Hawai'I Pacific Health Group Return

“Members and rights 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.”

“Description of classes of person and the nature of their rights 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.”

“Descr classes of persons, decisions req approval & type of voting rights hawai'i pacific health, as member, has the following reserved powers with respect to kapi'olani medical center for women & children and pali momi medical center: (i) nominate candidates to the board for the following positions: the executive vice president/chief executive officer, treasurer, secretary, executive vice-president/chief financial officer, chief operating officer, other executive vice-presidents, senior vice-presidents, assistant secretaries, and all vice-presidents except the operating unit vice-presidents; as such term is defined in the 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 the bylaws; (iv) determine and effect the corporation's participation in all long term financing transactions which are in excess of one (1) year and/or for one million dollars ($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, advisory service, and asset management of the financial assets of the corporation; (vii) determine and 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, partnership, or other organization that is owned solely by the corporation; (x) close the acute care hospital owned and operated by the corporation; (xi) after consulting with the board, remove the executive vice president/chief executive officer, executive vice president/chief financial officer, treasurer, secretary, other executive vice presidents, senior vice presidents, assistant secretaries, and/or all vice presidents except the operating unit vice presidents; (xii) after consulting with the board, develop and promulgate the corporate goals and the long-range and strategic plan of the corporation; and (xiii) after consulting with the board, develop and implement the annual capital, operating, and cash flow budgets. Hawai'i pacific health, as member, has the following powers reserved to approve the following with respect to straub clinic & hospital: (i) nominate candidates to the board for the following positions: the treasurer, secretary, executive vice-president/chief financial officer, executive vice presidents other than the executive vice-president/chief executive officer (the "evp/ceo") and the; executive vice-president/chief medical officer (the "evp/cmo") of the corporation, senior vice-presidents, assistant secretaries, and all vice-presidents except the clinic and hospital unit vice-presidents, as such term is defined in the bylaws; (ii) remove any director from the board; provided, however, that the board may remove any director from the board if approved by the member board; (iii) 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; (iv) amend the bylaws; (v) the corporation's participation in all long term financing transactions which are in excess of one (1) year and/or for one million dollars ($1,000,000) or more; (vi) acquire assets worth over one million dollars ($1,000,000); (vii) acquire shares in another corporation; (viii) select banks, trust companies, or other depositories to which the corporation's funds shall be deposited; (ix) direct, manage and control the custody, advisory service, and asset management of the financial assets of the corporation; (x) determine and effect inter-corporate transfers by and between the corporation and any affiliate; (xi) develop and implement the general policies regarding the corporation's physician and executive compensatio”

“Hawai'i pacific health, as member, has reserved powers to approve the following with respect to wilcox memorial hospital: (i) nominate candidates to the board for the following positions: the president/chief executive officer, treasurer, secretary, executive vice-president/chief financial officer, other executive vice-presidents, senior vice-presidents, assistant secretaries, and all vice-presidents except the operating unit vice-presidents, as such term is defined in the 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 the bylaws; (iv) the corporation's participation in all long term financing transactions which are in excess of one (1) year and/or for one million dollar ($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, 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 otherwise provided in the bylaws or as required by the law of the state of hawai'i, sell, lease or otherwise transfer fifty percent (50%) or more of the then current amount, as reported under generally accepted accounting principles, of the total assets held by wilcox memorial hospital, kaua'i medical clinic and wilcox health foundation (the "wilcox affiliates"); (xi) except as provided in the bylaws or as required by the laws of the state of hawai'i, sell, lease or transfer of operations or activities of the wilcox affiliates which generate fifty percent (50%) or more of the total net revenues, as reported under generally accepted accounting principles, of the wilcox affiliates during the prior fiscal year; (xii) close the clinical facilities owned and operated by the corporation; provided, that, after the effective date of the bylaws, any elimination of a clinical service provided by the corporation must also be approved by the board; (xiii) convert the clinic owned and operated by the corporation into a facility no longer offering medical services; provided, that, after the effective date of the 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 president/chief executive officer, executive vice-president/chief financial officer, treasurer, secretary, other executive vice-presidents, senior vice-presidents, assistant secretaries, and all vice-presidents except the operating unit vice-presidents; provided, however, that to remove or terminate the president/chief executive officer will require the president/chief executive 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 president/chief executive 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 corporate 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. The corporation shall not take the following actions without first obtaining member board approval: (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 corporati”

“Review of the 990 by the organization's governing body various schedules of the 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 990 of each filing organization within the health care system. Once senior management has completed its review, the 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 entity's (hawai'i pacific health "hph") board provides oversight for the 990 reporting and reviews the 990 for each entity prior to filing. In addition, the 990 for each entity are 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 990. The 990 will be posted to hph's web site for public access after the filing of the returns with the irs.”

“Monitoring & enforcing 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.”

“Process of determining compensation the ceo of the organization is 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 ceo's compensation. Compensation for hawai'i pacific health ('hph") executives (vice president and above) is set by the independent board members of the hawai'i pacific board's 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 most recently completed on march 16, 2018 to review physician compensation and on august 21, 2018 to review executive compensation.”

“Disclosure of gov docs, conflict of interest policy & financial stmts the conflict of interest policy and standard 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.”

“Organization's mission statement of organization's mission or most significant activities hawai'i pacific health is a not-for-profit health care system with over 70 locations statewide including medical centers, clinics, physicians and other caregivers committed to the organization's mission to create a healthier hawai'i. Its four medical centers kapi'olani, pali momi, straub and wilcox specialize in innovative programs in women's health, pediatric care, cardiovascular services, cancer care, bone and joint services and more. Hawai'i pacific health is recognized nationally for its excellence in patient care and the use of electronic health records to improve quality and patient safety.”

“Program service accomplishments program service #1 outpatient operating rooms in fiscal year 2018, hawai'i pacific health hospitals and clinics spent $65,200,571 in direct expenses for outpatient operating rooms and surgical procedures, as part of our commitment to provide care for all patients, regardless of their ability to pay. Pediatric surgeries at kapi'olani include thoracic/heart; cleft lip/palate; ear, nose and throat; orthopedic; neurologic; urologic; ophthalmologic; gastrointestinal; plastic and general procedures. Women's surgeries include breast biopsies, lumpectomies, mastectomies and reconstruction, hysteroscopies, interstim bladder implant and sub urethral sling to treat incontinence, tubal ligation and endometrial ablation. Kapi'olani is the only medical center in the state providing da vinci robot-aided pediatric surgery. Additionally, the robot is utilized in performing gynecological surgical services. The minimally invasive surgeries performed using the da vinci provide increased benefits for patients, including less pain, lower risk of infection and less blood loss. In fiscal year 2018, kapi'olani performed 5,770 outpatient surgeries. Pali momi has a fully integrated, minimally invasive surgical suite equipped with telemedicine capability, touchscreen control panels at the nurses' station, voice activation system, and live video feed to medical centers around the world. In fiscal year 2018, pali momi performed 3,854 outpatient surgeries. Pali momi utilizes the da vinci firefly robot-aided system to assist with minimally invasive surgery. The minimally invasive surgeries performed using the da vinci provide increased benefits for patients including less pain, lower risk of infection and less blood loss. Straub offers integrated outpatient surgery in a 7-room suite, 2-room plastic surgery suite, 2-room general surgery department, 2-room interventional cardiac catheterization laboratory, interventional radiology suites, and endoscopy department. Procedures performed range from minor excisions to complex peripheral intravascular techniques. In fiscal year 2018, straub performed 3,779 outpatient surgeries. Wilcox has a state-of-the-art surgical center with 6 surgical suites, 20 same-day surgery beds, voice-activated robotics and other computer-assisted technologies. In fiscal year 2018, wilcox performed 3,571 outpatient surgeries. Estimated program services revenue is reported on part iii, line 4. Program service #2 outpatient emergency rooms in fiscal year 2018, hawai'i pacific health hospitals saw 151,364 er visits and spent $56,741,705 in direct expenses for outpatient er services, as part of our commitment to provide care for all patients, regardless of their ability to pay. In fiscal year 2018, kapi'olani completed its newly expanded emergency department in the diamond head tower. At more than twice the size of the previous space, the new ed features 24 private treatment rooms, including two trauma rooms and two triage rooms; three rooms equipped as negative-pressure isolation rooms; on-site satellite radiology suite for plain x-rays, separate adult and pediatric waiting areas; child-friendly dcor; and a central, open business center. Kapi'olani's er is the only one in the state with pediatric specialists available 24/7. It has a team for adults and another dedicated to pediatrics, where board-certified pediatric emergency physicians can quickly diagnose and treat a full range of medical conditions in babies, children and teens, from rare infections to sports injuries. In fiscal year 2018, kapi'olani had 45,093 er visits. The pali momi er is the only one in the state that uses a team triage approach, where patients are promptly evaluated by a physician. In fiscal year 2018, the pali momi er received 42,695 patients. The straub er has board-certified emergency physicians on staff 24/7, 365 days a year, with wheelchair transport and valet services available. In fiscal year 2018, the straub er received 33,317”

“Program service #4 other programs hawai'i pacific health is one of the state's largest health care providers with four medical centers, more than 70 locations, 1,700+ affiliated physicians, nearly 7,000 employees, and hundreds of volunteers from the community. Hawai'i residents and visitors rely on hawai'i pacific health for its full range of primary, secondary and select tertiary care services. In fiscal year 2018, the medical centers admitted 31,872 patients. Straub clinics had 865,851 total clinic encounters, kaua'i medical clinic had 348,578 total clinic encounters and kapi'olani medical specialists had 85,763 patient visits. Affiliates and subsidiaries hawai'i health partners is a physician-led accountable care organization with the goal of providing high-quality care, increased efficiency and optimal patient health. Kapi'olani medical specialists is a specialty physicians group organized to support kapi'olani medical center. The foundations of hawai'i pacific health consist of kapi'olani health foundation, pali momi health foundation, straub foundation and wilcox health foundation. These charitable entities support health research, facility enhancements, technology investments, educational programs and other resources for their respective medical centers. Hawai'i pacific health partners, inc. Is a for-profit subsidiary that serves as the joint venture partner when hawai'i pacific health works with other providers. Providers insurance corporation is a captive insurance company that provides professional liability insurance for hawai'i pacific health-affiliated employed physicians. Patient care hawai'i pacific health has strategic initiatives in women's health, pediatric care, cardiovascular services, bone & joint services, and cancer care. It is recognized nationally for its excellence in health information technology, specifically the use of electronic health records to improve quality of care and patient safety. The hawai'i pacific health system includes: the pacific region's only full-service women's and children's medical center and only dedicated burn center, state-of-the-art imaging center on kaua'i, west o'ahu's only cardiac catheterization labs, minimally invasive bone & joint center, sleep disorders center, state's first women's center, state's only breast and women's cancer centers, and other specialized services considered critical to the remote hawaiian archipelago. Community role/activity as one of the states largest health care providers, hawai'i pacific health has a responsibility to improve the health of hawai'i residents and, through its mission, is committed to creating a healthier hawai'i. Each year, it sponsors health education, teaching and research, and supports like-minded organizations. In fiscal year 2018, hawai'i pacific health supported various community benefit programs, including the kapi'olani sex abuse treatment center, kapi'olani child advocacy and protection center, heart disease prevention, breast and cervical cancer screening for uninsured persons, women and infant health and nutrition, rehabilitation services, support groups, free glucose monitoring and blood pressure screening, hemophilia programs, and other education and screenings for hawai'i residents on health, wellness and disease-prevention strategies. Hawai'i pacific health specialists delivered free public health education programs that helped thousands of people learn ways to prevent or manage heart attacks, cancer, arthritis and other chronic health conditions. These events include "hph kids fest," "cancer care," "valentine in paradise,"getting a grip on arthritis." in fiscal year 2018, hawai'i pacific health sponsored or supported numerous health events, including "hph women's 10k," "aha heartwalk," "susan g. Komen race for the cure," "arthritis foundation's arthritis walk,more. Hawai'i pacific health also provided medical support, including clinical and non-clinical volunteers, supplies and other services, for the great alo”

“Endowment funds kapi'olani medical center for women & children (kmcwc), pali momi medical center (pmmc) and straub clinic & hospital (sch) held assets in endowment funds. Wilcox memorial hospital did not hold assets in endowment funds. Form 990, part iv, line 11b investments - other securities 5% or more of total assets kapi'olani medical center for women & children (kmcwc) and pali momi medical center (pmmc) both reported investments in other securities greater or equal to 5% of total assets. Straub clinic & hospital (sch) and wilcox memorial hospital (wmh) both did not report investments in other securities greater or equal to 5% of total assets. Form 990, part iv, line 29 non-cash contributions greater than $25,000 kapi'olani medical center for women & children (kmcwc) received non-cash contributions greater than $25,000. Pali momi medical center (pmmc), straub clinic & hospital (sch), and wilcox memorial hospital (wmh) did not receive non-cash contributions greater than $25,000.”

“Hawai'i pacific health (hph), the organization's tax exempt parent, pays all vendors. Therefore, hph issues form 1099s under its tax id.”

“Reconciliation of net assets obligated group intercompany transfers $ (90,579,411) change in temporary restricted net assets $ (2,239,374) net assets released from restriction $ (943,112) equity transfers $ (148,135) change in interest in khf/whf $ 2,242,135 restricted grants and contributions $ 922,112 change in interest in perpetual trusts $ 60,719 ------------- total $ (90,685,066)”

“Description:physician services total fees:31717856”

“Description:medical services total fees:5085355”

“Description:consulting services total fees:1040192”

“Description:registry services total fees:3584608”

“Description:temporary labor admin services total fees:91298”

“Description:temporary labor other services total fees:1345242”

“Description:laundry services total fees:4501871”

“Description:contract & recurring services total fees:46132642”

“Description:family fund services total fees:4033”

“Description:collection fees services total fees:986785”

“Description:repairs & maintenance total fees:16700969”

“Description:internal svcs provided expense total fees:45836230”

“Description:other expense recovery total fees:-686130”

“Description:bus pass services total fees:37095”

“Description:other services total fees:16024425”