2024-05-16T20:59:54-05:00 2023-06-30 454462880 VERITY CPAS 1050 BISHOP ST 106 HONOLULU HI 96813 990 2022-07-01 990273205 WAIMANALO HEALTH CENTER WAIM 8089547110 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 JOSEPH ADRIANO CHIEF FINANCIAL OFFICER 8089547110 2024-05-16 1 JOSEPH ADRIANO 999009999 0 DUSTIN VERITY P01701078 8085465026 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z JOSEPH ADRIANO 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 17319328 0 X WWW.WAIMANALOHEALTH.ORG X 1989 HI WAIMANALO HEALTH CENTER IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF PRIMARY AND PREVENTIVE HEALTH SERVICES, WITH SPECIAL ATTENTION TO THE NEEDS OF NATIVE HAWAIIANS AND THE MEDICALLY UNDERSERVED, AND IMPROVING THE HEALTH AND WELLNESS OF INDIVIDUALS AND THEIR `OHANA REGARDLESS OF THEIR ABILITY TO PAY. 15 15 164 14 0 0 7316947 6081584 6619808 8582937 532 22145 1282417 1684722 15219704 16371388 0 6500 0 0 9080355 10341338 0 0 201104 3408578 3792833 12488933 14140671 2730771 2230717 19732141 26101046 1894378 5430148 17837763 20670898 X WAIMANALO HEALTH CENTER IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF PRIMARY AND PREVENTIVE HEALTH SERVICES, WITH SPECIAL ATTENTION TO THE NEEDS OF NATIVE HAWAIIANS AND THE MEDICALLY UNDERSERVED, AND IMPROVING THE HEALTH AND WELLNESS OF INDIVIDUALS AND THEIR `OHANA REGARDLESS OF THEIR ABILITY TO PAY. 0 0 5268142 9240639 MEDICAL SERVICES: WHC PROVIDES AFFORDABLE MEDICAL, BEHAVIORAL HEALTH, NUTRITION, VISION, AND PATIENT TRANSPORTATION SERVICES TO RESIDENTS OF WAIMANALO AND SURROUNDING COMMUNITIES. AS REPORTED TO HRSA ON WHC'S CALENDAR YEAR 2022 UDS REPORT FOR MEDICAL SERVICES, WHC SERVED 3788 UNDUPLICATED PATIENTS DURING 14,451 MEDICAL SERVICE PROVIDER VISITS. 1058652 PATIENT SUPPORT SERVICES: INCLUDES CARE MANAGEMENT, HEALTH EDUCATION, HEALTH PROMOTION, ELECTRONIC HEALTH RECORD INFORMATION TECHNOLOGY, QUALITY REPORTING, PATIENT PORTAL AND OTHER SERVICES TO SUPPORT PATIENT CENTERED CARE DELIVERY FOR MEDICAL AND DENTAL SERVICES. 1979777 1015719 DENTAL SERVICES: WHC PROVIDES AFFORDABLE DENTAL CARE TO RESIDENTS OF WAIMANALO AND SURROUNDING COMMUNITIES. AS REPORTED TO HRSA ON WHC'S CALENDAR YEAR 2022 UDS REPORT, WHC SERVED 1,919 UNDUPLICATED PATIENTS DURING 5,969 DENTAL PROVIDER VISITS. 1165958 6500 OTHER PROGRAM SERVICES: WHC HOSTS AND SUPPORTS COMMUNITY OUTREACH, ENABLING AND EDUCATION PROGRAMS. PROGRAMS INCLUDE: WOMEN, INFANTS, AND CHILDREN (WIC); ON-SITE ELIGIBILITY WORKERS TO ASSIST FAMILIES WITH BENEFIT PROGRAMS AND HEALTH INSURANCE ENROLLMENT; FAMILY PLANNING; NUTRITION AND HEALTH PROMOTIONS; KU I KA MANA STUDENT MENTORING PROGRAM (KIKM); KEIKI SMILES DENTAL OUTREACH TO THE SCHOOLS; CANCER SCREENING AND AWARENESS UNDER SUSAN G. KOMEN AND THE STATE BREAST AND CERVICAL CANCER PREVENTION PROGRAMS (BCCCP); OUTREACH TO PREVENT HOMELESSNESS; AND OTHERS.THESE PROGRAMS SUPPORTED A CASELOAD OF 1,600 PATIENTS RESULTING IN14,500 VISITS. 1165958 6500 9472529 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X 13 0 164 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 JOSEPH ADRIANO 8082597948 41-1347 KALANIANAOLE HWY WAIMANALO HI 96795 KATHY CONNER PRESIDENT 1.00 X 0 0 0 JOHN KEONI AYLETT VICE PRESIDENT 1.00 X 0 0 0 JUSTIN LAM SECOND VICE PRESIDENT 1.00 X 0 0 0 DEBORAH SMITH SECRETARY 1.00 X 0 0 0 JIM WOOD TREASURER 1.00 X 0 0 0 MAILELAULI'I AH SAM DIRECTOR 1.00 X 0 0 0 SHANNON ALIVADO DIRECTOR 1.00 X 0 0 0 RUSS AWAKUNI DIRECTOR 1.00 X 0 0 0 CLAUDIA DIAZ DIRECTOR 1.00 X 0 0 0 JEFF GILBREATH DIRECTOR 1.00 X 0 0 0 ANDREW JAMILA JR DIRECTOR 1.00 X 0 0 0 RENEE KAMA DIRECTOR 1.00 X 0 0 0 SANDRA MAENANI MCAULTON DIRECTOR 1.00 X 0 0 0 CATHERINE SATO DIRECTOR 1.00 X 0 0 0 JULIE MIJO DIRECTOR 1.00 X 0 0 0 BILL SPENCER DIRECTOR 1.00 X 0 0 0 KELSI TANAKA DIRECTOR 1.00 X 0 0 0 CHRISTINA LEE CHIEF MEDICAL OFFICER 40.00 X 261377 0 32554 MARY FRANCES ONEHA CHIEF EXCEUTIVE OFFICER 40.00 X 216127 0 19935 ANTHONY KIM DENTAL DIRECTOR 40.00 X 203694 0 33235 JOSEPH ADRIANO CHIEF FINANCIAL OFFICER 40.00 X 143796 0 13580 ROBERT SLIKE CHIEF INFORMATION OFFICER 40.00 X 128444 0 12792 PATRICIA SUTTON CHIEF OPERATIONS OFFICER 40.00 X 92615 0 5985 JOSHUA W EVANS ASSOCIATE MEDICAL DIRECTOR 40.00 X 200669 0 14749 ISIDRO P HERMOSURA DIRECTOR OF BEHAVIORAL HEALTH 40.00 X 136253 0 31177 BRETT HONDA DENTIST 40.00 X 154888 0 13058 LEIGH ZIEGLER CLINICAL OPERATIONS DIRECTOR 40.00 X 115263 0 29936 RYAN K HIRONAKA PROVIDER 40.00 X 118440 0 12332 1771566 0 219333 10 1 1 0 OHIO SHARED INFORMATION SYSTEMS PO BOX 772852 CHICAGO IL 606772852 COMPUTER SERVICES 397234 ERSKINE ARCHITECTS INC 540 LAGOON DRIVE SUITE 4 HONOLULU HI 96819 ARCHITECTS 192484 A-1 CALIBER CONSTRUCTION 51-090 KAMEHAMEHA HWY KAAWA HI 96730 CONSTRUCTION 151500 COVERALL NORTH AMERICA INC 438 HOBRON LANE PH 4 HONOLULU HI 96813 JANITORIAL 125013 ALLIED UNIVERSAL SECURITY PO BOX 31001-2374 PASADENA CA 911102374 SECURITY 125013 5 4169515 1912069 6081584 PATIENT SERVICE 621400 6896014 6896014 WRAP PAYMENT 621400 1567503 1567503 FAMILY MEDICINE 621400 119420 119420 8582937 22145 22145 2621361 947940 1673421 1673421 OTHER REVENUE 900099 9881 9881 INVESTMENT INCOME 900099 1420 1420 11301 16371388 10267659 0 22145 6500 6500 1164135 1001198 149956 12981 7120011 5288071 1685988 145952 141752 105280 33566 2906 893986 663968 211692 18326 1021454 758639 241876 20939 18750 4211 14539 54286 12192 42094 146291 32855 113436 643048 531081 111967 591819 305047 286772 48662 20321 28341 22020 9195 12825 1941 1603 338 880406 332962 547444 136307 3112 133195 PURCHASED SERVICES 908185 227748 680437 MISCELLANEOUS FEES 178423 122562 55861 DUES AND SUBSCRIPTIONS 73058 22049 51009 TELEPHONE 48076 14819 33257 41561 9116 32445 14140671 9472529 4467038 201104 1215490 7883416 1508070 278124 1173124 451009 482638 760519 66063 92419 201932 197837 22152206 7024623 15056753 15127583 28071 1019982 0 290157 19732141 26101046 905210 1025217 969414 4113655 19754 291276 1894378 5430148 X 17586674 20140020 251089 530878 17837763 20670898 19732141 26101046 2230717 27955 574463 0 X 0 0 1 1 0 X 8285786 5623259 5779183 7316947 6081584 33086759 8285786 5623259 5779183 7316947 6081584 33086759 33086759 5727 24949 7147 532 22145 60500 509 509 6302 4490 41361 5363 9881 67397 33215165 0.99610 0.97270 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18292200 4224436 14067764 3652801 2663424 989377 207205 136763 70442 15127583 OTHER LIABILITIES 117943 LEASE LIABILITIES 173333 291276 X PART X, LINE 2: U.S. GAAP REQUIRES UNCERTAIN TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT TO FAIL UPON REGULATORY EXAMINATION. MANAGEMENT EVALUATED THE CENTER'S TAX POSITIONS AS OF JUNE 30, 2023 AND 2022 AND FOR THE YEARS THEN ENDED, AND DETERMINED THAT THE CENTER HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH U.S. GAAP. THE CENTER IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY OPEN TAX PERIODS. 0 HAWAII COMMUNITY FOUNDATION 827 FORT STREET MALL HONOLULU HI 968132817 990261283 501(C)(3) 6500 0 TO PROVIDE AKINA SCHOLARSHIPS X X 0 0 0 0 0 0 0 0 0 CHRISTINA LEE CHIEF MEDICAL OFFICER 261377 0 0 0 0 0 0 0 32554 0 293931 0 0 0 ANTHONY KIM DENTAL DIRECTOR 203694 0 0 0 0 0 0 0 33235 0 236929 0 0 0 MARY FRANCES ONEHA CHIEF EXCEUTIVE OFFICER 216127 0 0 0 0 0 0 0 19935 0 236062 0 0 0 JOSHUA W EVANS ASSOCIATE MEDICAL DIRECTOR 200669 0 0 0 0 0 0 0 14749 0 215418 0 0 0 BRETT HONDA DENTIST 154888 0 0 0 0 0 0 0 13058 0 167946 0 0 0 ISIDRO P HERMOSURA DIRECTOR OF BEHAVIORAL HEALTH 136253 0 0 0 0 0 0 0 31177 0 167430 0 0 0 JOSEPH ADRIANO CHIEF FINANCIAL OFFICER 143796 0 0 0 0 0 0 0 13580 0 157376 0 0 0 LINE 2A THE ORGANIZATION HAS A CO-EMPLOYMENT ARRANGEMENT WITH ALTRES, WHO IS AN OUTSOURCED HR/PAYROLL PROVIDER AND THE EMPLOYER OF RECORD. THE ORGANIZATION IS THE WORKSITE EMPLOYER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS REVIEWED BY THE CEO AND CFO. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD PRIOR TO FILING AND WILL BE REVIEWED AT THE NEXT BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C ALL EMPLOYEES AND BOARD MEMBERS OF WHC ARE REQUIRED BY POLICY TO REPORT POTENTIAL OR ACTUAL CONFLICTS OF INTEREST. BOARD MEMBERS, MEMBERS OF THE LEADERSHIP TEAM, AND OTHER IDENTIFIED STAFF ARE REQUIRED TO COMPLETE A DISCLOSURE OF EXTERNAL RELATIONSHIPS QUESTIONNAIRE ANNUALLY. POTENTIAL OR ACTUAL CONFLICTS OF INTEREST ARE MONITORED BY AND REPORTED TO THE CHIEF PERFORMANCE AND COMPLIANCE OFFICER. BOARD MEMBERS WHO HAVE IDENTIFIED A CONFLICT OF INTEREST IN A PARTICULAR TRANSACTION OR SITUATION ARE TO REMOVE THEMSELVES FROM THE DELIBERATIONS AND DECISION-MAKING REGARDING THAT TRANSACTION OR SITUATION. EMPLOYEES WHO IDENTIFY A CONFLICT OF INTEREST WILL BE REMOVED FROM ANY LEVEL OF RESPONSIBILITY REGARDING THE TRANSACTION OR SITUATION. FAILURE TO COMPLY WITH THE POLICY OR TO DISCLOSE A POTENTIAL OR ACTUAL CONFLICT OF INTEREST WILL RESULT IN DISCIPLINARY ACTION UP TO AND INCLUDING TERMINATION OF EMPLOYMENT OR REMOVAL FROM THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 PERFORMANCE OF THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS. TO DETERMINE CHIEF EXECUTIVE OFFICER (CEO) COMPENSATION, THE BOARD RECRUITMENT COMMITTEE AND/OR THE BOARD PERSONNEL COMMITTEE REVIEWS DOCUMENTS THAT INCLUDE CEO SALARY HISTORY, COMPARISONS WITH INDUSTRY SALARY DATA (FROM SALARY.COM, NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS [NACHC], HAWAII PRIMARY CARE ASSOCIATION [HPCA], CHARITYNAVIGATOR.ORG, OTHER FEDERALLY QUALIFIED HEALTH CENTER [FQHC] CEOS/EDS, ETC.), AND ANNUAL PERFORMANCE REVIEWS. THE PROCEEDINGS OF THESE COMMITTEES ARE DOCUMENTED IN THE MINUTES OF THE BOARD OF DIRECTORS MEETINGS. THIS PROCESS WAS LAST UNDERTAKEN IN 2019. FOR TOP MANAGEMENT AND KEY STAFF, THE CEO DETERMINES SALARIES USING INDUSTRY COMPARISONS (FROM NACHC, HPCA, ETC.), AND ANNUAL WRITTEN PERFORMANCE REVIEWS BY SUPERVISORS, PEERS, AND DIRECT REPORT STAFF. WRITTEN PERFORMANCE REVIEWS ARE KEPT ON FILE AT WHC. PERFORMANCE REVIEWS ARE UNDERTAKEN TWICE PER YEAR (MAY AND NOVEMBER) FOR ELIGIBLE EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.