STUDENT RESEARCH PROGRAM(SSRP) HAS EXPOSED STUDENTS TO A CAREER IN MEDICINE WHILE OFFERING AN OPPORTUNITY TO PARTICIPATE IN A CLINICAL RESEARCH STUDY. SSRP PARTICIPANTS ARE ENGAGED IN A STRUCTURED MEDICAL PROGRAM HIGHLIGHTED BY THE "LIFE CYCLE OF RESEARCH" CURRICULUM, "CAREERS IN MEDICINE" TALKS WITH PHYSICIANS, AND VISITS TO MEDICAL FACILITIES AND HOSPITALS. THROUGHOUT THE EIGHT WEEK PROGRAM, STUDENTS ARE INVITED TO PURSUE OPTIONAL ACTIVITIES, SUCH AS SHADOWING PHYSICIANS AND OBSERVING SURGERIES BASED ON THEIR INDIVIDUAL AREAS OF INTEREST IN MEDICINE. SINCE THE PROGRAM WAS ESTABLISHED, MORE THAN 300 STUDENTS HAVE PARTICIPATED, AND A MAJORITY HAVE GONE ON TO MEDICAL/RESEARCH PROGRAMS AT PRESTIGIOUS INSTITUTIONS NATIONWIDE. TO DATE MORE THAN 50 SSRP ALUM ARE PRACTICING IN HAWAI'I. COMMUNITY HEALTH AND UNCOMPENSATED CARE PATIENT ASSISTANCE FUND: KOKUA FUND THE PURPOSE OF THE PATIENT ASSISTANCE FUND IS TO ASSIST MEDICAL CENTER PATIENTS AND/OR THEIR SUPPORT SYSTEM RECEIVING SERVICES, INCLUDING THE EMERGENCY DEPARTMENT AND OUTPATIENT SERVICES AT THIS FACILITY. THE MANAGEMENT AND DISBURSEMENT OF THE PATIENT ASSISTANCE FUND, OR KOKUA FUND, IS LEFT TO THE DISCRETION OF THIS FACILITY TO MEET SPECIFIC PATIENT CARE NEEDS. THE FUNDS MAY BE USED FOR PATIENTS AND/OR THEIR SUPPORT SYSTEM THAT HAVE FINANCIAL BARRIERS AND NEED CONTINUED MEDICAL OR PSYCHOSOCIAL SUPPORT OR TO FACILITATE DISCHARGE. 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 15 PROCESS OF DETERMINING COMPENSATION THE PRESIDENT, OFFICERS AND KEY EMPLOYEES 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 PRESIDENT, OFFICERS AND KEY EMPLOYEES' 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 07, 2024 TO REVIEW PHYSICIAN COMPENSATION AND ON AUGUST 08, 2024 TO REVIEW EXECUTIVE COMPENSATION. Form 990, Part VI, Line 6 Classes of members or stockholders HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER WHO HAS THE RIGHT TO PARTICIPATE IN THE ORGANIZATION'S GOVERNANCE WITH THE RIGHT TO ELECT THE MEMBERS OF THE GOVERNING BODY AND/OR APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BOARD. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body HAWAI'I PACIFIC HEALTH IS THE SOLE MEMBER AND HAS THE POWER TO APPROVE THE ELECTION OF MEMBERS OF THE GOVERNING BODY. HAWAI'I PACIFIC HEALTH, AS MEMBER, ALSO HAS THE POWER TO ELECT ONE OR MORE EX-OFFICIO VOTING MEMBERS OF THE GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS EXCLUSIVE POWER TO TAKE AND DIRECT THE FOLLOWING ACTIONS OF THE CORPORATION: (I) NOMINATE CANDIDATES FOR THE FOLLOWING POSITIONS: TREASURER, SECRETARY, EXECUTIVE VICE PRESIDENT/CHIEF FINANCIAL OFFICER, ALL OTHER EXECUTIVE VICE-PRESIDENTS, VICE PRESIDENTS, ASSISTANT SECRETARIES, AND ASSISTANT TREASURERS; (II) AFTER CONSULTATION WITH THE BOARD, REMOVE THE TREASURER, SECRETARY, EXECUTIVE VICE-PRESIDENT/CHIEF FINANCIAL OFFICER, ALL OTHER EXECUTIVE VICE-PRESIDENTS, VICE-PRESIDENTS, ASSISTANT SECRETARIES, AND ASSISTANT TREASURERS; (III) REMOVE A DIRECTOR FROM THE BOARD; (IV) DELEGATE MANAGEMENT AUTHORITIES FROM THE BOARD TO OFFICERS OR COMMITTEES OF THE CORPORATION IN ACCORDANCE WITH A DELEGATED AUTHORITIES MATRIX ADOPTED BY THE MEMBER; (V) AMEND THESE BYLAWS; (VI) CAUSE THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE (1) YEAR AND/OR ONE MILLION DOLLARS ($1,000,000) OR MORE; (VII) SELECT BANKS, TRUST COMPANIES, OR OTHER DEPOSITORIES TO WHICH THE CORPORATION'S FUNDS SHALL BE DEPOSITED; (VIII) DIRECT, MANAGE AND CONTROL THE CUSTODY, ADVISORY SERVICE, AND ASSET MANAGEMENT OF THE FINANCIAL ASSETS OF THE CORPORATION; (IX) DETERMINE AND EFFECT INTER CORPORATE FUND TRANSFERS BY AND BETWEEN THE CORPORATION AND ANY AFFILIATE. (THE TERM 'AFFILIATE' SHALL MEAN WITH RESPECT TO ANY CORPORATION, PARTNERSHIP, OR OTHER ENTITY, AN ENTITY THAT DIRECTLY OR INDIRECTLY, THROUGH ONE OR MORE INTERMEDIARIES, CONTROLS, OR IS CONTROLLED BY, OR IS UNDER COMMON CONTROL WITH, SUCH ENTITY 'CONTROL,' 'CONTROLLED BY, 'UNDER COMMON CONTROL WITH' SHALL MEAN THE POWER TO ELECT, THROUGH MEMBERSHIP OR OWNERSHIP, FIFTY PERCENT (50%) OR MORE OF THE GOVERNING BODY OF A CORPORATION, PARTNERSHIP, OR OTHER ENTITY. 'CONTROL' SHALL ALSO INCLUDE THE POWER TO DIRECT OR CAUSE THE DIRECTION OF THE POLICIES AND MANAGEMENT OF AN ENTITY, WHETHER THROUGH CONTRACT, MEMBERSHIP INTERESTS, OWNERSHIP OF VOTING SECURITIES, A LEASE, A MANAGEMENT AGREEMENT, OR OTHER ARRANGEMENT); (X) DEVELOP AND IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S EXECUTIVE COMPENSATION AND BENEFIT PLANS; (XI) FORM A NEW CORPORATION, LIMITED LIABILITY COMPANY, PARTNERSHIP, OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; AND (XII) DEVELOP AND PROMULGATE OVERALL CORPORATE GOALS AND THE LONG-RANGE AND STRATEGIC PLAN OF THE CORPORATION. NOT WITH STANDING ANY OTHER PROVISION OF THESE BYLAWS, THE CORPORATION SHALL NOT TAKE THE FOLLOWING ACTIONS WITHOUT FIRST OBTAINING MEMBER APPROVAL: (I) ELECT ANY DIRECTOR TO THE BOARD; (II) AMEND THE ARTICLES; (III) MERGE THE CORPORATION WITH ANY ENTITY; (IV) DISSOLVE THE CORPORATION; (V) ENTER INTO ANY UNBUDGETED CONTRACTS ON BEHALF OF THE CORPORATION; WHICH REQUIRE ANNUAL PAYMENTS BY OR ON BEHALF OF THE CORPORATION EXCEEDING ONE MILLION DOLLARS ($1,000,000) IN VALUE; (VI) ACQUIRE ASSETS WORTH OVER ONE MILLION DOLLARS ($1,000,000) EXCEPT FOR THOSE ASSETS ACQUIRED BY GIFTS, GRANT, OR DONATION; (VII) ACQUIRE SHARES IN ANOTHER CORPORATION; (VIII) SELL, LEASE, EXCHANGE, ENCUMBER OR DISPOSE OF TWENTY-FIVE PERCENT (25%) OR MORE OF THE PROPERTY AND ASSETS HELD BY THE CORPORATION TO ANY ENTITY THAT IS NOT AN AFFILIATE; (IX) DEVELOP AND IMPLEMENT THE ANNUAL CAPITAL, OPERATING, AND CASH FLOW BUDGETS; (X) ISSUE THE CORPORATION'S MEMBERSHIP TO ANYONE OTHER THAN THE MEMBER; (XI) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONSHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION AND ANY PERSON OR ENTITY; AND (XII) 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 SYSTEM REVIEWS THE FORM 990 OF EACH FILING ORGANIZATION WITHIN THE HEALTH CARE SYSTEM. ONCE SENIOR MANAGEMENT HAS COMPLETED ITS REVIEW, THE FORMS 990 ARE THEN PROVIDED TO THE GOVERNANCE AND NOMINATION COMMITTEE OF THE HEALTH CARE SYSTEM'S BOARD OF DIRECTORS FOR THEIR REVIEW. THE GOVERNANCE AND NOMINATING COMMITTEE OF THE PARENT ENTITY'S (HAWAI'I PACIFIC HEALTH 'HPH') BOARD PROVIDES OVERSIGHT FOR THE FORM 990 REPORTING AND REVIEWS THE FORM 990 FOR EACH ENTITY PRIOR TO FILING. IN ADDITION, THE FORM 990 FOR EACH ENTITY IS MADE AVAILABLE TO THE BOARD MEMBERS OF EACH SUBSIDIARY UNIT OF HPH AND THE HPH BOARD OF DIRECTORS THROUGH A BOARD MEMBER PORTAL FOR REVIEW PRIOR TO THE FILING OF THE FORM 990. THE FORMS 990 WILL BE POSTED TO HPH'S WEBSITE FOR PUBLIC ACCESS AFTER THE FILING OF THE RETURNS WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest 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 UNDERSTANDS THE POLICY; 3) AGREES TO COMPLY WITH THE POLICY; 4) HAS DISCLOSED ANY CONFLICTS OR POTENTIAL CONFLICTS OR ECONOMIC INTERESTS AS REQUIRED; AND 5) UNDERSTANDS THAT THE ORGANIZATION IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS FEDERAL TAX EXEMPTION, THE ORGANIZATION MUST ENGAGE PRIMARILY IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. THE IN-HOUSE LEGAL DEPARTMENT DISTRIBUTES THE STATEMENT REQUEST AND REVIEWS THE COI STATEMENTS RETURNED. IDENTIFIED CONFLICTS OF INTEREST ARE PRESENTED TO THE BOARD FOR REVIEW, DELIBERATION AND CONFIRMATION/REFUTATION THAT A CONFLICT OF INTEREST EXISTS. IF A CONFLICT OF INTEREST HAS BEEN FOUND, THE INDIVIDUAL MAY ADDRESS THE BOARD AND EXPLAIN THE TRANSACTION OR ARRANGEMENT CAUSING THE CONFLICT. AFTER THE PRESENTATION, THE INDIVIDUAL IS EXCUSED FROM THE MEETING AND SHALL NOT PARTICIPATE WITH ANY DISCUSSION OR VOTE ON MATTERS PERTAINING TO THE TRANSACTION OR ARRANGEMENT. IN MEETINGS WHERE APPLICATION OF THE "COI" POLICY OCCURS, THE MEETING MINUTES INCLUDE NATURE OF THE FINANCIAL INTEREST/CONFLICT, NAME(S) OF THE PERSON(S) WITH THE POTENTIAL OR ACTUAL CONFLICT, ANY ACTION TAKEN TO ASSIST IN THE DETERMINATION OF WHETHER A CONFLICT EXISTED, INCLUDING ANY DISCUSSION OF ALTERNATIVE ARRANGEMENTS, THE BOARD'S DECISION(S) REGARDING THE CONFLICT AND NAMES OF PERSON PRESENT IN THE DISCUSSION AND VOTES RELATING TO THE TRANSACTION OR ARRANGEMENT. Form 990, Part VI, Line 19 Required documents available to the 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 IX, Line 11g Other Fees INTERNAL SVC. PROVIDER EXPENSE - Total Expense: 867582, Program Service Expense: 411478, Management and General Expenses: 271898, Fundraising Expenses: 184206; MANAGER/DIRECTOR BONUS - Total Expense: 10377, Program Service Expense: , Management and General Expenses: 10377, Fundraising Expenses: ; GRANT WRITING - Total Expense: 8591, Program Service Expense: , Management and General Expenses: , Fundraising Expenses: 8591; Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY TRANSFERS (WITH HPH) - -55745; INTERCOMPANY TRANSFERS WITH FOUNDATIONS - -7850; CHARITABLE GIFT ANNUITY - -74782; DONATION- HAWAII COMMUNITY FOUNDATION- MAUI STRONG - -25882; TRANSFER CONCETTA DILEO ENDOW FROM TEMPORARILY TO PERMANENTLY RESTRICTED FUND - 83970; 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 KAPI'OLANI MEDICAL SPECIALISTS 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990322406 HEALTHCARE 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 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. CTR. TN NA N/A Specialty Surgical Suites LLC 1401 S Beretania St STE 750 Honolulu HI 96814 461674512 AMBU. SURG. CTR. 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 ISOTOPE TECHNOLOGY LLC 55 MERCHANT STREET 27TH FLOOR HONOLULU HI 96813 991995020 PHARMACEUTICAL MANUFACTURING HI NA N/A ALL ACCESS ORTHO OAHU LLC 1401 S BERETANIA ST SUITE 102 HONOLLU HI 96814 934678472 URGENT CARE CLINICS HI 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 true false false false false false false false false false false false false true true true true true STRAUB CLINIC & HOSPITAL B 756005 FMV KAPIOLANI HEALTH FOUNDATION Q 117699 FMV KAPIOLANI HEALTH FOUNDATION R 51683 FMV