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Nonprofit · EIN 71-0893000

PROVIDERS INSURANCE CORPORATION

Tax-exempt · HONOLULU, HI 96813

Financials

$25M$22.5M2022$28.6M$24.8M2023$31.1M$35.2M2024
Revenue Expenses · by fiscal year end
Financials of PROVIDERS INSURANCE CORPORATION by year, from its e-filed returns
Year endedFormRevenueExpensesNet incomeTotal assetsLiabilitiesNet assets
June 30, 2025990$31,058,362$35,201,905-$4,143,543$115,393,627$93,040,583$22,353,044
June 30, 2024990$28,631,693$24,839,597$3,792,096$91,711,190$68,604,143$23,107,047
June 30, 2023990$25,035,883$22,474,096$2,561,787$82,180,111$64,927,724$17,252,387
Financial details: 990 for the year ended June 30, 2025

Revenue

Contributions, gifts and grants
$0
Program service revenue
$27,441,241
Investment income
$3,575,248
Net gain from sales of assets
-$3,406
Other revenue
$41,873

Expenses

Grants and similar amounts paid
$0
Salaries, compensation and benefits (total)
$0
Professional fundraising fees
$0
Legal fees
$20,028
Accounting fees
$50,367
Travel
$17,175
Program services (functional)
$34,192,586
Management and general (functional)
$1,009,319

Balance sheet and other

Total assets, start of year
$91,711,190
Total assets, end of year
$115,393,627
Total liabilities, end of year
$93,040,583
Net assets, end of year
$22,353,044
Publicly traded securities
$28,541,653
Net assets without donor restrictions
$22,353,044
Gross receipts
$32,710,639
Employees
0
Volunteers
1
Year formed
2002
State of legal domicile
HI

From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.

Officers, directors and key employees

As listed on the 990 for the year ended June 30, 2025, highest compensation first.

NameTitleHours / weekCompensationFrom related orgsOther / benefits
Raymond P Vara JrBoard of Director
Trustee or director
1$0$3,043,387$2,402,439
David OkabeBoard of Director, Treasurer
Trustee or director, Officer
0.5$0$1,305,584$568,803
Charles R ChingBoard of Director, Chair
Trustee or director, Officer
1.3$0$822,744$397,894
Shilpa Patel MDVICE CHAIR & SECRETARY
Trustee or director, Officer
0.5$0$540,119$142,995
Carrie Ann TsutsuiAssistant Treasurer
Officer
0.5$0$325,583$88,491
Gregg TimmonsBoard of Director, President (PART YEAR)
Trustee or director, Officer
40$0$237,578$34,899
Jessica LewisAssistant Secretary
Officer
0.5$0$190,855$47,962
Traci Morita ESQVICE PRESIDENT
Officer
40$0$184,091$15,633
Karen MaciorowskiBOARD OF DIRECTOR, PRESIDENT
Trustee or director, Officer
40$0$145,361$39,355
Michael Gibson EsqBoard of Director
Trustee or director
0.1$0$0$0
990 for the year ended June 30, 2024: 9 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
Raymond P Vara JrBoard of Director
Trustee or director
1$0$2,464,885$1,946,467
David OkabeBoard of Director, Treasurer
Trustee or director, Officer
0.5$0$1,124,153$424,421
Charles R ChingBoard of Director, Chair
Trustee or director, Officer
1.3$0$830,806$294,495
Shilpa Patel MDVICE CHAIR & SECRETARY
Trustee or director, Officer
0.5$0$488,357$120,521
Carrie Ann TsutsuiAssistant Treasurer
Officer
0.5$0$307,290$79,120
Gregg TimmonsBoard of Director, President
Trustee or director, Officer
40$0$220,707$32,382
Jessica LewisAssistant Secretary
Officer
0.5$0$183,999$45,659
Karen MaciorowskiVice President
Officer
40$0$140,954$36,848
Michael Gibson EsqBoard of Director
Trustee or director
0.1$0$0$0
990 for the year ended June 30, 2023: 10 people
NameTitleHours / weekCompensationFrom related orgsOther / benefits
Raymond P Vara JrBoard of Director
Trustee or director
1$0$2,867,542$1,366,459
David OkabeBoard of Director, Treasurer
Trustee or director, Officer
0.5$0$1,247,925$393,579
Charles R ChingBoard of Director, Chair
Trustee or director, Officer
1.3$0$964,630$277,063
Melinda Ashton MDFormer Officer
Former
0.1$0$810,453$236,150
Shilpa Patel MDVice Chair & Secretary
Trustee or director, Officer
0.5$0$405,247$97,543
Carrie Ann TsutsuiAssistant Treasurer
Officer
0.5$0$298,669$81,513
Gregg TimmonsBoard of Director, President
Trustee or director, Officer
40$0$218,686$32,020
Jessica LewisAssistant Secretary
Officer
0.5$0$171,486$44,093
Karen MaciorowskiVice President
Officer
40$0$134,694$35,653
Michael Gibson EsqBoard of Director
Trustee or director
0.1$0$0$0

Address and contacts

Address (IRS master file)
55 MERCHANT STREET 24TH FLOOR, HONOLULU, HI 96813-4333
In care of
% JESSICA LI
Principal officer (990 for 2024)
Karen Maciorowski, 55 MERCHANT STREET 24TH FLOOR, HONOLULU, HI 96813
Signed the 990
Karen Maciorowski, PRESIDENT
Phone
(808) 535-7213
Return prepared by
ERNST & YOUNG US LLP

Mission

AS A CAPTIVE INSURANCE COMPANY, PROVIDERS INSURANCE COMPANY PROVIDES GENERAL LIABILITY OCCURANCE BASED COVERAGE AND HEALTHCARE PROFESSIONAL LIABILITY CLAIMS-MADE COVERAGE ON A DIRECT BASIS TO HAWAI'I PACIFIC HEALTH AND ITS AFFILIATES.

990 for the year ended June 30, 2025

Program accomplishments

  • 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.
    Expenses $34,192,586 · revenue $31,019,895

What it must file and when

IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.

Tax yearYear endedDueIRS public records
2025June 30, 2026November 16, 2026Not due yet
2024June 30, 2025November 17, 2025990 on file
2023June 30, 2024November 15, 2024990 on file

IRS record

EIN
71-0893000
Tax-exempt status
501(c)(3): Charitable, religious, educational or scientific organization
Foundation status
Supporting organization (509(a)(3))
Donations deductible (Pub 78)
Supporting organization of unknown type
Exempt since
2003
Accounting year ends
June
Files
Form 990 or 990-EZ
Category (NTEE)
Health care (E112)
Assets (IRS master file)
$115,393,627
Income (IRS master file)
$32,710,639

Filing history

FormYear endedRevenueExpensesAssetsReturn
990June 2025$31,058,362$35,201,905$115,393,627IRS
990June 2024$28,631,693$24,839,597$91,711,190IRS
990June 2023$25,035,883$22,474,096$82,180,111XML
990June 2022$20,542,985$22,394,631$86,073,218IRS
990June 2021–––IRS
990June 2020–––IRS
990June 2019–––IRS
990June 2018–––IRS

990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 71-0893000).

Questions about PROVIDERS INSURANCE CORPORATION

What is the EIN of PROVIDERS INSURANCE CORPORATION?
The employer identification number (EIN) of PROVIDERS INSURANCE CORPORATION is 71-0893000.
Is PROVIDERS INSURANCE CORPORATION tax-exempt?
Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2003.
Are donations to PROVIDERS INSURANCE CORPORATION tax-deductible?
Yes. It is listed in IRS Publication 78 (Supporting organization of unknown type).
Which annual return does PROVIDERS INSURANCE CORPORATION file?
Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
When is the next return of PROVIDERS INSURANCE CORPORATION due?
The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
When did PROVIDERS INSURANCE CORPORATION last file with the IRS?
The latest return in the IRS public files is the 990 for the year ended June 2025.
Who is the principal officer of PROVIDERS INSURANCE CORPORATION?
The 990 for the year ended June 30, 2025 names Karen Maciorowski.
Who are the officers and directors of PROVIDERS INSURANCE CORPORATION?
The 990 for the year ended June 30, 2025 lists 10 people; 0 received compensation from the organization.
How much revenue does PROVIDERS INSURANCE CORPORATION have?
On its 990 for the year ended June 30, 2025 it reported revenue of $31,058,362, expenses of $35,201,905 and total assets of $115,393,627 at year end.

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