2020-10-27T14:53:54-05:00 2019-06-30 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2018-07-01 990273205 WAIMANALO HEALTH CENTER WAIM 8082597948 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 JOSEPH ADRIANO CFO 8082597948 2020-10-27 1 MELANIE A KING P00220997 8085311040 67.53.223.34 2020-10-27 09:53:43 HS P 8C88AA400D19617837465336ECDACC50D65DF9B9 1D3689F1BD6B485CB7A260C68DAA0074946DE7B3 2018 2021-01-29 14:40:06Z MARY FRANCES ONEHA 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 12628902 0 X WWW.WAIMANALOHEALTH.ORG X 1989 HI WAIMANALO HEALTH CENTER IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF PRIMARY AND PREVENTIVE HEALTH SERVICES, WITH SPECIAL ATTENTION TO THE NEEDS OF NATIVE HAWAIIANS AND THE MEDICALLY UNDERSERVED, AND IMPROVING THE HEALTH AND WELLNESS OF INDIVIDUALS AND THEIR `OHANA REGARDLESS OF THEIR ABILITY TO PAY. 10 10 115 36 509 0 6010487 8285786 4992057 4330578 8351 6236 5714 6302 11016609 12628902 0 0 0 0 6362520 7077346 0 0 192373 2215737 2197446 8578257 9274792 2438352 3354110 11897414 18353150 815203 3916829 11082211 14436321 X WAIMANALO HEALTH CENTER IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF PRIMARY AND PREVENTIVE HEALTH SERVICES, WITH SPECIAL ATTENTION TO THE NEEDS OF NATIVE HAWAIIANS AND THE MEDICALLY UNDERSERVED, AND IMPROVING THE HEALTH AND WELLNESS OF INDIVIDUALS AND THEIR `OHANA REGARDLESS OF THEIR ABILITY TO PAY. 0 0 3787509 3558592 MEDICAL SERVICES: WHC PROVIDES AFFORDABLE MEDICAL, BEHAVIORAL HEALTH, NUTRITION, VISION, AND PATIENT TRANSPORTATION SERVICES TO RESIDENTS OF WAIMANALO AND SURROUNDING COMMUNITIES. AS REPORTED TO HRSA ON WHC'S 2019 UDS REPORT FOR MEDICAL SERVICES, WHC SERVED 6,608 UNDUPLICATED PATIENTS DURING 22,401 MEDICAL SERVICE PROVIDER VISITS. 1192463 551262 DENTAL SERVICES: WHC PROVIDES AFFORDABLE DENTAL CARE TO RESIDENTS OF WAIMANALO AND SURROUNDING COMMUNITIES. AS REPORTED TO HRSA ON WHC'S 2019 UDS REPORT, WHC SERVED 1,783 PATIENTS DURING 5,184 DENTAL PROVIDER VISITS. 1457934 224520 PATIENT SUPPORT SERVICES: INCLUDES CARE MANAGEMENT, HEALTH EDUCATION, HEALTH PROMOTION, ELECTRONIC HEALTH RECORD INFORMATION TECHNOLOGY, QUALITY REPORTING, PATIENT PORTAL AND OTHER SERVICES TO SUPPORT PATIENT CENTERED CARE DELIVERY FOR MEDICAL AND DENTAL SERVICES. 1069115 2506 OTHER PROGRAM SERVICES: WHC HOSTS AND SUPPORTS COMMUNITY OUTREACH, ENABLING AND EDUCATION PROGRAMS. PROGRAMS INCLUDE: WOMEN, INFANTS, AND CHILDREN (WIC); ON-SITE ELIGIBILITY WORKERS TO ASSIST FAMILIES WITH BENEFIT PROGRAMS AND HEALTH INSURANCE ENROLLMENT; FAMILY PLANNING; NUTRITION AND HEALTH PROMOTIONS; KU I KA MANA STUDENT MENTORING PROGRAM (KIKM); KEIKI SMILES DENTAL OUTREACH TO THE SCHOOLS; CANCER SCREENING AND AWARENESS UNDER SUSAN G. KOMEN AND THE STATE BREAST AND CERVICAL CANCER PREVENTION PROGRAMS (BCCCP); OUTREACH TO PREVENT HOMELESSNESS; AND OTHERS.THESE PROGRAMS SUPPORT A CASELOAD OF APPROXIMATELY 4,555 RESULTING IN MORE THAN 13,179 VISITS. 1069115 2506 7507021 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 X 0 0 115 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X JOSEPH ADRIANO 8082597948 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 KATHY CONNER PRESIDENT 1.00 X X 0 0 0 JOHN KEONI AYLETT VICE PRESIDENT 1.00 X X 0 0 0 JUSTIN LAM 2ND VICE PRESIDENT 1.00 X X 0 0 0 JAMES WOOD TREASURER 1.00 X X 0 0 0 DEBORAH SMITH SECRETARY 1.00 X X 0 0 0 ANDREW JAMILA JR DIRECTOR 1.00 X 0 0 0 RENEE KAMA DIRECTOR 1.00 X 0 0 0 SANDRA MAENANI MCAULTON DIRECTOR 1.00 X 0 0 0 DARWENNA KAWAI MILLER DIRECTOR 1.00 X 0 0 0 CATHERINE SATO DIRECTOR 1.00 X 0 0 0 JOHNENE NOE GALEA'I FMR PRESIDENT, DIR UNTIL JUNE 2019 1.00 X X 0 0 0 KAHIKINO NOA DETTWEILER-PAIVA DIRECTOR UNTIL APRIL 2019 1.00 X 0 0 0 PAMELA MENTER DIRECTOR UNTIL AUGUST 2018 1.00 X 0 0 0 MARY ONEHA CHIEF EXECUTIVE OFFICER 40.00 X 189649 0 11375 CHRISTINA LEE CHIEF MEDICAL OFFICER 40.00 X 224488 0 27638 ANTHONY KIM DENTAL DIRECTOR 40.00 X 177878 0 27112 FRACKSON SAKALA CFO STARTING FEBRUARY 2019 40.00 X 0 0 0 ASHTON HO CHIEF PERF & COMPL START FEB 2019 40.00 X 0 0 0 ROBERT J SLIKE CHIEF INFORMATION OFFICER 40.00 X 108524 0 9420 KATHLEEN KRAVISH CFO UNTIL MARCH 2019 40.00 X 124931 0 18141 TERESA GONSALVES CHIEF PERF & COMP UNTIL DEC 2018 40.00 X 96403 0 10416 CAROL TITCOMB MD MEDICAL PROVIDER 40.00 X 175543 0 23542 RYAN INOUYE DENTIST 40.00 X 135851 0 10438 DESMOND J FOO MD MEDICAL PROVIDER 40.00 X 125387 0 23856 JOSHUA W EVANS ASSOC MEDICAL DIRECTOR 40.00 X 122606 0 7598 ISIDRO P HERMOSURA DIRECTOR OF BEHAVIORAL HEALTH 40.00 X 111482 0 30992 1592742 0 200528 11 0 1 0 CONSTRUCTORS HAWAII INC 1728 KAHAI STREET HONOLULU HI 96819 CONTRACTOR 9000225 OSIS-OHIO SHARED INFORMATION SYSTEMS PO BOX 772852 CHICAGO IL 606772852 ELECTRONIC HEALTH RECORD 168645 AREKAT PACIFIC SECURITY INC DBA API SECURITY 1314 SOUTH KING ST HONOLULU HI 96814 SECURITY 125605 PROTECTION 1ADT 99-930 IWAENA B-102 AIEA HI 96701 SECURITY 121120 BOSS COMMUNICATIONS TECHNOLOGIES 99-1445 KOAHA PLACE AIEA HI 96701 ELECTRICIAN 107841 5 30000 4367657 3888129 72177 8285786 PATIENT SERVICE 621400 4103490 4103490 HEALTH PROMOTIONS/NUTRITION 621400 182020 182020 PATIENT SUPPORTED PROGRAMS 621400 17500 17500 RESEARCH DEVELOPMENT 621400 15000 15000 GENERAL & ADMINISTRATIVE 621400 10000 10000 2568 2568 4330578 6236 509 5727 OTHER REVENUE 900099 6302 6302 6302 12628902 4336880 509 5727 1148094 580575 567519 4408985 4192014 81857 135114 83955 68875 11659 3421 802514 686965 95408 20141 633798 507243 112243 14312 16031 16031 80772 80772 75779 61965 8159 5655 311803 256101 55081 621 260137 217475 42662 12672 11976 696 51355 25978 25377 39269 1455 37814 412709 313442 97701 1566 68348 5768 62580 PURCHASED SERVICES 618257 408245 198479 11533 MISCELLANEOUS 114180 45117 69053 10 DONATED PROG. SUPPLIES 72177 72177 DUES AND SUBSCRIPTIONS 49673 22374 27299 0 14284 13245 1039 9274792 7507021 1575398 192373 2467123 376246 597928 6400 1125287 523110 467790 538382 36506 92305 20383408 3591701 7177780 16791707 25000 25000 11897414 18353150 748354 832879 66849 66849 2842884 0 174217 815203 3916829 X 10801728 14041286 280483 395035 11082211 14436321 11897414 18353150 3354110 0 X 0 1 X 1 1 1 X 3406700 4057518 4071558 6010487 8285786 25832049 3406700 4057518 4071558 6010487 8285786 25832049 657579 25174470 3522 1868 3021 8351 5727 22489 509 509 34432 5344 11584 5714 6302 63376 25918423 22721541 0.97130 0.97610 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2014 AMOUNT: $ 34,432. 2015 AMOUNT: $ 5,344. 2016 AMOUNT: $ 11,584. 2017 AMOUNT: $ 5,714. 2018 AMOUNT: $ 6,302. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 17549389 1932262 15617127 2731472 1608834 1122638 102547 50605 51942 16791707 CAPITAL LEASE OBLIGATION 174217 174217 X 9707926 152835 152835 9555091 3073811 3073811 12628902 9427627 152835 152835 9274792 0 9274792 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE UNCERTAIN TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT TO FAIL UPON REGULATORY EXAMINATION. MANAGEMENT HAS EVALUATED THE CENTER'S TAX POSITIONS AS OF JUNE 30, 2019 AND 2018 AND FOR THE YEARS THEN ENDED BY REVIEWING ITS INCOME TAX RETURNS AND CONFERRING WITH ITS TAX ADVISORS, AND DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH SUCH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY OPEN TAX PERIODS. PART XI, LINE 4B - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM DONOR RESTRICTIONS FOR LONG-LIVED ASSETS 5,129,833. DECREASE IN NET ASSETS WITH DONOR RESTRICTIONS -2,056,022. X X 0 0 0 0 0 0 0 0 0 MARY ONEHA CHIEF EXECUTIVE OFFICER 189649 0 0 0 0 0 3526 0 7849 0 201024 0 0 0 CHRISTINA LEE CHIEF MEDICAL OFFICER 218366 0 6122 0 0 0 4146 0 23492 0 252126 0 0 0 ANTHONY KIM DENTAL DIRECTOR 177878 0 0 0 0 0 3467 0 23645 0 204990 0 0 0 CAROL TITCOMB MD MEDICAL PROVIDER 174043 0 1500 0 0 0 3079 0 20463 0 199085 0 0 0 X 894 72177 FAIR MARKET VALUE 0 0 1 0 PART I, COLUMN (B): THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PART V, LINE 2A: THE ORGANIZATION HAS A CO-EMPLOYMENT ARRANGEMENT WITH ALTRES, WHO IS AN OUTSOURCED HR/PAYROLL PROVIDER AND THE EMPLOYER OF RECORD. THE ORGANIZATION IS THE WORKSITE EMPLOYER. FORM 990, PART VI, SECTION B, LINE 11B A COMPLETE ELECTRONIC COPY OF THE FORM 990 IS EMAILED TO ALL BOARD MEMBERS BEFORE THE REGULAR MONTHLY BOARD MEETING FOR REVIEW. THE FORM IS DISCUSSED AT THE BOARD MEETING WHERE APPROVAL FOR SUBMISSION IS OBTAINED. THE FORM 990 IS REVIEWED IN DETAIL BY THE CFO AND TREASURER AND IN GENERAL BY THE ENTIRE BOARD OF DIRECTORS BEFORE BEING APPROVED AND SUBMITTED. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES AND BOARD MEMBERS OF WHC ARE REQUIRED BY POLICY TO REPORT POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. BOARD MEMBERS, MEMBERS OF THE LEADERSHIP TEAM, AND OTHER IDENTIFIED STAFF ARE REQUIRED TO COMPLETE A DISCLOSURE OF EXTERNAL RELATIONSHIPS QUESTIONNAIRE ANNUALLY. POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE MONITORED BY AND REPORTED TO THE CHIEF PERFORMANCE AND COMPLIANCE OFFICER. BOARD MEMBERS WHO HAVE IDENTIFIED A CONFLICT OF INTEREST IN A PARTICULAR TRANSACTION OR SITUATION ARE TO REMOVE THEMSELVES FROM THE DELIBERATIONS AND DECISION-MAKING REGARDING THAT TRANSACTION OR SITUATION. EMPLOYEES WHO IDENTIFY A CONFLICT OF INTEREST WILL BE REMOVED FROM ANY LEVEL OF RESPONSIBILITY REGARDING THE TRANSACTION OR SITUATION. FAILURE TO COMPLY WITH THE POLICY OR TO DISCLOSE A POTENTIAL OR ACTUAL CONFLICT OF INTEREST WILL RESULT IN DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR REMOVAL FROM THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 PERFORMANCE OF THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS. TO DETERMINE CHIEF EXECUTIVE OFFICER (CEO) COMPENSATION, THE BOARD RECRUITMENT COMMITTEE AND/OR THE BOARD PERSONNEL COMMITTEE REVIEWS DOCUMENTS THAT INCLUDE CEO SALARY HISTORY, COMPARISONS WITH INDUSTRY SALARY DATA (FROM SALARY.COM, NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS [NACHC], HAWAII PRIMARY CARE ASSOCIATION [HPCA], CHARITYNAVIGATOR.ORG, OTHER FEDERALLY QUALIFIED HEALTH CENTER [FQHC] CEOS/EDS, ETC.), AND ANNUAL PERFORMANCE REVIEWS. THE PROCEEDINGS OF THESE COMMITTEES ARE DOCUMENTED IN THE MINUTES OF THE BOARD OF DIRECTORS MEETINGS. THIS PROCESS WAS LAST UNDERTAKEN IN 2019. FOR TOP MANAGEMENT AND KEY STAFF, THE CEO DETERMINES SALARIES USING INDUSTRY COMPARISONS (FROM NACHC, HPCA, ETC.), AND ANNUAL WRITTEN PERFORMANCE REVIEWS BY SUPERVISORS, PEERS, AND DIRECT REPORT STAFF. WRITTEN PERFORMANCE REVIEWS ARE KEPT ON FILE AT WHC. PERFORMANCE REVIEWS ARE UNDERTAKEN TWICE PER YEAR (MAY AND NOVEMBER) FOR ELIGIBLE EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.