2020-06-24T09:22:53-05:00 2019-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2018-07-01 990161221 KALIHI-PALAMA HEALTH CENTER (HALE HO'OLA HOU) KALI 8088458578 915 NORTH KING STREET HONOLULU HI 96817 LIANE SUGIMOTO CFO 8088458578 2020-05-28 1 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2020-05-27 209.59.242.35 2020-05-28 07:31:54 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 01BADB2B2A6B151C38D19099FC0A101EF8F974BA 2018 2020-09-22 18:59:49Z LIANE SUGIMOTO 915 NORTH KING STREET HONOLULU HI 96817 31081661 0 X WWW.KPHC.ORG X 1975 HI TO 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. 12 12 298 51 0 0 11123088 13083230 18191024 17683857 18036 46949 403160 231477 29735308 31045513 2474522 2558736 0 0 16403594 16616583 0 0 1071 8673072 8900026 27551188 28075345 2184120 2970168 18507960 21902556 3367729 3830086 15140231 18072470 X TO PROVIDE QUALITY, INTEGRATED HEALTH AND SOCIAL SERVICES TO OUR COMMUNITY AND ALL OTHERS IN NEED OF HEALTH CARE. 0 0 15823245 15338265 GENERAL 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. 5073446 2558736 HEALTHCARE 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. 2815478 2593361 DENTAL 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. 486281 OTHER 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. 486281 24198450 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 64 0 1 298 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 HI X LIANE SUGIMOTO 8088437238 915 NORTH KING STREET HONOLULU HI 96817 CHRISTOPHER PATING DIRECTOR 1.00 X 0 0 0 CLIFFORD CHANG DIRECTOR 1.00 X 0 0 0 DOUGLAS WOOTEN DIRECTOR 1.00 X 0 0 0 KAHU RICHARD K KAMANU DIRECTOR 1.00 X 0 0 0 KEITH KIUCHI DIRECTOR 1.00 X 0 0 0 LOUISE LI SECRETARY 1.00 X X 0 0 0 MATTLIE DAVIS DIRECTOR 1.00 X 0 0 0 PETER HANASHIRO TREASURER 1.00 X X 0 0 0 RICHARD KEENE DIRECTOR 1.00 X 0 0 0 ROSEMARIE V MENDOZA DIRECTOR 1.00 X 0 0 0 RUSSELL KAUPU DIRECTOR 1.00 X 0 0 0 VERNON Y NAKAMURA PRESIDENT 1.00 X X 0 0 0 EMMANUEL KINTU EXECUTIVE DIRECTOR 40.00 X 288313 0 25673 LIANE SUGIMOTO CFO 40.00 X 181919 0 18806 DARRIN SATO COO 40.00 X 160274 0 15078 KEITH LARSON DENTAL DIRECTOR 40.00 X 198732 0 12982 BLANDINA MAMACLAY NURSE PRACTITIONER 40.00 X 144150 0 12173 GLENN REDIGER PHYSICAN 40.00 X 170861 0 23695 MELISSA MCKINNEY PHYSICAN 40.00 X 185336 0 8030 MICHAEL WALTER PHYSICAN 40.00 X 147577 0 31075 RICHARD RICARDO PHYSICAN 40.00 X 142944 0 18285 1620106 0 165797 24 0 1 0 ARCHITECTS HAWAII LTD 733 BISHOP ST STE 3100 HONOLULU HI 96813 ARCHITECT 388610 UCERA PO BOX 31000 HONOLULU HI 96849 STAFFING 361241 ANAGO OF HAWAII 615 PIIKO ST2000 HONOLULU HI 96814 HOUSEKEEPING 257472 ALTRES STAFFING INC PO BOX 1410 HONOLULU HI 96807 STAFFING 231236 EXPRESS SERVICES INC PO BOX 844277 LOS ANGELES CA 90084 STAFFING 161117 9 1981947 55724 10113147 932412 873985 13083230 MEDICAID 624100 11230210 11230210 OTHER THIRD PARTY PAYORS 624100 2604389 2604389 PHARMACY REVENUE 624100 2354397 2354397 RISK POOL/CAPTITATION REVENUE 624100 697513 697513 PATIENTS 624100 451635 451635 345713 345713 17683857 46949 46949 19856 55724 36148 -16292 -16292 INSURANCE INCENTIVES 900099 180439 180439 MISCELLANEOUS REVENUE 900099 67330 67330 247769 31045513 17931626 0 30657 2558736 2558736 915256 121645 793611 12818899 11715127 1103772 264703 254946 9757 1679652 1514423 165229 938073 833863 104210 99694 99694 1650 1650 2000863 1248041 752322 500 15739 14393 1346 3340024 3155445 184579 1302334 1112587 189747 87525 81559 5966 59656 44461 15195 14329 14123 206 792075 748296 43779 60806 49386 11420 REPAIRS & MAINTENANCE 470740 429344 41396 MISCELLANEOUS 245535 60857 184107 571 SECURITY 208279 187543 20736 MEMBERSHIP DUES 119499 53675 65824 81278 81278 28075345 24198450 3875824 1071 3388829 4834552 439180 107886 2343432 2750397 1970144 1633900 61211 59559 337272 360621 20183011 8452011 9554060 11731000 102987 69937 310845 354704 18507960 21902556 2916230 3293361 99999 272734 351500 263991 3367729 3830086 X 13955699 17170627 1184532 901843 15140231 18072470 18507960 21902556 2970168 -37929 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 360000 360000 13281603 6008833 7272770 3255141 2443178 811963 3286267 3286267 11731000 X 30962454 -37929 -81278 -119207 31081661 -36148 -36148 31045513 28030215 36148 36148 27994067 81278 81278 28075345 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. GALA 75580 55724 19856 2781 738 19106 2320 11203 75580 55724 19856 2781 738 19106 2320 11203 36148 -16292 0 CLIENT OUTREACH ASSISTANCE AND EMERGENCY 536 2558736 SCHEDULE I, PART 1, LINE 2 GRANT 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. X X 0 0 0 0 0 0 0 1 0 EMMANUEL KINTU EXECUTIVE DIRECTOR 265851 0 22462 0 0 0 8941 0 16732 0 313986 0 0 0 LIANE SUGIMOTO CFO 177919 0 4000 0 0 0 5642 0 13164 0 200725 0 0 0 DARRIN SATO COO 157274 0 3000 0 0 0 4903 0 10175 0 175352 0 0 0 KEITH LARSON DENTAL DIRECTOR 196732 0 2000 0 0 0 5962 0 7020 0 211714 0 0 0 BLANDINA MAMACLAY NURSE PRACTITIONER 143099 0 1051 0 0 0 4349 0 7824 0 156323 0 0 0 GLENN REDIGER PHYSICAN 169861 0 1000 0 0 0 5471 0 18224 0 194556 0 0 0 MELISSA MCKINNEY PHYSICAN 185282 0 54 0 0 0 1310 0 6720 0 193366 0 0 0 MICHAEL WALTER PHYSICAN 147310 0 267 0 0 0 4999 0 26076 0 178652 0 0 0 RICHARD RICARDO PHYSICAN 142944 0 0 0 0 0 4492 0 13793 0 161229 0 0 0 SCHEDULE J, PART I, LINE 7 THE ORGANIZATION PAID NON-FIXED BONUS PAYMENTS DURING THE YEAR BASED ON MERIT/RECOGNTION. X 1 873985 FMV 0 0 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 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 12C MONITORING 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 15A COMPENSATION 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 19 THE 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.