2021-03-24T10:19:09-05:00 2020-06-30 221478099 COHNREZNICK LLP 350 CHURCH STREET 12TH FLOOR HARTFORD CT 06103 990 2019-07-01 990161221 KALIHI-PALAMA HEALTH CENTER (HALE HO'OLA HOU) KALI 8088458578 915 NORTH KING STREET HONOLULU HI 96817 LIANE SUGIMOTO CFO 8088458578 2021-03-23 1 LORI ROTHE YOKOBOSKY CPA P01273422 9592007000 2021-03-16 2019 2022-09-23 18:48:47Z LIANE SUGIMOTO 915 NORTH KING STREET HONOLULU HI 96817 28813697 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 11 293 0 0 0 13083230 10969489 17683857 17133170 46949 71131 231477 639907 31045513 28813697 2558736 2619885 0 0 16616583 18019223 0 0 0 8900026 10177601 28075345 30816709 2970168 -2003012 21902556 26031432 3830086 9966372 18072470 16065060 X TO PROVIDE QUALITY, INTEGRATED HEALTH AND SOCIAL SERVICES TO OUR COMMUNITY AND ALL OTHERS IN NEED OF HEALTH CARE. 0 0 16450526 14555878 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. 5456664 2619885 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. 3423096 2570274 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. 1972156 646925 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. 1972156 646925 27302442 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 72 0 1 293 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 1 1 1 1 1 1 1 0 0 HI X LIANE SUGIMOTO 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 DIRECTOR 1.00 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 270301 0 23088 LIANE SUGIMOTO CFO 40.00 X 192479 0 19939 DARRIN SATO COO 40.00 X 165578 0 13858 KEITH LARSON DENTAL DIRECTOR 40.00 X 201502 0 13449 BEATRICE LOO DENTIST 40.00 X 155566 0 5901 BLANDINA MAMACLAY NURSE PRACTITIONER 40.00 X 153523 0 12863 GLENN REDIGER PHYSICAN 40.00 X 171439 0 176687 KRISTIN KING PHYSICAN 40.00 X 150237 0 9117 MICHAEL WALTER PHYSICAN 40.00 X 152807 0 30615 1613432 0 305517 9 0 1 0 RALPH S INOUYE CO LTD 500 ALAKAWA ST 220E HONOLULU HI 96817 BUILDING CONTRACTOR 3541980 UNIVERSITY CLINICAL EDUCATION & RESEARCH PO BOX 31000 HONOLULU HI 96849 STAFFING SERVICES 321158 ANAGO OF HAWAII PO BOX 17567 HONOLULU HI 96817 HOUSEKEEPING 287233 PHOENIX SECURITY HAWAII 286 KALIHI ST HONOLULU HI 96819 SECURITY SERVICE 278156 WEATHERBY LOCUMS INC PO BOX 972633 DALLAS TX 75397 STAFFING SERVICES 250245 13 1888218 8970311 110960 952288 10969489 MEDICAID 624100 10751098 10751098 PHARMACY REVENUE 624100 2389345 2389345 OTHER THIRD PARTY PAYORS 624100 2321994 2321994 RISK POOL/CAPTITATION REVENUE 624100 977815 977815 MEDICARE 624100 351031 351031 341887 341887 17133170 70044 70044 1087 0 1087 1087 1087 INSURANCE INCENTIVES 900099 632235 632235 MEDICAL RECORD FEE 900099 7672 7672 639907 28813697 17773077 0 71131 2619885 2619885 892408 119291 773117 13992053 13709432 282621 398391 370278 28113 1567403 1402484 164919 1168968 1029894 139074 20288 20288 438 438 2268191 1014727 1253464 21980 19667 2313 593817 531331 62486 1335386 1124757 210629 55694 49833 5861 68334 61143 7191 10380 10380 754390 721898 32492 69465 62155 7310 MEDICAL SUPPLIES 3359695 3006163 353532 REPAIRS & MAINTENANCE 837182 749087 88095 SECURITY 401206 358990 42216 DUES & SUBSCRIPTIONS 125985 112728 13257 255170 228319 26851 30816709 27302442 3514267 0 4834552 3582156 107886 708937 2750397 2925808 1633900 978424 59559 38083 360621 435056 25417781 8515513 11731000 16902268 69937 70756 354704 389944 21902556 26031432 3293361 3546731 272734 349313 263991 3081228 2989100 3830086 9966372 X 17170627 15985884 901843 79176 18072470 16065060 21902556 26031432 -2003012 -4398 0 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 360000 360000 13281603 6550349 6731254 2634948 1965164 669784 9141230 9141230 16902268 X 28809299 -4398 -4398 28813697 0 28813697 30816709 0 30816709 0 30816709 PART X, LINE 2: THE ORGANIZATION HAS NO UNRECOGNIZED TAX BENEFITS AT JUNE 30, 2020. THE ORGANIZATION'S FEDERAL AND STATE INFORMATION RETURNS PRIOR TO FISCAL YEAR 2017 ARE CLOSED AND MANAGEMENT CONTINUALLY EVALUATES EXPIRING STATUTES OF LIMITATIONS, AUDITS, PROPOSED SETTLEMENTS, CHANGES IN TAX LAW AND NEW AUTHORITATIVE RULINGS. THE ORGANIZATION WILL RECOGNIZE INTEREST AND PENALTIES ASSOCIATED WITH UNCERTAIN TAX POSITIONS AS PART OF THE INCOME TAX PROVISION AND INCLUDES ACCRUED INTEREST AND PENALTIES WITH THE RELATED TAX LIABILITY IN THE STATEMENT OF FINANCIAL POSITION. 1 CLIENT OUTREACH ASSISTANCE AND EMERGENCY 520 2619885 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 0 0 0 0 0 0 0 1 0 EMMANUEL KINTU EXECUTIVE DIRECTOR 245301 0 25000 0 0 0 8400 0 14688 0 293389 0 0 0 LIANE SUGIMOTO CFO 183479 0 9000 0 0 0 5971 0 13968 0 212418 0 0 0 DARRIN SATO COO 160578 0 5000 0 0 0 5064 0 8794 0 179436 0 0 0 KEITH LARSON DENTAL DIRECTOR 196502 0 5000 0 0 0 6045 0 7404 0 214951 0 0 0 BEATRICE LOO DENTIST 155566 0 0 0 0 0 4667 0 1234 0 161467 0 0 0 BLANDINA MAMACLAY NURSE PRACTITIONER 152695 0 828 0 0 0 4631 0 8232 0 166386 0 0 0 GLENN REDIGER PHYSICAN 161371 0 10068 0 0 0 5445 0 171242 0 348126 0 0 0 KRISTIN KING PHYSICAN 149649 0 588 0 0 0 1125 0 7992 0 159354 0 0 0 MICHAEL WALTER PHYSICAN 132720 0 20087 0 0 0 5187 0 25428 0 183422 0 0 0 PART I, LINE 7 THE ORGANIZATION PAID NON-FIXED BONUS PAYMENTS DURING THE YEAR BASED ON MERIT/RECOGNTION. X 1 5218 FMV X 1 947070 FMV 0 0 0 PART I, COLUMN (B): THE AMOUNT IN COLUMN B REPRESENTS THE 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. THE BOARD OF DIRECTORS REVIEWS THE FORM 990 PRIOR TO FILING. 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. INFORMATION TO THE BOARD'S HR COMMITTEE WAS PROVIDED IN APRIL OF 2020 AS PER THEIR REQUEST AND INCLUDED SUMMARIZED DATA FROM THE MOST RECENTLY PUBLISHED NACHC HEALTH CENTER SALARY & BENEFITS REPORT. THE INFORMATION ALSO REQUESTED BY THE BOARD INCLUDED LATEST PUBLIC DATA FOR OTHER HAWAII CHCS AS WELL AS SALARY/PAY HISTORY FOR THE CEO. THE BOARD PARTICIPATED IN A SURVEY TO EVALUATE THE CEO AND DISCUSSED COMPENSATION DURING A MEETING. THE APPROVAL BY THE BOARD WAS DONE IN MAY 2020. 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. FORM 990, PART XII, LINE 2C: THERE HAVE BEEN NO CHANGES MADE TO THE ORGANIZATION'S OVERSIGHT OR SELECTION PROCESS DURING THE TAX YEAR.