2024-05-15T14:36:52+00:00 2023-06-30 346565596 ERNST & YOUNG US LLP 2005 MARKET STREET PHILADELPHIA PA 19103 990 2022-07-01 710893000 Providers Insurance Corporation PROV 8085357213 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 GREGG TIMMONS PRESIDENT 8085357213 2024-05-15 true CARRIE ANN TSUTSUI 999009999 true Lauren E Bennett P01787029 2154485000 2024-05-13 2022 2023-04-26 12:10:37Z GREGG TIMMONS 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 30902552 false X WWW.HAWAIIPACIFICHEALTH.ORG X 2002 HI SEE SCHEDULE O 6 1 0 1 0 0 0 0 20924249 23383934 -404409 1626340 23145 25609 20542985 25035883 0 0 0 0 0 0 0 0 0 22394631 22474096 22394631 22474096 -1851646 2561787 86073218 82180111 72758304 64927724 13314914 17252387 AS A CAPTIVE INSURANCE COMPANY, PROVIDERS INSURANCE COMPANY PROVIDES GENERAL LIABILITY OCCURANCE BASED COVERAGE AND HEALTHCARE PROFESSIONAL LIABILITY CLAIMS-MADE COVERAGE ON A DIRECT BASIS TO HAWAII PACIFIC HEALTH AND ITS AFFILIATES. false false 21809921 0 23383934 HEALTHCARE PROFESSIONAL LIABILITY INCLUDING BLANKET SPECIAL EVENTS, DRUGGIST PROFESSIONAL LIABILITY, MANAGED CARE LIABILITY, INSTITUTIONAL REVIEW BOARD COVERAGE, PUNITIVE DAMAGES, AND EXEMPLARY AND/OR MULTIPLIED DAMAGES COVERAGE. GENERAL LIABILITY COVERAGE INCLUDING BLANKET SPECIAL EVENTS, EMPLOYEE BENEFIT ADMINISTRATION LIABILITY, EMPLOYER'S LIABILITY EXCESS, EXCESS AUTOMOBILE LIABILITY, HEALTH CARE BENEFIT ADMINISTRATION, INSTITUTIONAL REVIEW BOARD COVERAGE, PUNITIVE DAMAGES AND EXEMPLARY AND/OR MULTIPLIED DAMAGES, SEXUAL MISCONDUCT AND MEDICAL EXPENSES. PROVIDERS INSURANCE CORPORATION'S REVENUES FROM INSURANCE PREMIUMS ARE CHARGED BASED ON EXPECTED LOSSES AS DETERMINED BY ACTUARIAL ASSUMPTIONS. 21809921 true false false false false false false false false false false false true true true true true false false false false false false false false false false false true false false false false false false false false false false false false false true true true false false true 93 0 true 0 false false false false false false false false false false false false X 6 1 false false false false true true true true true false false true true true true true true false false false HI X X JESSICA LI 8085357434 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 Charles R Ching Board of Director, Chair 1.3 38.7 X X 0 964630 277063 David Okabe Board of Director, Treasurer 0.5 49.5 X X 0 1247925 393579 Gregg Timmons Board of Director, President 40.0 0.0 X X 0 218686 32020 Shilpa Patel MD Vice Chair & Secretary 0.5 40.0 X X 0 405247 97543 Michael Gibson Esq Board of Director 0.1 0 X 0 0 0 Raymond P Vara Jr Board of Director 1.0 61.1 X 0 2867542 1366459 Carrie Ann Tsutsui Assistant Treasurer 0.5 47.9 X 0 298669 81513 Jessica Lewis Assistant Secretary 0.5 39.5 X 0 171486 44093 Karen Maciorowski Vice President 40.0 0.0 X 0 134694 35653 Melinda Ashton MD Former Officer 0.1 49.2 X 0 810453 236150 0 7119332 2564073 0 true true false 0 0 PREMIUM REVENUE 525100 23383934 23383934 0 0 0 0 23383934 1903453 1903453 0 0 5589556 5866669 -277113 0 -277113 -277113 RISK MGMT. EDUCATION FUND 611710 25609 25609 0 0 0 0 25609 25035883 23383934 0 1651949 0 0 11762 11762 45879 45879 41180 41180 405680 0 405680 0 21605 21605 2107 2107 7753143 7753143 LOSS ADJUSTMENT EXPENSE 14062710 14056778 5932 OTHER PURCHASES 78264 78264 CORPORATE ALLOCATION 32093 32093 BANK SERVICE CHARGES 19673 19673 0 0 0 0 22474096 21809921 664175 0 26717248 30655888 0 0 0 0 6388264 6915374 0 0 0 0 24082635 24731321 0 0 28885071 19877528 86073218 82180111 110483 137083 0 0 72647821 64790641 72758304 64927724 X 13314914 17252387 13314914 17252387 86073218 82180111 X 2561787 -60160 1435846 X false true X true false X X 6 STRAUB CLINIC & HOSPITAL 992151670 3 false 2214518 0 KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN 990177350 3 false 1471704 0 WILCOX MEMORIAL HOSPITAL 990074365 3 false 315327 0 KAUA'I MEDICAL CLINIC 990326099 3 false 256871 0 KAPI'OLANI MEDICAL SPECIALISTS 990322406 3 false 243190 0 PALI MOMI MEDICAL CENTER 999027403 3 false 188402 0 6 4690012 0 false false false false false false false false false false false false false false false false Schedule A, Part IV, Section A, Line 1 Supported Orgs Listed By Name PROVIDERS INSURANCE CORPORATION (PIC) DESIGNATES ITS SUPPORTING ORGANIZATIONS BY CLASS. PIC'S ARTICLES OF INCORPORATION STATE THAT THE ORGANIZATION SHALL SUPPORT, BENEFIT OR CARRY OUT SOME OR ALL OF THE PURPOSES OF ORGANIZATIONS THAT ARE CONTROLLED DIRECTLY OR INDIRECTLY BY HAWAI'I PACIFIC HEALTH (HPH) THAT ARE NON PRIVATE FOUNDATIONS UNDER SECTION 509(A)(1) OR (2) OF THE INTERNAL REVENUE CODE OF 1986, AS AMENDED ("CODE"), OR CORRESPONDING SECTIONS OF ANY FUTURE FEDERAL TAX CODE. ALL ORGANIZATIONS LISTED IN SCHEDULE A, PART I, LINE 12G ARE CONTROLLED DIRECTLY OR INDIRECTLY. Schedule A, Part IV, Section C, Line 1 Majority director detail THE CONTROL OR MANAGEMENT OF PIC IS VESTED IN THE SAME PERSONS THAT CONTROL OR MANAGE THE PUBLICLY SUPPORTED ORGANIZATIONS. HPH, THE PARENT ENTITY OF THE HEALTH SYSTEM, IS THE SOLE MEMBER OF PIC AND THE SOLE MEMBER OF THE ORGANIZATIONS THAT PIC SUPPORTS. HPH HAS THE RIGHT TO APPOINT THE BOARDS OF PIC AND ITS SUPPORTED ORGANIZATIONS. HPH HAS APPOINTED TO PIC'S BOARD INDIVIDUALS THAT SERVE AS OFFICERS OF THE SUPPORTED ORGANIZATIONS. DEFERRED CHARGE - CEDED REINSURANCE 15475449 OTHER RECEIVABLES - CEDED REINSURANCE 4622537 OTHER RECEIVABLES - AR BILLING 750 DUE FROM HAWAI'I PACIFIC HEALTH 106 OTHER RECEIVABLES - MONARCH EDUCATION -221314 19877528 539 MALPRACTICE INSURANCE RESERVE 43563553 REINSURANCE 20915031 DUE TO STRAUB CLINIC & HOSPITAL 67342 DUE TO KAPI'OLANI MEDICAL SPECIALISTS 59496 DUE TO HAWAI'I PACIFIC HEALTH 52480 DUE TO PALI MOMI MEDICAL CENTER 46437 DUE TO KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN 33231 DUE TO WILCOX MEMORIAL HOSPITAL 32522 DUE TO KAUA'I MEDICAL CLINIC 20010 64790641 X 24934543 -60160 0 -60160 24994703 41180 0 41180 25035883 22432916 0 0 22432916 41180 0 41180 22474096 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Uncertain Tax Positions Audited Financial Statement Footnote Management does not believe there are any tax positions taken by the Company that are subject to uncertainty and as a result, no provisions are made in these financial statements. false true false false false false false false false Charles R Ching Board of Director, Chair 0 456173 0 329628 0 178829 0 261282 0 15781 0 1241693 0 311476 David Okabe Board of Director, Treasurer 0 577990 0 416750 0 253185 0 377798 0 15781 0 1641504 0 415256 Shilpa Patel MD Vice Chair & Secretary 0 311682 0 85243 0 8322 0 73975 0 23568 0 502790 0 0 Gregg Timmons Board of Director, President 0 195869 0 22365 0 452 0 21062 0 10958 0 250706 0 0 Raymond P Vara Jr Board of Director 0 1158108 0 1199993 0 509441 0 1339031 0 27428 0 4234001 0 1178079 Melinda Ashton MD Former Officer 0 276841 0 395535 0 138077 0 221243 0 14907 0 1046603 0 279893 Jessica Lewis Assistant Secretary 0 170929 0 0 0 557 0 17065 0 27028 0 215579 0 0 Karen Maciorowski Vice President 0 130436 0 3815 0 443 0 11875 0 23778 0 170347 0 0 Carrie Ann Tsutsui Assistant Treasurer 0 226544 0 47628 0 24497 0 68452 0 13061 0 380182 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 A 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 RELATED ORGANIZATIONS: RAYMOND P. VARA JR. - $212,216 DAVID OKABE - $141,318 CHARLES R. CHING - $56,494 MELINDA ASHTON, M.D. - $52,872 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 RELATED ORGANIZATIONS: RAYMOND P. VARA JR. - $1,199,993 DAVID OKABE - $416,750 CHARLES R. CHING - $329,628 MELINDA ASHTON, M.D. - $345,535 CARRIE ANN TSUTSUI - $47,628 SHILPA PATEL - $51,188 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. - $331,845 Form 990, Part I, Line 1 organization's mission or most significant activities AS A CAPTIVE INSURANCE COMPANY, PROVIDERS INSURANCE CORPORATION PROVIDES GENERAL LIABILITY OCCURRENCE BASED COVERAGE AND HEALTH CARE PROFESSIONAL LIABILITY CLAIMS-MADE COVERAGE ON A DIRECT BASIS TO HAWAI'I PACIFIC HEALTH AND ITS AFFILIATES. 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, HPH. FOLLOWING IS THE PROCESS THAT THE PARENT ORGANIZATION UNDERTAKES TO APPROVE THE PRESIDENT, OFFICERS AND KEY EMPLOYEES' COMPENSATION. COMPENSATION FOR HAWAI'I PACIFIC HEALTH ("HPH") EXECUTIVES (VICE PRESIDENT 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 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 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 ORGANIZATION'S GOVERNING BODY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders HAWAI'I PACIFIC HEALTH, AS MEMBER, HAS THE FOLLOWING POWERS RESERVED TO APPROVE THE FOLLOWING: (I) ELECT A DIRECTOR TO THE BOARD; (II) REMOVE A DIRECTOR FROM THE BOARD; (III) AMEND THESE BYLAWS; (IV) THE CORPORATION'S PARTICIPATION IN ALL LONG TERM FINANCING TRANSACTIONS WHICH ARE IN EXCESS OF ONE YEAR AND/OR FOR $1,000,000 OR MORE; (V) ACQUIRE ASSETS WORTH OVER $1,000,000; (VI) ACQUIRE SHARES IN ANOTHER CORPORATION; (VII) DEVELOP & IMPLEMENT THE GENERAL POLICIES REGARDING THE CORPORATION'S EXECUTIVE COMPENSATION & BENEFIT PLANS; (VIII) FORM A NEW CORPORATION, LIMITED LIAB. CO., PARTNERSHIP, OR OTHER ORGANIZATION THAT IS OWNED SOLELY BY THE CORPORATION; (IX) FORM A JOINT VENTURE OR OTHER BUSINESS RELATIONSHIP (OTHER THAN THE ORDINARY COURSE OF BUSINESS CONTRACTS) BETWEEN THE CORPORATION & ANY PERSON OR ENTITY; (X) DEVELOP & PROMULGATE THE CORPORATE GOALS & THE LONG-RANGE & STRATEGIC PLAN OF THE CORPORATION. IN ADDITION, DECISIONS OF THE GOVERNING BODY REQUIRING THE APPROVAL OF HAWAI'I PACIFIC HEALTH, AS MEMBERS, INCLUDE: (I) AMEND THE ARTICLES; (II) APPOINT ANY INDEPENDENT AUDITOR OR CORPORATE COUNSEL FOR THE CORPORATION; (III) CAUSE THE CORPORATION TO ENGAGE IN AGGREGATE BORROWING (INCLUDING, WITHOUT LIMITATION, ENTERING INTO LEASE AGREEMENTS AND/OR INSTALLMENT CONTRACTS), FOR PERIODS OF MORE THAN ONE (1) YEAR FOR ANY PURPOSE IN AN AMOUNT THAT IS IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED BY THE MEMBER FROM TIME TO TIME; (IV) PURCHASE, SELL, LEASE, DISPOSE, HYPOTHECATE, EXCHANGE, GIFT, PLEDGE, ENCUMBER, OR DISPOSE OF AN ASSET, REAL OR PERSONAL, WHICH: (A) HAS A VALUE IN EXCESS OF A DOLLAR AMOUNT TO BE DETERMINED BY THE MEMBER FROM TIME TO TIME; AND (B) IS NOT PREVIOUSLY INCLUDED IN THE CAPITAL BUDGET OF THE CORPORATION; (V) ALLOW ANY AFFILIATE TO PARTICIPATE IN AND OBTAIN INSURANCE FROM THE CORPORATION'S INSURANCE PLAN; (VI) ISSUE THE CORPORATION'S MEMBERSHIP TO ANYONE OTHER THAN THE MEMBER; (VII) MERGE AND/OR CONSOLIDATE THE CORPORATION WITH ANY ENTITY; AND (VIII) DISSOLVE THE CORPORATION. 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 HPH BOARD OF DIRECTORS THROUGH A BOARD MEMBER PORTAL FOR REVIEW PRIOR TO THE FILING OF THE FORM 990. COPIES OF THE FORM 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 UNDERSTANDS POLICY 3) AGREES TO COMPLY TO 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 THE CONFLICT OF INTEREST POLICY AND STANDARDS OF CONDUCT ARE AVAILABLE ON THE HAWAI'I PACIFIC HEALTH WEBSITE. THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS WILL BE MADE 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 TRANSFERS WITH AFFILIATES - 1435846; 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 MEDICAL CENTER FOR WOMEN & CHILDREN 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 990177350 HOSPITAL HI 501(c)(3) 3 HPH true KAPI'OLNI 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 STRUAB CLINIC & HOSPITAL 55 MERCHANT STREET 24TH FLOOR HONOLULU HI 96813 912151670 HOSPITAL HI 501(c)(3) 3 HPH true STRUAB 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 MEDICAL SPECIALISTS S 15651290 FMV KAPI'OLANI MEDICAL CENTER FOR WOMEN & CHILDREN S 4202872 FMV STRAUB CLINIC & HOSPITAL S 2610735 FMV PALI MOMI MEDICAL CENTER S 1356431 FMV WILCOX MEMORIAL HOSPITAL S 977786 FMV KAUA'I MEDICAL CLINIC S 78870 FMV