KALIHI PALAMA HEALTH CENTER: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
KALIHI PALAMA HEALTH CENTER (EIN 99-0161221)
Tax period
2018-07-01 to 2019-06-30
Filed
2020-06-24
IRS object ID
202011769349300316
Schema version
2018v3.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2020-06-24T09:22:53-05:00ReturnTs
Tax Period End2019-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN221478099PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1COHNREZNICK LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1350 CHURCH STREET 12TH FLOORAddressLine1Txt
CityHARTFORDCityNm
State AbbreviationCTStateAbbreviationCd
ZIP06103ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN990161221EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KALIHI-PALAMA HEALTH CENTERBusinessNameLine1Txt
Business Name Line2(HALE HO'OLA HOU)BusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlKALIBusinessNameControlTxt
Phone8088458578PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 NORTH KING STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96817ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonLIANE SUGIMOTOPersonNm
Person TitleCFOPersonTitleTxt
Phone8088458578PhoneNum
Signature2020-05-28SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonLORI ROTHE YOKOBOSKY CPAPreparerPersonNm
PTINP01273422PTIN
Phone9592007000PhoneNum
Preparation2020-05-27PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.59.242.35IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-05-28IPDt
IP Tm07:31:54IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id01BADB2B2A6B151C38D19099FC0A101EF8F974BAAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-22 18:59:49ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerLIANE SUGIMOTOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 NORTH KING STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96817ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$31,081,661GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KPHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1975FormationYr
Legal Domicile StateHILegalDomicileStateCd
Activity Or MissionTO PROVIDE NEEDED PREVENTIVE AND PRIMARY CARE, ADVOCATE FOR THOSE IN NEED, AND EDUCATE - FROM THE INDIVIDUAL PATIENTS & GROUPS IN THE COMMUNITY TO AGENCIES & COMMUNITY LEADERS.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee298TotalEmployeeCnt
Total Volunteers51TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$11,123,088PYContributionsGrantsAmt
CY Contributions Grants$13,083,230CYContributionsGrantsAmt
PY Program Service Revenue$18,191,024PYProgramServiceRevenueAmt
CY Program Service Revenue$17,683,857CYProgramServiceRevenueAmt
PY Investment Income$18,036PYInvestmentIncomeAmt
CY Investment Income$46,949CYInvestmentIncomeAmt
PY Other Revenue$403,160PYOtherRevenueAmt
CY Other Revenue$231,477CYOtherRevenueAmt
PY Total Revenue$29,735,308PYTotalRevenueAmt
CY Total Revenue$31,045,513CYTotalRevenueAmt
PY Grants And Similar Paid$2,474,522PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,558,736CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,403,594PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,616,583CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$1,071CYTotalFundraisingExpenseAmt
PY Other Expenses$8,673,072PYOtherExpensesAmt
CY Other Expenses$8,900,026CYOtherExpensesAmt
PY Total Expenses$27,551,188PYTotalExpensesAmt
CY Total Expenses$28,075,345CYTotalExpensesAmt
PY Revenues Less Expenses$2,184,120PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,970,168CYRevenuesLessExpensesAmt
Total Assets BOY$18,507,960TotalAssetsBOYAmt
Total Assets EOY$21,902,556TotalAssetsEOYAmt
Total Liabilities BOY$3,367,729TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,830,086TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$15,140,231NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$18,072,470NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE QUALITY, INTEGRATED HEALTH AND SOCIAL SERVICES TO OUR COMMUNITY AND ALL OTHERS IN NEED OF HEALTH CARE.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$15,823,245ExpenseAmt
Revenue$15,338,265RevenueAmt
DescGENERAL MEDICAL SERVICES INCLUDING PHYSICAL EXAMS, IMMUNIZATIONS, PRENATAL CARE, AND CONTINUED HEALTH CARE THROUGH THE DIAGNOSIS AND TREATMENT OF ACUTE ILLNESSES AND DISEASES. WE PROVIDE PRIMARY CARE SERVICES FOR PEOPLE WITH A WIDE VARIETY OF ADULT HEALTH PROBLEMS. WE DO SCREENING EVALUATIONS FOR COMMON CONDITIONS IN PEOPLE WHO DO NOT HAVE ANY SYMPTOMS. WE DIAGNOSE MEDICAL CONDITIONS AND COORDINATE EVALUATION AND TREATMENT. WE HELP PATIENTS MANAGE CHRONIC MEDICAL CONDITIONS LIKE DIABETES, HYPERTENSION, HEART DISEASE, LUNG DISEASE AND HIGH CHOLESTEROL.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$5,073,446ExpenseAmt
Grant$2,558,736GrantAmt
DescHEALTHCARE FOR THE HOMELESS PROJECT PROVIDES ACCESSIBLE, QUALITY CARE FOR INDIVIUALS AND FAMILIES WHO ARE HOMELESS THROUGH INTEGRATED MEDICAL, MENTAL HEALTH, OUTREACH, AND SOCIAL SERVICES. HEALTHCARE SERVICES INCLUDING PRIMARY MEDICAL CARE, MENTAL HEALTH, SUBSTANCE ABUSE, AND SOCIAL SERVICES REFERRAL. THE GOAL OF THE PROGRAM IS TO REACH AND CARE FOR INDIVIDUALS MOST IN NEED OF HELP WHO ARE LEAST LIKELY TO RECEIVE SERVICES IN OTHER SETTINGS. WE PROVIDE ACCESS TO PROFESSIONAL AND INTEGRATED MEDICAL, MENTAL HEALTH, AND SOCIAL SERVICES. WE ACHIEVE OUR MISSION THROUGH COST-EFFECTIVE DIRECT SERVICES, PREVENTION, ADVOCACY, RESEARCH, AND BY ENHANCING THE EDUCATION OF PROFESSIONAL CARE PROVIDERS, POLICY MAKERS, AND THE GENERAL PUBLIC. OUR APPROACH TO HEALTH CARE IS TEAM-ORIENTED, CLIENT DRIVEN, RESPECTFUL, CREATIVE, KIND, AND NON-JUDGEMENTAL. CLINICS:OHANA PROJECT (OAHU HEALTH ACCESS AND NETWORK ASSOCIATION): THE OHANA PROJECT PROVIDES INREACH TO QUEEN'S MEDICAL CENTER IN DOWNTOWN HONOLULU. OHANA WORKS WITH INDIVIDUALS WHO ARE IN THE HOSPITAL AND WILL BE RELEASED WITH NO HOUSING. OHANA PROVIDES FOLLOW-UP CARE AFTER A PERSON IS DISCHARGED FROM THE HOSPITAL. CASE MANAGEMENT AND REFERRALS ARE ALL PROVIDED AT THE OHANA PROJECT LOCATED IN KALIHI VALLEY. KA'A'AHI STREET CLINIC: LOCATED AT THE INSTITUTE FOR HUMAN SERVICES, WOMENS AND FAMILIES HOMELESS SHELTER: THE KA'A'AHI STREET CLINIC PROVIDES AN ARRAY OF SERVIES INCLUDING PSYCHIATRIC CARE, FIRST AID, ACUTE MEDICAL CARE, TB SCREENING, INFECTION CONTROL, CASE MANAGEMENT, FOLLOW-UP AND REFERRAL SERVICES.KOHOU STREET CLINIC: THE KOHOU STREET CLINIC IS THE HOMECASE FOR THE PATH OUTREACH WORKERS, ALONG WITH HPHA FUNDED OUTREACH WORKERS, THE COMMUNITY BASED CASE MANAGEMENT TEAM (CBCM) AND THE ADMINISTRATIVE STAFF OF HEALTH CARE FOR THE HOMELESS PROJECT. MONDAY THROUGH FRIDAY, CLIENTS CAN GO TO THE KOHOU CLINIC FOR CASE MANAGEMENT SERVICES, PSYCHIATRIC SERVICES AND REPRESENTATIVE PAYEE SERVICES.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$2,815,478ExpenseAmt
Revenue$2,593,361RevenueAmt
DescDENTAL HEALTH SERVICES INCLUDING EXAMS, CLEANINGS AND ALL STANDARD FAMILY DENTAL SERVICES. OUR DENTISTS AND DENTAL STAFF PROVIDE QUALITY, INTEGRATED, FAMILY DENTAL CARE FOR THE COMMUNITY AND ALL OTHERS IN NEED OF DENTAL CARE. OUR FOCUS IS ON PREVENTIVE AND PRIMARY DENTAL CARE, PROVIDED IN A RESPECTFUL, CARING AND CULTURALLY SENSITIVE ENVIRONMENT.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$486,281ExpenseAmt
DescOTHER PROGRAM SERVICE ACTIVITIES: BEHAVORIAL HEALTH, WOMEN, INFANTS, AND CHILDREN'S NUTRITION PROGRAM, HEALTH EDUCATION, OPTOMETRY SERVICES. BEHAVIORAL HEALTH:THE GOAL OF THE BEHAVIORAL HEALTH PROGRAM IS TO PROVIDE QUALITY HOLISTIC BEHAVORIAL HEALTH SERVICES TO THE PATIENTS OF KALIHI-PALAMA HEALTH CENTER. KALIHI-PALAMA HEALTH CENTER IS CURRENTLY WORKING ON INTEGRATING ITS BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES, AND ALLOWING INSTANT ACCESS TO BEHAVIORAL HEALTH SERVICES. FROM SIMPLE CHANGES SUCH AS DIATING FOR DIABETES TO DEPRESSION THE STAFF WILL ASSIST YOU. WOMEN'S HEALTH - PRENATAL CARE AND DELIVERY SERVICES - MIDWIFERY CARE- GYNECOLOGICAL SERVICES - FAMILY PLANNING COUNSELING AND EXAMS - FAMILY PLANNING METHODS - PREGNANCY COUNSELING AND TESTING - EMERGENCY CONTRACEPTION - ANNUAL EXAMS, INCLUDING PAP AND BREAST SCREENING - STD TESTING AND TREATMENT - REFERRALS FOR MAMMOGRAPHY AND ULTRASONOGRAPHY - OTHER PERINATAL AND GYNECOLOGICAL SERVICES - HEALTH EDUCATION - FAMILY PLANNING - CHILDBIRTH PREPARATION AND EDUCATION - STD/HIV COUNSELING AND EDUCATION - OUTREACH EDUCATION - LAMAZE CLASSES. WOMEN, INFANTS, AND CHILDREN'S NUTRITION PROGRAM (WIC) IS A FREE HEALTH AND FOOD PROGRAM FOR WOMEN, INFANTS, AND CHILDREN. WIC STAFF GIVE ADVICE ON HOW TO EAT WELL, STAY HEALTHY, AND PROVIDE FOOD COUPONS. HEALTH PROFESSIONS EDUCATION: THE KALIHI-PALAMA COMMUNITY HEALTH SEMINAR IS A UH SERVICE-LEARNING COURSE TAUGHT ON SITE AT KPHC IN WHICH HEALTH PROFESSIONS STUDENTS PROVIDE HEALTH EDUCATION TO CHILDREN AND PARENTS AT LIKELIKE AND KAIULANI ELEMENTARY SCHOOLS. FARRINGTON HIGH SCHOOL, HEALTH ACADEMY STUDENTS AND UH COLLEGE STUDENTS PLACED AT KPHC FOR TRAINING AND MENTORING. CLINICAL TRAINING AND INTERNSHIPS FOR HEALTH PROFESSIONS STUDENTS IN MEDICINE, BURSING, PUBLIC HEALTH, SOCIAL WORK, AND OTHER HEALTH FIELDS. PATIENT EDUCATION:SMOKING CESSATION COUNSELING FOR PREGNANT WOMEN AND NEW PARENTS - DIABETES CLINIC - CARDIOVASCULAR DISEASE CASE MANAGEMENT AND OUTREACH - FAMILY PLANNING, PRE-NATAL COUNSELING AND CLASSES, HIV/AIDS TEST AND COUNSELINGOPTOMETRY.:WE PROVIDE COMPREHENSIVE EYE EXAMINATION, TREATMENT AND MANAGEMENT OF OCULAR DISEASE, PRE AND POST OPERATIVE CO-MANAGEMENT, FITTING AND DISPENSING OF CONTACT LENSES AND GLASSES. SOME OF THE SPECIALTY EYEWEAR THAT IS AVAILABLE - SPORT GOGGLES - SWIMMING GOGGLES - NO-LINE BIFOCAL - COMPUTER GLASSES. SPECIALTY CONTACT LENS LIKE BIFOCAL AND COLORED LENSES ARE ALSO AVAILABLE.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$486,281TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$24,198,450TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document64IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee298EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldHIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1LIANE SUGIMOTOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8088437238PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1915 NORTH KING STREETAddressLine1Txt
CityHONOLULUCityNm
State AbbreviationHIStateAbbreviationCd
ZIP96817ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (21 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
CHRISTOPHER PATING
DIRECTOR1.00Yes (X)$0$0$0
CLIFFORD CHANG
DIRECTOR1.00Yes (X)$0$0$0
DOUGLAS WOOTEN
DIRECTOR1.00Yes (X)$0$0$0
KAHU RICHARD K KAMANU
DIRECTOR1.00Yes (X)$0$0$0
KEITH KIUCHI
DIRECTOR1.00Yes (X)$0$0$0
LOUISE LI
SECRETARY1.00Yes (X)$0$0$0Yes (X)
MATTLIE DAVIS
DIRECTOR1.00Yes (X)$0$0$0
PETER HANASHIRO
TREASURER1.00Yes (X)$0$0$0Yes (X)
RICHARD KEENE
DIRECTOR1.00Yes (X)$0$0$0
ROSEMARIE V MENDOZA
DIRECTOR1.00Yes (X)$0$0$0
RUSSELL KAUPU
DIRECTOR1.00Yes (X)$0$0$0
VERNON Y NAKAMURA
PRESIDENT1.00Yes (X)$0$0$0Yes (X)
EMMANUEL KINTU
EXECUTIVE DIRECTOR40.00$288,313$0$25,673Yes (X)
LIANE SUGIMOTO
CFO40.00$181,919$0$18,806Yes (X)
DARRIN SATO
COO40.00$160,274$0$15,078Yes (X)
KEITH LARSON
DENTAL DIRECTOR40.00$198,732$0$12,982Yes (X)
BLANDINA MAMACLAY
NURSE PRACTITIONER40.00$144,150$0$12,173Yes (X)
GLENN REDIGER
PHYSICAN40.00$170,861$0$23,695Yes (X)
MELISSA MCKINNEY
PHYSICAN40.00$185,336$0$8,030Yes (X)
MICHAEL WALTER
PHYSICAN40.00$147,577$0$31,075Yes (X)
RICHARD RICARDO
PHYSICAN40.00$142,944$0$18,285Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,620,106TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$165,797TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K24IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ARCHITECTS HAWAII LTD
733 BISHOP ST STE 3100HONOLULUHI96813ARCHITECT$388,610
UCERA
PO BOX 31000HONOLULUHI96849STAFFING$361,241
ANAGO OF HAWAII
615 PIIKO ST2000HONOLULUHI96814HOUSEKEEPING$257,472
ALTRES STAFFING INC
PO BOX 1410HONOLULUHI96807STAFFING$231,236
EXPRESS SERVICES INC
PO BOX 844277LOS ANGELESCA90084STAFFING$161,117
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Federated Campaigns$1,981,947FederatedCampaignsAmt
Fundraising$55,724FundraisingAmt
Government Grants$10,113,147GovernmentGrantsAmt
All Other Contributions$932,412AllOtherContributionsAmt
Noncash Contributions$873,985NoncashContributionsAmt
Total Contributions$13,083,230TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAID624100$11,230,210$11,230,210
OTHER THIRD PARTY PAYORS624100$2,604,389$2,604,389
PHARMACY REVENUE624100$2,354,397$2,354,397
RISK POOL/CAPTITATION REVENUE624100$697,513$697,513
PATIENTS624100$451,635$451,635

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$345,713TotalRevenueColumnAmt
Related Or Exempt Func Income$345,713RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$17,683,857TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$46,949TotalRevenueColumnAmt
Exclusion$46,949ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$19,856FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$55,724ContriRptFundraisingEventAmt
Fundraising Direct Expenses$36,148FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$16,292TotalRevenueColumnAmt
Exclusion-$16,292ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INSURANCE INCENTIVES900099$180,439$180,439
MISCELLANEOUS REVENUE900099$67,330$67,330
FieldValueIRS element (for citing)
Other Revenue Total$247,769OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,045,513TotalRevenueColumnAmt
Related Or Exempt Func Income$17,931,626RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$30,657ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$2,558,736TotalAmt
Program Services$2,558,736ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$915,256TotalAmt
Program Services$121,645ProgramServicesAmt
Management And General$793,611ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,818,899TotalAmt
Program Services$11,715,127ProgramServicesAmt
Management And General$1,103,772ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$264,703TotalAmt
Program Services$254,946ProgramServicesAmt
Management And General$9,757ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,679,652TotalAmt
Program Services$1,514,423ProgramServicesAmt
Management And General$165,229ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$938,073TotalAmt
Program Services$833,863ProgramServicesAmt
Management And General$104,210ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$99,694TotalAmt
Management And General$99,694ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,650TotalAmt
Management And General$1,650ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,000,863TotalAmt
Program Services$1,248,041ProgramServicesAmt
Management And General$752,322ManagementAndGeneralAmt
Fundraising$500FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,739TotalAmt
Program Services$14,393ProgramServicesAmt
Management And General$1,346ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,340,024TotalAmt
Program Services$3,155,445ProgramServicesAmt
Management And General$184,579ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,302,334TotalAmt
Program Services$1,112,587ProgramServicesAmt
Management And General$189,747ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$87,525TotalAmt
Program Services$81,559ProgramServicesAmt
Management And General$5,966ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$59,656TotalAmt
Program Services$44,461ProgramServicesAmt
Management And General$15,195ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$14,329TotalAmt
Program Services$14,123ProgramServicesAmt
Management And General$206ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$792,075TotalAmt
Program Services$748,296ProgramServicesAmt
Management And General$43,779ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$60,806TotalAmt
Program Services$49,386ProgramServicesAmt
Management And General$11,420ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
REPAIRS & MAINTENANCE$470,740$429,344$41,396
MISCELLANEOUS$245,535$60,857$184,107$571
SECURITY$208,279$187,543$20,736
MEMBERSHIP DUES$119,499$53,675$65,824

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$81,278TotalAmt
Management And General$81,278ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$28,075,345TotalAmt
Program Services$24,198,450ProgramServicesAmt
Management And General$3,875,824ManagementAndGeneralAmt
Fundraising$1,071FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$3,388,829BOYAmt
EOY$4,834,552EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$439,180BOYAmt
EOY$107,886EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,343,432BOYAmt
EOY$2,750,397EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,970,144BOYAmt
EOY$1,633,900EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$61,211BOYAmt
EOY$59,559EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$337,272BOYAmt
EOY$360,621EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$20,183,011LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,452,011LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,554,060BOYAmt
EOY$11,731,000EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$102,987BOYAmt
EOY$69,937EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$310,845BOYAmt
EOY$354,704EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$18,507,960BOYAmt
EOY$21,902,556EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,916,230BOYAmt
EOY$3,293,361EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$99,999BOYAmt
EOY$272,734EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$351,500BOYAmt
EOY$263,991EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,367,729BOYAmt
EOY$3,830,086EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,955,699BOYAmt
EOY$17,170,627EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,184,532BOYAmt
EOY$901,843EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$15,140,231BOYAmt
EOY$18,072,470EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$18,507,960BOYAmt
EOY$21,902,556EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,970,168ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$37,929NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$360,000OtherCostOrOtherBasisAmt
Book Value$360,000BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,281,603OtherCostOrOtherBasisAmt
Depreciation$6,008,833DepreciationAmt
Book Value$7,272,770BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,255,141OtherCostOrOtherBasisAmt
Depreciation$2,443,178DepreciationAmt
Book Value$811,963BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,286,267OtherCostOrOtherBasisAmt
Book Value$3,286,267BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$11,731,000TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$30,962,454TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst-$37,929NetUnrealizedGainsInvstAmt
Other Revenue-$81,278OtherRevenueAmt
Revenue Not Reported-$119,207RevenueNotReportedAmt
Revenue Subtotal$31,081,661RevenueSubtotalAmt
Other Revenues Not Included-$36,148OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt-$36,148RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$31,045,513TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$28,030,215TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$36,148OtherExpensesIncludedAmt
Expenses Not Reported$36,148ExpensesNotReportedAmt
Expenses Subtotal$27,994,067ExpensesSubtotalAmt
Other Expenses Not Included$81,278OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$81,278ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$28,075,345TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2019. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2016 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION WILL RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THE INCOME TAX PROVISION AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE STATEMENT OF FINANCIAL POSITION.
PART XI, LINE 2D - OTHER ADJUSTMENTS:RECOVERY OF UNCOLLECTIBLE ACCOUNTS -81,278.
PART XI, LINE 4B - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES -36,148.
PART XII, LINE 2D - OTHER ADJUSTMENTS:FUNDRAISING EXPENSES 36,148.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECOVERY OF UNCOLLECTIBLE ACCOUNTS 81,278.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1GALAEvent1Nm
Gross Receipts Event1$75,580GrossReceiptsEvent1Amt
Charitable Contri Event1$55,724CharitableContriEvent1Amt
Gross Revenue Event1$19,856GrossRevenueEvent1Amt
Non Cash Prizes Event1$2,781NonCashPrizesEvent1Amt
Rent Facility Costs Event1$738RentFacilityCostsEvent1Amt
Food And Beverage Event1$19,106FoodAndBeverageEvent1Amt
Entertainment Event1$2,320EntertainmentEvent1Amt
Other Direct Expenses Event1$11,203OtherDirectExpensesEvent1Amt
Gross Receipts Total$75,580GrossReceiptsTotalAmt
Charitable Contributions Tot$55,724CharitableContributionsTotAmt
Gross Revenue Total Events$19,856GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$2,781NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$738RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$19,106FoodAndBeverageTotalEventsAmt
Entertainment Total Events$2,320EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$11,203OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$36,148DirectExpenseSummaryEventsAmt
Net Income Summary-$16,292NetIncomeSummaryAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeCLIENT OUTREACH ASSISTANCE AND EMERGENCYGrantTypeTxt
Recipient536RecipientCnt
Cash Grant$2,558,736CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART 1, LINE 2FormAndLineReferenceDesc
ExplanationGRANT MONITORING PROCEDURES: THE MONEY IS A PASS THROUGH FOR OUR HEALTHCARE FOR THE HOMELESS PROJECTS. THE ASSISTANCE GIVEN IS IN ACCORDANCE WITH THE AGREEMENT FOR THE PROGRAM FROM THE CITY AND COUNTY OF HONOLULU DEPARTMENT OF COMMUNITY SERVICES. COMPLIANCE WITH THE AGREEMENT IS MAINTAINED THROUGH PROPER RECORDKEEPING AND REPORTING, WHICH IS ALSO REQUIRED BY AGREEMENT WITH THE CITY & COUNTY.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
EMMANUEL KINTU
EXECUTIVE DIRECTOR$265,851$0$22,462$0$0$0$8,941$0$16,732$0$313,986$0$0$0
LIANE SUGIMOTO
CFO$177,919$0$4,000$0$0$0$5,642$0$13,164$0$200,725$0$0$0
DARRIN SATO
COO$157,274$0$3,000$0$0$0$4,903$0$10,175$0$175,352$0$0$0
KEITH LARSON
DENTAL DIRECTOR$196,732$0$2,000$0$0$0$5,962$0$7,020$0$211,714$0$0$0
BLANDINA MAMACLAY
NURSE PRACTITIONER$143,099$0$1,051$0$0$0$4,349$0$7,824$0$156,323$0$0$0
GLENN REDIGER
PHYSICAN$169,861$0$1,000$0$0$0$5,471$0$18,224$0$194,556$0$0$0
MELISSA MCKINNEY
PHYSICAN$185,282$0$54$0$0$0$1,310$0$6,720$0$193,366$0$0$0
MICHAEL WALTER
PHYSICAN$147,310$0$267$0$0$0$4,999$0$26,076$0$178,652$0$0$0
RICHARD RICARDO
PHYSICAN$142,944$0$0$0$0$0$4,492$0$13,793$0$161,229$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, LINE 7FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION PAID NON-FIXED BONUS PAYMENTS DURING THE YEAR BASED ON MERIT/RECOGNTION.ExplanationTxt

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSuppliesGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution1ContributionCnt
Noncash Contributions Rpt F990$873,985NoncashContributionsRptF990Amt
Method Of Determining RevenuesFMVMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts0ReviewProcessUnusualNCGiftsInd
Third Parties Used0ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, COLUMN (B):FormAndLineReferenceDesc
ExplanationTHE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. THE BOARD OF DIRECTORS REVIEWS THE FORM 990 PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CMONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY COVERING BOARD MEMBERS AND COVERING EMPLOYEES. THE BOARD REVIEWS THE CORPORATE COMPLIANCE POLICY ANNUALLY. THE BOARD COMPLETES AND SIGNS THE CONFLICT OF INTEREST FORM ANNUALLY. IN ADDITION TO SELF-POLICING, THE CORPORATE COMPLIANCE OFFICER MONITORS AND REVIEWS CORPORATE TRANSACTIONS FOR COMPLIANCE WITH THE CONFLICT OF INTEREST GUIDELINES. AN INTERESTED PERSON MUST LEAVE ANY MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING POSSIBLE CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15ACOMPENSATION REVIEW: THE BOARD CONDUCTED A COMPREHENSIVE COMPENSATION SURVERY BEFORE HIRING THE CEO IN 2006. SECONDARY DATA INCLUDED NATIONAL COMPENSATION SURVERY CONDUCTED BY THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS AND COMPENSATION SURVEY CONDUCTED BY THE HAWAII PRIMARY CARE ASSOCIATION. THE BOARD DISCUSSED AND VOTED TO APPROVE COMENSATION FOR THE CEO. AFTER EACH ANNUAL EVALUATION, THE PERSONNEL COMMITTEE OF THE BOARD OF THE DIRECTORS PROPOSES COMPENSATION FOR THE CEO - COMMENSURATE WITH PERFORMANCE. THE FULL BOARD DISCUSSES THE CEO'S PERFORMANCE AND VOTES ON THE CEO'S COMPENSATION EVERY THREE (3) YEARS, THE BOARD CONDUCTS A COMPREHENSIVE CEO COMPENSATION SURVEY. THE COMPENSATION REVIEW FOR THE YEAR 2016 WAS COMPLETED BY THE BOARD. THE COMPLETED REVIEW WAS DISCUSSED ON 2/18/17.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XII, LINE 2C:THERE HAVE BEEN NO CHANGES MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.

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