STRATEGY STUDIO / PUBLIC DATA EXPLORER

WAHIAWA CENTER FOR COMMUNITY HEALTH: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
WAHIAWA CENTER FOR COMMUNITY HEALTH (EIN 45-5114944)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-12
IRS object ID
202403179349306335
Schema version
2023v5.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2024-11-12T14:08:31-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN464016990PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1THE PUN GROUP LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 E SANDPOINTE AVENUE SUITE 600AddressLine1Txt
CitySANTA ANACityNm
State AbbreviationCAStateAbbreviationCd
ZIP92707ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN455114944EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE WAHIAWA CENTER FOR COMMUNITY HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlWAHIBusinessNameControlTxt
Phone8086221618PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 860339AddressLine1Txt
CityWAHIAWACityNm
State AbbreviationHIStateAbbreviationCd
ZIP96786ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBEVERLY HARBINPersonNm
Person TitleCEOPersonTitleTxt
Phone8086221618PhoneNum
Signature2024-11-12SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKENNETH H PUNPreparerPersonNm
PTINP01443751PTIN
Phone9497778800PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBEVERLY HARBINPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 860339AddressLine1Txt
CityWAHIAWACityNm
State AbbreviationHIStateAbbreviationCd
ZIP96786ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$9,435,242GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.WAHIAWAHEALTH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2012FormationYr
Legal Domicile StateHILegalDomicileStateCd
Activity Or MissionIN THE SPIRIT OF ALOHA AND COMPASSION, WAHIAWA HEALTH PROVIDES ACCESS TO AFFORDABLE, QUALITY HEALTH CARE AND WELLNESS SERVICES TO PRMOTE A HEALTHY COMMUNITY.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent5VotingMembersIndependentCnt
Total Employee85TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,735,798PYContributionsGrantsAmt
CY Contributions Grants$1,325,686CYContributionsGrantsAmt
PY Program Service Revenue$7,089,087PYProgramServiceRevenueAmt
CY Program Service Revenue$8,109,530CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$26CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$8,824,885PYTotalRevenueAmt
CY Total Revenue$9,435,242CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$5,507,084PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$5,332,529CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$3,349,873PYOtherExpensesAmt
CY Other Expenses$4,181,613CYOtherExpensesAmt
PY Total Expenses$8,856,957PYTotalExpensesAmt
CY Total Expenses$9,514,142CYTotalExpensesAmt
PY Revenues Less Expenses-$32,072PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$78,900CYRevenuesLessExpensesAmt
Total Assets BOY$4,579,752TotalAssetsBOYAmt
Total Assets EOY$4,849,244TotalAssetsEOYAmt
Total Liabilities BOY$6,628,694TotalLiabilitiesBOYAmt
Total Liabilities EOY$6,977,086TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,048,942NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$2,127,842NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionIN THE SPIRIT OF ALOHA AND COMPASSION, WAHIAWA HEALTH PROVIDES ACCESS TO AFFORDABLE, QUALITY HEALTH CARE AND WELLNESS SERVICES TO PRMOTE A HEALTHY COMMUNITY.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$82,627ExpenseAmt
Revenue$61,200RevenueAmt
DescWAHIAWA HEALTH PROVIDES COMPREHENSIVE FAMILY PLANNING HEALTH SERVICES TO TITLE X CLIENTS OF REPRODUCTIVE AGE IN A MANNER THAT IS CLIENT-CENTERED, CULTURALLY AND LINGUISTICALLY APPROPRIATE, INCLUSIVE, AND TRAUMA- INFORMED; PROTECTS THE DIGNITY OF THE INDIVIDUAL; AND ENSURES EQUITABLE AND QUALITY SERVICE DELIVERY CONSISTENT WITH NATIONALLY RECOGNIZED STANDARDS OF CARE. THIS ALSO INCLUDES FAMILY PLANNING EDUCATION AND MEDICAL SERVICES.WAHIAWA HEALTH ALSO ASSISTS FAMILY PLANNING CLIENTS TO TAKE STEPS TOWARD BECOMING FULLY HEALTHY INDIVIDUALS BY INITIATING REPRODUCTIVE LIFE PLANNING DISCUSSIONS AND PROVIDE PRECONCEPTION/INTER-CONCEPTION CARE AND REPRODUCTIVE LIFE PLANNING/FAMILY PLANNING SERVICES TO TITLE X COMPREHENSIVE EXAM PATIENTS. THEY PROVIDE FAMILY PLANNING EDUCATION AND MEDICAL SERVICES TO HIGH-RISK, HARD-TO REACH POPULATIONS, INCLUDING ADOLESCENTS AS WELL AS COMPREHENSIVE CLINICAL AND ADOLESCENT-SPECIFIC COUNSELING SERVICES TO ALL ADOLESCENT CLIENTS SEEKING FAMILY PLANNING SERVICES.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$17,264ExpenseAmt
Revenue$305,704RevenueAmt
DescQUIT TOBACCO PROGRAM INCLUDES ANY TYPE OF TOBACCO PRODUCT SUCH AS VAPES, E-CIGS, CHEW TOBACCO OR CIGARETTES. THE PROGRAM IS OPEN TO ALL ADULT WAHIAWA HEALTH PATIENTS.DURING EVERY PROVIDER VISIT, PATIENTS ARE SCREENED FOR TOBACCO USE. IF APPROPRIATE, A TTS REFERRAL IS ORDERED BY THE PROVIDER. PATIENTS WORK COLLABORATIVELY WITH THE TTS AND PROVIDER TO DETERMINE THE MOST APPROPRIATE AND PERSONALIZED QUIT PLAN.IN-PERSON OR TELEHEALTH VISITS WITH THE PATIENT ARE SET UP WITH THE TTS TO PROVIDE ENCOURAGEMENT AND SUPPORT ALONG THE WAY.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$9,550ExpenseAmt
Revenue$36,561RevenueAmt
DescSCHOOL BASED HEALTH IS PROVIDED THROUGH SCHOOL AND COMMUNITY HEALTH PARTNERSHIPS IN COLLABORATION WITH SCHOOL ADMINISTRATION AND HEALTH SERVICES STAFF. THE CENTER FOR DISEASE CONTROL (CDC) AND THE CDC COMMUNITY PREVENTIVE TASK FORCE RECOMMEND SCHOOL-BASED HEALTH CENTERS AS AN EVIDENCE-BASED MODEL THAT IMPROVES EDUCATIONAL AND HEALTH OUTCOMES. WAHIAWA HEALTH HAS PARTNERED WITH LEILEHUA/MILILANI/WAIALUA SCHOOL COMPLEX ADMINISTRATORS, PRINCIPALS, AND HAWAII KEIKI NURSES.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$6,379,932ExpenseAmt
Revenue$7,706,065RevenueAmt
DescEXPENSES RELATED TO RUNNING THE CLINIC FROM MEDICARE, MEDICAID, PRIVATE INSURANCE AND SELF-PAY REVENUES.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$6,379,932TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$7,706,065TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$6,489,373TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee85EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member5IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldHIStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1THE WAHIAWA CENTER FOR COMMUNITYBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone8086221618PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 860339AddressLine1Txt
CityWAHIAWACityNm
State AbbreviationHIStateAbbreviationCd
ZIP96786ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JAY RAYMUNDO
PRESIDENT0.00Yes (X)Yes (X)$0$0$0
SCOTT HARADA
VICE-PRESIDENT0.00Yes (X)Yes (X)$0$0$0
SUSIE WENDLAND-GARDNER
SECRETARY0.00Yes (X)Yes (X)$0$0$0
RENA THURMAN
TREASURER0.00Yes (X)Yes (X)$0$0$0
VELMA ALOHA KEKIPI
DIRECTOR0.00Yes (X)$0$0$0
KEITH YABUSAKI
DIRECTOR0.00Yes (X)$0$0$0
RUSSELL TAIRA
DIRECTOR0.00Yes (X)$0$0$0
EDWARD MAFNAS
DIRECTOR0.00Yes (X)$0$0$0
CHRISTINA SHIOI
DIRECTOR0.00Yes (X)$0$0$0
BEVERLY HARBIN
CHIEF EXECUTIVE OFFICER40.00Yes (X)$199,894$0$30,438
WILLIAM BERG
CHIEF MEDICAL OFFICER40.00Yes (X)$184,038$0$3,514
KUUPUA AKANA
CHIEF OPERATING OFFICER40.00Yes (X)$223,434$0$8,361
DENISE PRONESTI
CHIEF COMPLIANCE AND RISK40.00Yes (X)$136,896$0$0
MARKO M VASIC
PROVIDER40.00$341,705$0$28,374Yes (X)
AMY W JENKINS
PROVIDER40.00$205,000$0$11,714Yes (X)
TAKANE GIANI ALAIN K
GERIATRICIAN/PHYSICIAN40.00$218,308$0$5,968Yes (X)
TAFUNA SIONE M
DIRECTOR40.00$150,908$0$13,253Yes (X)
KUULEIKUPONOOKEALOHA NAAHIELUA
NURSE PRATITIONER40.00$180,000$0$4,072Yes (X)
RACHEL L RANDALL
PHARMACIST40.00$141,948$0$22,167Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,982,131TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$127,861TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
AMERISOURCEBERGEN DRUG CORP
1 WEST FIRST AVENUECONSHOHOCKENPA19428PHARMACEUTICAL DISTRIBUTION SOLUTIONS$1,169,172
ATHENAHEALTH
80 GUEST STREETBOSTONMA02135HEALTHCARE TECHNOLOGY SERVICES$306,116
COMMUNITY LINK CONSULTING
PO BOX 276NEWMAN LAKEWA99025ACCOUNTING SERVICES: CFO AND CONTROLLER$281,689
KAPI'OLANI MEDICAL SPECIALISTS
55 MERCHANT STRETHONOLULUHI96813CONTRACTED MEDICAL PERSONNEL$236,141
FIRST INSURANCE FUNDING CORPORATION
450 SKOKIE BLVD SUITE 1000NORTHBROOKIL60062BILLING & PAYMENT SOLUTIONS$154,922
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Government Grants$893,931GovernmentGrantsAmt
All Other Contributions$431,755AllOtherContributionsAmt
Total Contributions$1,325,686TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT FEES & INSURAN621110$8,005,372$8,005,372
INCENTIVE PROGRAMS621110$102,936$102,936
SETTLEMENTS AND OTHER621110$1,222$1,222
FieldValueIRS element (for citing)
Total Program Service Revenue$8,109,530TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$26TotalRevenueColumnAmt
Exclusion$26ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$9,435,242TotalRevenueColumnAmt
Related Or Exempt Func Income$8,109,530RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$26ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,597,644TotalAmt
Program Services$811,069ProgramServicesAmt
Management And General$786,575ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,051,830TotalAmt
Program Services$2,805,260ProgramServicesAmt
Management And General$246,570ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$283,040TotalAmt
Program Services$235,937ProgramServicesAmt
Management And General$47,103ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$400,015TotalAmt
Program Services$314,248ProgramServicesAmt
Management And General$85,767ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$34,845TotalAmt
Management And General$34,845ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$227,935TotalAmt
Management And General$227,935ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$1,022,074TotalAmt
Program Services$429,777ProgramServicesAmt
Management And General$592,297ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$27,836TotalAmt
Program Services$12,958ProgramServicesAmt
Management And General$14,878ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$14,189TotalAmt
Program Services$5,703ProgramServicesAmt
Management And General$8,486ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$282,447TotalAmt
Program Services$57,872ProgramServicesAmt
Management And General$224,575ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$113,241TotalAmt
Program Services$97,329ProgramServicesAmt
Management And General$15,912ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$29,946TotalAmt
Program Services$6,769ProgramServicesAmt
Management And General$23,177ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$4,147TotalAmt
Management And General$4,147ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$136,322TotalAmt
Program Services$2,634ProgramServicesAmt
Management And General$133,688ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$209,455TotalAmt
Management And General$209,455ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$217,221TotalAmt
Program Services$32,739ProgramServicesAmt
Management And General$184,482ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DRUG COST - IN-HOUSE PH$1,104,856$1,104,856
340B DRUG REPLENISHMENT$253,527$244,551$8,976
CONDO FEES & MAINTENANC$181,358$163,030$18,328
JANITORIAL EXPENSE$55,054$55,054

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$267,160TotalAmt
Program Services$164,641ProgramServicesAmt
Management And General$102,519ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$9,514,142TotalAmt
Program Services$6,489,373ProgramServicesAmt
Management And General$3,024,769ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$151,317BOYAmt
EOY$198,181EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$186,521BOYAmt
EOY$97,125EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$506,244BOYAmt
EOY$887,742EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$382,435BOYAmt
EOY$430,845EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$64,863BOYAmt
EOY$130,576EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$40,892BOYAmt
EOY$44,082EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,222,076LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,219,377LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,189,486BOYAmt
EOY$3,002,699EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$57,994BOYAmt
EOY$57,994EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$4,579,752BOYAmt
EOY$4,849,244EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$809,414BOYAmt
EOY$992,449EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$777,193BOYAmt
EOY$1,057,541EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,042,087BOYAmt
EOY$4,927,096EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,628,694BOYAmt
EOY$6,977,086EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,048,942BOYAmt
EOY-$2,127,842EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,048,942BOYAmt
EOY-$2,127,842EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,579,752BOYAmt
EOY$4,849,244EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$78,900ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit Performed0FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,930,942CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,178,677CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,735,798CurrentTaxYearMinus1YearAmt
Current Tax Year$1,325,686CurrentTaxYearAmt
Total$7,171,103TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years$1,930,942CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$2,178,677CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,735,798CurrentTaxYearMinus1YearAmt
Current Tax Year$1,325,686CurrentTaxYearAmt
Total$7,171,103TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$7,171,103PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year$26CurrentTaxYearAmt
Total$26TotalAmt
FieldValueIRS element (for citing)
Total Support$7,171,129TotalSupportAmt
Gross Receipts Rltd Activities$8,109,530GrossReceiptsRltdActivitiesAmt
Public Support CY1701.00000PublicSupportCY170Pct
Public Support PY1701.00000PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,302,256OtherCostOrOtherBasisAmt
Book Value$1,302,256BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,398,505OtherCostOrOtherBasisAmt
Depreciation$875,085DepreciationAmt
Book Value$1,523,420BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$521,315OtherCostOrOtherBasisAmt
Depreciation$344,292DepreciationAmt
Book Value$177,023BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$3,002,699TotalBookValueLandBuildingsAmt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MARKO M VASIC
PROVIDER$341,705$0$0$0$0$0$22,500$0$5,874$0$370,079$0$0$0
KUUPUA AKANA
CHIEF OPERATING OFFICER$223,434$0$0$0$0$0$2,031$0$6,330$0$231,795$0$0$0
BEVERLY HARBIN
CHIEF EXECUTIVE OFFICER$199,894$0$0$0$0$0$30,000$0$438$0$230,332$0$0$0
TAKANE GIANI ALAIN K
GERIATRICIAN/PHYSICIAN$218,308$0$0$0$0$0$0$0$5,968$0$224,276$0$0$0
AMY W JENKINS
PROVIDER$205,000$0$0$0$0$0$5,677$0$6,037$0$216,714$0$0$0
WILLIAM BERG
CHIEF MEDICAL OFFICER$184,038$0$0$0$0$0$3,514$0$0$0$187,552$0$0$0
KUULEIKUPONOOKEALOHA NAAHIELUA
NURSE PRATITIONER$180,000$0$0$0$0$0$1,080$0$2,992$0$184,072$0$0$0
TAFUNA SIONE M
DIRECTOR$150,908$0$0$0$0$0$6,487$0$6,766$0$164,161$0$0$0
RACHEL L RANDALL
PHARMACIST$141,948$0$0$0$0$0$18,000$0$4,167$0$164,115$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION B, LINE 11BTHE TAX RETURNS OF WAHIAWA HEALTH WILL BE REVIEWED AND APPROVED BY THE EXECUTIVE DIRECTOR PRIOR TO FILING. A COPY WILL BE DISTRIBUTED TO THE BOARD AFTER THE RETURN IS FILED.
FORM 990, PART VI, SECTION B, LINE 12CTHERE IS A WRITTEN CONFLICT OF INTEREST POLICY ADOPTED AND ENFORCED BY THE BOARD OF DIRECTORS, INCLUDING ANNUAL DISCLOSURE STATEMENTS.
FORM 990, PART VI, SECTION B, LINE 15FORM 990, PART VI LINE 15A - COMPENSATION PROCESS FOR OFFICERS ALL POSITIONS ARE PRICED WITH REGARD TO CURRENT SALARY/WAGE SURVEYS AND AFTER A COMPETITIVE JOB OPPORTUNITY POSTING. WAHIAWA HEALTH'S GOAL IS TO PRICE POSITIONS BETWEEN THE 50TH AND 75TH PERCENTILE OF THE MOST RELEVANT SALARY SURVEY. THE PURPOSE OF THIS PRICING GOAL IS SUCCESSFUL RECRUITMENT AND RETENTION OF EMPLOYEES. THE SALARY OF THE EXECUTIVE DIRECTOR IS ESTABLISHED BY THE BOARD OF DIRECTORS IN ARMS LENGTH NEGOTIATION, AFTER REVIEW OF RELEVANT MARKET AND PRICING INFORMATION. FORM 990, PART VI LINE 15B - COMPENSATION PROCESS FOR OFFICERS ALL POSITIONS ARE PRICED WITH REGARD TO CURRENT SALARY/WAGE SURVEYS AND AFTER A COMPETITIVE JOB OPPORTUNITY POSTING. WAHIAWA HEALTH'S GOAL IS TO PRICE POSITIONS BETWEEN THE 50TH AND 75TH PERCENTILE OF THE MOST RELEVANT SALARY SURVEY. THE PURPOSE OF THIS PRICING GOAL IS SUCCESSFUL RECRUITMENT AND RETENTION OF EMPLOYEES. THE SALARY OR WAGES OF ALL OTHER MANAGEMENT AND KEY POSITIONS ARE SET BY THE EXECUTIVE DIRECTOR AFTER ARMS LENGTH NEGOTIATION AND AFTER REVIEW OF RELEVANT MARKET AND PRICING INFORMATION.
FORM 990, PART VI, SECTION C, LINE 19GOVERNING DOCUMENTS DISCLOSURE EXPLANATION GOVERNING DOCUMENTS, INCLUDING THE FORM 990, ARE AVAILABLE UPON REQUEST.
FORM 990, PART IX, LINE 11GPAYROLL PROCESSING EXPENSE: PROGRAM SERVICE EXPENSES 1,569. MANAGEMENT AND GENERAL EXPENSES 70,727. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,296. ELECTRONIC HEALTH RECORDS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 331,467. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 331,467. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 414,012. MANAGEMENT AND GENERAL EXPENSES 170,426. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 584,438. PATIENT AND PROGRAM COSTS: PROGRAM SERVICE EXPENSES 13,364. MANAGEMENT AND GENERAL EXPENSES 7,670. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,034. RECRUITING AND RETENTION: PROGRAM SERVICE EXPENSES 832. MANAGEMENT AND GENERAL EXPENSES 12,007. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,839.
FORM 990, PART XII, LINE 3B:THE WAHIAWA CENTER FOR COMMUNITY HEALTH IS IN THE PROCESS OF PREPARING THE FOR THE AUDIT OF FINANCIAL STATEMENTS. AUDIT WAS BEING PLANNED TO START WHEN THE EXEMPT ORGANIZATION TAX RETURN WAS PREPARED.