2014-11-17T14:06:20-06:00 2013-12-31 205325889 ACCUITY LLP 999 BISHOP STREET STE 1900 HONOLULU HI 96813 990 2013-01-01 990309519 ALOHACARE ALOH 8089731650 1357 KAPIOLANI BLVD NO 1250 HONOLULU HI 96814 JOHN MCCOMAS CEO 8089731650 2014-11-14 1 ACCUITY LLP P00037058 8085313400 2013 2015-11-30 17:44:51Z JOHN E MCCOMAS 1357 KAPIOLANI BLVD NO 1250 HONOLULU HI 96814 228952028 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. 16 4 213 0 0 0 0 0 236643872 228805507 324517 146502 12287 19 236980676 228952028 1157788 1928601 0 0 11939702 12311198 0 0 0 215152174 224196043 228249664 238435842 8731012 -9483814 134979215 139820850 48551220 62876667 86427995 76944183 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 222859742 1928601 228805507 HEALTH CARE PROGRAMS, GENERAL/OTHER: PROVIDE MANAGED HEALTH CARE SERVICES TO APPROXIMATELY 68,242 QUALIFIED MEDICAID MEMBERS, AND 1,648 MEDICARE MEMBERS WHO ARE RESIDENTS OF HAWAII. 222859742 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 1563 0 1 213 1 0 0 0 0 0 0 0 0 0 0 X 16 4 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 SHEILA BECKHAM BOARD MEMBER 1.00 X 0 0 0 DAVID DERAUF BOARD MEMBER 1.00 X 0 0 0 PHIL KINNICUTT BOARD MEMBER 1.00 X 0 0 0 ALAN TERADA BOARD MEMBER 1.00 X 0 0 0 BEN PETTUS BOARD MEMBER 1.00 X 0 0 0 DESIREE PUHI BOARD MEMBER 1.00 X 0 0 0 IRENE CARPENTER BOARD MEMBER 1.00 X 0 0 0 HAROLD WALLACE BOARD MEMBER 1.00 X 0 0 0 RUSSELL SAITO BOARD MEMBER 1.00 X 0 0 0 MARTHA SMITH BOARD MEMBER 1.00 X 0 0 0 JOHN MCCOMAS CEO 40.00 X 276249 0 29197 EMMANUEL KINTU PRESIDENT 1.00 X 0 0 0 DANA HOWETH PAST PRESIDENT 1.00 X 0 0 0 DAVID BESS TREASURER 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 246535 0 10137 CINDY NEELEY CFO 40.00 X 225330 0 14650 TODD MORGAN CIO 40.00 X 166839 0 17755 NOLAN NAMBA CHIEF MARKETING OFFICER 40.00 X 127379 0 16155 JONATHAN CASCINO COMPLIANCE OFFICER 40.00 X 81489 0 5532 PATRICK BRENNAN SR DIR. OF PLAN OPERATIONS 40.00 X 169046 0 19334 DR SHARON TISZA MEDICAL DIRECTOR 40.00 X 174634 0 13482 STELLA CATALAN SR DIR. OF CLINICAL OPS 40.00 X 153204 0 11751 FRANCIS APPEL SR DIR OF QUALITY IMPROVEMENT 40.00 X 128375 0 12712 DARRYL HUFF SR DIR OF COMMUNITY RELATIONS 40.00 X 125048 0 15345 PAUL STRAUSS CHIEF OPERATING OFFICER 40.00 X 185730 0 14888 2059858 0 180938 11 1 1 0 MILLIMAN 1301 FIFTH AVENUE SUITE 3800 SEATTLE WA 98101 ACTUARIAL 321211 HO'OKELE PERSONAL HEALTH PLANNERS 1360 S BERETANIA ST 205 HONOLULU HI 96814 CONSULTING 163346 INSURANCE BENEFITS SERVICES 1585 KAPIOLANI BLVD STE 1020 HON HI 96814 BROKER FEES 144555 3 CAPITATION 624100 225336951 225336951 REINSURANCE 624100 3468556 3468556 228805507 146502 146502 OTHER REVENUE 624100 19 19 19 228952028 228805507 0 146521 X 1910601 1910601 18000 18000 2240796 2240796 7723059 5136927 2586132 300237 300237 1139875 1139875 907231 907231 82917 82917 272638 272638 176068373 176068373 449537 449537 149541 149541 1001323 1001323 123015 123015 45061 45061 468146 468146 175610 175610 OTHER PROFESSIONAL SERV 35327267 35327267 CAPITATION 2895573 2895573 OTHER PROFESSIONAL FEES 1792262 1792262 QUALITY PROGRAM SERVICE 1503001 1503001 3841779 3841779 238435842 222859742 15576100 0 76225620 16318542 5322540 83117509 313460 305464 6098300 5448552 708415 649748 52409180 39429587 134979215 139820850 4605559 25675102 43945661 37201565 48551220 62876667 X 86427995 76944183 86427995 76944183 134979215 139820850 X -9483814 2 X X 0 1 X 1 0 181844 163722 18122 5916456 5284830 631626 649748 PAYABLE TO RISK POOLS 7076308 ACCRUED MEDICAL CLAIMS 30125257 37201565 225548825 65354 65354 225483471 3468557 3468557 228952028 234959181 -8104 -8104 234967285 3468557 3468557 238435842 PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF REINSURANCE REVENUES 3,468,556. ROUNDING 1. PART XII, LINE 2D - OTHER ADJUSTMENTS: BROKER FEES -8,104. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF REINSURANCE REVENUES 3,468,556. ROUNDING 1. 1 ALII HEALTH CENTER 75-5759 KUAKINI HWY SUITE 208 KAILUAKONA HI 96740 260318372 501 ( C) 3 25000 ACCESS/AVAILABILITY GRANT AMERICAN CANCER SOCIETY 2370 NUUANU AVENUE HONOLULU HI 96817 990073489 501 ( C) 3 5000 DONATION HAWAII FOODBANK 2611 KILIHA STREET HONOLULU HI 968192021 990220699 501 ( C) 3 100 DONATION BAY CLINIC INC 224 HAILI ST SUITE B HILO HI 96720 990222784 501 ( C) 3 50000 ACCESS/AVAILABILITY GRANT BAY CLINIC INC 224 HAILI ST SUITE B HILO HI 96720 990222784 501 ( C) 3 69908 QUALITY PROGRAM GRANT CHILDREN'S MIRACLE NETWORK PO BOX 31191 HONOLULU HI 96820 990177350 501 ( C) 3 30000 DONATION COMMUNITY CLINIC OF MAUI 48 LONO STREET KAHULUI HI 96732 990303304 501 ( C) 3 71441 QUALITY PROGRAM GRANT FACE 1352 LILIHA STREET HONOLULU HI 96817 990335935 501 ( C) 3 10000 DONATION HAMAKUA HEALTH CENTER 45-549 PLUMERIA STREET HAMAKUA HI 96827 990115515 501 ( C) 3 16025 QUALITY PROGRAM GRANT HANA COMMUNITY HEALTH CENTER PO BOX 807 HANA HI 96713 990326154 501 ( C) 3 15050 QUALITY PROGRAM GRANT HILO MEDICAL CENTER FOUNDATION 1190 WAIANUENUE AVENUE HILO HI 96720 990323155 501 (C ) 3 2500 DONATION HINA MAUKA 45-845 POOKELA STREET KANEOHE HI 96744 990173356 501 (C ) 3 1500 DONATION HO'OLA LAHUI HAWAII PO BOX 669 WAIMEA HI 96796 990250542 501 (C ) 3 7500 QUALITY PROGRAM GRANT HUI MALAMA OLA NA OIWI 69 A-3 RAILROAD AVENUE HILO HI 96720 990286468 501 (C ) 3 500 DONATION KALIHI PALAMA HEALTH CENTER 915 NORTH KING STREET HONOLULU HI 96819 990161221 501 (C ) 3 87413 QUALITY PROGRAM GRANT KAUAI COMMUNITY HEALTH CTR PO BOX 3990 LIHUI HI 96766 990250542 501 (C ) 3 4200 QUALITY PROGRAM GRANT KIHEI WAILEA MEDICAL CENTER PO BOX 30460 HONOLULU HI 968200460 990350911 501 (C ) 3 25000 ACCESS/AVAILABILITY GRANT KIHEI WAILEA MEDICAL CENTER PO BOX 30460 HONOLULU HI 968200460 990350911 501 (C ) 3 25000 ACCESS/AVAILABILITY GRANT KOKUA KALIHI VALLEY 2239 NORTH SCHOOL STREET KIHEI HI 96819 990149797 501 (C ) 3 42792 QUALITY PROGRAM GRANT KOOLAULOA COMMUNITY HEALTH & WELLNESS CENTER PO BOX 395 KAHUKU HI 96731 731681833 501 (C ) 3 46675 QUALITY PROGRAM GRANT KOOLAULOA COMMUNITY HEALTH & WELLNESS CENTER PO BOX 395 KAHUKU HI 96731 731681833 501 (C ) 3 50000 DONATION KULA HOSPITAL AND CLINIC 100 KEOKEA PLACE KULA HI 96790 990262276 501 (C ) 3 25000 ACCESS/AVAILABILITY GRANT LANAI COMMUNITY HEALTH CENTER PO BOX 630142 LANAI CITY HI 96763 202509287 501 (C ) 3 14789 ACCESS/AVAILABILITY GRANT LANAI COMMUNITY HEALTH CENTER PO BOX 630142 LANAI CITY HI 96763 202509287 501 (C ) 3 12275 QUALITY PROGRAM GRANT LEGAL AID SOCIETY OF HAWAII 924 BETHEL STREET HONOLULU HI 96813 990076020 501 (C ) 3 1000 DONATION MAUI MEDICAL GROUP 2180 MAIN STREET WAILUKU HI 96793 990176859 501 (C ) 3 36000 ACCESS/AVAILABILITY GRANT MAUI MEDICAL GROUP 2180 MAIN STREET WAILUKU HI 96793 990176859 501 (C ) 3 50000 ACCESS/AVAILABILITY GRANT MOLOKAI COMMUNITY HEALTH CENTER 28 KAMOI ST SUITE 600 KAUNAKAKAI HI 96748 510439659 501 (C ) 3 25000 ACCESS/AVAILABILITY GRANT MOLOKAI COMMUNITY HEALTH CENTER 28 KAMOI ST SUITE 600 KAUNAKAKAI HI 96748 510439659 501 (C ) 3 15625 QUALITY PROGRAM GRANT MOLOKAI OHANA HEATHCARE INC PO BOX 2040 KAUNAKAKAI HI 96748 510437659 501 (C ) 3 5775 QUALITY PROGRAM GRANT NAMI O'AHU 770 KAPIOLANI BLVD 613 HONOLULU HI 96813 990272540 501 (C ) 3 1000 DONATION NANAKULI ALUMNI ASSOCIATION PO BOX 2738 WAIANAE HI 96792 208580569 500 DONATION OCEAN VIEW FAMILY HEALTH CLINIC PO BOX 7009 OCEAN VIEW ESTATES HI 967377009 680623208 25000 ACCESS/AVAILABILITY GRANT PHOCUSED 1001 BISHOP STREET SUITE 780 HONOLULU HI 96813 263024861 501 (C ) 3 500 DONATION QUEEN EMMA CLINIC PO BOX 30160 HONOLULU HI 96820 990073524 501 (C ) 3 33250 QUALITY PROGRAM GRANT QUEEN'S MEDICAL CENTER 1301 PUNCHBOWL STREET HONOLULU HI 96813 990073524 501 (C ) 3 10000 DONATION ROBERT P MASTROIANNI MD 81 MAKAWAO AVENUE SUITE 100 MAKAWAO HI 96768 202107739 18000 ACCESS/AVAILABILITY GRANT UH FOUNDATION - UHH FRIENDS OF NURSING 200 W KAWILI STREET HILO HI 967204091 990085260 501 (C ) 3 5000 ACCESS/AVAILABILITY GRANT UH - JABSOM 651 ILALO STREET MEB 224 HONOLULU HI 96813 990085260 501 (C ) 3 25000 DONATION UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES PO BOX 29470 HONOLULU HI 968201870 990307152 501 (C ) 3 30000 QUALITY PROGRAM GRANT WAIANAE COAST COMPREHENSIVE HEALTH CENTER 86-260 FARRINGTON HWY WAIANAE HI 96792 990148164 501 (C ) 3 864687 QUALITY PROGRAM GRANT WAIKIKI HEALTH CENTER 758 KAPAHULU AVE A-319 HONOLULU HI 96816 990159253 501 (C ) 3 21046 QUALITY PROGRAM GRANT WAIMANALO HEALTH CENTER 41-1347 KALANIANAOLE HWY A WAIMANALO HI 96795 990273205 501 (C ) 3 24250 QUALITY PROGRAM GRANT WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY SUITE 203 KAILUAKONA HI 96740 200495394 501 (C ) 3 30299 QUALITY PROGRAM GRANT WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY SUITE 203 KAILUAKONA HI 96740 200495394 501 (C ) 3 50000 DONATION YMCA OF HONOLULU 1441 PALI HIGHWAY HONOLULU HI 96813 990073533 501 (C ) 3 1000 DONATION 46 3 ACCESS/AVAILABILITY GRANT 1 18000 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 222635 0 50000 0 3614 0 10939 0 18258 0 305446 0 0 0 DR GARY OKAMOTO CHIEF MEDICAL DIRECOR 246535 0 0 0 0 0 3077 0 7060 0 256672 0 0 0 CINDY NEELEY CFO 215310 0 0 0 10020 0 8984 0 5666 0 239980 0 0 0 TODD MORGAN CIO 166839 0 0 0 0 0 6800 0 10955 0 184594 0 0 0 PATRICK BRENNAN SR DIR. OF PLAN OPERATIONS 159026 0 0 0 10020 0 6909 0 12425 0 188380 0 0 0 DR SHARON TISZA MEDICAL DIRECTOR 174634 0 0 0 0 0 7471 0 6011 0 188116 0 0 0 STELLA CATALAN SR DIR. OF CLINICAL OPS 141684 0 1500 0 10020 0 6085 0 5666 0 164955 0 0 0 PAUL STRAUSS CHIEF OPERATING OFFICER 185730 0 0 0 0 0 7506 0 7382 0 200618 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 & PAST PRESIDENT OF ALOHACARE'S BOD 2119981 GRANT & SERVICES RENDERED GRANT & SERVICES IRENE CARPENTER HAMAKUA HEALTH CENTER DIRECTOR OF ALOHACARE'S BOD 398827 GRANT & SERVICES RENDERED GRANT & SERVICES EMMANUEL KINTU KALIHI PALAMA HEALTH CENTER EXEC DIR DIRECTOR & PRESIDENT OF ALOHACARE'S BOD 2848851 GRANT & SERVICES RENDERED GRANT & SERVICES DAVID DERAUF KOKUA KALIHI VALLEY EXEC DIR DIRECTOR OF ALOHACARE'S BOD 1234632 GRANT & SERVICES RENDERED GRANT & SERVICES RICH BETTINI WAIANAE COAST COMP HEALTH CENTER CEO DIRECTOR & VP OF GOVERNANCE OF ALOHACARE'S BOD 14764475 GRANT & SERVICES RENDERED GRANT & SERVICES DESIREE PUHI MOLOKAI OHANA HEALTH CENTER EXEC DIR DIRECTOR OF ALOHACARE'S BOD 657376 GRANT & SERVICES RENDERED GRANT & SERVICES MARY ONEHA WAIMANALO HEALTH CENTER EXEC DIR DIRECTOR & SECRETARY OF ALOHACARE'S BOD 547344 GRANT & SERVICES RENDERED GRANT & SERVICES SHEILA BECKAHM WAIKIKI HEALTH CENTER EXEC DIR DIRECTOR OF ALOHACARE'S BOD 826059 GRANT & SERVICES RENDERED GRANT & SERVICES ALAN TERADA QUEENS HEALTH SYSTEMS MED DIR DIRECTOR OF ALOHACARE'S BOD 24901935 GRANT & SERVICES RENDERED GRANT & SERVICES BEN PETTUS KOOLAULOA COMMUNITY HEALTH CENTER DIRECTOR OF ALOHACARE'S BOD 521519 GRANT & SERVICES RENDERED GRANT & SERVICES HAROLD WALLACE BAY CLINIC INC DIRECTOR OF ALOHACARE'S BOD 2430381 GRANT & SERVICES RENDERED GRANT & SERVICES RICHARD TAAFE WEST HAWAII COMMUNITY HEALTH CENTER DIRECTOR & VP OF EXTERNAL AFFAIRS 219034 GRANT & SERVICES RENDERED GRANT & SERVICES HANA COMMUNITY HEALTH CENTER VACANT BOD POSITION 1251527 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 COMPELTE 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 176,068,373. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 176,068,373. FORM 990, PART XI, LINE 9: ROUNDING 2. 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).