Hawai'i Pacific Health Group Return

Nonprofit profile at a glance

EIN
383835105
IRS 990 coverage
2010–2024
Forms available
Form 990 2024
Location
Honolulu, HI, USA
Phone
8085357401
Rating
70
Verdict
SUPPORTED
Rating confidence
Moderate

Official website

Reported finances

Revenue
$1,971,029,391
Expenses
$1,805,183,758
Assets
$1,579,363,194
Liabilities
$290,385,203

Source: IRS Form 990. Selected filing: tax year 2024. Amounts in USD.

Leadership & pay

91 people listed

Executive titles in this filing

  • David Underriner (Board of Director, CEO (part year))
  • Jennie Chahanovich (BOD, President & CEO)
  • Raymond P Vara Jr (Board of Director, President)
  • Bridget Lai (Executive Director)

Highest reported compensation

  • Raymond P Vara Jr (Board of Director, President): $5,445,826 total reported compensation
  • David Okabe (EVP, CFO & Treasurer): $1,874,387 total reported compensation
  • David Underriner (Board of Director, CEO (part year)): $1,393,821 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2024. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

See schedule o

What it reported doing in 2024

Other programs hawai'i pacific health is one of the state's largest health care systems with four medical centers, more than 70 locations, 1,900+ affiliated physicians, more than 7,700 employees, and nearly 500 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 2025, the medical centers admitted 31,076 patients. In addition, pali momi clinics had 97,473 patient clinic encounters, straub clinics had 1,011,031 patient clinic encounters, kaua'i medical clinic had 289,230 patient clinic encounters and kapi'olani medical specialists had 257,401 patient clinic encounters. Affiliates and subsidiaries hawai'i health partners is a physician-led accountable care organization with the goal of improving health care quality, efficiency and patient health. Kapi'olani medical specialists, (dba hawai'i pacific health medical group), is a multispecialty provider group that serves hawai'i pacific health through academics, research and clinical care, in partnership with kapi'olani medical center for women and children, pali momi medical center, straub clinic and hospital, and wilcox memorial hospital. Kaua'i medical clinic is organized to support wilcox memorial hospital. The foundations of hawai'i pacific health consist of kapi'olani health foundation, pali momi 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 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 care unit, hawai'i's only pediatric heart center, state-of-the-art imaging center on kaua'i, west o'ahu's only cardiac catheterization labs, central and west o'ahu's only comprehensive cancer center, minimally invasive bone and joint center, state's first women's center, specialized breast and women's cancer centers, and other services considered critical to the remote hawaiian archipelago. Community role/activity as one of the state's largest health care systems, 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, hawai'i pacific health sponsors health education, teaching and research, and supports like-minded organizations. Hawai'i pacific health continues to support 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, hemophilia programs, and other education and screenings for hawai'i residents on health, wellness and disease-prevention strategies. In fiscal year 2025, hawai'i pacific health sponsored or supported numerous health events, including "american heart association hawai'i heart walk," "susan g. Komen more than pink walk," "arthritis foundation's walk to cure arthritis, many more initiatives that promote a healthier lifestyle and healthy outlook for physica

Operating model

Revenue model
Other-operating. 98% of the money available for current operations came from other operating revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

SUPPORTED - A large share of available resources goes toward mission work and the filed numbers largely add up. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and a relatively small share of voting board members are independent.

Rating breakdown

  • Financial Efficiency: 74
  • Transparency & Controls: 72
  • Accountability: 54
  • Sustainability: 60
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 80.9%; rating input score 81
  • Program expense ratio: 88%; rating input score 88
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 93.3%; rating input score 93; 21st percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: 94.2%; rating input score 94; 26th percentile among comparable filings
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Yes; rating input score 100

Accountability

  • Independent voting board: 52.2%; rating input score 52; 14th percentile among comparable filings
  • Governance controls: 5 of 9 controls in place; rating input score 56
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Fail
    • Other executive compensation review process: Fail
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Missing
    • Independent financial-statement audit: Fail

Sustainability

  • Operating margin: 8.4%; rating input score 68; 68th percentile among comparable filings
  • Total-asset coverage ratio: 0.87; rating input score 35; 35th percentile among comparable filings
  • Liabilities to assets ratio: 0.18; rating input score 71; 71st percentile among comparable filings
  • Officer compensation ratio: 0.5%; rating input score 83; 83rd percentile among comparable filings

Growth

  • Program expense growth: 5.6% per year; rating input score 100; 46th percentile among comparable filings
  • Revenue growth: 5.5% per year; rating input score 100; 47th percentile among comparable filings
  • Asset growth: 6.7% per year; rating input score 100; 49th percentile among comparable filings

Details

  • Where the money goes: 80.9% of revenue deployed · 88% of spending went to programs
  • Governance: 24 of 46 board members independent · 5 of 9 filing controls reported
  • Programs: 4 filed program accomplishments · $1.6B in reported program spending
  • Leadership: top reported pay $5.4M · 91 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 37 of 38 current checks pass · 1 finding to review
  • Schedules: 12 filed schedules · includes major donors, grants, executive pay, and related organizations
  • Filing history: 15 filing years from 2010 to 2024
  • Contacts: How to reach this organization
  • Money network: 27 filed money-flow records
  • Related organizations: 37 filed related-organization links
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • Review — Accountability: Independent voting board scored 52/100.
  • Review — Accountability: Governance controls: 3 of 8 not reported.
  • Moderate — Sustainability: Total-asset coverage ratio scored 35/100.
  • Review — Transparency & Controls: Domestic grant itemization did not reconcile in the filed values.