2016-11-15T13:39:16-06:00 2015-12-31 205325889 ACCUITY LLP 999 BISHOP STREET STE 1900 HONOLULU HI 96813 990 2015-01-01 990309519 ALOHACARE ALOH 8089731650 1357 KAPIOLANI BLVD NO 1250 HONOLULU HI 96814 JOHN MCCOMAS CEO 8089731650 2016-11-11 1 ACCUITY LLP P00037058 8085313400 2015 2017-02-10 21:41:12Z JOHN MCCOMAS 1357 KAPIOLANI BLVD NO 1250 HONOLULU HI 96814 273635826 0 X WWW.ALOHACAREHAWAII.ORG X 1994 HI ALOHACARE IS A HAWAII CORPORATION THAT CONTRACTS WITH THE STATE OF HI, DEPT OF HUMAN SERVICES MED-QUEST DIVISION TO PROVIDE MANAGED HEALTH CARE IN ACCORDANCE WITH THE STATE OF HI HEALTH QUEST DEMONSTRATION, AND WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) TO PROVIDE MANAGED HEALTH CARE THROUGH A MEDICARE ADVANTAGE HEALTH/PRESCRIPTION DRUG PLAN AND A MEDICARE ADVANTAGE HEALTH/PRESCRIPTION DRUG SPECIAL NEEDS PLAN. ALOHACARE ALSO PARTICIPATES IN AND HELPS TO FUND HEALTH RELATED ACTIVITIES TO IMPROVE THE QUALITY OF HEALTH OF THE PEOPLE OF HAWAII. ALOHACARE OPERATES FOR CHARITABLE, EDUCATIONAL, RECREATIONAL PURPOSES, WITHIN THE MEANING OF SECTION 501(C)(4) OF THE IRS CODE OF 1986 AS AMENDED. 15 3 246 0 0 0 0 0 239889101 273275620 106883 360126 4 80 239995988 273635826 844161 1000526 0 0 11877444 14108201 0 0 0 232599773 277651983 245321378 292760710 -5325390 -19124884 115657549 114680263 44038756 62186354 71618793 52493909 X ALOHACARE IS A HAWAII CORPORATION THAT CONTRACTS WITH THE STATE OF HAWAII, DEPARTMENT OF HUMAN SERVICES MED-QUEST DIVISION TO PROVIDE MANAGED HEALTH CARE IN ACCORDANCE WITH THE STATE OF HAWAII HEALTH QUEST DEMONSTRATION, AND WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) TO PROVIDE MANAGED HEALTH CARE THROUGH A MEDICARE ADVANTAGE HEALTH/PRESCRIPTION DRUG PLAN AND A MEDICARE ADVANTAGE HEALTH/PRESCRIPTION DRUG SPECIAL NEEDS PLAN. ALOHACARE ALSO PARTICIPATES IN AND HELPS TO FUND HEALTH RELATED ACTIVITIES TO IMPROVE THE QUALITY OF HEALTH OF THE PEOPLE OF HAWAII. ALOHACARE OPERATES FOR CHARITABLE, EDUCATIONAL AND RECREATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(4) OF THE IRS CODE OF 1986 AS AMENDED. 0 0 275432312 1000526 273275620 HEALTH CARE PROGRAMS, GENERAL/OTHER: PROVIDE MANAGED HEALTH CARE SERVICES TO APPROXIMATELY 67,584 QUALIFIED MEDICAID MEMBERS, AND 680 MEDICARE MEMBERS WHO ARE RESIDENTS OF HAWAII. 275432312 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1587 0 1 246 1 0 0 0 0 0 0 0 0 0 0 X 15 3 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 HI X ALOHACARE - CO CINDY NEELEY 8089736347 1357 KAPIOLANI BLVD SUITE 1250 HONOLULU HI 96814 ALAN TERADA BOARD MEMBER 1.00 X 0 0 0 ANDREA TRENNER BOARD MEMBER 1.00 X 0 0 0 DAVID DERAUF BOARD MEMBER 1.00 X 0 0 0 HAROLD WALLACE BOARD MEMBER 1.00 X 0 0 0 IRENE CARPENTER BOARD MEMBER 1.00 X 0 0 0 MARTHA SMITH BOARD MEMBER 1.00 X 0 0 0 PAULA YOSHIOKA BOARD MEMBER 1.00 X 0 0 0 PHIL KINNICUTT BOARD MEMBER 1.00 X 0 0 0 RICHARD KISHABA BOARD MEMBER 1.00 X 0 0 0 SHEILA BECKHAM BOARD MEMBER 1.00 X 0 0 0 JOHN MCCOMAS CEO 40.00 X 233144 0 27557 EMMANUEL KINTU IMMEDIATE PAST PRESIDENT 1.00 X 0 0 0 DANA HOWETH PRESIDENT 1.00 X 0 0 0 RICHARD BETINI VP OF GOVERNANCE 1.00 X 0 0 0 RICHARD TAAFE VP OF EXTERNAL AFFAIRS 1.00 X 0 0 0 MARY ONEHA SECRETARY 1.00 X 0 0 0 DR GARY OKAMOTO CHIEF MEDICAL DIRECOR 40.00 X 273928 0 17803 CINDY NEELEY CFO 40.00 X 337099 0 18248 TODD MORGAN CIO 40.00 X 174628 0 18490 NOLAN NAMBA CHIEF MARKETING OFFICER 40.00 X 156785 0 17807 PATRICK BRENNAN SR DIR. OF PLAN OPERATIONS 40.00 X 223800 0 20015 CRAWFORD ALLISON SR DIR. OF LTSS 40.00 X 152620 0 17049 STELLA CATALAN SR DIR. OF CLINICAL OPS 40.00 X 189933 0 12353 RANE SHOJI PHARMACIST 40.00 X 135371 0 9897 WALTER SHIM PHARMACIST 40.00 X 127579 0 12758 JONATHAN CASCINO SR DIR. OF QUALITY IMPROVEMENT 40.00 X 127001 0 10017 2131888 0 181994 11 1 1 0 GORMAN HEALTH GROUP 5335 WISCONSIN AVE NW 340 WASHINGTON DC 20015 CONSULTING 405953 MEDICONNECTNET PO BOX 673377 DETROIT MI 482673377 MEDICAL RECORD RETRIEVAL 220572 MILLIMAN 1301 FIFTH AVENUE SUITE 3800 SEATTLE WA 98101 ACTUARIAL 191528 PRICEWATERHOUSE PO BOX 514038 LOS ANGELES CA 900514038 ACTUARIAL 163119 THE MIHALIK GROUP 1300 W BELMONT AVE SUITE 500 CHICAGO IL 606573242 CONSULTING 140137 5 CAPITATION 624100 270554139 270554139 REINSURANCE 624100 2721481 2721481 273275620 360126 360126 OTHER REVENUE 624100 80 80 80 273635826 273275620 0 360206 X 988796 988796 11730 11730 2313882 2313882 9176482 6146051 3030431 326906 326906 1391055 1391055 899876 899876 197316 197316 218992 218992 201978207 201978207 139920 139920 129848 129848 952365 952365 141741 141741 42343 42343 570831 570831 354723 354723 OTHER PROFESSIONAL SERV 61027094 61027094 CAPITATION 4235233 4235233 OTHER PROFESSIONAL FEES 2081592 2081592 LICENSES & FEES 1197941 1197941 4383837 1045201 3338636 292760710 275432312 17328398 0 47544422 43674912 13124558 25848031 300726 284559 7569775 6574577 897876 995198 53789967 43877563 115657549 114680263 9788624 24102638 34250132 38083716 44038756 62186354 X 71618793 52493909 71618793 52493909 115657549 114680263 -19124884 0 X X 0 1 X 1 0 232790 185461 47329 7336985 6389116 947869 995198 PAYABLE TO RISK POOLS 5342147 ACCRUED MEDICAL CLAIMS 32741569 38083716 270846417 -67928 -67928 270914345 2721481 2721481 273635826 290021276 -17952 -17952 290039228 2721482 2721482 292760710 PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF REINSURANCE REVENUES 2,721,481. PART XII, LINE 2D - OTHER ADJUSTMENTS: BROKER FEES -17,952. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF REINSURANCE REVENUES 2,721,482. 1 AHARO 86-260 FARRINGTON HWY WAIANAE HI 96792 472848796 127618 QI INCENTIVE BAY CLINIC INC 224 HAILI ST STE B HILO HI 96720 990222784 501 ( C) 3 82093 QI INCENTIVE HAMAKUA HEALTH CENTER 45-549 PLUMERIA STREET HONOKAA HI 96727 990115515 501 ( C) 3 13739 QI INCENTIVE HANA COMMUNITY HEALTH CENTER PO BOX 807 HANA HI 96713 990326154 501 ( C) 3 18000 QI INCENTIVE HO'OLA LAHUI HAWAII PO BOX 3990 LIHUE HI 96766 990250542 501 ( C) 3 8171 QI INCENTIVE KALIHI PALAMA HEALTH CENTER 915 NORTH KING ST HONOLULU HI 96817 990161221 501 ( C) 3 107465 QI INCENTIVE KOKUA KALIHI VALLEY 2239 NORTH SCHOOL STREET HONOLULU HI 96819 990149797 501 ( C) 3 88666 QI INCENTIVE KOKUA KALIHI VALLEY 2239 NORTH SCHOOL STREET HONOLULU HI 96819 990149797 501 ( C) 3 50000 CARE TRANSFORMATION PROGRAM KOOLAULOA COMMUNITY HEALTH & WELLNESS CENTER PO BOX 395 KAHUKU HI 96731 731681833 501 ( C) 3 21493 QI INCENTIVE LANAI COMMUNITY HEALTH CENTER PO BOX 630142 LANAI CITY HI 96763 202509287 501 ( C) 3 18000 QI INCENTIVE MALAMA I KE OLA HEALTH CENTER-COMMUNITY CLINIC OF MAUI 1881 NANI STREET WAILUKU HI 96793 990303304 501 ( C) 3 90903 QI INCENTIVE MOLOKAI OHANA HEATHCARE INC PO BOX 2040 KAUNAKAKAI HI 96748 510437659 501 ( C) 3 27015 QI INCENTIVE QUEEN EMMA CLINIC PO BOX 30160 HONOLULU HI 968200160 990073524 501 ( C) 3 36747 QI INCENTIVE WAIANAE COAST COMPREHENSIVE HEALTH CENTER 86-260 FARRINGTON HWY WAIANAE HI 96792 990148164 501 ( C) 3 160592 QI INCENTIVE WAIKIKI HEALTH CENTER 935 MAKAHIKI WAY HONOLULU HI 96826 990159253 501 ( C) 3 31256 QI INCENTIVE WAIMANALO HEALTH CENTER 41-1347 KALANIANOLE HWY WAIMANALO HI 967951247 990273205 501 ( C) 3 14560 QI INCENTIVE WHCHC 75-5751 KUAKINI HWY KAILUAKONA HI 96740 200495394 501 ( C) 3 60504 QI INCENTIVE QI INCENTIVE 43 11730 PART I, LINE 2: ALOHACARE AWARDS VARIOUS GRANTS TO DIFFERENT ORGANIZATIONS IN THE COMMUNITY. THE GRANTS ARE AWARDED BASED ON DIFFERENT CRITERIA, INCLUDING PREVENTION AND/OR TREATMENT OF HEALTH RELATED ISSUES, HEALTHCARE NEEDS, AND THE OVERALL IMPROVEMENT OF HEALTH IN THE HAWAII COMMUNITY. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 JOHN MCCOMAS CEO 233144 0 0 0 0 0 9357 0 18200 0 260701 0 0 0 DR GARY OKAMOTO CHIEF MEDICAL DIRECOR 273928 0 0 0 0 0 11116 0 6687 0 291731 0 0 0 CINDY NEELEY CFO 252083 0 75000 0 10016 0 13502 0 4746 0 355347 0 0 0 TODD MORGAN CIO 174628 0 0 0 0 0 7172 0 11318 0 193118 0 0 0 NOLAN NAMBA CHIEF MARKETING OFFICER 156785 0 0 0 0 0 6489 0 11318 0 174592 0 0 0 PATRICK BRENNAN SR DIR. OF PLAN OPERATIONS 173785 0 40000 0 10015 0 9070 0 10945 0 243815 0 0 0 CRAWFORD ALLISON SR DIR. OF LTSS 152620 0 0 0 0 0 5700 0 11349 0 169669 0 0 0 STELLA CATALAN SR DIR. OF CLINICAL OPS 149918 0 30000 0 10015 0 7607 0 4746 0 202286 0 0 0 JONATHAN CASCINO SR DIR. OF QUALITY IMPROVEMENT 127001 0 0 0 0 0 4826 0 5191 0 137018 0 0 0 PART I, LINE 1A DISCRETIONARY SPENDING IS APPROVED BY BOARD OF DIRECTORS AS DOCUMENTED IN THE EMPLOYMENT CONTRACT. DANA ALONZO-HOWETH COMMUNITY CLINIC OF MAUI EXEC DIR DIRECTOR & PRESIDENT OF ALOHACARE'S BOD 1647811 GRANT & SERVICES RENDERED GRANT & SERVICES IRENE CARPENTER HAMAKUA HEALTH CENTER DIRECTOR OF ALOHACARE'S BOD 322688 GRANT & SERVICES RENDERED GRANT & SERVICES EMMANUEL KINTU KALIHI PALAMA HEALTH CENTER EXEC DIR DIRECTOR & IMMEDIATE PAST PRESIDENT OF ALOHACARE'S BOD 2904317 GRANT & SERVICES RENDERED GRANT & SERVICES DAVID DERAUF KOKUA KALIHI VALLEY EXEC DIR DIRECTOR OF ALOHACARE'S BOD 1231724 GRANT & SERVICES RENDERED GRANT & SERVICES RICH BETTINI WAIANAE COAST COMP HEALTH CENTER CEO DIRECTOR & VP OF GOVERNANCE OF ALOHACARE'S BOD 13667221 GRANT & SERVICES RENDERED GRANT & SERVICES ANDREA TRENNER MOLOKAI OHANA HEALTH CENTER EXEC DIR DIRECTOR OF ALOHACARE'S BOD 498529 GRANT & SERVICES RENDERED GRANT & SERVICES MARY ONEHA WAIMANALO HEALTH CENTER EXEC DIR DIRECTOR & SECRETARY OF ALOHACARE'S BOD 460798 GRANT & SERVICES RENDERED GRANT & SERVICES SHEILA BECKAHM WAIKIKI HEALTH CENTER EXEC DIR DIRECTOR OF ALOHACARE'S BOD 980057 GRANT & SERVICES RENDERED GRANT & SERVICES HAROLD WALLACE BAY CLINIC INC DIRECTOR OF ALOHACARE'S BOD 1846567 GRANT & SERVICES RENDERED GRANT & SERVICES RICHARD TAAFE WEST HAWAII COMMUNITY HEALTH CENTER DIRECTOR & VP OF EXTERNAL AFFAIRS 1334186 GRANT & SERVICES RENDERED GRANT & SERVICES PAULA YOSHIOKA QUEENS HEALTH SYSTEMS MED DIR DIRECTOR OF ALOHACARE'S BOD 31893935 GRANT & SERVICES RENDERED KOOLAULOA COMMUNITY HEALTH CENTER VACANT BOD POSITION 372301 HANA COMMUNITY HEALTH CENTER VACANT BOD POSITION 168027 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE FULL BOARD OF DIRECTORS, MAY DESIGNATE FROM AMONG ITS MEMBERS AN EXECUTIVE COMMITTEE, A GOVERNANCE COMMITTEE, AN AUDIT COMMITTEE, AND A COMPLIANCE COMMITTEE, TOGETHER WITH ONE OR MORE OTHER COMMITTEES, EACH OF WHICH SHALL HAVE AND MAY EXERCISE ALL THE AUTHORITY GRANTED BY THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW OR THE ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11 BOTH THE CEO & CFO OF ALOHACARE REVIEW FORM 990 PRIOR TO OBTAINING APPROVAL FROM ALOHACARE'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, AND NOTIFY ALOHACARE SHOULD ANY CONFLICTS ARISE DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HOLDS MEETINGS TO DETERMINE FAIR COMPENSATION OF ALOHACARE'S CEO. THE CEO DETERMINES FAIR COMPENSATION OF ALOHACARE'S KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BY ALOHACARE. FORM 990, PART IX, LINE 11G OTHER FEES - PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 201,978,207. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 201,978,207. FORM 990, PART XI, LINE 2C ALOHACARE HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. SCHEDULE L, PART III GRANTS ARE AWARDED ON AN OBJECTIVE AND NONDISCRIMINATORY BASIS BASED ON PRE-ESTABLISHED CRITERIA AND REVEIWED BY A SELECTION COMMITTEE, AS DESCRIBED IN REGULATIONS SECTION 53.4945-4(B).