2023-12-11T12:15:24-06:00 2022-06-29 FORVIS LLP 910 E ST LOUIS 200/PO BOX 1190 SPRINGFIELD MO 658062523 990 2021-07-01 990222784 BAY CLINIC INC % ADAM BAUER BAYC 8083333600 450 KILAUEA AVE Suite 105 HILO HI 96720 ADAM BAUER TREASURER 8083333600 2023-11-20 true ADAM BAUER 999009999 Krystal K Creach P01248198 4178658701 2021 2023-04-26 12:10:37Z X CHRISTIAN ALAMEDA 450 KILAUEA AVE105 HILO HI 96720 27602517 false X WWW.BAYCLINIC.ORG X 1983 HI COMMUNITY - DIRECTED HEALTHCARE ORGANIZATION THAT PROVIDES QUALITY PRIMARY AND PREVENTIVE CARE. X 9 9 264 11 36816 34132 4727562 8554550 16980812 18902221 1604 18302 44384 53176 21754362 27528249 0 0 0 0 12477458 14089250 0 0 28546 6870780 8502013 19348238 22591263 2406124 4936986 19844113 0 9488594 0 10355519 0 A COMMUNITY DIRECTED HEALTHCARE ORGANIZATION THAT PROVIDES QUALITY PRIMARY AND PREVENTIVE CARE SERVICES TO THE PEOPLE OF EAST HAWAII. WE ENSURE THAT PATIENT CENTERED, CULTURALLY RESPONSIVE, AND AFFORDABLE HEALTHCARE SERVICES ARE LOCALLY ACCESSIBLE IN OUR COMMUNITIES. false false 17832663 18902221 THE BAY CLINIC INC. IS A FEDERALLY QUALIFIED COMMUNITY HEALTH ENTERS SERVING 21,000 ETHNICALLY DIVERSE PATIENTS WITH 58,000 VISITS IN THE DISTRICTS OF HILO, PUNA AND KAU IN EAST AND SOUTH HAWAII ISLAND. IN THE FISCAL YEAR ENDING 2022, THE BAY CLINIC, INC. HAD APPROX 16K+ MEDICAL VISITS, 14K+ DENTAL VISITS, AND 3K+ BH VISITS BETWEEN FACE TO FACE AND VIRTUAL VISITS DURING COVID DECLARATION OF EMERGENCY. BAY CLINIC'S STATE OF THE ART MOBILE HEALTH UNIT CONTINUES ITS DUAL USE, PRIMARY MEDICAL AND DENTAL SERVICES, THE UNIT EXPANDS ACCESS TO COMPREHENSIVE HEALTH CARE SERVICES TO THE MOST REMOTE AND RURAL EAST HAWAII COMMUNITIES. 17832663 true true false false false false false false false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false false false true false false false false false false true 22 0 true 264 true true true false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false X ADAM BAUER 8089614071 450 KILAUEA AVE STE 105 HILO HI 96720 CHRISTIAN ALAMEDA CHIEF EXECUTIVE OFFICER 40.0 0.0 X 241827 0 31517 BRIAN HIGA CHIEF DENTAL OFFICER 40.0 0.0 X 215227 0 16871 MICHAEL TREECE PHYSICIAN 40.0 0.0 X 182165 0 14228 ANGELA LIND PEDIATRICIAN 40.0 0.0 X 179688 0 6428 KOA YAMASHITA DENTIST 40.0 0.0 X 165070 0 14867 PATRICK YEAKEY PHYSICIAN 40.0 0.0 X 170469 0 8216 JOHN ENGLE CHIEF MEDICAL OFFICER 40.0 0.0 X 170974 0 1267 JOSEPH D'ANGELO PEDIATRICIAN 40.0 0.0 X 158374 0 8131 DEBORAH JONES CHIEF FINANCIAL OFFICER 40.0 0.0 X 131963 0 8095 MARCIA SAQUING CHIEF OPERATING OFFICER 40.0 0.0 X 128734 0 6843 HAIDEE ABE CHAIR 5.0 0.0 X X 0 0 0 PATRICIA KAY HENSLEY VICE CHAIR 5.0 0.0 X X 0 0 0 ADAM BAUER TREASURER 5.0 0.0 X X 0 0 0 MIKE MCGEE SECRETARY 5.0 0.0 X X 0 0 0 BRITTA ZIMMER ND DIRECTOR 1.0 0.0 X 0 0 0 BRANDEE MENINO DIRECTOR 1.0 0.0 X 0 0 0 RONALD NW KIM DIRECTOR 1.0 0.0 X 0 0 0 MARY KENOI-OKAJIMA DIRECTOR 1.0 0.0 X 0 0 0 MARLO LYMAN-KEKAUALUA DIRECTOR 1.0 0.0 X 0 0 0 MIKE SAYAMA DIRECTOR END 09/21 1.0 0.0 X 0 0 0 LISSANDRA C BALDAN-JENKINS DIRECTOR END 05/21 1.0 0.0 X 0 0 0 1744491 0 116463 21 false true false WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 LOCUM PROVIDERS 217720 UNIVERSITY HEALTH PARTNERS OF HAWAI PO BOX 31000 HONOLULU HI 96849 LOCUM PROVIDERS 202844 BARTON ASSOCIATES INC PO BOX 417844 BOSTON MA 02241 LOCUM PROVIDERS 146886 KELLY MALDONADO 391 S ARROYO AVE FRESNO CA 93727 BILLING CONSULTANT 134724 GOWELL ASSOCIATES LLC 10353 PINION TRAIL ESCONDIDO CA 92026 FINANCE CONSULTANT 134444 7 7992916 561634 8554550 NET PATIENT SERVICES 621110 14789956 14789956 PHARMACY 446110 4100557 4100557 OTHER REVENUE 621110 11708 11708 18902221 2802 2802 0 0 127444 74268 53176 0 53176 36816 16360 15500 15500 15500 15500 0 0 0 0 0 0 0 0 0 0 27528249 18902221 36816 34662 0 0 0 0 953318 404339 548979 0 10590729 9218049 1349422 23258 167777 146985 20415 377 1543925 1321009 219694 3222 833501 697346 134466 1689 0 93835 93835 250185 250185 0 0 0 2168374 1648862 519512 234754 138944 95810 647221 383069 264152 469396 277821 191575 0 1226366 695538 530828 71443 42285 29158 0 112174 66393 45781 29539 17483 12056 0 613711 363237 250474 133881 79240 54641 MEDICAL SUPPLIES & DRUGS 2159388 2159388 EQUIPMENT LEASE EXPENSE 180560 106868 73692 LICENSES, DUES, SUBSCRIPTIONS 63871 37803 26068 RECRUITMENT & RETENTION 47315 28004 19311 22591263 17832663 4730054 28546 7559194 0 861789 0 1307739 0 753562 0 0 0 0 0 0 0 28822 0 150068 0 9109544 0 0 0 0 0 0 0 0 0 73395 0 19844113 0 1169043 0 0 0 1355553 0 0 0 0 0 0 0 4674290 0 2283740 0 5968 0 9488594 0 X 10354850 0 669 0 10355519 0 19844113 0 X 4936986 -14340 -15278165 X X false false true false X 1652708 1751756 3137169 4727562 8554550 19823745 16078567 14773398 13072213 16980812 18902221 79807211 0 0 0 17731275 16525154 16209382 21708374 27456771 99630956 0 0 0 99630956 878 7745 42233 33081 35794 119731 0 878 7745 42233 33081 35794 119731 10994 45568 33355 36816 126733 0 17743147 16532899 16297183 21774810 27529381 99877420 0.99753 0.99800 0.00120 0.00100 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED X X X X false false false false false false false true false CHRISTIAN ALAMEDA CHIEF EXECUTIVE OFFICER 224927 0 16900 0 0 0 7935 0 23582 0 273344 0 0 0 BRIAN HIGA CHIEF DENTAL OFFICER 194594 0 20633 0 0 0 8655 0 8216 0 232098 0 0 0 JOHN ENGLE CHIEF MEDICAL OFFICER 164229 0 6745 0 0 0 0 0 1267 0 172241 0 0 0 MICHAEL TREECE PHYSICIAN 175720 0 6445 0 0 0 6012 0 8216 0 196393 0 0 0 ANGELA LIND PEDIATRICIAN 174099 0 5589 0 0 0 5338 0 1090 0 186116 0 0 0 PATRICK YEAKEY PHYSICIAN 164888 0 5581 0 0 0 0 0 8216 0 178685 0 0 0 JOSEPH D'ANGELO PEDIATRICIAN 152874 0 5500 0 0 0 0 0 8131 0 166505 0 0 0 KOA YAMASHITA DENTIST 142280 0 22790 0 0 0 6651 0 8216 0 179937 0 0 0 SCHEDULE J, PART I, LINE 7 NON-FIXED PAYMENTS: THE BONUSES ARE DETERMINED BASED ON 3% OF GROSS PAY FOR ALL EMPLOYEES. CASH 2022-07-21 9007522 FMV 200495394 WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY KAILUAKONA HI 96740 501(C)(3) RECEIVABLES 2022-07-21 1432288 FMV 200495394 WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY KAILUAKONA HI 96740 501(C)(3) LAND, PROPERTY, & EQUIPMENT 2022-07-21 14089735 BOOK VALUE 200495394 WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY KAILUAKONA HI 96740 501(C)(3) INVENTORY 2022-07-21 41986 REPLACEMENT COST 200495394 WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY KAILUAKONA HI 96740 501(C)(3) PREPAID EXPENSES 2022-07-21 337729 FMV 200495394 WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY KAILUAKONA HI 96740 501(C)(3) DEPOSITS 2022-07-21 394123 FMV 200495394 WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY KAILUAKONA HI 96740 501(C)(3) FEDERAL, STATE, & LOCAL GRANTS 2022-07-21 1330991 FMV 200495394 WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY KAILUAKONA HI 96740 501(C)(3) false false false false true true true true false SCHEDULE N, PART I LIABILITIES ASSUMED: AS PART OF THE MERGER, WEST HAWAII COMMUNITY HEALTH CENTER, INC., ALSO ASSUMED LIABILITIES TOTALING $5,881,994. FORM 990, PART VI, SECTION B, LINE 11B REVIEW OF FORM 990: THE FORM 990 IS PREPARED BY AN ACCOUNTING FIRM BASED ON THE FINANCIAL STATEMENTS AND INFORMATION PROVIDED BY THE ACCOUNTING DEPARTMENT OF THE ORGANIZATION. PRIOR TO FILING, THE CEO AND THE BOARD REVIEWED THE FORM 990. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY: THE CLINIC ESTABLISHED A CONFLICT OF INTEREST POLICY WHICH IS PRESENTED IN THE EMPLOYEE HANDBOOK. ALL EMPLOYEES ARE EXPECTED TO ADHERE TO THIS POLICY. THE ORGANIZATION REVIEWS THIS POLICY WITH NEW HIRES. MANAGEMENT MONITORS EMPLOYEES ON ANY ISSUE THAT MAY INVOLVE A CONFLICT OF INTEREST. AN ANNUAL DISCLOSURE FORM IS COMPLETED BY EACH BOARD MEMBER AND MONITORED BY THE BOARD CHAIRPERSON. IF A CONFLICT ARISES, THE ASSOCIATED BOARD PERSON MUST RECUSE THEMSELVES FROM VOTING ON RELATED MATTERS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION REVIEW: COMPENSATION FOR THE CEO IS DETERMINED BY THE BOARD OF DIRECTORS BASED ON THE ORGANIZATION'S BUDGET, MARKET DATA FOR THE POSITION, COMPARABLE STUDIES OF SIMILAR ENTITIES, AND THE LOCAL COMPENSATION RATES. FORM 990, PART VI, SECTION C, LINE 19 DOCUMENT DISCLOSURE: THE ORGANIZATION'S GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS: $ 15,278,165 TRANSFER TO WEST HAWAII COMMUNITY HEALTH CENTER INC FORM 990, PART XII, LINE 3B STEPS TAKEN TO UNDERGO REQUIRED AUDIT: THE ORGANIZATION FELL BEHIND ON ITS AUDIT COMPLIANCE WITH THEIR PRIOR MANAGEMENT. AS THE MERGER WAS COMPLETED ON JULY 1, 2022, THE CURRENT MANAGEMENT IS ACTIVELY LOOKING FOR AN INDEPENDENT ACCOUNTANT TO CONDUCT ITS FINAL AUDIT.