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”

“Review of the 990s by the organization's governing body various schedules of the 990s 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 990s of each filing organization within the health care system. Once senior management has completed its review, the 990s 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 990s for each entity prior to filing. In addition, the 990s 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 990s 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; and 4) 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.”

“Offices and positions which process was used & year process was begun 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 3, 2014 to review physician compensation and on august 22, 2014 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.”

“Statement of organization's mission or most significant activities the affiliate, not-for-profit hospitals of hawai'i pacific health - kapi'olani medical center for women & children, pali momi medical center, straub clinic & hospital, and wilcox memorial hospital - anchor a health care system that is committed to providing high-quality, accessible medical programs and services for the people of hawai'i and the pacific region.”

“Statement of organization's mission kapi'olani medical center's mission is to improve and advocate for the health and well-being of women and children of hawai'i and the pacific region. Pali momi is based in west o'ahu and dedicated to the health and well-being of all hawai'i residents. Straub is a health care system whose mission is to provide integrated health and medical services that are comprehensive, caring, continuously improving and of the highest quality. Wilcox serves the kaua'i community with accessible, quality health care that surpasses expectations.”

“Program service accomplishments program service #1 women's services - obstetrics/gynecology in fiscal year 2014, hawai'i pacific health spent $40,147,515 in direct expenses for women's ob/gyn services as part of its mission to provide medical care for all patients, regardless of their ability to pay. Kapi'olani is the only hospital in hawai'i specializing in maternity and gynecological care. It is the regional perinatal center for the state. It has specialty and sub-specialty ob/gyn physicians on staff 24/7, such as maternal fetal medicine specialists to manage high-risk pregnancies and deliveries. It provides gynecologic oncology services and features a high-risk breast program. It is a major teaching hospital for the university of hawai'i john a. Burns school of medicine's ob/gyn residency program. In fiscal year 2014, kapi'olani delivered 6,050 babies, or 55% of available reported o'ahu births. The women's center performed 36,330 procedures. Straub's main hospital and all family health centers have upgraded to digital mammography. The women's clinic provides high-quality care in a calming, healing, environment. Board-certified specialists provide ob/gyn care, family planning, laser surgery, laparoscopy and colposcopy, menopause, hormone replacement therapy, and infertility treatment. Many of straub's primary care physicians also specialize in women's health with personal, comprehensive and continuing care. Pali momi has gynecology services, primarily for the central, west o'ahu and north shore communities, including hysterectomies, ob/gyn ultrasounds, urology, and infusion chemotherapy. In fiscal year 2014, pali momi's women's center performed 44,205 procedures, nearly double the number performed in fiscal year 2012. The significant growth in procedures reflects the women's center's first full year as an expanded facility at the new pali momi medical pavilion. In order to accommodate the increase in patients in fiscal year 2013, pali momi purchased a second tomosynethesis machine. The additional machine lowered wait time for patients in need of this type of breast evaluation. The wilcox women's center provides diagnosis, treatment, mammography with tomosynthesis and stereotactic capabilities, bone density screening, ultrasound and other preventive health services. Through kaua'i medical clinic, wilcox provides comprehensive ob/gyn care: delivery, surgery and other services. Program service #2 outpatient operating rooms in fiscal year 2014, hawai'i pacific health hospitals and clinics spent $50,415,244 in direct expenses for outpatient operating rooms and surgical procedures, as part of our mission 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 throat, orthopedic, neurologic, urologic, ophthalmologic, gastro-intestinal, 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 hospital 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 2014, kapi'olani performed 5,611 outpatient surgeries. 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 2014, straub performed 3,267 outpatient surgeries. Pali momi has a fully integrated, minimally”

“Other fees for services $ 26,829,390 - physician services $ 4,818,499 - medical services $ 723,125 - consulting services $ 4,165,826 - registry services $ 496,145 - temporary labor admin services $ 648,537 - temporary other labor services $ 4,733,143 - laundry services $ 40,498,932 - contract and recurring services $ 1,194,056 - collection services $ 10,398,583 - other services $ 17,436,069 - repairs & maintenance $ 37,497,120 - internal services provided expense $ (3,811,433)- other expense recovery $ 31,135 - bus pass services ------------- $145,659,127 - total other fees for services”

“Reconciliation of net assets obligated group intercompany transfers $ (78,143,432) change in interest in khf/whf $ 10,019,304 change in interest in perpetual trusts $ 233,401 rounding $ 4 ------------- total $ (67,890,723)”