WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD (EIN 99-0148164)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-05-14
- IRS object ID
- 201821349349310642
- Schema version
- 2016v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-05-14T22:03:32-05:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 205325889 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Accuity LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 999 Bishop Street Ste 1900 | AddressLine1Txt |
| City | Honolulu | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96813 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 990148164 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAIANAE DISTR COMPREHENSIVE HEALTH & | BusinessNameLine1Txt |
| Business Name Line2 | HOSPITAL BOARD INC | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | WAIA | BusinessNameControlTxt |
| Phone | 8086973128 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 86-260 FARRINGTON HIGHWAY | AddressLine1Txt |
| City | WAIANAE | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 967923199 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES Z CHEN | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8086973128 | PhoneNum |
| Signature | 2018-05-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Accuity LLP | PreparerPersonNm |
| PTIN | P00089337 | PTIN |
| Phone | 8085313400 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 72.253.96.98 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-05-11 | IPDt |
| IP Tm | 16:37:20 | IPTm |
| IP Timezone | HS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 44FB2350D555B153D302047B364605D61290062A | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 7A928AAC4451DE66310FF8AF33DE2D13934BE5DF | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WAIANAE COAST COMPREHENSIVE HEALTH CENTER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | RICHARD P BETTINI | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 86260 FARRINGTON HWY | AddressLine1Txt |
| City | WAIANAE | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96792 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $68,611,245 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.WCCHC.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1972 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER ("THE HEALTH CENTER") IS A HEALING CENTER THAT PROVIDES ACCESSIBLE AND AFFORDABLE MEDICAL AND TRADITIONAL HEALING SERVICES WITH ALOHA. THE HEALTH CENTER IS A LEARNING CENTER THAT OFFERS HEALTH CAREER TRAINING TO ENSURE A BETTER FUTURE FOR OUR COMMUNITY. THE HEALTH CENTER IS ALSO AN INNOVATOR, USING LEADING EDGE TECHNOLOGY TO DELIVER THE HIGHEST QUALITY OF HEALTH CARE SERVICES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 19 | VotingMembersIndependentCnt |
| Total Employee | 1013 | TotalEmployeeCnt |
| Total Volunteers | 161 | TotalVolunteersCnt |
| Total Gross UBI | $18,941 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $9,545,656 | PYContributionsGrantsAmt |
| CY Contributions Grants | $12,321,170 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $49,852,495 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $54,122,652 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$27,826 | PYInvestmentIncomeAmt |
| CY Investment Income | -$7,651 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,800,449 | PYOtherRevenueAmt |
| CY Other Revenue | $2,167,423 | CYOtherRevenueAmt |
| PY Total Revenue | $61,170,774 | PYTotalRevenueAmt |
| CY Total Revenue | $68,603,594 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $287,126 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $366,261 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $40,736,790 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $42,932,357 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $2,326 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,375,031 | PYOtherExpensesAmt |
| CY Other Expenses | $20,637,849 | CYOtherExpensesAmt |
| PY Total Expenses | $60,398,947 | PYTotalExpensesAmt |
| CY Total Expenses | $63,936,467 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $771,827 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,667,127 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $62,339,926 | TotalAssetsBOYAmt |
| Total Assets EOY | $72,997,181 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,527,169 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $15,113,945 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $52,812,757 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $57,883,236 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER ("THE HEALTH CENTER") IS A HEALING CENTER THAT PROVIDES ACCESSIBLE AND AFFORDABLE MEDICAL AND TRADITIONAL HEALING SERVICES WITH ALOHA. THE HEALTH CENTER IS A LEARNING CENTER THAT OFFERS HEALTH CAREER TRAINING TO ENSURE A BETTER FUTURE FOR OUR COMMUNITY. THE HEALTH CENTER IS ALSO AN INNOVATOR, USING LEADING EDGE TECHNOLOGY TO DELIVER THE HIGHEST QUALITY OF HEALTH CARE SERVICES. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $24,633,337 | ExpenseAmt |
| Revenue | $37,273,891 | RevenueAmt |
| Desc | MEDICAL CARE: PRIMARY CARE MEDICAL SERVICES (PEDIATRICS, WOMEN'S, ADULT MEDICINE AND INTERNAL MEDICINE) ARE PROVIDED THROUGH A MAIN CLINIC SITE AND FOUR SATELLITE CLINICS SERVING THE LEEWARD AREA ON THE ISLAND OF OAHU. FOR ADDITIONAL INFORMATION SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $7,176,994 | ExpenseAmt |
| Revenue | $8,004,647 | RevenueAmt |
| Desc | EMERGENCY MEDICAL SERVICES: TWENTY-FOUR HOUR EMERGENCY MEDICAL SERVICES ARE PROVIDED TO THE COMMUNITY THROUGH THE HEALTH CENTER'S MAIN CLINIC SITE ON THE WAIANAE COAST. FOR ADDITIONAL INFORMATION SEE SCHEDULE O. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,452,936 | ExpenseAmt |
| Revenue | $7,368,573 | RevenueAmt |
| Desc | PHARMACY: THE HEALTH CENTER OPERATES TWO 340B PHARMACIES ON SITE WHICH REDUCES THE BARRIERS FOR PATIENTS WITHOUT DRUG COVERAGE BENEFITS OR HAVING TO MAKE AN ADDITIONAL STOP AT AN OFF-SITE PHARMACY TO PICK UP A PRESCRIPTION. THE PHARMACIES ARE LOCATED AT THE MAIN HEALTH CENTER IN WAIANAE AND THE KAPOLEI HEALTH CARE CENTER IN KAPOLEI. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $19,130,066 | ExpenseAmt |
| Grant | $325,841 | GrantAmt |
| Revenue | $1,475,541 | RevenueAmt |
| Desc | THE WAIANAE COAST COMPREHENSIVE HEALTH CENTER SERVES THE MEDICALLY UNDERSERVED AND ECONOMICALLY DISADVANTAGED COMMUNITY OF WAIANAE AND SURROUNDING COMMUNITIES IN THE LEEWARD AREA ON THE ISLAND OF OAHU IN THE STATE OF HAWAII. SERVING THE COMMUNITY SINCE 1972, THE HEALTH CENTER CELEBRATED ITS 45TH ANNIVERSARY IN 2017. FROM ITS START AS A ONE DOCTOR OFFICE, THE HEALTH CENTER IS THE LARGEST, AND OLDEST, OF THE FOURTEEN COMMUNITY HEALTH CENTERS IN THE STATE OF HAWAII. THE STRENGTH OF THE HEALTH CENTER LIES IN THE STRONG FOUNDATION SET BY ITS FOUNDERS, THE VISION AND EXPERTISE OF ITS BOARD OF DIRECTORS, THE SENSE OF OWNERSHIP BY ITS STAFF, PATIENTS AND COMMUNITY, THE YEARS OF SERVICE AND COMMITMENT OF ITS MANAGEMENT TEAM, AND THE RELATIONSHIPS FORGED AT THE COMMUNITY, STATE AND NATIONAL LEVEL. IN 2017, THE HEALTH CENTER SERVED 37,204 PATIENTS, THE MAJORITY BEING NATIVE HAWAIIAN (44%), FOLLOWED BY ASIAN & OTHER PACIFIC ISLANDERS (28%), AND CAUCASIANS (16%). DATA SHOWS 65% OF PATIENTS ARE AT 100% OF THE FEDERAL POVERTY LEVEL OR BELOW, 7% ARE UNINSURED, AND 58% ARE RECEIVING COVERAGE UNDER QUEST, THE STATE OF HAWAII'S MEDICAID PROGRAM. THE WAIANAE COAST IS AN ECONOMICALLY DISTRESSED COMMUNITY WITH A POPULATION OF 47,774. TWENTY-FOUR PERCENT (24%) OF THE POPULATION HAS ANNUAL INCOME LESS THAN 100% OF THE FEDERAL POVERTY LEVEL, WHICH IS THE HIGHEST LEVEL IN THE CITY AND COUNTY OF HONOLULU AND THE THIRD HIGHEST IN THE STATE OF HAWAII. THIRTY-THREE PERCENT (33%) OF WAIANAE COAST HOUSEHOLDS ARE RECEIVING SNAP/CASH OR OTHER FORMS OF PUBLIC ASSISTANCE. THIS IS THE HIGHEST RATE IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE OF HAWAII. THE AVERAGE PER CAPITA INCOME IS $17,800 MAKING IT THE LOWEST IN THE CITY AND COUNTY OF HONOLULU AND THE STATE OF HAWAII. ALMOST 12% OF THE POPULATION IS UNEMPLOYED, THE SECOND HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND FOURTH HIGHEST IN THE STATE. THE HEALTH STATISTICS OF THE WAIANAE COAST PARALLELS THE ECONOMIC SITUATION IN THE COMMUNITY. THE INFANT MORTALITY RATE (8.8 PER 1,000) IN WAIANAE IS THE HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND SECOND HIGHEST IN THE STATE. BIRTHS TO MOTHERS UNDER AGE 18 (4.6 PER 1,000) IS THE HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND SECOND HIGHEST IN THE STATE. MORBIDITY AND MORTALITY INDICATORS SHOW THAT THE WAIANAE COAST RANKS HIGHEST IN THE CITY AND COUNTY OF HONOLULU AND IN THE STATE FOR OBESITY (40.9%); ADULTS WHO SMOKE (25%); ADULTS WITH DIABETES (15.1%); AND CANCER (209.8 PER 100,000). THE HEALTH CENTER ACHIEVES ITS MISSION BY NOT ONLY SERVING PATIENTS WHO SEEK SERVICES, BUT ALSO BY INCORPORATING THE GOAL OF IMPROVING THE OVERALL HEALTH STATUS OF THE COMMUNITY IT SERVES. THE VISION OF THE FOUNDERS TO OFFER COMPREHENSIVE HEALTH SERVICES HAS GUIDED THE DEVELOPMENT OF SERVICES AND ACTIVITIES OF OUR PATIENT CENTERED HEALTH CARE HOME, WHICH INCLUDES:- ADOLESCENT HEALTH- ADULT DAY CARE - BEHAVIORAL HEALTH - CASE MANAGEMENT- COMMUNITY WELLNESS- DENTAL- DIABETES INTERVENTION - EMERGENCY ROOM SERVICES (24 HOURS, 365 DAYS/YEAR)- FITNESS GYM AND PROGRAMS- HEALTH EDUCATION- HEALTH PROFESSIONS CAREER TRAINING- HEALTH EMERGENCY LIAISON PROGRAM- HOMELESS OUTREACH- INSTITUTIONAL REVIEW BOARD FOR RESEARCH- KWIK (WALK-IN CLINICS)- LABORATORY- NATIVE HAWAIIAN HEALING - NUTRITION COUNSELING- PATIENT ASSISTANT SERVICES- PERINATAL CASE MANAGEMENT- PHARMACY - PRIMARY CARE CLINICS (ADULT MEDICINE, PEDIATRICS, WOMEN'S HEALTH) - RADIOLOGY/MAMMOGRAPHY/BONE DENSITY SCREENING- RESTAURANT- SPECIALISTS (GENERAL SURGERY, OPTOMETRY, OBSTETRICS/GYNECOLOGY, CARDIOLOGY, ENDOCRINOLOGY, ORTHOPEDICS, PODIATRY, PSYCHIATRY, PSYCHOLOGY, DERMATOLOGY, OPTHALMOLOGY AND CHRONIC PAIN MANAGEMENT)- SUBSTANCE ABUSE TREATMENT- TRANSPORTATION- VISION CARE- WOMEN, INFANT, CHILDREN PROGRAM (WIC) THE HEALTH CENTER IS A MAJOR ECONOMIC PROVIDER IN THE COMMUNITY, EMPLOYING OVER 600 INDIVIDUALS, THE MAJORITY OF WHOM RESIDE ON THE WAIANAE COAST. THE HEALTH CENTER IS GOVERNED AND GUIDED BY A BOARD OF DIRECTORS THAT INCLUDES 10 MEMBERS ELECTED FROM THE WAIANAE COMMUNITY, AND 10 MEMBERS APPOINTED FOR EXPERTISE IN BUSINESS, MEDICINE, LAW, OR COMMUNITY AFFAIRS, WITH TWO REPRESENTING THE SERVICE AREAS OF WAIPAHU AND KAPOLEI. THE HEALTH CENTER HAS MAINTAINED A POSITIVE FINANCIAL POSITION BY CONTINUOUSLY INCREASING PRODUCTIVITY, DEVELOPING REVENUE GENERATING SERVICES, INITIATING TECHNOLOGICAL INNOVATIONS AND PROMOTING COMMUNITY INVOLVEMENT. THE HEALTH CENTER'S FULL ARRAY OF PRIMARY HEALTH CARE SERVICES IS DESIGNED TO MEET THE NEEDS OF THE TARGET POPULATION. MUCH ATTENTION HAS BEEN PAID INTO PLACING CLINICS THAT ARE STRATEGICALLY LOCATED ALONG BUS ROUTES THAT ARE VISIBLE TO THE COMMUNITY. THE HOURS OF OPERATION AT ALL SITES REPRESENT A COMMITMENT TO MEET THE NEEDS OF PATIENTS AND THEIR PERSONAL SITUATIONS. CLINICS ARE OPEN WEEKDAYS AS EARLY AS 7:00 AM AND STAY OPEN, AT THE LATEST, TILL 8:00 PM. CLINICS ARE ALSO OPEN ON SATURDAYS AND A WALK-IN CLINIC IS AVAILABLE AT TWO SITES FOR URGENT CARE. THE HEALTH CENTER ALSO OPENED SCHOOL BASED CLINICS AT WAIANAE HIGH AND WAIANAE INTERMEDIATE SCHOOLS. THE HEALTH CENTER'S EMERGENCY ROOM IS AVAILABLE 24 HOURS A DAY, 365 DAYS A YEAR. PRIMARY, PREVENTIVE, AND ENABLING SERVICES ARE AVAILABLE AND ACCESSIBLE TO ALL LIFE CYCLES REGARDLESS OF ABILITY TO PAY FOR SERVICES. SPECIFIC PREVENTIVE (CHRONIC DISEASE MANAGEMENT; HEALTH EDUCATION - DIABETES, ASTHMA, NUTRITION, EXERCISE/FITNESS; AND SMOKING CESSATION) AND ENABLING SERVICES (CASE MANAGEMENT, ELIGIBILITY ASSISTANCE) ARE INTEGRATED WITH PRIMARY CARE.THE HEALTH CENTER'S 2-STORY HARRY AND JEANETTE WEINBERG EMERGENCY MEDICAL SERVICES BUILDING WAS COMPLETED AND WILL OPEN BY JUNE 2018. A KEY INITIATIVE FOR THE HEALTH CENTER CONTINUES TO BE DEVELOPING A "PRIMARY CARE HEALTH CARE HOME" THAT FITS THE MODEL OF CARE THAT MEETS THE BROAD HEALTH CARE NEEDS OF OUR PATIENTS. THE HEALTH CENTER CONTINUES TO GROW ITS PARTNERSHIP THROUGH AHARO, A VIRTUAL ACCOUNTABLE CARE ORGANIZATION CURRENTLY INCLUDES HEALTH CENTERS ON OAHU AND THE BIG ISLAND WHOSE MISSION IS "PROMOTING ACCESS, QUALITY, AND COST EFFECTIVENESS IN HEALTHCARE BY EMPOWERING CONSUMERS TO EVALUATE THE PERFORMANCE OF HEALTHCARE AGENCIES THAT SERVE THEM." | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $19,130,066 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $325,841 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $1,475,541 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $55,393,333 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | 0 | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 104 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1013 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 19 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DAVID MORIN | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 8086973128 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 86-260 FARRINGTON HWY | AddressLine1Txt |
| City | WAIANAE | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96792 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd |
|---|---|---|---|---|---|---|---|
| ANTHONY R GUERRERO | |||||||
| BOARD CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| DANE KEOLA LLOYD | |||||||
| BOARD 1ST VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MELVIN KAUILA CLARK | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| LA JUAINE SUISO | |||||||
| BOARD 3RD VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BILLIE HAUGE | |||||||
| BOARD SECRETARY | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| WAYNE SUEHIRO | |||||||
| BOARD TREASURER | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| MERRIE AIPOALANI | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JEANNE DELACRUZ | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| VIRGINIA FUATA | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CEDRIC GATES | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES HEW-LEN | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CLIFFORD ISARA | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JERALD KIMO ALAMA KEAULANA | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DENICE KELIIKOA | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA KEOLA | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| FLORINE PELL | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| RENEE REGO | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CHARLES WHEATLEY | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| CAMERON NEKOTA | |||||||
| BOARD DIRECTOR | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| DANIEL GOMES | |||||||
| BOARD 2ND VICE CHAIR | 1.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| RICHARD P BETTINI | |||||||
| CHIEF EXECUTIVE OFFICER | 40.00 | Yes (X) | $394,890 | $0 | $26,483 | ||
| JAMES Z CHEN | |||||||
| CHIEF FINANCIAL OFFICER | 40.00 | Yes (X) | $186,097 | $0 | $24,725 | ||
| NICHOLAS HUGHEY | |||||||
| CHIEF OPERATING OFFICER | 40.00 | Yes (X) | $183,831 | $0 | $13,433 | ||
| STEPHEN P BRADLEY | |||||||
| MEDICAL DIRECTOR | 40.00 | $232,810 | $0 | $32,848 | Yes (X) | ||
| SCOTT PADAVAN | |||||||
| DIRECTOR - EMERGENT CARE, PH | 40.00 | $240,541 | $0 | $30,516 | Yes (X) | ||
| JOYCE O'BRIEN | |||||||
| EXECUTIVE VICE PRESIDENT | 40.00 | $234,381 | $0 | $11,658 | Yes (X) | ||
| ROBERT YOUNG | |||||||
| SPECIALTY DIRECTOR PSYCHOLOGY | 45.00 | $229,226 | $0 | $33,159 | Yes (X) | ||
| JOHN MYHRE | |||||||
| DIRECTOR PSYCHOLOGY SVCS - LEEWARD | 40.00 | $219,839 | $0 | $21,948 | Yes (X) | ||
| VIJA M SEHGAL | |||||||
| CHIEF QUALITY OFFICER | 40.00 | $244,163 | $0 | $30,139 | Yes (X) | ||
| WINSLOW ENGEL | |||||||
| MD-INTERNAL MEDICINE | 40.00 | $211,414 | $0 | $18,528 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,377,192 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $243,437 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 78 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RALPH S INOUYE CO LTD | |||||
| 500 ALAKAWA ST RM 220E | HONOLULU | HI | 93817 | CONSTRUCTION | $8,209,260 |
| G4 SECURE SOLUTIONS USA INC | |||||
| PO BOX 277469 | ATLANTA | GA | 30384 | SERCURITY SERVICES | $531,805 |
| KELLY SERVICES INC | |||||
| PO BOX 31001-0422 | PASADENA | CA | 911100422 | TEMPORARY STAFFING | $286,622 |
| UNIVERSAL CLEANING SYSTEMS LLC | |||||
| 87-1449 AKOWAI RD | WAIANAE | HI | 96792 | JANITORIAL SERVICES | $276,762 |
| MARK KA'AHA'AINA | |||||
| 85-1192 WAIANAE VALLEY RD | WAIANAE | HI | 96792 | MANAGEMENT | $216,478 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| Federated Campaigns | $84,153 | FederatedCampaignsAmt |
| Government Grants | $11,675,251 | GovernmentGrantsAmt |
| All Other Contributions | $561,766 | AllOtherContributionsAmt |
| Total Contributions | $12,321,170 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICE REVENUE | 621400 | $46,365,230 | $46,365,230 |
| SETTLEMENT INCOME | 621400 | $4,784,869 | $4,784,869 |
| CAPITATION REVENUE | 621400 | $2,304,091 | $2,304,091 |
| RISK SHARE EARNINGS | 621400 | $633,928 | $633,928 |
| MOB-RENTAL MENTAL HEALTH CENTER | 621400 | $34,534 | $34,534 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $54,122,652 | TotalProgramServiceRevenueAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $7,651 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$7,651 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$7,651 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$7,651 | RelatedOrExemptFuncIncomeAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SOURCE INCENTIVE PAYMENTS | 621400 | $724,711 | $724,711 |
| TRAINING PROGRAMS | 621400 | $347,766 | $347,766 |
| SPONCERSHIP CONFERENCE | 621400 | $157,000 | $157,000 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $937,946 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $919,005 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $18,941 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $2,167,423 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $68,603,594 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $56,263,483 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $18,941 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $325,841 | TotalAmt |
| Program Services | $325,841 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,420 | TotalAmt |
| Program Services | $40,420 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,377,192 | TotalAmt |
| Management And General | $2,377,192 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,934,837 | TotalAmt |
| Program Services | $29,948,366 | ProgramServicesAmt |
| Management And General | $1,986,471 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,218,263 | TotalAmt |
| Program Services | $1,051,559 | ProgramServicesAmt |
| Management And General | $166,704 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,916,052 | TotalAmt |
| Program Services | $4,318,404 | ProgramServicesAmt |
| Management And General | $597,588 | ManagementAndGeneralAmt |
| Fundraising | $60 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,486,013 | TotalAmt |
| Program Services | $2,180,692 | ProgramServicesAmt |
| Management And General | $305,321 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $316,616 | TotalAmt |
| Program Services | $15,788 | ProgramServicesAmt |
| Management And General | $300,828 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $122,512 | TotalAmt |
| Management And General | $122,512 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,521,652 | TotalAmt |
| Program Services | $2,181,238 | ProgramServicesAmt |
| Management And General | $340,414 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,044 | TotalAmt |
| Program Services | $9,148 | ProgramServicesAmt |
| Management And General | $84,711 | ManagementAndGeneralAmt |
| Fundraising | $1,185 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,462,997 | TotalAmt |
| Program Services | $8,026,809 | ProgramServicesAmt |
| Management And General | $435,915 | ManagementAndGeneralAmt |
| Fundraising | $273 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,443,767 | TotalAmt |
| Program Services | $962,718 | ProgramServicesAmt |
| Management And General | $481,049 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,027,192 | TotalAmt |
| Program Services | $3,539,824 | ProgramServicesAmt |
| Management And General | $487,368 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $279,683 | TotalAmt |
| Program Services | $202,392 | ProgramServicesAmt |
| Management And General | $77,291 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,940 | TotalAmt |
| Program Services | $76,286 | ProgramServicesAmt |
| Management And General | $111,851 | ManagementAndGeneralAmt |
| Fundraising | $803 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113 | TotalAmt |
| Management And General | $113 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,294,675 | TotalAmt |
| Program Services | $1,927,784 | ProgramServicesAmt |
| Management And General | $366,891 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $434,350 | TotalAmt |
| Program Services | $331,062 | ProgramServicesAmt |
| Management And General | $103,283 | ManagementAndGeneralAmt |
| Fundraising | $5 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| EMPLOYEE INCENTIVES | $243,226 | $141,912 | $101,314 |
| EMPLOYEE RECRUITMENT | $62,501 | $49,203 | $13,298 |
| DUES AND LICENSES | $15,610 | $14,439 | $1,171 |
| GENERAL EXCISE TAXES | $11,945 | $11,945 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $117,026 | TotalAmt |
| Program Services | $37,503 | ProgramServicesAmt |
| Management And General | $79,523 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,936,467 | TotalAmt |
| Program Services | $55,393,333 | ProgramServicesAmt |
| Management And General | $8,540,808 | ManagementAndGeneralAmt |
| Fundraising | $2,326 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,835 | BOYAmt |
| EOY | $11,909 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,363,155 | BOYAmt |
| EOY | $14,296,689 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,737,148 | BOYAmt |
| EOY | $1,999,789 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,748,601 | BOYAmt |
| EOY | $8,431,480 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $202,860 | BOYAmt |
| EOY | $238,656 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,213,926 | BOYAmt |
| EOY | $871,461 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $72,526,614 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $25,637,002 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,310,816 | BOYAmt |
| EOY | $46,889,612 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $752,585 | BOYAmt |
| EOY | $257,585 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,339,926 | BOYAmt |
| EOY | $72,997,181 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,224,719 | BOYAmt |
| EOY | $13,760,561 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,080,083 | BOYAmt |
| EOY | $1,131,017 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $222,367 | BOYAmt |
| EOY | $222,367 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,527,169 | BOYAmt |
| EOY | $15,113,945 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,351,231 | BOYAmt |
| EOY | $57,081,994 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,061,526 | BOYAmt |
| EOY | $401,242 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $400,000 | BOYAmt |
| EOY | $400,000 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $52,812,757 | BOYAmt |
| EOY | $57,883,236 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,339,926 | BOYAmt |
| EOY | $72,997,181 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $4,667,127 | ReconcilationRevenueExpnssAmt |
| Prior Period Adjustments | -$164,502 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $567,854 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $400,000 | BeginningYearBalanceAmt |
| End Year Balance | $400,000 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $400,000 | BeginningYearBalanceAmt |
| End Year Balance | $400,000 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $400,000 | BeginningYearBalanceAmt |
| End Year Balance | $400,000 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $400,000 | BeginningYearBalanceAmt |
| End Year Balance | $400,000 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $200,000 | BeginningYearBalanceAmt |
| Contributions | $200,000 | ContributionsAmt |
| End Year Balance | $400,000 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $466,267 | OtherCostOrOtherBasisAmt |
| Book Value | $466,267 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,470,029 | OtherCostOrOtherBasisAmt |
| Depreciation | $14,272,294 | DepreciationAmt |
| Book Value | $42,197,735 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,861,884 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,723,789 | DepreciationAmt |
| Book Value | $138,095 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,728,434 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,640,919 | DepreciationAmt |
| Book Value | $4,087,515 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $46,889,612 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITAL LEASES | Desc |
| Amt | $222,367 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $222,367 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part X, Line 2: | MANAGEMENT HAS DETERMINED THERE WERE NO UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION OR DISCLOSURE IN THE CONSOLIDATED FINANCIAL STATEMENTS FOR THE YEARS ENDED JUNE 30, 2017 OR 2016 AND IS NO LONGER SUBJECT TO U.S. FEDERAL OR STATE INCOME TAX EXAMINATIONS BY TAX AUTHORITIES FOR YEARS BEFORE FISCAL YEAR 2014 |
| SCHEDULE D, PART V, LINE 4 | DESCRIPTION OF THE INTENDED USE OF THE ORGANIZATION'S ENDOWMENT FUNDS ADULT DAY CARE SERVICES |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| HAWAII TECHNOLOGY INSTITUTE | |||||||
| 1130 N Nimitz Hwy Ste A-226 | Honolulu | HI | 96817 | 990339612 | GOVT | $118,810 | Native Hawaiian Career and Technical Education Program |
| LEEWARD COMMUNITY COLLEGE-OCEWD | |||||||
| 96-045 Ala Ike CE-101 | Pearl City | HI | 96782 | 996000354 | GOVT | $165,985 | Vocational and career classes |
| UNIVERSITY OF HAWAII | |||||||
| 2440 Campus Rd Box 368 | Honolulu | HI | 96822 | 999000354 | GOVT | $29,608 | Vocational and career classes |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 3 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Grant management starts during the pre-application phase when potential grants are analyzed by staff for fit with the goals of the organization and current projects/programs, and impact (staffing, office space, etc.) on the organization. Once a grant is received, contract/grant deliverables are monitored by the program director for the grant/program, as well as the leadership team member and/or department head that supervises the program director. The project officer for the funding agency is also part of the evaluation process. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Discretionary Spending Acct | Yes (X) | DiscretionarySpendingAcctInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | 0 | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | 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 P BETTINI | ||||||||||||||
| CHIEF EXECUTIVE OFFICER | $276,829 | $0 | $91,809 | $0 | $26,252 | $0 | $13,250 | $0 | $13,233 | $0 | $421,373 | $0 | $0 | $0 |
| JAMES Z CHEN | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $170,293 | $0 | $0 | $0 | $15,804 | $0 | $8,813 | $0 | $15,912 | $0 | $210,822 | $0 | $0 | $0 |
| NICHOLAS HUGHEY | ||||||||||||||
| CHIEF OPERATING OFFICER | $183,771 | $0 | $0 | $0 | $60 | $0 | $5,403 | $0 | $8,030 | $0 | $197,264 | $0 | $0 | $0 |
| STEPHEN P BRADLEY | ||||||||||||||
| MEDICAL DIRECTOR | $209,796 | $0 | $1,100 | $0 | $21,914 | $0 | $11,333 | $0 | $21,515 | $0 | $265,658 | $0 | $0 | $0 |
| SCOTT PADAVAN | ||||||||||||||
| DIRECTOR - EMERGENT CARE, PH | $220,019 | $0 | $6,250 | $0 | $14,272 | $0 | $12,102 | $0 | $18,414 | $0 | $271,057 | $0 | $0 | $0 |
| JOYCE O'BRIEN | ||||||||||||||
| EXECUTIVE VICE PRESIDENT | $214,200 | $0 | $1,400 | $0 | $18,781 | $0 | $10,780 | $0 | $878 | $0 | $246,039 | $0 | $0 | $0 |
| ROBERT YOUNG | ||||||||||||||
| SPECIALTY DIRECTOR PSYCHOLOGY | $216,174 | $0 | $12,556 | $0 | $496 | $0 | $12,344 | $0 | $20,815 | $0 | $262,385 | $0 | $0 | $0 |
| JOHN MYHRE | ||||||||||||||
| DIRECTOR PSYCHOLOGY SVCS - LEEWARD | $213,143 | $0 | $6,200 | $0 | $496 | $0 | $11,054 | $0 | $10,894 | $0 | $241,787 | $0 | $0 | $0 |
| VIJA M SEHGAL | ||||||||||||||
| CHIEF QUALITY OFFICER | $204,023 | $0 | $21,150 | $0 | $18,990 | $0 | $11,685 | $0 | $18,454 | $0 | $274,302 | $0 | $0 | $0 |
| WINSLOW ENGEL | ||||||||||||||
| MD-INTERNAL MEDICINE | $154,583 | $0 | $55,365 | $0 | $1,466 | $0 | $10,498 | $0 | $8,030 | $0 | $229,942 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | COMPENSATION FOR SOME OF THE OFFICERS AND HIGHLY COMPENSATED EMPLOYEES INCLUDES CELLPHONE ALLOWANCES. |
| Part I, Line 7 | COMPENSATION OF OFFICERS AND HIGHLY COMPENSATED EMPLOYEES INCLUDES NON-FIXED PAYMENTS IN THE FORM OF BONUSES AND/OR INCENTIVE PAYMENTS HELD ON EITHER A QUARTERLY OR ANNUAL BASIS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | THE HEALTH CENTER HAS A CORPORATE MEMBERSHIP. CORPORATE MEMBERS ARE DEFINED AS AN INDIVIDUAL, 18 YEARS OR OLDER, WHO RESIDES IN THE SERVICE AREA AND USES THE HEALTH CENTER AS A PRIMARY CARE FACILITY OR WHO HAS AN INTEREST IN THE FIELD OF HEALTH. MEMBERS WHO ARE ELIGIBLE TO VOTE PARTICIPATE IN CONTRIBUTING NAMES TO BE ON THE BALLOT AND VOTING IN THE ANNUAL ELECTION. THIS PROCESS TAKES PLACE ANNUALLY IN MARCH/APRIL. |
| Form 990, Part VI, Section A, line 7a | THE HEALTH CENTER HAS A CORPORATE MEMBERSHIP. CORPORATE MEMBERS ARE DEFINED AS AN INDIVIDUAL, 18 YEARS OR OLDER, WHO RESIDES IN THE SERVICE AREA AND USES THE HEALTH CENTER AS A PRIMARY CARE FACILITY OR WHO HAS AN INTEREST IN THE FIELD OF HEALTH. MEMBERS WHO ARE ELIGIBLE TO VOTE PARTICIPATE IN CONTRIBUTING NAMES TO BE ON THE BALLOT AND VOTING IN THE ANNUAL ELECTION. THIS PROCESS TAKES PLACE ANNUALLY IN MARCH/APRIL. |
| Form 990, Part VI, Section B, line 11b | SENIOR MANAGEMENT IS RESPONSIBLE FOR THE TIMELY PREPARATION OF THE FORM 990. THE COMPLETED FORM 990 IS PROVIDED TO THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS IN ADVANCE OF THE FILING DEADLINE. AFTER ALL QUESTIONS AND CONCERNS OF THE FINANCE COMMITTEE HAVE BEEN ADDRESSED AND CHANGES INCORPORATED INTO THE FORM 990 AS APPROPRIATE, ALL MEMBERS OF THE BOARD OF DIRECTORS ARE INVITED TO REVIEW THE COMPLETED FORM 990 IN ADVANCE OF THE FILING DEADLINE VIA A DEDICATED WCCHC WEBSITE. AFTER ALL QUESTIONS AND CONCERNS OF THE BOARD OF DIRECTORS HAVE BEEN ADDRESSED AND CHANGES INCORPORATED INTO THE FORM 990 AS APPROPRIATE, SENIOR MANAGEMENT FILES THE FINAL FORM 990 AS REQUIRED. |
| Form 990, Part VI, Section B, line 12c | COVERED UNDER THE HEALTH CENTER'S CONFLICT OF INTEREST POLICY ARE THE BOARD OF DIRECTORS AND ANY NON MEMBER OF THE BOARD OF DIRECTORS THAT SERVES ON A BOARD COMMITTEE. DETERMINATIONS ON WHETHER A CONFLICT OF INTEREST EXISTS IS MADE BY 1) REVIEWING ANNUAL DISCLOSURE FORMS COMPLETED BY BOARD MEMBERS AND NON-BOARD MEMBERS WHO SIT ON A BOARD COMMITTEE; AND 2)CONDUCTING A DISCUSSION AND HOLDING A VOTE BY BOARD MEMBERS WHEN A BOARD MEMBER/OTHER MEMBER DISCLOSES A CONFLICT DURING A BOARD AND OR BOARD COMMITTEE MEETING. CONFLICTS OF INTEREST ARE REVIEWED AT THE FOLLOWING LEVELS: 1) AN ANNUAL STATEMENT IS COMPLETED BY BOARD MEMBERS AND OR NON-BOARD MEMBERS WHO SIT ON A BOARD COMMITTEE. 2) DISCLOSURE IS MADE AT A BOARD AND/OR BOARD COMMITTEE MEETING. |
| Form 990, Part VI, Section B, line 15 | THE HEALTH CENTER UTILIZES NUMEROUS HEALTH CARE-RELATED RESOURCES AND/OR CONTRACTS FOR SERVICES TO CONDUCT PAY STUDIES ON EMPLOYEE AND KEY MANAGEMENT POSITIONS. THE VISIONLINK ADVISORY GROUP CONDUCTS AN ANNUAL REVIEW OF KEY EMPLOYEE COMPENSATION INTENDED TO SATISFY THE SAFE HARBOR FOR ORGANIZATION MANAGERS DESCRIBED IN TREASURY REGULATION SECTION 53.4958-1 AND REBUTTABLE PRESUMPTION STANDARD DESCRIBED IN TREASURY REGULATION SECTION 53.4958.6. THIS PROCESS WAS LAST COMPLETED ON SEPTEMBER 1, 2017. THE CEO'S COMPENSATION IS DETERMINED BY THE BOARD OF DIRECTORS. THE BOARD ESTABLISHES A CEO EVALUATION COMMITTEE TO REVIEW HIS PERFORMANCE, COMPLETED OBJECTIVES AND ANY COMPENSATION STUDIES. ONCE COMPLETED THE COMMITTEE PREPARES THEIR RECOMMENDATIONS ON COMPENSATION AND BONUSES AND PRESENTS IT TO THE BOARD OF DIRECTORS FOR FINAL APPROVAL. THIS PROCESS WAS LAST COMPLETED JUNE 26, 2017. THE HEALTH CENTER UTILIZES NUMEROUS HEALTH CARE-RELATED RESOURCES AND/OR CONTRACTS FOR SERVICES TO CONDUCT PAY STUDIES ON EMPLOYEE AND KEY MANAGEMENT POSITIONS. THE HEALTH CENTER PARTICIPATES IN THE NACHC (NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS) HEALTH CENTER COMPENSATION & BENEFIT STUDY EACH YEAR. THE HEALTH CENTER STARTED PARTICIPATING IN 2004. THE HEALTH CENTER ANNUALLY REVIEWS ITS COMPENSATION TO DETERMINE IF ANY ADJUSTMENTS NEED TO BE MADE TO ITS PAY SCALE UTILIZING CURRENT COMPENSATION SURVEYS. THIS PROCESS WAS LAST COMPLETED ON APRIL 2017. |
| Form 990, Part VI, Section C, line 19 | GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS, ALTHOUGH NOT PUBLICIZED, IS MADE AVAILABLE UPON REQUEST. |
| FORM 990, PART XI, LINE 9, OTHER CHANGES IN NET ASSETS OR FUND BALANCES: | - CONTRIBUTIONS IN KIND $350,197 - CHANGE IN TEMPORARILY RESTRICTED NET ASSETS $217,657 |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HAWAII PATIENT ACCTG SVCS CORP | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 86-260 FARRINGTON | AddressLine1Txt |
| City | WAIANAE | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 967923199 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 980280109 | EIN |
| Primary Activities | ACCOUNTING SVC | PrimaryActivitiesTxt |
| Legal Domicile State | HI | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | WDCHHB | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C | EntityTypeTxt |
| Share Of EOY Assets | $222,367 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
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