2023-05-13T00:30:17-05:00 2022-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2021-07-01 990161221 KALIHI-PALAMA HEALTH CENTER (HALE HO'OLA HOU) KALI 8088458578 915 NORTH KING STREET HONOLULU HI 96817 DIANA CARRIS CFO 8088458578 2023-05-12 1 DIANA CARRIS 999009999 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2023-05-12 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z DIANA CARRIS 915 NORTH KING STREET HONOLULU HI 96817 36062231 0 X WWW.KPHC.ORG X 1975 HI TO PROVIDE NEEDED PREVENTIVE AND PRIMARY CARE, ADVOCATE FOR THOSE IN NEED, AND EDUCATE - FROM THE INDIVIDUAL PATIENTS & GROUPS IN THE COMMUNITY TO AGENCIES & COMMUNITY LEADERS. 11 11 321 15 0 0 15194380 15781436 18683580 19789358 29703 14122 401580 477315 34309243 36062231 2921468 2836958 0 0 19011412 19831724 0 0 0 10918209 11237115 32851089 33905797 1458154 2156434 27219735 26158933 9666132 6474808 17553603 19684125 X TO PROVIDE QUALITY, INTEGRATED HEALTH AND SOCIAL SERVICES TO OUR COMMUNITY AND ALL OTHERS IN NEED OF HEALTH CARE. 0 0 17788759 15576704 GENERAL MEDICAL SERVICES INCLUDING PHYSICAL EXAMS, IMMUNIZATIONS, PRENATAL CARE, AND CONTINUED HEALTH CARE THROUGH THE DIAGNOSIS AND TREATMENT OF ACUTE ILLNESSES AND DISEASES. WE PROVIDE PRIMARY CARE SERVICES FOR PEOPLE WITH A WIDE VARIETY OF ADULT HEALTH PROBLEMS. WE DO SCREENING EVALUATIONS FOR COMMON CONDITIONS IN PEOPLE WHO DO NOT HAVE ANY SYMPTOMS. WE DIAGNOSE MEDICAL CONDITIONS AND COORDINATE EVALUATION AND TREATMENT. WE HELP PATIENTS MANAGE CHRONIC MEDICAL CONDITIONS LIKE DIABETES, HYPERTENSION, HEART DISEASE, LUNG DISEASE AND HIGH CHOLESTEROL. 5205918 2836958 HEALTHCARE FOR THE HOMELESS PROJECT PROVIDES ACCESSIBLE, QUALITY CARE FOR INDIVIUALS AND FAMILIES WHO ARE HOMELESS THROUGH INTEGRATED MEDICAL, MENTAL HEALTH, OUTREACH, AND SOCIAL SERVICES. HEALTHCARE SERVICES INCLUDING PRIMARY MEDICAL CARE, MENTAL HEALTH, SUBSTANCE ABUSE, AND SOCIAL SERVICES REFERRAL. THE GOAL OF THE PROGRAM IS TO REACH AND CARE FOR INDIVIDUALS MOST IN NEED OF HELP WHO ARE LEAST LIKELY TO RECEIVE SERVICES IN OTHER SETTINGS. WE PROVIDE ACCESS TO PROFESSIONAL AND INTEGRATED MEDICAL, MENTAL HEALTH, AND SOCIAL SERVICES. WE ACHIEVE OUR MISSION THROUGH COST-EFFECTIVE DIRECT SERVICES, PREVENTION, ADVOCACY, RESEARCH, AND BY ENHANCING THE EDUCATION OF PROFESSIONAL CARE PROVIDERS, POLICY MAKERS, AND THE GENERAL PUBLIC. OUR APPROACH TO HEALTH CARE IS TEAM-ORIENTED, CLIENT DRIVEN, RESPECTFUL, CREATIVE, KIND, AND NON-JUDGEMENTAL. CLINICS:OHANA PROJECT (OAHU HEALTH ACCESS AND NETWORK ASSOCIATION): THE OHANA PROJECT PROVIDES INREACH TO QUEEN'S MEDICAL CENTER IN DOWNTOWN HONOLULU. OHANA WORKS WITH INDIVIDUALS WHO ARE IN THE HOSPITAL AND WILL BE RELEASED WITH NO HOUSING. OHANA PROVIDES FOLLOW-UP CARE AFTER A PERSON IS DISCHARGED FROM THE HOSPITAL. CASE MANAGEMENT AND REFERRALS ARE ALL PROVIDED AT THE OHANA PROJECT LOCATED IN KALIHI VALLEY. KA'A'AHI STREET CLINIC: LOCATED AT THE INSTITUTE FOR HUMAN SERVICES, WOMENS AND FAMILIES HOMELESS SHELTER: THE KA'A'AHI STREET CLINIC PROVIDES AN ARRAY OF SERVIES INCLUDING PSYCHIATRIC CARE, FIRST AID, ACUTE MEDICAL CARE, TB SCREENING, INFECTION CONTROL, CASE MANAGEMENT, FOLLOW-UP AND REFERRAL SERVICES.KOHOU STREET CLINIC: THE KOHOU STREET CLINIC IS THE HOMECASE FOR THE PATH OUTREACH WORKERS, ALONG WITH HPHA FUNDED OUTREACH WORKERS, THE COMMUNITY BASED CASE MANAGEMENT TEAM (CBCM) AND THE ADMINISTRATIVE STAFF OF HEALTH CARE FOR THE HOMELESS PROJECT. MONDAY THROUGH FRIDAY, CLIENTS CAN GO TO THE KOHOU CLINIC FOR CASE MANAGEMENT SERVICES, PSYCHIATRIC SERVICES AND REPRESENTATIVE PAYEE SERVICES. 4248241 2939549 DENTAL HEALTH SERVICES INCLUDING EXAMS, CLEANINGS AND ALL STANDARD FAMILY DENTAL SERVICES. OUR DENTISTS AND DENTAL STAFF PROVIDE QUALITY, INTEGRATED, FAMILY DENTAL CARE FOR THE COMMUNITY AND ALL OTHERS IN NEED OF DENTAL CARE. OUR FOCUS IS ON PREVENTIVE AND PRIMARY DENTAL CARE, PROVIDED IN A RESPECTFUL, CARING AND CULTURALLY SENSITIVE ENVIRONMENT. 2270120 1750420 OTHER PROGRAM SERVICE ACTIVITIES: BEHAVORIAL HEALTH, WOMEN, INFANTS, AND CHILDREN'S NUTRITION PROGRAM, HEALTH EDUCATION, OPTOMETRY SERVICES. BEHAVIORAL HEALTH:THE GOAL OF THE BEHAVIORAL HEALTH PROGRAM IS TO PROVIDE QUALITY HOLISTIC BEHAVORIAL HEALTH SERVICES TO THE PATIENTS OF KALIHI-PALAMA HEALTH CENTER. KALIHI-PALAMA HEALTH CENTER IS CURRENTLY WORKING ON INTEGRATING ITS BEHAVIORAL HEALTH AND PRIMARY CARE SERVICES, AND ALLOWING INSTANT ACCESS TO BEHAVIORAL HEALTH SERVICES. FROM SIMPLE CHANGES SUCH AS DIATING FOR DIABETES TO DEPRESSION THE STAFF WILL ASSIST YOU. WOMEN'S HEALTH - PRENATAL CARE AND DELIVERY SERVICES - MIDWIFERY CARE- GYNECOLOGICAL SERVICES - FAMILY PLANNING COUNSELING AND EXAMS - FAMILY PLANNING METHODS - PREGNANCY COUNSELING AND TESTING - EMERGENCY CONTRACEPTION - ANNUAL EXAMS, INCLUDING PAP AND BREAST SCREENING - STD TESTING AND TREATMENT - REFERRALS FOR MAMMOGRAPHY AND ULTRASONOGRAPHY - OTHER PERINATAL AND GYNECOLOGICAL SERVICES - HEALTH EDUCATION - FAMILY PLANNING - CHILDBIRTH PREPARATION AND EDUCATION - STD/HIV COUNSELING AND EDUCATION - OUTREACH EDUCATION - LAMAZE CLASSES. WOMEN, INFANTS, AND CHILDREN'S NUTRITION PROGRAM (WIC) IS A FREE HEALTH AND FOOD PROGRAM FOR WOMEN, INFANTS, AND CHILDREN. WIC STAFF GIVE ADVICE ON HOW TO EAT WELL, STAY HEALTHY, AND PROVIDE FOOD COUPONS. HEALTH PROFESSIONS EDUCATION: THE KALIHI-PALAMA COMMUNITY HEALTH SEMINAR IS A UH SERVICE-LEARNING COURSE TAUGHT ON SITE AT KPHC IN WHICH HEALTH PROFESSIONS STUDENTS PROVIDE HEALTH EDUCATION TO CHILDREN AND PARENTS AT LIKELIKE AND KAIULANI ELEMENTARY SCHOOLS. FARRINGTON HIGH SCHOOL, HEALTH ACADEMY STUDENTS AND UH COLLEGE STUDENTS PLACED AT KPHC FOR TRAINING AND MENTORING. CLINICAL TRAINING AND INTERNSHIPS FOR HEALTH PROFESSIONS STUDENTS IN MEDICINE, BURSING, PUBLIC HEALTH, SOCIAL WORK, AND OTHER HEALTH FIELDS. PATIENT EDUCATION:SMOKING CESSATION COUNSELING FOR PREGNANT WOMEN AND NEW PARENTS - DIABETES CLINIC - CARDIOVASCULAR DISEASE CASE MANAGEMENT AND OUTREACH - FAMILY PLANNING, PRE-NATAL COUNSELING AND CLASSES, HIV/AIDS TEST AND COUNSELINGOPTOMETRY:WE PROVIDE COMPREHENSIVE EYE EXAMINATION, TREATMENT AND MANAGEMENT OF OCULAR DISEASE, PRE AND POST OPERATIVE CO-MANAGEMENT, FITTING AND DISPENSING OF CONTACT LENSES AND GLASSES. SOME OF THE SPECIALTY EYEWEAR THAT IS AVAILABLE - SPORT GOGGLES - SWIMMING GOGGLES - NO-LINE BIFOCAL - COMPUTER GLASSES. SPECIALTY CONTACT LENS LIKE BIFOCAL AND COLORED LENSES ARE ALSO AVAILABLE. 2270120 1750420 29513038 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 102 0 1 321 1 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 0 0 HI X DIANA CARRIS 8088437238 915 NORTH KING STREET HONOLULU HI 96817 CHRISTOPHER PATING DIRECTOR 1.00 X 0 0 0 CLIFFORD CHANG DIRECTOR 1.00 X 0 0 0 DOUGLAS WOOTEN DIRECTOR 1.00 X 0 0 0 LOUISE LI SECRETARY 1.00 X X 0 0 0 MATTLIE DAVIS DIRECTOR 1.00 X 0 0 0 PETER HANASHIRO TREASURER 1.00 X X 0 0 0 RICHARD KEENE DIRECTOR 1.00 X 0 0 0 ROSEMARIE V MENDOZA DIRECTOR 1.00 X 0 0 0 RUSSELL KAUPU VICE PRESIDENT 1.00 X X 0 0 0 TANYA SUAPAIA DIRECTOR 1.00 X 0 0 0 VERNON Y NAKAMURA PRESIDENT 1.00 X X 0 0 0 EMMANUEL KINTU EXECUTIVE DIRECTOR 40.00 X 304412 0 26596 LIANE SUGIMOTO CFO 40.00 X 225144 0 14242 DARRIN SATO COO 40.00 X 174027 0 16806 KEITH LARSON DENTAL DIRECTOR 40.00 X 194335 0 24393 BEATRICE LOO DENTIST 40.00 X 163968 0 4919 GLENN REDIGER PHYSICAN 40.00 X 196998 0 15951 JENNIFER TAN HEAHLKE DENTIST 40.00 X 181626 0 5449 MARIVIC RAYMUNDO PHYSICAN 40.00 X 208185 0 3180 MICHAEL WALTER PHYSICAN 40.00 X 174771 0 34159 1823466 0 145695 36 0 1 0 COVERALL NORTH AMERICA INC 2955 MOMENTUM PLACE CHICAGO IL 60689 HOUSEKEEPING 415755 UNIVERSITY CLINICAL EDUCATION & RESEARCH PO BOX 31000 HONOLULU HI 96849 STAFFING SERVICES 389421 PHOENIX SECURITY HAWAII 286 KALIHI ST HONOLULU HI 96819 SECURITY SERVICE 342107 COMPHEALTH PO BOX 972651 DALLAS TX 75397 STAFFING SERVICES 193251 ALTRES STAFFING INC PO BOX 1410 HONOLULU HI 96807 STAFFING SERVICES 187459 11 2052512 13670484 58440 914836 15781436 MEDICAID 624100 13151369 13151369 340B PHARMACY REVENUE 624100 2551655 2551655 OTHER THIRD PARTY PAYORS 624100 2250166 2250166 RISK POOL/CAPTITATION REVENUE 624100 1270433 1270433 MEDICARE 624100 299838 299838 265897 265897 19789358 14122 14122 INSURANCE INCENTIVES 900099 366950 366950 MEDICAL RECORD FEE 900099 6210 6210 104155 104155 477315 36062231 20266673 0 14122 2836958 2836958 992177 230898 761279 15421947 14513552 908395 385449 351943 33506 1714597 1504030 210567 1317554 1141868 175686 15245 15245 2430889 1321687 1109202 120586 17309 103277 678955 440975 237980 1333177 1119059 214118 51847 31311 20536 76826 20979 55847 130152 130152 1360156 1321744 38412 95636 70291 25345 MEDICAL & PROGRAM SUPPL 3091405 3084586 6819 REPAIRS & MAINTENANCE 1252303 958147 294156 SECURITY 410187 363393 46794 DUES & SUBSCRIPTIONS 122245 54156 68089 67506 67506 33905797 29513038 4392759 0 4003907 4350661 712865 595634 4030945 3827244 1229572 1215148 52973 88759 434128 498090 26290551 11177436 16245398 15113115 106504 92945 403443 377337 27219735 26158933 3572743 3284026 93771 305926 3010518 2884856 2989100 0 9666132 6474808 X 17553603 19684125 17553603 19684125 27219735 26158933 2156434 -25912 0 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 360000 360000 21672842 8709949 12962893 4203843 2467487 1736356 53866 53866 15113115 X 36036319 -25912 -25912 36062231 0 36062231 33905797 0 33905797 0 33905797 PART X, LINE 2: MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE ORGANIZATION AND HAS CONCLUDED THAT, AS OF JUNE 30, 2022 AND 2021, THERE ARE NO UNCERTAIN TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY (OR ASSET) OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2019 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. 1 CLIENT OUTREACH ASSISTANCE AND EMERGENCY 345 2836958 PART I, LINE 2: GRANT MONITORING PROCEDURES: THE MONEY IS A PASS THROUGH FOR OUR HEALTHCARE FOR THE HOMELESS PROJECTS. THE ASSISTANCE GIVEN IS IN ACCORDANCE WITH THE AGREEMENT FOR THE PROGRAM FROM THE CITY AND COUNTY OF HONOLULU DEPARTMENT OF COMMUNITY SERVICES. COMPLIANCE WITH THE AGREEMENT IS MAINTAINED THROUGH PROPER RECORDKEEPING AND REPORTING, WHICH IS ALSO REQUIRED BY AGREEMENT WITH THE CITY & COUNTY. X X X X 0 0 0 0 0 0 0 1 0 EMMANUEL KINTU EXECUTIVE DIRECTOR 279249 0 25163 0 0 0 8700 0 17896 0 331008 0 0 0 LIANE SUGIMOTO CFO 217144 0 8000 0 0 0 6754 0 7488 0 239386 0 0 0 KEITH LARSON DENTAL DIRECTOR 191169 0 3166 0 0 0 6153 0 18240 0 218728 0 0 0 GLENN REDIGER PHYSICAN 191766 0 5232 0 0 0 5955 0 9996 0 212949 0 0 0 MARIVIC RAYMUNDO PHYSICAN 205185 0 3000 0 0 0 3180 0 0 0 211365 0 0 0 MICHAEL WALTER PHYSICAN 169978 0 4793 0 0 0 5867 0 28292 0 208930 0 0 0 DARRIN SATO COO 168773 0 5254 0 0 0 5340 0 11466 0 190833 0 0 0 JENNIFER TAN HEAHLKE DENTIST 180626 0 1000 0 0 0 5449 0 0 0 187075 0 0 0 BEATRICE LOO DENTIST 162968 0 1000 0 0 0 4919 0 0 0 168887 0 0 0 PART I, LINE 7 THE ORGANIZATION PAID NON-FIXED BONUS PAYMENTS DURING THE YEAR BASED ON MERIT/RECOGNITION. BONUS IS SUBJECT TO FINAL BOARD APPROVAL. X 2 12353 FMV X 1 902483 FMV 0 0 0 PART I, COLUMN (B): COLUMN B REPRESENT NUMBER OF CONTRIBUTORS. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 REVIEW PROCESS: THE FORM 990 IS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM BASED ON THE AUDITED FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 12C MONITORING COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE ORGANIZATION HAS A CONFLICT OF INTEREST POLICY COVERING BOARD MEMBERS AND COVERING EMPLOYEES. THE BOARD REVIEWS THE CORPORATE COMPLIANCE POLICY ANNUALLY. THE BOARD COMPLETES AND SIGNS THE CONFLICT OF INTEREST FORM ANNUALLY. IN ADDITION TO SELF-POLICING, THE CORPORATE COMPLIANCE OFFICER MONITORS AND REVIEWS CORPORATE TRANSACTIONS FOR COMPLIANCE WITH THE CONFLICT OF INTEREST GUIDELINES. AN INTERESTED PERSON MUST LEAVE ANY MEETING DURING THE DISCUSSION OF, AND VOTE ON, THE TRANSACTION OR ARRANGEMENT INVOLVING POSSIBLE CONFLICT OF INTEREST. FORM 990, PART VI, SECTION B, LINE 15A THE CEO IS EVALUATED FOR PERFORMANCE ANNUALLY. THE BOARD REVIEWS AND APPROVES THE COMPENSATION FOR THE CEO. TO DETERMINE CEO COMPENSATION, THE BOARD USES DATA OF COMPARABLE POSITIONS AT SIMILAR ORGANIZATIONS, THE SALARY/PAY HISTORY FOR CEO, THE OPERATING BUDGET AND STAFF RATE INCREASES. THE CEO WAS EVALUATED IN REGARDS TO PERFORMANCE AND COMPENSATION BY THE BOARD DURING THE EXECUTIVE SESSION OF THE OCTOBER 2022 BOARD MEETING. THE APPROVAL OF THE BOARD WAS DONE IN OCTOBER OF 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.