WEST HAWAII COMMUNITY HEALTH CENTER INC: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- WEST HAWAII COMMUNITY HEALTH CENTER INC (EIN 20-0495394)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-15
- IRS object ID
- 201913199349304466
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule J
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-15T09:10:05-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 910 E ST LOUIS 200/PO BOX 1190 | AddressLine1Txt |
| City | SPRINGFIELD | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 658062523 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 200495394 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WEST HAWAII COMMUNITY HEALTH CENTER INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % DIANE PAUTZ | InCareOfNm |
| Business Name Control | WEST | BusinessNameControlTxt |
| Phone | 8083265629 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75-5751 KUAKINI HWY SUITE 203 | AddressLine1Txt |
| City | KAILUAKONA | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96740 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANN CHIODINI | PersonNm |
| Person Title | BOARD CHAIR | PersonTitleTxt |
| Phone | 8083265629 | PhoneNum |
| Signature | 2019-09-17 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Krystal K Creach | PreparerPersonNm |
| PTIN | P01248198 | PTIN |
| Phone | 4178658701 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 43032920193195000006 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2019-11-15 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 8705656393E68C4A592E0CEA227AF158EB1E06AC | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 9ED1AFD43ECA266599EA2022F4AABFE45DA09571 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-03-31 21:24:44Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD TAAFFE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75-5751 KUAKINI HWY SUITE 203 | AddressLine1Txt |
| City | KAILUAKONA | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96740 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $18,418,431 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WESTHAWAIICHC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2003 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | TO OPERATE A NON-PROFIT COMMUNITY HEALTH CENTER PROVIDING MEDICAL AND OTHER SERVICES TO RESIDENTS AND NON-RESIDENTS WITHIN A DEFINED GEOGRAPHIC AREA. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 243 | TotalEmployeeCnt |
| Total Volunteers | 15 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,879,178 | PYContributionsGrantsAmt |
| CY Contributions Grants | $4,904,865 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $13,793,932 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,299,959 | CYProgramServiceRevenueAmt |
| PY Investment Income | $214,475 | PYInvestmentIncomeAmt |
| CY Investment Income | $213,607 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $17,887,585 | PYTotalRevenueAmt |
| CY Total Revenue | $18,418,431 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $15,040 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,150 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $12,384,973 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $13,904,599 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $104,804 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,064,681 | PYOtherExpensesAmt |
| CY Other Expenses | $5,705,513 | CYOtherExpensesAmt |
| PY Total Expenses | $17,464,694 | PYTotalExpensesAmt |
| CY Total Expenses | $19,612,262 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $422,891 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$1,193,831 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $19,172,673 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,455,321 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $13,365,564 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $13,842,043 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,807,109 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,613,278 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO OPERATE A NON-PROFIT COMMUNITY HEALTH CENTER PROVIDING MEDICAL AND OTHER SERVICES TO OUR RESIDENTS WITHIN A DEFINED GEOGRAPHIC AREA IN THE WESTERN PART OF THE COUNTY OF HAWAII, SEE SCHEDULE O FOR ADDITIONAL INFORMATION. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $14,043,397 | ExpenseAmt |
| Grant | $2,150 | GrantAmt |
| Revenue | $13,299,959 | RevenueAmt |
| Desc | INTEGRATED MEDICAL AND BEHAVIORAL HEALTH PROGRAMS: WHCHC, INC. PROVIDES INTEGRATED HEALTH SERVICES, WHICH ARE ACCESSIBLE TO ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2018, WHCHC, INC. HAD 65,545 PATIENT VISITS WITH APPROXIMATELY 66% OF THOSE PATIENTS (43,247) SERVED MEDICALLY, 14% (9,081) PATIENTS RECEIVING BEHAVIORAL HEALTH SERVICES, AND 20% (13,217) RECEIVING DENTAL CARE. | Desc |
| Total Program Service Expenses | $14,043,397 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | Yes (true) | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (true) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | false | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | Yes (true) | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | false | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 53 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 243 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | false | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DIANE PAUTZ | PersonNm |
| Phone | 8083265629 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75-5751 KUAKINI HWY SUITE 203 | AddressLine1Txt |
| City | KAILUAKONA | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96740 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| ANN CHIODINI | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| PATRICIA ACHAY | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| TERRI TOKI | |||||||||
| TREASURER | 2.0 | 0.5 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JOAN FREED | |||||||||
| SECRETARY | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MICHAEL MATSUKAWA | |||||||||
| DIRECTOR | 1.0 | 0.5 | Yes (X) | $0 | $0 | $0 | |||
| ART SOUZA | |||||||||
| DIRECTOR | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| STEVE LOPEZ | |||||||||
| DIRECTOR ENDING 08/2018 | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| JAY KREUZER | |||||||||
| DIRECTOR | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| EARL BETTS | |||||||||
| DIRECTOR ENDING 03/2018 | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| ED HAITSUKA | |||||||||
| DIRECTOR | 0.5 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| EUGENE YAP | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| BRETT CAREY | |||||||||
| CHAIR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| PETER HOFFMANN | |||||||||
| DIRECTOR | 1.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| REBECCA LOGAN | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| VERN BIERAUGEL | |||||||||
| DIRECTOR BEG 02/2018 | 2.0 | 0.0 | Yes (X) | $0 | $0 | $0 | |||
| RICHARD TAAFFE | |||||||||
| PRESIDENT/CEO | 40.0 | 0.5 | $247,242 | $0 | $15,936 | Yes (X) | |||
| KATHLEEN BROOKS | |||||||||
| COO/HR DIRECTOR | 40.0 | 0.0 | $164,675 | $0 | $18,193 | Yes (X) | |||
| DIANE PAUTZ | |||||||||
| CFO | 40.0 | 2.5 | $174,778 | $0 | $12,458 | Yes (X) | |||
| STEVEN PINE | |||||||||
| DENTAL DIRECTOR | 40.0 | 0.0 | $200,001 | $0 | $6,192 | Yes (X) | |||
| HEATHER MINER | |||||||||
| MEDICAL PROVIDER | 40.0 | 0.0 | $195,207 | $0 | $19,426 | Yes (X) | |||
| DAVID MCCANDLESS | |||||||||
| PHYSICIAN | 40.0 | 0.0 | $200,179 | $0 | $20,245 | Yes (X) | |||
| NAOMI BIKLE | |||||||||
| PSYCHIATRIST | 40.0 | 0.0 | $193,444 | $0 | $13,184 | Yes (X) | |||
| JOHN GAWLIK | |||||||||
| DENTIST | 40.0 | 0.0 | $190,442 | $0 | $6,573 | Yes (X) | |||
| AUDREY RAWSON | |||||||||
| DENTIST | 40.0 | 0.0 | $178,383 | $0 | $7,273 | Yes (X) | |||
| DAISY SMART | |||||||||
| DENTIST | 40.0 | 0.0 | $179,443 | $0 | $9,790 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,923,794 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $129,270 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 24 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WILLUM LTD | |||||
| 75-5722 KUAKINI HWY 214 | KAILUAKONA | HI | 96740 | RENTAL MGMT | $472,546 |
| HEALTH CHOICE NETWORK INC | |||||
| 9064 NW 13TH PLACE | MIAMI | FL | 33172 | IT DATA NETWORK | $434,493 |
| BLUE PACIFIC CONSTRUCTION | |||||
| 75-192 ALAKAI ST | KAILUAKONA | HI | 96740 | CONSTRUCTION | $350,436 |
| HENDRICKS COMMERCIAL PROPERTIES LL | |||||
| 525 THIRD ST SUITE 300 | BELOT | WI | 53511 | RENTAL MGMT | $144,189 |
| CLEAN WORKS PELE PROPERTY SERVICES | |||||
| 75-5915 WALUA RD | KAILUAKONA | HI | 96740 | JANITORIAL | $117,748 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 5 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $3,023,067 | GovernmentGrantsAmt |
| All Other Contributions | $1,881,798 | AllOtherContributionsAmt |
| Noncash Contributions | $8,465 | NoncashContributionsAmt |
| Total Contributions | $4,904,865 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621110 | $12,881,191 | $12,881,191 |
| PATIENT SERVICE INCENTIVE REVENUE | 621110 | $392,358 | $392,358 |
| OTHER INCOME | 621110 | $26,410 | $26,410 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,299,959 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $213,607 | TotalRevenueColumnAmt |
| Exclusion | $213,607 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $18,418,431 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,299,959 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $213,607 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,150 | TotalAmt |
| Program Services | $2,150 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,054,108 | TotalAmt |
| Program Services | $420,825 | ProgramServicesAmt |
| Management And General | $633,283 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,601 | TotalAmt |
| Management And General | $18,601 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,454,201 | TotalAmt |
| Program Services | $8,288,720 | ProgramServicesAmt |
| Management And General | $2,144,353 | ManagementAndGeneralAmt |
| Fundraising | $21,128 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $232,672 | TotalAmt |
| Program Services | $184,078 | ProgramServicesAmt |
| Management And General | $46,781 | ManagementAndGeneralAmt |
| Fundraising | $1,813 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,251,646 | TotalAmt |
| Program Services | $958,877 | ProgramServicesAmt |
| Management And General | $283,741 | ManagementAndGeneralAmt |
| Fundraising | $9,028 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $893,371 | TotalAmt |
| Program Services | $681,573 | ProgramServicesAmt |
| Management And General | $210,254 | ManagementAndGeneralAmt |
| Fundraising | $1,544 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $73,085 | TotalAmt |
| Management And General | $73,085 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,105 | TotalAmt |
| Management And General | $84,105 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,318 | TotalAmt |
| Program Services | $69,354 | ProgramServicesAmt |
| Management And General | $36,878 | ManagementAndGeneralAmt |
| Fundraising | $86 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $145,898 | TotalAmt |
| Program Services | $24,406 | ProgramServicesAmt |
| Management And General | $85,903 | ManagementAndGeneralAmt |
| Fundraising | $35,589 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $700,268 | TotalAmt |
| Program Services | $542,971 | ProgramServicesAmt |
| Management And General | $148,170 | ManagementAndGeneralAmt |
| Fundraising | $9,127 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $426,569 | TotalAmt |
| Program Services | $322,569 | ProgramServicesAmt |
| Management And General | $101,302 | ManagementAndGeneralAmt |
| Fundraising | $2,698 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,185,667 | TotalAmt |
| Program Services | $1,031,836 | ProgramServicesAmt |
| Management And General | $150,065 | ManagementAndGeneralAmt |
| Fundraising | $3,766 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,315 | TotalAmt |
| Program Services | $45,406 | ProgramServicesAmt |
| Management And General | $66,866 | ManagementAndGeneralAmt |
| Fundraising | $7,043 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $172,106 | TotalAmt |
| Program Services | $105,082 | ProgramServicesAmt |
| Management And General | $62,432 | ManagementAndGeneralAmt |
| Fundraising | $4,592 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $778,616 | TotalAmt |
| Management And General | $778,616 | ManagementAndGeneralAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $562,337 | TotalAmt |
| Program Services | $118,128 | ProgramServicesAmt |
| Management And General | $444,209 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,211 | TotalAmt |
| Program Services | $23,833 | ProgramServicesAmt |
| Management And General | $38,378 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| MEDICAL SUPPLIES & DRUGS | $726,912 | $726,912 | ||
| BAD DEBT | $267,990 | $267,990 | ||
| REPAIRS AND MAINTENANCE | $162,449 | $151,975 | $9,998 | $476 |
| LICENSES, DUES, SUBSCRIPTIONS | $77,838 | $22,883 | $47,041 | $7,914 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,829 | TotalAmt |
| Program Services | $53,829 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,612,262 | TotalAmt |
| Program Services | $14,043,397 | ProgramServicesAmt |
| Management And General | $5,464,061 | ManagementAndGeneralAmt |
| Fundraising | $104,804 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $348,949 | BOYAmt |
| EOY | $1,445,912 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $535,531 | BOYAmt |
| EOY | $529,944 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,927 | BOYAmt |
| EOY | $586,996 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,564,031 | BOYAmt |
| EOY | $1,120,709 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,881,416 | BOYAmt |
| EOY | $4,881,416 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $91,361 | BOYAmt |
| EOY | $149,950 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,307,330 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,865,471 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,360,156 | BOYAmt |
| EOY | $9,441,859 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,206,302 | BOYAmt |
| EOY | $298,535 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,172,673 | BOYAmt |
| EOY | $18,455,321 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,526,037 | BOYAmt |
| EOY | $1,601,891 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $437,139 | BOYAmt |
| EOY | $379,504 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,402,388 | BOYAmt |
| EOY | $11,860,648 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,365,564 | BOYAmt |
| EOY | $13,842,043 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,512,109 | BOYAmt |
| EOY | $3,804,778 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $295,000 | BOYAmt |
| EOY | $808,500 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,807,109 | BOYAmt |
| EOY | $4,613,278 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,172,673 | BOYAmt |
| EOY | $18,455,321 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | -$1,193,831 | ReconcilationRevenueExpnssAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (true) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (true) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,871,551 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,427,876 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,984,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,879,178 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,904,865 | CurrentTaxYearAmt |
| Total | $21,067,689 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft170 TaxRevLeviedOrgnztnlBnft170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Govt Furn Srvc Fclts Vl170 GovtFurnSrvcFcltsVl170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $4,871,551 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,427,876 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,984,219 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,879,178 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,904,865 | CurrentTaxYearAmt |
| Total | $21,067,689 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantial Contributors Tot | $60,838 | SubstantialContributorsTotAmt |
| Public Support Total170 | $21,006,851 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $206,648 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $215,081 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $215,136 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $214,475 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $213,607 | CurrentTaxYearAmt |
| Total | $1,064,947 | TotalAmt |
Unrelated Business Net Incm170 UnrelatedBusinessNetIncm170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Income170 OtherIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $22,132,636 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $54,718,627 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.94913 | PublicSupportCY170Pct |
| Public Support PY170 | 0.95329 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Art Public Exhibition Amounts ArtPublicExhibitionAmountsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Revenues Included | $8,465 | RevenuesIncludedAmt |
| Assets Included | $45,982 | AssetsIncludedAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Held Works Art | HeldWorksArtGrp | |
| Collection Used Pub Exhibition | Yes (X) | CollectionUsedPubExhibitionInd |
| Solicited Assets Sale | false | SolicitedAssetsSaleInd |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $10,326,878 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,537,642 | DepreciationAmt |
| Book Value | $8,789,236 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,193,441 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,741,857 | DepreciationAmt |
| Book Value | $451,584 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $764,753 | OtherCostOrOtherBasisAmt |
| Depreciation | $585,972 | DepreciationAmt |
| Book Value | $178,781 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $22,258 | OtherCostOrOtherBasisAmt |
| Book Value | $22,258 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $9,441,859 | TotalBookValueLandBuildingsAmt |
| Total Rev Etc Audited Fincl Stmt | $17,636,941 | TotalRevEtcAuditedFinclStmtAmt |
| Other Revenue | $19,664 | OtherRevenueAmt |
| Revenue Not Reported | $19,664 | RevenueNotReportedAmt |
| Revenue Subtotal | $17,617,277 | RevenueSubtotalAmt |
| Other Revenues Not Included | $801,154 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $801,154 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $18,418,431 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $19,344,272 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $19,344,272 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $267,990 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $267,990 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $19,612,262 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE D, PART III, LINE 4 | ART COLLECTIONS: THE ORGANIZATION HAS A COLLECTION OF ART THAT HANGS ON THE WALLS OF THE COMMUNITY HEALTH CENTER THAT IS VIEWED BY PATIENTS VISITING FOR APPOINTMENTS. ONCE A YEAR, AN EVENT CALLED "ART IS HEALING" IS HELD BY THE ORGANIZATION THAT BRINGS TOGETHER LOCAL ARTISTS AND THE HEALTH CENTER, MANY OF WHOM ARE PATIENTS OF THE HEALTH CENTER OR FUTURE PATIENTS. |
| SCHEDULE D, PART X, LINE 2 | UNCERTAIN TAX POSITIONS: MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. |
| SCHEDULE D, PART XI, LINE 2D | AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $ (267,990) PROVISION FOR UNCOLLECTIBLE ACCOUNTS 287,654 NET ASSETS RELEASED FROM RESTRICTION ---------- $ 19,664 |
| SCHEDULE D, PART XI, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $ 801,154 TEMPORARILY RESTRICTED CONTRIBUTIONS |
| SCHEDULE D, PART XII, LINE 4B | AMOUNTS INCLUDED ON FORM 990, PART IX, LINE 25 BUT NOT ON LINE 1: $ 267,990 PROVISION FOR UNCOLLECTIBLE ACCOUNTS |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD TAAFFE | ||||||||||||||
| PRESIDENT/CEO | $221,082 | $0 | $26,160 | $0 | $0 | $0 | $9,340 | $0 | $6,596 | $0 | $263,178 | $0 | $0 | $0 |
| KATHLEEN BROOKS | ||||||||||||||
| COO/HR DIRECTOR | $147,675 | $0 | $17,000 | $0 | $0 | $0 | $4,598 | $0 | $13,595 | $0 | $182,868 | $0 | $0 | $0 |
| DIANE PAUTZ | ||||||||||||||
| CFO | $157,778 | $0 | $17,000 | $0 | $0 | $0 | $5,085 | $0 | $7,373 | $0 | $187,236 | $0 | $0 | $0 |
| DAVID MCCANDLESS | ||||||||||||||
| PHYSICIAN | $192,929 | $0 | $7,250 | $0 | $0 | $0 | $3,000 | $0 | $17,245 | $0 | $220,424 | $0 | $0 | $0 |
| NAOMI BIKLE | ||||||||||||||
| PSYCHIATRIST | $188,194 | $0 | $5,250 | $0 | $0 | $0 | $5,724 | $0 | $7,460 | $0 | $206,628 | $0 | $0 | $0 |
| STEVEN PINE | ||||||||||||||
| DENTAL DIRECTOR | $190,001 | $0 | $10,000 | $0 | $0 | $0 | $5,665 | $0 | $527 | $0 | $206,193 | $0 | $0 | $0 |
| HEATHER MINER | ||||||||||||||
| MEDICAL PROVIDER | $181,207 | $0 | $14,000 | $0 | $0 | $0 | $5,665 | $0 | $13,761 | $0 | $214,633 | $0 | $0 | $0 |
| JOHN GAWLIK | ||||||||||||||
| DENTIST | $184,192 | $0 | $6,250 | $0 | $0 | $0 | $1,090 | $0 | $5,483 | $0 | $197,015 | $0 | $0 | $0 |
| AUDREY RAWSON | ||||||||||||||
| DENTIST | $170,133 | $0 | $8,250 | $0 | $0 | $0 | $5,131 | $0 | $2,142 | $0 | $185,656 | $0 | $0 | $0 |
| DAISY SMART | ||||||||||||||
| DENTIST | $171,193 | $0 | $8,250 | $0 | $0 | $0 | $5,246 | $0 | $4,544 | $0 | $189,233 | $0 | $0 | $0 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | WHITNEY PAUTZ | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | SEE PART V | RelationshipDescriptionTxt |
| Transaction | $18,601 | TransactionAmt |
| Transaction | EMPLOYEE COMPENSATION | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE L, PART IV, LINE 1 | FormAndLineReferenceDesc |
| Explanation | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS: WHITNEY PAUTZ IS THE DAUGHTER OF DIANE PAUTZ, CFO. | ExplanationTxt |
Schedule M IRS990ScheduleM
Works Of Art WorksOfArtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 11 | ContributionCnt |
| Noncash Contributions Rpt F990 | $8,465 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | COST | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Historical Treasures | ArtHistoricalTreasuresGrp | |
| Art Fractional Interest | ArtFractionalInterestGrp | |
| Books And Publications | BooksAndPublicationsGrp | |
| Clothing And Household Goods | ClothingAndHouseholdGoodsGrp | |
| Cars And Other Vehicles | CarsAndOtherVehiclesGrp | |
| Boats And Planes | BoatsAndPlanesGrp | |
| Intellectual Property | IntellectualPropertyGrp | |
| Securities Publicly Traded | SecuritiesPubliclyTradedGrp | |
| Securities Closely Held Stock | SecuritiesCloselyHeldStockGrp | |
| Secur Prtnrshp Trust Intrsts | SecurPrtnrshpTrustIntrstsGrp | |
| Securities Miscellaneous | SecuritiesMiscellaneousGrp | |
| Qualified Contrib Hist Struct | QualifiedContribHistStructGrp | |
| Qualified Contrib Other | QualifiedContribOtherGrp | |
| Real Estate Residential | RealEstateResidentialGrp | |
| Real Estate Commercial | RealEstateCommercialGrp | |
| Real Estate Other | RealEstateOtherGrp | |
| Collectibles | CollectiblesGrp | |
| Food Inventory | FoodInventoryGrp | |
| Drugs And Medical Supplies | DrugsAndMedicalSuppliesGrp | |
| Taxidermy | TaxidermyGrp | |
| Historical Artifacts | HistoricalArtifactsGrp | |
| Scientific Specimens | ScientificSpecimensGrp | |
| Archaeological Artifacts | ArchaeologicalArtifactsGrp | |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE M, PART I, COLUMN B | FormAndLineReferenceDesc |
| Explanation | NUMBER OF ITEMS CONTRIBUTED: THE AMOUNT IN COLUMN B REPRESENTS THE NUMBER OF ITEMS CONTRIBUTED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 1 | ORGANIZATION'S MISSION CONTINUED: AND ALSO TO NON-RESIDENTS OF THE SERVICE AREA AND VISITORS TO THE SERVICE AREA WHO FROM TIME TO TIME MAY NEED SERVICES PROVIDED BY THE HEALTH CENTER. |
| 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 AND MANAGEMENT. THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTORS AT A MEETING BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS AND EMPLOYEES OF THE CORPORATION AND OTHER INDIVIDUALS DESCRIBED BELOW ARE SUBJECT TO THE FOLLOWING PROVISIONS TO MAINTAIN THE INTEGRITY OF THE CORPORATION AND ITS TRANSACTIONS. (A) DIRECTORS, OFFICERS AND EMPLOYEES SHALL EXERCISE UTMOST GOOD FAITH IN ALL TRANSACTIONS INVOLVING THE CORPORATION AND ITS PROPERTY, AND THEY SHALL COMPLY WITH THE STRICTEST RULES OF HONESTY AND FAIR DEALING. THEY SHALL NOT USE THEIR POSITIONS OR INFORMATION GAINED FORM SUCH POSITIONS IN ANY WAY TO CREATE A CONFLICT BETWEEN THEIR INTEREST AND THE INTEREST OF THE CORPORATION. (B) NO DIRECTOR, OFFICER, OR EMPLOYEE SHALL KNOWINGLY ACT IN ANY MANNER WHICH AFFECTS THE CORPORATIONS ADVERSELY IN ORDER TO BENEFIT HIM OR HERSELF PERSONALLY. (C) NO DIRECTOR, OFFICER, OR EMPLOYEE OF THE CORPORATION SHALL ACCEPT ANY FAVOR WHICH MIGHT INFLUENCE HIS OR HER ACTIONS CONCERNING THE CORPORATION. (D) IF ANY DIRECTOR, OFFICER OR EMPLOYEE PREPARES TO UNDERTAKE ANY TRANSACTIONS, INCLUDING NEW EMPLOYMENT, ACTIVITY, INVESTMENT OR OTHER INTEREST, FOR WHICH THERE CAN BE ANY DOUBT ABOUT THE EXISTENCE OF A CONFLICT OF INTEREST, THE DIRECTOR, OFFICER OR EMPLOYEE SHALL DISCLOSE THE SAME TO THE BOARD OF DIRECTORS PRIOR TO SUCH TRANSACTIONS. NO TRANSACTION EFFECTED OR PROPOSED TO BE EFFECTED BY THE CORPORATION IN WHICH A DIRECTOR HAS A CONFLICT OF INTEREST BE ENJOINED OR SET ASIDE, OR SHALL GIVE RISE TO AN AWARD OF DAMAGES OR OTHER SANCTIONS IN A PROCEEDING BY THE CORPORATION, IF THE TRANSACTION WAS FAIR AT THE TIME IT WAS ENTERED INTO AND IF THE MATERIAL FACTS OF THE TRANSACTION AND THE DIRECTOR'S INTEREST WAS DISCLOSED OR KNOWN TO THE BOARD OF DIRECTORS AND THE TRANSACTION RECEIVES THE AFFIRMATIVE VOTE OF A MAJORITY (BUT NO FEWER THAN THREE) OF THE DIRECTORS OF THE BOARD WHO HAVE NO DIRECT OR INDIRECT INTEREST IN THE TRANSACTION. A MAJORITY OF THE UNINTERESTED DIRECTORS ON THE BOARD OF DIRECTORS CONSTITUTES A QUORUM FOR PURPOSES OF THE SUBSECTION (D). (E) NO MEMBER OF THE BOARD OF DIRECTORS OR AN IMMEDIATE FAMILY MEMBER, AS DEFINED BY THE ORGANIZATION'S PERSONNEL POLICY, OF A MEMBER OF THE BOARD OF DIRECTORS SHALL BE AN EMPLOYEE OF THE CORPORATION. |
| FORM 990, PART VI, SECTION B, LINE 15A | EXECUTIVE COMPENSATION REVIEW: THE WHCHC, INC. HUMAN RESOURCE DIRECTOR UPDATES THE SALARY MATRIX YEARLY AND/OR AS NEEDED WITH COMPARABLE MARKET ANALYSIS. THE SALARY MATRIX SETS THE WAGE SCALE FOR ALL POSITIONS AND IS REVIEWED AND APPROVED BY THE BOARD. YEARLY REVIEW OF THE CHIEF EXECUTIVE OFFICER'S (CEO) SALARY IS DONE BY THE FULL BOARD OF DIRECTORS AT THE TIME OF HIS/HER EVALUATION EACH YEAR. IT IS DOCUMENTED IN BOARD MINUTES. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENT DISCLOSURE: COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, FINANCIAL STATEMENTS, AND FEDERAL FORM 990 ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| PONO RESOURCE MANAGEMENT INC | ||||||||||
| 74-5599 LUHIA ST UNIT E5 | KAILUAKONA | HI | 96740 | 463613699 | PROJECT MGMT | HI | 501(C)(3) | 12B II | NA | false |
| PONOLL INC | ||||||||||
| 74-5599 LUHIA ST UNIT E5 | KAILUAKONA | HI | 96740 | 463715805 | SUPPORT | HI | 501(C)(3) | 12B II | NA | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| PONO RESOURCE MANAGEMENT INC | ||
| K | $224,008 | FMV |
| PONELL INC | ||
| S | $213,053 | FMV |