2020-02-05T21:25:10-06:00 2019-03-31 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2018-04-01 990268275 HAWAII PRIMARY CARE ASSOCIATION HAWA 8085368442 1003 BISHOP ST NO 1810 HONOLULU HI 96813 ROBERT HIROKAWA CHIEF EXECUTIVE OFFICER 8085368442 2020-02-05 1 MELANIE A KING P00220997 8085311040 67.53.223.34 2020-02-05 14:37:35 HS P A31191ADF7A268D218FEEE237FA13268EB20250A EC4771A6A25122743C2931E68BEA90B027BFA36E 2018 2020-09-23 17:36:50Z ROBERT HIROKAWA 1003 BISHOP ST NO 1810 HONOLULU HI 96813 3098096 0 X WWW.HAWAIIPCA.NET X 1988 HI TO IMPROVE THE HEALTH OF COMMUNITIES IN NEED BY ADVOCATING FOR, EXPANDING ACCESS TO, AND SUSTAINING HIGH QUALITY CARE THROUGH THE STATEWIDE NETWORK OF COMMUNITY HEALTH CENTERS. 16 16 19 18 0 0 4188166 3065795 203728 12897 4075 3779 9450 15625 4405419 3098096 0 0 0 0 1541402 1515369 0 0 23762 2518905 1799371 4060307 3314740 345112 -216644 2736185 2137760 646956 265175 2089229 1872585 X DEDICATED TO FOSTERING PRIMARY HEALTH CARE FOR ALL HAWAII RESIDENTS, PARTICULARLY THE MEDICALLY UNDERSERVED. THE MISSION OF THE HAWAII PRIMARY CARE ASSOCIATION IS TO IMPROVE THE HEALTH OF COMMUNITIES IN NEED BY ADVOCATING FOR, EXPANDING ACCESS TO, AND SUSTAINING HIGH QUALITY CARE THROUGH THE STATEWIDE NETWORK OF COMMUNITY HEALTH CENTERS. 0 0 2599409 12897 TRAINING AND TECHNICAL ASSISTANCE - THE OBJECTIVE OF THE TRAINING AND TECHNICAL ASSISTANCE (TTA) COMPONENT OF THE HPCA IS TO PROVIDE CONSISTENT, TIMELY, AND RELEVANT SUPPORT TO THE COMMUNITY HEALTH CENTERS (CHC) IN THEIR ONGOING EFFORTS TO ATTAIN EXCELLENCE IN ALL ASPECTS OF THEIR HEALTHCARE DELIVERY SYSTEM. IN ORDER TO PROVIDE RELEVANT TTA SUPPORT, THE HPCA CONDUCTS YEARLY TTA ASSESSMENTS WITH ALL MEMBER CHCS. THE MOST RECENT ASSESSMENT WAS COMPLETED IN 2019. THE ASSESSMENT FINDINGS ARE USED TO REVISE THE HPCA'S TTA WORK-PLAN TO ASSURE THAT TTA SERVICES PROVIDED ARE ALIGNED WITH CHCS NEEDS. TTA ACCOMPLISHMENTS ARE MEASURED AND TRACKED THROUGH THE DATA COLLECTED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION'S (HRSA) UNIFORM DATA SYSTEM (UDS). THE UDS CONTAINS CHC PERFORMANCE METRICS THAT ALLOWS HPCA TO MONITOR/TRACK PROGRESS TOWARD ITS GOALS. ACCORDING TO THE 2018 UDS, ALL 15 OF HAWAII'S CHCS HAVE COLLECTIVELY ACHIEVED 93 % OF ITS CLINICAL PERFORMANCE IMPROVEMENT GOALS WHICH REQUIRE CHCS TO MEET OR EXCEED PERFORMANCE ON ONE OR MORE HEALTH PEOPLE (HP) 2020 PERFORMANCE MEASUREMENT GOAL(S). REGARDING PATIENT CENTERED MEDICAL HOME (PCMH) IMPLEMENTATION, 71.4 % OF HAWAII'S CHCS ACHIEVED NCQA PCMH RECOGNITION COMPARED TO 0% IN 2012. FINALLY, 14% OF HAWAII'S CHCS HAVE MAINTAINED AN ANNUAL COST PERCENTAGE INCREASE PER PATIENT THAT IS LESS THAN THE NATIONAL AVERAGE. ALSO UNDER THE TTA PROGRAM IS THE HAWAII HEALTH CENTER CONTROLLED NETWORK (HIHCCN). THE OBJECTIVES OF THE HAWAII PRIMARY ASSOCIATION'S (HPCA) WORK IN HEALTH INFORMATION TECHNOLOGY (VIA THE HIHCCN) WITH COMMUNITY HEALTH CENTERS (CHC) INCLUDE THREE AREAS: (1) ADOPT/IMPLEMENT MEANINGFUL USE (MU) CERTIFIED ELECTRONIC HEALTH RECORD (EHR), (2) ATTAINING MU, AND (3) CLINICAL QUALITY IMPROVEMENT. THE HPCA HAS ACCOMPLISHED THE FOLLOWING IN THE THREE AREAS. 100% OF HIHCCN PARTICIPATING CHCS ARE SUCCESSFULLY USING CERTIFIED EHRS WITHIN THEIR CLINIC SITES. REGARDING MU, 58 OF 87 OF ELIGIBLE PROVIDERS ATTESTED AND RECEIVED FEDERAL PAYMENT. REGARDING QUALITY IMPROVEMENT, 92% OF HIHCCN CHCS MET OR EXCEEDED AT LEAST ONE HEALTHY PEOPLE 2020 GOAL. 276167 15625 COMMUNICATIONS AND ADVOCACY- THE OBJECTIVE OF THE COMMUNICATIONS AND ADVOCACY COMPONENT OF THE HAWAII PRIMARY CARE ASSOCIATION (HPCA) IS DEMONSTRATING THE VALUE OF HAWAII'S COMMUNITY HEALTH CENTERS (CHC) AND THE HPCA IN IMPROVING HEALTH EQUITY FOR HAWAII'S VULNERABLE POPULATIONS AND BRINGING TO LIGHT THE IMPACT OF SOCIAL FACTORS ON INDIVIDUAL AND COMMUNITY HEALTH. A MAJOR STRATEGY EMPLOYED BY THE HPCA TO THIS END IS FOSTERING STRONG PARTNERSHIPS WITH STAKEHOLDERS OUTSIDE OF MEMBERSHIP. THE HPCA HAS ALREADY REALIZED SIGNIFICANT ACCOMPLISHMENTS IN THIS AREA. FOR EXAMPLE, THE HPCA CONTINUES TO MAINTAIN STRONG RELATIONSHIPS WITH THE HAWAII DEPARTMENT OF HEALTH (DOH) (DIABETES, HYPERTENSION, CARDIOVASCULAR DISEASE, SUBSTANCE USE DISORDERS, AND ORAL HEALTH) AND THE MEDQUEST DIVISION WITHIN THE HAWAII DEPARTMENT OF HUMAN SERVICES. IN ADDITION, THE HPCA CONTINUES TO EXPAND ITS PARTNERSHIPS WITH THE UNIVERSITY OF HAWAII (JOHN A. BURNS SCHOOL OF MEDICINE DEPARTMENT OF GERIATRICS, OFFICE OF PUBLIC HEALTH STUDIES, CENTER ON AGING, SCHOOL OF NURSING AND DENTAL HYGIENE), AND THE HAWAII PUBLIC HEALTH INSTITUTE. FINALLY, THE HPCA HAS STRONG RELATIONSHIPS WITH THE PRIVATE SECTOR AS WELL. FOR EXAMPLE, THE HPCA IS CONTINUING ITS PARTNERSHIP WITH THE HAWAII HEALTH INFORMATION EXCHANGE, KAISER PERMANENTE COMMUNITY BENEFIT PROGRAM AND ALOHACARE ON A NUMBER OF INNOVATIVE INITIATIVES. 8120 SPECIAL PROJECTS - FEEL GOOD CAMPAIGN -THE FEEL GOOD EDUCATIONAL INITIATIVE IS A MODERNIZED, FORWARD-THINKING PROGRAM DESIGNED TO HELP ADDRESS HAWAII'S MOST PERSISTENT HEALTH CHALLENGES: DIABETES AND HYPERTENSION. THE GOAL OF THE INITIATIVE IS TO INSPIRE PEOPLE IN HAWAII COMMUNITIES TO TAKE SIMPLE, MANAGEABLE STEPS TO IMPROVE THEIR HEALTH BEFORE THEY DEVELOP CHRONIC DISEASES. THE INITIATIVE SUCCESSFULLY DEPLOYED A DIVERSE COLLECTION OF EDUCATIONAL MATERIALS, SOCIAL MEDIA ACTIVITY, AND BRAND-REINFORCING APPAREL THAT ENCOURAGED PATIENTS TO TURN HEALTHY CHOICES INTO HEALTHY HABITS, AND IS NOW A COMPREHENSIVE EDUCATIONAL TOOL FOR HEALTH CENTER STAFF TO CONTINUE THEIR PROGRAMMATIC EFFORTS AT REDUCING PRE-DIABETES AND PRE-HYPERTENSION. 2883696 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 19 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 16 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X PATRICIA SIAROT 8085368442 1003 BISHOP ST NO 1810 HONOLULU HI 96813 TERRENCE ARATANI KOOLAULOA HLTH CHAIR / DIRECTOR 1.00 X X 0 0 0 HAROLD WALLACE BAY CLINIC VICE CHAIR / DIRECTOR 1.00 X X 0 0 0 IRENE CARPENTER HAMAKUA HEALTH CTR TREASURER / DIRECTOR 1.00 X X 0 0 0 RICHARD BETTINI WAIANAE COAST COMP DIRECTOR 1.00 X 0 0 0 DEBORAH DELA CRUZ LANAI COMM HLTH DIRECTOR 1.00 X 0 0 0 PHYLLIS DENDLE WAIKIKI HEALTH DIRECTOR 1.00 X 0 0 0 DAVID DERAUF KOKUA KALIHI DIRECTOR 1.00 X 0 0 0 BEV HARBIN WAHIAWA DIRECTOR 1.00 X 0 0 0 HELEN KEKALIA MOLOKAI CHC DIRECTOR 1.00 X 0 0 0 EMMANUEL KINTU KALIHI-PALAMA DIRECTOR 1.00 X 0 0 0 MARY ONEHA WAIMANALO HLTH DIRECTOR 1.00 X 0 0 0 BJ OTT MALAMA I KE OLA DIRECTOR 1.00 X 0 0 0 DIANA SHAW LANAI COMM HLTH DIRECTOR 1.00 X 0 0 0 RICHARD TAAFFE WEST HI COMMUNITY DIRECTOR 1.00 X 0 0 0 CHERYL VASCONCELLOS HANA HLTH DIRECTOR 1.00 X 0 0 0 JOHN VAZ DIRECTOR 1.00 X 0 0 0 SHEILA BECKHAM WAIKIKI HEALTH SECRETARY / DIRECTOR UNTIL 12/6/18 1.00 X X 0 0 0 MARIA SOLOMON DIRECTOR UNTIL 9/19/18 1.00 X 0 0 0 PATRICIA SIAROT CHIEF FINANCIAL OFFICER 40.00 X 91612 0 11346 ROBERT HIROKAWA CHIEF EXECUTIVE OFFICER 40.00 X 155732 0 14700 KATHY SUZUKI-KITAGAWA CHIEF OPERATING OFFICER 40.00 X 101114 0 11853 348458 0 37899 3 0 1 0 KOKUA KALIHI VALLEY 2239 NORTH SCHOOL STREET HONOLULU HI 96819 DOH-1422 PROJECT, UH-JABSOM GWEP PROJECT 173802 KOOLAULOA HEALTH CENTER PO BOX 395 KAHUKU HI 96731 DOH-ASTHMA PROJECT, DOH-1422 PROJECT, DO 169234 WAIMANALO HEALTH CENTER 41-1347 KALANIANAOLE HIGHWAY WAIMANALO HI 96795 DOH-1422 PROJECT 153001 WEST HAWAII COMMUNITY HEALTH CENTER 75-5751 KUAKINI HWY 203 KAILUAKONA HI 96740 DOH-1422 PROJECT, RCUH MEMORY CLINICS PR 147379 WAIANAE COAST COMPREHENSIVE HEALTH CENTE 86-260 FARRINGTON HIGHWAY WAIANAE HI 96792 DOH-ASTHMA PROJECT, DOH-1422 PROJECT 147200 5 118180 2724607 223008 3065795 CONFERENCE FEES 624100 8889 8889 FEEL GOOD SALES 624100 4008 4008 12897 3779 3779 CHC VIDEO EDITING SERV 900099 15625 15625 15625 3098096 28522 0 3779 205501 77060 107835 20606 1061721 948230 113491 53996 48075 5921 96133 84150 11877 106 98018 81313 15451 1254 51000 44491 6509 10178 10178 317076 271867 44495 714 102721 80751 21892 78 52831 49931 2867 33 77967 39053 38437 477 116071 111702 4369 139830 139716 114 857491 857491 34225 27126 7017 82 10902 10902 OTHER EXPENSES 22858 22560 298 OTHER TAXES 6041 6041 GENERAL EXCISE TAX 180 180 3314740 2883696 407282 23762 65550 53199 1520297 1765312 960719 184067 98389 73888 214230 161980 82186 52250 9044 9044 2736185 2137760 616830 246138 30126 19037 646956 265175 X 1675622 1567449 413607 305136 2089229 1872585 2736185 2137760 -216644 0 X 0 1 X 1 1 1 X 2375892 2192576 4106197 4188166 3065795 15928626 2375892 2192576 4106197 4188166 3065795 15928626 256926 15671700 2586 2060 3282 4075 3779 15782 9450 15625 25075 15969483 320944 0.98140 0.98580 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: CHC OTHER SERVICES - 2017 AMOUNT: $ 9,450. 2018 AMOUNT: $ 15,625. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 29746 29746 2853950 2883696 294185 73546 0 0 248866 334359 336872 294185 1214282 1821423 22892 6174 22544 29746 81356 62217 83590 84218 73546 303571 455357 119522 90627 28895 94708 71353 23355 52250 X 3206567 0 3206567 -108471 -108471 3098096 3314740 0 3314740 0 3314740 PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE UNCERTAIN TAX POSITIONS TO BE RECOGNIZED IN THE FINANCIAL STATEMENTS IF THEY ARE MORE LIKELY THAN NOT TO FAIL UPON REGULATORY EXAMINATION. MANAGEMENT HAS EVALUATED THE TAX POSITIONS OF THE ASSOCIATION AS OF MARCH 31, 2019 AND 2018, AND FOR THE YEARS THEN ENDED, BY REVIEWING ITS INCOME TAX RETURNS AND CONFERRING WITH ITS TAX ADVISORS, AND DETERMINED THAT IT HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH SUCH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE ASSOCIATION IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS IN PROGRESS FOR ANY OPEN TAX PERIODS. PART XI, LINE 4B - OTHER ADJUSTMENTS: DECREASE IN TEMPORARILY RESTRICTED NET ASSETS -108,471. X X 0 0 0 0 0 0 0 0 0 ROBERT HIROKAWA CHIEF EXECUTIVE OFFICER 155732 0 0 0 0 0 7787 0 6913 0 170432 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B THE CEO AND BOARD OF DIRECTORS WERE PROVIDED A DRAFT OF THE TAX RETURN PRIOR TO FINALIZING IT. THEY WERE ASKED TO REVIEW THE RETURN AND ENCOURAGED TO ASK FOR CLARIFICATION OR SUGGEST ANY CHANGES AS APPROPRIATE. FORM 990, PART VI, SECTION B, LINE 12C HPCA HAS TWO CONFLICT OF INTEREST POLICIES: ONE POLICY FOR BOARD MEMBERS, EXECUTIVE STAFF (CEO, COO, CFO), AND OTHER MANAGEMENT PERSONNEL DESIGNATED BY THE BOARD, AND ANOTHER POLICY FOR ALL OTHER STAFF MEMBERS. BOARD MEMBERS AND STAFF PROVIDE FULL WRITTEN LIST OF ORGANIZATIONS, INTERESTS, AND RELATIONSHIPS WITH WHICH THEY ARE INVOLVED OR WHICH COULD CREATE REAL OR APPARENT CONFLICT WITH HPCA. THESE GET UPDATED ANNUALLY OR AS CHANGES OCCUR. IT IS THE RESPONSIBILITY OF THE BOARD MEMBERS AND STAFF IN A SITUATION INVOLVING A POTENTIAL OR APPARENT CONFLICT OF INTEREST TO: 1) IDENTIFY THE POTENTIAL CONFLICT TO THE BOARD OR THE EMPLOYEE'S SUPERVISOR, 2) REFRAIN FROM DISCUSSING THE PROGRAM, MOTION, CONTRACT, OR OTHER ACT UNDER CONSIDERATION, AND 3) REFRAIN FROM VOTING ON THE PROGRAM OR MOTION, AND REFRAIN FROM PARTICIPATION IN ANY DECISION-MAKING IN CONNECTION WITH THE PROGRAM, CONTRACT OR ACT UNDER CONSIDERATION. THE BOARD OF DIRECTORS SHALL REFRAIN FROM DISCUSSIONS ABOUT THE POTENTIALLY CONFLICTING MATTER WITH THE IDENTIFIED BOARD MEMBER, NOTE FOR THE RECORD CONTRACTS WHERE CONFLICTS OR THE APPEARANCE OF CONFLICT EXISTS, EXERCISE DUE DILIGENCE IN REVIEWING THE POTENTIALLY CONFLICTING MATTER, AND RECORD IN THE MINUTES THE PROCEEDINGS WHERE CONFLICTS OR APPEARANCE OF CONFLICTS WERE DISCUSSED. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION EVALUATION PROCESS FOR THE CEO LAST OCCURRED MAY 2018 - JUNE 2018. THE BOARD CHAIR INITIATES AND COORDINATES THE REVIEW, WITH THE FULL BOARD DELIBERATING AND APPROVING COMPENSATION AND FUTURE DELIVERABLES. TYPES OF COMPARABILITY DATA USED COULD INCLUDE NACH (NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS) SALARY DATA,COMMUNITY HEALTH CENTER DATA, AND HAWAII EMPLOYER'S COUNCIL DATA. THEIR DECISIONS ARE SUBSTANTIATED THROUGH SOLICITATION OF CONCRETE EXAMPLES OF SUCCESSES AND IMPROVEMENTS NEEDED. THE PROCESS FOR DETERMINING COMPENSATION FOR OTHER OFFICERS AND KEY EMPLOYEES INCLUDE A REVIEW AND APPROVAL BY THE CEO. COMPARATIVE DATA SUCH AS COMPARISONS WITH OTHER EMPLOYEES ARE USED. THIS PROCESS IS DOCUMENTED IN THE PERSONNEL FILE AND IN A WORKSHEET DOCUMENTING THE PROCESS AND CALCULATION. 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 BY PROVIDING COPIES ON REQUEST OR INSPECTION AT THE ORGANIZATION'S OFFICE.