4A (Expenses $ 69730044 including grants of $ 0) (Revenue $ 100035660)
SEE SCHEDULE O

4B (Expenses $ 62964812 including grants of $ 0) (Revenue $ 143234219)
SEE SCHEDULE O

4C (Expenses $ 46024292 including grants of $ 0) (Revenue $ 65486627)
SEE SCHEDULE O

4D (Expenses $ 1063570269 including grants of $ 1648527) (Revenue $ 1213621327)
"OTHER PROGRAMS HAWAI'I PACIFIC HEALTH IS ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS WITH FOUR MEDICAL CENTERS, MORE THAN 70 LOCATIONS, 1,500+ AFFILIATED PHYSICIANS, MORE THAN 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 2022, THE MEDICAL CENTERS ADMITTED 29,681 PATIENTS. STRAUB CLINICS HAD 1,083,521 TOTAL PATIENT CLINIC ENCOUNTERS, KAUA'I MEDICAL CLINIC HAD 312,256 TOTAL PATIENT CLINIC ENCOUNTERS, KAPI'OLANI MEDICAL SPECIALISTS HAD 202,527 PATIENT CLINIC ENCOUNTERS AND PALI MOMI CLINIC HAD 73,061 PATIENT CLINIC ENCOUNTERS. 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. KAUA'I MEDICAL CLINIC IS A SPECIALTY PHYSICIANS GROUP ORGANIZED TO SUPPORT WILCOX MEDICAL CENTER. 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 UNIT, 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. IN FISCAL YEAR 2022, HAWAI'I PACIFIC HEALTH CONTINUED TO SERVE AS A STATEWIDE RESOURCE TO THE COMMUNITY IN RESPONSE TO EVER-CHANGING HEALTH NEEDS BASED ON THE PANDEMIC. COVID-19 INITIATIVES BY THE SYSTEM INCLUDED FREE COMMUNITY VACCINE CLINICS, MOBILE VACCINE OUTREACH EVENTS, DRIVE-THROUGH VACCINE AND BOOSTER SHOT EVENTS FOR CHILDREN AND FAMILIES, DEDICATED PEDIATRIC VACCINE AND BOOSTER CLINICS AND TELEHEALTH OPTIONS. OTHER COMMUNITY RESOURCES THAT HAWAI'I PACIFIC HEALTH PROVIDED WERE PUBLIC HEALTH EDUCATION, AND A COHESIVE PUBLIC HEALTH RESPONSE IN COLLABORATING WITH THE DEPARTMENT OF HEALTH, DEPARTMENT OF EDUCATION, HONOLULU FIRE DEPARTMENT, HAWAII HEALTHCARE ASSOCIATION OF HAWAII AND OTHER HEALTH CARE PROVIDERS. HAWAI'I PACIFIC HEALTH ALSO CONTINUED 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 2022, HAWAI'I PACIFIC HEALTH SPONSORED OR SUPPORTED NUMEROUS HEALTH EVENTS, INCLUDING ""AMERICAN HEART ASSOCIATION HAWAI'I HEART WALK,"" ""SUSAN G. KOMENMORE THAN PINK WALK,"" ""ARTHRITIS FOUNDATION'S WALK TO CURE ARTHRITIS,"" - THAT WELCOMED PARTIPATION IN-PERSON AND VIRTUALLY THIS YEAR - AND MORE. HAWAI'I PACIFIC HEALTH ALSO SERVED AS THE PRESENTING SPONSOR FOR THE VIRTUAL GREAT ALOHA RUN. PROCEEDS FROM THE EVENT BENEFIT MORE THAN 150 NONPROFIT ORGANIZATIONS IN HAWAI'I. 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. 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 VAROUS 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. 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."

Schedule H, Part V, Section B, Line 3E
THE SIGNIFICANT HEALTH NEEDS ARE A PRIORITIZED DESCRIPTION OF THE SIGNIFICANT HEALTH NEEDS OF THE COMMUNITY AND IDENTIFIED THROUGH THE CHNA.

Schedule H, Part V, Section B, Line 5 Facility A, 1
"Facility A, 1 - REPORTING GROUP A. IN CONDUCTING THE JOINT FY2022 CHNA, THE RESEARCHERS CONVENED 18 COMMUNITY MEETINGS ACROSS THE ISLANDS TO ENGAGE EVERYDAY PEOPLE IN DISCUSSIONS AROUND HEALTH IN THEIR COMMUNITIES. A FULL LIST OF COMMUNITY MEETINGS CAN BE FOUND IN APPENDIX E OF THE CHNA. IN ADDITION, 82 INTERVIEWS WERE CONDUCTED WITH ""KEY INFORMANTS"" WITH EXPERTISE IN COMMUNITY HEALTH ISSUES AND/OR POSSESSING SPECIAL KNOWLEDGE OF VULNERABLE POPULATIONS, INCLUDING (BUT NOT LIMITED TO) LOW-INCOME, MENTALLY ILL, OR PARTICULAR RACIAL/ETHNIC GROUPS. A COMPLETE LIST OF THESE KEY INFORMANTS AND THEIR ORGANIZATIONAL AFFILIATIONS CAN BE FOUND IN APPENDIX F OF THE CHNA. ADDITIONALLY, THE RESEARCHERS CONVENED THREE PANELS OF EXPERTS FROM THE UNIVERSITY OF HAWAI'I THOMPSON SCHOOL OF SOCIAL WORK PUBLIC HEALTH, AND CONDUCTED FOUR FOCUS GROUPS EACH FOCUSED ON A SIGNIFICANT COMMUNITY HEALTH NEED THAT EMERGED FROM THE COMMUNITY CONVERSATIONS. ALL COMMUNITY MEETINGS AND INTERVIEWS TOOK PLACE FROM AUGUST TO DECEMBER, 2021. A COMMUNITY ADVISORY COMMITTEE, MADE UP OF LEADERS REPRESENTING UNDER-SERVED POPULATIONS WITH HEALTH DISPARITIES, PROVIDED INPUT TO THE RESEARCH TEAM THROUGHOUT THE CHNA PROCESS. A LIST OF COMMUNITY ADVISORY COMMITTEE MEMBERS CAN BE FOUND IN APPENDIX D OF THE CHNA."

Schedule H, Part V, Section B, Line 6a Facility A, 1
Facility A, 1 - REPORTING GROUP A. HAWAI'I PACIFIC HEALTH'S FOUR HOSPITAL FACILITIES PARTICIPATED WITH FIFTEEN OTHER NONPROFIT HAWAI'I HOSPITALS TO COLLABORATE ON A JOINT CHNA LED BY THE HEALTHCARE ASSOCIATION OF HAWAI'I. RESEARCH WAS COMPLETED IN DECEMBER 2021. WARD RESEARCH WAS RETAINED TO CONDUCT THE CHNA RESEARCH. PARTICIPATING HOSPITALS WERE: ADVENTIST HEALTH CASTLE, SUTTER HEALTH KAHI MOHALA, KAHUKU MEDICAL CENTER, KAISER PERMANENTE MOANALUA MEDICAL CENTER, KAPI'OLANI MEDICAL CENTER FOR WOMEN CHILDREN, KUAKINI MEDICAL CENTER, KULA HOSPITAL, LANAI COMMUNITY HOSPITAL, MAUI MEMORIAL HOSPITAL, MOLOKAI GENERAL HOSPITAL, NORTH HAWAI'I COMMUNITY HOSPITAL, PALI MOMI MEDICAL CENTER, REHABILITATION HOSPITAL OF THE PACIFIC, SHRINERS HOSPITALS FOR CHILDREN - HONOLULU, STRAUB MEDICAL CENTER, THE QUEEN'S MEDICAL CENTER, THE QUEEN'S MEDICAL CENTER - WEST OAHU, WAHIAWA GENERAL HOSPITAL, AND WILCOX MEDICAL CENTER.

Schedule H, Part V, Section B, Line 6b Facility A, 1
Facility A, 1 - REPORTING GROUP A. THE HEALTHCARE ASSOCIATION OF HAWAI'I, WARD RESEARCH, SOLUTIONS PACIFIC AND THE UNIVERSITY OF HAWAI'I THOMPSON SCHOOL OF SOCIAL WORK PUBLIC HEATH COLLABORATED TO CONDUCT THE HOSPITALS' JOINT CHNA.

Schedule H, Part V, Section B, Line 11 Facility A, 1
"Facility A, 1 - KAPI'OLANI MEDICAL CENTER FOR WOMEN CHILDREN. IN FISCAL YEAR 2022, KAPI'OLANI CONDUCTED THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES TO EXECUTE THE FINAL YEAR OF THE HOSPITAL'S 2020-2022 IMPLEMENTATION STRATEGY THAT ADDRESSED PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: STRENGTHENING FAMILIES, BUILDING GOOD FOOD SYSTEMS, INVESTING IN TEENAGERS AND HEALTHY STARTS, AND PROVIDING ACCESSIBLE PROACTIVE SUPPORT FOR THOSE WITH HIGH NEEDS. (DUE TO COVID-RELATED RESTRICTIONS ON IN-PERSON GATHERINGS AND OTHER PRECAUTIONS, CERTAIN PROGRAMS OUTLINED IN THIS IMPLEMENTATION STRATEGY WERE SUSPENDED.) COMMUNITY BENEFIT ACTIVITIES TO ADDRESS THE IMPLEMENTATION STRATEGY FOR KAPIOLANI'S 2022 CHNA WILL BE CONDUCTED IN FISCAL YEARS 2023 TO 2025. IN FISCAL YEAR 2022, KAPI'OLANI CONDUCTED THE FOLLOWING COMMUNITY BENEFIT INITIATIVES: STRENGTHEN FAMILIES HAWAII COMMUNITY LENDING: KAPI'OLANI PARTNERED WITH HAWAI'I COMMUNITY LENDING, A LOCAL COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION, TO PROVIDE EMERGENCY MICRO-LOANS, ALONG WITH FINANCIAL COUNSELING, TO AID LOW-INCOME FAMILIES EXPERIENCING HARDSHIP, PREVENTING HOMELESSNESS AND INCREASING FINANCIAL STABILITY. KAHAUIKI VILLAGE IS AN AFFORDABLE RENTAL COMMUNITY FOR FAMILIES WHO PREVIOUSLY EXPERIENCED HOMELESSNESS. KAPI'OLANI PROVIDED SUPPORT FOR INITIATIVES TO INCREASE ACCESS TO HEALTH SERVICES FOR THESE HOUSEHOLDS. BUILD GOOD FOOD SYSTEMS SNAP DOUBLE-UP FOOD BUCKS INCENTIVE PROGRAM: IN HAWAI'I, FOOD INSECURITY INCREASED SIGNIFICANTLY DUE TO ECONOMIC FALL-OUT FROM THE PANDEMIC. KAPI'OLANI PARTNERED WITH A MULTISECTOR COALITION TO SUPPORT A FUND THAT OFFERS DOUBLE THE VALUE FOR ALL PURCHASES OF FRESH, LOCAL PRODUCE MADE WITH SNAP-EBT. PROGRAMS SUCH AS THESE ARE DEMONSTRATED TO INCREASE CONSUMPTION OF FRESH FRUITS AND VEGETABLES BY SNAP RECIPIENTS WHILE SUPPORTING LOCAL FARMERS. FEED THE HUNGER FUND: KAPI'OLANI SUPPORTED FEED THE HUNGER FUND'S PROGRAMS FOR SMALL FOOD ENTREPRENEURS IN UNDERSERVED COMMUNITIES, MAINLY WOMEN, IMMIGRANTS, AND PEOPLE OF COLOR, WITH BUSINESSES RANGING FROM FARMING TO DISTRIBUTION TO RETAIL SALES. BY PROVIDING TECHNICAL ASSISTANCE, BUSINESS DEVELOPMENT, CONNECTIONS TO RESOURCES AND MARKETS, AND SUPPLYING LOANS TO SMALL BUSINESSES, FTHF ENSURES THAT THESE SMALL FOOD ENTREPRENEURS HAVE THE RESOURCES TO GROW THEIR BUSINESSES, SUPPORT THEIR FAMILIES, AND CREATE HEALTHY, SUSTAINABLE AND EQUITABLE REGIONAL FOOD SYSTEMS. INVEST IN TEENAGERS AND HEALTHY STARTS RESIDENTIAL YOUTH SERVICES EMPOWERMENT (RYSE) IS A YOUTH-SPECIFIC SHELTER PROVIDING TEMPORARY OVERNIGHT LODGING AND SUPPORT SERVICES TO HELP HOMELESS YOUTH ACHIEVE HOUSING, EMPLOYMENT AND SELF-SUFFICIENCY. KAPI'OLANI PROVIDED FINANCIAL SUPPORT TO ADDRESS THE NEEDS OF THIS VULNERABLE POPULATION. KAPI'OLANI AND THE OTHER HPH HOSPITALS ALSO COLLABORATED WITH RYSE AND LILIUOKALANI TRUST TO PROVIDE JOB TRAINING IN HEALTH CAREERS FOR VULNERABLE YOUTH, OFFERING PROGRAM GRADUATES CAREER PATHWAYS IN THE HEALTH CARE SYSTEM. FARM TO KEIKI: THE HOSPITALS OF HAWAI'I PACIFIC HEALTH PARTNERED WITH KAMEHAMEHA SCHOOLS AND OLAPONO, A NONPROFIT SPECIALIZING IN CHILD NUTRITION, TO PILOT A HEALTHY EATING CURRICULUM IN TWO KAUAI PRESCHOOLS TO IMPROVE ACCESS TO HEALTHY FOODS FOR PRESCHOOL-AGED CHILDREN AND BUILD NEW AVENUES FOR HEALTHY FARM TO TABLE FOOD NETWORKS. HEALTHY TOGETHER IS A FAMILY-BASED ADOLESCENT WEIGHT MANAGEMENT PROGRAM TO COMBAT CHILDHOOD OBESITY. THE NATIONAL KIDNEY FOUNDATION OF HAWAI'I AND KAPI'OLANI, TOGETHER WITH THE OTHER HOSPITALS OF HAWAI'I PACIFIC HEALTH, PARTNERED TO PROVIDE THE PROGRAM AT NO COST TO FAMILIES ACROSS O'AHU, MAKING IT ACCESSIBLE THROUGH AN ONLINE FORMAT. PROVIDE ACCESSIBLE, PROACTIVE SUPPORT FOR THOSE WITH HIGH NEEDS MEDICAL TRANSPORT SERVICES: KAPI'OLANI PROVIDES INTER-HOSPITAL TRANSPORTS FROM THE NEIGHBOR ISLANDS TO O'AHU, WHERE KAPI'OLANI IS LOCATED, AND TO THE CONTINENT, FOR CRITICAL NEONATAL AND PEDIATRIC PATIENTS REQUIRING ACCESS TO SPECIALTY CARE NOT AVAILABLE IN THEIR COMMUNITIES. CANCER RESEARCH CENTER OF HAWAI'I: KAPI'OLANI, TOGETHER WITH THE OTHER HOSPITALS OF HAWAI'I PACIFIC HEALTH, QUEENS MEDICAL CENTER, AND KUAKINI MEDICAL CENTER, PARTNERED WITH THE CANCER RESEARCH CENTER OF HAWAI'I TO ENHANCE THE QUALITY AND BREADTH OF CANCER CARE IN HAWAI'I BY SUPPORTING ENHANCED PATIENT ACCESS TO CLINICAL TRIALS, STATE-OF-THE-ART TREATMENT, AND INNOVATIVE THERAPIES FOCUSED ON HAWAI'I'S UNIQUE POPULATION. HEALTH PROFESSIONALS EDUCATION: MANY AREAS OF HAWAI'I ARE IDENTIFIED AS HEALTH PROFESSIONAL SHORTAGE AREAS. TO ADDRESS THIS SHORTAGE AND IMPROVE ACCESS TO HEALTH CARE SERVICES FOR HAWAI'I RESIDENTS, KAPI'OLANI PROVIDES CLINICAL TRAINING AND RESIDENCIES FOR MEDICAL STUDENTS AND RESIDENTS, NURSING STUDENTS, AND ALLIED HEALTH PROFESSIONALS. KAPI'OLANI ALSO SUPPORTS A SCHOLARSHIP THAT PROVIDES FINANCIAL ASSISTANCE FOR LOCAL STUDENTS TO ATTEND THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. SIGNIFICANT COMMUNITY HEALTH NEEDS NOT BEING ADDRESSED THE FOLLOWING AREAS OF NEED IDENTIFIED IN KAPI'OLANI'S 2019 CHNA WERE NOT ADDRESSED IN THE HOSPITAL'S 2020-2022 IMPLEMENTATION STRATEGY: ADDRESS FINANCIAL INSECURITY, WORK TOGETHER FOR EQUALITY AND JUSTICE, RESTORE ENVIRONMENT AND SENSE OF PLACE, NURTURE COMMUNITY IDENTITY AND COHESIVENESS, SHIFT ELDER CARE AWAY FROM ""SICK CARE, AND STRENGTHEN TRUST IN HEALTH CARE. THEY WERE NOT SELECTED AS PRIORITIES FOR KAPI'OLANI TO ADDRESS BECAUSE THEY DID NOT MEET SOME OR ALL OF THE FOLLOWING CRITERIA: ALIGNMENT WITH HPH'S COMMUNITY HEALTH PARTNERSHIP FOCUS AREAS, OPPORTUNITY TO LEVERAGE PLANNED AND EXISTING HPH COMMUNITY PARTNERSHIPS AND INITIATIVES, ALIGNMENT WITH HPH'S RESOURCES AND EXPERTISE, AND POTENTIAL TO HAVE A MEASURABLE IMPACT ON COMMUNITY HEALTH IN COLLABORATION WITH PARTNERS."

Schedule H, Part V, Section B, Line 11 Facility A, 2
"Facility A, 2 - PALI MOMI MEDICAL CENTER. IN FISCAL YEAR 2022, PALI MOMI CONDUCTED THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES TO EXECUTE THE FINAL YEAR OF THE HOSPITAL'S 2020-2022 IMPLEMENTATION STRATEGY THAT ADDRESSED PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: STRENGTHENING FAMILIES, BUILDING GOOD FOOD SYSTEMS, INVESTING IN TEENAGERS AND HEALTHY STARTS, AND PROVIDING ACCESSIBLE PROACTIVE SUPPORT FOR THOSE WITH HIGH NEEDS. (DUE TO COVID-RELATED RESTRICTIONS ON IN-PERSON GATHERINGS AND OTHER PRECAUTIONS, CERTAIN PROGRAMS OUTLINED IN THIS IMPLEMENTATION STRATEGY WERE SUSPENDED.) COMMUNITY BENEFIT ACTIVITIES TO ADDRESS THE IMPLEMENTATION STRATEGY FOR PALI MOMI'S 2022 CHNA WILL BE CONDUCTED IN FISCAL YEARS 2023 TO 2025. IN FISCAL YEAR 2022, PALI MOMI CONDUCTED THE FOLLOWING COMMUNITY BENEFIT INITIATIVES: STRENGTHEN FAMILIES HAWAII COMMUNITY LENDING: PALI MOMI PARTNERED WITH HAWAI'I COMMUNITY LENDING, A LOCAL COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION, TO PROVIDE EMERGENCY MICRO-LOANS, ALONG WITH FINANCIAL COUNSELING, TO AID LOW-INCOME FAMILIES EXPERIENCING HARDSHIP, PREVENTING HOMELESSNESS AND INCREASING FINANCIAL STABILITY. KAHAUIKI VILLAGE IS AN AFFORDABLE RENTAL COMMUNITY FOR FAMILIES WHO PREVIOUSLY EXPERIENCED HOMELESSNESS. PALI MOMI PROVIDED SUPPORT FOR INITIATIVES TO INCREASE ACCESS TO HEALTH SERVICES FOR THESE HOUSEHOLDS. BUILD GOOD FOOD SYSTEMS SNAP DOUBLE-UP FOOD BUCKS INCENTIVE PROGRAM: IN HAWAI'I, FOOD INSECURITY INCREASED SIGNIFICANTLY DUE TO ECONOMIC FALL-OUT FROM THE PANDEMIC. PALI MOMI PARTNERED WITH A MULTISECTOR COALITION TO SUPPORT A FUND THAT OFFERS DOUBLE THE VALUE FOR ALL PURCHASES OF FRESH, LOCAL PRODUCE MADE WITH SNAP-EBT. PROGRAMS SUCH AS THESE ARE DEMONSTRATED TO INCREASE CONSUMPTION OF FRESH FRUITS AND VEGETABLES BY SNAP RECIPIENTS WHILE SUPPORTING LOCAL FARMERS. FEED THE HUNGER FUND: PALI MOMI SUPPORTED FEED THE HUNGER FUND'S PROGRAMS FOR SMALL FOOD ENTREPRENEURS IN UNDERSERVED COMMUNITIES, MAINLY WOMEN, IMMIGRANTS, AND PEOPLE OF COLOR, WITH BUSINESSES RANGING FROM FARMING TO DISTRIBUTION TO RETAIL SALES. BY PROVIDING TECHNICAL ASSISTANCE, BUSINESS DEVELOPMENT, CONNECTIONS TO RESOURCES AND MARKETS, AND SUPPLYING LOANS TO SMALL BUSINESSES, FTHF ENSURES THAT THESE SMALL FOOD ENTREPRENEURS HAVE THE RESOURCES TO GROW THEIR BUSINESSES, SUPPORT THEIR FAMILIES, AND CREATE HEALTHY, SUSTAINABLE AND EQUITABLE REGIONAL FOOD SYSTEMS. INVEST IN TEENAGERS AND HEALTHY STARTS RESIDENTIAL YOUTH SERVICES EMPOWERMENT (RYSE) IS A YOUTH-SPECIFIC SHELTER PROVIDING TEMPORARY OVERNIGHT LODGING AND SUPPORT SERVICES TO HELP HOMELESS YOUTH ACHIEVE HOUSING, EMPLOYMENT AND SELF-SUFFICIENCY. PALI MOMI PROVIDED FINANCIAL SUPPORT TO ADDRESS THE NEEDS OF THIS VULNERABLE POPULATION. PALI MOMI AND THE OTHER HPH HOSPITALS ALSO COLLABORATED WITH RYSE AND LILIUOKALANI TRUST TO PROVIDE JOB TRAINING IN HEALTH CAREERS FOR VULNERABLE YOUTH, OFFERING PROGRAM GRADUATES CAREER PATHWAYS IN THE HEALTH CARE SYSTEM. FARM TO KEIKI: THE HOSPITALS OF HAWAI'I PACIFIC HEALTH PARTNERED WITH KAMEHAMEHA SCHOOLS AND OLAPONO, A NONPROFIT SPECIALIZING IN CHILD NUTRITION, TO PILOT A HEALTHY EATING CURRICULUM IN TWO KAUAI PRESCHOOLS TO IMPROVE ACCESS TO HEALTHY FOODS FOR PRESCHOOL-AGED CHILDREN AND BUILD NEW AVENUES FOR HEALTHY FARM TO TABLE FOOD NETWORKS. HEALTHY TOGETHER IS A FAMILY-BASED ADOLESCENT WEIGHT MANAGEMENT PROGRAM TO COMBAT CHILDHOOD OBESITY. THE NATIONAL KIDNEY FOUNDATION OF HAWAI'I AND PALI MOMI, TOGETHER WITH THE OTHER HOSPITALS OF HAWAI'I PACIFIC HEALTH, PARTNERED TO PROVIDE THE PROGRAM AT NO COST TO FAMILIES ACROSS O'AHU. IN FY22, THE PROGRAM WAS DELIVERED IN AN ENTIRELY VIRTUAL FORMAT. PROVIDE ACCESSIBLE, PROACTIVE SUPPORT FOR THOSE WITH HIGH NEEDS CANCER RESEARCH CENTER OF HAWAI'I: PALI MOMI, TOGETHER WITH THE OTHER HOSPITALS OF HAWAI'I PACIFIC HEALTH, QUEENS MEDICAL CENTER, AND KUAKINI MEDICAL CENTER, PARTNERED WITH THE CANCER RESEARCH CENTER OF HAWAI'I TO ENHANCE THE QUALITY AND BREADTH OF CANCER CARE IN HAWAI'I BY SUPPORTING ENHANCED PATIENT ACCESS TO CLINICAL TRIALS, STATE-OF-THE-ART TREATMENT, AND INNOVATIVE THERAPIES FOCUSED ON HAWAI'I'S UNIQUE POPULATION. HEALTH PROFESSIONALS EDUCATION: MANY AREAS OF HAWAI'I ARE IDENTIFIED AS HEALTH PROFESSIONAL SHORTAGE AREAS. TO ADDRESS THIS SHORTAGE AND IMPROVE ACCESS TO HEALTH CARE SERVICES FOR HAWAI'I RESIDENTS, PALI MOMI PROVIDES CLINICAL TRAINING AND RESIDENCIES FOR MEDICAL STUDENTS AND RESIDENTS. PALI MOMI ALSO SUPPORTS A SCHOLARSHIP THAT PROVIDES FINANCIAL ASSISTANCE FOR LOCAL STUDENTS TO ATTEND THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. SIGNIFICANT COMMUNITY HEALTH NEEDS NOT BEING ADDRESSED: THE FOLLOWING AREAS OF NEED IDENTIFIED IN PALI MOMI'S 2019 CHNA WERE NOT ADDRESSED IN THE HOSPITAL'S 2020-2022 IMPLEMENTATION STRATEGY: ADDRESS FINANCIAL INSECURITY, WORK TOGETHER FOR EQUALITY AND JUSTICE, RESTORE ENVIRONMENT AND SENSE OF PLACE, NURTURE COMMUNITY IDENTITY AND COHESIVENESS, SHIFT ELDER CARE AWAY FROM ""SICK CARE, AND STRENGTHEN TRUST IN HEALTH CARE. THEY WERE NOT SELECTED AS PRIORITIES FOR PALI MOMI TO ADDRESS BECAUSE THEY DID NOT MEET SOME OR ALL OF THE FOLLOWING CRITERIA: ALIGNMENT WITH HPH'S COMMUNITY HEALTH PARTNERSHIP FOCUS AREAS, OPPORTUNITY TO LEVERAGE PLANNED AND EXISTING HPH COMMUNITY PARTNERSHIPS AND INITIATIVES, ALIGNMENT WITH HPH'S RESOURCES AND EXPERTISE, AND POTENTIAL TO HAVE A MEASURABLE IMPACT ON COMMUNITY HEALTH IN COLLABORATION WITH PARTNERS."

Schedule H, Part V, Section B, Line 11 Facility A, 3
"Facility A, 3 - STRAUB MEDICAL CENTER. IN FISCAL YEAR 2022, STRAUB CONDUCTED THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES TO EXECUTE THE FINAL YEAR OF THE HOSPITAL'S 2020-2022 IMPLEMENTATION STRATEGY THAT ADDRESSED PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: STRENGTHENING FAMILIES, BUILDING GOOD FOOD SYSTEMS, INVESTING IN TEENAGERS AND HEALTHY STARTS, AND PROVIDING ACCESSIBLE PROACTIVE SUPPORT FOR THOSE WITH HIGH NEEDS. (DUE TO COVID-RELATED RESTRICTIONS ON IN-PERSON GATHERINGS AND OTHER PRECAUTIONS, CERTAIN PROGRAMS OUTLINED IN THIS IMPLEMENTATION STRATEGY WERE SUSPENDED.) COMMUNITY BENEFIT ACTIVITIES TO ADDRESS THE IMPLEMENTATION STRATEGY FOR STRAUB'S 2022 CHNA WILL BE CONDUCTED IN FISCAL YEARS 2023 TO 2025. IN FISCAL YEAR 2022, STRAUB CONDUCTED THE FOLLOWING COMMUNITY BENEFIT INITIATIVES: STRENGTHEN FAMILIES HAWAII COMMUNITY LENDING: STRAUB PARTNERED WITH HAWAI'I COMMUNITY LENDING, A LOCAL COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION, TO PROVIDE EMERGENCY MICRO-LOANS, ALONG WITH FINANCIAL COUNSELING, TO AID LOW-INCOME FAMILIES EXPERIENCING HARDSHIP, PREVENTING HOMELESSNESS. KAHAUIKI VILLAGE IS AN AFFORDABLE RENTAL COMMUNITY FOR FAMILIES WHO PREVIOUSLY EXPERIENCED HOMELESSNESS. STRAUB PROVIDED SUPPORT FOR INITIATIVES TO INCREASE ACCESS TO HEALTH SERVICES FOR THESE HOUSEHOLDS. BUILD GOOD FOOD SYSTEMS SNAP DOUBLE-UP FOOD BUCKS INCENTIVE PROGRAM: IN HAWAI'I, FOOD INSECURITY INCREASED SIGNIFICANTLY DUE TO ECONOMIC FALL-OUT FROM THE PANDEMIC. STRAUB PARTNERED WITH A MULTISECTOR COALITION TO SUPPORT A FUND THAT OFFERS DOUBLE THE VALUE FOR ALL PURCHASES OF FRESH, LOCAL PRODUCE MADE WITH SNAP-EBT. PROGRAMS SUCH AS THESE ARE DEMONSTRATED TO INCREASE CONSUMPTION OF FRESH FRUITS AND VEGETABLES BY SNAP RECIPIENTS WHILE SUPPORTING LOCAL FARMERS. FEED THE HUNGER FUND: STRAUB SUPPORTED FEED THE HUNGER FUND'S PROGRAMS FOR SMALL FOOD ENTREPRENEURS IN UNDERSERVED COMMUNITIES, MAINLY WOMEN, IMMIGRANTS, AND PEOPLE OF COLOR, WITH BUSINESSES RANGING FROM FARMING TO DISTRIBUTION TO RETAIL SALES. BY PROVIDING TECHNICAL ASSISTANCE, BUSINESS DEVELOPMENT, CONNECTIONS TO RESOURCES AND MARKETS, AND SUPPLYING LOANS TO SMALL BUSINESSES, FTHF ENSURES THAT THESE SMALL FOOD ENTREPRENEURS HAVE THE RESOURCES TO GROW THEIR BUSINESSES, SUPPORT THEIR FAMILIES, AND CREATE HEALTHY, SUSTAINABLE AND EQUITABLE REGIONAL FOOD SYSTEMS. INVEST IN TEENAGERS AND HEALTHY STARTS RESIDENTIAL YOUTH SERVICES EMPOWERMENT (RYSE) IS A YOUTH-SPECIFIC SHELTER PROVIDING TEMPORARY OVERNIGHT LODGING AND SUPPORT SERVICES TO HELP HOMELESS YOUTH ACHIEVE HOUSING, EMPLOYMENT AND SELF-SUFFICIENCY. STRAUB PROVIDED FINANCIAL SUPPORT TO ADDRESS THE NEEDS OF THIS VULNERABLE POPULATION. STRAUB AND THE OTHER HPH HOSPITALS ALSO COLLABORATED WITH RYSE AND LILIUOKALANI TRUST TO PROVIDE JOB TRAINING IN HEALTH CAREERS FOR VULNERABLE YOUTH, OFFERING PROGRAM GRADUATES CAREER PATHWAYS IN THE HEALTH CARE SYSTEM. FARM TO KEIKI: THE HOSPITALS OF HAWAI'I PACIFIC HEALTH PARTNERED WITH KAMEHAMEHA SCHOOLS AND OLAPONO, A NONPROFIT SPECIALIZING IN CHILD NUTRITION, TO PILOT A HEALTHY EATING CURRICULUM IN TWO KAUAI PRESCHOOLS TO IMPROVE ACCESS TO HEALTHY FOODS FOR PRESCHOOL-AGED CHILDREN AND BUILD NEW AVENUES FOR HEALTHY FARM TO TABLE FOOD NETWORKS. HEALTHY TOGETHER IS AN INTENSIVE, FAMILY-BASED ADOLESCENT WEIGHT MANAGEMENT PROGRAM TO COMBAT CHILDHOOD OBESITY. THE NATIONAL KIDNEY FOUNDATION OF HAWAI'I AND STRAUB, TOGETHER WITH THE OTHER HOSPITALS OF HAWAI'I PACIFIC HEALTH, PARTNERED TO PROVIDE THE PROGRAM AT NO COST TO FAMILIES ACROSS O'AHU. IN FY22, THE PROGRAM WAS DELIVERED IN AN ENTIRELY VIRTUAL FORMAT. PROVIDE ACCESSIBLE, PROACTIVE SUPPORT FOR THOSE WITH HIGH NEEDS CANCER RESEARCH CENTER OF HAWAI'I: STRAUB, TOGETHER WITH THE OTHER HOSPITALS OF HAWAI'I PACIFIC HEALTH, QUEENS MEDICAL CENTER, AND KUAKINI MEDICAL CENTER, PARTNERED WITH THE CANCER RESEARCH CENTER OF HAWAI'I TO ENHANCE THE QUALITY AND BREADTH OF CANCER CARE IN HAWAI'I BY SUPPORTING ENHANCED PATIENT ACCESS TO CLINICAL TRIALS, STATE-OF-THE-ART TREATMENT, AND INNOVATIVE THERAPIES FOCUSED ON HAWAI'I'S UNIQUE POPULATION. HEALTH PROFESSIONALS EDUCATION: MANY AREAS OF HAWAI'I ARE IDENTIFIED AS HEALTH PROFESSIONAL SHORTAGE AREAS. TO ADDRESS THIS SHORTAGE AND IMPROVE ACCESS TO HEALTH CARE SERVICES FOR HAWAI'I RESIDENTS, STRAUB PROVIDES CLINICAL TRAINING AND RESIDENCIES FOR MEDICAL STUDENTS AND RESIDENTS. STRAUB ALSO SUPPORTS A SCHOLARSHIP THAT PROVIDES FINANCIAL ASSISTANCE FOR LOCAL STUDENTS TO ATTEND THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. VISITING PHYSICIANS: SPECIALTY PHYSICIANS FROM STRAUB REGULARLY TRAVEL TO FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED POPULATION AREAS LOCATED THROUGHOUT THE STATE OF HAWAI'I TO PROVIDE ACCESS TO MEDICAL CARE FOR SPECIALTIES THAT ARE NOT OTHERWISE AVAILABLE IN THESE REGIONS. SIGNIFICANT COMMUNITY HEALTH NEEDS NOT BEING ADDRESSED THE FOLLOWING AREAS OF NEED IDENTIFIED IN STRAUB'S 2019 CHNA WERE NOT ADDRESSED IN THE HOSPITAL'S 2020-2022 IMPLEMENTATION STRATEGY: ADDRESS FINANCIAL INSECURITY, WORK TOGETHER FOR EQUALITY AND JUSTICE, RESTORE ENVIRONMENT AND SENSE OF PLACE, NURTURE COMMUNITY IDENTITY AND COHESIVENESS, SHIFT ELDER CARE AWAY FROM ""SICK CARE, AND STRENGTHEN TRUST IN HEALTH CARE. THEY WERE NOT SELECTED AS PRIORITIES FOR STRAUB TO ADDRESS BECAUSE THEY DID NOT MEET SOME OR ALL OF THE FOLLOWING CRITERIA: ALIGNMENT WITH HPH'S COMMUNITY HEALTH PARTNERSHIP FOCUS AREAS, OPPORTUNITY TO LEVERAGE PLANNED AND EXISTING HPH COMMUNITY PARTNERSHIPS AND INITIATIVES, ALIGNMENT WITH HPH'S RESOURCES AND EXPERTISE, AND POTENTIAL TO HAVE A MEASURABLE IMPACT ON COMMUNITY HEALTH IN COLLABORATION WITH PARTNERS."

Schedule H, Part V, Section B, Line 11 Facility A, 4
"Facility A, 4 - WILCOX MEDICAL CENTER. IN FISCAL YEAR 2022, WILCOX CONDUCTED THE FOLLOWING COMMUNITY BENEFIT ACTIVITIES TO EXECUTE THE FINAL YEAR OF THE HOSPITAL'S 2020-2022 IMPLEMENTATION STRATEGY THAT ADDRESSED PRIORITY COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT: STRENGTHENING FAMILIES, BUILDING GOOD FOOD SYSTEMS, INVESTING IN TEENAGERS AND HEALTHY STARTS, AND PROVIDING ACCESSIBLE PROACTIVE SUPPORT FOR THOSE WITH HIGH NEEDS. (DUE TO COVID-RELATED RESTRICTIONS ON IN-PERSON GATHERINGS AND OTHER PRECAUTIONS, CERTAIN PROGRAMS OUTLINED IN THIS IMPLEMENTATION STRATEGY WERE SUSPENDED.) COMMUNITY BENEFIT ACTIVITIES TO ADDRESS THE IMPLEMENTATION STRATEGY FOR WILCOX'S 2022 CHNA WILL BE CONDUCTED IN FISCAL YEARS 2023 TO 2025. IN FISCAL YEAR 2022, WILCOX CONDUCTED THE FOLLOWING COMMUNITY BENEFIT INITIATIVES: STRENGTHEN FAMILIES HAWAII COMMUNITY LENDING: WILCOX PARTNERED WITH HAWAI'I COMMUNITY LENDING, A LOCAL COMMUNITY DEVELOPMENT FINANCIAL INSTITUTION, TO PROVIDE EMERGENCY MICRO-LOANS, ALONG WITH FINANCIAL COUNSELING, TO AID LOW-INCOME FAMILIES EXPERIENCING HARDSHIP, PREVENTING HOMELESSNESS AND INCREASING FINANCIAL STABILITY. BUILD GOOD FOOD SYSTEMS SNAP DOUBLE-UP FOOD BUCKS INCENTIVE PROGRAM: IN HAWAI'I, FOOD INSECURITY INCREASED SIGNIFICANTLY DUE TO ECONOMIC FALL-OUT FROM THE PANDEMIC. WILCOX PARTNERED WITH A MULTISECTOR COALITION TO SUPPORT A FUND THAT OFFERS DOUBLE THE VALUE FOR ALL PURCHASES OF FRESH, LOCAL PRODUCE MADE WITH SNAP-EBT. PROGRAMS SUCH AS THESE ARE DEMONSTRATED TO INCREASE CONSUMPTION OF FRESH FRUITS AND VEGETABLES BY SNAP RECIPIENTS WHILE SUPPORTING LOCAL FARMERS. FEED THE HUNGER FUND: WILCOX SUPPORTED FEED THE HUNGER FUND'S PROGRAMS FOR SMALL FOOD ENTREPRENEURS IN UNDERSERVED COMMUNITIES, MAINLY WOMEN, IMMIGRANTS, AND PEOPLE OF COLOR, WITH BUSINESSES RANGING FROM FARMING TO DISTRIBUTION TO RETAIL SALES. BY PROVIDING TECHNICAL ASSISTANCE, BUSINESS DEVELOPMENT, CONNECTIONS TO RESOURCES AND MARKETS, AND SUPPLYING LOANS TO SMALL BUSINESSES, FTHF ENSURES THAT THESE SMALL FOOD ENTREPRENEURS HAVE THE RESOURCES TO GROW THEIR BUSINESSES, SUPPORT THEIR FAMILIES, AND CREATE HEALTHY, SUSTAINABLE AND EQUITABLE REGIONAL FOOD SYSTEMS. MALAMA KAUA'I: WILCOX SUPPORTED MALAMA KAUA'I'S PROGRAMS TO INCREASE ACCESS TO HEALTHY FOODS ON KAUA'I, INCLUDING THE VILLAGE HARVEST GLEANING PROGRAM WHICH COLLECTS FOOD LEFT OVER FROM HARVESTS ON PERSONAL PROPERTIES AND SMALL FARMS AND DONATES IT TO FOOD PANTRIES AND YOUTH PROGRAMS. INVEST IN TEENAGERS AND HEALTHY STARTS HALE OPIO: WILCOX SUPPORTED HALE OPIO'S PROGRAMS TO PROVIDE OUTREACH AND SUPPORT SERVICES TO HOMELESS YOUTH ON KAUA'I. REACH OUT AND READ: WILCOX SUPPORTED THE REACH OUT AND READ PROGRAM, A NATIONAL CDC-APPROVED BEST PRACTICE TO PROMOTE LITERACY FOR YOUNG CHILDREN THAT PROVIDES FREE AGE-APPROPRIATE CHILDREN'S BOOKS TO PATIENTS TO TAKE HOME AFTER VISITING THEIR PEDIATRICIAN'S OFFICES. FARM TO KEIKI: THE HOSPITALS OF HAWAI'I PACIFIC HEALTH PARTNERED WITH KAMEHAMEHA SCHOOLS AND OLAPONO, A NONPROFIT SPECIALIZING IN CHILD NUTRITION, TO PILOT A HEALTHY EATING CURRICULUM IN TWO KAUAI PRESCHOOLS TO IMPROVE ACCESS TO HEALTHY FOODS FOR PRESCHOOL-AGED CHILDREN AND BUILD NEW AVENUES FOR HEALTHY FARM TO TABLE FOOD NETWORKS. PROVIDE ACCESSIBLE, PROACTIVE SUPPORT FOR THOSE WITH HIGH NEEDS CANCER RESEARCH CENTER OF HAWAI'I: WILCOX, TOGETHER WITH THE OTHER HOSPITALS OF HAWAI'I PACIFIC HEALTH, QUEENS MEDICAL CENTER, AND KUAKINI MEDICAL CENTER, PARTNERED WITH THE UNIVERSITY OF HAWAI'I'S CANCER RESEARCH CENTER OF HAWAI'I TO ENHANCE THE QUALITY AND BREADTH OF CANCER CARE IN HAWAI'I, SUPPORTING ENHANCED PATIENT ACCESS TO CLINICAL TRIALS, STATE-OF-THE-ART TREATMENT, AND INNOVATIVE THERAPIES FOCUSED ON HAWAI'I'S UNIQUE POPULATION. CHEMOTHERAPY: WILCOX'S CHEMOTHERAPY CENTER, SUBSIDIZED BY THE MEDICAL CENTER, IS THE ONLY ONE AVAILABLE ON THE ISLAND, LESSENING THE NEED FOR ISLAND RESIDENTS WITH CANCER TO FLY TO O'AHU OR TO THE CONTINENT FOR CARE. AFTER HOURS PHARMACY: WILCOX'S AFTER HOURS PHARMACY IS THE ONLY PHARMACY OPEN AFTER NORMAL BUSINESS HOURS ON THE ISLAND OF KAUA'I. IT PROVIDES CRITICAL AND TIME SENSITIVE MEDICATIONS TO THE COMMUNITY WHEN THE OTHER PHARMACIES ON THE ISLAND ARE CLOSED. WILCOX SUBSIDIZES PROVISION OF SERVICE DURING THESE HOURS. SIGNIFICANT COMMUNITY HEALTH NEEDS NOT BEING ADDRESSED THE FOLLOWING AREAS OF NEED IDENTIFIED IN WILCOX'S 2019 CHNA WERE NOT ADDRESSED IN THE HOSPITAL'S 2020-2022 IMPLEMENTATION STRATEGY: ADDRESS FINANCIAL INSECURITY, WORK TOGETHER FOR EQUALITY AND JUSTICE, RESTORE ENVIRONMENT AND SENSE OF PLACE, NURTURE COMMUNITY IDENTITY AND COHESIVENESS, SHIFT ELDER CARE AWAY FROM ""SICK CARE, AND STRENGTHEN TRUST IN HEALTH CARE. THEY WERE NOT SELECTED AS PRIORITIES FOR WILCOX TO ADDRESS BECAUSE THEY DID NOT MEET SOME OR ALL OF THE FOLLOWING CRITERIA: ALIGNMENT WITH HPH'S COMMUNITY HEALTH PARTNERSHIP FOCUS AREAS, OPPORTUNITY TO LEVERAGE PLANNED AND EXISTING HPH COMMUNITY PARTNERSHIPS AND INITIATIVES, ALIGNMENT WITH HPH'S RESOURCES AND EXPERTISE, AND POTENTIAL TO HAVE A MEASURABLE IMPACT ON COMMUNITY HEALTH IN COLLABORATION WITH PARTNERS."

Schedule H, Part V, Section B, Line 10 IMPLEMENTATION STRATEGY PLAN WEBSITE
KAPI'OLANI MEDICAL CENTER FOR WOMEN CHILDREN: HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/MEDIA/12311/CHI-PLAN_KAPIOLANI_FY2020- 2022.PDF PALI MOMI MEDICAL CENTER: HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/MEDIA/12312/CHI-PLAN_PALI-MOMI_FY2020- 2022.PDF STRAUB CLINIC HOSPITAL: HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/MEDIA/12313/CHI-PLAN_STRAUB_FY2020- 2022.PDF WILCOX MEMORIAL HOSPITAL: HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/MEDIA/12314/CHI-PLAN_WILCOX_FY2020- 2022.PDF

Schedule H, Part III, Line 9b DEBT COLLECTION POLICY
PATIENTS WHO QUALIFY FOR CHARITY CARE RECEIVE EITHER 100% DISCOUNT (FREE SERVICES) OR 85% DISCOUNT (PARTIAL CHARITY) ON OUTSTANDING BALANCES. PATIENTS RECEIVING PARTIAL CHARITY THAT HAVE REMAINING ACCOUNT BALANCES AFTER THE CHARITY CARE ADJUSTMENT, FOLLOW THE SAME COLLECTION PROCEDURES AS ALL OTHER PATIENTS. PATIENTS WHO QUALIFY FOR 100% DISCOUNT HAVE THEIR PATIENT ACCOUNT BALANCES FULLY ADJUSTED AND ARE NOT SUBJECT TO ANY COLLECTION PROCEDURES. IN GENERAL THE POLICY INVOLVES SENDING FOLLOW UP STATEMENTS AND DOING FOLLOW UP PHONE CALLS. PAYMENT OPTIONS ARE ALSO PRESENTED TO THE PATIENT AS PART OF THE COLLECTION PROCESS. ACCOUNTS NOT COLLECTED WITHIN THE SPECIFIED TIME PERIOD OUTLINED IN THE POLICY (HOSPITAL AND PHYSICIAN CLAIMS) ARE SENT TO A COLLECTION AGENCY FOR COLLECTION. DUE TO IMPROVED ECONOMIC CONDITIONS, HAWAI'I PACIFIC HEALTH REINSTATED COLLECTION PRACTICES ON OUTSTANDING ACCOUNTS AS FOLLOWS: - FORWARDING ACCOUNTS TO OUTSIDE COLLECTION AGENCIES EFFECTIVE APRIL 19, 2021 - SENDING FINAL COLLECTION LETTERS FOR HOSPITAL ACCOUNTS EFFECTIVE APRIL 17, 2021 - REPLACED REMINDER NOTICE ON PROFESSIONAL BILLING STATEMENTS WITH FINAL NOTICE DUNNING MESSAGE EFFECTIVE APRIL 24, 2021

Schedule H, Part I, Line 7 COSTING METHODOLOGY USED
COST TO CHARGE RATIO AND SCHEDULE H WORKSHEET WAS USED TO CALCULATE THE COSTS.

Schedule H, Part I, Line 7g SUBSIDIZED HEALTH SERVICES
NO COSTS OF A PHYSICIAN CLINIC WERE INCLUDED AS SUBSIDIZED HEALTH SERVICES.

Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT
N/A

Schedule H, Part I Line 3C
HPH FINANCIAL ASSISTANCE POLICY INCLUDES PRESUMPTIVE ELIGIBILITY CRITERIA: PATIENT IS HOMELESS, PATIENT CURRENTLY QUALIFIES FOR MEDICAID, PATIENT IS SEX ABUSE TREATMENT CENTER (SATC)/CRIME VICTIM, PATIENT HAS DECLARED BANKRUPTCY, AND PATIENT IS DECEASED WITH NO SPOUSE, PROPERTY OR PROBATE. HPH ALSO EMPLOYS AN ANALYTICS ENGINE THAT MAY DETERMINE ELIGIBILITY IN ABSENCE OF OTHER DOCUMENTATION.

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
COMMUNITY BENEFITS ARE INCLUDED IN A REPORT PREPARED BY HAWAI'I PACIFIC HEALTH, THE FILING ORGANIZATIONS' PARENT.

Schedule H, Part II Community Building Activities
"IN THE JOINTLY CONDUCTED 2019 CHNA, ""BUILDING HEALTHY FOOD SYSTEMS"" WAS IDENTIFIED AS A SIGNIFICANT COMMUNITY HEALTH PRIORITY FOR ALL THE HOSPITALS OF HAWAI`I PACIFIC HEALTH. HPH PARTNERED WITH FEED THE HUNGER FUND TO PROVIDE SUPPORT TO SMALL LOW-INCOME FARMERS IN OUR SERVICE AREAS TO STRENGTHEN COMMUNITY FOOD SYSTEMS AND IMPROVE ACCESS TO HEALTHY FOODS FOR ALL, PARTICULARLY THOSE IN FOOD INSECURE HOUSEHOLDS."

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
In calculating the estimated FY22 bad debt, HPH applied the calendar year percentage of No Insurance to the total bad debt expense in order to determine the bad debt related to no insurance. HPH also applied the calendar year percentage of charity care to bad debt related to no insurance to determine the amounts eligible for financial assistance.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
"PER THE CONSOLIDATED AUDITED FINANCIAL STATEMENT OF HAWAI'I PACIFIC HEALTH (""HPH""): ON JULY 1, 2018, THE COMPANY ADOPTED THE NEW REVENUE STANDARD, REVENUE FROM CONTRACTS WITH CUSTOMERS (TOPIC 606), AND ELECTED TO USE THE MODIFIED RETROSPECTIVE ADOPTION METHOD. AS A PRACTICAL EXPEDIENT, THE COMPANY UTILIZES A PORTFOLIO APPROACH TO GROUP CONTRACTS WITH SIMILAR CHARACTERISTICS. UNDER THE NEW REVENUE STANDARD, THE MAJORITY OF WHAT WAS PREVIOUSLY CLASSIFIED AS THE PROVISION FOR BAD DEBTS IN THE CONSOLIDATED FINANCIAL STATEMENTS OF UNRESTRICTED REVENUES, EXPENSES AND OTHER CHANGES IN NET ASSETS IS NOW REFLECTED AS IMPLICIT PRICE CONCESSIONS AND IS INCLUDED AS A REDUCTION TO NET PATIENT SERVICE REVENUE FOR THE YEAR ENDED JUNE 30, 2019. PRIOR TO THE ADOPTION OF THE NEW REVENUE STANDARD, THE PROVISION FOR BAD DEBTS WAS PRESENTED CONSISTENT WITH THE PREVIOUS REVENUE RECOGNITION STANDARDS THAT REQUIRED SUCH PROVISION TO BE PRESENTED SEPARATELY AS A COMPONENT OF NET PATIENT SERVICE REVENUE."

Schedule H, Part III, Line 8 Community benefit methodology for determining medicare costs
BECAUSE TAX-EXEMPT HOSPITALS MUST PARTICIPATE IN MEDICARE AND MEDICAID AS A CONDITION OF MAINTAINING THEIR FEDERAL TAX EXEMPT STATUS, MEDICARE UNDERPAYMENTS ARE NOT OPERATING EXPENSES THAT SHOULD BE EXPECTED IN THE ORDINARY COURSE OF BUSINESS. BECAUSE TAX-EXEMPT HOSPITALS MUST ACCEPT MEDICARE RATES THAT ARE IN SOME CASES BELOW COST, THEY SHOULD BE ABLE TO REPORT ANY NEGATIVE DIFFERENCES BETWEEN MEDICARE RATES AND COST AS LOSSES INCURRED BY SERVICING THE COMMUNITY. TOTAL MEDICARE COSTS WERE CALCULATED IN ACCORDANCE WITH THE FEDERAL STANDARD FORM CMS-2552.96.

Schedule H, Part V, Section B, Line 16a FAP website
A - STRAUB CLINIC HOSPITAL: Line 16a URL: HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/;

Schedule H, Part V, Section B, Line 16b FAP Application website
A - STRAUB CLINIC HOSPITAL: Line 16b URL: HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
A - STRAUB CLINIC HOSPITAL: Line 16c URL: HTTPS://WWW.HAWAIIPACIFICHEALTH.ORG/PATIENTS-VISITORS/FINANCIAL-ASSISTANCE-PROGRAM/;

Schedule H, Part VI, Line 2 Needs assessment
HAWAI'I PACIFIC HEALTH'S FOUR HOSPITAL FACILITIES PARTICIPATED WITH FIFTEEN OTHER NONPROFIT HAWAI'I HOSPITALS TO COLLABORATE ON A JOINT CHNA LED BY THE HEALTHCARE ASSOCIATION OF HAWAI'I. RESEARCH WAS COMPLETED IN DECEMBER 2021 AND EACH HPH HOSPITAL FACILITY ADOPTED ITS CHNA IN 2022 OUR APPROACH FOLLOWED THE PUBLIC HEALTH MODEL OF ASSESSING AND UNDERSTANDING COMMUNITY HEALTH HOLISTICALLY. A FRAMEWORK FOR ANALYSIS WAS CONSTRUCTED BASED ON DETERMINANTS OF HEALTH; THE FRAMEWORK INCLUDED A BROAD DEFINITION OF COMMUNITY HEALTH THAT CONSIDERS SECONDARY DATA ON THE SOCIAL, ECONOMIC, AND PHYSICAL ENVIRONMENTS, AS WELL AS HEALTH RISKS AND OUTCOMES. SPECIAL ATTENTION WAS GIVEN TO IDENTIFYING HEALTH DISPARITIES, THE NEEDS OF VULNERABLE POPULATIONS, AND UNMET HEALTH NEEDS OR GAPS IN SERVICES. A BROAD ARRAY OF SECONDARY AND PRIMARY DATA WAS COLLECTED AND SYNTHESIZED TO DETERMINE COMMUNITY NEEDS. OVER 375 INDICATORS FROM OVER 20 SOURCES FROM A DATABASE MAINTAINED BY THE HAWAI'I DEPARTMENT OF HEALTH WERE ANALYZED USING A SYSTEMATIC AND QUANTITATIVE APPROACH THAT INCORPORATED MULTIPLE BENCHMARKS AND COMPARISONS. ADDITIONAL ANALYSIS NCLUDED PREVENTABLE CAUSES OF HOSPITALIZATION USING DATA PROVIDED BY THE HAWAI'I HEALTH INFORMATION CORPORATION, AND INFORMATION FROM RECENTLY PUBLISHED REPORTS ON ACCESS TO CARE, HEALTH DISPARITIES, PRIMARY CARE NEEDS, AND BEHAVIORAL HEALTH NEEDS. KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH INDIVIDUALS HAVING SPECIAL KNOWLEDGE OF COMMUNITY HEALTH NEEDS, HEALTH DISPARITIES, AND VULNERABLE POPULATIONS IN THE IDENTIFIED COMMUNITIES.

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
"WHEN A PATIENT PRESENTS FOR SERVICES AND THE PATIENT DOES NOT HAVE INSURANCE COVERAGE FOR SERVICES TO BE PROVIDED, THE PATIENT, OR GUARANTOR IS ASKED TO SIGN THE ""SELF-PAY ACKNOWLEDGEMENT"" LETTER. THE LETTER DESCRIBES THE TERMS OF THE HAWAI'I PACIFIC HEALTH (""HPH"") UNINSURED DISCOUNT PROGRAM, AND BY SIGNING THE LETTER, THE PATIENT ACKNOWLEDGES THAT HE/SHE UNDERSTANDS AVAILABLE UNINSURED PAYMENT TERMS. IN MOST UNINSURED CASES, THE PATIENT WILL BE OFFERED A HAWAI'I STATE MEDICAL ASSISTANCE APPLICATION. THIS IS THE APPLICATION FOR THE HAWAI'I STATE MEDICAID/QUEST PROGRAM. THE HOSPITAL CONTRACTS WITH SERVICE PROVIDERS WHO SPECIALIZE IN ASSISTING PATIENTS WITH THE MEDICAID/QUEST PROGRAM APPLICATION PROCESS. IF THE PATIENT'S APPLICATION FOR MEDICAID/QUEST IS DENIED OR IT IS DETERMINED THAT THE PATIENT IS INELIGIBLE TO APPLY FOR MEDICAID/QUEST, THE PATIENT MAY APPLY FOR HPH FINANCIAL ASSISTANCE EITHER IN THE HOSPITAL FINANCIAL SERVICES DEPARTMENT OR BY MAIL DIRECTLY TO THE HPH BUSINESS SERVICES OFFICE. FINANCIAL COUNSELORS ARE AVAILABLE ON SITE TO REVIEW PAYMENT OPTIONS WITH THE PATIENT OR THE GUARANTOR. THESE OPTIONS INCLUDE THE AFOREMENTIONED HPH UNINSURED DISCOUNT PROGRAM, THE HAWAI'I STATE MEDICAID/QUEST PROGRAM, THE HPH FINANCIAL ASSISTANCE PROGRAM, PAYMENT PLANS AND ANY GRANT OR FUNDING SOURCE THAT MAY BE APPROPRIATE FOR THE SERVICES PROVIDED. IN SOME CASES, HPH DETERMINES THAT A PATIENT OR GUARANTOR MAY NEED ASSISTANCE AFTER SERVICES ARE PROVIDED, AND FINANCIAL INFORMATION IS MAILED TO THE PATIENT. EDUCATION AND ASSISTANCE IS OFTEN PROVIDED VIA PHONE CONTACT IN THESE CASES. PAYMENT PLAN ARRANGEMENTS ARE HANDLED VIA PHONE CONTACT WITH THE PATIENT."

Schedule H, Part VI, Line 5 Promotion of community health
EACH AFFILIATE HOSPITAL OF HAWAI'I PACIFIC HEALTH IS A LEADER IN COMMUNITY HEALTH CARE EDUCATION AND ADVOCACY, AND MAINTAINS AN OPEN MEDICAL STAFF; THIS ARRANGEMENT GRANTS ADMITTING PRIVILEGES TO NONAFFILIATED PHYSICIAN SPECIALISTS AND BROADENS EACH FACILITY'S ABILITY TO OFFER HIGH-QUALITY, SPECIALIZED CARE TO THEIR RESPECTIVE COMMUNITY. EACH HOSPITAL IS GOVERNED BY A COMMUNITY BOARD COMPRISED OF PHYSICIANS, COMMUNITY MEMBERS AND KEY LEADERSHIP WITHIN HAWAI'I PACIFIC HEALTH. THESE VOLUNTEER, UNPAID MEMBERS ENSURE THAT EACH FACILITY FULFILLS ITS MISSION-DRIVEN GOALS. AS AFFILIATES OF THE NOT FOR-PROFIT HAWAI'I PACIFIC HEALTH NETWORK, EACH HOSPITAL REINVESTS ALL SURPLUS RESOURCES BACK INTO PATIENT CARE AND TO SUBSIDIZE THOSE WHO CANNOT PAY.

Schedule H, Part VI, Line 4 Community information
HAWAI'I PACIFIC HEALTH'S MEDICAL CENTERS TREAT ALL PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, THUS SERVING AS SAFETY NET PROVIDERS OF HEALTH CARE FOR THE COMMUNITY. DEMOGRAPHICS OF THE STATE OF HAWAI'I INCLUDE 1.4M RESIDENTS AND 10.4M VISITORS (2019 DATA). THERE ARE MORE THAN 20 OTHER HOSPITALS IN THE STATE THAT PROVIDE ACUTE CARE SERVICES, INCLUDING THOSE THAT ARE COMMUNITY ACCESS HOSPITALS. AREAS AND POPULATIONS DESIGNATED AS MEDICALLY-UNDERSERVED BY THE FEDERAL GOVERNMENT ARE PRESENT. KAPI'OLANI MEDICAL CENTER FOR WOMEN CHILDREN HAS BEEN TREATING WOMEN, CHILDREN AND INFANTS FOR MORE THAN A CENTURY. IT IS HAWAI'I'S ONLY MATERNITY, NEWBORN AND PEDIATRIC SPECIALTY HOSPITAL WITH 253 BEDS. IT IS ALSO A TERTIARY CARE, TEACHING AND RESEARCH FACILITY. FOR WOMEN, KAPI'OLANI PROVIDES COMPLETE OBSTETRICAL AND GYNECOLOGICAL CARE. FOR INFANTS AND CHILDREN, IT HAS MORE THAN 100 PEDIATRIC SPECIALISTS AND SUBSPECIALISTS. IN FISCAL YEAR 2022, KAPI'OLANI HAD 5,784 DELIVERIES (BIRTHS), 57,790 WOMEN'S CENTER PROCEDURES, 37,893 ER VISITS, 57,275 IMAGING PROCEDURES, 438 TRANSPORTS AND 14,562 INPATIENT ADMISSIONS. ITS GEOGRAPHIC SERVICE AREA IS THE ENTIRE PACIFIC REGION AS MANY SPECIALTIES OFFERED ARE NOT AVAILABLE ELSEWHERE. PALI MOMI MEDICAL CENTER IS A COMMUNITY-BASED, ACUTE-CARE HOSPITAL THAT OFFERS A FULL RANGE OF SERVICES IN CARDIOLOGY, ORTHOPEDICS, EMERGENCY MEDICINE, GENERAL SURGERY AND MEDICINE, OPHTHALMOLOGY, WOMEN'S SERVICES, ONCOLOGY AND MORE. IT HAS DELIVERED MANY MEDICAL FIRSTS FOR THE COMMUNITY, INCLUDING WEST O'AHU'S ONLY INTERVENTIONAL CARDIAC CATHETERIZATION UNITS, A WOMEN'S CENTER AND RETINA CENTER, AND THE REGION'S ONLY COMPREHENSIVE CANCER CENTER. IT HAS BEEN DESIGNATED AS A LEVEL III TRAUMA CENTER BY THE STATE OF HAWAI'I AND IT IS ALSO A CERTIFIED PRIMARY STROKE CENTER. IN FISCAL YEAR 2022, PALI MOMI HAD 38,628 ER VISITS, 59,297 WOMEN'S CENTER PROCEDURES, 87,433 IMAGING PROCEDURES AND 5,534 INPATIENT ADMISSIONS. PALI MOMI'S GEOGRAPHIC SERVICE AREA IS PRIMARILY CENTRAL O'AHU, WEST O'AHU AND THE NORTH SHORE. STRAUB MEDICAL CENTER HAS SERVED THE PEOPLE OF HAWAI'I FOR NEARLY 100 YEARS. IT IS A FULLY INTEGRATED HEALTH CARE PROVIDER WITH A 159-BED HOSPITAL IN HONOLULU, A NETWORK OF NEIGHBORHOOD CLINICS, AND A VISITING SPECIALISTS PROGRAM TO IMPROVE ACCESS TO MEDICAL SERVICES FOR NEIGHBOR ISLAND RESIDENTS. STRAUB HOUSES AN ARRAY OF PHYSICIAN SPECIALISTS UNDER ONE ROOF, ENABLING PATIENTS TO RECEIVE DIAGNOSIS AND TREATMENT IN MORE THAN 32 MEDICAL SPECIALTIES. IN FISCAL YEAR 2022, STRAUB HAD 28889 ER VISITS, 6,160 INPATIENT ADMISSIONS, 106,679 IMAGING PROCEDURES AND 1,083,521 CLINIC ENCOUNTERS. STRAUB IS PROUD TO PROVIDE SERVICES THAT ARE NOT OFFERED BY ANY OTHER PROVIDERS IN THE REGION. THE BURN CENTER, FOR EXAMPLE, IS THE ONLY DEDICATED BURN TREATMENT FACILITY IN HAWAI'I AND TREATS MILITARY AND CIVILIAN PATIENTS THROUGHOUT THE PACIFIC REGION. WILCOX MEDICAL CENTER HAS SERVED KAUA'I FOR MORE THAN 80 YEARS. THE ACUTE-CARE FACILITY OFFERS OVER 30 SPECIALTIES AND PROGRAMS, AND A FULL SUITE OF SERVICES INCLUDING CARDIOLOGY, EMERGENCY, FAMILY PRACTICE, GASTROENTEROLOGY, HEALTH MANAGEMENT, INTERNAL MEDICINE, NEUROLOGY, OB-GYN, ONCOLOGY, ORTHOPEDICS, PEDIATRICS AND UROLOGY. IN FISCAL YEAR 2022, WILCOX HAD 21,428 ER VISITS, 478 DELIVERIES (BIRTHS), 73,370 IMAGING PROCEDURES AND 3,425 INPATIENT ADMISSIONS. WILCOX'S GEOGRAPHIC SERVICE AREA IS THE ISLAND OF KAUA'I. DEMOGRAPHICS OF THE KAUA'I COMMUNITY IN FISCAL YEAR 2020 INCLUDE AN ESTIMATED POPULATION OF APPROXIMATELY 72,293 (2019 CENSUS BUREAU DATA) AND NEARLY 1.4M VISITORS ANNUALLY (2019 DATA). THERE ARE TWO OTHER HOSPITALS IN THE COMMUNITY, AND FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS AND POPULATIONS ARE PRESENT.

Schedule H, Part VI, Line 6 Affiliated health care system
"HAWAI'I PACIFIC HEALTH, ONE OF THE STATE'S LARGEST HEALTH CARE SYSTEMS, IS COMMITTED TO PROVIDING HIGH-QUALITY, ACCESSIBLE CARE AND SERVICES TO THE PEOPLE OF HAWAI'I AND THE PACIFIC REGION. THE HAWAI'I PACIFIC HEALTH SYSTEM INCLUDES FOUR MEDICAL CENTERS, 70 LOCATIONS, MORE THAN 1,400 AFFILIATED PHYSICIANS AND MORE THAN 7,200 EMPLOYEES. THE MEDICAL CENTERS PROVIDE ACUTE AND SPECIALTY CARE WITH 602 BEDS AND HANDLED 29,681 ADMISSIONS IN FISCAL YEAR 2022. KAPI'OLANI MEDICAL CENTER FOR WOMEN CHILDREN IS THE PRIMARY PEDIATRIC AND OBSTETRIC TEACHING HOSPITAL FOR THE UNIVERSITY OF HAWAI'I JOHN A. BURNS SCHOOL OF MEDICINE. KAPI'OLANI SUPPORTS THE TRAINING AND TEACHING OF HAWAI'I'S FUTURE DOCTORS, NURSES AND OTHER HEALTH CARE PROFESSIONALS, AS WELL AS CLINICAL AND COMMUNITY HEALTH RESEARCH THAT BRINGS NEW THERAPIES AND TREATMENT PROTOCOLS TO THE ISLANDS. KAPI'OLANI ACTIVELY SUPPORTS COMMUNITY ORGANIZATIONS AND EVENTS THAT ARE IN LINE WITH ITS MISSION, INCLUDING THE GREAT ALOHA RUN AND KEIKI GREAT ALOHA RUN, SUSAN G. KOMEN BREAST CANCER FOUNDATION, MARCH OF DIMES, HAWAI'I CHILDREN'S CANCER FOUNDATION AND OTHERS. THE KAPI'OLANI CHILDREN'S MIRACLE NETWORK SUPPORTS THE COST OF PEDIATRIC HEALTH CARE PROGRAMS AND SERVICES AT THE HOSPITAL, AS WELL AS MEDICAL EQUIPMENT, NEIGHBOR ISLAND TRAVEL, RESEARCH AND PUBLIC AWARENESS. THE HOSPITAL ALSO OPERATES THE SEX ABUSE TREATMENT CENTER OF HAWAI'I, WHICH PROVIDES TREATMENT SERVICES FOR SURVIVORS OF SEXUAL ASSAULT, PROMOTES PREVENTION AND EDUCATION, AND ENGAGES IN PUBLIC POLICY ACTIVITIES RELATING TO SEXUAL ASSAULT, AND THE KAPI'OLANI CHILD ADVOCACY AND PROTECTION CENTER, WHICH PROVIDES EXPERTISE IN RECOGNIZING AND TREATING CHILD ABUSE AND NEGLECT. PALI MOMI MEDICAL CENTER CONTINUES TO FOCUS ON MEETING THE NEEDS OF THE COMMUNITIES OF CENTRAL AND WEST O'AHU AND THE NORTH SHORE. IN FISCAL YEAR 2020, PALI MOMI CONTINUED TO PROVIDE SERVICES AS A DESIGNATED LEVEL III TRAUMA CENTER BY THE STATE OF HAWAI'I. PALI MOMI HOLDS THIS DESIGNATION BECAUSE OF ITS KEY GEOGRAPHIC LOCATION AND ADVANCED HOSPITAL CAPABILITIES THAT ENABLE IT TO PROVIDE THIS CRITICALLY NEEDED SERVICE TO THE COMMUNITY. IT IS ALSO CERTIFIED AS A PRIMARY STROKE CENTER IN RECOGNITION OF ITS COMMITMENT TO THE CARE OF STROKE PATIENTS. IN FISCAL YEAR 2022, PALI MOMI ALSO HOSTED AND PARTICIPATED IN FREE COMMUNITY HEALTH EVENTS, HEALTH FAIRS AND HEALTH SCREENINGS, VIDEO CONFERENCES FOR EDUCATIONAL SPEAKERS' SERIES AND SUPPORT GROUPS STRAUB MEDICAL CENTER HAS MANY SPECIALTY CARE UNITS. THE BURN CENTER IS THE STATE'S ONLY MULTIDISCIPLINARY BURN TREATMENT CENTER, PROVIDING VICTIMS WITH IMMEDIATE AND COMPREHENSIVE CARE CLOSE TO HOME. STRAUB PHYSICIANS PROVIDE PATIENTS WITH DIAGNOSES AND TREATMENTS FOR MORE THAN 32 DIFFERENT MEDICAL SPECIALTIES, INCLUDING BONE AND JOINT, HEART, CANCER, ENDOCRINOLOGY/DIABETES, FAMILY MEDICINE, GASTROENTEROLOGY, GERIATRIC MEDICINE, INTERNAL MEDICINE, VASCULAR AND UROLOGY. IT PROVIDES CHARITY CARE, HEALTH EDUCATION AND PREVENTIVE PROGRAMS TO THE COMMUNITY. IN FISCAL YEAR 2022, STRAUB PROVIDED A VARIETY OF FREE HEALTH EDUCATION PROGRAMS, ACTIVITIES AND EVENTS. WILCOX MEDICAL CENTER IS DEDICATED TO PROVIDING KAUA'I WITH AFFORDABLE AND ACCESSIBLE HEALTH CARE. WILCOX PHYSICIANS OFFER CARE IN 30 SPECIALTIES AND PROGRAMS. WILCOX IS AN ACTIVE COMMUNITY PARTNER. IN FISCAL YEAR 2020, ITS HEALTH EDUCATION, PREVENTION PROGRAMS AND SUPPORT GROUPS FOCUSED ON DIABETES, OBESITY, CANCER, HEART ATTACK/STROKE, IMMUNIZATION, SPORTS MEDICINE, WATER SAFETY, INJURY PREVENTION, AND HEALTH FAIRS. TOGETHER WITH KAUA'I MEDICAL CLINIC, WILCOX HOSTED OR SPONSORED A VARIETY OF COMMUNITY HEALTH EDUCATION EVENTS, AND STAFF SUPPORTED THEIR COMMUNITY BY PARTICIPATING IN ANNUAL CHARITABLE ENDEAVORS. THESE INCLUDED ""HAWAI'I PACIFIC HEALTH GREAT ALOHA RUN,"" ""KIDS FEST,"" ""KAUA'I MARATHON,"" SEVERAL PHYSICIAN LED COMMUNITY WALKS, ""A HEALTHIER YOU"" HEALTH AND LIFESTYLE PROGRAM, ""KEIKI BIKE AND SKATEBOARD SAFETY DAY,"" ""BACK TO SCHOOL BASH, AND ""WESTSIDE OHANA DAY."""