2011-11-15T14:27:23-06:00 2010-12-31 ACCUITY LLP 999 BISHOP STREET STE 1900 HONOLULU HI 96813 990 2010-01-01 990309519 ALOHACARE ALOH 8089731650 1357 KAPIOLANI BLVD NO 1250 HONOLULU HI 96814 JOHN MCCOMAS 8089731650 2011-11-14 1 ACCUITY LLP 8085313400 2010 2016-03-07 17:11:31Z JOHN E MCCOMAS 1357 KAPIOLANI BLVD NO 1250 HONOLULU HI 96814 218134017 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. 17 6 279 0 0 0 0 0 189338350 217051099 602113 205267 519580 877651 190460043 218134017 1447322 1175003 0 0 10927460 11485102 0 0 0 170748028 196471491 183122810 209131596 7337233 9002421 105217538 130336787 32248197 48365025 72969341 81971762 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 195505098 1175003 217051099 HEALTH CARE PROGRAMS, GENERAL/OTHER: PROVIDE MANAGED HEALTH CARE SERVICES TO APPROXIMATELY 75,617 QUALIFIED MEDICAID MEMBERS, AND 1,842 MEDICARE MEMBERS WHO ARE RESIDENTS OF HAWAII. 195505098 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 0 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1535 0 1 279 1 0 0 0 0 0 0 0 0 0 0 X 17 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X ALOHACARE - CO CINDY NEELEY 8089736347 1357 KAPIOLANI BLVD SUITE 1250 HONOLULU HI 96814 PHILLIP KINNICUTT 1.00 X 0 0 0 DAWN HOFMANN 1.00 X 0 0 0 RUSSELL SAITO 1.00 X 0 0 0 MAY AKAMINE 1.00 X 0 0 0 DAVID DERAUF 1.00 X 0 0 0 MARTHA SMITH 1.00 X 0 0 0 SHEILA BECKHAM 1.00 X 0 0 0 TONY GUERRERO 1.00 X 0 0 0 JANET ONAPA 1.00 X 0 0 0 BEN PETTUS 1.00 X 0 0 0 DESIREE PUHI 1.00 X 0 0 0 JOHN MCCOMAS 40.00 X 224963 0 24566 RICHARD BANNER 40.00 X 177716 0 19454 CINDY NEELEY 40.00 X 196777 0 13408 DANA HOWETH 1.00 X 0 0 0 SUSAN HUNT 1.00 X 0 0 0 RICHARD BETTINI 1.00 X 0 0 0 EMMANUEL KINTU 1.00 X 0 0 0 PAUL STRAUSS 1.00 X 0 0 0 DAVID BESS 1.00 X 0 0 0 PATRICK BRENNAN 40.00 X 162108 0 18897 RUBY MENON 40.00 X 86464 0 8054 PAULA ARCENA 40.00 X 81579 0 3705 MARIE WAGNER 40.00 X 116002 0 13092 STELLA CATALAN 40.00 X 133069 0 10861 GEORGE IRION 40.00 X 95119 0 9215 FRANCIS APPEL 40.00 X 113755 0 10350 VICTOR RODRIGUEZ 40.00 X 147701 0 11831 MACHILLE BROWN 40.00 X 98849 0 12560 RANE SHOJI 40.00 X 106059 0 8048 1378150 0 130507 9 1 1 0 DENNIS QUEBE 11400 W PARMER LANE 26 CEDAR PARK TX 78613 CONSULTING 221123 MILLIMAN 1301 FIFTH AVENUE SUITE 3800 SEATTLE WA 98101 ACTUARIAL 205526 FELDESMAN 2001 L STREET NW SUITE 200 WASHINGTON DC 20036 LEGAL 143379 ACCUITY LLP 999 BISHOP ST STE 1900 HONOLULU HI 96813 ACCOUNTING 132673 ROBERT DICKES PO BOX 4550 CLEARWATER FL 337584550 CONSULTING 107500 5 CAPITATION 624100 211235958 211235958 REINSURANCE 624100 5815141 5815141 217051099 205267 205267 OTHER REVENUE 624100 671299 671299 MEDICARE REBATES 624100 206352 206352 877651 218134017 217051099 0 1082918 1175003 1175003 1508657 1508657 7741008 4824488 2916520 193901 193901 1251147 1251147 790389 790389 109993 109993 102822 102822 161106229 161106229 964470 964470 126541 126541 866444 866444 86243 86243 16614 16614 439266 439266 154976 154976 OTHER PROFESSIONAL SERV 22509129 22509129 CAPITATION 4270501 4270501 OTHER PROFESSIONAL FEES 1651835 1651835 QUALITY PROGRAM SERVICE 1617003 1617003 LICENCES AND FEES 679383 679383 1770042 2745 1767297 209131596 195505098 13626498 0 35467835 98885194 29264677 5629394 322022 337953 4866930 4165261 929876 701669 39233128 24782577 105217538 130336787 2827540 7573653 29420657 40791372 32248197 48365025 X 72969341 81971762 72969341 81971762 105217538 130336787 9002421 0 X X 0 1 1 X 0 179050 128782 50268 4687880 4036479 651401 701669 PAYABLE TO RISK POOLS 5154371 ACCRUED MEDICAL CLAIMS 35637001 40791372 218134017 209131596 9002421 0 9002421 212340889 22013 22013 212318876 5815141 5815141 218134017 203334073 17618 17618 203316455 5815141 5815141 209131596 PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF REINSURANCE REVENUES 5,815,141. PART XIII, LINE 2D - OTHER ADJUSTMENTS: BROKER FEES 17,618. PART XIII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF REINSURANCE REVENUES 5,815,141. 1 AMERICAN CANCER SOCIETY-HI PACIFIC INC 2370 NUUANU AVENUE HONOLULU HI 96817 990301430 501(C)(3) 5000 2010 MAKING STRIDES BAY CLINIC INC 224 HAILI ST SUITE B HILO HI 96720 990222784 501(C)(3) 155771 QUALITY PROGRAM GRANT COMMUNITY CLINIC OF MAUI 48 LONO STREET KAHULUI HI 96732 990303304 501(C)(3) 92619 QUALITY PROGRAM GRANT HAMAKUA HEALTH CENTER 45-549 PLUMERIA STREET HAMAKUA HI 96827 990115515 501(C)(3) 46875 QUALITY PROGRAM GRANT HANA COMMUNITY HEALTH CENTER PO BOX 807 HANA HI 96713 990326154 501(C)(3) 46375 COMMUNITY HEALTH CENTER ASSISTANCE HEALANI CANOE CLUB 2233 ALA WAI BLVD 3B HONOLULU HI 96821 990200160 501(C)(3) 500 DONATION NA WAHINE O KE KAI HAWAII PRIMARY CARE ASSOCIATION 737 BISHOP ST SUITE 230 HONOLULU HI 96813 990268275 501(C)(3) 50000 PCHCH TECHNICAL ASSISTANCE PROGRAM HOPEFUL HEARTS AND GIVING HANDS (DBA HELPING HANDS) PO BOX 482 KAHUKU HI 96731 237365077 501(C)(3) 500 DONATION KALIHI PALAMA HEALTH CENTER 915 NORTH KING STREET HONOLULU HI 96819 990161221 501(C)(3) 128334 QUALITY PROGRAM GRANT KAUAI COMMUNITY HEALTH CENTER 4643 WAIMEA CANYON DR B WAIMEA HI 96796 990250042 501(C)(3) 19500 PAY FOR PERFORMANCE AND QUALITY PROGRAM GRANT KOKUA KALIHI VALLEY 2239 NORTH SCHOOL STREET KIHEI HI 96819 990149797 501(C)(3) 84538 PAY FOR PERFORMANCE AND QUALITY PROGRAM GRANT KOOLAULOA COMMUNITY HEALTH & WELLNESS CENTER PO BOX 395 KAHUKU HI 96731 731681833 501(C)(3) 48250 PAY FOR PERFORMANCE AND QUALITY PROGRAM GRANT LEGAL AID SOCIETY OF HAWAII 924 BETHEL STREET HONOLULU HI 96813 990076020 501(C)(3) 1500 SPONSORSHIP MOILILI COMMUNITY CENTER 2535 SOUTH KING STREET HONOLULU HI 96815 990073515 501(C)(3) 1000 FUNDRAISER MOLOKAI COMMUNITY HEALTH CENTER 28 KAMOI ST SUITE 600 KAUNAKAKAI HI 96748 510439659 501(C)(3) 50250 QUALITY PROGRAM GRANT QUEEN EMMA CLINIC PO BOX 30160 HONOLULU HI 968200160 990073524 501(C)(3) 52189 QUALITY PROGRAM GRANT UH FOUNDATION 2444 DOLE STREET HONOLULU HI 96822 990085260 501(C)(3) 2000 FACES OF NURSING-SPONSOR WAIANAE COAST COMPREHENSIVE HEALTH CENTER 86-260 FARRINGTON HWY WAIANAE HI 96792 990148164 501(C)(3) 197345 QUALITY PROGRAM GRANT WAIKIKI HEALTH CENTER 758 KAPAHULU AVE A-319 HONOLULU HI 96816 990159253 501(C)(3) 57000 QUALITY PROGRAM GRANT WAIMANALO HEALTH CENTER 41-1347 KALANIANAOLE HWY A WAIMANALO HI 96795 990273205 501(C)(3) 57000 QUALITY PROGRAM GRANT WCRC PO BOX 441 WAIANAE HI 96792 990350803 501(C)(3) 500 MA'O ORGANIC FARMS DONATION WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY SUITE 203 KAILUAKONA HI 96740 200495394 501(C)(3) 56457 QUALITY PROGRAM GRANT ASSOCIATION OF ASIAN PACIFIC COMMUNITY HEALTH ORGANIZATION 300 FRANK H OGAWA PLAZA 620 OAKLAND CA 94612 943050247 501(C)(3) 1500 SPONSORSHIP CHILDREN'S MIRACLE NETWORK PO BOX 31191 HONOLULU HI 968200160 990177350 501(C)(3) 20000 CHARITABLE DONATION 24 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, 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 222564 0 0 0 2399 0 9026 0 15540 0 249529 0 0 0 RICHARD BANNER 175031 0 2685 0 0 0 7249 0 12205 0 197170 0 0 0 CINDY NEELEY 180940 0 5342 0 10495 0 7848 0 5560 0 210185 0 0 0 PATRICK BRENNAN 147861 0 3752 0 10495 0 6572 0 12325 0 181005 0 0 0 VICTOR RODRIGUEZ 144438 0 3263 0 0 0 3092 0 8739 0 159532 0 0 0 PART I, LINE 1A DISCRETIONARY SPENDING IS APPROVED BY BOARD OF DIRECTORS AS DOCUMENTED IN THE EMPLOYMENT CONTRACT. PAUL STRAUSS BAY CLINIC CEO DIRECTOR OF ALOHACARE'S BOD GRANT & SERVICES RENDERED (EST. $2.4 MILLION) DANA ALONZO-HOWETH COMMUNITY CLINIC OF MAUI EXEC DIR DIRECTOR & PRESIDENT OF ALOHACARE'S BOD GRANT & SERVICES RENDERED (EST. $1.9 MILLION) SUSAN HUNT HAMAKUA HEALTH CENTER CEO DIRECTOR & PAST PRESIDENT OF ALOHACARE'S BOD GRANT & SERVICES RENDERED (EST. $460,000) EMMANUEL KINTU KALIHI PALAMA HEALTH CENTER EXEC DIR DIRECTOR & TREASURER OF ALOHACARE'S BOD GRANT & SERVICES RENDERED (EST. $2.7 MILLION) DAVID DERAUF KOKUA KALIHI VALLEY EXEC DIR DIRECTOR OF ALOHACARE'S BOD GRANT & SERVICES RENDERED (EST. $1.1 MILLION) RICH BETTINI WAIANAE COAST COMP HEALTH CENTER CEO DIRECTOR & VICE PRESIDENT OF ALOHACARE'S BOD GRANT & SERVICES RENDERED (EST. $6.5 MILLION) DESIREE PUHI MOLOKAI OHANA HEALTH CENTER EXEC DIR DIRECTOR OF ALOHACARE'S BOD GRANT & SERVICES RENDERED (EST. $680,000) MAY AKAMINE WAIMANALO HEALTH CENTER EXEC DIR DIRECTOR OF ALOHACARE'S BOD GRANT & SERVICES RENDERED (EST. $510,000) SHEILA BECKHAM WAIKIKI HEALTH CENTER EXEC DIR DIRECTOR OF ALOHACARE'S BOD GRANT & SERVICES RENDERED (EST. $780,000) JANET ONAPA QUEENS HEALTH SYSTEMS MED DIR DIRECTOR OF ALOHACARE'S BOD GRANT & SERVICES RENDERED (EST. $20 MILLION) BEN PETTUS KOOLAULOA CHC CEO DIRECTOR OF ALOHACARE'S BOD GRANT & SERVICES RENDERED (EST. $415,000) 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 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).