2019-02-13T16:00:48-06:00 2018-03-31 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2017-04-01 990268275 HAWAII PRIMARY CARE ASSOCIATION HAWA 8085368442 1003 BISHOP ST PAUAHI TOWER NO 1810 HONOLULU HI 96813 ROBERT HIROKAWA CHIEF EXECUTIVE OFFICER 8085368442 2019-02-13 1 MELANIE A KING P00220997 8085311040 199.204.177.210 2019-02-13 11:48:12 HS P 5690961D180F1E0920EEC9CA962B0691A42E2C5E 6EDF5291A6B32CF2B3FB9493ACE1A67AFEA82958 2017 2019-02-21 02:37:17Z ROBERT HIROKAWA 1003 BISHOP ST PAUAHI TOWER NO 1810 HONOLULU HI 96813 4405419 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. 15 15 19 20 0 4481 4106197 4188166 14826 203728 2717 4075 0 9450 4123740 4405419 0 0 0 0 1526850 1541402 0 0 23864 2509322 2518905 4036172 4060307 87568 345112 2537794 2736185 793677 646956 1744117 2089229 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 3490225 203728 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 2018. 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 HPCA'S RECEIPT OF THE HAWAII PERFORMANCE PROFILE REPORT FROM THE BUREAU OF PRIMARY HEALTH CARE (BPHC) ON AN ANNUAL BASIS. THIS REPORT CONTAINS CHC PERFORMANCE METRICS THAT ALLOWS HPCA TO MONITOR/TRACK PROGRESS TOWARD ITS GOALS. ACCORDING TO THE 2017 HAWAII PERFORMANCE PROFILE REPORT, HAWAII'S CHCS HAVE COLLECTIVELY ACHIEVED 100 % 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, 21.4% 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, 61 OF 64 OF ELIGIBLE PROVIDERS ATTESTED IN 2017 AND RECEIVED FEDERAL PAYMENT. REGARDING QUALITY IMPROVEMENT, IN 2017, 100% OF HIHCCN CHCS MET OR EXCEEDED AT LEAST ONE HEALTHY PEOPLE 2020 GOAL (AS STATED ABOVE). CURRENTLY, THERE ARE NINE HIHCCN CHCS CONTRIBUTING CLINICAL QUALITY DATA TO THE HPCA DATA WAREHOUSE. 206035 9450 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, ASTHMA, 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 KAISER PERMANENTE COMMUNITY BENEFIT PROGRAM AND ALOHACARE ON A NUMBER OF INNOVATIVE INITIATIVES. 41171 SPECIAL PROJECTS - HAWAII DENTAL SERVICE DENTAL INTERFACE PROJECT-THE HAWAII DENTAL SERVICE (HDS) DENTAL INTERFACE PROJECT, WHOSE GOAL WAS TO INTEGRATE PATIENT DENTAL INFORMATION WITH CLINICAL (MEDICAL) INFORMATION, WAS COMPLETED AS OF MARCH 31, 2018. THE PROJECT WAS SUCCESSFUL IN PROVIDING THE RESOURCES AND TRAINING NEEDED TO LEVERAGE EXISTING HIT PLATFORMS AT MALAMA I KE OLA HEALTH CENTER (MAUI) AND KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES (OAHU) TO MERGE DEMOGRAPHIC, FINANCIAL, CLINICAL, AND DENTAL PATIENT INFORMATION TO ENHANCE FQHC CAPACITY TO: (1) PROVIDE MORE ROBUST PATIENT CARE COORDINATION (WHOLE-PERSON), (2) IMPROVE POPULATION HEALTH, INCLUDING ORAL HEALTH, AT THE CLINIC AND/OR NETWORK LEVEL, AND (3) IMPROVE FISCAL PLANNING FOR DENTAL PROGRAM SUSTAINABILITY. 3737431 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 9 0 19 1 1 1 0 0 0 0 0 0 0 0 0 X 15 15 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 PAUAHI TOWER 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 SHEILA BECKHAM WAIKIKI HEALTH SECRETARY / 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 DAVID DERAUF KOKUA KALIHI 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 MARIA SOLOMAN 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 JAMES CHEN WAIANAE COAST COMP TREASURER / DIRECTOR UNTIL 1/18/18 1.00 X X 0 0 0 CHRISTY CAPATI DIRECTOR UNTIL 3/1/18 1.00 X 0 0 0 GINGER FUATA WAIANAE COAST COMP DIRECTOR UNTIL 1/24/18 1.00 X 0 0 0 CHRISTINA LEE WAIMANALO HC DIRECTOR UNTIL 1/24/18 1.00 X 0 0 0 JAMES WOOD WAIMANALO HLTH DIRECTOR UNTIL 1/24/18 1.00 X 0 0 0 PATRICIA SIAROT CHIEF FINANCIAL OFFICER 40.00 X 92691 0 11367 ROBERT HIROKAWA CHIEF EXECUTIVE OFFICER 40.00 X 161117 0 14945 KATHY SUZUKI-KITAGAWA CHIEF OPERATING OFFICER 40.00 X 102255 0 11875 CRISTINA VOCALAN DIRECTOR OF HEALTH SYSTEMS IMPROVEMENT 40.00 X 100999 0 11808 457062 0 49995 3 0 1 0 KOKUA KALIHI VALLEY 2239 NORTH SCHOOL STREET HONOLULU HI 96819 DOH-1422 PROJECT YR2 & YR3, UH-JABSOM GW 224667 I2I POPULATION HEALTH 377 RIVERSIDE DRIVE SUITE 300 FRANKLIN TN 37064 POPIQ SERVICE AND CONNECTOR, SETUP & TRA 199909 KOOLAULOA HEALTH CENTER PO BOX 395 KAHUKU HI 96731 ASTHMA PROJECT, DOH-1422 PROJECT YR2 & Y 189029 WAIANAE COAST COMPREHENSIVE HEALTH CENTE 86-260 FARRINGTON HIGHWAY WAIANAE HI 96792 ASTHMA PROJECT, DOH-1422 PROJECT YR2 & Y 178948 WAIKIKI HEALTH CENTER 935 MAKAHIKI WAY HONOLULU HI 96826 DOH-1422 PROJECT YR2 & YR3, CONFERENCE & 178682 12 114315 3708228 365623 1650 4188166 EXHIBITOR FEES & SPONS 624100 130784 130784 CONFERENCE FEES 624100 66563 66563 FEEL GOOD SALES 624100 6381 6381 203728 4075 4075 CHC VIDEO EDITING SERV 900099 9450 9450 9450 4405419 213178 0 4075 X 376562 235220 120577 20765 930953 884475 46478 45938 43720 2218 87541 79108 8332 101 100408 85895 13268 1245 5969 4833 1136 7503 7503 414428 384439 29384 605 5384 5309 75 96590 74536 21966 88 90965 89042 1893 30 80867 50874 29479 514 110153 110153 255628 255499 129 1375085 1375085 33106 28246 4783 77 11920 11920 OTHER EXPENSES 31020 30710 310 GENERAL EXCISE TAX 287 287 4060307 3737431 299012 23864 59935 65550 1578329 1520297 703967 960719 92853 98389 211517 129331 93666 82186 9044 9044 2537794 2736185 688938 616830 104739 30126 793677 646956 X 1474676 1675622 269441 413607 1744117 2089229 2537794 2736185 345112 0 X 0 1 X 1 1 1 X 2007321 2375892 2192576 4106197 4188166 14870152 2007321 2375892 2192576 4106197 4188166 14870152 164280 14705872 3271 2586 2060 3282 4075 15274 23170 9450 32620 14918046 317347 0.98580 0.98010 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: MISCELLANEOUS INCOME - 2013 AMOUNT: $ 250. CHC OTHER SERVICES - 2013 AMOUNT: $ 22,920. 2017 AMOUNT: $ 9,450. 0 22544 22544 3714887 3737431 336872 84218 0 0 244627 248866 334359 336872 1164724 1747086 28197 22892 6174 22544 79807 61157 62217 83590 84218 291182 436773 117867 79316 38551 93650 50015 43635 82186 X 4261253 0 4261253 144166 144166 4405419 4060307 0 4060307 0 4060307 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, 2018 AND 2017, 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: INCREASE IN TEMPORARILY RESTRICTED NET ASSETS 144,166. X X 0 0 0 0 0 0 0 0 0 ROBERT HIROKAWA CHIEF EXECUTIVE OFFICER 161117 0 0 0 0 0 8056 0 6889 0 176062 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 2017 - JUNE 2017. THE EXECUTIVE COMMITTEE INITIATES AND COORDINATES THE REVIEW, WITH THE FULL BOARD DELIBERATING AND APPROVING COMPENSATION AND FUTURE DELIVERABLES. TYPES OF COMPARABILITY DATA USED COULD INCLUDE NACHC (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. DISCUSSIONS AND DECISIONS ARE DOCUMENTED. 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. FORM 990, PART IX, LINE 11G CONSULTANTS : PROGRAM SERVICE EXPENSES 384,439. MANAGEMENT AND GENERAL EXPENSES 29,384. FUNDRAISING EXPENSES 605. TOTAL EXPENSES 414,428.