2014-09-29T20:26:25-05:00 2013-12-31 990169131 N&K CPAS INC 1001 BISHOP ST STE 1700 HONOLULU HI 968133696 990 2013-01-01 990159253 WAIKIKI HEALTH WAIK 8089224787 277 OHUA AVENUE HONOLULU HI 96815 JEFFREY M CHAWENSON CHIEF FINANCIAL OFFICER 8089224787 2014-08-04 1 BRIAN S ISOBE P00737357 8085242255 2013 2015-11-30 17:44:51Z JEFFREY M CHAWENSON 277 OHUA AVENUE HONOLULU HI 96815 11488341 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. 15 15 206 301 0 0 4775822 5552374 4970954 5935373 330 594 0 0 9747106 11488341 191316 63085 0 0 6668543 7442744 0 0 421743 2598393 3532391 9458252 11038220 288854 450121 4472401 5272742 798641 1148861 3673760 4123881 X TO PROVIDE HIGH QUALITY MEDICAL AND SOCIAL SERVICES THAT ARE AFFORDABLE AND ACCESSIBLE FOR EVERYONE REGARDLESS OF ABILITY TO PAY. 0 0 4316776 3004515 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 26,664 PRIMARY CARE VISITS TO 8,649 PATIENTS, 63% OF WHOM WERE LIVING AT OR BELOW POVERTY LEVEL. 2740317 41063 594852 OUR HOMELESS OUTREACH PROGRAM SERVED OVER 1,854 INDIVIDUALS WITH MORE THAN 10,568 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. 1097570 1832148 PHARMACY PROGRAM FILLS PRESCRIPTIONS AND PROVIDES OVER THE COUNTER MEDICATIONS TO PATIENTS AT THE OHUA CLINIC LOCATION. 1535247 22022 503858 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 NINE IN HAWAII. THIS YEAR WE PROVIDED 855 ENCOUNTERS CONSISTING OF PRIMARY CARE VISITS, MENTAL HEALTH ENCOUNTERS AND ANONYMOUS HIV COUNSELING/TESTING ENCOUNTERS TO 236 PATIENTS.OTHER PROGRAMS INCLUDE HO'OLA LIKE PROJECT AT HALE'IWA, WAIKIKI FRIENDLY NEIGHBORS, YOUTH OUTREACH SERVICES, FAMILY PLANNING, PATH & DENTAL CLINIC. 1535247 22022 503858 9689910 1 1 0 1 0 0 0 0 0 0 1 0 0 1 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 18 0 1 206 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 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 MICHELLE TURNER 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 DANIEL HILL DIRECTOR 1.00 X 0 0 0 CAROLL ANN TAKAHASHI DIRECTOR 1.00 X 0 0 0 BOYD MURAYAMA DIRECTOR 1.00 X 0 0 0 BARBARA BRYAN DIRECTOR 1.00 X 0 0 0 SHEILA BECKHAM CHIEF EXECUTIVE OFFICER 40.00 X 168957 0 14432 ELLIOT KALAUAWA CHIEF MEDICAL OFFICER 40.00 X 190136 0 15398 JEFF CHAWENSON CHIEF FINANCIAL OFFICER 40.00 X 95012 0 7610 BRYAN TALISAYAN CHIEF OPERATIONS OFFICER 40.00 X 94449 0 8416 AHOORA PAYAM PHYSICIAN 40.00 X 159093 0 14150 TAMMY KAI PHARMACIST 40.00 X 139443 0 12574 CONRAD MORENO BEHAVIORAL HEALTH DIRECTOR 40.00 X 109555 0 11891 JEANELLE PONCE PHYSICIAN 40.00 X 107918 0 11333 DANIEL SALTMAN PHYSICIAN 40.00 X 119831 0 11133 1184394 0 106937 7 0 1 0 JW INC 630 LAUMAKA STREET HONOLULU HI 96819 RENOVATION OF MEDICAL AND DENTAL CLINIC 227283 1 4810404 741970 5552374 PATIENT SERVICE REV 621110 4103225 4103225 PHARMACY SALES 621110 1832148 1832148 5935373 594 594 11488341 5935373 0 594 63085 63085 594410 558607 13002 22801 5474649 5144897 119754 209998 187327 176044 4098 7185 695236 653360 15208 26668 491122 461540 10743 18839 670777 240649 418950 11178 27388 1119 26269 299709 233956 18246 47507 252998 216370 28925 7703 541406 393611 116716 31079 92390 69347 22630 413 22779 1876 17137 3766 323 28 289 6 130758 105260 25106 392 36411 801 35610 MEDICAL SUPPLIES 1000152 1000152 REPAIRS AND MAINTENANCE 323454 296374 21025 6055 DUES AND SUBSCRIPTIONS 48001 15019 32735 247 SMALL EQUIPMENT PURCHAS 47147 42071 5076 38698 16863 20198 1637 11038220 9689910 926567 421743 59135 1075 2193026 1164615 882573 1673864 375084 436372 28778 37106 124138 215589 1829197 1025575 779435 803622 30232 940499 4472401 5272742 547292 936680 211397 136495 35923 39952 39763 798641 1148861 X 3521897 3809974 151863 313907 3673760 4123881 4472401 5272742 450121 0 X X 0 1 X 1 1 1 X 3505929 3628202 4142787 4775822 5552374 21605114 3505929 3628202 4142787 4775822 5552374 21605114 21605114 287 155 331 330 594 1697 21606811 20521954 0.99990 0.99970 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 1 0 0 0 0 1 650 0 0 650 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). 733050 129052 603998 490207 375323 114884 605940 521200 84740 803622 DEPOSITS 77748 CONSTRUCTION IN PROGRESS 862751 940499 PAYABLE TO GRANT SUBRECIPIENTS 39763 39763 X 11488341 0 11488341 0 11488341 11038220 0 11038220 0 11038220 PART X, LINE 2: WAIKIKI HEALTH (CENTER) IS EXEMPT FROM INCOME TAXATION UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CENTER RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION AFTER AN AUDIT BASED ON THE TECHNICAL MERITS OF THE POSITION. THE CENTER HAS NOT IDENTIFIED ANY UNCERTAIN TAX POSITIONS IN FILED RETURNS THAT REQUIRE DISCLOSURE IN THE ACCOMPANYING FINANCIAL STATEMENTS. 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. WITH FEW EXCEPTIONS, THE CENTER IS NO LONGER SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAX AUTHORITIES FOR THE YEARS ENDED DECEMBER 31, 2009 AND PRIOR. 1 COMMUNITY CLINIC OF MAUI INC 1881 NANI ST WAILUKU HI 96793 990303304 501(C)(3) 22022 STAFFING FOR CASE MANAGEMENT AND MEDICAL SERVICES FOR PATIENTS WITH HIV/AIDS COMMUNITY CLINIC OF MAUI INC 1881 NANI ST WAILUKU HI 96793 990303304 501(C)(3) 21720 STAFFING FOR MEDICAL, SOCIAL, HEALTH CARE, AND OTHER RELATED SERVICES FOR THE HOMELESS WAIANAE COAST COMPREHENSIVE HEALTH CENTER 86-260 FARRINGTON HWY WAIANAE HI 96792 990148164 501(C)(3) 19343 STAFFING FOR MEDICAL, SOCIAL, HEALTH CARE, AND OTHER RELATED SERVICES FOR THE HOMELESS 3 0 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 168957 0 0 0 0 0 8965 0 5467 0 183389 0 0 0 ELLIOT KALAUAWA CHIEF MEDICAL OFFICER 190136 0 0 0 0 0 9931 0 5467 0 205534 0 0 0 AHOORA PAYAM PHYSICIAN 159093 0 0 0 0 0 8683 0 5467 0 173243 0 0 0 TAMMY KAI PHARMACIST 139443 0 0 0 0 0 7107 0 5467 0 152017 0 0 0 HOWARD LEE DIRECTOR OF THE ORGANIZATION 502005 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.