EIN 71-0893000

A Captive Insurance Company

IRS 501(c) type
501(c)(3)
Num. employees
0
State
Year formed
2002
Most recent tax filings
2022-06-01
Description
A Captive Insurance Company, Providers Insurance Corporation, offers general liability occurrence based coverage and healthcare professional liability claims-made coverage to Hawai'i Pacific Health and its affiliates. It also provides healthcare professional liability coverage for special events, druggist professional liability, managed care liability, institutional review board coverage, punitive damages, and exemplary and/or multiplied damages coverage.
Also known as...
Providers Insurance Corporation
Total revenues
$20,542,985
2022
Total expenses
$22,394,631
2022
Total assets
$86,073,218
2022
Num. employees
0
2022

Program areas at A Captive Insurance Company

Healthcare professional liability including blanket special events, druggist professional liability, managed care liability, institutional review board coverage, punitive damages, and exemplary and/or multiplied damages coverage. General liability coverage including blanket special events, employee benefit administration liability, employer's liability excess, excess automobile liability, health care benefit administration, institutional review board coverage, punitive damages and exemplary and/or multiplied damages, sexual misconduct and medical expenses. Providers Insurance Corporation's revenues from Insurance premiums are charged based on expected losses as determined by actuarial assumptions.

Personnel at A Captive Insurance Company

NameTitleCompensation
Earl InouyeFormer Officer / Vice President / Ssistant Treasurer$0
Gregg TimmonsPresident$0
Deborah BoydBoard , Vice President$0
David OkabeBoard , Treasurer$0
Carrie Ann TsutsuiSsistant Treasurer$0
...and 5 more key personnel

Financials for A Captive Insurance Company

RevenuesFYE 06/2022
Total grants, contributions, etc.$0
Program services$20,924,249
Investment income and dividends$-399,899
Tax-exempt bond proceeds$0
Royalty revenue$0
Net rental income$0
Net gain from sale of non-inventory assets$-4,510
Net income from fundraising events$0
Net income from gaming activities$0
Net income from sales of inventory$0
Miscellaneous revenues$23,145
Total revenues$20,542,985

Form 990s for A Captive Insurance Company

Fiscal year endingDate received by IRSFormPDF link
2022-062023-05-16990View PDF
2020-062022-05-10990View PDF
2020-062021-05-26990View PDF
2019-062020-09-04990View PDF
2018-062019-08-17990View PDF
...and 8 more Form 990s
Data update history
November 12, 2022
Used new vendors
Identified 2 new vendors, including , and
November 12, 2022
Used new vendors
Identified 1 new vendor, including
September 11, 2021
Updated personnel
Identified 1 new personnel
September 11, 2021
Posted financials
Added Form 990 for fiscal year 2020
August 21, 2021
Posted financials
Added Form 990 for fiscal year 2019
Nonprofit Types
Mutual assistance organizationsInsurance companiesHeadquarter / parent organizationsCharities
Issues
No issues found
Characteristics
Tax deductible donationsNo full-time employees
General information
Address
55 Merchant St 24th Floor
Honolulu, HI 96813
Metro area
Urban Honolulu, HI
County
Honolulu County, HI
Website URL
hawaiipacifichealth.org/ 
Phone
(808) 535-7213
IRS details
EIN
71-0893000
Fiscal year end
June
Taxreturn type
Form 990
Year formed
2002
Eligible to receive tax-deductible contributions (Pub 78)
Yes
Categorization
NTEE code, primary
Y20: Insurance Providers, Services
NAICS code, primary
52411: Direct Life, Health, and Medical Insurance Carriers
Parent/child status
Central organization
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