2016-11-15T14:22:36-06:00 2015-12-31 BKD LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2015-01-01 990159253 WAIKIKI HEALTH % TODD OKAMOTO WAIK 8089224787 277 OHUA AVENUE HONOLULU HI 96815 TODD OKAMOTO CFO 2016-07-21 true Brian D Todd P00422601 4178658701 2015 2017-02-10 21:41:12Z SHEILA BECKHAM 277 OHUA AVE HONOLULU HI 96815 15096630 false X WWW.WAIKIKIHC.ORG X 1971 HI TO PROVIDE HIGH QUALITY MEDICAL AND SOCIAL SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE FOR EVERYONE. 15 15 240 100 0 0 5499313 5596628 7480173 9500002 0 -808 0 0 12979486 15095822 36928 23314 0 0 8952078 9341595 0 0 0 4245671 5697471 13234677 15062380 -255191 33442 5018953 5571747 1150263 1389040 3868690 4182707 X TO PROVIDE HIGH QUALITY MEDICAL AND SOCIAL SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE FOR EVERYONE REGARDLESS OF ABILITY TO PAY. false false 5343121 4186410 OUR PRIMARY CARE CLINIC OFFERS GENERAL AND PREVENTATIVE MEDICAL CARE AND CASE MANAGEMENT THAT IS INTEGRATED WITH TRADITIONAL HAWAIIAN HEALING, MEDICAL NUTRITION THERAPY, AND BEHAVIORAL HEALTH COUNSELING. CHRONIC DISEASE MANAGEMENT IS A KEY COMPONENT AS WE PROVIDE A SAFETY NET TO PEOPLE WHO ARE UNINSURED, UNDERINSURED, AND OFTEN HOMELESS. THIS YEAR WE PROVIDED 29,177 VISITS TO 10,525 PATIENTS, 42% OF WHOM WERE LIVING AT OR BELOW POVERTY LEVEL. 2353362 1032835 OUR HOMELESS OUTREACH PROGRAM SERVED OVER 2,277 INDIVIDUALS WITH MORE THAN 10,972 MEDICAL AND SOCIAL ENCOUNTERS. OUR DROP-IN CENTER OFFERS HEALTH SERVICES, BEHAVIORAL HEALTH SERVICES, CASE MANAGEMENT, SUBSTANCE ABUSE TREATMENT, EMERGENCY FOOD AND CLOTHING, PHONE, AND MESSAGE SERVICE FOR THE NEXT STEP SHELTER. OUR MOBILE MEDICAL CLINIC VISITS VARIOUS PARTS OF THE ISLAND WITH A FULLY EQUIPPED EXAM ROOM. 1502965 3749540 OUR PHARMACY PROGRAM FILLS PRESCRIPTIONS AND PROVIDES OVER THE COUNTER MEDICATIONS TO PATIENTS AT THE OHUA AND MAKAHIKI CLINIC LOCATIONS. 898394 23314 531217 10097842 true true false false false false false false false false true false false false false false true false false false false false false false false false false true false true false false false false false false false false false false false false false false false false false true 0 0 240 true false false false false false false false false false false X 15 15 false false false false false false false true true false false true true true true true true true false false HI X TODD OKAMOTO 8087919319 277 OHUA AVENUE HONOLULU HI 96815 JANET MONTGOMERY PRESIDENT 1.0 0.0 X X 0 0 0 PHYLLIS DENDLE VICE PRESIDENT 1.0 0.0 X X 0 0 0 SCOT STERENBERG CHAIR, FINANCE COMMITTEE 1.0 0.0 X 0 0 0 WING YEUG SECRETARY 1.0 0.0 X X 0 0 0 ROBERT GENTRY CHAIR, HUMAN RESOURCES 1.0 0.0 X 0 0 0 HOWARD LEE TREASURER/GOVERNANCE CHAIR 1.0 0.0 X X 0 0 0 CHARLES DAVID DREHER CHAIR MARKETING & DEVELOPMENT 1.0 0.0 X 0 0 0 THOMAS SHUICHI NAMIKI CHAIR, QUALITY ASSURANCE 1.0 0.0 X 0 0 0 DANIEL BARNETT DIRECTOR BEGINNING 02/15 1.0 0.0 X 0 0 0 ROBERT E BETHUNE DIRECTOR 1.0 0.0 X 0 0 0 BARBRA BRYAN DIRECTOR 1.0 0.0 X 0 0 0 HENRY M KANEHAILUA DIRECTOR 1.0 0.0 X 0 0 0 KAINANI M KAHUNANUI DIRECTOR 1.0 0.0 X 0 0 0 KEITH LORENZ DIRECTOR 1.0 0.0 X 0 0 0 ASHLEY WILSON DIRECTOR 1.0 0.0 X 0 0 0 JESSE JAMES DIRECTOR ENDING 06/15 1.0 0.0 X 0 0 0 STEVEN HIGH DIRECTOR ENDING 02/15 1.0 0.0 X 0 0 0 SHEILA BECKHAM CHIEF EXECUTIVE OFFICER 40.0 0.0 X 199772 0 18188 JEFF CHAWENSON CHIEF FINANCIAL OFFICER 40.0 0.0 X 67136 0 10290 TODD OKAMOTO CFO BEGINNING 09/15 40.0 0.0 X 28307 0 6764 BERNICE PELLER CAO BEGINNING 08/15 40.0 0.0 X 76414 0 9768 ELLIOT KALAUAWA CHIEF MEDICAL OFFICER 40.0 0.0 X 216022 0 17565 SUZAN LY DENTAL DIRECTOR 40.0 0.0 X 161565 0 14323 AHOORA PAYAM ASSOCIATE MEDICAL DIRECTOR 40.0 0.0 X 186187 0 16073 DANIEL SALTMAN PHYSICIAN 40.0 0.0 X 129297 0 13229 TAMMY KAI PHARMACY DIRECTOR 40.0 0.0 X 132001 0 13438 RACHEL DIPASQUALE DENTIST 40.0 0.0 X 133738 0 12622 FLORIAN SATTELMACHER PHYSICIAN 40.0 0.0 X 160512 0 14790 KAREN DANG MD PHYSICIAN 40.0 0.0 X 156000 0 6764 1646951 0 153814 12 false true false 0 149757 4461608 985263 19123 5596628 PATIENT SERVICE REVENUE 624100 5365247 5365247 PHARMACY SALES 624100 3826790 3826790 OTHER INCOME 624100 307965 307965 9500002 0 0 0 0 0 0 808 -808 -808 -808 0 0 0 0 15095822 9500002 -808 23314 23314 0 0 0 650226 233587 416639 0 7085834 5418696 1667138 224209 173920 50289 839571 635609 203962 541755 397816 143939 0 0 0 0 0 0 1223090 1223090 59703 59703 213102 213102 0 0 1332008 890389 441619 115220 115220 0 154198 154198 222 222 0 314912 210505 104407 96251 96251 MEDICAL SUPPLIES & DRUGS 2026906 2026906 LICENSES, DUES, SUBSCRIPTIONS 74759 74759 BAD DEBT 87100 87100 15062380 10097842 4964538 0 2650 1608275 1604261 261160 658398 530363 328588 671106 0 0 0 0 0 0 43797 72740 139308 189887 3732052 1562718 2173319 2169334 0 0 0 0 0 0 0 0 68632 68882 5018953 5571747 788779 1262906 0 0 340907 124157 0 0 0 0 0 0 18950 1977 0 0 1627 0 1150263 1389040 X 3856190 4028671 12500 154036 0 0 3868690 4182707 5018953 5571747 33442 280575 X false true X true true true X 4142787 4775822 552374 5499313 5596628 20566924 0 0 4142787 4775822 552374 5499313 5596628 20566924 0 20566924 331 330 594 1255 0 0 20568179 31386502 0.99994 0.99990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1865439 234408 1631031 1863991 1328310 535681 2622 2622 2169334 15101789 299230 299230 14802559 293263 293263 15095822 14976088 808 808 14975280 87100 87100 15062380 SCHEDULE D, PART X, LINE 2 UNCERTAIN TAX POSITIONS MANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS. SCHEDULE D, PART XI, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART VIII, LINE 12: $386,330 NET ASSETS RELEASED FROM RESTRICTION (87,100) BAD DEBT EXPENSE --------- $299,230 SCHEDULE D, PART XI, LINE 4B AMOUNTS INCLUDED ON FORM 990, PART VIII, LINE 12, BUT NOT ON LINE 1: $294,071 TEMPORARILY RESTRICTED CONTRIBUTIONS (808) LOSS ON SALE OF FIXED ASSETS --------- $293,263 SCHEDULE D, PART XII, LINE 2D AMOUNTS INCLUDED ON LINE 1, BUT NOT ON FORM 990, PART XI, LINE 25: $ 808 LOSS ON SALE OF FIXED ASSETS SCHEDULE D, PART XII, LINE 4B AMOUNTS INCLUDED ON FOR, 990, PART IX, LINE 25, BUT NOT ON LINE 1: $ 87,100 BAD DEBT EXPENSE true COMMUNITY CLINIC OF MAUI INC 1881 NANI STREET WAILUKU HI 96793 990303304 501(C)(3) 23314 HIV RELATED SRVCS 1 SCHEDULE I, PART I, LINE 2 GRANT MONITORING: THE ORGANIZATION'S GRANTEES ARE FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS WITH ANNUAL REQUIREMENTS FOR AUDITED FINANCIAL STATEMENTS, UDS REPORTS, QUALITY REVIEWS, AND HRSA OVERSIGHT OF GOVERNANCE AND OPERATIONAL ISSUES. IN ADDITION, GRANTS ARE FOR FUNDING OF SPECIFIC EXPENSES AND INVOICES ARE REVIEWED BY THE ORGANIZATION'S CFO. GRANTEES ALSO PROVIDE QUARTERLY DATA WITH INVOICES AND ANNUAL SITE VISITS ARE MADE TO EACH GRANTEE. X X false false false false false false false false false SHEILA BECKHAM CHIEF EXECUTIVE OFFICER 199772 0 0 0 0 0 8924 0 9264 0 217960 0 ELLIOT KALAUAWA CHIEF MEDICAL OFFICER 216022 0 0 0 0 0 10801 0 6764 0 233587 0 SUZAN LY DENTAL DIRECTOR 161565 0 0 0 0 0 7159 0 7164 0 175888 0 AHOORA PAYAM ASSOCIATE MEDICAL DIRECTOR 186187 0 0 0 0 0 9309 0 6764 0 202260 0 FLORIAN SATTELMACHER PHYSICIAN 160512 0 0 0 0 0 8026 0 6764 0 175302 0 KAREN DANG MD PHYSICIAN 156000 0 0 0 0 0 0 0 6764 0 162764 0 FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICE ACCOMPLISHMENTS: OUR DENTAL SERVICES PROVIDE SERVICES TO BOTH ADULT AND PEDIATRIC PATIENTS AT OUR MAKAHIKI LOCATION. IN ADDITION, IT PROVIDES EDUCATION TO THE PUBLIC ON THE IMPORTANT OF ORAL HEALTH IN OVERALL PERSONAL WELLBEING. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY MANAGEMENT. A REVIEW IS CONDUCTED BY MANAGEMENT AND COPIES ARE PROVIDED TO THE FINANCE DEPARTMENT FOR REVIEW. HISTORICALLY ALL FORM 990'S HAVE BEEN PREPARED BY A THIRD PARTY WHO WORKS IN CONJUNCTION WITH THE COMPANY'S FINANCE DEPARTMENT. FORM 990, PART VI, SECTION B, LINE 12C COMPLIANCE WITH CONFLICT OF INTEREST POLICY: ALL EXECUTIVE MANAGEMENT AND BOARD MEMBERS ARE COVERED UNDER THE CONFLICT OF INTEREST POLICY. ANY BUSINESS DEALINGS WITH RELATED PARTIES MUST BE DISCLOSED TO ALL OF THE BOARD OF DIRECTORS. DECISION MAKING IS LIMITED AS IT PERTAINS TO ANY TRANSACTIONS DONE WITH THE RELATED PARTY. FORM 990, PART VI, SECTION B, LINES 15A & 15B DETERMINATION OF CEO COMPENSATION: THE COMPENSATION OF THE EXECUTIVE DIRECTOR IS APPROVED BY THE BOARD OF DIRECTORS. THE DIRECTORS MEET IN EXECUTIVE SESSION FOR DISCUSSION. THE PERSONNEL COMMITTEE OF THE BOARD IS RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE BOARD AND USES THE FOLLOWING RESOURCES: COMPARATIVE DATA FROM HAWAII EMPLOYERS COUNCIL, THE NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS, AND THE HAWAII PRIMARY CARE ASSOCIATION (HPCA). THE CHIEF EXECUTIVE OF THE HPCA, WHO IS INDEPENDENT OF THE BOARD OF DIRECTORS, ACTED AS AN ADVISOR AND CONSULTANT DURING THE 2007 HIRING OF THE NEW EXECUTIVE DIRECTOR. THE COMPENSATION OF OTHER OFFICERS AND KEY EMPLOYEES IS DETERMINED BY THE EXECUTIVE DIRECTOR, USING THE AVAILABLE EXTERNAL RESOURCES LISTED ABOVE AND WITH INPUT ON COMPARABLE MARKET SALARIES FROM THE HR MANAGER. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENT AVAILABILITY: THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON DEMAND.