2023-11-15T18:32:16-06:00 2022-12-31 205325889 ACCUITY LLP 999 BISHOP STREET STE 1900 HONOLULU HI 96813 990 2022-01-01 990309519 ALOHACARE ALOH 8089731650 1357 KAPIOLANI BLVD G-101 HONOLULU HI 96814 JOEL LUPER CFO 8089731650 2023-11-14 1 JOEL LUPER 999009999 0 RACHEL C ANTAL P01263071 8085313400 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOEL LUPER 1357 KAPIOLANI BLVD G-101 HONOLULU HI 96814 515002387 0 X WWW.ALOHACARE.ORG X 1994 HI TO PROVIDE MANAGED HEALTHCARE IN ACCORDANCE WITH QUEST, MEDICARE, AND MEDICAID. 16 3 320 0 0 0 0 0 506660216 513218898 1592619 1494658 123926 117652 508376761 514831208 2053124 2203239 0 0 26620257 27921375 0 0 0 472405889 476280758 501079270 506405372 7297491 8425836 178821617 214764820 107152026 141486038 71669591 73278782 X ALOHACARE IS A HAWAII CORPORATION THAT CONTRACTS WITH THE STATE OF HAWAII, DEPARTMENT OF HUMAN SERVICES MED-QUEST DIVISION TO PROVIDE MANAGED HEALTH CARE IN ACCORDANCE WITH THE STATE OF HAWAII HEALTH QUEST DEMONSTRATION, AND WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) TO PROVIDE MANAGED HEALTH CARE THROUGH A MEDICARE ADVANTAGE HEALTH/PRESCRIPTION DRUG PLAN AND A MEDICARE ADVANTAGE HEALTH/PRESCRIPTION DRUG SPECIAL NEEDS PLAN. ALOHACARE ALSO PARTICIPATES IN AND HELPS TO FUND HEALTH RELATED ACTIVITIES TO IMPROVE THE QUALITY OF HEALTH OF THE PEOPLE OF HAWAII. ALOHACARE OPERATES FOR CHARITABLE, EDUCATIONAL AND RECREATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE OF 1986 AS AMENDED. 0 0 467940626 2203239 513218898 HEALTH CARE PROGRAMS, GENERAL/OTHER: PROVIDE MANAGED HEALTH CARE SERVICES TO APPROXIMATELY 83,911 QUALIFIED MEDICAID MEMBERS, AND 2,480 MEDICARE MEMBERS WHO ARE RESIDENTS OF HAWAII. 467940626 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1927 0 1 320 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 3 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 HI X ALOHACARE - CO DHARYL BONGBONGA 8089731650 1357 KAPIOLANI BLVD SUITE G-101 HONOLULU HI 96814 GERALD AKAKA BOARD MEMBER 1.00 X 0 0 0 HELEN KEKALIA BOARD MEMBER 1.00 X 0 0 0 DEBORAH ZYSMAN BOARD MEMBER 1.00 X 0 0 0 GIDGET RUSCETTA BOARD MEMBER 1.00 X 0 0 0 CHERYL VASCONCELLOS BOARD MEMBER 1.00 X 0 0 0 PHYLLIS DENDLE BOARD MEMBER 1.00 X 0 0 0 MARY ONEHA BOARD MEMBER 1.00 X 0 0 0 DIANA SHAW BOARD MEMBER 1.00 X 0 0 0 ANTHONY MAKANA PARIS BOARD MEMBER 1.00 X 0 0 0 JOHN VAZ BOARD MEMBER 1.00 X 0 0 0 DEAN SHIGEMURA BOARD MEMBER 1.00 X 0 0 0 DAVID DERAUF PRESIDENT 1.00 X X 0 0 0 IRENE CARPENTER VICE PRESIDENT 1.00 X X 0 0 0 RICHARD TAAFFE VICE PRESIDENT 1.00 X X 0 0 0 BETTY JANE OTT TREASURER 1.00 X X 0 0 0 EMMANUEL KINTU SECRETARY 1.00 X X 0 0 0 FRANCOISE CULLEY-TROTMAN CHIEF EXECUTIVE OFFICER 40.00 X 526847 0 38370 DAVID FIELD CHIEF FINANCIAL OFFICER 40.00 X 470140 0 17124 JOEL LUPER CHIEF FINANCIAL OFFICER 40.00 X 9697 0 0 DR GARY OKAMOTO CHIEF MEDICAL DIRECTOR 40.00 X 455994 0 30785 TODD MORGAN CHIEF INFORMATION OFFICER 40.00 X 414081 0 42433 MICHAEL HAIGHT SENIOR MEDICAL DIRECTOR 40.00 X 343486 0 37753 PATRICK BRENNAN VICE PRESIDENT PLAN OPERATIONS 40.00 X 281472 0 29735 SAMRA A BRODERICK VICE PRESIDENT HEALTH SERVICES 40.00 X 276660 0 17848 ANDREAS CRAVALHO SENIOR DIRECTOR OF PRODUCT MANAGEMENT 40.00 X 253947 0 26886 HANH BANNISTER PHARMACY DIRECTOR 40.00 X 246915 0 28311 PAULA ARCENA VICE PRESIDENT EXTERNAL AFFAIRS 40.00 X 244657 0 18700 STELLA CATALAN SENIOR DIRECTOR OF CLINICAL OPS 40.00 X 235368 0 9957 VICKI BORRELL POPULATION HEALTH OFFICER 40.00 X 233439 0 8711 JUNE MELLOR COMPLIANCE OFFICER 40.00 X 229968 0 32553 ESTHER UNDERWOOD DIRECTOR HUMAN RESOURCES 40.00 X 175191 0 16324 RYAN MAU SENIOR DIRECTOR OF BUSINESS SUPPORT SERVICES 40.00 X 182675 0 33751 JEROME JANICEK SENIOR DIRECTOR OF PLAN OPERATIONS 40.00 X 173589 0 11602 NILA PATEL DIRECTOR OF APPLICATION DEVELOPMENT 40.00 X 170813 0 25470 VIARIDA CHING DIRECTOR OF HEALTH COORDINATION 40.00 X 172924 0 5437 EVELYN CHOCK PHARMACY MANAGER OF CLINICAL PROGRAMS 40.00 X 167195 0 6506 5265058 0 438256 19 0 1 0 INTELLIRIDE INC 720 E BUTTERFIELD RD STE 300 LOMBARD IL 60148 MEMBER TRANSPORTATION 982477 CHANGE HEALTHCARE LLC P O BOX 98347 CHICAGO IL 606938347 DATA SUPPORT & VALIDATION 669332 THE INSTITUTE FOR HUMAN SERVICES INC P O BOX 17040 HONOLULU HI 96817 MEMBER HOUSING 164580 ACCUITY LLP 999 BISHOP ST STE 1900 HONOLULU HI 96813 CONSULTING 147951 ATTAC CONSULTING GROUP LLC 301 EAST LIBERTY STE 605 ANN ARBOR MI 48104 CONSULTING 141378 5 CAPITATION 624100 513218898 513218898 513218898 1603530 1603530 62307 78000 93179 -15693 -93179 -108872 -108872 OTHER REVENUE 624100 117652 117652 117652 514831208 513218898 0 1612310 X 220990 220990 1982249 1982249 4753352 4753352 17877855 380185 17497670 701344 701344 2843948 2843948 1744876 1744876 98811 98811 268166 268166 63325654 63325654 1141935 1141935 61874 61874 823316 823316 140252 140252 74236 74236 2961043 2961043 349016 349016 OTHER EXPENSES - PROGR 402031548 402031548 OTHER EXPENSES - MANAGE 5004907 5004907 506405372 467940626 38464746 0 58642215 104329463 31361208 28862978 2062630 2576646 12268171 6373948 7462040 5894223 79293524 73101510 178821617 214764820 35073433 70442028 72078593 71044010 107152026 141486038 X 71669591 73278782 71669591 73278782 178821617 214764820 8425836 -7658915 842270 0 X X 0 1 X 1 0 5263278 2425176 2838102 7004893 3948772 3056121 5894223 PAYABLE TO RISK POOLS 2770956 ACCRUED MEDICAL CLAIMS 68273054 71044010 468398058 -1587837 93179 -1494658 469892716 44938493 44938493 514831209 461560058 93179 93179 461466879 44938493 44938493 506405372 PART XI, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS RECLASSED FROM EXPENSE 93,179. PART XI, LINE 4B - OTHER ADJUSTMENTS: PASS THROUGH REVENUE NETTED WITH EXPENSE 44,938,493. PART XII, LINE 2D - OTHER ADJUSTMENTS: LOSS ON DISPOSAL OF ASSETS RECLASSED FROM EXPENSE 93,179. PART XII, LINE 4B - OTHER ADJUSTMENTS: PASS THROUGH EXPENSE NETTED WITH REVENUE 44,938,493. 1 ALOHA UNITED WAY 200 N VINEYARD NO 700 HONOLULU HI 968173938 990073494 501(C)(3) 18755 0 2022 EMPLOYEE CONTRIBUTION MATCH & SPONSORSHIP AMERICAN HEART ASSOCIATION INC 7272 GREENVILLE AVENUE DALLAS TX 752315129 135613797 501(C)(3) 18500 0 HEART WALK AZARA HEALTHCARE 70 BLANCHARD RD SUITE 401 BURLINGTON MA 01803 452609523 14450 0 2022 ACCESS TO CARE GRANT BAY CLINIC INC 450 KILAUEA AVE STE 105 HILO HI 96720 990222784 501(C)(3) 75723 0 2021 QI INCENTIVE BOYS AND GIRLS CLUB OF HAWAII 1000 BISHOP STREET SUITE 505 HONOLULU HI 96813 996005407 501(C)(3) 21000 0 SPONSORSHIP CATHOLIC CHARITIES HAWAII 1822 KEEAUMOKU STREET HONOLULU HI 96822 990073547 501(C)(3) 10000 0 SENIOR CENTER DONATION COMMUNITY CLINIC OF MAUI INC PO BOX 31000 HONOLULU HI 968495618 990303304 501(C)(3) 66621 0 2021 QI INCENTIVE COMMUNITY PEOPLE MINISTRIES 1114 LAULOA STREET KAILUA HI 96734 475334011 501(C)(3) 7500 0 FOOD DISTRIBUTION COUNCIL FOR NATIVE HAWAIIAN ADVANCEMENT 91-1270 KINOIKI STREET KAPOLEI HI 96707 910313383 501(C)(3) 10000 0 SPONSORSHIP HAMAKUA HEALTH CENTER INC 45-549 PLUMERIA ST HONOKAA HI 96727 990115515 501(C)(3) 17806 0 2021 QI INCENTIVE HANA HEALTH PO BOX 14474 BELFAST ME 049154038 990326154 501(C)(3) 6678 0 2021 QI INCENTIVE HAWAII APPLESEED CENTER 733 BISHOP STREET STE 1180 HONOLULU HI 96813 760748976 501(C)(3) 15000 0 2022 ACCESS TO CARE GRANT HAWAII CHILDREN'S ACTION NETWORK 850 RICHARDS ST STE 201 HONOLULU HI 96813 943257650 501(C)(3) 25000 0 2022 ACCESS TO CARE GRANT HAWAII COALITION FOR HEALTH PO BOX 25426 HONOLULU HI 968250426 943266455 501(C)(3) 13560 0 2021 QI INCENTIVE HAWAII FOODBANK INC 2611 KILIHAU ST HONOLULU HI 968192021 990220699 501(C)(3) 35000 0 DONATION HAWAII MEALS ON WHEELS INC PO BOX 236099 HONOLULU HI 968233520 990198132 501(C)(3) 10000 0 DONATION HAWAII PUBLIC HEALTH INSTITUTE 850 RICHARDS STREET STE 201 HONOLULU HI 96813 680637054 501(C)(3) 10000 0 SPONSORSHIP HAWAII-AMERICAN NURSES ASSOCIATION 500 LUNALILO HOME RD UNIT 27-E HONOLULU HI 96825 990073517 501(C)(3) 5250 0 SPONSORSHIP HEALTH MANAGEMENT ASSOCIATES INC 120 N WASHINGTON SQUARE SUITE 705 LANSING MI 48933 382599727 15000 0 SPONSORSHIP HEALTHY MOTHERS HEALTH BABIES COALITION OF HAWAII 245 N KUKUI ST SUITE 102A HONOLULU HI 96817 990299264 501(C)(3) 80000 0 2022 ACCESS TO CARE GRANT HO'OLA LAHUI HAWAII PO BOX 3990 LIHUE HI 96766 990250542 501(C)(3) 7079 0 2021 QI INCENTIVE KAHALA CHILDREN'S MEDICAL GROUP 4211 WAIALAE AVE STE 205 HONOLULU HI 96816 264083530 5020 0 2021 QI INCENTIVE KAHUKU MEDICAL CENTER 56-117 PUALALEA STREET KAHUKU HI 96731 870805301 501(C)(3) 5830 0 2021 QI INCENTIVE KALIHI PALAMA HEALTH CENTER PO BOX 17460 HONOLULU HI 968170460 990161221 501(C)(3) 88633 0 2021 QI INCENTIVE KAPAA PEDIATRICS LLC 4-1461 KUHIO HIGHWAY KAPAA HI 96746 273391413 6880 0 2021 QI INCENTIVE KAPIOLANI HEALTH FOUNDATION 55 MERCHANT STREET 26TH FLOOR HONOLULU HI 96813 990246364 501(C)(3) 10000 0 2022 RADIOTHON KAPIOLANI MEDICAL CENTER FOR W & C 1319 PUNAHOU STREET HONOLULU HI 96826 990177350 501(C)(3) 7500 0 2022 ACCESS TO CARE GRANT KAPIOLANI MEDICAL CLINIC PO BOX 30180 HONOLULU HI 96820 990177350 501(C)(3) 28320 0 2021 QI INCENTIVE KAUAI FOOD BANK INC DBA KAUAI INDEPENDENT FOOD BANK 3285 WAAPA RD LIHUE HI 96766 990317431 501(C)(3) 20000 0 DONATION KAUAI MEDICAL CLINIC PO BOX 30180 HONOLULU HI 96820 990326099 501(C)(3) 74020 0 2021 QI INCENTIVE KIHEI WAILEA MEDICAL CENTER C/O TEAM PRAXIS PO BOX 30460 HONOLULU HI 968200460 990350911 9070 0 2021 QI INCENTIVE KOKUA KALIHI VALLEY 2239 N SCHOOL ST HONOLULU HI 96819 990149797 501(C)(3) 59074 0 2021 QI INCENTIVE KOKUA KALIHI VALLEY 2239 N SCHOOL ST HONOLULU HI 96819 990149797 501(C)(3) 25000 0 2022 ACCESS TO CARE GRANT KOOLAULOA HEALTH CENTER PO BOX 395 KAHUKU HI 967312052 731681833 501(C)(3) 16718 0 2021 QI INCENTIVE LANAI COMMUNITY HEALTH CENTER PO BOX 630142 LANAI CITY HI 96763 202509287 501(C)(3) 9383 0 2021 QI INCENTIVE LANAI COMMUNITY HEALTH CENTER PO BOX 630142 LANAI CITY HI 96763 202509287 501(C)(3) 12832 0 KAHIAU PROJECT DONATION MARCH OF DIMES 1580 MAKALOA STREET STE 1200 HONOLULU HI 96814 131846366 501(C)(3) 27000 0 SPONSORSHIP MARSHALLESE COMMUNITY ORGANIZATION OF HAWAII 98-889 KAONOHI ST UNIT B AIEA HI 96701 852493409 501(C)(3) 17500 0 2022 ACCESS TO CARE GRANT MAUI ECONOMIC OPPORTUNITY INC 99 MAHALANI STREET WAILUKU HI 96793 996009889 501(C)(3) 22525 0 SPONSORSHIP MAUI FOOD BANK INC 760 KOLU ST WAILUKU HI 96793 990315110 501(C)(3) 20000 0 DONATION MAUI MEDICAL GROUP INC 2180 MAIN STREET WAILUKU HI 96793 990176859 110610 0 2021 QI INCENTIVE MAUI YOUTH & FAMILY SERVICES INC 1931 BALDWIN AVE MAKAWAO HI 96768 990221127 501(C)(3) 10000 0 SHELTER DONATION MEDICAID HEALTH PLANS OF AMERICA INC 1575 EYE STREET NW SUITE 300 WASHINGTON DC 20005 900646692 501(C)(3) 15000 0 SPONSORSHIP MOLOKAI OHANA HEATHCARE INC PO BOX 29774 BELFAST ME 049152049 510437659 501(C)(3) 20271 0 2021 QI INCENTIVE PACIFIC BASIN COMMUNICATIONS LLC P O BOX 913 HONOLULU HI 96808 990351467 13508 0 SPONSORSHIP PAPA OLA LOKAHI 894 QUEEN ST HONOLULU HI 96813 990273765 501(C)(3) 5600 0 SPONSORSHIP PASEFIKA EMPOWERMENT AND ADVANCEMENT INC PO BOX 971271 WAIPAHU HI 96797 852245856 501(C)(3) 12500 0 2022 ACCESS TO CARE GRANT PROJECT HAWAII INC PO BOX 1844 KEAAU HI 96749 320308897 501(C)(3) 10000 0 DONATION PROJECT VISION HAWAII 810 N VINEYARD BLVD HONOLULU HI 96817 272831637 501(C)(3) 8100 0 2022 ACCESS TO CARE GRANT QUEEN EMMA CLINICS PO BOX 31000 HONOLULU HI 968495744 990073524 501(C)(3) 6770 0 2021 QI INCENTIVE QUEEN'S MEDICAL CENTER PO BOX 29640 HONOLULU HI 968202040 990073524 501(C)(3) 5340 0 2021 QI INCENTIVE QUEENS MSSP ACO LLC 1301 PUNCHBOWL STREET HONOLULU HI 96813 830771278 132789 0 2021 QI INCENTIVE RESIDENTIAL YOUTH SERVICES & EMPOWERMENT PO BOX 11662 HONOLULU HI 96828 812102826 501(C)(3) 10000 0 DONATION ROMAN CATHOLIC CHURCH IN THE STATE OF HAWAII 1184 BISHOP ST HONOLULU HI 968132858 990222900 501(C)(3) 10000 0 DONATION SPECIAL OLYMPICS HAWAII 91-610 MAUNAKAPU STREET EWA BEACH HI 96706 237173957 501(C)(3) 55000 0 DONATION STRAUB CLINIC & HOSPITAL (CLINIC) PO BOX 30180 HONOLULU HI 96820 912151670 501(C)(3) 34250 0 2021 QI INCENTIVE THE FOOD BASKET INC 40 HOLOMUA STREET HILO HI 96720 260349475 501(C)(3) 20000 0 DONATION UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES PO BOX 29470 HONOLULU HI 968201870 990307152 501(C)(3) 19900 0 2021 QI INCENTIVE UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES PO BOX 29470 HONOLULU HI 968201870 990307152 501(C)(3) 40000 0 2022 GRANT VENTURE MEDICAL 21 INC 733 BISHOP ST STE 2945 HONOLULU HI 96813 460641609 5830 0 2021 QI INCENTIVE WAIANAE COAST COMPREHENSIVE HEALTH CENTER 89-102 FARRINGTON HWY STE 3000 WAIANAE HI 96792 990148164 501(C)(3) 267378 0 2021 QI INCENTIVE WAIANAE COAST COMPREHENSIVE HEALTH CENTER 89-102 FARRINGTON HWY STE 3000 WAIANAE HI 96792 990148164 501(C)(3) 30000 0 2022 ACCESS TO CARE GRANT WAIKIKI HEALTH PO BOX 20402 BELFAST ME 049154099 990159253 501(C)(3) 24597 0 2021 QI INCENTIVE WAIKIKI HEALTH PO BOX 20402 BELFAST ME 049154099 990159253 501(C)(3) 50900 0 2022 ACCESS TO CARE GRANT WAIMANALO HEALTH CENTER 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 990273205 501(C)(3) 30296 0 2021 QI INCENTIVE WAIMANALO HEALTH CENTER 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 990273205 501(C)(3) 20000 0 2022 ACCESS TO CARE GRANT WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY STE 203 KAILUAKONA HI 96740 200495394 501(C)(3) 55383 0 2021 QI INCENTIVE YOUNG WOMENS CHRISTIAN ASSOCIATION 1040 RICHARDS ST HONOLULU HI 96813 231352608 501(C)(3) 10000 0 SHELTER DONATION 53 9 QI INCENTIVE 22 220990 PART I, LINE 2: ALOHACARE AWARDS QUALITY INCENTIVE PAYMENTS TO DIFFERENT ORGANIZATIONS IN THE COMMUNITY. THE QUALITY INCENTIVE PAYMENTS ARE AWARDED BASED ON DIFFERENT CRITERIA, INCLUDING PREVENTION AND/OR TREATMENT OF HEALTH RELATED ISSUES, HEALTHCARE NEEDS, AND THE OVERALL IMPROVEMENT OF HEALTH IN THE HAWAII COMMUNITY. X 1 1 X X X 0 0 0 0 0 0 0 0 0 FRANCOISE CULLEY-TROTMAN CHIEF EXECUTIVE OFFICER 381711 0 110537 0 34599 0 15782 0 22588 0 565217 0 0 0 DAVID FIELD CHIEF FINANCIAL OFFICER 411894 0 22246 0 36000 0 17124 0 0 0 487264 0 0 0 DR GARY OKAMOTO CHIEF MEDICAL DIRECTOR 354459 0 71500 0 30035 0 13255 0 17530 0 486779 0 0 0 TODD MORGAN CHIEF INFORMATION OFFICER 274303 0 109743 0 30035 0 16216 0 26217 0 456514 0 0 0 MICHAEL HAIGHT SENIOR MEDICAL DIRECTOR 309748 0 33738 0 0 0 13887 0 23866 0 381239 0 0 0 PATRICK BRENNAN VICE PRESIDENT PLAN OPERATIONS 232004 0 29444 0 20024 0 8878 0 20857 0 311207 0 0 0 SAMRA A BRODERICK VICE PRESIDENT HEALTH SERVICES 227003 0 49657 0 0 0 11010 0 6838 0 294508 0 0 0 ANDREAS CRAVALHO SENIOR DIRECTOR OF PRODUCT MANAGEMEN 196738 0 41367 0 15842 0 10291 0 16595 0 280833 0 0 0 HANH BANNISTER PHARMACY DIRECTOR 207864 0 20700 0 18351 0 10066 0 18245 0 275226 0 0 0 PAULA ARCENA VICE PRESIDENT EXTERNAL AFFAIRS 201633 0 23000 0 20024 0 8307 0 10393 0 263357 0 0 0 JUNE MELLOR COMPLIANCE OFFICER 191468 0 38500 0 0 0 6336 0 26217 0 262521 0 0 0 STELLA CATALAN SENIOR DIRECTOR OF CLINICAL OPS 124873 0 46382 0 64113 0 5498 0 4459 0 245325 0 0 0 VICKI BORRELL POPULATION HEALTH OFFICER 175375 0 38040 0 20024 0 0 0 8711 0 242150 0 0 0 RYAN MAU SENIOR DIRECTOR OF BUSINESS SUPPORT 165675 0 17000 0 0 0 7534 0 26217 0 216426 0 0 0 NILA PATEL DIRECTOR OF APPLICATION DEVELOPMENT 153155 0 17658 0 0 0 6940 0 18530 0 196283 0 0 0 ESTHER UNDERWOOD DIRECTOR HUMAN RESOURCES 144880 0 30311 0 0 0 6613 0 9711 0 191515 0 0 0 JEROME JANICEK SENIOR DIRECTOR OF PLAN OPERATIONS 173589 0 0 0 0 0 6923 0 4679 0 185191 0 0 0 VIARIDA CHING DIRECTOR OF HEALTH COORDINATION 164860 0 8064 0 0 0 5437 0 0 0 178361 0 0 0 EVELYN CHOCK PHARMACY MANAGER OF CLINICAL PROGRAM 156932 0 10263 0 0 0 6506 0 0 0 173701 0 0 0 PART I, LINE 1A DISCRETIONARY SPENDING IS APPROVED BY BOARD OF DIRECTORS AS DOCUMENTED IN THE EMPLOYMENT CONTRACT. GERARD AKAKA VICE PRESIDENT NATIVE HAWAIIAN AFFAIRS AND CLINICAL SUPPORT DIRECTOR OF ALOHACARE'S BOD 86102898 SERVICES RENDERED 0 NICHOLAS HUGHEY EXECUTIVE VP WAIANAE COAST COMPREHENSIVE HEALTH CENTER DIRECTOR OF ALOHACARE'S BOD 14582997 SERVICES RENDERED 0 EMMANUEL KINTU CEO & EXECUTIVE DIRECTOR KALIHI PALAMA HEALTH CENTER DIRECTOR OF ALOHACARE'S BOD 3273557 SERVICES RENDERED 0 GIDGET RUSCETTA COO KAPIOLANI MEDICAL CENTER FOR WOMEN & CHILDREN DIRECTOR OF ALOHACARE'S BOD 11024647 SERVICES RENDERED 0 PHYLLIS DENDLE CEO WAIKIKI HEALTH DIRECTOR OF ALOHACARE'S BOD 2056411 SERVICES RENDERED 0 DAVID DERAUF KOKUA KALIHI VALLEY CEO DIRECTOR & PRESIDENT OF ALOHACARE'S BOD 2370575 SERVICES RENDERED 0 JOHN VAZ CEO MALAMA I KE OLA HEALTH CENTER DIRECTOR OF ALOHACARE'S BOD 2639281 SERVICES RENDERED 0 RICHARD TAAFFE CEO WEST HAWAII COMMUNITY HEALTH CENTER DIRECTOR & TREASURER OF ALOHACARE'S BOD 3482164 SERVICES RENDERED 0 MARY ONEHA CEO WAIMANALO HEALTH CENTER DIRECTOR & SECRETARY OF ALOHACARE'S BOD 1085025 SERVICES RENDERED 0 HELEN KEKALIA CEO MOLOKAI COMMUNITY HEALTH CENTER DIRECTOR OF ALOHACARE'S BOD 590758 SERVICES RENDERED 0 IRENE CARPENTER CEO HAMAKUA HEALTH CENTER DIRECTOR & VP OF ALOHACARE'S BOD 907455 SERVICES RENDERED 0 DIANA SHAW & RAHNIA BOYER EXECUTIVE DIRECTOR LANAI COMMUNITY HEALTH CENTER DIRECTOR OF ALOHACARE'S BOD 483624 SERVICES RENDERED 0 KOOLAULOA COMMUNITY HEALTH CENTER VACANT BOD POSITION 352510 SERVICES RENDERED 0 CHERYL VACONCELLOS EXECUTIVE DIRECTOR HANA COMMUNITY HEALTH CENTER DIRECTOR OF ALOHACARE'S BOD 284316 SERVICES RENDERED 0 DEBORAH ZYSMAN EXECUTIVE DIRECTOR HAWAII CHILDREN'S ACTION NETWORK DIRECTOR OF ALOHACARE'S BOD 25000 ACCESS TO CARE GRANT 0 PART V, LINE (A) QUEEN'S HEALTH SYSTEMS, QUEEN EMMA CLINICS FORM 990, PART VI, SECTION A, LINE 1A THE BOARD OF DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE FULL BOARD OF DIRECTORS, MAY DESIGNATE FROM AMONG ITS MEMBERS AN EXECUTIVE COMMITTEE, A GOVERNANCE COMMITTEE, AN AUDIT COMMITTEE, AND A COMPLIANCE COMMITTEE, TOGETHER WITH ONE OR MORE OTHER COMMITTEES, EACH OF WHICH SHALL HAVE AND MAY EXERCISE ALL THE AUTHORITY GRANTED BY THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW OR THE ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11B BOTH THE CEO & CFO OF ALOHACARE REVIEW FORM 990 PRIOR TO OBTAINING APPROVAL FROM ALOHACARE'S FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, AND NOTIFY ALOHACARE SHOULD ANY CONFLICTS ARISE DURING THE YEAR. DIRECTORS, KEY EMPLOYEES AND OFFICERS ARE REQUIRED TO COMPLETE THE CONFLICTS OF INTEREST DISCLOSURE FORM ANNUALLY TO DISCLOSE ANY ARRANGEMENTS WHICH MAY CONSTITUTE AN ACTUAL CONFLICT OF INTEREST OR GIVE RISE TO THE APPEARANCE OF A CONFLICT OF INTEREST. THE COMPLIANCE DEPARTMENT REVIEWS THE ANNUAL CONFLICTS OF INTEREST DISCLOSURE STATEMENT AND REPORTS POTENTIAL CONFLICTS OF INTERESTS TO THE BOARD OF DIRECTORS. ANY ACTUAL OR POTENTIAL CONFLICT OF INTEREST MAY ALSO BE RAISED BY ANY OTHER MEMBER OF THE BOARD OF DIRECTORS OR THROUGH THE WHISTLEBLOWER PROGRAM. AN INTERESTED PERSON MAY MAKE A PRESENTATION TO THE BOARD OF DIRECTORS, BUT AFTER SUCH PRESENTATION,THE INTERESTED PERSON SHALL RECUSE THEMSELVES FROM THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE ARRANGEMENT INVOLVING THE CONFLICT OF INTEREST OR THE APPEARANCE OF A CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15 ON AN ANNUAL BASIS, THE BOARD, SUPPORTED BY THE GOVERNANCE COMMITTEE, REVIEWS AND EVALUATES THE PERFORMANCE OF THE SENIOR LEADERSHIP TEAM ON AN INDIVIDUAL BASIS. THIS OVERSIGHT INCLUDES DETERMINATION OF TOTAL COMPENSATION (BASE SALARY, BONUS, AND/OR OTHER SUPPLEMENTAL BENEFITS) AS WELL AS ONGOING EMPLOYMENT AT THE ORGANIZATION. EXECUTIVE COMPENSATION IS DETERMINED BASED ON EXTERNAL STUDIES AND INDIVIDUAL PERFORMANCE. ALOHACARE PARTICIPATES IN COMPENSATION SURVEYS BOTH STATE AND NATIONALLY AND USES THE FINDINGS IN THE OVERALL COMPENSATION MARKET RESEARCH TO BEST DETERMINE THE COMPENSATION FOR KEY LEADERSHIP POSITIONS. ALL COMPENSATION PROGRAMS ARE ULTIMATELY SUBJECT TO REVIEW AND APPROVAL BY THE GOVERNANCE COMMITTEE AND THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BY ALOHACARE. FORM 990, PART IX, LINE 11G OTHER FEES - PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 63,325,654. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 63,325,654. FORM 990, PART XI, LINE 2C ALOHACARE HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. SCHEDULE L, PART III GRANTS ARE AWARDED ON AN OBJECTIVE AND NONDISCRIMINATORY BASIS BASED ON PRE-ESTABLISHED CRITERIA AND REVEIWED BY A SELECTION COMMITTEE COMPRISED OF DISINTERESTED PERSONS, AS DESCRIBED IN REGULATIONS SECTION 53.4945-4(B).