2018-03-13T05:31:31-05:00 2017-06-30 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2016-07-01 412201519 HAWAII HEALTH INFORMATION EXCHANGE HAWA 8084411346 900 FORT STREET MALL NO 1305 HONOLULU HI 96813 ROBERT HIROKAWA PRESIDENT 8084411346 2018-03-12 1 MARK A HAYES P00085205 8085311040 67.53.223.34 2018-03-12 08:49:35 HS P C040FA0D055FCB01710768ACEB97A43BF196D5DD D08809880DB8EE872DE95BE7603B3232E63509E1 2016 2021-01-29 14:40:06Z ROBERT HIROKAWA 900 FORT STREET MALL NO 1305 HONOLULU HI 96813 2203033 0 X WWW.HAWAIIHIE.ORG X 2006 HI TO IMPROVE PATIENT SAFETY AND QUALITY-OF-CARE THROUGH THE COORDINATION OF PATIENT CARE BY SECURELY EXCHANGING INFORMATION ACROSS THE BROAD SPECTRUM OF PERSONS AND INSTITUTIONS DELIVERING HEALTHCARE TO THE INDIVIDUAL PATIENT. 17 17 18 21 0 0 164043 130716 2651061 2066717 137 134 11212 5466 2826453 2203033 0 0 0 0 1577934 1196352 0 0 73021 1676467 1481651 3254401 2678003 -427948 -474970 2372091 1853914 120216 77009 2251875 1776905 X TO IMPROVE PATIENT SAFETY AND QUALITY-OF-CARE THROUGH THE COORDINATION OF PATIENT CARE BY SECURELY EXCHANGING INFORMATION ACROSS THE BROAD SPECTRUM OF PERSONS AND INSTITUTIONS DELIVERING HEALTHCARE TO THE INDIVIDUAL PATIENT. 0 1 2058121 2066717 THE HAWAI'I HEALTH INFORMATION EXCHANGE PROVIDES HEALTH INFORMATION TECHNOLOGY SERVICES THAT CONNECTS HEALTH CARE PROVIDERS TOGETHER TO SECURELY SHARE PATIENT INFORMATION, WHENEVER AND WHERE EVER ITS IS NEEDED.TOTAL NUMBER OF PATIENTS IN THE COMMUNITY HEALTH RECORD IS 1,726,778 WITH APPROXIMATELY 87,000 LOGINS IN A YEAR. 2058121 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 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 X 18 0 18 1 0 0 0 0 0 0 0 0 0 0 X 17 17 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 HI X FRANCIS CHAN EXECUTIVE DIRECTOR 8084411411 900 FORT STREET MALL NO 1305 HONOLULU HI 96813 ROBERT HIROKAWA PRESIDENT / DIRECTOR 1.00 X X 0 0 0 MONEY ATWAL TREASURER / DIRECTOR 1.00 X X 0 0 0 LISA WONG SECRETARY / DIRECTOR 1.00 X X 0 0 0 DANIEL BRINKMAN DIRECTOR 1.00 X 0 0 0 PONO CHONG DIRECTOR 1.00 X 0 0 0 DANIEL HALL DIRECTOR 1.00 X 0 0 0 RANDALL HATA DIRECTOR 1.00 X 0 0 0 GREGORY S HESTER DIRECTOR 1.00 X 0 0 0 LEONARD LICINA DIRECTOR 1.00 X 0 0 0 ARNAR ROY MAGNUSSON MD DIRECTOR UNTIL JUNE 30 2017 1.00 X 0 0 0 BECKET MAHNKE MD DIRECTOR 1.00 X 0 0 0 GARY OKAMOTO MD DIRECTOR 1.00 X 0 0 0 STEVE ROBERTSON DIRECTOR UNTIL JUNE 30 2017 1.00 X 0 0 0 DONNA SCANNELL DIRECTOR 1.00 X 0 0 0 BARBARA STANTON DIRECTOR 1.00 X 0 0 0 PETER SYBINSKY DIRECTOR 1.00 X 0 0 0 RAYMOND YEUNG DIRECTOR 1.00 X 0 0 0 MICHEL DANON DIRECTOR UNTIL NOVEMBER 2016 1.00 X 0 0 0 THOMAS HAWKES DIRECTOR UNTIL NOVEMBER 2016 1.00 X 0 0 0 MARK LINSCOTT DIRECTOR UNTIL JANUARY 2017 1.00 X 0 0 0 JEFFREY NYE DIRECTOR UNTIL MAY 2017 1.00 X 0 0 0 FRANCIS CHAN INTERIM EXECUTIVE DIRECTOR 40.00 X 100490 0 17958 ANN HATAOKA DIRECTOR OF FINANCE 40.00 X 86478 0 14082 ANN MASHITA EXEC OFFICE MGR UNTIL MAY 2017 40.00 X 48571 0 7180 CHRISTINE SAKUDA EXECUTIVE DIRECTOR UNTIL MAY 2017 40.00 X 154767 0 21327 390306 0 60547 2 0 1 0 MEDICITY 257 E 200 SOUTH SUITE 1300 SALT LAKE CITY UT 84111 SOFTWARE DEVELOPMENT 437486 1 35716 95000 130716 PROGRAM FEES 900099 2066717 2066717 2066717 85 85 5466 0 5466 5466 5466 49 0 49 49 49 2203033 2066717 0 5600 419906 159058 226338 34510 618048 560135 50056 7857 4421 3692 685 44 43834 37310 5467 1057 110143 78360 27545 4238 24284 24284 47939 47939 254362 211532 37119 5711 41020 9438 27372 4210 539157 536129 2624 404 151898 102898 42467 6533 44974 36176 7625 1173 334382 307745 23085 3552 16588 9892 5803 893 OUTREACH AND RECRUITMEN 19471 16875 2596 BAD DEBT EXPENSE 5050 5050 DUES AND SUBSCRIPTION 1934 114 1577 243 GET EXPENSE 592 592 2678003 2058121 546861 73021 493636 577863 380385 280451 665809 526278 90662 56745 1704418 1291841 741599 412577 2372091 1853914 38069 41025 82147 35984 120216 77009 X 2251875 1745722 31183 2251875 1776905 2372091 1853914 -474970 0 X 0 1 X 1 0 X 2695864 3212380 197375 164043 130716 6400378 2695864 3212380 197375 164043 130716 6400378 6400378 131 161 371 11307 5551 17521 1907 42 1949 6419848 9647433 0.99700 0.99850 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2014 AMOUNT: $ 1,907. 2015 AMOUNT: $ 42. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1704418 1291841 412577 412577 X 2171850 0 2171850 31183 31183 2203033 2678003 0 2678003 0 2678003 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 EVALUATED HHIE'S TAX POSITIONS AS OF JUNE 30, 2017 AND 2016 AND FOR THE YEARS THEN ENDED BY REVIEWING ITS INCOME TAX RETURNS AND CONFERRING WITH ITS TAX ADVISORS, AND DETERMINED THAT HHIE HAD NO UNCERTAIN TAX POSITIONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH SUCH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. HHIE 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 31,183. X X 0 0 0 0 0 0 0 0 0 CHRISTINE SAKUDA EXECUTIVE DIRECTOR UNTIL MAY 2017 154767 0 0 0 0 0 4917 0 16410 0 176094 0 0 0 FORM 990, PART III, LINE 3 THE HAWAI'I HEALTH INFORMATION EXCHANGE HAD TO MAKE A DIFFICULT BUT PIVOTAL DECISION TO DISCONTINUE TECHNICAL ASSISTANCE FOR OUR QUALITY PAYMENT PROGRAM, INCLUDING MEANINGFUL USE AND PQRS. 990, PART V, LINE 2A: THE ORGANIZATION HAS A CO-EMPLOYMENT ARRANGEMENT WITH A PROFESSIONAL EMPLOYER ORGANIZATION, WHO IS THE EMPLOYER OF RECORD. THE ORGANIZATION IS THE WORKSITE EMPLOYER. FORM 990, PART VI, SECTION B, LINE 11B THE FINAL DRAFT WAS REVIEWED BY THE FINANCE COMMITTEE WHO MAKES THE RECOMMENDATION OF APPROVAL TO THE BOARD. A COPY OF THE FORM 990 IS PASSED OUT TO ALL MEMBERS AND APPROVED AT THE BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C ACCORDING TO THE PROCEDURES MENTIONED IN HHIE'S CONFLICT OF INTEREST POLICY: 1. THE POLICY IS REVIEWED ANNUALLY. 2. APPROVED POLICY IS ANNOUNCED TO ALL STAFF AND SAVED IN THE SHARED NETWORK. 3. THE POLICY CONTAINS DETAILED PROCEDURES FROM DETERMINING EXISTENCE OF CONFLICT TO RESOLUTIONS AND PROCEEDINGS IF ANY. 4. THE COMPLIANCE OFFICER IS RESPONSIBLE IN DISCLOSING ANY CONFLICT OF INTEREST FROM AN INTERESTED PERSON TO THE LEGAL POLICY COMMITTEE. 5. LEGAL POLICY COMMITTEE DETERMINES WHETHER A CONFLICT EXISTS. 6. ANY EXISTING CONFLICTS ARE ADDRESSED AND RESOLVED AT THE BOARD COMMITTEE. 7. A STATEMENT IS SIGNED BY INTERESTED PERSON. FORM 990, PART VI, SECTION B, LINE 15 IN DETERMINING COMPENSATION OF THE EXECUTIVE DIRECTOR OR OTHER TOP MANAGEMENT OFFICERS, THE COMPANY HAS A PROCESS WHERE THE BOARD OF DIRECTORS REVIEW AND APPROVE THE COMPENSATION. THE PROCEDURES INCLUDE THE FOLLOWING ELEMENTS: 1. PERSONS WITH A POTENTIAL CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT ARE NOT INVOLVED. 2. EMPLOYEE COMPENSATION ANALYSIS REPORTS ARE USED AS REFERENCE FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. 3. CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT ARE KEPT FOR RECORD. THIS COMPENSATION DETERMINATION PROCESS WAS LAST UNDERTAKEN DURING 2017. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST.