2012-11-13T20:50:05-06:00 2011-12-31 274174400 HEE & CHING CPAS LLC 737 BISHOP STREET SUITE 2360 HONOLULU HI 968133214 990 2011-01-01 990080460 HALE MAKUA HEALTH SERVICES HALE 8088772761 472 KAULANA STREET KAHULUI HI 967322099 ANTHONY J KRIEG 8088772761 2012-11-13 1 LESTER J HEE CPA P00988033 8085327322 2011 2016-02-24 21:20:13Z ANTHONY J KRIEG 472 KAULANA STREET KAHULUI HI 967322099 33286692 0 X WWW.HALEMAKUA.ORG X 1954 HI HALE MAKUA HEALTH SERVICES STRIVES TO PROVIDE EXCELLENCE IN HOME-AND COMMUNITY-BASED HEALTHCARE. THE MAJORITY OF HALE MAKUA HEALTH SERVICES RESIDENTS ARE MEDICAID RECIPIENTS, WHICH IS A FEDERAL PROGRAM TO AID THE AGED, BLIND, AND DISABLED WITH MEDICAL ASSISTANCE. 16 15 521 195 0 0 1335756 308106 34754596 32704488 -2712 -15002 138043 179704 36225683 33177296 0 0 0 0 24585185 26526502 0 0 281275 10802204 10728207 35387389 37254709 838294 -4077413 25767969 23900681 11235923 13534333 14532046 10366348 THE MISSION OF HALE MAKUA HEALTH SERVICES IS TO ENSURE INDIVIDUALS IN OUR COMMUNITY ARE RESTORED TO HEALTH AND INDEPENDENCE, AND TRANSITION THROUGH LIFE WITH DIGNITY AND RESPECT. 0 0 33368562 32704488 HALE MAKUA LONG-TERM CARE HOMES PROVIDED NURSING HOMES AND ROUND THE CLOCK HEALTHCARE FOR 86,705 PATIENT DAYS AT ITS KAHULUI LOCATION OF 254 BEDS AND FOR 31,794 PATIENT DAYS AT ITS WAILUKU LOCATION OF 124 BEDS; HOME HEALTH BY HALE MAKUA PROVIDED IN-HOME NURSING AND PHYSICAL THERAPY SERVICES TO CLIENTS WITH 6,453 VISITS MADE; ADULT FOSTER FAMILY HELPED CLIENTS TO BE PLACED IN COMMUNITY HOMES FOR 7,431 DAYS; ADULT DAY HEALTH CARE PROVIDED 8,155 DAYS OF CARE FOR CLIENTS WHO CURRENTLY LIVE IN THE COMMUNITY. 33368562 1 1 0 1 0 0 0 0 0 1 1 0 0 0 1 0 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 29 0 1 521 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X JOYCE TAMORI 8088736620 472 KAULANA STREET KAHULUI HI 967322099 ROY SAKAMOTO 2.00 X 0 0 0 DONNA MCCLEARY 1.00 X 0 0 0 PAUL GAMMIE 1.00 X 0 0 0 ROBERT COLE 1.00 X 0 0 0 OK FERNANDEZ 1.00 X 0 0 0 MUFFY GUSHI 1.00 X 0 0 0 GLENN HAMAI 1.00 X 0 0 0 JOHN HARMAN 1.00 X 0 0 0 ELIZABETH IVEY 1.00 X 0 0 0 ALICE LEE 1.00 X 0 0 0 GAYLE LONG 1.00 X 0 0 0 MICHAEL MUNEKIYO 1.00 X 0 0 0 ALTON NAKAGAWA 1.00 X 0 0 0 WARREN SUZUKI 1.00 X 0 0 0 PAUL UEOKA 1.00 X 0 0 0 ANTHONY KRIEG 40.00 X 213951 0 39303 JOYCE TAMORI 40.00 X 138084 0 5895 EDWARD TUCKER 40.00 X 109886 0 13957 TERESITA MANEGDEG 40.00 X 106982 0 11992 568903 0 71147 4 0 1 0 BAYSA'S LANDSCAPE MAINTENANCE 321 HOLUA DRIVE KAHULUI HI 96732 GROUNDS MAINTENANCE 157311 ERNST & YOUNG LLC 55 MERCHANT STREET HONOLULU HI 96813 AUDIT 101041 2 78969 60172 168965 308106 NURSING FACILITIES 623000 30569702 30569702 HOME HEALTH CARE SERVI 621610 1566320 1566320 OTHER RESIDENTIAL CARE 623990 568466 568466 32704488 14067 14067 4800 40983 4800 40983 45783 45783 29069 -29069 -29069 -29069 177651 78969 80327 97324 97324 SALE OF MEALS 900099 19808 19808 VENDING MACHINES 900099 4218 4218 ALLOCATED OH RECOVERY 900099 188 188 12383 12383 36597 33177296 32704488 0 164702 346255 346255 17594408 16038758 1382234 173416 4012490 3587122 386583 38785 3221344 2879846 310360 31138 1352005 1208677 130259 13069 69604 69604 102603 102603 1972834 1807607 165227 23456 23456 2731058 2552121 159873 19064 1154910 1017284 137626 4442 349 3753 340 42850 37152 5698 1622181 1452739 169442 431615 381117 50498 FOOD PURCHASES 1276426 1276426 BAD DEBT 906336 906336 MAINTENANCE 308175 203735 99262 5178 DUES & SUBSCRIPTIONS 81717 19293 62139 285 37254709 33368562 3604872 281275 1575503 1538927 2018766 1351367 200 87699 7151807 6808932 190556 193714 256655 234391 32546025 19835606 13532088 12710419 125000 125000 917394 850232 25767969 23900681 971966 1030927 66600 65103 995228 612725 9202129 11825578 11235923 13534333 X 0 0 0 0 14532046 10366348 14532046 10366348 25767969 23900681 X -4077413 -88285 X X 0 1 1 X 0 X 974526 2800677 1142812 1335756 308106 6561877 31755785 33764378 34721495 34754596 32704488 167700742 32730311 36565055 35864307 36090352 33012594 174262619 0 0 0 174262619 109614 69348 46681 72741 72233 370617 109614 69348 46681 72741 72233 370617 28012 28240 27585 27988 24026 135851 32867937 36662643 35938573 36191081 33108853 174769087 0.99710 0.99670 0.00210 0.00250 X SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART III, LINE 12, EXPLANATION FOR OTHER INCOME: OTHER REVENUE INCLUDES THE SALES FROM VENDING MACHINES AND MEALS AT LONG TERM CARE FACILITIES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 1 3401 0 0 0 3401 0 529766 5186 3300 531652 532365 3801 6400 529766 535211 7004 9850 532365 549065 12596 26450 535211 0.00000 0.99120 0.00880 0 1 1 61951 61951 21932609 13012956 8919653 2908755 1873059 1035696 7370994 4949591 2421403 271716 271716 12710419 ACCRUED PAYROLL 740749 DEFERRED PENSION COSTS 7929878 ACCRUED PTO 1169590 ACCRUED POST-RETIREMENT COSTS 1985361 11825578 DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: HALE MAKUA FOUNDATION, A SUPPORTING ORGANIZATION, HOLDS AN ENDOWMENT FUND THAT REPRESENTS AMOUNTS HELD IN PERPETUITY WITH ALL INCOME EARNED TO BE USED FOR FINANCIAL ASSISTANCE TO THOSE PARTICIPATING IN HALE MAKUA HEALTH SERVICES' ADULT DAY HEALTH PROGRAM. CHARITY WALK 77788 41147 36641 300 600 1587 LUAU 71356 32022 39334 25201 5800 15394 3 107476 5800 101676 31445 256620 78969 177651 300 600 25201 5800 48426 80327 97324 X 1 1 X X X X 0 0 0 0 0 0 0 0 0 ANTHONY KRIEG 208305 0 3609 0 2037 0 0 0 39303 0 253254 0 0 0 ALTON NAKAGAWA DIRECTOR 418527 FOOD PURCHASES 0 FORM 990, PART VI, SECTION B, LINE 11 THE FORM 990 IS COMPILED BY THE DIRECTOR OF FINANCIAL SERVICES AND REVIEWED BY THE CHIEF EXECUTIVE OFFICER AND THE CHIEF FINANCIAL OFFICER. IN ADDITION, THE FORM 990 IS PROVIDED TO THE ORGANIZATION'S TAX CONSULTANT FOR FURTHER REVIEW AND PREPARATION. PRIOR TO SUBMISSION OF THE ELECTRONIC FORM 990, A HARD COPY VERSION OF THE RETURN IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REQUIRES THAT OFFICERS, DIRECTORS, AND KEY EMPLOYEES COMPLETE THE CONFLICT OF INTEREST DISCLOSURE FORM ON AN ANNUAL BASIS. FORMS ARE REVIEWED AND MAINTAINED BY THE EXECUTIVE ASSISTANT/MARKETING MANAGER. FORM 990, PART VI, SECTION B, LINE 15 HALE MAKUA HEALTH SERVICES HAS ESTABLISHED AND MAINTAINS A COMPENSATION PROGRAM, WHICH ENSURES EACH EXECUTIVE'S PAY WILL BE EXTERNALLY COMPETITIVE, INTERNALLY EQUITABLE, AND FAIRLY ADMINISTERED. IT IS THE COMPANY'S POLICY TO PAY EXECUTIVES AT OR ABOVE THE RATES PAID BY COMPARABLE HEALTHCARE INSTITUTIONS. COMPENSATION FOR THE FOLLOWING POSITIONS IS DETERMINED IN ACCORDANCE WITH THE COMPANY'S FORMAL, WRITTEN EXECUTIVE COMPENSATION PROGRAM (ECP): CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, CHIEF HUMAN RESOURCES OFFICER/CHIEF COMPLIANCE OFFICER, DIRECTOR OF HOME HEALTH BY HALE MAKUA, ADMINISTRATOR-KAHULUI, AND ADMINISTRATOR-WAILUKU. THE EXECUTIVE COMPENSATION PROGRAM IS ADMINISTERED BY THE EXECUTIVE COMPENSATION COMMITTEE (ECC). THE ECC IS COMPOSED OF FOUR BOARD DIRECTORS, INCLUDING THE BOARD CHAIR. IN ACCORDANCE WITH THE ECP, SALARY RANGES FOR ALL EXECUTIVE POSITIONS ARE DETERMINED BY A THIRD PARTY CONSULTING FIRM. SALARY RANGES TARGET BASE SALARIES AT THE MEDIAN OF A NATIONAL PEER GROUP ON NON-FOR-PROFIT HEALTHCARE ORGANIZATIONS COMPARABLE IN SIZE AND COMPLEXITY TO THE COMPANY. THE EXECUTIVE SALARY RANGES WERE LAST UPDATED BY THE INDEPENDENT CONSULTANTS AND APPROVED BY THE BOARD, EFFECTIVE JANUARY 1, 2008. IN ACCORDANCE WITH THE ECP, THE CEO DETERMINES, WITHIN THE ESTABLISHED RANGES, THE ANNUAL SALARY OF ALL OTHER EXECUTIVES LISTED ABOVE. THESE DETERMINATIONS ARE REVIEWED BY BOTH THE ECC AND THE BOARD. FORM 990, PART VI, SECTION C, LINE 19 NO DOCUMENTS AVAILABLE TO THE PUBLIC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: DONATED SERVICES AND USE OF FACILITIES: -88,285. FORM 990, PART XII, LINE 2C NO CHANGE IN PROCESS FROM PRIOR YEAR. HALE MAKUA FOUNDATION 472 KAULANA STREET KAHULUI HI 96732 990302635 INVESTMENTS HI 501(C)(3) 509(A)(3)TYPE II N/A 0 HMHS CORP (FKA HALE MAKUA HELATH SERVICE CORP) 472 KAULANA STREET KAHULUI HI 96732 990298823 HOLDING CO. HI N/A C -656 4041 1.00000 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 HALE MAKUA FOUNDATION C 60172 CASH