2021-05-15T22:38:13-05:00 2020-06-30 205325889 ACCUITY LLP 999 BISHOP STREET STE 1900 HONOLULU HI 96813 990 2019-07-01 990148164 WAIANAE DISTR COMPREHENSIVE HEALTH & HOSPITAL BOARD INC WAIA 8086973280 86-260 FARRINGTON HIGHWAY WAIANAE HI 967923199 JAMES Z CHEN CFO 8086973280 2021-05-15 1 JOAN FUJITA P00235894 8085313400 2019 2022-09-23 18:48:47Z WAIANAE COAST COMPREHENSIVE HEALTH CENTER RICHARD P BETTINI 86260 FARRINGTON HWY WAIANAE HI 96792 75640270 0 X WWW.WCCHC.COM X 1972 HI 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. 18 18 848 41 28754 0 9454224 13253942 60001239 57925970 51761 116003 2869103 4344355 72376327 75640270 23546 16350 0 0 50529213 50899332 0 0 14189 22879880 22527148 73432639 73442830 -1056312 2197440 90917489 87731629 28915136 22833933 62002353 64897696 X 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. 0 0 25473442 36927520 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. 7799100 6374609 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. 4251379 7626036 PHARMACY: THE HEALTH CENTER OPERATES TWO 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 AND THE KAPOLEI HEALTH CARE CENTER IN KAPOLEI. 25190550 16350 6997805 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 WILL CELEBRATE ITS 50TH ANNIVERSARY IN 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. IN 2020, COVID IMPACTED OPERATIONS AND SERVICES AT THE HEALTH CENTER. WITH THE ONSET OF COVID-19, HEALTH AND SAFETY PRECAUTIONS FOR HEALTH CENTER STAFF AND PATIENTS WAS PARAMOUNT, IN ADDITION TO ESTABLISHING A DRIVE THRU COVID-19 TESTING SITE, SETTING UP A COVID HOTLINE, IMPLEMENTING CURBSIDE PHARMACY PICKUP AND DELIVERIES, DISTRIBUTING PREPARED AND PACKAGED FOODS TO RESIDENTS OF THE WAIANAE COAST, TRAINING MORE THAN 120 MEDICAL PROFESSIONALS TO IMPLEMENT TELEVIDEO AND TELEPHONIC MEDICAL AND BEHAVIORAL HEALTH VISITS, TRIPLING OUTREACH EFFORTS TO HIGH RISKS PATIENTS, THE ELDERLY AND HOMELESS, ELEVATING ITS USE OF SOCIAL MEDIA, TV AND PRINT FOR ADVERTISING, INFORMATION AND EDUCATION, HOSTING OR PARTICIPATING IN VIRTUAL TOWN HALL MEETINGS TO PROVIDE INFORMATION, AND, ALTHOUGH FURLOUGHING A QUARTER OF ITS 650 EMPLOYEES, BRINGING MANY BACK INTO POSITIONS REPURPOSED TO ADDRESS COVID RELATED NEEDS. THE HEALTH CENTER CONTINUES TO IMPLEMENT ALL SERVICES PUT IN PLACE AT THE START OF COVID AND ADDED COVID VACCINATIONS OF STAFF IN DECEMBER AND PATIENTS STARTING IN JANUARY. IN 2020, THE HEALTH CENTER SERVED 33,780 PATIENTS, A REDUCTION OF 5,000 PATIENTS SERVED IN 2019. THE REDUCTION, DUE TO COVID, IS BEGINNING TO SHOW IMPROVEMENT. THE MAJORITY OF PATIENTS SERVED IN 2020 WERE NATIVE HAWAIIAN (48%), FOLLOWED BY ASIAN & OTHER PACIFIC ISLANDERS (25%), AND CAUCASIANS (10%). DATA SHOWS 69% OF PATIENTS ARE AT 100% OF THE FEDERAL POVERTY LEVEL OR BELOW, 6% ARE UNINSURED, AND 58% 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 HAS BEEN PAID INTO 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. 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 WILL TAKE PLACE STARTING IN AUGUST 2021 WITH COMPLETION EXPECTED IN AUGUST 2022. CONSTRUCTION OF THE NEW, EXPANDED JAMES AND ABIGAIL CAMPBELL CLINIC WAS SUBSTANTIALLY COMPLETED IN DECEMBER 2020 AND OPENED TO PATIENTS IN MARCH 2021.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."THE HEALTH CENTER LEASES LAND AT BELOW MARKET RATES. THE ESTIMATED VALUE OF THIS CONTRIBUTION IN KIND IS $350,197. 25190550 16350 6997805 62714471 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 0 1 90 0 1 848 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 18 18 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X IVAN TAKUSHI 8086973280 86-260 FARRINGTON HWY WAIANAE HI 96792 ANTHONY R GUERRERO BOARD CHAIR 1.00 X X 0 0 0 DANE KEOLA LLOYD BOARD 1ST VICE CHAIR 1.00 X X 0 0 0 DANIEL GOMES BOARD 2ND VICE CHAIR 1.00 X X 0 0 0 LA JUAINE SUISO BOARD 3RD VICE CHAIR 1.00 X X 0 0 0 BILLIE HAUGE BOARD SECRETARY 1.00 X X 0 0 0 WAYNE SUEHIRO BOARD TREASURER 1.00 X X 0 0 0 MERRIE AIPOALANI BOARD DIRECTOR 1.00 X 0 0 0 VIRGINIA FUATA BOARD DIRECTOR 1.00 X 0 0 0 CHARLES HEW-LEN BOARD DIRECTOR 1.00 X 0 0 0 CLIFFORD ISARA BOARD DIRECTOR 1.00 X 0 0 0 JERALD KIMO ALAMA KEAULANA BOARD DIRECTOR 1.00 X 0 0 0 DENICE KELIIKOA BOARD DIRECTOR 1.00 X 0 0 0 FLORINE PELL BOARD DIRECTOR 1.00 X 0 0 0 RENEE REGO BOARD DIRECTOR 1.00 X 0 0 0 CHARLES WHEATLEY BOARD DIRECTOR 1.00 X 0 0 0 CAMERON NEKOTA BOARD DIRECTOR 1.00 X 0 0 0 JUDITH BABSON BOARD DIRECTOR 1.00 X 0 0 0 GENEVIEVE AKEN BOARD DIRECTOR 1.00 X 0 0 0 RICHARD P BETTINI CHIEF EXECUTIVE OFFICER 40.00 X 560789 0 42794 JAMES Z CHEN CHIEF FINANCIAL OFFICER 40.00 X 239376 0 25895 NICHOLAS HUGHEY CHIEF OPERATING OFFICER 40.00 X 267580 0 23081 STEPHEN P BRADLEY MEDICAL DIRECTOR 40.00 X 293244 0 33804 JOYCE O'BRIEN EXECUTIVE VICE PRESIDENT 40.00 X 261319 0 12790 SCOTT PADAVAN DIRECTOR - EMERGENT CARE, MD 40.00 X 312641 0 43282 BRIAN PANIK MD - EMERGENCY MEDICINE 40.00 X 279915 0 24112 VIJA SEHGAL MD - CHIEF QUALITY OFFICER 40.00 X 293121 0 45082 NESTOR HERANA JR MD - INTERNAL MEDICINE 40.00 X 273448 0 14477 KARI DECHENNE MD - EMERGENCY MEDICINE 36.00 X 285830 0 0 3067263 0 265317 10 0 1 0 G4S SECURE SOLUTIONS USA INC PO BOX 277469 ATLANTA GA 303847469 SECURITY 971711 UNIVERSAL CLEANING SYSTEM LLC 87-1449 AKOWAI RD WAIANAE HI 96792 HOUSEKEEPING 360752 KELLY SERVICES INC PO BOX 31001-0422 PASADENA CA 911100422 CONTRACTOR 325010 UCERA PO BOX 31000 HONOLULU HI 968495647 CONTRACTOR 312300 MARK'S SPECIALTIES LLC 85-1192 WAIANAE VALLEY RD WAIANAE HI 96792 CONTRACTOR 292709 5 5328 9397489 3851125 13253942 NET PATIENT SERVICE REVENUE 621400 53496880 53496880 SETTLEMENT INCOME 621400 2656646 2656646 CAPITATION REVENUE 621400 1744054 1744054 MOB-RENTAL MENTAL HEALTH CENTER 621400 28390 28390 57925970 116003 116003 TRAINING PROGRAMS 621400 503194 503194 SOURCE INCENTIVE PAYMENTS 621400 343973 343973 STATE OF HAWAII REIMB FOR ELIGIBI 621400 141036 141036 3356152 3327398 28754 4344355 75640270 62357574 28754 0 14350 14350 2000 2000 3067260 1151833 1915427 36956045 33464236 3489228 2581 1448610 1238433 211831 -1654 6369803 5519035 850103 665 3057614 2653040 400174 4400 468473 -9191 477664 122312 122312 2230900 1655256 575644 51502 -11193 62695 7598627 7204374 394189 64 2314751 1567409 743081 4261 5197394 4702496 491098 3800 222105 146385 75720 113632 59292 54340 376133 291680 84453 2772119 2471891 300228 500329 366777 133480 72 EMPLOYEE INCENTIVES 335863 157945 177918 EMPLOYEE RECRUITMENT 118773 69281 49492 DUES AND LICENSES 32826 27899 4927 GENERAL EXCISE TAXES 9404 9404 62005 -38161 100166 73442830 62714471 10714170 14189 12968 12968 17156636 13800667 1178775 4509438 8580499 7329604 7870620 8728530 198340 255719 1327529 962771 84387397 32401465 53870225 51985932 721897 146000 90917489 87731629 8574608 8201609 1188371 1422275 19063057 13120949 89100 89100 28915136 22833933 X 61361038 62540672 641315 2357024 62002353 64897696 90917489 87731629 2197440 347706 350197 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 400000 400000 400000 400000 400000 400000 400000 400000 400000 400000 0 0 1732360 1732360 64665845 19241405 45424440 1550436 1550436 16168345 13160060 3008285 270411 270411 51985932 OTHER LIABILITIES 89100 89100 X PART X, LINE 2: MANAGEMENT HAS DETERMINED THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2020 OR 2019 AND IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE FISCAL YEAR 2017 SCHEDULE D, PART V, LINE 4 DESCRIPTION OF THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ADULT DAY CARE SERVICES SCHEDULE D, PART XI AND XII: WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC.'S (EIN: 99-0148164) CONSOLIDATED FINANCIAL STATEMENTS HAVE NOT YET BEEN FINALIZED FOR THE FISCAL YEAR ENDED JUNE 30, 2020 DUE TO DELAYS RELATED TO THE COVID-19 PANDEMIC. THE OMB ISSUED A 6-MONTH EXTENSION TO THE ORIGINAL DUE DATE (3/31/2021), SO THE SINGLE AUDIT DEADLINE IS NOW 9/30/2021. IF THERE ARE ANY SIGNIFICANT CHANGES UPON AUDIT, THE TAX RETURN WILL BE AMENDED TO REFLECT CHANGES ACCORDINGLY. 1 UNIVERSITY OF HAWAII 2440 CAMPUS RD BOX 368 HONOLULU HI 96822 999000354 GOVT 14350 VOCATIONAL AND CAREER CLASSES SCHOLARSHIP AWARDS 1 2000 PART I, LINE 2: GRANT MANAGEMENT STARTS DURING THE PRE-APPLICATION PHASE WHEN POTENTIAL GRANTS ARE ANALYZED BY STAFF FOR FIT WITH THE GOALS OF THE ORGANIZATION AND CURRENT PROJECTS/PROGRAMS, AND IMPACT (STAFFING, OFFICE SPACE, ETC.) ON THE ORGANIZATION. ONCE A GRANT IS RECEIVED, CONTRACT/GRANT DELIVERABLES ARE MONITORED BY THE PROGRAM DIRECTOR FOR THE GRANT/PROGRAM, AS WELL AS THE LEADERSHIP TEAM MEMBER AND/OR DEPARTMENT HEAD THAT SUPERVISES THE PROGRAM DIRECTOR. THE PROJECT OFFICER FOR THE FUNDING AGENCY IS ALSO PART OF THE EVALUATION PROCESS. X 1 0 X X X 0 0 0 0 0 0 0 1 0 RICHARD P BETTINI CHIEF EXECUTIVE OFFICER 343477 0 187218 0 30094 0 14000 0 28794 0 603583 0 0 0 JAMES Z CHEN CHIEF FINANCIAL OFFICER 203127 0 17299 0 18950 0 11223 0 14672 0 265271 0 0 0 NICHOLAS HUGHEY CHIEF OPERATING OFFICER 218243 0 41062 0 8275 0 12956 0 10125 0 290661 0 0 0 STEPHEN P BRADLEY MEDICAL DIRECTOR 266750 0 1250 0 25244 0 13642 0 20162 0 327048 0 0 0 JOYCE O'BRIEN EXECUTIVE VICE PRESIDENT 233080 0 8035 0 20204 0 11980 0 810 0 274109 0 0 0 SCOTT PADAVAN DIRECTOR - EMERGENT CARE, MD 282283 0 13363 0 16995 0 14000 0 29282 0 355923 0 0 0 BRIAN PANIK MD - EMERGENCY MEDICINE 269715 0 10200 0 0 0 13987 0 10125 0 304027 0 0 0 VIJA SEHGAL MD - CHIEF QUALITY OFFICER 212941 0 60300 0 19880 0 14000 0 31082 0 338203 0 0 0 NESTOR HERANA JR MD - INTERNAL MEDICINE 217100 0 56348 0 0 0 13667 0 810 0 287925 0 0 0 KARI DECHENNE MD - EMERGENCY MEDICINE 285830 0 0 0 0 0 0 0 0 0 285830 0 0 0 PART I, LINE 1A COMPENSATION FOR SOME OF THE OFFICERS AND HIGHLY COMPENSATED EMPLOYEES INCLUDES CELLPHONE ALLOWANCES. PART I, LINE 7 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. FORM 990, PART VI, SECTION A, LINE 6 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. FORM 990, PART VI, SECTION A, LINE 7A 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. FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 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 ON JANUARY 15, 2020. 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 JUNE 16, 2020 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 & 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 2020 AND IS CURRENTLY UNDER REVIEW. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ALTHOUGH NOT PUBLICIZED, ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9, OTHER CHANGES IN NET ASSETS OR FUND BALANCES: - CONTRIBUTIONS IN KIND $350,197 MAILI COMMUNITY DEVELOPMENT LLC 86-260 FARRINGTON WAIANAE HI 967923199 990148164 HOLD & DEVELOP PROPERTY HI 541229 WDCHHB MAKAHA COMMUNITY DEVELOPMENT LLC 86-260 FARRINGTON WAIANAE HI 967923199 831654397 HOLD & DEVELOP PROPERTY HI 1186 1269310 WDCHHB NANAKULI COMMUNITY DEVELOPMENT LLC 86-260 FARRINGTON WAIANAE HI 967923199 831036020 HOLD & DEVELOP PROPERTY HI 501(C)(3) LINE 12A, I WDCHHB 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 NANAKULI COMMUNITY DEVELOPMENT A 25215 ACCRUAL