2015-05-14T12:40:16-05:00 2014-06-30 261659234 CW ASSOCIATES CPAS 700 BISHOP STREET SUITE 1040 HONOLULU HI 96813 990 2013-07-01 412201519 HAWAII HEALTH INFORMATION EXCHANGE HAWA 8084411346 900 FORT STREET MALL NO 1305 HONOLULU HI 96813 ARNAR ROY MAGNUSSON PRESIDENT 8084411346 2015-05-14 1 MARK A HAYES P00085205 8085311040 2013 2016-04-25 22:37:26Z ARNAR ROY MAGNUSSON 900 FORT STREET MALL NO 1305 HONOLULU HI 96813 4864613 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 19 22 0 0 2695864 3212380 0 1652072 131 161 0 0 2695995 4864613 0 0 0 0 1268777 1761116 0 0 51179 676040 1848722 1944817 3609838 751178 1254775 1564467 2993261 43462 217481 1521005 2775780 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 0 3389093 1652072 THE HAWAII HEALTH INFORMATION EXCHANGE APPLIED FOR FEDERAL GRANTS THROUGH THE DEPARTMENT OF HEALTH AND HUMAN SERVICES, OFFICE OF THE NATIONAL COORDINATOR FOR HEALTH INFORMATION TECHNOLOGY (ONC), TO ADVANCE ITS MISSION TO SUPPORT HEALTH INFORMATION EXCHANGE IN HAWAII. 3389093 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 27 0 19 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 CHRISTINE SAKUDA EXECUTIVE DIRECTOR 8084411346 900 FORT STREET MALL NO 1305 HONOLULU HI 96813 ARNAR ROY MAGNUSSON PRESIDENT / DIRECTOR 1.00 X X 0 0 0 DAVID SAITO VICE PRESIDENT / DIRECTOR 1.00 X X 0 0 0 BRUCE KEANE SECRETARY / DIRECTOR 1.00 X X 0 0 0 MONEY ATWAL TREASURER / DIRECTOR 1.00 X X 0 0 0 RALEIGH AWAYA DIRECTOR 1.00 X 0 0 0 EMMANUEL KINTU DIRECTOR 1.00 X 0 0 0 STEVE ROBERTSON DIRECTOR 1.00 X 0 0 0 MICHEL DANON DIRECTOR 1.00 X 0 0 0 GARY OKAMOTO DIRECTOR 1.00 X 0 0 0 BARBARA STANTON DIRECTOR 1.00 X 0 0 0 JIM TOLLEFSON DIRECTOR 1.00 X 0 0 0 LISA WONG DIRECTOR 1.00 X 0 0 0 RAYMOND YEUNG DIRECTOR 1.00 X 0 0 0 JEFFREY YU DIRECTOR 1.00 X 0 0 0 PETER SYBINSKY DIRECTOR 1.00 X 0 0 0 WENDI BARBER DIRECTOR 1.00 X 0 0 0 MARK LINSCOTT DIRECTOR 1.00 X 0 0 0 ALAN ITO FORMER DIRECTOR 1.00 X 0 0 0 JOHN MCCOMAS FORMER DIRECTOR 1.00 X 0 0 0 RONALD TANIGUCHI FORMER DIRECTOR 1.00 X 0 0 0 JENNIFER DIESMAN FORMER DIRECTOR 1.00 X 0 0 0 CHRISTINE SAKUDA EXECUTIVE DIRECTOR 40.00 X 171512 0 12517 JEFFREY LOO PROJECT DIRECTOR 40.00 X 114836 0 448 286348 0 12965 2 0 1 0 AETNA INC MEDICITY 151 FARMINGTON AVENUE HARTFORD CT 06156 SOFTWARE DEVELOPMENT 762987 ONEMEDNET CORPORATION 1000 2ND AVENUE SUITE 1470 SEATTLE WA 98104 SOFTWARE DEVELOPMENT 290630 CLINICAL LABORATORIES OF HAWAII LLP 1441 KAPIOLANI BLVD 609 HONOLULU HI 96814 MEDICAL LABORATORY TESTING 107401 MAESTRO STRATEGIES LLC PO BOX 767069 ROSWELL GA 30076 HEALTHCARE CONSULTANTS 106022 4 49345 3146574 16461 3212380 PROGRAM FEES 900099 1652072 1652072 1652072 161 161 4864613 1652072 0 161 X 182945 181274 1170 501 1280473 1268777 8187 3509 111912 110890 716 306 185786 184089 1188 509 31028 31028 404813 402927 1320 566 88594 37811 35548 15235 543015 542804 148 63 158842 128678 21115 9049 186053 180330 4006 1717 206898 187780 19118 10717 4574 4300 1843 OUTREACH AND RECRUITMEN 200142 151212 34251 14679 OTHER COSTS 12386 5286 4970 2130 DUES AND SUBSCRIPTION 6234 2661 2501 1072 3609838 3389093 169566 51179 202290 471689 417740 464901 44815 530376 25649 74092 1675704 223501 873973 1452203 1564467 2993261 43462 217481 43462 217481 X 1369940 2624715 151065 151065 1521005 2775780 1564467 2993261 1254775 0 X 0 1 X 1 1 1 X 598483 1229259 2817771 2695864 3212380 10553757 598483 1229259 2817771 2695864 3212380 10553757 10553757 11 41 47 131 161 391 23 23 10554171 1652072 1.00000 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2011 AMOUNT: $ 23. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1675704 223501 1452203 1452203 X 4937873 73260 73260 4864613 0 4864613 3683098 73260 73260 3609838 0 3609838 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 EVAULATED THE TAX POSITIONS OF HHIE AS OF AND FOR THE YEARS ENDED JUNE 30, 2014 AND 2013 BY REVIEWING ITS TAX RETURNS AND CONFERRING WITH ITS TAX ADVISORS, AND DETERMINED THAT IT HAD NO UNCERTAIN TAX POSITONS REQUIRED TO BE REPORTED IN ACCORDANCE WITH SUCH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. WITH FEW EXCEPTIONS, HHIE IS NO LONGER SUBJECT TO EXAMINATIONS BY TAXING AUTHORITIES FOR TAX YEARS ENDING ON OR BEFORE JUNE 30, 2010. X X 0 0 0 0 0 0 0 0 0 CHRISTINE SAKUDA EXECUTIVE DIRECTOR 171512 0 0 0 0 0 4725 0 7792 0 184029 0 0 0 990, 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 11 THE FINAL DRAFT WAS REVIEWED BY THE BOARD PRESIDENT AND TREASURER WHO MADE THE RECOMMENDATION OF APPROVAL TO THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE FORMALLY APPROVED THE FORM 990. A COPY OF THE FORM 990 WAS PASSED OUT TO ALL MEMBERS AT THE NEXT 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. THE PERSONS WITH THE CONFLICT OF INTEREST WITH RESPECT TO THE COMPENSATION ARRANGEMENT AT ISSUE WERE NOT INVOLVED. 2. USE OF DATA AS TO COMPARABLE COMPENSATION 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. 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. FORM 990, PART IX, LINE 11G OTHER PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 402,927. MANAGEMENT AND GENERAL EXPENSES 1,320. FUNDRAISING EXPENSES 566. TOTAL EXPENSES 404,813.