2015-11-12T19:31:06-06:00 2014-12-31 990169131 N&K CPAS INC 1001 BISHOP ST STE 1700 HONOLULU HI 968133696 990 2014-01-01 200495394 WEST HAWAII COMMUNITY HEALTH CENTER INC WEST 8083265629 75-5751 KUAKINI HWY NO 203 KAILUAKONA HI 96740 RICHARD J TAAFFE PRESIDENT/CEO 8083265629 2015-11-07 1 BRIAN S ISOBE P00737357 8085242255 2014 2016-02-25 16:41:14Z RICHARD TAAFFE 75-5751 KUAKINI HWY NO 203 KAILUAKONA HI 96740 13441500 0 X WWW.WESTHAWAIICHC.ORG X 2003 HI TO OPERATE A NON-PROFIT COMMUNITY HEALTH CENTER PROVIDING MEDICAL AND OTHER SERVICES TO RESIDENTS AND NON-RESIDENTS WITHIN A DEFINED GEOGRAPHIC AREA. 15 15 135 0 0 0 1573041 4871551 7575487 8363301 17609 206648 0 0 9166137 13441500 0 0 0 0 6900158 7405218 0 0 37128 2216699 2650670 9116857 10055888 49280 3385612 8325890 8565854 5811666 2666018 2514224 5899836 X TO MAKE QUALITY, COMPREHENSIVE, AND INTEGRATED HEALTH SERVICES ACCESSIBLE TO ALL REGARDLESS OF THEIR ABILITY TO PAY. OUR SERVICES ARE CULTURALLY APPROPRIATE AND PROMOTE COMMUNITY WELL-BEING THROUGH THE PRACTICE OF "MALAMA PONO". THE HEALTH SERVICES CONSIST OF INTEGRATED MEDICAL, DENTAL AND BEHAVIORAL HEALTH. 0 0 7650020 8363301 INTEGRATED MEDICAL AND BEHAVIORAL HEALTH PROGRAMS:WHCHC, INC. PROVIDES INTEGRATED HEALTH SERVICES, WHICH ARE ACCESSIBLE TO ALL PERSONS, REGARDLESS OF THEIR ABILITY TO PAY. IN 2014, WHCHC, INC. HAD 46,586 PATIENT VISITS AND SERVED 12,642, WITH OVER 65% OF THOSE PATIENTS (10,070) SERVED MEDICALLY, 10% (1,469 PATIENTS) RECEIVING BEHAVIORAL HEALTH SERVICES, AND 26% (3,955 PATIENTS) RECEIVING DENTAL CARE. 7650020 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 43 0 1 135 1 0 0 0 0 0 0 0 0 0 0 X 15 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 HI X DIANE PAUTZ CHIEF FINANCIAL OFFICER 8083263883 75-5751 KUAKINI HWY STE 203 KAILUAKONA HI 96740 PETER HOFFMANN DIRECTOR 5.00 X 0 0 0 MICHAEL MATSUKAWA DIRECTOR 5.00 3.50 X 0 0 0 BRETT CAREY DIRECTOR 5.00 X 0 0 0 TERRI TOKI DIRECTOR 5.00 2.00 X 0 0 0 VERNON BIERAUGEL TREASURER 10.00 X X 0 0 0 NELLIE MEDEIROS CHAIRMAN 20.00 X X 0 0 0 JOAN GANNON DIRECTOR 5.00 X 0 0 0 JEAN GRAY DIRECTOR 5.00 X 0 0 0 JAY KREUZER DIRECTOR 5.00 X 0 0 0 YVONNE GILBERT SECRETARY 5.00 X X 0 0 0 BRUCE MAKAREWICZ DIRECTOR 5.00 X 0 0 0 PAOLA PAGAN VICE CHAIR 10.00 X X 0 0 0 EARL BETTS DIRECTOR 5.00 X 0 0 0 EUGENE YAP DIRECTOR 5.00 X 0 0 0 JOANN FREED DIRECTOR 5.00 X 0 0 0 RICHARD TAAFFE PRESIDENT/CEO 40.00 2.50 X 183312 0 8749 DIANE PAUTZ CHIEF FINANCIAL OFFICER 40.00 8.00 X 120722 0 6739 CHRISTOPHER RUSSELL MEDICAL DIRECTOR 40.00 X 133765 0 9575 KATHLEEN BROOKS CHIEF OPERATIONS OFFICER/HR DIRECTOR 40.00 X 111812 0 7486 KEVIN NEITZER DENTAL DIRECTOR 40.00 X 169515 0 10208 STEPHEN ANDL MEDICAL PROVIDER 40.00 X 157920 0 8380 STEVEN C PINE DENTAL PROVIDER 40.00 X 146636 0 7267 LEON MATSUO MEDICAL PROVIDER 40.00 X 145405 0 10993 HEATHER MINER MEDICAL PROVIDER 40.00 X 153882 0 4760 1322969 0 74157 18 0 1 0 HEALTH CHOICE NETWORK INC 9064 NW 13TH PLACE MIAMI FL 33172 IT DATA NETWORK 263752 ILONA HIGGINES PO BOX 6805 KAMUELA HI 96743 MEDICAL SERVICES 109643 2 4700901 170650 4871551 PATIENT SERVICE 621110 7615539 7615539 QUALITY INCENTIVE 621110 361340 361340 MEANINGFUL USE INCENTIVE 621110 340000 340000 OTHER 621110 46422 46422 8363301 206648 206648 13441500 8363301 0 206648 582158 143339 438819 5627183 4683440 925491 18252 131617 111901 19240 476 332685 269274 62281 1130 731575 546505 181562 3508 399695 310939 88696 60 29372 3685 21130 4557 90995 68908 22087 279074 216538 61792 744 477356 409781 62358 5217 105892 27335 78557 239861 239861 201732 183186 18366 180 13837 1338 12499 SUPPLIES 427540 375027 51331 1182 REPAIRS AND MAINTENANCE 145046 136576 8470 EQUIPMENT LEASE 126599 99427 25849 1323 FEES AND CHARGES 51400 19899 31501 62271 42922 18850 499 10055888 7650020 2368740 37128 672639 836275 727606 728176 233255 95831 820460 1152265 4881416 4881416 74270 111383 2302478 1783182 709263 519296 206981 241212 8325890 8565854 741929 777576 10236 295927 5059501 1592515 5811666 2666018 X 2514224 5899836 2514224 5899836 8325890 8565854 3385612 0 X X 0 1 X 1 1 1 X 1713427 1712651 2013792 1573041 4871551 11884462 1713427 1712651 2013792 1573041 4871551 11884462 78044 11806418 1956 2172 2407 17609 206648 230792 12115254 31551118 0.97450 0.96830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1698947 1226967 471980 603531 556215 47316 519296 X 13441500 0 13441500 0 13441500 10055888 0 10055888 0 10055888 PART X, LINE 2: WEST HAWAII COMMUNITY HEALTH CENTER, INC. (CENTER) IS EXEMPT FROM INCOME TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CENTER IS NOT SUBJECT TO INCOME TAXES IN THE U.S. FEDERAL JURISDICTION AND THE STATE. TAX REGULATIONS WITHIN EACH JURISDICTION ARE SUBJECT TO INTERPRETATION OF THE RELATED TAX LAWS AND REGULATIONS AND REQUIRE SIGNIFICANT JUDGMENT TO APPLY. X X X X X 0 0 0 0 0 0 0 0 0 RICHARD TAAFFE PRESIDENT/CEO 183312 0 0 0 0 0 5280 0 3469 0 192061 0 0 0 KEVIN NEITZER DENTAL DIRECTOR 169515 0 0 0 0 0 5107 0 5101 0 179723 0 0 0 STEPHEN ANDL MEDICAL PROVIDER 157920 0 0 0 0 0 4651 0 3729 0 166300 0 0 0 STEVEN C PINE DENTAL PROVIDER 146636 0 0 0 0 0 4265 0 3002 0 153903 0 0 0 LEON MATSUO MEDICAL PROVIDER 145405 0 0 0 0 0 4470 0 6523 0 156398 0 0 0 HEATHER MINER MEDICAL PROVIDER 153882 0 0 0 0 0 4394 0 366 0 158642 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 A COPY OF THE FORM 990 IS REVIEWED BY THE BOARD OF DIRECTOR'S AUDIT AND COMPLIANCE COMMITTEE, AS WELL AS THE BOARD OF DIRECTOR'S FINANCE COMMITTEE. THE FORM 990 WAS APPROVED BY THE AUDIT AND COMPLIANCE COMMITTEE AND PASSED ON TO THE FULL BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE POLICY IS ENFORCED IN HIRING PRACTICES. PERSONS ARE NOT ALLOWED TO HIRE RELATIVES IF THOSE PERSONS WILL WORK DIRECTLY FOR THE MANAGER. FORM 990, PART VI, SECTION B, LINE 15A THE WHCHC, INC. HUMAN RESOURCE DIRECTOR UPDATES THE SALARY MATRIX YEARLY AND/OR AS NEEDED WITH COMPARABLE MARKET ANALYSIS. THE SALARY MATRIX SETS THE WAGE SCALE FOR ALL POSITIONS AND IS REVIEWED AND APPROVED BY THE BOARD. YEARLY REVIEW OF THE EXECUTIVE DIRECTOR'S SALARY IS DONE BY THE FULL BOARD OF DIRECTORS AT THE TIME OF HIS/HER EVALUATION EACH YEAR. IT IS DOCUMENTED IN BOARD MINUTES. FORM 990, PART VI, SECTION C, LINE 19 COPIES PROVIDED UPON REQUEST. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. FORM 990, PART VI, SECTION A, LINE 8B: BYLAWS DICTATE THAT ALL ACTIONS MUST BE TAKEN BY FULL BOARD OF DIRECTORS, THEREFORE, NO COMMITTEES HAVE AUTHORITY TO ACT INDEPENDENTLY, AND DON'T. PONOLL INC 74-5599 LUHIA ST UNIT E5 KAILUAKONA HI 96740 463715805 TO PROVIDE SUPPORT FOR THE BENEFIT OF PONO RESOURCE MANAGEMENT, INC. HI PENDING 501(C)(3) AP APPLICATION PENDING N/A 0 PONO RESOURCE MANAGEMENT INC 74-5599 LUHIA ST UNIT E5 KAILUAKONA HI 96740 463613699 TO MANAGE PROJECT UNDER NMTC STRUCTURE HI PENDING 501(C)(3) AP APPLICATION PENDING N/A 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0