BAY CLINIC INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- BAY CLINIC INC (EIN 99-0222784)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-03-07
- IRS object ID
- 201830669349300148
- Schema version
- 2016v3.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-03-07T10:10:55-10:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 990303190 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CARBONARO CPAS & MANAGEMENT GROUP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1885 MAIN ST STE 408 | AddressLine1Txt |
| City | WAILUKU | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96793 | 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 | 990222784 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE BAY CLINIC INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | BAYC | BusinessNameControlTxt |
| Phone | 8089614071 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 KILAUEA AVE SUITE 105 | AddressLine1Txt |
| City | HILO | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96720 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HAROLD WALLACE | PersonNm |
| Person Title | CEO | PersonTitleTxt |
| Phone | 8089614071 | PhoneNum |
| Signature | 2018-03-06 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | GRETCHEN KREMEYER | PreparerPersonNm |
| PTIN | P00768528 | PTIN |
| Phone | 8082425002 | PhoneNum |
| Preparation | 2018-03-07 | PreparationDt |
Filing Security Information FilingSecurityInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| At Submission Creation Device Id | BA0D3B7FAC0A8C2887C0ED4DAB680272F9B8DA8D | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 5DB4ED167CEFA25926BDE9CF16F70AC3A72AD597 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | HAROLD WALLACE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 KILAUEA AVE SUITE 105 | AddressLine1Txt |
| City | HILO | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96720 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $15,640,471 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | BAYCLINIC.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1983 | FormationYr |
| Legal Domicile State | HI | LegalDomicileStateCd |
| Activity Or Mission | THE BAY CLINIC, INC. IS A NOT FOR PROFIT ORGANIZATION FORMED ON JANUARY 3, 1983 OPERATING HEALTH CLINICS IN HILO, PAHOA, KEA'AU AND KAU PROVIDING HIGH QUALITY, PATIENT-CENTERED, COMPREHENSIVE HEALTH CARE THAT IS AFFORDABLE, COORDINATED, CULTURALLY COMPETENT, AND COMMUNITY DIRECTED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 228 | TotalEmployeeCnt |
| Total Volunteers | 13 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $1,469,518 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,950,147 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $14,183,243 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,689,772 | CYProgramServiceRevenueAmt |
| PY Investment Income | $581 | PYInvestmentIncomeAmt |
| CY Investment Income | $552 | CYInvestmentIncomeAmt |
| PY Other Revenue | $3,639 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $15,656,981 | PYTotalRevenueAmt |
| CY Total Revenue | $15,640,471 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $10,064,123 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $10,520,030 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $52,807 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $5,313,896 | PYOtherExpensesAmt |
| CY Other Expenses | $4,704,054 | CYOtherExpensesAmt |
| PY Total Expenses | $15,378,019 | PYTotalExpensesAmt |
| CY Total Expenses | $15,224,084 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $278,962 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $416,387 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $8,972,666 | TotalAssetsBOYAmt |
| Total Assets EOY | $9,521,654 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $930,112 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,062,713 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $8,042,554 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $8,458,941 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE BAY CLINIC, INC. IS A NOT FOR PROFIT ORGANIZATION FORMED ON JANUARY 3, 1983 OPERATING HEALTH CLINICS IN HILO, PAHOA, KEA'AU AND KAU PROVIDING HIGH QUALITY, PATIENT-CENTERED, COMPREHENSIVE HEALTH CARE THAT IS AFFORDABLE, COORDINATED, CULTURALLY COMPETENT, AND COMMUNITY DIRECTED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $11,457,127 | ExpenseAmt |
| Revenue | $13,689,772 | RevenueAmt |
| Desc | THE BAY CLINIC, INC. IS A NETWORK OF FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS SERVING 20,674 ETHNICALLY DIVERSE PATIENTS WITH 68,141 VISITS IN THE DISTRICTS OF HILO, PUNA AND KAU IN EAST AND SOUTH HAWAII ISLAND. IN THE FISCAL YEAR ENDING 2017, THE BAY CLINIC, INC. CONTINUED TO EXPAND BEHAVIORAL HEALTH ACCESS FOR THE UNDERSERVED BY PROVIDING ADDITIONAL SERVICES. DEPLOYED IN OCTOBER 2016, BAY CLINIC'S STATE-OF-THE-ART MOBILE HEALTH UNIT IS THE FIRST DUAL USE, PRIMARY MEDICAL AND DENTAL, VEHICLE IN THE STATE. THE UNIT EXPANDS ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES TO THE MOST REMOTE AND RURAL EAST HAWAI'I COMMUNITIES. | Desc |
| Total Program Service Expenses | $11,457,127 | 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 | false | 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 | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | 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 | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | false | 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 | 38 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 228 | 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 |
| 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 | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | HI | StatesWhereCopyOfReturnIsFldCd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | THE BAY CLINIC INC | PersonNm |
| Phone | 8089614071 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 450 KILAUEA AVE SUITE 105 | AddressLine1Txt |
| City | HILO | CityNm |
| State Abbreviation | HI | StateAbbreviationCd |
| ZIP | 96720 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| ALAN OKINAKA | ||||||||
| BOARD CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KATHARYN DAUB | ||||||||
| VICE CHAIR/D | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BERT KLUNDER | ||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| LYNNE ENRIQUES | ||||||||
| SECRETARY | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| BRANDEE MENINO | ||||||||
| TREASURER | 1.00 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |
| KENNETH GOODENOW | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| KAIPO DYE | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| BARBARA DOUGHTY | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| ARDENA SAARINEN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CAROL MALANI | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CARL MCMINIMY | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| MICHAEL MCGEE | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| REV WILLIAM KNIGHT | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| CHRISSY CAPATI | ||||||||
| MEDICAL DIRE | 40.00 | 0.00 | $156,554 | $0 | $11,928 | Yes (X) | ||
| SARAH HOWARD | ||||||||
| NURSE PRACTI | 40.00 | 0.00 | $134,733 | $0 | $11,142 | Yes (X) | ||
| BRIAN HIGA | ||||||||
| DENTAL DIREC | 40.00 | 0.00 | $144,200 | $0 | $11,191 | Yes (X) | ||
| TAMARA TODD | ||||||||
| PHYSICIAN | 40.00 | 0.00 | $174,537 | $0 | $15,934 | Yes (X) | ||
| SHAUNA PAYLOR | ||||||||
| DEPUTY MEDIC | 40.00 | 0.00 | $180,415 | $0 | $16,237 | Yes (X) | ||
| HAROLD WALLACE | ||||||||
| CEO | 40.00 | 0.00 | Yes (X) | $294,750 | $0 | $20,256 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,085,189 | TotalReportableCompFromOrgAmt |
| Total Other Compensation | $86,688 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 11 | 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 |
|---|---|---|---|---|---|
| GLOBAL MEDICAL STAFFING INC | |||||
| PO BOX 733375 | DALLAS | TX | 753973375 | TEMP STAFFING | $380,864 |
| VISTA STAFFING SOLUTIONS INC | |||||
| FILE 50834 | LOS ANGELES | CA | 900740834 | TEMP STAFFING | $370,514 |
| HAWAII INVESTIGATIONS AND SECURITY | |||||
| 688 KINOOLE ST SUITE 217 | HILO | HI | 96720 | SECURITY | $201,608 |
| 3T CLEANING | |||||
| 151 KUAKOLA PLACE | HILO | HI | 96720 | JANITORIAL | $148,555 |
| HORIZON HEALTH CONSULTANTS LLC | |||||
| PO BOX 181 | FENTON | MO | 63026 | TEMP STAFFING | $128,462 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 7 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,221,442 | GovernmentGrantsAmt |
| All Other Contributions | $728,705 | AllOtherContributionsAmt |
| Total Contributions | $1,950,147 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| PATIENT SERVICES | 621110 | $11,589,404 | $11,589,404 |
| GOVERNMENT CONTRACTS | 621110 | $1,627,419 | $1,627,419 |
| PCMH LEVEL 3 AWARD | 621110 | $258,771 | $258,771 |
| QUALITY PERFORMANCE INCENTIVE | 621110 | $141,669 | $141,669 |
| MEDICARE VACCINE REIMB. | 621110 | $32,395 | $32,395 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $40,114 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $40,114 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,689,772 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $552 | TotalRevenueColumnAmt |
| Exclusion | $552 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15,640,471 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,689,772 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $552 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,620 | TotalAmt |
| Management And General | $336,620 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,126,164 | TotalAmt |
| Program Services | $6,709,426 | ProgramServicesAmt |
| Management And General | $1,372,979 | ManagementAndGeneralAmt |
| Fundraising | $43,759 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $158,612 | TotalAmt |
| Program Services | $114,103 | ProgramServicesAmt |
| Management And General | $43,890 | ManagementAndGeneralAmt |
| Fundraising | $619 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,261,933 | TotalAmt |
| Program Services | $909,685 | ProgramServicesAmt |
| Management And General | $347,312 | ManagementAndGeneralAmt |
| Fundraising | $4,936 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $636,701 | TotalAmt |
| Program Services | $518,974 | ProgramServicesAmt |
| Management And General | $114,234 | ManagementAndGeneralAmt |
| Fundraising | $3,493 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $244,549 | TotalAmt |
| Management And General | $244,549 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,399 | TotalAmt |
| Management And General | $25,399 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,943 | TotalAmt |
| Management And General | $22,943 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $613,306 | TotalAmt |
| Program Services | $571,345 | ProgramServicesAmt |
| Management And General | $41,961 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $341,163 | TotalAmt |
| Program Services | $218,813 | ProgramServicesAmt |
| Management And General | $122,350 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,469,239 | TotalAmt |
| Program Services | $1,216,733 | ProgramServicesAmt |
| Management And General | $252,506 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $193,821 | TotalAmt |
| Program Services | $65,533 | ProgramServicesAmt |
| Management And General | $128,288 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $411,828 | TotalAmt |
| Program Services | $235,623 | ProgramServicesAmt |
| Management And General | $176,205 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $62,768 | TotalAmt |
| Program Services | $39,629 | ProgramServicesAmt |
| Management And General | $23,139 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| EQUIPMENT LEASE & RENTAL | $501,498 | $303,975 | $197,523 |
| PATIENT SUPPLIES | $404,121 | $404,121 | |
| OTHER EXPENSES | $191,877 | $98,357 | $93,520 |
| STAFF TRAINING & DEVELOPM | $150,050 | $27,093 | $122,957 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,492 | TotalAmt |
| Program Services | $23,717 | ProgramServicesAmt |
| Management And General | $47,775 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,224,084 | TotalAmt |
| Program Services | $11,457,127 | ProgramServicesAmt |
| Management And General | $3,714,150 | ManagementAndGeneralAmt |
| Fundraising | $52,807 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,283,463 | BOYAmt |
| EOY | $4,350,626 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $17,283 | BOYAmt |
| EOY | $42,693 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $253,328 | BOYAmt |
| EOY | $367,175 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $539,554 | BOYAmt |
| EOY | $580,530 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $129,130 | BOYAmt |
| EOY | $126,248 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $7,301,583 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $3,328,355 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,696,716 | BOYAmt |
| EOY | $3,973,228 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,192 | BOYAmt |
| EOY | $81,154 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,972,666 | BOYAmt |
| EOY | $9,521,654 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $725,575 | BOYAmt |
| EOY | $1,014,869 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $204,537 | BOYAmt |
| EOY | $10,000 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $7,691 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $30,153 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $930,112 | BOYAmt |
| EOY | $1,062,713 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,037,822 | BOYAmt |
| EOY | $8,454,209 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,732 | BOYAmt |
| EOY | $4,732 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,042,554 | BOYAmt |
| EOY | $8,458,941 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,972,666 | BOYAmt |
| EOY | $9,521,654 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $416,387 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $859,975 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,319,772 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $1,241,843 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $1,469,518 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $1,950,147 | CurrentTaxYearAmt |
| Total | $6,841,255 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $14,480,959 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $15,007,848 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $14,899,501 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $14,183,243 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $13,689,772 | CurrentTaxYearAmt |
| Total | $72,261,323 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,340,934 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,327,620 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,141,344 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,652,761 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,639,919 | CurrentTaxYearAmt |
| Total | $79,102,578 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $79,102,578 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,115 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,190 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $151 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $581 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $552 | CurrentTaxYearAmt |
| Total | $3,589 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $1,115 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,190 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $151 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $581 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $552 | CurrentTaxYearAmt |
| Total | $3,589 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $3,479 | CurrentTaxYearMinus1YearAmt |
| Total | $3,479 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $297,121 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $99,169 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $530 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $160 | CurrentTaxYearMinus1YearAmt |
| Total | $396,980 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $15,639,170 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $16,427,979 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $16,142,025 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $15,656,981 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $15,640,471 | CurrentTaxYearAmt |
| Total | $79,506,626 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.99490 | PublicSupportCY509Pct |
| Public Support PY509 | 0.99050 | PublicSupportPY509Pct |
| Investment Income CY | 0.00000 | InvestmentIncomeCYPct |
| Investment Income PY | 0.00000 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART III, LINE 12 | FormAndLineReferenceDesc |
| Explanation | 2012 OTHER INCOME 297,121 2013 OTHER INCOME 99,169 2014 OTHER INCOME 530 2015 OTHER INCOME 160 | ExplanationTxt |
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
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $305,040 | OtherCostOrOtherBasisAmt |
| Book Value | $305,040 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,566,881 | OtherCostOrOtherBasisAmt |
| Depreciation | $394,969 | DepreciationAmt |
| Book Value | $2,171,912 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,149,634 | OtherCostOrOtherBasisAmt |
| Depreciation | $814,589 | DepreciationAmt |
| Book Value | $335,045 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,642,308 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,021,345 | DepreciationAmt |
| Book Value | $620,963 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $637,720 | OtherCostOrOtherBasisAmt |
| Depreciation | $97,452 | DepreciationAmt |
| Book Value | $540,268 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,973,228 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | CAPITALIZED LEASE | Desc |
| Amt | $30,153 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $30,153 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $15,640,471 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Subtotal | $15,640,471 | RevenueSubtotalAmt |
| Total Revenue Per Form990 | $15,640,471 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $15,224,084 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Subtotal | $15,224,084 | ExpensesSubtotalAmt |
| Total Expenses Per Form990 | $15,224,084 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PAGE 3, PART X | FormAndLineReferenceDesc |
| Explanation | (ASC 740) THE BAY CLINIC, INC. IS EXEMPT FROM FEDERAL INCOME TAXES PURSUANT TO INTERNAL REVENUE CODE SECTION 501(C)(3), AND EXEMPT FROM STATE INCOME TAXES UNDER SECTION 237-23(B) OF THE HAWAI'I REVISED STATUTES. THEREFORE, NO PROVISION FOR FEDERAL OR STATE INCOME TAXES IS REQUIRED. THE ACCOUNTING STANDARD FOR UNCERTAINTY IN INCOME TAXES ADDRESSES THE DETERMINATION OF WHETHER TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE FINANCIAL STATEMENTS. UNDER THAT GUIDANCE, THE CLINIC MAY RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY TAXING AUTHORITIES BASED ON THE TECHNICAL MERITS OF THE POSITION. EXAMPLES OF TAX POSITIONS INCLUDE THE TAX-EXEMPT STATUS OF THE CLINIC AND VARIOUS POSITIONS RELATED TO THE POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME (UBTI). THE TAX BENEFITS RECOGNIZED IN THE FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. THERE WERE NO UNRECOGNIZED TAX BENEFITS IDENTIFIED OR RECORDED AS LIABILITIES FOR FISCAL YEAR 2017 AND 2016. THE CLINIC FILES ITS FORMS 990 IN THE U.S. FEDERAL JURISDICTION AND THE OFFICE OF THE STATE'S ATTORNEY GENERAL FOR THE STATE OF HAWAI'I. THE CLINIC IS GENERALLY NO LONGER SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE FOR FISCAL YEARS BEFORE 2013. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | false | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| 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 (5 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt |
|---|---|---|---|---|---|---|
| CHRISSY CAPATI | ||||||
| MEDICAL DIRECTOR | $149,739 | $2,540 | $4,275 | $2,901 | $9,027 | $168,482 |
| BRIAN HIGA | ||||||
| DENTAL DIRECTOR | $144,200 | $5,047 | $6,144 | $155,391 | ||
| TAMARA TODD | ||||||
| PHYSICIAN | $169,594 | $4,943 | $6,116 | $9,818 | $190,471 | |
| SHAUNA PAYLOR | ||||||
| DEPUTY MEDICAL DIR. | $175,000 | $5,415 | $6,329 | $9,908 | $196,652 | |
| HAROLD WALLACE | ||||||
| CEO | $272,250 | $22,500 | $8,575 | $11,681 | $315,006 | |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PAGE 1, PART I, LINE 1A | FIRST-CLASS OR CHARTER TRAVEL - THE CHIEF EXECUTIVE OFFICER HAS TO FLY FIRST CLASS DUE TO SEVERAL FACTORS. THE MAIN FACTOR RELATES TO THE LENGTH OF THE TRAVEL. THE MAJORITY OF HIS TRAVEL IS BETWEEN THE MAINLAND AND HAWAII. THE LENGTH OF THE FLIGHTS, COMBINED WITH THE 6' 4" HEIGHT OF THE INDIVIDUAL, MAKES THESE FLIGHTS EXTREMELY UNCOMFORTABLE AND UNBEARABLE GIVEN THE AVAILABLE SPACE IN COACH. AT NO TIME ARE ANY GRANTS OR CONTRIBUTIONS CHARGED FOR THE CHIEF EXECUTIVE OFFICER'S FIRST CLASS TRAVEL. THIS HAS NOT BEEN TREATED AS TAXABLE COMPENSATION TO THE CEO. HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES - THE ORGANIZATION MAINTAINS A MEMBERSHIP AT A LOCAL SOCIAL CLUB FOR THE PURPOSES OF MEALS WITH PROSPECTIVE AND ACTIVE EMPLOYEES, DONORS, AND BUSINESS ASSOCIATES. THE MEMBERSHIP IS UNDER THE NAME OF THE CHIEF EXECUTIVE OFFICER. DUE TO THE LIMITED AVAILABILITY OF DINING OPPORTUNITIES IN THE LOCAL AREA, THE BOARD OF DIRECTORS FEELS IT IS IMPORTANT TO HAVE THIS OPPORTUNITY AVAILABLE FOR SUCH BUSINESS PURPOSES. THIS HAS NOT BEEN TREATED AS TAXABLE COMPENSATION AS IT IS USED ONLY FOR BUSINESS PURPOSES. |
| SCHEDULE J, PAGE 1, PART I, LINE 1B | THE BAY CLINIC, INC. DOES NOT HAVE A WRITTEN REIMBURSEMENT POLICY. HOWEVER, THE CEO AND THE BOARD HAVE A WRITTEN EMPLOYMENT CONTRACT, WHICH INCLUDES ACCOMMODATION FOR SPECIAL TRAVEL REQUIREMENTS THAT IS BASED ON A COMPENSATION SURVEY, AMONG OTHER THINGS, OF COMPARABLE POSITIONS, AND IS APPROVED BY THE BOARD OF DIRECTORS. CHARGES RELATED TO THE SOCIAL CLUB ARE SUBJECT TO THE SAME REVIEW/APPROVAL PROCESS AS OTHER EXPENDITURES AND ARE PAID DIRECTLY TO THE SOCIAL CLUB. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990 - ORGANIZATION'S MISSION | THE BAY CLINIC, INC. IS A NOT FOR PROFIT ORGANIZATION FORMED ON JANUARY 3, 1983 OPERATING HEALTH CLINICS IN HILO, PAHOA, KEA'AU AND KAU PROVIDING HIGH QUALITY, PATIENT-CENTERED, COMPREHENSIVE HEALTH CARE THAT IS AFFORDABLE, COORDINATED, CULTURALLY COMPETENT, AND COMMUNITY DIRECTED. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE CHIEF EXECUTIVE OFFICER AND CHIEF FINANCIAL OFFICER REVIEW THE FORM 990 AND PRESENT IT TO THE FINANCE COMMITTEE COMPOSED OF MEMBERS OF THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, LINE 12C | THE CLINIC ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH IS PRESENTED IN THE EMPLOYEE HANDBOOK. ALL EMPLOYEES ARE EXPECTED TO ADHERE TO THIS POLICY. THE ORGANIZATION REVIEWS THIS POLICY WITH NEW HIRES. MANAGEMENT MONITORS EMPLOYEES ON ANY ISSUE THAT MAY INVOLVE A CONFLICT OF INTEREST. AN ANNUAL DISCLOSURE FORM IS COMPLETED BY EACH BOARD MEMBER AND MONITORED BY THE BOARD CHAIRPERSON. IF A CONFLICT ARISES, THE ASSOCIATED BOARD PERSON MUST RECUSE THEMSELVES FROM VOTING ON RELATED MATTERS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS BASED ON THE ORGANIZATION'S BUDGET, MARKET DATA FOR THE POSITION, COMPARABLE STUDIES OF SIMILAR ENTITIES, AND THE LOCAL COMPENSATION RATES. |
| FORM 990, PAGE 6, PART VI, LINE 15B | THE COMPENSATION FOR KEY EMPLOYEES AND OFFICERS IS DETERMINED BY THE ORGANIZATION'S BUDGET, MARKET DATA FOR THE POSITION, COMPARABLE STUDIES OF SIMILAR ENTITIES, AND THE LOCAL COMPENSATION RATES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE FORM 990 IS AVAILABLE UPON REQUEST AS WELL AS ON GUIDESTAR.ORG. ALL OTHER GOVERNING DOCUMENTS AND POLICIES, INCLUDING THE CONFLICT OF INTEREST POLICY, IS AVAILABLE UPON REQUEST. |
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