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      <ActivityOrMissionDesc>THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER ("THE HEALTH CENTER") IS A HEALING CENTER THAT PROVIDES ACCESSIBLE AND AFFORDABLE MEDICAL AND TRADITIONAL HEALING SERVICES WITH ALOHA. THE HEALTH CENTER IS A LEARNING CENTER THAT OFFERS HEALTH CAREER TRAINING TO ENSURE A BETTER FUTURE FOR OUR COMMUNITY. THE HEALTH CENTER IS ALSO AN INNOVATOR, USING LEADING EDGE TECHNOLOGY TO DELIVER THE HIGHEST QUALITY OF HEALTH CARE SERVICES.</ActivityOrMissionDesc>
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      <MissionDesc>THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER ("THE HEALTH CENTER") IS A HEALING CENTER THAT PROVIDES ACCESSIBLE AND AFFORDABLE MEDICAL AND TRADITIONAL HEALING SERVICES WITH ALOHA. THE HEALTH CENTER IS A LEARNING CENTER THAT OFFERS HEALTH CAREER TRAINING TO ENSURE A BETTER FUTURE FOR OUR COMMUNITY. THE HEALTH CENTER IS ALSO AN INNOVATOR, USING LEADING EDGE TECHNOLOGY TO DELIVER THE HIGHEST QUALITY OF HEALTH CARE SERVICES.</MissionDesc>
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      <Desc>MEDICAL CARE: PRIMARY CARE MEDICAL SERVICES (PEDIATRICS, WOMEN'S, ADULT MEDICINE AND INTERNAL MEDICINE) ARE PROVIDED THROUGH A MAIN CLINIC SITE AND FOUR SATELLITE CLINICS SERVING THE LEEWARD AREA ON THE ISLAND OF OAHU. FOR ADDITIONAL INFORMATION SEE SCHEDULE O.</Desc>
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        <Desc>EMERGENCY MEDICAL SERVICES: TWENTY-FOUR HOUR EMERGENCY MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY THROUGH THE HEALTH CENTER'S MAIN CLINIC SITE ON THE WAIANAE COAST. FOR ADDITIONAL INFORMATION SEE SCHEDULE O.</Desc>
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        <Desc>PHARMACY: THE HEALTH CENTER OPERATES FOUR 340B PHARMACIES ON SITE WHICH REDUCES THE BARRIERS FOR PATIENTS WITHOUT DRUG COVERAGE BENEFITS OR HAVING TO MAKE AN ADDITIONAL STOP AT AN OFF-SITE PHARMACY TO PICK UP A PRESCRIPTION. THE PHARMACIES ARE LOCATED AT THE MAIN HEALTH CENTER IN WAIANAE, THE KAPOLEI HEALTH CARE CENTER IN KAPOLEI, THE JAMES AND ABIGAIL CAMPBELL CLINIC IN NANAKULI AND IN THE TAMURA SUPER MARKET IN WAIANAE.</Desc>
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        <Desc>THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER SERVES THE MEDICALLY UNDERSERVED AND ECONOMICALLY DISADVANTAGED COMMUNITY OF WAIANAE AND SURROUNDING COMMUNITIES IN THE WEST OAHU AREA ON THE ISLAND OF OAHU IN THE STATE OF HAWAII. SERVING THE COMMUNITY SINCE 1972, THE HEALTH CENTER IS CELEBRATING ITS' 50TH ANNIVERSARY THIS YEAR (2022). FROM ITS START AS A ONE DOCTOR OFFICE, THE HEALTH CENTER IS THE LARGEST, AND OLDEST, OF THE FIFTEEN COMMUNITY HEALTH CENTERS IN THE STATE OF HAWAII. THE STRENGTH OF THE HEALTH CENTER LIES IN THE STRONG FOUNDATION SET BY ITS FOUNDERS, THE VISION AND EXPERTISE OF ITS BOARD OF DIRECTORS, THE SENSE OF OWNERSHIP BY ITS STAFF, PATIENTS AND COMMUNITY, THE YEARS OF SERVICE AND COMMITMENT OF ITS MANAGEMENT TEAM, AND THE RELATIONSHIPS FORGED AT THE COMMUNITY, STATE AND NATIONAL LEVEL. THROUGHOUT THE INITIAL PANDEMIC AND THE DELTA SURGE, THE HEALTH CENTER'S PRIMARY SERVICE AREA OF THE WAIANAE COAST EXPERIENCED THE HIGHEST COVID+ RATES AND THE LOWEST COVID IMMUNIZATION RATES IN THE STATE. COMMUNITY RELUCTANCE TO ACCEPT VACCINATIONS WAS A SIGNIFICANT HURDLE THAT REQUIRED A MULTI-PRONG APPROACH OF OUTREACH, MULTI-MEDIA, AND USING CULTURAL LEADERS TO INTERVENE AND EDUCATE THE COMMUNITY.THE HEALTH CENTER CONTINUED SERVICES ESTABLISHED EARLY IN 2020 TO ADDRESS COVID INCLUDING DRIVE THRU COVID-19 TESTING, A COVID HOTLINE, CURBSIDE PHARMACY PICKUP AND DELIVERIES, DISTRIBUTING PREPARED AND PACKAGED FOODS TO RESIDENTS OF THE WAIANAE COAST, PROVIDING OUTREACH TO HIGH RISKS PATIENTS, THE ELDERLY AND HOMELESS, ELEVATING USE OF SOCIAL MEDIA, TV AND PRINT FOR ADVERTISING, INFORMATION AND EDUCATION, REPURPOSING STAFF TO ADDRESS COVID RELATED NEEDS, ETC. IN DECEMBER 2020, THE HEALTH CENTER WAS SELECTED, ALONG WITH SEVERAL HAWAII HOSPITALS, TO BE THE FIRST IN THE STATE TO RECEIVE VACCINATIONS FOR ITS 600+ EMPLOYEES. AFTER THE ROLL-OUT OF VACCINATIONS FOR OUR EMPLOYEES, WE FOCUSED ON OUR PATIENTS 65+ AND THEN OUR GENERAL PATIENT POPULATION. AS THE VACCINE BECAME AVAILABLE FOR SCHOOL AGE CHILDREN, THE HEALTH CENTER PROVIDED VACCINATIONS THROUGH ITS SCHOOL BASED CLINICS AS WELL AS THROUGH ITS PRIMARY CARE CLINIC SITES. TELEHEALTH IMPLEMENTATION WAS A MAJOR TRANSFORMATION FOR THE HEALTH CENTER IN 2020. SLOWLY, PATIENTS ARE RETURNING FOR FACE-TO-FACE VISITS BUT TELEHEALTH VISITS REMAINS A PREFERRED OPTION BY MANY PATIENTS. BY JANUARY 2021, THE HEALTH CENTER AVERAGED 41% FACE-TO-FACE, 30% TELEVIDEO, AND 29% VISITS BY TELEPHONE. IN JUNE 2021, THE HEALTH CENTER AVERAGED 50.5% FACE-TO-FACE, 32.5% TELEVIDEO, AND 17% TELEPHONE. BY DECEMBER 2021, THE HEALTH CENTER AVERAGED 72% FACE-TO-FACE, 20% TELEVIDEO, AND 8% TELEPHONE. BEHAVIORAL HEALTH VISITS HAVE SHOWN THE STRONGEST GROWTH IN THE TELEHEALTH ENVIRONMENT AS DEMONSTRATED BY 15,459 VISITS IN FY 2019, 14,655 VISITS IN FY 2020, AND 16,548 VISITS IN FY 2021.THE POST-PANDEMIC HEALTHCARE DELIVERY PARADIGM HAS MOVED THE HEALTH CENTER TO REVAMP ITS OPERATIONS TO ASCERTAIN THE RIGHT MIX OF TELEHEALTH VS FACE-TO-FACE VISITS TO ACCOMMODATE THIS NEW REALITY. REALIZING THAT A NEW SKILL SET IS NECESSARY TO MOVE INTO THE FUTURE, WE ARE HIRING AND TRAINING STAFF IN A NEW WAY. CLINICAL ASSISTANTS (CA), WHO COME FROM THE COMMUNITY, ARE BEING TRAINED TO PERFORM A SERIES OF BACKGROUND OPERATIONS THAT ALLOW PROVIDERS TO BE KEPT UP TO DATE ON PATIENT NEEDS AND GAPS IN FULFILLING QUALITY MEASURES. AMBULATORY CARE REGISTERED NURSES ARE ALSO BEING HIRED AND TRAINED TO ASSIST PROVIDERS IN TASKS THAT REQUIRE A HIGHER DEGREE OF MEDICAL KNOWLEDGE SUCH AS PRESCRIPTION REFILLS, PATIENT CALL-BACKS FOR NORMAL STUDIES AND FILLING OUT FORMS NECESSARY FOR PATIENT CARE. WITH THESE TASKS FULFILLED, OUR MEDICAL ASSISTANTS WILL BE FREE TO ENGAGE PATIENTS ON A PERSONAL LEVEL CHECKING THEM IN FOR VISITS BOTH IN CLINIC AND VIRTUALLY, AND PERFORM VACCINATIONS, TESTING, ETC., FOR WHICH STANDING ORDERS EXIST. IN THIS WAY, PROVIDERS WILL BE BETTER INFORMED AND MORE ABLE TO SEE THE INCREASING NUMBER OF PATIENTS WHO NEED ASSISTANCE AS WE EXIT FROM THE PANDEMIC EMERGENCY.IN 2021, THE HEALTH CENTER SERVED 33,996 PATIENTS, A REDUCTION OF 4,703 PATIENTS SERVED IN PRE-COVID 2019. THE MAJORITY OF PATIENTS SERVED IN 2021 WERE NATIVE HAWAIIAN (49%), FOLLOWED BY ASIAN &amp; OTHER PACIFIC ISLANDERS (26%), AND CAUCASIANS (10%). DATA SHOWS 71% OF PATIENTS ARE AT 100% OF THE FEDERAL POVERTY LEVEL OR BELOW (2% MORE THAN 2021), 4% ARE UNINSURED, AND 60% ARE RECEIVING COVERAGE UNDER QUEST, THE STATE OF HAWAII'S MEDICAID PROGRAM. THE WAIANAE COAST IS AN ECONOMICALLY DISTRESSED COMMUNITY WITH A POPULATION OF 50,000. TWENTY-FOUR PERCENT (24%) OF THE POPULATION HAS AN ANNUAL INCOME LESS THAN 100% OF THE FEDERAL POVERTY LEVEL, WHICH IS THE HIGHEST LEVEL IN THE CITY AND COUNTY OF HONOLULU AND THE THIRD HIGHEST IN THE STATE OF HAWAII. THIRTY-THREE PERCENT (33%) OF WAIANAE COAST HOUSEHOLDS ARE RECEIVING SNAP/CASH OR OTHER FORMS OF PUBLIC ASSISTANCE. THIS IS THE HIGHEST RATE IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE OF HAWAII. THE AVERAGE PER CAPITA INCOME IS $17,800 MAKING IT THE LOWEST IN THE CITY AND COUNTY OF HONOLULU AND THE STATE OF HAWAII. ALMOST 12% OF THE POPULATION IS UNEMPLOYED, THE SECOND HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND FOURTH HIGHEST IN THE STATE. THE HEALTH STATISTICS OF THE WAIANAE COAST PARALLELS THE ECONOMIC SITUATION IN THE COMMUNITY. THE INFANT MORTALITY RATE (8.8 PER 1,000) IN WAIANAE IS THE HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND SECOND HIGHEST IN THE STATE. BIRTHS TO MOTHERS UNDER AGE 18 (4.6 PER 1,000) IS THE HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND SECOND HIGHEST IN THE STATE. MORBIDITY AND MORTALITY INDICATORS SHOW THAT THE WAIANAE COAST RANKS HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE FOR OBESITY (40.9%); ADULTS WHO SMOKE (25%); ADULTS WITH DIABETES (15.1%); AND CANCER (209.8 PER 100,000). THE HEALTH CENTER ACHIEVES ITS MISSION BY NOT ONLY SERVING PATIENTS WHO SEEK SERVICES, BUT ALSO BY INCORPORATING THE GOAL OF IMPROVING THE OVERALL HEALTH STATUS OF THE COMMUNITY IT SERVES. THE VISION OF THE FOUNDERS TO OFFER COMPREHENSIVE HEALTH SERVICES HAS GUIDED THE DEVELOPMENT OF SERVICES AND ACTIVITIES OF OUR PATIENT CENTERED HEALTH CARE HOME, WHICH INCLUDES:PRIMARY CARE CLINICS (ADULT MEDICINE, FAMILY PRACTICE, PEDIATRIC HEALTH, WOMEN'S HEALTH), DENTAL, 24-HOUR EMERGENCY MEDICAL SERVICES, 24-HOUR LABORATORY, 24-HOUR IMAGING, SCHOOL-BASED CENTERS, WALK-IN CLINICS, BEHAVIORAL HEALTH, SUBSTANCE USE DISORDER TREATMENT, PHARMACY, MAMMOGRAPHY, VISION CARESPECIALISTS: CARDIOLOGY, DERMATOLOGY, ENDOCRINOLOGY, GENERAL SURGERY, NEPHROLOGY, OBSTETRICS/GYNECOLOGY, ORTHOPEDICS, OPHTHALMOLOGY, PAIN MANAGEMENT, PODIATRY, PULMONOLOGY, PSYCHIATRYCASE MANAGEMENT/CARE COORDINATION, CHRONIC DISEASE MANAGEMENT, INTEGRATIVE WEIGHT MANAGEMENT, FAMILY PLANNING, HEALTH EMERGENCY LIAISON, FARMERS' MARKETS, HEALTH EDUCATION, COMMUNITY WELLNESS, CULTURAL EDUCATION, HOMELESS OUTREACH, INSTITUTIONAL REVIEW BOARD FOR RESEARCH, NATIVE HAWAIIAN TRADITIONAL HEALING, NUTRITION COUNSELING, PATIENT ASSISTANT SERVICES, PATIENT FINANCIAL SERVICES, PERINATAL CASE MANAGEMENT, HEALTHY DINING RESTAURANT, TRANSPORTATION, HEALTH CAREER/PROFESSIONAL TRAINING, AND THE WOMEN, INFANT, CHILDREN PROGRAM (WIC). THE HEALTH CENTER IS A MAJOR ECONOMIC PROVIDER IN THE COMMUNITY, EMPLOYING OVER 600 INDIVIDUALS, THE MAJORITY OF WHOM RESIDE ON THE WAIANAE COAST. THE HEALTH CENTER IS GOVERNED AND GUIDED BY A BOARD OF DIRECTORS THAT INCLUDES UP TO 10 MEMBERS ELECTED FROM THE SERVICE AREA WHO ARE PATIENTS OF THE HEALTH CENTER, AND UP TO 10 MEMBERS APPOINTED FOR EXPERTISE IN BUSINESS, MEDICINE, LAW, OR COMMUNITY AFFAIRS, WITH TWO REPRESENTING THE SERVICE AREAS OF WAIPAHU AND KAPOLEI. THE HEALTH CENTER HAS MAINTAINED A POSITIVE FINANCIAL POSITION BY CONTINUOUSLY INCREASING PRODUCTIVITY, DEVELOPING REVENUE GENERATING SERVICES, INITIATING TECHNOLOGICAL INNOVATIONS AND PROMOTING COMMUNITY INVOLVEMENT. THE HEALTH CENTER'S FULL ARRAY OF PRIMARY HEALTH CARE SERVICES IS DESIGNED TO MEET THE NEEDS OF THE TARGET POPULATION. MUCH ATTENTION IS PAID IN PLACING CLINICS THAT ARE STRATEGICALLY LOCATED ALONG BUS ROUTES THAT ARE VISIBLE TO THE COMMUNITY. THE HOURS OF OPERATION AT ALL SITES REPRESENT A COMMITMENT TO MEET THE NEEDS OF PATIENTS AND THEIR PERSONAL SITUATIONS. CLINICS ARE OPEN WEEKDAYS AS EARLY AS 7:00 AM AND STAY OPEN, AT THE LATEST, TILL 8:00 PM. CLINICS ARE ALSO OPEN ON SATURDAYS AND A WALK-IN CLINIC IS AVAILABLE AT TWO SITES FOR URGENT CARE. THE HEALTH CENTER HAS SCHOOL BASED CLINICS AT WAIANAE HIGH, WAIANAE INTERMEDIATE, NANAKULI HIGH/INTERMEDIATE SCHOOLS, AND KAMAILE ACADEMY. THE HEALTH CENTER'S EMERGENCY ROOM IS AVAILABLE 24 HOURS, 365 DAYS A YEAR. SEE PART III, LINE 4D CONTINUATION BELOW.</Desc>
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          <BusinessNameLine1Txt>IVAN TAKUSHI</BusinessNameLine1Txt>
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        <PersonNm>MERRIE AIPOALANI</PersonNm>
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        <PersonNm>CHARLES HEW-LEN</PersonNm>
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        <PersonNm>CLIFFORD ISARA</PersonNm>
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        <PersonNm>JERALD KIMO ALAMA KEAULANA</PersonNm>
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        <PersonNm>DENICE KELIIKOA</PersonNm>
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        <PersonNm>GENEVIEVE AKEN</PersonNm>
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        <PersonNm>ANTHONY MAKANA PARIS</PersonNm>
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        <PersonNm>RICHARD P BETTINI</PersonNm>
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        <PersonNm>JAMES Z CHEN</PersonNm>
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        <PersonNm>NICHOLAS HUGHEY</PersonNm>
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      <ContractorCompensationGrp>
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          <BusinessName>
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            <AddressLine1Txt>87-1449 AKOWAI RD WAIANAE HI 9679</AddressLine1Txt>
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            <StateAbbreviationCd>HI</StateAbbreviationCd>
            <ZIPCd>96792</ZIPCd>
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      <ProgramServiceRevenueGrp>
        <Desc>MOB-RENTAL MENTAL HEALTH CENTER</Desc>
        <BusinessCd>621400</BusinessCd>
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      <TotalProgramServiceRevenueAmt>54378390</TotalProgramServiceRevenueAmt>
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        <TotalRevenueColumnAmt>83617</TotalRevenueColumnAmt>
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        <Desc>SOURCE INCENTIVE PAYMENTS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>668542</TotalRevenueColumnAmt>
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        <Desc>TRAINING PROGRAMS</Desc>
        <BusinessCd>621400</BusinessCd>
        <TotalRevenueColumnAmt>455410</TotalRevenueColumnAmt>
        <RelatedOrExemptFuncIncomeAmt>455410</RelatedOrExemptFuncIncomeAmt>
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      <OtherRevenueMiscGrp>
        <Desc>STATE OF HAWAII REIMB FOR ELIGIBI</Desc>
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        <PersonNm>JOYCE M O'BRIEN</PersonNm>
        <TitleTxt>EXECUTIVE VICE PRESIDENT ADMINISTRAT</TitleTxt>
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        <PersonNm>ROBERT BONHAM</PersonNm>
        <TitleTxt>MD -EMERGENCY DEPT ASSISTANT DIRECTO</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>VIJA M SEHGAL</PersonNm>
        <TitleTxt>MD -QUALITY OFFICER</TitleTxt>
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        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JAMES Z CHEN</PersonNm>
        <TitleTxt>CHIEF FINANCIAL OFFICER</TitleTxt>
        <BaseCompensationFilingOrgAmt>204371</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>278728</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>NESTOR JR C HERANA</PersonNm>
        <TitleTxt>MD -INTERNAL MEDICINE</TitleTxt>
        <BaseCompensationFilingOrgAmt>227822</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOHN MYHRE</PersonNm>
        <TitleTxt>PSY-D -DIRECTOR PHYCHOLOGY SVCS</TitleTxt>
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        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION FOR SOME OF THE OFFICERS AND HIGHLY COMPENSATED EMPLOYEES INCLUDES CELLPHONE ALLOWANCES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 7</FormAndLineReferenceDesc>
        <ExplanationTxt>COMPENSATION OF OFFICERS AND HIGHLY COMPENSATED EMPLOYEES INCLUDES NON-FIXED PAYMENTS IN THE FORM OF BONUSES AND/OR INCENTIVE PAYMENTS HELD ON EITHER A QUARTERLY OR ANNUAL BASIS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4D CONTINUED:</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIMARY, PREVENTIVE, AND ENABLING SERVICES ARE AVAILABLE AND ACCESSIBLE TO ALL LIFE CYCLES REGARDLESS OF ABILITY TO PAY FOR SERVICES. SPECIFIC PREVENTIVE (CHRONIC DISEASE MANAGEMENT; HEALTH EDUCATION - DIABETES, ASTHMA, NUTRITION, EXERCISE/FITNESS; AND SMOKING CESSATION) AND ENABLING SERVICES (CASE MANAGEMENT, ELIGIBILITY ASSISTANCE) ARE INTEGRATED WITH PRIMARY CARE. RENOVATIONS AND EXPANSION OF THE DENTAL BUILDING AT THE MAIN CENTER EXPERIENCED A FEW ADDITIONAL DELAYS BUT IS NOW ON TRACK WITH A CONSTRUCTION PERIOD OF JANUARY 2022 TO OCTOBER 2022. TWO NEW SITES OPENED IN FY 2021: THE JAMES AND ABIGAL CAMPBELL CLINIC OPENED FOR PRIMARY CARE, BEHAVIORAL HEALTH AND PHARMACY SERVICES ON MARCH 11, 2021 AND THE COMPREHENSIVE PROFESSIONAL PHARMACH AT TAMURA SUPER OPENED ON JANUARY 2, 2021 PROVIDING A PHARMACY AND TELEHEALTH KIOSK. EXPANSION OF THE HEALTH CENTER'S EWA-WEST OAHU COMMUNITY HEALTH STARTED RENOVATIONS IN 2021 AND WILL BE OPEN FOR EXPANDED BEHAVIORAL HEALTH SERVICES, SERVICES VIA A TELEHEALTH KIOSK, AND PRIMARY CARE SERVICES STARTING FEBRUARY 23, 2022. A KEY INITIATIVE FOR THE HEALTH CENTER CONTINUES TO BE DEVELOPING A "PRIMARY CARE HEALTH CARE HOME" THAT FITS THE MODEL OF CARE THAT MEETS THE BROAD HEALTH CARE NEEDS OF OUR PATIENTS. THE HEALTH CENTER CONTINUES TO GROW ITS PARTNERSHIP THROUGH AHARO, A VIRTUAL ACCOUNTABLE CARE ORGANIZATION WHICH CURRENTLY INCLUDES HEALTH CENTERS ON OAHU, MOLOKAI AND HAWAII ISLAND WHOSE MISSION IS "PROMOTING ACCESS, QUALITY, AND COST EFFECTIVENESS IN HEALTHCARE BY EMPOWERING CONSUMERS TO EVALUATE THE PERFORMANCE OF HEALTHCARE AGENCIES THAT SERVE THEM."</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH CENTER HAS A CORPORATE MEMBERSHIP. CORPORATE MEMBERS ARE DEFINED AS AN INDIVIDUAL, 18 YEARS OR OLDER, WHO RESIDES IN THE SERVICE AREA AND USES THE HEALTH CENTER AS A PRIMARY CARE FACILITY OR WHO HAS AN INTEREST IN THE FIELD OF HEALTH. MEMBERS WHO ARE ELIGIBLE TO VOTE PARTICIPATE IN CONTRIBUTING NAMES TO BE ON THE BALLOT AND VOTING IN THE ANNUAL ELECTION. THIS PROCESS TAKES PLACE ANNUALLY IN MARCH/APRIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION A, LINE 7A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH CENTER HAS A CORPORATE MEMBERSHIP. CORPORATE MEMBERS ARE DEFINED AS AN INDIVIDUAL, 18 YEARS OR OLDER, WHO RESIDES IN THE SERVICE AREA AND USES THE HEALTH CENTER AS A PRIMARY CARE FACILITY OR WHO HAS AN INTEREST IN THE FIELD OF HEALTH. MEMBERS WHO ARE ELIGIBLE TO VOTE PARTICIPATE IN CONTRIBUTING NAMES TO BE ON THE BALLOT AND VOTING IN THE ANNUAL ELECTION. THIS PROCESS TAKES PLACE ANNUALLY IN MARCH/APRIL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>SENIOR MANAGEMENT IS RESPONSIBLE FOR THE TIMELY PREPARATION OF THE FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IN ADVANCE OF THE FILING DEADLINE. AFTER ALL QUESTIONS AND CONCERNS OF THE FINANCE COMMITTEE HAVE BEEN ADDRESSED AND CHANGES INCORPORATED INTO THE FORM 990, AS APPLICABLE, ALL MEMBERS OF THE BOARD OF DIRECTORS ARE INVITED TO REVIEW THE COMPLETED FORM 990 IN ADVANCE OF THE FILING DEADLINE VIA A DEDICATED WCCHC WEBSITE. AFTER ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS HAVE BEEN ADDRESSED AND ANY CHANGES INCORPORATED INTO THE FORM 990, SENIOR MANAGEMENT FILES THE FINAL FORM 990 AS REQUIRED.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>COVERED UNDER THE HEALTH CENTER'S CONFLICT OF INTEREST POLICY ARE THE BOARD OF DIRECTORS AND ANY NON MEMBER OF THE BOARD OF DIRECTORS THAT SERVES ON A BOARD COMMITTEE. DETERMINATIONS ON WHETHER A CONFLICT OF INTEREST EXISTS IS MADE BY 1) REVIEWING ANNUAL DISCLOSURE FORMS COMPLETED BY BOARD MEMBERS AND NON BOARD MEMBERS WHO SIT ON A BOARD COMMITTEE; AND 2) CONDUCTING A DISCUSSION AND HOLDING A VOTE BY BOARD MEMBERS WHEN A BOARD MEMBER/OTHER MEMBER DISCLOSES A CONFLICT DURING A BOARD AND OR BOARD COMMITTEE MEETING. CONFLICTS OF INTEREST ARE REVIEWED AT THE FOLLOWING LEVELS: 1) AN ANNUAL STATEMENT IS COMPLETED BY BOARD MEMBERS AND OR NON BOARD MEMBERS WHO SIT ON A BOARD COMMITTEE. 2) DISCLOSURE IS MADE AT A BOARD AND/OR BOARD COMMITTEE MEETING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HEALTH CENTER UTILIZES NUMEROUS HEALTH CARE-RELATED RESOURCES AND/OR CONTRACTS FOR SERVICES TO CONDUCT PAY STUDIES ON EMPLOYEE AND KEY MANAGEMENT POSITIONS. THE VISIONLINK ADVISORY GROUP CONDUCTS A REVIEW OF KEY EMPLOYEE COMPENSATION INTENDED TO SATISFY THE SAFE HARBOR FOR ORANIZATION MANAGERS DESCRIBED IN TREASURY REGULATION SECTION 53.4958-1 AND REBUTTABLE PRESUMPTION STANDARD DESCRIBED IN TREASURY REGULATION SECTION 53.4958.6. THIS PROCESS WAS LAST COMPLETED IN JULY 2021. THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD ESTABLISHES A CEO EVALUATION COMMITTEE TO REVIEW HIS PERFORMANCE, COMPLETED OBJECTIVES AND ANY COMPENSATION STUDIES. ONCE COMPLETED THE COMMITTEE PREPARES THEIR RECOMMENDATIONS ON COMPENSATION AND BONUSES AND PRESENTS IT TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THIS PROCESS WAS LAST COMPLETED AUGUST 2021. FORM 990, PART VI, LINE 15B: THE HEALTH CENTER UTILIZES NUMEROUS HEALTH CARE-RELATED RESOURCES AND/OR CONTRACTS FOR SERVICES TO CONDUCT PAY STUDIES ON EMPLOYEE AND KEY MANAGEMENT POSITIONS. THE HEALTH CENTER PARTICIPATES IN THE NACHC (NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS) HEALTH CENTER COMPENSATION &amp; BENEFIT STUDY EACH YEAR. THE HEALTH CENTER STARTED PARTICIPATING IN 2004. THE HEALTH CENTER ANNUALLY REVIEWS ITS COMPENSATION TO DETERMINE IF ANY ADJUSTMENTS NEED TO BE MADE TO ITS PAY SCALE UTILIZING CURRENT COMPENSATION SURVEYS. THIS PROCESS WAS LAST REVIEWED IN MARCH 2021 AND IS CURRENTLY UNDER REVIEW.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ALTHOUGH NOT PUBLICIZED, ARE MADE AVAILABLE UPON REQUEST.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9, OTHER CHANGES IN NET ASSETS OR FUND BALANCES:</FormAndLineReferenceDesc>
        <ExplanationTxt>- CONTRIBUTIONS IN KIND $350,197</ExplanationTxt>
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