2015-11-16T19:31:08-06:00 2014-12-31 205325889 ACCUITY LLP 999 BISHOP STREET STE 1900 HONOLULU HI 96813 990 2014-01-01 990309519 ALOHACARE ALOH 8089731650 1357 KAPIOLANI BLVD NO 1250 HONOLULU HI 96814 JOHN MCCOMAS CEO 8089731650 2015-11-16 1 ACCUITY LLP P00037058 8085313400 2014 2016-04-25 22:37:26Z JOHN MCCOMAS 1357 KAPIOLANI BLVD NO 1250 HONOLULU HI 96814 239999061 0 X WWW.ALOHACAREHAWAII.ORG X 1994 HI ALOHACARE IS A HAWAII CORPORATION THAT CONTRACTS WITH THE STATE OF HI, DEPT OF HUMAN SERVICES MED-QUEST DIVISION TO PROVIDE MANAGED HEALTH CARE IN ACCORDANCE WITH THE STATE OF HI HEALTH QUEST DEMONSTRATION, AND WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) TO PROVIDE MANAGED HEALTH CARE THROUGH A MEDICARE ADVANTAGE HEALTH/PRESCRIPTION DRUG PLAN AND A MEDICARE ADVANTAGE HEALTH/PRESCRIPTION DRUG SPECIAL NEEDS PLAN. ALOHACARE ALSO PARTICIPATES IN AND HELPS TO FUND HEALTH RELATED ACTIVITIES TO IMPROVE THE QUALITY OF HEALTH OF THE PEOPLE OF HAWAII. ALOHACARE OPERATES FOR CHARITABLE, EDUCATIONAL, RECREATIONAL PURPOSES, WITHIN THE MEANING OF SECTION 501(C)(4) OF THE IRS CODE OF 1986 AS AMENDED. 16 4 214 0 0 0 0 0 228805507 239889101 146502 106883 19 4 228952028 239995988 1928601 844161 0 0 12311198 11877444 0 0 0 224196043 232599773 238435842 245321378 -9483814 -5325390 139820850 115657549 62876667 44038756 76944183 71618793 X ALOHACARE IS A HAWAII CORPORATION THAT CONTRACTS WITH THE STATE OF HAWAII, DEPARTMENT OF HUMAN SERVICES MED-QUEST DIVISION TO PROVIDE MANAGED HEALTH CARE IN ACCORDANCE WITH THE STATE OF HAWAII HEALTH QUEST DEMONSTRATION, AND WITH THE CENTERS FOR MEDICARE AND MEDICAID SERVICES (CMS) TO PROVIDE MANAGED HEALTH CARE THROUGH A MEDICARE ADVANTAGE HEALTH/PRESCRIPTION DRUG PLAN AND A MEDICARE ADVANTAGE HEALTH/PRESCRIPTION DRUG SPECIAL NEEDS PLAN. ALOHACARE ALSO PARTICIPATES IN AND HELPS TO FUND HEALTH RELATED ACTIVITIES TO IMPROVE THE QUALITY OF HEALTH OF THE PEOPLE OF HAWAII. ALOHACARE OPERATES FOR CHARITABLE, EDUCATIONAL AND RECREATIONAL PURPOSES WITHIN THE MEANING OF SECTION 501(C)(4) OF THE IRS CODE OF 1986 AS AMENDED. 0 0 229316901 844161 239889101 HEALTH CARE PROGRAMS, GENERAL/OTHER: PROVIDE MANAGED HEALTH CARE SERVICES TO APPROXIMATELY 62,648 QUALIFIED MEDICAID MEMBERS, AND 1,649 MEDICARE MEMBERS WHO ARE RESIDENTS OF HAWAII. 229316901 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1542 0 1 214 1 0 0 0 0 0 0 0 0 0 0 X 16 4 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 1 HI X ALOHACARE - CO CINDY NEELEY 8089736347 1357 KAPIOLANI BLVD SUITE 1250 HONOLULU HI 96814 SHEILA BECKHAM BOARD MEMBER 1.00 X 0 0 0 DAVID DERAUF BOARD MEMBER 1.00 X 0 0 0 PHIL KINNICUTT BOARD MEMBER 1.00 X 0 0 0 RICHARD KISHABA BOARD MEMBER 1.00 X 0 0 0 ALAN TERADA BOARD MEMBER 1.00 X 0 0 0 DESIREE PUHI BOARD MEMBER 1.00 X 0 0 0 IRENE CARPENTER BOARD MEMBER 1.00 X 0 0 0 HAROLD WALLACE BOARD MEMBER 1.00 X 0 0 0 MARTHA SMITH BOARD MEMBER 1.00 X 0 0 0 PAULA YOSHIOKA BOARD MEMBER 1.00 X 0 0 0 JOHN MCCOMAS CEO 40.00 X 240171 0 25895 EMMANUEL KINTU IMMEDIATE PAST PRESIDENT 1.00 X 0 0 0 DANA HOWETH PRESIDENT 1.00 X 0 0 0 DAVID BESS TREASURER 1.00 X 0 0 0 RICHARD BETINI VP OF GOVERNANCE 1.00 X 0 0 0 RICHARD TAAFE VP OF EXTERNAL AFFAIRS 1.00 X 0 0 0 MARY ONEHA SECRETARY 1.00 X 0 0 0 DR GARY OKAMOTO CHIEF MEDICAL DIRECOR 40.00 X 250911 0 16560 CINDY NEELEY CFO 40.00 X 256048 0 15299 TODD MORGAN CIO 40.00 X 170213 0 17269 NOLAN NAMBA CHIEF MARKETING OFFICER 40.00 X 143353 0 14986 PATRICK BRENNAN SR DIR. OF PLAN OPERATIONS 40.00 X 178963 0 19185 JONATHAN CASCINO SR DIR OF QUALITY IMPROVEMENT 40.00 X 107430 0 9582 CRAWFORD ALLISON SR DIR OF LTSS 40.00 X 138593 0 12568 STELLA CATALAN SR DIR. OF CLINICAL OPS 40.00 X 158878 0 11397 RANE SHOJI PHARMACIST 40.00 X 124536 0 9050 WALTER SHIM MEDICAL DIRECTOR 40.00 X 118725 0 16068 1887821 0 167859 11 0 1 0 GORMAN HEALTH GROUP 5335 WISCONSIN AVE NW 340 WASHINGTON DC 20015 CONSULTING 281118 THE MIHALIK GROUP 1300 W BELMONT AVE SUITE 500 CHICAGO IL 606573242 CONSULTING 212667 MILLIMAN 1301 FIFTH AVENUE SUITE 3800 SEATTLE WA 98101 ACTUARIAL 177494 INSURANCE BENEFITS SERVICES 1585 KAPIOLANI BLVD STE 1020 HON HI 96814 BROKER FEES 110304 4 CAPITATION 624100 237584150 237584150 REINSURANCE 624100 2304951 2304951 239889101 109956 109956 3073 -3073 -3073 -3073 OTHER REVENUE 624100 4 4 4 239995988 239889101 0 106887 X 746991 746991 97170 97170 2055679 2055679 7620461 5324490 2295971 276141 276141 1157833 1157833 767330 767330 115865 115865 289115 289115 178442674 178442674 586617 586617 119870 119870 923026 923026 102943 102943 41280 41280 555505 555505 194884 194884 OTHER PROFESSIONAL SERV 40009517 40009517 CAPITATION 4025809 4025809 OTHER PROFESSIONAL FEES 2213878 2213878 LICENCES & FEES 1682530 1682530 3296260 670250 2626010 245321378 229316901 16004477 0 16318542 47544422 83117509 13124558 305464 300726 6901622 6003746 649748 897876 39429587 53789967 139820850 115657549 25675102 9788624 37201565 34250132 62876667 44038756 X 76944183 71618793 76944183 71618793 139820850 115657549 -5325390 0 X X 0 1 X 1 0 244340 173588 70752 6657282 5830158 827124 897876 PAYABLE TO RISK POOLS 6602678 ACCRUED MEDICAL CLAIMS 27647454 34250132 237755208 64171 64171 237691037 2304951 2304951 239995988 243009533 -6894 -6894 243016427 2304951 2304951 245321378 PART XI, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF REINSURANCE REVENUES 2,304,951. PART XII, LINE 2D - OTHER ADJUSTMENTS: BROKER FEES -6,894. PART XII, LINE 4B - OTHER ADJUSTMENTS: RECLASSIFICATION OF REINSURANCE REVENUES 2,304,951. 1 ALAN PAPST MD 46-001 KAM HWY STE 305 KANEOHE HI 96744 990257966 1260 QI INCENTIVE ALII HEALTH CENTER 78-6831 ALII DRIVE KAILUA KONA HI 96740 260318372 501 ( C) 3 925 QI INCENTIVE ALII HEALTH CENTER 78-6831 ALII DRIVE KAILUA KONA HI 96740 260318372 501 ( C) 3 50000 GRANT ANDREW FOX MD LLC 53 PUUNENE AVE STE 102 KAHULUI HI 96732 220707354 7230 QI INCENTIVE ANGEL CUNANAN MD 87-1784 FARRINGTON HWY WAIANAE HI 96792 990240958 450 QI INCENTIVE ANTHONY HERNANDEZ MD 1824 DILLINGHAM BLVD HONOLULU HI 96819 990314635 225 QI INCENTIVE ANTHONY MAGLIULO MD 642 ULUKAHIKI STREET KAILUA HI 96734 990280579 175 QI INCENTIVE ARNOLD SEID MD WAHIAWA MEDICAL CENTER WAHIAWA HI 96786 990225570 290 QI INCENTIVE AURORA MARIANI MD 91-2139 FORT WEAVER ROAD EWA BEACH HI 96706 990215178 275 QI INCENTIVE BARON CHING 321 N KUAKINI STREET 708 HONOLULU HI 96817 990225041 1000 QI INCENTIVE BAY CLINIC INC 224 HAILI ST STE B HILO HI 96720 990222784 501 ( C) 3 38081 QI INCENTIVE BAY CLINIC INC 224 HAILI ST STE B HILO HI 96720 990222784 501 ( C) 3 5000 DONATION BENEDICTO GALINDO MD 94-366 PUPUPANI ST STE 118 WAIPAHU HI 96797 900008865 100 QI INCENTIVE BIRENDRA HUJA MD 1040 S KING ST 312 HONOLULU HI 96814 990312885 450 QI INCENTIVE BUENAVENTURA REALICA MD 94-239 WAIPAHU DEPOT ROAD WAIPAHU HI 96797 990117689 650 QI INCENTIVE CARLOS B LAM MD 1481 S KING STREET STE 410 HONOLULU HI 96814 990249465 200 QI INCENTIVE CARMEN M BAYBAYAN MD LLC 98-1247 KAAHUMANU ST STE 320 AIEA HI 96701 020812012 50 QI INCENTIVE CHANG LAI 1380 LUSITANA STREET HONOLULU HI 96813 990328088 150 QI INCENTIVE CHARLIE SONIDO MD INC 94-837 WAIPAHU ST WAIPAHU HI 96797 990258833 3285 QI INCENTIVE COLLEEN F INOYUE MD 200-2 KALEPA PL KAHULUI HI 96732 990251324 1560 QI INCENTIVE CRAIG SHIKUMA MD C/O MAILCODE 61030 HONOLULU HI 96807 990236970 275 QI INCENTIVE DANIEL BELCHER 73 PUUHONU PLACE HILO HI 96720 990312978 600 QI INCENTIVE DANILO PERLAS MD INC 302 CALIFORNIA AVE STE 208 WAHIAWA HI 96786 990324253 3195 QI INCENTIVE DARRETT CHOY MD LLC 275 PONAHAWAI STREET HILO HI 96720 274455895 2220 QI INCENTIVE DAVID CHA MD 91-2139 FT WEAVER ROAD EWA BEACH HI 96706 990315207 540 QI INCENTIVE DAVID JUNG MD 41 HOKU STREET HILO HI 96720 990296820 475 QI INCENTIVE DEAN OTAKA MD INC 98-1079 MOANALUA RD STE 670 AIEA HI 96701 990358001 100 QI INCENTIVE DENIS CHAN 94-748 B HIKIMOE ST WAIPAHU HI 96797 990187502 125 QI INCENTIVE EAST HAWAII MEDICAL CLINIC 80 PAUAHI ST STE 104 HILO HI 96720 462990971 36000 GRANT EDDIE LIM 1021 SMITH STREET SUITE 306 HONOLULU HI 96817 990332986 75 QI INCENTIVE EDGAR DELA CRUZ MD 1748 DILLINGHAM BLVD HONOLULU HI 96819 990202286 660 QI INCENTIVE EDWARD ALQUERO MD 94-141 PUPUPUHI STREET WAIPAHU HI 96797 990285538 1245 QI INCENTIVE ERLINDA CACHOLA MD 936 KALIHI STREET HONOLULU HI 96819 990160798 250 QI INCENTIVE ERNESTO ORINION MD PO BOX 489 KAILUA HI 96734 990157778 250 QI INCENTIVE FLORA MEDINA-MANUEL 2153 NORTH KING STREET HONOLULU HI 96819 990289905 480 QI INCENTIVE FORTUNATO ELIZAGA MD FORTUNATO V ELIZAGA MD INC HONOLULU HI 96817 990199056 125 QI INCENTIVE FRANCIS PIEN 1010 S KING ST STE 111 HONOLULU HI 96814 990353392 50 QI INCENTIVE FRANK BAUM MD 200 KALEPA PL KAHULUI HI 96732 990251325 9870 QI INCENTIVE FRIENDS OF SHRINERS HOSPITALS-HONOLULU 1310 PUNAHOU STREET HONOLULU HI 96826 264807090 501 ( C) 3 2500 GRANT GAVINO VINZONS MD 2055 NORTH KING STREET 102 HONOLULU HI 96819 990289388 200 QI INCENTIVE GLENN M STAHL MD 46-001 KAMEHAMEHA HWY KANEOHE HI 96744 990168605 150 QI INCENTIVE GLENN YONEMURA MD 3221 WAIALAE AVENUE HONOLULU HI 96816 990325323 75 QI INCENTIVE GODOFREDO BACLIG MD 1520 LILIHA ST STE 401 HONOLULU HI 96817 943267210 975 QI INCENTIVE H LORRIN LAU MD 1010 KING STREET HONOLULU HI 96814 990217142 250 QI INCENTIVE HALEIWA FAMILY HEALTH CENTER 66-125 KAMEHAMEHA HWY HALEIWA HI 967121420 990269655 225 QI INCENTIVE HAMAKUA HEALTH CENTER 45-549 PLUMERIA STREET HONOKAA HI 96727 990115515 501 ( C) 3 9861 QI INCENTIVE HANA COMMUNITY HEALTH CENTER PO BOX 807 HANA HI 96713 990326154 501 ( C) 3 2475 QI INCENTIVE HARRY ACUNA MD 94-307 FARRINGTON HWY WAIPAHU HI 96797 990342433 600 QI INCENTIVE HARRY N YOSHINO MD 1329 LUSITANA STREET B-2 HONOLULU HI 96813 990159565 840 QI INCENTIVE HAWAII MEDICAL ASSOCIATION ATTN DR CHRISTOPHER FLANDERS HONOLULU HI 968141520 990067306 501 (C ) 6 1500 DONATION HILO MEDICAL CENTER 1190 WAIANUENUE AVE HILO HI 96720 990262336 501 ( C) 3 1800 QI INCENTIVE HO'OLA LAHUI HAWAII PO BOX 3990 LIHUE HI 96766 990250542 501 ( C) 3 8373 QI INCENTIVE HOSPICE OF HILO 1011 WAIANUENUE AVENUE HILO HI 967202019 990218512 501 ( C) 3 1000 DONATION HI PRIMARY CARE ASSOCIATION 735 BISHOP STREET SUITE 230 HONOLULU HI 96813 990268275 501 ( C) 3 10000 DONATION HUI MALAMA OLA NA OIWI 69 A-3 RAILROAD AVENUE HILO HI 96720 990286468 501 ( C) 3 720 QI INCENTIVE HUI MALAMA OLA NA OIWI 69 A-3 RAILROAD AVENUE HILO HI 96720 990286468 501 ( C) 3 500 DONATION HUI NO KE OLA PONO 95 MAHALANI STREET STE 4 WAILUKU HI 96793 990287193 501 ( C) 3 600 QI INCENTIVE JABSOM ATTN KATHY WITHY HONOLULU HI 96813 990085260 501 ( C) 3 10000 DONATION JANICE A SMOLEC MD 98-211 PALI MOMI 800 AIEA HI 96701 990203967 1260 QI INCENTIVE JEFFREY LIM MD PO BOX 25370 HONOLULU HI 96825 990307530 675 QI INCENTIVE JENNIFER FRANK MD 1380 LUSITANA ST HONOLULU HI 96813 990277920 100 QI INCENTIVE JOHN M NAGAMINE MD 642 ULU KAHIKI ST STE 304 KAILUA HI 96734 990351134 1635 QI INCENTIVE JON FUJITA 99-128 AIEA HEIGHTS DRIVE AIEA HI 96701 990326942 2520 QI INCENTIVE JOSE DELEON 1520 LILIHA ST STE 203 HONOLULU HI 96817 990193638 625 QI INCENTIVE JOSEPH KAMAKA MD 99 S MARKET STREET SUITE 202 WAILUKU HI 96793 990249682 1980 QI INCENTIVE KA HO'AILONA RURAL HEALTH CLINIC PO BOX 1509 KAUNAKAKAI HI 967481905 273839963 1385 QI INCENTIVE KA WAI OLA FAMILY MEDICAL CLINIC LLC 94-849 LUMIAINA STREET WAIPAHU HI 96797 263465505 200 QI INCENTIVE KAHALA CHILDREN'S MEDICAL GROUP 4211 WAIALAE AVE HONOLULU HI 96816 264083530 1770 QI INCENTIVE KALIHI PALAMA HEALTH CENTER 915 NORTH KING ST HONOLULU HI 96817 990161221 501 ( C) 3 25257 QI INCENTIVE KAPIOLANI MEDICAL CLINIC MAILCODE 60152 BOX 1300 HONOLULU HI 96807 990177350 501 ( C) 3 930 QI INCENTIVE KAU HOSPITAL RURAL HEALTH CLINIC PO BOX 40 PAHALA HI 96777 990262198 840 QI INCENTIVE KAUAI MEDICAL CLINIC MAIL CODE 61113 HONOLULU HI 96820 990326099 501 ( C) 3 9240 QI INCENTIVE KEVIN KUROHARA MD 75 PUUHONU PLACE 205 HILO HI 96720 990266246 1125 QI INCENTIVE KIHEI WAILEA MEDICAL CENTER C/O TEAM PRAXIS HONOLULU HI 968200460 990350911 501 ( C) 3 18000 ACCESS/AVAILABLITY GRANT KOKUA KALIHI VALLEY 2239 NORTH SCHOOL STREET HONOLULU HI 96819 990149797 501 ( C) 3 21528 QI INCENTIVE KOOLAULOA COMMUNITY HEALTH & WELLNESS CENTER PO BOX 395 KAHUKU HI 96731 731681833 501 ( C) 3 11281 QI INCENTIVE KULA HOSPITAL AND CLINIC 100 KEOKEA PLACE KULA HI 96790 990262276 75 QI INCENTIVE KVMHWEST KAUAI CLINIC C/O TEAM PRAXIS LLC HONOLULU HI 968200460 990262194 3105 QI INCENTIVE LANAI COMMUNITY HEALTH CENTER PO BOX 630142 LANAI CITY HI 96763 202509287 501 ( C) 3 350 QI INCENTIVE LANAI COMMUNITY HEALTH CENTER PO BOX 630142 LANAI CITY HI 96763 202509287 501 ( C) 3 4661 ACCESS/AVAILABLITY GRANT LAVERNE A KIA MD 91-2139 FORT WEAVER RD EWA BEACH HI 96706 990262891 250 QI INCENTIVE LELAND DAO MD 66-150 KAMEHAMEHA HWY HALEIWA HI 96712 990336371 175 QI INCENTIVE LILIANE KHENG MD ISI HEALTH ENHANCEMENT SVCS HONOLULU HI 96816 990254654 1190 QI INCENTIVE MAGDY METTIAS MD INC 94-300 FARRINGTON HWY WAIPAHU HI 96797 990334442 1150 QI INCENTIVE MALAMA NA PUA O KA AINA 1020 KEOLU DRIVE KAILUA HI 96734 990347667 17526 QI INCENTIVE MARIA ILAR MD COMMUNITY HEALTH CLINIC LLC WAIPAHU HI 96797 990326183 525 QI INCENTIVE MARINA BADUA MD 1712 LILIHA ST STE 202 HONOLULU HI 96817 990297825 350 QI INCENTIVE MARTA L DERIEG MD 76-6225 KUAKINI HWY STE C101 KAILUA KONA HI 96740 990351758 1500 QI INCENTIVE MAUI MEDICAL GROUP 2180 MAIN ST WAILUKU HI 96793 990176859 22695 QI INCENTIVE MAUI MEDICAL GROUP 2180 MAIN ST WAILUKU HI 96793 990176859 25000 ACCESS/AVAILABLITY GRANT MEDICAL ARTS CLINIC PO BOX 31000 HONOLULU HI 968495177 990145170 325 QI INCENTIVE MINOLU CHENG MD 78-6824 MAMALAHOA HWY HOLUALOA HI 96725 990163935 1635 QI INCENTIVE MOLOKAI GENERAL HOSPITAL PO BOX 408 KAUNAKAKAI HI 96748 990251372 501 ( C) 3 25000 ACCESS/AVAILABLITY GRANT MOLOKAI OHANA HEATHCARE INC PO BOX 2040 KAUNAKAKAI HI 96748 510437659 501 ( C) 3 11082 QI INCENTIVE MYRNA S VALIN MD 2119 N KING STREET HONOLULU HI 96819 990223379 630 QI INCENTIVE NA LEI WILI AHEC 4442 HARDY ST STE 205 LIHUE HI 96766 990337948 501 ( C) 3 1000 DONATION NARO L TORRES MD 579 FARRINGTON HWY KAPOLEI HI 96707 990358678 450 QI INCENTIVE NESTOR I DEL ROSARIO MD 94-939 KAHUAILANI ST WAIPAHU HI 96797 943271367 8150 QI INCENTIVE NICANOR JOAQUIN MD PLAZA IMELDA HONOLULU HI 96819 990192981 2340 QI INCENTIVE NOA E ALULI MD PO BOX 1100 KAUNAKAKAI HI 96748 990333142 3480 QI INCENTIVE PANIOLO COUNTRY PEDIATRICS PO BOX 6149 KAMUELA HI 967436149 270034427 6240 QI INCENTIVE PANIOLO COUNTRY PEDIATRICS PO BOX 6149 KAMUELA HI 967436149 270034427 30000 ACCESS/AVAILABLITY GRANT PETER WAI 1520 LILIHA STREET SUITE 504 HONOLULU HI 96817 990260760 50 QI INCENTIVE PHILIPPINE NURSES ASSOC OF HAWAII PO BOX 1770 PEARL CITY HI 96782 460829584 2000 DONATION PHYSICIANS CENTER AT MILILANI 128 LEHUA STREET WAHIAWA HI 96786 990269825 501 ( C) 3 1695 QI INCENTIVE PUNA COMMUNITY MEDICAL CENTER 15-2662 PAHOA VILLAGE ROAD PAHOA HI 96778 711032510 501 ( C) 3 5000 DONATION QUEEN EMMA CLINIC PO BOX 30160 HONOLULU HI 968200160 990073524 501 ( C) 3 12669 QI INCENTIVE RACHEL TORTOLINI MD 1 KAMANI STREET PAHALA HI 96777 990294368 900 QI INCENTIVE REDENTOR C ROJALES MD KALIHI MEDICAL DENTAL BLDG HONOLULU HI 96819 990301987 450 QI INCENTIVE RICHARD LEE-CHING MD 780 LAUKAPU STREET HILO HI 96720 990273884 2010 QI INCENTIVE RICHARD PEKALA MD KONA-KOHALA MED ASSOC KAILUA KONA HI 96740 990254470 200 QI INCENTIVE RODRIGO G BRISTOL 634 KALIHI STREET HONOLULU HI 96819 990188067 150 QI INCENTIVE ROSALO PAESTE MD 94-307 FARRINGTON HWY WAIPAHU HI 96797 990343042 500 QI INCENTIVE RUSSELL S KELLY MD LLC 91-2139 FT WEAVER RD 300 EWA BEACH HI 96706 205215599 300 QI INCENTIVE RUSSELL TACATA MD 1619 LILIHA STREET HONOLULU HI 86817 990329135 975 QI INCENTIVE SANTAD SIRA MD PO BOX 50 KEALAKEKUA HI 96750 990209887 720 QI INCENTIVE SHARON LAWLER 1029 KAPAHULU AVE HONOLULU HI 96816 990238741 525 QI INCENTIVE STEVE E CLARKMD 1827 WELLS ST WAILUKU HI 96793 990241835 360 QI INCENTIVE STRAUB CLINIC AND HOSPITAL PO BOX 30180 HONOLULU HI 96820 912151670 501 ( C) 3 4350 QI INCENTIVE STRAUB LANAI FAMILY HEALTH CENTER PO BOX 30180 HONOLULU HI 968200180 990331208 4365 QI INCENTIVE SYLVIA PAGER 1380 LUSITANA ST 907 HONOLULU HI 96813 990174213 540 QI INCENTIVE TAY-ING YANG MD 46-001 KAMEHAMEHA HWY KANEOHE HI 96744 990248659 1015 QI INCENTIVE VICENTE S RAMO MD 634 KALIHI ST STE 201 HONOLULU HI 96819 990348596 750 QI INCENTIVE WAHIAWA CENTER FOR COMMUNITY HEALTH PO BOX 860339 WAHIAWA HI 96786 455114944 501 ( C) 3 40000 GRANT WAIANAE COAST COMPREHENSIVE HEALTH CENTER 86-260 FARRINGTON HWY WAIANAE HI 96792 990148164 501 ( C) 3 84265 QI INCENTIVE WAIKIKI HEALTH CENTER 935 MAKAHIKI WAY HONOLULU HI 96826 990159253 501 ( C) 3 11453 QI INCENTIVE WAIMANALO HEALTH CENTER 41-1347 KALANIANOLE HWY WAIMANALO HI 967951247 990273205 501 ( C) 3 10519 QI INCENTIVE WAIMANALO HEALTH CENTER 41-1347 KALANIANOLE HWY WAIMANALO HI 967951247 990273205 501 ( C) 3 50000 GRANT WESLEY J SUGAI MD 75-5591 PALANI RD SUITE 3001 KAILUA KONA HI 96740 990290505 5670 QI INCENTIVE WHCHC 75-5751 KUAKINI HWY KAILUAKONA HI 96740 200495394 501 ( C) 3 10465 QI INCENTIVE WILLIAM F MCKENZIE MD INC 95-119 KAM HWY STE A MILILANI HI 96789 990195809 5325 QI INCENTIVE 36 95 ACCESS/AVAILABILITY GRANT 1 25000 QI INCENTIVE 61 72170 PART I, LINE 2: ALOHACARE AWARDS VARIOUS GRANTS TO DIFFERENT ORGANIZATIONS IN THE COMMUNITY. THE GRANTS ARE AWARDED BASED ON DIFFERENT CRITERIA, INCLUDING PREVENTION AND/OR TREATMENT OF HEALTH RELATED ISSUES, HEALTHCARE NEEDS, AND THE OVERALL IMPROVEMENT OF HEALTH IN THE HAWAII COMMUNITY. X 1 1 X X X X 0 0 0 0 0 0 0 0 0 JOHN MCCOMAS CEO 240171 0 0 0 0 0 9634 0 16261 0 266066 0 0 0 DR GARY OKAMOTO CHIEF MEDICAL DIRECOR 250911 0 0 0 0 0 10175 0 6385 0 267471 0 0 0 CINDY NEELEY CFO 246029 0 0 0 10019 0 10234 0 5065 0 271347 0 0 0 TODD MORGAN CIO 170213 0 0 0 0 0 6953 0 10316 0 187482 0 0 0 NOLAN NAMBA CHIEF MARKETING OFFICER 143353 0 0 0 0 0 5858 0 9128 0 158339 0 0 0 PATRICK BRENNAN SR DIR. OF PLAN OPERATIONS 168944 0 0 0 10019 0 7306 0 11879 0 198148 0 0 0 CRAWFORD ALLISON SR DIR OF LTSS 138593 0 0 0 0 0 2711 0 9857 0 151161 0 0 0 STELLA CATALAN SR DIR. OF CLINICAL OPS 148859 0 0 0 10019 0 6332 0 5065 0 170275 0 0 0 PART I, LINE 1A DISCRETIONARY SPENDING IS APPROVED BY BOARD OF DIRECTORS AS DOCUMENTED IN THE EMPLOYMENT CONTRACT. DANA ALONZO-HOWETH COMMUNITY CLINIC OF MAUI EXEC DIR DIRECTOR & PRESIDENT OF ALOHACARE'S BOD 2504771 GRANT & SERVICES RENDERED GRANT & SERVICES IRENE CARPENTER HAMAKUA HEALTH CENTER DIRECTOR OF ALOHACARE'S BOD 328741 GRANT & SERVICES RENDERED GRANT & SERVICES EMMANUEL KINTU KALIHI PALAMA HEALTH CENTER EXEC DIR DIRECTOR & IMMEDIATE PAST PRESIDENT OF ALOHACARE'S BOD 2952046 GRANT & SERVICES RENDERED GRANT & SERVICES DAVID DERAUF KOKUA KALIHI VALLEY EXEC DIR DIRECTOR OF ALOHACARE'S BOD 1024732 GRANT & SERVICES RENDERED GRANT & SERVICES RICH BETTINI WAIANAE COAST COMP HEALTH CENTER CEO DIRECTOR & VP OF GOVERNANCE OF ALOHACARE'S BOD 16019443 GRANT & SERVICES RENDERED GRANT & SERVICES DESIREE PUHI MOLOKAI OHANA HEALTH CENTER EXEC DIR DIRECTOR OF ALOHACARE'S BOD 486967 GRANT & SERVICES RENDERED GRANT & SERVICES MARY ONEHA WAIMANALO HEALTH CENTER EXEC DIR DIRECTOR & SECRETARY OF ALOHACARE'S BOD 451370 GRANT & SERVICES RENDERED GRANT & SERVICES SHEILA BECKAHM WAIKIKI HEALTH CENTER EXEC DIR DIRECTOR OF ALOHACARE'S BOD 810794 GRANT & SERVICES RENDERED GRANT & SERVICES HAROLD WALLACE BAY CLINIC INC DIRECTOR OF ALOHACARE'S BOD 2580688 GRANT & SERVICES RENDERED GRANT & SERVICES RICHARD TAAFE WEST HAWAII COMMUNITY HEALTH CENTER DIRECTOR & VP OF EXTERNAL AFFAIRS 1232117 GRANT & SERVICES RENDERED GRANT & SERVICES PAULA YOSHIOKA QUEENS HEALTH SYSTEMS MED DIR DIRECTOR OF ALOHACARE'S BOD 29251029 GRANT & SERVICES RENDERED KOOLAULOA COMMUNITY HEALTH CENTER VACANT BOD POSITION 370061 HANA COMMUNITY HEALTH CENTER VACANT BOD POSITION 154338 FORM 990, PART VI, SECTION A, LINE 1 THE BOARD OF DIRECTORS, BY RESOLUTION ADOPTED BY A MAJORITY OF THE FULL BOARD OF DIRECTORS, MAY DESIGNATE FROM AMONG ITS MEMBERS AN EXECUTIVE COMMITTEE, A GOVERNANCE COMMITTEE, AN AUDIT COMMITTEE, AND A COMPLIANCE COMMITTEE, TOGETHER WITH ONE OR MORE OTHER COMMITTEES, EACH OF WHICH SHALL HAVE AND MAY EXERCISE ALL THE AUTHORITY GRANTED BY THE BOARD OF DIRECTORS, EXCEPT AS LIMITED BY LAW OR THE ARTICLES OF INCORPORATION. FORM 990, PART VI, SECTION B, LINE 11 BOTH THE CEO & CFO OF ALOHACARE REVIEW FORM 990 PRIOR TO OBTAINING APPROVAL FROM ALOHACARE'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C OFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, AND NOTIFY ALOHACARE SHOULD ANY CONFLICTS ARISE DURING THE YEAR. FORM 990, PART VI, SECTION B, LINE 15 THE BOARD OF DIRECTORS HOLDS MEETINGS TO DETERMINE FAIR COMPENSATION OF ALOHACARE'S CEO. THE CEO DETERMINES FAIR COMPENSATION OF ALOHACARE'S KEY EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BY ALOHACARE. FORM 990, PART IX, LINE 11G OTHER FEES - PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 178,442,674. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 178,442,674. FORM 990, PART XI, LINE 2C ALOHACARE HAS A COMMITTEE THAT IS RESPONSIBLE FOR THE OVERSIGHT OF THE AUDIT AND SELECTION OF THE INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED SINCE THE PRIOR YEAR. SCHEDULE L, PART III GRANTS ARE AWARDED ON AN OBJECTIVE AND NONDISCRIMINATORY BASIS BASED ON PRE-ESTABLISHED CRITERIA AND REVEIWED BY A SELECTION COMMITTEE, AS DESCRIBED IN REGULATIONS SECTION 53.4945-4(B).