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ALOHACARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
ALOHACARE (EIN 99-0309519)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201303199349308495
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T15:12:33-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN205325889EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ACCUITY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1999 BISHOP STREET STE 1900AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96813ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN990309519EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1ALOHACAREBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlALOHNameControl
Phone8089731650Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11357 KAPIOLANI BLVD NO 1250AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96814ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN MCCOMASName
TitleCEOTitle
Phone8089731650Phone
Date Signed2013-11-13DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameACCUITY LLPName
PTINP00037058PTIN
Phone8085313400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJOHN E MCCOMASNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11357 KAPIOLANI BLVD NO 1250AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96814ZIPCode
FieldValueIRS element (for citing)
Gross Receipts236980676GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.ALOHACAREHAWAII.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileHIStateLegalDomicile
Activity Or Mission DescriptionALOHACARE 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.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees233TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year229441375ProgramServiceRevenuePriorYear
Program Service Revenue CY236643872ProgramServiceRevenueCY
Investment Income Prior Year285588InvestmentIncomePriorYear
Investment Income Current Year324517InvestmentIncomeCurrentYear
Other Revenue Prior Year1570589OtherRevenuePriorYear
Other Revenue Current Year12287OtherRevenueCurrentYear
Total Revenue Prior Year231297552TotalRevenuePriorYear
Total Revenue Current Year236980676TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1317642GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1157788GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year11716201SalariesEtcPriorYear
Salaries Etc Current Year11939702SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year222538488OtherExpensePriorYear
Other Expenses Current Year215152174OtherExpensesCurrentYear
Total Expenses Prior Year235572331TotalExpensesPriorYear
Total Expenses Current Year228249664TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-4274779RevenuesLessExpensesPriorYear
Revenues Less Expenses CY8731012RevenuesLessExpensesCY
Total Assets BOY128617607TotalAssetsBOY
Total Assets EOY134979215TotalAssetsEOY
Total Liabilities BOY50920624TotalLiabilitiesBOY
Total Liabilities EOY48551220TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY77696983NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY86427995NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionALOHACARE 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.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense213415207Expense
Grants1157788Grants
Revenue236643872Revenue
DescriptionHEALTH CARE PROGRAMS, GENERAL/OTHER: PROVIDE MANAGED HEALTH CARE SERVICES TO APPROXIMATELY 72,726 QUALIFIED MEDICAID MEMBERS, AND 1,827 MEDICARE MEMBERS WHO ARE RESIDENTS OF HAWAII.Description
Total Program Service Expense213415207TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt1IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person1GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity0RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10961522NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees233NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members5NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure1WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledHIStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ALOHACARE - CO CINDY NEELEYBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number8089736347TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11357 KAPIOLANI BLVD SUITE 1250AddressLine1
CityHONOLULUCity
StateHIState
ZIP Code96814ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
BEN PETTUS
DIRECTOR1.00X000
DAVID DERAUF
DIRECTOR1.00X000
DESIREE PUHI
DIRECTOR1.00X000
JANET ONAPA
DIRECTOR1.00X000
MARTHA SMITH
DIRECTOR1.00X000
PHILLIP KINNICUTT
DIRECTOR1.00X000
RUSSELL SAITO
DIRECTOR1.00X000
SHEILA BECKHAM
DIRECTOR1.00X000
CHRISTINE RICHARDSON
DIRECTOR1.00X000
MARY ONEHA
DIRECTOR1.00X000
CINDY NEELEY
CFO40.00227033014950X
DANA HOWETH
PAST PRESIDENT1.00000X
DAVID BESS
VP GOVERNANCE1.00000X
EMMANUEL KINTU
TREASURER1.00000X
JOHN MCCOMAS
CEO40.00231959026094X
PAUL STRAUSS
CHIEF OPERATING OFFICER40.00166643013398X
RICHARD BETTINI
SECRETARY1.00000X
SHERI STACHER
COMPLIANCE OFFICER40.00114583015332X
SUSAN HUNT
PRESIDENT1.00000X
DR GARY OKAMOTO
CHIEF MEDICAL DIRECTOR40.005715901275X
PATRICK BRENNAN
SR DIR. OF PLAN OPERATIONS40.00170511019566X
DARRYL HUFF
SR DIR OF COMMUNITY RELATIONS40.00120408013894X
EVELYN CHOCK
PHARMACY MANAGER40.00116244016455X
FRANCIS APPEL
SR DIR OF QUALITY IMPROVEMENT40.00124836013212X
DR SHARON TISZA
MEDICAL DIRECTOR40.00208446020217X
STELLA CATALAN
SR DIR. OF CLINICAL OPS40.00154491012060X
FieldValueIRS element (for citing)
Total Reportable Comp From Org1692313TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation166453TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
MILLIMAN
1301 FIFTH AVENUE SUITE 3800SEATTLEWA98101ACTUARIAL467292
INSURANCE BENEFITS SERVICES
1585 KAPIOLANI BLVD STE 1020HONHI96814BROKER FEES169992
ACCUITY LLP
999 BISHOP STREET SUITE 1900HONOLULUHI96813ACCOUNTING102954
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAPITATION624100232657969232657969
REINSURANCE62410039859033985903
FieldValueIRS element (for citing)
Total Program Service Revenue236643872TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column323812TotalRevenueColumn
Exclusion$323,812ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other705Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other705Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column705TotalRevenueColumn
Exclusion$705ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionOTHER REVENUEDescription
Business Code624100BusinessCode
Total Revenue Column12287TotalRevenueColumn
Exclusion$12,287ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue12287TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column236980676TotalRevenueColumn
Related Or Exempt Function Income236643872RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$336,804ExclusionAmount
FieldValueIRS element (for citing)
Info In Schedule O Part IXXInfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total1139788Total
Program Services1139788ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total18000Total
Program Services18000ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1858766Total
Management And General1858766ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7821245Total
Program Services5349620ProgramServices
Management And General2471625ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total246445Total
Management And General246445ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1148011Total
Management And General1148011ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total865235Total
Management And General865235ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total89683Total
Management And General89683ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total161168Total
Management And General161168ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total174080926Total
Program Services174080926ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total343473Total
Management And General343473ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total114890Total
Management And General114890ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1014460Total
Management And General1014460ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total129012Total
Management And General129012ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total25454Total
Management And General25454ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total430040Total
Management And General430040ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total160976Total
Management And General160976ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
OTHER PROFESSIONAL SERV2768291327682913
CAPITATION44189654418965
LICENCES & FEES15819551581955
OTHER PROFESSIONAL FEES14787901478790

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total3439469Total
Program Services724995ProgramServices
Management And General2714474ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total228249664Total
Program Services213415207ProgramServices
Management And General14834457ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY67168328BOY
EOY76225620EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10709737BOY
EOY5322540EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY317167BOY
EOY313460EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis5689150LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4980735LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY576067BOY
EOY708415EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY49846308BOY
EOY52409180EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY128617607BOY
EOY134979215EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY9217187BOY
EOY4605559EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY41703437BOY
EOY43945661EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY50920624BOY
EOY48551220EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY77696983BOY
EOY86427995EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY77696983BOY
EOY86427995EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY128617607BOY
EOY134979215EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses8731012ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement SeparateXFinancialStatementSeparate
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis179050OtherCostOrOtherBasis
Depreciation154355Depreciation
Book Value24695BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5510100OtherCostOrOtherBasis
Depreciation4826380Depreciation
Book Value683720BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings708415TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
PAYABLE TO RISK POOLS$10,339,933
ACCRUED MEDICAL CLAIMS$33,605,728
FieldValueIRS element (for citing)
Total Of Amounts43945661TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt232955212TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal232955212RevenueSubtotal
Other Revenues Not Included4025464OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt4025464RevenueNotRptdOnFinStmt
Total Revenue Per Form990236980676TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt224259533TotExpensesEtcAuditedFinclStmt
Other Expenses Included35332OtherExpensesIncluded
Expenses Not Rptd F99035332ExpensesNotRptdF990
Expenses Subtotal224224201ExpensesSubtotal
Other Expenses Not Included4025463OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt4025463ExpensesNotRptdOnFinStmt
Total Expenses Per Form990228249664TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifierExplanationExplanation
PART XI, LINE 4B - OTHER ADJUSTMENTS:RECLASSIFICATION OF REINSURANCE REVENUES 3,985,903. UNREALIZED GAINS/LOSSES 39,559. ROUNDING 2.
PART XII, LINE 2D - OTHER ADJUSTMENTS:BROKER FEES -4,227. INVESTMENTS 39,559.
PART XII, LINE 4B - OTHER ADJUSTMENTS:RECLASSIFICATION OF REINSURANCE REVENUES 3,985,903. UNREALIZED GAINS/LOSSES 39,559. ROUNDING 1.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (30 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
ALII HEALTH CENTER
75-5759 KUAKINI HWY SUITE 208KAILUAKONAHI96740260318372501(C)(3)25000GRANTS - CHC DEVELOPMENT
ALOHA HOUSE
1787 WILI PA LOOP SUITE 7WAILUKUHI96793990173804501(C)(3)25000GRANTS - CHC DEVELOPMENT
AMERICAN CANCER SOCIETY
2370 NUUANU AVENUEHONOLULUHI96817990073489501(C)(3)1000DONATION
ASSN OF ASIAN PACIFIC COMMUNITY HEALTH ORG
300 FRANK H OGAWA PLAZA SUITE 620OAKLANDCA94612943050247501(C)(3)10000DONATION
BAY CLINIC INC
224 HAILI ST SUITE BHILOHI96720990222784501(C)(3)154542QUALITY PROGRAM GRANT/CHC DEVELOPMENT
BREATH OF ALOHAMAITREYA INSTITUTE
1000 BISHOP STREETHONOLULUHI96813990229637501(C)(3)525DONATION
CHILDREN'S MIRACLE NETWORK
PO BOX 31191HONOLULUHI96820990177350501(C)(3)25000DONATION
COMMUNITY CLINIC OF MAUI
48 LONO STREETKAHULUIHI96732990303304501(C)(3)70251QUALITY PROGRAM GRANT
EASTER SEALS HAWAII
710 GREEN STREETHONOLULUHI96813990075235501(C)(3)3500DONATION
HAMAKUA HEALTH CENTER
45-549 PLUMERIA STREETHAMAKUAHI96827990115515501(C)(3)53000QUALITY PROGRAM GRANT/CHC DEVELOPMENT
HANA COMMUNITY HEALTH CENTER
PO BOX 807HANAHI96713990326154501(C)(3)14000QUALITY PROGRAM GRANT
HAWAII PUBLIC RADIO
45 KAHEKA STREETHONOLULUHI96814510191809501(C)(3)250DONATION
HO'OLA LAHUI HAWAII
PO BOX 669WAIMEAHI96796990250542501(C)(3)14000QUALITY PROGRAM GRANT
KALIHI PALAMA HEALTH CENTER
915 NORTH KING STREETHONOLULUHI96819990161221501(C)(3)91839QUALITY PROGRAM GRANT
KAPIOLANI COMMUNITY COLLEGEUH
4303 DIAMOND HEAD ROADHONOLULUHI96816990085260501(C)(3)10000DONATION
KEVIN K KATO MD INC
PO BOX 5058KAHULUIHI9673220068779125000GRANTS - CHC DEVELOPMENT
KOKUA KALIHI VALLEY
2239 NORTH SCHOOL STREETKIHEIHI96819990149797501(C)(3)37566QUALITY PROGRAM GRANT
KOOLAULOA COMMUNITY HEALTH & WELLNESS CENTER
PO BOX 395KAHUKUHI96731731681833501(C)(3)53000QUALITY PROGRAM GRANT
LANAI COMMUNITY HEALTH CENTER
PO BOX 630142LANAI CITYHI96763202509287501(C)(3)22500QUALITY PROGRAM GRANT/CHC DEVELOPMENT
MALAMA I KE OLA HEALTH CENTER - CC OF MAUI
1881 NANI STREETWAILUKUHI96793990303304501(C)(3)75000GRANTS - CHC DEVELOPMENT
MOLOKAI COMMUNITY HEALTH CENTER
28 KAMOI ST SUITE 600KAUNAKAKAIHI96748510439659501(C)(3)48000QUALITY PROGRAM GRANT/CHC DEVELOPMENT
MOLOKAI GENERAL HOSPITAL
PO BOX 408KAUNAKAKAIHI96748990251372501(C)(3)25000GRANTS - CHC DEVELOPMENT
QUEEN EMMA CLINIC
PO BOX 30160HONOLULUHI96820990073524501(C)(3)30000QUALITY PROGRAM GRANT
QUEEN'S MEDICAL CENTER
1301 PUNCHBOWL STREETHONOLULUHI96813990073524501(C)(3)25000GRANTS - CHC DEVELOPMENT
ROBERT P MASTROIANNI MD INC
81 MAKAWAO AVENUE SUITE 100MAKAWAOHI96768202107739501(C)(3)18000GRANTS - CHC DEVELOPMENT
STATE OF HI - DOI
846 POHUKINA STREETHONOLULUHI96813DONATION OF STETHESCOPES837FMVDONATION OF STETHESCOPES
WAIANAE COAST COMPREHENSIVE HEALTH CENTER
86-260 FARRINGTON HWYWAIANAEHI96792990148164501(C)(3)157846QUALITY PROGRAM GRANT
WAIKIKI HEALTH CENTER
758 KAPAHULU AVE A-319HONOLULUHI96816990159253501(C)(3)30000QUALITY PROGRAM GRANT
WAIMANALO HEALTH CENTER
41-1347 KALANIANAOLE HWY AWAIMANALOHI96795990273205501(C)(3)28000QUALITY PROGRAM GRANT
WEST HAWAII COMMUNITY HEALTH CENTER
75-5751 KUAKINI HWY SUITE 203KAILUAKONAHI96740200495394501(C)(3)65871QUALITY PROGRAM GRANT/CHC DEVELOPMENT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants28TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantGRANTS - CHC DEVELOPMENTTypeOfGrant
Number Of Recipients1NumberOfRecipients
Amount Of Cash Grant18000AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Discretionary Spending AccountXDiscretionarySpendingAccount
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (6 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
CINDY NEELEY
CFO20699001000001004309054058960241983000
JOHN MCCOMAS
CEO2292990002660093070167870258053000
PAUL STRAUSS
CHIEF OPERATING OFFICER166643000006726066720180041000
PATRICK BRENNAN
SR DIR. OF PLAN OPERATIONS150468010000010043069540126120190077000
DR SHARON TISZA
MEDICAL DIRECTOR2049460350000088430113740228663000
STELLA CATALAN
SR DIR. OF CLINICAL OPS13444801000001004306164058960166551000

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
Return ReferencePART I, LINE 1AReturnReference
ExplanationDISCRETIONARY SPENDING IS APPROVED BY BOARD OF DIRECTORS AS DOCUMENTED IN THE EMPLOYMENT CONTRACT.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part III Form990ScheduleLPartIII (12 entries)

Relationship With OrganizationRelationshipWithOrganizationAmount Of GrantAmountOfGrantType Of AssistanceTypeOfAssistancePurpose Of AssistancePurposeOfAssistance
DANA ALONZO-HOWETH COMMUNITY CLINIC OF MAUI EXEC DIR
DIRECTOR & PAST PRESIDENT OF ALOHACARE'S BOD1900000GRANT & SERVICES RENDEREDGRANT & SERVICES
CHRISTINE RICHARDSON HAMAKUA HEALTH CENTER
DIRECTOR OF ALOHACARE'S BOD445000GRANT & SERVICES RENDEREDGRANT & SERVICES
EMMANUEL KINTU KALIHI PALAMA HEALTH CENTER EXEC DIR
DIRECTOR & TREASURER OF ALOHACARE'S BOD2900000GRANT & SERVICES RENDEREDGRANT & SERVICES
DAVID DERAUF KOKUA KALIHI VALLEY EXEC DIR
DIRECTOR OF ALOHACARE'S BOD1100000GRANT & SERVICES RENDEREDGRANT & SERVICES
RICH BETTINI WAIANAE COAST COMP HEALTH CENTER CEO
DIRECTOR & SECRETARY OF ALOHACARE'S BOD10700000GRANT & SERVICES RENDEREDGRANT & SERVICES
DESIREE PUHI MOLOKAI OHANA HEALTH CENTER EXEC DIR
DIRECTOR OF ALOHACARE'S BOD800000GRANT & SERVICES RENDEREDGRANT & SERVICES
MARY ONEHA WAIMANALO HEALTH CENTER EXEC DIR
DIRECTOR OF ALOHACARE'S BOD470000GRANT & SERVICES RENDEREDGRANT & SERVICES
SHEILA BECKAHM WAIKIKI HEALTH CENTER EXEC DIR
DIRECTOR OF ALOHACARE'S BOD845000GRANT & SERVICES RENDEREDGRANT & SERVICES
JANET ONAPA QUEENS HEALTH SYSTEMS MED DIR
DIRECTOR OF ALOHACARE'S BOD24500000GRANT & SERVICES RENDEREDGRANT & SERVICES
BEN PETTUS KOOLAULOA COMMUNITY HEALTH CENTER
DIRECTOR OF ALOHACARE'S BOD440000GRANT & SERVICES RENDEREDGRANT & SERVICES
BAY CLINIC INC
VACANT BOD POSITION2550000GRANT & SERVICES RENDEREDGRANT & SERVICES
HANA COMMUNITY HEALTH CENTER
VACANT BOD POSITION176000GRANT & SERVICES RENDEREDGRANT & SERVICES

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 1THE 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 11BOTH 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 12COFFICERS, DIRECTORS OR TRUSTEES, AND KEY EMPLOYEES ARE REQUIRED TO COMPELTE A CONFLICT OF INTEREST DISCLOSURE FORM ANNUALLY, AND NOTIFY ALOHACARE SHOULD ANY CONFLICTS ARISE DURING THE YEAR.
FORM 990, PART VI, SECTION B, LINE 15THE 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 19GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE MADE AVAILABLE UPON REQUEST BY ALOHACARE.
FORM 990, PART IX, LINE 11GOTHER FEES - PROGRAM SERVICES: PROGRAM SERVICE EXPENSES 174,080,926. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,080,926.OTHER FEES
FORM 990, PART XI, LINE 2CALOHACARE 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 IIIGRANTS 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).