2019-05-09T15:50:28-05:00 2018-06-30 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2017-07-01 990273205 WAIMANALO HEALTH CENTER WAIM 8082597948 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 FRACKSON SAKALA CFO 8082597948 2019-05-09 1 MELANIE A KING P00220997 8085311040 199.204.177.210 2019-05-09 10:47:47 HS P 7B467908567D376464F26FBA668A84FCD31E1345 D05F2BCCE5551BCF715B57F24F91FFB6EF08B279 2017 2019-02-21 02:37:17Z MARY FRANCES ONEHA 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 11016609 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. 13 13 100 39 -751 -751 4071558 6010487 4579389 4992057 3021 8351 11584 5714 8665552 11016609 0 0 0 0 5819183 6362520 0 0 183107 2114252 2215737 7933435 8578257 732117 2438352 9176890 11897414 533031 815203 8643859 11082211 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 3414923 4372442 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 2018 UDS REPORT FOR MEDICAL SERVICES, WHC SERVED 5,694 UNDUPLICATED PATIENTS DURING 20,105 MEDICAL SERVICE PROVIDER VISITS. 2077024 625329 DENTAL SERVICES: WHC PROVIDES AFFORDABLE DENTAL CARE TO RESIDENTS OF WAIMANALO AND SURROUNDING COMMUNITIES. AS REPORTED TO HRSA ON WHC'S 2018 UDS REPORT, WHC SERVED 1,645 PATIENTS DURING 4,460 DENTAL PROVIDER VISITS. 1065595 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. CARE MANAGEMENT AND PATIENT HEALTH EDUCATION SUPPORTED AN ADDITIONAL 824 PATIENTS FOR 3,198 VISITS AS REPORTED TO HRSA ON WHC'S 2018 UDS REPORT. 718292 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. 718292 7275834 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 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 0 100 1 0 0 0 0 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X FRACKSON SAKALA 8082597948 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 JOHNENE NOE GALEA'I PRESIDENT 1.00 X X 0 0 0 KATHY CONNER VICE PRESIDENT 1.00 X X 0 0 0 JOHN KEONI AYLETT 2ND VICE PRESIDENT 1.00 X X 0 0 0 JAMES WOOD TREASURER 1.00 X X 0 0 0 JUSTIN LAM SECRETARY 1.00 X X 0 0 0 KAHIKINO NOA DETTWEILER-PAIVA DIRECTOR 1.00 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 PAMELA MENTER 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 DEBORAH SMITH DIRECTOR 1.00 X 0 0 0 MARY ONEHA CHIEF EXECUTIVE OFFICER 40.00 X 187766 0 12125 CHRISTINA LEE CHIEF MEDICAL OFFICER 40.00 X 230492 0 27453 ANTHONY KIM DENTAL DIRECTOR 40.00 X 182127 0 26812 KATHLEEN KRAVISH CHIEF FINANCIAL OFFICER 40.00 X 124215 0 18640 TERESA GONSALVES CHIEF PERFORMANCE & COMP. 40.00 X 93621 0 8368 CAROL TITCOMB MD MEDICAL PROVIDER 40.00 X 180340 0 22889 RYAN INOUYE DENTIST 40.00 X 132631 0 11308 DESMOND J FOO MD MEDICAL PROVIDER 40.00 X 133924 0 18500 ISIDRO P HERMOSURA PSYCHOLOGIST 40.00 X 119521 0 26408 ROBERT J SLIKE CIO 40.00 X 105522 0 12432 1490159 0 184935 9 0 1 0 CONSTRUCTORS HAWAII INC 1728 KAHAI STREET HONOLULU HI 96819 CONTRACTOR 3037759 OSIS-OHIO SHARED INFO SVCS PO BOX 772852 CHICAGO IL 606772852 ELECTRONIC HEALTH RECORD 162030 ERSKINE ARCHITECTS INC 540 LAGOON DRIVE SUITE 4 HONOLULU HI 96819 ARCHITECT 160692 AREKAT PACIFIC SECURITY INC DBA API SECURITY 1314 SOUTH KING ST HONOLULU HI 96814 SECURITY 121027 FERRARO CHOI 1240 ALA MOANA BLVD SUITE 510 HONOLULU HI 96814 ARCHITECT 101849 5 107200 3569311 2333976 177763 6010487 PATIENT SERVICE 621400 4992057 4992057 4992057 8351 -751 9102 OTHER REVENUE 900099 5714 5714 5714 11016609 4997771 -751 9102 818538 690532 110819 17187 4272580 3745205 407912 119463 59760 44611 12209 2940 621772 513686 91765 16321 589870 484476 91053 14341 142746 119743 23003 23850 19101 4749 41375 41375 103207 98158 3152 1897 1131 1131 313924 271288 41819 817 234133 172495 61623 15 52614 41171 11185 258 15026 5077 9530 419 965 245 720 317002 274501 41027 1474 37794 10746 27048 PURCHASED SERVICES 557465 525082 25668 6715 DONATED PROG. SUPPLIES 155242 155242 MISCELLANEOUS 79711 36852 42854 5 DUES AND SUBSCRIPTIONS 62587 23646 38594 347 76965 43977 32080 908 8578257 7275834 1119316 183107 3555017 2467123 1211267 597928 556447 1125287 385645 467790 25006 36506 10312044 3134264 3418508 7177780 25000 25000 9176890 11897414 461347 748354 71684 66849 533031 815203 X 8500698 10801728 143161 280483 8643859 11082211 9176890 11897414 2438352 0 X 0 1 X 1 1 1 X 2983536 3406700 4057518 4071558 6010487 20529799 2983536 3406700 4057518 4071558 6010487 20529799 374054 20155745 18722 3522 1868 3021 8351 35484 26300 34432 5344 11584 5714 83374 20648657 21089011 0.97610 0.99270 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2013 AMOUNT: $ 26,300. 2014 AMOUNT: $ 34,432. 2015 AMOUNT: $ 5,344. 2016 AMOUNT: $ 11,584. 2017 AMOUNT: $ 5,714. 8273907 1681946 6591961 1935590 1411303 524287 102547 41015 61532 7177780 X 9686342 187784 187784 9498558 1518051 1518051 11016609 8766041 187784 187784 8578257 0 8578257 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, 2018 AND 2017 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: INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 137,322. NET ASSETS RELEASED FROM TEMPORARY FOR LONG-LIVED ASSETS 1,380,729. X X 0 0 0 0 0 0 0 0 0 MARY ONEHA CHIEF EXECUTIVE OFFICER 187766 0 0 0 0 0 4720 0 7405 0 199891 0 0 0 CHRISTINA LEE CHIEF MEDICAL OFFICER 230492 0 0 0 0 0 5505 0 21948 0 257945 0 0 0 ANTHONY KIM DENTAL DIRECTOR 182127 0 0 0 0 0 4393 0 22419 0 208939 0 0 0 CAROL TITCOMB MD MEDICAL PROVIDER 180340 0 0 0 0 0 4360 0 18529 0 203229 0 0 0 DESMOND J FOO MD MEDICAL PROVIDER 133924 0 0 0 0 0 3534 0 14966 0 152424 0 0 0 X 1242 157867 FAIR MARKET VALUE X ULTRASOUND EQUIPMENT 1 19896 FAIR MARKET VALUE 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 2017. 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.