Hawai'I Pacific Health

“Peter Lewis and Jessica Lewis - Family relationship”

“Various schedules of the form 990 are prepared 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 managment 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 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.”

“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 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.”

“Compensation for hph executives 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 commttiee makes a 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 07, 2024 to review physician compensation and on august 08, 2024 to review executive compensation.”

“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 stataements are available to the public via the hawai'i pacific health website.”

“Outpatient operating rooms in fiscal year 2024, hawai'i pacific health spent a total of $55,372,907 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. Hawai'i pacific health medical centers performed a total of 20,684 outpatient surgeries. Kapi'olani medical center for women and children (kapi'olani) is the only hospital in the state providing da vinci robot-aided pediatric surgery. The robot also is used for gynecological surgical services. In fiscal year 2024, kapi'olani performed 4,822 pediatric and adult outpatient surgeries. Pali momi medical center's (pali momi) operating room features a fully integrated, minimally invasive surgical suite equipped with the da vinci robot-aided surgical system and in fiscal year 2024, pali momi performed 3,946 outpatient surgeries. Straub clinic and hospital (straub) features a state-of-the-art hybrid suite for complex heart procedures and has integrated outpatient surgery, in fiscal year 2024 straub performed 3,449 outpatient surgeries. Wilcox memorial hospital (wilcox) has a state-of-the-art surgical center and in fiscal year 2024 performed 2,631 outpatient surgeries. Outpatient emergency departments in fiscal year 2024, hawai'i pacific health spent a total of $50,787,855 in direct expenses for outpatient emergency department (ed) services, as part of our commitment to provide care for all patients, regardless of their ability to pay. Hawai'i pacific health medical centers, which are open 24/7, served a total of 157,262 patients for outpatient ed visits. Kapi'olani is the only level iii pediatric trauma center serving hawai'i and the pacific region. In fiscal year 2024, kapi'olani's ed had 51,486 outpatient ed visits. Pali momi is the only level iii trauma center serving central and west o'ahu and in fiscal year 2024, pali momi had 45,149 outpatient ed visits. In fiscal year 2024, straub had 36,289 outpatient ed visits. Wilcox medical center is the first american college of surgeons verified level iii trauma center in the state of hawai'i. In fiscal year 2024, wilcox's had 24,338 outpatient ed visits on kaua'i. Pediatrics-neonatal services in fiscal year 2024, hawai'i pacific health spent $44,045,505 in direct expenses for pediatric-neonatal services as part of its commitment to provide high-quality medical care for all patients, regardless of their ability to pay. Kapi'olani is recognized as hawai'i's pediatric medical center and also provides care throughout the pacific region. It has the only intensive care units in hawai'i to treat critically ill children and infants. In fiscal year 2024, the pediatric intensive care unit served nearly 700 children ranging in age from one week to 21 years of age. Special services delivered by the pediatric intensive care unit include an open-heart program through its new pediatric heart center, ecmo (extracorporeal membrane oxygenation), dialysis crrt (continuous renal replacement therapy), and trauma and transplant collaboration with other medical centers for postoperative care. The neonatal intensive care unit treats more than 1,000 of the tiniest and most vulnerable infants in hawai'i each year. Specialized procedures include ecmo (extracorporeal membrane oxygenation) and whole-body cooling. Kapi'olani also provides specialty pediatric care in cardiology, gastroenterology, neurology, ophthalmology, urology, oncology, surgery, orthopedics, rehabilitation and other support services. It is a major teaching hospital for the university of hawai'i john a. Burns school of medicine's pediatric and neonatal-perinatal medicine programs. In fiscal year 2024, kapi'olani provided specialized care for 3,534 pediatric-neonatal patients. Wilcox medical center provides preventive care and treatment services to meet the health needs of kaua'i's children. Through kaua'i medical clinic, wilcox provides comprehensive pediatric care for children of a”

“Hawai'i pacific health also participated in symposia and meetings for health care professionals, hired students as summer interns, facilitated clinical training programs for public high school students to earn national certification in medical fields and sponsored workshops for volunteers to train health care providers. Hawai'i pacific health has alliances with the university of hawai'i john a. Burns school of medicine and hawai'i pacific university, plus works closely in partnership with the hawai'i state department of education. Hawai'i pacific health invests each year in teaching and research as a pediatric and ob-gyn training facility for the university of hawai'i. Hawai'i pacific health is also actively involved in clinical trials and research through its various facilities in pediatrics, oncology, ophthalmology and cardiology. Public policy hawai'i pacific health has a responsibility to offer thoughtful and innovative input to lawmakers regarding health care policy and legislation. Hawai'i pacific health leaders advocate for legislative reform and regulatory enhancements for various health care industry issues ranging from retaining physicians in the state to providing stability for health care providers and access to care and services for residents across the state. Other hawai'i pacific health medical centers treat all patients, regardless of their ability to pay, thus serving as a safety net provider of health care for the community. An established charity care policy sets guidelines by which it is determined if patients qualify for free or discounted care. Hawai'i pacific health contributes more than $1 billion to the state economy each year, supporting its more than 7,000 employees, their families, and many businesses through purchases made by its medical centers and clinics.”

“Obligated group intercompany transfers - 63996496; pension and post retirement adjustments - 4293094; non-controlling interest - 1098040; equity of unconsolidated subs - -2590846; change in swap - 758711; other changes in net assets - -644252; change in interest in khf and whf - 14004668; equity transfers with affiliates - -xxx-xx-xxxx; intercompany transfers with foundations - 29766;”

“The investment committee of hawai'i pacific health has chosen to diversify its investment portfolio, including certain alternative investments that are established as partnerships. These partnerships are not-operating entities. Hawai'i pacific health's direct investment is made in partnerships, and these entities may make underlying investments in other certain foreign partnerships and/or corporations.”