2022-12-14T16:26:32-06:00 2021-12-31 990169131 N&K CPAS INC 999 BISHOP ST STE 2200 HONOLULU HI 96813 990 2021-01-01 990159253 WAIKIKI HEALTH WAIK 8089224787 277 OHUA AVENUE HONOLULU HI 96815 PHYLLIS DENDLE CHIEF EXECUTIVE OFFICER 8089224787 2022-12-13 1 PHYLLIS DENDLE 999009999 MICHAEL I TANAKA P00412914 8085242255 0 AAL1 IAL1 2021 2022-09-23 18:48:47Z PHYLLIS DENDLE 277 OHUA AVENUE HONOLULU HI 96815 27161133 0 X WWW.WAIKIKIHC.ORG X 1971 HI TO PROVIDE HIGH QUALITY MEDICAL AND SOCIAL SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE FOR EVERYONE. 16 16 267 36 0 0 7283528 6613229 16678654 20531070 81 16834 1410000 0 25372263 27161133 0 0 0 0 13678599 15544213 0 0 462961 8949727 10117602 22628326 25661815 2743937 1499318 9185686 10535350 2475317 2736628 6710369 7798722 X TO PROVIDE HIGH QUALITY MEDICAL AND SOCIAL SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE FOR EVERYONE REGARDLESS OF ABILITY TO PAY. 0 0 8162362 10709033 OUR PRIMARY CARE CLINIC OFFERS GENERAL AND PREVENTATIVE MEDICAL CARE AND CASE MANAGEMENT THAT IS INTEGRATED WITH TRADITIONAL HAWAIIAN HEALING, MEDICAL NUTRITION THERAPY, OPTOMETRY SERVICES, DENTAL SERVICES, AND BEHAVIORAL HEALTH COUNSELING. CHRONIC DISEASE MANAGEMENT IS A KEY COMPONENT AS WE PROVIDE A SAFETY NET TO PEOPLE WHO ARE UNINSURED, UNDERINSURED, AND OFTEN HOMELESS. THIS YEAR WE PROVIDED SERVICES TO 10,050 PATIENTS. 4226641 720828 OUR DROP-IN CENTER OFFERS HEALTH SERVICES, BEHAVIORAL HEALTH SERVICES, CASE MANAGEMENT, SUBSTANCE ABUSE TREATMENT, EMERGENCY FOOD AND CLOTHING, PHONE, AND MESSAGE SERVICE FOR THE NEXT STEP SHELTER. OUR MOBILE MEDICAL CLINIC VISITS VARIOUS PARTS OF THE ISLAND WITH A FULLY EQUIPPED EXAM ROOM. 5337538 8217378 OUR PHARMACY PROGRAM FILLS PRESCRIPTIONS AND PROVIDES OVER THE COUNTER MEDICATIONS TO PATIENTS AT THE OHUA AND MAKAHIKI CLINIC LOCATIONS. 1298224 883831 OUR DENTAL SERVICES PROVIDE SERVICES TO BOTH ADULT AND PEDIATRIC PATIENTS AT OUR MAKAHIKI LOCATION. IN ADDITION, IT PROVIDES EDUCATION TO THE PUBLIC ON THE IMPORTANT ORAL HEALTH IN OVERALL PERSONAL WELLBEING. 1298224 883831 19024765 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 37 0 1 267 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 HI X OCTAVIUS GONZAGA 8089224787 277 OHUA AVENUE HONOLULU HI 96815 ALEXIS CHARPENTIER DIRECTOR CHAIR COMPENSATION 1.00 0.00 X 0 0 0 EDWARD SPRINGER PRESIDENT 1.00 0.00 X X 0 0 0 FLOYD CROSBY DIRECTOR 1.00 0.00 X 0 0 0 JAMES NELSON DIRECTOR 1.00 0.00 X 0 0 0 LILIAN TSANG DIRECTOR 1.00 0.00 X 0 0 0 PAUL KALEOLANI SMITH SECRETARY 1.00 0.00 X X 0 0 0 PHIL ACOSTA DIRECTOR CHAIR GOVERNANCE 1.00 0.00 X 0 0 0 SCOT STERENBERG TREASURER 1.00 0.00 X X 0 0 0 THOMAS NAMIKI CHAIR QUALITY ASSURANCE 1.00 0.00 X 0 0 0 ASHLEY NOJI VICE PRESIDENT 1.00 0.00 X X 0 0 0 DANIEL BARNETT DIRECTOR 1.00 0.00 X 0 0 0 JUDITH LAU DIRECTOR 1.00 0.00 X 0 0 0 KATHERINE LOBENDAHN DIRECTOR 1.00 0.00 X 0 0 0 NOLA A NAHULU DIRECTOR 1.00 0.00 X 0 0 0 FAITH KAHELE SAITO DIRECTOR 1.00 0.00 X 0 0 0 LEON WILLIAMS DIRECTOR 1.00 0.00 X 0 0 0 PHYLLIS DENDLE CHIEF EXECUTIVE OFFICER 40.00 0.00 X 175047 0 19176 ELLIOT KALAUAWA CHIEF MEDICAL OFFICER 40.00 0.00 X 257252 0 23779 OCTAVIUS GONZAGA CHIEF FINANCIAL OFFICER 40.00 0.00 X 128864 0 16283 SARAH SEABOLT PHYSICIAN 40.00 0.00 X 212275 0 21530 HIRAM YOUNG PHYSICIAN 40.00 0.00 X 195619 0 20697 KELSEY FINN PHYSICIAN 40.00 0.00 X 190589 0 20446 RACHEL DIPASQUALE DENTAL DIRECTOR 40.00 0.00 X 179953 0 19914 TAMMY KAI PHARMACY DIRECTOR 40.00 0.00 X 164957 0 19057 1504556 0 160882 30 0 1 0 ATHENA HEALTH INC PO BOX 415615 BOSTON MA 02241 HER SYSTEM/SUPPORT 859947 KUMUKAHI HEALTH AND WELLNESS 101 AUPONI STREET SUITE PH 1014 2C HILO HI 96720 HIV PROGRAM SUBCONTRACT 288258 UNIVERSITY CLINICAL EDUCATION AND RESEA PO BOX 31000 HONOLULU HI 96849 OBGYN CONTRACTOR SERVICES 223504 GREGORY HOUSE PROGRAM 300 N VINEYARD BLVD HONOLULU HI 96817 HIV PROGRAM SUBCONTRACT 214904 4 6090120 523109 6613229 PATIENT SERVICE REVENUE 624100 11592864 11592864 PHARMACY REVENUE 624100 8217378 8217378 OTHER INCOME 624100 720828 720828 20531070 2228 2228 14606 0 14606 14606 14606 27161133 20531070 0 16834 620401 620401 11549067 9064025 2228414 256628 394183 277667 102636 13880 2083304 1389383 615166 78755 897258 634134 243492 19632 11760 11760 91822 91822 1289082 955392 331007 2683 73774 3218 52802 17754 496884 384755 77856 34273 1113085 67977 1040873 4235 1193824 930571 237448 25805 67332 62584 4711 37 93700 44631 44490 4579 4186 4186 291793 291793 101627 80629 18411 2587 MEDICAL SUPPLIES & DRUG 4648637 4596226 51934 477 REPAIRS & MAINTENANCE 275943 259719 16224 BAD DEBT 239443 239443 LICENSES, DUES, SUBSCRI 91570 33994 55940 1636 33140 417 32723 25661815 19024765 6174089 462961 2283204 4386425 1925783 2125753 666354 232594 1511573 962068 126513 91356 317031 364762 5075981 2772542 2323913 2303439 31315 68953 9185686 10535350 2074807 2474090 400510 166350 0 96188 2475317 2736628 X 6255837 7344189 454532 454533 6710369 7798722 9185686 10535350 1499318 -410965 0 X X 0 0 1 1 1 X 5967878 6700895 5464100 7283528 6613229 32029630 5967878 6700895 5464100 7283528 6613229 32029630 32029630 8943 917 65 81 2228 12234 32041864 78125291 0.99960 0.99970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 972992 962442 10550 2785206 1192136 1593070 817275 617964 199311 500508 500508 2303439 26921690 -239443 -239443 27161133 0 27161133 25422372 0 25422372 239443 239443 25661815 PART XI, LINE 2D - OTHER ADJUSTMENTS: PROVISIONS FOR BAD DEBT -239,443. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 239,443. X X 0 0 0 0 0 0 0 0 0 ELLIOT KALAUAWA CHIEF MEDICAL OFFICER 257102 0 150 0 0 0 12855 0 10924 0 281031 0 0 0 SARAH SEABOLT PHYSICIAN 212125 0 150 0 0 0 10606 0 10924 0 233805 0 0 0 HIRAM YOUNG PHYSICIAN 195469 0 150 0 0 0 9773 0 10924 0 216316 0 0 0 KELSEY FINN PHYSICIAN 190439 0 150 0 0 0 9522 0 10924 0 211035 0 0 0 RACHEL DIPASQUALE DENTAL DIRECTOR 179803 0 150 0 0 0 8990 0 10924 0 199867 0 0 0 PHYLLIS DENDLE CHIEF EXECUTIVE OFFICER 165047 0 10000 0 0 0 8252 0 10924 0 194223 0 0 0 TAMMY KAI PHARMACY DIRECTOR 164807 0 150 0 0 0 8133 0 10924 0 184014 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS (IN PROGRESS) AND INFORMATION PROVIDED BY MANAGEMENT. A REVIEW IS CONDUCTED BY MANAGEMENT AND COPIES ARE PROVIDED TO THE FINANCE DEPARTMENT FOR REVIEW. HISTORICALLY ALL FORM 990'S HAVE BEEN PREPARED BY A THIRD PARTY WHO WORKS IN CONJUNCTION WITH THE COMPANY'S FINANCE DEPARTMENT. FORM 990, PART VI, SECTION B, LINE 12C ALL EXECUTIVE MANAGEMENT AND BOARD MEMBERS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. ANY BUSINESS DEALINGS WITH RELATED PARTIES MUST BE DISCLOSED TO ALL OF THE BOARD OF DIRECTORS. DECISION MAKING IS LIMITED AS IT PERTAINS TO ANY TRANSACTIONS DONE WITH THE RELATED PARTY. FORM 990, PART VI, SECTION B, LINE 15A THE COMPENSATION OF THE CHIEF EXECUTIVE OFFICER IS APPROVED BY THE BOARD OF DIRECTORS. THE DIRECTORS MEET IN EXECUTIVE SESSION FOR DISCUSSION. THE PERSONNEL COMMITTEE OF THE BOARD IS RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE BOARD AND USES THE FOLLOWING RESOURCES: COMPARATIVE DATA FROM HAWAII EMPLOYERS COUNCIL, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, AND THE HAWAII PRIMARY CARE ASSOCIATION (HPCA). THE PERSONNEL COMMITEE OF THE BOARD OF DIRECTORS DECIDED ON THE HIRING OF THE CURRENT CHIEF EXECUTIVE OFFICER ON FEBRUARY 2019. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE CHIEF EXECUTIVE OFFICER, USING THE AVAILABLE EXTERNAL RESOURCES LISTED ABOVE AND WITH INPUT ON COMPARABLE MARKET SALARIES FROM THE HR MANAGER. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON DEMAND. FROM 990, PART XII, LINE 2: THE ORGANIZATION IS CURRENTLY IN THE PROCESS OF COMPLETING ITS AUDIT OF ITS FINANCIAL STATEMENTS BY AN INDEPENDENT ACCOUNTANT ON A SEPARATE BASIS. FORM 990, PART XII, LINE 2C: THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.