2015-08-14T12:34:03-05:00 2014-12-31 990169131 N&K CPAS INC 1001 BISHOP ST STE 1700 HONOLULU HI 968133696 990 2014-01-01 990159253 WAIKIKI HEALTH WAIK 8089224787 277 OHUA AVENUE HONOLULU HI 96815 JEFFREY M CHAWENSON CHIEF FINANCIAL OFFICER 8089224787 2015-08-04 1 BRIAN S ISOBE P00737357 8085242255 2014 2016-03-07 17:11:31Z JEFFREY M CHAWENSON 277 OHUA AVENUE HONOLULU HI 96815 12979486 0 X WWW.WAIKIKIHC.ORG X 1971 HI TO PROVIDE HIGH QUALITY MEDICAL AND SOCIAL SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE FOR EVERYONE REGARDLESS OF ABILITY TO PAY. 16 16 250 250 0 0 5552374 5499313 5935373 7480173 594 0 0 0 11488341 12979486 63085 36928 0 0 7442744 8952078 0 0 490018 3532391 4245671 11038220 13234677 450121 -255191 5272742 5018953 1148861 1150263 4123881 3868690 X TO PROVIDE HIGH QUALITY MEDICAL AND SOCIAL SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE FOR EVERYONE REGARDLESS OF ABILITY TO PAY. 0 0 5645402 4116642 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 27,271 PRIMARY CARE VISITS TO 10,030 PATIENTS, 51% OF WHOM WERE LIVING AT OR BELOW POVERTY LEVEL. 2500818 655452 OUR HOMELESS OUTREACH PROGRAM SERVED OVER 2,121 INDIVIDUALS WITH MORE THAN 12,763 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 SERVICES, HYGIENE SUPPLIES, ASSISTANCE WITH HEALTH INSURANCE AND INTAKE SERVICES FOR THE NEXT STEP SHELTER. OUR MOBILE MEDICAL CLINIC VISITS VARIOUS PARTS OF THE ISLAND WITH A FULLY EQUIPPED EXAM ROOM. 1567482 2299723 PHARMACY PROGRAM FILLS PRESCRIPTIONS AND PROVIDES OVER THE COUNTER MEDICATIONS TO PATIENTS AT THE OHUA CLINIC LOCATION. 2328908 36928 408356 OUR HIV-AIDS PROGRAM IS ONE OF THE MOST COMPREHENSIVE IN HAWAII. OUR MEDICAL DIRECTOR IS A CREDENTIALED HIV SPECIALIST WITH THE AMERICAN ACADEMY OF HIV MEDICINE, ONE OF ONLY EIGHT IN HAWAII. THIS YEAR WE PROVIDED 2,195 ENCOUNTERS CONSISTING OF PRIMARY CARE VISITS, MENTAL HEALTH ENCOUNTERS AND ANONYMOUS HIV COUNSELING/TESTING ENCOUNTERS TO 253 PATIENTS.OTHER PROGRAMS INCLUDE WAIKIKI FRIENDLY NEIGHBORS, YOUTH OUTREACH SERVICES, FAMILY PLANNING, PATH & DENTAL CLINIC. 2328908 36928 408356 12042610 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 13 0 1 250 1 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X JEFFREY M CHAWENSON 8087919319 935 MAKAHIKI WAY HONOLULU HI 96826 ROBERT GENTRY PRESIDENT 1.00 X X 0 0 0 HOWARD LEE DIRECTOR 1.00 X 0 0 0 TERRENCE ARATANI VICE PRESIDENT GOVERNANCE 1.00 X X 0 0 0 DONNA CHING SECRETARY 1.00 X X 0 0 0 WING YEUNG DIRECTOR 1.00 X 0 0 0 JANET MONTGOMERY DIRECTOR 1.00 X 0 0 0 PAUL SMITH DIRECTOR 1.00 X 0 0 0 PHYLLIS DENDLE DIRECTOR 1.00 X 0 0 0 STEVEN HIGH DIRECTOR 1.00 X 0 0 0 HENRY KANEHAILUA DIRECTOR 1.00 X 0 0 0 CHARLES DREHER DIRECTOR 1.00 X 0 0 0 KEITH LORENZ DIRECTOR 1.00 X 0 0 0 ELIZABETH CHURCHILL DIRECTOR 1.00 X 0 0 0 BARBARA BRYAN DIRECTOR 1.00 X 0 0 0 ROBERT BETHUNE DIRECTOR 1.00 X 0 0 0 JESSE JAMES DIRECTOR 1.00 X 0 0 0 KAINANI KAHUNANUI DIRECTOR 1.00 X 0 0 0 THOMAS NAMIKI DIRECTOR 1.00 X 0 0 0 SCOT STERENBERG DIRECTOR 1.00 X 0 0 0 SHEILA BECKHAM CHIEF EXECUTIVE OFFICER 40.00 X 182007 0 14887 ELLIOT KALAUAWA CHIEF MEDICAL OFFICER 40.00 X 201841 0 15668 JEFF CHAWENSON CHIEF FINANCIAL OFFICER 40.00 X 100757 0 10818 BRYAN TALISAYAN CHIEF OPERATIONS OFFICER 40.00 X 102460 0 6755 AHOORA PAYAM ASSOCIATE MEDICAL DIRECTOR 40.00 X 175377 0 14345 TAMMY KAI PHARMACY DIRECTOR 40.00 X 128739 0 12062 SUZAN LY DENTAL DIRECTOR 40.00 X 152392 0 5576 RACHEL DIPASQUALE DENTIST 40.00 X 120644 0 5576 FLORIAN SATTELMACHER PHYSICIAN 40.00 X 154321 0 7196 1318538 0 92883 11 0 1 0 JW INC 630 LAUMAKA STREET HONOLULU HI 96819 RENOVATION OF MEDICAL AND DENTAL CLINIC 310033 1 4606127 893186 5499313 PATIENT SERVICE REV 621110 5180450 5180450 PHARMACY SALES 621110 2299723 2299723 7480173 12979486 7480173 0 0 36928 36928 635194 597988 13981 23225 6652061 6262420 146413 243228 205960 193896 4533 7531 809448 762035 17816 29597 649415 611376 14294 23745 955566 791941 147673 15952 49149 1344 47805 543173 465559 21152 56462 755354 637212 96554 21588 88728 59826 28091 811 46758 1658 29028 16072 1358 212 1146 228375 228375 42304 42304 PHARMACEUTICAL SUPPLIES 1000249 1000249 REPAIRS AND MAINTENANCE 389801 333183 54472 2146 TRAINING 81732 47920 32674 1138 DUES AND SUBSCRIPTIONS 54138 6092 47328 718 8986 5740 3246 13234677 12042610 702049 490018 1075 2650 1164615 1604261 1673864 658398 436372 328588 37106 43797 215589 139308 3427269 1253950 803622 2173319 940499 68632 5272742 5018953 936680 788779 136495 340907 35923 18950 39763 1627 1148861 1150263 X 3809974 3856190 313907 12500 4123881 3868690 5272742 5018953 -255191 0 X X 0 1 X 1 1 1 X 3628202 4142787 4775822 5552374 5499313 23598498 3628202 4142787 4775822 5552374 5499313 23598498 23598498 155 331 330 594 1410 23599908 25518529 0.99990 0.99990 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 2623 0 0 2623 0 PART II-B, LINE 1: THE ORGANIZATION'S EXECUTIVE DIRECTOR PROVIDED TESTIMONY TO LEGISLATORS AND THEIR STAFF REGARDING UNINSURED FUNDING, ADULT MENTAL HEALTH FUNDING CUTS, CIGARETTE TAX DISTRIBUTION, FUNDING FOR OUT-STATIONED ELIGIBILITY WORKERS, OBESITY EDUCATION, AND OTHER HEALTHCARE ISSUES OF INTEREST TO FEDERALLY QUALIFIED HEALTH CENTERS (FQHC). 1737870 176755 1561115 1030336 534469 495867 659063 542726 116337 2173319 PAYABLE TO GRANT SUBRECIPIENTS 1627 1627 X 12979486 0 12979486 0 12979486 13234677 0 13234677 0 13234677 PART X, LINE 2: WAIKIKI HEALTH (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. 1 COMMUNITY CLINIC OF MAUI INC 1881 NANI ST WAILUKU HI 96793 990303304 501(C)(3) 36928 STAFFING FOR CASE MANAGEMENT AND MEDICAL SERVICES FOR PATIENTS WITH HIV/AIDS 1 PART I, LINE 2: 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 X X 0 0 0 0 0 0 0 0 0 SHEILA BECKHAM CHIEF EXECUTIVE OFFICER 182007 0 0 0 0 0 9311 0 5576 0 196894 0 0 0 ELLIOT KALAUAWA CHIEF MEDICAL OFFICER 201841 0 0 0 0 0 10092 0 5576 0 217509 0 0 0 AHOORA PAYAM ASSOCIATE MEDICAL DIRECTOR 175377 0 0 0 0 0 8769 0 5576 0 189722 0 0 0 SUZAN LY DENTAL DIRECTOR 152392 0 0 0 0 0 0 0 5576 0 157968 0 0 0 FLORIAN SATTELMACHER PHYSICIAN 154321 0 0 0 0 0 1620 0 5576 0 161517 0 0 0 HOWARD LEE DIRECTOR OF THE ORGANIZATION 551772 THE ORGANIZATION PURCHASES EMPLOYEE HEALTH INSURANCE FROM UNIVERSITY HEALTH ALLIANCE. HOWARD LEE IS THE CHIEF OPERATING OFFICER OF UNIVERSITY HEALTH ALLIANCE. HOWARD LEE WAS NOT COMPENSATED BY WAIKIKI HEALTH. THE DECISION TO PURCHASE HEALTH INSURANCE FROM UNIVERSITY HEALTH ALLIANCE WAS MADE BY USING COMPETITIVE BIDS. FULL DISCLOSURE WAS MADE TO THE BOARD ABOUT THE DECISION. 0 FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS PREPARED FOR REVIEW BY THE CFO AND REVIEWED BY THE FINANCE COMMITTEE OF THE BOARD. AN ELECTRONIC COPY IS SENT TO ALL BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL MEMBERS OF THE BOARD OF DIRECTORS ARE REQUIRED TO SIGN THE ORGANIZATION'S CONFLICT OF INTEREST POLICY UPON BECOMING A DIRECTOR AND ALSO ANNUALLY. EMPLOYEES ARE EXPECTED TO FOREGO ANY OUTSIDE ACTIVITIES DAMAGING TO OR CONFLICTING WITH THE ORGANIZATION'S INTEREST. ACTIVITIES IN WHICH A CONFLICT OF INTEREST OCCUR INCLUDE: ACTIVITIES WHICH ADVERSELY AFFECT JOB PERFORMANCE, CUSTOMER RELATIONS OR COMMUNITY RELATIONS; ACTIONS WHICH GIVE OUR COMPETITORS AN ADVANTAGE; IMPROPER VENDOR AND SUBCONTRACTOR RELATIONS; ACCEPTANCE OF GIFTS, ENTERTAINMENT OR OTHER FAVORS OF MORE THAN A TOKEN NATURE. FORM 990, PART VI, SECTION B, LINE 15 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 ALL OF THE ORGANIZATION'S GOVERNING DOCUMENTS ARE AVAILABLE AT THE OFFICE OF THE EXECUTIVE DIRECTOR. NOTICE IS MADE ON THE ORGANIZATION'S WEBSITE. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.